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FW-17-2796Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Address Permit Permit NO. FVV-11-17-2796 Permit Type: Fence/Wail Work Classification: Wood Fence Permit'' Status: APPROVED Issue Date: 11/28/2017 Expiration: 05/27/2018 Parcel Number Phone Applicant Cell GLENN E BOARDMAN 78 NE 101 Street MIAMI SHORES FL 33138- 78 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) HOME OWNER Phone Cell Phone (303)437-1529 Valuation: $ 2,400.00 Total Sq Feet: 203 Approved: Comments: Date Approved: : Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: 6 WOOD FENCE WITH WOOD GATE Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $1.80 $3.05 $2.03 $0.60 $5.00 $203.00 $9.00 $2.40 $226.88 Pay Date Pay Type Invoice # FW-11-17-65744 11/28/2017 Credit Card 11/28/2017 Credit Card Amt Paid Amt Due $ 176.88 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Building Review Planning 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 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 nd zz in ore, I ., ho a the above -named contractor to do the work stated. November 28, 2017 Authorized Signature / Applicant / Contractor / Agent Date Building Department Copy November 28, 2017 1 A 7?‘ 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 Sh FBC 20L �1 BUILDING Master Permit No. �V �' -1 -2- PERMIT APPLICATION RECEIVED Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: T 8 N.C.. I O l S+ ST City: Miami Shores County: Miami Dade Zip:. 3 3 138 Folio/Parcel#: Occupancy Type: Is the Building Historically Designated: Yes NO Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Gk. kM x(Zb Mto,1 Phone#: 333'1 T �Z� Address: � $ 4 E , � O� SA fori:r 1®--j4 3S City: 1 AYn 1 S}1 ORCS State: l=L Zip: 3 31 3 8 Tenant/Lessee Name: VJ)1i O virk, c�CCV'?1 E Phone#: 303 4 3 4 1521 Email: Gke'Qri, 1004rd trv>ory Q wav114-r.i:- , Cow\ CONTRACTOR: Company Name: OL *--'2 l S>;t t' Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address:1744 City: State: Zip: Value of Work for this Permit: $ 411t)( Square/Linear Footage of Work: 2_ 0 3 Type of Work: n Addition ❑ Alteration ❑ New n Repair/Replace n Demolition Description of Work: 6' W bCJ'p ' E kJ.) rnt ‘Nloto C� P CP-$ li \ j1A L P.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) 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ak day of N 0 1 , 201- , by day of , 20 , by (. A r 4 V 1; "o is personally known to , who is personally known to me or who has produced -1.-- % (21 ti tin-- as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Sign: 0 �C = Print: a-+. ® 2: ,,, _ f � ti� 2; �e Seal: ° ''?••� 4l40,0 NOTARY PUBLIC: Sign: Print: Seal: ******************************** ***: *************************************************** APPROVED BY Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: C,LEN1A 1$(ARNM 1)1'IN DATE: I I (2 % 111- ADDRESS: W C 1 O\ S} STV"C' 1(�1,S L 3 3 i 3$ 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 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. 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 by county or municipal ordinance. Initial 13r- 1 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.myfloridalicense.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: — NC, I ots+ 5-r- w, i �wu S> at5 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 Er 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 Q-A day of f\JWYtn106(-, 20 k1 By Cd-11-4.%*•1 fiS0f17 r''"cl'Jwho was personally known to me or who has Produced there License or as identificati nliii,. 4.1 co NOTARY m "' z= A P 4l�`r /6aflflil1111N���\\\\\ OWNER Page 1 of 1 Property Search Application - Miami -Dade County Summary Report Property Information . Folio: 11-3206-013-1330 Property Address: 78 NE 101 ST Miami Shores, FL 33138-2319 Owner c. ROBERTO MLAC AURICIO PAIO , GLENN E BOARDMAN L Mailing Address 78 NE 101 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 2,277 Sq.Ft Living Area 1,995 Sq.Ft Adjusted Area 2,169 Sq.Ft Lot Size 9,200 Sq.Ft Year Built 1940 Assessment Information Year 2017 2016 2015 Land Value $230,092 $230,092 $175,021 Building Value $188,703 $188,703 $126,922 XF Value $2,172 $2,190 $2,043 Market Value $420,967 $420,985 $303,986 Assessed Value $420,967 $420,985 $303,986 Benefits Information Benefit Type 2017 2016 2015 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 3 & W3OFT OF LOT 2 BLK 10 LOT SIZE IRREGULAR OR 19689-1244 05 2001 5 Generated On : 11/21/2017 Taxable Value Information 2017 2016 2015 County Exemption Value $0 $0 $0 Taxable Value $420,967 $420,985 $303,986 School Board Exemption Value $0 $0 $0 Taxable Value $420,967 $420,985 $303,986 City Exemption Value $0 $0 $0 Taxable Value $420,967 $420,985 $303,986 Regional Exemption Value $0 $0 $0 Taxable Value $420,967 $420,985 $303,986 Sales Information Previous Sale Price OR Book - Pa 9a Qualification Description 05/30/2017 $665,000 30554- 0289 Qual by exam of deed 05/04/2015 $685,000 29605- 4163 Qual by exam of deed 01/23/2014 $314,000 29042 1420 Qual by exam of deed 05/01/2001 $0 19689- 1244 Sales which are disqualified as a result of examination of the 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: http://www.miamidade.gov/propertysearch/ 11/21/2017 I ZONING DEPT LEGAL DESCRIPTION: RI nG, DEPT 3 & THE WEST 30' OF LOT 12_OF MIAMI-S!ORES-SECTION 11 ". ACCORDING TO THE PLAT THEREOF, AS .RECORDED,L INNPEATi-[BOOR- 07ERAL PAGE 70, OF THE PUBLIC RECORDS 10FtMIAlg2DADE COUNTY, FLORIDA. COtINV MLLES AND REGULA110I" . 1�9NW 101ST STREET = 69' _ 19.5' ASPHALT ROAD 75' R/W 22.2' PARKWAY 80.00' 5' SIDEWALK 0.0/ F.I.R.1/f ' No I.D. Lh� % , 3'x6' �� a r�I2 C1C . WALL 0.04'CL\ . WVIA l 11.5' V*)0.39 c.. . irri ation well 6� 10. ID•1, i10.24' LOT 4 1 LOT 3 BLOCK 10 1 BLOCK 10 14 1 1 w 'o 31.3' ONE-STORY C.B.S. RESIDENCE, 78 GARAGE EL=10.23' F.F.EL=12.14' F.IR. 1/2' N.0' No I.D. p34' 21.1' cty °D 13.6' i--4 CONCRETL i 0.0 14.9 1.97' 1.2 --a 21.7' CLEANOUT ).36 ° WEST 30' 45, LOT2 15' ALLEY 69 10' 0 ASPHALT -t " F.LR.1/2' BLOCLI No LD. CORNER 75.60' I C.B.S. WALL 0.07'CL 10.4 .F N 10. D. 4 GLENN taiamwmit y\I RNEST W. DUNCAN P.S.M. 5182 621 SE 5TH COURT PHONE. (754) 264-2166 POMPANO BEACH, FL. 33060 BOUNDARY SURVEY FAX' (954) 827-0535 JOB NO. PROPERTY ADDRESS: 78 NE 101 STREET Scale: —0.7.192-17 MIAMI SHORES, FL 33138 1" = 20' F.I.R. DENOTES FOUND IRON ROD NO ID. DENOTES NO IDENTIFCATION M.E. DENOTES MAINTENANCE EASEMENT D.E. DENOTES DRAINAGE EASEMENT CONC. DENOTES CONCRETE R DENOTES RADIUS D DENOTES DELTA ANGLE L DENOTES ARC LENGTH U.E. DENOTES UTILITY EASEMENT D.H. DENOTES DRILL HOLE R/W DENOTES RIGHT OF WAY P.R.C. DENOTES POINT OF REVERSE CURVE LS DENOTES UCENSED LAND SURVEYOR P.S.M. DENOTES PROFESSIONAL LAND SURVEYOR N/A DENOTES NOT APPUCABLE A/C DENOTES AIR CONDITIONER NAVD88 DENOTES NORTH AMERICAN VERTICAL DATUM OF 1988 NGVD29 DENOTES NATIONAL GEODETIC VERITCAL DATUM OF 1929 G A 1t -@ w 1 r0 (, "1) Un FLOOD ZONE. X O BASE FLOOD ELEV.= N/A Fences Good Side Out. ThP '4 supporting members of a f ence shall face 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. REMAINDER SYMBOL LOT 2 BLOCK 10 NOT INCLUDED W.F ® WATER METER n UTIUTY POLE — x — CHAIN LINK FENCE (C.L.F) WDOD FENCE (W.F) IX EXISTING ELEVATION 10 20 l� l 1 inch = 20 R. •• •• ' •• • 40 • ••• ••• tl� x5N E1P" GARZP, •• SURVEYORS NOTES: 1. ANGLES SHOWN HEREON ARE REFERENCED TO THE RECORD PLAT AND ARE AS MEASURED. 2. BENCHMARK REFERENCE: DADE COUNTY BENCHMARK N-567' ELEVA1ION=10.54 NGVD29 ELEVATIONS REFERENCED TO NGVD29. 3. MINIMUM LINEAR ACCURACY OBTAINED: 1 FOOT IN 7,500 FEET AS REQUIRED FOR A SUBURBAN SURVEY 4. NO TITLE INFORMATIONPP4Iff .RENEWED IN THE PREPARAAGN EXCEPTION OF THE 5. NO ATTEMPT WAS M IMPROVEMENTS, OIf FOUNDATIONS OR *ER 6. EASEMENTS SHOWN Z SURVEYOR HAS M RECORDS. THERE NOT SHOWN HEREO PUBLIC RECORDS CERTIFIED TO: GLENN BOARDMAN & ROBERTO PALACIO RECEI V . NOV or • • • • • • DATE OF SURVE)t 7/29/17 (j • •ERIOEST W LUNCAN, P.S.M. STATE OF FLORIDA PROFESSIONAL SURVEYOR AND MAPPER No. LS • • •• NQi VAUc iMTMZ'T THE SIGNATURE AND • •THE)RIONALRAIS'ED .SEAL OF A FLORIDA • • LICE) SED• SURVE)p14 A 17 MAPPER. ••• •• •• •• • •••• •• • • • • • • • • 3' A`Np 5' �� AsIES —(Sw� .v ci •ovt'. .• ••. : • ••• •• • •• ••• • • 5182 G LE1h1r\1 S• AO 2%Mvoi`) 18 'N z tot c4-- Miami Shores Village Building Department 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 shah face the adjoining lot or any abutting right-of-way. WOOD FENCE DETAIL ❑ Shadow Box ❑ Vertical Picket Board on Board ences < = 6' high posts spaced at 4' on center maximu�? Fences < = 5' high posts space at on ce axiirfur Fences < = 4' high posts spaced at 6' on center maximum Fence must not exceed 6' in height Fence 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. 4x4 pressure treated posts embedded 2' into concrete footing 10" diameter x 2' deep 10050 N.E.2nd Aver:tn.:. Miami Shores; Florida 33?38 Tel: (gro5.)•195.2404•:• Fax: (•756.8972• •••• .. . • • • ••..• • • •• • . . . . . S. ..•• • • • •• •• • • • • • • • •. • • • • • •• 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal pressure treated //// wood members with two corrosion resistant fasteners per connection ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection Revised 10/14/2016AS . • • • • • • • • • •