FW-13-2152-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
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
Permit No.
SEP 2�v i
FBC 20
Master Permit No. 13 —2-152—
ROOFING
JOB ADDRESS: L 65 N
City: Miami Shores County: Miami Dade Zip: 3 > 170
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO )(I Flood Zone:
PD
OWNER: Name (Fee Simple Titleholder): Phone#: 6 - Sa 6 3
Address: 6,'� B-° W a S `�` S T11 ��
City: KA, 4 �• : S �v �� State: Zip: 3 3 /r -D
Tenant/Lessee Name: *U_ r, Phone#:
Email: PoNAeC r_ --e . e LA-� a ca L • co" .
CONTRACTOR: Company Name: ry ' Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer. Phone#:
Value of Work for this Permit: $ 3 �s Square/Linear Footage of Work:
Type of Work: ❑Addition New ❑Repair/Replace ❑Demolition
Description off Work:
Color thru d1e:
Submittal Fee $ 0 Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
W,
Mortgage Lender's Name (if applicable) 'J Ih
Mortgage Lender's Address
City
State
zip
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 nd reinspection fee will be charged.
Si tore Signature
O er or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of S1 t?1 , 20 I3, by °)AQ1 O.) P(90N"1 Q , day of , 20 _, by ,
who is personally known to me or who has produced PL--- 10 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: NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
Plans Examiner
Structural Review
Sign:
Print:
My Commission Expires:
(Revised 5/2/2012XRevised 3/12/2012) )(Revised 06/10/2009XRevised 3/15/09XRevised 7/10/2007)
I® Zoning
Clerk
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: r—Yt-i � rd DATE:
ADDRESS: � l 6 "W 99 5;r,
A w• : S u `t� rf_ a 331
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 489.103(7).
And I have read and understood the following disclosure statement, which entities 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.CA 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. 1 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
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is r jnsible for the
construction and is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit I understand that I m�proyself
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. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may tuildmprove
a commercial building if the costs do not exceed $75,000. The building or residence must be for my use 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
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial
6. 1 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.
ilial
,0
7. 1 understand that it is frequent practices of unlicensed persons to have the properly 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 homeowners 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
8. 1 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.
Initial
9. 1 agree that, as the party Dally and financially responsible for this proposed Construction activity, I will abide by all ap liable
laws and requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
Initial
10. 1 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 htto:/hvww.mvfloddalicense.comldbpr/pro/cilbtndex.html
Initial
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:
12. 1 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 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 owners 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.
Was acknowledged before me this day of S�`-'F' , 20
BDAV'�\�S......
Y '
Produced there Lr
who was personally known to me or who has
OWNER = Q
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o Shadow Brox
o Vertical Picket
R�, Board on Board
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
4x4 Post Spacing
----� Fences <= 5' high posts spaced at Yon center maximum
Fences <=4' high posts spaced at Won center maximum
Fence must not exceed Yin height
4x4 pressure treated
posts embedded Yinto
concrete footing 10"
diameter x 2'deep
ALL wood must be pressure treated I L
All fasteners must be corrosion resistant
No less than two fasteners in any connection 1/
May 2009
-7x pickets fastened
with two corrosion
resistant fasteners per
connection
M
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
,)Y /,V-rv% IV
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
September 24, 2013
Permit No: FW 13-2152
Building Critique Review
1. Provide wood fence detail and specifications.
Ismael Naranjo
Building Official
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re -submittal drawings.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
September 25, 2013
Permit No: FW 13-2152
Planning Critigue
Please provide evidence that the plans comply with the following requirements:
(4) Orientation of fences. The vertical and horizontal supporting members of
a fence shall face the interior of the plot on which the fence is located and the
finished side shall face the adjoining lot or any abutting right-of-way.
(7) On corner plots.
b. On all other corner plots, walls and fences in the following areas shall be
ornamental metal, ornamental masonry or picket fence as defined in Section
518(b). Any wire fence is specifically prohibited.
1. In any front yard or side yard the property line of which borders a side
right-of-way other than an alley, including the margining thereof.
Definition of Picket fence as referred to above: Picket fences of wood, composite
board or composite material may be permitted in the front yard provided the
pickets are two inches to four inches in width with a spacing between pickets of
not less than one inch and not more than two inches.
David Daquisto
305-762-4864
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re -submittal drawings.
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MAP OF BOUNDARY SURVEY -
LEG AL
URVEY:LEGAL DESCRIPTION: A
LOT 19 AND THE EAST 1/2 OF LOT 20, BLOCK 4, OF BONMAR PARK,-ACCOAtING TO 'THE PLAT _
THEREOF, AS RECORDED IN PLAT BOOK 17, PAGE 11, OF THE PUBLIC RECORDS OF MIAMI—DADE
COUNTY, FLORIDA
PROPERTY ADDRESS:
165 NW 95TH STREET; MIAMI SHORES, FL 33150
FLOOD DESCRIPTION:
ZONE: X
COMMUNITY NUMBER: 120652
COMMUNITY NAME: VILLAGE OF, MIAMI SHORES
PANEL NUMBER: 12025CO090
SUFFIX: J
CERTIFICATIONS:
1) JOAN `I NEUWIRTH, P.A.
2) DAVID APONTE
3) COMMONWEALTH LAND TITLE INSURANCE COMPANY
4) PEOPLE'S CHOICE HOME LOANS, ITS SUCCESSORS AND/OR ASSIGNS
GENERAL NOTES:
1. LEGAL DESCRIPTION FURNISHED BY CLIENT. NO SEARCH OF PUBLIC RECORDS WERE MADE . BY THIS
OFFICE:
2. ANY ELEVATIONS SHOWN HEREON ARE PER NGVD (NATIONAL GEODETIC VERTICAL DATUM) OF 1929.
3. NO'; EXCAVATIONS WERE PERFORMED AS TO DETERMINE UNDERGROUND
ENCROACHMENTS.
4. DISTANCES AND ANGLES ARE FIELD MEASURED AND CORRESPOND WITH RECORD DATA UNLESS
NOTED.
5. THIS SURVEY WAS PREPARED FOR CONVEYANCE, TITLE AND MORTGAGE FINANCING PURPOSES IT IS
NOT INTENDED FOR CONSTRUCTION USE. PERMITTING FOR ADDITIONAL CONSTRUCTION ETC. MAY
REQUIRE ADDITIONAL INFORMATION WHICH CAN BE OBTAINED FROM THIS OFFICE.
6. IN SOME INSTANCES, GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEMLY
ILLUSTRATE RELATIONSHIPS BETWEEN PHYSICAL IMPROVEMENTS AND/OR -LOT .LINES, IN ALL -CASES,
DIMENSIONS SHOWN SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS OVER SCALED POSITIONS.
7. ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY OTHER THAN THE SIGNING PARTY OWPARTIES
IS PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. (CHAPTER
61G17-6.003 OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472.027 OF THE FLORIDA
STATUTES) SCALE: 1 "=20'
AJOB NO.: 40802
ABBREVIATIONS
(BOW)- BACK OF WALK FIELD DATE: 2-28-05
(C/) CENTERLINE BEARING BASE: ASSUMED FROM' PLAT
(CHATT.) CHATTAHOOCHEE
GT SURVEYING
(CONC.) CONCRETE
oomm
(DE) DRAINAGE EASEMENT
SERVICES, INC.
(E/P) EDGE OF PAVEMENT
(IP) IRON PIPE
1860 OLD OKEECHOBEE ROAD.
(IR) IRON ROD
SUITE N0. 501
(L) ARC LENGTH
WEST PALM BEACH
(M) MEASURED
FLORIDA 33409
METAL FENCE( ' " ' X -X )
OFFICE: 561-688-0553
(NR) NON RADIAL
FAX: 561-688-9579
(O.R.B.). OFFICIAL RECORD BOOK
E—MAIL:- gino@gtsurv®yinc.com
OVERHEAD — — -)
. I HEREBY CERTIFY THAT THIS SURVEY HAS BEEN PREPARED BY
„WIRES(
(PCP) PERMANENT CONTROL POINT
THE, OFFICE SHOWN HEREON AND THAT I AM THE SURVEYOR OF
(PRM) PERMANENT REFERENCE:MONUMENTRESPONSIBLE CHARGE FOR NONE OTHER THAN SAID OFFICE.
P PLAT
()
ADDITIONALLY, THIS SURVEY MEETS AND/OR' EXCEEDS THE
MINIMUM TECHNICAL STANDARDS AS SET FORTH IN CHAPTER
(POB) POINT OF BEGINNING
61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT -TO
(POC) POINT OF COMMENCEMENT
SECTION 472.027 OF THE RIDA STATUTES.
(PCC) POINT OF COMPOUND CURVATURE
(PC) POINT OF CURVATURE
(PRC) POINT OF REVERSE CURVATURE
SIGNED:
(PT) POINT OF TANGENCY
(P/L) PROPERTY UNE
LINO FURLANO SU QR/ ER
(R) RADIUS OR RADIAL
FLORIDA LICENSE, 0.: 5044
(TYP) TYPICAL
FLORIDA CERTIFICATE OF AUTHORIZATION NO.: 6026
(UE) UTILITY EASEMENT
NOT VALID WITHOUT THE SIGNATURE AND THE ORGINAL RAISED
SEAL OF THE FLORIDA LICENSED SURVEYOR/MAPPER NAMED
WOOD FENCE( )