FW-18-3494Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
1055 NE 105TH ST, Miami Shores, FL 33138 1122320280810
Contacts
Permit NO.: FW -1,1-18-3494
Permit Type: Fence/Wel!
Work,Ciassificatton: Wood Fence
Permit Status: Approved
Expiration: 05/20/2019
HOME OWNER Owner HOME OWNER Contractor
HOME OWNER HOME OWNER
Description: REPLACE OLD FENCE WITH HORIZONTAL WOODEN Valuation: $ 3,000.00
Inspection Requests:
3U5-752 494FENCEASSPECIFIEDONSURVEY. TOTAL FENCE LENGTH IS 125
LINEAR FEET 6FEET HEIGHT Total Scl Feet: 0.00
Fees Amount
Application Fee - Other 50.00
CCF 1.80
DBPR Fee 2.00
DCA Fee 2.00
Education Surcharge 0.60
Notary Fee 5.00
Planning and Zoning Review Fee 35.00
Scanning Fee 9.00
Technology Fee 3.13
Wire and Wood Fence Fee 75.00
Total: 183.53
Payments Date Paid Amt Paid
Total Fees 183.53
Credit Card 11/26/2018 $183.53
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.
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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
nature: Owner Applicant / Contractor / Agent Date
November 26, 2018 Page 2 of 2
Miami Shores VillageF1''
Buildin De artment
oV208 I
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30S) 795-2204 Fax: (305) 7S6-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F
rB,
I
C 20
BUILDING Master Permit No. -ice W I U ,1_j - I-I 4
PERMIT APPLICATION Sub Permit No.
OBUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING [:]MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1055 NE 105th St
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11 -2232-028-0810
Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: X BFE: FFE:
OWNER: Name (Fee Simple Titleholder . Phone#: 301 461 9823
Address: 1055 NE 105th St
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email: nik.jathar@gmail.com
CONTRACTOR: Company Name: Owner 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: $ 3,000 Square/Linear Footage of Work: 125 linear feet
Type of Work: Addition Alteration New Q Repair/Replace Demolition
Description of Work: 1) Replace old fence with horizontal wooden fence as specified on survey. Total fence length is 125 linear feet,
6 feet height
Specify color of color thru tile: _
Submittal Fee $ Permit Fee $ ' !S CCF $ 1-50 CO/CC $
Scanning Fee $ 1 Radon Fee $ - •
0a /
D BPR $ Z
p
Notary $ 5
Technology Fee $ - 3 Training/Education Fee $
h . Go Double Fee $
Structural Reviews $ Bond $
p
S
as TOTAL FEE NOW DUE $
Revised02/24/2014)
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 Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 1 L , 20 J Q by
who is personally known to
me or who has proAed ( iii UIUF— U N,SD;s
identification andhd1did take an oath.
NOTARY PUBLIC:
Print:
Seal
SINDW ALVAREZ
W COMMISSION # GG 238273
eptember 3, 2022
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as
edfs R•' Bo dedilw
APPROVED BY Plans Examiner i! 2p Zoning
Structural Review Clerk
ff'1
Revised02/24/2014) i c l 2 14 Pv PLW C u v rtkS
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: 041— w— _..)A -T I4Ag DATE: i M I
ADDRESS: IDS -S, N l_ I O&T14 ST M I A M I g"m,6 S FL -33139'
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 licensesrequired 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
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 / "O
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
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 bycounty or municipal ordinance.
Initial A)
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 1 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 ^
IS
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.htmi
Initial r1
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:
i0S5 aC- 10gnu ST IAiAMi sf-F i s, Ft- 3313
Initial / W
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 Y
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 Cl
By
Produced there License or
OWNER
day of t "U ,
20 I e
who was personally known to me or who has
as identification.
NOTARY '•
SINDIA ALVAM
a.• My COMMISSION # GG 238273
BMW
EX PIRES: September 3., 2
y022W
1055 N.E. 105 Street
Miomi Shores, Florida
1 -31 H
Miami Shc:res Village
ppNa
BLDG DEPT
ftSU1f0CENTHALLFEU
STATE ANO CCUN'i RULES AND REGULATIONS
gth:
trsh
Ve •
120
Nm a +/2 •
sq ft
Trash area:
oQ I e
emoo—
PERMIT #:-W 1 -31 H
Miami Shc:res Village
ZONING DEPT
BLDG DEPT
ftSU1f0CENTHALLFEU
STATE ANO CCUN'i RULES AND REGULATIONS
5
feet height
Lgggl es rr•pt io n 16 ft length X
Lo ti0. Block 5 of MMIAMI SHORES ESTATES, occordin9 the the plat thereof, as records =
in Plat Book 47, Paque 58 of the,• 11;,.Risc ita. 7.5 ft Width
30FFpencesGoodSideOut. The vertical and horizontal
eri120
sq ft
supporting members of a fence shall face the
interior of the plot on which the fence is to it hedge
Surve &kld dtK07Mbshed side shall face the adj u"r'rrl yin place
Gate
Re°i5 nloirorlafiTAbutting right-of-way. 2) Fence
Length:
Notional Flood Insurance Certified to: 13 linear feet,
Community Ponel: 12086 C 0306 L Nokul Jathar
6 feet heightFloodZone: AE Law Office of Rafael de Araujo
Base Flood Elevation: 8• Old Republic National Title Insurance Company
Firm Date: 09/11/2009 American Internet Mortgage, Inc. ISAOA/ATIMA H,
This is aY oundary survey. Np
irm,
ro +/2 Pros
D
Legal description used for this survey was provided by others.
4
This Survey has been prepared for the exclusive use of the entities named hereon and do not extend to any u,nd
No title policy, title commitment, abstract, or certificate of title was available; therefore easements and other rat
record may not be reflected in this survey. Obtain current title work and verify easements before constructs
Bearings, if any, shown hereon ore based on Plot Book 101, Page 31 Broword County, , Florida.
All dimensions and directions shown hereon are in substantial agreement with recordvalues unless otherwise no ed
Due to varying construction standards, house dimensions are approximate.
All ties to property line ore perpendicular to it, unless otherwise noted.
In oil cases dimensions shall control location over scaled positions. — – –
Elevations, if shown, are based of NAVD 88. /
Benchmark No. Elevation: feet, located at /
This survey does not determine or imply ownership.
Underground improvements and utilities were not located.
8Notvalidwithoutthesignature & raised seal of a Florida licensed surveyor and mapper.
I HEREBY CERTIFY THAT THE SURVEY REPRESENTED HEREON. AS RECENTLY SURVEYED AND
DRAWN UNDER MY SUPERVISION, MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH
IN CHAPTER 61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE FOR THE BOARD OF PROFESSIONAL
SURVEYORS AND MAPPERS PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUES.
No part of this drawing may be ^+^^^pying, recording or by any other means, or stored, rW.2sed or fro srcon•' -- "(t rrt )`'- -'-tems n Dermission of R. Minquell Land Surveyors. apses of s pan w, ou
sig `•`.D Alf trt )ol an
4 Pa5E Nt;;;,%,Gitle
e A.< : R. Minguell, Inc.
No. 6402 /
tend Surveyors & Piano—
STATE
lanners
m
L.e.7z 2
STATE OF :+ 954-2-392-
65
FlORIOA p Faz 954-392-6080
AieL d S MIY., Minguell•belleouth.nat
ReRietered Land Surveyor & Ma Per 2641 aloulvideo Aoenue
tt„tt`
No, 6402, State of Pl.A” Cooper City, Florida 33020
1LLLLLI
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IL
Single Story
Residence
1055 N.E. 105 Street
Miami Shores, Fonda
2279.1 Sq.ft.t
1 z prosa
104.7T • ~
d parties. • • • •
S ofrovemen_/t777 L__ • • • • • .
Horizontal board on board wood fence total measurement:
1) 27 feet length +
d in or by 2) 13 feet length +
original 3) 25 feet length +
4) 60 feet length
125 linear feet total
Fence is 6 feet height throughout with posts embedded into
concrete footing every 4 feet
Q•i
8 foot tall hedge
currently in place in
front of fence, so the
fence will not be
visible from the street
linear feet
feet height
p
gth:
Ve •
Nm a +/2 •
oQ I 4 e
emoo—
I
Shadow Box
ertical Picket
IJ' Board on Board
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.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
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
1 x pickets fastened
with two corrosion
resistant fasteners per
connection
No%s!rtl;a4 tWb fasterers:n any connection
Revised 10/14/2016AS
horizontal
ssure treated
A members
i two corrosion
stant fasteners
connection