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
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�o Liz,' IRoIv PIPE I TO THE PLAT THEREOF,AS RECORDED IN PLATJ140k,
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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.