FW-09-23-2411Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
10604 NW 2ND AVE, Miami Shores, FL 33150
Contacts
Permit NO.: FW-09-23-2411
Permit Type: Fence/Wall
Work Classification: Ornamental/Metal
PermitStotus:Approved
Issue Date: 11/03/2023 1 Expiration:04/03/2024
Parcel Number
1121360020050
SALAZAR INTERNATIONAL INVESTMENTS Owner HOME OWNER Contractor
LLC HOME OWNER
Andrea Salazar
701 S Miami AVE, Miami, FL 33130 Mobile: 3054507783 administration@excelmanagement.
Home: 7866149511 andreasalazar100@gmail.com net
Description: DURA FENCE 6 FT HIGH Valuation: $ 5,000.00
Total Sq Feet: 2,948.00
�j
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
DBPR Fee
$5.40
DCA Fee
$3.10
Education Surcharge
$1.50
Engineer Fence Systems
$310.00
Planning and Zoning Review Fee
$70.00
Scanning Fee
$9.00
Structural Review($60)
$60.00
Technology Fee (Manual)
$36.00
Total:
$548.00
Inspection Requests:
05-762-4949
Payments
Date Paid Amt Paid
Total Fees
$548.00
Credit Card
11/03/2023 $498.00
Credit Card
09/29/2023 $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
permitsNe required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOLwork.
OWN R� AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regul tin construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
1� 111-103423
Aut rjied Signa re: Owner / Applicant / Contractor / Agent Date
November 03, 2023 Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (905) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
QBUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING MECHANICAL ❑ CHANGEOF
CONTRACTOR
JOB ADDRESS: 10604 NW 2nd AVE.
FBC20���
Master Permit No. �j' M23 2l
Sub Permit No,
0 REVISION EXTENSION ORENEWAL
[]CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Sh res County: Miami Dade Zj
Folio/Parcel#:11-2136-002-0050 Is the Building Historically Designated: Yes _ NO %�
Occupancy Type: Load: Construction Type Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): SALAZAR INTERNATIONAL INVESTMENTS phone#: 786-210-7368
Address:10604 NW 2nd AVE.
City: MIAMI SHORES State: FL 331,40
Tenant/Lessee Name: SALAZAR INTERNATIONAL INVESTMENTS Phone#: 786-210-7368
Email: 9aston.emanclpatorpro@gmail.com
CONTRACTOR: Company Name: N/A
Address:
Email:
Qualifier Name:
state Certification or Registration #:
of Competency #:
DESIGNER: Architect/Engineer: N/A Phone#:
Address:
_ City: State: _Zip:
Value of Work for this Permit:
trvr�5t Square/Linear Footage Of Work: '�' Ii:�
Type of Work: ❑ Addition ❑ Alteration IZyI New NrRepair/Replace ❑ Demolition
an� inw A6
rrraUF2 Description of Woue
ork: "'�DAFEENCINSTALLATION BY OWNER iH ((,,y
Specify color of color thru tile:
Submittal Fee $ S� GD Permit Fee S -31 O CCF $ 3 " 00
Scanning Fee $ � . D(7 to/Gt $
DCA Fee $ ,�i - 16 DBPR $ � • C1 D Notary $
TechnologyFee $ 3 to (76 .
Tralning/Eduoatlon Fee S ( Double Fee
$
Structural Reviews $ /i ° �' P&Z Review $ �to . C0 Bond $
(Rev1sed04/05/7022)
TOTAL FEE NOW DUE $ t j
�_
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) N/A
Mortgage Lender's Address
City
State
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 CONDrrIONERS, 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 I6ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approv7d and a reinspection fee will be charged.
or AGENT
The foregoing instrument acknowledged before me this
9J day of 'G 4 i/7LY_ . 20 L;9 , by
ArJ-,r¢R- S,0_oL—t:cs_,r pronwto
Ol"r who has produced
identification and who did take an oath.
NOTARY PUBLIC:
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
as me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
sign:
51gn:_
Print: J-� �— �5��
Print:
Seal:
CwROUZ °OSTER
.�
:75.desi
Seal:
Notary Public 50te Oi Florida
1"j�COrnmiSpon N HH 12 9954My
Comm. Expires Jun 12. 2025
1hrcu,h Nal-61 Notary Alen.
#!!##ii•####i#Riitiiiiiifi#ii iii#iti!l�aR#tiilri##i###i###Y#
C�r0
APPROVED BY
Plans Examiner
Structural Review
as
�eZC1�ti�' Zoning
f 01 Z.stZ3.
Clerk
(aevised04/05/2022)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
n OWNER BUILDER DISCLOSURE STATEM/ENNT
NAME: 1�I , �G' S�`a DATE: I /�3�
ADDRESS: .1-OG04 Qu.) ZrlA A\/Z - �Alckx C , F—L 33i S O
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-famiy 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 forthat 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 1, as the owner of the property listed, may act as my own contractor with certain
restrictions even though I do not have a license. t1�C-7
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 licensed contractor to assume responsibility.
Initial_ As
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 anff,,d contracts.
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 R 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 1 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 r `�
S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial NS
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 aunty or municipal ordinance.
Initial SS
I 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_
I 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 parry legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and
requirementthat 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.myfloridalicense.mm/dbor/oro/cllb/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 parry
legally and financially responsible for the proposed construction activity at the following address:
40G04 tiw andM; ► - ; Qae/ Fw3S o S
Initial lk
12. I 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. S
Initial
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 an 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 foal permitting agency is required when the permit is issued.
Was acknowledged before me this 2A By of rX?_ . 20 Z 3
By hLnjLKu who was personally known to me or who has
Produced thefe)License or VC4... D41V Ret
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OWNER N RR MY COA1MISSION#GG950477
EXPIRES: March 6, 2024
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PHONE Nt11NBER: 761-2194
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METALS PANELS 2023
60734
IN,
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QUALITY
xmvsr/EI.YAPPUCAaU FOR THE
OLLOWING ADDRESS:
METAL
604 NW 2nd AVE.
mmi Shores, FL 33130
[MJENT:
PANELS
Enrique Gana
A'LONE
NUMBER: 761-2194
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Eastern
Engineering Group
PANELS 2023
X-1.2
60734
Charles C. Mitchell, P.E.
924 N. Federal Hwy
Hollywood, Fla, 33023
Civil/Structural #11127
305-336-5069 Cell
Dec. 5, 2023
Building Official
Village of Miami Shores
10050 NE 2°d Ave
Miami Shores, Fl. 33138
Re: Dura Fence As Built
10604 NW 2"d Ave
Miami Shores, Fla.
Permit # FW-09-23-2411
Attn: Building Official,
pe-d,-a3-ILP
An inspection was done of the 6' Dura Fence foundation located at this property and these are
my findings:
Dura Fence/Aluminum Fence
• (082) Foundation: The 6' high Dura Fence foundation was observed to have 2 '/2"x2 Yz"xl6
ga. post set in 19"x36" deep holes spaced @ 4'-0" oc thru out the fence construction. The
methodology used was to visually inspect the holes prior to the pouring of the concrete.
• (001) Final: The work was verified to be done to code and approved set of plans for the
Dura Fence foundation.
In conclusion, the 6' High Dura Fence was constructed as per the approved set of plans & per the
7d' ED FBC 2020.
Sincerely, . `t�VSry
S"
Charles G_. itchell, PyE. ,f
ti STATE Z OF
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