RC-19-2049Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit IVO.: RC -09-19-2049
Permit Type: Building (ResidentlaQ
Work Classification: Alteratkm
Permit Status: Approved
Issue Daite:09/10/201x=- Expiration: 03/09/2020
Location Address Parcel Number
424 NE 103RD ST, Miami Shores, FL 33138 1132060170750
Contacts
OMAR HERRERA Owner HOME OWNER Contractor
424 NE 103RD ST, Miami Shores, FL 33138 HOME OWNER
Mobile: 3057107071
Description: STUCCO FRONT OF THE HOUSE Valuation: $ 1,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00 11 1
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Notary Fee
$5.00
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$121.30
Payments
Date Paid Amt Paid
Total Fees
$121.30
Credit Card
09/10/2019 $71.30
Credit Card
09/04/2019 $50.00
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 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.
AFFIDAVIT: I ce tr 4 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
construction and zoning Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent Date
September 10, 2019 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
N BUILDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
SE 04�2019
BY: r* [ Lu
(10Z4
FBC 20 it
Master Permit No2-C— og' i -i- 204 1
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: e-12 e-1 N6 16)3 St
City: Miami Shores County: Miami Dade Zip: 33 is>
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): vp(z- ( gza.• Phone#:
Address: yZ �F 1-yE I C)3 S� -
City: �`��`z:' State: Zip:
Tenant/Lessee Name: Phone#: bPQ-3-
Email: OM"L&-ioo-JI A2n�a 40,0,(-%P,
CONTRACTOR: Company Name: ou) iJ �� Phone#:
Address:
City:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Zip:
Phone#:
Certificate of Competency #:
City:
Phone#:
State: Zip:
Value of Work for this Permit: $ Lb 4DD Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Lc — t❑ Repair/Replace ❑ Demolition
Description of Work: �� C -C -O � oN� 'O�� `� o `- SF -
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $ '—
Bond $
TOTAL FEE NOW DUE $
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."
r
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value ezceeding.$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 approv and ion fee will be charged.
Signature Signature
OW NE CONTRACTOR
The foregoing instrument was acknowledged before me this
OL/ day of S^ 1\� 20 by
Q � -- .LC4 N+,oDO w o is personally known to
me or who has produced -'� � UCE-N'k
identification and who did take an oath.
NOTARY/PUBLIC:
w
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.
r.
NOTARY PUBLIC:
a—
Sign:
Print:
as
s,s•P SINDIA ALVAREZ d
Seal: I, p,1Y COMMISSION # GG 238273 Seal:
r "' EXPIRES: September 3, 2022
Bonded Thru Notary Public Underwriters
**************************** ** ***************************************************************************
(
APPROVED BY 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: nol ag b"46,41r DATE:
ADDRESS: �� AIC— M;V-L,„'
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
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 contracts.
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
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
/
Initial l Lel'
ns
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 res0onsi6ility io erisure that the persons whom I employ have the license required bylaw and by coup or municipal ordinance.
� . P
t 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. 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 htt_ p://www.mvfloridalicense.com/dbpr/pro/ciIb/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. 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
—OV/
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 cC1i day of 20 i
BY OMAIZ- � NP U who was personally known to me or who has
Produced there License-r.u�e_ 0 cz� �S
OWNER
s identification.
NOTARY
;=o�? SINDIA ALVAD238273
MY'COMMISSION #. EXPIRES: SeptembBonded Thru Notary Publi
Prepared by and return to:
Rodrigo S Da Silva
Law Offices of Rodrigo S. Da Silva, P.A.
777 Arthur Godfrey Road Suite 402
Miami Beach, FL 33140
305-615-1434
File Number: 061419Herrera
Will Call No.:
[Space Above This Line For Recording
Warranty Deed
CFN: 20190477983 BOOK 31548 PAGE 1349
DATE:07/30/2019 03:00:15 PM
DEED DOC 4,440.00
HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY
This Warranty Deed made this 16th day of July, 2019 between Daryl Unnasch, an unremarried widower whose post
office address is 11178 Osprey Lake Lane, Palm Beach Gardens, FL 33412, grantor, and Omar Herrera, a married man
whose post office address is 2362 NE 172 ST, Aventura, FL 33180, grantee:
(Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of
individuals, and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Miami -Dade County, Florida to -wit:
Lots 9 and 10, Block 92, Amended Plat of Miami Shores Section No. 4, according to the map or plat
thereof, as recorded in Plat Book 15, Page 14, of the Public Records of Miami -Dade County, Florida.
Parcel Identification Number: 11-3206-017-0750
Subject to taxes for 2019 and subsequent years; covenants, conditions, restrictions, easements,
reservations and limitations of record, if any.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances, except taxes accruing subsequent to December 31, 2018.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, staled and delivered in our presence:
(Seal)
aryl (Utinasch
DoubleTlme®
State of Florida
County of Miami -Dade
The foregoing instrument was acknowledged before me this /("-!% day of
personally known or [X] has produced a driver's license as identification.
[Notary Seal]
Carla Yesenia Diaz
oe NOTARY PUBLIC
+STATE OF FLORIDA
a Comm# GG305823
E j41t Expires 3/25/2023
Warranty Deed - Page 2
CFN: 20190477983 BOOK 31548 PAGE 1350
Not
Printed Name: ar a
My Commission Expires:
by Daryl Unnasch, who L] is
March 25, 2023
DoubleTime®
Fnd. 1/2" I.P.
(No I. D.)
ADJACENT
i.
4' CLF
0.30' CI. -
0.04' Enc.
•
•ae••t
C. • • • • •
•
•t
• • • *iY OW. F.
0.05' C
Fnd.
7 /t1rFiALI NAVEMENT
v
N
wF
Gt PARCEL
hie N.E. 103rd STREET
i
LU
LUi
Q
.s=
d-
ui
Z
N.E. 102nd STREET
----------------
Location Sketch
NTS
LEGAL DESCRIPTION:
Lots 9 and 10, Block 92, AMENDED PLAT OF MIAMI SHORES SECTION NO. 4,
according to the Plat thereof, as recorded in Plat Book 15, Page 14, of the Public
Records of MIAMI-DADE County, Florida.
i
CERTIFIED TO: Omar Herrera; Law Offices of Rodrigo S. Da Silva, P.A.; Old Republic
National Title Insurance Company, A & D Mortgage LLC, its successors and/or assigns
as their interests may appear..
PREPARED FOR: Omar Herrera, 424 N.E. 103 Street, Miami Shores, FL 33138
Encroachments:
1. Overhead utility lines.
2. The asphalt drive is encroaching over the North boundary line into the street
Right -of -Way (N.E. 103rd Street).
3. Portion of the 6 foot high wood fence is encroaching over the South boundary
line into the abutting alley.
4. Portion of the 6 foot high wood fence is encroaching over the West boundary
line.
Surveyor's Notes:
• All clearances and/or encroachments shown hereon are of apparent nature. Fence ownership by visual means. Legal
ownership offences not determined.
• Encroachments Noted: 4
• Underground structures, if any, not located.
Bearings, if shown, are based on assumed meridian or Plat of Record.
• Lands shown hereon were not abstracted for easements and/or right-of-ways of records.
• Legal description provided by client.
• This certification is only for land as described. It is not a certification of title, zoning, easements, or freedom from
encumbrances. ABSTRACT NOT REVIEWED.
There may be additional restrictions not shown on this survey that may be found in the public records of this county.
ABSTRACT NOT REVIEWED.
• This BOUNDARY SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate does not
extend to any unnamed party.
• This survey was based on the monuments found on the field. No construction in any manner should be made without
the prior written consent of the Surveyor.
SURVEYOR'S SEAL
Unless it bears the signature
and the original raised seal of
a Florida licensed surveyor and
mapper, this map/report is for
informational purposes only
and is not valid.
REVISED:
LEGEND
A
/i
j
-Arc
A/C
= Air Conditioner
ASPH
= Asphalt
BBQ
= Barbecue
12
11
10"
/j
9i
8 7
6
5
4
3
2
1
= Center Line
CLF
= Chain Link Fence
Cl.
= Clear
Conc.
= Concrete
D
=Deed
O
= Diameter
13
14
15
16
17 18
19
20
21
22
23
24
= Found 1/2" Iron Pipe
FIR
=Found 1/2" Iron Rebar
FPL
= Florida Power & Light
ID
= Identification
I.P.
= Iron Pipe
LB
= Licensed Business
N.E. 102nd STREET
----------------
Location Sketch
NTS
LEGAL DESCRIPTION:
Lots 9 and 10, Block 92, AMENDED PLAT OF MIAMI SHORES SECTION NO. 4,
according to the Plat thereof, as recorded in Plat Book 15, Page 14, of the Public
Records of MIAMI-DADE County, Florida.
i
CERTIFIED TO: Omar Herrera; Law Offices of Rodrigo S. Da Silva, P.A.; Old Republic
National Title Insurance Company, A & D Mortgage LLC, its successors and/or assigns
as their interests may appear..
PREPARED FOR: Omar Herrera, 424 N.E. 103 Street, Miami Shores, FL 33138
Encroachments:
1. Overhead utility lines.
2. The asphalt drive is encroaching over the North boundary line into the street
Right -of -Way (N.E. 103rd Street).
3. Portion of the 6 foot high wood fence is encroaching over the South boundary
line into the abutting alley.
4. Portion of the 6 foot high wood fence is encroaching over the West boundary
line.
Surveyor's Notes:
• All clearances and/or encroachments shown hereon are of apparent nature. Fence ownership by visual means. Legal
ownership offences not determined.
• Encroachments Noted: 4
• Underground structures, if any, not located.
Bearings, if shown, are based on assumed meridian or Plat of Record.
• Lands shown hereon were not abstracted for easements and/or right-of-ways of records.
• Legal description provided by client.
• This certification is only for land as described. It is not a certification of title, zoning, easements, or freedom from
encumbrances. ABSTRACT NOT REVIEWED.
There may be additional restrictions not shown on this survey that may be found in the public records of this county.
ABSTRACT NOT REVIEWED.
• This BOUNDARY SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate does not
extend to any unnamed party.
• This survey was based on the monuments found on the field. No construction in any manner should be made without
the prior written consent of the Surveyor.
SURVEYOR'S SEAL
Unless it bears the signature
and the original raised seal of
a Florida licensed surveyor and
mapper, this map/report is for
informational purposes only
and is not valid.
REVISED:
LEGEND
A
= Central Angle
A___
-Arc
A/C
= Air Conditioner
ASPH
= Asphalt
BBQ
= Barbecue
C
= Calculated
CB
= Catch Basin
CBS
= Concrete Block Structure
CH
= Chord
Chatta.
= Chattahoochee
= Center Line
CLF
= Chain Link Fence
Cl.
= Clear
Conc.
= Concrete
D
=Deed
O
= Diameter
DH
= Drill Hole
DME
= Drainage & Maintenance Easm't
Easm't
= Easement
Enc.
= Encroachment
F.H.
= Fire Hydrant
FIP
= Found 1/2" Iron Pipe
FIR
=Found 1/2" Iron Rebar
FPL
= Florida Power & Light
ID
= Identification
I.P.
= Iron Pipe
LB
= Licensed Business
LME
= Lake Maintenance Easement
L.P.
= Light Pole
M
= Measured
MAINT.
= Maintenance
M.F.
= Metal Fence
y
= Monument Line
Mon.
= Monument
N/A
= Not Applicable
N/D
= Nail & Disc
N'
= Number
NTS
= Not to Scale
O/S
= Offset
O.U.L.
= Overhead Utility Lines
P
= Plat
PB
= Plat Book
PC
= Point of Curvature
PCP
= Permanent Control Point
PG
= Page
P.I.
= Point of Intersection
PKWY
= Parkway
R
= Property Line
PL
= Planter
PLS
= Professional Land Surveyor
P.O.B.
= Point of Beginning
P.O.C.
= Point of Commencement
P.P.
= Power Pole
PRC
= Point of Reverse Curvature
PRM
= Point of Reference Monument
PT
= Point of Tangency
R
= Radius
Res.
= Residence
R.L.S.
= Registered Land Surveyor
RNG
= Range
R/R
= Railroad
RSM
= Registered Surveyor & Mapper
R/W
= Right -of -Way
Sdwk
= Sidewalk
Sec.
= Section
T
= Tangent
TWP
= Township
U.E.
= Utility Easement
UTIL.
= Utility
W.F.
= Wood Fence
W.M.
= Water Meter
WME
= Wall Maintenance Easement
BOUNDARY SURVEY MOJARENA & ASSOCIATES, INC.
N Land Surveyors & Mappers
W=E Certificate of Authorization No. 6698
5 P.O. Box 56-0126
Miami, FL 33256-0126 (305) 278-2494
YP�A,__
FLOOD ZONE: X BASE: N/A
NELSON MO DATE: SCALE: DWN. BY JOB NO.
Registered Surveyor & Mapper No. 5504
State of Florida 06-11-19 1" = 20' N.M. 19-0137