FW-16-1230 etrrli/ 1-1
Miami Shores Village PelY77 7'y�r?�' �IBnLi�
10050 N.E.2nd Avenue NE
�brk�assl on Wood Fence
Miami Shores,FL 3313&0000
hysN—may Phone: (305)795-2204 F
£. .-
�LORtt�' � a
Expiration: 11/09/2016
Project Address Parcel Number Applicant
1202 NE 101 Street 1132050210030
JOHN AND JENNIFER BOLTON
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
JOHN AND JENNIFER BOLTON 1202 NE 101 ST (305)754-2136
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 7,500.00
ABL CONTRACTOR CORP (786)718-9935
Total Sci Feet: 250
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info: Review Planning
Classification:HORIZONTAL WOOD FENCE.6'HIGH Scanning:3 Review Building
Review Structural
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.80
DBPR Fee $3.75 Invoice# 1=W-5-16-59689
DCA Fee $3.75 05/13/2016 Credit Card $309.30 $50.00
Education Surcharge $1.60 05/06/2016 Credit Card $50.00 $0.00
Permit Fee-Wire&Wood $250.00
Plan Review Fee(Engineer) $80.00
Scanning Fee $9.00
Technology Fee $6.40
Total: $359.30
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 zoning. Futhermore,I authorize the above-nam n actor to do the work stated.
May 13, 2016
Authorized Signature:Owner / Applicant / Co tactor / Agent Date
Building Department Copy
May 13,2016 1
�zl
Miami Shores Village �
Building Department
MAY ° 20,E
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20114
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
NBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
r /�j�j CONTRACTOR DRAWINGS
JOB ADDRESS: U Al� ( `� ( St p
City: Miami Shores County: Miami Dade Zip: �� U
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titlp-holder): J0671 W. �®r Phone#:
Address: 72-02—AIE Ayl J�
City: State: Zip: T-031(
Tenant/Lessee Name: Phone#:j
Email: -- b')1t01< I U
CONTRACTOR:Company Name: Ci0A7240 l tZ Phone#: 306 ;z1 eW 3-
Address: 010 AVS 96 (
City: State: - Zip:
Qualifier Name: _ /41
Phone#: �56 21 55
State Certification or Registration#: 66C 1Z 21 12 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ O0 Square/Linear Footage of Work:
_WType ofWork: ❑ Addition ❑ Alteration New ElRepair/Replace ❑ Demolition
Description of Work: 6,u 7-z;(4 WOO
Specify color of color thru tile:
Submittal Fee$v '00 Permit-,Fee$ - r CCF$ CO/CC$
Scanning Fee$ �1 -�.T� Radon Fee$ -�` .� DBPR$ `, ° Notar/� n
Technology Fee$ (2 ` l���',w�\\ Training/Education Fee$ ` 6� Double Fee$
Structural Reviews$123 '- V 3 Bond$
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose-property-is subject to-attachment:Alsa;-acertified copy of the-Te-arded notice-ofcommencement-must-b'e poned-aurhe)ob-site
for the first inspecd hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no a ap roved and a reinspection fee will be charged.
Signatur AL Signature
OWNER or AGENT CONTRACTOR
The foregoin istrume t was acknowledged before me this The foregoing instrument was acknowledged before me this
y of /✓ 20 Ith by G day of 20 16 by
C) ?OI ZO-4 V who is personally known to who is personally known to
me or who has produced -FZ as me or who has produced F2 , / �`c�b�� C ��et albs
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: , / ; NOTARY PUBLIC:
1
Sign' i ' Sign:
Print_- Print:��
Seal: Seal: ' Nalaq Public-St!FF
el Florida
1ntIFT ALL Y o, My Comm.ExpiresOct 30,2010
E I+tdwytallo e of „�tqp:� Commission 173169
Sol I�••, Corm_tbsloa+/a 17,06 ,�
APPR lans Examiner v Zoning
f
6111'h Structural Review Clerk
(Revised02/24/2014)
♦S ORES Gi
s� Irl iami shores Village
9 p
Building Department
�N,�a$� 10050 N.E.2nd Avenue
fiLORNp' Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
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 part-time or full-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. 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 coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY 7e:
G BE YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CON
Signa (
Owner
State of Flo ' a
County o iami-Dade
The foregoing was acknowledge before me this day of �� ,20�.
By �/!)���� w �U�'7r21 , �1 f who is personally known to me or has produced
ication.
Notary:
SEAL: i� y€ Nowa milk-sm of Rom
s' My Comm.Expltes Oct 30,2016
Or a°,- Commission#R 173160
cl0
ABL CONTRACTOR CORP
Date:
State of E/d 2/�&
County of �G11
Before me this day personally appeared who, being duly sworn, deposes and
says:
That he or she will be the only person working on the project located at: 12 U Z A>EF ®c 7[
Sworn to(or affirmed) and subscribed before me this C day of &:f A 20-L&)-, by
_ / r
Personally know
OR Produced Identification
Type Id py ,�tion Pr9AW� !- %t � n5
aowy public-State of FWWo
r My Comm.Expkea Oct 30.2018
OF F��O,� a Co mission FF 173169�, r
I/1/11\�� f
C.
'Print,Type or Stamp Name of Notary
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-261960 Permit Number: FW-5-16-1230
Scheduled Inspection Date:July 13, 2016 Permit Type: Fence/Wall
Inspector: Mesa,Michel
Inspection Type: Final
Owner: BOLTON,JOHN AND JENNIFER Work Classification: Wood Fence
Job Address:1202 NE 101 Street
Miami Shores, FL Phone Number (305)754-2136
Parcel Number 1132050210030
Project: <NONE>
Contractor: ABL CONTRACTOR CORP Phone:(786)718-9935
Building Department Comments
HORIZONTAL WOOD FENCE.6'NIGH 1-56-actioPassed Comments
INSPECTOR COMMENTS False
G
SQ,
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-261610. CREATED AS
REINSPECTION FOR INSP-260819. CREATED AS REINSPECTION FOR
INSP-260804. CREATED AS REINSPECTION FOR INSP-260616.
CREATED AS REINSPECTION FOR INSP-260483. CREATED AS
REINSPECTION FOR INSP-258353. 5-27-16
Failed O THIS FENCE IS PART OF A POOL BARRIER. FENCE AND GATES MUST
COMPLY WITH FBC 2014 R45,AND SHOW EXISTING POOL ALARMS.
Correction 6-8-16
Needed NO PLANS, NO PERMIT, NO ACCESS, LEFT TAG AT FRONT DOOR,
215PM.
Re-Inspection 6/10/16
Fee CANCELLED DUE TO BAD WEATHER
No Additional Inspections can be scheduled until 6-22-16
re-inspection fee is paid GATES MUST COMPLY WITH FBC 2014 R45. ACCESS TO HOME WAS
PROVI ED ANP NO EXISTING POOL ALARMS WERE OBSERVED.
PERMIT WILL BE REQUIRED FOR KIDDIE FENCE, NET OR POOL
ALARM ADDITION.
' 6-27-16
July 13,2016 For Inspections please call:(305)762-4949 Page 25 of 45
G� 16- IZ 3C)
MAY 0 a 2016 C TY
's/ 1�5(
N SKETCH .
EY
-o _o SCAL
U) LO
E.
r loo' loo'
o
N 5 N 4 N 3 11 2 R1 c• EAST l P1 1St
4-A
q
-w 142.42 ��Y-
o --- 85,18 90 611.00'
5
s>.5to I g 23 FH o coO
sus I
49,06 w I LO
l 120.27' 90' 46 I,22'
31 -
o ro • REBRinn 11 97 A . E. jEWALK I j 0.4
a LOCATION MAP �• e>5,- / �� FD.DRILL
SCALE : 1'=100' a w 1 HOLE
O = o, 0.40'
LEGAL DESCRIPTION: J
�l 33,67 I =G
LOT 6,OF BLOCK 184-A,OF"AMENDED PLAT OF TRACT 184-A,SECTION 8,MIAMI SHORES",ACCORDING
TO THE PLAT THEREOF RECORDED IN PLAT BOOK 42 AT PAGE 40 OF THE PUBLIC RECORDS OF MIAMI-
DADE COUNTY,FLORIDA;BEING SITUATED IN THE VILLAGE OF MIAMI SHORES,FLORIDA.
ORDER NO.12771 DATE:JULY 20,2001 `s v� PCS SIJ
F.B.484 A PG.52 SCALE:AS SHOWN U)
D LOT06
(-
SURVEYOR'S CERTIFICATION: WE HEREBY CERTIFY: THAT THIS SURVEY COMPLIES WITH THE ~ i�• N N O
MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA,CHAPTER 472 OF ,�••' '�• TS a
THE FLORIDA STATUTES. 4,92
A. R TOUSSAINT&ASSOCIATES,INC.
LAND SURVEYORS 258 gyp• 's '�
620 N.E.126 STREET,NORTH MIAMI,FL 33161
PH:(305)891.7340 FAX(305)893-0325 , R• ( ��
BY: l.l
A,--. `
• V.PRES. " a PAVED- DRIVE K
UTIL. EASM'T, r=
HOWARD C.GAMBLE • O u7 —� q I
REGIST:R•ED
—
S VE &MAPPER NC.168 • _ —� —— m —@
• x - ---
• WO O.184
0 • • • i LT. o.
0 00 4.15 � 185.18') 89 9 15 E {90jEIT .00)
THIS SURVEY CERTIFIED TO THE FOLLBOWINQ:• • • • • ••• • SET TWO
3 IRON PI S I I�FD• IRON
JOHN AND JENNIFER BOLTON;HOME E�A�tGErE ;Ct1STI�H:R Vj tEY P.A. I PIPE
AND ATTORNEYS TITLE INSURANCE FUND,INC. 1,_
I I LOT q�4 ,e BLK, 5 LOT 2
- B.43 P.80 a
• • • • • • • • • • . ,r
•• • •• • ••• • (-1 ,XF I_' 110E WI(}1 A DERAL &Alf-
Arlo
gAf1D PEOl1LATIONS
• • • • • • • • • •
OfA)C it—
I�GZ �fE to / *r ST
FL
Qk
woo
�-
116 6 m A
-'C Poi .
• � D� �foT'� s��d�5 O,� j�er�ieq
a
re5.s 4A
I s� G hm .��! �/d• ����/� Ge At-
� .
2 I l* /vooq itq 714 X 0
I ,
He
Z • • o�• Or,
�, l
p �
..i. • a
00
inn MeteS
••• •,fib �•b�•71� �e ••• + '.
•(,tom�• • • • • • 1 f_
• • • • • • • • • •
• •• •• • • • •• ••
••• • • • ••• • •
J�"Je- Ate