FW-16-2430 Miami Shores Village POW TFOCOMa11
10050 N.E.2nd Avenue NW �'
,� c+ 1{f1ti4 iffCrft:Wood Nl'1RCklt
Miami Shores,FL 33138-0000
hie � Phone: (305)795-2204 t8ft[S::APPROVED
Issue mate; 11/2{11 Expiration: 12017
Project Address Parcel Number Applicant
45 NW 93 Street 1131010340270
MARIAN LEANN FREELAND
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
JOHN CURRY 45 NW 93 Street (954)770-4549
MIAMI SHORES FL 33150-
45 NW 93 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 2,604.70
HOME OWNER
Total Sq Feet: 215
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:HORIZONTAL WOOD FENCE Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# FW-9-16-61170
DBPR Fee $3.23
DCA Fee $3.23 09/01/2016 Credit Card $240.26 $0.00
Education Surcharge $0.60
Notary Fee $5.00
Permit Fee-Wire&Wood $215.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $240.26
In consideration of the issuance to me of this permit, I agree to perforin 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 ' accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermor I authorize the above-name c ntractor to do the work stated.
September 01, 2016
Authorized Signature:Owrrer / Applican / Cort or / Agent Date
Building Department Copy
September 01,2016 1
Miami Shores Village ,
Building Department s�� �o��
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 $Y';
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 Tq
FBC 200 `r
BUILDING Master Permit No.44. T--uj (C`7106
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �Y� 6k
City: Miami Shores County: Miami Dade zip: e7 C�®
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction" )'
Type: . eFll000�d Zone: BFE:: l FFFEE:
OWNER: Name(Fee Simple Titleholder ��-�f�):� � -C..c \ Phone#: s
Address:pp
City: J�OI�C%'m� State: Zip: _7z>16 L S
Tenant/Lessee Name: + Phone#:
Email: (YN Le.(X�J fIJ '(-Wcn,��l
CONTRACTOR:Company Name: 1 )Pq F �� �, Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Yalue of Work-for this Permit:$ Square/Linear-F age-of Work. 01
Type of Work:' ❑ Addition F-1AlterationNew Repair/Replace ❑ Demolition
Description of Work-, ' S�.t 'l o oo F-CiJ1 Cj�:7
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ C� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ 0 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 0.Y® °
(Revised02/24/2014)
Bonding Company's Name(if applicable) s
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 ` (iter C - C 1� Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
QJ day of T 'F--" l Ems,20 ( G , by day of ,20 , by
tj who is personally known to ,who is personally known to
me or who has produced'Pl- (DV VK V-- UkV.'"S� 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: C Print:
Seal: � �.�. f�-�
:tale of Florida Seal:
,y," �E�r wsv, ilorary c a�
2f-:l
Ln r;pry. q �tiV :om scion 157=0
5 ,.rProA EXP"e<0g103; V�
` I c
APPROVED BY Plans Examiner 711& Zoning
Structural Review Clerk
(Revised02/24/2014)
V M/1
5�!Os�
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
`tet MMiami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: (II NO �Atj o FR-`�`(_,A,.1N D DATE: �(3 e 1 1 U
ADDRESS: 1\1 U3 Ot 3CA Z'—: (`f°,t!!t'\I "S'to0-ts� 7_11315 0
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 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_i— rc�_
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--t--1
5.
nitial--t-1
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial-4-
6.
nitial4-6. 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 e
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–'K.-A-
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.myfloridalicense.com/dbpr/pro/cilb/`lndex.htmI
Initial p
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:
Initial—t-
12.
nitialr12. 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 0 day of 20
By AT-140 who was personally known to me or who has
Produced there License or as identification.
y
a Qot YP��� Notary F'ut??r.5tale of Florida
p,. SindiaAivare:z
V" ' aP DAY COFninission FF 156750
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`CY�c�T�aQ �T5
M L-)&A l r
Oc)7rtt"'S 14
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Fences Good Side Out, The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished side shall face the adjoining
lot or any abutting right-of-way.
n�
BOUNDA�.Y 5URl�'LY _
• o
ATE
SCALE: ....................................20' EzG, t r'Y comm
APPROVED E. S ':. - ' � .. � �Lom o
to
...:::.:::.:::.:::.:::.::..::::.::.::.:..:: :.::.::.r:.....: ..........:ir....
....;.ZONTNG DEPTALLEY {9 .............
ASPH.):>.;:
- �0o
n0I
_15 o.
BLDG DEPT
........ ..
---
°p 75.00 R M F.R. 1/2' t' to
a ,. Ld r/isv T
� KELLY UBJI_CT TO COMPLIANCE WITH Al L FFD! ItAi_ \ X-� � � x x--� *�� * � �- - � m
a F.M � 4 1 � �` - v ui Iii 2
1 _ A'j tit
Land Surveyo ; Z a ay
TATE AND COUNTY I�ULFS AND R1 C, 11 A O S J�pa9. cv v��pl a o o;,
_..
CERTIFY TO: r? �. I- ON PL.
MARIAN LEANN FREELAND AND JOHN CURRY .W� C 12.6' I = O to coM
COLUMBIA TITLE OF FLORIDA, INC. D/B/A EWM TITLE
�• 2.5'CL. A?Cry X y>�� I p ;c*4 c t w
CHICAGO TITLE INSURANCE COMPANY �� o x>>'[E}}, i /I�'J1 Or SUBJECT re.Cl CITY N N
EVERETT FINANCIAL, INC. D/B/A SUPREME LENDING, ITS C� �� -» x>� F') y I
SUCCESSORS AND/OR ASSIGNS,A.T.I.M.A. Jc X u v`<{X> x` I N m DO
jREGEIVED T 11.6 3.6' , Uj Uj X
��x 18'9 I PROPERTY ADDRESS: ~ ``
O 216 G - XX X X RRRRRRRR RR >
LEGAL DESCRIPTION: SFP O {x x c x x X X x x x x x->
'.CKYYYYYYYYYY Y `I' 45 NW 93rd STREET
Jt } MIAMI SHORES, FLORIDA 33150
THE EASTy OF LOT 20 AND 21, r �. �` Ra .� I
BLOCK T SUBDIVISION: BY�-- 1 ISION: MIAMI SHORES SECTION. GA n Yy rn 29.60 �o'
' ` I Encroachments Noted:_NONE_
<.
ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BOOK: 12 PAGE: 54 Rx PODL r .•
PUBLIC RECORDS OF MIAMI-DADS COUNTY, FLORID I XX> 24,0' Yy I •
— .5'C L `t %>y ,�.� �.f,�` + Y 0.8'CL. .. ..,
x YY Y�itii't TTLE DEdC ^�C,R`�n/ NE lm)m;t •••• .
FLOOD ZONE INFORMATION: REM. OF 1 r r—— I r'E 97 h`' ••,••• "e •'s • J t/ •• •
�i NW SSuT SI rLj
THE NFIP FLOOD MAPS HAVE DESIGNATE' E H N LOT 20 "'14.25'--] 9.30 ( I .�� LOT 22 rw9alnsl NE9P;hst .•,;..� 5 a.(n
BLOCK 168 � �� 0 BLOCK 168 ••• •• a:Z• ;
DESCRIBED LAND TO BE SITUATED IN �. � " X NW 31 NE9'Ih51 Z
FLOOD ZONE: X O 1 d >< NN 361E SI
cD X • • 'iE�Gu,�+ • �Z
PANEL NO/SUFFIX: 302/L t(� 1, F-1 SCREENED," x x NW9sthSt MIam _It?rRo•� •' om.4� •
,PORCH X rvE95t�� N 9GTY••.n• • O
COMMUNITY NO.: 1 20652 I I: 14 5' .f x ;rvnec„t • • ••• •
DATE OF FIRM: 09/1 1/2009 nl j 28.20' = _ ��• •
i ' •• •.� •
THE SUBJECT PROPERTY DOES NOT LIE IN A �! ' 1 f 1 F es Good Side Out.The vertical and hor ntal n >RE 9Affi 5I g
G
SPECIAL FLOOD HAZARD AREA o supporting members of a fence shall ja(:2 the 1'NEV Idr ;``:•: 0 o
_ ' _ �• PP n y He nnl st • -•• •
i N 9Tj"t ••• • '
interior of the plot on which the fence i loCateg N.t91T_t P.c.1 L• • ••• •
�T ONE STORY .. • •
0 n i tre finished side shall face the 1j in
'Lai IRES. No.45 ( t or any abutting right-of-way. „•., � I •
..
a'''u St_ _.NE 841h s1 u
Notes: ' 1 ® ':do fRe NWwoS12 n EI Portal ;m'dwwolr,coogl:
A) All Clearances and /or encroachments shown
hereon are of apporent nature. Fence ownership (3� VICINITY MAP
by visual means. Legal ownership of fences not
determined. � ) 0 37.50
B) This survey la inteaLded for mortgage or refinance n ( 1 i 152' N '
purposes only exclusively for this use by those to O c7
whom It is certified. This survey is not to be used cp
for construction, permitting, design, or any other ( I Y
use without written consent of Thomas J. Kelly Inc. LLJ
C) Code restriction and title search are not reflected p a O
on this survey. O 3I O of >
D) The flood information shown hereon does not imply , Ij U 6 Q LEGEND OF SURVEY ABBRE l MONS
that the referenced property will or will not be free N o I CN 9. ::D
from flooding or damage and does not create liability �J� cT Ste. (� AIM..„..........ADJACENT (M)........_.....MEASURED (A
on the part Of the firm, any Officer Or employee TH
00 �) �� �`cjg AASH...........
PAV..AAIR
CONDITIONER
NT N/D...._..'_.... AIL AND DISC
thereof for any damage that results from reliance on , 9 l�1 ( n
said information. ' B/C.._..._..._.BLOCK CORNER N.G.V.D.......NATIONAL GECDETC VERTICAL DATUM
BLDG.............SUILDING N.T.S........_...NOT TO SCALE
E) The lands depleted hereon were surveyed pa the �`s®y`— — SLY...............BLOCK 0/H......._....DVER HANG Q
legal description and no Cialm9 a9 t0 Ownership or i a•'” _ B.M.R............BENCH NARK O.R.B_....._._.OVERH LRECORD BOOK
+ •t.•”. A. &C.R.............eROWARD COUNTY RECORD O.U.L..._.�..OVERHEAD UTILITY LINE
matters of title are made or implied. 281.52 F/.P 1/2'.; : s. >..75.00 R M :,5 SWK ' '.F.R. 1/2 ..:'100.0 BG...............CURB AND GUTTER P}....._.......ALAI
F.I.P 1/2ffi �.
•� ...CATCH BASUN C........._....POIN BOOK
F) Underground Encroachments, if any, not located. —` cH.:::..:::::::...CHORD DISTANCE P.Q............POINT OF CURVATURE z
G) i hereby certify that the survey represented BIC CH.LF._........CHAIN LINK FENCE P.C.C...........POINT OF COMPOUND CURVATURE
hereon meets the minimum technical standards
CLP...............COPIC.UGHT POLE P.C.P___.._.PFJNAANENT CONTROL POINT
CA.......__...CENTER LINE PC,_..__.PAGE O
set forth by the Board of Land Survoy"s P.I............_..Point of Int—tion
(C CALCULATED P.K.._........_.PARKER KALON m
in Chapter 5J-17.050 to 17.052 Rarida Fences Good Side Out. The vertical and hori tal 4�.a:........_.CONCRETE BLOCK AND STUCCOPARKWAY
Administrative Code persuant CM.E.••• Ci FAR PP ............PROFESSIONAL LAND SURVEYOR
to Section 472-027 Fla. Statutes. supporting members of a fence shall fac e 23 PWY CONC............CANAL MAINTENANCE EASEMENT PA PROPERTY LINE
PP CONC.............CONCRETE
CDR...............CORNER P.O.B............PdNT OF BEGINNING
H if s•1own; bearings are to cn assumed meridian P.O.C.........._PgNT OF COMMENCEMENT
interior of the lot on which the fence is loc ed OT.................COURT
(by Piet) P D.B................DEED BOOK P.R.C............POINT"OF REVERSE CURVATURE
M a q/ a�j 'r / D.C.R.............DADE COUNTY RECORD P.R.M............PERMANENT REFERENCE MONUMENT
1) If shown, elevations are referred to N.G.V.D. 1929 and the finished side shall face the adjoikng TO N.,WIA Vll A 1/E —�� OLE...............DRAINAGE EASEMENT P.T.......•.....••.POINT of TANGENCY
J) This Is a boundary SurveyDA...............DRILL HOLE (R)................RECORD
lot or any abutting right-of-way. D/W..............DRIVEWAY RE-SAP REINFORCEMENT BAR
E..._.............EAST (R/M)...........RECORD AND MEASURED CA'
' ......................................................................................................•.......................................... - ENC...............ENCROACHMENT RES.........._...RESIDENCE 07/11/16
........... ..................................................................................................................................... R ..............RIGHT-OF-WAY
..................................................................................... EO.W._........_EDGE OF WATER 3rd
`.., .'.'..'.::':.'.'.:'::.'.:':.':.'::.:':.'.:'.:::':.'.:'.�.................... ....................................... F...................FENCE 5........."'_...SOUTH
lel W 93rd STREET FD
...............FWNp sEa........._...SED dv 1"=20'
............ .......................
T * ......,..,. F.H......_........FIREFOU HYDRANT . ........ ORAR lS1 E'r
1 ...................................... .................................... FD.I.P..........FOUND IRON PIPE SVM..............SIDEWALI(
_ U7/11/16
........... ............................................................:.'.'.' ':. :':::. ' ':: ::.:' : F.FLET.EV......FINISH FLOOR ELEVAngV (1YPJ..._......TERRAC .R.
......•.... ......•. ...•.•..•.•.••.. .........••......... .... .•:.............. F.P.L_..........FLORIDA POWER AND LIGHT CO. IERR.............TERRACE OSL`c'R Ha
JOSE A. PE , .. & M „ 858 — • • • L.._..._.........JFNGTH UE................URLIIY EASEMENT 16-1180
STATE QF FL RIDA 19' ASPHALT PA DEMENT LM.E............LAKE MAINTENANCE EASEMENT U.P................UTILITY PLOLE
NOT VA UN t M.E...............WETAMAINTENANCE EASEMENT WA...............WATEOOD FENCE
SS IMPRINTED Vel TH EMBOSSED SURVEYOR'S SEAL M.E.._...........MANH FENCE W..................WATER METER A
MA.S.S.........MONUMENT
SANITARY SEWER W..........._......WEST a
`\ � M/L.............IIONUMENT LME 11.28--®...............DENOTES ELEVATION ( O; g