FW-17-2765 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-292665 Permit Number: FW-11-17-2765
cheduect l d Inspection t: Jaguuary 23, 2018 Permit Type: Fence/Wall
p 1Sm�\�� � Inspection
Type. Final
Owner: BECERRA,JACQUELINE Work Classification: Wood Fence
Job Address:401 NE 94 Street
Miami Shores, FL 33138- Phone Number
Project: <NONE> Parcel Number 1132060140480
Contractor: HOME OWNER
,
Building Department Comments
FENCE ON SMALLER PORTION OF EAST SIDE Infractio Passed Comments
INSPECTOR COMMENTS False
r
_Inspector Comments
Passed El
Z
l
Failed
Correction
Needed
,
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
January 22,2018 Page 7 of 28
li
Miami Shores Village
RECEIVED
�. lldrng Department
Bu
��✓ in
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 NOV 21
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 S
\ lddd/ FBC 2014
BUILDING Master Permit No.
PERMIT APPLICATION u Permit o.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP "
( (� n�CONTRACTOR DRAWINGS
*x,
IJOB ADDRESS: l ` I� v 1 v {'t/� r J Ij
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: IFlood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): "(r �Y �`� Phone#: '
Address: ,,,n' l`L 4
City: `fit! Z 1(\r�rrJ5 State: Zip: 3,31.,
Tenant/Lessee Name: Phone#: �®T �T/
Email:
CONTRACTOR:Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:.`. "
DESIGNER:Architect/Engineer: Phone#:
y
Address: City: State: Zip:
Value of Work for this Permit:$ SJJ •o' Square/Linear Footage of Work:
Type of Work: F-1Addition ❑ Alteration ❑ New Repair/Replace ;.E:]
Description of Work:
Specify color of color thru tile:
CJ- 'X •t �v
Submittal Fee Permit Fee G� CCF$ CO/CC$�;* x •_:�
Scanning Fee$ Radon Fee$ 2• Jni DBPR$ .7 9 Notary � 'GD
Technology Feb$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
i
TOTAL FEE NOW DUE$ �I `
(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 y 'j
i
City f 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 app d and a reinspection fee will be charged.
Signatu Signature
WNER or AGENT CONTRACTOR
The fore'g'oing ins ment was acknowledged before me this The foregoing instrument was acknowledged before me this
day of r�Q111-1 -20 by day of 20 ,by
w�rsonally known to who is personally known to
me or who has produced `'�"L-)ewf .. 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: '
111111
Sign: QS;••• i� ��\ //i Sign:
Print: fir'':moo tio �m \ ••Q\RES •••..0��� Print:
Seal: =w;� ''-= �� F .`•�� Seal:
0.
exp
.�•.
APP ROVED 1BY Zf �? ' Plans Examiner (� Zoning
Structural Review Clerk
(Revised02/24/2014)
,t
Miami Shores Village
�,,, Building Department
_ 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
�'O`W,NER BUILDER DISCLOSURE STATEMENT t
NAME: DATE:
ADDRESS:
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 sale or lease,which is a violation of this exemption.You may not hire an unlicensed personas 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.
f
1. 1 understand that state law 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 m own contractor with certain
restrictions even though I do not have a license.
Initial
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. 1 understand that,as an owner builder,I 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 permitod contracts.
Initial
4. 1 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 ease,which violates the exemption.
Initial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the constructio .
Initial
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons orking on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by law and b coun or municipal ordinance.
Initial
t j r
t
r
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.I am willfully acting as an owner-builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Ini al
,
B. I understand that I may not delegate the responsibility for supervising work to be a licensed tractor 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 employee.I understand 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.1 also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Int nal 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.myfloridalicense.com/dbpr/pro/cilb/index.htmI
Initial
11. 1 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:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of th in rmation that I have provided on
this disclosure.
Initial
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.
i
Was acknowledged before me this day of N� 20
By��C ca-`' `%rk- was personally known to me or who has
Produced there en oras identi;;�* y��������///
I
M 9�F2
OWNE NOTAR �;� °'o;
Lc-'�� � tie.
��ppi,10RIDl I Q{l,lt�\\N\\\~`\.
♦ NCRES
E� Miami shores Village
Bull 51111M Building Department
10050 N.E.2nd Avenue
r� °�� Miami Shores, Florida 33138
as 10
�ZOR1DA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF (DADE)
The undersigned Affiantj ,toes hereby attest that
(Property owner)
The attached survey, performed by
y�f (Name of surveyor's company)
For address 0,
1'�� 41 �� w
Performed onI� (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
strWtyres may affect final inspections as applicable to this or other permits.
Further,Affiant Ayeth6paught.
6666.. 6666..
6666..
••••• Prope y.Owner ptgrlatere operty Owner Print Name
• SV�(Of�l iO ANN*ZI (SCRIBED before me this a day of N
t
-6666
6666.. 6666 ro j/`_ �./�(�1
:600
Affiant is .pP6rpppally known to me, produced as identification.
.6 0 0 0. ���awm�py
• 66666: 666.60
• • • • •• 0\ 0/9'
•66.6• �J�. F�p
• =�c�ti v i •a—
"�.. � e�' Notary
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Revised(6/25/12)Revised on 5/22/2009/Revised on 6/12/09 s// /i����r�
Permit No. FW-11-17-2765
Miami Shores Village Permit,Type:Fence/Wall
10050 N.E.2nd Avenue NE
"Pen 't
� Wank Classification:Wood Fence
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
FLORIDA
Issue Date:1/1012018 Expiration: 07/09/2018
Project Address Parcel Number Applicant
401 NE 94 Street 1132060140480
JACQUELINE BECERRA
Miami Shores, FL 33138- Block: Lot:
owner Information Address Phone Cell
JACQUELINE BECERRA 401 NE 94 Street (786)201-4321
MIAMI SHORES FL 33138-2845
Contractor(s) Phone, Cell Phone Valuation: =1,500.00HOME OWNER
Total Sq Fee
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved: : Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOOD FENCE 6 FT HIGH Review Building
Classification:Residential Scanning:3 Review Building
Review Building
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# FW-1417-65714
DBPR Fee $2.00
11/21/2017 Check#:4369 $50.00 $71.20
DCA Fee $2.00
Education Surcharge $0.40 01/10/2018 Credit Card $71.20 $0.00
Notary Fee $5.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $121.20
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 t conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I ssu a responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRI AL,P U G,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAV : Ice th I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo ing. Fut ermo e, a the above-named contractor to do the work stated.
January 10, 2018
Authorized Signat re: n / Applicant / Contractor / Agent Date
Building Dep rtment Copy
January 10, 2018 1
E3(DL-1rl(J;ar-y f u 1-,\/cz! Pap 2 of 2 RECEIVED
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SttIOREs Df
Miami shores Village
its �� 11111 F
Building Department r
Nr °yam 10050 N.E.2nd Avenue
0R1Dp' Fences Good Side Out. The vertical and horizoWo rni Shores, Florida 33138
supporting members of a fence shall face the Tel: (305) 795.2204
interior of the plot on which the fence is located Fax: (305) 756.8972
and the finished side shall face the adjoining
lot or any abutting right-of-way.
WOOD FENCE DETAIL
❑ Shadow Box
❑ ertical Picket
Board on Board
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 y
Fence Good Side
Out.The vertical 1x 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.
....
•••o• • • •.• 4x4 pressure treated
••:•• •• • ••• posts embedded2'into
• • • • . ••• concrete footing 10"
•••••i • •
• • • • 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
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