FW-18-3609Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:
Parcel Number
'L
Permit NO.: FW-12-18-3609
Permit Type: Fence/Wall
Work Classification: Wood Fence
Permit Status: Approved
Expiration: 06/04/2019
( 1090 NE 104TH ST, Miami Shores, FL 33138 1122320290190 1
Contacts
ERIKA BATEY Owner HOME OWNER Contractor
1090 104 HOME OWNER
Description: REPLACE OLD CHAIN LINK FENCE WITH NEW 6' Valuation: $ 6,400.00 Inspection Requests:
WOODEN SHADPW BOX FENCE TO POOL CODE WITH SELF 305-762-4949
CLOSURE FOR POOL BARRIER Total Scl Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.20
DBPR Fee
$2.52
DCA Fee
$2.00
Education Surcharge
$1.40
Notary Fee
$5.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$4.20
Wire and Wood Fence Fee
$118.00
Total:
$231.32
Payments
Date Paid Amt Paid
Total Fees
$231.32
Check # 521
12/06/2018 $231.32
Amount Due:
$0.00
Building Department Copy
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 tf is perfftit-i assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are require or 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 constructim sand zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature
/ Applicant / Contractor / Agent
Date
December 06, 2018 Page 2 of 2
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
BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC ❑ ROOFING
06 7018
tFBC 201 --)
Master Permit NoU —
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I d l U �� J�2'C_+ Q
City: Miami Shores County: Miami Dade Zip: '53,i3 O
Folio/Parcel#: Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �� 1 Phone#:
Address: I Oct C) IV IF I c)'%- -
City:
State: � L. Zip: 3,31
Tenant/Lessee Name:` Phone#:
Email: 6 ,74e /
CONTRACTOR: Company Name: (�1^(l� O`���y Phone#_ 66
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $
Certificate of Competency #:
e#:
City: State: Zip:
Square/Linear Footage of Work: 16
y
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: �-�� Q C"e old
+�-e,�..y �_' �oc���.-c. — �ci•��►�,, Lek .,�-�.�..e ..:..,�' _ �"° 1
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ ` '� " CO/CC $
Scanning Fee $ Radon Fee $
CC)
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
Notary $-S ,
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ Z >( '
A". .
Bonding Company's Name (if applicable)
Bonding Company's Address _
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
_ 6 day
—doff ��k f�iQ r, P-- , 20 (� by
who is personally known to
me or who has produced— l�y--1 Q �Nas
identification and who did take an oath.
NOTARY BLIC:
Sign:
Print:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 by
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: aSiNDIA ALVAREZ
t NIY COMMISSION # GG 238273 Seal:
EXPIRES: September 3, 2022
'rF dy°P� gpnQld ThN Notary POW Undw*1118rs
APPROVED BY
as
Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
.i6
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:✓ 1G—G�1� DATE: �� 1
ADDRESS: O10 v�- 101 +
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. 1 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 `\_�3 ,
2. 1 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. C\y��
Initial �1
3. 1 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 coptFaqs.
Initial
4. 1 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 w 'chviolates the exemption.
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construc
Initial
6. 1 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 y or municipal ordinance.
A;. A,,: Initial
-, ,
7. 1 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. 1 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. 1 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. 1 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:/http://www.m�loridalicense.com/dbpr/pro/cilb/index.htmi/dbar/pro/cilb/index.htmi
Initial
11. 1 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. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any oft . f tion 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 G day of 20 j e.
By��IY�'t�� who was personally known to me or who has
s
Produced there License or l
�C
OWNER
identification.
NOTARY
.`Aw.. ,. SINDIA ALVAREZ
:* MY COMMISSION # GG 238273
Bonded
September 3, 2022
''•E�F FLQ: Bolded �l Notary Pubk UaderveR.
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1150 E. ATLANTIC BLVD. Aj ACCURATE LAND SURVEYORS, INC. TEL (954) 782-1441
POMPANO BEACH
FLORIDA 33NO L.B. #3535 FAX. (954) 782-1442
SHEE—T 2 77OF 2
104TH ST/REET"..'.....j.."-4
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75.00' 326.34' 0*00:0
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NO ID cdkcx.-C! • 000
Fences
- IVE
?DRK G)od Side �nq
Out. The vertical and hori
�UPPOrltin J members of /on
a fence
shall face a
a 0 interior of the pfot on
which the
and the f fence'_ i_-4-
low Z 2L�ikE�d side s
— 7. ............ . . hall face the
tora
ad ol;nin
right-of-way.
.............
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.................... .......
... ..................... ..................
..... ......... ......... ... .. ... . .. .................... .
............. ......... ... . ........... ..... ... .
.............................................. . . ........
ONE STORY ..................... 100
............ ....................
LOT 6 0 ............. ..--RESIDENCE 0
. . . . . . . . .•. . . . LOT 4
. . . . . . . . ... BLOCK 2 C! 0 BLOCK 2
>
4. . . . . . . . . . . . . . . . . . ... 21 . . . . . . . . . . . . . . . . . . . . . . . . . . ............ .... ...
. . . . . . . . . . . . . . . . .
... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................
.......................
....... ..... ....... . ........
.............. . . . . . . . . . . . . . .
......................
`
40'
Lj
W INOOD >
FENCE LOT 5 BLOCK 2
Nff C)
4' OWN W E,
FENCE IaOC FENCE
(TYPICAL)
0.SW $a
_V
FENCE -- — 75.00' -SET 111r
OWE
�IRON
IRON ROD L83M O_WN LIMITS
LIMITS ROD S
L93635
MIAMI SNORES SEC 8 REV 20 0 10 20
P.D. 31. PD. 41. M.D.C.R.
GRAPHIC SCALE
V-20'
This survey was made for —mortgage and title purposes only and is not valid for design or construction
NOTES,
1. Unless otherwise noted field measurements we In agreement with record
CERTIFICATION:
This Is to ce" that I have raw* surveyed Oft prop" d
measurement.
2. Bearings shown hereon are based on a bearing of N/A
In the "olng title caption and have set or Ibmundd
7p
3. The lands shown hereon were not abstracted lor ownership. rights of way, easemerris,
Indicated an this sketch and that sold above ground survey a
sketch are accurate and correct to Me best of my knowledge
or Other matters of records by Accurate Land Surveyors, Inc.
4. Ownership offences and wells 9 any are not detennined.
belief. I further cw* that this survey meals Minimum Te
5. This survey Is the property of Accurate Land Surveyors, c
Incand shall not be used or
Standards under Rule 6.1-17.052 adopted by the Florida Boo
Land Surveyors, January 11. 2010. a B.
reproduced In whole or In part without mitten auftrization.
6. This survey Is made for the exclusive use of the certifted hereon, to be valid one year
from the date of survey as shown hereon.
7. This survey consists on a map and laid report. one is not valid wMW the other.
8. This survey was made for mortgage and tille purposes only and to not valid for design
N VA 'n
THE. 5
or construction purpom.
R
FL
V
/jam&fVSuR
AP
ROBERT L THOMPSON (P
PROFESSIONAL SURVEYOR AND MAPPER
REVISIONS DATE By
DATE OF SURVEY
DRAWN BY
CHECKED BY
FIELD BOOK
1 SCALE 1"= 21[9=*J�f4+40V A
01/14/14
001
M.W
SU 14-0071
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1 1150 E. AACCURATE LAND SURVEYORS, INC. TEL (954) 782-1441
BE POMPANONO BEACHH - -
FLORIDA 33060 P,L.B. #3635 � 1 � 2 FAX. (954) 782-1442
TYPE OF SURVEY: BOUNDARY JOB NUMBER: SU-14-0071
LEGAL DESCRIPTION:
• • •
LOT 5, BLOCK 2 OF EVENINGSIDE, ACCORDING TO THE PLAT THEREOF, AS RECORDED
IN PLAI•DOOK 44.
PAGE 53 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA
• •.: • •
ADDRESS: 1090 NE 104TH STREET MIAMI SHORES, FL 33138
�....'
FLOOD ZONE: AE
•
BASE FLOOD ELEVATION: 8'NGVD
: • 90
CONTROL PANEL NUMBER: 120652-0306-L
•
EFFECTIVE: 9/11/2009 REVISED: 9/11/2009
LOWEST FLOOR ELEVATION: 9.88'NGVD
'
GARAGE FLOOR ELEVATION: 7.13'NGVD
LOWEST ADJACENT GRADE: 6.96'NGVD
HIGHEST ADJACENT GRADE: 7.36'NGVD
REFERENCE BENCH MARK: DCBM#B-26-RA ELEV:17.23'NGVD
CERTIFY TO:
1. RICHARD MELLETT AND ERIKA BATEY
2. NP INC DBA US MORTGAGE OF FLORIDA
3. COLONIAL TITLE OF PLANTATION, INC.
4. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
5.
6.
EASEMENTS ACCORDING TO THE AFORESAID PLAT:
NONE PER PLAT BOOK 44, PAGE 53 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,
FLORIDA,
ABOVE GROUND ENCROACHMENTS ACCORDING TO THE AFORESAID PLAT:
DRIVEWAY IN ROAD RIGHT-OF-WAY ALONG THE NORTH BOUNDARY.
N0110E:
THIS SURVEY IS MADE FOR MORTGAGE AND TITLE PURPOSES ONLY AND SHOULD NOT BE USED FOR DESIGN
OR CONSTRUCTION PURPOSES
NOTES:
1. THIS SURVEY CONSISTS OF A MAP AND A TEXT REPORT. ONE IS NOT VAUD WITHOUT THE OTHER.
Z OWNERSHIP OF FENCE AND WALLS IF ANY. MDT DETERMINED.
d THIS SURVEY IS MADE FOR THE EXCLUSIVE USE OF THE CERTIFIED HEREON. TO BE VALID ONE YEAR
FROM THE DATE OF SURVEY AS SHOWN HEREON.
• CENT^kANXE LEGEND OF ABBREVIATIONS:
CB CHOROSEAR• RAOLIB � 1�+^ EIEWTCNS BABEOONNcw iRF
ROW . RK*ff OFMY BO. FT. . SOUAREFEET YVR. . iTAptiOwCE
PLC. • POVROFCURVATURE Pic • PERMANENTCONTRoLPOpR E.CR alON11RO COIpffYIETAlio6
P.T. • POW OF TAlIDO1CY P.MCR PAW REAC14 COUNTY REWmS OCA • OADE COUNTY IECown
NY YINTHT EI®U P • PIAT PD • _TB
OH . OVEIOWIO NiD . NAp.�OKO OAE OFFVAAL IEWRDe BOOK
N NORTH P.O.C. POINT OF COWIENCEAENT FP. • FNIBfED FIOwi
B • BOITTH PAIL POINT OF BEOMNINO ENCN. . 90"1 CH
E . FAST AC . A OONORIOIEA �i—i�i—R— . GMNl1NNFENCE
W NEST FM FOUND—AA—IF--iA--II— . WOOO iENCE
BAT. BENCHMARK CNATT . CNATTAHOOCHEE LETALFECE
m • FIE HYDRANT FPL • FLORDAPOWM& LKINT
ON CFFBET EEV. . ElElN7/d1--i1-11—{1--t1— • CONCIWMFECE
BEG. a EEC70M NH a ILMAI0.E CONCRETEL
TWP. TORT w ESMT. • EAISRB7T WAEFOAi:
ROE. PANGS EEC. OECTRC
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ANCHOR EABEENf
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Access gates must open outward
away from the pool area,
be self-closing/self-locking,
device located on pool side of the gate
S p and located no less than 54"
from bottom of gateA-v".
/ FE3C 424.tq7F.;d
er X
C4�r
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Fences Good Side Out, The verticGl and horizontal
supporting members of a fence shall face the
interior of the plot on whic^ the fence is located
and the finished s'de shall face the adjo'ning t
lot or any abutting rig"t-of-way.
A
Miami shore4.;,.; illage••' ••••�•
Building Depaftnerif::-
10050 qt:RC Avegae:*. ••:••'
Miami Shores; tlo4ida 33138 • • • • •
Tel: f N �95.2204• • •
Fax: 43051756.8. QD:" ""• •
WOOD FENCE DETAIL
XShadow Box
❑ Vertical Picket
❑ Board on Board
Fence�gh 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 Tinto
concrete footing 10"
diameter x 2' deep
ALL wood must be pressure treated I
All fasteners must be corrosion resistant L
No less than two fasteners in any connection
1 x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection