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FW-09-288Project Address 282 111 Terrace 1121360010590 Miami Shores, FL 33168 -3325 Block: Lot: Owner Information Address Phone CeII MARIATAR THEODORE 282 111 Terrace MIAMI SHORES FL 33168 -3325 Contractor(s) Phone Cell Phone HOME OWNER Approved: Yes Comments: 5 FOOT HIGH CHAIN LINK GATE APPROVED Date Approved: 2/27 /2009: Yes Date Denied: Type of Construction: Wire Fence Classification: Residential Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Wire & Wood $100.00 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $2.50 Total: $111.30 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 informati,i is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -name contractor to do the work stated. Authorized Signature: Owner / Applicant / 'actor / Agent Building Department Copy March 11, 2009 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Expiration: 08/30/2009 Parcel Number Additional Info: 5 FEET MAX Invoice # Total Amt Paid Amt Due FW -2-09 -34079 $ 111.30 $ 61.30 ...................... FW -2 -09 -34079 $ 111.30 $ 111.30 $ 0.00 Check #: 120 Applicant Valuation: Total Sq Feet: MARIATAR THEODORE $ 1,000.00 0 Available Inspections: 1 Inspection Type: Final Foundation March 11, 2009 BUILDING , Permit No. 54 O PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofing Job Address (where the work is being done) I 2- <' 2 /./ 14) / // City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name 5 e4-g e� Contractor's Address City 4 J / Ir %ee Qualifier Name State Certificate or Registration No. A)/'3 Architect/Engineer's Name (if applicable) Value of Work For this Perini ; Type of Work: DAddition 'Describe Work: CAC 11D 114 ),.;nw G Miami Shores Village �Building Department "0 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel ��?2� F....,;.756.8972 [(iteration /ham State NIA K County Miami -Dade NO F :New Submitta Fee $ to Permit Fee $ Notary $ S DO Training/Education Fee $ ©' d..° S $ ' Radon $ Owner's Name (Fee Simple T i t l e h o l d e r ) /14P 4 i / /-1 e= © / ? one # Owner's Address 2S ‘S 1' / I / rra City Hi 1 M% 97, e State Fri-6 S 191- Zip 5 3 d' 6 S" Tenant/Lessee Name Phone # Phone # 7g,K S600f --FD Zip 5 Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: ❑ Repair/Replace 1 7,8/6 36 /2 .2O6 ******** * * * * * * * * * * * * * * * * * * * * * * ** * * * **** F x*********** ********* **** * *************** ** CCF $ 0-(00 Technology Fee $ 2. DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (..o l 'So 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 FT.FCTRICAL 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. (Revised 07/10/07) Signature , ��!! �� Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 27 The foregoing instrument was acknowledged before me this day of reb , 2001 , by /14 riefT4l IP At , day of , 20 _ , by who is personally known to me or who has produced dl / who is personally known to me or who has produced L 1 c'q65 L7 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ..4_,,,,6, ,.., , ------,-;-- Sign: /-` /.,...— i. -'i -ipl Print: dltll iSqih °nAne My Commission Expires: APPLICATION APPROVED BY: NOTARY PUBLIC: Sign: Print: My Commission Expires: :1 sova * * * * * * * * * * * * * * * * * * * ** - ,,.., ;,,,. ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 9 Plans Examiner Engineer • Zoning Inspection Number: INSP - 107418 Permit Number: FW -2 -09 -288 Scheduled Inspection Date: July 14, 2009 Inspector: Bruhn, Norman Owner: THEODORE, MARIATAR Job Address: 282 NW 111 Terrace Miami Shores, FL 33168 -3325 Project: <NONE> Contractor: HOME OWNER Building Department Comments TO PALCE A CHAIN LINK GATE IN THE BACK OF THE HOUSE FOR SECURITY. Passed 4� -7 /16' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inl.. A4 711110 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 Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1121360010590 D....e A et; l0 VILLAGE OF MIAMI SHORES CVO "Z OWNER BUILDER DISCLOSURE STATEMENT 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 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 hold title to the above property and I am planning on doing this construction Myself. Initial 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. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstatement of the p ermit. Initial S , 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 5, / 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. 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 any contract disputes. 6. I 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. 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 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this By }t(kT te'Tc( - 111 z Initial S 1 Initial I r-- Initial day of Fb , 20 7 9 who was personally known to me or who has Produced there License or .�i�N✓�B 41 10 as identification. Owner's Name: MARIATAR THEODORE Job Address: 282 111 Terrace n u n Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 DO NOT ATTACH ANY SCREENING TO GATE Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 2/27/2009 : Yes Comments: 5 FOOT HIGH CHAIN LINK GATE APPROVED Issue Date: Not Issued Permit NO. FW-2-09-288 Expires:Not issued Folio Number:1121360010590 Owner's Phone: Total Square Feet: Miami Shores, FL 33168 Total Job Valuation: $ 1,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes •• .... ...• :,.:.:.:.:.:.:4•:•:.:4.,:•:•:.:.:.:40..,,t.:.:.:•:.:+:•:.:.:.:.:.:.:.:•:.:.:.:.:.:4.:.:.:•:,,,:.:.:.:.:•:.:.;.:4...:.:.:•:.:444,40:•.:0:•:•m:.:.:.:•:.:•:•m:•:•:•:,,,,,:.:.:.:.,:mlom:•:•.:•:0:•:0:•:•:•:•,:•:.:•:moz::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::$::::::=:::::::::::::::::::::::: JOB: 07 -7791 LOCATION SKETCH 1 SCALE In= ° 11 , LEGAL reccrcled N,..,_ ........_ ,,,W I l 1 1 212. p.. et , oa ' 1 %) Q 4 7 Al 2 v► —' 4 D Z du 75' 6 /O T �. / Z T /3 . r lot- S 7 /.5 J /oat 4 ei a4` 25 0 75 24- s 1 r 23 t r 22 S I' 2/ s I ' 20 I r /_9 1 i /8 s 9 S' loa/ /7 v /OZ' _ BTS Ni k∎A/ . 111 • " Lot; 1��;Block 3,NEW MIAMI SHORES • >t in *gl� BooIL 51,4age 80 of the Public Records • • • • • • •• •• •• • • • • • ••• • • •• • •••• • ! • S t . �T ESTA •S,according to the Plat thereof - as of Dade County,Florida. • • • •••• GENERAL NOTES • : .14• OWNEQ$HIP • tS SUB v OPINION OF TITLE. • •2) EXAA &WATT t OF TUE A TRACT OF TITLE WILL THIS Prpn€RTY. • • • • 3) (2.22? IDES THOSE ELEVATIONS REFERRED TO 4) LOCATION AND IDENTIFICATION OF UTILITIES ON INFORMATION WAS NOT REQUESTED. 5) THIS PROPERTY IS WITHIN THE LIMITS OF THE FLOOD 6) NO UNDERGROUND LOCATIONS WERE DONE BY THIS HAVE TO BE MADE TO DETERMINE RECORDED NGV , DATUM. INSTRUMENTS, NOT SECURED • IF ANY, AFFECTING AS SUCH • AND1OR ADJACENT TO THE PROPERTY WERE ZONE X COMPANY. CERTIFIED TO: Maria Theodore DATE: July 02,2007 APPLICABLE ZONING, UNDERGROUND, ZONING AND BUILDING SET BACKS, MUST BE CHECKED BY OWNER, ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY. SURVEYING, L.B. 6187 305/5 305/512 I HEREBY CERTIFY: That the attached and correct to the best of my knowledge, information under my direction, also that there are not This survey meets the minimum technical pursuant to Chapter 61G17 -6, Florida Administrative H5 THIS IS A BOUNDARY SURVEY Plan of Survey of the above and belief, as recently above - ground encroachments standards set forth by the Florida Code, Section 472-027, ".''. described property surveyed and other than those Board of Land Florida Statues. is platted shown. Surveyors true 41:10 INC NO. 3333 NW 167 STREET, FLORIDA 33015 -4940 . • D. Alonso P • Land Certlo SurVeyor 0 State of Florida NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL N o 0 0) w ECE11V IE FEB i Zeal %ley PLAN OF SURVEY ,9 q.1.2_40 1 5.00 zez r -(ems f AiD.w 1- Qes CI -33166 La.d) zo.6o V pJe t-te 1-Tr Fw g-zsg SCALE in = ZO' s"SIDe_W0N rJ A....ARC DISTANCE A/C-AIR CONDITIONING . • CBS-CONCRETE BLOCK STRUCTURE O.U.L...OVERHEAD UTILITY LINE CL...CLEAR CIL...CENTER UNE RAD...RADIAL ENC.-ENCROACHMENT NW -RIGHT OF WAY... FIP...FOUND IRON PIPE 0.H...OVER HEAD W.M.. »WATER METER C.H.-CHORD DISTANCE PIL...PROPERTY LINE CONC•..CONCRETE F.H. FIRE HYDRANT UP-UTILITY POLE R...RADIUS U.E...UTILITY EASEMENT A...CENTRAL ANGLE R...RADIUS PL..._PLANTER T.....TANGENT C.B....•CATCH BASIN MH....•MANHOLE CLF...CHAIN LINK FENCE W.F..-WOOD FENCE