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LOCATION MAP N
NOT TO SCALE
200.
5'Sidewalk 75.00' b PROPERTY ADDRESS: 334 NE 101st St. Miami Shores, FL. 33138
B.C.a Lot 12 Fd. p
1/7'I.P. 1� DOo Fd.
�qa �r� 1/2"I.P. LEGAL DESCRIPTION: Lot 8 and the West %2 of Lot 7, Block 39, of AMENDED PLAT OF MIAMI
SHORES SECTION ONE, according to the plat thereof as recorded in Plat Book 10, at Page 70,
o Bricks of the Public Records of Miami Dade County, Florida.
Driveway
QN Bricks Walk NOTE:
Elevations are referred to Miami Dade County BM# N/A Elev.= N/A of N.G.V.D. of 1929
9'
13.45' There may be Easements recorded in Public Records not shown on this Survey.
L
M I Steps
Planter LEGEND AND ABBREVIATIONS
0.40'CL. 1Q.15 A=ARC DISTANCE M/L=MONUMENT LINE p0
NELEVATION CATCH BASIN 0• = =
W I 13.05' 0.45'CL. AC=AIR CONDITIONED UNIT O.H.=OVERHEAD UTILITIES `
Z vi Ci
B.C.=BLOCK CORNER P.C.P.=PERMANENT CONTROL POINT ® ==WATER METER QS =SANITARY SEWER
M n 19.35' C.B.=CATCH BASIN P.O.B.=POINT OF BEGINNING Wv
Pah — (C)=CALCULATED P.O.C.=POINT OF COMMENCE CQ)=POWER POLE
I 9.20' CL.=CLEAR R=RADIUS T" ® _WATER VALVE
C.L.F.=CHAIN LINK FENCE (R(=RECORD =LIGHT POLE =TV BOX
CONC.=CONCRETE RES.=RESIDENCE FIRE HYDRANT FPL TRANS.
D.M.E.=DRAINAGE MAINT.EASEMENT R/W=RIGHT-OF-WAY
N O ENC.=ENCROACHMENT TYP=TYPICAL
LOT- 9 O Steps ONE STORY O Remainder of FD.=FOUND U.E.=UTILITY EASEMENT ® =CONIC.POWER POLE
BLOCK- 39 AC 9.20' Res.# 334 Ljj LOT- 7 F.F.ELEV.:FINISHED FLOOR ELEVATION W.F.=WOOD FENCE QM =MANHOLE
r BLOCK- 39
� I.F.=IRON FENCE W.M.=WATER METER
L.F.ELEV.:LOWEST FLOOR ELEVATION 0=DIAMETER
(M)=MEASURED �=CENTER LINE JOB NUMBER: 180218
rn 19.75' BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY REVISED ON 9-11-09 THE HEREIN DESCRIBED
Pool PUT a R g PROPERTY IS SITUATED WITHIN
3.0- 103
:
O Wood ZONE X BASE FLOOD ELEV. N/A COMMUNITY NUMBER: 120652 PANEL NUMBER 0302 SUFFIX L
13.05' Deck
6'W.F. LEGAL NOTES
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO
DETERMINE RECORDED INSTRUMENTS,IF ANY,AFFECTING THE PROPERTY.THIS SURVEY IS SUBJECT TO DEDICATION,LIMITATIONS,
LLLLL�•70 LLLLL RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORDS.LEGAL DESCRIPTION PROVIDED BY CLIENT.THE LIABILITY OF THIS SURVEY
LLLLLLLLLLLLL
LLIS LIMITED TO THE COST OF THE SURVEY.UNDERGROUND ENCROACHMENTS,IF ANY,ARE NOT SHOWN.THIS FIRM HAS NOT ATTEMPTED
L ILL
LLLT �il.Pooi � IILLLLL l Deck LLLLL TO LOCATE FOOTING AND/OR FOUNDATIONS AND/OR UNDERGROUND IMPROVEMENTS OF ANY NATURE.IF SHOWN BEARINGS ARE
6'W.F. LLL LLLLLLLLLLLLLL En REFERRED TO AN ASSUMED MERIDIAN.IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D.OF 1929.THE CLOSURE IN THE BOUNDARY
LL t 'LLLL o SURVEY IS ABOVE 1:10000.THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES.FOR THOSE
_ILb LLL'' Q PURPOSES A TOPOGRAPHIC SURVEY IS REQUIRED.
,S.'—LL
o LLL
L -o PLLILLaoli 0l LLL - — — _
' LLL L
LLL 225.69LLLL Y LLL
CERTIFIED TO: DATE OF FIELDWORK:'Feb. i2,2018
0.40'CL. LLL LLLL 0.45'CL. Dallas D.Brown REVISED ON:
—�
D LLLLLLLLLLLLLLLLLLLLLLLL
LLLL LLLLL36.20'�LLLLLLLLL �a I hereby certify that the attached Sketch of Survey of the herein
_1/2"I P �// �— a a� Fd. described property is to the best of my knowledge and belief,a true
_ 1/7'I.P. and correct representation,of a field survey performed under my
75.001 direction.And also meets the Minimum Technical Standards as set
forth by the Florida Board of Professional Surveyors and Mappers in
6'W.F. /� __1
l� n I�/� chapter 5J-17.050 thru 5J-17.052 F.A.C.pursuant to Section 472.027
15' ALLEY U I /r�L�]�ULfl]O Wo CM)ON 9 F.S.
9'Asphalt Pavement o
1. o PROFESSIONAL LAND SURVEYOR & MAPPER
14317 S.W.45th Terrace Miami, Florida 33175
Tel: (305) 552-7504 Fax: (305) 229-8068 ARTURO R. TOIRAC P.S.M. 31 02
E-mail: enpav@yahoo.es Not valid without the signature and the original embosed seal of a
Florida Licensed Surveyor and Mapper.
r ♦.
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6
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Miami Shores Village
D�JC 2�S Buildin
Department
g p By:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 5'r
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 1`4
,BUILDING Master Permit No.
PER .IT APPLICATION sub Permit No.
I
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
k
r❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR ,�^ DRAWINGS
JOB ADDRESS: :,734 11e 101 � 3oS-Zl f-5-00a
City: Miami Shores County: Miami Dade zip: -7�>- �3
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Title holder):`"¢ IIDLAO•'—IN Phone#:
Address: '2)-3!4 �
City: M�Q,MM w�YIOY`�Qa State: 1�1 Zip:
Tenant/Lessee Name: \ Phone#:
Email: -z'4 t_ MA OL" LAA , O'l1C-
CONTRACTOR:Company Name: Phone#:
Address:�1 Ke IsQ1
City: of, aAA( Tit 0-re-5 State: ( Zip: 331-3
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#: .
DESIGNER:Architect/Engineer: Phone#:
Address: / /� City: State: . Zip: 4
Value of Work for this Permit:$_ do C00' 00 Square/Linear Footage of Wow-
Type of Work: ❑ Addition ❑ Alteration ❑ New epair/Replace ❑ Demolition
Description of Work: 1 `m G-��
c
r
Specify color of color thru tile:
Submittal Fee$ '� Permit Fee$ ,�2�' D CCF$ CO/CC$
Scanning Fee$ Radon Fee$_G. 2,15 DBPR$ .x- Notary$ G
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ _
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Com'pany's Name(if applicable)
, t 4
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 Signature
OWNER or AGENT CONTRACTOR
i f4 j
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2� day of 20 by day of 120 by
"�W 0 ,who 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.
NOTAR UBLIC: NOTARY PUBLIC:
Sign: l "Sign:
Print: "C' Print:
Seal: ro40 Py#, Notary Public State of Florida
^, Sindia Alvarez Seal:
u� f�o'r My Commission FF 156750 {
�6oExpires 09/0312018
APPROVED BY z n Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
a
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° s
Miami Shores Village
l,,, per,,, Building Department
..� 10050 N.E.2nd Avenue
+r
R.- Miami Shores, Florida 33138
Tel:'(305)795.2204
Fax: (305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: c-A-- k fS :�6q DATE: 2� ` n . —
ADDRESS: -S tI ►1e 121 R4A awvl 19
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.
i
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. 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(
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 I e,which violates the exemption.
Initial
5. 1 understand that,as the owner-builder,1 must provide direct,onsite supervision of the constructs
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 county unicipal ordinance.
i
Initial
' 4
i Y
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-builVaam of the limits of my insurance
coverage for injuries to workers on my property.
Initi
B. 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. 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 regula " s.
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 8SO.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.htmi
Initia�
t
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:
Initial
12. 1 agree to notify Miami shores Village immediately of any additions,deletions,or changes to any oft information tha ode provided on
this disclosure.
Initial i
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 pioperty
owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this 2rc> day of
By who was personally known to me or who has
Produced there License or as identification.
OWNER NOTARY .01 Yos Notary Public State of Florida [.
Sindia Alvarez {
Iv, Q� My commission FF 156750
a $%o* Expires 0 910 312 01 8
F
SNORES. L
'<< Miami shores Village
Eggs J! milli?" Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
to Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF (DADE)
The undersigned Affiant, oes hereby attest that
%erty owner)
The attached survey, performed by �'� �y�c
r (Name of surveyor's company)
For address:�7a yy12 t oc cr—
Performed on (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.
A2henaught.
r�
Property Own(r Signature Property Owner Print Name
SWORN TO#D SUBSCRIBED before me this 2-0dayofT �c L( -6 (—�
Affiant Is L/ personally known to me, produced s identification.
row P& Notary Public state of Florida p
Sindia Alvarez { Notary
moo" My Commission FF 156750 K
ori° Expires 09/03/2018 {
Revised(6/25/12)Revised on 5/22/2009/Revised on 6112/09
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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.
r
PROPERTY ADDRESS: 334 N.E. 101st Street, Miami Shore
LEGAL DESCRIPTION: Lot 8 and the West I of Lot
"AN AMENDED PLAT OF MIAMI S1
NO. 1", according to the plat
recorded in Plat Book 10, at
the Public Records ' of Dade CoL
FOR: Gwendolyn Stanford & Luis Guerra.
CERTIFY TO: Gwendolyn Stanford and Luis Guerra:
MORTGAGE C MPANY, it's' successors an
as their interest may appear. RUSSO
Attorneys' Title Insurance Fund, Inc.
{
GUNTER GROUP, INC.
LAND SURVEYING - LAND PLANNING
9350 S.W. 22Nd TERRACE
MIAMI, FL 33165
PH: (305) 220.0073 FAX. (305) 220.3770
I HERIDY CEKrIF'Y TO ZlfE ABOVE NAMED FIRM AND/OTR PERSgVS THA'
OF BOUNDARY SURVEY" Cr THE HEREIN DESCRIBED PROPER'T'Y IS TRU
M THE BEST CF CUR KNOWLEDGE ASID BELIEF, AS RECENTLY SURVEY
UNDER OUR DIRECTION, ALSO THAT 'In RE ARE NO VISIBLE ENMA
THAT 'IIiOSE SHOWN AND MEETS 11IE MINIMUM 11MMICAL STANDARDS SET I
FLORIDA BOARD OF PROFESSICNAL LAND SURVEYYORS IN aiAP'M 61G
ADMINISTRATIVE OODE, PURSUANT TO SECTION 472.027, FLORI
ONS: SURVEYOR'S NOTES:
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