FW-18-876Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. FW-4-18-876
Permit Type: Fence/Wall'
Work Classification: Wood Fence
Permit Status: APPROVED
Issue Date: 4/512018 Expiration: 10/02/2018
Parcel Number
Applicant
10804 NW 2 Avenue
Miami Shores, FL 33168-
1121360020140
Block: Lot:
ANGELA M HENAO
Owner Information
Address
Phone
Cell
ANGELA M HENAO
10804 NW 2 Avenue
MIAMI SHORES FL 33168-
(305)793-2495
10804 NW 2 Avenue
MIAMI SHORES FL 33168-
Contractor(s)
HOME OWNER
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 2,000.00
41
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: FENCE HORIZONTAL
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Amount
$1.20
$2.00
$2.00
$0.40
$5.00
$100.00
$9.00
$1.60
Total: $121.20
Pay Date Pay Type
Invoice # FW-4-18-67040
04/05/2018 Credit Card
04/05/2018 Credit Card
Amt Paid Amt Due
$ 71.20 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Building
Review Planning
Review Public Works
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 AFFID IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an zo ing. Fuhermore, I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
April 05, 2018
Date
Building Department Copy
April 05, 2018
1
BUILDING
PERMIT APPLICATION
XjBUILDING ❑ ELECTRIC
❑ PLUMBING ❑ MECHANICAL
JOB ADDRESS:
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
❑ PUBLIC WORKS
RECEIVt`D
APR 05 20tfi
4-1
FBC 20P-
Master Permit No. AN\
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
161304 NW 2r\A 0A10,1„,1
City: Miami Shores
Folio/Parcel#: f IE' ZI 3 6 'W 2 -- v
Occupancy Type: Load: • Construction Type: Flood Zone:
ye a —WinG 3
OWNER: Name (Fee Simple Titleholder):
Address:
f oso. 4r N (, Z-r
City: N\ la M%
State:
County: Miami Dade
Zip:
Is the Building Historically Designated: Yes
33(b4 •
NO
BFE: FFE:
Phone#: 5 4/3 24(i5'
Tenant/Lessee Name: Phone#:
Email:
Zip:
CONTRACTOR: Company Name: V \Q ( Phone#:
Address:
City: State: Zip:
Qualifier Name: s..1 Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: f •
f
Address: City:
Value of Work for this Permit: $ -.7-104M '
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
L.
Phone#:
{
Square/Linear Footage of Work:
State: Zip:
❑ New ❑ Repair/Replace
❑ Demolition
"cen `. Q • \ fL ]
,v ` `, `� v /� SS 'JR:.: C") ?{.fr.n.'s-{:fie y^• /
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $ , �>`? Notary$
4 {
Double Fee $
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
Signature •
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_ day of f \rY 1 1 , 20 la, by
me or Jrfio has produced
day of , 20 , by
Fsonally known to , who is personally known to
�,C\
as me or who has produced as
identification and who did take an"oath. identification and who did take an oath.
NOT BLI •
('i
'
Sign:
Print:
Seal:
NOTARY PUBLIC:
Sign:
Print:
Seal:
**************************** *** sss*********************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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: Olt' 4 k (lac) DATE: 0004 I I%
ADDRESS: 1 lr; 4 t 2Vk C P IM l% ~ stAa ei -. 3(16'2
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 soldor 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
5. I understand 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
is my responsibility to ensure that the persons whom I employ have the license required by law and bcounty or municipal ordinance.
•
Initial
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
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.mvfloridalicense.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:
(08 o4- N w 2v-xot A\te
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
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
Pfll,2O_t_a_
By Pcn 1Ce,
1' ' I l 1 t ► k who was personally known to me or who has
Produced the
e Lic-nse o
OWNER
as identification.
NOTARY
4/5/2018 Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-2136-002-0140
Property Address:
10804 NW 2 AVE
Miami Shores, FL 33168-4302
Owner
ANGELA M HENAO
Mailing Address
10804 NW 2 AVE
MIAMI SHORES, FL 33168 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
1,677 Sq.Ft
Living Area
1,677 Sq.Ft
Adjusted Area
1,496 Sq.Ft
Lot Size
12,123.75 Sq.Ft
Year Built
1944
Assessment Information
Year
2017
2016
2015
Land Value
$260,903
$218,228
$218,228
Building Value
$18,625
$18,625
$104,122
XF Value
$788
$798
$635
Market Value
$280,316
$237,651
$322,985
Assessed Value
$261,416
$237,651
$102,140
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes Cap
Assessment Reduction
$220,845
Non -Homestead Cap
Assessment Reduction
$18,900
Homestead
Exemption
$25,000
Second Homestead
Exemption
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. Coun y, School
Board, City, Regional).
Short Legal Description
36 52 41
SHORELAND HGTS PB 43-85
LOT 13 & N25FT OF TH PORT
NW 108TH ST LYG BETW
LOTS 12 & 13
Generated On : 4/5/2018
Taxable Value Information
2017' 2016i 2015
County
Exemption Value
$0
$0
$50,000
Taxable Value
$261,416
$237,651
$52,140
School Board
Exemption Value
$0
$0
$25,000
Taxable Value
$280,316
$237,651
$77,140
City
Exemption Value
$0
$0
$50,000
Taxable Value
$261,416
$237,651
$52,140
Regional
Exemption Value
$0
$0
$50,000
$52,140
Taxable Value
$261,416
$237,6511
Sales Information
Previous Sale
Price
11 /25/2015
$220,000
OR Book -Page
29883-4582
Qualification Description
Qual by exam of deed
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:
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VQ. C5"7" it441-71— or- (LS C
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.
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LOT 14
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11'.PARKWAY
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1 12' ASPHALT PAVEMENT
•
MEDIAN GRASS
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2045'
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o, 1018
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28.10'
F.F. ELEV. = 13.08' `r
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18.05' C.B.S. RESIDENCE
# 10804
w
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cK
o
Miami Shores Village 5'
' of
BY Di
TE 17.5
t:
APPROVED
ZONING DEPT
M r,
43.80'
i Q�' T t ;1
BLDG DEPT,,;
29b. A
SUBJECT TO COMPLIANCE
TF ANIrl COUNTY
LO 19
WITH ALL FEDERAL
RULES AND REGULATIONS-
*
�c r;
'
' JUl
imi iiii6 TH NORTH 25
OF N.W. 108TH STREET
it'r jc
9,9.5O
Y Y Y Y Y Y Y Y Y Y y v .. - Y Y Y Y
SO`r'
,
' 125.00'( & M } 24.8' '-
Pq c.S L 7 ca- P-; 0
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''
..35.00' „• • ,
•
NOT VALID UNLESS EMBOSSED WITH
- •-•SURVEYOR'-S-SEALS - -
REVISED:
ABBREVIATIONS:
SV K=SIDEWALK CBS=CONCRETE BLOCKSTRUCTLRE, CLF=CHAIN LINK FENCE, PL=PROPERTY LINE, DUE=DRAINAGE U71LnY EASEM ENT, IP=IRON PIPE.-
F=FOUND• A/C=AIR CONOmONER PAD, P/C -PROPERTY CORNER. DM -DRILLED HOLE, WF=V1.00DEN FENCE, RES=RESIDENCE, CL-CLEAR, RB=REBAR.
UE-UTILITY EASEMENT. CONC=CONCRETE SLAB. RJV RIGHT OF VJ4Y, DE=DRAINAGE EASEMENT, CIL=CENTER LINE, 0=01AMTER, TYF=TYPICAL;
M=MEASURED. R=RECORDED. ENCR=ENCROACHMENT, COMP=COMPUTER, ASH=ASPHALT, HID -NAIL &DISC, S=SET, FEE -FINISH FLOOR ELEVATION;
O/S=OFFSET. P/P=POVER POLE. OHP=OVERHEAD POVAERLINE, Y M=VA4TER METER
-V000 FENCE-
MASONRYWAL6=1 I I l l l r I 1 1 ELEVATION BASED ON LOC. # 3110
CONCRETE
MAINTENANCE &DRAINAGEEASEMENT=M&D.E CBM#L-16 ELV. 9.96I TYPE OF SURVEY: BOUNDARY SURVEY
SURVEYOR'S NOTES. 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT
COVERED ;BY PROFESSIONAL LIABILITY INSURANCE.. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC' VERTICAL• DATUM OF 1929.- 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL -
RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9)1 •
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING1
INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED''
INSTRUMENTS, IFANY,AFFECTING THIS PROPERTY.
Additions or deletions to survey maps or reports by other than the signing party or parties is prohibited
Without written consent of the signing party or parties.
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE.OF-SAID I9173_ 43 _PAGE 85
LOCATION SKETCH
SCALE: NTS
col
7.4
16
15
14
Z
N.W. 108th
STREET
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 fade the adjoining
lot or any abutting right-of-way.
Property Address: 10804 N.W. 2nd Ave., Miami Shores, FL. 33168.
Legal Description: Lot 13 and North 25 feet of Northwest 108 Street, adjacent to said Lot, SHORELAND
HEIGHTS, according to the Plat thereof, as recorded in Plat Book 43, Page 85, of the Public Records of
Miami -Dade County, Florida.
•• ••• • • • • • ••
• •
• •• • • •
I HEREBY CER.Tr T tIls u/ iiy 4pr:smied
thereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors purguanit •tg Section 4i2.027 'Florida.
Statutes. • • • • • • • •
There are no'f?peroallme{1ts, oireriep• s, easements
appearing onrhe4liat ere isible etefriptts other}'tlan•
as shown hereon. ,
•
• /DIS Ist NIUKEZ.• • • ••
REGt6TED6RUF:/JYtt •:
OF FLORIDA #5924
(305) 865-1200
FLOOD ZONE: X
PANEL: 0302
DATE:
3/28/18
SINCE 1987
BLANGO SURVEYORS INC.
• Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
Email: blancosurveyorsinc@yahoo corn Fax: (305) 865-7810
SCALE:
1"=20'
SUFFIX: L DATE: 9/11/09 BASE: N/a
COMMUNITY# 20652
OWN. BY: JOB No
F. Blanco