RC-15-2389 i
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-249918 Permit Number: RC-9-15-2389
Scheduled Inspection Date: December 24,2015 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: RAMIREZ, LEONARDO Work Classification: Alteration
Job Address:25 NW 91 Street
Miami Shores, FL Phone Number (786)226-5901
Parcel Number 1131010140050
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
REPLACING 30"CLOSET DOOR FOR/WITH BIFOLD Infractio Passed Comments
DOORS(2) CLOSETS FOR 2 ROOMS INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 23,2015 For Inspections please call: (305)762-4949 Page 12 of 21
Miami Shores Village s 7yw; ion:
10050 N.E.2nd Avenue NW y p
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' Miami Shores,FL 33138-0000 �
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`ate Phone: (305)795-2204
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was Data:91301201 Expiration: 03/26/2016
Project Address Parcel Number Applicant
25 NW 91 Street 1131010140050
Miami Shores, FL Block: Lot: LEONARDO RAMIREZ
Owner Information Address Phone Celt
LEONARDO RAMIREZ 25 NW 91 Street (786)226-5901
MIAMI SHORES FL 33150- IR
Contractor(s) Phone Cell Phone Valuation: $ 300.00
HOME OWNER
__.,. Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Window Door Attachment
Date Denied:
Framing
Type of Construction: Occupancy: Insulation
Stories: Exterior: Drywall Screw
Front Setback: Rear Setback: Final PE Certification
Left Setback: Right Setback: Window and Door Buck
Bedrooms: Bathrooms: Fill Cells Columns
Plans Submitted:Yes Certificate Status: Review Building
Certificate Date: Additional Info:REPLACING 30"CLOSET DOOR FO Review Building
Bond Return: Classification:Residential Review Planning
Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing
CCF $0.60Review Structural
DBPR Fee Invoice# RC-9-15-57144 Review Mechanical
$2.00
DCA Fee $2.00 09/30/2015 Credit Card $64.60 $50.00
Education Surcharge $0.20 09/21/2015 Credit Card $50.00 $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,P ING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAV I certi a the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and Hing. Futh a thorize the above-named contractor to do the work stated.
September 30, 2015
Authorized Si er / Applicant / Contractor / Agent Date
Building Department Copy
September 30,2015 1
Miami Shores Village r �
Building DepartmentSEPzd,
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 ` Y.
INSPECTION LINE PHONE NUMBER:(305)762-4949
FB
C 20iq
BUILDING Master Permit No.'-QC
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
.p CONTRACTOR DRAWINGS
JOB ADDRESS: Z05 r1W IiJ4
City: Miami Shores County: Miami Dade Zip: 15®
Folio/Parcel#: t t - 3% 0( ' 0%4 -0050 Is the Building Historically Designated:Yes NO
Occupancy Type: W4oad: Construction Type: CbG Flood Zone: NO BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Lg-cv-vAtAo %Y Phone#: 'jk%67?%v 59CA
Address: 26 AW ck0 sk -4rcgk
City: M kC W-', S%-%oi Ply State T�- Zip: :3;3 15�
Tenant/Lessee Name: Phone#:
Email: L-9-c'vyl+Vea,. ` .L C.Arlek
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: po
Value of Work for this Permit:$_ '5W Square/Linear Footage of Work: 421 Uy%ew
Type of Work: ❑ Addition 9 Alteration ❑ New ❑ Repair/Replace 1:1Demolition
Description of Work: ft P`CCC.A V1-, -bC)" ck0tie—} &0f 001(!/W%k6 bt610\ Doolm
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ��� . CZ CCF$ CO/CC$
Scanning Fee$ Radon Fee$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 614 > G(S
(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-qn a reinspection fee will be charged.
Signature 4 9 Signature
F NT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2-1 day of 20 t tj by day of ,20 by
L cav o w-So Q—mitt,•c L,who is personally known to .who is personally known to
me or who has produced E I , -1)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:
r
Sign" Sign:
Print: "f , e�= e�y'��. Print:
Seal: _ Seal:
��•oiPpY MARIE FIGUEROA
�; Notary Peft-State o1 Florida
'��
���,,Eae Commission#EE 879484
APPROVE Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
4
` �51jO Miami Shores Village
Building Department
son
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
I OWNER BUILDER DISCLOSURE STATEMENT
NAME: ,�►rywrf� DATE: 01 6
ADDRESS: 76 tAW 't%sk 'A MyAVK% twDfla T_ 163160
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. I Q
Initial U_
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_
t I-
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. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial
Lj.--
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 1 employ have the license required by law and by county or municipal ordinance.
Initial
f
. 1
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. l
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.
1 112
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 C
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.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:
7 C Mw 11114 MkIWO 5two V.-'33150 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.
Was acknowledged before me this Gday of SIPT , 20 19
By Ig2LI who was personally known to me or who has
Produced there License or TL- ��-11 ��-��� as identification.
A6
NOTARY ao�ORr o4s�'n N=AI
of Florida
S, M156750M co! E
CFN:20150603983 BOOK 29782 PAGE 1669
DATE:0911812015 11:59:35 AM
DEED DOC 2,100.00
HARVEY RUVIN,CLERK OF COURT, MIA-DADE CTY
This Documoat Pnparod By and Return tot
RICHARD A. GOLDEN, P.A.
XRM= AND GOLD= P.A.
1175 NR 125TH STR.HET SUITE 512
NORTH MAKI, FLORIDA 33181
RISC FILE NO, 160-15p
ParedIDNumhor; 11...3101_01.4_0050
W-arranty Deed
This ludenture, Mado this 11 t1h day of September , 2 015 A.D., Between
TERESITA J. PUENTE, a single woman
of the Gandy of Miami-Dade , state of Florida ,grantor, and
LEONARDO RAMIR39Z and JTHSSICA M. RAXIREZ, husband and wife
whose address is: 25 N. P. 91 STREET KlAMI SHORES FL 33150
Of the County of Miami-Dade , State of Florida , grantees,
WItneSSOth that the GRANTOR,for and in oomideration of the sum of
------------------------TEN DOLLARS ($1.0) ----------------------- DOLLARS,
and other good and valuable oonsiderWon to GRANTOR hi hand paid by OMNTERS, the receipt whereof is hereby acknowledged, has
granted, bargained and sold to the said GRANTEES and GRANTEES' heirs,sueoosaora and assigns farovor, the following deaoribed land, situate,
lying and belag is the County of XjA'j X_DAUg Siete of Florida to wit;
LOT 5, RECTOR SUBDIVISION, ACCORDING TO THIS; PLAT THEREOF, AS RECORDED
IN PLAT BOOK 45, PAGE 1 OF THE PUBLIC RECORDS OF NIA=-DADS COCINTX.
FLORIDA.
.
and the Wwdor does horeby (ally warrant the title to Raid land, and will defeud the same against lawtid claims of alt persona whomsoever,
raawaaavAtadt�y�Dlaplay$ystrme rna,2015 (851)763s535 PurmFLWD-2
Warranty Deed .Pg. 2 CFN:20150603983 BOOK 29782 PAGE 1670
Pareel ID Nwnbar: 11-3101-014-0050
In Witness Whereof, the grantor has hereunto set her hand and al the day and year first abovo written,
Signed,s kd"t;R4� itped in our Presence:
(Sea])
,Printed wame TERESITA %7. F'UFNTE
PAAddross:3535 NW 81 TT RRA.CE,Miami,FL,33143
Pr ede s �V_ tkt
wityeas .
STATE OF Florida,
COUNTY Or Miami-Dade
The foregoing hrsmmnt was acknowledged bafaro me this 11th day of September 9 2015 by
TERESXTA T. FURNTE,, a mingle woman
who is pwounUy known to me or who has produced her Florida driver 18ioo o ae identifioation.
Print dIMI,
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