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PS-14-207Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER. (305) 762.4949 � _11PT77 MAR 18 2014 i Permit No. 20r t I BUILDING PERMIT APPLICr Permit Nt "EE:_V1S.W Permit Type: BUII.DING JOB ADDRESS: 34 NW 96 ST ROOFING City: Miami Shores County: Miami Dade gip: 33150 Folio/Parcel#: 11-3101-033-0480 Is the Building Historically Designated: Yes NO X Flood Zone: NO OWNER: Name (Fee Simple Titleholder): Jorge Bonamino Phone#: 305-788-2326 Address: 34 NW 96 ST City: MIAMI SHORES Tenant/Ussee Name: Email: State: FL Zip: 33150 � NTRACTOR: Company Name:: ��' Phone#: UUUUUU mss Address: � , — //iW q� = d A� City: M1,01 �State: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this permit: $,3,800.00 Square/Linear Footage of Work: 1000 Type of Work: OAddition OAlteration New ORepair/Replace ODemolition Description of Work: NEW INSTALLATION OF PAVER AS PER PLAN DESCRIPTION Submittal Fee Scanning Fee $ Permit Fee $ Radon Fee $ Notary $ Train_ ducation Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ �p ©� Bonding Company's Name (if applicable) Bonding Company's Address r City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR UMPROVEVIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT: ' Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant roust promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 13 The foregoing instrument was acknowledged before me this day of MARCH , 20 —by Jorge Bonamino day of .20 _, by , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: SPR' Poa pp MONTEIRO 20 PR',PU� c y EDDa7W X12'1, 2014 Sign: 0 � Print: 04 � val FERNANDO MONTEIRO identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Conghsion Expires: * * EXPIRES: Apri122, 2014 My Commission Expires: )v �JjAPPROVED BY t1t—Plans Examiner !,J �! 5 / / Zoning Structural Review Clerk {Revised 3/12J2012)(Revised 07/10/07)(Reviu d 06/10/2009)(Revised 3/15/09) 111", 'Hill 1011 INI 11111111 M111 P 1P III 'Ii Permit# Folio# t�f)R;-! 'i € IJICV�I P I:�_Clii, tl COU' ` NIMT—DAD NOTICE OF COMMENCEMENT LAST PAGE The undersigned hereby gives notice that improvement will be made to certain real property and in accordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement : sgrwr reaar:ed r« e�INde 1. Legal Description of Property: Loti3lock'� unit Gl44dg,^, ❑Lengthy legal atta`chedll Subdhris n I Condominium: 0 a ] ON, 4<A1 ts® cG ? IPj Iia Street Address if available. 2. General description of lmprw4ement : 3. a. {teener name and address: b. Interest in property c, fume and address of fee simple titleholder (it other than Owner): 4. a. Contractor name and address: b. Contractor's phone number: 5. a. Surety name and address: b. Surety's phone member. c. Amount of bond: S. a. Lender name and address: b. Lender's phone number. S 7. a. Persons within the State of Florida designated by Ownar upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Hems: Address: b. Phone number: 5. a. in addition to himself or herself, the Owner designates _Ea reoeiv@ a copy of Lianar's 6+�Ice pet' S�tion 7a3.13(al(ro), Florida b. Phone number of person or entity designated by owner 9. Ettp n*on state of notice of commencement (the expiration date is 1 year from the date of recorcMg unless a diiFerenl data Is spectated) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR CEMENT MUST BE RECORDED AND POSTED IMPROVEMENTS TO O R PROPERTY. A NOTICE OF INSPECTION.CIF YOUUIINTEND TOO OBTAIN FINANCING, CONSULT NTH YOUR LENDERJOB OST R ON THE JOB SITE THE FIRST N THES O EY BEFTHE ORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Sionsturs(s) of Owner(s) s)' Authorized Officer/Director/Partnerliilanager i i' By P By Edsmams `t { V , Print TitleOfiice Till@lOflfce S'P'ATE OF FLOVJDA C- 1 e � COUNTY OF M CAM, The sa sSy /43 K� nbtd 111d4V. or Else; for P iomwn,or ppr tla tgtypeofidm on: Signature of Watery Public: Print Name. (SEAL) os w, ATORB PURSUAW TO SECTION 92.52$ FLORIDA STATtd6ES Under penalties of perjury, I declare that I have read the foregoing and Viet Ens facts stated in it are true, to the best of my knowledge and belief. MY00010wicD9 •� EXPIRES: Apil X20 14r OflicarlDiractozfParansrlffaanagsr ertio signed above: By g:VecardtnBVcrswMoc•nollcect,,WMn wnwrevised7.3.6 AM Ili Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Alenjandro Sorgente 34 NW 96 Street Miami, FL 33150 Vision: To be the Healthiest State in the Nation March 13, 2014 Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General & Secretary RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number. AP1138186 Centrax Permit Number: 13 -SC -1524896 34 NW 96 Street Miami, FL 33160 Lot: 7 8 Block: 131 Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 03/05/2014 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. No objection issued by Betsy Olmino on 3/13/2014 for the construction of a' brick walkway. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincerely, ZQ-`rn;n® Betsy Qlmino Engineering Specialist II Department of Health in Dade County Florida Department of Health www.FloridasHealth.com In Dade County - • , Florida TWITTER:HealthyFLA PHONE: (305) 623-3500 FACEBOOK:FLDepartmentof ealth YOUTUBE: fldoh 4 F721W 126th Court, Aniano J. Garcia, PLSMPh (305) 856-4566Record Survey lorida 33183 Land Surveyor & Planner Fax (305) 595-1454 Scale 1 "= 20' Property Address: �•� — — — 34 NW 96th Street, I I 0 • ••°"•---i"";' 15' Wide Alkq : • Miami Shores, Florida 33150 Legal Description: i 'n Asphalt Pavemen • • • • 0 • • • • • 4 • ag 15.00 N 0° 0'00" W 75.0(f.. _r! • • • •••4•• FIP hPi'PR " accord'to the 10.1' �•• • tib „ ••�••� ATE 6'9A Metol t • � •: O-'`l • • • •. • • • ILAs" C6 Shed *• • is•• •••••4 39, of P blit A ��' f • • • • • • -1- . 1. A � ° • .... • DEPT 50.00' :"" • • °25.00' :•••• + f,l lRJFCT TO COMPLIANCE WITH ALL FdD RA 6 * j N I The E 2%• •• TATE AND COUNTY RULES AND REGU I ONS Block 131 a oek t1 si There may be easements and/or other instruments affecting this wood property, recorded in the Public I Deck 12.1 t¢ Records not shown on this survey. The purpose of this survey is for I 16.4 use in obtaining title insurance I 06 i FAC]and financing and should not be I b used for construction purposes I N t 1.5 N or plans. Lot Li e� • Y i in Cl) 27.8' I Steps th J ° 6, I P 0 w 'h � I n ,ell ell . I 0 3' 27.8 I (D II a Re dente I a Ste $a`. — 34 6) '.1 �2 1 40.0' 15.10' 60 Of r4r\ �11'r®IQL w ti►r� 1ebN it`C 0' I q� Z 15.00' et 6. FIP L �o BOB I a?1 011,, FIP N 90000'00" E 75.00' sidewalk OTI k ealth Miami-Dade County 0 o C c Parkway �. .T.D.S. & Well Program Curb Gutter pplication No-- ate: ®t ignatur _ n •s a ach en Noted: None For: Consuelo Becerra; Jorge Bonamino; Venetian Title _ NW 96th Street Gross Median- `e 61S 21 , -)11i" Miami Shores village Building Department 10050 N.E.2nd Avenue, lViiami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762A%9 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 2-5,Y /1r(X/ q6 5;7 City: - Nami shores County: Foliomarcel#: //-a lot- 033 - 0 ISO. Is the Building Historlcany Delgamted: Yes OWNER: Name (?e Simple 19 FBC 20 Permit No. Master Permit No.D SI CL 7 O�- ROOFING [faun' Dade Zip; Iwo1Gory k&lgl Flood Zone: 4 A10 Phone#:_3,z city: fit rh' S'�P.� State: A0/10# �jl�s'O Tenant/i essee Name: Email: CONTRACTOR: Company Name: �J � /i�llJ Phone* • �8$-• � ?r - Address: Address: _ 17-t5 "�- City: /7);/a, - Opt—" QualifierName: Phone#: State Certification or Registration #: Certificate of Competency#: Contact Phone#: Email Address: DESIGNER: ArchitecMigineer: ,• , Phone#: Vabe of Work for this Permit: $ 2 uarelLlar Footage of Worms m ��. Type of Work: OAddition OAlteration ew / ORepair/Replace ODemolition Desarlptioaof Work: a t•�2 -&/Z��>nO le• . 4e, , GOA Color dwu kle: Submittal Fee C6 Permit Fee $ CCF $ CO/CC $ SMMWFee$ Radon Fee $ DBPR $ Bond $ Notary $, Training/Edncadon Fee $ Technology Fee $ Doable Fee $ Structural Review $ TOTAL FEE NOW DUE $ $oMft Cpr�pany's Name Cf applicable) Bonding Company's Address City State Zip Miomke Lender's Name (if applicable) Mortgage Lender's Address City State lap Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BORERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature er or Agem The fore -ing ' trument was ac owledged efore me this day of ®fr�li / , 20 �/ M. by mar p whops personally known to me or wh has produced As identification and who did take an oath. NOTARY PUBLIC:pt►3�Y P% FE Kq= *a o* MY CQMMb51Ql+1 i lm9d M EXPIRES: April 22, 2014 Sign: ���eo�w�'°ef►5w Print: My Commission Expires: SignaUne Contractor The foregoing instrument was acknowledged before nm this day of . 20 _, by who is personally known to me or who hadproduced__ as identification and who did take an oath. APPROVED BY �t�Z� Plans Examiner, Structural Review (Revised 3/12=12)(Revised 07/10/UWtevised 06/1QaWXRevised 3/15/09) NOTARY PUBLIC: Sign: Print: My Commission Expires: . Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT J NAME: Q L, E w r�� 00 DATE: 12. m d a Z'O 13 ADDRESS: _ I� i� �► �T' H d -A I'll Shorwg IFC. ?8 (ro . Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.CA and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 2 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility.. 3. 1 understand that, as an owner builder, I am the responsible party of mord on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permk. filed in his or her name WOW of my own name. I also understand that the contractor Is required by law to be licensed in Florida and to list his or doe*,, numbers on z , permits and contrails. Initial,. 4. 1 understand that I may build or improve a one family or two-family residence or a farm outiwilding. I may, also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building' or residence that 1 have built or substantially improved myself is sold or leased within 1 year aper the construction is complete, the law will presume that I built or subslOally Improved it for sale or lease, which violates the exemption. IPKW_. 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initlal 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. 7. 1 understand that it Is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any Injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide average for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance average for injuries to workers on my property. Irl Nal 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who Is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must amply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the construction must comply with all applidable laws, ordinances, building codes, and zoning regulations. Inflial_,.P. 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida construction industry Licensing Board at 850.487.1395 or h_pttJhv w.myflor dalloonse.com/dboripro/cHbrmdextdml initial_ A 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: 12. 1 agree to no* Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial, Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uctionr Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be In civil court It Is also Important for you to understand that. If an unlicensed contractor or employee of an individual or firm Is Injured while working on your property, you may be held table for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licersed and the status of the contractor's workers compensation average. Before a building permit can be Issued, this disclosure statement must be completed and signed by the property "nor and returned to the local permitting agency responsible for Issuing the permit A copy of the property owner's driver tdense, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency Is requkrpd when q the permit Is issued. Was acknowledged before me this 4- day of►'1ME20 i� By �Q �%AtAiPbwhq. was personally known to me or who has Produced there License or as identification. FMNAM MONMIRO O , MY coMNIS a iiOD 984327 * EXPIRES: APrird� , `� �.°e BondedTluuBu�N�rySl�s "b`—� WNER NOTARY l .�we+.nr..w*'rsw�.yMq°wan'w'eRw D 5 i `-1- 20--� C720SW 126th Courf, Ar�iano J. Garcia, PLSMph (305) 856 4566 Record Surveymi, Florida 33183 Land Surveyor & Planner Fax (305) 595-1454 Scale 1"= 20 Property Address: r ----------------- 34 NW 96th Street, I I Miami Shores, Florida 33150 I o 15' Wide Alley o 0 Legal Description : I 6Asphalt Pavement 16 Lot 7 and the East 25 feet of Lot 8, 15.00' N 90°00'00" W75.00 Block 131, of "MIAMI SHORES I FN SECTION NO 6", according to the 10.1' I Plat thereof, as recorded in Plat9�6- 6 seed. Book 10, at Page 39, of the Public Reco iami-Dade County Flori 7IVEi 50.00' FF 0 4 Zai4 I E m Y, a° Lot Block 131 0 There keiy1be easements and/or I Tnls�_611l GV4 other instruments affecting this I Ou dicno b4c property, recorded in the Public Records not shown on this survey. � 25.00'— The E 25' of Lot 8, v Block 131 I Wood I y Deck �* The purpose of this survey is for I 16.4' use in obtaining title insurance i ac and financing and should not be I o 11.5 I used for construction purposes I or plans. I — �i � Lot Line CITY:_0 co V) N 27.8, I O 8.6' I 10 1-; .1.1I n i `" �I CL CN lea F� 9.3 27.8 QResidence i > I aF i , 4 34 .El Arr MII-ENO l o PERMtl';�: z DATE:_ [ _2? N90'00' 185' IVisual Encroachments Noted: None ror: Consuelo Becerra; Jorge Bonamino; Venetian Title 14.95' Steps 0 N ro � N Y °m 00 Co. - NN �v3 0 �w O rA c Steps as r I a CL 10.60' 40.0' ----15.10' �RTMto fS It- 20' — gDo}c-,.A- N ^y- 6, RIP?13/1I 1 i 0 .ZI 0 �\ f tiNPR�O_ p« o BLDG DEPT SU6JECi 1D CCMPt 1AAt� NW 96th Sire -?ST"' i