FW-17-1562 i
Pon`
t�� FW 1662
rws ' ��IlWtt>l
Miami Shores Village
10050 N.E.2nd Avenue NEStftCobol i WW'Yellde
Miami Shores,FL 33138-0000
� P�311l{tSta1S'AIis
.- 01 Phone: (305)795-2204 :
-M�
Expiration: 01/14/2019
Project Address Parcel Number Applicant
812 NE 92 Street 1132060050190
GERALD&ANABEL DE BRUIJN
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
GERALD&ANABEL DE BRUIJN 812 NE 92 Street (305)299-7252
MIAMI SHORES FL 33138-
812 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
RONALD GIBBONS (305)652-5845
__ ....:..._. .,__...... _......._........... Total Sq Feet: 8.5
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info: INSTALLATION OF 8.5 LF OF 6 HIGF Review Building
Classification:Residential Scanning:3 Review Building
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# FW-6-17-64297
DBPR Fee $2.00 06/13/2017 Check#:1571 $50.00 $69.60
DCA Fee $2.00
Education Surcharge $0.20 07/18/2017 Credit Card $69.60 $0.00
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 A AVI : ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construct and ing. thermore,I authorize the above-named contractor to do the work stated.
July 18,2017
onz Signature: ner / Applicant / Contracto / Agent Date
Bi ding Department Copy
July 18,2017 1
Miami Shores Village JUN
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 1
INSPECTION UNE PHONE NUMBER:(305)762-4949
FBC 2011-A
BUILDING (waster Permit No. -FN [ -15(02
PERMIT APPLICATION Sub Permit No.
®BUILDING M ELECTRIC ROOFING REVISION EXTENSION RENEWAL
M PLUMBING E]MECHANICAL ❑PUBLIC WORKS [] CHANGE OF ❑CANCELLATION ❑SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 812 NE 92nd Street
City; Miami shares /�L�J_ County: Miami Qade Zig 33138
Follo/Parcel4: 11.12-0 ld� ?19® js the Building Historically Designated:Yes NO
Wood fence
Occupancy Type: Load: Construction Type: Flood Zone: SFE: FFE:
OWNER:Name(Fee Simple Titleholder): Gerald de Bru i j n Phone43 0 5—2 9 9—7 2 5 2
Address: 812 NE 92nd Street
City: Miami SHores State: FL lip; 33138
Tenant/Lessee Name: N/A Phone#,3 05-2 9 9-7252
Email:
CONTRACTOR:Company Name: Ronald M. Gibbons Phone#: 305-652-5845
Address: PO BOX 693730
Chy- Miami She. FL Z10. 33269
QuailfierName: Ronald M. Gibbons Phone#. 305-652-5845
State Certification or Registration#:
N/A Certificate of Competency#: 000009356
DESIGNER:Archkect/Engineer: N/A Phone#:
Address: City: State: _ Zip:
Value of Work for this Permit:$ (C 0 Square/Lines Footage of Work %l(
Type of Work: ❑ Addition ❑ Alteration 5a New ❑ Repair/Replace ❑ Demolition
Description of Work: Installation of 8.5 LF of 6 ' high horizontal style wood fence
including one swing gate.
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CQ/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Tmining/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Rewsed02/24/2M4)
4 v
Bonding Company's Name(if applicable) _ N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Trp
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. 1 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$2500,the applicant must
promise In good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property Is subject to attachment Also,a certlfled copy of the recorded notice of commencement must be posted at the jab site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature QQ��_ 6A6_z:) Signa re
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this
06- day of 10 /►e -----,2o /) by I2 day of 20 1�J by
(POM M Cle A rV I j, ,who is personally known to nC�' 1 bbd o is personally known to
me or who has produced Ur o vier b i?ehrr' as me or who has produced-,I rp 2-----4y� �L(�laz '0
identification and who did take an oath. identification and who did take an oath.4--A 1 I �
NOTARY PUBLIC: NOT PUBLIC:
Sign: _ Si
ysvc; MA14ARAI K.GONZALEZ
Print I`�i i Qr/>n ehu/ �/ Print:
MY COMMISSION A Gr 602
Seal: ,; '! {4;, MIYERLIN ROBAINA Seal: p:; EXPIRES:November 2,2020
;Fop°�a BonNotary ded Thru Nota Public Underwriters
MY COMMISSION 0 FF974743
EXPIRES Ma 3,2020
UQ390W
APPROVED BY Pians Examiner l nIng
Structural Review Clerk
(kerlSedloz/24/2014)
� t
HOOD UNCE DESIGN DErAIL
(Acconling to the F.B.C.Section 2325)
Fences Good Side Out, The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence is located
ow NhLxbrmm and the finished side shall face the adjoining
lot or any abutting right-of-way.
294 Nm.% B&PUS PT
Mtaod Raft Athwhed to PON
WO bw 188 Waft fnbL)
u
U$IhL$ft Ph=PT
•• Pare WON Paas
above wade Speck*
• • •�
0000•• • • •
0 0 0 0•• Jr-V W4r O.C.0.000• 0 • • '
W-V am
0 . 0000••
• 000 ••
0000•• :• •:
000i•• • 0000 Atlieach
ppp tLo� MWGIv.
••0.0• '0.00• `v Lad oras gdv' . -
••0.00 •0000•
••0.0• • 0.000
• 00 • K the fence is to the criteria as a pool banie ,
•0 0000 the fence shall not be Climbable and all rails mint be
00000•
0000 • •
0000 pkce+d facing the inside of the
gates shall have self-dasmg and Welong dencm
Fences Good Side Out. The vertical and horizontal insWW at a minimum of W above ground. For
supporting members of a fence shall face the fwrtherdeteibswSection 424ofFBC.
interior of the plot on which the fence is located t
and the finished side shall face the adjoining t
lot or any abutting right-of-v,',1\'. :J
rip Carmeft Ned halo
r 4
POURING CONCRL"M
'v
s:
BUILDING REViEW-
APPROVED ��fj l'7•
DATE
.-sem
r
- THIS IS SHEET 2 OF 2
SKETCH OF SURVEY NOT VALID WITHOUT
SCALE 1 "=20' REMAINING SHFFT
N E 92nd ST. Ad 3
'
16ASPHALT PAVEMENT
8
O o f O ¢ g PIPko _pip
CC, N ail i
PIP 318 C" - -- T - N wl Cv NO ID NO ID
75.00'(8)
IRON PIPE W.P 37.5' BRICK DRIVEWAY 74.87'(M)
' NO ID _ ,
-- --50.00' wn�
------------
p
ROCr, I
-
• • •• � ' NI \ R de
• • • ••• •
0.35(TYP.)
-
•••••• • '•• • CBS WALL .. -PLANTER METAL FLAT f'� ® qo o? Y
• • •••••• • (TYP.) COLUMN
•••••• • • • • PLANTER--
•i•••� •• •• •••••• 0.35' E 97.34' PDI?CH, a7)� on_I� ��
••••• : ' •'
...... PLANTER 10.60' m Ti 10 04' o®�2 f L a- - /Y(/�L
12.03' 1 �-r F
•�••'� '•••• CBS WALL STEPS-
• ' (TYP.) 1 CBS WALL
•••••• • ••••••
•••••• C.U. ON CONC. / z
•��••• •••• 0,
TILES t
• •••• • •• ELEVATION=815
• • • • a
•••••• •••• • • Q.7' E
"" CLF
ONE STORY C.B.S. a
i `� RESIDENCE #812 1 LOT 10 _-
g994
Side Out.The vertical and hor 122 i BLOCK 2
embers of a fence shall fa H.F.F.E.=10.60' _N j GOLDEN GATE
plot on which the fence it" ATE L.F.F.E.=10.38' `° ! Fthe
Side Out. The vertical and horizont
hed side shall face the I�AWA ITION o I ® PARK ADDITION
U� t o embers of a fence shall face th
l ® (P.B. 6, PG.1307 plot on which the fence is locate
utting right of way. 130) hed side shall face the adjoininI �POOL LOUIPMEN-1 9 12' ytting right-of-way.
ON 3'x3' CONIC. SLAB 10 0' N 1
ELEVATION=8 54 in
r `} —0.4�x0.45' -� CLF
/i 4.20' WOOD 1062' i
ro COLUMN 0.25'x0.25' WOOD
y' W000 PENCE---' .
0.23' E 24.09' COLUMN (TYP. FOR 61
- ;
CLF
SEPTIC TANK
APPROXIMATE LOCATION4.� RACE
4!iTS g-� ; ABBREVIATIONS & SYMBOLS
' =" 'EER'ri
AND DIMENSIONS i /_ y b ri P.B. = PLAT BOO19
"yIn Rv PG. - PAGE
24.04 i ID = IDENTIFICATO
FIP = FOUND 1/2' IRON PIPE
.3, WOOD 1,.83 12 a3' W.P. = WOW POLE
RAILING 13.31, i CMC•= CONCRETE
a EDGE OF WATER 10. X
TO E.W. R/W= WIT OF WAY
io :t t °�' C.U. = CONDE UNIT
1 0l,I - {{ 9 1 sr (:LF = 4' IN FENCE
n'' °° °o I IN 13.59' t M
SOD q O��� � °? i TO E.W..
C.B.S= CONCRETE Blatt 5IRUCTiiRE
LF.F.E.= LOWEST FNM FLOOR ELEVATION
0.55' TILES) 12.73' ' 1.7' W (DOES NOT CRAWL SPACE)
1rTcc%!?!:
o
CLF n o$ CLF H F.F E= F 9EST F11sESFfEO FLOOR ELEVAT t
n ---- --- N= NOM
INACCESSIBLE ' �0'00 ACCESSIBLE
E= EAST
CORNER z z I CORNER W= WEST
LOT 16BLC J
CENTER LINE
moo., GOLD 6"r' - tiq = ELEVATION
PARK Miami Shcres Village
--- --------J
`------- ---
(P.B, 6 ?VED BY DATE a RECORD
ZONING DEPT
W.M= WATER METER
EX.= EDGE OF WATER
BLDG DEPT 1'
I SUBJEC9T'fD CCMPLLANCE 1lfi ALL FEDERAL
STATE ANL)CCUN'iY RULES AND REGULATIONS
Stlrveyoes Cefflimte.
I HERESY CERTIFY:That this Survey and the sketch of Survey resulting therefrom was performed under my direction and is true and correct to the best
of my knowledge and belief and further,that said Survey meets the intent of the applicable provisions of the-Standards of Practice for Land Surveying
In the State of Florida",pursuant to rule 5J-17 of the Florida administrative code and its Implementing law,Chapter 472.027 of the Florida Statutes.
I further certify:That the positional uncertentles resulting from the survey measurements made on the survey do not exceed the allowable Positional
Tolerances. `
WOO 0z
Y
Mese R Seftte.
Professional surveyor End Mapper Number L8 6777
240 w 813tH Atreet,Wo.208,Hk aeah,FL,33014 J Uf 144 2017
Phone numb':(305.)7W M51
NOTICE:Not valid without the signature and original raised seal of a Florida Licensed Surveyor and Mapper.Additions or deletions to S_ketph g_Survey
4P are prohibited without the written consent of the signing party.
A POOL AND CONC. SLAB FOR POOL EQUIPMENT JOSEB 4Z4/2017
CERTIFIED TO: ADDRESS: DATE OF ORDER NUMBER: DRAWN BY: FIELD BOOK:
GERALD DE BRUIJN 812 NE 92nd ST.MIAMI FILLD WORK:
ANABEL DE BRULIN SHORES.FL.33138 07-09-16 160702 JB SCANS
v