FW-14-2756 (2) lams Shores Village
ilding Department artment MAR
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I ;
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20[6 I_
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
'BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Z 3 -�> yV 1�_ o I S7—
City: Miami Shores County: Miami Dade Zip: -3-3l 33
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: 'Construction Type: Flood Zone: BFE: FFE:c� Q
® OWNER:Name(Fee Simple Titleholder): Phone#:
Address:
City: State Zip:
Tenant/Lessee Name: Phone#:
Email: S/
CONTRACTOR:Company Name: zl�6A ca Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition /^� Alteration ---, ❑ New ❑ Repair/Race ❑ Demolition
Description of Work:� 00
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 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 Signature
OWkA or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
I day of ,20 by day of ,20 ,by
who is personally known to who is personally known to
me or who has produced N ® M k)�—e as me or who has produced as
identification and who did take an oath. N ` identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:_ Sign:
Print: Print:
cNotary t-utiffic stateo
Seal: ; Sindia Alvarez Seal:
mot My Commission FF 158750
CW Expires 09/03/2018
i
APPROVED BY i (! Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Y
EVISION
s•1 ff 16 H 000-0 f j�A te, MAR 3 2015
BY
9' APHA L T A L L EY o
C o at d
oo p
l5.0' ".79. .1
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of
2 47.76
m
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jR
ti , a ONE STORY 13;11
.r
Q RESMMCE
v 0237 B.OrI O
4 M
a ��s.s0•
20.50p/ w b a
26.94' (
.a
6 O
BL 1
23' PARKWAY
20' A S P H A L T PAVEMENT
i N. E. 102nd STREET Vw- ( -4" 74�S G
ma raPfl�,-,mi Shores Village
I
CITY
"PROVED By DATE
70; 11NG r,--PT fell
�.°_air=, DEPTCOPY
l�,1;l iJC:CT TO(,OMPLIANICE WITH ALL FEDERAL
Accepted By: 'AH ANI)cO[jnITY fiuLF rJ F
Property Address: 237 N.E. 102 STREET NOTES: CONCRETE WALL AND SHED ENGROAGH
MIAMI SHORES, FL 33138 INTO EASEMENT ALONG NORTH LOT LINE.
Aa mYrEvoR s cEwTnacnnON:ITHAT THIS'EOUNDARY SURVEI"IS A TRUE AND CORRECT
RED
REPRESENTATION OF A REPAMY DIRECTION.THIS COMPLIES WN THE MINIMUM M.E.Land Services,Inc.
TECHNICAL STANDARFORTH SY THE
DS, TE OF FLORIDA HOARD OF PROFESSIONAL LAND
SURVEYORS IN CHAPTE M F tturAa g NW 7IVE CODE PURSUANT TO MOM FLORIDA STATUTES. 10865 SUN 190TH STREET
SUITE 3110
MIAMI,FL 33157
SIGNED FOR THE FIRM MIAMI,
(305)740-3319
n+!louEL s I,A,E PSA.No.5101 FAX:(305)669-3190
IWTmREAAu WmcATED ELECTRONIC SEAL AND/OR LB#:6463
....._.__�. _._...o .........•....v......
--as n¢el MFM=n SMIWVFVnR
Miami Shores Villager
Building Department DEC17 01
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 'B
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 l�
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
EfUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [::]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: _7_7 ? S /
City: Miami Shores County: Miami Dade Zip: 30, 3 _
Folio/Parcel#: Is the Building Historically Designated:Yes NO )
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: p
OWNER:Name(Fee Simple Titleholder): 4 S I �e� Phone(�` �0�
Address: '2 ()
City: d'v` r.�/Lt TTr N-°: State: L Zip: 3 I -3 c�
Tenant/Lessee Name: Phone#:
Email: _SL Lbw
CONTRACTOR:Company Name: W Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration [' New ❑ Repair/Replace ❑ Demolition
Description of Work:_ D At!- w F4_,Pnf4aJS7 S a 1®H
6?3 i-> cs'_l 3
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 101b CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ &11'.
(Revised02/24/2014)
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 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 Signature
O ER or AGEN CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of broL 0201%1 , by day of ,20 .by
C� ,who is personally known to ,who is personally known to
me or who has produced 00CC��VL--` W—'Njl�ras me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: \����� iiiu NOTARY PUBLIC:
Sign: Sign:
Print: U' 'v o =,•s Print:
L> . .,�
Seal: ' �i; �•_ Seal:
APPROVED BY Plans Examiner / ® oning
Structural Review Clerk
(Revised02/24/2014)
8'►° 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: �!` DATE: 12 I J 71 l T
ADDRESS: Z J 7
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.
Initial
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 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 substantially improved it.for sale or lease,which violates the exemption.
Initial
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial l
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.
Initial
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. I
understand that I may not delegate the responsibility for supervising work to be a licensed contractor who isnot 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 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 http://www.myfloridalicense.com/dbpr/pro/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:
2,3 Aj '�_ f a s i
Initial
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 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 of �-NLC— , 20 ry
By CO"UOOO-1 5 LU1 11 '-1- who was personally known to me or who has
Produced there License or COL.0eZ.6,00 Identi4cap ;
W
OWNER
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20' A S P H A L T PAVEMENT
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lAccepted
:I-,By:
Property Address: 237 N.E. 102 STREET NOTES: CONCRETE WALL AND SHED ENCROACH
MIAMI SHORES, FL 33138 INTO EASEMENT ALONG NORTH LOT LINE.
.0 mvcvnR•S CERTIFIGLTION:i Y THAT THIS BOUNDARY SURVEY IS A TRUE AND CORRECT
REPRESENTATION OF A SUR REPAREO INY DIRECTION.THIS COUPLES NTH THE MINNUM M.E.Land Services,Inc.
TECHNICAL STANDARDS. ET FORTH BY THE TE OF FLORIDA BOARD OF PROFESSIONAL[AND
SURVEYORS IN CW C17.F tuAg.mmsT THE CODE PURSUANT TO47 CA FLORIDA STATUTES 10665 SW 190TH STREET
SUITE 3110
MIAMI,FL 33157
SIGNED FOR THE FIRM PHONE:(305)740-3319
ATIGAU�ELn STATE M �� P.S.M.No.5101 FAX:(305)669-3190
NOT VAD6RDII Ftp c
ELECTRO TUREANDAUTHEAmcATEDELECTROMCSEALANOlOR LB#:6463
ANDTHIS M11AP IS LOT VALID btfl71T AND THE ORIGM RAISED SEAL OFA LICENSEO SURVEYOR
dAAPPER.
IN C-1.,. Miami shores Village
' logo ,,,,,f" Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
LORIDA C�'�' � '�`� Fax: (305)756.8972
2—:77
/Ui q M C, S
WOOD FENCE DETAIL
o Shadow Box
o Vertical Picket
Q/ Board on Board
44 Post Spacing
V Fences<=5' high posts spaced at Yon center maximum
Fences<=4' high posts spaced at 6'on center maximum
Fence must not exceed Yin height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressuretreated
wood members
with two corrosion
resistant fasteners
per connection
4x4 pressure treated
posts embedded Tinto
concrete footing 10"
diameter x 2'deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
May 2009
W TREE M FIELD MEASURED P/E POOL EQUIPMENT S.T.L. SURVEY TIE LINE
0 POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB C CENTER LINE
11.I.J.J CATCH BASIN D DEED ESMT. EASEMENT R/W RIGHT-OF-WAY
C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE USEME147 p.US. PUBLIC UTILITY EASEMENT
I.E./E.E. INGRESS / EGRESS EASEMENT I.M.E. LAKE OR LANDSCAPE MAINT. ESMT. L.B.E. LANDSCAPE BUFFER EASEMENT C Ar.E. CANAL MAINTENANCE EASEMENT
U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EASEMENT A.E. ANCHOR EASEMENT
Property Address: General Notes•
1. The Legal_Description used to perform this survey was supplied by others.
237 N.E. 10Z STREET This survey does not determine or is not to imply ownership.
2. This survey only shows above ground improvements. Underground
MIAMI SHORES, FL 33138 utilities,footings,or encroachments are not located on this survey map.
3. If there is a septic tank,well,or drain field on this survey,the location of
such items was shown to us by others and the information was not verified.
Flood information: 4. Examination of the abstract of title will have to be made to determine
recorded instruments,If any,effect this property. The lands shown herein wer
l,
Community Number: 120652 not abstracted for easement or other recorded encumbrances not shown on
Panel Number: 12086CO302 the plat.
5. Wall ties are done to-the face of the wall.
Suffix: L 6. Fence ownership is not determined.
Date of Firm Index: 9/11/2009 7. Bearings referenced to Zine noted B.R.
8. Dimensions shown are platted and measured unless otherwise shown.
Flood Zone: X 9. No identification found on property comers unless noted.
10. Not valid unless sealed with the signing surveyors embossed seal.
Base Flood Elevation: N/A 11. Boundary survey means a drawing and/or graphic representation of the
Date of Field Work: 6/5/2014 survey work performed in the field,could be drawn at a shown scale and/or not
to scale.
Date of Completion: 6/10/2014 12. Elevations if shown are based upon NGVD 1929 unless othenArise noted.
13. This is a BOUNDARY SURVEY unless otherwise noted.
14. This survey is exclusive for the use of the parties to whom it is certified.
The certifications do not extend to any unnamed parties.
Legal Description:
15, 16 AND 17, BLOCK 36, OF SUBDIVISION AN AMENDED PIAT OF MIAMI SHORES SECTION NO. 1,ACCORDING TO
THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA
p1millilimil 11 1111210
Ell' ITUX 111 117111,11:� 1:1,
PRINTING INSTRUCTIONS: HORNSTEIN, P.A. ; OLD REPUBLIC NATIONAL TITLE INSURANCE
While viewing the survey in any Acrobat Reader, COMPANY; PRIORITY LENDING CORP.; . Its'successors and/or
select the
File Drop-down and select"Print" assigns as their interest may appear. s
P
Select a color printer, if available, or at least one with
8.5"x 14"paper.
Select ALL for Print Range, and the#of copies you ease op ow or Policy repara Ion urposes on
would like to print out.
Under the"Page Scaling" please make sure you have This policy does notlnsureagainst loss ordamage yreason—of the following exraptians:
Any rights,easements,interests or Balms which may exist by ream of,or refleded by,the
selected "None." following fads shown on the survey prepared by MIGUEL ESPINOSA dated
Do not check the"AutoRotate and Center"button. 06/1012014 bearing Job# A-49317
Check the"Choose Paper size by PDF"CheckbOX. a)CONCRETE WALL AND SHED ENCROACH INTO EASEMENT ALONG NORTH LOT I
Click OK to Print.
LINE.
C)
am
M.E. Land Services, Inc" sr
10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157
PHON®®E@:(305)740-3319® y
FAX#:(305�)669-3190�@L�B{�#6463
Survey:A-49317 Client File#: 14-0362 Page 2 of 2 Not valid without all pages.