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'
•
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PMtFt'F" PANEL'@" • •
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PfNEt'P'
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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
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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 —
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