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FW-17-989 W -17-9-4 Miami Shores Village i'* Plerm Type. Fence/Wall, �.� 10050 N.E.2nd Avenue NE Vtrorkclasslficafton:Wood Fence Miami Shores,FL 33138-0000 �Lgp— s Phone: (305)795 2204 Pe177?if Statils:A1Pl�l311'EC} FExIration: 10/28/2017 P Project Address Parcel Number Applicant 117 NE 98 Street 1132060132300 I Miami Shores, FL Block: Lot: CONRAD BROWN Owner Information Address Phone Cell =CONRAD BROWN 117 N. E.98 ST. Contractor(s) Phone Cell Phone $ 1,500.00 Valuation: HENRY'S FENCE INC (305)669-0180 Total Sq Feet: $$ Approved: Available Inspections: Comments: Inspection Type: Date Approved: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:6 HIGH WOOD FENCE Review Planning Classification:Residential Scanning:3 Review Planning Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# FW-4-17-63645 DBPR Fee $2.00 DCA Fee $2.00 05/01/2017 Check#:9804 $71.20 $50.00 Education Surcharge $0.40 04/10/2017 Check*9795 $50.00 $0.00 Notary Fee $5.00 Permit Fee-Wire&Wood $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $121.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICA INDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the fore ing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd zoning. Fut e,I autho' e the above-named contractor to do the work stated. May 01, 2017 AuthorizedVrttment / Applicant / Contractor / Agent Date Building D Copy May 01,2017 Y1 Miami Shores Village RECEIVED Building Department qAPR12017 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 !V—A LINE PHONE NUMBER:(305)762-4949 FBC 20 IQ BUILDING Master Permit No.-r- V� 99 PE IT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Q CONTRACTOR DRAWINGS 10B ADDRESS: NE —` I- rn S ' City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: l I • ?=U /�? -() I z 1�2) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: /�1F.l000d Zone: BFE: FFE: L OWNER:Name(Fee Simple Titleholder): 4 ./I V W Vq Phone#: Address: City: State: Zip: 1 Tenant/Lessee Name: Phone#: Email: A I �^ CONTRACTO :Company Name: TkbPhone#: —V Address: -J City: ` State: Zip 3 11 Qualifier Name: % Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$T — Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace El Demolition Description of Work: , JA cLcod Specify color of color thru tile: Submittal Fee$ Permit Fee$ I ® I — CCF CO/CC$ c Scanning Fee$ ppC1 Radon Fee$ DBP/R�$®l Notary$ S Technology Fee$ l Training/Education Fee$�� l� Double Fee$ 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 attach nt. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first insp ion whi occ rs seven (7J days after the building permit is issued. In the absence of such posted notice, the inspection will n t e appy a a reinspection fee will be charged. Signature Signature "5gnz�� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrum nt waf know ledged before me this 0 day of �8�' � 120 by ay of 20 by who is personally known to � who is personally known to me or who has produced� CJZ- (oo-(2X me who ha produced as �� 1 identification and who did take an oath O� identification and who did take an oa 8�� 'SROD%��/ .�� NOT PUBLIC: NOTARY PUBLIC: �j;.• 1202o Mp,F{gRAI K GON �i ;�• O Print: r•:`Y"<• #GG 044602 Print: t_ o c+E EXPIRES:November 2.20 q�• ,.'. Seal: rypub,,.UndermlleSeal: rs / 'f' ••pv' :��C��o %tiFcf�;cpc swdedTiwNola APPROVED BY Plans Examiner V % /Zoning Structural Review Clerk (Revised02/24/2014) ,6 DATE(MMIDDIYYYY) ACORU CERTIFICATE OF LIABILITY INSURANCEF � - 04/19/2017 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 pollcy(les)must have ADDITIONAL INSURED provisions or 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 GUNTAGIF Ercilia Farias Obregon Insurance Corp PAX _JAM va,E„l_ 305-265-6226 _ JAIc,N,);305-265-6246- 1740 SW 57 QNREW._ obr oninsuran mail.com e9 _.—cel -— -- -–- - - Miami,FL 33155 INSURER(SI AFFORDINGCOVERAGE NAICS INSURERA:Granada Insurance Com any INSURED INSURERS:Progressive Insurance Company _ HENRY'S FENCE INC INSURER C: 3931 SW 63 AVE --- -- — - -- — - - - _- _ INSURER D INSURER E Miami FL 33155 _ -- -- 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. POLICY EFF POUCY MSR TYPE OF INSURANCE - ADDL SUER POLICY NUMBER MMMO M7DD EXP - LIMITS r_ EACH oGcuRRENCE $ 500,000 A I X�coMMERCIALGENERAL�JASRrrY 0185FL00081927-0 04/19/2017;04/19/2018--- -- DAMAGETOft�NTED 100,000 CLAIMS-MADE OCCUR ;PREMISES(Eaoccugencel MED EXP(nay ode Person) $ 5,000 PERSONAL&ADV INJURY $ 500,000 GE_N'LAGGREGATELIMITAPPLIE_SPER GENERALAGOREGATE $ SOO,000 POLICY`i SECT i LOC i PRODUCTS-COMP/OP AGG $ __ I �OTHER � � - - - s y_$ LIASILITY COMBMED SINGLE LIMIT $ B I°�O1"06 102982860-0 04/19/2017%04/19/2018;-CEB��)_--_ ANY AUTO BODILY INJURY(Per person) S -10,000 OWNED`�AUTOSNLY ,-X�AUTOSULED BODILY INJURY(Per accident) $ 20,000 HIRED NON-OWNED PROPERTY AMAGE $ 10.000 AUTOS ONLY _y AUTOS ONLY ,Le-r enlQ-_._ COM/COLL DED $ 500 I UMSRELLALUIB OCCUR I EACH OCCURRENCE $ EXCESS LIAR CWMS MADE AGGREGATE $ DFD RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY y/N -STATUTE _ ER ANYPROPRIETOR/PARTNER/E%ECUTiVE E.L EACH ACCIDENT OFFICERIMEMBEREXCLUDED7 �iNIA — - -- (MyeansW day in NH) E.L.DISEASE-EA EMPLOYEE$ If d under DESCRIPTION OF OPERATIONS below F L DISEASE-POLICY LIMB $ i ' I i DESCMPT1ON OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Adc0donal Remarks Schee,maybe atlaehad M more spate Is required) Fence Erection 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 10050 NE 2nd Ave. ACCORDANCE WITH THE POLICY P VISIONS. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ^ ©1986-2015 AC RD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACOR y SKETCH OF BOUNDARY SURVEY LE: 1"= a U) `o :::r ........... . ...... ............ :...................... . ........... ........... �......... ....... ......... .......................... ............. 9.5 As halt Pavement ' :�, p : 9- m r .::....... ......................... _ Fnd. ` 75.00' (M&R) 5' c & ��• ' G 3s Fences Good Side Out. The vertical and horizonta supporting mernbers o' a fence shall face interior 01 the plot on which the fence is locate 11.2• and the finished side shall face the adjoinin_ 3 . lot or any abutting nght_0f waV c I X— o .•..p , 8.17' . � � X ^ I 14.78' � a Conc:; a L6 Ce v X8.0' Lot 18 Lot 16 g v 15.95' 5 26. o o I W o O c N Ui a r- 4' CLF N M r" r X X Qi W m r n to D •in 4' CLF /� E1.6 Cd U CU E ai Z ILL. b cIWA ans J 30.75' � � c ` N 8.40N C85 1• 5.0' Step Wall sLO 00 U . X N •',. Fnd. �� u U 0.49' cl Pi t/Y M a; (D 5.0 3' 7.4' L11rr, d X •3 n . . .,a 75.00' (M&R)' ,• 5.1 Sid � lk o t rPi Q i "' w w Lo U ,o:• �i Q ri Grassed Parkway 0 z M - U 0 :...... L p w a 0 ............. • • • • ..... .... . .. ....... ....�'::.�...'...':.::.':.':.'.:::':Yy' _ ... '•i:.:•'.. ....... ..............r.. �� U G ..... ... 'R'..711'7.'::::•.....::::.�.......� ::.f:::::::.•••.•:::�. .......................................................... ................... :19.8 As halt R®vewdh ..,..:;x::.:: ::•:,I::•.": :.:- ::p. "I a c, c❑ p k - ...................... ............ ...................... ........................... . . . .. ... I r I.................... ...................... ..... ... .......7...... TOTAL00 :: :'- .::. 7 ............... N.E. 98th ..�T..........1............�:: ::: ::::.:.. :. ::. ::::: •:..:::.................................. RECEIVED-.... 111 • • • • ••• � APR 102017 BEARINGS SHOWr1 HEREON(IF ANY;AR.E REFERED TO AN ASSUMED MEr .ID&r F : :" ; TR THE CENTER.LIr1E rF LEGAL DESCRIPTION: -EAR RRA6T 25 FS61 DE 1-00. ILP A" OF VCrl t-1 BLOCK I"l A&/ r4MFIl/L�B� �1_AT aF M1AM1 sHD72� SEG-F�O� SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK_10—AT PAGE *10 OF THE PUBLIC RECORDS OF MIAMI- DADE COUNTY, FLORI ences Good side ou?. _h,- ; Ifical and h,,,�°onta LOCATIORMAP supporting members of a lance ,,.ha!i the NTS interior of the plol on which the fence i� -:,atec and the finished side shall face thr; r_�ujoinin, N.E. 99th STRM loi or any abutting rinl t-of-way. b — — s 58.88' 50' 50' W 30• a 14 13 12 11 9 8 7 6 a 17 to ui 15 6 17 18 19 20 21 22 23 LI J aD' Z1 2W, 2P 50. To N.E. 98th STREET .�i CERTIFIED TO: Conrad BrownBac Florida Bank, it's successors and/or assigns, ATIMA Gerardo A. Vazquez, P.A. Attorney's Title Insurance Fund, Inc. WE HEREBY CERTIFY THAT THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION TECHNICAL ARDS,AS SET BY FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS AND SUPERVISION A MAPPERS,IN CHAPTER 61G ND MEETS THE 17-6OFITHE FLORIDA ADMINISTRATIVE VE CODE,THE PURSUANT TO SECTION 472.027,FLORIDA STATUTES. ADDRESS:1 I'I I� E. a8 �yt•. MIAMI, rL•~ t American Services of Miami, Corp. JOB NUMBER: D2-'13— ENGINEERS-PLANNERS-SURVEYORS DATE OF FIELD SURVEY: JAN . j4h 20o2 1LB 6683 REVISION DATE: 2150 S.W. 137":Avenue.Suite 217,Miami,Florida 33175 Phone:(305)553-6963 Fax:(305)5547516 Email: a1viERIC.-1VSERI,ICESOFIvU.iNII.Com SURVEYOR'S NOTES: EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS,IF ANY AFFECTING THIS PROPERTY -SHOWN ELEVATIONS ARE BASED ON N.G.V.D.(UATIO M-VERTICAL DATUM OF 1929) -LEGAL DESCRIPTION WAS PROVIDED BY THE CLIENT -NO UNDERGROUND UTILITIES OR IMPROVEMENTS HAKE WNL(JttrE:),�,XCEPT AS NOTED.THERE ARE NO VISIBLE ENCROACHMENTS OTHER THAN THOSE SHOWN. ••• see 00 •• o 0 ••• / J 118REVIA110N IF ANY APPUm) U.E . UTIL EASEMENT 9 . CENTER LNE CL : • A•CLEAR C PROPERTY E ENC. -ENCROACHMENT Y �NONUNEN9 NNE • 000 T� RLN T L WAY C B.S. CONCRETE BLOCK SMCTURE P.C. o POIBT CF�RVATUT& ,•• B RTO R.VARAS CLF. . CHAIN UNK FENCE CONC. .CONCRETE F.H. -FN£HYDfMNT • • • • • EASMT• • • •• PROrE;SLbNALLAND SURVEYOR W.F. -WOODEN FENCE N'DIAMETER " T i.HmE • • AND MAPPER No.3105 RM - RMENCE IME._ DRAINAGE WANT.EASEMENT saH. STATE OF FLORIDA CAM(C)- CALCULArm F.I.P. � FOUND IRON PIPE SI.P..SET IRON PIPE F S=FOUND SPIKE SR.B. . SET REBAR F.D.H.-FOUND DRAT HOLE '��.{E ®Q n C.B. - CHORD BEARING REC. (R)R O OCORDED ONINC UNIT B'� T��� G••: •:•DgTE::��} !r MIEAS.(M) MEASURED SN.&D. SET NAIL AND DA?,C F.N.AD. FOUND NAIL AND DISC P.O.C. PONT uq 0 0: 0 • • • • • • •• •• • • • •• •• ••• • • • ••• • • ..�. .. p.4 A—d.—A—,_.f J,-, Tr y► 5t�OR s Miami shores Village logo on. �- Building Department 0050 N.E.2nd Avenue �tRtup Fences Good Side Out. The vertical and hor wi Shores, Florida 33138 supporting members of a fence shall face r e Tel' (305) 795.2204 interior of the plot on which the fence is located and the finished side shall face the ,adjoining Fax: (305) 756.8972 lot or any abutting right-of-way. WOOD FENCE DETAIL ❑ Shadow Box ❑ Vertical Picket ❑ Board on Board 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 lx pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection I LI • • • • • • • • 4x4 pressure treated •+ . • • • posts embedded 2'i•nlio• • • : .•►r • concrete foottrig 18''• •• • •• d la meter x 2'deep ALL wood must be pressure trea�tell : .. • • All fasteners muAJ st be�prrc0sion r i9istIt . • • No less than two fasteners in any connection ••• • • Y s ••u • • Revised 06/22/2015 i i•i i w i J•• • • • 000 • 0 5g C.CI Z. S roc Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ��ORIDp' Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant, ( �YC�d '01DW4, es hereby attest that (Property owner) The attached survey, performed by W)CV I (0 � a S 0 r M fG I (Name of surveyor's company) For address: 1 1_ Ne a 6 l<—� , Performed on 341 ��Vdate 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 astrmucesmaykyctaections as applicable to this or other permits. fia s mmod Ef D Wn Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this ayofhenj f Affiant is personally known to me, produced �(®5O 1®�� (Qa?ident�Vi to ion.® c��•"•Y°�Bv MAHARAI K.OONZA117- .. NO ry MY COMM1S$10N 0 QG 044602 Revised on 5122120091 Revised on 6/12109 z EXPIRER• Mbar 2,2020 ''•FoA' Bonded •Nnve Thru 1Notery PuNic Underwriters Henry's Fence Inc. 3931 SW 63rd Ave Miami, FL 33155 Phone: 305/ 669-0180 Fax: 305/ 669-5992 Email: henry scogbellsouth.net March 28, 2017 Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 RE: 117 NE 98 Street Miami Shores, FL 33138 To whom it may concern, I, Henry P. Villoch, qualifier and president of Henry's Fence Inc w4JM1JJW1Aply person working on the fence project located at 117 NE 98 Street in Miami Shores,,\` .� . R Thank you, ' Yon y P. vazocc v =z•ti VF83497 A dodV • ' O Personally Know �i , ,• 4hjlc Undar;': r ylillij I�jE1o1� ��� Or produced Identification Notary Seal R�s� sarc U"M Miami OhoresVffillage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 Notice to Owner— Workers' Compensation Insurance Exempti®n Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more pmt-time or fall-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if- 1. F1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance cove om the contractor's company for day labor,put-time employees or subcontractors. BY SIGNING OW YOU A 0 GE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Si wrier State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of Y"C 1 ,20A.�k. By(C)DY06(� c n who is personally known to me or has produced " K as identification. N . MAHARAI K.GONZALEZ SEAL: :k * MY COMMISSION#GG 044602 oc EXPIRES:November 2,2020 '•',Fod $p' Bonded Thru Notary Public underwriters