FW-18-3188Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
17,uiA'JR3
issue Date:10/18/2018
Parcel Number
10616 NW 2ND AVE, Miami Shores, FL 33150 1121360020060
Contacts
Permit NO.: FW-10-18-3188
Permit Type: Fence/Wall
Work Classification: Woad Fence
Permit Status:
Expiration: 04/16/2019
OLIVER JAY Owner HOME OWNER Contractor
106162 HOME OWNER
Description: INSTALLING WOOD FENCE ON RIGHT AND LEFT Valuation: $ 800.00 Inspection Re uests:
6FT TALL 1305-762-454�
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
Check # 263
10/18/2018 $156.30
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaininXIncepting
an in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. his permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permitsired r ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
/I uther I authorize the abov named contractor to do the work stated.
0
er / / Applicant / Contractof / Agent
Date
October 18, 2018 Page 2 of 2
Miami Shores Village RECEIVED
0
Building Department OCT 1$ 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F 1BC�201-:4
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑ BUILDING
❑ ELECTRIC
❑ ROOFING
❑ REVISION ❑ EXTENSION
[:]RENEWAL
�"''&t�
❑PLUMBING
❑ MECHANICAL
[:]PUBLICWORKS
[--]CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS:
6lo
A.
6
_
\) �2 4 it 13'
City:
Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO
Occupancy Type:
Load:
Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (� Si i ple Titleholder): �l,f�. \ � Phone#: CAA
Addr
City:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name:
State Certification or Registration #:
ne#:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: or —City: State:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Additloq Alteration New
❑ Repair/Replacee,
Description of Work: �( (IiX kA�AO_ lJO -GA �- 001 Ir 1 Q
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ T F Yt� CO/Cc-$
Scanning Fee $
Technology Fee $_
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
p:
A
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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 opy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is su ' ct to a achment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first insp l6on which ccurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will of be approve and a reinspection fee will be charged.
Sign
Signature
OWNER o[ AGENT / CONTRACTOR
The foregoinstrument was icknowledgedhefore me this The foregoing instrument was acknowledged before me this
GA day of n�UFs �20 (�d by
who is personally known to
me or who has produceds
identification and who did take an oath.
NOTARY PU
Sign:
Print:
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:My CpMMM
pN it GG 238273 Seal:
p Aid EXPIRES: September 3, Z022
•,;
••a _or E?"' R.Med TW NOtM Publk W WerwrIM
***************************
APPROVED BY
as
Plans Examiner L bx 0;1/Zoning
Structural Review
Clerk
(Revised02/24/2014)
NAME: � MA I
ADDRESS: l n i6
OWNER BUILDER DISCLOSURE STATEMENT
0_
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE: 10 '11I (_2
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 185 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.1.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.
I. I 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 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 a d ntracts.
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.
Initial_
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construct'
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 unty 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 and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial Oly
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contrac r 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 1 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 (9d
9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and
requirementthat 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 Inter 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.myfloridalicense.com/dbpr(pro/cilb/index.htmi
Initia
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:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of th f mation 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 47--1 day of 0 t J 20 1q-,'
By p�'{�T(-r7 who was personally known to me or who has
re License or as identification.
1�1f COMMISSION # GO 238273
N E R N OTA _ EXPIRES: September 3, 2022
''tpR F►q`:' BmW Thru Nolery R MIC 000rWO
1�11 LLllll-L tL�1V Vlll Vl LLI 1\VVV1�iJ - 1 1111E LVVUlll V11L
1 "E'V A Vl ✓
This Instrument Prepared By,
Steven D. Braverman, Esq.
10189 Cleary Boulevard, Suite 102
Plantation, FL 33324
Record and Return to:
Coral Gables Title tit Escrow, LLC
224 Palermo Avenue
Coral Gables, FL 33134
Parcel Identi cation Number: 11-2136-002-0060
I IIIII IIIII Iflil fllif IIIII ilfll 11111 IIII II
CFN 2018R0593047
OR BK 31159 Pss 3403-3405 (31'es)
RECORDED 09/27/2018 15:16:56
DEED DOC TAX $27370.00
HARVEY RUVINr CLERK OF COURT
HIAMI-DADE COUNTY. FLORIDA
SPACE ABOVE'nfS LUM FOR RECORDWO DATA
THISINDENMM, made this _day of September, 2018, between CMTMA CRUZ
ESCALONA a/Wa CRISTINA CRUZ ESCALONA GROSr Vida CRNMA C. IMCMIt, a married
woman, whose address is 619 E. ( tmbbX Avenue, El Paso. TX 79902. GRANTOR', and ALEJANDRA M.
JAY and OLIVER P. JAY, wife and husband, whose address is 10616 NW 2nd Avenue. Miami Shore& FL
33150. GRANTEE';
(Wherever used herein the terms "Grantor" and "Grantee" shall include all the parties to this
instrument and heirs, legal representatives, and assigns of individuals, and the successors and
assigns of corporations.)
WITNESSETH, That said Grantor, for and in consideration of the sum of TEN AND 00/100 ($10.00)
DOLLARS and other good and valuable consideration, to said Grantor in hand paid by said Grantee the receipt
whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms
unto the Grantee and Grantee's heirs, successors and assigns forever the following described land located in the
County of Miami -Dade, State of Florida, to -wit:
Lot 6, Shoreland Heights, a Subdivision, according to the Plat thereof as recorded in Plat
Book 43, Poge(s) 85, of the Public Records of Miami -Dade County, Florida.
Also Known as: 10616 NW V Avenue, Miami Shores, Florida 33150
Grantor warrants that at the time of this conveyance, the subject property is not the Grantor's
homestead within the meaning set forth in the constitution of the State of Florida, nor is it
contiguous thereto or a part of homestead property. Grantor's residence and homestead address
is as stated above.
SUBJECT TO all restrictions, reservations and easements of record, if any; zo Ing restrictions and
prohibitions imposed by governmental authority, and taxes for the year 2018 not yet due and payable, without
reimposing same.
TOGETHER WITHall the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TOHOLD, the same In fee simple forever.
AND THE SAID GRANYIDR does hereby covenant with the said Grantee that the Grantor is lawfully
seized of said land in fee simple; that the Grantor has ipood right and lawful authority to sell and convey said land,
and hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons
whomsoever.
Book31159/Page3403 CFN#20180593047 Page 1 of 3
1 .. // - 1 1 1 1 / rv. 1 1 T .T n/ _ <l TTtV\ 1^/1 //f
1�11{.{Alll'L LL�LV V111 V1LL1 1\VVVl �iJ - 11111 �. LVVtAlll Vll �.
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of Mr, T. O
IN WMESS WHEREOF, Grantor has hereunto set Grantor's hand and seal this day and year first
above written.
Signed, sealed and delivered in the presence of-
C--�—/
WitnessWtI.Ig—natureU
STATE OF TEXAS )
COUNTY OF EL PASO )
CRISTINA CRUZ ESCALON#FaWa CRISTINA
CRUZ ESCALONA GROST MIA CRISTINA C.
IORRCHER
The foregoing instrument was acknowledged before me this 1;I, day of September, 2018, by
CRISTINA CRUZ ESCALONA a. Wa CRISTINA CRUZ ESCALONA GROST Vk/n CRISTINA C.
IQRCHER, who [ ] is personally known to me or [ V ] produced '%Ij 1 as
identification.
SEAL _.
M
ANDEZ � /
t (t !- dillfLZfl t2
XAS Printed Notary Signature
72-14-20 ""J
a 145-2 My Commission Expires:
Book31159/Page3404
CFN#20180593047
Page 2 of 3
1 .. It n t 1 / t / r`- - 1 t r- .T A, n — TT/l/1
1P1141111-L 411V Vi11V141 - 1 11111, L�,lV W11V11�
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OR SK 31159 PG 3405
LAST PAGE
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores FI, 33138
Tel: 305-795-2204• Fax: 305-75"972
Permit No. REOG9-18-2383
Certificate of Re -Occupancy
Address: 10616 NW 2 Avenue
City: Miami Shores
State: FL
Zip: 33150-
This certificate verifies that the reference property has been inspected by Miami Shores
Village and has been determined to presently comply with schedule of regulations of
Miami Shores Land and Development Code pertaining solely to the requirement that each
one -family dwelling is used and intended to be used for a one -family dwelling purpose
only; however, this certificate does not constitute any representation or warranty as to the
condition of the dwelling or other structures on the premises described herein, or any
aspect of such condition, and interested persons are advised and encouraged to make
their own inspections of the premises in order to determine the condition thereof.
Building Approval:
car/71.P
Book31159/Page3405 CFN#20180593047
Page 3 of 3
/ .. 11 n • . / 1 1 1 / M • 1 1 r- • .T . ne%rl t, Tint lA/1//I4n1n
D
�N
CEMIFV TO:
AL CJANDRA M JAY, OLIVER P JAY
FAIRWAY INDEPENDENT MORTGAGE CORPORATION
IT5 5UCCe550R5 AND/OR A551GN% A.T.I.M.A.
CORAL GABLES TITLE AND ESCROW, LLC
WFG NATIONAL TITLE INS., COMPANY
LEG& OE9CNIPn0Nt
LOT 6
5UBDIV1510N1 SHORELAND HEIGHTS
ACCORDING TO The PLAT THEREOF A5
RECORDED IN PLAT BOOK 43 PAGE a5
OF THE PUBLIC RECORDS OF
MIAMI-DADS COUNTY, FLORIDA.
PROPEATVADOREB&
10619 NW 2ND AVENUE
MIAMI SHORES, FLORIDA 33150
SURVEYOR'S NOTATIONS: NOIIE
FLOOD ZONE LWORMIM
THE NFIP FLOOD MAPS HAVE DES,GNATED THE
HEREIN DESCRIBED LAND TO BE SITUATED IN:
FLOOD ZONE: x
PANEL NO/SUFFIX, 302A.
COMMUNITY NO.: 120652
DATE OF FIRM, 09/ 1 112009
THE SUBJECT PROPERTY DOES NOT
UE IN A SFECIAL FLOOD HAZARD AREA
AI Aa Cl..nnu. anal ««wnvwirne..hwn,
Mwan w d appwnt natty. l.nu. owrYiy
y w.ud isna,r. tyd wre,y d bncm not
a Th. wy r.dendm 1« maeygs «rdAn.rca
pn•P°a°-.NY.rcMarndY b tAa uY y Nwr b
dn,n d u _w". ib. ravry • n.e to bs urcl
Nn emupuewil, pamnttap, dwyn. ,nr d-
th..d nmt4n non.vnt d Th. J. K* .In..
C) C.d. r.Kn.tpn Ind wil M A w nOt .8.4W
onW R—d m'.
g th. ..ra� an...lw.o, d.a not xnpy
flue rA. r.Ar.ilead Frq.rey W «rt n« W In.
h.m rlood,n5 d.wq. nd do.a n« —t. lubky
on Nu part d th. Mn, ury dour « a^Ilo1<n
gawd I« a,ry dmud. Nue rwW4 fra,n,eLanm on
VTNaw I,.—,I,.—,wr. q,rveyapNw
�I d— yk— and no Ww o• W ewwhw «
et.n d oN. an mad. «arybd.
f) LNW.reround.namda,w,t., ll+m, n.t teutad.
O) I pwy.adiy Mu'tM wary'v'—w
b.— m . tw neraim tm b,-1 sbrM.rdo a�CNO)0
.eel Forth y M. Bmrd d UW 9uwyor. '0..... ••••. Al
•. chTt« 6Y 11.050 W 17.092 tYa+dr �':•RTLFIC �j
AdMA01W Cod. panwnt
w e.cN.n 472.027 Fla Obtwn. ' : NO. 5739
',-"gital ;signed
17 to N.0. /. I STATE Os j
„ rt 9U`t10 s Tay ,. .
PITA ...yNto::•
Date�y2,01�t�;OT►�{
JUUO A, .S at 1» �t j OO'
STATE OF FLORIDA
NOT VALID UNLESS WPRWTEO M,TH EMBOSSED SURVEYOFVS SEA.
TRACT 3'
MUM/ SNORES SECTION SEWN
P.B. 35 PC. 24
AN � 70.00'(RIA4)
—
Y v�
^ LOT 5
0.5a'—
I 2Ni
N
3 I
8/C F.1.P ,/r _
APFRO'vEDZ_
ZONING DEPT
ONE STORY 'o
RES. No 101516
LOT 6
w ' 70. 00'
NAtr. PAWEMEA
IMTUM
BOUNDARY SURVEY
£.N
f" ` oo
7 a t
VIEW Of SUBJECT PROPERTY
1jOT,77 q
w
Fe T.tl,:i, N:v,Irrsl ns.,1Hn
%h �; �. ; ,,, •.• �'Jioa�arv.,rdt�s, •
o. a>'pt p/ he f ��Se r%t p r5 pf /I/,- 1V i its Ave• 3� • ... .
12
bptt/n ;FA n°shelf/ f «r<�/jt •
9 right. ha// f� q - are! } •a/ •
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.,,.. aa. ate,
VICIIJiTL� • • • •
rta�.._.ue.uAr • ,. !_...ram _._.
T•T£.LP f/2'
DATE
BLDG DEPT 1117,111
SUBJECT TO CCIVIPUANCE WITH ALL FEDERAL.
STATE AN[) CCIjN iY RULES AND REGULATIONS
. . ..• . . . ..•
• • . . . . • . . .
•• • • •• • • •• • •
••• Mia"mi hores Village
.... . .. ... ..
•guildfgg Department
0IUO96 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
Shadow Box
Vertical Picket
❑ Board on Board
Fenntal
ces Good Side Out. The'
fence) halll{a�e the
supporting members
interior of the plot on which ti,e tence is located
I and the finished side shall face the adjoining
lot or any abutting right-of-wa`, __-
Fences < = 6' high posts spaced at 4' on center maximum
Fences < = 5' high posts spaced at 5' on center maximum
Fences < = 4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
4x4 pressure treated 1--,
posts embedded Tinto
concrete footing 10"
diameter x 2' deep
ALL wood must be pressure treated I
All fasteners must be corrosion resistant L
No less than two fasteners in any connection