FW-16-2192 (2) i
Miami Shores Village ryow 1,an� Atall
u
10050 N.E.2nd Avenue NE .�,�,IF n C so
Wit
Miami Shores,FL 33138-0000
s ;
N it
` Phone: (305)795-2204 , `
5 Expiration: 02JO`U2017
Project Address Parcel Number Applicant
75 NE 92 Street 1132060130270
Miami Shores, FL 33138- Block: Lot: JARED ZECH
Owner Information Address Phone Cell
JARED ZECH 75 NE 92 Street (347)899-6579
MIAMI FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
HOME OWNER
.----- __. ...., w Total Sq Feet: 85
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:REPLACE REMOVED CHAIN LINK A Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due—
CCF
ue
CCF $1,20
DBPR Fee InvOICe# FW-8-16-60865
$2.00 08/04/2016 Credit Card $50.00
DCA Fee $2 00 $66.20
Education Surcharge $0.40 08/05/2016 Credit Card $66.20 $0.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
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 hermor,97aut he above-named contractor to do the work stated.
August 05, 2016
Authorized ignature:Ow r / Applicant / Contractor / Agent Date
Building Department Copy
August 05,2016 1
Bonding Company's Name(if applicab e
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. /n the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature <;��t 2ZSignature
OWNG or AGENT CONTRACTOR
The foregoing instrument was acknowledged before_me this The foregoing instrument was acknowledged before me this
-�-1 day of Au ON 'T ,20 (`P , by day of 020 by
vA� C) Z-A=C-H ,who is personally known to ,who is personally known to
me or who has produced C-L17y2- 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:
%J111111 Ily
•••
Sign. J •• - Sign:
Print: = ;• dn �� Print:
® �a':�'_
Seal: oti oy� Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
,E o,,,� Building Department
10050 N.E.2nd Avenue
^p rim 10 � Miami Shores, Florida 33138
Tel:(305)795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: J Zia Z_ Uy DATE:
ADDRESS: 2 L
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.
Initial1
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 orlease,which violates the exemption.
Initial)
t
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the constru ion.
Initla�
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise p�rsons 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. I 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 taxland 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.
Initi�l
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.
Initiall__(�
10. 1 understand that I may obtain more information regarding my obligations as an employer from tII a 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:/Iwww.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:
7.�F"NC 5t
, 11�_Z
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 I
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 L_15/_120_A
Zwho was personally known to me dr who has
I
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,\t�a>,�uii!uluu�3 I 1S�/jell�//'i
Produced there License or as id tiP;•Oa'%
• i O
NER NOTARY '%bb•y0!SSiww.•
slil,?4 71s \g
Miami-Dade Official Records- Print Document Page 1 of 2
11111 11111 IINI I IIII II II I IIItI 11 111 IIII l!I I
CFH 2014SR0314586
OR U 3000 Pas 302-303 t2Pas)
This Docunumt Prepazed By: RECORDED 05/27/2016 14004305
DEED DOC TAX $21P600.00
ANGELO P. DEMOS, ESQ HARVEY RUVINP CLERK OF COURT
12601 SW 70TH AVEM;E MIAMI-DADE COUHTYr FLORIDA
PINECREST, FL 33156
Parcel EDNumber: 11-3206-013-0270
Warranty Deed
This Indenture,Made this a 7 day ofMay,2016 A.D., Between
WENDELL GRAHAM and JANICE M. GRAHAM, husband and wife
of the County of MIAMI-DARE,State of Florida,grantors,and
JARED ZECH and MELISSA NICOLE ZECH, husband and wife
whoseaddressis:75 HE 92ND STREET, MIAMI SHORES, FL 33138
of the County of MIAMI-DADS,State of Florida,grantees.
Witnesseth that the GRANTORS,for and in consideration of the sum of
------------------------TEN DOLLARS ($10)---------'
I'--------------
DOLLARS,
and other good and valuable consideration to GRANTORS in hand paid by GRANTEES,the rec�ipt whereof Is hereby acknowledged,
have
granted,bargained and sold to the said GRANTEES and GRANTEES'heiM successors and assigns forever,the following described land,
situate,lying and being in the County of MIAMI—DARE State of Florida to wit:
The East 1/2 of Lot 20, and all of Lot 21, Block 2, of AMENDED PLAT OF MMM SHORES
SECTION ONE, according to the Plat thee0f, as recorded in Plat Book 10, Page 70, of the Public
Records of Miami-Dade County,Florida.
Subject to:
1. Taxes for the year 2015 and subsequent years.
2. Zoning and governmenW ordinances.
I Conditions,limitations,restrictions,and easements of record,but this provision shall not operate to reimpose same.
and the grantors do hereby fully warrant the title to said land,and will defend the same against lawful claims of all
persons whomsoever.
16.11-1405
Book30093/Page3O2 CFN#20160314586 Page 1 of 2
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Miami-Dade Official Records - Print Document Page 2 of 2
{.-A6TNPA2L2V3 PG 303
In Witness Whereof,the grantors have hereunto set their hands and seals the day and year first above written
Slgned,sealed and delivered in our presence:
Printed Name:GA rr'�ja ins, ELL
Witness P.O.Address:8000 West D e,Apt.318 NORTH BAY VILLAGE,FL
s_ 33141
Prin Name:/-}'AJ 6,—" 'F, Z JANICE M. GRAHAM
Witness P.O.Address:8080 West Drive,Apt,318 NORTH BAY VILLAGE,FL
33141
STATE OF Florida
COUNTY OF M=AMr-nmx
The foregoing instrument was acknowledged before me this A 7 day ,ofMay, 2 016 by
WENDELL GRAHAM and JANICE M. GRAHAM, husband and wife
who are personally known tome or who have produced their Florida Iver's Manse as identification.
Printed Name: millGE�O F, .0,"43
Notary Public
My Commission Expires:
gp��arFlwm.
w ��aseao
I&R-1405
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§I�ORFS
Miami shores Village
�logoin Build'ng Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
fil0R1DA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, J&ZG-0 does hereby attest that
(Property owner)
The attached survey, performed by L a e)n e-� G q d GC,,-C-'C,, —r'—^c'
(Name of surveyor's company)
For address: �� �� �-� 5iz,e-k-j' ,
Performed on C1151 b7 (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 Affiants eth naught.
�zr — JA Rn 2e GW
Pro rty 0=4 Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this day of Z4 1 16
Affiant is personally known to me, produced as identification.
\\\\\e11N11 111�1�0*Notary�q ���//�i/
=o:
Revised on 5/22/2009/Revised on 6/12109 0Zp2�0�,'`�•�_
r9 IdX �.• eco���
l�A���1fAt1lHIIl1�1���\\
-v V
S�OREs D
r�
' Miami shores Village
Into oil IIIIIM Iding Department
Fences Good Side Out. The vertical and horizontal 10050 N.E.2nd Avenue
L��FNT �y� supporting members of a fence shall face
�LORN� interior of the plot on which the fence is located mi Shores, Florida 33138
and the finished side shall face the adjoining Tel: (305) 795.2204
lot or any abutting right-of-way. Fax: (305) 756.8972
WOOD FENCE DETAIL ZE Gq
❑ Shadow Box 75- Iq E 7ZYId
❑ Vertical Picket
Board on Board 33130
Fences < = 6' high posts spaced at 4' on center maximum
Fences < = 5' high posts spaced at 5' on center maximum
Fences < =4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
tF",
per connection
ances Good Side Out. The vertical and
horizontal
' upporting
•••. . . members of a fence shall face the
terior of the plot on w
• hich the fence is located
"" nd the finished
side shall face the
I t or any ri adjoining
• ••0 abutting right-of-way,
...... .... .. ..
4x4 pressure treated
• • • . posts embedded Tinto
• •• •t •
••••� � 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
Revised 06/22/2015
• • ••• • ... AeM-}o-lu61J 6Ullinge Aue JO lol
• • • ... . • . bulu!oipe aul aoel Ileys aps paysiuil aul'pue A
• •�• : : .:. paleool sl aoual aul golym uo told aul to Joualut
aul eoel Ileys aoual e to sJagwew 5uilioddns
• • •• leluozuotl pue leollJaA aul 'ane op!S poop saouaj
• • • • • • • • • • ••
90
.;ea'�;�Qperty described as : Lot 21 and the East 1/2
.: VW :0 , EClock 2 , AN AMENDED PLAT OF MIAMI SHORES
•• •SEtTICAN'ND'° 1 , according to the Plat thereof , as go• , a o' ss, a
recorded in Plat E3ook 10 , Page 70 of the Public. Record a iz
of Dade CDunty, Florida. 5 ¢ 3 Z � � 2
FLOOD ZUNL': X �'�s n� I�0,
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v ti . `• ' ' CLE' � a
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-Aem
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We 7�.eo i ei 11 to aL!6u 6u!linge/(ue Jo lot vi
6u!ulo(pe aul aoel Ileus ap!s pays!u!l a4l pue z
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aol s! aoual aul yo! m uo oda n: _=
t y 1 I ill to Joualu!
oelleUeouel ;o sJagwE)w 6u!aJoddns�oTluoy pue teo!1M I •ln0 ap!S pool saouej
10:
u41a,teL
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h7 751 a0 /Q ■
�o t
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=
X5.75 , I NU'L'L: Underground encroach-
-t��`� , ! YUf � rnents , if any, not located .
:. q 1
w
fire roup- F-►I=ts _
� I' C ti' i � {. tit•!/" � G;,L.... L�..��(�� ■
♦ v�lt.� N � �•�u-
I OLE I _ - _ t a� 27,0o _ l_�ttCE
- 5�eS/D,�.u,.ld41L GOJUG- GouG�'t'� ri
p(w"- ri.a r OF W"
Certified `ro: Gulf sl.reaw Title
I C:olrtj.,any and R.L . Schmidt
0 'R blorr.gage, Inc . , its successors
�� i'' �SP�"��'� 6•, r and/or assigns .
PROPERTY OF:Blankenship, 7.5 N.E. 92nd Street, Miami Shores , Florida .
Not valid unless embossed A BOUNDARY LANNES and G A R C I A, INC.
with Surveyor's Seal. suRv[y
I hereby certify that the survey rr•prr• ENGINEERS - LAND SURVEYORS LAND PLANNERS
L�1e L. win . tcch , tented hereon meets the, minimum
9t 11 arils Set technical standards set forth by the
Board ol,land S rveyors purwa+u to Office address. 4080 S.W. 841h Avenue,Miami,Florida 33155
�
� t by the Bd. Section 47 a.Statutps. there are
' USP L nil noencr ments,by fis,easements
appe g n the , other than as Mailir4r address: P.O. Box 561131, Miami, Florida 33156
� Sit 359 yors ' sh n hereto. 359 Alcazdr ►venue, Coral Gables ,"-F1•.
_ ant to = ��-*-�' . �- Pttone: ( 30a ) 66E-7909 331.39
Se 472 . 027 , Fla. Reg. L-td Surveynt No. DATE SCALE
F1
Statutes . �� L)L, fiY DRWG. NO
--- y.. - — rG� • 187-6616
"Recertified" 10 d Zone added and C:ertilied 'Po and Name .i91-6000
r revised ' fS
Fences Good Side Out. The vertical and horizontal
J }
t supporting members of a fence shall face the
N - e
fe
nce is IocatAd
l ,.;
a = interior of the plot on which the
f7l ® and the finished side shall face the ad)ralnln0
lot or any abutting right of way.
_
C=) A
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