FW-10-20-2488, 1301 NE 100th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1301 NE 100TH ST, Miami Shores, FL 33138 1132050140020
Contacts
NANCY CIGNO Owner HOME OWNER Contractor
P.O. BOX 530188, MIAMI, FL 33153 HOME OWNER
s00000��0000......................w,
_.............._.__....._._.-............................ ...............__..__._..__.............. _____...-....._...._..-._........_.._..__......_._.__._..._._........._..__ m..._......._...................................._...........__...-___.._-_____.................---------------------------
j
� Description: INCREASE HEIGHT AT EXISTING FENCE TO 6' Valuation: $ 500.00 Inspection Requests:
PREVIOUSLY PERMITED ON 7/28/16. 5-E762-4949
Total Sq Feet: 0.00 "y '
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Structural Review ($45)
$45.00
Technology Fee
$2.50
Wire and Wood Fence Fee
$50.00
Total:
$196.30
Payments
Date Paid Amt Paid
Total Fees
$196.30
Credit Card
12/02/2020 $196.30
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 ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
AiOWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
l}`egulati�nstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
Date
December 02, 2020 Page 2 of 2
\2p �tiI L11
.0 0
BUILDING
PERMIT APPLICATION
Miami Shores Villagec�Iv�n
Building Department H
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30S) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20kzt- kJtLA--
Master Permit No.FW- l0 - 2D- 2-A'88
❑BUILDING ❑ ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
Sub Permit No
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: _� �) U \' ri �� c_ `, c)
City: Miami Shores Countv: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): 1 0_" C l4 Ca c ;(�C'> Phone#: 73 y--�y (AIZ,
r v
Address:
City:SAA /TState: Zip:��
Tenant/Lessee Name: YL/l.�__ Phone#:
Email: C-t-A
CONTRACTOR: Company Name:
Address:
City: State:
Qualifier Name:
State Certification or Registration #:
Phone#:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Zip:
Address: City: State: Zip:
Value of Work for this Permit: $ SSyV Square/Linear Footage of Work: 2.j
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: t h
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
CO/Cc $
Notary
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ r
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 approved and a reinspection fee will be charged.
Signature Signature
ZW ER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
Zr day of 29-, by
kj v-,LA C%-who is personally know to
me or who has roduced as
identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
W
Sign: Sign:
Print: i 1 Print:
o< �eG LENORA BACH
_ •°, Notary Public - State of Fforida Seal:
Seal: s�•
oCommission # GG 332164
of°! My Comm. Expires May 81 2023.
Bonded through National Notary As- I
***********************************************************************************************************
3
APPROVED BY ��� Plans Examiner
�� Zoning
AII)AI d.. Structural Review
Clerk
s
(Revised02/24/2014)
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: O J` DATE:
ADDRESS: \ 0��,
Do hereby petition the Village cf 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 I as 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.I.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.
1. 1 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 I, as the owner of the property listed, may act as my own contractor with certain
restrictions even though I do not have a license.
r
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.
� r
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 and contracts.
Initial► WL_
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 construction.
Initial4\b_ C_
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 bey` county 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
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
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 I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.htmI
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:
i
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.
InitialJ�_
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 _day of 61c, ' 20
By wt r "an
. 0 _ who was personally known o me or who has
,
roduced there License or as identification.
E
LENORA BACH
Notary Public - State of Florida
commission # GG 332,164
W ER NOTARY My Comm. Expires May 8, 2023
Bonded through National Notary Assn,
PROPERTY ADDRESS: N
1301 NE 100th STREET MIAMI SHORES, FL. 33138
FLOOD ZONE INFORMATION:
COMMUNITY N0. 120652 PANEL N0. 0306 SUFFIX: L
FIRM DATE: 09.11.2009 FLOOD ZONE: AE +9.0, AE +10.0, VE +11.0'
LEGAL DESCRIPTION: SCALE. 1 30'
TRACT B, OF GORDON TRACT, ACCORDING TO THE PLAT THEREOF, AS RECORDED
IN PLAT BOOK 55, AT PAGE 20, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,
FIP 0 1/2"
(NO I.D.)
FLORIDA.
LEGEND
LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT.
AC A/C UNIT
CENTER LINE
LEGAL DESCRIPTION SUBJECT TO ANY DEDICATIONS, LIMITATIONS,4/�
RESTRICTIONS, RESERVATIONS OR RECORDED EASEMENTS.
f ELEVATION
C0
THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT
SHOWN ON THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS
OF MIAMI-DADE COUNTY, OR THE RECORDS OF ANY OTHER PUBLIC AND PRIVATE
ENTITIES AS THEIR JURISDICTIONS MAY APPEAR.
THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF: ASBUILT SURVEY
(SEAWALL) ONLY, AND IS NOT INTENDED TO DELINEATE THE REGULATORY
JURISDICTION OF ANY FEDERAL, STATE, REGIONAL OR LOCAL AGENCY BOARD,
COMMISSION OR OTHER ENTITY.
THE ELEVATIONS OF WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY
AND MAP WERE MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY
OF 1/10 FOOT FOR NATURAL GROUND SURFACES AND 51100 FOOT FOR
HARDSCAPE SURFACES, INCLUDING PAVEMENTS, CURBS AND OTHER MAN-MADE
FEATURES AS MAY EXIST.
WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE
MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1/10 FOOT
UNLESS OTHERWISE SHOWN.
U06
a
ABBREVIATIONS
o tir
D = CENTRAL ANGLE
O z ti
C.B.S. = CONCRETE BLOCK & STUCCO
L
p
CONC. = CONCRETE
c
H = HEIGHT
CD o
0
I.D. = IDENTIFICATION
Z
L = LENGTH (WHEN USED IN CURVE DATA)
O/S = OFF SET
'7
O.�
PG. =PAGE -—————
— — — — —-
(R&M) = RECORDED & MEASURED
FIP 01/2"J
(NO I.D.)
THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT Inc STATED GRAPHIC
SCALE IN ENGLISH UNITS OF MEASUREMENT. ATTENTION IS BROUGHT TO THE
FACT THAT SAID DRAWING MAY BE ALTERED IN SCALE BY THE REPRODUCTIO
PROCESS-
4.0
ALL MEASUREMENTS SHOWN ARE IN THE UNITED STATES STANDARD FEET } AD P R fir,/' D BY j DATE (0 PUBLIC RP
REFERENCE BENCH MARK: B-62 ELEVATION: 8.66 FEET (N.G.V.D.1929) �----
7_t?N1N!r. DEPTj �� 3
IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929.
II
Pl. M, OFPT I
THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP, POSSESSION __-_ ——
OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL
IA WITH Al ;_I L_fbVL
SUBSURFACE IMPROVEMENTS AND/OR ENCROACHMENTS WITHIN, UPON,
ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT
LOCATED AND ARE NOT SHOWN.
NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER. ADDITIONS AND DELETIONS TO THIS MAP OF
SURVEY BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE
WRITTEN CONSENT OF THE SIGNING PARTY.
THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE
ENTITIES NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY
UNNAMED PARTY.
CERTIFY TO:
NANCY CIGNO MARGOLIS
SURVEYOR'S CERT.IFICATION:
I HEREBY CERTIFY: THAT THIS"AS BUILT SURVEY (SEAWALL)", AND THE MAP OF
SURVEY RESULTING THERE FROM, WAS PERFORMED UNDER MY DIRECTION AND
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
360° SURVEYING AND,44APPING, LLC
FLORIDA CERTIFICPcOFAUTHORIZATION NO. LB 6356
OSCAR E. EZ-CUSIDO, P.L.S.
REGIST ED SURVEYOR AND MAPPER NO.5034
STATE F FLORIDA.
MSA P �F� 81 REV -1IT
LOT 1 BLOCK 184 -A
AMENDED PLAT OF TRACT 184-A MIAMI SHORES
4' HIGH C.B.S. WALL NORTH LINE LOT 3, BLOCK 5 (43 - 80) -
S 89018'22" E 210.97' (R&M)
} ' CONCRETE s }
R.
o U 22.0'
N Z /
Q o/
59.6' — 7.2' ii---_
FIP 0 1/2"
(NO I.D.)
BASIS OF BEARING
61.22' (R&M) --
M �
F OF WAY)
I N E /O/ sr ST °
� o
3.0'., u
w
C�
/ q O
6.6'
of
1/
TRACT "A"
GORDON TRACTS
(55-20)
FIP 0 1/2"
(NO I.D.) '
0.6' O/S NORTH S;:;
0.7' O/S WEST S/�o + <�
6
76H. METAL FENCE
U
z
O
U
J
Q
-10 1 I i�:
o
w
w Q
`�
o
r
o
U
M
WEST 150.00' (R&M) 4' HIGH C.B.S. WALL -
FIP 0 1/2"
(NO I.D.) SOUTH LINE LOT 3, BLOCK 5 (43 - 80)
LOT 1 BLOCK 4 EARLETON SHORES
Nf. /00' Sr
I rl !
LOCATION MAP N
(NOT TO SCALE)
5.
D = 00°00'00"
R = 63.78'
A = 48.22'
w
cm °N8
M G •
— • • •
cN 1 • •
N
CD
N co •
03
tP
n
L
Z
tr
03
• •
•
i
BOAT L✓'FT
• • • • • •
"Q45+iEQ.5'CONC. •
••
FOUND DRILL HOLE • •
NO.
6' O/SIVRTH • • •
• •
......
o
W O/S VAST ....
Aluminum 6063-T5
Component
Wt. %
Component
Wt. %
Component
Wt. %
Al
Max 97.5
Mg
0.45 - 0.9
Si
0.2 - 0.6
Cr
Max 0.1
Mn
Max 0.1
Ti
Max 0.1
Cu
Max 0.1
Other, each
Max 0.05
Zn
Max 0.1
Fe
Max 0.35
Other, total
Max 0.15
Physical Properties
Metric
English
Comments
Density
2.7 q/cc
0.0975 Ib/in3
AA, Typical
Mechanical Properties
Hai ui less, Brinell
60
60
AA; Typical; 500 g load; 10 mm ball
Ult"'rod',6 Tensilc Strength
186 MPa
27000 psi
AA; Typical
Tensile Yield Strength
145 MPa
21000 psi
AA, Typical
Elcrgct'.on at 3-gal.
12 %
12 %
AA, Typical, 1/16 in. (1.6 mm) Thickness
Modulus of Elasprity
68.9 GPa
10000 ksi
AA- Typical; Average of tension and compression.
•
Compression modulus is about 2% greater than tensile
• • • • • •
modulus.
R%iss®;m's Rat o • •
0.33
0.33
FQt�g �e Strengl.
68.9 MPa
10000 psi
AA; 500,000,000 cycles completely reversed stress; RR
•
• •
Moore machinelspecimen
SF38�r.Modulus.
....
25.8 GPa
3740 ksi
QEZ%rytrengttt • ..
......
117 MPa
17000 psi
AA; Typical
s•..•. ••••
Eleptrical Prepgwes
••.•••
• •
......
Electrical Resistivity
3.16e-006 ohm -cm
3.49e-006 ohm -cm
AA; Typical at 68°F
Thermal Properties
CTE, linear 68OF
23.4 um/m-°C
13 pinrn-OF
CTE, linear 250°C
25.6 um/m-°C
14.2 pin/in-°F
Heat Capacity
0.9 J/g-°C
0.215 BTU/Ib-°F
Thermal Conductivity
209 W/m-K 1450 BTU-in/hr-ftz-°F
Melting Point
616 - 654 °C
1140 - 1210 °F
Solidus
616 °C
1140 OF
Liquidus g �;
654 °C
1210 °F
Processing Properties
Annealing Temperature
413 °C
775 OF
Solution Temperature
521 °C
970 °F
Aging Temperature
182 °C
360 OF
AA; Typical Average over 68-212*F range.
Average over the range 20-3000C
AA, Typical at 77°F
AA; Typical range based on typical composition for
wrought products 114 inch thickness or greater
AA; Typical
AA; Typical
hold at temperature for 2 to 3 hr; cool at 50 OF per hour
from 775 to 500 OF
hold at temperature for 1 hr
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