FW-17-1201 m nr�. FV 6.17-1201
Miami Shores Village _ .Permit Type:Fence/Wall
10050 N.E.2nd Avenue NE �!� Work Classification food Fence
Miami Shores,FL 33138-0000 mit�
Phone: (305)795 2204 Permit Stat t1S APPROVED
�ua1217 Expiration: 10/29/2017
Project Address Parcel Number Applicant
525 NE 92 Street 1132060141130
PAUL BERGEN
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell 2
PAUL BERGEN 525 NE 92 Street (305)216-5242
MIAMI SHORES FL 33138-
525 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,a6l
SAMADA FENCE INC (305)720-6344 (954)559-4355
Total Sq Feet:
f
_et
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOOD FENCE BOARD ON BOARD E Review Planning
Classification:Residential Scanning:3 Review Building �JE
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# FW-5-17-63877
DBPR Fee $2.00 05/02/2017 Credit Card $66.20 $50.00
DCA Fee $2.00
Education Surcharge $0.40 05/02/2017 Credit Card $50.00 $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 foreing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authoriz t above-named contractor to do the work stated.
May 02, 2017
Authorized Signature:Owner / cant / C ntractor / Agent Date
9�py Building Department
May 02,2017 1
c,
77
Miami Shores Village RECEIVED
Building Department MAY - Z 7017
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 {L
INSPECTION LINE PHONE NUMBER:(30S)762-4949 5 1
FBC 20
BUILDING Master Permit No. •� l
PERMIT APPLICATION Sub Permit No.
WIUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
t / CONTRACTOR DRAWINGS
,`�
JOB ADDRESS: r '9 '�— •�,p
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: / /3,K W 0111 11.7 0 Is the Building Historically Designated:Yes NO `s
Occupancy Type: Load: Construction Type. Flood Zone: BFB: FF€:
OWNER:Name(Fee Simple Titleholder): a� stes 'e_v Phone#:���.f'
Address: r�'r " 6 .9 J City: M�� GU .�t� ��J State: Tv Zip: a&9
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Samada Fence, Inc Phone#: 954-559-4355
Address: 110 W 31 ST
City: Hialeah State: FL Zip: 33012
Qualifier Name: Sergio M. Samada Phone#: 305-720-6344
State Certification or Registration#: Certificate of Competency#: 11 BS00347
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
i
Value of Work for this Permit:$ �• O Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration WNew ❑ Repair/Replace ❑ emolition 1
Description of Work:
6off7l
O I
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)
rfd&ding 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.....
iC?'WW'S AfflDAWT: l certify that all the ftming inflormatm* is accurate and that all work-wit!be done in- comliarcr 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.
Signature141Signature
( -V/ ER or AGENT 4 7 CONTR CTO
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 1 L 20 ,by ?110V day(off y� ®� 20 � � .by
who is personally known to S-e 10 !r`i• c'� is personally known to
me or 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 PUBLIC: NOTARY PUBLIC:
4
Sign:_ Sign:
Print: Print:
�I Ne vi
=� Q ;'1 COMMISSION/FF136164
Seal: 2-4jbw.
COMMISSION 0 FF136164 Seal: = EXPIRES' Juy 17, 2018
=, 4EXPIRES: Juy 17 2018 �'� o�°e° Wy WAARONNOTARY.COM
� WWW.IURONNOTARY.COM �y
APPROVED BYI� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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JOB No. 13-429 LOCATION MAP HOUSE PICTURE
DATE OF SURVEY Feb.06,2017 ••
. . .. . . . . . . . .
REVISION DATE: ' ' ' ' •
CERTIFY TO ?'?E
PAUL BERGEN AND LAURA R BERGEN
VNIAN A.Rr-AM,P.A. *00 i i �'• i'• i�' • '
OLD REPUBLIC NATIONAL TITLE INSURANCE CO • ••• ;a • • • ••
SUNTRUSi MORTGAGE,INC.,ITS SUCCESSORS • • • • • • • • • _
AND/OR ASSIGNS A.T.I.M.A.
SITE ADDRESS: 525 NE 92nd ST., MIAMI SHORES, FL 33138 FOLIO No.11-3206-014-1130
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75A, (n e uP) (d
°. 60)
°-5' Sidewalk N.00'11 75.00 MdcR de Out. The vertical and+ orizontal
F P. upporting members of a fence shall face the
`•. 23' Parkway nterior of the plot on which the fence located
nd the finished side shall face the djoining
'of or any abutting right-of-way.
...::.:::.::.::::::::::::.......... p
=.....20'::As::h ....--
halt Pavement:....: .......'
75 TOTAL b
.............
PUBLIC R/W: :
STREET:.....
N.E. 92nd
.. . ... .. ... ........
�� l �dal-lct
rFERIDA'
EBY CERTIFY THAT THE ATTACHED SKETCH OF'BOUNDARY SURVEY' AND LEGAL DESCRIPTION:
RVEY MAP RESULTING THERffRdA OF THE ABOVE DESCRIBED
PROPERTY THE EAST 1/2 OF LOT 11 AND ALL OF LOT 12,BLOCK 57,OF MIAMI
RUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNOER MY SHORES SECTION No 2,ACCORDING TO THE PLAT THEREOF AS RECORDED
ON AND MEETS THE INTENT THE APPLICABLE PROVISIONS THE
M TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF IN PLAT BOOK 10 AT PAGES 36-39,OF THE PUBLIC RECORDS OF
PURSUANT TO RULE SJ-17 OF THE FLORIDA ADMINISTRATIVE CODE AND MIAM-DADE COUNTY,FLORIDA.
LEMENTED LAW, CHAPTER 472027. OF THE FLORIDA STATUTES.
AMERICAN SERVICES OF MIAMI, CORP. ���° i"�"�� 0 ' ' VA
Consulting Engineers.Planners.Surveyors r, E - " " `Ti,
9360 S.W.72nd STREET,SUITE 2000 R
C44 MIAMI,FLORIDA 33173 Noj � D
PHONE:(305)598-5101 FAX:(305)598-8627 sua E ! A B "rf
LB 6683 ASOMIAMI.COM �Y Y
DATE: �• X17
THIS IS PAGE 1 OF 2,NOT VALID WITHOUT ALL PAGES.
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Miari 7hores villagelogo
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• :0: :•Dpild
ing Department
.. ... ..esto
10050 N.E.2nd Avenue
Marnt Shores, Florida 33f 39
Tel: (305) 795.2204
Fax: (305)756.8972
WOOD FENCE DET
ces Good Side Out. The vertical and horizontal
❑ Shadow Box suPPorting members of a fence shall face the
interior of the plot on which the fence is located
❑ Vertical Picket and the finished side shall face the adjoining
Un Board on Board lot or any abutting right-of-way,
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
Fence Good Side
Out.The vertical Vopix pickets fastened
and horizontal with two corrosion
resistant fasteners per
supporting connection
members of a
fence shall face
the interior of the
plot on which the
fence is located 2x4 horizontal
pressure treated
and the finished wood members
side shall face the with two corrosion
adjoining lot or resistant fasteners
any abutting right- per connection
of-way. 17
4x4 pressure treated
posts embedded 2'Into
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 10/14/2016AS