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FW-17-840 l ?: .i �� {�TYtt �k ! Miami Shores VillageP�7ta?Tye FertCi a 10050 N.E.2nd Avenue NE �� � �� � o� Fenewi Miami Shores,FL 33138-0000 Phone: (305)795-2204 cmc lssu `OW 3128/2f117 Expiration: 09/24/2017 Project Address Parcel Number Applicant 290 NE 101 Street 1132060134590 CHERYL SUTTON Miami Shores, FL 33138-2423 Block: Lot: Owner Information Address Phone Cell CHERYL SUTTON 290 NE 101 Street MIAMI SHORES FL 33138- 290 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 80.00 HOME OWNER Total Sq Feet: 12 Approved: Available Inspections: Comments: Inspection Type: Date Approved: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:REPAIR WOOD PICKET FENCE IN T Review Planning Classification:Residential Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# FW-3-17-63469 DBPR Fee $2.00 03/28/2017 Credit Card $69.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 03/28/2017 Credit Card $50.00 $0.00 Notary Fee $5.00 Permit Fee-Wire&Wood $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $119.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWN R&kuthorliere: AVIT: I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating const ining. r , e above-named contractor to do the work stated. March 28, 2017 npartment Owner / Applicant / Contractor / Agent Date Building Copy March 28,2017 1 � \ \ Miami Shores Village i L Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FyBC 201`A BUILDING Master Permit No. t6 v '-� o6�A® PERMIT APPLICATION Sub Permit No. AUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL,, ❑PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP ( �l/ CONTRACTOR DRAWINGS JOB ADDRESS: Il jQp : City: Miami Shores County: Miami Dade Zip: J) Folio/Parcel#: ti (� 5 E7 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Q led �a4y ry Phone#: 3SQ -3Q 0 7234 Address: ��C"I City: Vyt\A 1w. 5�vb c e s State: — Zip: 3 13 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Y V���M..J— C1 0N_0/ice Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State:{� Zip: Value of Work for this Permit:$?��rY. Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration �❑ New Repair/Replace ❑ Demolition Description of Work: o p l r W OOd mo—le— 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$ p TOTAL FEE NOW DUE$ Y �_ (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 o • spection fee will be charged. Y Signature Signature O ER4 — or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of��� '��+ Vr 20 .by day of .20 by who is personally known to who is personally known to me or who has produced �lJC 2— 1 1� 'Vile �ss me or who has produced as identification and who did take an oath44®-Id identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: S Sign: K GON Print: MW #GGQ4�602 Print: =o�:,....;�•.: MY tuber Seal: EXP�REN pnbtteUttdelets Seal: :wr. e r gunded ihN ############################ ## ## ######################################################################## (1 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) est;° Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 rrll ( OWNER BUILDER DISCLOSURE STATEMENT I--J NAME: I RD yk DATE: L ADDRESS: 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 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. L/ Initial_ D 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 a�ntracts. 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 V) S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial 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 y county or 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 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 CCI 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 contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.mvforidalicense.com/dbar/pro/cilb/index.html Initial J� 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: 00 Wi'( 01 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.Itis 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 q—K), yp�Dm By( TI sa who was personally known to me or who has I)Q(0�� 1 l'1_V/U— Z m� Pr duced t?OWNER cens r was identification. o N N � CDCa V c Q CrN at AFfARAI iCAW c .GQ\t2AL o �v C i I�ESISSION#GG 04460;, _ IV' NoneN 1: mber�, d Thru Notary Put:li:Urso©rJ✓r tors 0 SN,oRFs � Miami hores Village 7". fl u���� Building Department 10050 N.E.2nd Avenue L2eNfte �.. Miami Shores, Florida 33138 �lORNp' Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant,( ' ,does hereby attest that (Property owner) The attached surrey,performed by 11U('.�( l Yl e— y�d (Name of surveyor's company) � For address: �AIR '�4 �L I b UV1 t(�tryti i`S kb!ss (G Liv>2513 Performed on (date of survey)is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further,Affiant say eth naught. Property Owner Signature �n , Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of `yDrU,,° . Affiant is personally known to me,_produced �u��s 1 I-1 —(O® as 9denn ification. Notary Revised on 5122!20091 Revised on 6112109 i`°sY;q�c MAHARAI K.GONZALEZ *. MY COMMISSION#GG 044602 EXPIRES:November 2,2020 Bonded Thru Notary Public Undeiwrlters b ♦SHORE, l? Miami� shores Village oil _Building Department n es C jod Side Out. The vertical and horizontal 10050 N.E.2nd Avenue n�►N I �tORTpA i 'Pon'ng members of a fence shall face jn�, ami Shores, Florida 33138 inferior of the plot on which the fence is located ( ) and the finished side shall face the adjoining Tel: 305 795.2204 Fax: (305) 756.8972 c� or any abutting right-of-way WOOD FENCE DETAIL ❑ Shadow Box Vertical Picket ❑ Board on Board Fences < = 6' high posts spaced at 4' on center maximum :....: °" 3�ericas < = 5' high posts spaced at 5' on center maximum •••• ••• rences < =4' high posts spaced at 6' on center maximum • Fence must not exceed 6' in height "'BenceqdS► e •°°:°hut.The rt�c I °° °° 1 x pickets fastened °and horio al: • °. with two corrosion ° . . .° •• • resistant fasteners per ••••lupportini; •• •• connection .....member%of° .. .. •. fence sgalrfa� .;...t,,e interiiprpf t plot on Wil" 2x4 horizontal fence is locate pressure treated and the finis d wood members side shall fa the with two corrosion adjoining to or resistant fasteners any abuttin right- per connection of-way. 4x4 pressure treated posts embedded 2'into concrete footing 10" d is meter 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 a I HEREBY CERTIFY THAT THIS PLAT OF SURVEY WAS PREPARED DATE ORDER NO. F.B. UNDER MY DIRECTION:THAT IT MEETS THE MINUNIUM TECH- T4 . ECH- rXE ftOIaRA — • NICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF Sat�TT AR FLORIDA(CHAPTER:21HH-6 FLORIDA ADMINISTRATIVE CODE) POOr 330AL FOR THE TYPE OF SURVEY SHOWN HEREON AND I3 TRUE AND neo NYORS REV„ ANUCY,INc. CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. Ions COPE$ OF-THIS SURVEY ARE INVALID UNLESS EMBOSSED REV.: LAND SURVEYORS 4694 PALM AVENUE WIT T E SEAL OF THE UNDERSIGNED. '� ; ��-•- HIALEAH.FLORIDA �_"1'ff 9' 'V Y,.--", .,-� ••+-"' ____ REV- 33012 J.Ff.M nucy.Professional Land Surveyor#1128i' - R013eh Bloomster,Jr.,Professional Land Surveyor#41:34 SCALE:1"=ZA TELE 305-821-1281 305-821-1220 c Q �` State of Florida Date: April 3(),_1987 �S-BUILT SURVEY This survey certify to: Cheryl Sutton & Mary Reed; N SOUTH3AtST MORTGAGE COMPANY; and/or its. assigns; Fir and CO'IMONWEALTH LAND TITLE INSURANCE COMPANY. Che-gL Seton Mctr� (zeeJi LEGAL DESCRIPTION: Miami Shore Tillage Lot 1 and the East z of Lot 2, Block 34, of "AN AMENDED PLAT APPROVED BY DATE OF MIAMI SHORES SECTION NO.1", according to the plat thereof, as recorded in Plat Book 10 at Page 70, of the Public Records _ ZONING DEPT of Dade County, Fl. _ a/k/a 290 N.E. 101st. St. Miami Shores, F1. I��' r� LDG DEPT 1 NOTES: - - S BJECT TO COMPLIANCE TH ALL FEDERAL - Lands shown hereon were not abstracted for easements and /- �`i�+�+� —� or rights of way of records, except as shown on recorded t==== "" S rATE AND COUNTY RULES A NDREGULATIONS y plat. -Q , •• - There are no encroachments onto the property, except as l(1 • • • ••• ••• shown hereon, if any. r • • • • • - Flood Zone Information: • • • Community #125098 ?IPe Stas c�Qu<- 0000•• • • • • Fd. • • 0000•• Panel #0093 Suffix: D 0.0000 • 00 00000 0000• ••0••• 0••• 0- Flood Zone: "C" NO FLOOD CERTIFICATE IS REQUIRED S'l._.1S T DISC- 000040 •SC. ,< ..;.. .. • 000 (Based on National Flood Insurance Program Community). • • rLj • 0• ••• D= 81'd'35o :••••: • 0000 • V Atc=-11. l)1 d > ' • N • exn=Ze•8$' N 0•0.0• •0 0• 0000 0 (� • • • •••••• 0000 • • , ' • • \ _ 0 { .A�� Pin 0000 Fences Goo, Side Gut.The vertic�i I ; supr;urting members of a fence ;hall f��� t le ` a { ; interior of tr.e plot on which the fence i II ` f L3 ids shall face the acficnl-Ir a onE ko C 6.' and the finished s t \4 °� 3 ro _ ' 4- L1 s.- r ' I c� any .butting right-ot-way. d -n j n.1 ' T- F i r bG„ — 1 1 - rt7 U, ` W t�, tctsl sieeET• :. f4:p� o 8• + asi -) F r t 1 c e ' 3 ri ., 11 9 a 1 c s a 3r f r> d 1n r0 rz . acise 16 • !� du 1-3 n H LzsdNt a n.o jT a Q Z I 1 r A.E. ~i co ' STS t� R N� P{Pe �a `l � tV J H�\.. f- 1� Cl �v ��® ''erl 2-e pa;r