FW-18-1155Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
re
P�rrlt nro: Fes"'-5-18-1' 155
Permit Type: FencelWall
Work Classification: Wood Fence
Permit Status: APPROVED
Issue Date: 5/1412018
Expiration: 11/10/2018
Parcel Number
Applicant
113 NW 106 Street
Miami Shores, FL 33150-
1121360080310
Block: Lot:
ALLAN NICHOLS
Owner Information
Address
Phone
Cell
ALLAN NICHOLS
113 NW 106 ST
MIAMI SHORES FL 33150-1247
(305)758-9630
Contractor(s)
HENRY'S FENCE INC
Phone Cell Phone
(305) 669-0180
Valuation:
Total Sq Feet:
$ 1,790.00
65
Approved:
Comments:
Date Approved: :
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: WOOD FENCE
Scanning: 3
Fees Due
CCF"
DBPR Fee
DCA Fee
Education Surcharge
P&Z•Review Fee'
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$35.00
$100.00
$9.00
$1.60
$151.20
Pay Date Pay Type
Invoice # FW-5-18-67369
A05/14/2018Check'#71296 $-101'20 "'$"50700
05/01/2018 Check #: 1280 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
Review Public Works
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 z
Authorized Signature: Owner
more, I authori a the above -named ccrc or to do the work stated.
/ Applicant / Contractor / Agent
May 14, 2018
Date
Building Department Copy
May 14, 2018 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-302991 Permit Number: FW-5-18-1155
Scheduled Inspection Date: August 14, 2018
Inspector: Naranjo, Ismael
Owner: NICHOLS, ALLAN
Job Address: 113 NW 106 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HENRY'S FENCE INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (305)758-9630
Parcel Number 1121360080310
Phone: (305) 669-0180
Building Department Comments
WOOD FENCE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 13, 2018
For Inspections please call: (305)762-4949
Page 12 of 39
BUILDING
PERMLT APPLICATION
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
Master Permit No.
RECEIVEL
MAY 0 1 10�18
f,
eh C 20 l'�-
4P1M I(9— ll SS
Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
VAddress: ii �� 5�
CCitY: l u "WI 5 9 INe.S State: { L r .Zip J
Tenant/Lessee Name: Phone#:
Email:
1
CONTRACTOR: Company Name: ✓�� 5 ��1�� ` Phone#: 1— J l-12•—e`N' OAQO
Address:
City: �1 ��1• State: Zip:
City: Miami Shores County: Miami Dade Zip: .)-�1 D
Folio/Parcel#: \.\ `Z.\ '.Q -'.bQ -"os\b Is the Building Historically Designated: Yes NOL
Occupancy Type: Load: Construction Type: "—.leFlood Zone: BFE: FFE:
Al rOWNER: Name (Fee Simple Titleholder): I Cl. VI 3 1 �' I C k I S.
1 Phone#:'3 o 5-7 2 C— 3 536
113 ,v' w' 10 6 S Freer
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #: �.2" 7Z"1
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ '2. u �`� 9-.O � Square/Linear Footage of Work: LP'�
Type of Work: ❑ Addition ❑ Alteration
New El Repair/Replace
Description of Work: pC
❑ Demolition
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $ i j CZ)
Radon Fee $ of
CCF $ CO/CC $
DBPR $ Q Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $ 4 (' 2S20
(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. 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.
FSignature-7'7 Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of kfr
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of �-' \ 20 t. ( , by
-k\o.r \-\0'---yC:RD .tho is personally known to_ \--1V«e-v-"N `V^&` is personally knn to
me or who has produced as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
Seal:
, NATA1 Al VARt
� : •, 's,,S MY COMMISSION # GG 073437
•-- EXPIRES: February 15, 2021
• i,i,f , , Bonded Thfu . Pubfio Undeniable
****************************
APPROVED BY
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
as
F2� NATALIEALVAREZ
.. MY COMMISSION # GG 073437
EXPIRES: Februe 15, 2021
Zoning
(Revised02/24/2014)
Structural Review Clerk
5/1/2018 Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-2136-008-0310
Property Address:
113 NW 106 ST
Miami Shores, FL 33150-1247
Owner
ALLAN J NICHOLS
Mailing Address
113 NW 106 ST
MIAMI SHORES, FL 33150-1247
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds/Baths/Half
2/1/0
Floors
1
Living Units
1
Actual Area
1,849 Sq.Ft
Living Area
1,537 Sq.Ft
Adjusted Area
1,689 Sq.Ft
Lot Size
9,150 Sq.Ft
Year Built
1950
Assessment Information
Year
2017
2016
2015
Land Value
$196,886
$164,440
$164,440
Building Value
$119,531
$119,696
$119,860
XF Value
$1,056
$1,074
$874
Market Value
$317,473
$285,210
$285,174
Assessed Value
$106,914
$104,715
$103,988
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$210,559
$180,495
$181,186
Homestead
Exemption
$25,000
$25,000
$25,000
Second Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values ('.e. County, School
Board, City, Regional).
Short Legal Description
DUNNINGS MIAMI SHORES EXT 4
PB 48-20
LOT 15 BLK 205
LOT SIZE 75.000 X 122
OR 15644-2334 0992 1
Generated On : 5/1/2018
Taxable Value Information
2017 2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$56,914
$54,715
$53,988
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$81,914
$79,715
$78,988
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$56,914
$54,715
$53,988
Regional
Exemption Value
$50,0001 $50,000
$50,000
Taxable Value
$56,914
3 $54,715
$53,988
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
09/01/1992
$79,0001
15644-2334
Sales which are qualified
03/01/1972
$32,5001 00000-00000
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property
Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
IVIiarni Shores Village
Building Department
SURVEY AFFIDAVIT
STATE OF (FLORIDA)
COUNTY OF (DADE)
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant, f7 I ['II JJ t c-' ds does hereby attest that
(Property owner)?
The attached survey, performed by �10<—ick,c) \ �r C�'./�� ate\
(Name of surveyor's company)
For address: kV1D
Performed on U 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 Tess 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.
Prf operty 0 Signatu?ems
SWORN TO A SIlB RIBED before me this day of
Affiant is personally known to e, produced
Revised on 5/22/2009/ Revised on 6/12/09
Af/cJ luic is
`!Property Owner Print Name'.
l , 2 Ott'
as identification.
Notary
Henry's Fence Inc.
Miami Shores Village
10050 NE 2nd Ave
Miami Shores, FL 33138
Job Address: 113 NW 106th Street
Miami Shores, FL 33150
Apri14, 2018
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.
Sincerely,
}f e very P. VCUcahv
NAUWEALVAREZ
MY COMMISSION # GG 073437
EXPIRES: February 15, 2021
,� t, Bonded Thru Notary Public Undrattere�
i
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 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 SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of
By .\
Notary:
SEAL:
as identification.
to me or has produced
NATALIE ALVAREZ
MY COMMISSION 0 GG 073437
EXPIRES: February' 15, 2021
Bonded Tin Notary Public Unde vAten
___icipkiLS5 •
Miami Shore age
C.
0
0
0
37.5'
(TIE)
ca
West Right of Way Line
NW lst. Avenue
i.0'
•
122.32' (R&F)
• •
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30.2' •••t i ��it•
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WCATZOI: XW'CX
• • • • • • • • •
JOB.No.: 70-07
F.B. No.: 5-07
DRAWN BY: J.R.A
NATIONAL FLOOD INSURANCE DATA:
Community —Panel No.: 120652-0090—J
Flood Zone: X
Base Flood Elevation: N/A
Firm Date : 7/17/95
LEGEND
CBS = Concrete 6lodc Structure
F.F.Elev." relish Floor Bowden
F= Field Neawenbnt
R- Record Measurement
Q= Concrete
" Denotes Ault
® - Denotes Covered
C.LF= Chain Link Fence
SC4LE:1" . -1 :N.T.5
• ••• • • • • •••
• •.• • • 1 • •
• • • • • •• 1 •• • i
• •• ' :: : �� ZV W •107th.
• • •• • • • • • • •
• • •••
•
•• • • • ••
• •
•
•• • • • • •
75'
•.
,s •,
.. •
75'
•
•.
s
•
•
I.
75'
4
75'
0
75'
2
77.57^1
N
1 N
N
Al 1 C a
•
— ——
'
/75�
•-
12
13
N/M
14N
d
\171
5'
75'
75'
75'
/75'
_N16
77.58J
M
NW. 106th. Street
30'
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
lot or any abutting right-of-way the adjoining
LEGAL DESCRIPTION:
Lot 15 Block 205 of "DUNNING'S MIAMI SHORES EXTENSION No.4" according to the Plat thereof as
recorded in Plat Book 48 at Page 20 of the Public Records of Miami —Dade County, Florida.
FLORIDA INTERNATIONAL
LAND SURVEYORS. INC.
5881 NW. 151ST. STREET, SUITE 213
MIAMI LAKE, FLORIDA 33014
PH.(305) 468-9650 (305) 828-2066
FAX: (305) 828-2315
DATE: 3-06-07
REVISION:
I HEREBY CERTIFY: that the attached BOUNDARY SURVEY of the above described property is correct to the best of
my knowledge and belief as recently surveyed under my direction, and meets the intent of the Minimum Technical Standards
set forth by the Florida Board of Professional Land Surveyors and Mappers in Chapter 61G17-6, Florida Administrative Code.
pursuant to Section 472.027 of Florida Statutes
SURVEYOR'S NOTES:
• Legal description was furnished by client.
• Examination of Abstract of Title will have to be made to determined recorded instruments, if any, affecting the property.
. Legal description subject to any dedication, limitations, restrictions, reservation, or easements of record.
Bearings, if any, shown hereon are based upon an assumed value of N/A
• Elevations if any, shown hereon are relative to N.G.V.D.
Benchmark No. NIA Elevation N/A feet
located at N/A
• Underground improvements and utilities, if any, not located.
. Fences ownership by visual means only. Legal ownership not determined.
• This survey has been prepared for the exclusive use of the entities named hereon and the certification does not extended
to any unnamed party..
• Not valid unless sealed with an embossed surveyor's seal.
FLORIDA INTERNATIONAL LAND SURVEYORS, INC.
BY:
VICENTE A. TOME
Reg. Land Surveyor No. 3103
State of Florida.
❑ Shadow Box
El Vertical Picket
Board on Board
• • ••• • • • •••
•• •• • • • •• •• •
•• • • • • •• • • ••
• • • ••• • • ••
• • •• • • • •• •
•' • ••• • •
• • • •••
• ••• • •
• • • • • ••
• ••• •• • •
• • • • •
•••• •• •
• • • •••
•
•Mjmi Shores Viiiage
•• •• •• •• ••• Building Department
• ••
• ••10050 N.E.2nd Avenue
lie
e • • • • • • • • • • • Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
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,
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
1x pickets fastened
-e"*".. with two corrosion
resistant fasteners per
connection
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No Tess than two fasteners in any connection
--2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
Revised 06/22/2015