FW-17-1266 Permit NO. FW-5-17-126 '
`yHunes A,� Miami Shores Village Permit Type:Fence/Wallf
10050 N.E.2nd Avenue NE Work Classification:Wood Fence
Miami Shores, FL 33138-0000
Permit Status:APPROVED
Phone: (305)795-2204
I'D
V111 11 7 Expiration: 11/07/2017
�.
Project Address Parcel Number Applicant
246NE.105.Street �- . 1121360130490�
MARIO MARLON CRUZ
Miami Shores, FL 33138- Block: Lot:
Owner Information _Address Phone Cell
MARIO MARLON CRUZ 246 NE 105 Street (305)785-1944
MIAMI SHORES FL 33138-
.
246 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone [Valuation: $ 6,500.00
HOME OWNER
otal Scl Feet: 250
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved: : Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOOD FENCE&GATE Review Planning
Classification: Residential Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20 Invoice# FW-5-17-63955
DBPR Fee $3.75
DCA Fee $3.75 05/11/2017 Credit Card $232.70 $50.00
Education Surcharge $1.40 05/09/2017 Credit Card $ 50.00 $0.00
Notary Fee $5.00
Permit Fee-Wire&Wood $250.00
Scanning Fee $9.00
Technology Fee $5.60
Total: $282.70
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 zQQing. Futhe rmore, I authorize the above-named contractor to do the work stated.
May 11, 2017
Aut or a Si nature:Owner / Applicant / Contractor / Agent Date
Buildin' partment Copy
May 11, 2017 1
Miami Shores Villa e - ,�-T',r ;�n�
� g
Building Department MA 092017 �+
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 LBY
,,�
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201
BUILDING Master Permit No.TW 1�— 126 6
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL OPUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
l (Q CONTRACTOR DRAWINGS
JOB ADDRESS: Z`G'C
City: Miami Shores . 1County: Miami Dade Zip: gal 3 S
Folio/Parcel#: �� ��3 �`�"`� Is the Building Historically Designated:Yes NO ✓
Occupancy Type: Load: (( ''n�Con_�struct`io1n,Type: { ' Flood Zone: �—�Y BFE: ,�� FFFQFE: y� (�
OWNER: Name(Fee Simple Titleholder): F�yO MIAV�Y� �+ tYl la/u;2Aone#: _ QK)?V ;1L�T
Address: Z-L�1 �Q- � 5A ��-�/� s�Q
City: Wtamg �1 Z-V' State: !t7 �11 /tC4- Zip: �01,Jy
Tenant/Lessee Name: Phone#:
Email: lA0V 0AQM1.211r-
CONTRACTOR:Company Name: I I o)--t low oc f 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:$ r��)�� Square/Linear Footage of Work: 2-50
Type of Work: ❑ AJ�,d�dyition/(� ❑L_/,Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: X G'l. '1 2. L
Specify color of color thru tile:
Submittal Fee$_ `J_CAI Permit Fee$ 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: 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 X Signature
0 NER or AGENT CONTRACTOR
The foregoing i st um)Q was acknowledged before me this The foregoin instrument was acknowledged before me this
day of 4' 'C� ,20 1�' by day of
1 C ^\ 20 , by
Mac I e 01• M• G('J �' ,who is personally known to `, who is personally known to
me or who has produced (�.�r�( P�r���� 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: 4 ° G c���� Print:
Seal: GSOPrPUB� RAULCKAVARRiA
MY COMMISSION#FF 962237
Seal:
' EXPIkES March 6,2020
r' ' uenuad rnw 0 161 Njw y aomc«a
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
ORES
!OI% �t Miami Shores Village
Ms „�,�, Building Department
10050 N.E.2nd Avenue
F�oR °y Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
',,,'— OWNER BUILDER DISCLOSURE STATEMENT
l �
NAME: � C990 �-�—
ADDRESS:— mV5i,
Do hereby petition the Village cf 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
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-
3.
nitial3. 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
dccontracts.
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/
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 perso s 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
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, 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/oro/cilb/index.html
Initial
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and under tands that I am the party
legally and financially responsible for the roposed onstruction actio at the following address:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any ohe 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 G rn day of fCl�' , 20
\J
By AOCtO Cr Q L , 1s who was personally known to me or who has
Produced there License or L t f-ns-� as identification.
YANADYPRIETO
MY COMMISSION#FF 214031
{'
EXPIRES:March 25,2019
e:
'of;od F;°•, Bonded Thru Notary Public Underwriters
ITER NOTARY
Property Search Application - Miami-Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Generated On:5/9/2017
Property Information
t
Folio: 11-2136-013-0490
Property Address: 246 NE 105 ST ;k
Miami Shores, FL 33138-2020
}�riq
CAROLINE COLLADO CRUZ • ,
Owner MARIO MARLON MALLARI CRUZ
=IF x
JR
246 NE 105 ST
Mailing Address �_ -
MIAMI SHORES, FL 33138 USA
PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE 5 * Y
FAMILY: 1 UNIT
Beds/Baths/Half 3/2/0
Floors 1
Living Units 1 � a?
Actual Area Sq.Ft
Living Area Sq.Ft Taxable Value Information
Adjusted Area _ 2,055 Sq.Ft 20161 2014
Lot Size 9,300 Sq.Ft County
Year Built 1946 Exemption Value $0 $0 $50,000
Taxable Value $359,093 $326,449 $200,347
Assessment Information
School Board
Year 2016 20151 2014 Exemption Value $0 $0 $25,000
_v__._..._._...__............ .... ..
._...._. ...._.................................
Land Value $199,874 $164,822 $155,872 Taxable Value $366,570 $326,449 $225,347
Building Value $145,778 $146,0531 $142,543 City
XF Value $20,918 $15,574 $15,703 Exemption Value 1 $0 $0 $50,000
Market Value $366,570 $326,449 $314,118 Taxable Value $359,093 $326,449 $200,347
_�_._.__..............__ __ _. .-................ _._ _..__. ..__...............
Assessed Value $359,093 $326,449; $250,347 Regional
Exemption Value $0 $0 $50,000
BenefitsInformation _.._._....... ____.._____.'.-.._.........__-........._........___.._____......_......_..._......._...................._..__.__-__._...................
Taxable Value $359,093 $326,449 $200,347
Benefit Type 2016 2015 2014
Save Our Homes Cap Assessment Reduction $63,771 Sales Information
Non-Homestead Cap Assessment Reduction $7,477 Previous OR Book-
_...-.._.--..�..-...-_.._............................... Price Qualification Description
Homestead Exemption $25,000 Sale Page
Second Homestead Exemption $25,000 08/10/2016 $482,000 30221-1997 Qual by exam of deed
Note:Not all benefits are applicable to all Taxable Values(i.e.County, 06/09/2016 $100 30160-1987 Corrective,tax or QCD;min
School Board,City, Regional). consideration
08/08/2014 $440,250 29270-2184 Qual by exam of deed
-- _
Short Legal Description __..._.
06/01/2003 $322,000 21576-2150 Sales which are qualified
MIAMI SHORES SEC 5 PB 10-47
LOT 7 E1/2 OF LOT 8 BLK 120
LOT SIZE 75.000 X 124
OR 17172-3761 0396 1
COC 21576-2150 06 2003 1
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 hfp://www.miamidade.gov/info/disclaimer.asp
http://www.miamidade.gov/propertysearch/ 5/9/2017
' TLS L -T C Z 6 6 ,
Y :S' U U'v .P.Y •• IS CAROLINE COLLADOCRUZ b MARLON CRUZ NO: 1607-000
S K E T C H O F B O U N D A R
• • • ••. FIELD DAT[:0&12-2016
• •
SCALE:1"=20' • • • • IS • •• • •• Pnor.A F
'
75.00'Taal RNIS IS
V so • RECEIVED
•• •
N.E. 105th STREET �] CAROCERTIFIED;
--�---_ •' • • ••• ••• M• •• MAY 201/ SUN RUST MORFGAGECNC.ITS SUCCESSORS AND/OR
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SURVEYOR'S NOTES:
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Q DESCRIPTION FJRNISHEO B\'CLIENT.
Ol I m W 2,)01JUSSACOA1PAMSON ISSHOW'N,ALLBEARING,ANGLEEANDDIETANCESSHOWN
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1.0.46 14.65'00 I 17.45' -00 (19297 UNLESS OTHERWISE NOTED.
0.1 ry 5DO'O lV 14.40' 13'16' 9)THE RENO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN.
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I NE'_Y_COMM:120652PANEL-1�FFIX: L DATE 9-11-2009 BASE'N/A
\ NOTEDETERMINATION OF FLOOD ZONE LINES WERE BASED ON SCALING OF FEMAMAP LISTEDABOVE.
O7 i \y' NOTE:ALL MEANING HEMON ARE BASED TO THE PLAT FEARING Of NL_------------ ---
Remainder
—
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BIOCk 120 ! 1 .D o �.(•—I ' BI..( EASEMENT VIOLATIONS: ❑YES 999 NO
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__________________Paver P.c.�ci�tmar,ata:a,FND=Fo,d.NO O—N.Idelai 9,M
4.70 I i
02.75'
pool GL� BAL
I Pump
I D MENSIONS INC.
CL M oL Land Surveying Services {�1 {,
FND.I.P - J PP 7500• P.3/a" OFFICE: DAVID L.FLITCH
14770 SW 43rd WAY, REGISTERED LAND SURVEYOR#4343
15'ALLEY MIAMI, FL 33185. STATE OF FLORIDA
Asphalt LB IP 0006!74
PHONE: X305) 512-4225 ___-.._
` Nota:Na Valid UI-- --------- ----------------- FAX: (305) 512-1914 Signed and Sealed. I SHEELOF I