FW-17-1670 y Miami Shores Village *t
Feq, Mau
10050 N.E.2nd Avenue NE
Work't40 I cation'. Fel"
Miami Shores,FL 33138-000073
.Ap
�e Phone: (305)795-2204 v '
p
I u ` ate.$12712017 Expiration: 1212412017
Project Address Parcel Number Applicant
335 NE 101 Street 1132060135211
HEIDI BAHNA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
HEIDI BAHNA 335 NE 101 Street (786)586-7756
MIAMI SHORES FL 33150-
335 NE 101 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
HOME OWNER Total Sq Feet: 188
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOOD FENCE-6 FEET HIGH Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# FW-6-17-64412
DBPR Fee $2'82 06/27/2017 Check* 118 $210.84 $0.00
DCA Fee $2.82
Education Surcharge $0.40
Notary Fee $5.00
Permit Fee-Wire&Wood $188.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $210.84
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVI : I certify th a he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and . u
gthe ore,I uthorize the above-named contractor to do the work stated.
June 27, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 27,2017 1
Miami Shores Village r
1
Building Department I JUN Irl 2017,
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 -_ _ '
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC W q
BUILDING Master Permit No. � 1�— 1 b-70
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
ADDRESS: 3 ,s-
JOB
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: S Z.1) Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFEE:°
OWNER:Name(Fee Simple Titleholder): ��� j �4��1 Phone#: / o 7 L/D" ao
Address: 3 5 X ` 9
City: 101^i61G State: "'� Zip: 33
Tenant/Lessee''Nrrame: Phone#:
Email: �/1c /`1Cj. /`?�s�"! • G 'J
CONTRACTOR:Company Name: +Iory\f- n't iT Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 2W-G Square/Linear Footage of Work:
Type of Work: ❑ Addition q Alteration Wew ❑ Repair/Replace ❑ Demolition
64� _L_
Description of Work:
Specify color of color thru tile: e'
Submittal Fee$ Permit Fee$ 8D CCF$ CO/CC$ -)'14.
Scanning Fee$ Radon Fee$ 2—,8 Z DBPR$ 2--92- Notary$
Technology Fee$ ° 6® Training/Education Fee$ .7 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ �t
(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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2-`l T-V' day of ni 20 1-7 by day of .20 .by
1+! 1 d h ON ,who is personally known to who is personally known to
me or who has produced ri w2 Y iC$Y11 as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY P NOTARY PUBLIC:
Sign: 6 Sign:
Print: G Y Print:
Seal: , YANADY 0 Seal:
•'�� MY COMMISSION#FF 214031
•� io EXPIRES:March 25,2019
7 •E Bonded Thru No ub6c Undeiwritws
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
w
c
Miami Shores Village
tm om
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
OWNEFLOUILDER DISCLOSURE STATEMENT
NAME: &" DATE:
ADDRESS: 1,)2, La-Sl- SV
Dohereby 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. n
Initial Ft IJ
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
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial
6. 1 understand that 1 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 cou10tyor 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.1,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.
I nitial—�
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/cilbAndex.html
Initial ��
�--
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:
Wly,,( JV�e_� _?_�(_�?Y 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-14S
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 2.�1fi` day of n� 20 1-7
By (AIM CA who was personally known to me or who has
Produc d there License or riy-ev `f V\5-e as ification.
Y �d4 YANADY PRIETO
�+ MY COMMISSION#FF 214031
OWNER .-AS EXPIRES:March 25,2019
Bonded Thru Notary Public Underwriters
Property Search Application-Miami-Dade County Page 1 of 1
OFFICE OF THE PROPER"N
Summary Report
Generated On:6/27/2017
Property Information
Folio: 11-3206-013-5211
} N A
335 NE 101 ST `
Property Address: '
Miami Shores,FL 33138-2424 �.� ,
GERARDO GUARCH _ � "
r
Owner HEIDI BAHNA
Mailing Address 335 NE 101 ST �
MIAMI SHORES,FL 33138 USA »
PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ f j
0101 RESIDENTIAL-SINGLE
Primary Land Use I!
FAMILY: 1 UNIT
Beds I Baths I Half
Floors 1 a z
Living Units 1 .`"
Actual Area 2,850 Sq.Ft
Living Area 2,260 Sq.Ft
Adjusted Area 2,690 Sq.Ft Taxable Value Information
Lot Size 10,350 Sq.Ft 2017 2016 2015
Year Built 11951 County
Exemption Value $50,000 $50,000 $50,000
Assessment Information Taxable Value $522,738 $318,948 $316,384
Year 2017 2016 2015 School Board
Land Value $310,624 $258,854 $248,669 Exemption Value $25,000 $25,000 $25,000
Building Value $262,114 $187,224 $187,224 Taxable Value $547,7381 $343,948 $341,384
XF Value $0 $0 $0 City
Market Value $572,738 $446,078 $435,893 Exemption Value $50,000 $50,000 $50,000
Assessed Value $572,738 $368,948 $366,384 Taxable Value $522,738 $318,948 $316,384
Regional
Benefits Information Exemption Value $50,000 $50,000 $50,000
Benefit Type 2017 2016 2015 Taxable Value $522,738 $318,948 $316,384
Save Our Homes Assessment
Cap Reduction $77,130 $69,509 Sales Information
Homestead Exemption $25,000 $25,000 $25,000 Previous Price OR Book- Qualification Description
Second Homestead Exemption 1 $25,000 $25,000 $25,000 Sale Page
Note:Not all benefits are applicable to all Taxable Values(i.e.County, 07/07/2016 $756,000 30156- Qual by exam of deed
School Board,City,Regional). 0426
08/26/2011 $457,000 27826 Qual by exam of deed
Short Legal Description 2853
MIAMI SHORES SEC 1 AMD PB 10-70 11/01/2003 $365,000 21873 Sales which are qualified
LOT 18&W40FT LOT 19 1 4074
BLK 38 06/01/1997 $0 17722- Sales which are disqualified as a result
3774 of examination of the deed
LOT SIZE 90.000 X 115
OR 17722-3774 0697 4
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
http://www.miamidade.gov/propertysearch/ 6/27/2017
r w _ 9 5` PfALF P�II ° N7M,511'��2M`F 4
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FLOOD ZONE.X PROPERTY OF:GERARDO GUARCH AND •'
MAP 8 PANEL=1208600302 HEIDI BAHNA,
COMMUNITY No.:120652 SUFFOC.•L 335 N iQfI�E�!� � d7 -
DATE OF FIRM: 09-11-2009
BASE ELEV.= AVA MIAMI HORES�FLO/ V®J4" 39 U i g e NOT VALID
WFINOUT THE SIOIVAR
APPROVED BY DATE ORIGWALRAZED SEAL OFAFLORI
----- SURVEYOR AND MAPPE
ZONING P
STATE ANo Cr l-N Y RILLS AND REGULATIONS
/VJW4. —
*
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IO2N0 STREET
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TITLE INSURANCE COMPANY, IUB sT
'H AND HEIDI BAHNA, s ' t 1
-
SAGE INC.,ITS SUCCESSORS a
AS THEIR INTERESTMAYAPPEAR '
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100TH STREE r
LEGAL DESCRIPTION:
LOT 18 AND THE WEST 40 FEET OF LOT 19,BLOCK 38, 'MIAMI SHORES SECTION
1, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10,PAGE
70,OF THE PUBLIC RECORDS OF M/AMl-DADS COUNTY,FLORIDA.
SURVEYOR'S NOTES:
r 1)NOT VALID UNLESS SIGNATURE IS EINBOSSED WITH THE REGISTERED LAW SURVEYORS SEAL
4 LEGAL DESCRIPTION PROVIDED BY OTHERS
3)PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED
ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLAT OF RECORD.
4)MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD_
5)-UNDERGROUND UTILITIES,FOUNDATIONS,OR OTHER IMPROVEMENTS,IF ANY,WERE NOT
LOr.4T®:
6)ELEVATION%1F SHOWN ARE BASED ON NATIONAL GEODETIC VOMCAL DATUM 1929.
7)FENCE OWNERSHIP NOT DETERMINED UNLESS 07HERMSE NOTED.
8)MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WIRE
9)WALL M64SURBMWM ARE TO/FROM FACE OF WALL .
10)DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTY LINES MAYBE
EXAGGERATED FOR CLARITY.
11)ROOD ZONEINFORMATION WAS Darvj D FROM FEDERAL EMERGENCYMANAGBNEVT AGENCY
FLOOD INFORMATION RATE MAPS
12)BEARINGS IFANYSHOWNAREBASED ON ASSUMED PLAT MERIDIANAT.NORTH RIGHT OF WAYOF
NE 101st STREET=(WEST)
LEGEND LC.V fiVMATLONCONIROL.VALVE P.CP. PERMANE NTCONTROL POINT WIM WATERACETER
AJC AIRCONDITIONER LP. IRONAPE PLS PROFES%VNALLAND SURVEYOR WV. WATERVALVE
AVE 'AVENUE FPL FLORM POWER A UGHT PSM PROFESSIONAL SURVEYORAND MAPPER W.U.P WOOD UnUTYPOIE
BLVD. BOU!"ARD FLP. FOIW/RSV PIPE PL PROPERIYUNE
BLL BENCHMARK FLA FOUlW fi=ROD P.OX POINTOFBEGINNING
CATV CABLE TB.EVOMBOX FAD. FOU0M P.O.0 POINTOFCCAMIENCEMENT
C.B. CATCHBASW L ARCIE 771 PRC,FODNTOFREVERSECURVATURE SYMBOLS'••••
CBS C TEBLOCKSTRUCTURE (L) LEGAL PRAL PFRMANENTREFERHNCEMOMIHIBNT � C ••••:•
CHS CHORDBEARING L.P. UGWPOLE PT_ POOVTOFTAINGENCY •-•— OVENIE41) ITYUNES•
CH CHORD DISTANCE LB 029aWBUSMESS R RAaw •• -s x- •
COR CORNER IS LAND SURVEYOR (R) RECORD •••• - ••••••
CT COURT (M) RE RMEIEVATION •��PROPFRTYCORNER- •
IF NAVD NORTHAMEI= NVERTK AL DATUM RAN RWff4 SWAY WATERPLOW ••••••
CL_ CLEM NOW NATMN4LGEODE77CVERTICAL DATUM SW SANLTARY ••• SOPMCRADEELWATION-
CONC- CONCRETE NO 10.NOTMENTO/ABLE S.LP. SErRMPIPE • ��PR0PWED6RADEqVQ%TWN
CLO. CLEANOUT Ara NUFINM SIR SET9L0NR0D ••••N K~PAVE 0 •
ER ELECTW BOX NTS NOTTOSCALE ST STREET ••••• -4r"• • •••••
REV. ELEVATION ORB OFF=AL RECORD BOOK T TANGENT • DRAIN40E ••• •
ENCR. 6NCRO4CHMENr ONn ONFROPBUYLOE TB.M 7EMlJ0R4RY8FNQ tMARK •• ••
ERP. ELEVATMREFERENCEpofiVT OUL OVSVilEADUTIUTYUNES FIREHYaRANT
•
F.F. FINISHFLOOR P.O PQWTOFCURVATURE T� T �••�• ••••�•
FX FIREHYDRANT PRC POINTOFCOXOPOLDWCURVATURE LLE UMJTYEAS&IEVT • 1'3 bVENTCONNECTM
A BOUNDARY SURVEY • ' • *egos*
1HEREBYCERTIFYTMTTHISBOUNDARYSURVEY PROFESSIONAL SURVEYING AIVdWPPING •
WASSTANDMADEARDS OFPRACTICE LANNES & G,4RCIA INC.
STANIDARU.S OFPLiACTICESETFOR7H8YTFIE
FLORIDA BOARD OF PROFESSIONAL SURVEYORSAND T
MAPPERS INCFIAPTER 5%-17.060 THROUGH 51-17.= LB#2098
FLORIDA ADMIINISTRATIVE CODE PURSUANT TO
ID THE sECTION472.027,FLaRDA STATUTES AND,THATTHE FRANCISCO F.FAJARDO PSM#4767(QUALIFIER)
;a,►� SKETCH HEREONIS TRUEAND CORRECT TO THE 41)
2700 SW 37th AVENUE,
BEST OF MYKNOWLEDGEAND881ff SUBJECT TO
NOTES Alun NOTATIONS SHOWN MIAMI, FLORIDA 33133
PH(305) 666-7909 FAX(305)442-2530
FRANCISCO F.FAJARDO
FLORIDA PROFESSIONAL SURVEYOR AND MAPPER
REGISTRATION NO 4767. IE/.D DATEO6/1012016 SCALE 1'=2O' DRAWN BY: PAUt DWG.No.:261179
o
V a
♦S ORES l'I
Miami shores Village
mills
Building Department
L'Fti �y� 10050 N.E.2nd Avenue
��aRIDp Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
❑ Shadow Box JUN 2
❑ Vertical Picket 2011
Board on Board
Fenies <
�5' high
h os s spaced at 4' on center maximum
posts space a on cen er ma
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
XWPIth
ressure treated
and the finished ood members
side shall face the two corrosion
adjoining lot or resistant fasteners
any abutting right- per connection
of-way.
4x4 pressure treated ` •'a "" '•••:•
posts embedded2'into Y •• • •'see '•
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 • •• ""' • •