Loading...
FW-18-282 Inspection Worksheet Miami Shores Village r 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-302201 Permit Number: FW-2-18-282 Scheduled Inspection Date:-April 23,2018 Permit Type: Fence/Wall Inspector: Naranjo, Ismael Inspection Type: Final Owner: CAMPBELL BORJA, KENDRA L. .Work Classification:'Wood Fence Job Address:10361 NE 4 Avenue Miami Shores,,FL Phone Number Parcel Number 1122310150120 Project: <NONE> Contractor: HOME OWNER I I Y Building Department Department Comments y CHAIN LINK FENCE ON NORTH PROPERTY LINE 35XA Infractio Passed Comments 9 GAGE WIRE DBL GATE AT DRIVEWAY 6 TALL X 10 INSPECTOR COMMENTS False WIDE WOOD WEST SIDE'OF PROPERTY WALK THROUGH WOOD GATE ON WEST SIDE OF PROPERTY 10X6 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-296691. NOt ready'I 'Failed Correction Needed. _. Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid.: Apiil 20,2618 For Inspections please call: (305)762-4949 page 15 of 22 � f Permit leo. FW, ,-2-18-282 �5HO1 S y� I Miami Shores Village Perrmit Type:Fence/Wall' 10050 N.E.2nd Avenue NE Wofk Classtti ltion:Wood Fence Miami Shores,FL 33138-0000 Per Pefrnit.7tatCfS:APPROVED o Phone: (305)795-2204 FtR1oA p' Ex Iration: 08/26/2018 ISste.Date: 2/27/2o�s Project Address Parcel Number Applicant 10361 NE 4 Avenue 1122310150120 Miami Shores, FL Block: Lot: KENDRA L. CAMPBELL BORJA Owner Information Address Phone Cell KENDRA L.CAMPBELL BORJA 10361 NE 4 Avenue MIAMI SHORES FL 33138- 10361 NE 4 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,990.00 HOME OWNER W....._ _ - Total Scl Feet: 45 Approved: Available Inspections: Comments: Inspection,Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Other Additional Info:CHAIN LINK FENCE ON NORTH PRC Review Building Classification:Residential Scanning:3 Review Building 1 Review Planning Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# FW-2-18-66339 DBPR Fee $2.00 DCA Fee $2.00 02/05/2018 Check#: 1158 $50.00 $71.20 Education Surcharge $0.40 02/27/2018 Credit Card ' $71.20 $0.00 f Notary Fee $5.00 Permit Fee-Wire&Wood $100.00 Scanning Fee $9.00 i Technology Fee $1.60 Total: $121.20 f I 1 I 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 AFF IDAV I c ify that all t regoi g information is accurate and that all work will be done in compliance with all applicable laws regulating construction and ing. F t ermore, I rize t above-named contractor to do the work stated. February 27, 2018 Authoriz Sign ure:O ner / cant / Contractor / Agent Date Building Department Copy February 27, 2018 1 I: Proudly Serving � the Florida Real ME LAND.,�t MELAHD \L7 Estate Community for Over 20 Years Geigtr• WWW.MELANDSERVICES.COM i Y t N.E. 4TH AVENUE 20'ASPHALT PAVEMENT 70'RIGHTOFWAY 8 18'PARKWAY COQ i i �aao°anlRi m• - 1,10&0130€75.0o•(P)'74.97•(IJ).•. s. rPA&/S�I'QEYS'�1.K F.LP.i/2"(N�p•lD) " QFI�p'lD) 1/�t BLOCN On A • O 1I`,v 1 CORNER � �rT a c to VZ IL �� ® -Tom f c oomin r :O o z. 0 0 M W lD �ar o a -- a'°o Or �� ,- o,� fro COi4CFjETE• /�/S/J �0, Film 5001W30-W 75.00'(P)74.95'(M) ——— EDGE OF MIRROR LAKE o//°�/ _eft # Miami Shr-r'nsVillage APF9iO�'ED DATE • ...... ZONING DEPT _! _ 00 y� //' • BLDG DEPT •••••• � 0000 - .... .... ..... SUBJECT 10 CCNIPI_la'NCE WITH ALL FEDERAL • • STATE ANL)C( IjN,'{r"L,L=S AND REGULATIONS •• •• •• •••••• "Accepted By: :000:4 • • • • Property Address: Notes: NO NOTES •• • •• • •••• 10361 N.E.4 Avenue • • Miami Shores,FLORIDA 33138 00 0 SURVEYORSCERTIflCATfN1:'HQi THAT7HISeOUNDMYSURVEI'ISATRUEAND M.E.Land Surveying, CORRECT REPRO T—OF UNDERMYOR[ECTION.TMSCOMPUES eyl g,Inc. r....*., WITH THE MMIMUM TECH TH 9Y T71E STATE OF FLORIDA BOARD OF 10665 SW 190111 Street PROFESSIONAL L ND SURVENI THROUGH SFR-rtFIDRW �.. AOMNI5TRATNE CODE PUR TDEs Suite 3110 SIGNED FOR THE FIRM Miami,FL 33157 ME'LAND STATE OFIN F L P.S.M.No.6792 Phone:(305)740-3319 7 Fax:(305)669-31904 NOT VALID WITH AND SIGNATURE AND AUTHEYIICATED LB#:7989 EL=CTR=fiFAL ANDARTHISMAPIS AIM)WITHOUT THE SIGNATURE AND THEORIGWAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER. 1 Survey 4:11-32884 Client File#.421899 Page 1 o'2 Not valid without all pages Surveyor's Legend , PROPERTY UNE i STRUCTURE FND FOUND IRON RPE/ R.R. BEARING REFERENCE TEL TELEPHONE FACILITIES S• .�. rr� CONC.BLOCK WALL PIN AS NOTED ON PIAT 6 CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —x—x— CHAIN-LINK FENCE OR WIRE FENCE Leo LICENSE/-BUSINESS R RADIUS OR RADIAL C.U.B. ELECTRIC UTILITY BOX --//—/f— WOOD FENCE LSO LICENSE#-SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK 1 —O—o-- IRON FENCE CALL CALCULATED POINT N.R. NON RADIAL D.F. ORAINFIELD -- EASEMENT SET SET RN TY►. TYPICAL A/C MR CONDITIONER —-— CENTER UNE A CONTROL POINT I.R. IRON ROD S/w SIDEWALK ® W000 DECK CONCRETE MONUMENT I.P. IRON PIPE OWY DRIVEWAY BENCHMARK NRD NAIL d DISK SCR. SCREEN OCONCRETE ELEV ELEVATION PK MAIL PARKER-KALON NAIL GAR GARAGE ® P.T. POINT OF TANGENCY O.N. DRILL HOLE ENCL ENCLOSURE ASPHALT P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE BRICK/TILL P.R.Y. PERMANENT REFERENCE MONUMENT ® FIRE HYDRANT F.F. FINISHED FLOOR ® P.C.C. POINT Of COMPOUND CURVATURE ® Y.N. MANHOLE T.O.R. TOP OF BANK WATER P.R.C. POINT OF REVERSE CURVATURE O.X.L OVERHEAD LINES C.O.W. EDGE Of WATER APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E.O.P EDGE OF PAVEMENT' COVERED AREA POINT OF COMMENCEMENT CATV CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER I P.C.P. PERMANENT CONTROL POINT W.N. WATER YE1FR B.S.L BUILDING SETBACK LME ©. TREE M FIELD MEASURED P/E POOL EOUIPMENT S.T.L. SURVEY TIE LINE POWER POLE P PLATTED MEASUREMENT CONE. CONCRETE SLAB q. CENTER UNE ® CATCH BASIN 0 DEED' ESMT EASEMENT R/„ RICHT-OF-WAY C.U.E. COUNTY UTRrTY EASEMENT C CALCULATED 01. AGE EASEMENT P.U.L PUBLIC UTILITY EASEMENT LL/E.E. NKR,CSS/Ed¢51 CASEMENT 4WE LAKE OR LANDSCAPE YMHT.[SMT. LB.C. Cf,j BU /��� MT /C�.EY.,E, CANAL WINTEMAMC[EASELICMT U.E. UTILM EASEMENT R.O.E. ROOF OVERHANG EASEMENT LA.E. /7�DruA!'EgI.C� UUt. R FApOrtin V Th u u Property Address: General Notes: flufjfor of the plot rs of a fence dna hori ontal 1.)The Legal Description used to perform this su s b �y�t11A�s. On yvh Ch Shat I faC Vacant Land This survey does not determine or isnot to imply Q S eCt Sloe the ff?nCe the Miami Shores,FLORIDA 33138 2•)This survey only shows above ground improv any a 'I}� Sha" fa iS 10C to Underground utilities,footings,or encroachments are not IfJR�t Orisp ce tf) a Flood Information: 3.)If there is a septic tank,well,or drain field on this survey, I'1 f Of'Wa y e aC�f OI n9 the location of such items was shown to Us by others and the information was not van . 4.)Examination of the abstract of title will have to be made to determine recorded instruments,if any, Top Community Number: 120652 erty.The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the Panel Number: 12086CO302L at Suffix: L S.)Wall ties are done to the face of the wall. 6.)Fence ownership is not determined. Date of Firm Index: 09/11/2009 7.)Bearings referenced to line noted B.R Flood Zone: X 8.)Dimensions shown are platted and measured unless otherwise shown. Base Flood Elevation: 9•)No identification found on property comers unless noted. 10.)Not valid unless sealed with the signing surveyors embossed seal. Date of Field Work: 09/28/2017 11.)Boundary survey means a drawing and/or graphic representation of the survey work performed in the field,cool Date of Completion: 09/29/2017 d be drawn at a shown scale and/or not to scale 12.)Elevations if shown are based upon NGVD 1929 unless otherwise noted 13.)This is a BOUNDARY SURVEY unless otherwise noted. 14.)This survey is exclusive for the use of the parties to whom it is certified.The certifications do not extend to any u nnamed parties. 1S.)This survey shall not be used for construction/permitting purposes without written consent from the land surveyor who has signed and sealed this survey. Legal Description: + The North 34.25 feet of Lot 13,of MIRROR LAKE SUBDIVISION,according to the Plat thereof,as recorded in Plat Book 56,at Page 16,of the Public Records of Dade County,Florida,and being more parficularly described as follows:BEGINNING at the Northwest comer of Lot 12;thence run South I 89°58'30"East along the North line of Lot 12,a distance of 110 feet to a point;thence North 68"06'25"East for a distance of 206.20 feet to the center of MIRROR LAKE;thence run South 45°47'44"West for a distance of 266.97 feet to a point 34.25 feet South of the North line of Lot 13;thence North 87°58'30"West along a line parallel to the North line of Lot 13,a distance of 110 feet to a point on the West line of Lot 13;thence North 00"01'30"East along the West line of Lot 13,a distance of 34.25 feet to the Northwest comer of Lot 13;thence North 00°01'30"East along the West line of Lot 12,a distance of 75 feet to the Northwest comer of Lot 12,to the POINT OF BEGINNING,lying and being in Miami Shores,Broward County,Florida. Printing Instructions: Certified To: • • •000*• 096000 While viewing the survey in any PDF Reader,select the File Cesar M.Bory'a Angulo and Kendra L.Campbell Borya • I Drop-down and select"Print".Select a color printer,if available; Reliable Lien Search,Inc. •• • :.. •. •. or at least one with 8.5"x 14"(legal)paper. its successors and/or assigns as their intLfM;rA4 appe9F. •• 000000 Select ALL for Print Range,and the#of copies you would like to *:0009 • • • •00.00 printout. ••• •••• • • Under the"Page Scaling"please make sure you have selected • • "None". Please copy below for policy preparati onpurgoses onl�r: • • • • Do not check the"Auto-rotate and Center"box. This policy does not insure against loss or damage by rgeson#f the tollolying . . Check the"Choose Paper size by PDF"rtlecktwx,then dick OK exceptions:Any rights,easements,interests,orda**wh"may exist byBlyson. •0 0 0 0• of,or reflected by,the following fads shown on the&Wq pgared by_ • e• to print. EFR IN LOPEZ dated 0929/2017 berg Jos#BB-33455 • • • a. NO NOTES .....• • • • •0000• M.E. Land Surveying,Inc. , M ND 10665 SW 190th Street,Suite 3110 Miami,FL 33157 - Phone:(305)740-3319 ;ME LAND Fax:(305)669-3190 LB#:7989 l I Survey#:B-33455 Client File#:423175 Page 2 of 2 Not valid without all pages i ♦SguRFs Miami shores Village 161 logo�- Building Department 10050 N.E.2nd Avenue IORID�' Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 t WOOD FENCE DET ces Good _ Side Out, suPportin , The vertical anti ❑ Shadow BOX interior of 9 e embers of a fence shall horizontal ❑ Vertical Picket and Pi°t °n which the fence I! face the the finished side shall t Is cated Board on Board of or any abutting right_of-wayCe the adjoining Fences < = 6' high posts spaced at 4' on center maximum Fences < = 5' high posts spaced at.5' on center maximum Fences < =4' high posts spaced at 6' on center maximum 1 Fence must not exceed 6' in height 1x pickets fastened with two corrosion' resistant fasteners per connection r 2x4 horizontal N7pressure treated wood members w!th two corrQliOh•• vsi stl%t fastenetq+ •+•• • •••••• • •• •••••• • •••••• • ••• ••••• •• •• •• • •••••• • 4x4 pressure treated • ...... ••• • posts embedded Tinto ; +'• ' ;•.+•; concrete footing"10" " ' +"•'• ' ' diameter x2'deep " • ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection Revised 06/222015 1 1 r OR C.] Miami shores Vii1age `�► Ea ::: Goode Out: The vertical and horizontal ��„ q���M bers of Building Department ce the and ot'91on whichfthe fence shalisfce t aocated 10050 N.E.2nd Avenue rightde side s fawayCe the adjoining Miami Shores, Florida 33138 R toRI'DA Tel: (305) 795.2204 Fax: (305) 756.8972 CHAIN LINK FENCE DESIGN DETAIL -- (ACCORDING-TO THE F.B.C. SECTION R4408.11) TABLE R4408.11 CHAIN LINK FENCE MINIMUM REQUEREMENTS Fence Terminal Post Line Post Dimensions Terminal Post Line Post Concrete Height (ft) Dimensions (in inches) Concrete Foundation Size (in inches) (o.d.X wall thickness) Foundation Size (diameter X depth) (o.d.X wall thickness) (diameter X depth) (in inches) (in inches) Up to 4 2 3/8 x 0.042 15/8 x 0.047 10 x 24 8 x 24 Over 4 to 5 2 3/8 x 0.042 17/8 x 0.055 10 x 24 8'x 24 For SI: 1 inch=25.4 mm. f NOTES: 1. This table is applicable only to fences with unrestricted airflow. , 2. Fabric:12'/z gauge minimum. 3. Tension bands:Use one less than the height of the fence in feet evenly spaced. 1 4. Fabric Ties:Must minimum the same gauge of the fabric. 5. Fabric Tie Spacing on the Top Rail:Five ties between posts evenly spaced. 6. Fabric Tie Spacing bn Line Posts:One less than height of the fence in feet,evenly spaced. I 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail. see* 9._Post.Spacing:10 foot(3m)on center maximum. . . •0000• 0000.. 10. Post shall be embedded to within 6 inches(152 mm)from bottom of the foundation. •..• _ ..- .0 11. In order to follow the contour of the land,the bottom of the fence may clear the contour of thaQraund by up to%sch 0000:. (127 mm)without increasing table values to the next higher limit. 000000 1 0 • 0000 0000 . . NOTICE TO PROPERTIES WITH POOLS: •••••• ••;••• If the fence is to meet the criteria as a pool barrier,the fence shall not be climbable and all railSfipSt'ge placed'f�t1� ....• the inside of the property.Pedestrian gates shall have self-closing and latching devices installed'9t tlht minimum/bf 54' ••••;• above ground.For further details see Section R4401.7.1 of FBC. ;";•; '0 0000.0 0••0.0 CONCURRED 1 Created on 522/2009 MLDV } Miami Shores Village RECEIVED Building Department FEB 2 3 018 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 -''1 FB 201 BUILDING Master Permit No.XN 182 • PERMIT APPLICATION Sub Permit No. 11LDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �f�,/ CONTRACTOR DRAWINGS JOB ADDRESS: Lo3w dE— l /~ City: Miami Shores County: Miami Dade Zip: 3?7� Folio/Parcel#:It-ZZ'J 1-C)l S -01 ?_Q. Is the Building Historically Designated:Yes NO Occupancy Type:O/b/ Load: Construction Type: _Flood Zone:�_BFE: ,+ FFE: :51 efcrC 6- OWNER: ],//' 'e,n /l Gj�/ OWNER: Name(Fee Simple Titleholder):[��nn,4C,fi t ZL 6�A Phone#: -0 3' < 7 S-:51-7 Z Address:/O3Co ( M �{ v� City:d[ftyY 1 157140jfS State: f�_L Zip: 33!✓?� Tenant/Lessee Name: /g. Phone#: Email: aA . 606EA A I L. Coli CONTRACTOR:Company Name: V1 tJ WJ► Phone#: Address: } City: State: Zip: Qualifier Name: Phone#: , State Certification or Registration#- Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: p G City: State Zip: � Value of Work for this Permit:$_�, ! 7 v Square/Linear Footage of Work: SS Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: 0)`—e4'f ,,10f_ { PiPd?e12`f Y G •-riG S��C�f /q � i�r3L Gro "l� �t'rcl�tv►aY . l" Yui C'"Ctii�� f(/►°rC-L ` b Qi &W- u-)Oct-, Cwt`: pry Gvt- Specify color of color thru tiler 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 Addfess 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 t 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. �4 I ' __1 4 ` "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 6e 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 A NT CONTRACTOR The foregoing instrumept was acknowledged before me this The foregoing instrument was acknowledged before me this day of T �—� 20 by day of 20 by �CIY� L Vc"!n0o is pners0�t'fd�ft�ip9own to who is personally known to me or who has produced 4�'A I (t_!C�► 1�"-� as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC:y` s NOTARY PUBLIC: , Sign: Sign: Print: • 'JP'42,, IK.GONZALEZ Print: ' ',• MY COMMISSION 0 GO 044602 e Seal: r o EXPIRES:November 2,2020 Seal: •.FOF��g., Bonded Thru Notary hblIc Underwriters APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) I J 0 Miami Shores Village Building Department 10050 N.E.2nd Avenue Rllvw Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ' OWNER BUILDER DISCLOSURE STATEMENT NAME:;6�W 6g?466ZL ,(�0�4 DATE: Z Z ADDRESS: O 4 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 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. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that l 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 k4 •.Ilunderstand 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 co`nstuction is complete,the law will presume that I built or substantially improved it for sale or lease,which violates the exemption. Iriitia� � L. + 5 I u derstand 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 { 1 is myresponsibility to ensure that the persons whom I employ have t'He license required by law and by county 6r municipal ordinance. 9 Tt t Initial 14/_ 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-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. initial L 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 Contributioris Act(FICA)and must provide workers compensation for the employee.'I understand that my failure to follow these.may subject to serious financial risk. } i Initial 5, 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.myfloridalicense.com/dbpr/pro/cilb/index.htmI 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: Initial _"✓ r 12. 1 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. initialQL-S 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 20 6� By wcias�personally known to me or who has 00 zyy� Produced t e L;;)r as identification. a Z 25 ZC) CZenO N O OW + NOTARY N Property Search Application -Miami-Dade County Page 1 of 1 OFFICE OF TH" 'NE PROPERTY APPR A ISER Summary Report Generated On:2/5/2018 Property Information Folio: 11-2231-015-0120 Property Address: 10361 NE 4 AVEr Miami Shores,FL 33138-2011 Owner CESAR M BORJA ANGULO KENDRA L CAMPBELL BORJA :� 10361 NE 4 AVE fr ' Mailing Address MIAMI SHORES, FL 33138 USA " PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ w ` Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 , Living Units 1 Actual Area 3,106 Sq.Ft Living Area 2,826 Sq.Ft Adjusted Area2,728 Sq.Ft Taxable Value Information Lot Size 8,250 Sq.Ft 2017 2016 2015 Year Built 1953 County Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable Value $122,381 $118,836 $117,663 Year 2017 2016 2015 School Board Land Value $264,314 $257,637 $206,110 Exemption Value $25,000 $25,000 $25,000 Building Value $189,869 $189,869 $189,869 Taxable Value $147,381 $143,836 $142,663 XF Value $0 $0 $0 City Market Value $454,183 $447,506 $395,979 Exemption Value $50,000 $50,000 $50,000 Assessed Value $172,381 $168,836 $167,663 Taxable Value $122,3811 $118,8361 $117,663 Regional Benefits Information Exemption Value $50,000 $50,000 $50,000 Benefit Type 2017 2016 2015 Taxable Value $122,381 $118,836 $117,663 Save Our Homes Assessment Cap Reduction $281,802 $278,670 $228,316 Sales Information Homestead Exemption 1 $25,0001 $25,000 $25,000 Previous OR Book- Price Qualification Description Second Sale Page Homestead Exemption $25,000 $25,000 $25,000 10/03/2017 $675,000 30709-3120 Qual on DOS,multi-parcel sale Note:Not all benefits are applicable to all Taxable Values(i.e.County, Deeds that include more than one School Board,City,Regional). 05/01/1996 $125,000 17217-0205 parcel Short Legal Description 31 5242 MIRROR LAKE SUB PB 56-15 LOT 12 LOT SIZE 75.000 X 110 OR,17217-0205 0596 2(2) 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 Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp http://www.miamidade.gov/propertysearch/ 2/5/2018