DS-16-2216 (2) iN
�
�s ° s rye Miami Shores Village —00 ll YF 414iS(4e j aSltlt '
10050 N.E.2nd Avenue NW � 0 � a.
"" Miami Shores,FL 33138-0000 a
c s. S fE1S i�PI�I�Q
Phone: (305)795-2204 ,. ,.
Expiration: 02108/2017
Project Address Parcel Number Applicant
73 NW 98 Street 1131010330120
Miami Shores, FL Block: Lot: DENNIS KANE
Owner Information Address Phone Cell
DENNIS KANE 73 NW 98 Street
MIAMI SHORES FL 33150-1736
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00 pp
i
HOME OWNER
_. ._._.. . _ Total Sq Feet: 48
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:REPAIRED 6 FLAGS OF CONCRETE SIDE Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# DS-8-16-60901
DBPR Fee $2.00 08/12/2016 Check#:4930 $71.20 $50.00
DCA Fee $2.00
Education Surcharge $0.40 08/05/2016 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $121.20
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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructippInd zoning. Futhermor ,I authorize the above-named contractor to do the work stated.
August 12,2016
Authorized Signature:O ner / Applicant / Contractor / Agent Date
Building Department Copy
August 12,2016 1
Miami Shores Village
g AUG ci 2U1t
Building Department � .
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 H
INSPECTION LINE PHONE NUMBER:(305)762-4949
FB C 20 I�
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
ll /y/� ,( CONTRACTOR DRAWINGS
JOB ADDRESS: 7,9 AtO "1" eJTIQ �
City: Miami Shores r�County: Miami Dade Zip: 35150
Folio/Parcel#: �)01 — 63a" jo 6 Is the Building Historically Designated:Yes NO A
Occupancy Type: Load: ^�Construction Type: ,n ► Flood Zone: BFEE: p/ FFE:
OWNER:Name(Fee Simple Titleholder): ;_�IJ�f� M k)AN E Phone#: /O 12- P7 15q7
Address: 2/3 Nu) 98 47 �
6r+e5
City: N 1(1. I j1!hDQ86 State: dc1-- Zip: . 8 /so
Tenant/Lessee Name: Phone#:
Email: D NE q' 41--r. IV E-r
CONTRACTOR:Company Name: oic— Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration M Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ /c?06 Square/Linear Footage of Work: W.
Type of Work: ❑ Addition ❑ Alteration ❑ New /� Repair/Re lace ,c, El Demolition
Description of Work: F'EPAURU. � 4 91'466 ®� Co N���! J/06&- ALR
N FjQONT 04- AeOPE-Rly
Specify color of color thru tile: yy�
Submittal Fee$93 . a3 Permit Fee$ W CCF$ n CO/CC$
Scanning Fee$ Radon Fee$ 2- . U DBPR$ Notary$ co
Technology Fee$ ® Training/Education Fee$ o .40 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
A I � 20
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
day of 20 ,by day of ,20 by
,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.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Seal: Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(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.
&2
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of - ,O�,v ST ,20 by day of 20 , by
N�JI S MtTW�cl-L 46�,who is personally known to who is personally known to
me or who has producedT—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: , 9,Fsray.Q, Notary iPuhiw 5Po1b tit r1orlde Seal:
8.
o m S!f?C113r1.1\iillp!7
MyCnm,7eA�ionFF 955750
Expires 0g10:1J'=018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
0 Miami Shores Village
,,, q,,," Building Department
10050 N.E.2nd Avenue
6p
�NoR��0 Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: DEIVit/l.'S ��. ►Cowe DATE: f�/aSI/
ADDRESS: / /y(,() 9 6K1 STiQ� /"l I!}11.(l (J 8 /646
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 OM
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.
Initial
3. I 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
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 '/pOwe—
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_A
t ' �
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 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 regulations.
Initial
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:/Iwww.mvfloridalicense.com/dbpr/pro/cilb/index.html
Initial T"► K__1
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:
7,8 tVA) 178 ji-Qce ' Mjr*%i �h�R�h
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 G-(; day of -jGU-5-v , 20 (�2
By lk_NO'4z HC C eAK who was personally known to me or who has
Produced there License or � �- C� iU�� as identification.
NJ �gpq_r Florida
OWN R NOTARY
��4 F r`O° CXPires 09iU:^,'9
LOCATION SK PAGE 1 OF 2j r, [-7[ NOT VAUD WITHOUT PACE 2 OF 2
SCALE: NTS
Pliaym Shares Vil
APPROVED By
DATE
�l 10
7-ONING DEPT
p`q I c
A�p R 0"I�r) By DATE
7_0 - T
NG DEP
1,r
'3�-DG DEP-r It, Lf
1f3,Jf:(,T TO COME)l IAN( F WITH ALL FEDERAL
AN[)( ()HNJYllLJIFS AND RF(,1Jl-Al10r\1S
2-( ro-
NX 99th ST.
w1 LD-)
z
Ld
11 10 9 8 7 6 5 >
2
128
.3
15 118 19 20 21 22 1 4
5
N.W. 98th ST.
LOT 17 & W 2 OF LOT 18 OF BLOCK 128
MIAMI SHORES SECTION 6 0
PB. 10, PG. 39
JOB No. GG 02001 CLIENT: DANIEL AND CHRISTINA FILIATRAULT
PROPERTY ADDRESS 73 NW 98 ST., MIAMI SHORES, FL. 33150 4 0
LEGAL DESCRIPTION: (FURNISHED BY CLIENT)
LOT 17 AND W 1/2 OF LOT 18, OF BLOCK 128
SUBDIVISION __MIAMI SHORES SECTION 6 Yy
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 39
OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
SUBJECT TO ALL RESTRICTIONS, RESERVATIONS, EASEMENTS AND RIGHT-OF-WAY OF RECORD, UNDERGROUND
ENCROACHMENTS IF ANY, NOT LOCATED.
SURVEYOR'S NOTES:
l-) IF SHOWN, BEARINGS AND ANGLES ARE REFERED TO SAID PLAT IN LEGAL DESCRIPTION.
2-) THE RELATIVE CLOSURE IN THE FIELD MEASURED BOUNDARY IS BETTER lift I FOOT IN 7,500 FELT; LINEAR (SUBURBAN).
3-)A TITLE REPORT WAS NOT PROVIDED FOR THIS SURVEY.THEREFORE, THERE MAY BE RESTRICTIONS ON THIS PARCEL THAT ARE NOT SHOWN THAT MAY BE FOUND IN THE PUBLIC
RECORDS OF MIAMI-DADE COUNTY, FLORIDA. NO EXPRESSED OR IMPLIED DETERMINATION OF TITLE OR OWNERSHIP TO THE LAND DESCRIBED IS MADE.
4-) THERE MAYBE UNDERGROUND UTILITY LOCATIONS AND SUBSURFACE FEATURES WITHIN THE PARCEL THAT ARE NOT SHOWN.THERE
IS NO VISIBLE SURFACE OR OVERHEAD ENCROACHMENT, OTHER THAN SHOWN ON THIS SURVEY.
5-) IT IS A VIOLATION OF RULE 61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE TO ALTER THIS SURVEY DRAWING WITHOUT THE PRIOR WRITTEN CONSENT OF THE SURVEYOR.
6-) ALL SET IRON PIPES (S.I.P.) OR SET IRON RODS ARE 18 INCHES IN LENGTH AND 1/2' DLAM.(I.D.) OR No.4 REBAR, RESPECTIVELY,AND HAVE A PLASTIC CAP MARKED: LS.-5665.
ELEVATION INFORMATION:
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR
-3-2-94 x AUG 0 5 2016
REVISED ON THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE
BASE FLOOD ELEVATION N/A COMMUNITY 120652 PANEL NUMBER 0093 SUFFIX J
ELEVATIONS(WHEN SHOWN) REFER TO N.G.V.D., 1929 DATUM,
COUNTY BENCHMARK USED — ELEVATIONS — FEET B.M. LOCATOR —
THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY, C A B R E R A CONSULTING SERVICES
CERTIFIED TO: Land Planning—Surveying—Mapping
DANIEL & CHRISTINA FIUATRAULT CERTIFICATE No. LB.-7102, STATE OF FLORIDA
10412 SW 23 TERR.
MIAMI, FLORIDA 33165
PHONE.(305) 207-3501
THE LIABILITY OF THIS SURVEY IS LIMITED TO THE COST OF THE
SURVEY. THE SURVEY DEPICTED HERE IS NOT COVERED BY BY:
A
PROFESSIONAL LIABILITY INSURANCE. RAF -L R. CABRERA, P.S.M.
SURVEY DATE:01-03-02 CERTIFICATE No.L.S.-5665
REVISED DESCRIPTION STATE OF FLORIDA
'NOT VAUD WITHOUT THE SIGNATURE, DATE AND THE ORIGINAL
RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.'
RAFAEL R. CABRERA, P.S.M. PAGE IT 2
D/B/A CABRERA CONSULTING SERVICES NOT VALID WITHOUT
PAGE 1 of 2
CERTIFICATE No.L.S.-5665; L.B. 7102 JOB No. GG 02001
STATE OF FLORIDA
10412 SW 23 TERR.
MIAMI, FLORIDA BOUNDARY. S U R V E Y
PHONE:(305) 207-357-35 01
SCALD V = 20'
LOT 10
BLOCK 128
WOOD P. POLE
(20' E & 14' N)
15'ALLEY
F.I.P. iv 10' ASPHALT PAVEMENT iv F.I.P.
0 03/4° 75.00'(R&M) 03/4°
NO ID x x x=x x x—x—x—x—x—x—x x—c—x (NO ID)
xx—x xo
0.10 �; 4' C.L.F. x-
-x—x x-1 a a.1' CL,
x o LOT 17 c�r3
BLOCK 128
x
� x
PORTION
LOT 16 I = I OF LOT 18 I REMAINDER
BLOCK 128 20.10' I BLOCK 128 I OF LOT 18
BLOCK 128
x TILE
d
x 10.35'
33.70' ox
11 3.5' 10.00'
33.70' to
I • •
a, x •••ci • • •••••o •
ih x C.B.S.ONE STORY I I ••• • •• • ••• •'
`i I RESIDENCE 4.70' A �i .....• • • •
f ••f ••
x #73 x •f•• •••• • •
• f
J3 I •••••• • ••• ••• •
20.60' i so so f••o i so* ••
X U •
p �' �o x •••••• •
TILE �' I • • • •
x PORCH • • • • ••• ••
10.40' 13.34' ,r x ••••••
33' 3'
••• ••
14.65' •so• i •••• • •
9.5' 16.00' •••• i
—x—x
11.3'
g $ LicD
N M `
I N
(19,
Q
j F.I.P. Gjs� F.I.P. —
\/
250.15'(M) 0314° •' .•° •`. 01/2"
250.00'(R)(NO ID) �J (NO ID)
P.0 13.2' 12-1,3'12!1
\ . 10' 3'
0314" ( ,,r';' z: ' t 9''••CO '$IOEWN ° .,
(NO ID) 7'
14' GRASS PARKWAY I
p �C,C \ I—
�C�'�'`� \\ 8.5' ASPHALT PARKWAY o
CL W���- --------------
20' ASPHALT PAVEMENT
N.W. 98th STREET.
(75' TOTAL R/W)
LEGEND AND ABBREVIATIONS
P.I. POINT OF INTERSECTION A = CENTRA.ANGLE
= ELEVATION S.I.R. - SET IRON ROD PALC POINT OF REVERSE CURVE //— = WOOD FENCE
DRWY. = DRIVEWAY P.O.C. o POINT OF COMMEN-CEMENT P.C. POINT OF CURVATURE --T— -CHAIN LINK FENCE
U.P. = UTILITY POLE F.N. = FOUND NAL F.N.D. FOUND NAL/DISK ® -C.B.S. WALL
B.O.B. - BASIS OF BEARINGS P.T. POINT OF TANGENCY P.C.C. POINT OF COMPOUND CURVE B/C -BLOCK CORNER
A/C -AR CONDITIONING PAD E.N.C. ENCROACHMENT M/L MONUMENT LINE R e RADIUS
A ARC DISTANCE F.H. FIRE HYDRANT N.G.V.D. - NATIONAL GEODETIC VERTI6AL DATUM RAD. - RADIAL
BLDG. BUILDING F.I.P. FOUND IRON PIPE 0.1- - OVERHEAD ELECTRIC UNE RES. a RESIDENCE
C.B. = CATCH BASIN F.I.R. = FOUND REBAR P.B. = PLAT BOOK R/W - RIGHT OF WAY
C.B.S. - CONCRETE BLOCK STRUCTURE I.F.E. a LOWEST FLOOR ELEVATION P.C.P. - PERMANENT CONTROL POINT SEC. m SECTION
CH. CHORD DISTANCE I.P. a LIGHT POLE P.G. - PAGE S.I.P. a SET IRON PIPE
CL a CLEAR (M) a MEASURED P.O.B. - POINT OF BEGINNING STY a STORY
C/L = CENTER UNE (R) = RECORD P/L = PROPERTY LINE SWK = SIDEWALK
CONC. = CONCRETE (R&Y) = RECORD & MEASURED N.T.S. = NOT TO SCALE UE. = UTILITY EASEMENT