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FW-19-123Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 01/24/2019 Location Address Parcel Number 78 NW 99TH ST, Miami Shores, FL 33150 1131010330070 Contacts Permit NO.: FW-01-19-123 Permit Type: Fence/Wall Work Classification: PVC Permit Status: Approved Expiration: 07/16/2019 OSVALDO GOMEZ Owner 78 NW 99 ST, MIAMI SHORES, FL 33150 Home: 7862620901 OZZI E1633 @CO M CAST.N ET HOME OWNER Contractor - HOME OWNER Inspection Requests: Description: REMOVE PARTIAL CHAIN LINK FENCE, REPLACE Valuation: $ 1,000.00 305-e ti 4949 AND INSTALL NEW PVC WHITE WITH LATTICE TOP AND TWO 3'-4' GATES ON BOTH SIDES OF HOME Total Sq Feet: 0.00 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 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $2.50 Wire and Wood Fence Fee $50.00 Total: $156.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $156.30 Cash 01/24/2019 $156.30 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 regulating gRlIstruction and zoning. Futhermore, I authorize the ab vv named contractor toodd the work stated. Signature: Owner / Applicant / Contractor / Agent Date January 24, 2019 Page 2 of 2 RECEIVED ?` 01 Y BUILDING PERMIT APPLICATION 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 J N 1 2019 BY: l4 FBC 20 I-1 Master Permit No. 123 Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F—IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 146 N W G 6yfa City: Miami Shores County:_ Miami Dade Zip: 33150 Folio/Parcel#: (� ' , (� - 0 3 3 - 0 016 Is/t�he Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: V05 Flood Zone:_ BFE: FFE: OWNER: Name (Fee Simple Titlehholder): &A L D0 G 0A A FZ Phone#: 66 — ?, w — 09 o 1 Address: Q A wo q q 5T12ECr City: IAVyk 1 S R0P E5 State: — zip: 3 3 t 50 Tenant/Lessee Name: Phone#: Email: OZZ1�1633(� (1�(jlAi1L1+�7. I�E7 CONTRACTOR: Company Name: Address City 014 OwrJgr2 Phone#: te: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: _ DESIGNER: Architect/Engineer: ip: Address: City: State:pp��Zip: Value of Work for this Permit: $ ), coo Square/LinearF000tage of Work: (41D LF Type of Work: ElAddition ElAlteration New [rFRepair/Replace ❑ Demolition Description of Work: REMOVE, PAI.64(, 0,14ArIJ GEI C, RFPL466-: AND gN5TA_U_ IJF.W 0 V t wNstE WI L. ATr 10 (F TOP A�Jb 'rWo 3`-4` 6)AT,E-s. Oti 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 $ CO/CC $ DBPR $ 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." 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 low brochure will be delivered to the person whose property is subject to att ment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which Pccus seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be apprAef a9d a reinspection fee will be charged. Signa t7WNLH or A(YLN I The foregoing instrument was acknowledged before me this day of 20 _� by is personally kno n to me or who has produced `, as identification and who did take an oath. NOTARYAUBLIC: Signatu 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: Si MAHARAI K. GONZALEZ -1I Print: Seal: +.P` EXPIRES: November 2, 2020 I` Seal: •F�� � ;°.•' Bonded Thru Notary Public Underwriters ` as *************************************************************PlansExaminer*****************************************Zoning**** f i � CZ BY ` L �Z � Structural Review Clerk (Revised02/24/2014) 1/8/2019 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAiSER Summary Report Property Information Folio: 11-3101-033-0070 Property Address: 78 NW 99 ST Miami Shores, FL 33150-1741 Owner OSVALDO GOMEZ Mailing Address 78 NW 99 ST MIAMI SHORES, FL 33150 USA PA Primary Zone 0800 SG FAMILY- 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2 / 1 / 0 Floors 1 Living Units 1 Actual Area 1,177 Sq.Ft Living Area 1,149 Sq.Ft Adjusted Area 1,033 Sq.Ft Lot Size 7,650 Sq.Ft Year Built 1940 Assessment Information Year 2018 2017 Land Value $168,558 $168,558 $ Building Value $79,412 $74,293 q$1,200 XF Value $1,170 $11 1,185 Market Value $249,140 $244,036 $244,650 Assessed Value $210,931 $206,593 $202,344 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $38,209 $37,443 $42,306 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 6 PB 10-39 LOT 10 LESS E25FT & LOT 11 BLK 128 LOT SIZE 75.000 X 102 OR 19719-1499 06 2001 1 Generated On : 1/8/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $160,931 $156,593 $152,344 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $185,931 $181,593 $177,344 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $160,931 $156,593 $152,344 Regional Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $160,931 $156,593 $152,344 Sales Information Previous Sale Price OR Book -Page Qualification Description 08/28/2018 $446,500 31129-1328 Qual by exam of deed 02/09/2014 $297,500 29080-0153 Qual by exam of deed 06/29/2009 $253,500 26930-1105 Qual by exam of deed 07/01/2003 $225,000 21425-0047 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disciaimer.asp Version 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 Q NAME: D6vpabo 6ay.A DATE: ADDRESS: �-g kJ W -I q SMF_ ET IU W+,vLl 5 kov✓ cS I50 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 459.103(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 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 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 y 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 a ontracts. 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 occu cy. It y not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myse s sold ormaleased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or le hich violates the exemption. Initial- 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 orliing on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and b my or municipal ordinance. 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 an 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 employ 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 regulation Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the lntqfhel Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may c nt ct the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.htmi Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and unders a ds that I am the party legally and financially responsible for the proposed construction activity at the following address: 8 dU .Lk) Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of t ►+}�rmation that I have provided on this disclosure. r � 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 day of 0 n 20 19 By�`��� �l C CjQ,L who was personally known to me or who has Produced th6re NE ration. A SKETCH OF SURVEY LEGEND: - CENTER LINE _ �"`� FT a�ya d4irmeg cv W1 ovic ToP .. ,� 1 FENCE - IRON PIPE --- -------------------------------------------------- --- — 25L' • • • • • • • • • • • • R Y� �• ______..—___-- • i • • i PMtFt'F" PANEL'@" • • • • • • • PANEL'G" • • • •PaNEk.'C'• Ark.E'F.' • PfNEt'P' 3:0:Pst Vel ODNCPETE FWtfji IN WELL COM ArTED vCEL. TVP PANCLI DESCRIPTION A 646 Sr o PAX LAME TOP a OX85.6' CLOSED PKT TOP PANEL C 6M 5.5- OPEN PKT TOP PANEL D 8Xa S.S LATTICE TOP PANEL F fi a b 5' PRIVACY PANEL F 5Xb ES' PRNACV PANEL O 4X85.5P14NACY PANEL __ _-— _ I.Design 2017 Flonda Bo4ttog Code (FBC) Sec16562.fi. & ASCE "-10. POST PROFILE _..___ 'a � svrEtax �j WaxSspeed7Oeco ezemsuree..n, .. FANEi5PEG ..'.."`�.`. ....__. as,a>rdN I 2.&!stpr44ssGsFonce cottspanenta- FVf.- Adnwabls oerk4i+Tg stress»8:?0o psi minimum. ss.x Ma%........... ,--tare. 3. Poai are routed to accaat rats. Rags are ad notchod as shown 4. Lattice is produced ffrerm HOPE ....1x r 5. Provide Caps M all ezpmsed ends. r... (' 8. The fences and gates am not desigrgd for use 98 a bslmry rail or an any other elevated soe (i a � � E ..._. I saud;rral Wnis!'. 7. Rages are provided, all other hardware to be to the descration of the orstemer. t - at s MIN 8. Slaroundirg soil to be Wmidaicted to 50% Worrium density. 25M psf Mrrurnirn and Max shalt be classified or verif !d by m1hers prior to coottloado_ No ohAngas are allowed without wrihen authorization from the engineer. ! t D. C00488 of" drawing without an original signature and seal ,I the en ginev, are €nvow t 1. No lospecnon was made at this jansiaf and the design depicted heraat Is based upon RAILS PROFILES kr ` i data supplier by the contractor. Thisengineer is to not be tceW fiabfe or in any, way respomvb4e far the use of any Inaccurate mformabor supplled by others. The eootractm shelf 5aH varify all measurements and v+fmrmabon used in Utis design. before any Usages are made to CeM condition. fabrication and the insta8a8on m dte materials. i TYP GATE DETAIL at 1Pa144 of 10BEY3 � --.� .-.._... � --•. _ aL-'4fi 'r5%E t)v'a DFCOF% uxn} ]SX't J6Xro 53 PTE i MiITF .. - INFILL PROFILES u r :,. „f - — t r / __ya 1r; . t F.ra __t_. i I 4 i <, - :J ' ! a T C' I51� .�7i.� y s�% L I:)t or V/E.TP SSG APPROVED F 8�8�i101 8'a%aU4 a.HW115X1: r>%'C.`1k41R E _..._..—rW_--_"_"'{--I-oz .... Y:c.Ew-._...._, .._...�d j .... 1.. y i Y ,/i .,}�Tt 4lCNRa t }��_?� BPfe YEf 2 NUIE T'YS l �/,� � �\ HMM!^ F r58 , I ,SiM�• x,t cv!l;>x-5 vuR,sc- °? 9ARREFTE- _F_.._ .�i• _ ._ ../'_1 11.1" OLA$,ZIC CUM 'arT .w.r; •FTAGhD mRl ft s zsek•.. SGPFWS TOLEstANCES �::'' Outdoor Live I rk!o rLAS= WOOND LATTICE -'wRTE CwD K,E E PEf..!rGe AGa'YJ IM p4, �'� ��5� �+l ,rr� .a uwr urauTe-YEoeru». ..run. lv',JE �`v' v'L. wT-F.E Neas S"t/.LtA yr'EG. PP "XTE NeI mTER 4C.MYPoEE AN/ BPa[Mr ah._.. i� • T,s`a'TrYtK4E MY!• P r'.ENPEWseNCh,EPRrulet+Em. `___._ �._. S — RE� &t �xTE Hla LiS_Gi1k.N •