RC-16-372 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL N /
Phone: (305)795.2204 Fax: (305)756-8972 t
Inspection Number: INSP-267007 Permit Number: RC-2-16-372
Scheduled Inspection Date. September 19,2016 Permit Type: Residential Construction
Inspector. Mesa,Michel Inspection Type: Final Building
Owner GONZALEZ,MARIO Work Classification: Alteration
Job Address:9811 NW 1 Avenue
Miami Shores,FL 33150- Phone Number 786)236-0135
.. .......... .
Parcel Number 1131010330080
Project: <NONE>
Contractor: HOMEOWNER
Building Department Comments
REDESIGN GARAGE LAYOUT FOR STORAGE SPACE. Commem
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-266883.9-8-16
need to replace broken sidewalks.
Failed ( oe
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 16,2016 For Inspections please call: (305)762-4949 Page 24 of 39
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4530 N. Hiatus Rd. Suite 101 Gonzalez
Sunrise, FL 33351 Project number 1542
PACE (954) Date 11/2/201 AR 1
ARCHITECTURE + AA 26002356 ChristopherCasanego
chds@cspacearchitecture.com Scale
813/2016 5:17:48 PM
Q C,--Z 6--3x2
Christopher Casariego
NCARS, LEED AP
PACE
ARCHITECTURE + DESIGN 1 4530".,. Hictus Ra,s e I:)!.Su7r,ss I ,3 1
Phone:3Q3•433.2210 -nw :0 v: --C:*)(.c -G[ci tcclur .c Of
July 8, 2016
Miami Shores Building Department
10050 NE 2nd Ave,
Miami Shores, FL 33138
RE: 9811 NE 1st Ave.
To the Miami Shores Building Department:
I have visually examined framing in the storage and laundry room of 9811 NE 1st Ave. In
my professional option the work is in compliance with the applicable Florida Building
Code, and the approved plans and specifications.
Please feel free to contact me with any questions or comments, thank you
O
F•Fit.O
Sincerely, ,�P •''••• '��O
Lam_ • G��\StopH*cAsq,4jeco:.
Christopher Casariego, NCARB, LEED AP AR95610
AR95610 =V
Principal Architect �'�S+'•.•,•,. �'��
CSpace Architecture+ DesignREID ARG
Miami Shores Village
10050 N.E.2nd Avenue NWQ
-N 0 1 Miami Shores,FL 33138-0000
Phone: (305)795-2204 � ��
Expiration: 11/06/2016
Project Address Parcel Number Applicant
9811 NW 1 Avenue 1131010330080 MARIO GONZALEZ
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
MARIO GONZALEZ 9811 NW 1 Avenue (786)236-0135
MIAMI SHORES FL 33150-
9811 NW 1 Avenue
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 5,000.00
HOME OWNER
Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Window and Door Buck
Date Denied: Fill Cells Columns
Type of Construction:REDESIGN GARAGE LAYOUT FOR Occupancy:Single Family Final PE Certification
Stories: Exterior: Window Door Attachment
Front Setback: Rear Setback: Framing
Left Setback: Right Setback: Insulation
Bedrooms: Bathrooms: Drywall Screw
Plans Submitted:Yes Certificate Status:
Review Plumbing
Review Mechanical
Additional Info:
Certificate Date: Review Electrical
Bond Return: Classification:Residential
Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical
CCF $3.00 Review Electrical
DBPR Fee $2.25 Invoice# RC-2-16.58643 Review Planning
DCA Fee $2.25 02/10/2016 Credit Card $50.00 $255.50 Review Planning
Education Surcharge $1.00 05/10/2016 Credit Card $255.50 $0.00 Review Building
Notary Fee $5.00 Review Building
Permit Fee $150.00 Review Building
Plan Review Fee(Engineer) $120.00 Review Structural
Scanning Fee $18.00 011111111111111111
Technology Fee $4.00
Total: $305.50
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS A FI VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction i . Futhermore,I authorize the above-named contractor to do the work stated.
May 10,2016
Auth S ature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 10,2016
Miami Shores Village
t • ,�
e ,��� Building Department Eg ® 2016
V 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 61
INSPECTION LINE PHONE NUMBER:(305)762-4949 T14
FBC 201�A
BUILDING Master Permit No.-P_� 2-
PERMIT APPLICATION Sub Permit No.
aulLDING ❑ ELECTRIC ROOFING ❑ REVISION EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL Ej PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
�' /��, CONTRACTOR DRAWINGS
(Iv
JOB ADDRESS: '1 AW G � `'f 1�-�G,
City: Miami Shores county: Miami Dade Zi : f!5
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: /Construction Type: Flood
Zone: BFE: FFE: /
OWNER:Name(Fee Simple TitlehoN.-
city:
/t�v l.� L.ir" Phone#: � �� ®(35
Address: '�L�G1 nw=& nhn�e S State: Zip: 53 J 0
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 0 Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: r City: State: Zip:
Value of Work for this Permit:$ SIrW' Square/Linear Footage of Work:
Type of Work: ❑ Addition KAlteration ❑ New ❑ Repair/Re lace [:1 Demolition
Description of Work: / 77L6T
Specify color of color thru tile:
Submittal Fee$ Q Permit Fee$ t '-::;C) 00 CCF$ �� • CO/CC$
Scanning Fee$ 0W Radon Fee$ :?, '2 e; DBPR$ Notary$ .
Technology Fee$ k CQ Training/Education Fee$ . QD Double Fee$
Structural Reviews$ Bond$ P`
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 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) ys after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a einspe . n fee will be charged.
Signa Signature
WNER or A ENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
td day ofT! A� ,20 by day of ,20 ,by
7AU, who is personally known to .who is personally known to
me or who has produced 17-L- -PC-t UY-C J- llzk:was me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLI NOTARY PUBLIC:
Sign:7m
Print: 'r&-k P'ck?' Print:
Seal: a°fir v„m Notary Public State of Florida Seal:
Sindia Alvarez
a My Commission FF 156750
?aF pd�� Expires 09/03/2018
w �t7APPROVED BY Plans Examiner Zoning
61 Structural Review Clerk
(Revised02/24/2014)
4
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�o Tel:(305)795.2204
Fax:(305)756.8972
n ,, OWNER BUILDER DISCLOSURE STATEMENT
NAME: Ma � o Cnozala(_ DATE: c/) S 19 12
ADDRESS: TU 6 (A) f( �
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 entities 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 pwn 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
isnot 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.l understand that 1 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?wnname.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 cts.
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuil*1ay 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 sol leased within 1 year after the
construction Is complete,the law will presume that I built or substantially improved it for sale or lease, olates 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 wor g 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 or municipal ordinance.
s
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 re 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 rstand 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 1 may obtain more information regarding my obligations as an employer from the IntePRevenue ervice,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that i may contact lorida Construction Industry
Licensing Board at 850.487.1395 or htto://www.mvflorldalicense.com/dbpr/pro/dIbAndex.htmi
initial
11. 1 am aware of,and consent to,an owner-builder building permit applied for in my name and understand that i am the party
legally and financially responsible for the proposed construction activity at the following address:
initial—9#1
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any;of4thn on 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 (C3 day 20 KD
By l�U ,AL who was personally known to me or who has
Produced there Licens s identification.
NER NOTARY smote of Florida
158750
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