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FW-05-1352BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Code Enforcement $ (Continued on opposite side) Total Fee Now Due $ z8 0 . 7 v Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 q 6 N UJ Contractor's Company Name Contractor's Address City State Type of Work: ['Addition ['Alteration Describe Work: C.L. Ias L C�. �� c..11(1 wit tc L i t, County Miami -Dade NO Fee $ Permit Fee $ $ Training/Education Fee $ Scanning $ 6. 00 Radon $ ;<:: Zoning: Structural Plan Review. $ r Permit No `I V'152— Master Permit No. Permit Type (circle): ' Bu' ing Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Al 0:40., I, T"i" cj Phone # 3 bS . ! 3-7- 6 33 g- Owner's Address 6 13 M(A) 54fe et Cit vatolki S kot,, State Ft Zi p '31 j S D Tenant/Lessee Name Phone # Phone # Zip 33 i �D Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit ' i 6 Square Footage Of Work: ,, Zip ]New 0 Repair/Replace [' Demolition t et' it LA- IGlPwov.J atevso( * * * * * * * **** * * ** * * ** * * * *** * F ** * * * * * **** * * * * * * *** * .......ei 6160 I A -- ,-f-- CCF $ 2 CO /CC Technology Fee $ . Bond $ 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 I The foregoing instrument was acknowledged before me this f The foregoing instrument was acknowledged before me this day of Abt./ , 20 Q5 , by ,Q44i1 /D Jdli / , day of , 20 _, by w o is personally known to me or who has produced fi 9t „usw. who is personally known to me or who has produced jj ' [ b t i'As identification and who did take an oath. as identification and who did take an oath. My Commission Expires: chc 05/13/03 APPLICATION APPROVED BY: Signature NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * ** *, * * *, * * * *, * **** * * ** * , * , * *, * * * * *, *, ** * * * * * * * * * * *, * * * * * *, * * * * * * * * * *, , * * * * * ** * * * * * * * * * * * * * * * ** * ** * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * *** * * ** * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i (//0 & _ Plans Examiner Engineer Zoning 2- 05-1 2, Inspection Date: 03/02/2006 Inspector: Grande, Claudio Owner: NEWTON, NAOMI Job Address: 93 97 Street NW Project: <NONE> Miami Shores Village, FL Contractor. HOME OWNER Building Department Comments Wednesday, March 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1131010330250 Lot: Page 2 of 2 Passed Inspector Comments ..e.c.A., , ..„ 1 evo_ ,,��--�� ‘..1.4.6t) - 5 kl" c: r r. i 71.4*-- Failed / ,/, / ee.u:c c12., 6 io--t Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 2- 05-1 2, Inspection Date: 03/02/2006 Inspector: Grande, Claudio Owner: NEWTON, NAOMI Job Address: 93 97 Street NW Project: <NONE> Miami Shores Village, FL Contractor. HOME OWNER Building Department Comments Wednesday, March 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1131010330250 Lot: Page 2 of 2 OWNER BUILDER DISCLOSURE STATEMENT AIxc 4/ VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT being the legal property owner, for the property Located at: q 3 Ai 91 S+0 P )'\ IrticoAAi S f� Legally described as 64 ly 4-1S 61o6.,.. l 21 rt (0-►M SVI,tS SccJ,o,, U ®- 4 , 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),,nd I have read and understand the following disclosure Statement, which entitles me td *ork as m own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that 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 or a farm out - building. ' 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that 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 Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Tlie foregoing instrument Was acknowledged before me this 4 2. 6 ( day of WC./ , 20 05 By Ala a14 / NOC Li Produced FMhlid'Sbc • 11100 Owner who is personally known to me or who has as identification and who did take an oath. „,r .,:a. DIAZ �,„ . M COMMISSION # DD 483995 � " EXPIRES: October 20, 2009 'f 'Q` Bonded Ivo Notary Poi* Umlaut= SIiore6 Vi��ac�e =STATE OF FLORIDA) COUNTY OF DADE) ,� The undersigned Affiant, A i v l IJh 0 , does hereby attest that the (, ( (property owner) • attached survey, performed by La nel 'Tt-G k (name of surveyor's company) performed one 1-2 -1" , is an accurate representation of the existing conditions and (date of survey) 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.. Further, Affiant sayeth naught. AffiaM/Property owner Witness(sign and print) Witness(sign and print) v.\;1 c-0 4 c k SWORN TO AND SUBSCRIBED before me this let day of Pit./ • i[� Affiant is personally known to me, produced �, Wit4i itit . !I »i n' 3 as #1 MONICA USSEfHDIAZ " MY COMMISSION # DD 483995 ; I Thm Nomry 2 2009 5'-O° MAX Owner's Side a 2" X4" Wo d Rail I "X6 "orI "X Wood Pickets Concrete ° • 4 WOOD FENCES " -0" 2915 Fences Concurred Wood Posts 2915.1 Wood fences, so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minirnum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee. -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be _ embedded 2 feet -0 inches into a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisioqs of_ this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided In paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 . feet -0 inches on centers.for these heights. 4' -0 " High or Less = 6' -0" O.C. 5' -Q" High or Less = 5' -0" O.C. PAGE OF • 02. /G L /fOG� k V V O /GGEG+�$C S ttT /J /ST'. k�/LLCtr 0 890 CP? C'� •. v/000 Lie 11. 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AL � ooO x LEGEND: — % — X — DENOTES FENCE LINE //— //— DENOTES WOOD FIP FOUND IRON PIPE FIR FOUND IRON ROD FN FOUND NAIL END FOUND FPL FLORIDA POWER & LIGHT FROM LEGAL DESCRIPTION PARTY WALL MEASURED MAINTENANCE EASEMENT NON - RADIAL PW M ME NR SIGNED: N:G.VD. 1929 FENCE LBJE — 1 — 1 — DENOTES OVERHEAD CABLE DENOTES ELEVATION SITE A • ARC LENGTH OVER HEAD CABLE ASP - ASPHALT OFFICIAL RECORDS AU - ADJACENT UNIT BOOK 60 - BUILDING CORNER ON/NEAR FL FROM PLAT CA • CENTRAL ANGLE PROPERTY UNE - CENTER LATE P0114T OF CURVATURE .0 /C - CLOSING CORNER - CC - COVERED COOC 70004) POINT OF COMPOUND CF - CALCULATED FROM FIELD MEASURE CURVATURE CONC - CONCRETE PARKER KALON NAIL CR • CALCULATED FROM RECORD DATA CTV - CABLE TV RISER POINT OF BEGINNING A • CENTRAL ANGLE (DELTA) POINT OF DE - DRAINAGE EASEMENT COMMENCEMENT EASE - EASEMENT POINT OF REVERSE EOW - EDGE OF WATER CURVATURE F65 • FENCE ON / NEAR PROPERTY UNE POINT OF TANGENCY FF • FINISHED FLOOR CENTERLINE OF PARTY = SHED WALL -OHC - ORB • �P • PC -PCC - PK -POB -PCC • PRC PT -c.PW RIGHT-OF-WAY - R1W BEU.SOURI RISER - STIR WARY FASEMEIT - UE VALLEY GUTTER - VG WRYNESS CORNER - W/C WATER METER - WM WING WALE- W W UTILITY POLE - UP NOTES: I.1146 SURVEY IS BASED UPON RECORD INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PS8UC RECORD HAS BEEN MADE BY THIS OFFICE. 2. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 3. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (11.0.V.D. 1929). 4. FENCE 11ES ARE TO CENTERLINE OF FENCE 5. IN SOME CASES. GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS 'DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED 9051)0NS. 8. ALL DIMENSIONS SHOWN ARE HELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE 7. CORNERS SHOWN AS 3Er ARE IDENTIFIED WITH A CAP MARKED LB (LICENSED BUSINESS) 9 6799. SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS B O U N D A R Y SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS. AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61G17.6 OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472027. FLORIDA STATUTES ELEVATIONS SHOWN - IF APPUCABLE -ARE BASE UPON BENCH MARK: ELEVATION DA TE! / / -zC» ANDREW SNYDER PROFESSIONAL SURVEYOR AND MAPPER FLORIDA REGISTRATION No. 5639 (NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAZED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) REVISION SCHEDULE: 4111. LANDTECH SURVEYING & INSPECTIONS Providing Land Surveying & Homo loogooSon Servitta to South Florida ...vvolandoeNet bd."! 1500 NW 62113 STREET SUITE 511 FORT LAUDERDALE, FLORIDA 33309 (954) 776.6766 - FAX: (954) 776-.4660 L a n d T e c h S u r v e y. c o m PAGE OF 1 .. LEGAL DESCRIPTION LOT 14 & 15, BLOCK 129, MIAMI SHORES SECTION NO 6, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE(S) 39 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. PROPERTY ADDRESS 93 NW 97TH STREET MIAMI, FL 33137 INVOICE NUMBER: 31711 DATE OF FIELD WORK: 11/22/2004 CERTIFIED TO NAOMI NEWTON AND ALEJANDRO HOCH CAPSTONE TITLE PARTNERS, LLC ATTORNEYS' TITLE INSURANCE FUND AMERICAS WHOLESALE LENDER, ITS SUCCESSORS AND /OR ASSIGNS AS THEIR INTEREST MAY APPEAR FLOOD ZONE: X - 120650 - 0183 -J W 104 ST NW 1 ■ T z . N W z � l EXIT _. OM INW 100 . 92 ST 81 W 02 0.1 du8RAR 100 99 98 S 97 S' 96 95 94 93. s S1 4 ST ::ENE 104 SIGNED: 0.0.V.D. 1929 LEGEND: — X — X — DENOTES FENCE LINE —,, „_ DENOTES WOOD FENCE LINE — I — I — DENOTES OVERHEAD CABLE DENOTES ELEVATION SITE A - ARC LENGTH OVER HEAD CABLE ASP • ASPHALT OFFICIAL RECORDS AU - ADJACENT UNIT 8007 BH - BUILDING CORNER ON /NEAR PL FROM PLAT C - CENTRAL ANGLE PROPERTY UNE - CENTER LINE POINT OF CURVATURE CJC : - CLOSING CORNER CC - COVERED CONC 1PORCH) POINT OF COMPOUND CF • CALCULATED FROM FIELD MEASURE CURVATURE CONE - CONCRETE • PARKER 7ALON NAIL - P7 CR . - CALCULATED FROM RECORD DATA CTV - CABLE TV RISER POINT OF BEGINNING - PO8 6 - CENTRAL ANGLE [DELTA( POINT OF -POC DE - DRAINAGE EASEMENT COMMENCEMENT EASE - EASEMENT POINT OF REVERSE EOW - EDGE OF WATER CURVATURE FH - FENCE ON / NEAR PROPERTY UNE POINT OF TANGENCY - PT FF - FINISHED FLOOR CENTERLINE OF PARTY -4PW FM FOUND IRON PIPE -WALL FIR FOUND IRON ROD RADIAL R FN FOUND NAIL RIGHT-OF-WAY - R/W FIND FOUND BELL SOUTH RISER -. 'S8R FPI. FLORIDA POWER & LIGHT UTILITY EASEMENT - UE L FROM LEGAL DESCRIPTION VALLEY GUTTER - VG PW PARTY WALL WUTNES5 CORNER - W /C M MEASURED WATER METER • WM ME MAINTENANCE EASEMENT WING WALL - WW NR NON - RADIAL UIILRY POLE - LP NOTES: I.THIS SURVEY IS BASED UPON RECORD INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE 2. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 3. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (N.G.V.D. 1929). 4. FENCE TIES ARE TO CENTERLINE OF FENCE. 5. IN SOME CASES. GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS - DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. 6. ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE 7. CORNERS SHOWN AS 'SET' ARE IDENTIFIED WITH A CAP MARKED LB (LICENSED BUSINESS) 9 6799. SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS B O U N D A R Y SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61017 -6 OF THE FLORIDA.ADMNISTR.ARVE CODE PURSUANT TO SECTION 472027. FLORIDA STATURES ELEVATIONS SHOWN - IF APPUCABLE - ARE BASED UPON BENCHMARK: ELEVATION SHED -0160 ORB • - PC .per ANDREW SNYDER PROFESSIONAL SURVEYOR AND MAPPER FLORIDA REGISTRATION No. 5639 (NOT VALID WRHOUFTIIE S)GNATUREAND 1HE ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) REVISION SCHEDULE: LANDTECH - SURVEYING & INSPECTIONS Rwidln9 056 Surveyln9 & Hama Inep9ctan Services to South R581de 1500 NW 62ND STREET SUITE 511 FORT LAUDERDALE, FLORIDA 33309 (954) 776 -6766 - FAX: (954) 776 -4660 L a.FI d T e c h S u r v e y. c o m Permit No.: 136 a Miami Shores Village Building Department Planning & Zoning Critique Sheet Applicant: go cl Job Address: 9 3 &k) Ti S- Initials 1/ Ivto NV) Vi tia- 40 Sl aae e- �a_e,� 4 - c /e� • gate 04- Cdr erotoer�, 't � eot 0►1Lc. t ic_tc. OK -T-171A e -.5 / Date 10050 NE 2 " Avenue Miami Shores, Florida 33138 Comments Tel: (305) 795 -2204 Fax: (305)756 -8972 Issue Date: 1/13/2006 Owner's Name: NAOMI NEWTON Permit Type: Fence/WaII Work Classification: Wood Fence Job Address: 93 97 Street NW Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: WOOD FENCE Additional Information Miami Shores Village, FL Type of Construction: Wood Fence Additional Info: Classification: Residential 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $2.40 $0.80 $5.00 $260.00 $6.00 - $6.50 $280.70 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/29/2006 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: FW -12 -05 -1352 Phone: Total Square Feet: Total Valuation: Required Inspections 1131010330250 Lot PB: 260 $ 3,500.00 Foundation Final Invoice Number FW - 1 - 06 - 23458 Total: UMI 1 PAID cza Amt Due $280.70 Amt Paid •1 L) NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.