FW-16-620 \\� Miami Shores Villaged, _; ��
�� .C fVMD—
Building Department I R. 08 2616
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 20I
BUILDING Master Permit NoTW 16 '�'zo
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3n V) c2 P G
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:
OWNER:Name(Fee Simple Titleholder): Phone#: X6 3F(® —7SS V
Address: r ,S'O.V l�Z�
City: ¢7 AM-i e % ? 3State: Zip:
Tenant/Lessee Name: Phone#:
Email: /1'1 Ate/Surd o Coj-�f2� C� A'{t, C
CONTRACTOR:Company Name: 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:$ 5c)C:)� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 0epair/Replace ❑ Demolition
Description of Work: 19Er]=E1P_k_ 07th u.i�Cjy i1E__0 0C -M UQ'ST .�L
Specify color of color thru tile:
Submittal Fee$ 0 Permit Fee$ ` �� ' CCF$ �'��� CO/CC$ P
Scanning Fee$ • � Radon Fee$ a DBPR$ ' �� Notary$ S ,(5�
Technology Fee$ ® ' 90 Training/Education Fee$ o ' Double Fee$ ,0
Structural Reviews$ C6 Bond$ rP _
TOTAL FEE NOW DUE$ 1 ��
(Revised02/24/2014)
Bonding Company's Name(if applicable) r
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
OW or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
(a day of �A '( 4pp ,20 16 ,by day of ,20 ,by
ON -`mho is personally known to who is personally known to
me or who has produced (J M1"� as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: 1 .r Sign:
Print: NDS W JJ Print:
Seal: Zo'�wa�o4Notary Public State of Florida Seal:
o
_ , Sindia Alvarez
b Q`s My commission FF 156750
,Expires09l03/2019
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
r ��pp
,SBS;mss Miami Shores Village
a
�... p,..r" Building Department
�. 10050 N.E.2nd Avenue
��� Miami Shores, Florida 33138
�xoRmA Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: L rOA/ ��Z� DATE: 1 /4,
ADDRESS: 9 `f 3 d X) VV � P r--
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. I 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
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.
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. 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 legally and financially responsible for this proposed Construction activity,I will abidey 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.myfoddalicense.com/dbpr/prolcilbrindex.htmi
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:
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 average.
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 , 20_&—
By 1& O - who was personally known to me or who has
Produced there License or L �� �'��N as identification.
NER NOTARY
E
NNct°� Expires 09/03/20 8
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 9 Fax; (305)756-8972
2/11/2016
Current Owner
9430 NW 2 Place
Miami Shores, FL 33150
Permit: FW-5-07-983
Address:9430 NW 2 Place Miami Shores FL
Date Expired: 11/11/2007
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better,we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance,or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed."
Please be advised that open permits will hinder your ability to refinance or sell this property
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
Ismael Naranjo (CBO)
Building Director
Miami Shores Village renCif� '.
10050 N.E.2nd Avenue NW
Miami Shores,FL 3313&0000a rlc( 8
Pl7rlf��ttlS EAlao��l� '
hFx Phone: (305)795-2204
Issue Expiration: 09/1112016
Project Address Parcel Number Applicant
9430 NW 2 Place 1131010150080
Miami Shores, FL Block: Lot: MADISON CARTER
— " ,, I I :'- I
Owner Information Address Phone Cell
MADISON CARTER 9430 NW 2 PL
MIAMI SHORES FL 33150-2217
Contractor(s) Phone Cell Phone Valuation: $ 500.00
HOME OWNER
Total Sq Feet: 36
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:REPLACE OLD WOOD FENCE Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# FW-3-1&58951
$2.00 03/15/2016 Credit Card $ 119.60 $0.00
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
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 forego: information is accurate and that all work will be done in compliance with all applicable laws regulating
cons and zoning. Fu re, u orize t above-named contractor to do the work stated.
March 15, 2016
Authorized Signa r :Owner / Applicant / Contractor / Agent Date
Building De artment Copy
March 15,2016 1
Planniong' and Zoning Criteria
Miami Shores Village Permit No. FW-5-07-983
10050 N.E.2nd Avenue \\ 71i, � �
■n.
Miami Shores,FL 33138-0000 � �aaa ��
e� Phone: (305)795-2204 Fax: (305)756-8972dF
#bn�
ao
Issue Date Not Issued
Expires:N®t Issue
: :.
Folio Number:1131010150080
Owner's Name:MADISON CARTER Owner's Phone:
Job Address: 9430 2 Place NW Total Square Feet: 36
Miami Shores Village, FL Total Job Valuation: $ 1,000.00
Contractor(s) Phone Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 5/14/2007 :Yes
Comments:
rW *'��13
VILLAGE OF MIAMI SHORESAY
OWNER BUIT.DE DTgG.t0.SURE STATEMENT S Y:
NAME: �t Ser I CA-Z- '� DATE:
ADDRESS: g '� l� v✓ ,P64cc
Dohereby 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
stdtetnent,which entitles me'to work as mx owe contractor;I further understand:th4t 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-€amily residence. You may
also build or improve.a commercial building at a cost.of$25,000.00 or less.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.constructlon 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 npt licensedmust work under-your supervision and must
6e employed by you,which means that you trust 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. I hold title to the above property and I am planning on doing this construction
Initial 3
2. I understand that as aft owner-builder I must abide by all zoning ordinances and
building regulations in effect at-the time of permit application
Initial
3. :I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code . only if the structure meets the
minimum —
-code.
Initial
5. I understand that as an owner-builder; that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate any contract disputes.
Initial-
6..
nitial6.• I understand that if I compensate any person or company for work performed
they are required to have a business license in the county. If for.any reason they
do not posses a business license I wil•1 be responsible and liable for any wrong
doing from this unlicensed c6mpany-or person.
Initial
7. • I•understand that if any person gets injured'on my construction 7proj2t-they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
Initial
_l�_
8. I understand that- under state and local laws I• can'not do any Alectrical,*
Plumbing, Heating, Air & Roof work on my-property with out first obtaining
the proper permits by licensed contractors.
Initial
Was acknowledged before me this day of Jtj 120 O�
T
By ' l bwho was personally known to me or who has
Produced there License or _ vQS• L1C . as identification.
.O ER
VOTARY
48399'
.,�y.Pva4,, MISSION#DD , ;
o e.
M�PIKES OcNO
pbbr20,a� ®r,
a e` gondedThryN
',q �iea4'Ynad
•
0 000
WOOD FENCES
••. • . . •••
. . .. .. . . . . .
. . .. • • . . • . . •
066 0 . . .0 000 .
Wood Posts
MA
Zai X 41, Wood P? 111 4'-0' High or Less=6'-0'O.C.
Owner' s Side 5'-0' High or Le�1�5�m0 v0�"`'
I" X6" orI" X6"
Wand Plckeu
2915 Fences
2915.1 Wood fences,,so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
Calct-ete (a) Fences not exceeding 5 feet in
height shall be constructed to,meet
the following minimum
requirements: from nominal 4 inch
° c ° ` I I by 4 inch by 8 feet-0 inch long
II I —III posts spaced 5 fe6A inches on
having fiber
2'-O" I=I I $ III 1200 p.s.l.inbendi iiand stress
hall be
JI I= a I=I I I embedded 2 feet-0 inches into a
I=I I —11 M 3'-0" concrete looting 1 foot-0 inches in
1-1
diameter and 3 feet-0 inches deep.
_ Other components shall be
a =I I designed to comply With the
=I I III==I ( I provisiogs of. this Chapter and
Chapter 23,
r (b) Fences not.exceeding 5 feet and 4
feet in height respectively shall .be
I=I I I=I EI=I I constructed as provided in
III----III I I MI I =III=III paragraph 2915.1 (a) herein,
_ except that the spacing of posts
may be increased to 5 feet-0
inches and 6 .feet-0 inches on
centers.for these.heights.
EOE'
M ami Shores Village
APPROVED BY DATE
( r,i NG DEP-T
Concurred
t4, .�� 1 3d-4SYyYY4- t! • - /�7y pC+ /// �: r` f?"` '
'/OS�/p/�f�/ y,� '� +I T• (a4cV is
le �1
a' • • • • i• •
Am s • •' • • •. 4
lk
S jM 13.2J� ..f r� �It% � .'4i� '9 1 5
00
tT
p.
1vFL
g
os
SKETCH OF-SURVEY S C r-iL CL 1,
� 1
tl t ��, t•. {�� i� � 7
$:_'�,tf`I^„flrs'3 k'�' 4 �._ X _b __ __e"'�_`.`�'�_�"'ap _-v_ �• 1
66 y •'!.Es-�A ��" t � .-� 7 ice. .':1,%�' ,�,.. `��... �� .. �j t i '�,J)✓ j
. p
r-v cA'c'VENr 2-rgc=TIRATNArc !%NYl MAINTENANCE CASE:!ENTI VAi
D=FOUND NAT D>S:C u.U.L.=OVERHEAJ UNLITY I,.INE., Fi rDL;NL 14* N PIPE "N:_Z13' w-''E.RT _.
2OPERTY LINE, CCNC=CONCRETE, CL=CLEAR, '/S=OFFSET, CL. ---x --=CHAIN LINK FENCE. W1 ---/. --=WOOD ENCS, C/L ON LINE
JNCRETE BLOCK STRUCTURE, SWLK=SIDEWALK, PAV=PAVEMENT, PWY=PARKWAY, R=RADIUS, d=CENTRAL ANGLE, T=TANGENT, A-ARS, Ch n�R
JNUMENT LINE, PC=POINT DF CURVATURE, I.D.=IDENT IFICATION. RES=RESIDENCE, PLT=PLANTER, FIB=FOUND 1/2' IRON BAR, F.N.FOUND NAIL
=NCH MARK EL=ELEVATION S£C=SECTIDN PDB=POINT OF BEGINNING PRC=PAINT OF COMMENCEMENT E=ELECTRIC TEL=TELEPHONE BF=BLOCK FDNC:
JHDLE WME=WALL MAINTENANCE EASEMENT B/L=BASE LINE WP=WOOD POLE CB=INLET FH=FIRE HYDRANT WV=WATER VALVE B/L=BASE LINE
.ATT;-'T,' UILD.NG tTNE STL=SURVEY T._ L' E PRC=P7INT OF REVERSE CURVATURE PCC=AOTNT OF COMPOUND CURVATURE BBL=SASE BUILDING.LTY
:CRCIACIMENT IW=RLTNWDRK <R)=RECORD (M)=MEASURED SN&D=SET NAIL AND DISK # 2652 PRM=PERMANENT REFERENCE MONI1MENT
S40rej
ffl-iami
Villaq-,
rE 10 O'� 10050 N.E. SECOND AVE.
F�0R1Dp MIAMI SHORES, FLORIDA 33138-2382
Telephone: (305) 795-2207
Fax: (305) 756-8972
DAVID A. DACQUISTO, AICP
PLANNING&ZONING DIRECTOR
J��MAY 14 2001
DEVELOPMENT ORDER
File Number: PZ06-0921 - 05
Property Address: 9430 NW 2"d Place 13
Applicant: Madison and Deborah Carter(Owner)
Address: 9430 NW 2nd Place
Miami Shores FL 33150
Whereas, the applicant Madison and Deborah Carter (Owner) filed an application for a
variance before the Planning and Zoning Board on the above property. The applicant
sought approval as follows: Sec. 702: Hardship variance—Sec. 518—Fence height
Whereas, a public hearing was held on September 21, 2006 and the Board, after having
considered the application and after hearing testimony and reviewing the evidence entered, finds:
1. The application was made in a manner consistent with the requirements of the
Land Development Code of Miami Shores Village.
2. The applicant has established substantial competent evidence as a basis for the
relief sought.
Therefore the variance request is approved with the following conditions:
1) Applicant to obtain a building permit for the fence.
2) Applicant to meet all applicable code provisions at the time of permitting.
3) This variance is valid for a period of one (1) year from the date of approval.
Building permits must be secured and work started within that time or a new
variance will be required before work can commence.
4) Fence is to be removed or brought into compliance with the Village Code no later
than September 21, 2007 or applicant must apply for and secure a new variance.
Page 1 of 2
PZ06-0921 - 05