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DS-16-2608 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (306)795-2204 Fax:(305)756-8972 Inspection Number: I NSP-267742 Permit Number: DS-9-16-2608 Scheduled Inspection Date: November 02,2016 Permit Type: Driveways/Sidewalks/Slabs Inspector: Mesa, Michel Inspection Type: Final Owner: RAMIREZ,LEONARDO Work Classification: Addition/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 Us 6"CONCRETE DRIVEWAY AND PARK SPACE PODS n c o se ommen INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 01,2016 For Inspections please call: (305)762-4949 Page 22 of 51 Pott26 Miami Shores Village 3 Pef1 €7y�18 �#ri4i SISlderl�alkst abs 10050 N.E.2nd Avenue NW �O/a� tt �t �t)tt8ltti Miami Shores,FL 33138-0000 , y�l Phone: (305)795-2204a ie 120-16 Expiration: 03/28/201 a Project Address Parcel Number Applicant 25 NW 91 Street 1131010140050 LEONARDO RAMIREZ Miami Shores, FL Block: Lot: Owner Information Address Phone Cell LEONARDO RAMIREZ 25 NW 91 Street (786)226-5901 MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 HOME OWNER Total Sq Feet: 1000 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:6"CONCRETE DRIVEWAY AND PARK SP Additional Info:6"CONCRETE DRIVEWAY AND PAF Review Building Bond Retum: Classification:Residential Review Building Scanning:3 Review Planning Review Planning Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# DS-9-16-61422 CCF $1.20 09/29/2016 Credit Card $621.70 $50.00 DBPR Fee $2.25 DCA Fee $2.25 09/21/2016 Check#:2123 $50.00 $0.00 Education Surcharge $0.40 Bond#:3225 Notary Fee $5.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $671.70 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 construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. September 29,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy September 29,2016 1 Miami Shores Village cEIVF� S 1 2016 Building Department LBY: 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 J -�--� FBC 200 BUILDING Master Permit No, 16 -2(,®B PERMIT APPLICATION Sub Permit No. ❑BUILDING F-1 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ORENEWAL ❑PLUMBING F� MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF Ej CANCELLATION EJ SHOP cc CONTRACTOR DRAWINGS JOB ADDRESS: � � �w 1(S� S4t C-4 City: Miami Shores County: Miami Dade Zip: �J31j Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: CMM Flood Zone: `A� BFE: FIFE: OWNER:Name(Fee Simple Titleholder): �e�C)Y\Ck%Ao lK�y�l`< Phone#: � J�;190l Address: 215 %w 5A51✓tk— City: WGWN-' cz:�Ceo State: — Zip: -L->'51CDo Tenant/Lessee(,Name: tt Phone#: Email: L1�-v'^+r eA- o XL �� t VVA— CONTRACTOR:Company Name: \gym-'( 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:$ Square/Linear Footage of Work: 8C)U SQF Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ❑ Demolition 11 Description of Work: Gyx� VCkd C --1P0j:ze— �c:��v- Specify color of color t�hy ru tile: Submittal Fee$ � ►U Permit Fee$ ��r� CCF$ p . CO/CC$ af Scanning Fee$ Radon Fee$ DBPR$ �' Notary$ ��* Technology Fee$ G �G Training/Education Fee$ �' Double Fee$ !3 Structural Reviews$ Bond$ goo. TOTAL FEE NOW DUE$ 121 ' l3 (Revised02/24/2014) Gal l 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 c s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approv 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,() ,C,'f -�'1--bf r ,20 ,by day of 20 by �`QQY-\CAYCid hl vet who is personally known to ,who is personally known to me or who has produced D r,V-ev UI Cyk3le- as me or who has produced as identification and who did t an oath. identification and who did take an oath. NOTARY P 1 NOTARY PUBLIC: i Sign: fix Sign: Print: 1 Print: Seal: �aYe..... YANADYPRIEM Seal: MY COMMISSION#FF 214031 EXPIRES:March 25,2019 c °' Bonded Thru Notary Public Underw bra APPROVED BY Plans Examiner ?I,-?191101 Zoning Structural Review Clerk (Revised02/24/2014) a 7 3 OR,Es� Miami Shores Village -,,. nmM Building Department 10050 N.E.2nd Avenue ^toRo Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT I NAME: _—_I.CAO DATE: CPQ t ADDRESS: 7.6 IAW q%4 4zk- I%Au.,,rv%%S4wiea TL— ?j3I50 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 1,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. ( (� Initial L -- 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_ 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—LL L 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial—U- 6. nitialU- 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 LL Y s 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. \ Q 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://www.mvfloridalicense.com/dbpr/pro/cilb/index.htmi 1 .n Initial �G�. 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: 25 dW �lsk' S�fe�' M�arr+�Slr�ati,o'�-- 33t5o Initial UL 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_ L12— 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 1 is required when the permit is issued. Was acknowledged before me this Z1 day of 20 By L1­-1'1,-'SQ1 &,,I el who was personally known to me or who has Produced ere License or Dr;*u U CgYLS,2, -,P, 4 2-2b? as'identification. Y^ie YANAD:PRl,,ETO MY COMMISSFF 214031EXPIRES:M25,2019W NOTARYBended Thru Notac Underwriters R LOT-J o LOCATION SKETCH � F.LP. !1z �a NOT TO SCALE EAST 75.00 (R&M) NO ID. h i W i i 2.40' 5'CHAIN LINK FENCE W E r 303' k 10.00' �- y 2 .� w H ~ co 2.60' C ® 2' 5.5' Q 3X3' 1 O' 167' Vi ONC 13.50' A/C 10.00' � a) LL 1 ��,VW 9/r 5T. /'s � P ry�.-,�•m v�� LEGAL DESCRIPTION: i— Q r LOT-4 LOT 5, "RECTOR SUBDIVISION", ACCORDING TO THE PLAT THEREOFAS m cin c °J RECORDED IN PLAT BOOK 45,PAGE 1, OF THE PUBLIC RECORDS OF m 0 TOY s do 1000 o �' m _j MIAMI-DADE COUNTY,FLORIDA. .0000 . a N A N D RES/DENCE o v� 000 .... ...... 0 o z m s ! �� o .,ti,°EE� SURVEYOR'S NOTES: •• •••• • i 2 p M / N 90 �� t-4"f z Z ? 1)NOT VALID UNLESS SIGNATURE IS EMBOSSED WITH THE AVCrE12ED LAND SZ/hVEYOR S�tAL•• aCi / 36.90f� P I ; U �� 2)LEGAL DESCRIPTION PROVIDED BY OTHERS. •••••• • :90000 ( L) 3)PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR"6EMENTSGR OTHER RECORDED y m m /� I i C� LTJ - ] ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLAT OF REQQgQ• 0 •••• 00:909 Z:-:E T p O C •5 1 1.10' 180 A� l % r-'i Cj 4)MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD. • ••• w C+� I w 5)UNDERGROUND UTILITIES,FOUNDATIONS,OR OTHER IMS NTS,Ih,4Nl(�RE NOf wlj / f I '? 1 LOCATED. •• •• • ••••�• �y 90 4' 1 5��dY ` , _; 6)ELEVATIONS,IF SHOWN ARE BASED ON NATIONAL GEODEWWA(aWICAL DATUM 1929. •• i J `f CERTIFIED TO: 4-� 7)FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERWI'T NOTED. •••••• m O 8)MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WIRE. • ••••• :00900• UL It Q C/V�►'� � RAPID TITLE SERVICES COMPANY, 9)WALL MEASUREMENTS ARE TO/FROM FACE OF WALL • • • :••••0 S 42' 6 s 1 10)DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTY 100!, jY BE y OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, EXAGGERATED FOR CLARITY. •• • F I P �z• F l P %Z, F L P /jjzJESSICA MERCEDES RAMIREZ AND LEONARD RAMIREZ, 11)FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY tU NO ID. NO ID NO/D. PREFERRED MORTGAGE, ITS SUCCESSORS FLOOD INFORMATION RATE MAPS 95.00'R&�.1 AND,,0R ASSIGNS AS THEIR INTERESTS MAY APPEAR 12)BEARINGS IF ANY SHOWN ARE BASED ON ASSUMED PLAT MERIDIAN AT.'NORTH RIGHT OF WAY OF 25P 102, �t/� p O OUL `oW/jy 0W/M BLOCK N.W.91st STREET=WEST w6�rCORNER LEGEND I.C.V. MIG4nONCONTROLVALVE P.C.P.PERMANENTCONTROLPOINT W/M WATERMETER �i�� jo> �� A/C AIR CONDITIONER I.P. IRON PIPE PLS PROFESSIONAL LAND SURVEYOR W.V. WATERVALVE //��tt JV�JD I �T AVE AVENUE FPL FLORIDA POWER&LIGHT ISM PROFESSIONAL SURVEYORAND MAPPER W.U.P.WOODUTILITYPOLE �� s�` GP BLVD. BOULEVARD F.I.P. FOUND IRON PIPE PL PROPERTYLINE �� `X BM BENCHMARK F.I.R. FOUNDIRONROD P.O.B. POINTOFBEGINNING C� r v`r ,. CATV CABLE TELEWSION BOX FND. FOUND P.O.C.POINTOFCOMMENCEMENT y� D �r 25'PARKWAY O C.B. CATCH BASIN L ARCLEIVGTf! P.R.C. POINTOFREVERSECURVATURE SYMBOLS CBS CONCRETE BLOCK STRUCTURE (L) LEGAL P.R.M.PERMANENTREFERENCEMONUMENT - v CONCRETE CHB CHORDBEAR/NG L.P. LIGHTPOLE P.T. POINTOFTANGENCY yyi OVERHEAD UTILITYUNES CH CHORD DISTANCE LB LICENSED BUSINESS R RADIUS WIRE FENCE COR CORNER- LS LAND SURVEYOR (R) RECORD — WOOD FENCE CT COURT (M) MEASURED RE. RIMELEVATION OPERTY CORNER ` yCENTERLINE NAVD NORTHAMERICAN VERTICAL DATUM RIW RIGHT-OF WAY �v�- WATER FLOW d CL. CLEAR NGVD NATIONAL GEODETIC VERTICAL DATUM SAN. SANITARY 9.60 EXISTING GRADE ELEVATION NOID.NOTIDENTIFIABLE CONC. CONCRETE S.I.P. SET IRON PIPE -•��PROPOSED GRADE ELEVATION C.O. CLEANOUT NO. NUMBER SLR. SETIRONROD H WATER VALVE 3 NIS NOT TO SCALE ST. STREET SIGN E.B. ELECTRIC BOX T TANGENT DRAINAGE MANHOLE ELEV ELEVATION 0—RB OFFICIAL RECORD BOOK mON/PL ONPROPERTYUNE T.B.M TEMPORARYBENCHMARK SANITARYMANHOLEENCR. ENCROACHMENT� � "E.R.P. ELEVATIONREFERENCEPOINT O.U.L OVERHEAD UTILITYUTEL. TELEPHONE FIREH?DRANTNES FINISH FLOOR P.C. POINTOFCURVATURE Typ TYPICAL LIGHTINGFIXTURE F.F. F.H. FIREHYDRANT P.C.C.POINTOFCOMPOUND CURVATURE U.E. UTILITYEASEMENT L7 FIRE DEPARMENT CONNECTION FLOOD ZONE:X A BOUNDARY SURVEY PROPERTY OF:JESSICA MERCEDES RAMIREZ MAP&PANEL= 12086CO302 AND LEONARD RAMIREZI HEREBY CERTIFY THAT THIS SURVEY CONFORMS TO PROFESSIONAL SURVEYING AND MAPPING COMMUNITY NO.: 120652 THE MINIMUM TECHNICAL,STANDARDS OF LAND SURVEYING IN THE STATE AADMIFLORIDA, V OUTLINED LANNES & CSA RCIA INC. SUFFIX.-L IN RULES 5J-17,(FLORIDA ADMINISTRATIVE CODE),AS � 7 25 N.W. 91st STREET, ADOPTED BY THE DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES,BOARD OF MIAMI SHORES FLORIDA 33150 LB#2098 DATE OF FIRM: 09-11-2009 0 � ti BASE ELEV.= N/A NOT VALID WITHOUT THE SIGNATUREAND THE PROFESSIONAL SURVEYORS AND MAPPERS IN ® FRANCISCO F. FAJARDO PSM#4767(QUALIFIER) ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SEPTEMBER,1981,AS AMENDED,PURSUANT TO 9nnee 385 ALHAMBRA CIRCLE-SUITE C, SURVEYOR AND MAPPER. CHAPTER 472.027 OF THE FLORIDA STATUTES,AND IS TRUE AND CORRECT TO THE BEST OF MY CORAL GABLES, FLORIDA 33134 KNOWLEDGEAND BELIEF. PH(305) 666-7909 FAX(305)442-2530 FRANCISCO F.FAJARDO FLORIDA PROFESSIONAL SURVEYOR AND MAPPER FIELD DATE 09/09/2015 SCALE. 1"=20' IDRAWNBJONELLEY. DWG.No.:2580:21 REGISTRATION NO.4767.