FW-10-382Inspection Number: INSP - 140543
Scheduled Inspection Date: April 19, 2010
Inspector: Bruhn, Norman
Owner: CASTRO, MARIA
Job Address: 515 NE 93 Street
Project: <NONE>
April 16, 2010
Miami Shores, FL 33138-
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
replaceing broken chainlink fence with shadow box wood
fence along property line
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 137571. Work exceeds permit
revise permit. NB
For Inspections please call: (305)762 -4949
Permit Number: FW -3 -10 -382
Permit Type: Fence/WaII
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1132060140990
Page 19 of 28
BUILDING
PERMIT APPLICATION
FBC 20
Tenant/Lessee Name
Email
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 100.sD net Phone #
Contractor's Address
Contact Phone
Value of Work For this
Type of Work:
Describe Work:
e,.
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
E -mail
Submittal Fee $ Permit Fee $ ( CCF $
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Permit No. Thi I O2-
Master Permit No.
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) , (2t c..Aexacp Phone #
Owner's Address � t S �u CZ •
Ci -Q.. O(Le S State �L
Zip 3313$
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 3 313$
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
06„,k
Square / Linear Footage Of Work:
– <26d$
Flood Zone p 0
a`l Uyw qie.±
❑New ❑ Repair/Replace ❑ Demolition
** ***** **** *** ****** * ***** ** * *** * ** F $ * *** ********* *** ** * ** * * ** * * * * * * * * * * ** * * * * * **
ITECMWE9
lit APP i 5 2010
BY:
CO /CC $
Technology Fee $
Bond $
Structural Review. $ Total Fee Now Due $
See Reverse side ->
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, P LUMBING, 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 approved and a reinspection fee will be charged.
Signature
NOTARY UBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
Plans Examiner
Engineer
Signature
Owner or Agent Contractor
The forego instrument was acknor ledged bef e me this The foregoing instrument was acknowledged before me this
day o !� A , 20 0, by r' . n n c n
ay of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
As identification and who did take an oath.
ti
ti
, Sign:
," Print:
, , o p My Commission Expires:
a
A
t o Zoning
Clerk checked
a ni n Zoning Criteria
Owner's Name: MARIA CASTRO
Job Address: 515 93 Street
Miami Shores, FL 33138-
Contractor(s)
HOME OWNER
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)758 -8972
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 4/15/2010 : Yes
Comments: 4/15/10
FENCE IS APPROVED FOR LOCATION INSIDE BRICK WALL.
Phone
Permit NO. FW -3 -10 -382
ncefiNali
Fence
Expires: /1 /2
Folio Number:1132060140990
Owner's Phone:
Total Square Feet: 90
Total Job Valuation: $ 1,500.00
Primary Contractor
Yes
.. /77 fet4i17 Vlio3
LOT 13
Fad. V' LP.
01 1.1
dr BLOCK
CORNER
0— —
75.05
T 0.25 Eno.
WEST 1/2
OF LOT 14
0.50'
Cl.
CL
OA,
0.7 CI. (METAL
0.45 ( .
7 7
N.E. 93rd STREET
Dp:
71)NING DEPT
BLDG DEPT
RY
End IS LP
(No LII)
0.05'
CL
LOT 16
.85' CI.
.45' CL
ca.
1 7
62_
SUBJECT i0 COMPLIANCE WITH ALL FEDERAL
STAI D AND CC_,UN 1 ril_ILS AND PECULATICYV3
SURVEYOR'S SEAL
Unless It beam the signalise and
the original raised seal of a
Florida licensed surveyor and
mapper, this nuiplreport Is tor
hifortnatlonal purposes only and
Is not odd.
REVISED:
N.E. 93rd STREET
4
; 4112:0)
N.E. 93rd STREET
Location Sketch
NTS
LEGAL DESCRIPTION:
Lot 15 & the East % of Lot 14, Block 58, MIAMI SHORES SECTION NO. 2, according to the Fiat ini4of,
as recorded in PIM Book 10, Page 37, of the Public Records of MIAMI-DADE County, Florid —
- -
CERTIFIED TO:
Corporation.
Maria Ines Castro; Cambridge Title & Closing Services; Lawyers Title InstUtince"
PREPARED FOR Marla Ines Castro, 515 N.E. 93 Street, flaunt Shores, FL 33138 • •
• - • •
w • _ •,
Encroachments:
1. Overhead ugly lines.
2. Portion of the comets drive Is encroaching into the street Right-of-Way (N.E 93rd
3. Portion of the concrete drive is encroaching ver the North boundary line into the
4. Pardons of the adjacent 4 foot high chain link fences are encroaching over the W
Nob=
• AO deem/ices andor enumer)urtents sheen 500000 300 °kippered nand.. Panes ownership 50 1110031
not determined.
• Enema:lancets Note* 4
• Underground structures, deny, not boated.
• Bearings, If shown, rue based on assumed meridian or Piat of Record.
• Lands shown hereon were not abstracted Id easamede and/or righter-nap drama
• Legal desaldion provided by oiled
• This 3.01000050 13 only for tend as described. his not a candle:don 011015, zonam, caseloads. or Medan
ABSTRACT NOT REVIEWED.
• There grey be additional antidotes not shorn on Mb sunray thst rnay ba found hi the public records of this .4850•NO
REVIEWED. • 1 ,71,,
• This BOUNDARY SURVEY has been prepared for the enoltuare ime dela entilbs named hereon. The Csniecatidies nolententto ant-zai
unnamed party.
• TMs snow nos based on the monuments found an the field. No destruction In any manner should be made odlhoutthe prior vnitten
assent of Me Surveyor.
BOUNDARY SURVEY
!HEREBY CERTIFY: 'ROMs abetted onerous made
mks raw remmosIble dime me mamma* mm•
nide= technical standards es rettoth by the FLORIDA
BOARD OP WM SURVEYORS In Chapter SIGMA MOM
Adalniatraava Cob. monad to Seam sa2S02. Rata
Statutes. Theresa aa ersaaaehments.andaps.aatatrants
OP...ft an A at Pallas Wm Own
--
ELSON
^ , ^
MOJARENA & ASSOCIATES, INC.
Land Surveyors & Mappers
J Certificate of Authorization No. 6698
12926 S.W. 132nd Avenue
Miami, Florida 33188 (305)278-2494
FLOOD ZONE X
DATE: SCALE
06-10-09 1" = 20'
•
•
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• attlf , Palaway • ap .4.4
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Mad
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BASE N/A
PEC Point ot Realifbakaull
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LS Reod Land Survey.
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•
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W. way Emmett
W.F. Woad F611330
1NJL • 1011100 333330
MAE • IhreallaInterantee Easement
DWN. BY IMB NO.
NMJR 09-0123
S! _�re V
ZONING DEPT
Fnd. W IP.
(No -1.10' CL
0.05'
,J CL.
LOT 16
O
.13S CL
AS a
BLDG DEPT
SUBJECT CO CCMPI _IANCE WITH ALL FEDERAL
STATE AND CC'. 1Y rii JLES AND REGULATIONS
z
z
N.E. 93rd STREET
`4_ ao � 3 �gT PARC
mmrtav ,
111411mmos)
N.E. 93rd STREET
Location Sketch
NTS
LEGAL DESCRIPTION:
Lot 15 & the East % of Lot 14, Block 58, MIAMI SHORES SECTION
as recorded in Plat Book 10, Page 37, of the Public Records of MIAMI
CERTIFIED TO: Maria Ines Castro; Cambridge Tole & Closing Services(
Corporation. 1
PREPARED FOR Maria Ines Castro, 515 N.E. 93 Street, Miami Shores, FL 33138 • •
Encroachments: •• • r ' -
1. Overhead utilHy lines. . . I-•,• i
2. Portion of the concrete drive Is encroaching into the street Right- of-Way (N.E 9S •L
3. Portion of the concrete drive Is encroaching over the North boundary be into the abuthn of eye
4. Portions of the adjacent 4 foot high chain 'Ink fences are encroaching over the West bkwaday rind.
••••
• AO clearances BMIW encroachments shown hereon are ofappWeld MAIM Forme arnmatdp by visual means. vs , aa of fences
not determyd. • • • •
• Encroachments Nmet 4
• Underground obuotuma deny. not Mewled.
• BeaMgs, ashram, am based on assured meridian or Plat of Record.
• Lands shown heman rue not absaazted for easements andlor rtgMatamya of record.
• Legal description provided by agent
24' CI. • ThbcertiScaSon Is ony for lard as described. els not a oertiece05 ofiPoa, =rting,
- - -- ABSTRACT NOT REVIEWED.
• There may be odd oI neehh0ars not sham on Bds survey drat maybe found In the public:
REVIEWED.
• This BOUNDARY SURVEY has been prepared for the excluvAre use Mere entitles named
unnamed party.
• This survey was based on the nro uments fond on the field. NO mnsrur•a• hi any manner ner should be rode
consent of the Surveyor.
SURVEYOR'S SEAL
Unless It bears the algnatue and
the anginal rabad seal of a
FIdABLEadollad surveyor and
mapper. thh'map/mport Is for
Informational purposes only and
BOUNDARY SURVEY
1 HEREBY CERTIFY: Thal Us ehddb way
osier ay mepar0la sharps and b
tedsgad.n m
erdseetfmmbytte
00550 •
BOARD OF LAND SURVEYORS In Chapter 6101
Admit Eve Code, parmrwd toSolite472027.
Shade.. There w e cos ecroadms At nose eah
•ppemh+a an *Mk maaIlaro
ELSON + - NA
Surveyor & Mapper No. 5504
State of Florlda
•• ••
FLOOD ZONE X
DATE:
06 -10-09
• •
SCALE:
1 " =20'
LEGEND
A Cartel Male
A At+
AA: Afcon•emwr
RSPB AspiwB
Cr a Ce411 eta 0a
CBS Cameo Mak Snuas
CH chore
• chattmroadre
4
CLF Chats Uric Fame
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a�
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D Deed
a 01ame0er
DX DM Hare
014E Drahn•ye &nib t000 Emit
Easement Eoa. Ermaedav®t
F.H. -
FW-: "Fsn4tlT her RI. rw _ a F nd eZ' oar Row
FPL •p: maapaewr &Ltr -• - -
m _ - rmn�ear
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LYE ' • Lo , l.irw�q: USK.- rr
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m_ >_ aaed
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e N
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ill P - Plat
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PLS Prl • • 1
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•
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eB° •
Timpani • •
i T•wwldp
F ed
• My
WO
• WOW Poet
• Water Yehr
• Was Yohdenalees Eawawn
It. Hiroo=
OCIATES, INC.
Surveyors & Mappers
the of Authorization No. 6898
12925 S.W. 132nd Avenue
Florida 33186 (305) 278 -2494
BASE NIA
DWN. BY I JOB NO.
NMJR• 09-0123
0'
LOT 13
Ford. IS LP.
(No LD.)
BLOCK
CORNER
3— —
si7wI7h3.7A •Tel—'
•
3890'
15.00'
0.05' Cl.
f 025' 00
WEST 12
OF LOT 14
oar
V •
i
24sOL(
II.SO' d. (CBS
0.40' Era.
09$ CL (METAL
0.40' Eno.
V
0
P.P.
N.E. 93rd STREET
Fed. 14" IP.
—(No-A ID.)
CL
1
CL
LOT 16
v
O
es
.45' CL
••••
LEGAL DESCRIPTION: • •
Lot 15 & the East % of Lot 14, Block 58, MIAMI SHORES SECTION NO. 2, according to the Pdtthl�IQof,
as recorded in Plat Book 10, Page 37, of the Public Records of MIAMI -DADE County, Florida • • • • •
• •
CERTIFIED TO: Maria Ines Castro; Cambridge Title & Closing Services; Lawyers Title InsuraStce •
Corporation. ••••••
• • •
PREPARED FOR Marla Ines Castro, 615 N.E. 93 Street, Miami Shores, FL 33138 • •
• •
Encroachments • • • •
1. Overhead utility lines. • • •
2. Portion of the concrete drive Is encroaching into the street Right -of-My (N.E 93rd Street).
3. Portion of the concrete drive is encroaching over the North boundary fine into the abutting 15 foot alley.
4. Portions of the adjacent 4 foot high chain Zink fences are encroaching over the West boundary Ane.
Not
• AP clearances nMlorencroerhmmfts shown hereon are of apparel matins Farm vonerahlo by visual means Legal ownership of fences
not detenmNed.
• Encroachments Notet 4
• underground structures. d any, not located.
• Bearings. If shown, are based on assumed meridian or Pled of Reood.
• Lands shown hemm were not absbacmdfor easements andlorright -dwaye of more
• Legal description provided by pled.
24' CL • This eejNeatbn Is only for led as described. Ms nog certification Mlle, zoning, easements, or freedom from encumbrances.
ABSTRACT NOT REVIEWED.
• There may be edema' restrictions not shown on this survey that may be fond in the public records of 043 county. ABSTRACT NOT
REVIEWED.
• ThIs BOUNDARY SURVEY has been prepared tor the exclusive use attire entities named hereon. The CmtItente does not Wend to any
unnamed patty.
• This survey was based on the monuments fond on the field. No construction In any manner shoed be made without the prior suntan
cement of the Surveyor.
SURVEYOR'S SEAL
Unless It beam the signature and
the mistral raised seal of a
Florida ilmnsed surveyor and
mapper, this map/report Is far
Informational purposes only and
Is not vend.
REVISED:
N.E. 93rd STREET
,�G. PARC
mmr`�J_ soul
N.E. 93rd STREET
Location Sketch
NTS
BOUNDARY SURVEY
!HEREBY CERTIFY: Thal tie a0mmd su ayam mane
came rayreepwoaw enlace end aaeta4alymeets Me
maim. mamma efammdeas settee, by the FLORIDA
BOARD OF LAND SURVEYORS In Chapter . , Florida
aanma.tr ao Code. passed Damson 4Tt0Z7. 0ar. Ronda
Stebatei homso ermeeclmwas.wessoL mamma
eppemap on agPletor Vane sesame* other eon n
ELSON ARENA
and Surveyor & Mapper No. 5504
State of Florida
• •
• • •
•• •
••••••
•
••••••
FLOOD ZONE X
DATE: I SCALE:
06 -10-09 I 1" = 20'
LEGEND
A
NC
ASPH
BBO
Ce
CBS
CH
Matta.
a
CLF
CL
Conn
0
DH
DOE
Emit
Era
F.H. • •FJ{e1ytlad
Fg'r �� hen Pipe
WI • j Fp • e ?
ID Pos mr a ionReb llgh• • • • • •
ID • •IaereHmmn •
L L:P •fl 0 P Binh.=
•
Feen
L& oLand Surveyor
&t dMdeeaured
MINT. =Maintenance • •
•••
• • •Um •
Mon = Monument
N/A = yNooptWomble • • • • • •
NISP v' • � Rameer •••••
rI>s Bate
O .Ul • aOvedmadUUClrL • mm • • • • Plat
P a = Plat Beak •
PC dVaat or Carats •
S IEf• ••PernmentControl Poe • • •
PO =PeOe
P.L o Point ofh n •
• ▪ r• • Pmbay� • •••••
•
PAIL
P.O.C.
P.P.
PRC
PRM
PT
R
Ron
R.L9.
RNO
RJR
R8M
RAN
Wet
Sec
U.E.
UTIL
W.F.
WM.
YNME
Central Angle
Am
Air Cam
Asphalt
Barbecue
Camh Basin
Coamm5 Block Much.
Chas
Chattahoochee
Center Line
Chain Link Fence
Clem
Concrete
Deed
Diameter
Oren Hob
ora6mge B MmntenameEesml
Easement
enmo.eimmu
Profasslenat Lend Sm mayor
Point al Beginning
PoenelCommencement
Palm Pole
Point al Reverse O onahae
Point dMean= Mormnmd
PohdofTangency
Rae=
Residence
Registered Lend Surveyor
R•ng•
Railroad
Registered Smvayme&tapper
Right-at-Way
Sidewalk
Section
Tangent
Township
UfiSy Easmnmd
Wood Fence
Weer Mom
Well Maintenance Easement
MOJARENA & ASSOCIATES, INC.
li Land Surveyors & Mappers
e p
Certificate of Autnorizatlon No. 6898
w 12925 S.W. 132nd Avenue
Miami, Florida 33188 (305) 278 -2494
BASE: N/A
DWN. BY I JOB NO.
NMJR 09-0123
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Address
Phone
515 93 Street
Miami Shores, FL 33138-
1132060140990
Block: Lot:
MARIA CASTRO
Cell
MARIA CASTRO
515 93 Street
MIAMI SHORES FL 33138 -2409
Valuation:
Total Sq Feet:
Contractor(s)
HOME OWNER
Phone
CeII Phone
Approved: Yes
Comments:
Date Approved: 3/10/2010 : Yes
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: 5' HEIGHT MAX
Fees Due
CCF
Education Surcharge
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$100.00
$3.00
$1.60
$106.20
Inspection Type:
Final
Foundation
Pay Date Pay Type
Invoice # FW -3 -10 -37250
03/10/2010 Credit Card
03/18/2010 Credit Card
Amt Paid Amt Due
$ 50.00 $ 56.20
$ 56.20 $ 0.00
Available Inspections:
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
March 18, 2010
Date
March 18, 2010 1
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) 1,11) P =C{ S 1 jRQ Phone #
Owner's Address
City • 5 c� StateU
Tenant/Lessee Name
Email - GQ)3 sN kr r ) n €T
Job Address (where the work is being done) St q a zz., °
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Contractor's Company Name
Contractor's Address
Contact Phone
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
Is Building Historically Designated YES NO
E -mail
Master Permit No.
Zip
Phone #
Phone #
Permit No. 3 ' c W
Zip
'r)3 G
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ s Square / Linear Footage Of Work: 1® e.
Type of Work: n DAddition ['Alteration DNew a Repair/Replace 1=1 Demolition
Describe Work: Qef l aca c bicaeerN dtc t.th \ire IG FerNce_ uCV ')=1?-6P- 0- -DL
utDocisQ Pence: r Pe 1 i r► e .
* * * * * * * * * * * ** * * * * * *** * * * * * * * * * * * * * * * ** F ees * * * * * * * * * ** * * * * * * * * * ** *** * * * * * * * * * * * * * * * * **
Submittal Fee $ u0' Permit Fee $ /�� 0
CCF $ ' o(� CO /CC $
POEMS%
MAR 1 ti 261[J
B
Flood Zone
Notary $ Training/Education Fee $ o .4o Technology Fee $ 1•(
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date: nn�
Structural Review. $ Total Fee Now Due $ '`'W' �L(3
See Reverse side -->
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 approved and a reinspection fee will be charged.
Signature
Owner or Agent Contractor
The foreg j .g iin was aUYIC) ledged bef re me JO The foregoing instrument was acknowledged before me this
day o' f tW1,20,0,by IV VA, day of ,20_,by
who is personally known to me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /l0 /07)(Revised 06/10/2009)
*
J C"' ' 1`' `
IS IC°11 ? Ctt'4°
I n-
:
Engineer
Signature
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
4 ICJ J 1YC) Plans Examiner
Zoning
Clerk checked
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: _S ( DATE: ' I 0
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 fora 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. 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.
Initial tit t°G
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.
5. I understand that, as the owner-builder, I must provide direct, onsite supervision of the construction.
Initi 4C`°—
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. l 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. _ a
Initial
Initial
4. I understand that 1 may build or improve a one family or two-family residence 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 substanti
improved it for sale or lease, which violates the exemption.
Initial
6. I understand that t 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.
��f
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.
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 compens • (' n for
the employee. I understand that my failure to follow these may subject to serious financial risk.
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 taws, ordinances, building codes, and zoning regulations.
Initial Q' C O
10. I understand that 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 ht tp: l/ vww. mvfloridaricense .com/dbpr /oro/cilbfindex.html
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:
Initial
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.
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 Toss 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 contractors 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 lei permitting agency is required when
the permit is issued. 0 o,,, `� ,�
Was acknowledged before me this 10 day oft , h r C 1 , 20 10
11AILC By 1i a CG who was rsonall known to me or who has
pe Y
Produced there License or - as identification.
0 NER NOTARY
Initial 9
R,e,cm�rr
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax (305)756 -8972
Owner's Name: MARIA CASTRO
Job Address: 515 93 Street
Miami Shores, FL 33138-
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 3/10/2010 : Yes
Comments:
Issue Date: Not Issued
Permit NO. FW -3 -10 -382
Type Fen
Expires:Not Issued
Folio Number:1132060140990
Owner's Phone:
Total Square Feet: 90
Total Job Valuation: $ 1,500.00
Contractor(s)
HOME OWNER
Phone
Primary Contractor
Yes
1
Mav 2009
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WOOD FENCE ETAI
4x4 Post Spacing
Fences <= 5' high posts spaced at 5' on center maximu
Fences <= 4' h gh pots spaced at Won center maximum
Fence must not exceed 5'in height
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••• ••:
4x4 pressure treateel, •
.._....._,..,...„,■'".... posts embedded 21.141to 9 e
concrete footingO1j
diameter x 2'de p
ALL wood must be press
All fasteners must be cm/
No less than two fasten0
•
Miami Shores Villa
• •
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epartment
IOQ N.E.2nd Avenue
latrif Sh ores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
• • •
• • •
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IVICIERCID
MAR 1 U 2010
Ix pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
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M P.- S
APPROVED BY
DAfE
ZONING DEPTIVIA
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BLDG DEPT .
SUBJECT CO CCMPLIANCE WITH ALL FEDERAL
STATE AND CCURN RULES AND REGULATIONS
Mav 2009
)< Shadow Box
o Vertical Picket
o Board on Board
WOOD FENCE ETAI
4x4 Post Spacing
Fences <= 5' high posts spaced at 5' on center maximu
Fences <= 4' h gh pots spaced at Won center maximum
Fence must not exceed 5'in height
11■I
••• ••:
4x4 pressure treateel, •
.._....._,..,...„,■'".... posts embedded 21.141to 9 e
concrete footingO1j
diameter x 2'de p
ALL wood must be press
All fasteners must be cm/
No less than two fasten0
•
Miami Shores Villa
• •
• .
• •
• •
I :
■■■■■■■,.'
• •
•
•
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• Y t i r i • :
• • • " • • •
• • • • •
epartment
IOQ N.E.2nd Avenue
latrif Sh ores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
• • •
• • •
• •
•
•
•
• •
• • •
• • • •
• 0
• •
•
• •
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•
• • • • • •
•
IVICIERCID
MAR 1 U 2010
Ix pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection