DOCK-12-23-3172Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1301 NE 104TH ST, Miami Shores, FL 33138 1122320300040
Contacts
Dion Sena Owner HOME OWNER Contractor
1301 104 HOME OWNER
cathy@ltcbusiness.com
Mobile: 3057739559 mikeperez2987@gmail.com
Inspection Requests:
Description: TO REPLACE DOCK-06-23-1480 - REPLACE PLANKS
Valuation:
$ 0.00
, s
N�
ON DOCK WITH WOOD COMPOSITE (BROWN)
€
Total Sq Feet:
0.00
g,
Amt Paid
Payments
Date Paid
Fees Amount
25% Renewal Fee $25.00
Total Fees
$25.00
Credit Card
12/21/2023
$25.00
Total: $25.00
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.
OWNERS=AF%iT rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatingn oning. �hermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
December 21, 2023 Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No._7�0G14- a.1- dt3- I'leo
PERMIT APPLICATION Sub Permit No.
®BUILDING ® ELECTRIC ® ROOFING ® REVISION ® EXTENSION 06E EWAL
O PLUMBING ®MECHANICAL ® CHANGE OF ® CANCELLATION ® SHOP
/ % CONTRACTOR DRAWINGS
JOB ADDRESS: // 3 O / /� Z2-7/ a �a�Z
City: Miami Shores County: Miami Dade Zip: z l
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Title h`older) : / C"2 Phone#:
Address:
City:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name:
Address: > �A �t
Email:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $
Type of Work: ® Addition
®/ Alterati
6
State: �— /,\- /V? 'c�
IL/'
_,z_1[1p7 0
Phone#:
Phone#:
Phone#:
Certificate of Competency #: _
Phone#:
City:
Square/Linear Footage of Work:
❑❑ New Repair/Replace
l
Description of Work: / K242 f G/`/ l
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
DCA Fee $
Training/Education Fee $
CCF $_
DBPR $
P&Z Review $
State: Zip:
❑❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ S'
(Revi5ed04/05/2022)
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: �-Z5 n DATE:
ADDRESS:
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 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 most 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.
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
— 411
4-/151
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 an ontracts.
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 h" violates the exemption.
w
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
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 o y or municipal ordinance.
Initia
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
1301 NE 104TH ST, Miami Shores, FL 33138 1122320300040
Contacts
Dion Sena Owner HOME OWNER Contractor
1301 104 HOME OWNER
cathy@ltcbusiness.com
Inspection Requests:
Description: REPLACE PLANKS ON DOCK WITH WOOD ValuLe
: $ 0.00 r
COMPOSITE (BROWN) d+ r t� j3rv�'
Totaet: 0.00 � „ . ..
Fees
Amount
Application Fee - Other
$50.00
DBPR Fee
$2.00
DCA Fee
$2.00
Permit Fee
$50.00
Planning and Zoning Review Fee
$70.00
Technology Fee
$10.00
Total:
$184.00
Payments
Date Paid Amt Paid
Total Fees
$184.00
Credit Card
06/20/2023 $134.00
Check # 665
06/09/2023 $50.00
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.
OWNERS 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. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
June 20, 2023 Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
�UILDING ❑ ELECTRIC ❑ ROOFING
� R 9 R 0 T R
JUN 0 9 2023
By
FBC 202D
Master Permit Nokcy-t(0-�3-k4e6b.
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: GO I Iy E 10 s l• City: Miami Shores County: Miami Dade Zip: 331318
Folio/Parcel#: - 223 2- 0 31c) - oo `7 a Is theBuildingHistorically Designated: Yes N0 YI
Occupancy Type: Bern. Load: Construction Type: C p5 Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): I)I oiler}—t Cathy Se n ci Phone#: ,305- 9Q 6 - A077Q ,
Address: 13t0 l N.E. 104 l
City: M i aev% 1 J ho r If 5 State: F Zip: 3313 8
Tenant/Lessee Name: IJ I a Phone#:
Email: I-1 CoIds1-%!e-, r- @_aol. epryn ea- kSj 0.LTGb05r nesS.COpn
CONTRACTOR: Company Name: Phone#:
Address:
Email:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ :�, DOd Square/Linear Footage of Work: %os
—
Type of Work: ❑ Addition El Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: 9zp1QCe pl ak) Ls nh d0de— U) 177111 Wond ,e'(,Zmp'o'sl 7e_
Specify color of color thru tile: 10 rout 1q.
Submittal Fee $ Igt�to . Permit Fee $ CCF $ CO/CC $
Scanning Fee $ DCA Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ P&Z Review $ Bond $
TOTAL FEE NOW DUE $ `"✓'T'�
(Revised04/05/2022 )
WN �J 9 ZO2a
OWNER BUILDER DISCLOSURE STATEMENT
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
NAME: V On SeVW DATE: Cl vZ3
ADDRESS: 13O1 N C_ (O `t �j�. H i Ct ✓Yl,l 5 S. FL 3 313
0
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 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.
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 (`` 5S
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 CJ l
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 CS S
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial 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 by county or municipal ordinance.
Initial SntJ
V' UN V V— T�� 11 v�. �0; 08F-1301-92-509
4747 HOLLYWOOD BLVD.. STE 105, HOLLYWOOD, FL 33021 PHONE (954) 241-3000 LICENSED BUSINESS# 7326 FOR: SENA
ADDRESS: 1301 NE 104TH STREET, MIAMI SHORES, FLORIDA 33138 DATE:0&13.2D08
LE_.GAL DESCRIPTION:
LOT 5 AND THE WEST 25,00 FEET OF LOT 5 AND THAT CERTAIN 25,00 FEET STRIP LYING BETWEEN LQT5
4 AND 5. IN BLOCK I. OF -RIVER BAY PARK^, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN'
PLAT BOOK 41. PAGE 55, OF THE PUBLIC RECORDS OF MIAMbDADE COUNTY, FLORIDA.
FLOOD ZONE: AS 8.0' — COMMUNITY NUMBER: 120652 — FIRM INDEX NUMBER: 12026CO093J
CERTIFIED TO-
- DION R. SENA AND LATHY SENA
BOUNDARY SURVEY
CNA
O/S 2.98'S
0.37'E
LEGEND & ABBREVIATIONS:
A/C............ AIR CONDITIONER
BM..............BENCHMARK
0. .............CALCULATED CITY
C.G............CURB CONCRETE GU GUTTER OR VALLEYEp GUTTER
C 8 G,.....,,,CURB b GUTTER
CH .............. CHORD
CHSRG.....,,CHORD BEARING
C.M.E....,,,,,CANAL MAINTENANCE EASEMENT
OKA............ CORNER NOT ACCESSIBLE
CONC,.......,CONCR(C E
0.................DILTARAIN (CENTRAL ANGLE)
D.B..............DRAINAGE EASEMENT
EOP............EDGE OF PAVEMENT COPY
FC...............FENCE CORNER
FOH..........IOUND DRILL HOLE
FE...............FENCE ENDS
.F..............FINI9HED FLOOR T
1
FIPlFIR,....,,FOUND IRON P1PElROp -" 4
FN...............FOUND NAIL —
FNbD.......... FOUND NAIL AND DISC
F,Pk,N.....,...FOUND PARKER KALON NAIL
I-D.............. 4URVEYOR'S IDENTIFICATION
L.................. LENGTH
LA.E,.......... LIMITED ACCESS EASEMENT
L.M.E..... ,..LAKE MAINTENANCE EASEMENT
(M)..............MEA9URE
OIS..............OFFSET
(P)............... PLAT
PB...............PLAT BOOK
P.C...,..-.....,POINT OF CURVATURE
P,C.C,,,,,,,;.,POINT OF COMPOUND CURVATURE
PG—- PAGE
P.I.......POINT OF INTEPSECTION
P.O,B,.....,,.,POINT OF BEGINNING
P-O,C , ,.,,,,POINT OF COMMENCEMENT
P,R.0.......... POINT OF REVERSE CURVATURE (/
.R,M,.,.,,,,,PERMANENT REFERENCE MONUMENT v
P.T........... _POINT OF TANGENCY
R................. RADIUS
RNV.............l WAY S /
SIR..............SET SET tl7* IRON ROD
SNO........ ... SETNAIL AND DISC Q /
(TYP,),......... TWICAL �o
U...............UTILITY EASEMENT `
W.E.
............ WATERS EDGE
<cr
OVERHEAD CASLES(OH)
pOLYVINYLCHLORIDE FENCE (PVCF)
WIRE OR CHAIN LINK FENCE"(CLF) �� 361.85' (P)(M) E
WOOD FENCE (WF) /
P. �.4 — _ . ._ _./� — FIP
M AL FENCE (MP) FIR 1 /2" MASONRY OR CONCRETE BLOCK WALL
CONCRETE
CONCRETE PAVERS
OVERtHANG(O/H) OR ROOF
Q COMMUNICATIONS BOX % CENTER LINE I0 GAS METER
CATCH BASIN (CB) R PROPERTY LINE AIR CONDITIONER
iI SEWER MANHOLE ® SEWER CLEANOUT la
�i UTILITY POLE (UP) CABLE BOX (CA Tv.) INDICATES DIMENSION
LIGHT POLE (LP) IS NOT TO SCALE METER (EM) E
WATER METER (WM) Z WATER VALVE RISER
UTILITY ANCHOR ELECTRIC BOX (FPL) Q BOUNDARY CORNER
FIRE HYDRANT (FH) HANDICAP PARKING (HCP) ELEVATION
�i PLANTER OR PLANTED 0 POINT OF ELEVATION
NOT A VALID SURVEY WITHOUT THE SIGNATURE AND ORIGINAL NOTE:
RAISED S A FLO LICENSED SURVEYOR b MAPPER THIS IS A COPYRIGHT DOCUMENT CONTA4NWO, PROPRIETARY INFORMATION AND 15 NOT WARRANTED
BY PROFESSIONAL SURVEYORS, 9NC. OR THE 91GNING SURVEYOR WHEN COPIED BY OTHERS.
UNLUS OTHariaE SHOWN HEREON, THE FOLLOWING NOTES APPLY:
SURSTAN
��J _ THERECDLANOSSHOWN ON WERE: NAND MEASUM CALLS AREOTABBTRACTaoFOREASE`M&MOROTHERRECORDEDE(CUM ISRMICESNOT
_ SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON TINS SKETCH.
VNWJWRDUND PORTS OF FOOTINGS, FOUNDATIONS OR OTHER IWROVEME�NTS WERE NAT =AM.
ELEVATWN9 ARE BASED ON NATIOPM GEODETIC VERTICAL DATUM IGn (N.G.V.D. IMI.
LouIE P. JoHNsro
THE OWNERSHIP OF TS ARE TOHE
CENTERLINE
FRAN'Y) IS NOT OETETERNINED.
Of FLQ L SURVEYOR MAPPER ND.2173 WALL TIES ARE TO THE FACE OF THE WALL PROFESSIONAL b BA51S OF BEARINGS, IF ANY, ARE AWUWM PER PLAT AN VOR LEGAL DESORPTION.STATE OF IOftIDA THIS SLRVEY HAS BEEN PREPAMO MR THE EXCLUSIVE PURFPQSE FOR USE AS AN AID IN OBTAIINING A BUILDING PERMIT
ON THE HEAEDN M121 M POIOPERTY. NO A=YX*IAL WAmmnAFs p"ca=w a,..'.u-_
25'
EASE
(PER
ti&W 76e!�
0.45'E