FW-14-1835Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-218329 Permit Number: FW -8-14-1835
Scheduled Inspection Date: October 16, 2014
Inspector: Rodriguez, Jorge
Owner: JOSE ANTONIO OLIVERA, MARIA
=06JA ne frwovwI i n
Job Address: 1098 NE 99 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: HOME OWNER
euliming Department comments
LEGALIZE EXISTING GATE
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Iron/Ornamental
Phone Number
Parcel Number 1132050180160
INSPECTOR COMMENTS False
October 15, 2014 For Inspections please call: (305)762-4949 Page 11 of 29
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 15, 2014 For Inspections please call: (305)762-4949 Page 11 of 29
c® t
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
BUILDING ❑ ELECTRIC ❑ ROOFING
AUG J 2. 2014
FBC 2010
Master Permit No. )"-4 —4 Y
Sub Permit No
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
own
Addr
City:
_BFE: FFE:
?Sr- 2p�53x20 0
Tenant/Lessee Name:
Email: % l e Q V! (t ® co, 6_// so)`th � �t
CONTRACTOR: Company Name: A/A ZJ"oje_QL w one#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration M Certificate of Competency M
DESIGNER: Architect/Engineer: Phone#:
Address: dl City: State: Zip:
V
Value of Work for this Permit: $ 40Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: -%4 C.y�►rT2
Specify color of color thru tile:
Submittal Fee $ �� . �� Permit Fee $ (!J 0 CCF $ ' CO/CC $
Scanning Fee $ CD �,cG�l Radon Fee $ � DDBrP�R $ � � v-�i Notary $
Technology Fee $ 0 ' A 1 Training/Education Fee $ Double Fee $
Structural Reviews $ "� Bond $�
TOTAL FEE NOW DUE $ G4 - G Q
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zip
P
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 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 Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
`a l day of A-i�o 0S1 .20 )�-k , by
VIA (-Vzi 2 . who is personally known to
me or who has produced
C—L- D?Jv(r2
identification and who did take an oath.
NOTARY PUBLIC:
Sign: /�—
Print:
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
as me or who has produced
20 , by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as
\V
Seal:®�\�? Seal:
�. 4
.•�tt
to T E
l� �/ ^^``
APPROVED BY 611&
1 ( Plans Examiner %.0 Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER 1(0
B1.1DER DISCLOSURESTATEMENTNAME: ��� �LfVq ATE:
ADDRESS:/ 0 d /V" V / / / ' /Y>r d igr-nr, Skofeil fl • 331,5k
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, KS 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.C.A 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. 1 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.
Initial
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.
Initial
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. 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 I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or -lease, which violates the exemption.
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial_
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 bylaw andby7�ountyor municipal ordinance.
Initial ��`byR
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 coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
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 comply with laws requiring the withholding of federal income tax and social iecurity 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 c
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 withal[ applicable laws, ordinances, building codes, and zoning regulations.
Initial -1 V i
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 http://www.mvforidalicense.com/dbpr/aro/cilb/index.htmi
Initial
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 they proposed construction activity at the following address:
Initial
12. 1 agree to notify 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..,J'icense, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist yokwlth 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 liable for damages. If you ob1 aid an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licer►secf and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
ZI
Was acknowledged before me this day of_, 20
�.1�
By�IA �t �- who was personally known to me or who has
Produced there License or r✓1— o2 i,/arV
OWNER
UMINLIM NOTES:.
1- ALUMINUM TO BE 8081- T6165 PCF SHALL CONFORM TO THE ALUMINUM DESIGN MANUAL
2008 EDITION "SPECIFICATIONS FOR THE DESIGN, FABRICATION AND ERECTION OF ALUMINUM-
2- WELDED CONNECTIONS SHALL CONFORM TO THE LATEST REVISED CODE OF THE AMERICAN
WELDING SOCIETY, AWS 01.1 ALL WELDING SHALL BE PERFORMED USING 5358 ALLOY,
ELECTRODES ARE TO BE PROTECTED FROM MOISTURE.
3- NO SPLICES SHALL BE PERMITTED IN ANY ALUMINUM MEMBER.
4- NO -SHRINK GROUT SHALL BE: NONMETALLIC SHRINKAGE -RESISTANT GROUT, PREMMED
NON CORROSIVE, NON STAINING PRODUCT CONTAINING SELECTED SILICA SANDS, PORTLAND
CEMENT, SHRINKAGE
COMPENSATING AGENTS, PLASTIZING AND WATER REDUCING AGENTS, COMPLYING WITH CE -
CRD -C621.
8- ERECTION
A- AFTER ERECTION, AVOID FIELD WELDING WHEREVER POSSIBLE, CONNECTIONS AND
ABRAIDDED� AREAS WERE SHOP COAT HAS BEEN DAMAGED. SPOT AND PRIME AREAS USING
SAME MATERIAL AS SHOP COAT.
B- SET ALL MEMBERS SO THAT, IN THEIR FINAL LOCATION, LEVEL, ALL ALIGNMENT ARE WITHIN
THE TOLERANCES PRESCRIBED BY NBC CODE.
6- ALUMINUM SURFACE IN CONTACT WITH CONCRETE, SHALL BE PROTECTED WITH ALKALI -
RESISTANT COATINGS SUCH AS #IEAVY SITUMINUOS PAINT OR WATER - WHITE METHACRYLATE
LACQUER.
ALL CONNECTIONS SHALL BE PAINTED WHITH A PRIME COAT OF ZINC -CHROMATE PRIMER OR
OTHER SUITABLE PRIMER FOLLOWED BY ONE OR TWO COATS OF ALUMINUM METAL PAINT OR
WITH A COATING OF HEAVY BoIsED BITUMINOUS PAINT.
STRUCTURAL NOTES:
- DESIGN INFORMATION: F.B.C., 2010, ALUMINUM DESIGN MANUAL 2005
- DESIGN LOAD: F.B.C., 2010
- MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES,
ASCE 7-10
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
A
BLDG DEPT
;IJRJFCT TO COMPLIANCE WITH ALL FEDERAL
1.rji) CnUNTY RULES AND REGULATIONS
8ML 2o0H sIIET
T LEGAL DESCRIPTION: N
LOT 7, BLOCK 179. "REVISED PLAT OF TRACTS 178A, 179A, 179C,,
180A AND THE NORTH i OF 1800 OF REVISED PLAT OF MIAMI
SHORES SECTION 3- ,ACCORDING TO THE PLAT THEREOF, AS SCALE 3/32° m 1' -ti
RECORDED IN PLAT BOOK 31, AT PAGE 41 SOF THE PUBLIC RECORD
OF MIAMI-OADE COUNTY, FLORIDA
J. NVERQ
A R C H I T E C T
I AR 0012947 1
18875 NW 84 CT
MIAMI , FL 33018
786 . 253 , 2364
AIANANDEREZONA1L.COM
GATE SHOP DRANANGS FOR
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S-1 OF 2
1098 N.E. BOTH STREET
MIAMI MORES, FLORIDA
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A R C H I T E C T
I AR 0012947 1
16675 NW 84 CT
MIAMI . FL 33018
JUANOIMAILCOM
GATE SHOP DRAWINGS FOR
PRIVATE
1098 N.E. 997H STREET
MIAMI SHORES. FLORIDA
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