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FW-20-185Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 148 NW 96 ST, Miami Shores, FL 33150 1131010240290 Contacts 10SE CABANILLAS RODRIGUEZ Owner HOME OWNER Contractor 600 NE 36 ST APT 1917, MIAMI, FL 33187 HOME OWNER Home: 7867478191 CABASCASITA@GMAIL.COM �_..._ -� Inspection Requests: Description: INSTALL WOODEN FENCE ON TOP OF ORIGINAL Valuation: $ 350.00 CEMENT FENCE 305-762-4949 Total Scl Feet 6.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $3.00 DCA Fee $2.00 Education Surcharge $0.20 Planning and Zoning Review Fee $35.00 Scanning Fee $3.00 Structural Review ($45) $45.00 Technology Fee $5.00 Wire and Wood Fence Fee $150.00 Tota I : $293.80 Building Department Copy Payments Date Paid Amt Paid Total Fees $293.80 Credit Card 02/24/2020 $293.80 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 construction and zopirf§ TT hermore, I authorize the above named contractor to do the work stated. Authorized Signature. Owner ! Applicant / Contractor / Agent Date February 24, 2020 Page 2 of 2 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 BUILDING PERMIT APPLICATION N11UILDING ❑ ELECTRIC ❑ ROOFING ENT RED JAN 2 7 2020 FYI — FBC 201-+ Master Permit No.pc' 4 -I& - 1(),501 Sub Permit No. Fw - 2.0 �(�5 ❑ REVISION ❑ EXTENSION DRENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP 1r C NTRACTOR DRAWINGS JOB ADDRESS: k� �1 City: Miami Shores County: Miami Dade Zip: ? t O Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type OWNER: Na e I Address: City: Load: Construction Type: Flood Zone: BFE: FIFE: Fee Simple Titleholder): © ' °�� Phone#: & -� L(� Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: W ii 1 Y Phone#: Address: City: Qualifier Name: State Certification or Registration #: State: Zip: Phone#: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State:: Zip: Value of Work for this Permit: $ ��rj© Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration\,f\`.^,n, ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: lf` \ 0 L� Specify color of color thru We: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ - Notary $, Double Fee $ _ Bond $ (Revised02/24/2014) 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 f State Zip Zip s` ! 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." T 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 wfln-� ,,roan. ,...,, •.«. t.,...,..,. 1 .ti.'r:_d t,t, _ ..a o r,. ,.,,..,, ent a b .,,,r ..a eG ;,;':w� t., �:t" ty i3 3i: jest t- uttaCIH;.ciii. A,S-, a Cei -J— iopy aj cne r �.,v; sized iivii, c �j w,,,,,,ei�:.C�; —, �"-3, 2 p-Sl�a sit lie jUU siic 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 20 ri , by whoits personally known to p v me or who has produced ` �— ,-, (/{ 0,C �: Nr as identification and who did take an oath. NOTARY %RUBLIC: Sign: Print: -'> 1 i � ��11--= (��,_JL_�-'Y CONTRACTOR 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: SINDIA ALVAREZ Seal: :?' `` Seal: MY COMMISSION # GG 238273 EXPIRES: September 3, 2022 "•:Foc. ;°•' Bonded Thru Notary Public underwriters APPROVED BY Plans Examiner as ######################################### Zoning Structural Review Clerk (Revi sed02/24/2014) 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 NAME:-'\���'� "�'�� 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. Initialn_� 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 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 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 by county or municipal ordinance. Initial I 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 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"� 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.mVfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I 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: --- I 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. 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 �� , 20 a� - o�2��� By who was personally known to me or who has Produced there License or FL `w'f �� UCT-r :9t_ as identification. e�� •SIND f IA ALVAREZ OWNER NOTARY: MY COMMISSION# GG 238273 EXPIRES: September 3, 2022 l: FF���• Bonded rnti Mary Public Underwritdrs n_7 r�h Ig m 4 Horizontal Wood Slats, on four fence openings — 5 1/2" x 1' Wide x 72"Long, 3 Horizontal Wood Slats, on 8 fence openings -- 2 3/4" x 1" Wide x 72" Lon Use 3" screws to hold slats to the frame. Frame- material wood- 3%"x 1 %x- Wide x 72"Lang Upper and bottom frame 69" Use screws to hold frame to existing fence/ Every 5 to 6 inches. Paint — Mack Color 0 rnrry V qIk 2019 FRONT FENCE DESIGN — Address: 148 NW 96`t' St Miami Shores, Miami I-L 33150 Jose I;. Cabanillas • ...It,.,•,, —t a�w•_.. ,, ..... _.may, •••.. • • • •• _ • • 13 Horizontal Wood Slats — 1 %2 Wide x 72" long Use 3" screws to hold slats to the frame. Frame- material wood- 4 "x I %2- Sides frame 24 '/2" height and middle dame 23'/2" height Up and bottom frame 69" Use screws to hold frame to existing fence/ Every 5 to 6 inches. Paint — Black Color PINNY ELE 5 u R v El Y I N G 148 NW 96TH STREET, MIAMI SHORES, FL. 33150 J AERIAL PHOTOGRAPH SOT-TDSCAIa SCALP'=27 LEGEND: AC .w0omn1101Bt AI-AW11019N Ira 44au1® OE 0VAWEEASBBIT 04 ,I[A m PAR PWOFSEGIN P.O.0 4UVT0FC0MW9A 6 PA AAT9OOK P.O AIfF PRE-PIHCURIR'&QAffR R ,1M= m 4ELOPD UE 4MII BU80A KIY 4lRnRW4R FF 4►MROM ORH-QfM.R19MW9= RA! -BEYAROR _ 4VACE 9 Atom A&FfWT CORCRIM 49vewn 4low {71 116HTU.EP i a1fi1 4fAuMIC twIRLAE -CAMIRASN 41RERMWK �FCEE aEVATION POINT OF INTERSECTION I AL = 39.39 R=25.W a ` A=sort7w g II FOUND 112' IRON PIPE I I I FOUND NAIL I AND DISC 1 2' 16 ASPHALT ROADWAY _ SHORELAND BOULEVARD (PLAT) NW 96TH STREET (FIELD) 16' ASPHALT ROADWAY - - — WRIGHT-OF-WAY MEDIAN FOUND NAIL AND DISC fulLiz LOT 10 STEPS BLOCK 5 30Z i CBS WALL 25.3' CBS WALL fl_ � RED co CONHi® ! 1118 9.7 0 10.6 92 s 20Z b b 23.9'21-9 i m o 10.5 �� CONEAEO —'- CONS i w � 0 � czj POOL o POOL m w r1111� � V = LL O OUND 117 ION PIPE FOUND tt7 IRON PIPE 75 OD' (R� —uul-s-or • PFlIRIW16 •••••• WEST T" • • BLOCK 5 (INCL"V • • • FENCE REMAINDER OF LOT 9 BLOCK 5 ( NOT NIXLMED) FENCE \_F-OUND 117 0.1,W IRON PIPE 9tACK5 LOT 11 0.0N E 3'�IUr- • •BLOOK • COWR AT►OT8 BLOC( 5 • • LOTS BLOCK 5 LEGAL DESCRIPTION: CERTW ED TO: THE WEST 1T2 OF LOT 9 AND LOT 10, BLOCK 5, BOWMAN PARK. ACCORDING TO THE PLAT JOSE CABAN LLAS THE WA'LAPPEARM ON TM OOCIMNF THEREOF, RECORDED IN PLAT BOOK 17, PAGE 11. OF THE PUBLIC RECORDS OF MAM WAS AUMOPM 9Y DADE COUtM FLORIDA FLOOD ZONE: 12085CO302L CLYDE O. MCNEAI,L ZONE x PSM 2883 EFF: 09111/2009 ON1MV19W..-':• xf