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DS-15-702Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231189 Permit Number: DS -3-15-702 Scheduled Inspection Date: May 14, 2015 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez, Jorge Owner: ATASH, KARIM & METIS CORINA Job Address: 1195 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments DRIVEWAY AND WALKWAY inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)790-5551 Parcel Number 1132050190360 INSPECTOR COMMENTS False Inspector Comments Passed 04 -- Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 13, 2015 For Inspections please call: (305)762-4949 Page 8 of 30 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 1195 NE 100 Street 1132050190360 KARIM 8 METIS CORINA ATASF Miami Shores, FL Block: Lot: Owner Information Address Phone Cell KARIM & METIS CORINA ATASH FL (305)790-5551 1195 NE 100 Street MIAMI SHORES FL 33138 - Contractors) Phone Cell Phone HOME OWNER In Review Approved:: In Review Denied: of Work: DRIVEWAY AND WALKWAY Retum : nina: 3 Fees Due Amount CCF $3.60 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $1.20 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $4.60 Total: $173.10 Additional Info: Classification: Residential Valuation: $ 5,800.00 Total Sq Feet: 1170 Pay Date Pay Type Amt Paid Amt Due Invoice # DS -3-15-54969 03/27/2015 Credit Card $ 50.00 $ 123.10 03/31/2015 Credit Card $ 123.10 $ 0.00 Avauaoie inspections: Inspection Type: Final Building In consideration of the issua to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in stri conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I as me responsibility for all rk d ne by either myself, my agent, servants, or employes. I understand that separate permits are required for ELEr+CTRICA , PLUMBING. MECHANIC W} D DOORS, ROOFING and SWIMMING POOL work. OWNERS AFF DAVI I certify that all the f ing 'h ormation is accurate and that all work will be done in compliance with all applicable laws regulating construction an� zorEing. Futhermore, I �athhe�g6ve named contractor to do the work stated. / Buildi g Departmenttopy March 31, 2015 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC 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: (305) 762-4949 ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS JOB ADDRESS: FBC 20 10 Master Permit No.!:�s, Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip:` (� Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: OWNER: Name(Fee Simple Titleholder): Address: 11 '7,,)'- 1 C9 t) Flood Zone: BFE: FFE: one#: '� c: 5 ) 7o — 55-15- ) City: AZA A State: Zip: Tenant/Lessee Name: Phone#: Email: l � _,- --0 l C CONTRACTOR: Company Name:COC: w�Ia =ie �� Phone#: Address: City: State: Zip: Qualifier Name: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 6 To 0 Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1 )oC -\( e Specify color of color thru tile: Submittal Fee $ ''iii Permit Fee $ Iso ' M CCF Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) k�- Ay DBPR $ CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ Qas. 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 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 att chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspecti which occurs seven (7) days a he b ding permit is issued. In the absence of such posted notice, the inspection will not bpprov d and a reinspection f be c ged. Signature OWNER or AGE The foregoi g instrument was acknowledged before me this day of W , 20 of , by ks , who ' ersonally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: SigncD.._qn rent: Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of me or who has produced 20 , by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Seal: as APPROVED BY Plans Examiner 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 BUILDER DISCLOSURE STATEMENT NAME:14 1 f DATE: ADDRESS: 100 c s ff0?1�-S• �G -5-3 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, FS 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 owe 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 ow er-b 'Ide permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, ac rp 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 resp nsible r 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 in tead y own name. I also understand that the contractor is required by law to be licensed in Florida and to list his r lic nse b 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 substa 'ally ' pro myself is sold or leased within 1 year after the construction is complete, the law will presume that I bui r s to ' Ily 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 buildi g or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law d b co ty or municipal ordinance. Initial w 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 willful y ting 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 security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers cc ensa' for the employee. I understand that my failure to follow these may subject to serious financial risk. Initia 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 applicable laws, ordinances, building codes, and zoning regulations. Initial 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 ://www.m oridalicense.com/db rl ro/cilbfiin e 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 nartv legally and financially responsible for the proposed construction activity at the following address: 1®® 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of thi have provided on this disclosure. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction 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 liable 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 licensed 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. Was acknowledged before me this day of /YJda/ h , 20—/,4— By 0J,4— By )c !2LI'17-) &.4 s h. who was personally known to me or who has or J— 0.1X==-1 as identification. FLP\fW � ' /�IV••• I tvsi _DUg hfotary Pubi'° State r° 4; Joanna M Feliciano • a Commission FF 082753 �Mpires0111212018 9.12' ASPHALT PAVEMENT . � }� � 78.60 t P M T 15' ALLEY l Nwr- r ae v r.LP.W TUE PA 710 39.75' 0 -0.89 MAR 27 2013 r ^ �O-:'6 wo Im I- �L 1 y J� F �4•y R�A,5.00' 06.75 t n s ASPHALT DRIVEWAY �' I$ 19.80' 1?.00' N, E. 100th STREET 20.5' ASPHALT PAVEMENT Accepted By: ropsrly Address: 1195 N.E. 100 STREET NOTES: NO NOTES MIAM SHORES, FL 33138 -1 rHATTf$S'BOUPIDARY 9/RVE1'IaATRUEANU CORRECT M.E. Land Services, Inc. REPR6HJT 'RON OFABU ABED MYWRECTION. TMS COA�8WRHTF¢AOMMl147 TECHNICAL BTANOARDB, TFORTH BY TM TE OFFIARmA BOARD OF PROFE9SIQAIAI.LAM aumtEraRaw n. FlgramLt�BNt rnEcooEwmaiuNrromzovFL°wuasrarurEs 106855W190THSTREET SUITE 3110 SIGNED FOR THE FIRM MIAMI, FL 33157 �OUFL PHONE: (305) 740-3319 Mn ¢� P.S.M. No. 6101 FAX: (305) 689-3190 Norvaffo� TUREaPIDAURiFMICATEDELECTHOPllCaEALAN010R LI3#:6463 -- Tws¢vwrsNorvaw umrr�owotNURasmSEAL oFau°ENSMauRVEroR AND PAn0 P, . ONE STORY .a. T ^� RESIDENCE #1195 0-3 rn 20.35' 39.75' 0 -0.89 MAR 27 2013 r ^ �O-:'6 wo Im I- �L 1 y J� F �4•y R�A,5.00' 06.75 t n s ASPHALT DRIVEWAY �' I$ 19.80' 1?.00' N, E. 100th STREET 20.5' ASPHALT PAVEMENT Accepted By: ropsrly Address: 1195 N.E. 100 STREET NOTES: NO NOTES MIAM SHORES, FL 33138 -1 rHATTf$S'BOUPIDARY 9/RVE1'IaATRUEANU CORRECT M.E. Land Services, Inc. REPR6HJT 'RON OFABU ABED MYWRECTION. TMS COA�8WRHTF¢AOMMl147 TECHNICAL BTANOARDB, TFORTH BY TM TE OFFIARmA BOARD OF PROFE9SIQAIAI.LAM aumtEraRaw n. FlgramLt�BNt rnEcooEwmaiuNrromzovFL°wuasrarurEs 106855W190THSTREET SUITE 3110 SIGNED FOR THE FIRM MIAMI, FL 33157 �OUFL PHONE: (305) 740-3319 Mn ¢� P.S.M. No. 6101 FAX: (305) 689-3190 Norvaffo� TUREaPIDAURiFMICATEDELECTHOPllCaEALAN010R LI3#:6463 -- Tws¢vwrsNorvaw umrr�owotNURasmSEAL oFau°ENSMauRVEroR AND euaFER. Survey:A-50790 Client File t. 1440048 Page 1 of 2 Not valid without all pages. Survey:A 50790 Client File*. 14-0048 Page Z of 2 Not valla without 811 pages. Sulveyol's Legend PROPERTY LME STRUCTURE FO FOUND IRON PPE / B.R. BEARING REFERENCE TEL TELEPHONE FACILITIES ® CONC. M= WALL PIN AS NOTED ON PLAT A CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —X—X— CHAIN-LINK FENCE OR WIRE FENCE LBO LICENSE O - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX --�H/— WOOD FENCE LSO LICENSE O - SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK —o---o-- ILON FENCE CALC CALCULATED POINT N.R. NON RADIAL D.F. GRAINFIELD — — — — EASEMENT SET SET PM TYP. TYPICAL A/C AIR CONDITIONER — - — CENTER UNE A CONTROL POINT I.R. IRON ROD S/W SIDEWALK ® WOOD DECK CONCRETE MONUMENT LP. IRON PPE DWY DRIVEWAY r� V BENCHMARK M" NAL h DSK SCR. SCAN O CONCRETE ELEV ELEVATION PX NAIL PARKER-KALON NAIL GAR GARAGE ®ASPHALT P.T. POINT OF TANGENCY D.H. DRILL HOLE ENOL ENCLOSURE P.C. POINT OF CURVATURE ® WELL N.T.S. HOT TO SCAM BRICK / TILE P.R.M. PERMANENT REFERENCE MONUMENT ® FIRE HYDRANT F.F. FINWSHED FLOOR WATER P.C.C. POINT OF COMPOUND CURVATURE M.H. MANGLE T.O.R. TOP OF BANK P.R.C. POINT OF INVERSE CURVATURE O.H.L.OVERNfAO 1U1E3 EA.W. EDGE OF WATER /------- APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E,p.P EDGE OF PAVEMENT COVERED AREA P.O.C. POINT OF COMMENCEMENT CATV CABLE TV BSER C.V.G. CONCRETE VALLEY CUTTER P.C.P. PERMANENT CONTROL POINT W,M, WATER METER B.S.L BUILDING SETBACK LINE •� TREE M FIELD MEASURED PA POOL EQUIPMENT S.T.L SURVEY TIE LME POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB q CENTER LME �TT�T i1W CATCH BASIN D DEED ESMT EASEMENT R/, RIGHT-OF-WAY C.V.E. COUNTY UTILITY EASEMENT C CALCULATED O.E. DRAINAGE EASEMENTP.U.E. PUBLIC UTILITY EASEMENT I.E./E.E. INGRESS / EGRESS EASEMENT U.E. UTILITY EASEMENT L.M.E. LAKE OR LANDSCAPE MAIM. ESMT LB.E. LANDSCAPE BUFFER EASEMENTC.M.E. CANAL MAINTENANCE EASEMENT R.O.E. ROOF OVERHANG EASEMENT LA.E. LIMITED ACCESS EASEMENTA.E. ANCHOR EASEMENT Property Address: General Notes: 1. The Legal Description used to perform this survey was supplied by others. 1195 1195 N.E. 100 STREET R ET This survey does not determine or is not to imply ownership. 2. is survey only shows above ground Improvements. Underground umm, SHORES, footings, or encroachments are not located on this survey map. 3. If there is a septic tank, wall, or drain field on thft survey, the location of such items was shown to us by others and the Information was not verified. Flood Information: 4. Examination of the abstract of title will have to be made to determine recordix instruments, if any, effect this property. The lands shown herein were not Community Number 120652 abstracted for easement or other recorded encumbrances not shown on the plat of Panel Number. 12086CO306 e. Fence ownersship Is no a tternflneum d. Suffix: L 7. Bearings referenced to line noted B.R. 8. Dimensions shown are platted and measured unless otherwise shown. Date of Firm Index: 9/11/2009 9. No identification found on property comers unless noted. Flood Zone: AE 10. Not valid unless sealed with the signing surveyors embossed seat. 11. Boundary survey means a drawing and/or graphic representation of the Base Flood Elevation: 8.0 survey work performed In the field, could be drawn at a shown scale and/or not to mai®' Date of Field Work: 7/29/2014 12. Elevations If shown are based upon NGVD 1929 unless otherwise rated. Date of Completion: 7/30/2014 13. This is a BOUNDARY SURVEY untess otherwise noted. 14. This survey is exclusive for the use of the parties to whom it is certified. The certifucations do not extend to any unnamed partes. 15. This survey shall not be used for constnaon 0emlting purposes without consent from Miguel Espinosa. Legal Description: LOT 15 LESS THE EAST 5 FEET, BLOCK 177, OF SUBDIVISION MIAMI SHORES SECTION 8 REVISED, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43, PAGE 67, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA PRINTING INSTRUCTIONS:o. P.A.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY ISSUED THROUGH ATTORNEY'S TITLE FUND SERVICES, LLC; While viewing the survey in any Acrobat Reader, "Prins REGIONS BANK DB/A REGIONS MORTGAGE;. Itssuc cessors select the File Drop-down and select and/or assigns as their interest may appear. Select a color printer, if available, or at least one with 8.5"x 14" paper. Select ALL for Print Range, and the # of copies you would like to print out. ease copy ow or P`ofl— P on urposes on y "This fidalky does Tiawsure against I=ardamagebyreason offtofaawingWCeptmnr Under the "Page Scaling" please make sure you have selected "None." Anydgila, easement mftmss ordalms which may exist byressm of, or reflected AX the stow" J foe yp � by M/GUEL ESPINOSA dated ftqbwmgft2sbeadrg.l Do not check the "AutoRotate and Center" button. r=044 obg a -WW Check the "Choose Paper size by PDF'checkbox. a) NO mores Click OK to Print. b) C) M.E. Land Services, Inc. 10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157 _ PHONE:(305) 740-3319 FAX #:(305) 669-3190 LB # 6463 _ WVWV.MELANDSERVICES.COM Survey:A 50790 Client File*. 14-0048 Page Z of 2 Not valla without 811 pages.