FW-17-1973Project Address L218 NW 92 Street
Miami Shores, FL 33150 -
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Owner Information
Address
Parcel Number
1131010331230
Block: Lot:
8131201
Phone
973
?ermrt Type: FenceIWall
Classification Wood Fence
Expiration: 01/30/2018
Applicant
SERGIO TORRES
CeII
SERGIO TORRES
218 NW 92 Street
MIAMI FL 33150-
218 NW 92 Street
MIAMI FL 33150-
Contractor(s)
HOME OWNER
Phone CeII Phone
Valuation:
Total Sq Feet:
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: INSTALLATION OF WOODEN GATE
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$100.00
$9.00
$0.80
$114.60
Pay Date Pay Type
Invoice # FW -8-17-64761
08/03/2017 Credit Card
08/03/2017 Credit Card
Amt Paid Amt Due
$ 64.60 $ 50.00
$ 50.00 $ 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 zo. •• s . F . i - more, I authorize the above-named contractor to do the work stated.
gnature:Owner / Applicant / Contractor / Agent
Building Department Copy
August 03, 2017
Date
August 03, 2017 1
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
PLUMBING ❑ MECHANICAL
Miami Shores Village
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
❑ ROOFING
E PUBLIC WORKS
JOB ADDRESS: ZI L) 4 Z 5�
Master Permit No.
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
RECEIVED
AUG 0 3 2017
s� t4-1Fsc ZoI�I
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
Folio/Parcel#: ik3 1 0 t 03 3► Z
County: Miami Dade
Zip: 33( SC.i
NO x
Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): ` jlc r1 1 0 ID -1011- 3
Address: 21 6 OA) c L 51
BFE: FFE:
Phone#: 3y-39(- l q/.)
City: M i U 14J S9oAS
State: �L
Zip: ,3j/ v
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
-001-(v2, UCR) L r .
Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Square/Linear Footage of Work: 30 L r
❑ New ❑ Repair/Replace ❑ Demolition
Value of Work for this Permit: $ (00
Type of Work: ❑ Addition ri Alteration
Description of Work: V3 C1 Il(q Ilc^/,
WOO cl e►n 6-7 ATC) 0(1 5' b3;s o F 1-1r1),
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 $
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
OWNER or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
( day of -SU , 20 (� , by day of , 20 , by
c� f e whoipersonallykn wn who is personally known to
�-�C-r I 0 r J s o to p y
f I as me or who has produced as
wo has
me or produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
Seal:
;, ' MY COMMISSION # CIO 044602
;Fo toP Bonded Thru Notary Publid llhdef* tern
NOTARY PUBLIC:
Sign:
Print:
Seal:
***********************s**s*************s**s******************************s************sr*****s***s********
APPROVED BY
,1* 7 Plans Examiner e73
/7 Zoning
Structural Review Clerk
(Revised02/24/2014)
1
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: :,&&Ci i 0 —OA i 5 DATE: / I / ( 7
ADDRESS: 2il6 4.)L) ST
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 contracts.
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, which violates the exemption.
Initial 0 /
5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
cs_
Initial j
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 or municipal ordinance.
Initial t�
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. 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 J)
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. I 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:
c Jr
Initial
12. I 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 j
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 day of
By Ser \O
20 r4
who was personally known to me or who has
Produced the a icense • as identification.
NOTARY
fW fl1Q'13
RECEIVED
003.11/1
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•. • •
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IFC
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5' CONC WALK
15 ALLEY
14
50'
15
n
16
17
18
19
20
1]
n
11
CBS WALL
7.7
CBS WALL
1—STY. C.B.S.
11.9' RESIDENCE
/ No. 218
47' 6 3' 1 5'
0.11' CLR
N.W. 91st STREET
LOCATION MAP:
SECTION 1 TWP. 53 S. RGE 41 E.
0.30' CLR
5.6' X 8'
UM. STORAGE
SHED ON CONC.
0.30' CLR
2.49 CLR
LEGAL DESCRIPTION:
SURVEY OF THE WEST 1/2 OF LOT 2 AND ALL OF LOT 3. OF
BLOCK 136, OF "MIAMI SHORES SECTION NO 6 ACCORDING TO
THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10 AT PAGE
39, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
SITUATED IN THE VILLAGE OF MIAMI SHORES.
SKETCH OF SURVEY
LAND SURVEYORS
A. R. TOUSSAINT & ASSOCIATES, INC.
FLORIDA CERTIFICATE OF AUTHORIZATION LB -273
620 N.E. 126th STREET NORTH MIAMI. FLORIDA 33161
PHONE 305-891-7340 EMAIL: artousaintOaol.com
SCALE:
0 10' 20' 40'
1 INCH = 20 FEET
REBAR J
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UU YULE
ASPHALTo
£/p "-'""
15' ALLEY
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V
12,
1-.P'
1....
N
LEGEND:
Ac
ALUM
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R
C.B.S.`'
omc
RLS/L
R45
60'
SURVEYOR'S CERTIFICATION:
WE HEREBY CERTIFY THAT THIS SKETCH OF SURVEY IS TRUE AND
CORRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF AS RECENTLY
SURVEYED AND PLATTED UNDER OUR DIRECTION AND THAT THIS
SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS FOR
LAND SURVEYING IN THE STATE OF FLORIDA, UNDER RULE 5J-17
FLORIDA ADMINISTRATIVE CODE, CHAPTER 472.027 FLORIDA STATUTES.
NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF THE
REGISTERED LAND SURVEYOR SHOWN HEREON.
A.R. TOUSSAINT & ASSOCIATES, INC.
#:
Miami Shcres Villag
BY PRES.
ALBERT R. TOUSSAINT
REGISTERED ENGINEER NO. 8939
REGISTERED SURVEYOR AND MAPPER NO. 907
STATE OF FLORIDA
FLORIDA CERTIFICATE OF AUTHORIZATION LB -273
ADDRESS:
218 N.W. 92nd STREET
VILLAGE OF MIAMI SHORES, FLORIDA
Z NiNNC Er
BLDG DEPT
SUBJECT 10 COMPLIANCE WITH ALL FEDERAL
STATE ANL) CU.JN`I Y AL LES AND REGULATIONS
SHEET
1 OF 1
DRWN BY:
WT
CHKD BY:
AT
REMAIN
o
tO
17-0"
10'-0" o�
24'-8"
10,-0"
13'-4"
4
iv y`c Wt
EXISTING OAK;
TRUNK DIAM 28"
■EE
7-10"
--
7'-1" 7.
NEW
LANDSCAPE
1'-2
NEW 3'x3' CONCRETE
DRIVEWAY PAVER WITH
SEPARATION (TYP)
EXISTING PORCH
NEW
LANDSCAPE
x(n T ul'ock
EXISTING STORA
ROOM TO RECEI
NEW IMPACT
INDOW
EXISTING ONE
STORY RESIDENCE
.. ... . . . . . .
.
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.
.. ... .. • . • 041
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�Z
I.) fir.
zP e'
NE 3'x3'
C• CRETEWALKWAY ((��I►®_.G
P VERS WITH 4" 3t/ll�i V
PARATION (TYP)6
mac, r444e
Remove existing fence and install:
New wood Horizontal Fence
With orizontal members 6' high, metal frame,
4x' post embedded2' into 10" diameter footing.
o 'L �yi tIte\tC
1
IXC
ESPAZIO DESIGN CORP.
Miami Shores Building Department
10050 NE 2'd Ave
Miami Shores, Florida 33138
AJ v✓ 7�
Re: Permit FW -8-17-1973
Atte: Building Inspector
z
I, Naly Cardenas-Barrero, a Registered Architect in the State of Florida (AR94540)
hereby confirm that upon visual observation, the installation of foundations for the fence
located at 218 nw 92 street (permit FW -8-17-1973) are at a minimum of 11x 1' wide and
2' deep for each post.
It is my professional opinion that such work has been installed in compliance with the
approved Construction Drawings.
Sincerely,
Naly Alexandra Cardenas-Barrero, R.A., LEED AP
ESPAZIO DESIGN CORP
7875 SW 104TH STREET, SUITE 202R • MIAMI, FLORIDA • 33156
WWW.ESPAZIODESIGN.COM