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FW-10-22-2628Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: FW-10-22-2628 Permit Type: Fence/Wall Work Classification: Ornamental/Metal Permit Status: Approved Issue Date: 10/31/2022 I Expiration: 05/01/2023 Location Address Parcel Number 1234 NE 101ST ST, Miami Shores, FL 33138 1132050080030 Contacts Alexandra Lewis Owner OWNER Contractor 1234 NE SOS ST, Miami Shores, FL 33138 Owner OWNER corderoalexandra@hotmaii.com Description: REPLACE CONCRETE FENCE FOR 6' FENCE OF Valuation: $ 10,000.00 Inspection Requests: WOOD BOARDS, 2.6X2.6 GALVANIZE POST 305-762-4949 Total Sq Feet: 0.00 a�uo�r®r Fees Amount Application Fee - Other $50.00 CCF $6.00 ORPR Fee $3.09 ;)CA Fee $2.06 I.ducation Surcharge $3.00 Planning and Zoning Review Fee $70.00 Scanning Fee $9.00 Structural Review ($60) $60.00 Technology Fee $20.60 Wire and Wood Fence Fee $156.00 Total: $379.75 Payments Date Paid Amt Paid Total Fees $379.75 Credit Card 10/17/2022 $50.00 Credit Card 10/31/2022 $329.75 Amount Due: $0.00 Building Department Copy 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 ELECTRIC,%, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT:;,I 'hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construdior. d; n�,_Eathennore, I authorize the above named contractor to do the work stated. / Applicant / Contactor / Agent October 31, 2022 Page 2 of 2 Miami Shores Village ENTERED Building Department oC,1 17 Z�z2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:"' Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No, Fw-10-Z2-262-0 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I OI 15 i Ci*y Miami Shores County: Miami Dade Zip: 33 Folio/Parcel#: I' - -37 L.iO '-,D Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): + t 1 �4r�)�P�} LEA",)[ S Phone#: '2154 101'25 FAG, Address: 125 emu-) q5-'t+ 5T city: MI A rjLl SHf)a State: 4F71 —Zip: 351 Sa Tenant/Lessee Name: IJ / R Phone#: Email:'rdGrooAlexandrmk_b irnaL I com CONTRACTOR: Company Name: Rol'OI>;OW l Phone#: n) Address: J/A Email: r-j /ft Qualifier Name: �Z Phone#: r' /14 State Certification or Registration #: r`V �-y Certificate of Competency #: DESIGNER:Architect/Engineer: rJIR Phone#: Address: r l �A- City: State: Zip: Value of Work for this Permit: $ C) o01D Square/Linear Footage of Work: 20S • cl / Type of Work: ❑ Addition ❑ Alteration El New '�g Repair/Replace ❑ Demolition Description of Work: RACE nonCreTe C:ao 0 F- ne G 'r fF-y1CL (W00b Specify color of-7color thru tile: Submittal Fee $ J V LC' Permit Fee $ CCF $ CO/CC $ Scanning Fee $ \•yo DCA Fee $ DBPR $ 'Z - O `( Notary $ Technology Fee $ 2-0- few Training/Education Fee $ _3 OU Double Fee $ Structural Reviews$ GO'W P&Z Review $ 70' [ Bond $ TOTAL FEE NOW DUE $ .32/• T (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 2 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 absee of such posted notice, the inspection will not be approved ynd a reinfection fee will be charged. �� ^ or AGENT The foregoing instrument was acknowledged before me this 1-7 day of 0C--�D'0, r .20 ZZ by A le_Yayie" L2.w S . who is personally known to me or who has produced Lie- as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this t day of CC-+v h�� . 20 LZ by 1 Fltuavt�� Lam i 5S who is personally known to me or who has produced 15�L L-Cc- as identification and who did take an oath. NOTARY PUBLIC: ( ) Sign: ,—� Sign: \ Print: V VL--V-1VLR— r' &o Print: :lL(/Ie✓L�r� �� dpY P�///y VivienneYao Seal: #....,e Seal:�r....,;er� �� pY P� //� ViivienneYao �9 Comm.:HH222410 _; <r=_ CommAll222410 Expires: Jan. 31,2028 1,;VW,` � Notary Public -State of Florida = '= '//.,aI�I1II11111 �� Expires:Jan.31,2026 Notary Public -State of Florida APPROVED BY fit- Ifi�%I2v plans Examiner (Ol1?'-7 Zoning Structural Review Clerk (Revised04/0S/2022) ENTERED OCT 17 2022 BY: Miami Shores Village Building Department 10050 N.E.2nd Avenue n� Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /l OWNER BUILDER DISCLOSURE STATEMENT NAME: A1E.X&nJDE4 (FLUIS DATE: 09IZ ZZ ADDRESS: 1234 NE !OIST ST f=1 -6316S 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 entities 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 clone 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 dust of $25,000.00 or less (The new form states 75,000). The building mug 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 bulk yourself within one year after the construction is complete, the law will presume that you bulk for sale or lease, which Is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your regions! to make sure the people employed by you have licenses required by slate law and by county or municipal licensing ordinances. Any person working on your building who is not licensed mug 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 mug comply with all applicable laws, ordinances, buildings codes and toning regulations. Please read and Initial each paragraph. 1. 1 understand the gate law requires construction to W clone 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 on, own contractor with certain restrictions even though I do not have a license. /i Nitial AL 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is respamole for the construction and a non hiring 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 Ikense numbers on permits and contracts. initial AL 4. 1 understand that I may Wild of lmprme a one family or rwafamily residence or a farm oeWildin& 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 comtruction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. mine AL 5. 1 understand that, as the owner -builder, I must provide direct, onshe supervision of the construction. Initial JqL- 6. 1 understand that 1 may not hire an unlicensed person to act as my contractor or to suparose persons working on my building or residence. It is my responsibility, to ensure Mat the persons whom I employ have the license required by law and by county or municipal ordinance. Initial f-i L 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. 1, 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 homeowners 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 AL 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 AL 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 1 may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.mvfloridallcense.com/dbor/pro/ciib/index.html 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: 1 Z3 q AJ&V16c 67-MI4y,-11 Sticai_:�-5 14'C_ Fir351,36 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 4 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 property 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 owners 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 ISM..day of E 20 ZZ By !'T LW(3-1CAftlr— LJ2-w i� who was personally known to me or who has Produced there Li FL �- as identification. r NOTARY N 4, a,,�� Vivienne Yao -v* Comm.:HH 222410 ;:X51 '= Expires: Jan. 31, 2026 : NotaryPublic- State of Florida �N6111% ENTERED FENCE 1234 NE 101 ST ST MIAMI SHORES FLORIDA 33138 DESCRIPTION OFTHE PROJETC: 1) 105.91' of woof fenche with galvanized post, 6' high. 2)100.00' of wood fence with galvanized post, 6'high. 6'H 4'long to each post 12" OCT 17 202Z BY:.__ CITY COPY Galvanized post 2.5"x2.5". Wood board 6'X5/8"X12. 2' deep in concrete filled hole. Fences good side out. The vertical and horizontal suppor-_ ting members of a fence shall face the interior of the plot oh, p which the fence in located and the finished side shall face the adjoining lot or any abutting right- of- way. X# 'ffVT oJ�- PDi1 r—Vb YY l a✓ Miami Shores Villtg§,Building Depa t Zoning Dept. _,( Date Building Dept._ Date 0 —A11— Subject to compliance with all Federal, State and County rules and regulations. Permit# P W — 1 O' 2 2— Z6 24, ENTE13 ED BOUNDARY SURVEY dp�OM&3.unw[E�'IpG.9C�IM [uL%PPDH@p�6D BY: 111 = 2O� LE: PNprldF.: (305) MZRIOBD IU17 S.W. /P EmB: N Dcaye13®01RMI.AGm LS. MIND 331. MY�SJ111rLCA/ N.E. 7 O 7 ST ST. • 109 TOTAL RIGHT OF WAY p nsPNAr RAVEMEM !`.. � NE 1013T 3T • 24PARKWAY Q NE 1DOTN 5T ��. 5'SIDEWALK _i.1ITLP. 264.14' 1 A 100.00' 16.00' g ClW6:r erfNA`.ixLY�."''.A•. _ r"1 .r' _.J �� $-• P LOCATION MAP BLOCK NOT TO SCALE • ..O+..r $ PROPERTY ADDRESS: 1234 NE 101 ST, W MIAMI SHORES, FLORIDA. 33138 0 7.00 I6.25• LEGAL DESCRIPTION: LGORDON SHORES 'r . A CCORDING TO THE PLATTHEREOF, ` RECORDED IN PLAT BOOK 45, AT PAGE B. OF F E PUBLIC S OF M AMI DADE COUNTY. FDORIDA. 39.55bo NDIr .10 b Residence y r� •_ LEGEND AND ABBREWITONB ^ T' 1234 C` LOT F`. CIPVATOX ��GRNfXM Y Ln AC-V 0 BLOCK I pCBtOCKCCPNCR PFP.FERYFNEMfIMlIPCLTAHi ISOVATlR yCRR ®'EµRARV CCKCR : W CBG B N IAH PCNTOOFRGIHNIIK BLOCK 1 20.W KFGLCUTAYEA PDC.�PCVOCFCWMEXCE L'O.1'NA[RIGC pQ .VN}FA VALVE Z pC CL.CIFAR MP4MW .Jy 15.06 4. OlF-CNAINIINKRHCC IRFPEWRO Y'WMf M'E' ®'Trepy, QIp. j.0'',. 26.%D' •CCCMCM. PE9n RlBIGEKG ®.FlRf NigUNi ®-FPLIMM. MAUL. 4N 4R 1MIM. WEYExT 0.RMF. ♦ 3'CAS Exc.excwMalYfxT rvP..*wlcu Fp•FMxp uE•unLnv E.Rseuexr ®•mK.Pw.eR iIXP LLLLLLLLL IC.P.L) v.Orv:Rxuxmnppx ElNAIKN ww.F-Y� .. ®•YAPIOIE y LLLLIILE-LLL • 1450 P HR E Y!1WTERMMR 3'C.BS (TYPICAL) 26 "E LLLLLLLLL 'U LFEIdV' lar£m Pla .10AM«. I.R am.NiiuNo yamfRLwE 06NUMB R: Z 16W LLLLLLLLL O 1b3A0' • EeAAExmef U QC� % WNIUR XK8 WT REFlCGT G pERRANE O EmMP. FYAMIGMCF THE AWTOCf OF I N4L IMY2ro8E utCero Qs C� C!}IRA' 0.CCOPCfOIH6TRVMEHR.IFAXY. AFRCTEp TNCPROPCPtt.1NL98UPY2YIt CVGECi T)MOCAiICN'VYRATIOIR' ' PGTII= Ne,PfCCPVA}pNeG VBfMFMCC£PfCAPW.1fGL=CRIPIp11PRMMDRYWEM.TXELAWflYW 8URVCV {V <• YUYIRDroINfCGi¢'TKCURJEY.VxCCFpRWxOENGGb1YlMR.Ii AMV.µ[NJTBxOM1. iNL5 F1Fu xV MJTATRIP1f0 R11gWR)oTllq µpp\Fp1XGMWµOM YNCIAORWHpIWPWEMOITC CFµYNANRE.IFSNPNIxG Altff 5'0' 14•57 '' Mf CLOSVRf IN TK BWXGAY ,9, RERRPCOlOµ A9EUMfp YERKVN.661XMA1 f1EVAMN9µCPEFWRCONxO.VA. GPIFID. 11.00' �M WRKYf1ABJR 1',1'®1,T148WMVp NOT IMfXCE➢WRXCTIER IX1gN FKAf GNOTRUCTKYI PVPPoSEB. PoRTIMENRR9EC n AiG(GRNXKCURKYIBRCOUIRIO. m 'q� MTE OF FIEIOLARK ,•:. _.... P` FDRALEXANORA LEWIS AND MCHAEL LEWIS OUONTIC BANK, ISAOA/ATIMA�OX' 100,00 F.In'1P, E.I/aIP OLD REPUBLIC NATIONAL TITLE INSURANCE INnMa4MaMtb EStlNf eaenmew.rMfvnN.n —.Y bMINJ Pcgrb Mt NE.Yolvl XOW OT W Nb{.N o LaT3---- aZ.B"S— j COMPANY wwI.4,EirNFN+n=rL M. exe....i w4,r.alReNrm BLOCK 1 ITYPICALI ARAZOZA & FERNANDEZ-FRAGA, P.A. MNMMFbM. Ba.N MPmNYxNI BImYNRRM WIgMFh, Ia.:F ND SUF�i• i. PF sI-ta%OfwW n,GRiAe. plruM<e.mmxrzmi COMMUM I V NAM[ AND NUMBER 'vE: LIAIApIIjy PF I(OijZ BM USED: NOTES: Adum NTolroco"^.>a ;]CfiL _... MIAMI DADE Co. BM# B 400 ELEV: 8.28' 3' CBS WALL INTO 5' UTBdY EASEMENT. ARTURO R.TDIRACR.S.M..102 N E Nd:dLhG;pB FLOODZGNE AE U:oi nmwuwnRMw ynen waN pNblEntrNRlwFI MA . - FelwuarxFaBvy°rve MLw.r. MIMI E Water and Sewer PO Box 330316 • 3071 SW 38 Avenue Miami, Florida 33233-0316 T 305-665-7471 miamidade.gov September 20, 2022 Alexandra Lewis 1234 NE 101 St. Miami Shores, FL. 33138 ENTERED 0Ci 17 2: 2 BY: Re: Encroahments into the existing five (5)-feet South Utilility Easment within the property locate 1234 NE 101 St. Miami Shores, FL. 33138; Lot 3 Block 1 of "Gondon Shores" according to the Plat thereof, as recorded in Plat Book 45 at Page 88, of the Public Records of Miami -Dade County, Florida. Alexandra, The Miami -Dade Water and Sewer Department (WASD) has received the request to approve encroachments within the platted referenced Utility Easements at the subject property. At the present time, WASD has no existing water/sewer facilities in the subject Utility Easement. WASD has no objections to the propose encroachment; however the owner is hereby made aware that WASD, its successors and assigns, has the right to construct, reconstruct, lay, install, operate, maintain, relocate, repair, replace, improve, remove or inspect its facilities and all appurtenances thereto, with full right of egress and ingress therefrom in the referenced easements. Additionally, the property owner waives and forever releases WASD and its officers, agents, representatives, employees, successors and assigns from all possible claims, demands causes of action at law or equity, judgements and debts that might arise in connection with the wateWsewer facilities on the property, or WASD performing work on the facilities on the property, including but not limited to, any damage that could occur to the encroaching structure that the property owner has built on the property. The property owner shall indemnify and hold harmless WASD and its officers, employees, agents, and instrumentalities from any and all liability, losses or damages, arising from the encroachment. Please be advised that you are required to contact Sunshine State One Call of Florida, Inc. at 1-800-432- 4770 forty-eight (48) hours before excavating on the property. By accepting this letter and using it for the permitting process, you agree to abide by the terms above. Respectfully, Maria Utility Unit Supervisor Plans Review Section Florida Power & Light Company, 5109 NW 159TM 5T, MIAMI LAKES, FL 33301 ENTERED FPL BY: - July 11, 2022 Alexandra Cordero Re: Agreement 1234 NE 101at ST OCT 17 M2 Thank you for contacting FPL regarding installation of a Fence in the utility easement. FPL has no objection to this equipment installation. If access to the easement is necessary for any utility work, the homeowner is responsible for the removal and re- installation of the tool shed. Prior to any digging you must contact Sunshine State One Call of Florida. Contact them either by telephone toll free at 1-800-432-4770 or by e-mail at www.callsunshine.com, forty-eight hours in advance of construction. Sunshine State One Call of Florida will schedule a locator to perform the necessary locates for you at no cost. If I can be of any further assistance, please contact me at 305-626-7673. Sincerely, Jordan Culp Distribution Engineer A NEXTera ENERGY Company ENTERED OCI 1'7 as AdW 'TECO. 61 PEOPLES GAS AN EMERA COMPANY To: Alexandra Lewis Address: 1284 NE ioi Street Miami Shores Florida BY: October 7, 2022 After a review of our facilities within the above referenced area, we are informing you; TECO Peoples Gas has completed a cut and cap at the above address. In addition, please contact 811- Sunshine State One Call of Florida At: 1-800-432-477o at least 48 hours in advance, as there might be other underground utilities. By contacting SSOCOF, the risk of personal injury and property damage can be reduced. You can obtain the latest information on SSOCOF by visiting their website at www.callsunshine.com Should you have any additional questions concerning the above, please contact me at my email address: ionzalez a tecoenergy.com Sincerely, /A ` `�a.:rtit::i: Prepared by Ily Gonzalez for: David Diaz Supervisor N Miami Division DD//IG Administrative Specialist 11 Dade - Broward Counties 15779 W Dixie Hwy, North Miami Beach, FL 33162 iaonzalez@tecoeneray. com Cell: 139-292-6485 Fax: 305-945-0171