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DS-15-1830 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-239560 Permit Number: DS-7-15-1830 Scheduled Inspection Date: August 04, 2015 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: SUERO, RICHARD Work Classification: Addition/Alteration Job Address: 1235 NE 93 Street Miami Shores, FL Phone Number Parcel Number 1132050270040 Project: <NONE> Contractor: HOME OWNER Building Department Comments PERMIT FOR CONCRETE WALKWAY 75 X 3 ALONNG infractio Passed Comments EAST SIDE OF BACK PATIO. INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 03, 2015 For Inspections please call: (305)762-4949 Page 20 of 37 P -` �sKO19sy, Miami Shores Village yA ` PBlttt7e Cfrive ► 161derltral 3'tbi ,.. 10050 N.E.2nd Avenue NE F `\ Fork, 1assificatfo Miami Shores,FL 33138-0000 = PE3 ot?1 :AP � o Phone: (305)795 2204 FtORID�' s, tCsate:7t3t#1Q15 Expiration: 01126/2016 Project Address Parcel Number Applicant 1235 NE 93 Street 1132050270040 RICHARD SUERO Miami Shores, FL Block: Lot: Owner Information Address Phone Cell RICHARD SUERO 1235 NE 93 ST MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone [Valuation: $ 500.00 HOME OWNER otal Sq Feet: 75 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved: :In Review Final Date Denied: Foundation Type of Work: PERMIT FOR CONCRETE WALKWAY 75 X Additional Info: Review Planning Bond Return : Classification:Residential Review Building Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# DS-7-15-56421 DBPR Fee $2.00 07/21/2015 Credit Card $ 50.00 $64.60 DCA Fee $2.00 Education Surcharge $0.20 07/30/2015 Credit Card $64.60 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. July 30, 2015 Auth rized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 30, 2015 1 Miami Shores Village Building Department JUL 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �4, Tel:(305)795-2204 Fax: (305)756-8972 — INSPECTION LINE PHONE NUMBER:(305)762-4949 SAN FBC 20 `{ BUILDING Master Permit No.,��SS�s - l U 31�) PERMIT APPLICATION Sub Permit No. 'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP pp CONTRACTOR DRAWINGS JOB ADDRESS 3 �( �Q � City: Miami Shores County: Miami Dade Zip: ^� �3 Folio/Parcel#: 0 @�Q 00%D Is the Building Historically�Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): Phone#: Address: )D-3(_�_ 3 1<5i{ - City: O'1 I nxn State: Zip: 8 Tenant/Lessee Name: Phone#: Email: 41 CONTRACTOR:Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ _: O-C-) Square/Linear Footage of Work(-7 V L.X 31 W X Y Type of Work: ❑ Addition ❑`\ Alteration ] New `❑ Repair/Replace/ ❑ Demolition Description of Work: cZ1rn �C ��`,—� c' rJ C_�"�`� U:7y\ ��.y<:C l.`� T� L.XyL/�( i c Specify color ofcolor ;;tt hru tile: �(" �� Submittal Fee$ `W Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) r ` Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State 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 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 1was acknowledged before me this The foregoing instrument was acknowledged before me this t day of UAL 20 C- by day of 20 , by l Reyu�eG who is personally known to who is personally known to i me or who has produced F 12 �W �- 'e as% me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLI NOTARY PUBLIC: Sign: Sign: Print: Florida Print: a ; Sindia Alvarez Seal: Z r' My Cor mSeal: FF 156750 ' ® %F1ir�6 0910312018 oZ2 Zoning APPROVED BY Plans Examiner Structural Review Clerk (Revised02/24/2014) Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 F�oRtvP' Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME�1�c�, �V,J-e 47 DATE: ADDRESS: r-XIS- 11,JX9.3 S+ Yn Iloml !SVNmQ.4 3 1 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 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. 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. 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 TMJ 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. Initial 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 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 QP 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 http://www.myfloridalicense.com/dbi)r/pro/cilb/index.html 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 the proposed construction activity at the following address: s tQ� Q .Ylr1 tAi`nl s� ��1Z 9 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 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 Z-) day of , 20 k`5 By �` p` b who was personally known to me or who has Produced there License or ��- ��� as identification. OWNER NOTARY rg,o NotaryPui)lic State of Florida SindiaAlvarez My Commission FF 156750� Expres 09/0312018 PAGE OF ZO" �—�� NO REVIEW REQUIRED ; Lo-t- to Florida Health MiBnli-Dade County INVOICE#03-16844 13L_oc ► _ _ O,S.T,D.S,_& Well.Pr r 1 4 lP g 1-235 NPROPEE 93RD STREET,MIAMI SHORES,FL.33138 AllmwP y t � _ r ate, y �J THE tFJa,T so.'Ln o p >.OT- S c, r ""^- LEGAL DESCRIPTION:. 0 1 0 �iJtr� /W 1 , LOT 4,LESS THE WEST 25 FEET AND THE WEST 25 NOT ►N c.t_vOE.tp 0 ° S oo 31' ks" vJ r`"'D ��.\mfr FEET OF LOT 5,BLOCK 1 OF"BAY LURE"ACCORDING �o Liz,' IRoIv PIPE I TO THE PLAT THEREOF,AS RECORDED IN PLATJ140k, 40,,}Z cry') wo t.p,� ZS' �,, ' 44,PAGE 63 OF•THE PUBLIC RECORDS OF.DADE�.ILmgTY,. ...... I2oN Plp$ '. - FLORIDA. .•�. -6 •. CNo I•t]:) c; r, r • • • 00j e / D AlA •....• •• •..•.• x triuj c o L DT S CERTIFICATIONS: •••:•• :....: J rJ � � 34.20 E .. •.•.• �4� ;o RICHARD .SUE�tO, a sink .than . . a Z 1 � :...:. ..... p t STUART A.'LIPSON,ESQ. _ n ? a U) ? �U�. ATTORNEYS'TITLE INSURANCE EUI�IYS,•INC. ::• - .._._ 0 rr 0 ': BANK OF AMERICA,NA,ITS SUCCESSOR£ •••:• 0. •.•• • .- -- AND/OR ASSIGNS •• N ONE �70R`t' Lv^'c 'Wr+�-K _ -.i V1 ' _ • • • f oGONG. Q CDCf) _ 800 a FLOOD ZONE INFO: to aE� a r L_oT `f 2 Q Ft COMMUNITY# 120652 LOWEST FINISH FLOOR: N/A St_o c.IL 1 4 0�, PANEL&SUFFIX- 0093 J GARAGE:N/A o J -p 1', F FLOOD ZONE X N/A p o o t_ r� t 8.tn' Z 7 s -- '---DATE E Off.FIRM 3/2/94 Ivu STr � S�PTIf� �RA1cJ F 1�1p ;- 25,oo' 9.. Ale N STM MIAMI I 25 lm - T z J _p t 134 ,OZ �t') /�, �_ k STS ��ES A4 1� 0 t/� — OR "o - T+1� wE.ST 25.0` of �.o-c 4 0 N �O' 3-1� 1SIIE 1-�c I�?•� I n I95� �i ST BAYSHORE p IRON RIPE. a nn N NoT I a LL.�t7E.L� I: f 5o' tZ/`a Cp� i _ ego 94 ST (N O 1.D� IJ tJ. i � ti O 0 Q I J 9 93o m"' ST ' - _ \S\.8�1' LP)_. - �. N U` > o w 92 xm ST } 5 �.t O (3 ® TER Q n z , cr I a z n - O _! REVISION SCHEDULE: L crv- 3 SAOc,>< k C^� t.l,•) PC_ LEGEND: M -MEASURED /. \ O �Ty �y c-►ry - '- -x— DENOTES FENCE LINE OHC -OVERHEAD POWER CABLE \ NOTES: SURVEYOR'S CERTIFICATION: ,JI1' DENOTES WOOD FENCE LINE ORB -OFFICIAL RECORDS BOOK 1. THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY I HEREBY CERTIFY THAT THIS BOUNDARY P PLAT CLIENT.NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS,AS DENOTES ELEVATION SITE PC -POINT OF CURVATURE THIS OFFICE. SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN RS ABBREVIATIONS: PCC -POINT COMPOUND CURVATURE 2 UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOG°ATED EXCEPT AS CHAPTER 611317 6 OF THE FLORIDA ADMINISTRATIVE CODE,PURSUANT TO AL -ARC LENGTH PCP -PERMANENE NT CONTROL POINT CENTER LINE PK PARKER KALON NAIL SPECIFICALLY SHOWN. SECTION 472.027,FLORIDA STATUTES. - - PR CF CALC FROM FIELD MEASURE R PROPERTY LINE 3. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM 9929 `�1,1� "'"� h, �,i.. CR -CALC FROM RECORD INFO POB -POINT OF BEGINNING (N.G.V.D.1929). DB -DEED BOOK POC -POINT OF COMMENCEMENT 4. FENCE TIES ARE NOT CENTERLINE OF FENCE. / URVEYOAS /Y DE DRAINAGE EASEMENT PRC POINT OF REVERSE CURVATURE / PT -POINT OF TANGENCY 5. IN SOME CASES,GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED f = �d , DME -DRAINAGE MAINTENANCE EASEMENT R/W RIGHT OF WAY TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS-DIMENSIONS ` LlcenS Nater B7 0 CENTRAL ANGLE SIGNED: DATE: _ EASE -EASEMENT RP RADIus POtNr SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. y� Tychael Calc, Professional Surveyor&Mapper • ((�� .`�. !(964)_777-2707 F.F. FINISHED FLOOR SBR -SOUTHERN BELL RISER 6. ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO O . (9 ) 777 A UE UTILITY EASEMENT Florida Registration No.5092 FND -FOUND RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. AKLAN PK. BLVD. •SUITE 108• LAUDERHILL, FL 33313 FPL FLORIDA POWER&LIGHT WAC WITNESS CORNER (not valid without the signature and original seal of the L -LEGAL WDM -WATER METER 7. DATE OF ORIGINAL FIELD WORK 3 I Z1`O Florida Licensed Surveyor and Mapper shown above) >6.