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FW-19-899
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: Location Address Parcel Number 220 NE 105TH ST, Miami Shores, FL 33138 1121360130510 Contacts Permit iv0.: FW-04-19-899 Permit Type: Fence/Wall Work Classification: Wood °Fence Permit Status: Approved Expiration: 10/23/2019 STUART & JUNE JACOBS Owner TOUCH OF CLASS FENCING LLC Contractor 220 NE 105 ST, MIAMI SHORES, FL 33138 KENNETH MOORE Other:3057580656 Business: 9545298322 Description: INSTALLATION OF 6 X68 OF BOARD ON BOARD Valuation: $ 1,977.00 Inspection Requests: WOOD FENCE 305-7624941 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $2.50 Wire and Wood Fence Fee $50.00 Total: $152.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $152.10 Check # 1105 04/26/2019 $152.10 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 info tion is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authori the above named contractor to do the work stated. zG r Authorized Signature: Owner / Applicant / Co`ntr or / Agent Dat April 26, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village 11, � Building Department qp�te_azo `�Fo 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tole (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 +L1 FBC 20 KD Master Permit No.: "" ( — � Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL PLUMBING MECHANICAL F PUBLIC WORKS F CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS �2d �� 101� g JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 9 Folio/Parcel#: �����JW _ 06761 Is the Building Historically Designated: Yes NO Occupancy Type: S�Wl_oad: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): C.�l�oe ;�_Go-f4' S Phone#4C30 S1 7sk CO,406-Z Address: �� NL Z1057 g� City: ��/ *z i �l i�c� State: L Zip: 3 313-0 Tenant/Lessee Name: ,� / Phone#: 5r-o Email: 7-q/<, ;�017S � Xe /. <f a4" / SZ ZZ CONTRACTOR: Company Name: 0 K �-�t ©� r cr Phone#: / Address: 61-"4 City: ,.Qualifier Name: K&^(/y 67717 Of V State Certification or Registration #: Zip: > Phone#: S- S—Zg3 ZZ- Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: -7 � Value of Work for this Permit: $ 7 / 1 Square/Linear Footage of Work: 6 Type of Work: ❑ Additioon/ ❑ Alteration ❑ New 44 ❑ Repair/Replace El Demolition Description of Work: �`1 `�'� �/ /% h r 'JrOJ' 4Rai Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CO/CC $ Notary $ Double Fee $ _ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ J 52 • 10 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 ap nd a reinspectio ee wi be charged. Signature Signature OWNER The foregoing instrument was acknowledged before me this day of /Z L 20 / by who is personally known to me or wh as produce as identification an o did take an oath. NOTARY Sign: Print Seal The ffonL 2,=� day of 20 1' by �Mtnrbia'f"s pe onally known to me or who has produced as identification and who did take an oath. NOTARY Seal: MAHARAI K. GONZALEZ �► I :; EXPIRES: November 2, 2020 It `t�v �0 SHERAtA :sFy COCK $ _ Notary Public g f� ********* a �IrY Comm. Ex i "°FM P40 b 13, 2023onded through Natiotary. APPR Plans Examiner 11�-oning Structural Review Clerk (Revised02/24/2014) 4/23/2019 Property Search Application - Miami -Dade County 9 31OFFICE OF THE PROPERTY APPRAISER , '.p Summary Report Property Information Folio: 11-2136-013-0510 Property Address: 220 NE 105 ST Miami Shores, FL 33138-2020 Owner STUART K JACOBS LE JUNE F JACOBS LE REM DOUGLAS M JACOBS Mailing Address 220 NE 105 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 2,804 Sq.Ft Living Area 1,758 Sq.Ft Adjusted Area 2,084 Sq.Ft Lot Size 5,830 Sq.Ft Year Built 1960 Assessment Information Year 2018 2017 2016 Land Value $145,707 $145,707 $125,171 Building Value $145,046 $145,046 $145,046 XF Value $1,589 $1,608 $1,626 Market Value $292,342 $292,361 $271,843 Assessed Value $212,602 $208,230 $203,948 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $79,740 $84,131 $67,895 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 i 36 52 41 31 52 42 MIAMI SHORES SEC 5 PB 10-47 E55FT OF LOTS 10 & 11 BLK 120 LOT SIZE 55.000 X 106 COC 23120-0599 02 2005 1 Generated On : 4/23/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $162,602 $158,230 $153,948 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $187,602 $183,230 $178,948 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $162,602 $158,230 $153,948 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $162,602 $158,230 $153,948 Sales Information Previous OR Sale Price Book- Qualification Description Page 02/12/2018 $100 30864- Corrective, tax or QCD; min consideration 0019 02/01/2005 $430,000 23120 Sales which are qualified 0599 04/01/2004 $0 22603- Sales which are disqualified as a result of 3463 examination of the deed 03/01/2004 $0 21111- Sales which are disqualified as a result of 3357 examination of the deed 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/disclaimer.asp Version C Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, J 4C OPS does hereby attest that (Property owner) The attached survey, performed by �-TL-K/41 f C T 'S u ✓y y 1 �.� 7--A3 Cr (Name of surveyor's company) _ For address: 27� ti C /`� �! ��' / —skOa1O5 y %L � ,,� v Performed on 2 r`' c r (date of survey) is an accurate representation of the existing conditions and locations of all structu es on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Furth , Affiant sa h a ht. Property Owne ignature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this C' d day of jar L 2,,,,, , I Affiant is personally known to me, __6�duced 2)C_ as identification. Notary Revised on 5/22/20091 Revised on 6/12/09 ' ��`•. SHERAU L MAYC4CK •'F �^' Notary Public _State of Florida ®P` Commission # GG 3015g0 � .... My Comm. Expires Feb 13, 2023 Bonded through National Notary Assn. Touch of Class Fencing LLC April 5, 2019 State of Florida Broward County Before me this day personally appeared Kenneth D. Moore who, being duly sworn, deposes and says: That he will be the only person working on the project located at: 220 NE 105th Street Miami ShorjA, FL 33138 W, Kenneth-D,Moore Sworn to and subscribed before me this 5th day of April of 2019. Personally know OR Produced Identification Tape of Identification Produced r- ..:�: ;� •., MAHARAI K. GONZALE7_ �. ?� MY COMMISSION # GG 044602 r; EXPIRES: November 2, 2020 Bonded 7hru Notary Public Underwriters Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. r Signature: Ow r State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of /�! 20_t�_. r CC By .Y%,u1�1 d4 -6,a'k who is personally known to me or has produced L- as id11 cation. ry Nota -1 '7 SEAL: SHERMA L MAYCOCK i°.: Commission ` -ur'� �' MY Comm. GG 301540 Expires Feb 13, 2023 Bonded t�National Nary Assn. ❑ Shadow Box ❑ Vertical Picket * Board on Board Fence Good Side Out. The vertical and horizontal supporting members of a fence shall face the interior of the plot on which the fence is located and the finished side shall face the adjoining lot or any abutting right- of-way. . . ... . . . ... .. .. . . . .. .. . • • ••• • • • • ••• • • • • • • •• • • • • • • ••• • • • •• • ••• ••Imi:.o ami �7ho.res Village .• • . . •• ••• •. :1301diib Department " • ' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 WOOD FENCE DETAIL 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 4x4 pressure treated , posts embedded 2' into concrete footing 10" diameter x 2' deep ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection Revised 10/14/2016AS 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection • • ••• • • • ••• LEGAL DESCRIPTION THE EAST 55.00 FEET OF LOTS 10 AND 11. BLOCK �20j "AMENDED • PLAT• • • OF SECTION 5 OF MIAMI SHORES. ACCORDING t0• THE. PLAT % THEREOF AS RECORDED IN PLAT BOOK 10, PAGE Cr Or: THE `PU8L;C ` RECORDS OF MIAMI—DADE COUNTY. FLORIDA! CERTIFIED TO: • • • • .. • • • .. STUART K. JACOBS AND JONE F. JACOBS :•: :. `• JPMORGAN CHASE BANK, N.A. ITS SUCCESSORS AND/OR ASSIGNS LEONARD U. STOLAR, ESQ. ATTORNEYS' TITLE INSURANCE FUND, INC. PROPERTY ADDRESS 220 NE 105TH STREET MIAMI, FL BOUNDARY SURVEY INVOICE #26771 LEONARD STOLAR 124-13900 SURVEY DATE 02/14/05 FLOOD ZONE X MAP DATE 03/02/94 MAP NUMBER 120652 00093J W aZ U } _ % 3 x of �p u, Z x a 0 o N 'Ck: W $ LW Z' 40.0' I • 6125 STIRLING RD. BROWARD (954)587-2100 DAVIE, FLORIDA 33314 PALM BEACH (561)488-9628 SURVEYING, INC. FAX (954)587-5418 LB NO. 5495 © 2003 ATLANTIC COAST SURVEYING INC. LEGEND AND NOTES (FOR ABBREVIATIONS SEE BACK OF THIS PAGE) — — CENTERLINE CONCRETE BLOCK WALL DO MONITORING WELL WOOD FENCE — OVERHEAD WIRES ® CABLE JUNCTION BOX -X X— METAL FENCE CONCRETE FENCE POWER/LIGHT POLE GUY ANCHOR O WATER METER DENOTES ELEVATION rM FP&L/SBT PAD 1. BASIS OF BEARINGS AS INDICATED ON SKETCH. 2. LEGAL DESCRIPTION PROVIDED BY CLIENT. 3. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THIS OFFICE FOR EASEMENTS, RIGHT-OF-WAYS, OWNERSHIP OR OTHER INSTRUMENTS OF RECORD. 4. UNDERGROUND OR INTERIOR PORTIONS OF FOOTINGS, FOUNDATIONS, WALLS OR OTHER NON -VISIBLE IMPROVEMENTS WERE NOT LOCATED. 5. ELEVATIONS ARE BASED ON THE NATIONAL GEODETIC VERTICAL DATUM OF 1929 UNLESS OTHERWISE SHOWN. 6. FENCE TIES ARE TO THE CENTER-UNE OF FENCE. WALL TIES ARE TO THE FACE OF WALL. 7. IN SOME INSTANCES GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE THE RELATIONSHIP BETWEEN PHYSICAL IMPROVEMENTS AND/OR LOT LINES. IN ALL CASES DIMENSIONS SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS OVER SCALED POSITIONS. S. -THE DIMENSIONS AND DIRECTIONS SHOWN HEREON ARE IN SUBSTANTIAL AGREEMENT WITH RECORD VALUES UNLESS OTHERWISE NOTED. 9. PARTY WALLS ARE CENTERED ON PROPERTY LINE AND ARE 0.7' WIDE UNLESS OTHERWISE NOTED. 10. EXISTING CORNERS FOUND OFF WITNESS PROPERTY CORNERS 11. OBSTRUCTED CORNERS ARE WITNESSED BY IMPROVEMENTS. '.GONG.' WOOD BRICK . CHAT.::. PAVERS I HEREBY CERTIFY THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYS AS SET FORTH IN CHAPTER 61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE FOR THE BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUTES. NOT VALID WITHO E SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER' 02/15/05 PJS BY DATE CLYDE MCNEAL PROFESSIONAL LAND SURVEYOR FLORIDA CERTIFICATION NO. 2883 3 Miami Shoes Vi'lege APPROVED BY 70NING DEFT R' .DG DEPT 5' IECT TO COMPLIANCE VA i H ALL F=t9ob_ 0 ° j_) C') !^' 11' RUI.FS A" F) -" `:ULATK?IIS 14' PARKWAY 75.00' _ .5 WALK'U' .-N.89.255.00N.89'28'00"E. . ' BEARING BASIS BW,0.1'N� 10.3': (ASSUMED) FIR1/27,NO 10 0.03'N,0.II'W N y J o A u 3 E/F,22.8'5,0.1 LOT 10, BLOCK 120 LESS THE EAST 55' THEREOF Ilk co N 7 E/F,47.9'S,0.1'E---_ x — 74.55' N.89'24'40"E. F/C,49.0'S,0.2'W LOT 11, BLOCK 120 LESS THE EAST 55' THEREOF THE EAST 55' OF LOT 10, BLOCK 120 �- ONE STORY RESIDENCE 10.3 3.2' F/C,0.6'N,0.1'W I / Q S.89'24'40"w. S 89'24' �0"IN. 55 00' 75.00' CORNER OBSTRUCTED F/L,0.2'S E/F,0.5'N,1.2'E E/F,0.2S,12.7'W F/C,1.5'S,4.2'W Lor 12, BLOCK 120So 0 20 40 60 Scale 1 " = 20' 0.8' , 0.7' 2.0' THE EAST 55' OF .7 ' LOT 11, BLOCK 120�, ... 7.. 7: '. DRIVE . 32.0' 12.7' / BW,1.9'E,0.2'N �,FIR1/2",NO ID 0.09'N,0.12'W vi AJ — WC, 0.1'W u r_o 1 EP,1.6'E FIR 1 /2",NO 10 0.26'5,1.03'W /F,0.5'S,0.6'W 12.8" l0 / 0.6W