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FW-18-645 a r 4 Inspection Worksheet Miami Shores Village 90050 N.E.2nd Avenue Miami Shores,Fl- Phone LPhone:(305)795-2204 Fax: (305)759-8972 Inspection Number: INSP-299178 PermitNumber: FW-3-18-645 Scheduled inspection Date:June 14,2018 Permit Type: Fence/Wall Inspector: Riveron,Alexis Inspection Type: Final Owner: GALLAR60 PUENTE,GAbRIEL Work Classification: Wood Fence Job Address:10603 NE 10 Place Miami Shores,FL 33138- Phone Number (305)812.6015 Parcel Number 1121320280600 Project: <NONE> Contractor: HOME OWNER i y Building Department Comments 18 FEET FENCE WITH 12 FEET DOOR HORIZONTAL In ract o Passed Comments , FENCE 10 FEET FENCE EITH 6 FEET DOOR 6 FEET INSPECTOR COMMENTS False FENCE WITH 4 FEET DOOR l Inspector Comments PassedEE I Failed C 1 Correction Needed Re-inspection t Fee } No Additional Inspections can be'sctieduled until re-inspection fee is paid. f i i r June 13,2018 For Inspections please call:(305)7624949 page 6 of 45 s Permit No. FW-3-18-64-5- IR °P Miami Shores Village Permit Type:Fence/Wall s'� 4• 10050 N.E.2nd ANE venue Perill 't ' Work Classification:Woad Fence Miami Shores,FL 33138-0000 PerrnitStatus:APPROVED yYtNO� Phone: (305)795-2204 Fto Issue Date:3/15/2018 Expiration: 09/11/2018 Project Address Parcel Number Applicant 10603 NE 10 Place 1122320280600 Miami Shores, FL 33138- Block: Lot: MARIA T BERGUA SANCHEZ DE Owner Information Address Phone Cell GABRIEL GALLARDO PUENTE 10603 NE 10 Place (305)812-6015 MIAMI SHORES FL 33138-2103 10603 NE 10 Place MIAMI SHORES FL 33138-2103 Contractor(s) Phone Cell Phone Valuation: $ 2,160.00 HOME OWNER ....... ,, Total Sq Feet: 34 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Foundation Date Denied: Final Type of Construction:Wood Fence Additional Info: 18 FEET FENCE WITH 12 FEET DOC Review Public Works Classification:Residential Scanning:3 Review Building Review Building Review Planning Fees Due jAnPay Date Pay Type Amt Paid Amt Due CCF Invoice# FW-3-18-66763 DBPR Fee DCA Fee 03/13/2018 Credit Card $50.00 $72.80 Education Surcharge - 03/15/2018 Credit Card $72.80 $0.00 Notary Fee Permit Fee-Wire&Wood Scanning Fee Technology Fee Total: 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. r OWN RS FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating const cti a n uthermore, I authorize the above-named contractor to do the work stated. March 15, 2018 Auth a re:Owner / Applicant / Contractor / Agent Date Building Department Copy March 15, 2018 1 { � 1 F F . � ��� -- gla -- CSO �- l ) Miami Shores Village RECEIVED ' �j \� Building Department MAR 13 2018 \\� �, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 q--j of s �W �\ Tel:(305)795-2204 Fax:(305)756-8972 ' INSPECTION LINE PHONE NUMBER:(305)762-4949 Cp-h FBC 201 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS [:] CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: &L UL . City: Miami Shores County: p'- Miami Dade Zip: 33 Folio/Parcel#: Is the Building Historically'Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FF"EE: OWNER:Name(Fee Simple Titleholder): HC.AVA Q B r-"Q Q Phone#: . JE� L I S Address: j.0(--0 a rN4F— ►l\C-'- . City:n 1 C7\--�\ S" c) State: Zip: .1 � Tenant/Lessee Name: Phone#: Email: !'r\C CONTRACTOR:Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: r t, State Certification or Registration#: Certificate of Competency#: : i DESIGNER:Architect/Engineer: Phone#: Address: q� City: State: t Zip: Value of Work for this Permit:$ ��(O V Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New "='""❑"'" °� ,w Repair/Replace ❑ Demolition . ,I ,uxr�„�f i Description of Work: 0 'e'e+ +!I r 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) f � i Bonding Company's,Name(if applicable) ' Bonding Company's Address a 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 The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this r day of 1' O 1 QC 20 Ybyq day of ,20 ,by 1 1 U�Pre'is �er� n{a.� nown toYvl who is personally known to me or who has produced IJC�1 l as me or who has produced as identification and who did take an oath. identification and who did take'an oath.0:NOTARY PUBLIC: NOTARY PUBLIC: tion;off•., MAHARAI K.GONZALEZ W. MY COMMISSION#GG 044602 Sign =+ * Sign: Print: -%FpfF; BondedTNotaryPublicUnderw6ters print: Seal: Seal: s*ssss#s*s************s****�*** ****ss**** **`r*:ss:•sss*sssssss:ss*::■:■rs•***s*rss**":�*.**/ a***/:::s*ss::*: APPROVED BY 3 , Plans Examiner ✓ / ! Zoning Structural Review Clerk (Revised02/24/2014) 1 f � 5N C."3, iam � y i Shores VillageNe Ms - Building Department .V2eNT�jyd 10050 N.E.2nd Avenue oRmA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: Ct Q Q- � DATE: ADDRESS: 0 6 0C ) ink 1C) 0 - 9— 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 i 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 bylaw.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- 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 -- `- r 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 lease,which violates the exemption. r ' Initial____ r i 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial i 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 or municipal ordinance! t ' Initial__IVIA A2, v 7. 1 understand that it is frequent practices of unlicensed persons to have the propertykowner 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- 8. nitial8. 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. nitial9. 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.mvfloridaIicense.com/dbpr/pro/ciIb/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: ra6©-3 acQ Initial 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. 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 fog 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 worker's 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 3 day of M( fr li' , 20 M 7 b eVim 0W,1111� sG� C_0,( By who was personally known to me or who has Produced t e License'or as identification. OWNER NOTARY 3/13/2018 Property Search Application- Miami-Dade County Oti- IC- E OF THE PR 0" PERT APPRAISER Summary Report Generated On:3/13/2018 Property Information Folio: 11-2232-028-0600 10603 NE 10 PL Property Address: " Miami Shores,FL 33138-2103 GABRIEL GALLARDO PUENTE Owner MARIA T BERGUA SANCHEZ DEL CORRAL M 10603 NE 10 PL ailing Address MIAMI,FL 33138 USA PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ I Primary Land Use 0101 RESIDENTIAL-SINGLE °. FAMILY: 1 UNIT "t Beds/Baths/Half 3/2/0 � Floors 1 ' Living Units 1 Actual Area 2,500 Sq.Ft Living Area 2,054 Sq.Ft Taxable Value Information Adjusted Area 2,217 Sq.Ft 2017' 2016 2015 Lot Size 11,050 Sq.Ft County Year Built 1954 Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable Value $357,779 $349,392 $346,616 Year 2017 2016 2015 School Board Land Value $269,369 $200,102 $159,056 Exemption Value $25,000 $25,000 $25,000 Building Value $203,166 $205,738 $208,309 Taxable Value $382,779 $374,392 $371,616 XF Value $40,041 $40,500 $29,251 City _-. _.. .......... ............. _....._._.. ._. p Market Value $512,576 $446,340 $396,616 Exemption Value $50,000 $50,000 $50,000 Assessed Value $407,7791 $399,392 $396,616 Taxable Value $357,779 $349,392 $346,616 Regional Benefits Information Exemption Value $50,000 $50,000 $50,000 Benefit Type 2017 2016 2015 Taxable Value L$3 57,7 79 L $349,392 $346,616 Save Our Homes Cap Assessment Reduction $104,797 $46,948 Sales Information Homestead Exemption $25,000 $25,000 $25,000 Previous OR Book- Second Homestead Exemption $25,000 $25,000 $25,000 Sale Price Pae Qualification Description _ 9 Note:Not all benefits are applicable to all Taxable Values(i.e.County,School 09/20/2013 $520,000 28839-1331 Qual by exam of deed Board,City,Regional). 07/31/2012 $440,000 28252-2549 Qual by exam of deed Short Legal Description 07/31/2009 $100 26964-3361 Corrective,tax or QCD;min MIAMI SHORES ESTATES PB 47-58 consideration LOT 10 BLK 4 06/01/2006 $600,000 24674-0972 Sales which are qualified LOT SIZE IRREGULAR OR 16411-5172 0694 1 COC 24674-0972 06 2006 1 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 http://www.miamidade.gov/info/disclaimer.asp Version: R, `1 0f +h P— dol r� I com IDL� n CC. 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