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FW-11-21-2863 �� � � � � ��� � � ��1 � � �� � ��� i� � � � � � �� � r"`"���,�`� ����� t � � �\� � L � .. � � , � ��� � � � ;. '�6 � � d`� • '. � �l � � � � ' �, ' �� MfamE Sh�r�s Vill��� � ��� z � � �,��' � ��` �"°�.R , � � � �0050 NE 2 kve � L � �,"`�� � � "` � ���� �� �� � � � � ,ti � ��� e '-�� �iami Shores FL 33�38 �"������� � � �b ., � 1 \\\ � � ' � 1 \? \ l� � � w � 3Q5-795-22Q4 � � \ � � � `� ����"��'� � �� �� � � � � Z �,� �� �� �'"q��ts;- � # ' �A ��` � ... ,i. �, °��CR�1t}�, o � . .... ��� ,,. � ��, ��������������,� ���������,: o���.s/zoza ,� , ,. < E��c�tion�ddre�s P�rc�l Piumb�r ��.��.�m. ����.�� ��n�...� ._....._......ma.M._�F�..�.�__�y..�����.e.� m� �e.,. ..� we,.� �.,... .���_�,.������n�a. _.._ _LL_���mww�_�.�. v.._. , : 7f�tVlN 96T'M ST,E1Fliami Shor�s, ��-33I5� 113�01Q33fl520 t . . . . . . . .. . . . . . .- .. ��tt��C�S ' Christian Solana Owreer MQME OWNER Ccrntract�r € 7Q 96 Nt1ME tJWIVER � � ._� r.�.m,�_.._.r..�,�w�._m�.�,..�__.�....,.,,.m.__..�_�_n�_��.__M�......�. �....._�......._..,._..,....._....,._..,..�n.m__.�_.w.,,�N.w,.,..._._.__.._.�,.._. :.,._..,.,._. n.n..__.._._...n�._..�.._._�.�_...��.,,m.._.w�...._....__,.�_..._..__., Ins �et�on Re u�sts � �escriptior�:replace existing woodJchainlink fence to waod �� Valuaiion: $4,SOO.Q� �������� '�"""'��" s = ftEPLAC�D FW-01-21-22 = � � .. ':-:. �� , \ � � �� Tc�tal Sq Feet: Q,QA � ���" �...,; ��, � �..� .. � Fe�s A�°t�unt Payments Uat�P�id Am�Paid 50%ft�newal Fee $259.5� TOtal Fe85 $159.5f7 Credit Card 22/15f 2021 $1�ga�p Tata R: $159.5Q Am�unt(Ju�; $O,OQ C11� It1 4 � y In cc�nsideration �f the issu�ne� to me o�Ehis permit, f �gree Eo perform the work couered her�under in complianc�wifh a(( ordinances and eegulatians pe�fiaining ther�to and in �trict canformity with th� plar�s, drawings, statements or specific�tions submitted to the prop�r authorities af tVliami Shore� ViElage. In acc�pting this p�rmit I assume r�spon�ik�ility for all work done by eith�r myself, my agent, servants, ar employes. i understand that�eparate permits ar�required for EI.EGTf21GAl�, P�UfU��lNG,NIECHANI�AL,WIN�OWS, L�C}Qf2S, F200FING and SWIMMfNG RQC}L v�rork. C3WN��S AFFEE}AVIT: I certify thaF �II the for�going infarmation is accurate and that ali wark will be done in c�mpliance with aII appiic�ble laws r�gulat;ng�ans ar�d z�ning. Fufh�rmore, I authoriz�the above named contractor ta do th�wark&tated. �� �� � r � AuEhoeiz�d Sign�ture:Qwn�r 1 AppIlG�nt i �ontr�ctar l Ag�nt ��t� Rlovemb�r 25,2021 P�g�2 of 2 ia � F�c�r� s illa e � � � ��.��� ` uil ir� �p�rtme�t � ,� , : . t �� � �� �� ; ,��c �. � � 1005�N.E.2nd Avenue, Miami Shares, Florida 33538 �Yp � � re�:��a�)�g�-22a�Fax:(3os}��s-s��2 ����.����.�.�.��� ��(��� � INSPECTIQN IINE RHONE NUMBE�t:(3A5)762-4949 � ��ls.� ����.�� � �;°��� �������� Master Permit No. �����,���°�""""" �� PEF'�I�/11T APPL.ICAT1(JN sut��ermit No. ��������� ❑ ��Ec-r�e� ❑ �oc��E�� � �Evoso�� � Ex-r�Ns�a� � ����w�� ❑��uMa��v� ❑ n��cMa��ca� O��B�icwo��cs � c�a��� oF ❑ c��c����-ra�� � sNOP CONTRACTOft �RAWItVGS 1Q�ADDRESS; ��� � � � � �� Citv. Miami Shores Countv= Miami Dade Zi�: �� � �� �� FatiaJRaecef#: �� �"` � E � � `°� �;`�"" � � � � Is the Bu�tding Historically Oesignated:Yes NO � Qecupaney Type: �oad: Constructian Type: Flaod Zcrne: �FE: FFE: L &��1�� ow��R:rv�m�tF��s��,�i�-r�ti�noide��: �i� ���.. ��������� ��.-���:��� Pno�,�#: ~�` �6 `� ���� �` �� � �" ��a��ss: ���' � � ��:.� <S �� �.,���-. City:_� �,.•'�`�°'�.,� � �"�"�Y`�.� State: � � Zip: � .� �c�s � Tenant/Lessee Name: � Phane#: �maiE; �'s� �, t,�� � � � ,t�1. c� c� t��C ,� � � �r� � . �C�IVTFtACTOR:Compar�y Name: �� �.-�' �'� Phone#: Addr�ss: �� �� �� ;� � � Ci�y= ���c�..->r .� � � -,�, 1 state; Zip: � � � �� C2,ualifier Name: Phone#: 5tate Certification ar Registration#: Certificate af Campetency#: �ESEGNER:Architectf Engineer: Phc�ne#: Address� City: S�ate: Zip: tl�Eue af Wark for this Permit:$ � � � � � Sq€aar�f E.inear Foc�tage of Work: f� Typ�crf Wor�C: ❑ Addition [� Alteration ❑ New ❑ Repairf Replace ❑ Demolition �Jescr�ption o€Work; �� `� � � � �- �,��� `� � � �:�3� G� / C.--� �� � � �'t �- �f' ��- "'�C� ��� �`E � Specify c�lor o,f co/or thru tile: Submittal Fee$ Permit Fee$ CC�$ COjCC$ Seannin�Fee$ Radon Fee$ DBFR$ Notary$ Teehnology Fee$ Training/Edueation Fee$ Double�ee$ Sfiructural Rev�ews$ �ond� TQTAI FEE NOW[�UE$ � �� � �r� (RevisedQ2f 24�2Q14j �onding Campany's Name(if appiicable) Bonding Company's Address _ City St�te Zip Moriga�e Lender's Name(if applicable} Mortgage Lender's,4ddress Gity State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no wark or installatian has cc�mmer�ced prior to th� issuance of a permit and that a!I work will be perfiormed to m�et the standards of all laws regulatir�g eonstruc�ion in this jurisdiction. 1 understand that a separate permit must be secured far E(.fCTRIC, PLUMBING, SIGNS, PQULS, FURNACES, BOILERS, NEATERS,TANKS,A!R Ct}�IDITfONERS, ETC..... OWNE�'S ,�FFtE?�tVIT: I certify that ail Che fe�r�going information is aeeurate and that all work will be dc�r�e in camplianee wifih all applicabie(aws regulating constructian and zaning. "WARRIING TO QWMER: YC}UR FAILURE TO RECQRD A NOTICE OF G�MMENCEMEIVT MAY RESE�LT IkV Y�lJR PA�YI�C� �"V4l��E FOR ��lPR�ldE6�ENTS TC� Y�l�R RROPERTY. IF YC�!! INTE4V�3 Tt3 C)BTAIN FINANCINt�, CC7NSULT WITH YQUR CENDER QR AN ATTQRNEY �EFQRE RECQRQING YQUR NOTICE OF CQMMENGE�1lIENT." Notice to Appliccrnt: As a c€�r�dition to the issuance of a buitding p�rmit wit£� an estimated vatue�xceeding$25t�t?, the appticcant must promise in good faith that a copy of the natiee of commencemer�t and eonstructran lien tawr brochure wf(1 be detivered ta tiae person wt�ase property is subjeet to attachment. ,4lso,a certrfied copy of the reee�rded notice of earrrmencement must be posted at the job site for the frrst inspection which occurs seuen (7J days after the bui(ding permit is issued. ln the absence of such posted notiee, the inspection witt not be ap�araved and a reinspection fee witl be charged. .� Signature �v f. Signature OWNER ar AGENT CC�NTRACTOR Tt�e faregoing instrument was acknowledged be#ore me this Th�foregaing instrument was acknawl�dged before me this a�y o� � �`� zo �-� , �y d�y of ,�o , �y °� ��1� �°�ho is personally known to who is personally known to rne or who has produced �"� � �`�� as me or wha t�as praduced as identification and who did take an oath. idenfiification and wha did take an oath. N�TARY FUBLIC: �� PICiTARY PUBIIC: � � �� Sign: �� "�., Si�n: �� ���,�954� Print; � '''�+.?"` 5�4� Print: .' .',�:+ �� Seal: ;�:, 'Qs �XPtR%��Y bsiound�n�i�� Seal. .,��� ��s�: �,�,nded Chn� �o� �*�*a*��+*��**�*�**�x****�*»:***��**����x�*�*���s�*a*�**���:����x��**�*��****�*�*���z�����*������c�:******�*����*�*�*� ,,." a� ,,.a�'�`� � �' , ��F���.a APPRQVED BY `�������'� Plans Examiner Zoning � S�ruetu�al Review Clerk (Revised02f 24/2p14} ��� ���\���\��\��3 Ql` �`\��� ;\\� ���� � ��lt�\� �i �tiS� �y�����1 i�\:�.,�� � -. p �\� ��'�1 � �\�\�3�ti�tt� ���\ 11 l\ �4��\��t t��\1\� ����i}� \ } ��Z ��&. ., O � � l 4 � \ \ \S\ � \ �.� �'�\\� �\ �'��€"�'�'2 l E �\ \�\ �� cy'4� ��,;; ��� �.,:� o R Z� 1 \ c \�� \�\l� � \t\� ���\�t������� �� '� �.. 'd�. � ���\�\��S �� � .�t��\��`�`� ���4����� � o�� `� \� �ti�`�, \� "� � � .,. � �ams Shores Viil� e �\ S:� ..`�\�t� .� �� �� `� �\\\� }� tiz�1�,,�t���` \ �1 �i\\ \ \��: ��< � � � � � ����� ����� ��� \ ��� � � ` ' C� 2Q050 tVE 2 Ave � � ` � ,` ��\o���1t����\� ti�>>����1ti�`�tj���� � \ �,\� , ��E3 � � $ffi� \ ��- � � �i \s 2�L�1 l� \\ ��`�� tiZ. \:�� � �t ,�_ MlcltTll ShQCE?S F���1�� y\c�� � �� t Z \ \\z� \��� tii ti \ l:�\ \t t �� t � \��l� 305-795-2244 z� �>>>�� `O��\t�`' �u ������ �\;������1t���� ��1 �t����� ����� �� � U� l�5 V�� �� � ����1 � �� �� �1'��V <ti��� ���',�'� �'�S ; ���N7t-.>i"�`'' � 1 �.t � i �.� ? � ��\� �� Z� ��� i �1 1 ��\ � .,.�..a>.�..,,�t ..:�� �,.x��..,z`� ��C��1�� � � i����rl � �5t\��� � � �\ JV. � � 3� ��������� '���������� EX�?tr��t�CxCl: Q7�06�2{)21. � �,A\i�,.a.� „ ,l�.:��� �ti� i,.Ai�,� >;t�, L�catiar�Addr�ss Parc€�t€Uumber � 7(?NW 96Tld ST,Mi�t�[Shc�res,Fl 33150 123102Q33Q51� � Contacts ,w�...�. �.�m���w�_W����.��� �.�..�..__..�e�.�_�������.m��,.�_���a.�.� .��.���mF..���..._�..,�.�..Y..���.�.v�����_.�,m,�.�.��� ����_�,R � Chris�ian Ssalana tawner NC?NE C?WNER C�ra#r�ctor 1 ; 70 96 HQli�E QWNER € 1 . . . . .. . z����a�t���� .�65���'�sA . . . . .. .. �:����a .,....._,._...................................__..,m...,_....,..,,...,.,.....,..k..._.�._._�....,.,.�..�.,..,..._�._.�_._�...___.._,�,m......,....._�,.........,._...._.,......_,_...._.........._..,......_......_...... ._...................,..,.,..._........,_.,_..,..,._..,_...,.....,...,.�............,.......�,..._�...��-.M.. � �� IrF& eCtt�n R@ lt�St9 E Descripfio�:�ep�aee existing v�oocfjchair�li�k Fenee tQ wtood � Valuatiom �4,5Ut3.OQ � � � ! ; `� �+�`���,��, i� ���\o \ l\ �i r = � = Ttatal Sq Feet: O.Ci� � � ,` �� � , � ` � : ; ,��..�,..., ...1�,��r"........>.:.a'�.�.�.. <.>... ��;.,�,��. . . . . . . . .�.��� `' .,. .`��� � . . .. Fees Amount Payments Date Paid Amt Paid Applicatian Fee-Qther Ssa.oa �ata1 Fees $3�2.�s ccF 53.ao Credit Card 01/06J2021 �gp,pp D�PR Fee S4•79 Cr�dit Card 01f 22f 2Q21 �33�,g� DCA F�e 53.19 Education Surcharge �l p{� Am�unt�u�: $Q.QQ Planning and Zoning Review Fee $3S.QCt Scanning Fee $9.00 TecMnology Fee $7.98 Wire and Wacad Fenc�Fee $269.00 Tatal: $3$2.95 Ui� ICI � � t) }/ In car�sider�tian of the issuance to me af this permit, I agree to perfarm the work c�vered her�und�r in �ampiiance wifh ali oedinance� �nd eegulatians pertaining theret� and in strict confarmity with the plans, drawings, statements ar specifications submitt�d to th� praper autharities of Miaeni Shares VilEage. In acc�pting this p�rr�it i �ssum� respc�nsibility far all wark done by eith�e mys�lf, my�g�nt, s�evants, �r�mpEoy�s. i understand that s�parat� permits�r�r�����d f�r�L�CTRICAL„PGUMB(NG, M�CHANICfit�,WIN{�OWS,DOORS, ROQFING and SWIMMING PC}Qk.work, � �� OWi��(�'AFFIi� !T� �E eertify that'�II th� foregoing inf�arm�tion is acc�rate and thaE aIt wr�ark wiE! b� don� in camplianee �vifih ai! applicable laws reg��Eating t�e �ucti `�d zc�ning. Fut�t�em�are, I autE�ori�e the above r�amed contractor to do the work stat�d. �_ } � ��� i it ,t'= ',k .�„ A�th � eYSi nat�r�. � wner t �pplicanf! Contractor 1 Agent Date 1an€�ary 22,2021 Pagg�of 2 ` � � e ` � ���.� I I � S 1�� ���:����.������;� � � .�� � �� ��ildi�� C?ep� r�rr��r�� � � � � 1C}050 N.�,2nd Aven�ae, Miami Sk�ores, Ffarida 3313� ��i:(�o�} �s�-22o4���; (�a�)���-��72 ����s,��� ,�.� �m.�..�M.�.�.a ��s�Ec�r�o� �����Me����un����e f�o���s������ F�� 2C��°�C ��. 1 I a���� ����,�� ��.��� �1 -�.�-�2-� � � � Sub Perrn�t l�a. �au������ � ���c�-��c � �oc����� � ���Es��� Q ���-��s�o� �R���v�a� C=J��ur��irv� ❑ ��c���►�c�� ��u���c wca��s [� c����� �� � c��e���,a-r�o� � s�c�� cc���r��c�r�� ���w��v�s ��������ss. �� � ���.� �� City' Miami Shores Cc��antV' �iami C?ar�e Z�• �'�� F�1iojPare�E#: �1— ��� �� t�":}"�;�� �'� �C� Is ttte�uilding Ftistoricalty D�si�nat�*d:Yes R10 Occup�ncy Type: Load: Canstruction Typ�: Fio�ad Zane: QFE: FFE: CiWN�12: hlam�(Fee Simple TitEehalder): .�<����" �� .� ,N, � Phone#: "���" `�e�. -� �""'}�" �ddress: ��:� ��`� �3� �� City:�"`i�.� ��� �.,�'' �^� SC�t�: � Zip: "�`��� Tenant/��ssee [�ame: Phone#: Email:'?���t a��������G.� , ��. �� �"��'� ,�,� � �Y_�� Ct�NT�A�TC}�.Co€�par�y E�am�; Phone#: Address: City; Sta�e: �ip; Qualifier Name: Phcan�#: Stat�Cer��fieation or Registratic�n#. C�rtifieate c�f Campe�eney#. D6SIGNER:�irchiteet/Er�gineer: Phone#: �4ddress: City: State: Zip: ldalue of V4tc�r�€f�r this P�rmifi:$�� � � Squar�/E.i���r Fo�t�g�cs#Work: `��� ������� �" -�«� Type of iNork; ❑ Addition 0 Alter�tion ❑ New �RepairJRepla�e ❑ aemolition ��s�ripteon ef Wcark;�C _ ���:�� �~' �.t�"� �'� �� " ' G� � Sp+eeif�r c�dor�f ccale�r��rr+� til�� su�m�r�ag Fee� ��rmit��e S ecF� c�/ec� Scanr�in�Fee$ Ra�on Fee$ E��R�$ Natary$ Technola�y F�e$ TrainingJEducation Fee$ Double Fee$ Structuraf Rev�ews$ B�nd$ TQTAL FEE N�W DUE$ � � �` � �� �� (Revised02J24/2QI4) Bondin�Company's Name(if appkicabl�) �onding Campany's Rddress _ City �State Zip — Mortga�e Lender's N�me(if applicabie) Mortgage�ender's Address City State Zip �pplication is hereby mad�to obtain a permit�a do the work and installat�ons as indicated. I eertify that na work or installation h�s comme�eed prior �o the €ssuance c�f � permit and thafi aE[ u,tork �ill be performed to me�t the standards of �II �aws regula�ing construetican in this jurisdiction. I understar�d that a separate pere�it m�asC be secured fcar EI.ECTRI�, PIU��I�lG, SI�NS, PC?QLS, FURNACES, 6C�lLERS, HEATERS,TANKS,A!R CQNDPT!(�NERS, ETC...., QWtVER'S �FFI�A11tT: ! certify that all the fare�oing informatian is a�curate and tha� all work wili be done in compliance with �II applicable laws regulating ce�nstruction and zaning. " A ING T NER: Yt��1R FAILURE T° �� RD A �1 TICE F CO E CE ERIT AY RESULI` 1�1 YQUR PAYI�fG T ICE F R ! RR VE ENTS TO Y UR R�2 PE . IF Y 4� 1 TE [� T QBTAIN FINAN�ING, CO St�LT ITH X�U LEN ER R AN A RNEY EF E RE� R I Y U NQTICE GF CO �t1�N�E E T.," Nafice to A�aplieant: As a condition to the issuance of cr building permit wifh an �stimated vatue exc�edrng �2500, the apptrcant must pramise irr good f�aith that a eopy of t�re notice of corrameneer»ent c�nd eonstructior� lien la�v 6rcachure will�Se deliv�red to the person w}�case property is su6jecY to c�ttachmenf. ,4lso, a eerti�ied c€�py caf fh�reecarcfed notrce of cc�mmerteerra�nt rnust be pe�.�ted at fh�jaa6 srte foa� tt�e first inspectior� �vhich c�ccurs seven (?) days crfter th� btaifdin� permit is issued. ln the abserace v�f suefa g�ost�d nQtic�, tf�e lnspecPivn ��ilt not be ec� nd a re£nspectian fee wi11 be chargee�. � s' Sign�tur Signature O N Ror,4GEfUT CCINTR�,CTOR The for�goin�ins�rument�nras acknowledgec! before rrse this The foregaing instrument was ackr�ow(edged befare me this �� day of��C�l�.,t�i�`.� , 2Q �� , by day of , 20 , �y ���' 1��(�� � � ��rr�to is persc�nally known te� ,who is personally kr�owr�to me or w6�o has produced ��. � � as rr�e ar who has prcaduced as identificatiean and who did take an oath. identificaticarr and who did take an oath. N�T,ftRY PUBLECe N��'A�`E PUBLI�: �ign: Sign: Print: "�"�Cs°� � Print: S�al: �_�'��� �� �S h�t��,��, �A�� Seal: �: A�Y�f3 �aSICNd#t�979 i05 "�` °�= RESe c��2,242� �:��;�,�;,:�: .��,.,,,e,, ��� , **�*�:��:��������*�*��:�� m ��:�' �:*�*�*���:�*���:*���**����,n.,,, �:*�:*��:�:���*��x�����:�*�:��:���*� d� � f �� P ° .''�g � re�F ,F � �p� APPRC�VED�Y '�` ��`�'� Plans Examiner � � � ���� Zoning � Str�etura! Review Clerk {��u�sedoz���/za�a� � �: ����'� ia�� �or�s i�i��e .��� � ��� 1� �� �1� �CD�SC}t�.E.2rtd�Av�rt�e ��� .� ��'�'�� �� �'li�rr����c�r�s, �Ec�ei�a �313� `f�l:{�C}S}795.22�}� F��a(�OS}755.�972 C3�V�El2 �IJI�C�E� ��S��t}SE��E 5`T�0.T� Et�T' t��(��: �"�� � ��°� � '� �� � �A�E� � � �� � � '� � � �C3C}R�SS: x. �,a�,� �� � ��" Do he��eby�etiti�an e��e LZ�II�g��f Mii�m,SP�pres tc,act a�my o4�rn cc�ntraet�r puesuan�Ec�the!av+rs ctf the Sta�e�f Flc�rads,F.S 48�.iO3{7�.And i hav� read and uv�derstc�e�d?he f�zlEo�ing disc(t�sure scatemer�t,�uvhich entitf�s me tc�dvcark as rr�y owr�ce�ntractc�r;f further understand that I as the owr�er €rrus��p�e�r in person to compEeLe��1 appliea�iar�s. State Law€requires cc�r�stew�ctic�n ta k�e done by a iicensed canteactor.You have�pplied�or a permit under�n�xceptit�r�tc the law•.���e exerr�ptian aEPo�us yQu,as the owner e�f yc+�ar prc�perty,to�ct as yaur own e�arriractar even thc�ugh yc�u do r�c�t have�license.Ye�u mu�t si�p�rvise ihe constructic�n ye�tsrself.You�ttay be�ild ar frr�prc�ve�ane-farni(y or twc�-famlly resicfer�e�.Yau may also buifp tar imprave a ec�mmercia�bui(ding a#a cast af$25,t�,1Q.Qt?c�r l�ss(Th��eu�form stateM 7S,OL10}.��5�b�i�€r�� ���b�f�r y�ca€��e�s��s���a����rs�,��s�a�y raa���a���s€��f������a� ���s�.�f ya�sell car�ease a bui�cfin�yt�u haue butE£youese6f tn�#thtr�t�ne year aft�r the constsi�etic�r i�ear�ple�e,ti�e Iavv�r'stl�e�surn�tha�yau k�uil� #�ae sa(e a�f�ase,wh€rh rs a vic�latl€�n€�f tf�is exemptic�n.Y�sa��g rat��ho���e�t�r�3€��r�s�d��r�esrs���ecs�t€���a�r.��i��€a�€�r���a�€��i��tst�te��r��A� ��a���t��p�a�pl��a��s�+����b��ta�a#���a���c�����s r�c��a�r��b�r st�t����asad���c��sr�@��+r r�ea��a��6��t E���€�s{�s��€��e���ac��.�r�y pecson working on youe building wht�is nat Iicertsed must���aek urt�ler ycaur supervision a�d must be emplc�yed k�y ytau,vvhich m��ns thaY yau must ded�c�F,(.C.A ar�d ueitt�-hofti[n�s tax and prpvide v�e�r�ers'corrxpensa�sc�n�csr 2ha�en�p�ayee�all as p��scribed f�}=Eav�,Your cc�r�s€ruetin��must cc�rn�fy with�1� appE�cabl�laws,ardinancess t�uil�ir�gs cod�s and xoning r��ulation�. F�t��se r����nd i►�a�i;�@���h�a�r���ap�. 1. i unders��nd that s�at�iaw requir�s canstr�eti�n to be done by�fEce��sed co�cractor and have�ppiied far an�wner-bu€Ida�r permit under an e�er�p4it�n fram the�auv.The exemptic�r�speci�i�:s that�,as ihe av�r�er c�`fk���rc���rty E!s€�d,es�a��ct�s r��+��rn�c�ntra�tor v��€th�ertaira restrietior�s even though!€�o not hav��licer+s�. ' �nitial 2. i undersi�nd tt�at bui9ding permits are not�et�uired�c?k��si�;�eci by a praperty awner ur�less h�:sa� s�e' onsi �e fc�r th�constructsar�and is not hirin��Ileensed cc?nCraetc�r Ecs assurn�r�sporrsib�I�y. t ,r r£ i��itial 3. i und�rsCar�d�hat,�as an eav�ner buifd�r,I�n7 fih�respnnstble p�ety of r�ec�rd�r�a permit.i r�ndgrst�nd that I may prae�ct r�yseMf fram pcaEer�tia! fin�nciai ri�k k�y hirin��Iieensee!contractc�o�and ha4rin�tF�e�e�rn'tt#i3�d i€�his or E�er name instead c�f czenr n�m�.{aEso�;nderstaet�u ihat the cantr�e€e�r ss eequired by Iaw to be licensed�n Flc�ricia ar�d ta list fi'ss or lic�r�se nurnbers a��permits � eo�tr�`ees. Initia 4. 1 underst�nd that I an�y pui(d o�irn�aec�ve a ar�e farnily ar�wa-famity r�sidence e�r a farm a�tb�iEding.�may a sa build c�r irnprove a co�nmerci�I bui3din�Ef the eas€s cfc�z��t exee�d�75,E�t�Q.'Fhe k��aiEdin�c?r res4dence rrs�a�be f�r my use ar oe�upan��f�- ay ne�t be�iuii��r�substar€t;al[y Irnprca�ed fit�r sale ar IeaSe.!f a bui@dtng ar residence chat I h�ve built or su6stantiai3y imprc�vec!mysei s s�lc��ieased v�ith�n 2 year after Che ccansiruetior�is cc�maiete,the law v,�li(pres�m�Ch�t I krui�t oe substantiaily imprc���d it for sale or!e � hpch u��(�tes Ch��xemptio��€. r � Is�iti�P S. i understand fihat,as the c�u�ner-buElde�,i musE provide direct,onsite supervisian caf the constructicr E r � r � EnitiaEt �, � 6. 1 understand that I may not hire an un(icer�sed pe�sc�n tc�act as my cc�ntractar ar to supervise persor wor o my bui€din�c�r resicEence.Et is my responsEbifity to�nse�re th�f the P�esc�ns whom t efn�a€ay have th�ticense r�q�ir�d k���Caw an cc�un �ar munieipal ordir�ance. Initi � , �`"` 7. I understand that it is firequenfi pracciees of ur�licensed persans to have the property owner obtain an awner-build�r perrnit that erron�austy implies that th2 property owner is�rovidin�his ar her ow+n Iabor arrd materiaGs. t,as�n c�w�er-bs�i(dtr,tnay be held liab(�and subjeef2d ta seriotas�tnaneial risk for any ir�juri�s sustair�ed by an unlieensed perse�n or his or err�ployees whEle�vorkin�on my properfy. Et�y€�on3eov�+ner's ir�5urane�may not provid�eouerage for thos�i«juries. (am wi(If�lly aeting a�an a�t+ner-builder an am�vare of th� limits c�f my insurance eQ�era��for injuri�s to wo€icers on�1-�y propeefy. t r Irrit al �'` ` $. !��nd�rstanci thaL�may nt�t dele��te the respansibility far supervisin�wc�rk to be a lic�nsed cor�trac� (�et is not Iicenses tQ perforrn the wor�b�ln�done,�ny p�rson warkirrg c�n�y€�uildtng v�rha is nof(ieer�sed must u�rark under my c�ie�:et supe:vlsic,n a�d mErst be ernployed E�y €ne,�uhich et�eans Chat 1 must eompiy with iaws requiring th€withhatding of�edera!�ncome tax and sociai secur3ty coratributions urid�r the Federal Insurance ContrEbutions Act;FICk)a�d must pravicie�orkers eompensation Fc�r the empla 1 u derstand tl�at etay fai{ure tc�fplkow th�se may subj�ct to serious fir�aneiai risk. � "� Ini al � 9. I�gree that,as the part�legally and financfaily responsible for tf�is proposed Ceanstruction�etiv'sty,! IP app(icabie lawrs and r�qudrement that govern aw��er-�ullders as w�ell as�mplayers.E a[so understan�'that th� Canstruction must comply with aIi appticable fav�s,ordinances,buildingcod�s. anei zQning regula ' ns. r , t ' �,, �' Init��l IQ. I understand tl�at k r��ay abtain more informatior�r2gard'tng rny obi`s�atior�s as an err�p(aye�from the Intern�I nue Service,tf�e Un€ted States Smal! �uslness Administration,ar�d t1�e Florida Depar2ment af Revenu�s.I aEs� understar�d Ch�;t!may c � �ci the� arida Cons�r�ctic��Ir�dustry Licer�sing�Qard at�50.487.2395 c�r hte:>: wvaw.myfioridaEicense.comldbprlPro/ci(blindex html �^' �� f ,r (nitiaP f �� ��_� 11, I am aware af;and eonsent to;an Qwner-builder building pern�it appiied for in my name and unders�ands cha�I am the p�rty Ie��lly and finanelally respt>nsible f�r the proposed eons4ructic�n aetivity at the fot(ow3n�address. "�!i� t.�� �-'����� 1n ial ' 12. (a�ree Co noYify ItBs�r�i S@�csr�s i�i�0a�e(€r�mediafiely e�§�ny add�tic�ns,deietions,or char�g�s to any a��th� f r a o that I have provided on this d?sclasure. � i� lniti',�i _ ., ,,. � � licensed cc�?�tractars�re regulated by(aws desi�ned fc�prp4eC#ti�e public,if ycau eontracY with a persar�wh oes i�ave a Iicense,the Cor�str4uction Industry k ieens4ng�cs�rd and�e{��r�rrFent c�f Business and Pro€essioE�al ftegufatt�n rnay be�n�ble tt�assisC yc�u with any f�nancial Poss tk5at yQu sr.rs�a6n as a result of c�ntractor mav be ir�eiviE caurt.iC is a(so'smportant for ynu to undersYand that,if a��unlicense�i cc�ntr�ctoe or err��lvyee c�f ars indiv�dual or firrn is 1r�jured wh1#�wcrrkin�on your property.You snay be heEd 4iable for darnages_#f yau obtain an ov�n�r�buildee p�rmit and wish tc�hire a I'scensed ce�e��ractc�rE yau wilP be r�spansible for v�rEfy€ng w��ther the conteactor is prcperly ki�er�sed and the status o4 the coniractor's urrorkers com��nsati�n couera�e. Befoea a buildin�perr�it can be tssued,this discic�suee stater��ent mus4 be campleteci���1 si�r�ed b�r�he property ov�r�er and returne�to the iocal per�rritt�ng a��ncy respansitrle far issuing the perrnit.A copy of tf�e prtrper�y cawr�er's driver Iic�nse,th�natarized signaturc v#the peoperty c?wner�,or ather type o€verifica�ior�acceptable to the iocal permitting�gency is r�quired when the permst ts issued. UVas ackn�Uuled��c� b���are rrte �his � d�y c�� ���� , 20 `�� � ��'6 �`�t�l`� � �1�whc�was p�rs�rtalPy kr���nrn t�a r�� or vvk�c� has Produc�d�re �i n�� �r � �s ider�tifi�at6c�n. �� � �� � � � �,.� �.�� '� a.�,t�:e�;�i�;, S w�r �a; � (�l� t�QT�RY * - �": I�Y��tSs�c�r�����z�7�� `� O4� ! S;M�rch 2?,2924 .��;R ft��*� tY f^'U�11�C F1(K4Q3Y�RlC(S ;�w.,..s_' � �. �.�� . � ��� �� �� ������ � ��-¢--� — ---�-----�--�--- — ----_._-.�.�. _,. ..�. ,�.��._._.....___ _ � "11.3Q��,�#ls��+t�L�l�id �r,,.�� ''S�� ��; ��,R � ��3. �}, ;,yti 1` .,�: �� ���� �. V.VV�i` �il�t. 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A .��,-�.�.�, 10 lnG+es(25RF mm)fn dtameeer and Y-ieef(856 rtttnj deep. C ��.� � ./ .� . � � � : � , , ' � � � /,� " � � '7 ��� / � f� /� :.. /�/ 'i � � ; ���/ ' �. �i/ ��/ 232$.3 � � f �:% ,� � � %.7 �.�; �, i:�j� ``1 I �'. �;>�}i :,,; � "�i ��j � � ,�� � � �� j: �j�ji. �e�nsrnkez�dSngSrae�('t5aam.mposar�t{rn9mn„Fntra�t�rr��sspmvieed�r G3 � � G -� I `�1 �! , �. �'� � �, � � 3 l � � �.� `� �� � s�u�zazs.z��e:�a��ar��v�rr,��:�awa�ntr�sa�}�a�tta��,> ����% *�y ���,,� on cettter Par 0rase�'s�.r�Ei��4Y. � � � /, . � � � � � /, � � ����� ,� � � /� �-�. �. / � g� � :.� ' � %�� ii ��S <�'r`,. �,,��������� ; . .��./� ' ''� �� � 1. Destgn cornpties with the requiremer�ts af tlxe FBC20i7,Bkh Editfon&f1SGE p- ���a� . �� 7-94,w4rxi spe�d St5 MPH 3�,econd Gust,F�pasure C. �a� . 2. GaPe I�af{86NGLE OR Ct4iDf3l.E}widths can be installed up ta the aElowatrle ( � � ��� ��@����f������� size as showm Fn De4aii 3. Shouid a doubYe teaf gate be insYalt�d fiha�n ihs � � :. . _.__. ._..---.._...___..u.._..__ __....._ !Tgprc�I} taYcts and Drop 66tt shafE b�fnsta�d{per the kaca!requ#remenEs}. ' � � __ 3. Woad shaN be decay r�sist�nT arx#tetrer�ite resisktr�#{Press�re Yr��ted}and I — --._ __ � � shait Cse grade Sk2 trt be4#et. � � �_� 5-� �y�;, - Adjustabte S�tS-Ckrsing ttinge � 4, Fasteners sha[€be caerosian r€�sistanL � _ --- ��____ ( � �m C�ate'�Nu+#� ......'� %j� ;'"�d" writfi Seif-taPtxfng#S(7 x 3l4" 5. Fin�shed sitfe shalE tace otrt or sPxaH be doubi�skieA{daes rtof affec;t th� i i �,�• "��� .� Hex Head Sce�ws engin�eriag des'tgn}. - � us " " �. 2: 6. PtlCJ6.AREAS:AI4 horizontei ra�s shak!be less than a m'srtimum sp�cing `��'. � '�I�numlm�rtnetl�ate'� � �_ Q° t� width o€9-3t4"apart. No�izonta!spac,�tng(bstv+�n boards)has be�n c = _ �� `� �" %: '' , , �� _� �.� � ���t2� ���� �� destgn�d for 1l4"to 412°4yp#ca� bui sha�C�less tf�n 1-3t4"apart. '� � �� �; � 7. �do changes ar�a[Icnued without avrFtYen autharfzatson fn5m the Arc#titert, m ' � � /'x,v�� � -',.�" ':,.-�,.� ��r �, � � � r� , . � . .�� �' _--.Autorn3tic tatcti wfth � ���,s�, � � ���, �, i,' -�� s��-���,o x�ra• �e��ral Cd�te� (In�t�tla�ia��). �,� � � �� "� i '"� ��` � Piex Head Scre�vs 9. SOIL�GFU#D�PO�uY Ct9PiMECT10W: �� � 3� � � '" � . m Anchor�d in 4t7"x 24"(2,500 psi)concrete. a, z ��r- � ��� � � � �--_� m ,� r CY 2. �CiAFBfl t PO�"F"CCiNNEC"f'i4Hl: c� � ��` '�� i�S/ „--`:-�".,^' �: � � �}-- �,,'''� ' �` �� � �� � E.�tCit C)tt3� �'�'� a, h10TE: z.t. (2)�sd t�a€is(g�tv�nized cximmon3 or �� ��� , f v r � �', —__ kl1 Harduaere is Ga#var�ized 2z. tz>#�o�2-��2°sz�in+�,��w�,t�ea,or co�cce�s wo«s s�r� �� �� =�j� ���� �, �";�' °� �� €, � 3. �OAE�f�t C.+ATE P �C:OFlNECTtOtd: � `.� �- �� �„ � , � � < �r `� ov S#�inle.�s Steei a.�. �z}set�-€�s�ns��ns��2��a�n eo�,r���,r�a�~o.�.ma�knUrr,}. I.P �,'' ��,r s;�"��������a�%" �, Q � "/''' �• ��t s • • • e s • .�„�'.' � .�'�--`-�.��' �"' .�'- '�,�-.� c7 r c7 • s • • • s • w PF ` f�����,-'�~=��; ����� . • �• •��yr,, • � • �'@ti121"�� �Ot�#� �a'it@C1�: " �`���� � -��'�`�.%'' ��"��' �w��r"�'r���� ` � �� ` 1rz"������W���� ' t. SUPPrJRTt1UG ST6zuCTURE: � z.� � , 7 �ra� � �r Y,- � � fr 1.1. YVaad-Grre t�osts sfeali be 4"x4"4vEtt5 conce�rts foot� 16"0 x 2A" C+ C.3 � � r __ : � • w�lf-tap�;�g#larx 314i • •s �s( } � �� 1 � �� � �- � �� �'��iF'�- ��, ti-�� � . � H�x tieed Serewros 1.2. YdacsQ-Gate pasts she�be 4"x4"�vith eatuete footirry{12"s�x 36") ¢ q�j �.J � , 1� � �s �f w' �. r d(0�(Yf��� '� , �� 2. HiN��AiTACHR�tENT: Z C� Cef � ✓. � , � ' / �j . � _ _ �"'�'�_'i!�:;�e+i_ �r� • • e�• 2.2. Wcfo6�414"���1 Z'"tag Serews� �� CT ;'/' , /� ,��� ��W • �t 6 ! • i � � • • • • • • �p 2.3. 52eel:Ydaki�d or 114"0 Ce�age boits with wash�r arfd nut. �� • ' • • s •• • • • • s - --- -- ��� �ate C3�t�i�s "�� Flar€i�r�r� De�ai3� . • •• ` ` �Gom or��nt Sc��dul�& G�n�r�l Not�s �_ _..- __._---- -- ------ ��� � _»�—�-- �_---- -�� �,,��:^���� ------._._—_---------- ��.�} �s�: �rz~-4��r �y�-s�c�E��u�} � �: ��-���a (Trs�r �_ � •s• s • s • •�• • �r e a • • • s s s s iY • •aas • • • • 6 • • i • • • • • f •• �6• • tl • •• M• •W• • • • •i• • •