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FW-16-2886 Rk Permi cy FW""I0 4"S 8M` „ On Miami Shores Village ■ � t r F8i1+ W$It; 10050 N.E.2nd Avenue NW rM iNRi"'Classification.�t f {x't1C •' " Miami Shores,FL 33138-0000rM tion Phone: (305)795-2204 SM rs:A Rt? ED xioR"� _ Expiration: /23/2017 issue]Date: 101251201 Ex p- Project Address Parcel Number Applicant 75 NW 110 Street 1121360030580 Miami Shores, FL 331684318 Block: Lot: DONALD FLOYD NENA MARIA, 1 Owner Information Address Phone Cell DONALD FLOYD NENA MARIA JOSE 75 NW 110 Street ------- — 33168 FL 33168-4318 75 NW 110 Street 33168 FL 33168-4318 Contractor(s) Phone Cell Phone Valuation: $ 4,070.00 HOME OWNER Total Sq Feet: 203.5 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:WOOD FENCE Review Planning Classification:Residential Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 DBPR Fee $3.06 InVO1Ce# FW-10-16-61763 DCA Fee $3.06 10/25/2016 Credit Card $226.62 $0.00 Education Surcharge $1.00 Permit Fee-Wire&Wood $203.50 Scanning Fee $9.00 Technology Fee $4.00 Total: $226.62 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. Q IAot�_ October 25, 2016 A�rize Signa re:Own r / Applicant / Contractor / Agent Date Building Department Copy October 25,2016 1 ' Th�� �' Miami Shores Village OCT 25 2016 Building Department BY: _ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20KL BUILDING Master Permit Nof V v 1(0 - 60° PERMIT APPLICATION Sub Permit No. (BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑MECHANICAL PUBLIC WORKS CHANGE OF ❑CANCELLATION ❑ SHOP N �a, �q CONTRACTOR DRAWINGS JOB ADDRESS: 7+51�1 1�Y 1�Oih � 1 City: Miami Shores County: Miami Dade Zip. b F6tio/Parcel#: 1 �,3�^®C) t)!5B 6 Is the Building Historically Degignated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: X BFE: FFE: OWNER:Name(Fee Simple Titleholder): -Do A (_ NENA Phone#: 205 lqq ®b z I Address: _r] N\)) ,/I l D t— cot 2 City �A M i S N v0` `z S State: PL_ Zip: J 3 I(08 Tenant/Lessee Name: Phone#: LS Email: 6T'M-�9 l L - CO l� CONTRACTOR:Company Name: (;i11i_ 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:$ 70 Square/Linear Footage of Work: z 0 S f Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ 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 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: 1 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 ( 2a I` !�� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this RS day of ®�' 1 .20 1 JS) by day of ,20 by rq fENA 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: \\\\ 111111111//�0 b `����� •APESao... ..�1d0�:yo� Sign: Sign: L Ste: Print: V9 Print: °N v Seal: 2' VA, 7P Seal: �x**+a*�*a*sem*w*�+�e�x��r�**�ws***r+�*� �s+a�� err ***rx�w**ea*r*r�x�sn*��***�**�x+r�r�x���a�r*�*�+�**m*w�*******�r�+►�*�x*a�a� APPROVED BY E6 ZJ 6~Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 9►° Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: `-00t ` 4 A Lr) 1 C_ t A DATE: 112-4 12.01(o ADDRESS: �W �'0iM S+ I fY►I ���I� , FL_ 331(013 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 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_�N/ 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. Initial-_ 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. (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 S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial 1 1,✓ 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 countWgr municipal ordinance. Initial 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 injuttes. 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— S. 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. Initial4a��_ 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 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: 725 IS7 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. Initialy 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 IMvidual or Yrr"is Injured while working on your property,you may be held liable for damages.if you obtain an owner-buTder 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 6L"1 , 20 I By%_-�' C=� MC-Lvfm who was personally known to me or �►h�� � -K bpjt�� Produced there License or NA Z as iion.s s ® . IF I OWNER NOTARY abs•. .� .. �'��,�,�\\\ s'11,1101 F. r 6troi�.p� tvrslF }t$ T, ?4Fn,.'a+ C, Jyef:�`� 'i`"�.4."a tag �. ERR Zt5 i R � u ' } R ,x n e � 'F •-.�_..,_ ,.<.• �:....:.x ,,.,.sm:nr ..x.. .. � P �,-��,� ' c. 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The vertical interior o f g e embers of and horizo and the fini Plot on which fence shall face the! lot or an shed side he fence is Y abuttin shall f located 9 r'9ht-of-wayce the adjoining C!_ __ F7 4T ` 1 � ,f R r l � 1 'CW6(y S ��C h 11LY t CA 4 bia( oi}eS Sunreyoes Legend �•.•+— sTelraruaE se. ftw=Room= UL 9E PAC@= Pte, CaL Rt4M WALL R® F'OWMM WS/MAT 8 [itlIM AMM 0 D149A VA V"PDS[ --K-#-- MW OR wM mm La Lam/_mownp a"a AWUL stir am=mm B01t -ar rs- w=PEWS W uMsae P-aziffm Nw WJML Ta W. Two go TEMPS CAIC Cl1QMXM"M ME. amt NOW. D.P. an"= - W"W w %a PEI M r0wL A/C Act OQHaA>DM -� TAMR11 u" A carni PDDR 4& amM on a/e faILM" "M Mt ■ =awns a mw LP, MM OMP aP/my aFN"M Men Mx A m M Sow li.s.:G:s�l AW V= a w -num ON aAe. P01-MKDM WL Na QAMW ® AWWU P.T. Mtrr or TANUM D.N. au NOSE EMM, EIWWE PA PWM DP,a6PATW Wal %,1.& NDP 9e am w=/TEE PAA. PaWW Wf VADF K MOWAM in Maw P.P. PCtlWM FUM ® 7AlaM PSA MR or Comm"MKM Mat ®�� M0IBIOLE TA.& 70 OF @eNf PAZ P=or nym awxn VG CAL uVam D race r-9,W. 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I& This mnay shad Rat be used for WmWU tlonrpesntt"pWpoeeawMwA LOWt LOT 28,BLOCK 220,OF SUBDiViSION MIAMI SHORES EXTENSION,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43,PAGE 40.OF THE PUBLIC RECORDS OF MIAMi-DADE COUNTY,FLORIDA To:MM FW5 MW 9 I=33C RaM NENA;BORSON&ASSOCIATES,P.A.:OLD REPUBLIC NATIONAL While vlewing'ft survey in any Acrobat Reader, TITLE INSURANCE COMPANY;;.Ita'aut wors and/or assigns as select tate File Drop-down and select Wri their intarast may appear. Select a r�printer,If available,or at feast dote with 80 x 14°paper. Select ALL fbr Print Range,and the dl of ooplea you wmm ills to print OUL opy A on . Underm Tap Scaleng"please mire suds yw have ar rae^M tuDmatV aetaciad"Narro." a at %* h yextaeayraaaaam arredarffidDy @rs srto aur an U+a DanaDyproAa+>§tr0yhrir3i�lTt?ft chard Do not d%*the'AutoRotate and C mW button. ++maul-+n oemM"r AWM C m*the"Choom Paper adze by PDr ox. b NO Atoms dict OKto PrInL c1 M.E. Land Services,Inc. tv 10665 SW 180TH SVw%Suite 3110 MIAMI,FL 33157 Pi 0NE(306)740.3318FAX#: 688.3180 1-1308463 WWW AELMIDSERVICES.COM SunreyA 53649 CHentFits o: F'14.044 Page 2 of 2 Not valid without all pag®s. Miami Shores Village "" eaglet" Building Department yf,vivrefte ;do 10050 N.E.2nd Avenue IORiDA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 WOOD FENCE DETAIL Uences Good Side Out. ❑ Shadow Box interio, 9 members of he fen'Cal and horizontal Vertical Picket and the 1 the plot on which ce shall face ❑ Board on Board finishe the fenc the lot or an d s'de shall t Y abuttin e is located 9 right-of-wayce the adjoining Fences <=6' high posts spaced at 4' on center maximum Fences<= 5' high posts spaced at 5' on center maximum Fences<=4' high posts spaced at 6' on center maximum Fence must not exceed 6' in height Fence Good Side Out.The vertical 1x pickets fastened and horizontal with two corrosion resistant fasteners per supporting connection members of a fence shall face the interior of the plot on which the 2x4 horizontal fence is located pressure treated and the finished wood members side shall face the with two corrasion adjoining lot or resistant fasteners any abutting right- per connection of-way. 4x4 pressure treated posts embedded 2'into concrete footing 10" diameter x 2'deep ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection Revised 10/14/2016AS