RC-16-245 (2) ��' Miami Shores Village raY
.� ,b �- • �� Building Department JAN 2 6 15
\� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
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Tel:(305)795-2204 Fax:(305)756-8972 _-___
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 (4
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
r-1 BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
�� )) CONTRACTOR DRAWINGS
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JOB ADDRESS: Z- Ij
. C1 S" , S4
City: Miami Shores County: Miami Dade Zip: 33 1 zs
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): --� C, A—c—o'S k-c-, Phone#: *3Com'=
Address• 1 >J , C, q ` '(L S'�-.
City:-MkC��- State: r", Zip: d
Tenant/Lessee Name: t Phone#:
Email:. Co.-�c s �-d L C cf
CONTRACTOR:Company Name: ,,4_ 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:$ S 0,� O CFO Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: "S"hrq cA j
Specify color o color thru tile:
P fY
f
Submittal Fee$ dp Permit Fee$ 9 0 -0-3 CCF$ , ,,. >,;: CO/CC
Scanning Fee$ !!�g," Ct" Radon Fee$ DBPR$( Notary$
Technology Fee$a t-4 ' y C� Training/Education Fee$ Q Double Fee$
Structural Reviews$ �20 `CA Bond$
TOTAL FEE NOW DUE$ C)3 ,
(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 reinspectio will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
Al The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
075 day of 20 1 LO ,by day of 20 ,by
. 4,110 ft5tcl .who is personally known to ,who is personally known to
me 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.
OTARY PUBLIC: NOTARY PUBLIC:
ell'? d
L
Sign Sign:
Print: �V11 o LUM Print:
Seal: BINTfANYM**LYNCH Seal:
NOTARYPUKJC
STATE OF FLORi0M1
Expires @r' 017
APPROVED BY t n Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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: - 'y�.C.A,C�,,r.jr-<, DATE:
ADDRESS: t-LS - -J- C `FS 4'�- fis_ ' � �7
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. 4-
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 perm:Vantracts.
Initia
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
y;:i6l3sstruction Is complete,the law will presume that I built or substantially improved It for sale or leas ,which violates the exemption.
lP . !.
Initiaj�
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the constructio •.
Initia
6. ('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 ty or municipal ordinance.
Initial
c
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.
Initi
8. I 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 regulatfo s
Info
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 con he Florida Construction Industry
Licensing Board at 850.487.1395 or htto://www.mvfloridalicense.com/dbor/pro/cilbAndex.htmi
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:
Initial
12. I agree to notify Miami Shores Village immediately of any additions,deletions,or changes toany informati n that I have provided on
this disclosure.
I
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the
Constr4uctlon 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 '5 day of --U1 20 1 CO
�.
Bye 10 (+U a who was personally known to me or who has •
Produced there License or 'Pt _ n_ as identification.
WNER V N TA
,� ly Miami Shores Village ' y3
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 P3� 4
Phone: (305)795-2204x � � C7r
Expiration: ) /26/2016
Project Address Parcel Number Applicant
128 NE 99 Street 1132060132270
JUAN CARLOS ACOSTA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
JUAN CARLOS ACOSTA 128 NE 99 Street
MIAMI SHORES FL 33138
128 NE 99 Street
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 30,000.00
HOME OWNER
Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final PE Certification
Date Denied: Window Door Attachment
Type of Construction:STRUCTURAL REPLACE RIDGE BE Occupancy:Single Family Framing
Stories: Exterior: Insulation
Front Setback: Rear Setback: Drywall Screw
Left Setback: Right Setback: Fill Cells Columns
Bedrooms: Bathrooms: Window and Door Buck
Plans Submitted:Yes Certificate Status: Review Planning
Certificate Date: Additional Info: Review Electrical
Bond Return: Classification:Residential Review Building
Review Structural
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing
Review Structural
CCF $18.00 Invoice# RC-1-16-58492
DBPR Fee $13.50 Review Mechanical
DCA Fee $13.50 04/29/2016 Credit Card $1,103.00 $0.00
Education Surcharge $6.00
Notary Fee $5.00
Permit Fee $900.00
Plan Review Fee(Engineer) $120.00
Scanning Fee $3.00
Technology Fee $24.00
Total: $1,103.00
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 IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi n I zoning. Futhermore,I authorize the above-named contractor to do the work stated.
April 29,2016
A orized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 29,2016 1
INSPECTION RECORD
STRUCTURAL
INSPECTIONDATE INSP INSPECTION DATE INSP INSPECTION DATE INSP
Foundation Zoning Fina!
Sternwall ZONING COMMENTS Rough
Slab Water Service
Columns 1 st Lift Rou h
Columns 2nd Lift Top Out
Tie Beam Fire Sprinklers
Truss/Rafters Septic Tank
Roof Sheathing Sewer Hook-up
Bucks Roof Drains
Windows/Doors ELECTRICAL Gas
Interior Framing INSP ON -DAT91 INSPI LP Tank
Insulation Tem rary Pole Well
Ceiling Grid 30 Day Temporary Lawn Sprinklers
Dryw
All Pool Bonding Main Drain
Firewall Pool Deck Bonding Pool Piping
Wire Lath Pool Wet Niche Backflow Preventor
Pool Steel Underground interceptor
Pool Deck Footer Ground Catch Basins
Final Pool Slab Condensate Drains
Final Fence Wali Rough HRS Final
Screen Enclosure Ceiling Rough
Driveway Rough PLUMBING COMMENTS
Driveway Base Telephone Rough
Tin Cap Tete one Final
Roof in Progress TV Rough
Mop in Progress TV Final
Final Roof Cable Rough
Shutters Attachment Cable Final
Final Shutters Intercom Rough
Rails and Guardrails Intercom Final IVIECHANICAL
ADA corn lance Alarm Rough INSPECTION DATE INS
Alarm Final Underground Pipe
DOCUMENTS Fire Alarm Rough
Soil Bearing Cert lFire Alarm Final Rough
Soil Treatment Cert IService Work With
Floor Elevation Survey Ventilation Rough
Reinf Unit Mas Cert ELECTRICAL COMM NTS Hood Rough
Insulation Certificate Pressure Test
Spot Survey Final Hood
Final Survey Final Ventilation
Truss Certification Final Pool Heater
STRUCTURAL COMMENTS Final Vacuum
MECHANICAL OMMENTS
INSPECTiION DATE INSP
Final
Sprinkler
Final Alarm
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ANY AND ALL CLOTH AND RUBBER
NOTES:
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H K Yoshida Construction, LLC Ph. 954.275.3969 Owner: Juan Acosta and Hiram Colas 2-20-13
1021 Floranada Road Fax 954.208.05.91 128 NE 99th Street Author: HY
Fort Lauderdale, FL 33334 hal@gccontractor.com Miami Shores, FL 33138 A 1 a 1