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DS-16-780
r^--- 7777-777 Pef7;;tt IUU. ► - -780 Miami Shores Village Permit Type:QriveWa s/Sidewalks/31abs 10050 N.E.2nd Avenue NE a W Ctas~ow ItiArllA tt)ttrf •"• Miami Shores,FL 3313&0000 AP I ham° Phone: (305)795-2204 � �iPe � S �ZoRmA , Issue bats:4/5/20,16 Expiration: 10/0 2016 Project Address Parcel Number Applicant 325 NE 96 Street 1132060135890 JAMES MCCOY Miami Shores, FL Block Lot: '' Owner Information Address Phone a Cell JAMES MCCOY 325 NE 96 ST MIAMI SHORES FL 33138-2717 Contractor(s) Phone Cell Phone Valuation: $ 500.00 HOME OWNERTotal Sq Feet 106 E r Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:CONCRETE TRASH PAD IN NW CORNER Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Fees Due ]$2 Pay Date Pay Type Amt Paid Amt Due CCF Invoice# DS-3-16-59134 DBPR Fee 04/06/2016 Check#:2675 $ 119.60 $0.00 DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: 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 AFFIDANZ,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 zonin . ermore,I authorize the above-named contractor to do the work stated. April 05, 2016 Authorize Signat wne / Applicant / Contractor / Agent Date Building ep Ment Copy April 05,2016 1 INSPECTION RECORD PLUMBING STRUCTURAL INSPECTION 1DATE11 PINSPNEC'InNIONEMMATE INSPECTION DATE I INSP Foundation Zoning Final Stemwall ZONING COMMENTS Rough Slab Water Service Columns 1 st Lift 2nd Rou h Columns 2nd Lift Top Out Tie Beam Fire Sprinklers Truss/Rafters Se tic Tank Roof Sheathing Sewer Hook-up Bucks Roof Drains Windows/Doors ELECTRICAL Gas Interior Framing INSPECTION DATE INSP LP Tank Insulation Temporary.Pole Well Ceiling Grid, 30 Da Tem ora Lawn S rinklers Drywall Pool Bonding Main Drain Firewall Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Prevento Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool Slab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Rough Driveway Rough PLUMBING COMMENTS Driveway Base Telephone Rough Tin Cap- Telephone 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 MECHANICAL ADA com liance Alarm Rough INSPECTION DATE I INSP • Alarm Final Underground Pipe DOCUMENTS Fire Alarm Rough Soil Bearing Cert Fire Alarm Final Rough Soil Treatment Cert IService Work With Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum MECHANICAL COMMENTS INSPECTION DATE FINSP Final Sprinkler Final Alarm This propertyy described es: Lots 15 and 16, Black 43 WARENDED PLAT OF MIAMI SNORES �� I 'SQ ' • n 50• SECTION NO. 1, 10 Q I2 r r l0 9 B according to the Plat �+1G thereof, as recorded in r ' C I \' �, fl} ¢3 Plat Book 10, Page 70 / 1 -I)�'"� 01 �' 9 of the Public Records of " ` t' �a /4 5 r� le c9 -Dade County, Florida. "D5TA I'L_ —` .u,E 96TH s-r 1!/DOO � t'Y•j LrE' Q c%e 4 / 00.00 � j� N • 0/.zs� ecio/b) 22poD o _ !-UT /�S• \' tj ,2/.Gra' ;, f t U •f�©A•`CN �, 4.3'1 "T' ie ,O 42.65' �, n• o Q,uS `Torte ' Soo' � �S•9o, ,PC% , sees: •:e•s a}�s,,ees S7' \- WOOS 5TF Q ••••Ot�S so'/• /tf/�J' > f3dc'rCA", GfiDLL' -� fl> pw s •C' W • " 1 L s • • 6666• -:.,' O,". •_` J In e so 4140•940 0 e• •1't OAIC O+ lw'z 0 seN • sea, •:•••ot or +• 7 • rtitatT //2ovX2 Q' (p 00 sof :••• A %fj35' C3 S. PG4Nnsr .a.......t.i_J.. ,GB 4D, a It It '//.0d` A44F ✓w PROPERTY pf; McCoy;' James A. , and McCo Anne,. 325 N.E. 96th Street, Miami Shores, Florida •33138 will(11ApWuullpPlfirsliNA llllY _11 IIOL1Nht►1?v „ SIAM AND 1111:IIpI1:INU.HAM pSl:AL111 1 ftttrbl ictal! 11,11 flee lunet telur• LANNES AND GARCIA.INC, /Itlllfls.11.11l'NSI•pSUpsl:1tt11 settled Istleut, !heel% Ilse tlan8n•tltn ANP H ItrN Itl hniuf uandatdl Itl 41411,bl the doted 1..11.H 21198 01 land Sunerma to c1,aln �1Gu.rr !itlltYl:Y(}Itti-MANI'I•:Itti-LANt11't.ANNI?Itti ' Ibtida AJalbdtu6fi•e (*wile purluatn w Setdan u).o)!.Ib.Stnofet.Il+ete ate nn a• REALE SMITH #5238 enuwdtme14s►, tdalts. e6sem.14ts aPltening nn file 1441. nlhet 11,614 at •114.wn hetela Mlire ndJrrsa:319 Aleni•r Avelwe,('ural(:ahfrs,61.nlde.l.11.►•f 1.1115)666.7'!119F11-:1.311 DATKIS Al 195.1151.1•Nbf.,{ a.► Itr asuvrvn•4t.•at.rnenn v��. I)ItA1YN 111' t11tW(:.No /n 136806 .... • • • . • 09 . . . . . . . . . . . McCoy Residence -325 Northeast 961h Street• Soo March 21, 2016 Exhibit A: New ConcreteW;Q;Pad 1ArAF--N91thw1Vst Corner of Property • • •T' 4-0. .*- �-It.. 8. • . . • ' ' ' • •• Prolect Notes: • lose 00" The new trash pad slab will be a six(6)inch pour of Existing 5'x6' hydraulic concrete with wire Concrete Slab mesh imbedded. Existing alley and driveway asphalt with deteriorated tapered edges that abut the Side Yard Grass& i new slab will be saw cut to Landscaping provide adequate depth of pour to maintain integrity of new slab perimeter. i i NEW 17' i CONCRETE TRASH PAD i � Alley i Existing 2'x5' � Concrete Slab L------I Carport Driveway � pMiami Shores Village c A� �kA Building Department MAR I 12016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 $Y: lll✓✓✓ Tel:(305)795-2204 Fax:(305)756-8972 1_ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014. BUILDING Master Permit No.rp S Kjo l PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP 1 CONTRACTOR DRAWINGS JOB ADDRESS: 1 �T City: Miami Shores County: Miami Dade Zio: J� Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE:2� FFFEE: OWNER:Name(Fee Simple Titleholder): Phone#: 7"� Address: 3 25 NFL C Q0 S-T City: n( A-V-,A State: Zip: 331 7 Ff Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: y�"v��� �V�adz_ Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ S00 • to Square/Linear Footage of Work: 1 D 10 Type of Work: ❑ Addition ❑ Alteration ❑ Repair/Replaces 1 ❑ Demolition Description of Work: 5z �� 4AJ ;1 ?^D �� NW C �' 4- Specify color of color thru tile: Submittal Fee$ Permit Fee$ 100 a� CCF$ CO/CC$ t9Scanning Fee$ C'::4 . Radon Fee$ ,1p DBPR$ , Ch Notary$ Technology Fee$ Q Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revisedo2/24/2014) A 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 /N# Signature 0 NER or A NT CONTRACTOR The foregoing instrument as ack wledged beforett me this The foregoing instrument was acknowledged before me this —�a3 day of 20 VY by day of ,20 by who is personally known to who is personally known to me or who has produced IGL -lu�� 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: 1111111111N1�/// Sign: . ••\HES •.� i� Sign: Print: =s � a� t.SPrinfi Seal: d6°•'i�J� A L' � .0 deal: a x*�*�*�����*************�*��� ** ixax*// ���111T�''V►�\�x*�x********* o APPROVED BY Plans Examiner ning Structural Review Clerk (Revised02/24/2014) Miami Shores Village p� Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 OWNER BUILDER DISCLOSURE STATEMEN NAME: ` 1 ` C-C-0 DATE: 2_ I ADDRESS: �Z7 ""'�- ✓� rL J�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 1,as the owner of the property listed,may a 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 o he i 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 under and th I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instea m wn 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 an ontracts. Initial 4. [understand that I may build or improve a one family or two-family residence or a farm outbuildin I ma 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 Occup .It may not be built or substantially improved for sale or lease.If a building or residence that I have built or substantially improvedself 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 lea which violates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the constru io Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise pe ons w king on my building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law an c my or municipal ordinance. Initial l 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 contr ct 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 parry legally and financially responsible for this proposed Construction activity, will ide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply withal[applicable laws,ordinances,building codes, and zoning regulati Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the I ter al 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 htto://www.mvfloridalicense.com/dbpr/aro/cilb/index.html Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and unders and that I am the party legally and financially responsible for the proposed construction activity at the following address: 22,Z< 9T Initial —N V v - 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any o e infmation that I have provided on this disclosure. Initial Licensed contractors are regulated bylaws designed to protect the public.If you contract with a person h does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be able 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 B ,, MCC- c who w per�knowna or whohas Produced there License or as identification. . O •�Q e fns OWN R HOW ®.