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BPP-15-2596 Pqmrrt NOc BPP-10-16,-2596 y,V Miami Shores Village P8"nit Type:PoolWWhIrl o?is(Hot Tubs �S. Wbtk Classi10050 N.E.2nd Avenue NW fication.New Miami Shores,FL 33138-0000 Pe� , Permit Status-APPROVED Phone: (305)795-2204 FLOR'l9�` Issue I : 10126/2015 Expiration: 04/23/2016 Project Address Parcel Number Applicant 21 NW 101 Street 1131010180220 FEDERICO GONZALEZ Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell FEDERICO GONZALEZ 21 NW 101 Street MIAMI SHORES FL 33150- 21 NW 101 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 19,000.00 HOME OWNER Total Sci Feet: 258 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Fence Date Denied: Final Type of Work:Swimming Pool Occupancy:Private Pool Deck Additional Info:RENEWAL OF EXPIRED NEW POOL PER Bond Return: Wall Steel Classification:Residential Scanning:3 Review Planning Review Building Review Mechanical Review Plumbing Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $11.40 Invoice# BPP-10-15-57409 CO/CC Fee $50.00 DBPR Fee $8.55 10/14/2015 Credit Card $50.00 $631.50 DCA Fee $8.55 10/26/2015 Credit Card $631.50 $0.00 Education Surcharge $3.80 Notary Fee $5.00 Permit Fee $570.00 Scanning Fee $9.00 Technology Fee $15.20 Total: $681.50 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 AFFIDthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd zonin ��( a the above-named contractor to do the work stated. October 26, 2015 Authorized Signatur .Owner J / pplicant / Contractor / Agent Date Building Department Copy October 26,2015 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-245625 Permit Number: BPP-10-15-2596 Scheduled Inspection Date: November 10,2015 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: GONZALEZ, FEDERICO Work Classification: New Job Address:21 NW 101 Street Miami Shores, FL 33138- Phone Number (786)302-3247 Parcel Number 1131010180220 Project: <NONE> Contractor: HOME OWNER Building Department Comments RENEWAL OF EXPIRED NEW POOL PERMIT BPP Infractio Passed Comments 14-2561 INSPECTOR COMMENTS False Inspector Comments Passed _<AJ Failed Correction ❑ Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 09,2015 For Inspections please call: (305)762-4949 Page 18 of 43 Miami Shores Village _ TVT' , U. BuildingDepartment ��Y �4 ��9� p e° i�r.,_ 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 i= Tel:(305)795-2204 Fax:(305)756-8972 �;__ `�1'� INSPECTION LINE PHONE NUMBER:(305)762-4949 \ti FBC 20 BUILDING Master Permit No. ��/ PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION gi(ENEWAL ❑PLUMBING ❑ MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS 1 JOB ADDRESS: ) _1 f` _'z City: Miami Shores County: Miami Dade Zip: l Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 4�j t ry c C' C,--y'3in'1 J 4 N_ Phone#: Address: City: L A 1"E 1..©e"h State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 't �� �' 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:$ ®® a Square/Linear Footage of Work: ,, Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: 1n Q w Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ •�A� Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I ° (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 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 was acknowledged before me this The foregoing instrument was acknowledged before me this L day of (�� ,20 ,by day of 20 , by c° C ho is personally known to who is personally known to me or who has produced ��L-- 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: Print: Seal: Seal: =ot #, Notary Public State of Florida Joanna M Feliciano < My Commission FF 082783 r , i APPROVED Y A .-ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Sam Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT ,J NAME: Q��2rr�v C.,®�.t�1�1 DATE: ��� ���A-' ADDRESS: ' �`��� �-�- N"`i ��'s� ., ;& 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. I 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 `+L"1� 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 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 l�cl 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. I 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. I 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 11. I 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: �r �� �' 1� �U���S�f� 1 e N4«VI✓I� S�Us`'� 1. 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. 40 1 Was acknowledged before me this l L� �� day of 20 h m By who was personally known to me or who has o 3 g N -n Produced there License oras identification. OWE R NOTARY Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-246655 Permit Number: BPP-10-15-2596 Inspection Date: November 05, 2015 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: GONZALEZ, FEDERICO Work Classification: New Job Address:21 NW 101 Street Miami Shores, FL 33138- Phone Number (786)302-3247 Parcel Number 1131010180220 Project: <NONE> Contractor: HOME OWNER Building Department Comments RENEWAL OF EXPIRED NEW POOL PERMIT BPP Infractio Passed Comments 14-2561 INSPECTOR COMMENTS False Inspector Comments Passed / j CREATED AS REINSPECTION FOR INSP-246549. HAVE SURVEYOR l_J PUT IN DIMENSIONS DISTANCE FROM SIDE AND REAR PLOT LINES TO POOL DECK AND WATER'S EDGE Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)7624949 November 05,2015 Page 1 of 1 PREPARED BY: �. ------ Land Surveyors, Inc. www.exactaland.com ' Toll Free 666-735-1916 • F 866-744-2882 @ �� PROPERTYADDRESS:21 NW 101ST STREET MIAMI SHORES,FLORIDA 33150 SURVEY NUMBER:1510.1611 FIELDWORK DATE:1o/192015 REVISION DATE(S):(Rev.1 11/2am5)(REVA 10/20/2015) 1510.1611 BOUNDARYSURI/EY MIAMI-DADE COUNTY ril _ LLI 25 0' a o O 12'FIP N 89055'030 E 81 O .44'(M) I/2'FIP 5.0' D NO ID 5 0°1 G'55°E 81.G8(P) NO ID 3'CF 25.0' rot r 1 I _ IW 11, r a I I IPtD -b ON 3 34.r S I a r O N to C\i V.' LDUj — L nF LOT 151 12.5 y O I-II 14 CB.W. � R- C- F,7 . p 1 a 00 m _ N 1 CJ L=3 .2 (P)3 7lM) z inn p Z 1 0 25.6 J� F 00x)-(j7,t 9-3--06-(M) v? U N 45 0OW"E,3 36(P) 19.9' N L( E N44 9'W4'E,�52/(M) ON LIN 06, �I 15�'. _ - 119.9 Res a21 n � --- �J\ m m 2.0' cp u2.915.2' N I IQ'I' ui 25.5' i2'FI ?: I LOT l 6 @ F.CC. o N 1 n I 00 JJ � To N D FI 1/2'Fl? G' `nC\l o 25.0'(D) 25.0' 1 @ r.o. 12•FIP G 55 G 45' ) 4 W 25.0'(C) No ID C I 5 89°5448°W 24.90'(M) r; o G I SII �I 1N 1 hereby certify t dory Survey of the ereon describe pert f1 een mode under y direction, n to best my knowledge and belief, ittr ro ate representation f o survey t s�' a ords of Practice 30 0 i6 30 ••i et forth by t FloridgE R& , f Professional • • •••• • urveyors & Mo �rs WON r 5J-17 of the GRAPHIC SCALE (In FAQ•• • lorido Administroo� N • • 1 inch = 30' ft 0000• 0000•• RONALD W. WALLING State of Florida Professional Surveyor and Mapper • • • • License No. 6473 •••••• *0000: • 0009 ••• • •999• Use atTheSurveyfor Purposes otherthan lrsendedl4M1thout WrittenVerlfirntion,will be"a ltser4 Sole Risk and WRhout Llabllhyto the 5urveyor0 •000• ••• � 0 Nothing hereon shall be Construed to Ghre ANY Rights or Benefits to Anyone Other than thoseCerdfied. FLOOD INFORMATION: m. POINTS OF INTEREST • • • •• •99••9 BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING N •• soONE VISIBLE • MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE • LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE VILLAGES • •• • OF MIAMI SHORES,COMMUNITY NUMBER 120652,DATED 09/11/09. *so*** • CLIENT NUMBER: DATE:11/2/2015 rALIVEu • • MEMBEIG • BUYER: SELLER:FEDERICO G.GONZALEZ NIP' A CERTIFIEDTO: ® = � C I Ak Land Surveyors Inc. 1916.e,�lane2ee 44-21182 This Is page 1 of 2 and is not valid without all pages. RB66Site I.F•yens Fl. P 9 P 9 LBi 7337 11900 FalrwayLalces DrNe,Suite I.Ft Myms,FL 33913 REPORT OF SURVEY 1510.1611 This is page 2 of 2 and is not valid without all pages. LEGAL DESCRIPTION: ' THE EAST 1/2 OF LOT 15 AND ALL OF LOT 16,BLOCK 2,NAVARRO,ACCORDING TO THE MAP OR PLAT THEREOF,AS RECORDED IN PLAT BOOK 12,PAGE(S)59,OF THE PUBLIC RECORDS OF MIAMI-DADE CONTY,FLORIDA. JOB SPECIFIC SURVEYOR NOTES: THE ASSUMED BEARING REFERENCE OF SOUTH 0 DEGREES 00 MINUTES 00 SECONDS EAST IS BASED ON THE EASTERLY RIGHT-OF-WAY LINE OF N MIAMI AVE,LOCATED WITHIN NAVARRO,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 12,PAGE 59,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. GENERAL SURVEYOR NOTES: 1. The Legal Desalption used to perform this survey was supplied by othemThis survey does not determine or imply ownership. 2 This survey only shows Improvements found above ground Underground footings,utilities and encroachments are not located on this survey map. 3. Ifthem Is a septic tank,or drain field shown on this survey,the location is approximate as the location was either shown m Exacta by a third parry or it was estimated by metal detection, probing rods,and visual above ground inspection only.No excavation was performed in order to determine the exact and accurate location. 4. This survey is exdusivelyfor the use of the parties to whom It is certified. 5. Additions or deletions to this survey map and report by other than the signing parry or parties is prohibited without wrImm consent of the signing party or parties. 6. Dimensions are in feet and decimals thereof. 7. Due to varying construction standards,house dimensions are approximate. e. Any FEMA flood zone data contained on this survey is for informational purposes only.Research to obtain such data was performed at wwwf nna.gov. 9. All comers marked as set are at a minimum a%widiameter,18"Imn mbar with a capstamped U11#7337.10.If you are reading this survey in an electronic format the Information contained on this document is only valid if this document is electronically signed as specified in Chapter 5}17.062(3)of the Florida AdministtativeCode and Florida Statute 472025.The Electronic Signature File related to this document Is prominentlydisplayed on the Invoice forthis survey which is sent under separate cover.Manually signed and sealed logs of all survey signature files are kept In the office of the performing surveyor.If MIs document b in paper format It is not valid without the slgmture and original ralsed seal of a Florida Licensed Surveyor. ,1.Unless otherwise noted,an examination of the abstract of title was NOT performed by the signing surveyor to determine which Instruments.if any,are affecting this property. 12.The symbols reflected In the legend and on this survey may have been enlarged or reduced for clarity.The symbols have been plotted at the center of the field location,and may not represent the actual shape w size of the feature. 13.Points of Interest(POrs)are selected above-ground Improvements which may be in conflict with boundary,budding setback or easement lines, as defined by the parameters of this survey.Them may be additional P01's which are not shown,not ca8ed-out as P0I's,or which are otherwise unknown to the surveyor.These P01's may not represent all hems of interest to the viewer. 14.Udlmes Mown on the subject property may or may not Indicate the existence of recorded or unrecorded utility easements. 1 S.The Information contained on this survey has been performed atclusively,and is the sole responsibility,of Exacta Surveyors.Additional logo or references to third party firms are for informational purposes only. 16.Pursuant to FS.558.0035,an Individual employee oragent may not be held individually liable for negligence. 17.House measurements should not be used for new construction or planning.Measurements should be verified prior to such activity. 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