FW-15-763Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address Parcel Number Applicant
190 NW 98 Street 1131010260010 MARIA AMELIA RAVELO
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
MARIA AMELIA RAVELO 190 NW 98 ST (305)756-4299
MIAMI SHORES FL 33150-1739
Contractor(s) Phone Cell Phone
HOME OWNER
Date Approved:
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Fees Due
Amount
CCF
$1.80
DBPR Fee
$3.69
DCA Fee
$3.69
Education Surcharge
$0.60
Permit Fee -Wire & Wood
$246.00
Scanning Fee
$9.00
Technology Fee
$2.40
Total:
$267.18
Additional Info: REPLACE WOOD FENCE
Scanning: 3
Valuation: $ 3,000.00
Total Sq Feet: 246
Pay Date Pay Type Amt Paid Amt Due
Invoice # FW -4-15-55048
04/22/2015 Check #: 1006 $ 217.18 $ 50.00
04/03/2015 Check #: 1002 $ 50.00 $ 0.00
Ayailame Inspecoons:
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 and zoning. Futhermore, I autho 'ze the above-na ntractor to do the work stated.
April 22, 2015
Authorized Ig at e: Own / Appli / Contractor / Agent Date
Building Department Copy
April 22, 2015 1
BUILDING
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
❑ BUILDING ❑ ELECTRIC ❑ ROOFING
APR 0 3 2615
FBC 20 r0
Master Permit No. Rm — �5— ��
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
F-1 PLUMBING [—]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
JOB ADDRESS:
1�1
CONTRACTOR
❑ CANCELLATION ❑ SHOP
DRAWINGS
F:�L 33[NO
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
A NaINAICO)
tla� I
OWNER: Name (Fee Simple Titleholder): f XJ� Phone#: 3q5 `d ��
Address:_ /C. ® 4)0 On
City: ( I is Ht - State: �-I_ Zi
Tenant/Lessee Name: Phone#:
Email: VM not MZOD L ( G Otto,
CONTRACTOR: Company Name:
Address:
City: State: Zip:
Qualifier Name:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: a� Square/Linear Footage of Work: i') 4
Type of Work: ❑ Addition ❑ Alterationq F-1NewRepair/Replace [:1 Demolition
Description of Work: bw®Oc g—�Pt a �Q
Specify color of color thru tile:
Submittal Fee $ V • Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $2,t7:1-- I S
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,
iN 4 or,.
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.
qrSignature "
OWNER or AGENT
The foregoing instrument was acknowledged before me this
a day of "�'l� 20 I by
�t,A L folfi rid hods personally known to
me or who has produced N6 --as
identification and who did take an oath.
NOTARY PUBLIC►•
r
Sign:
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 , by
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
o Notary Public State of Fio0d Seal:
Sindia Alvarez
�Q� My commission FF 158150
Orth Evitea 312018
1117
Plans Examiner
Structural Review
as
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
OWNER BUILDER DISCLOSURE STATEMENT
NAME: DATE:
ADDRESS: L 9 Alm IDJ
Tel: (305) 795.2204
Fax: (305) 756.8972
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 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.
InitialJa"
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 license numbers on permits and
p contracts.
Initial- )14K
v K
4. 1 understand that I may build or improve a ohe 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.
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.
M 4 s •
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. 1, 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
I 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 Vr
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.
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 h_ttr)://www.myfloridalicense.com/dbor/aro/cilb/index.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. -PA-- Initial ° V
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 contractors 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 F` V- , 20 I F=
By Nm' (AA Na o -M,av- w, who was personally known to me or who has
Produced there License ors identification.
�n A 0
ifi
P
Notary Public State of Florida
OWNER NOTARY SindiaAlvarez
�� My Commission FF 156750
er1 Expires 09/03!2018
Shadow Box
Vertical Picket
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 Ton center maximum
Fences <= 4' high pasts spaced at 6" on center maximum
Fence must not exceed Yin height
4x4 pressure treated ,r,
posts embedded Tinto
concrete footing 10"
diarneter x Ydeep
ALL wood must be pressure treated I
All fasteners must be corrosion resistant L
No less than two fasteners in any connection
0000
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1x pickets fastened.'
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
dill ) a
PRC...
LEGEND OF SURVEY ABBREVIATIONS
A....'ARC DISTANCE
•
AIC .... AIR CONDITIONING
C ... :. CALCULATED
C.B...... CATCH BASIN
CL.... CLEAR
WL .... CENTER LINE
ENC ... ENCROACHMENT
P.C.... "INT OF CURVATURE
RIP .... FOUND IRON PIPE
P.O.B... POINT OF BEGINNING
O.H.... OVER HANG
W.M.... WATER METER
P.B.... PLAT BOOK
M ..... MEASURED
PIL ... PROPERTY LINE
CONC.. CONCRETE
UP ... UTILITY POLE
FA..... FOUND
CBS... CONCRETE BLOCK STRUCTURE
O.U.L.... OVERHEAD UTILITY LINE
P.C.C... POINT OF COMPOUND CURVE
P.O.C... POINT OF COMMENCTEMENT
BLDG .. BUILDING
C.H...... CHORD DISTANCE
DA ....DRAINAGE EASEMENT
F.H..... FIRE HYDRANT
R ..... RADIUS
NGVD ... NATIONAL GEODETIC VERTICAL DATUM
PRC...
POINT OF REVERSE CURVATURE
RAD...
RADIAL
RNV ...RIGOR
OF WAY
SEC...
SECTION
SCR...SCREENED
S.I.P.....
SET BION PIPE
SINK ...SIDEWALK
U.E.....
UTILITY EASEMENT
CHLP.....
CHAIN LINK PENCE
Sheet 1-. of
FLOOD ZONE: X
IS IS A FLOOD
AZARD ZONE
_THIS I5 NOT A FLOOD
HAZARb ZONE
PANEL NO.% 90/J
COMMUNITY #: 120652
DATE OF FIRM: 07/17/1995
BASE FLOOD: N/A
CERTIFY TO: FINISH FLOOR: N/A
Amelia Maria Ravelo LOWEST N/A
Accurate Title Closings, Inc. ADJ GRADE
Ticor Title Insurance Company
Chase Manhattan Mortgage Corporation, Its Successors And/Or Assigns, As Their Interest May Appear
LEGAL DESCRIPTION:
Lot: 1
Block: 2
Subdivision: A Resubdivision Block Of 2, Of Bonmar Park
According to the Plat thereof as recorded in
Plat Book: 42 Page: 59
Public Records of MIAMI-DADE County, Florida.
ADDRESS:
190 NW 98 ST
MIAMI SHORES, FL
Encroachments Noted: NONE
LOCATION SKETCH
SCALE: N.T.5.
NW 98TH ST
01
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Mb ) a
... NATIONAL GEODETIC VERTICAL DATUM
LEGEND OF bURVEY ABBREVIATIONS
A....'ARC DISTANCE
•
NC .... AIR CONDITIONING
C ... :. CALCULATED
C.B...... CATCH BASIN
CL .... CLEAR
CIL ....CENTER UNE
ENC ... ENCROACHMENT
P.C.... .POINT OF CURVATURE
PIP .... FOUND IRON PIPE
P.O.B... POINT OF BEGINNING
O.H.... OVER HANG
W.M.... WATER METER
P.B.... PLAT BOOK
M ..... MEASURED
PIL ...PROPERTY LINE
CONC .. CONCRETE
UP ... UTILITY POLE
F.D..... FOUND
CBS ... CONCRETE BLOCK STRUCTURE
O.U.L.... OVERHEAD UTILITY UNE
P.C.C... POINT OF COMPOUND CURVE
0.0.0... POINT OF COMMENdEMENT
BLDG.. BUILDING
C.H..... 'CHORD DISTANCE
D.E..... DRAINAGE EASEMENT
P.N..... FIRE HYDRANT
R ..... RADIUS
NOVO
... NATIONAL GEODETIC VERTICAL DATUM
PRC ...
POINT OF REVERSE CURVATURE
RAD ...
RADIAL
RM ...RIGHT
OF WAY
SEC...
SECTION
SCR...
SCREENED
S.LP.....
SET IRON PIPE
SINK ...SIDEWALK
U.& ....
UTILITY EASEMENT
CHLF.....
CHAIN LINK FENCE
Sheet 1- of
FLOOD ZONE: X
I5 IS A FLOOD
AZARD ZONE
_THIS I5 NOT A FLOOD
HAZARD ZONE
PANEL NO.% 90/1
COMMUNITY #: 120652
DATE OF FIRM: 07/17/1895
BASE FLOOD: N/A
CERTIFY TO: FINISH FLOOR: N/A
Amelia Maria Ravel* LOWEST N/A
Accurate Title Closings, Inc. ADJ GRADE
Ticor Title Insurance Company
Chase Manhattan Mortgage Corporation, Its Successors And/Or Assigns, As Their Interest May Appear
LEGAL DESCRIPTION:
Lot: 1
Block: 2
Subdivision: A Resubdivision Block Of 2, Of Bonmar Park
According to the Plat thereof as recorded in
Plat Book: 42 Page: 59
Public Records of MIAMI-DADE County, Florida.
ADDRESS:
190 NW 98 ST
MIAMI SHORES, FL
Encroachments Noted: NONE
LOCATION SKETCH
SCALE: NT. 5.
NOTFSh
A) AB Ctsawarcaa =&or aaawbwefs shoe
bawaa aro of appawef rift". Pores ewe„.Ihp
by wud ww=. lays whaasldp of fa art
ea+n,e4aa.
8) Tlda am a p Is bfaded for M f{pya or rwfbww psyoea
ady sudualvaly for fhb am by %aas f• whoa N is
mfiflad. This wary b not fa be vied far saoww. "w.
pardffley, dmulye, - eq dhsr has adlhehhf aoittae aah-
aof of Them J. ". in.
C) Code h=1 191I •OW tilt rime& ars wt nW..ftd
w fhb aunty.
D) TM flood bfwwntba shmw halve dao wt Imply
that fb h•fa mmd POW IV WM or WW wt be free
frau fbodby or damp mW deo vat cheats nd o fy
oe 140 part of the firm, aey affb-- aaployae Ahmaof,
for oay daaroys that r uft frac Aima ea sod
lefmmaatimh.
O TM Iada depbad hwow won shhhwyad per tha
kyd dwatfba and w dW= as to owhrnhip -
satma of fttls mw wads or Inp w.
P) uwwvou d BeneaehMeats. H may, eat loaatsd.
I hereby C"fy that the mrwy reprsasatad
0M meati "M a WMM teelmkal ata-
dmds sat f rth by *A Bead of land 5wVwy"
Im dgftr 64141-6 Pie" AdhdnfrimW a Cods
FMNW to ftj*6 472.W Pb. 3ftMa.
APR 0 "015
NW 98TH ST _
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TATE PL DAOT V UNLESS IMPRarrED w1TH AN
SURVEYORS's REAL
NOTES,
1. IF SHOWN. BEARI46 ARE TO AN ASSUMED
MERIDIAN (BY PLAT).
2. IF SHOWN, ELEVATIONS ARE REFERRED N.6.V.0 1929.
J. THIS IS A BOUNDARY SURVEY.
NW 97TH ff
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ULiJtCa I U WMPUANCE WITH ALL FFDFPAL
'wli) III l;Ul AIIOKic
THOMAS J. KELLY, INC.
L. B. ##6486
SURVEYORS -MAPPERS -LAND PLANNERS
8125 SW 120 STREET PINECREST, FLORIDA 33156
(786) 242-7692 DADE (954) 779-3288 BRWD
(786) 242-6494 DADE FAX (954) 779-3260 BRWD FAX
DATE FIELD WORK SCALE SURVEY NO.
09/24/2004 1 1" = 1 04-5875
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THOMAS J. KELLY, INC.
L. B. ##6486
SURVEYORS -MAPPERS -LAND PLANNERS
8125 SW 120 STREET PINECREST, FLORIDA 33156
(786) 242-7692 DADE (954) 779-3288 BRWD
(786) 242-6494 DADE FAX (954) 779-3260 BRWD FAX
DATE FIELD WORK SCALE SURVEY NO.
09/24/2004 1 1" = 1 04-5875
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THOMAS J. KELLY, INC.
L.B. #6486
SURVEYORS -MAPPERS -LAND PLANNERS
8125 SW 120 STREET PINECREST, FLORIDA 33156
(786) 242-7692 DARE (954) 779-3288 BRWD
(786) 242-6494 DARE FAX (954) 779-3260 BRWO FAX
DATE FIELD WORK ISCALEI SURVEY NO.
09-24-n4