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DA-14-2727BUILDING PERMIT APPLICATION ivi1: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 200 Master Permit No. /1/ —2 7Z9 Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 23o t.i>s City: Miami Shores County: Folio/Parcel#: CC -C. 5 P& 10 jp i / (p, Sr Occupancy Type: Load: Miami Dade Zip: 333 Y Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):/I' JO O • e • r�Z, �r M4`GkVk. �a1 1i Phone#: 3b6'- �- 1 " 3YT Address: 2% Ne iOIy 2C City: MAa J kibeeS State: t ~ Zip: ?7t Tenant/Lessee Name: Phone#: Email: JU2vl.h•p2rei e oQ---tock. CONTRACTOR: Company Name: 11-N' Phone#: r l Address: %MACity: 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: $ lam'° Square/Linear Footage of Work:oil 4 Type of Work: ❑ Addition t Alteration ❑ New Repair/Replace ❑ Demolition JJ-- 1 vef 4ck Description of Work: f(Io�aC2� old � (,„,)„,t,,,J-�n ,LCL , (Nk2Lr Gt��rrin twit, 4' W�� icier I 1 q o r W: r -6 (1,‘,,,'',,,,:-L. (A L ti_ 5(41S ( ( l " 1 Oto 4' ."1. o f�'LJ `- dive- N` i e mA�'IGj o ,o�� e x cd q S''►�e A(,�,c (k -4„, a -{lGe -43 rte, -��`d GSA ; rt . ,d Specify color of color thru tile: �"� ,-- • .--, -A,..c Submittal Fee $ . ©d Permit Fee $ (`✓C CX • CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (• 26 (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. Signature OW or AG WLJj3 Signature The foregoing instrument was acknowledged before me i0 r1f(e foregoing instrument was acknowledged before me this O day of 'b l vl2-, 20 14 , by day of , 20 , by JP t j t--4 ••"t_.Cx--4 , who is personally known to , who is personally known to me or who has produced --FL__ Li Q N as me or who has produced as identification and who did take an oath. identification and who did take an oath. CONTRACTOR NOTARY PUBLIC: Sign: Print: Seal: Sindla Alvarez . My Commission FF 156750 o►r.g Expires 09,0312018 NOTARY PUBLIC: Sign: Print: Seal: ***********s**ss**sssss**s****s******sss*ss*s**********s**ss**s*s*ss*s*************s*******s*sss******ss** /;°//- Plans Examiner t L 5 Zoning APPROVED BY (Revised02/24/2014) Structural Review Clerk IVliami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OW ER BUILDER DISCLOSURE STATEMENT r NAME: �'U(�►J �R� DATE: `_/J ,Ji 7~ ADDRESS: c233 NE /044J crc` . m IclH.4 Pk e , 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. P 41, 1. I 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. I 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. n 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 an.g.ntracts. Initial 4. I 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 leaseich violates the exemption. Initial 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. %� Initial ~�j�/ 6. I 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 i`s my responsibilityto'ensure that the persons whom I employ have the license required by law and by y unty or municipal ordinance. Initial . `c' -. i 7. I 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. 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. I 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. I 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 c tact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I 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 to any of the inf(Jrmation 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 day of VC; / , 20 :.-,jThaeN A- • 'eere..„-z-- By who was personally known to me or who has Produced there Lice se or f62z-) - 42fr ' 6,/-1 (� " 0 as identification. NER NOTARY syr Notary Pudic State of Florida Sindia Alvarez j My Commission FF 156750 ted' Expires 0910312018 Miami Shores Village Permit Department Re: New Deck at 230 NE 104th St Dear Miami Shores, I have completed a new deck at my property, which job was performed by me around the latter part of May 2014. The layout of where the deck was placed is marked in yellow on the attached Survey original & copies. The deck was set up using pavers obtained at Gem Pavers Inc, of Miami. It was to replace a rotten wooden deck which has existed prior to me buying the home in 2004. Additionally, to cover the back yard where due to two large mango trees, grass has been unable to grow regardless of how many times we have planted or placed new sod. The deck is 42ft x 15ft, with a small section/walkway to the fence, garbage area, to avoid walking on dirt or mud when it rains. It also serves to keep the garbage clean. The work encompassed pulling the old deck, cleaning the area and leveling the entire section where the new deck was to be placed. Once done, a layer of lime rock and sand was placed to secure the grounds and to leave the ground at a perfect level. Soon after, we placed each of the pavers (photo below) side by side, aided by spacers to maintain space consistency. The job took about 5 days to complete. The new deck has added value to the home as per comments from both neighbors and friends who can now take advantage of an area which was not being used. BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 • Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 RECEN E° IAN, 0 2 FBC 20 Master Permit No. 1'L7 - I4 - I q l9 Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF yl CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: (tel NE i.a8 St City: Miami Shores County: Miami Dade Zip: 3 3 t 6 ( Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 501 -Irl a Ktiotcca l" `i.krr07 Phone#:?V6 113 [? (2 -- Ad d ress: 2Address: Saxnt oro alrort 712 72-3 05-y 0 City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: IVA Phone#: Address: Cit: Stap������� 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: Type of Work: ❑ Addition-�y❑ Alteration Ell New ❑ Repair/Replace_❑ Demolition Description of Work: 6 h"C p"�ribw5 own r ts��0UY1'C� a Q�n-r To ►r1STw[� $pYlriiC�rP� sysq--eiwt, -►c V�llale ottnitd tbf rrc uesf 5a fl -,t -11) r-avvi1t,r t lot_rvdf p.,,,,,rsv„t tlyt raj rte} . Specify color of color thru tile: ,,''''�' Submittal Fee $ Permit Fee $ CCF $ CO/CC $ '- Scanning Fee $ Radon Fee $ DBPR $ ' Notary $ ry Technology Fee $ Training/Education Fee $ Double Fee $ • Structural Reviews $ Bond $ 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 • a *el eiki 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 commenceme�_an_a_coastrurtion /ienja.w. brochuce_w.ilLbe_deliuered_to_tlhe-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. Signat The forgoing instrument was acknowledged before me this day of -.4411 ueuci , 20 I by , ho is known to. ,who is personally known to raar who has produced as me or who has produced as 'OWNER or AGENT ?",Signature 4:74,4,7 " q '++ --+ y r CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 , by identification and who did take an oath. NOTARY PUBLIC: Sign: Print: identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: \`��µ1111111h% Seal: tPgPRAJ.Co* JCO tilSt 16, F -ti % Z *******************•a**r*******:%****************************************************************** APPROVED BY o� . ##FF11399047 Plans Examiner Zoning �i , STA 0,\;o �'hl(IIIliitltt��, Structural Review Clerk (Revised02/24/2014) 161 NE 108th St Miami Shores, FL 33161 Miami Shores Building Department 10050 NE 2nd Ave Miami Shores, FL 33138 1/9/17 Dear Sir/Madam: On December 5, 2016, my husband John and I bought a home in Miami Shores (161 NE 108th St). A few weeks ago we received the enclosed postcard from you indicating that there is an outstanding permit related to our property. A clerk in your office confirmed that a permit exists and explained that the previous owner of our home wanted to put in a sprinkler system but did not because the permit was denied. The clerk advised me to write this letter explaining the circumstances and requesting that the permit be closed. I am, therefore, following her instuction and request that you update your records to reflect that nothing came of permit PL -7-16-1919. Thank you, Rebecca Murray Miami Shores Village Building Department 10050 N.E. 2nd Avenue, Miami Shores, FL 33138 Tel: 305-795-2204 Fax: 305-756-8972 January 12, 2017 Rebecca Murray 161 NE 108 ST Miami Shores, FL 33138 RE: Permit Application# PL -7-16-1919 Address: 161 NE 108 St Dear Mrs. Murray, In order to serve you better and cancel the permit application, you will need to complete following items: 1. New permit application filled out. Checkmark the for Cancellation. Please see permit application attached. 2. Sign and notarize the owner signature. 3. Submit or mail back to the Building department. 4. Schedule appointment for inspector to visit property and verify work was not done. We will notify you once the permit application has been cancelled. If you have any questions, please call us at 305-795-2204. Sincere y, Arlenis Silvera Permit Clerk Supervisor Miami Shores Village 10050 NE 2 AVE Miami Shores, FL 33138 305-795-2204 www.miamishoresvillage.com Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 7 -'4 Permit No: PL _/ifrd PLUMBING - RAFAEL HERNANDEZ 54 eta/ I c7eAri o or s jz rz If— e4'41'14 s' /1--e< /44 97f-4 19/44" Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings.