FW-18-2173Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. FW-8-18-2173
Permit Type: Fence/Wall
Work Classification: Wood Fence
Permit Status: APPROVED
Issue Date: 8/21/2018
Expiration: 02/17/2019
Parcel Number
Applicant
150 NE 107 Street
Miami Shores, FL 33161-7032
1121360070200
Block: Lot:
PATRICK & SARAH SULLIVAN
Owner Information
Address
Phone
Cell
PATRICK & SARAH SULLIVAN
150 NE 107 Street
MIAMI SHORES FL 33161-7032
Contractor(s)
SAMADA FENCE INC
Phone Cell Phone
(305)720-6344 (954)559-4355
Valuation:
Total Sq Feet:
$ 9,125.00
289
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
$6.00
$4.34
$2.89
$2.00
$0.00
$289.00
$9.00
$8.00
$321.23
Pay Date Pay Type
Invoice # FW-8-18-68561
08/21/2018 Credit Card
Amt Paid Amt Due
$ 321.23 $ 0.00
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 they and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this ermi I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for EL CTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFI
construction and
AuthofSignature: Owner / Applicant / Contractor / Agent
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
g. Futhermore, I authorize the above -named contractor to do the work stated.
August 21, 2018
Date
Building Department Copy
August 21, 2018 1
JNSPECTI*RECeOR
Miami -Shores Vint er
•
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Faxk '(305)756-8972
;a.,‘
4
PermitNO.
POST ON SITE
8 1 8-2173
i Permit,Type:; FenceIWall.
qi
Issue Date: 8/21/2018
` WoilcCtassification:.WoodFence
INSPECTION REQUESTS: (305)762-4949 or tog on at https://bIdg.miamishoresvillage:conilcap
REQUESTSARE ACCEPTED DURING 8:3OAM 3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3pm'for following day inspections.
Expires: 02117/2019
Fence/Wall,
Parcel #:1121360070200
Owner's Name: PATRICK•&SARAH SULLIVAN
Job Address: , 150.'NE^107 Street.. -
Bond Number:
SAMADA FENCE INC,
•
i
Owner's Phone:
Total Square Feet: 289
Total Job Valuation: $ 9,125.00
RK iS ALLOWED:
MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM.
SATURDAY 8:OOAM - 6:OOPM.
0 WORK IS ALLOWED ON SUNDAY OR HOLIDAYS.
BUILDING AND ROOFING INSPECTIONS ARE DONE
MONDAY THROUGH FRIDAY.
Ohl, l ` d
ct-t) 6f-Fr
mio--tr
La
NO INSPECTION•WILL BE MADE UNLESS THE PERMIT CARD'IS DISPLAYED`AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANT'S RESPONSIBILITYTO ENSURE THAT WORK IS` ACCESSIBLE AND'EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING -OFFICIAL NOR THE,CITY RELIABLE FOR EXPENSE ENTAILED'IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
REQUIRED TO ALLOW INSPECTION:
WARNING TO: OWNER: YOUR': 'FAILURE TO RECORD : A NOTICE ,OF
COMMENCEMENT MAY `RESULT IN. YOUR .PAYING TWICE FOR IMPROVEMENTS
TO'YOUR P,ROPERTYµ:.A `NOTICEx OFF COMMENCEMENT MUST' BE RECORDED
�, „ Ez. Y t E, 4 INSPECTION. IF YOU
INTEND ,._TOr, °OBTAIN = FINANCING CONSULTAND': WITH: YOUR LENDER OR AN
ATTORNEY ,BEFORE COMMENCING,) WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT:
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. f/ )13 k OO 0)-(0 0
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and In accordance with Chapter 713, Florida Statutes, the following Information
is provided in this Notice of Commencement.,_,
1 11111111111111111111111111 111111111111111111
7-F 1,1 2 0 1 SIR 0 F:4- 7 -35: 3
OR BK 31.132 P9 2618 (1P9s)
RFcoRDEE, 09/10/201
ARVEY RUVIt.h ERK OF COURT
MIANI-DADE COUNTYFLORIDA
Space above reserved for use of recording office
1.,.k.qgal description of property and street/address: t6 At tip /(4) ,_.(1.-.46f
Lf Li (c.,
2. Description of ftrovernent: a —al. cr'a-.-01(
1
3. Owner(s) name and address: (6.- I. SuiAvet.
Interest In property: 0-4-,"--1^ e
Name and address of fee simple titleholder:
4. Conyctor's name, address and phone number: (4w.e4 0- k Gs. C-e- epc_
lid I/ ?/
0-4 e,t, GC- 71c, /
q-fs5- ,t3c.f
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number:
B. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statute&
Name, address and phone number:
/ 5 0 Ya E 0 -4 ‘"?` /141 if a/el
9. Expiration date of this Notice of Commencement:
(the expiration date Is 1 year from the date of recording unless a different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
SIgnature(s) 01573..or,reas). AUthorized Officer/Director/Partner/Manager
ar Preped By ft'-4 a" Prepared By
Print Name ca., e.„ L. C < t 1.1 0 eN. •••-• Print Name
Title/Office Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI-DADE .Q-,Scr-
By ,t C
Theregoing instrumentivas knowledged before me this -3'
y 6,,L, & ...8 IA. t •-) ON- vs-- day of P1-•/'
D Individually, or 0 as for
0 Personally known, or LI produced the following type of identification:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, 1 declare that 1 have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signet s) of s Owner orptner(sys Authorized Officer/Director/Partner/Manager who signed above:
i),
By 1/l... Cl OW L-4,-1 By
STATE OF FLORIDA, COUNTY OF DADE
I HEREBY COMFY thet this is e true copy of the
original filed in this office on day of
.l23i.,5GE3 et12
SEP 1 0 ?nig A.D. 20
WITNESS my Ianij1 Official Seal.
H RV VI A of Circuit and County Courts
B D.C.
Nary krila
Commission # 03200270
BON*: M it 2022
Bonded thy Mn Notary
NICOLE
AVIS #79943
BUILDING
PERMIT APPLICATION
El BUILDING E ELECTRIC
PLUMBING El MECHANICAL
JOB ADDRESS: 150 ne 107 ST
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
ROOFING
PUBLIC WORKS
Master Permit No.
Sub Permit No.
REVISION
CHANGE OF
CONTRACTOR
Fec io n L�
?u%31e-2n3
EXTENSION RENEWAL
CANCELLATION E SHOP
DRAWINGS
City: Miami Shores
Folio/Parcel#:1121360070200
Occupancy Type: Load:
County:
Miami Dade
Zip:
Is the Building Historically Designated: Yes NO
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Sarah Sullivan
Address:150 ne 107 st
Phone#: 786-488-4021
City: Miami Shores
State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Samada Fence, Inc
Address: 110 W 31 ST
Phone#: 954-559-4355
City: Hialeah State: FL Zip: 33012
Qualifier Name: Sergio M . Samada
State Certification or Registration #: Certificate of Competency #: 1 1 BS00347
Phone#: 3057720-6344
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 9125 Square/Linear Footage of Work: 289
Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition
Description of Work: Wood fence, board on board 6 feet high, 2 gates 48" wide, 1 double gate 10'
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
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. 1 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.
Signatur Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
t7 day of
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
CONTRACTOR
The foregoing instrument was acknowledged before me this
, 20 I 8 , by % day of , 20 / , by
U611, who is personally known to `1i' 6'jvt% .who is personally known to
as
me or who has
roduced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: At j�;
At '', x Commiabn • G0206270
Seal: _ i 2022
k rrt,t, Bonded thru Aaron Notary
***********************************..**********************************************************************
APPROVED BY
fL f7
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review Clerk
❑ Shadow Box
❑ Vertical Picket
fi) 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.E.2nd Avenue
Fences Good Side Out. The vertical and honzontal Shores, 33138
suppc.,�rting members of a fence shall face the Tel: (305) Floridada 33138
interie: of the plot on which the fence is located Fax: (305) 756.8972
and the finished side shall face the adjoining
lot or ::r y abutting right-of-way.
WOOD FENCE DETAIL
FENCES, WALLS, HEDGES
INSTALLED ON ALLEY MUST
ALLOW 40 SQ. FT. FOR
TRASH CANS, TREE TRIMMINGS, ETC.
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
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
Revised 10/14/2016AS
• •
• • •
•• •
000000
•
•••..•
••••
•
•
• • • •
••.•..
•••.
• •
••..
•• •
• • •
•.• .
•
• .
•.•..•
•••.
• • .
••
000000
1x pickets fastened.
with two corrosion •••••
resistant.ft srPners per• .
connection • • .
. •
•. ••
•. .
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
•••••.
•
•
.•.•..
• •
•.••..
OOO
• •
.•••.
.•..•.
•
OOOOO•
• •
GENERAL LEGEND:
43CR
BM
CB
C/L
CLF
CLP
CBS
CONC
C/S
DE
D
E
ELEV.
X 0.00'
EOP
EOW
FF
FH
FN
INV
FIP
FIR
END
L
MDCR
N
N/D
MF
ORB
O/S
PB
PBCR
PC
PG
POB
POC
PVCF
R
R/W
S
S/W
SIR
SND
UE
UP
W
W/F
W/M
= BROWARD COUNTY RECORDS
= BENCHMARK
= CATCH BASIN
= CENTERUNE
= CHAINLINK FENCE
= CONCRETE LIGHT POLE
= CONCRETE BLOCK STRUCTURE
=CONCRETE
= CONCRETE SLAB
= DRAINAGE EASEMENT
= DELTA (CENTRAL ANGLE)
= EAST
= ELEVATION
= EXISTING ELEVATION
= EDGE OF PAVEMENT
= EDGE OF WATER
= FINISHED FLOOR
= FIRE HYDRANT
= FOUND NAIL
= INVERT
= FOUND IRON PIPE
= FOUND IRON ROD
= FOUND NAIL AND DISC
= ARC LENGTH
= MIAMI DADE COUNTY RECORDS
= NORTH
= NAIL AND DISC
= METAL FENCE
= OFFICIAL RECORDS BOOK
= OFFSET
= PLAT BOOK
= PALM BEACH RECORDS
= POINT OF CURVATURE
= PAGE
= POINT OF BEGINNING
= POINT OF COMMEN ,____
= PLASTIC FENCE Fences Good Side Out. The vertical and horizontal
= RADIUS supporting men,`. ei of a fence shall face the
= RIGHT OF WAY
= SOUTH
= SIDEWALK
= SET 1/2" IRON ROD
= SET NAIL & DISC
= UTILITY EASEMENT
= UTILITY POLE
= WEST
= WOOD FENCE
= WATER METER
interior of the ton h h the fence is located
and the finish : ' ``' III face the adjoining
lot or any abutting ,i;-way.
FENCES, WALLS, HEDGES
INSTALLED ON ALLEY MUST
ALLOW 40 SQ. FT. FOR
TRASH CANS, TREE TRIMMINGS, ETC.
NGVD = NATIONAL GEODETIC VERTICAL DATUM OF 1929
THE FLOOD ZONE DATUM SHOWN BELOW IS REFERENCED TO 1929
Boundary Survey 1FLOOD ZONE DATA:
PROPERTY ADDRESS:
150 NE 107TH STREET
MIAMI SHORES, FL 33161
ZONE: X N/A
COMMUNITY #: 120652
PANEL & SUFFIX: 0302 L
DATE OF FIRM: 9/11/09
.E.107th STREET
16'ASPHALT ° "'?'
'75'R/W (,TOTAL)
ASPHALT SHOULDER
in
0
CO
N 89°00'00' E 75 00' - 5''CONC S/W
FIP 1/2"
FIP 1a2"
M
ui
ONE STORY
CBS RESIDENCE
#150
LOT 4, BLOCK 208
FF ELE = 11.25'
21.6'
r0
V/
FIP 1/2"
REVISIONS:
FIELD LOCATION OF IMPROVEMENTS
*11.10'
6' WOODD FENCEE
DATE:
03/22/18
0
X
l
(�00
in
CM
+11.01'
+11.05'
0.
ri- FIP 1/2"
1"
CADD: DJC
CHECKED BY: JSP
20
SCALE:
:)et)
INVOICE #: 18-46999
SHEET # 1 OF 1
--
N 89°00'OO"E 225.00'
`63
1r-
BLOCK
CORNER
c‘,2(
4,000-461.
- • _ cc;(7t
_ ?e)
Q- O
J
LEGAL DESCRIPTION:
LOT 4, BLOCK 208 OF "DUNNING'S MIAMI SHORES
EXTENSION NO. 3" ACCORDING TO THE PLAT
THEREOF, AS RECORDED IN PLAT BOOK 42, PAGE
33 OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA.
CERTIFICATIONS:
SARAH SULLI
P 1�' #: w 1'?;• -2-113
Nt'ami Shues Village
APPRO\'ED
ZONING DEPT
SUBJECT 10 CGMPLI/ DICE WI rH ALL FEDERAL
STATE AND C .IJN i f r4L1-:`S' AND p.EGULAtl(I'IS
• • • •
• •
• • • • • •
• • •
•• • •• •
• • •
•••••• •, •
•
•
••
• •
•••• • •
• •
• • • • •
•••a
b• • •
•• •• •• •
• • •
• •
• • .
• �F-' � r '
S;
URVEYORS NOTES:
(1). BEARINGS SHOWN HEREON ARE REFERENCED TO THE
WEST LINE OF LOT 4 (S01"01'18"E) PER THE RECORD PLAT AND
ARE ASSUMED.
(2). LEGAL DESCRIPTION PROVIDED BY CUENT UNLESS
OTHERWISE NOTED.
(3). NO UNDERGROUND IMPROVEMENTS LOCATED EXCEPT AS
SHOWN.
(4). THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A
TITLE COMMITMENT THEREFOR THE ONLY SURVEY MATTERS
SHOWN ARE PER THE RECORD PLAT. THERE MAY BE
ADDITIONAL MATTERS OF RECORD, NOT SHOWN WHICH CAN BE
FOUND IN THE PUBLIC RECORDS OF THE CORRESPONDING
COUNTY OF RECORD.
(5). THIS SURVEY 1S FOR CONVEYANCE PURPOSES ONLY
(6). THIS SURVEY 1S NOT TO BE USED FOR CONSTRUCTION
PURPOSES AND!OR NEW DESIGN.
(7). BENCHMARK REFERENCE: N-566, ELE =10.78' (NGVD 1929)
•
•
•
• •
•
•
•
••e•••
• •
•
•• • • •
• • •
•• •
THIS SURVEYS MEETS THE STANDARDS OF PRACTICE AS SET
FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS
AND MAPPERS IN CHAP F34J-17, FLORIDA ADMINISTRATIVE CODE.
JULIO S. PITA. PSM.,STATE OF FLORIDA
PROFESSIONAL SURVEYOR AND MAPPER LS 5789
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
ALL cowry SURVEYORS
LICENSE NO. 6677
ICE: (954) 777.4_
AX: (954) 777-270
5400 SOUTH UNIVERSITY DRIVE
DAVIE, FLORIDA 33328 SUITE 21
Notice to Owner — Workers' Com
p
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
ensation 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.
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of 41 .3 vJ/-- , 20 /8 .
By S cL,a..L L S V� v C..c.. who is personally known to me or has produced
Notary:
SEAL:
as identification.
Combos OB206270
Expires:* traon
Bonded Zhu Aron Wiry