FW-17-2857 Permit No. FW-12-17-2857
Miami Shores Village Permit Type:FenceMall
10050 N.E.2nd Avenue NE Work ClasSit<Cation:Wire Fence
�- Miami Shores,FL 33138-0000 Perill
—mos Permit°°Status:APPROVED
Phone: (305)795 2204
FLORt9A
Issue Date.. 1/212018 F
Expiration: 07/0112018
Project Address Parcel Number Applicant
335 NE 93 Street 1132060136260
Miami Shores, FL 33138- Block: Lot: PAUL MADSEN
L j
Owner Information Address Phone Cell
PAUL MADSEN 335 NE 93 Street
MIAMI SHORES FL 33138-2854
Contractor(s) Phone Cell Phone Valuation: $ 975.00
HOME OWNER
....�..... .r�_a � �_..._.,�,. Total SqFeet: 30
Approved: Available Inspections:
Comments:
Inspection Type:
Date'Approved:
Final
Date,Denied: Foundation
Type of Construction:Wire Fence Additional Info:REPLACING PART OF CHAINLINK F Review Planning
Classification:Residential Scanning:3 Review Planning
Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# FW-12-17-65811
$2.00 01/02/2018 Credit Card $69.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 12/04/2017 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $119.60
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.
I
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
constructs and zoning. Fut ;ermore,I authorize the above-named contractor to do the work stated.
January 02, 2018
ut orized Signature: caner / Applicant / Contractor / Agent Date
Building Department Copy
January 02, 2018 1
t
M t
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795.2204 Fax: (305)756.8972
Inspection Number: INSP•293320 Permit Number. FW12-17-2857
Scheduled Inspection Date: February 21,2018 Permit Type: Fence/Wall
Inspector:Riveron,Alexis
Inspection Type: Final
Owner. MADSEN,PAUL Work Classification:Wire Fence
Job Address:339 NE 93 Street
Miami Shores,FL 33138- Phone Number
Parcel Number 1132060136260
Project: <NONE>
1
Contractor: HOME OWNER
Building Department Comments
` REPLACING PART OF CHAINLINK FENCE AND GATE Passed Comments
t THAT WAS DAMAGED IN HURRICANE INSPECTOR COMMENTS False
Inspector Comments
PassedEll
Failed
Correction
Needed
Re-inspection ❑
Fee
No Additional Inspections can be scheduled until
re-Inspection fee is paid
February 20,2018 For inspections please call:(305)762.4949 Page 7 of 44
i
Miami Shores Village RECEIVED
Building Department DEC 041017
' � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Cle
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20111
BUILDING Master Permit No. MVV ( --t '2 &S-9—
PERMIT
-"PERMIT APPLICATION Sub Permit No.
,BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
f`� CONTRACTOR DRAWINGS
JOB ADDRESS: fL o /
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: \ Flood Zone: BFE: FIFE: J O�
OWNER: Name(Fee Sim leXTItlholder) —lam Gr!� //t01�ii 11 ^,o47-eaone#:�3_4!5r_Z�k /S
Address:
City: 1m; 4 M I :5)b 10 1(0 State: , Zip: 7 3 J -�5> U
Tenant/Lessee Name: Phone#:
Email: O
CONTRACTOR:Company Name:_OD�aO 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:$ -/l. / Square/Linear Footage of Work:
Type of Work: ❑ Add' -on El Alteration ❑ New pair/Replace r ❑ Demolition
Descriptio of Work: ,poif-
in-
`Y aa 7Y_ WJ04
t 1n Ci.
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$ (Q
(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 no ap oved 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
da of ACL 20�J by day of ,20 , by
065C,s'peYsonally known to who is personally known to
me or who has produced �_l� � me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC NOTARY PUBLIC:
Sig MAHARAI K.GONZALEZ Sign:
MY COMMISSION#GU wl"Jl
Print: =* .*` S:November 2,2020 Print:
Bonded Thru Notary Public n r"
Seal: '''°'�" Seal:
4t7
APPROVED BY ;�i�/�Plans2 Examiner ( Zoning
Structural Review Clerk
(Revised02/24/2014)
41
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,
°
�*�»„mss Miami Shores Village
k r
Building Department
10050 N.E.2nd Avenue
R_ Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
OWNER BUILDE i ISCLLOSURE STATEMENT
NAME: S�i l DATE:
ADDRESS:
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
f 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
y contractor Is required by law to be licensed in Florida and to list his or license numbers on perm
lts�a ac
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 orle is vi ates the exemption.
Initi
, - / M
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the constructio , �/�
Initial
Yoe
t
r
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 an c t r municipal ordinance.
Initial
k
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 liableand 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.
c
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,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 regulatio
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.myfloridallcense.com/dbpr/oro/cilb/index.htmi
Initial
11. 1 am aware of,and consent to;an-3315� 4Z, E .owner-builder building permit applied for in my name and understands that 1 am the party
legally and financially responsible for thoposed construction activity at the following address:
e r
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of o a on hat 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 L day of 20 �ypyy�_
41
gY �y1 1� lJl�`1�; who was personally known to me or who has
N !N
a i
Pro ther (cense as identification. ' Z C
M
CD
r � N
`r OWNER NOTARY
12/4/2017 Property Search Application-Miami-Dade County
OUICE OF THE
^N
PROP"ERTY
Summary Report
Generated On: 12/4/2017
Property Information �F
Folio: 11-3206-013-6260
Property Address: 335 NE 93 ST _ at
Miami Shores,FL 33138-2854
Owner PAUL R MADSEN&W DEBORAH '
Mailing Address 335 NE 93 ST t
MIAMI, FL 33138-2854 ; ', s
PA Primary Zone 1100 SGL FAMILY-2301-2500 SO
IAL-SINGLE
Primary Land Use 0101 RESIDENT
FAMILY: 1 UNIT ,
Beds/Baths/Half 3/2/1
Floors 1 ~r,�
Living Units 1 - n
Actual Area 3,016 Sq.Ft t.
Living Area 2,444 Sq.Ft
Adjusted Area 2,613 Sq.Ft
Lot Size 12,700 Sq.Ft Taxable Value Information
Year Built 1957 2017 20161 2015
Assessment Information County
Exemption Value $50,000 $50,000 $50,000
Year 2017 2016 2015
Taxable Value $171,733 $167,173 $165,664
Land Value $380,819 $317,517 $304,454
School Board
Building Value $186,064 $186,484 $188,209
Exemption Value $25,000 $25,000 $25,000
XF Value $26.987 $27,354 $18,674
-- ----- Taxable Value $196,733 $192,173 $190,664
Market Value $593,870 $531,355 $511,337 City
Assessed Value $221,733 $217,173 $215,664 Exemption Value $50,000 $50,000 $50,000
Benefits Information
Taxable Value $171,733 $167,173 $165,664
Regional
Benefit Type 2017 2016 2015 Exemption Value $50,000 $50,000 $50,000
Save Our Homes Assessment
Cap Reduction $372,137 $314,182 $295,673 Taxable Value $171,733 $167,173 $165,664
Homestead Exemption $25,000 $25,000 $25,000 Sales Information
Second Homestead Exemption $25,000 $25,000 $25,000
Previous Sale Price OR Book-Page Qualification Description
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School
Board,City,Regional).
Short Legal Description
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 21 &22 BILK 46
LOT SIZE 100.000 X 127
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
Appraiserand Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:,
I
1
5�°RFS Gi
Miami shores Village
111121" Building Department
d 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
F�ORZDA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
g �� qu7 cic ei k
The undersigned Affianthereby attest that,
(Pro erty owner)
The attached survey, performed by r �7 y " d
I�s s'o
,� /
(Name of surve or's company)
15--For address: /t' /-, , � --!�'
Performed on 3(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
I 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
stru may affect final inspections as applicable to this or other permits.
u AM t sm et t
Property Owner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this _day of Z .
Affiant is_personally known to me,Droduced lcwIdentification.
r
t
Nota
Revised on 5/22!2009/Revised on 6/12/09 Y. .,, MAHARAI K.GONZALEz i
-�'� y'•'- MY COMMISSION#
GG 044602
'`_` EXPIRES:November 2,2020
r ,?f
c Uridervrtiters
Bonded Thru Notary Publi
-- COUSINS SURVEYORS � A�50� I ATES,, INC. PROJECT NO. 0085-93
10005 SOUTH W€Si j6tj S.kjt:r••:
CLIENT : LAWYERS TITLE
PEMBROKE PINES, FZO9I.D9 M(r25 •�• INSURANCE CORPORATION
PHONE ( 305) 431-7433 FAX ( 305) 435-7048
LAND DESCRIPTION: "' "' '"' •
LOTS 21 AND 22, BLOCK 46, 'AN AMENDED P ((T OF MIAMI SHORES
SECTION NO. 1' ACCORDING TO THE PLAT•T ER6�C1Fi R°EtORVI)e I Ilt•'
PLAT BOOK 10, PAGE 70 OF THE PUBLIC REMUDI9: rDg WTt•
FLORIDA. w • • •
nL
. .. • • • • . ... w:•
NOTES:
1. REPRODUCIONS OF THIS SKETCH ARE NOT VALID UNLESS SEALED WITH
AN EMBOSSED SURVEYOR'S SEAL.
2. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS-OF-HAY. . RECEIVED
EASEMENTS, OWNERSHIP, OR OTHER INSTRUMENTS OF RECORD. .
3. THIS SURVEY WAS DONE SOLEY FOR BOUNDARY PURPOSES AND DOES
NOT DEPICT THE JURISDICTION OF ANY MUNICIPAL, STATE, DEC 0 4 2017
FEDERAL OR OTHER ENTITIES.
4. THE LAND DESCRIPTION SHOWN HEREON.WAS PROVIDED BY THE CLIENT.
LEGEND:
7v v sh CBS CONCRETE BLOCK STRUCTURE
CKD CHECKED BY
CONC CONCRETE
OWN DRAWN BY
WATER METER t0' ASPHALT PAVEMENT FB/PG FIELD BOOK AND PAGE
z.o' SOUTH x x--x- CHAIN LINK FENCE
6.i' EAST 100. 00' ^ f I P SIR SET IRON ROD AND CAP 4188
FIP 13 x— x—x—x—n FIR FOUND IRON ROD
2 4' ., 6909 LINK FENCE L 0 T 2 2 � F I P FOUND i/2°,IRON PIPE
B L I�0 C K I 4 6 --% �5,
x I
POOL
LOT 2XW LOT 21 LOT 23
Z
Z CONCRETE PATIO =x
Lu
x D T
d ¢ o u, 16.7' z F-
rd 1.6'
U N I o V I cc
i n t (n
W 1.4 _� W F- EC I.Lu
c=n 14.8' 1 STORY X o w .
w 1o.2' CBS 20.s' Ln
Lo
BUILDING N c
❑ '" c 4
C=) b I ,a A/C SLAB " Q 4
ILL) WALL 22.4' CQ ,
IL-jI9.2 6) mai
N CANTER o f L.D' , U+JJ
ul
13.5' WALL �Y y
B e
�f1 9 ASPHALT I i� 3.i'
F9sG9`''O. DRIVEWAY I N !G<-)
BOJ I i00. 03'(MEASU D) I o oz
FND. DRILL HOLE C7 Q
i00. 00'(PLAT) FIP I; AT] 0 Z (� 1-=Q
5' CONC. WALK U- I- I7'�
m
0
z
21' ASPHALT PAVEMENTWE CERTIFY if
OF THE HEREON
NORTH EAST 93rd STREET DESCRRIBED EBY PROPERTYTIISTTRUE ANDTHEACHED CORRECTKTOCTHEFBESTVEYOF°OUR KNOWLEDGE
AND BELIEF AS SURVEYED IN THE FIELD UNDER OUR DIRECTION IN JUNE,
1993. WE FURTHER CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL
STANDARDS FOR SURVEYING IN THE STATE OF FLORIDA ACCORDING TO CHAPTER
21HH-6 OF THE FLORIDA ADMINISTRATIVE CODE. THERE ARE NO ABOVE GROUND
CERTIFIED TO: ENCROACHMENTS OTHER THAN THOSE SHOWN HEREON, SUBJECT TO THE
PAVI R. MADSEN AND DEBORAH N. MADSEN QUALIFICATIONS NOTED HEREON.
LAWYERS TITLE INSURANCE CORPORATION
BARNETT MORTGAGE COMPANY Q
FOR THE FIRM, BY:
RICHARD E.E. COUSINS
PROFESSIONAL LAND SURVEYOR
FLORIDA REGISTRATION NO. 4188
REVISIONS - DATE FD/PG DWN CKD FLOOD ZONE INFORMATION (PROPERTY ADDRESS
MORTGAGE SURVEY b6/07/93 2/8 REC -OU". COMMUNITY NO. 120652 335 NE 93 STREE
PANEL NO. 0093 G
ZONE X SCALE : 1 " = 30 '
BASE FLOOD ELEV. NA
EFFECTIVE DATE 01 20 93 SHEET 1 OF 1