FW-17-505 Miami Shores Village rfitt y}e:�'ItC@ra -
10050 N.E.2nd Avenue NE INt7rk C �CB#f3tt:IZ@ it
Miami Shores,FL 33138-0000
h � Phone: (305)795-2204 I"Status:A .ROVED
CNORNQ'
issue :31112017 Expiration: 08/28/2017
Project Address Parcel Number Applicant
37 NE 97 Street 1132060130980
SARAH&PAUL CALLI
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
SARAH&PAUL CALLI 37 NE 97 Street
MIAMI SHORES FL 33138-2330
Contractor(s) Phone Cell Phone Valuation: $ 100.00
HOME OWNER
Total Sq Feet: 155 !
Approved: Available Inspections:
Comments:
Inspection Type:
Date Approved:
Final
Date Denied: Review Planning
Type of Construction:Wood Fence Additional Info:REPLACING SECTION OF FENCE A Review Building
Classification:Residential Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# FW-2-17-63088
DBPR Fee $2.33 03/01/2017 Cash $ 120.26 $50.00
DCA Fee $2.33
Education Surcharge $0.20 02/28/2017 Credit Card $50.00 $0.00
Penalty Fee $0.00
Permit Fee-Wire&Wood $155.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $170.26
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDA : I rtify that foregoing ' 'orm accurate an that all work will be done in compliance with all applicable laws regulating
construction and ni g. uthe I aut rize th a-named contractor to do the work stated.
March 01, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 01,2017 1
Miami Shores Village
Building Department
2\v 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 9
1. • Tel:(305)795-2204 Fax:(305)756-8972 I
INSPECTION LINE PHONE NUMBER:(305)762-4949 S
FBC 20/C,/
BUILDING Master Permit No. -FVW 1-4 - f�CS
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
& &A CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:3.3IX
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Phone#:���
Address:
City: 47' State: Zip: `�V
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: W � "r Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: .� City: State: Zip:1P,
Value of Work for this Permit:$ l� �� Square/Linear Footage of Work: 4(?/
p f �
Type of Work: ElAddition ElAlteration ❑ New Repair/Replace ❑ Demo ion
Description of Work:
ho r ePC4AC CZ tEe
G or n d
Specify color of color thru tile: .7
Submittal Fee$ Permit Fee$ ISS_410CCF$ - CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$ pp
Structural Reviews$ Bond$ U�
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) X
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 15 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2-Z day of d "'e`d'i° ,20 I-7 by day of ,20 ,by
�� ���— M ►'� ,who s 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 P NOTARY PUBLIC:
i�_ f
Sign: Sign:
Print: L' n Print:
Seal: ,o�r: '- BEATRIZPADRON Seal:
.. MY COMMSSION#FF 944079
. EXPIRES:December 15,2019
Bonded Thru Notary ubrc Uederwrhers
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
BOUNDARY SURVEY
SCALE: 1" = 20'
RECEIVED '
15 ALLEY
FEB 2 8 N11
I
LOT 9I LOT 7 I iE
(,11
o 10' PAVEMENT—/ FIP. 1/2' A
FIP. 1/2' �' 100.00, No I.D. M
LOT 12 I No I.D. _ —
—x --- x--
� a
a
0.60' ••• •.. J .... .
F'hces Good Side Out. The vertical and hori � •
s pporting members of a fence shall fac •
i rior of the plot on which the fence is IoLed <<J
••••• v
• •• •..• .
d the finished side shall face the adjoining • •
I or any abutting right-uf-way. ••••
LOT 13 �o. ..'..• •.. •
.... .
6.5' • • •
7"7 •
• 15.5•'.. •^•
• •
I " zo.s' �' � •
C) x .�..
C:)
x 25.6' o �+ 56.30' 15' .: •v
to
CONCRETE m
DRIVEWAY
x 3.50'
1—STORY
a rj, Res. 37 L
N
Ia 4' ��5• �;� ao I J
M CN
N U
17.70'
L coo 0.80
0.50_x—x x 3'
21.35' � TILE Ln 13.75' r,
15.50'
�
o cn
® LU Q 89-56'40-(M) o CD
U_ 2.8' CONC, 90'03'20'(M) FIP. 1/2"
@ J (5 F►P. 1/2' WALK No I.O.
® Q ¢
a 100.00' 5' CONC. WALK
rn
` 0 M U �
fir
21' PARKWAY v
® g —0 o
9 ® c
O <
i w w
N.E. 97th +11� STREET _
21' Pavement 75' R W.
LEGEND
F.N. -Found Nail G� o• Cont -Concrete
C Gu —OH —Overhead Viae Line + =Existing Elevations FIR. =Found Iron Rebar U.E. =UlUity Easement R=Radius
// —Wood Fence N=Water Yolve FIP. =Found bon Pipe/Pin D.E. -Drainage Easement A=Arc
P —x—Chain Link Fence Q =Manhole Phone F.N&D =Found NoU&Disc D.M.E.=Drainage Maintenance &+Delta
0 Iran Fence -Power Pole SIP/R -Set Iron Pin/Rebor Easement T-Tongent Doge 2 of 2
UtA.:wcs PAtdtU 3/NE9'ST.OWG
6-13-02 4:50:21 pm EST
A gt� S��t
Miami shores Village
nu 111111"
Building Department
°�- — •� Fandth,eCtinished
oo i Side Out. The vertical and horizontal 10050 N.E.2nd Avenue
J�LRmA g members of a fence shall fault i Shores, Florida 33138
file plot on which the fence is located Tel: (305) 795.2204
side shall face the adjoining Fax: (305) 756.8972
lot or any abutting right-of-way.
WOOD FENCE DETAIL
❑ Shadow Box •
.... ......
❑ ical Picket •• ••
. . •
Board on Board
...... . .. ......
Fences < = 6' high posts spaced at 4' on center maximum 0000 •• •....
Fences < = 5' high posts spaced at 5' on center maximum 00:0 •• ••:•••
Fences < =4' high posts spaced at 6' on center maximum •• •• •• 0 ego:-
Fence
•••-Fence must not exceed 6' in height '.
Fence Good Side '. •
Out.The vertical 1x pickets Lastened ... • ;"'•;
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 Xwood members
side shall face the with two corrosion
adjoining lot or resistant fasteners
any abutting right- per connection
of-way.
LJ
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
14+5�OREs `r
Irl iami shores Village
ones Building Department
10050 N.E.2nd Avenue
6iy �p8`� Miami Shores, Florida 33138
OR1DA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, � �� Q���,does hereby attest that
(Property owner)
The attached survey, performed by
(Name of surveyors company)
For address: �4— MA lX r-yu S�®
Performed on A (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.
FurthAffi nt say eth naught.
Property Owner Signature Property Owner Print Name
SWORN TO AND efore me this day of
Affiant is personally known to produced as identification.
Ju tary
BEATRI2 PADRON
NIY COMMISSION#FF 944079
EXPIRES:December 15,2D19
.'�R; yq:•' Bonded Thru Notary Public Ilnderwfiers
Revised(6/25/12)Revised on 5/22/2009/Revised on 6/12109
t
ass Miami Shores Village
mo
Building Department
10050 N.E.2nd Avenue
Rip Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: , f�
CtMk � 6u. DATE:
ADDRESS: 97 RE "l 7 S+ �® R 33138
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.
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 �?d�
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 v teexemption.
Initial
i�
5. 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 by count or unicipal ordinance.
Initial
f
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. l 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
_n�
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/oro/cilb/`index.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:
7 14E. 154- M116-mi
isAmrJ a Q
Initial
12. 1 agree to notify Miami Shores Village immediately-Any arTdii7ons,deletions,or changes to any of the informs on that I ave 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 ZS day of 20
By tf0i h :h MpUCwho was personally known to me or who has
Produced ther License nCQ(90 X81`(07, - I,SO_Ls identification.
MMHARAI K GONZALEZ
My COMMISSION#GG 044802
OWNER NOTARY 3 EXPIRES:November 2,2020
%';e pro:' Bonded Thnt Notary Public Underwriters