RC-14-2307 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246291 Permit Number: RC-10-14-2307
Scheduled Inspection Date: October 23, 2015 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: , CLAUDIA YANCES &JOSE CANAS Work Classification: Alteration
Job Address:500 NE 93 Street
Miami Shores, FL Phone Number (786)314-9909
Parcel Number 1132060141110
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
INTERIOR RENOVATION OF KITCHEN AND 2 Infractio Passed Comments
BATHROOMS INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 22,2015 For Inspections please call: (305)762-4949 Page 28 of 40
Miami Shores Village
Building Department ocT o °��
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 (�
BUILDING Master Permit No.RCILA —23 0-4—
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: _scc rA;F- Gt3 rr'
City: Miami Shores County: Miami Dade Zip: 33130
Folio/Parcel#: " .32--'•06 _O 1.4 — ( i I c) is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): UQucl Id "rQn-C-� Phone#: -7E-30' a 14'99 C> 1 t
Address: 1 -365 E�>V7Gi:�Cll AV, APT A1007
City: Hlary II State: 'FL Zip: x3129
Tenant/Lessee Name: Phone#:
Email: C-�GtU� i a YG>�YIC �► :tel i'Y�G{ 1 1. C,p►-r*
CONTRACTOR:Company Name: Ovule.-z. Phone#: -706 31-4-qq 09
Address: 10ro-5 bric*eJ) ,NV- APT. A100-7
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:$ oo Square/Linear Footage of Work: OD 5T
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace [Demolition
BA M — NCS ctsT►N� TI L� LAYOcfT TO �►)
Description of Work. T�f S
P �L2� •F=�AG1 �
LA -r N6 I h NCGS
N - cis t G�t3 N�'T�-Y �! LtA
Pg►NT TH-V_006A4OUT TOG HOOSE
Specify color of colorrrt��hru tile:
Submittal Fee$_ =V� Permit Fee$ ` CCF$ 3 =0 CO/CC$
Scanning Fee$ e�-''W Radon Fee$. v DBPR$ Notary$
Technology Fee$ -I 4`-�l� Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ `�✓
(Revised02/24/2014)
Bonding Company's Name(if applicable)
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 low 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 C Signature
OWNER or AGE CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
17 day of 0--l-doer- 20 14 by day of ,20 by
CL AuX.A NA$3 4 S who is personally known to ,who is personally known to
,fie or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print owlF10A11 Print:
PW
mum
Seal: CgmmW 1•EE 063900 Seal:
Oiti�d tlMougli N�doigl Mehryt MM.
############################### ########### ################################################################
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
CFN:20140721649 BOOK 29353 PAGE 3804
DATE:10/17/2014 10:38:35 AM
DEED DOC 2,460.00
HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY
Please return to:
Garden Title Corp.
710 NE 126 Street
North Miami,FI.33161
This Instrument Prepared b
Hector Alvarez III,Esq
3211 Ponce de Leon BI Ste 208
Coral Gables,FI.33134
Property Appraisers Identification(Folio)#:
11.3206-014-1110
SPACE ABOVE THIS LINE FOR RECORDING DATA
THIS WARRANTY DEED, made this 13 day of C"Z�7__ _,2014,Michael Dagnery,a single man
,herein called the gra for who resides at:315 18th Place,Manhattan Bch,Ca 90266 ,to Jose Gregorio
Canas,a married man and Claudia Yances,his wife,whose post office address is:500 NE 93
Street,Miami Shores,FI.33138 hereinafter called the Grantees:
(Wherever used herein the arms"grantor.and"grantee Include all the parties to this instrument and the heirs,legal representatives
and assigns of individuals, nd the successors and assigns of corporations)
W I T N E S S T H:That the grantor,for and in consideration of the sum of TEN AND 00/100'S($10.00)
Dollars and other valual Is considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,
aliens,remises,release ,conveys and confirms unto the grantee all that certain land situate in MIAMI-DADE
County,State of Florida,viz:
Lot 9,Block 57 of M AMI SHORES SECTIONS NO.TWO,according to the Plat thereof as recorded
in Plat Book 10 at Page 37 of the Public Records of Miami Dade County,Florida.
a/kla:500 NE 93 Strc at,Miami Shores,FI 33138
SUBJECT TO:TAXES kND ASSESSMENTS FOR THE YEAR 2014,AND SUBSEQUENT YEARS,CONDITIONS,
RESTRICTIONS,LIMITATIONS OF RECORD,EASEMENTS AND ZONING ORDINANCES IF ANY WHICH ARE
NOT BEING REIMPOSED HEREIN.
TOGETHER,with all th tenements,hereditaments and appurtenances thereto belonging or in any-wise
appertaining.
TO HAVE AND TO HOLD,the same in fee simple forever.
AND,the grantor herebV covenants with said grantees that the grantor is/are lawfully seized of said land in fee
simple;that the grantor has good right and lawful authority to sell and convey said land,and hereby warrants the title
to said land and will de nd the same against the lawful claims of all persons whomsoever;and that said land is free
of all encumbrances,except taxes accruing subsequent to December 31,2013.
IN WITNESS WHEREOF,the said grantor has signed and sealed these presents the day and year first above
written. Signed,sealed and delivered in the presence of:
�
Witness Michael Dagnery
315 18"'Place Manhattan Bch CA 90266
,:>SVq L cO j&4oq&a� Address
Printed Signature
Hess Q
Printed Signature
STATE OF FLORIDA COUNTY OF MIAMI DADE
The foregoir g instrument was acknowledged before me this day of �-?• 2014,
Michael Dagnery who has produced the following as identification a Drivers'License,and who did take an oath.
Notary Public
HMMI t AVA W ill
Nowill IhINk-6N1.a norm
coon.Exillm Jul 24,201!
ommiubn#EE 215105
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C�Dn.umrnrs mut J'eninyeVeecror Y1X+cumennb LEGAI,Flrf,AttiDagmry l7AlilLlNn'.DFFD.rrxf
e,N� F.s 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: G I Q UCl i Gt YaY)GeS DATE: 1 O
ADDRESS: � N E Q.3Wd ST� M fCpf�Yl f `��10451 FL 3 S 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. 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$75,000.The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale or lease,which violates the exemption.
Initial_
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial_
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain a owner-builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I,as an owner-build r,may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and$m 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
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.mvfloridalicense.com/dbpr/pro/cilb/index.htmi
Initial—C-0 I
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:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to anyof 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 doeees 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 20 1
was who personally known to me or who has
Y p Y
Produced there License or CC- -kD(�_2 as identific tion.
Gl �,'�o�
OWNER
co