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FW-10-22-2647Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 .ocation Address 115 NW 111TH ST, Miami Shores, FL 33168 Contacts Issue Date: 11/09/2022 Parcel Number 1121360010770 Permit NO.: FW-10-22-2647 Permit Type: Fence/Wall Work Classification: Wood Fence Permit Status: Approved Expiration: 05/09/2023 RAFAEL GUTIERREZ Owner OWNER Contractor 415 NW 111 ST, MIAMI SHORES, FL 33138 Mobile: 3056106199 rafagdiaz65@gmail.com Description: BUILD A 355 FT LONG PRESSURE TREATED Valuation: $ 14,200.00 Ins ection Requests:OS-762-4949 HORIZONTAL WOOD FENCE WITH 3 GATES. FENCE IS 6 FT HIGH AND 3 1/2 FT IN FRONT Or THE HOUSE. BUILD A 40 SQ Total Sq Feet: 0.00 FT TRASH ENCLOSURE. POSTS ARE 4 FT APART. Fees Amount Application Fee - Other $50.00 CCF $9.00 DBPR Fee $5.33 DCA Fee $3.55 Education Surcharge $4.50 ,lanning and Zoning Review Fee $70.00 ning Fee $9.00 _. . iology Fee $35.50 'hire and Wood Fence Fee $305.00 Total: $491.88 Payments Date Paid Amt Paid Total Fees $491.88 Credit Card 10/18/2022 $50.00 Credit Card 11/09/2022 $441.88 Amount Due: $0.00 Ruilding Department Copy unisvderation of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations :I.,ming thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores .cage. In accepting this permit 1 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 AFFI IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con/!u0bon and zoning. Futhermore, I authorize the above nam ntractor to do the work stated. r.(C�l1r�z 11 AuthorizIdd Signature: Owner / Applicant / Contractor / Age t Date November 09, 2022 Page 2 of 2 Miami Shores Village ENTERED BUILDING PERMIT APPLICATION Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 G� � 1 8 2022 BY: FBC 20Z0--I-" Master Permit No. FW- 10-7-2-ZG1I'1 Sub Permit BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Alit)CONTRACTOR DRAWINGS B ADDRESS: -5 , • 1 1 I 61�- City: Miami Shores County: FL Miami Dade Zip: Folio/Parcel#: a ► 9 (.-A— & 6 I " 0 77 U Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: h Flood Zone: BFE: _ OWNER: Na/me (Free SiMm�pl�e �TitJlohnlrlarl• raj e••u �P/ l I f ✓�� oh„�Pe Aririrpcc• H i-6 rV U City: M I Q/rl) Tenant/Lessee Name: Email 111 / -eg State: CONTRACTOR: Company Name: 010Q42 r ire, 901 f Phone#: Address: Email: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Certificate of Competency #: []RENEWAL 22 NO FFE: '5DI&r Address: City: State: _Zip: Value of Work for this Permit: $ (4 L Z Square/Linear Footage of Work: '3SS h4et-1 Type of Work: ❑ Addition ❑ Alteration [ /r New ❑ Repair/Replace ❑ Demolition Description of Work: kJ I A Ss. � c' CF - 1 _ _ - -n ".. 1_ --i— i 1_- __ _ _ 1 _ i _ � \- ,—. - . - (5C,�4-0� Zo^ro 'kc 6` v � encl'GsuiQ.. _ QnS�S4f2 4'rr:�oaf!- v Specify color of color thru tile: Submittal Fee $ Permit Fee $ 30. • 60 CCF $ 't • ao CO/CC $ Scanning Fee $ °� •.� DCA Fee $ 3. 9 DBPR $ 5.33 Notary $ Technology Fee $ 35 • Sb Training/Education Fee $ � • Sa Double Fee $ Structural Reviews $ P&Z Review $ Zn • CIC) Bond $ TOTAL FEE NOW DUE $ L(4I. g2� -A«ah (Revised04/05/2022) Bonding Company's Name Of applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) fi?.� Mortgage Le6dBL3 Address I 1 r' , C yr+cli'� '-r,, _•,J11 State 0 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 MA-.Y 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 approved and a reinspection fee will be charged. Signature &re� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 105 day of De-4- b-w- , 20 ZZ , by 2Q-" e—k CAS lks.rrcywho is personally known to me or who has produced r2- !Jriv=e--s U c. as identification and who did take an oath. NOTARY PUBLIC: Sign: The foregoing instrument was day of me or who has identification and NOTARY before me this 20 ,by who is personally known to did take an oath. as Print: V k V t <,.rh n--e-- Prirtf: 00'py ppB�� 1444�f IneTdO Seal: __`'14 comm.:HH222410 Seal: Expires: Jan.31,2026 ."` Notary Public -Stale of Florida APPROVED BY ' r,��,�OIZ� Plans Examiner\ Zoning Structural Review Clerk !Revised04/05/2022) ENTERED OCI 18 zoz2 BY: ME—i S Iles V EEC Building Department 10050 N.E.2nd Averwe Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NAME:QOWNER BUILDER DISCLOSURE STATEMENT Pd (y "` �"��e2 DATE: 40 6; '" ADDRESS: ( ae lei �� �r� ar- 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._- read and understood the following disclosure statement, which entitles me to work as my own contractor. 1 further understand :`s: e_ 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. -ilE Exerrp;'on 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 -s ccntplete, 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 Din Your building who is not licensed must work under your supervision ano must be employed by yo.;: which means that you must deduct F.1.C.4 anc with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with ali applicable laws_, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. I understanc t•.at state '.aw euwf es construction to be done by a licensee contractor and have applied for an owner-bLHOEI permit under ac ex=rrpt,c--. `-c T. the cv;.'s, exemption specifies that I as the owner of the property listed. Inav act as my own contractor with certain C, C-5 EY , :'1 D..€', I DC rC: have a i, CErde. In,tlal _­E crat 'o.-gyp of - es rE ct eoc. cc -: oc s.gned oy a property owner cruess he or she Is responsible for tna co^strucnon and 3 ,.r__: ^c'-=: E- =".r-_ -. :s- e -- ; t __ a _F-eco-d on a p - -: _ __. c _ . a - ..s, by' I, ie a -� e. _ ._-:.->.: -- ,a,. -; -e _e. _. ec in his or he Enc i,,E.... fir ....�. _ ..� ... -. contractor Is reql by law be I' _ - - a . a' b -. _ c• license numbel r Z PQr-�7 4 i understanc that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or .mo-ove a commercial building if the costs do not exceed $75,000. Time b_ cmg or residence must be for my use or occupancy. It may not be bill or substamially Improved for sale or IEasE. If a building or residence t`zt I have built or substantially improved myself is sold or leased within i year after the constr.;ctlon is complete. the law will pres_rc t-z� b_lt or substantially improved It for sale or lease, which violates_ the Exemption =12 5 I incierstane thatas the owner -builder rust provide direct, onsite supervision of the construction Initial 17:;r & 1 understano that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my bullcing or residence Is my responsibility to ensure that the persons whom I employ have the license repaired by law and by county or municipal ordinance. mtial� I understand that it is frequent practices of unlicensed persons to heave 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 arr aware of the limits of my insurance coverage for injuries to workers on my property. Initial �P�Z I understand that 1 may not delegate the-esponsibility 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 iicensed 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 ?_ CV7 I 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 we!' as employes. I also understand that the Construction must comply with all applicable laws, ordinances; building codes, and zoning regulations. Initial 10. 1 understano 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://",ww.myfloridalicense.com/dbpr/pro/c:lb/index.html Initial 9 11. 1 am aware of, and conser,,t to; an owner -builder building permit appired for in, my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: rnitia. g�? 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided or this disclosure. In; al Licensed contractors are regulated by iaws 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 civii court. It is also important for you to understand that, if an unlicensed contractor or employee of an nd:vidual or firrr is insured while working or. 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 worker's compensation coverage. Before a building permit car be issued, this disclosure statement must be completed and signed by the prope-ty 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 I d day of 0c4-�b-c�c-, 20 Z2_ 6"i. �i err e2. By Rc4ae=A who was personally known to me or who has Produced there License or L Cc— _as identification. V j V 1 ' e.v>! n-&— %,Oi. Y A �Vivienne Yao OWNER NOTARY ?�.hs- Comm.:HH222410 •.;►;� '= Expires: Jan. 31, 2026 :Ozl� Notary Public • State of Florlda n�ru16 ry Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OTHE PROPERTY APPRAISER Summary Report Property Information _ Folio: 11-2136-001-0770 Property Address: 415 NW 111 ST Miami Shores, FL 33168-3305 Owner RAFAEL GUTIERREZ Mailing Address 415 NW 111 ST MIAMI SHORES, FL 33168 USA PA Primary Zone 0700 SGL FAMILY - 1551-1700 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds l Baths l Half 3/2/0 Floors 1 Living Units .'.c aial Area Living Area Adjusted Area 1 1,717 Sq.Ft 1,330 Sq.Ft 1,449 Sq.Ft Lot Size 7,500 Sq.Ft Year Built 1952 Assessment Information Year 2022 2021 2020 Land Value $224,928 $186,268 $169,335 Building Value $106,067 $80,854 $80,854 XF Value $866 $878 $891 Market Value $331,861 $268,000 $251,080 Assessed Value $331,861 $268,000 $251,080 Benefits Information Benefit 2020 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 52 41 NEW MIAMI SHORES ESTS PB 51-80 LOT 29 BLK 3 I LOT SIZE 75.000 X 100 I Generated On : 10/18/2022 Taxable Value Information 2022i 2021 2020 County Exemption Value $0 $0 $0 :47$33 Taxable Value 661 $268,000 $251,080 School Board Exemption Value $0 $0 $0 Taxable Value 1 $331,861 $268,000 $251,080 City Exemption Value Sol S0 $0 Taxable Value $331,8611 $268,0001 $251,080 Regional Exemption Value I $0 $0 $0 Taxable Value 1 $331,8611 $268,0001 $251,080 Sales Information OR Book- Price Qualification Description Page $320,000 33322-3756 Qual by examof deed F06/28/2022 Corrective, tax or QCD; min $100 33023-1107 consideration Corrective, tax or QCD; min $100 32563.2909 consideration 05/11/2018 $292,000 31025-4664 Qual by exam of 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:IAi .miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/Apps/PA/propertysearch/ 10/18/2022 Miami shores Village Building Department 10050 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 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 tx 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 ., 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 FA 0 0 T.,..T„ n �Z022 ' TY LOT 3 I LOT 4 LOT 5 BLOCK 3 BLOCK 3 BLOCK J C10 ALLEY, 75 00' (R&M):a ASPHALT Y•Wrok F.I.P. 1/2"..•.I •o..—'—<'_::: .-XOIF LP 't`2"::. N nv ^z LOT 29 0.70 .AsAnAiT BLOCK 3 (�N) n , DRhE 1 04 Pk I �r� u1 • a.90' G' 10' 20' !I i••� �•� Is 6 ^ t inch- 20' H. Is 14.11' g LOT 30 v 19.6 ONE STORY 0" PI • LOT 28 i{ BLOCK 3 O - a RESIDENCE --1 BLOCK 3 O 416 'o 00 O _ II] ^ 0 BE ON. a— a a3O 1 1275' i N19� L4 I4A2' _ INSPECTION fc f'.0 ..:... ...: . ... ./... of . .LT p- < BASIS OF BEARING ASPHALT N ii (ASSUMED) DFaV C o 251.15'Lit 20.10' 9.0':. O1 B.C. 'F.I.P. 1/27 QW 75.00' (R&M)= 'scsw °.i.P. t:UNCy 19't PA"Y CONC $ L8.3G' '75,0' RIGHT—OF—WAY (BY PLAT)• • :" ; �.:::..'-^:,T: i. ......-... ' yLON •:��:�=:�::�:�::�`-:'�:N.W. 111th STREET::::_-skivaita .. ..................... . . State and COL MAP OF BOUNDARY SURVEY Property Address: 416 NW 111 ST MIAMI SHORES. FL Well .�nfineLand ' SUflVEYORS,INC. 6175 NW 153rd Street Suite 401 Mlemi Lakes. FL33014 www.OnAnelandSurveyORCoM SIGNED--4 GUILLOWD A. OR THE FIRM P.S.M. No. 6453 NOT V.WGWn1MJl AY f V MFMK 6EGlNOMIL 66Yai1pE MIDNTBIIIfATEO ElECR0.YIGffN..VdiM TU64V IB W! VKDMnIpUf 1{68b1ETWFAMI ONKYNK eNEE05£V.�ALWBaEBURVEYtlf Ol0 YN9et (ding Department Date _—Date with all Federal, and regulations. Survey D21e:612412022 Survey Code:0-89176 Pagel of Not valid without all pages. 4... . k � i� y �.., ' .v A. m �j,,pLt;�2 8G17 �japul�IR $fib 1 , icrt�tL 1•} OF- 50 Si& fAaCQA a@- Q- Q&