FW-08-261 Miami Shores Village
10050 N.E. 2nd Avenue $�
Miami Shores, FL 33138-0000 '
Phone: (305)795- 2204
w - Expiration: 08 /17/2008
Project Address Parcel Number Applicant
1180 NE 97 Street 1132060340280 ANTONIO VALENCIA
Miami Shores Village, FL Block: Lot:
Owner Information Address Phone Cell
ANTONIO VALENCIA 1180 NE 97 ST
MIAMI SHORES FL 33138 -2558
Contractor(s) Phone Cell Phone Valuation: $ 1,2 00.00
HOME OWNER
Total Sq Feet: 85
Approved: Yes Available Inspections:
Comments: Inspection Type:
ype:
Date Approved: 211312008: Yes Final
Date Denied: Foundation
Type of Construction: Wire Fence Additional Info: 5 FEET MAX
Classification: Residential
Fees Due Amount Total Amt Paid Amt Due
CCF $1.20
Education Surcharge $0.40 $ 0.00 $ 0.00
Permit Fee - Wire & Wood $100.00
Scanning Fee $3.00 Payment Type:
Technology Fee $2.50
Total: $107.10
F PAID
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
February 19, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Tuesday, February 19, 2008 1
Inspection Worksheet
Miami Shores Village
` 10050 N.E. 2nd Avenue Miami Shores, FL
' Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 03/04/2008 Permit Type: Fence/Wall
Inspector: Grande, Claudio �� Inspection Type: Final
Owner: VALENCIA, ANTONIO Work Classification: Wire Fence
Job Address: 1180 97 Street NE
Miami Shores Village, FL
Phone Number
Parcel Number 1132060340280
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
BuIlding Department Comments
REPLACE ROTTING FENCE WITH CHAIN LINK FENCE
Inspector Comments
Passed F CREATED AS REINSPECTION FOR INSP - 74702. cancelled by Mr
valencia
cc
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Monday, March 3, 2008 Page 1 of 2
Planning and Zon"Ing Criliter"'a
Miami Shores Village Permit No. FW-2-08-261
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0=
................. .. ..... ... ...
Phone: (305)795-2204 Fax: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
(305)756-8972 ...
....... Issue Date: Not Issued ExpiresNot Issued
Folio Numberl 132060340280
....................................................................................................................................................................................................................................................................................................
Owner's Name: ANTONIO VALENCIA Owner's Phone:
JobAddress: 118097StreetNE Total Square Feet: 85
Miami Shores Village, FL
Total Job Valuation: $1,200.00
. . ..... . . . . ....... -------
Contractor(s) Phone Primary Contractor
:'HOMEOWNER Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 2/13/2008: Yes
Comments:
&/ Miami Shores Villa e �V e
I
Building Department R- FEB
10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 r
Tel: (305) 795.2204 Fag: (305) 756.8972 FY.'k °° ° " °'°
BUILDING Permit .No. 4 A l
PERMIT APPLICATION ester Permit No.
FBC 2004
Permit Type (circle): Buildin Roofing I�
Owner's Name (Fee Simple Titleholder) 8� /� �� /��� /� Phone# TSP 3 7 70
Owner's Address MP® � �
� 7
City 1/AMI "Ske)Ae -S State zi Z,3 f,3 ,P
TenandUssee Name Phone #
Job Address (where the work is being done) IP ® A--/E ' ° 7 Z"6
City Miami Shores Village County Miami -Dade Zip 33 1 3 P
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
Ci 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 uare / Linear Footage Of Work. �
� q �
Type of Work: ElAddition ElAlteration E]New Repair/Replace ❑ Demolition
Describe Work: &!2Q1A /4-8 lit A�, L A C k e..Aei - d �C- .;..rte �- `C�.��n✓ li�.�
Ae
Submittal Fee $ Permit Fee $ 00 CCF $ 11 CO /CC
Notary $ .� _ Training/Education Fee $ A Technology Fee $ 2 • n
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $ ^� p
Structural Review. $ Total Fee Now Due $
See Reverse side -�
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
4
Mortgage Lender's Name (if applicable) 13 'x A e°?eo <c pr
Mortgage Lender's Address A 0
City A4 /4J,& State /� Zi
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 Signature
Owner or Agent Contractor
The foregoing instrument was ackn wledged before qie this The foregoing instrument was acknowledged before me this
day of, 2001, by UCG!' day of , 20 by
d who is personally known to me or who has produced
who is personally known to me or who has produce
As identification and who did take an �,th. as identification and who did take an oath.
NOTARY PUBLIC: •titi� �y�s NOTARY PUBLIC:
°M %
Sign: • d4 �4• �a Sign:
Print: G �� Print:
'` s s � 4�
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: 6 Plans Examiner
Engineer
t S� Zoning
(Revised 07110/07)
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Epson PictureMate Snap - PM 240, Specifications - Product Information - Epson America... Page 2 of 3
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VILLAGE OF MIAMI SHORES
,�pp
OWNER BUILDER DISCLOSURE STATEMENT
NAME: �-t�.t /Lo i4lLa�..crs� DATE: �-
d
ADDRESS: / /d�® �� q7 <5 I IA-fl c5 0 ^e5 FL 313j-
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida,. FS 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 Iicense. 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 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, *
hich means that you must deduct F.I.C.A and with - holdings tax and
provide workers' compensation for that emplgyee, 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 hold title to the above property and I am planning on doing this construction
Initial I:::'(- V
2. I understand that as an owner- builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial a /
3. :I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code..
There is a copy of the code in this office for review.
Initial
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code -. only if the structure meets the
minimum code. C.0
Initial
5. 1 understand that as an owner- builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate`a,ny contract disputes.
Initial CLU
6. 1 understand that if I compensate any person or company for work performed
they are required to have a business license in the county. If for any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed company-or person.
i
Initial
7. I. understand that if any person gets injured on my construction project—they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
Initial et t/
8. I understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my with out first obtaining
the proper permits by licensed contractors.
Initial 0,U
Was acknowledged before me this bv- da of ICJ
Y YL)Q , 20
By )1 WGla who was ersonall
p y known to me or who has
Produced there License or TC/ ov 2 12 - 1 09 00 () as identification.
qC+
. OWNER NOT
A4
',,ffafll/f ^��V
` 10050 NE 2 nd Ave
Miami Shores, FI 33138
Phone 305 - 795.2204; Fax 305. 756.8972
www.miamishoresvillage.com
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, VAr1e---, , does hereby attest that
(property owner)
The attached survey, performed by , z -�A- v e
(name of surveyor's company
for address: 11,P® ?7 !�i . / ,n -7 / SL. o 5 FL- 93 / 3 P
performed on (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 six (6) months
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.
Furt ff a t sayeth naught.
Property Owner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this 1 day of
Affiant is ersonally known to me, p roduced
- &s identification. lry
low
� lN ►
Notary fi �y