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FW-10-1053Project Address 10667 NE 11 Avenue Miami Shores, FL 33138 -2120 1122320280310 Block: Lot: MARIEDY MENDOZA i Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number MARIEDY MENDOZA 10667 NE 11 Avenue MIAMI SHORES FL 33138 -2120 Contractor(s) HOME OWNER Phone Cell Phone Approved: Yes Comments: Date Approved: 6/9/2010: Yes Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: WOOD FENCE Scanning: 1 Fees Due CCF Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $176.00 $3.00 $1.60 $182.20 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Pay Date Pay Type Invoice # FW -6 -10 -38151 06/16/2010 Credit Card 06/09/2010 Credit Card Amt Paid Amt Due $ 132.20 $ 50.00 $ 50.00 $ 0.00 Expiration: 12/12/2010 Applicant Valuation: Total Sq Feet: $ 1,700.00 176 1 Available Inspections: Inspection Type: Final Foundation June 16, 2010 Date June 16, 2010 1 Inspection Number: INSP - 145785 Scheduled Inspection Date: June 30, 2010 Inspector: Bruhn, Norman Owner: MENDOZA, MARIEDY Job Address: 10667 NE 11 Avenue Miami Shores, FL 33138 -2120 Project: <NONE> Contractor: HOME OWNER Building Department Comments WOOD FENCE 5' HIGH Passed G i ' Failed Correction Needed Re- Inspection Fee June 29, 2010 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Number: FW -6 -10 -1053 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1122320280310 Page 8 of 19 0 .1k0‘ 0 ,. BUILDING Permit No. AV 10 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING * Owner's Name (Fee Simple Titleholder) Mar f ecL, ►" I ?OZA Phone # 3U` 5 219 - I Z O q Owner's Address 10 6 JJ [ l City t Ay vi t Sko y e s State Ft Tenant/Lessee Name ,(.i Phone # Email Gadtni e r W r►-► 3 « e 7 i o 0, C o m Job Address (where the work is being done) City Miami Shores Villa e FOLIO / PARCEL # Is Building Historically Designated YES NO Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 /0G6 7 ,vim County Miami -Dade Zip 33 (31? /1 Av Zip 33/3g WrIM BY :... Flood Zone tif S 44444444 00 Contractor's Company Name 01N °'►/ Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone Value of Work For this Permit $ 7 ®a 'a Type of Work: ['Addition ❑Alteration Describe Work: Woo 01 .-P C e E -mail Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Tew 0.40 ❑ Repair/Replace 174 lrntr -r ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees**************** * * * * * * * *: *****************************************Fees******************************************** 00 Submittal Fee $ , . Permit Fee $ 110 CCF $ 1- p�.Q CO /CC $ t7 Notary $ Se 00 Training/Education Fee $ Scanning $ 3'11D Radon $ DPBR $ Bond $ Double Fee $ Violation date: Technology Fee $ 4 Structural Review. $ Total Fee Now Due $ 139 Q0 See Reverse side -> ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 appro ed and a reinspection ee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me thi day of(a , ,20 IN0 ( O'ii Kft4400 who is personally known to me or who has produced -- ti) As identification and who did take an oath. 0i � % / /. Sign: Print: — — : .€ 13 d •' z. /� .• `� °i • c r' O My Commission Expires: ' t9/ '' ......... My Commission Expires: NOTARY PUBLIC: APPROVED BY 6 \? 't 6 a Plans Examiner (Revised 07 /10 /07)(Revised 06/10/2009) Engineer Signature NOTARY PUBLIC: Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. Sign: Print: 4 1 /4 Zoning Clerk checked NAME: Please read and initial each paragraph. OWNER BUILDER DISCLOSURE STATEMENT l■Aar Mevtao2.44 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 6N/ ADDRESS: 10'6 /OE / /Ave /r/l - 5 k4 1.7? 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. 1. I 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. 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial Nl t i 2. I 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. I 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 4. I 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____ \ M Initial 6. I 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 7. 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 kv 8. 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. r t " Initial Initial 9. 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 govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 10. I 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 .com /dbprlpro /cilb /index.html Initial I V 11. I 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: Initial 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. 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. Q� Was acknowledged before me this ` day of , 20 By who was personally known to me or who has Produced there icense or as identification. Initial 1A" 11 Illiii . \\ .:‘ • '‘‘ Planning and Zoning Criteria Owner's Name: MARIEDY MENDOZA Job Address: 10667 11 Avenue Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores, FL 33138 -2120 Folio Number:1122320280310 Owner's Phone: Total Square Feet: 176 Total Job Valuation: $ 1,700.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 6/9/2010 : Yes CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) ^� PROPERTY OWNER: t '9 {`f' ? © Z.6 PERMIT # ADDRESS: /0 (6 7 e T a e /' i Dee dios ` 7L- 3 3( g, FOLIO NUMBER: FLOOD ZONE: 74-6 BASE FLOOD ELEVATION: A0 FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) OWNERS SIGNATURE: PLAN REVIEWER: PLAN REVIEWER SIGNATURE: 11 -12 -08 9 .,-eg # 1700. TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): ° 0 VALUE OF PRINCIPAL STRUCTURE (attach appraisal): 11170 0 , 000 DATE: e6 DATE: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUE: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/1 Floors: 1 Living Units: 1 Adj Sq Footage: 1,996 Lot Size: 10,400 SQ FT Year Built: 1950 $0/$311,589 MIAMI SHORES City: ESTATES PB 47 -58 LOT Legal c � 3 BLK 3 LOT SIZE Desription: 80.000 X 130 OR 14177- 1863 0789 1 COC 25734 -4921 05 20071 OR 27145 -0043 1209 01 Year: 2009 2008 = 14__1 r' . Applied Applied Taxing Authority: ExeTaxable mption/ ExemTaxapble tion/ 10667 NE 11 AVE MIAMI Value: Value: Regional: $0/$311,589 $0/$498,258 County: $0/$311,589 $0/$498,258 City: $0/$311,589 $0/$498,258 School Board: $0/$311,589 $0/$498,258 :M x'.228,000 . >� ales 12/2009 Property: = 14__1 r' . Sales qualified as a result . examination of the . eed Qualification Desch. 'on: Address: $1707719 Folio No.: 11- 2232 -028 -0310 Property: 10667 NE 11 AVE Mailing MARIEDY M MENDOZA Address: $1707719 $231,090 10667 NE 11 AVE MIAMI $311,589 SHORES FL Assessed Value: 33138- Year: 2009 2008 Land Value:__, $140,870 $267,168 Buildinri ValnP. $1707719 $231,090 Market Value: $311,589 $498,258 Assessed Value: $311,589 $498,258 Miami -Dade My Home My Home mi a m ida de.easy. Show Me: Property Information Search By: Select Item • ® Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Summary Details: Property Information: Assessment Information: Taxable Value Information: Sale Information: Additional Information: I Click here to see more information for this I lp rooerty: r nmmnnity IIAvAInnmAnt fli strint ACTIVE TOOL_ SELECT Aerial Photography - 2009 My Home 1 Property information! Pronertv Taxes 1 My Nelahborhood 1 Property Appraiser Home 1 tieing Our Site 1 Phone Directory 1 Privacv 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please emall us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. 0 114ft Property Boundary Selected Property Street Page 1 of 2 Legend Highway Miami -Dade County Water WE http: / /gisims2.miamidade .gov/MyHome /propmap.asp 6/9/2010 JUN FD. f.i NAIL 0.20' CL. 'x07 C.D.S. WALL o •• • • • • 8 co FD.1 /2 ° p 1 _ P . U.P. 14.0' PKWY 8 15' ALLEY ALLEY v • 9.5' ASPS. PAV. ,R AA) O u _ NAIL 4 MOiROt&t LEWD OF ASEIFEMAMH9 • • • • • t ...: -:"•" • • • • • • • • • •• • . P = f comma • • l a • • • • • .: s i' • • or 7 10i/i)a _me VEMIM • ,fits ..... resoD OE � . R/qc ..Fi3iT of - ox� ,swc. •' • • ••s • • • ri: • • • • i � - • • X rr• • • • • '0' • • • • • • •• •• • • • •• •• ••• • • • ••• • • 10cdoi ttr 1,1 A s Iil9'1 28.0' ASPHALT PAVEMENT 4 .. mm NOTES M A L:F.s, WALL ENC. 0,' N TO THE ADJACENT PROPERTY -4 Z FD.1 /2 6 1 5'xO.7' C.6.S. WALL SHEET 2OF2 0 0 THOMAS J. KELLY , INC. L.8 # 6488 SURVEYORS - MAPPERS --LAND PLANNERS 8125 SW 120 STREET PiNECREST. FLORIDA 3315 (785) 242 -7692 DADE (954) 779 -3288 MVO (788) 242 -8494 DADE FAX (954)779 -3260 8R11D FAX DATE F1ELD WORK 12/07/2009 SCALE 1 X20' SURVEY ND. 09-1860 May 2009 o Shadow Box o Vertical Picket (9 Board on Board WOOD FENCE DETAIL 4x4 Post Spacing Fences <= 5' high posts spaced at 5' on center maximum Fences <= 4' high posts spaced at 6" on center maximum Fence must not exceed 5' in height .. ... • • • . .. • ••• • • • • i • • • • • •. • • 1 ..• • ••• ••• •• ▪ • • • •�� • 4 x4 pressure treated posts embedded Tinto concrete footing lo" ••• '�• • •• • • .'. ••. diameter x 2'deep • • • . • • • .. • • • • 1 • • • • •. • • • • .. • • • • -. • ALC wootl must be pressure treated All fasteners must be corrosion resistant • o essthan two fasteners in any connection • • • • . • • • • ••• • .. .. • . • .. .. •.. • • • ..• • • M uami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection REQUIREMENTS FOR FENCE PERMIT Permit application must be accompanied by: Revised on 5/22/2009 M iami Shores Viviage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑ 2 copies of your survey (not older than 7 years). ❑ If survey is older than 7 years fill out Survey Affidavit form. ❑ If owner is doing the job, owner must fill and notarize Owner Builders Disclosure form (This form must be signed and notarized in the building department only). ❑ Show the proposed size on survey including, required 40 sq ft of garbage area, location of gates if any, and height (can not exceed 5' ft height). ❑ Include wood or chain link specs form (one with each survey). ❑ $50.00 submittal fee when submitting your permit. NOTICE: ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECIFICATIONS MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITECTURAL OR ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY•RRODUCT d�ppP$M(At • • • • • • •• ••• • • • • • • • • • • • • • • • • • •• • • • • • •• • • • • • • • • • • • • • • • • •• • • • •• • • • • • • ••• • • • • • • • • • • •• 01 • • • • • ••• • • • • • ••• • • • • • • • • • • • •• •• • • • • •••