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FW-17-2555Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. FW -10-17-2555 Permit Type: Fence/Wall Work Classification: Wood Fence Permit Status: APPROVED Issue Date: 11/112017 Expiration: 05/06/2018 Parcel Number Applicant 160 NE 102 Street Miami Shores, FL 33138- 1132060131860 Block: Lot: SUZANNE SPONDER Owner Information Address Phone Cell SUZANNE SPONDER 160 NE 102 Street MIAMI SHORES FL 33138-2325 (305)539-3099 Contractor(s) HENRY'S FENCE INC Phone Cell Phone (305) 669-0180 Valuation: Total Sq Feet: $ 2,400.00 265 Approved: Comments: Date Approved: : Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: REVISION TO CHANGE C,E,F,G & J Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $1.80 $3.98 $2.65 $0.60 $265.00 $9.00 $2.40 $285.43 Pay Date Invoice # 11/07/2017 10/26/2017 Pay Type FW -10-17-65470 Check #: 1065 $ 235.43 $ 50.00 Check #: 1046 $ 50.00 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Final Foundation . Review Building Review Planning 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 forego'••. information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authopz6the above-named contractor to do the work stated. .y- l Authorized Signature: Owner / t .plicant / Contractor / Agent Building Departm - ' Copy November 07, 2017 Date November 07, 2017 1 Rati-255t Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PE MIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL E] PUBLIC WORKS JOB ADDRESS: U,(0 NC. Ibvok' OCT 2.6 2017 BBQ 0.4t, Sty, FBC 20 'f Master Permit No. 1ko (1- 2.555 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: " ✓1 l/ Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): S t �� (f S'f)t)V'lc/e II Address: /to /J•/,,, �/ City: /�//)/Yl, Sl'70 {i�.s State: 061 V? r Tenant/Lessee Name: Phone#: Email: S[f(- I e.Se l)nd0 Kct mu • C,Ovvi Phone#: 2(95-'11:5 $" qqg CONTRACTOR: Company Name: is F.irflL_ r ,C— zip: 30/ n 3 oS- Se' 6iTclg Address: ! 1 �1i0 City: jC1Q Mi State: 1 Qualifier Name: 1dQfl State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ c*z WO—. Square/Linear Foote of Work: c L Phone#: ` WY +Oar) Type of Work: Description of Work: ❑ Addition ❑ Alteration �j, I, 1 r' / 9k �co epair/Replace ❑ Demolition Specify color of color thru tile: T " Submittal Fee $ 50 a id Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ E ✓ S CO/CC $ Notary $ (Revised02/24/2014) A 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. 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. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this it -4 day of O C ,20 j4 ,by cYA1/1-NN-6 , whcK personally know to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: e€e--i9N .2- . Priv _P 0_ ts ,;:�' �'''o, OAINA IRENA LEON Sea y� Notary Public - State of Florida '•E Commission # GG 028719 My Comm. Expires Jan 2021 'V�'•O; "ie" ed throw National Not y Assn APPROVED BY (Revised02/24/2014) as Signature grYr' 71, P The for CONTRACTOR ing instr tent -s acknowledged before me this WI! 20 , by • who is personally known to me or wh has produced as identification and who did take an o \\\\a 1i I l l l f lll��� 4 cpwk21-202p °�; 7!, Z ENOTAR Sign: Print: Seal: PUB ********************************* Plans Examiner Structural Review gp..= y r uBCIC s1.0-0�� • yr Zoning Clerk STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant,S tA. z 1 V1 ne- (1(!ef, does hereby attest that (Property owner) '/ The attached survey, performed by �1 DVha3 c ke4 j J -NC-. (Name of surveyor's company For address: AF O lU' �' La.,2 S/1-i_e)-74 4-ri ��,Q-✓� rti 3/M' Performed on 01 "0 -q� (date 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 structures may affect final inspections as applicable to this or other permits. Furt er, Affiant say eth na • ht. roperty Owner Signature SWORN TO AND SUBSCRIBED before me this S ata, S p o acte.-{ Property Owner Print Name 11' day of ©Cto . Affiant is l"personally known to me, produced Revised on 5122120091 Revised on 6/12/09 as identification. DAINA IRENA LEON ? °� Notary Public - State of Florida .1 4 Commission # GG 028719 ,.t --..z007 P;' My Comm. Expires Jan 3. 2021 �''�. ,`.. Bonded through National Notary Assn. Henry's Fence Inc. Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 Job Address: 160 NE 102nd Street Miami Shores, FL 33138 September 27, 2017 I, Henry P. Villoch, president of Henry's Fence Inc, will be the only person installing and working on this fence project. Should you need any further information, feel free to contact me. ft u -y P. V a;ccal v •eci::4.\\G‘‘ikeFF,.. 01. OSS01.21C)/S. ���' ,,t� siATE v z% Miami Shores Viiiage 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 Exem • tion 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 SIGNING :ELOW YOU '' ' `j OWLEUGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS diCONT :. Signature: State of Flori OF er County of Miami -Dade The foregoing was acknowledge before me this By ho is pens Notary SEAL: 20/ ‘‘=/./ )-ifry}- has produced •. cP` z1,24- 6. , 1% • cr • sem : * �. :y #FF984527 o � �y ° �A° ed th���°.• ij0 ,blitUnde,�0� 0 `//,/1/111111110' \\\\ Zen,"._ GABLES, FLA. .341 & THOMAS J KELLY, INC. DADE(306)464 -7692- eew01(306)77"-3296 LAND SU 2VEYOR' FAX : (3061 441-6494 SURVEY NO.97-0Q18 SHEET 2 OF—? CT262017 APPROVED S T G.H Q�,_.51.(1J3Y E Y Miami Sh%awili,T le2o' 5:IE ZONING DEPT BLDG DEPT SUBJECT 10 C(, MPU NCE WITH ALL. FEDERAL ISTATE ANvC(,L,N, 7 r(UL.=S AND REGULATIONS NE /02 m 0 B • . • • • • •••• •• ••• •• • • . • • • ••• •• • • • _22! _7/40,4// (1; 1 •- •• •• .•1 • • ••-•••• • • • • drive a7'.Cur' I e7.110 • • • . •• • •• S/44-a/c7/,F 1Fnc yV,Prfdy())(111)1 hvertical and horizontal supNui i iy 1 r rol l ruer,3 of a reriae snail race O-: interior.c f the plot on which the fence is loptec and tl- finished side shall face the , oininc lot or ay abutting right-of-way.` p 01 f tib 33.75' cy R %'s , 'es/cnc e a 9.4S H , V . /GU � b //.35' � ¢ /G. GU' '—T.. R 1� I 7/1 r 0 0 a2• •V caio��� t� ia3 //.0 a.s,e%Q// peivi ae 90 Lk) d� kl‘ • • •••••. • •� • . •••••• • . • • •9••• •••••• • • • •••••• • • •••••• • • • \121 Shadow Box ❑ Vertical Picket ❑ Board on Board Fence 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 and the finished side shall face the adjoining lot or any abutting right- of-way. Miami Shores Village Building Department • 10050 N.�.2nd AverDie • • • Miami Shores,•Fkiricka 33138.. Tel: (3O'q)•795.2204.. • Fax: MI6)756.8972. •••• .. • WOOD FENCE DETAIL • • ••.• ••••.. . . •.• .• •.••.• • • . • . Fences Good Side Out. The vertical and 1ii�iror:al supporting members of a 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. 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 •••••• • • • 000000 • • ...... • . . • •• •••.. • .... .• •... • .• . .. . •...•. . •• • • • OOOOOO • . • • . ••.••• ••. . lx pickets fastened with two corrosion resistant fasteners per connection 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 •• •. 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection SUZANNE N. SPONDER, EMANUEL SPONDER, ESQUIRE, ATTORNEY'S TITLE INS. FUND. 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