FW-18-1131Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number
Permit NO. FW-4-18-1131
Perfnit Type: FertcelWall
Work Classification: Wood Fence
Permit Status: APPROVED
511/2018
Expiration: 10/28/2018
Applicant
17 NE 105 Street
Miami Shores, FL 33138-
1121360060100
Block: Lot:
OLIVER & ANDREE STEPHANIE
Owner Information
Address
Phone
Cell
OLIVERA ANDREE STEPHANIE
17 NE 105 Street
MIAMI SHORES FL 33138-
17 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s)
HOME OWNER
Valuation:
Total Sq Feet:
$ 2,600.00
71
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: REPLACE GATES WOOD WHITE
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
P&Z Review Fee
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.00
$2.00
$0.60
$5.00
$35.00
$100.00
$9.00
$2.40
$157.80
Pay Date Pay Type
Invoice # FW-4-18-67341
04/30/2018 Credit Card
05/01/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 107.80
$ 107.80 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Public Works
Review Building
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 e f Ding information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zogjrlg. Futhermore, I} it orize the above -named contractor to do the work stated.
X J�
S' - S r t/ r7- 1 it (A 77t 1
Author `ieIi Signet : Owner / Applicant / Contractor / Agent
Building Department Copy
May 01, 2018
Date
May 01, 2018
1
Address:
City:
a
BUILDING
PERMIT APPLICATION
❑ 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
❑ ROOFING
Master Permit No.
Sub Permit No.
RECEIVED
APR 3 0 1018
FBC 20R-
FvQ t8-11 31
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4 3 5117f y
City: Miami Shores
County: Miami Dade
Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): OU t4 1 okAiTEP it J1- Phone#: 2.0211 zz
(7 NE 10415 STTCT
iYiti M i sNt72ES
State: fZ Zip: 3e138
Tenant/Lessee Name: n/ / Phone#:
Email: S .'ert/a4-Pa nliu ?� I-IE • C.DT7
CONTRACTOR: Company Name: 40t1E Qt4J IJZ"-C Phone#:
Address:
City: 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: $
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
4644 Cr ATSS ( Wool) f wH/ ram`
-41 (pnCQ /6cA
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF
Scanning Fee $ .Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
CO/CC $
Notary $
(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
CONTRACTOR
The f._ going instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of T-1 \ q"t rU0 le , b"y day of , 20 , by
who is personally known to , who is personally known to
kt (tCM
me or who has produced
me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
S
Print:
Seal:
;xar ;;:4 LE
r.COMMISSION # 00 044602
r;
1 Fp F��P.•` Bonded
November 2020
nded Thru Notary Public Underwriters
a•
NOTARY PUBLIC:
Sign: fr
Print:
Seal:
***************************** **********t********************************,r*s***************************
APPROVED BY '1 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: q 1J — S7C ►aA N (E JRT DATE: Ct
7 M fiq
LAG/ITN
ADDRESS: 14 NE IOS +h Stye? / HJAhi NOILES 33igg
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 Az.
z.
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 41e___
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 Aw
•
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"rs 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 - _
4
- I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
t
Initial ).Zr
Initial
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
. isYmy responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial AZ-
legally and financially responsible for the proposed construction activity at the following address:
Al- me 105 lh g1er I-
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. 1, 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 1 r[_
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.//ff
Initial /�/te�
•
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 /1ti--
11. I am aware of, and consent th; an owner -builder building permit applied for in my name and understands that I am the arty
t cE aATE
Initial A
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 • i'—
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 11' , 20
By Pk y1 -et v 100 ' oo was personally known to me or who has
Produced th
re icense o
as identification.
OW I ER NOTARY
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-2136-006-0100
Property Address:
17 NE 105 ST
Miami Shores, FL 33138-2030
Owner
OLIVIER SERVAT
ANDREE STEPHANIE SERVAT
LAGATTU
Mailing Address
17 NE 105 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 / 1 / 1
Floors
1
Living Units
1
Actual Area
1,562 Sq.Ft
Living Area
1,312 Sq.Ft
Adjusted Area
1,437 Sq.Ft
Lot Size
9,225 Sq.Ft
Year Built
1940
Assessment Information
Year
2017
2016
2015
Land Value
$230,638
$198,007
$163,894
Building Value
$111,684
$112,517
$100,015
XF Value
$915
$930
$756
Market Value
$343,237
$311,454
$264,665
Assessed Value
$342,599
$311,454
$116,582
Benefits Information
Benefit
Type
2017
2016, 2015
Save Our Homes Cap
Assessment Reduction
1..._
$148,083
Non -Homestead Cap
Assessment Reduction
$638
Homestead
Exemption
$25,000
Second Homestead
Exemption
$25,000
Note: Not all benefits are applicable to all Taxable Values (Le. County, School
Board, City, Regional).
Short Legal Description
DUNNINGS MIAMI SHORES EXT NO 2
PB 41-78
LOT 10 BLK 202
LOT SIZE 75.000 X 123
OR 17699-3084 0697 1
Generated On : 4/30/2018
Taxable Value Information
2017
2016i 2015
County
Exemption Value
$0
$0
$50,000
Taxable Value
$342,599
$311,454
$66,582
School Board
Exemption Value
$0
$0
$25,000
Taxable Value
$343,237
$311,454
$91,582
City
Exemption Value
$0
$0
$50,000
Taxable Value
$342,599
$311,454
$66,582
Regional
Exemption Value
$0
$0
$50,000
Taxable Value
$342,599
$311,454
$66,582
Sales Information
Previous
Sale
Price
OR
Book-
Page
Qualification Description
09/09/2015
$420,000
29783
0421
Qual by exam of deed
06/01/2005
$0
23585-
2677
Sales which are disqualified as a result of
examination of the deed
06/01/1997
$108,000
17699
3084
Sales which are qualified
09/01/1996
$62,500
17356-
4824
Other disqualified
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 50.00'
TOTAL R/W
•
•
•
• tt1Rt
• • • •JI
.•
•••.„ in
• • (R
•••
•
••••i•
••••;
37.50'
37 50'
.t
• • ).
•<29.00'
NORTH MIAMI AVENUE
21.40'
4.50'
r
ld\<<
Bearing, if any, shown based on Plat Meridian (reference) NORTH 1 588.51'02•N /
o
WD
p 122.95'(M)
122.91')
RL
4P-PM-71114—ial. s `,; il, /3 II
APPROVED
ZONING DEPT
RLDG DEPT
DATE
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
I
1
I
rn
In
m
3.37'
REVISIONS:
FLOOD ZONE
x
COMM. No.
120682
PANEL No.
0302
SUFFIX:
F.I.R.M.DATE
09/11/09
F.I.R.M.INDEX
09/11/09
BASE ELEV.
+NIA N.G.V.D.
ELEVATION NOTE: (IF APPLICABLE)
L.F.EI.v.a NIA (lowest h•D90W Boor etsva0on).
Bandon shown hereon refer to N.O.V.D. 1929.
Lowest ed4ean1 grade W ation• _9I95_
BM. • N/A Elev • _Na.—
Garage Elev.• N/A EIP
3.18'
1
This property described as:
Lot 10, Block 202,
MIAMI SHORES EXTENSION Na 2,
according to the Plat thereof
as recorded in Plat Book 41, Page 78,
of the Public Records of Miami -Dade County, Florida.
Certified to:
,3a Oliver Servant & Andrea Stephanie Servant Lagattu
v Guaranteed Rate, Inc
f'pl i its successors and/or assigns, ATIMA
First American Tide Insurance Company
c Concorde Land Title Services, Inc
-.I Address:
An 17 N.E. 105 Street,
H •r'Y
'THIS SURVEY DECLARATION ISM ! ON THE FIELD
DATE INDICATED, TO THE OWNER(s) LISTED. IT IS NOT
TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS.'
Na valid unless
R bars the
dreary and the
original raised •ad
of Florida licensed
Saveya and
Meppn.
LEGEND
A
MPH
BM a.rpn M.0
BRG
CATV cLI.
Dee Ca,o.l.Bba Bbu,f..
CN am,a
tx,.tle. aarrwodw
CLF • MeinLinkFenda •L7..r
CGNC. Craw
D •OWN
• • OYn .,
OH •Dal Hob
DME • DrMrwa. a L41nM,ao
Element
t
E.B. • Electric Box
Eno. • Enao.dw,.t
F.F. • Pinion Roar
F.N. • Pl. Hya.nt
FJ,R. • FOWd too Robot
FPL • Fbrle. Pow & UgN
F.IP. •Found Mon Pipe
MP
F.N. •Foo,dNY
•fir .W
MF. • Mobs Fenn.
M.H. •M.Mole
M •Morum..LV.
MOH. • Mwwrnwe
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MD • Nall 1 a.p
Nre • Net ts Bab
001 •CRAM
O.UJ_ • M ARIAM UBIty LAN.
OH •OwM.•
P • Plot
PO • Plot Book
PC • P09 an Dinah.,.
P.C.C. • Point or Compound
cca
rnuno
PCP •Po,wd Pahl
PO • Papa
PJ. • Point af Mtwwdbn
a •Aop<b L..
PL •Pods
P.O.B.. Point dSpinning
P.O.C. • Print d C.mrc.n.t
PP. •Posy, Polo
P.RJA.• P.m ano t R.Iwo co
Mawrno t
P.R.C. • Print at Rooms
Cum"
.
Pr •Patrw. talTwpy
R •RWr
RR • APRONS
RIM •Pabwb,w Ramp
WOW
RIW -
811K • &dews*
Soo. • e.oaN,
Nasal
7 •• Tangent
U.E. • unity En.n.t
W.F. • Wood Fonts
W.M. •W.ler Mew
W.V. • WAN, V.M
/. Dwmlwof
. Token
Eltlww .w
Ato
Mph.*
BOUNDARY SURVEY.
I HEREBY CERTIFY: that Ws survey meets the
Standards or Pred c. as set foM by the
FLORIDA BOARD OF �:•.. -= SURVEYORS
AND MAPPERS .. 17 • Administrative
Code, pursuant to Flodds Statues.
REN - S 09/08/15
PROF ZONAL SURVEYOR AND
MAPPER No. 4327. State of Florida.
Alvarez, Aiguesvives and Associates, Inc.
Surveyors, Mappers and Land Planners
5701 S.W. 107th Avenue #204, Miami, FL 33173
Phone 305.385.0385 Fax 305.385.0623
L.B. No. 6867 / E-mail: fastsurvey@aol.com
Field Date
09/03/15
Scab:
1"=20'
Drawn by.
J.A.
Drwg. No.
15-21663
❑ Shadow Box
K Vertical Picket
❑ Board on Board
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE Ices Good Side Out. The vertical and horizontal
supporting members of a fence shall face ih
interior of the plot on which the fence is Iccale.
and the finished side shall face the ad r,;ininc;
lot or any abutting right-of-way.
9( 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
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.
pcmurrtreated • •.
eosts er rybedck.d02' Into
concrete footimg.1 us • • • • •
diom6lterixi's%ep,• i . •.•
ALL wood must be pressure treated
All fasteners mast be.corrssion re••bista• • rt.
• • • • • • •
No less than two fasteners in anycanrveation
• • •• • • • • • •
Revised 10/14/2016AS
• • • ••• • •
••• • • • • ••• • •
• b • • • • • •
• • • ••• • • •
• • • • • • • • • •
• •• •• • • • •• ••
••• • • • ••• • •
lx pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection