FW-15-211Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
78 NE 107 Street 1121360070100
Miami Shores, FL 33138- dock: Lot: AARON & KRISTEN FEUER
Owner Information Address Phone Cell
AARON & KRISTEN FEUER 78 NE 107 Street
MIAMI SHORES FL 33161-7030
78 NE 107 Street
MIAMI SHORES FL 33161-7030
Contractor(s) Phone Cell Phone
HOME OWNER
Approved:
Denied:
of Construction: Wood Fence
lification: Residential
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Notary Fee
$5.00
Permit Fee - Wire & Wood
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$119.60
Valuation: $ 500.00
Total Sq Feet: 14.32
Additional Info: REPLACE A BROKEN CHAIN LINK G
Scanning: 3
Pav Date Pav Tape Amt Paid Amt Due
Invoice # FW -1-15-54316
01/29/2015 Credit Card
04/17/2015 Check #: 402
$ 50.00 $ 69.60
$ 69.60 $ 0.00
Avauanie
Inspection Type:
Final
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 angl honing._ Futhermore, I authorize the above-named contractor to do the work stated.
April 17, 2015
Authorized Sia'nature: Owner
Building Department Copy
April 17, 2015 1
_. • p210212-015
L. M
BUILDING
Miami Shores Village -
Building Department JAN 292015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBc Zo o�
Master Permit No1W Lzz c2lJ
PERMIT APPLICATION
BUILDI G ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
106ADDRE 0 IV E /04�
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Folio/Parcel#: �IsheBuildir�gstoricalLy�Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE: _
OWNS : Nampe (Fee Simple Titleholder): F,,S Tc—t
r sus:7 / 0 L I�i�� (l&Zj
Tenant/Lessee Name:
Email:
CONTRACTC�iR ompany ame i oMc— D wA) ✓ Z Phone#:
Address:
City State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Certificate of Competency #:
NO V"**'
FFE:
d21-91 9
Address: City: State: Zip:
a ue of Work for this Permit: $$ 60D • 0"o L1 3 � '
T o ❑ Addition ❑ Alteration ❑ New
^/y Repair/Replace y❑ Demolition
r:e:s rintine of Wnr �P(Q Lad C L hY D � Q/(/� 'C�" ?Q n I1 (1 L
Specify color of color thru tile:
Submittal Fee $ Permit Fee $. 100 , Q)1 CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
(Revised02/24/2014)
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 6 9 ,rte
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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
The foregoing instrument was acknowledged before me this
day of 20 , by
if
eel_ -f D ��• who is personally known to
me or who has produced , ® 5// — as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of . 20 , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal �Q,vAV F'Y,& , Notary Public State of Florida
Joanna M Feliciano Seal:
My Commission FF 082753
Expires 01/12/2018
as
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
10
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
4-11
"RE _ g Ne In s+. Miami hoires , FC 33161
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 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. 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.
2. 1 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. VO�
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I 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.
rn
4. 1 understand that I may build or improve a one family or two-family residence or 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 substantially
improved it for sale or lease, which violates the exemption.
n
I
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
ilial
—4
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.
al
L�
7. 1 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.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed cont664ft 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.
9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable
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.
'al I
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://www.myfloddalicense.com/dbor/pro/cilbfindex,htmi
nitial
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 artd inanci Ily responsible for the proposed construction activity at the following address:
I 7
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the informa 'o tat I
have provided on this disclosure.
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 owner's 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 o , 20. /T
By��� ✓��/`D ��rJ`��' who was personally known to me or who has
Produced there License or as identification.
a NO RY
r®saw p&din Notary Public State of Florida
Joanna M Feliciano
Y' ¢ My Commission FF 082753
,,, 5 Expires 01/12/2018
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r -t -
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ly
3
3600aftan 81ketafN.W.N. shoat I of 2
Northeast 107th Street
207
8 7 6 5 4 3 2 1
PROPERTYADDRESS:
78 Northeast 107th Street
Miami, Florida 33158
SURVEYOR NOTES
#1 Lands Shown Hereon were not abstracted for
Easement and/or Right of Way Records. The
Easement / Right of Way that are shown on
survey are as per plat of record unless otherwise noted.
92 Benchmark: Miami -Dade County Public Works Dep.
BM Loc. 3100; Name: N-567; Eiev.+10.54'
#3 Bearings as Shown hereon are Based upon
Northeast 107th Street, N89157145"E
94 Please See Abbreviations
#5 Survey is incomplete Without Sheet 2 of2
#6 Drawn By: A. Torres Date: 12-20-2010
#7 Complete Field Survey Date: 12-20-2010
#8 Disc No 2010, Station Surveying Scion
#9 Last Revised:
#10 Legal Description Furnished by client-
#11
lient_#11 This Certification is only for the lands as described
It is not a certification of Title, Zoning, Easements,
or Freedom of Encumbrances. ABSTRACT NOT
REVIEWED.
#12 There may be additional Restrictions not shown on
this survey that may be found in the Public Records
of Miami -Dade County, examivadon of ABSTRACT
OF TITLE will have to be made to determine record
instruments, if any affecting this property.
# 13 ACCURACY:Tho expected use of the land, as classified
in the Minimum Technical Standard (61017-6FAC), is
"Residential". The Minimum relative distance accuracy
for this typo of boundary survey is 1 foot in 10,000 feat.
The accuracy obtained by measurement and calculation
of a closed geometric figure was found to exceed this
requirement.
# 14 Foundations and/or footings that may cross beyond the
boundary lines of the parcel herein described are not
shown hereon.
#15 Not Valid without one signature and the original raised
seal of a Florida Licensed Surveyor and Mapper.
Additions or deletions to Survey maps or reports by
other than the signing party or parties is prohibited
without written consent of the signing party or parties.
#16 Contact the appropriate authority prior to any design
work on information.
#17 Underground utilities are not depicted hereon, contact
the appropriate authority prior to any design work or
construction on the property herein described.
Surveyor shall be notified as to any deviation from
utilities shown hereon.
#18 Ownership Subject to OPINION OF TITLE.
JOB # 10-611
DATE
12-20-2010
20
42-33
"X"
Date of Finn:
9
10
11
12 13
14
15
16
Suffix:
"L"
Elev. Reference to NGVD 1929
Mappers in Chapter 61 G17-6 of Florida
Administrative Code, pursuant to Section
Northeast 107th Street
207
8 7 6 5 4 3 2 1
PROPERTYADDRESS:
78 Northeast 107th Street
Miami, Florida 33158
SURVEYOR NOTES
#1 Lands Shown Hereon were not abstracted for
Easement and/or Right of Way Records. The
Easement / Right of Way that are shown on
survey are as per plat of record unless otherwise noted.
92 Benchmark: Miami -Dade County Public Works Dep.
BM Loc. 3100; Name: N-567; Eiev.+10.54'
#3 Bearings as Shown hereon are Based upon
Northeast 107th Street, N89157145"E
94 Please See Abbreviations
#5 Survey is incomplete Without Sheet 2 of2
#6 Drawn By: A. Torres Date: 12-20-2010
#7 Complete Field Survey Date: 12-20-2010
#8 Disc No 2010, Station Surveying Scion
#9 Last Revised:
#10 Legal Description Furnished by client-
#11
lient_#11 This Certification is only for the lands as described
It is not a certification of Title, Zoning, Easements,
or Freedom of Encumbrances. ABSTRACT NOT
REVIEWED.
#12 There may be additional Restrictions not shown on
this survey that may be found in the Public Records
of Miami -Dade County, examivadon of ABSTRACT
OF TITLE will have to be made to determine record
instruments, if any affecting this property.
# 13 ACCURACY:Tho expected use of the land, as classified
in the Minimum Technical Standard (61017-6FAC), is
"Residential". The Minimum relative distance accuracy
for this typo of boundary survey is 1 foot in 10,000 feat.
The accuracy obtained by measurement and calculation
of a closed geometric figure was found to exceed this
requirement.
# 14 Foundations and/or footings that may cross beyond the
boundary lines of the parcel herein described are not
shown hereon.
#15 Not Valid without one signature and the original raised
seal of a Florida Licensed Surveyor and Mapper.
Additions or deletions to Survey maps or reports by
other than the signing party or parties is prohibited
without written consent of the signing party or parties.
#16 Contact the appropriate authority prior to any design
work on information.
#17 Underground utilities are not depicted hereon, contact
the appropriate authority prior to any design work or
construction on the property herein described.
Surveyor shall be notified as to any deviation from
utilities shown hereon.
#18 Ownership Subject to OPINION OF TITLE.
JOB # 10-611
DATE
12-20-2010
PB
42-33
A.BBREVIATIONS
A -ARC DISTANCE
AVE. -AVENUE
ASPH -ASPHALT
A/C -AIR CONDITIONER
BLDG -BUILDING
B. COR -BLOCK CORNEA
C.B. -CATCH BARN
CLF-CHAiNLINKFENCF.
CONC.-CONCRETE
CGL -COLUMN
C.U.P. -CONCRETE UTILITY POLE
C.L.P. -CONCRETE LIGHT POLE
CBS -CONCRETE BLACK
STRUCTURE
C.M.E.--CANAL M.UNTENANCE
EASFN04T
D -DIRECTION
D/W -DRIVEWAY
D.M.P_ •DRANAOE& MANTINANCE
EASEMENT
ENC. -ENCROACHMENT
E.T.P. -ELECTRIC TRANSFORMER PAD
F.P.L. -FLORIDA POWER AND LF' HT
F.H. -FIRE HYDRANT
F.I.P. -FOUND IRON PIPE
F.F.-FrYISH FLOOR
F.D.H. -FOUND DRILL HOLE
F.R. -FOUND REBAR
F/D -FOUND DISC
F/N-FOUNDNAI.
OF -IRON FENCE
L -LENGTH
L.P.-LIGHTFaLE
MEAS.-MEASLREU
M.H. -MANHOLE
N.O.V.D.-NATIONAL GEODETIC
VERTICAL DATUM
N.T.S. -NOT TO SCALE
O.E. -OVERHEAD ELECTRICLNE
O/L -ON LINE
P.C.P.-PERMA.NENTCONTROL PONT
P.C.-POINTOF CURVATURE
R -RADIUS
RES -RESIDENCE
SDWLK -SIDEWALK
T -TANGENT
U.E. -UTILITY EASEMENT
W/F-WOODFENCE
WV.-WATERVALVE
N.U.P. -WOOD UTILITY POLF.
-IRON FENCE.
-CHAN LINK FENCE
-WOOV FENCE
-CBS WALL
-OVERHEAD F.LEC.
�-•'—•—-CENTINt LINE
EASEMENT
-DENOTES ELEVATIONS
-BUILDING
DISTANCE
EL E VA TION INFORMA TION
National Flood Insurance Program
FEMA Elev. Reference to NGVD 1929
Comm Panel
120652
Panel #
0302
Finn Zone:
"X"
Date of Finn:
09-11-2009
Base Flood Elev.
N/A
F.Floor Elev.
N/A
Garage Elev.
N/A
Suffix:
"L"
Elev. Reference to NGVD 1929
CERTIFIED ONLY TO:
Aaron M. Feuer & Kristine L. Feuer,
husband and wife
USAA FSB and GMAC Mortgage, LLC
ISAOA ATIMA
Old Republic National Title Insurance Company
Rojas Law Firm, LLP
LEGAL DESCRIPTION.-
Lot
ESCRIPTION:
Lot 2, Block 207 of t'DUNNINGS MIAMI
SHORES EXTENSION NO. 3" according
to the Plat Thereof as Recorded in Plat Book
42, Page 33 of the Public Records of Miami -
Dade County, Florida.
Ali Adescribed
r
This certifies that the survey of the property
hereon was made under my super -
Company,
Inc.
vision & that the survey meets the minimum
technical standards set forth by the Florida
0
Board of Professional Land Surveyors &
p
Mappers in Chapter 61 G17-6 of Florida
Administrative Code, pursuant to Section
p
472.027, Florida Statutes.
& That the Sketch hereon is a true and
"yS
accurate representation thereof to the best
1, a na
of my knowledge and Belief, subject to notes
and notations shown hereon.
Professional
Surveyors & Mappers LB 7498
13050 S.W. 133rd Court
Miami Florida, 33186
E-mail: afaco@bellsouth.net
Ph. # (305) 234-0588
Fax # (206) 495-0778
Armando
o lonalS r & Mapper # SS26
Stade ofFlarlda
Not !/olid unless Signed & Stamped with Ein6ossedSeal
shoot 2 of 2
........................................................................................................................................................
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:
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....................,..............:.:.......................4::::::
........ .....................
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:::: ::::::::::::::::::::r::::::::::75 Dedicated R/W As For PB 42-33 Miami -Dade Co., .::::}:::::::::::::::: :::::
.z 13.00"
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H3.5 �� HOUSE RES. #78
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14.66'
0.18'
CLF
.13'
x n o I 19 W/M 4.0' CLF I F_' 2 FIP
T INo id
.....
::.::::.:.......................
...................... .................................
10.20' Asphalt•:•:• ::::::::::::::::::::::::. :::..:.::::::::::::::::::::::
::: •15 Dedicated Alley Way As Per PB 42-33 Mlami-Dade CO., FL :•;
.........................................................................................................................................................
o.e. O.C. —_ Me. —_-- _— °.e. WUP _
—x—x—x—X+::—x—x—x—x—>:—x— > —x—ax—x—x—
Lot 15. Block 207 I Lot 16, Block 207
JOB # 10-611
DATE 12-20-2010
PB 42-33
Surveyor Notes:
Survey is Incomplete without sheet 1 of 2
Scale ofDrawing 1=20'
Drawn By: A. Torres Date: 12-20-2010
Completed Field Survey Date: 12-20-2010
AFA & COMPANY, INC. LB #7498
Professional Land Surveyors and Mappers
13050 SW 133rd CT Miami, Florida 33186
PH: 305-234-0588 FAC: 206-495-0778
AFA &----
Company, Inc.
I m
11 �
The sketch hereon is a true and
Accurate representation thereof to the best
of my knowledge and belief, Subject to notes
and Notations shown hereon.
Ars St
F. arez
ojesslou Su 8c Mapper # SS26
State ofFlorlda
Not Va&unless Slgned f Stamped with BmhossedSeal
Lx_x_
Cons `•
12.z1'
Q " ' .Slab
x13.73'
w 0.10`
0o CLFI
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I 10.55
Conc.
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Walkway
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9,241
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0.28'
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CLF]
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FIP L•• N89°5745`E
14.66'
0.18'
CLF
.13'
x n o I 19 W/M 4.0' CLF I F_' 2 FIP
T INo id
.....
::.::::.:.......................
...................... .................................
10.20' Asphalt•:•:• ::::::::::::::::::::::::. :::..:.::::::::::::::::::::::
::: •15 Dedicated Alley Way As Per PB 42-33 Mlami-Dade CO., FL :•;
.........................................................................................................................................................
o.e. O.C. —_ Me. —_-- _— °.e. WUP _
—x—x—x—X+::—x—x—x—x—>:—x— > —x—ax—x—x—
Lot 15. Block 207 I Lot 16, Block 207
JOB # 10-611
DATE 12-20-2010
PB 42-33
Surveyor Notes:
Survey is Incomplete without sheet 1 of 2
Scale ofDrawing 1=20'
Drawn By: A. Torres Date: 12-20-2010
Completed Field Survey Date: 12-20-2010
AFA & COMPANY, INC. LB #7498
Professional Land Surveyors and Mappers
13050 SW 133rd CT Miami, Florida 33186
PH: 305-234-0588 FAC: 206-495-0778
AFA &----
Company, Inc.
I m
11 �
The sketch hereon is a true and
Accurate representation thereof to the best
of my knowledge and belief, Subject to notes
and Notations shown hereon.
Ars St
F. arez
ojesslou Su 8c Mapper # SS26
State ofFlorlda
Not Va&unless Slgned f Stamped with BmhossedSeal