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FW-17-2544Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Pe mit Parcel Number Pe it NO. FW-10-17-2544 Permit Type: Fence/Wall Work Classification.: Wire Fence Permit Status: APPROVED Issue Date: 11/7/2017 Expiration: 05/06/2018 Applicant 1119 NE 104 Street Miami Shores, FL 1122320290040 Block: Lot: E THOMAS SEPTEMBRE Owner Information Address Phone Cell E THOMAS SEPTEMBRE 1119NE104ST MIAMI SHORES FL 33138-2657 Contractor(s) HOME OWNER Valuation: Total Sq Feet: $ 600.00 19 Approved: Comments: Date Approved: : Date Denied: • Type of Construction: Other Classification: Residential Additional Info: ADD METAL FENCE TO EXISTING C 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 $2.00 $2.00 $0.20 $5.00 $100.00 $9.00 $0.80 $119.60 Pay Date Pay Type Invoice # FW-10-17-65459 11/07/2017 Check #: 8668 10/26/2017 Check #: 8651 Amt Paid Amt Due $ 69.60 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Building Review Planning In consideration of the issuance t. me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict co • ormity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I as - responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for E CTRICA UMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AF construction a ID VIT d o�u ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating Futhermore, I authorize the above -named contractor to do the work stated. A th Signature: Owner / Applicant / Contractor / Agent November 07, 2017 Date Build' "g Department Copy November 07, 2017 1 IP' Miami Shores Village LvA ' Building Department BUILDING PERMIT APPLICATION Eil(UILDING ❑ ELECTRIC PLUMBING ❑ MECHANICAL JOB ADDRESS: 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 IIc1 tj-E 104 City: Miami Shores OCT 2 2017 FBC 2014' Master Permit No. +-R) 1 - zs it Sub Permit No. ❑ REVISION EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS County: Miami Dade Zip: 32)138 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple„Titleholder): Address: I1 1C{ I J.E 104 City: M 1clmni Shores Tenant/Lessee Name: Email: Construction Type: C `5S Flood Zone: BFE: FFE: E:Thomas L( emnbre S+r.eek- State: 1k.oYtda Phone#: 3c6- -7s 4 - 0340 30s-336-S1le, zip: 3313E Phone#: CONTRACTOR: Company Name: Address: City: t+oo-c Ownc r Phone#: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ � • Square/Linear Footage of Work: l r Type of Work: ❑ Addition i I Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: repic\c‘e Add (rge1-ct \ �-ence i)m-y;,0 CPS �enoe a✓4 oe-cc can w ►-- and cease- hoes t Specify color of color thru tile: 6lac1ei Submittal Fee $ 30 ea 14 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ ' Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ G �� TOTAL FEE NOW DUE$ (0 q - (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City a'- 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 ours seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appr.!e and a reinspection fee will be charged. Signature Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this OWNER or AGENT day of 0CI-00e ✓ , 20 11 . , by day of , 20 , by .TnOrnQC 5f?etmbt who is personally known to , who is personally known to me or who has produced DY;v-eir 1 iCQ1',S`t' as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY P, Sign: Print: Seal: IJADY PRIETO MY CO MISSION N FF 214031 ' ��'•= EXPIRES: March 25, 2019 'oF oF, Bonded Thru Notary Public Underwriters NOTARY PUBLIC: Sign: Print: Seal: APPROVED BY Plans Examiner Structural Review (7 Zoning Clerk (Revised02/24/2014) Miami Shores Village Building Department SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant,t,d;fieseS _ ( i.4 es hereby attest that (Property owner)ne ro The attached survey, performed by L�- GrtAD/cS giQS.C'm c e ,r �• �r c(Nam ofsurveyor's�(�;o,company) For address: Lie 4 L ` (9'(NS h vey -��ve z (^ t�/ Performed on /7 '9,? y (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 m affec al inspections as applicable to this or other permits. Fu -r `�1':� say eth naught. Lam- 1 -cog- � 1... . rty Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this 6 day of Oc obe r . Zpi`Z Affiant is personally known to me, \./ produced Dr; v v t i(0-1S as identification. Notary Revised (6/25/12)Revised on 5/22/2009/ Revised on 6/12/09 YANADYPRIErO 5's MY COMMISSION # FF 214031 EXPIRES: March 25, 2019 Bonded Thru Notary Public Underwriters OWNER BUILDER DISCLOSURE STATEMENT NAME: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: ,��y(2m(--F ADDRESS:, //if am L AS) PiA ait t. } / AAA /4,7'55 ) 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.' 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. 1 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 coyrtra. ts. 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, 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 cc envy 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. 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 ��ee 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: 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 Z' day of O-{cIO'e✓ , 20 11 By £•"Morro S -r ptembr. who was personally known to me or who has OWNER \ e 1�C�Fv1 S -C as identificati NO • RY YANADY PRIETO M`' COMMISSION # FF 214031 't a EXPIRES: March 25, 2019 p• �.;; oF v�°.° Bonded Thru Notary Public Underwriters 4. r 2vr C04+'4=K +a lJ i ., &v' 1;'ri 'CMS 57e d..3V • SKETCH OF BOUNDARY SURVEY SCALE 1" = 7_01 .11P,OX. 51(4= , Gy 1,-14= 2 +-1 f ;Itic zzY ra— 19z Fence Side Udt-71`I ; verii;:i are; I`Sa SUpportin members of a feltf;.e •snail intehor of the plot on w~,: r the ferirEi i3 e, rlcie .i?d:ii f.'Ina theIca* y c,i and the e finished - Na, 1 v zontal ,e the cited )ring N � •• ^I•�• • • • • • • ••A,.• r;i' 1.4 J •? r Per c 4 •• • • ••• • • • • • • • • •• • •••• • • ifz.J,••.., • • • • •••._ iN 4.37 cL u� HE EC + is ANY) AE REIL-ERRE.D TO AN ASSUMED VALUE Cr •• •• ivE 6 2017 0 • • • • • • T•••• • • • •• • • • 0 H g W Cr O cn z SAD SEAs=:k!;G IS IDENTICAL WITH THE PLAT OP RE CO =.D AOCO„DiNG TO THE THE SUBJECT FHCFERT' FALLS WITHIN FLOOD ZONE:E: 1 LEGAL DESCRIPTION LOT BLOCK SUBDIVISION: • • • • ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK OF THE PUBLIC RECORDS OF 2A'-7 COUNTY, FLORIDA. LOCATION SKETCH SCALEI'_ 1(2v,i 414 \-\\:—\\ -7 ir,c1..-,- •• V n1 Cj i ^� d ? 7 1 i 1 Gz q 303 �� 1�5 •• • FtliPti6E • • • • L• • •' • •.•• •• • • • • . • • . • • • • • • •• •••• • • • • • .. • .. .. • • . • •�•�• • • �••./vi • • • 1 • rttf 4 IV O"GAS Gcod Side Out The vor(ical andhorizont�l Doting rrro,m-,ers of nter!or 1 a hence shaft he �f ihr plot on y n I lace t J • . . % • / j i s f .�-.,iH te,r' i .. .°%1)%i 1 -2,. ()i _) ; C R ,�;, --; 0 S 'j 1. . I III � • ^� . ; ,:� Q . !�I�, I..i -Ott L2 A I , i� - IT' SURVEY CERTIFY T0: , 1=\5 �" l =T MA? A4 7 AR I HEREBY CERTIFY THAT THE ATTACHED SHETCH OF EOUNDA.RY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61 G 1 7-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA. STATUTES. FOP JOB N:IMF.:E ,. ' 'I� DAT:OF T _ FIELD SURVEY: J E`JiSICtI DATE: SURVEYOR'S NOTES: E BELTRAN & ASSOCIATES, INC. 12533 S.W. 30th STREET MIAM , FLORIDA 33175 PHONE: (305) 552-7450 TION WA FUFNISH D E. CLIENT. �� •. - - " ST I' IF Y A THIS �R E:U INAT GN Cr T:!E AES =�1CT CF I ITLE WILL HAVE TO ,,. SAGE TO Cc I c� .,.,LNE ,.___., _J Li I nL�. ENT. ANY AFFECTING ECTING T I OPEnTY. LEGAL DESCnIPTi0N TO ANY DEDICATION. LIMITAT',GNS. nca I n!CT:GNS. ,cac V TIGNS GR EASEMENTS OF RECORDS. NO UNDE-.GROUND INSTALLATIONS C'R. iMPRCVEMENTS HAVE BEEN LOCATED. EXCEPT AS NOTED ESE ARE NO VISIELE=NCFOAC': MENTS ETHER THAN THOSE_ SHOWN. _.~�.. FENCE CWNE=SHIP SY V'SJAL MEANS ONLY (IF ANY!. LEGAL CW,NEFSHIP NOT Lc Er,!.11NED - AS?EIIAT;CNS )IF A.'IY APPLIED) • E.�? U E. =UT 7Y _ _".ENT ENC?CAC:H6IENT W Si E. -WALL bMA.N7ENANCE S 4-:;E = ▪ FCF=-.TY UN_ -._.-▪ -_;.,,Eti'..- _ .. E.-:-.1,NAG'.ti1A..4�_'v-•..- _. __.. _ _ ~_.4i �, - l5_:'_:ti • :?ON PYP E S I.?. .SE! I?CN PIPS F.R.G. =FOUND PE.SA.S S 5 5. aS5 RE•SA? F J.H. =FCUNO OFULL HOLE S.O.H. .SET DRILL HOLE C.B. .CHCR'D EEAP:N3 A C n5i5 CCNCIT;CN:NC UN:T CALC. .CALCULATED mEAS..`1_I.SUPEO EEC. - 5CCPCED 5.5 =:OL'AD SP KE S.NSD -SET NA:L S C:SC F NSD =. CUNO NAIL & CISC R =RAgAL F.M.. FOUND NAIL F.C.N.= FOUND CUT NAIL F. FOUND (TYP) = TYPICAL r� f ERNESTO DELTRAti r5G AtLD SURVEYO' INL, _55 STATE OF FLORIDA DATE: ,I I I 1 ; 1 J I1 I NCT VALID UNLESS S AL E•C'MTH AN EMECSSED SURVEYO?S 5E.A1. • - •--•••-; • ! • '• • •••I •• •• 1• • •;••.•• • • • • • • • j • • • • • • •••.•- • • • • • •j• ' • • • • • ♦ • 1 • • •••'I j ! II •• • • ••♦ • • • • • ••• • • • • • ♦ •♦ • • • . • . I •j• •I 1 11 t • • • • II • • • i • I•_ • • • • • • • •• • : T � .... b A L. CF! 4 • • ••• • • • ••• •• •• • • •• • •• •• • • • • • •• • •• • • • • • • • •••• •• • • • • • • •'• • • •• • • ••• • • •• • • ••• • • • •• • ••• •• •• • • • • •• • • • • • • • •• • • • •• •• • • • • • • • . • •• • • • • • •••• •• ••• ••• • •• • • • •• ••• •• • • • • • • Worthington 5 ft. x 6 ft. Black Alumirn im 3-Rail Unassembled Fence Panel The Allure Aluminum 60 in. x 72 in. Black Aluminum 3-Rail Worthington Fence Panel features high -strength aluminum alloy construction. Rust proof and maintenance free, it has a ... See more details at Home Depot » het � a`` O l t �,yre` f. 1.0/23/2017, 3:24 PM October 26, 2017 Address:1119 N E 104 Street, Miami Shores, Florida 33138 Owners: E Thomas Septembre and Joyce Bowen Septembre • ▪ • • •• • • • • • •••• • • • •••• •• • • ▪ •• • • •••• • •• • • •• •• • • • • • •••• • • • •• • • • • • • • • • • • •' • Propose raising front of the house West side and East side 43" high fence walls b3‘f4stalling on top of the walls black aluminum fence 20" tall which will raise the height to 63",.an1 rep1 t .: • • existing chain link gates with like fence, the same height, (63"), all to match neighbor's fence to the West. Copy of survey and proposed sketch attached. TS t ::ricer Good Side Out. The vertical auu _ s�_ c)oort.inq rnernbcrs ,Jf a fence shall face the flierrir of ti•,e plot on V,, : h th,; fonca is ie ated and the finished side SilF,il face i!` 5ll; 8�_ijOiiln lour, h-• .-4.,. .{ i