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FW-17-2932Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Issue Oa Permit NO. FW-12-17-29 32 Permit Type: FencelWall Work Classification: Wood Fence Permit Status: APPROVED :1124/2018 Expiration: 07/23/2018 Parcel Number Applicant 234 NE 99 Street Miami Shores, FL 33138- 1132060134340 Block: Lot: CAMILLE DENIS Owner Information Address Phone Cell CAMILLE DENIS 234 NE 99 Street MIAMI FL 33138-2435 Contractor(s) HOME OWNER Phone Cell Phone Valuation: $ 400.00 Total Sq Feet: 165 Approved: Comments: Date Approved: : Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: VERTICAL WOOD FENCE Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $0.60 $2.48 $2.00 $0.20 $5.00 $165.00 $9.00 $0.80 $185.08 Pay Date Pay Type Invoice # FW-12-17-65894 12/13/2017 Check #: 2271 01/24/2018 Check #: 2272 Amt Paid Amt Due $ 50.00 $ 135.08 $ 135.08 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Building Review Building Review Planning 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 stri conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit l ssuunr responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRI L, �, MOING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFDAtuF c that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction anoning. FQth'rmore, I authorize the above -named contractor to do the work stated. dt I / / /lc 7i Authorized Sign* wner / Applicant / Contractor / Agent Building De rtment Copy January 24, 2018 Date January 24, 2018 1 BUILDING PERMIT APPLICATION 0 BUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL 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 STkf FBC20( Master Permit No: AA i4 - 213 Z Sub Permit No. ❑ ROOFING ❑ REVISION ❑ PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: —1 II/ 4 City: Miami Shores Folio/Parcel#: Z 'Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: di-3L4 County: Miami Dade Construction Type: ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Zip: 3 3 % p Is the Building Historically Designated: Yes Flood Zone: 111 t g M'rJ} Phone#: BFE: NO FFE: City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: City: Qualifier Name: Phone#:. State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ I cJ . Square/Linear Footage of Work: (&1 Phone#: Type of Work: ❑ Addition ❑ Alteration Description of Work:- W CO State: Zip: New ❑ Repair/Replace n Demolition Specify color of color thru tile: Submittal Fee $G Permit Fee $ I (0 5 ' op Scanning Fee $ Radon Fee $ 2 • CO Technology Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ 2 , .'18 Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 13I-D 09 Notary $ Bonding Company'; Name (if applicable) Bonding Company's Address ' _ City_. State Zip ' t, 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 .Ours seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not inspection fee will be charged. Signature 1 1 i Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this I p, day of "Y E .E .XE. , 20 ,'by day of , 20 , by 0_4MILA-.E its , who is personally known to who is personally known to me or who has produced T."21\. .. lkeki<Cas me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Sign: Print: (Nt�'E"t�V Seal: 53 (errpoff, Notary Public State of Florida > ? Sindie Alvatez c, a` My commission FT 156750 Oc ,�n� -�x 09f03/2018 APPROVED BY NOTARY PUBLIC: Sign: Print: Seal: • t *******************************************.************* Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) NAME: ADDRESS: 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 /1-1/ I �--��r DATE: 1 Gz43 -1 I f1i6- 1 0444:L 40-44 , 3 c 3 8� 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 fora 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.hiie 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 Iseti 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 and4ontracts. 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 I0 .. 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial r 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 c nty 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.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: Initiala_ 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the • formation that I have provided on this disclosure. Initial C 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 13 day of -0M1 N16W-20 (' By OPMI : IS who was personally known to me or who has re L' ; se or- as identification. WNER NOTARY "��''f:.�n,. �'a,.""b,�ae:.• yN, y'•','+y'h,':''afi'a}li^ OSP�Y'uee Notary Public State of Florida Sindia Alvpr€ z {, y c r7 1ti ,(om'iissian FF 156750 4 1 '1�yp�kfra (7 R IVijami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) PIDThe undersigned Affiant, Oft M I l.,l`� N1(S. , does hereby attest that (Property owner) �- The attached survey, performed by Z) •1 • �� �- 5o�t �`NC (Name of surveyor's company) For address: 234 tom- 99 ST Performed on M2tl. P192(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 a = t al inspections as applicable to this or other permits. Fu heri.nt th naught. (4,1, nature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this k3 day of�� Affiant is personally known to me, V -ofproduced Q—kebS as identification. Revised on 5/22/2009/ Revised on 6/12/09 s°kr'upe Notary Public State of Florida ° ' Sindia Alvarez �y n My Commission FF 15E750 .x �`f�°e Expires 09/0312018 \ ❑ Shadow Box Vertical Picket ❑ Board on Board 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. • . . . . . .. . .. • . . .• ... . IVIiamiShore..... ale , • •. Bu • ilding De pa meat. ' Fences Good Side Out. The vertical and horizontal 10050 hl ��P� Avenue " •• supporting members of a fence shalt facMiarni6Shore4 Fibrilla 33a38 . • interior of the plot on which the fence is located Tel: (305} 95.220" and the finished side shall face the adjoining Fax: 1430�) �56.88.7� . lot or any abutting right-of-way. • WOOD FENCE DETAIL 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 Fence must not exceed 6' in height 4x4 pressure treated posts embedded 2'into concrete footing 10" diameter x 2'deep 1x pickets fastened with two corrosion resistant fasteners per connection �--2x4 horizontal ---"tee 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 ,Q LACAT I ON MAP SCALE: 1" = 2001 M. - 99 Cr FEr rr tot h II 12 14 /3ar 91160 r Pee LEGAL DESCRIPTION: Lot 8, in Block 32 of "AMENDED PLAT OF MIAMI SHORES" , according to the Plat thereof, as recorded in Plat Book 10, at Page 70, of the Public Records of Dade County, Florida. PROPERTY ADDRESS: 234 N SURVEYOR'S NOTES: 1). THIS IS A BOUNDARY SURVEY. 2). LEGAL DESCRIPTION PROVIDED BY THE OWNER. 3). THIS SURVEY HAS BEEN PREPARED WITHOUT THE BENEFIT OF A TITLE SEARCH, THEREFORE THOSE EASEMENTS , AND RIGHT•OF WAYS SHOWN , ARE AS PER RECORDED PLAT. 4). NET AREA = 5,750 SQUARE FEET. .Foctif gi4a tsl(ifiatil; Mli Ic 'I'3'8horizontal 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. 5). 6). FLOOD INSURANCE RATE MAP INFORMATION COMMUNITY No. 125098 PANEL No. 0093 SUFFIX F DATE OF FIRM NOV. 4, 1987 FIRM ZONE x BASE FLOOD ELEV. SOURCE OF ELEVATION PROVIDED BY DADE COUNTY SURVEY DEPARTMENT RELATIVE TO MEAN SEA LEVEL NATIONAL GEODETIC VERTICAL DATUM OF 1929. LOCATOR INDEX BENCHMARK NO. 3100 N.397 ELEVATION 9.8G BM. IS A PK.NAIL d BRASS WASHER SET ON TOP OF CATCH BASIN. NE. 2nd AVE. — — 65' WEST OF CENTER LINE. NE. 103rd ST. — —33' NORTH OF CENTER LINE. ALL ELEVATIONS THUS 0R HAVE BEEN DETERMINED FROM THE ABOVE DESCRIBED BENCHMARK. V� J J.F.LOPEZ & ASSOCIATES,INC. CONSULTING LAND SURVEYORS & LAND PLANNERS SURVEYOR'S CERTIFICATE I HEREBY CERTIFY: That e Survey of the property as described in the foregoing caption has been made under my direction, and meets the minimum technical standards set forth by the Florida Board of Professional Land Surveyors In Chapter 21-HH•6 of Florida Administrative Code, pursuant to Section 472.027 of Florida Statutes. I FURTHER CERTIFY: That this SKETCH OF SURVEY is an accurate representation of such survey.arid is true and correct to the best of my knowledge and belief, and that no visible encroachments exist, except as shown hereon, 555 East 25th ST. suite 212 Hialeah, Florida, 33013 (305) 836-1822 836-0937 Fax: 835-0754 NOTE NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL JOSE F. LOPEZ , P.L.S-. CEI YIFICATE # 3086, STATE OF FLORIDA FOR THE FIRM LEGEND OF ABBREVIATIONS: 1 ). ¢ = CENTER LINE 2). STY = STORY 3). C.B.S. = CONCRETE BLOCK STRUCTURE 4). RES. = RESIDENCE 5 ). CONC. = CONCR�G • • • al.GL.F.• = CHAINILINK FENCE .•SyP := SET 1 RONIpNIPE WITH CAP IQ •3T1j 8I. N11101 • •= NAIL !•DISC• • 9).fp,CP. = NAIL & SURVEYOR'S DISC 16)7FrfeAf.•= PERMANENT'REFERENCeMONUM 11)• flip • = RECORD • • • • • • 11). ((M)) •= MEASYFIGD• • • 13)!!+/C • = AIR CONDT,ONER UNIT 1/)•l•F•E• •= LOWESIFL00%ELEVATIQI1 i • 15). I F.E. • = MAIN RLOOR ELL,RVATION 16)IG.RL! = GARAGIALCOR, ELEVATIGUiik 12)•O1 • •= OVERHEAD ELECTRIC LINE v). •= UNDERGROUND ELECTRICLINL 1O). F.H. •= FIREKYDRANT •••• 20). CO.. = CATCN SWOP • 4). w.,1' • = WATER METER • 22)• IyAN. • = MANNA, • . •. • • •• .• i 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. BY: SKETCH OF SURVEY sc.LE 1".20 NE. 99 STREET 2/ 'ds'"a!!a/T "dye me (dsPha/f 4 • . • • • •. • • • • • • • • ••.. . • e • •• •• •N • N <R: f'/O. 4: Clra 1,9 6s "/4,94 /ovveiec+',4 oo o//zif1111 .4 /tow"oe'klit 0,3 des/• `�. 13' 12.73'_ 140.4.4. 3! 7 m Cesrieafk3 • • • • • • • • •• e 5 '41g % rar7c . /ovverc/4'4Ce 0, 6" claw r ° ° 1%r too/e 2 'Saori/ S 5a OD" — ar, 1 /z Paveme/9717 0 N 0 O to • CO • • •_N .la• .. • 03 z c• Cleo. • • • .• •. • • •.. •..• •Z • 9tie • a•a• j f• liar• wV ~D 0 F— O w lL ►- CC w c.) tki 131 Q • • i- . •: • • • • 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.