FW-19-1809Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 08/15/2019
Location Address Parcel Number
85 NW 103RD ST, Miami Shores, FL 33150 1121360131080
Contacts
Permit NO.: FW-08-19-1809
Permit Type: Fence/Wall
Work Clossification: PVC
Permit Status: Approved
Expiration: 02/11/2020
DM Investement Services LLC Owner HOME OWNER Contractor
85 103 HOME OWNER
Description: PVC FENCE AROUND BACKYARD Valuation: $ 1,500.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$5.09
DCA Fee
$3.39
Education Surcharge
$0.40
Notary Fee
$5.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$8.48
Wire and Wood Fence Fee
$289.00
Total:
$406.56
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$406.56
Credit Card
08/15/2019 $406.56
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 IT F DA : I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
reguIajjn§Vnjd zoning. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
Date
August 15, 2019 Page 2 of 2
A Miami Shores Village c 'LV
IJA
�`� 7AUG 0 6 019
.1o�� ,�'� Building Department �v►� -
�Av 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B '
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 n
BUILDING Master Permit No. TW _08_ �9-1801
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �86 /U&,) 103 rd 51t�e-`ee-t
City: Miami Shores County: Miami Dade Zip:/Sbv
Folio/Parcel#: 11- � 13 &- 0/ 3 — 1040 Is the Building Historically Designated: Yes NO f�
Occupancy Type: W Load: Construction Type: Otnr Flood Zone: BFE: I FFE:
OWNER: Name (Fee Simple Titleholder): V .FviWSTwgej ��VlCeys Ll_(� Phone#: =7
Address: `;1_21 SfL) / 2T% f' P7/e-v7Ll e
/
City: 1..:: yl -%cy� 0-r State: /e--�'/Z t cT �� Zip: -3 302 3
Tenant/Lessee Name:
Email
Phone#:
CONTRACTOR: Company Name: env-,'e- t /We /Z Phone#:
Address:
City:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Zip:
Certificate of Competency #: _
Phone#:
State: Zip:
Value of Work for this Permit: $ /!SOO Square/Linear Footage of Work: 33
Type of Work: MR
Y Addition ❑ Alteration New ❑ Repair/Replace , / ❑ Demolition
Description of Work: �� ��� C"-r�dZl�� 7 .� �� CC4 .
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ 4 V 6, S b
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 reinspection fee will be charged.
Signature Signature
O NER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
,30rt day of iJ 20 by
ez ►MILS who is personally known to
me or who has produced LC# 55232-0 -VP
identification and who did take an oath.
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
c
Sign: Sign:
Print: C7 l v`e Print:
Seal: Ao copn000191011 Seal:
« " ExpMlss: MnWy 28.20
Wed hu Aaron Not>uy
APPROVED BY Plans Examiner U Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
^ti
Summary Report
Property Information
Folio:
11-2136-013-1080
Property Address:
85 NW 103 ST
Miami Shores, FL 33150-1233
Owner
DM INVESTMENT SERVICES LLC
Mailing Address
5171 SW 170 AVE
MIRAMAR, FL 33027 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
1,919 Sq.Ft
Lot Size
12,858.8 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2019
2018
2017
Land Value
$290,162
$276,690
$276,690
Building Value
$1,274
$1,274
$127,396
XF Value
$449
$449
$449
Market Value
$291,885
$278,413
$404,535
Assessed Value
$291,885
$278,413
$264,568
Benefits Information
Benefit
Type
20191
20181
2017
Non -Homestead Cap
Assessment Reduction
I
I$139,967
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 5 PB 10-47
LOT 15 & 16 BLK 124
LOT SIZE 105.400 X 122
OR 12746-1065 1285 1
Generated On : 8/6/2019
Taxable Value Information
2019
2018
2017
County
Exemption Value
$0
$0
$0
Taxable Value
$291,885
$278,413
$264,568
School Board
Exemption Value
$0
$0
$0
Taxable Value
$291,885
$278,413
$404,535
City
Exemption Value
$0
$0
$0
Taxable Value
$291,885
$278,413
$264,568
Regional
Exemption Value
$0
$0
$0
Taxable Value
$291,885
$278,413
$264,568
Sales Information
Previous
Sale
Price
OR Book-
Page
Qualification Description
07/26/2017
$310,000
30632-2922
Qual by exam of deed
07/19/2017
$190,000
30624-1545
Atypical exposure to market; atypical
motivation
12/01/1985
1 $72,500
12746-1065
1 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 hftp://www.miamidade.gov/info/disclaimer.asp
Version
https://www8.miamidade.gov/Apps/PA/propertysearch/ 8/6/2019
V-
i
191-3 A ' •1011W:I
RAILS PROFILES
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5.47 0.08 a
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61109144
1,75X5.47X70 DECO EXTR WHITE
PANEL SPEC POST STIFFENER
94" LENGTH
6005-TS15081-T8
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,
\ SECTION A -A
- - - - - - - SCALE 1:4
1.39 1.48
.75 � F---- 70.00
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INFILL PROFILES
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47
71.
V WIDE - 5.5 RAIL PANEL FAMILY
DESCRIPTION
6X6 5.5" 3 RAIL LATTICE TOP
6X6 5.5" CLOSED PKT TOP PANEL
6X6 5.5" OPEN PKT TOP PANEL
6X6 5.5" LATTICE TOP PANEL
6X6 5.5" PRIVACY PANEL
5X6 5.5" PRIVACY PANEL
4X6 5.5" PRIVACY PANEL
bCR Cf%^L my 1 CS- 0so..,
1. Design: 2017 Florida Building Code (FBC) Seel 616.2.1, & ASCE 7-10. • ;
Wind speed 75 MPH exposure C (115MPH 3-SEC GUST). •
2. Materials: Fence components - PVC - Allowable bending stress = 6200 psi mininh% •
3. Post are routed to accept rails. Rails are all notched as shown
4. Lattice is produced from HDPE
5. Provide caps on all exposed ends.
6. The fences and gates are not designed for use as a balcony rail or on any other elevated
structural barrier.
7. Hinges are provided, all other hardware to be to the descretion of the customer.
8. Surrounding soil to be compacted to 98% optimum density, 2500 psf minimum and
shall be classified or verified by others prior to construction.
9. No changes are allowed without written authorization from the engineer.
10. Copies of this drawing without an original signature and seal of the engineer are invalid.
11. No Inspection was made at this jobsite and the design depicted herein is based upon
data supplier by the contractor. This engineer is to not be held liable or in any way
responsible for the use of any inaccurate information supplied by others. The contractor
shall field verify all measurements and Information used in this design before any changes
are made to field condition, fabrication and the Installation of the materials.
to
3.47 3.99
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4.23 2.69
HEAVY DUTY HINGE PAIR BLACK
ATTACHED WITH 12 - 5.5X38mm SCREW
PER HINGE
APPROVED JUN 0 3 2018
2 JS 51162016 NA CREATED AS "SA' FOR THE OPTION WITH REINFORCED
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RICHARD BOYETTE FL P.E. •42466
4031 COCONUT BLVD.
ROYAL PALM BEACH, FL 33411
PHONE:(561) ?WS766
TOLERANCES 8aarAaW6 BARREM
Outdoor Living
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THE INFORMATION CONTAINED IN THIS DRAWING IS PROTECTED BY COPYRIGHT AND
PATENT LAWS OF THE UNITED STATES AND OTHER COUNTRIES. ANY REPRODUCTION
IN PART OR AS A WHOLE WITHOUT WRITTEN PERMISSION IS PROHIBITED.
1 JS 8/17/2016 I NA I REMOVED POST DETA& AND WIND SPEED FROM NOTES,
REMOVED POST REINFORCEMENT
EV I BY I DATE I PCR DESCRIPTION
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f7fXER1MSE 6PEdRED WEIDM: 1l1.,0 2
2019 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT
DOCUMENT# L12000022996
Entity Name: DM INVESTMENT SERVICES LLC
Current Principal Place of Business:
5171 SW 170TH AVE.
MIRAMAR, FL 33027
Current Mailing Address:
5171 SW 170TH AVE.
MIRAMAR, FL 33027
FEI Number: 45-4576851
Name and Address of Current Registered Agent:
JIMENEZ, HEYDY
5171 SW 170 AVE.
MIRAMAR, FL 33027 US
FILED
Mar 30, 2019
Secretary of State
5069537352CC
Certificate of Status Desired: No
The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE:
Electronic Signature of Registered Agent Date
Authorized Person(s) Detail
Title MGR
Name JIMENEZ, HEYDY
Address 5171 SW 170 AVE.
City -State -Zip: MIRAMAR FL 33027
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and
that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: HEYDY JIMENEZ MANAGER 03/30/2019
Electronic Signature of Signing Authorized Person(s) Detail Date
15. A! i
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BOUNDARY SURVEY
0
ITINSDUMONS
A i ANFI 4 JPVFViN . ('17MPANY
14612 0M 62ND •T. MIAMI FL 33175
SURVEYOR NOTES
PROPERTYAOOIESS: 85 NV 103RD ST, MIAMI
SHIRES, FL33150
UNM DESCJ✓UPi I
LOT 15 AND 16, BUCK 124, AMENDED PLAT OF
SECTION No 5, OF MIAMI SHORES, A
SUBDIVISION ACCORDING TO THE PLAT THEREOF
RECORDED AT PLAT BOOK 10, PAGE 47, IN THE
PUBLIC OR RECDS OF MIAMI-BADE COUNTY,
FLORIDA.
SUBJECT TO EASEMENTS,RESTRICTIONS AND
RESERVATIONS,
LEGAL NOTES,
BEARING BASE ON AN ASSUMED MERIDIAN DUE
N 89'22'39' V ALONG THE SOUTHERLY LINE OF
SAID PROPERTY, DEFINED BY THE TWO FOUND
IRON PIPES.
EXAMINATION OF THE ABSTRACT OF TITLE WILL
HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THE
PROPERTY.
LEGAL DESCRIPTIONS PROVIDED BY CLIENT.
UNDERGROUND ENCROACHMENTS, IF ANY, ARE NO
SHOWN.
THIS FIRM HAS NOT ATTEMPTED TO LOCATE
FOOTING AND/OUR FOUNDATIONS AND/OR
UNDERGROUND IMPROVEMENTS OF ANY NATURE.
THIS SURVEY IS NOT INTENDED FOR NEITHER
DESIGN NOR CONSTRUCTION PURPOSES, FOR
THOSE PURPOSES A TOPOGRAPHIC SURVEY IS
REOUIRED
FENCE OWNERSHIP NOT DETERMINED
CERTIFY TO JLFLIAN 11 LLC.
------1-------------------------
PAUL
LAND SURVEYOR AND MAPPER No. 6942, LB
8029.
STATE OF FLORIDA
14612 S.V. 52nd STREET MIAMI, FLORIDA 33175
PHONE- 786-975-8588
NOT VALID WITHOUT THE SIGNATURE AND THE
ELECTRONIC
SEAL OF A FLORIDA LICENSED SURVEYOR AND
MAPPER
SCALE
SHEET NUMBER
1 "=20'
FIELD JOB DATE
Ay8.29 2017
FILE E
i3 w in ST emuUr swaEs R i]130
_ _ _'EC 1 O CGNTIJSf CE WI FH ALL. F U \) • : •: : •
•
'TATtANL,c,c1.JN„yHt,L-:SAr10REGULATIO!vS .•• •• •.
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
i
NAME: • rInE� DATE:
ADDRESS:
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_
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.
i
Initial
� I understAd what, as the owner -builder, I must provide direct, onsite supervision of the construction,
Initial_
:^ �6. 1 understand that 1-may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It
is my responsibilittto ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Z� 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 /7�-J
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 17C�
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.myfloridaIicense.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:
as IV W I U3,", Z'
1\4 i twi S`V�oi-cS L , 33 (SO Initial_
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. bib
Initial
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 urr , 20
By JA H,.Jvl AiVINAVZwho was personally known to me or who has
`
Produced there Lice or
OWNER
-