FW-17-1610Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-284664 Permit Number: FW -6-17-1610
Scheduled Inspection Date: December 15, 2017
Inspector: Naranjo, Ismael
Owner: SIMON, BRANDON
Job Address: 162 NE 106 Street
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1121360050030
Building Department Comments
WOOD FENCE - REPLACING EXISTING CHAIN LINK
FENCE . FENCE IS 6FT WOOD - BOARD ON BOARD,
WITH GOO SIDE FACING OUT .
HOLES 1 0X24 -POST ON CONCRETE 4X4 , RAILS 2X4
BOARD 5/8 ONE SINGLE & ONE DOUBLE GATE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comme ts
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 15, 2017
For Inspections please call: (305)762-4949
Page 5 of 29
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. FW -6-171610
Permit Type: FenceIWall
Work Classification: Wood Fence
Permit Status: APPROVED
Issue Date: 6/20/2017
Expiration: 12/1712017
Parcel Number
Applicant
162 NE 106 Street
Miami Shores, FL
1121360050030
Block: Lot:
BRANDON SIMON
Owner Information
Address
Phone
Cell
BRANDON SIMON
162 NE 106 Street
MIAMI SHORES FL 33138-
162 NE 106 Street
MIAMI SHORES FL 33138 -
Valuation:
Total Sq Feet:
$ 2,300.00
99
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: WOOD FENCE - REPLACING EXIST
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.00
$2.00
$0.60
$100.00
$9.00
$2.40
$117.80
Pay Date Pay Type
Invoice # FW -6-17-64350
06/20/2017 Credit Card
06/20/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 67.80
$ 67.80 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
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 th
construction and zoning. Fut
re
u5' ner / Applicant / Contractor / Agent
Authorize
Building
foreg.ing information is accurate and that all work will be done in compliance with all applicable laws regulating
above-named contractor to do the work stated.
epartment Copy
June 20, 2017
Date
June 20, 2017
1
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
RECEIVED
JUN 212017
BY:
FBC20(+
BUILDING Master Permit No. r (Ai 1 - (b 10
PERMIT APPLICATION Sub Permit No.
®BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
0PLUMBING ❑ MECHANICAL D PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 162 NE 106th Street
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:1121360050030 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Brandon Simon / Alonso Medina
Address: 162 NE 106th Street
Phone#: 916-662-5661
City: Miami ShoresState: Florida Zip: 33138
Tenant/Lessee Name: NA
Email: brandon_simon21@yahoo.com
Phone#:
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: NA Phone#:
Address: City:State: Zip:
Value of Work for this Permit: $ 2300 Square/Linear Footage of Work: 99ft
Type of Work: ❑ Addition ❑ Alteration ❑ New ' El Repair/Replace ❑ Demolition
Description of Work: Wood fence - replacing existing chain Zink fence. fence is 6 ft wood - board on board,
with good side facing out.'//vai 2_ /0 .. ,acs Concrek y/y ,led .2 y &,,tet; �f
f f xi4 a- ke
Specify color of color thru tile:
Submittal Fee $ 911 Permit Fee $ (UO • GO
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 6 • 190
(Revised02/24/2014)
.=Q
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 Signature
rAGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this {
day of , 20 ( 1 , by day of , 20 , by
1 (ZP'S `I'V v. ii personally known to , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
********************************s**************************************************************************
APPROVED BY
(Revised02/24/2014)
1.1»/ Plans Examiner Zoning
Structural Review Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: ETevAdon Sly DATE: 69—/-5--/ 7
ADDRESS: l (2 /VF- /Cd 344/,.7P'
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F_S 489.103(7). And I have
read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption
allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a
cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or
lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built
for sate or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on
your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and
with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all
applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I understand that state taw -requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an
exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as • wn contractor with certain
restrictions even though I do•not have a license. e
_ Initial i ��
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial
3. I understand that, as an owner builder, 1 am the responsible party of record on a permit. I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
Initial
4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial
building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale'or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or lease hich violates the exemption.
Initial
5. I understand that, as the owner -builder, l must provide direct, onsite supervision of the construction.
Initial
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It
is my responsibility to ensure that the persons whom I employ have the license required by law an or municipal ordinance.
Initial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. 1 am willfully acting as an owner -builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employees erstand that my failure to follow
these may subject to serious financial risk.
Initial
9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and
requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
Initial
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States
Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.html
Initial
11. I am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
/tz vO /6,4r1-k,SIL
't1 �1 - -33r)
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of on that I have provided on
this disclosure.
Initia
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or
employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this /5 day of
,20 / 7
BytON-19 `�fwho was personally known to me or who has
Produced there License or
1.
PREPARED BY:
Land Surveyors, Inc.
www.exactaland.com
Toll Free 866-735-1916 F 866-744-2882
J
1054,. St
t4 'ant sr
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PROPERTY ADDRESS: 162 NE 106 STREET MIAMI SHORES, FLORIDA 33138
SURVEY NUMBER: 1505.2715-01
FIELD WORK DATE: /6/2015 REVISION DATE(S):(REv.1 11/9/2015) (REV.1 9/16/2015)
11/09/15 ADDED F.F., ENCL. PATIO e GARAGE ELEVATIONS.
1 05.2715
UNDARY SURVEY
0
MIAMI-DADE COUNTY
F.F. ELEV. MAIN HOUSE = 12.24
F.F. ELEV. ENCL. PATIO = 11.77
GARAGE ELEVATION = 10.18
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501E5.
FENCE OWNERSHI0 NOT DETERMINED.
ELEVAl10N5 SHOWN ARE BASED UPON
OBSERVATIONS, IN 11-1E 5,NE1 REAL1:ML
NETWORK, :5 NAND 05 DATUM AND HAVE BEEN
CONVERTED ro NGVD 29 DATUM BY ADDING
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ID DIA TYPE
T-1 12'
T-2 24'
1-3 12' PALM
T-4 24'
T-5 12' PALM
T-6 24'
T-7 12' COCONUT
0-8 60' PALM CLUSTER
T-9 24' AVOCADO
T-10 24' CYPRESS
T-11 24'
T-12 12' MANGO
T-13 24'
T-14 12' PALM
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I hereby certify
described
and to the
and
standards o
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the Florida
wind
'has be ygade lid
of my knowledge and bel
presentation of a survey t
set forth bytde Flo
eyors $1pt1tatars in C
trativiTES6 ^
4e
ry064L suavEN`a
of the Thereon
direction,
is a true
sleets the
Board of
r5J-17of
Wesley B. Haas
Slate of Florida Professional Surveyor and Mapper
License No. 3708
Use of This Survey for Purposes other than Intended, w1Mout Written Verification, will be at the User, Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION:
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING
MUNICIPALITY OR WWW.FEMA.GOV, THE PROPERTY APPEARS TO BE
LOCATED IN ZONE X THIS PROPERTY WAS FOUND IN THE VILLAGE
OF MIAMI SHORES, COMMUNITY NUMBER 120652, DATED 09/11/09.
POINTS OF INTEREST
NONE VISIBLE
CLIENT NUMBER:
DATE: 9/16/2015
BUYER: Brandon S. Simon and Julio Alonso Medina Barbosa;
SELLER: RUSSEL AND MARY HAYES
I CERTIFIED TO: BRANDON S. SIMON AND JULIO ALONSO MEDINA
BARBOSA;
This is page 1 of 2 and is not valid without all pages.
Florida Land
FL' -TA Title Association MEMBERS
AFFILIATE
-AC 1
Land Surveyors, Inc.
www.exactaland.com
P866 -735-1916-F.866-744-2882
LBp 7337 11940 Fairway Lakes Drive, Suite'''. Ft. Myers, FL 33913
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REPORT OF SURVEY 1505.2715-01
1 This is page 2 of 2 and is not valid without all pages.
LEGAL DESCRIPTION:
LOT 3, BLOCK 201, DUNNING'S MIAMI SHORES EXTENSION NO. 1, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 41,
PAGE 51, OF THE PUBUC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
.JOB SPECIFIC SURVEYOR NOTES:
THE ASSUMED BEARING REFERENCE OF SOUTH 0'20'06' EAST IS BASED ON THE EAST UNE OF LOT 3, BLOCK 201, DUNNING'S MIAMI
SHORES EXTENSION NO 1, AS RECORDED IN PLAT BOOK 41, PAGE 51, OF THE PUBUC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
GENERAL SURVEYOR NOTES:
1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or imply ownership.
2. This survey only shows improvements found above ground. Underground footings, utilities and ennoadvmeMs are not located on this survey map.
3. Ifthere is a septic tank, or drain field shown on this survey, the location is approximate as the loxton was either shown to Botta by a third party or it was estimated by metal detection,
probing rods, and visual above ground inspection only. No excavation was performed in order to determine the exact and acetate 0cation.
4. This survey h exduslvety for the use of the parties to whom R is certified.
5. Additions or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing parry or parties.
6. Dimensions are in feet and decimals thereof.
7. Due to varying construction standards, house dimensions are approximate.
s. Any FEMA flood zoned= contained on this survey is for informational purposes only. Research to obtain such data was performed at www0ema.gov.
9. Afi corners marked as set are at a minimum a 14•diameter, l8'iron rebar with a cap stamped 1617337.
10. Ifyou are reading this survey in an electronic format, the Information contained on this document is only valid ands document is electronically signed as specified os
Chapter 53-87.062 (3) of the Florida Administrative Code and Florida Statute 472.025. The Electrode Signature File related to this document is prominently displayed on the invoice for this survey which is
sent under separate cover. Manually signed and sealed logs of all survey signature Nes are kept in the once of the performing surveyor. R this document Is In paper format,
his riot valid without the signature and original raised seal of a Florida Licensed Surveyor.
11. Unless otherwise noted, an examination of the abstract of title was NOT performed by the signing surveyor to determine which instruments, H any, are affecting this popery.
12.The symbols reflected in the legend and on this survey may have been enlarged or reduced for dadry.The symbols have been potted 00 the center of the field
location, and may not represent the actual shape or size of the feature.
13. Points of Interest (POI'S) are selected above -ground improvements which may be in conflict with boundary, building setback or easement lines,
as defined by the parameters of this survey.There may be additional POfs which are not shown, not called -out as POPS, or which are otherwise
unknown to the surveyor. These PON may not represent all items of interest to the viewer.
14. Utlhties shown on the subject property mayor may no Indicate the existence of recorded or unrecorded utility easements.
15. The Information contained on this survey has been performed exdsrsively, and is the sole responsibility, of Exacta Surveyors. Additional logo or references to third parry firms are for
informational purposes only.
16. PusuaM to FS. 558.0035, an individual employee or agent may not be held Individually liable for negligence.
17. House measurements should not be used for new construction or planning. Measurements should be verified prior to such activity.
LEGEND:
SURVEYORS LEGEND
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ELECTRONIC SIGNATURE:
N complete 0 000,0-. web Fiona Statute 070.02S and Pursuant M
the Ckcuonk Slgnanne Act of 1994 or rb,Wa statute MILL xxxb,
(hauler 661, i1 this document was maned eleclrunkelly iota PDF,
then k has been lawfully 1krnwMraR/ Stoned. Therefore, ihh surrey
PRINTING INSTRUCTIONS:
1. While Viewing the survey in Adobe Reader, select the
'Print" button undsrthe"Fin" tab.
OFFER VAUD ONLY FOR:
Brandon S. Simon and Julio Alonso Medina
Barbosa;
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ANY FUTURE
SURVEYING SERVICES
ON THIS PROPERTY
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Exacta Land Surveyors, Inc. www.exactaland.com
9.866735-1916 • F86fe744-2882
E A C T H 1817337 11940 Fairway lakes Drive SuIte 1. Ft Myers, FL 33913
1111 -
ORES
t1C. 1932
li
Miami Shores Village
B
1
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
and the finished side shall face the adjoining
lot or any abutting right-of-way.
❑ Shadow Box
❑ Vertical Picket
L Board on Board
Fence Good Side
Out. The vertic
and hori
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.
WOOD FENCE DETAIL
ng Department
10050 N.E.2nd Avenue
mi Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
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
4x4 pressure treated
posts embedded 2' into
concrete footing 10"
diameter x 2'deep
AourvAl
E )o6- Simi -
M,‘4,,,; c 33I
1x pickets fastened
-•-•""' with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
///
wood members
with two corrosion
resistant fasteners
per connection
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
Revised 10/14/2016AS