FW-08-23-1926Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
issue Date: 09/22/2023--
Location Address Parcel Number
1120 NE 101ST ST, Miami Shores, FL 33138 1132050190280
Contacts
Permit NO.: FW-08-23-1926
Permit Type: Fence/Wall
Work Classification: Wood Fence
Permit Status: Approved
Expiration: 03/22/2024
Ruth Persaud Owner RUTH PERSAUD Contractor
1120 NE 101 ST, Miami Shores, FL 33138 1120 NE 101 ST, MIAMI SHORES, FL 331382607
. Inspection Requests:
Description: WOOD FENCE - SOUTH END OF PROPERTY FACING Valuation: $ 2,200.00
ALLEY WAY 30St2 449
(Note: area for trash must remain 8x5) I Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.90
Planning and Zoning Review Fee
$70.00
Scanning Fee
$9.00
Technology Fee
$10.00
Wire and Wood Fence Fee
$50.00
Total:
$195.70
Payments
Date Paid Amt Paid
Total Fees
$195.70
Check # 349
08/04/2023 $50.00
Check # 147
09/22/2023 $145.70
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
JERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
aU g construct'onnAd zoning. Futhermore uthorize the above named contractor to do the work stated.
4 � 0
?4yV EASAta>
orized Signature: Owner / Applicant / Contractor / Agent Date
September 22, 2023 Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
wil"I O
PERMIT APPLICATION
E<UILDING ❑ ELECTRIC ❑ ROOFING
A) U4 3
F'B�rC 20� I
Master Permit No. F o� ` Q3 • [ 9�'�Q
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING MECHANICAL CHANGE OF ❑ CANCELLATION ❑ SHOP
AA CONTRACTOR l p n DRAWINGS
JOB ADDRESS: 11 2ta A oR- wawr lot Smey, 0` (lra+rl� c1 � Oem rL - 33136
City: Miami Shores Countv: Miami Dade Zip:
Folio/Parcel#: U— 3.205 — p! 9 — D z$O Is the Building Historically Designated: Yes NO 1/•
Occupancy Type: Load: Construction Type: Flood Zone: BFE:�y FFE:
OWNER: Name (Fee Simple Titleholder): A/6?r'S-'eW,'D Phone#: _ ` 8G- 38.Z 4?5_14
Address: Allot 4-Eg3r io/ ,ST72E€T
City: 0_7113f4! J alo1WS State:
Tenant/Lessee Name:
33t38
Phone#: '—
Email: �ur�f 2t3 (LD 40/. Ca014
CONTRACTOR: Company Name:!' C�wAue _ Phone#:
Address:
Email
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Phone#:
Certificate of Competency #:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ agoo •Gd Square/Linear Footage of Work: %5 r Er'
Type of Work: ❑ Addition ❑ Alteration ELkmew ❑ Repair/Replace ❑ Demolition
Description of Work: _&bop RICE— .-�jaj (fAeD OF 0Ropegry —
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised04/05/2022)
Permit Fee $
DCA Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $ _
P&Z Review $ Bond $ ']
TOTAL FEE NOW DUE $ _��• _v
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'af 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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day off;` QC-7F , 20 2,� , by
Qk:1 � A . <TJL- 5a , who is personally known to
me or who has produced �PL,(-pl • as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
F �OP,••
APPROVED BY _
(Revised04/05/2022)
a
HEBERT MARTINEZ
My COMMISSION # HH 323276
EXPIRES: October 18, 2026
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sigri:
Print:
Seal:
Fly
Plans Examiner` Zoning
Structural Review
c)k Z-Q, Pv>
Clerk
NAME:
OWNER DER DISCLOSURE STATEMENT
Wav?4MW4W DATE: (�
ADDRESS: INTO /� CAn-1 C.gf;-r (o t Srkerr, /' Gaufl C54 6ez'5r ,73138
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
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
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 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 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 6—P
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
is my responsibility to ensure that the persons whom I employ have the license required by law andpbcounty or municipal ordinance.
Initia
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 J P
S. 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 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.
InitialR
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 P
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:
11 ay ALE 10( salu Idw/ anecs
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
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 worker's 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 ADmST-, 20 e!2-
By
v_vv
who was personally known to me or who has
Produced there License or ['Dl,"
V �
AMER
as identification.
_7 e`•"'� HEBERT MARTINEZ
MY COMMISSION # HH 323276
ARY EXPIRES: October 18, 2026
♦E,OF F�� •'
4
Summary Report
Folio: 11-3205-019-02 B0
Sub -Division: MIAMI SHORES SEC 8 REV IN PB 43-67
Property Address: 1120 NE 101 ST
Owner: RUTH PERSAUD
Mailing Address: 1120 NE 101 ST
MIAMI SHORES, FL 33138
PrimaryZone: 1100 SGL FAMILY- 2301-2500 SQ
Primary Land Use: 0101 RESIDENTIAL-
SINGLE FAMILY:
1 UNIT
Beds i Baths /Half
312 / 0
Floors
1
Living Units
1
Actual Area
2,453 Sq.Ft
Living Area
1,787 Sq,Ft
Adjusted Area
2,120 Sq.Ft
Lot Size
8,775 Sq.Ft,
Year Built
1952
Year 2023
2022
2021
Land Value $789,693
$609,040
$331,485
Building Value $222,600
$222,600
$159,000
Extra Feature Value $2,378
$2,406
$2,435 <'
Market Value $1,014,671
$734,046
$492,920
Assessed Value $244,952
$237,818
$230.892
MIAMI SHORES SEC 8 REV'PB 43.67
LOT 5 BLK 177
LOT SIZE 75.000 X 117
OR 12930-3233 0686 1
Generated On: 08/04/2023
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:,'!w;env.miamidade.gov/info/disclaimer.asp
❑ Shadow Box
❑ Vertical Picket
4�_4oard on Board
Fence Good Side
Out. The vertical
and horizontal
supporting
members of a
fence shall face
the interior of the
plot on which the
fence is located
and the finished
side shall face the
adjoining lot or
any abutting right-
of-way.
fy
�1 P.tF
} S I 0 -5 2023
By
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
c Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
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
No less than two fasteners in any connection
Revised 10/14/2016AS
1 x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
B 1 e
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF (FLORIDA)
COUNTY OF (DADE)
The undersigned Affiant, wP//oes hereby attest that
(Property owner)
The attached survey, performed by
cc C'q'e ft
(Name of surveprIs company
For address: �1%(� Nr /r, S'i ' <�(l�gu�! P-1
Performed on 06.1115 96 (date of survey) is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures may affect final inspections as applicable to this or other permits.
tu�fther, A Pnt ay eth i u t.
ee� ' �eS'f�LdJ
Property Owner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this Z day of
Affiant is personally known tome, Z:produced �- - t-' cas identification.
Revised on 5/22/2009/ Revised on 6112/09
0
Notary V l �/ -� ✓� ��w
Vivienne Yao
'8__ Comm.:HH 222410
y.,,•` Expires: Jan, 31, 2026
�''���►^`° Notary Public • State of Florida
mmu�a ry
-- -- CHARLES W. CARR
9245 S. W. 44tk Street LAND SURVEYOR Telephana:
SURVEY NUMBER 86-2-72 MIAMI, FLORIDA 221-3416
SURVEY OF
LOT 5 ■iocx 177
susDivisiom REVISED FLAT OF MIAMI SHORES SEC'TTON R
According to tit Hat Tkereet as Recorded In fiat toot Ito. 43 _ ,t fogt No— .,67
fabiic Records of Dade _�a,ty, Florida-____ Dennis Per sand
pat,_ June 18th, 1986 For 1120 N E 101St t MIAMI SHORES, FLORIDA
I HERESY CERTIFY fiat tit attacked
skrtei represeats a recent sarvey ■ade
"der n,y dirocttos, and Is tnt Gad ear-
rtct to tit bast of e,y knowledge and
btJ.Wf sn ao eacroack nts.
R16ft MJ1D LAM sURMolt loco
STAT= OF NARIDA
V�
o�
s
0
/zp. si3
5
75
4
3
7
LOCATED IN:
MIAMI SHORES,
DADE COUNTY, FLORI DA.
CERTIFIED TO:
American Southern Mortgage Corporation
American Savings and Loan Association
Lawyers Title Insurance Corporation
The Florida Flood Insurance Rate Map, dated -'f:) / 30 %Z
published by the United State Department of Housing an ran eve opment
delineate& the herein described land to be within zone
This is not a Flood Hazard Zone.
This is a land survey and was prepared in accordance with and satisfies
the minimum technical standards of Section 472.027 of the Florida Statutes
and the rules promulgated thereunder of the FSPLS and of the FLTA.
SEP 0 5 2023 U
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Viiami Shores Vi 1-ildiEg nDep e1Zoning Dept. ate
Building Dept. at
Subject to compliance with all Fe rat,
State and County rules and regula ns.
Permit#
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