FW-19-611Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 03/21/2019
Location Address Parcel Number
150 NW 99TH ST, Miami Shores, Fl. 33150 1131010240031
Contacts
Permit NO.: FW -0349-611
Permit Type: Fenct/Wall
Mork Classification: Wood Fence
Permit Status. Closed
Expiration:
VICTOR M. DE JESUS MELENDEZ Owner HOME OWNER Contractor
150 NW 99 ST, MIAMI SHORES, FL 33150 HOME OWNER
Other: 7862363548
Ins
Description: REPLACE PROPERTY FENCE WOOD FENCE Valuation: $ 1,000.00
nests: Ins
762-4949
pectionn Requests: e
HORIZONTAL 6FT
TO REPLACE FW -1-18-175 Total Sq Feet: 0.00
Fees Amount
Wire and Wood Fence Fee $250.00
Total: $250.00
Applicant Copy
Payments Date Paid Amt Paid
Total Fees 250.00
Credit Card 03/21/2019 $200.00
Credit Card 03/21/2019 $50.00
Amount Due: 0.00
For Inspections, Call (305) 762-4949 or Log on at haps://bldg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
September 30, 2019 Page 1 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30S) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
RCEIVED
MAR 21 2110.19
1'
FBC 201'
16
Master Permit No.
Sub Permit No. W 03 jaI-^b
50 ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF [:]CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Z -5D AA1 ! / 3y t' V":" t
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: //31010 k!(0o31 Is the Building Historically Designated: Yes NO -0X,
Occupancy Type: 4 i Load: Construction Type: Flood Zone: <— BFE: FFE:
OWNER: Name (Fee Simple Titleholder): (lv/d / e5' -4S Phone#: -Z3C -3r %A
Address:
City: State: Zip:
Tenant/Lessee//Name: Phone#:
Email: 4 4 -&'e' S A-7 • 411 a0 !:2 c Gd +--
CONTRACTOR: Company Name:
Address:
hone#:
City: State: Zip:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Phone#:
Certificate of;(;ompetency; #: " `+
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ L(W'JD Square/Linear Footage oflWork: Z"0
Type of Work: Addition Alteration New ElRepair/Replace Demolition
Description of Work: 1061'el//_wcc.-
Specify color of color thru tile:
Submittal Fee $ v •oo Permit Fee $
Scanning Fee $ Radon Fee $
2S-00-L)D
Technology Fee $ Training/Education Fee $
Structural Reviews $
Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) _
t`
Bonding Company's Address
City, State
Mortgage Lender's Name (if applicable) _
Mortgage Lender=s Address
Zip
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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
2 day of .Lh--I 20 by
hM 1pqxAb NFK15/n to
me or who has produced Z"'
as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: V
Print:
Seal:
APPROVED BY
Revised02/24/2014)
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:
F -M
r***s*r*s*s'*•******s**sssr**r******s**rs*•i**s*s*r*:**rr*r
Plans Examiner
Structural Review
Zoning
Clerk
RU=LIN
T=CH11014.0G" 5
Page 1 of 2 in order 83314
File number: 7938150295
Completed: 5/25/2016
Surveyed: 5/25/2016
Client: SUNBELT TITLE AGENCY - STATEWIDE SERVICE
Lender: PROSPECT MORTGAGE Fences Good Side Out, The vertical and horizontal
Buyer: VICTOR M. DE JESUS MELENDEZ supporting members of a fence shall face the
Seller: CITIBANK, N.A. AS TRUSTEE FOR PHHMC MORTGAGE interior of the plot on which the fence is located ; PASS-THROUGH CERTIFICATES, SERIES 2007-3 and the finished side shall face the adjoining
lot or any abutting right-of-way.
Premises: 150 NORTHWEST 99TH STREET , MIAMI SHORES, FLORIDA 33150 MIAMI-DADE
Description of encroachments, violations or other points of interest at the time of the inspection:
NONE VISIBLE
rev.0 5125/201.6}
TRUEUNE TECHNOLOGIES LLC: THE FOLLOWING PRODUCT I IAS BEEN COMPLETED BY'rHE STATE LICENSED LAND SURVEYING FIRM AS INDICATED ON THE FOLLOWING- PAGE. TRUELINE
TECHNOLOGIES LLC PROVIDES THE DIGITAL TRANSMISSION AND ARCHIVING OF THE PRODUCT, AND IS NOT INVOLVED IN ANY FACET OF THE TECHNICAL FIELD WORK PERFORMED AND MAKES
NO WARRANTIES AS TO THE ACCURACY OF SUCH WORK, ALL TRANSMISSIONS OF THE PRODUCT ARE VIA A SECURE 'SHA -T SECURE HASH MESSAGE DIGEST AUTHENTICATION CODE WITHIN ITS
SIGNATURE FILE. A MANUALLY SIGNED AND SEALED LOG OF THIS SURVEY'S SIGNATURE FILE IS KEPT ON FILE AT THE PERFORMING SURVEYORS OFFICE.
PRINTING PROCEDURES: BECAUSE THIS FILE HAS BEEN SENT ELECTRONICALLY, IT IS IMPERATIVE THAT THEPRINT SETTINGS BE CORRECT IN ORDER TO DEPICT AN ACCURATE
REPRESENTATION OF THIS DOCUMENT ON PAPER, INSTRUCTIONS: WHILE VIEWING TI 1E PRODUCT IN ADOBE READER, SELECT PRINT UNDER THE FILE. TAB. SELECT COLOR PRINTER, UNU::R
PRINT RANGE -SELECT ALI UNDER PAGE HANDLING, SELECT NONE FOR PAGE SCALING AND UNCHECK AUTO ROTATE AND CENTER. CHOOSE PAPER SOURCE BY PDF WE. CLICK PRINT..
rev.0 5125/201.6}
TRUEUNE TECHNOLOGIES LLC: THE FOLLOWING PRODUCT I IAS BEEN COMPLETED BY'rHE STATE LICENSED LAND SURVEYING FIRM AS INDICATED ON THE FOLLOWING- PAGE. TRUELINE
TECHNOLOGIES LLC PROVIDES THE DIGITAL TRANSMISSION AND ARCHIVING OF THE PRODUCT, AND IS NOT INVOLVED IN ANY FACET OF THE TECHNICAL FIELD WORK PERFORMED AND MAKES
NO WARRANTIES AS TO THE ACCURACY OF SUCH WORK, ALL TRANSMISSIONS OF THE PRODUCT ARE VIA A SECURE 'SHA -T SECURE HASH MESSAGE DIGEST AUTHENTICATION CODE WITHIN ITS
SIGNATURE FILE. A MANUALLY SIGNED AND SEALED LOG OF THIS SURVEY'S SIGNATURE FILE IS KEPT ON FILE AT THE PERFORMING SURVEYORS OFFICE.
PRINTING PROCEDURES: BECAUSE THIS FILE HAS BEEN SENT ELECTRONICALLY, IT IS IMPERATIVE THAT THEPRINT SETTINGS BE CORRECT IN ORDER TO DEPICT AN ACCURATE
REPRESENTATION OF THIS DOCUMENT ON PAPER, INSTRUCTIONS: WHILE VIEWING TI 1E PRODUCT IN ADOBE READER, SELECT PRINT UNDER THE FILE. TAB. SELECT COLOR PRINTER, UNU::R
PRINT RANGE -SELECT ALI UNDER PAGE HANDLING, SELECT NONE FOR PAGE SCALING AND UNCHECK AUTO ROTATE AND CENTER. CHOOSE PAPER SOURCE BY PDF WE. CLICK PRINT..
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BOUNDARY SURVEY
LEGAL DESCRIPTION:
LOT 12 AND THE EAST 25 FEET OF LOT 11, BLOCK 1 BONMAR PARK ACCORDING TO THE PLAT
THEREOF, AS RECORDED IN PLAT BOOK 17, PAGE 11 OF THE PUBLIC RECORDS OF MIAMI-
DADE COUNTY. FLORIDA.
FLOOD INFORMATION:
BY PERFORId'N0, A SEARCH `/ M-1 THr LOCAL GOVERNING MUNICIPALITY OR V'Jt^.•:+.FEAAA.GUV,
THE PROPER - APPEARS TO BE LOCATED IN ZONE X THIS PROPERTY WAS FOUND IN VILLAGE
OF MIAMI SHORES. COMMUNITY NUMBER 1255,-•52, DATED 41' 1/2W9.
Page 2 of 2
This survey i5 not full and Complete without the attached survey report, Page 1 of 2.
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so'NW 49W' st ,
im 98111 St~
i5:t:..R N'VEEST47'HSTREET h5.1,W SHORES, FLORDA3315D
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0' Platted Public Right -of -Way)
Asphalt Road) F inces Good Side Out. The vertic and horizontal
s pporting members of a fencomil-40e
i erior of the plot on which the enc t
d the finished side shall face the adjoining
I t or any abutting right-of-way. N
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THE UNDERSIGNED HER
SURVEY WHICH SHOWS ENCROACHMENTS AS
HIGHLIGHTED. I/WE FURTHER UNDERSTAND
THAT AN EXCEPTION WILL BE MADE ON OUR
FINAL OWNER'S POL11 Y.'
n ATc. a•
Drawn UY: NA. I Fite N001bet:iS.28S'Xe Aeurlilg Prvpenies Do -ds have NOT been Researched: Caps.
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Cone. OOE
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pO.L. -Poimm Urs
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PRM - Permanent Ret
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Funl Overharr,s, Underpreund UlilNJm and.4r F'ndlaR lova NOT
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been bated UNLnSS otherwise nomd.
FE.N.A - Fodural I:traapenuy pT -Peter or Tangency Soptb Tank. and;a DminR.ld locagone era oopiedkMe and MUST
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14
Gra hic Scale
tit)' 20' 40'
Scale: 1"=20'
lredaM & Asso6aies Survey ng, Inc.
1301 S. International Parkway Suite 2001
Lake Mary, Florida 32746
320.81
HORIZONTAL WOOD FENCE
150 NW 9 9TH STREET MIAMI SHORES, FL 33150
CEN•R r40:
p O
At.
July 27, 2016
FENCE DETAIL
4 "x4 "x 8' -0"L
Pressured
Treated Wood
Post
embedded JUL. 2 $ 2016
oilmto 10
diameter
concrete
footivg
i a '•
a a••••
000.9.
69 00
CEN•R r40:
p O
At.
July 27, 2016
FENCE DETAIL
4 "x4 "x 8' -0"L
Pressured
Treated Wood
Post
embedded JUL. 2 $ 2016
oilmto 10
diameter
concrete
footivg
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 adjoininglotoranyabuttingright-of-way,
212 _
0"x s (-o"x 57/8"
Pressured Treated
Wood Picket fastened
with two corrosiov>
o resistav>t fasteners per
cov> vLectioK
N
O
8 x 2 im
Phillips
Bugle -Head
Coarse Thread
Sharp Poivtt
Pot ymer Coated
Exterior Screws
OWNER: VICTOR M. DE JESUS DWG:
PROPERTY ADDRESS: 150 NW 99TH STREET MIAMI SHORES, FL 33150 1/1
OWNER BUILDER DISCLOSURE STATEMENT
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
NAME:_il tcr{u M - I S S l e ez DATE: 4 11 I Zal
ADDRESS: /5_ A"'O --)g t%, S11 -11 f GG 33/Si3
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 t
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 J 1) M
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 J L2
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 V crs/-,
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial 1)'05,,
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
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial V0.0`'x
i
4.,..1 .... w
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 1`
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 VL) , -
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 &: `n
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://www.myfloridalicense.com/dbpr/pro/cilb/index.html
Initial (/ /n
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:
P NW 9 714 P'koz " S S
Initial 0011-1
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 f D-3 A,,
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 91( day of 20
y who was personally known tome or who has
Produced there License or
C -
OWNER N
as
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