FW-15-391BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
ME BUILDING ❑ ELECTRIC ❑ ROOFING
FEB 2 3 2015
FBC 20 14
Master Permit No. SA= _ -39 I
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 142 NW 93 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Pamel#:11-31-01-033-0930 is the Building Historically Designated: Yes NO X
Occupancy Type: RES Load: Construction Type: CBS Flood Zone: NO BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Don Baumann Phone#: 305-793-0002
Address: 142 NW 93 ST
City: Miami Shores State: FL Zip: 33150
Tenant/Lessee Name: N/A Phone#:
Email: DonBaumann7@aol.com
CONTRACTOR: Company Name: Owner Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #: _
DESIGNER: Architect/Engineer: N/A Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 350.00 Square/Linear Footage of Work: 75 linear FT
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: Repair/replace existing fence along back alley way only. (South side of lot)
Specify color of color`thru tile: mm
Submittal Fee ����®) Permit Fee $ Vr.AJ• W
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ co
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
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 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
03 day of_fESPL)Y . 20 %S . by
'L_JONp►D S Til?MANN . who is personally known to
me or who has producedyL_=% .. u sCS as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
###########****
APPROVED BY
(Revised02/24/2014)
_= Notary Public state of Fiorld
„fir
a4 SW%ia Alvarez F 156750
My Commissro►+
or Expires OOM31201�._wAlwh
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Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 020 , by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner 7,,*3 Zoning
Structural Review
Clerk
0
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 10
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.
Initia�
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 govem owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building odes, 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 http:/twww.myRoOdalicense.com/dbor/pro/cilbrndex.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:
Initi�
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 property 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 2.3 day of W3-, 20
By �N �� -�1��N who was personally known to me or who has
Produced there License or �-- 7� as identification.
h�
OWNER NOTARY
�Nota=Staftol
Siru+�M y CW p¢Expi
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- e� IJ•NLCi h V1DATE: 0 5 ti l
ADDRESS: ) q ,;� /U VV 1� 3 S
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 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.
Infial'=��
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.
Initial
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 lice umbers 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 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 ubstantally
improved it for sale or lease, which violates the exemption. '
Initiak�
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.
Initi
STATE OF (FLORIDA)
COUNTY OF (DADE)
Miami Shores Village
Building Department
SURVEY AFFIDAVIT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant, Don Baumann does hereby attest that
(Property owner)
The attached survey, performed by First Financial Surveyors, Inc
(Name of surveyor's company)
For address: 142 NW 93 St, Miami Shores, FL 33150
Performed on 08/29/2001 (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 seven (7) years old 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. Affia eth naught.
Property Owner Signature
Don Baumann
Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this day of
Affiant is _personally known to me, �_produced .�� � `W&s identification.
Revised on 5/22/20091 Revised on 6/12109
Notary
[,LNotary Public State of Florida
india Alvarezy commission FF 188780
xpires 08103/2018
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHAIN LINK FENCE DESIGN DETAIL
(ACCORDING TO THE F.B.C. SECTION R4408.11)
TABLE R4408.11
CHAIN LINK FENCE MINIMUM REQUEREMENTS
Fence
Terminal Post
Line Post Dimensions
Terminal Post
Line Post Concrete
Height (ft)
Dimensions
(in inches)
Concrete
Foundation Size
(in inches)
(o.d. X wall thickness)
Foundation Size
(diameter X depth)
(o.d. X wall thickness)
(diameter X depth)
(in inches)
in inches
Up to 4
2 3/8 x 0.042
15/8 x 0.047
10 x 24
8 x 24
Over 4 to 5
2 3/8 x 0.042
17/8 x 0.055
10 x 24
8 x 24
For SI:1 inch = 25.4 mm.
NOTES:
1. This table is applicable only to fences with unrestricted airflow.
2. Fabric: 12 % gauge minimum.
3. Tension bands: Use one less than the height of the fence in feet evenly spaced.
4. Fabric Ties: Must minimum the same gauge of the fabric.
5. Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced.
6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced.
7. Either top rail or top tension wire shall be used.
8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail.
9. Post Spacing: 10 foot (3m) on center maximum.
10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation.
11. In order to follow the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch
(127 mm) without increasing table values to the next higher limit.
NOTICE TO PROPERTIES WITH POOLS:
If the fence Is to meet the criteria as a pool barrier, the fence shall not be climbable and all calls must be placed facing
the Inside of the property. Pedestrian gates shall have self-closing and latching devices installed at the minimum of 54"
above ground. For further details see Section R4401.7.1 of FBC.
CONCURRED
Created on 5/22/2009 MLDV
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Legal Description
6��Pe: /0.79'
Lot 6 and the West 1/2 of Lot 5, Block 134, ofA7IAMI
SHORES SECTION 6, according to the plat thereof,
as recorded in Plat Book 10, Page 39, of the Public
Records of MBami Dade County, Florida
Conw uszity Number: 120652 Panel: 0090
Su,Oar J F.LR.M. Date: 3/2/94 Flood Zone: X
Field Work: 8/27/01 Completed: 8/29/01
Certafied To:
Don Baumann.
Property Address:
142 NW 93rd St.
Miami Shores, Florida 33150
Sww7 Number: G-26567
Notes:
Accepted By:
i'Jii anu Shores Vill
FCQfks 2015
APPROVED I BY
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