FW-16-1953Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. FW -7-16-1953
Permit Type: Fence/Wad
Work Classification: Wood Fence
Permit Status: APPROVED
Issue Date: 712512016
Expiration: 01/21/2017
Parcel Number
Applicant
177 NW 96 Street
Miami Shores, FL
1131010250140
Block: Lot:
ESTHER ACOSTA
Owner Information
Address
Phone
CeII
ESTHER ACOSTA
177 NW 96 ST
MIAMI SHORES FL 33150-1714
Contractor(s)
HOME OWNER
Phone
CeII Phone
Valuation:
Total Sq Feet:
$ 1,500.00
150
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: WOOD FENCE 6' BOARD ON BOAR
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$150.00
$9.00
$1.60
$166.70
Pay Date Pay Type
Invoice # FW -7-16-60583
07/13/2016 Credit Card
07/25/2016 Credit Card
Amt Paid Amt Due
$ 50.00 $ 116.70
$ 116.70 $0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
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 zonin Fut rmore, I u orize the above-named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor / Agent
Building Department Copy
July 25, 2016
Date
July 25, 2016 1
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
•Fc z
JUL 1' 018
BY:
FBC 201k
Master Permit No. FW t 1 9 5�
Sub Permit No.
a BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
171- �I 616 Ti -t S i t --r
City: Miami Shores County: Miami Dade Zip: 3 3 ISO
Folio/Parcel#: Is the Building Historically Designated: Yes NO .✓
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): E5 ih1&1L 140461
-14
Address:
111— V.1 \-4 9b TM STQC.FI
Phone#: 786 51 2.— $S`1 1
City: Mi SS Ho11.E 5 State: — Zip: 3 315 U
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 0 L N ,z -e.. Phone#: 7 KL 51 2. —(654 1
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
et o
Value of Work for this Permit: $ 1 S o� Square/Linear Footage of Work: I S cD 5et"dr`
Type of Work: ❑ Addition ❑ Alteration 12ICNew ❑ Repair/Replace ❑ Demolition
Description of Work: WO o b -e-1.. at,. b 1 e yaa,b 0 N Q Ofl Z.r CAST e L7 el i'. V F
9ro Pen. r
Specify color of color thru tile: %
Submittal Fee $ s°. ° Permit Fee $ /5/y•d 0- CCF $ CO/CC $
Scanning Fee $ 0 Radon Fee $ .2/D�BPR $ 2•7...L.5 - Notary $
Technology Fee $ i 6 Training/Education Fee $ .0' / d- Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ /16. q®
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 commencementond_cctrastEurtiotilienlmnr_6rocbuce.wiU_be_deliue
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
r
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
13 day of U l.. 20 k 4o by day of
20 , by
z.5rtf-T2 #c .COs7 A" , o 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:
001131d1//ti I//i NOTARY PUBLIC:
0 .o..... C
\.›' ,Popo
Sign: L/ /�--- _ . O9Zxg f •d(�_ Sign:
Print: * • • o• - t �- Print:
s p�-
Seal: � :o..?,`)9401 Seal:
,,jl/S SIN318 4%*�,�'
APPROVED BY
7 Plans Examiner tO 7 /c
I �6 Zoning
Structural Review Clerk
(Revised02/24/2014)
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: .K- ry y /2i /4. DATE: 7/1.3 /-0/4
ADDRESS: /77_ Nw qt ,-iiaim) Stiorz0 A- 33i5O
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. I 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. 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. I 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 concts.
Initial
4. I 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, whiNi violates the exemption.
Initial
5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial
6. I 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 county ¢ rr"iunicipal ordinance.
Initial
7. I 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. 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.) understand that my failure to follow
these may subject to serious financial risk.
Initial
9. I 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. 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.myfloridalicense.com/dbpr/pro/cilb/index.html
Initial
11. I 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:
1-1-1 J'1
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the inform that I have provided on
this disclosure. fl _
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
Ts L --1By1i'�-- 5
Jv/ y day of /3
,20 !�
who was personally known to m
Produced there License or-���
OWNER
aaaiiiiIU
O • "�P0 °e • py,S
,a •,.
• mss 3
afat gnti ticptien.r:ri
• ;.r� say•� as
NOTARY
'�''� u \N.°
❑ Shadow Box
eriical. Pick
C -Boga .9n.Board.7
Miami Shores Viiiage
Building Department
Fences Good Side Out. The vertical and horijt6
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished side shall face the adjoining
lot or any abutting right-of-way.
WOOD FENCE DETAIL
10050 N.E.2nd Avenue
i Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
fences < = 6' high posts spacedcenter mazimum"7
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
• ••
•
• •
• •• •••• •••
• • •
• • • —•
•
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• • --.10•••.
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• • • • ••••
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•
• • •
• • ••• 1 ••
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4x4 pressure treated
posts embedded 2'into
concrete footing 10"
diameter x 2'deep
pcolim
N'w civil( si
IM�AMi 3tloees FL
3315o
lx pickets fastened
with two corrosion
resistant fasteners per
connection
,2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No Tess than two fasteners in any connection
p
Fences Good Side Out. The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished side shall face the adjoining
lot or any abutting right-of-way.
asoc.1_l
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wig
Fai(e
1,4x1.4'
OVA tl —
cot'IC, VAVE .
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CORNER
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Fences Good Side Out. The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished side shall face the adjoining
lot or any abutting right-of-way.
/)i\Y. 97 ?W
sT
75,
a
4
•
G�G.4 7707/ M.42
This property described as:
Lot 14, Block 3
PLAT OF RESUBDIVISION OF BLOCK 3
BONMAR PARK,
according to the Plat
thereof, as recorded in
Plat Book 42, Page 60
of the Public Records of
Miami -Dade County., Florida.
[PROPERTY OF: Acosta, Esther
RECEIVED
,Jai 016
'FAX:
► )
3
fry
Miami Shores Village
w
0
>-
crt
:1LDG DEPT
`;I MA -CT TO COMPLIANCE WITH ALL FEDERAL
A r AN') COl1NTY RULES AND REGULATIONS
177 N.W. 96th Street, Miami Shores, Florida 33150
r.O-r VALID N111101T 1 11E SIGNATIINf:
AND TI1E ORIGINAI. RAISED SI:AI. 01
:1A/NIDA I.,ci:NSED NUM./A ON
AND MArrs
A BOUNDARY SURVEY
1 hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the Board
of Land Surveyors in chapter 61G17-6
Florida Administrative Code pursuant to
Section 472027. Fla. Statutes. There are no
encroachments. overlaps, easements
appearin: .n the Plat. other than as
shown ereto.
LANNES ANI) (:ARCI A. INC.
1..8. # 21198
SURVEYORS-MMAI'PERS-LAND PLANNERS
ERNESTO E. ESPINOSA #2946
. •_FRANCISCO F. FAJARDO #4767 •
Office address: 359 Alcatar :lvrnue. ('oral Gables. Florida 3313-1
13415) 666-79119 (95-1) 523-8663
SCALE
` E I)I) 'I'F:
IMI/ lUaVt.YO. MdM MO. ��� FI
-- e - ���I Jpt� /2/24/98 _ f s 20'
Recertified and Flood Info Revised ?
DRAWN BY
422
DRWG. N()
100196
. 51kA