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FW-19-1150wevp .z. k t wevp .z. k Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: OS/22/2019 Location Address Parcel Number 535 NE 95TH ST, Miami Shores, FL 33138 1132060140730 Contacts Permit No.: F-05-19-1150 Permit Type: Fence/Wall Work Classification: Wood Fence Permit Status: Approved Expiration: 11/18/2019 GARRETT & NAYLA MOFFETT Owner HOME OWNER Contractor 535 NE 95 ST, MIAMI SHORES, FL 33138 HOME OWNER Mobile: 3054092770 Description: REPLACE FENCE WITH WOOD FENCE 6' HIGH Valuation: $ 3,600.00 Inspection Requests: 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $2.50 Wire and Wood Fence Fee $50.00 Total: $153.70 Building Department Copy Payments Date Paid Amt Paid Total Fees $153.70 Credit Card 05/22/2019 $153.70 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws requlal: n� con$trultion andlzoning. Futhermore, I authorize the above named contractor to do the work stated. re: Owner- / Applicant / Contractor / Agent Date May 22, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC Miami Shores Village RECEIVED Building Department MAY 21 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20l'1 � Master Permit No. `T \j Sub Permit No. ROOFING REVISION ❑ EXTENSION RENEWAL F-] PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 335 N E cE�- S-�- } City: Miami Shores County: Miami Dade Zip: 3'3 I ),F ii Folio/Parcel#: I 1 " Z�� - 01`-I - D+3 O Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1 V P�� 1. i H QJ F IF E-11 Phone#(3VS) `1 o` 1 ' L-Tio Address: -53s NS""- City: H� onn Sno,(e S State: ��— Zip: 331 �O Tenant/Lessee Name: Email: 14 ne#: v D CONTRACTOR: Company Name: V V �� u �e r Phone#: Address: City: Qualifier Name: State Certification or Registration #: ne#: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: p: Address:ff-- rr�� ( City: State:Zip: Value of Work for this Permit: $ � � (c o o Square/Linear Footage of Work: f P& I Type of Work: ❑ Addition ❑ Alteration ❑ New ❑lRepair/Replace ElDemolition Description of Work: K- � Iq Inca -� nCk � Ny CS U • +0 � (a '-PT Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $, Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CCF $, DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 153,10 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 Zi 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 /91,aA7 OWNER or AGENT The foregoing instr ment was acknowledged before me this - "D day of 20 1 ' , by IN (r'(t 44 P'IC /�-��l , o is personally known to Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 , by me or who has produced _ 7jZ%Jt-'L— as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: nt: as Seal: _� o �•�syy g; �eSeal: jZ0is9y�j�w i ���//11111 IIIIIN���\ APPROVED BY Plans Examiner Zoning &AA S 1kStructural.^/Review Clerk (Revised02/24/2014) 9tl• 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. 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 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 l 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:/Jwww.mvfloridalicense.com/dbpr/­pro/cilb/­index,html 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 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 l day of 20 BYNPrs k_A ry\ca,-TJ who was personally known to me or who has Produced there License or rL-- v OWNER as identification. NOTARY Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 JV A (� OWNER BUILDER DISCLOSURE STATEMENT NAME: I V A Lf� "Ofe-�— -TV DATE: S ADDRESS: 5Z5 NE E 9-5� S+ f lO M) 205, FL -3-3) 3 E 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 1, 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. 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. Initial._ - H 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 cont acts. 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 lease, which violates the exemption. Initial f S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. 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 county or municipal ordinance. Initial_ W o c.1 —P,-(-xc e `DC+a� 1 TE 0 C yood side 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. q x 9 press Lkre--Deal-ed P00 -S evv, �e d e d Z' i o+ -o NIdi.ame� X 2 ' d N ft�j LP- VA E-71 F "tarv�k Shores, PL 331�� 1 6X6���ed '�Pa Pre�� rs Nu Se��✓a�"�on BOUNDARYSURVEY SURVEYOR NOTE - THERE ARE NO VISIBLE ENCROACHMENTS NOTE -BEFORE ANY CONSTRUCTION THE SETBACKS MUST BE CHECKED THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. LOT 9 BLOCK 54 P.P. SCALE = 1:20 LOT 8 BLOCK 54 W LEGEND & ABBREVIATIONS E ...... ......... .... _ GS. -CONCRETE SLAB T- TANGENT CW.-CONCRETEWALM 7YW —TOWNSHIP ASPN: PiAe t'::::::::::':':::::::'g".:::.'::::::::::::::::::':::::::::"::": _ ":::::::'::'::::::''' 1s'•�}:E: '.: .. }.� ... p ............... .................. D.E.- DRAINAGE EASEMENT UF)L- UnUFY ...'�.. _....'............ ::::'::.:: ::: :::.1•• '.'.NLT.OU� �ROLIVI�'.'.':.':".'.'::.'.'.":.'.'.� '.:'.".'..: ."'.'.'.'. ..".'.'. DAZE- DRAINAGE MAINTENANCE U.E.-UNUTYEASEMENT EASEMENT U P - URUTY POLE r ar►�c�� Ares 3 4o S�- LLL U W Z) z n REMAINDER OF 06 LOT 16 py BLOCK 54 O N C W x cc 175.00' B.CORN 4 10,30' X p�� S )N OF 16 i < 54 p� S I 215• C. LOT 17 r BLOCK 54 L r- WALL A f CONC. e � • A ' 21.50' ONE STORY RES. # 535 o � Rn 1 ♦o wn• C.L.F.4'-J - ' 75 A1 1 A -ARC DISTANCE P.D.N.-PDIM0F8EGNdNO PIC - AIR CONDITIONER PAD P.RC-POINTOFREVERSE AE-ANCHOREASEMENT CURVATURE ALR- ALUMINUM HOOF PWY-PARKWAY AS.-ALWWIMSHED PR. M.- PERMANENT REFERENCE ASPIL-ASPHALT MONUMENT BC- BLOCK CORNER PLS.- PROFESSIONAL LAND BLDG.- BUILDING SURVEYOR B.M.-BENCHMARK PP. -POWER POLE B.O.B.- BASIS OF GEARING P-LIX - PUBLIC UTBDY EASEMENT R:) - CALCULATED CB- CATCH 114SIN (R)• RECORD DISTANCE CBS -CONCRETE BLOCK R.R.- RAILROAD - • OVERHEAD UTILITY LINES STRUCTURE RES.- RESIDENCE ==mz=CONCRETE BLOCK WALL C.B.W.- CONCRETE BLOCK VIALL FLAY• RIGHT -Or -my LOT 7 CH.- CHORD RAD,- RADIUS OR RADIAL -- IRON FENCE CN.B.- CHORD BEARING RGE- RANGE BLOCK 54 CH.L-CHORD LENGTH OLD E.- ROOF OVERHANG EASEMENT t� • EXISTING ELEVATIONS CL.• CLEAR SEC- SECTION CQ -CLEANOUT STI'. -STORY CLF. -CHAIN UNK FENCE SUNK -SIDEWALK CM.E- CANALMANTENMNCE S.I.P.-SET IRON PIPE CONTACT YOUR PROCESSOR 111-1 NAP.- NOTA PART OF EASEMENT CONC-CONCRETE S.I.R.- SET IRON ROD SP -SCREENED PORCH NGVO - NATIONAL GEODERO C U.P.- CONCRETE ULBIIY POLE 8.V SEWER VALVE CPL -CONCRETE POR04 '-SECONM ...... ......... .... _ GS. -CONCRETE SLAB T- TANGENT CW.-CONCRETEWALM 7YW —TOWNSHIP ASPN: PiAe t'::::::::::':':::::::'g".:::.'::::::::::::::::::':::::::::"::": _ ":::::::'::'::::::''' 1s'•�}:E: '.: .. }.� ... p ............... .................. D.E.- DRAINAGE EASEMENT UF)L- UnUFY ...'�.. _....'............ ::::'::.:: ::: :::.1•• '.'.NLT.OU� �ROLIVI�'.'.':.':".'.'::.'.'.":.'.'.� '.:'.".'..: ."'.'.'.'. ..".'.'. DAZE- DRAINAGE MAINTENANCE U.E.-UNUTYEASEMENT EASEMENT U P - URUTY POLE r ar►�c�� Ares 3 4o S�- LLL U W Z) z n REMAINDER OF 06 LOT 16 py BLOCK 54 O N C W x cc 175.00' B.CORN 4 10,30' X p�� S )N OF 16 i < 54 p� S I 215• C. LOT 17 r BLOCK 54 L r- WALL A f CONC. e � • A ' 21.50' ONE STORY RES. # 535 o � Rn 1 ♦o wn• C.L.F.4'-J - ' 75 A1 1 LOT 18 BLOCK 54 ts.00 7001Ap 12.00• (4/X C.L.F.4' A ♦ A a ' I jAV CONC° CLIENT: QARRETT MOFFETT AND NAYLA MOFFETT PROPERTY ADDRESS: 535 NE 95 STREET, MIAMI SHORES FL 33f38 LEGAL DESCRIPTION. THE EAST i OF LOT 16 AND ALL LOT 17, BLOCK 54, MIAMI SHORES SECTION TWO, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA. ELEVATION INFORMATION: B.M. USED ---- ELEVATIONS ------ LOCATED ---- BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR REVISED ON 09-11-2009 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE X BASE FLOOD ELEVATION NIA COMMUNITY 120652 PANEL NUMBER 0306 SUFFIX L EFFECTIVE PANEL DATE 09-11-2009 CERTIFIED TO: GARRET MOFFETT AND NAYLA MOFFETT OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY VIVIAN R. RIVEIRO, P.A WELLS FARGO BANK, N.A; ISAOA !'ATIMA ,•8.00': enc � O O � i ") Q R' _X,o o . 5.5' PARKWAY --'a Arc:)o \ o \ P < c+ a 24.30' UJ NE95th r I 4 ' i . , ........ .... • 20 ASPH. P 80' TOTAL R/W : :' .......... 1: :::::::::............................... I `An V LOCATION SKETCH �sociataervices, Inc. SCALE-N.r.s. Knave whars b@LOW. an Sum k Engineers Call I& before you dig. CERTIFICATE O O 29056CERTIFICATE O �} LaJy�' LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY: 'Mine I �"G ITE •. TI2RE MAY BE EASEMC•NTa RECORDED IN THE PUBLEd IC R6cORD5 NOT SHOWN OATIHS SURVEY Pppk H •EXAMINATIONS OF THE ABSTRACT OF IInEWIl4 HAVE TO BE MADE TO OETERAINE RECORDED .I 6' DRWY-DRIVEWAY W.M.-WATER METER • - DEGREES W.F.- WOOD FENCE LE EV.- ELEVATION W.P.- WOOD PORCH ENCR.-ENCROACHMENT W.A.-WOOD ROOF F.N.- FIRE HYDRANT W.V.- WATER VALVE FAR- FOUND IRON PIPE M: MONUMENT UNE F.U.- FOUND IRON ROD L - CENTER LINE. F.F.E- FINISHED FLDOR ELEVATION A - DELTA F.N.D.- FOUND NAIL Q DISK e - PROPERTY UNE FT.. FEET FNIP.- FEDERAL NATIONAL INSURANCE PROGRAM F.N.- FOUND MAIL - • OVERHEAD UTILITY LINES I.GEG.- INGRESS AND EGRESS ==mz=CONCRETE BLOCK WALL EASEMENT --.—A—•-+CHAIN LINK FENCE LP.-UGHTPOLE -- IRON FENCE L.F.E.- LOWEST FLOOR ELEVATION —o—n-- WOOD FENCE L.M.E.- LAKE MAINTENANCE t� • EXISTING ELEVATIONS EASEMENT • MINUTES (M)- MEASURED DISTANCE M.E.- MAINTENANCE EASEMENT CONTACT YOUR PROCESSOR 111-1 NAP.- NOTA PART OF NGVO - NATIONAL GEODERO VTUM N.T.&- N7$- qT 70 SGIIE ALO B LB NO.- NUMBER O/S - OFFSET - O.N.-OVERHEAD O.H.L.- OVERHEAD UTRNY LINES O.R.L.- OFFICIAL RECORDS BOOK ` O.V.N.- OVERHANG PVMT,- PAVEMENT PL- PLANTER P.L- PROPERTYUNE P.CC- POINTOFCOMPOUND CURVATURE P.C- POINT OF CURVATURE P,O.T:- POINT OF TANGENCY P.O.C- POINT OF COMAIENCEIVIENT LOT 18 BLOCK 54 ts.00 7001Ap 12.00• (4/X C.L.F.4' A ♦ A a ' I jAV CONC° CLIENT: QARRETT MOFFETT AND NAYLA MOFFETT PROPERTY ADDRESS: 535 NE 95 STREET, MIAMI SHORES FL 33f38 LEGAL DESCRIPTION. THE EAST i OF LOT 16 AND ALL LOT 17, BLOCK 54, MIAMI SHORES SECTION TWO, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA. ELEVATION INFORMATION: B.M. USED ---- ELEVATIONS ------ LOCATED ---- BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR REVISED ON 09-11-2009 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE X BASE FLOOD ELEVATION NIA COMMUNITY 120652 PANEL NUMBER 0306 SUFFIX L EFFECTIVE PANEL DATE 09-11-2009 CERTIFIED TO: GARRET MOFFETT AND NAYLA MOFFETT OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY VIVIAN R. RIVEIRO, P.A WELLS FARGO BANK, N.A; ISAOA !'ATIMA ,•8.00': enc � O O � i ") Q R' _X,o o . 5.5' PARKWAY --'a Arc:)o \ o \ P < c+ a 24.30' UJ NE95th r I 4 ' i . , ........ .... • 20 ASPH. P 80' TOTAL R/W : :' .......... 1: :::::::::............................... I `An V LOCATION SKETCH �sociataervices, Inc. SCALE-N.r.s. Knave whars b@LOW. an Sum k Engineers Call I& before you dig. CERTIFICATE O O 29056CERTIFICATE O �} LaJy�' LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY: 'Mine I �"G ITE •. TI2RE MAY BE EASEMC•NTa RECORDED IN THE PUBLEd IC R6cORD5 NOT SHOWN OATIHS SURVEY Pppk H •EXAMINATIONS OF THE ABSTRACT OF IInEWIl4 HAVE TO BE MADE TO OETERAINE RECORDED .I 6'