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FW-17-242 Permit No. FW-1-17-242 `SHonEs Miami Shores Village Permit Type:Fence/Wall g� 10050 N.E.2nd Avenue NE Work Classification:IroNOrnamental Aft n t Miami Shores,FL 33138-0000 P wr I Permit Status:APPROVED Phone: (305)795-2204 Issue Date: 1/3112017 Expiration: 07/30/2017 Project Address Parcel Number Applicant 1561 NE 103 Street 1132050310220 Miami Shores, FL 33138- Block: Lot: M2J4 HOLDINGS LLC Owner Information Address Phone Cell M2J4 HOLDINGS LLC 1561 NE 103 Street (786)290-8051 MIAMI SHORES FL 33138- 660 NW 125 Street NORTH MIAMI FL 33168- Contractor(s) Phone Cell Phone Valuation: $ 1,900.00 C&S PAINT&WALLPAPER INC (305)643-1136 Total Sq Feet: 20 Approved: Available Inspections: Comments: Inspection Type: Date Approved: : Final Date Denied: Foundation Type of Construction:Other Additional Info:FENCE TWO SIDED GATE ON BOTF Review Planning Classification:Residential Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# FW-1-17-62772 DBPR Fee $2.00 DCA Fee $2.00 01/31/2017 Credit Card $ 116.20 $0.00 Education Surcharge $0.40 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,PLUMBI ,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDA IT: I certify tha I the f regoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo ' g. Futhermor auth ize the above-named contractor to do the work stated. January 31, 2017 tho ze ignature:Ow er / Applicant / Contractor / Agent Date Building Department Copy January 31, 2017 1 Miami Shores Village ' ' �'I ' P''D Building Department JAN 3 p 2017 -9-41 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Y' Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FFBC 20 lc-f BUILDING Master Permit No. r W (�-Zu z PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F—]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1561 NE 103rd Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-031-0220 Is the Building Historically Designated:Yes NO X Occupancy Type: Home Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): M2J4 Holdings, LLC Phone#:305-643-1136 Address:660 NW 125th Street City. North Miami State: FL Zip: 33168 Tenant/Lessee Name: N/A Phone#: Email: N/A CONTRACTOR:Company Name: C&S Paint and Wallpaper, Inc Phone#: 305-643-1136 Address: 660 NW 125th Street City: North Miami State: FL Zip: 33168 Qualifier Name: Mark A. Nickerson Phone#: 786-290-8051 State Certification or Registration#: CGC1513784 Certificate of Competency#: 04BS00966 DESIGNER:Architect/Engineer: N/A Phone#: Address: N/A City: State: Zip: v ��nn Value of Work for this Permit:$ 00 Square/Linear Footage of Work: C.ti Type of Work: ❑ Addition ❑ Alteration ❑ New epair/Replace ❑ Demolition Description of /Work: Fence, two sided gate 0 Gj�_ S�c��� Z�( 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$ 1 Co • —�— (Revised02/24/2014) Bonding Company's Name(if applicable) N/A Bonding Company's Address N/A City State Zip Mortgage Lender's Name(if applicable) N/A Mortgage Lender's Address N/A 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 sev ) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and inspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z`�� day of J(/(11���f 1'� 20 �� by day of 20 by i ,who is personally known to A Y01 r kJKA who is personally known to `mor who has produced as _Me_or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PU LIC: NOTARY PUBL C: Sign: Sign: Print: Print: Seal: "gip • Seal: �i VANESSA A CABRERA VANESSA A CAE�RERA MY COMMISSION#FF169842 7. MY COMMISSION #FF159842 ********* ocFl .... ********* *s°* �tls�.*2i41�& 1�ti�i*� af°61 Florida to Servi .com (407)398-0153 Floridallotary Service.com APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ^; * > Client#: 100457 CSPAI ACORD,. CERTIFICATE OF LIABILITY INSURANCE 'DATE IDDIYYYY) 1/19/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAMEA Certificate Department Advanced Insurance UnderwritersCT PHONE 954-416-9780 aax---"-- ---— Ext): �IAIC,Not: 954-963-9776 3250 N.29th Ave E-MAIC ADDRESS:__certificateofinsurance@advancedins.com Hollywood, FL 33020 - --- ------------------------------ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Kinsale Insurance Company 38920 INSURED INSURERS:Bridgefield Employers Insurance 10701 C 8<S Paint 8c Wallpaper Inc INSURERC: 660 NW 125 St Miami, FL 33168 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL�SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYY MMIDD/YYYY A GENERAL LIABILITY 01000351910 1128/2016 04/2312017_EEpACH��OEEC_CCURRENCE _ $110001000 X COMMERCIAL GENERAL LIABILITY PREMISESOEa oNcu enre $100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $Excluded _ X BI/PD Ded:5,000* PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acudent $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ _ NON-OWNED OEidentDAMAGE $ HIRED AUTOS AUTOS P A UMBRELLA LIAB X OCCUR 0100035196-0 1/28/2016 04/23/2017 EACH OCCURRENCE $5 000 POO X EXCESS LIAB — CLAIMS-MADE AGGREGATE $5 000000 ------------ ----,------�---- DED RETENTION$ $ B WORKERS COMPENSATION X 083054458 4/23/2016 04/23/201 X TQBY LIMITS ER AND EMPLOYERS'LIABILITY WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT 1$1000,000 D? OFFICER/MEMBER EXCLUDE � N/A s— (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Applicable forms: (available upon request) ""General Liability— CG2010 0704 Additional Insured Ongoing Operations(Blanket) CG2037 0704 Additional insured Completed Operations(Blanket) (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE r0 axca� d.." u.+ r a• /1�� ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1447737/M1447422 IPA DESCRIPTIONS (Continued from Page 1) CAS4008 0110 Waiver of Transfer of Rights of Recovery Against Others To Us(Blanket) CAS5003 0110 Primary&Non-Contributing Insurance CAS4005 0310 Amended Aggregate Per Project or Location "*Workers Compensation" WC000313 04.84 Waiver of Our Right to Recover From Others(Blanket) RE: License#CGC 1513784 SAGITTA 25.3(2010/05) 2 of 2 #Sl4477371M1447422 for " I Z Miami Shores Village APPROVED BY DATE 0 n EI'T N tJIVI V L/ 1 1 m LEGEND LIMIT OF PLATA. � u$ A =Arc BLDG DEPT ERG Beenno P �. UU UQ BM =Bencn Marts m 140.00' -rnn F.I.P. 1/2'0 m U`g E ERG =Beamg N89°4639-E 'WIRE FENCE s g� 'y cnry=ealsn na.b B CB =Calcn basin ces =c000rma stock slaanre ',IJR)FCT TO COQ/PtTT�7Fo �TFfA -- -- -- ----- LcH =C1,n �6'U.E, P _—/ Ucl,ara O. L �U_g� z' enana= nmanee 9 tg £ lure CONIC. ti AT f AH CCM IN FY R('l FS,R,��cL.: I I!Al rN\i WAL g 6} fi aF=cvaunk F. E •, 16. a ga b• WNC=Cmcrale FENCE • 83•=• y•.o meter••••• CH FENCE Pt1M 31.50 2�' •• S .�a • WE =Oralk,aga 6 Mainlerr? 25,39' S.4 s� s Y s• • •• Eaurrw' 16.40 \ I g R� LOT-21 •• 8 i•'f E.B. =Ekctrk B 6 ••• `_ h BLOCK-5 t'��� a 3 6 F Eno. =Emmanhmn T FENC 6 L �� �� •• t1 e _ !? F F .F.wn rimy, U V ltl yO F p FH =Flee Hyla` F.1 =FourM Ira1�}•• yl LOT-20 r I \ - ��� m C,UVsl,� 4 a �a 4°.� g'� FP =Fbriea Poxerallgnl l • •e Nis!-8! 4 4 Ei t=Foune nor�i�l't •• o BLOCK-6 I -PORCH- c I IU =Fol,na A.L. om wp ,� I Pb0^ •• aF'S`B b 4F LP Lt,nl Pole • + A � s��� �� • : asuree••••• 37.90 c 2372 ryy' This property described as: ••• .21 p E •1• =Molal Fano., L M N. =Mannme••••• LOT-19 = t ON DRI/ a Lot 20,Block 6, •M =Moname",ups • BLOCK-6 E S1 4• ••• GE E REPLAT OF TRACT"C • $ MON=Mnnum nl • DEN _ N A =Nd Appllcanle • o R.SID 7 — MIAMI SHORE'S BAY PARK ESTATES, • f 8<H t, 2.75'CL - ►O s 30' 8J• according to the Plat thereof <:o p• ID =Nal a Oi1R•••• rye. 55. q 6 • 'o_ = IS ,Nm,o so B.74' as recorded in Plat Book 64,Page 97, • Us =offal ,0 7�2j, of the Public Records of Miami-Dade County, •• 5• •• o L=O ag G o.a� y� � 2 Florida. • =Flet -rte _ =Paleaak J ♦ f'e. G ,�I� 5'WIRE � 'c =Poim of c"ryanlre rt• FENCE Certified to: a B- E Pcc.=Palm of componm M2.14,LLC $ g PGp = a'-1ControlPoint DR I V fK COLUMN Address: § $ F =P iIt.l`e lbn P 1.20'x1.20' q P�11\ q} 1561 N.E.103rd Street,Miami Shores,FL 33138 g � PL =gamer r_l�� rj P O B=Point of Beginning £ 3� P.O.C.=Po'mf of CommenttmeIt Elevations refer to N.G.V.D.1929. � s �s P.P. =Powe.Pme \ Benchmark used:N B-26-RA(Miami-Dade) s2b PR.M.=Pomkmnl Referenm F.I.P. 2 1/'• Elevation=17.23 R(N.G.V.D.) e 8g z =8 P R O=P- R vane k c"Nawre N80'38S3 �\ �—- o e. � m PT =Point of Targer,cy a c 5 E t c R/ Rarhoa ---------------- 13' ti 84.46 NOTES: a a $ _ R = d rp•- Northside of the Subject Property, 11 ire fence y= fig I PSM =Aoleasional soNeym LP. ,,L� t P \ / fills into the 6 feet L/Fi/ily Eueemm�r. `o E 8 ><g gggg is Wpm, 15' PARKWAY F.I.P. 1/2=0 c �4' \ // 11, SW CORNER -do Pisible Encroachments in this for 'g n g g SWK =s�-1 ay LOT 21, BLOCKS �R fi 8 1*vPl=rrokal oP T =Targenl 20'ASPHALT PAVEMENT C B .�Fd NAIL /// ^THIS SURVET DECLARATION IS MADE ON THE FIELD 3 fi F �. w F. =wpody Famem C // DATE INDICATED,TO THE OWNER(S)LISTED.IT IS NOT 5¢ = MP $ w.M. =wakr Mekr TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR a a a a wv. =wakr valve rn / SUBSEQUENT OWNERS." a 9 N.E. 103rd STREET / // $s_ +. Gem lea Son, 'gearing,if any,shown based on Plat Meridian (reference) SOUTH RN80°38'53"E z m g g o, '� /=Ekvalbns Takm J a „o'e c gyp. // REVISIONS: TOPOGRAPHIC SURVEY. / as Alvarez,AiguesviveS and Associates, Inc. 03/07/16 Revi d. I HEREBY CERTIFY:that this survey mcels the t�v , standards of practice as set forth by the Surveyors,Mappers and Land Planners / FLORIDABO ?ESSiAL SURVEYORS APF RS in alar S URVEYOatil S 5701 S.W.107th Avenue#204,Miami,FL 33173 / Na°slid°mess ode,pursue o sa00nnilde Slawles. Phone 305.385.0385 Fax 305.385.0623 FLOOD ZONE COMM.No. PANEL No.SUFFIX.itbeathe VAE 120652 0306 L signature and the ._--_/ L.B.NO.6867/E-mail:fasisurvey@aol.com V original raised seal / BASE ELEV. IVES 02119116 F.I.R.M.DATE F.I.R.M.INDEX of Fbdda licensed field Date Scale: Drawnby: Drw No. 9 FT Surveyor and P OFESS O r-SURVEYOR_AND-- —-1 y' 9' 09111/09 09 '10 FT N.G.v.o. Mapper. MAPPER No.432 S a'tE of F.IOddaT�T`02118/16'-' 11 R.S. 16-21988 ;` JAN 3 2017 AV 5No1,11193[t£s h Miami Shores Village does Building Department ��•ti�,_ �°`� 10050 N.E.2nd Avenue ORI0 Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 ll�FENCE DETAIL + frjvm ❑ Shadow Box ElVertical Picket C-0L-:DPOOL, ❑ Board on Board L-A rC�{ Fences<=6'high posts spaced at 4'on c r maximum Fences<=5'high posts spaced at 5'on cent aximum Fences<=4'high posts spaced at 6'on center m um Fence must not exceed 6'in height Fence Good Side Out.The vertical and horizontal resistant as eners per supporting members of a ell, ,4P fence shall face the interior of the plot on which the fence is located and the finished side shall face the adjoining lot or any abutting right- of-way. ti�f �t e`rdZ • • 4x4 pressure treated • e 2- posts embedded 2'Into • 111 • concrete footing 10" / Illb , • 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 10/14/2016AS iso� PSi . ... ... . ••• . . .. .. . .. . . ... . . ... . . . . . . . . . . . .