FW-18-3751Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 01/04/2019
Location Address Parcel Number
72 NW 97TH ST, Miami Shores, FL 33150 1131010330350
Contacts
Permit NO.. FW-12-18-3751
Permit Type: Fence/Wall
Work Classification: Wood Fence
Permit Status: Approved
Expiration: 06/ 19/2019
GLORIA & REGINALD MASHACK TRS Owner
72 NW 97 ST, MIAMI SHORES, FL 33150
HENRY'S FENCE INC Contractor
HENRY VILLOCH
3931 SW 63 AVE, MIAMI, FL 33155
Business: 3056690180
Description: WOOD FENCE 6' HIGH HORIZONTAL, INCLUDING Valuation: $ 2,400.00 Inspection Requests:
2 GATES 305462-4949
TotalSq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Wire and Wood Fence Fee
$50.00
Total:
$152.90
Payments
Date Paid Amt Paid
Total Fees
$152.90
Check # 1569
01/04/2019 $102.90
Check # 1535
12/21/2018 $50.00
Amount Due:
$0.00
Building Department Copy
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 zoning. Futhermore, I authorize
`the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
January 04, 2019 Page 2 of 2
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
7PER IT APPLICATION
UILDING ❑ ELECTRIC ❑ ROOFING
M19
tw
F C20_3
Master Permit No.
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: %Z N W o 1 /
City: Miami Shores _ Count): Miami Dade Zip: 5-0
Folio/Parcel#: k\— 3I O\ — O'J;bIs the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type : Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): G CoiiJe� • AA��1Q Phone#: � % S%/3
City: " '7 7�—' 1 State:
Tenant/Lessee Name:
Email:
Im
ne#:
p:
CONTRACTOR: Company Name:Phone#: 'JCYmS `0lD5
Address:`����
City: 4 V`%; State: 'V' Zip:
Qualifier Name: ✓1`r"'� �. 'AA %Q Phone#:'2:� t Qua►— c.)X%
State Certification or Registration #: Certificate of Competency #:iaq
DESIGNER: Architect/I ngineer: Phone#:
Address:, City: "` ' ' .r State: Zip:
Value or "Work for this Pbrrnk$ " al jrP Square/LinQar footage of Work: •_'' �0 _
Type of Work: ❑ Addition, f ❑ Alteration ❑ New ` Repair/Replace; , ❑'Demolition
Description of Work:, Y ,] t, t CIA 'V% C
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ .Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ v
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 o seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wilInq/be �proved nd rein&ec a will be charged.
��rffi AN, ANOVEM,
OWNER or
The foreg ing ins`t !yent was acknowledged before me this
ay of 20 by
who is p nally kno 0
me or who has produced as
1
identification and who did t`�oOD/�jG��,��i///
NOTARY PUBLIC: ,•,�Zt�,,,�n,0ie'•` 2
CONTRACTOR
The foregoing instrument was acknowledged before me this
J-*ay of 20 by
is personally know
me or who has produced .��\\ �.._�////i,_ as
identification and who did take
KM,ARY PUBLIC:
Sign:_
Print:
Seal:
IFF OMW y
STO-
mi{i1110
,/
APPROVED BY Z t C Plans Examiner 12 �" Zoning
Structural Review Clerk
(Revised02/24/2014)
Henry's Fence Inc.
Miami Shores Village
10050 NE 2nd Ave
Miami Shores, FL 33138
Job Address: 72 NW 97d' Street
Miami Shores, FL 33150
December 12, 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,
uevery P. vaica;v
RIGU��ii����
EXPj� �i
20 S' • •• * i
S
•� ISos
m.0�
�L0 -- aY P ti Gv�`a0�Z�
Miami shores Village
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
CONTENT
1)W6 17
-Signature: ((�
wne _.
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this _g y of , 2012� . ..
��� U�'�1 q'��``C� ������ KOS RopR
By
whc`�b r �Ao:@k4Jj&4;bpae or has produced
as me
Not
SEAL:
N�
$lion.
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Miami 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, C- % bpi a, hereby attest that
(Property owner)
The attached survey, performed by� p t--� 4 -D���e�`� C
(Name of surveyor's company)
For address: ""1•? L-3-'� g`-N -1:5\-4r r-- ,
Performed on n1 (date of survey) is an accurate representation of the existing conditions and
locations of all str ctures 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
ruc res ma ffect nal ' ections as applicable to this or other permits.
er; Affi sae g t. Lt—
rProp6irtTOw—ner Signature Property" Owner - not Name
SWORN TO AND SUBSCRIBED before me this i�A� �B )
Affiant is personally known to me,
identification.
EGG gr%120y i Z
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Revised on 5122/2009/ Revised on 6/12/09 ��y,� eO�ded thN ,g' 40 y
"rlbllc under
orfct:
4201 L1t AWNt MO. LAW fYRYRYM TILtrM1011ts
CORAL OASLa. ". 33146 AMM, FLOWA
MNYRY M M BR• 77- 2 3 0
VEY 0r.
LOT i E- d(gU7- YV o;E 1n f- 9 a�r� l . &41 /o 1' /0 BLOCK +"�U
SUBDIVISION
ACCORDING TO THE PLAT THRREOF AS RECORDED IN PLAT BOOK NO. /o AT PAGE NO.,w Jo
PUBLIC RECORDS OF QOWMj FLORIDA.
DATE: ,c-,FZ / ?� /17 7 .-.. FOR:. 'PAW
LOCATION SKETCH SCALE I"- 2otio ' I�her'eby certify that this sketch of
97'_ jFT survey of the above described property
— is true and correct to the best of my
knowledge and belief as recently surveyed
and•platted under my direction. I
further certify that this survey sleets
the minimum requiremente,adopted by the,
Florida Society of Professional Land
Surveyors and the Ploridd Land Title
Association.
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V„yw Wood Fencing Elevation
Scale:6LJ`1/2" =1'-0"
uaie ueians
Scale: 1/2" =1'-0"
(Typical)
-- Adjustable Self -Closing Hinge
with Self -tapping #10 x 3/4"
Hex Head Screws
HI
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a
Hinge Detail
— Automatic Latch with
Self -tapping #10 x 3/4"
Hex Head Screws
o
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LA
Latch Detail
—
N0TE.
All Hardware is Galvanized
or Stainless Steel
1/2"0 Center Drop Rod & Guide
DR
I
with Self -tapping #10 x 3/4"
Hex Head Screws
Drop Rod Detail
—
n
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\mow
02 # Hardware Details
(Typical -Single or Double) Scale: 1" 1'-0"
(Typical)
ID I DESCRIPTION I SIZE IREMARKS
BD
Board
1x6
Pressure Treated
CN
Common Nail
7dx1-1/2"
Min. 2 nails per board @ each post connection, S.S. or Galv.
DR
Drop Rod
318"0 x 14"
Minimum, Required on inactive leaf, Optional on active leaf
GF
Gate Frame
48" maximum
Aluminum 2" x 2" perimeter frame with 2" x 2" vertical (center)
GL
Grade Line
GP
Gate Post
4" x 4"
Minimum - Pressure treated
Heavy Duty Hinge
10"
Strap Style - Self Closing if used around a pool area
—(:ID
®
Latch
2" x 4"
Self Latching (@54" aff min.) if used around a pool area
LP
Line Post
4" x 4"
Minimum - Pressure treated
PF
Post Footing
10"0 x 24"
1 2,500 psi Concrete (Minimum)
General Notes (Design):
SECTION 2328 HIGH -VELOCITY HURRICANE ZONE— WOOD FENCES
2328.2
Fences not exceeding 6 feet (1829 mm) in height, shall be constructed to meet the following minimum
requirements: from nominal 4-inch by 4-inch by 8-feet-long (102 mm by 102 mm by 2438 mm) posts No. 2
grade or better spaced 4-feet (1219 mm) on center, and embedded 2 feet (610 mm) into a concrete footing
10 inches (254 mm) in diameter and 2-feet (610 mm) deep.
2328.3
Fences not exceeding 5 feet (1524 mm) or 4 feet (1219 mm) in height shall be constructed as provided ui
Section 2328.2, except that the spacing of posts may be increased to 5-feet (1524 mm) and 6-feet (1829 mm)
on center for these heights, respectively. 0
1. Design complies with the requirements of the FBC2014 & AS£E 7!1"0, win8
speed 115 MPH 3 Second Gust, Exposure C. •• 0 V. 1
2. Gate leaf (single or double) widths can be installed up to the ;IU able size
as shown in Detail 3 / W2.0. Should a double leaf gate be instillgc" then the:
Latch and Drop Bolt shall be installed (per the local requiremegt�J.. • •„
3. Wood shall be decay resistant and termite resistant (Pressure JrVAPd) ancL
shall be grade #2 or better. 000000 •' •'
4. Fasteners shall be corrosion resistant. ......
5. Finished side shall face out or shall be double sided (does not affbctthe
engineering design). :"•
6. POOL AREAS: All horizontal rails shall be less than a minimu"spacing . F
width of 1-3/4" apart. Horizontal spacing (between boards) has been
designed for 1/4" to 1/2" typical but shall be less than 1-3/4" apart.
7. No changes are allowed without written authorization from the Architect.
General Notes (installation):
1. SOIL @ GRADE POST CONNECTION:
Anchored in 10" x 24" (2,500 psi) concrete.
2. BOARD / POST CONNECTION: (2) 16d (galvanized common) @ each post.
3. BOARD / GATE FRAME CONNECTION: (2) Self -Tapping SMS #12 @ each
connection point (24" o.c. maximum).
General Notes (Material):
1. SUPPORTING STRUCTURE:
1.1. Wood - Line Posts shall be 4"x4" (Minimum) with concrete footing (10"0
x 24")
1.2. Wood - Gate Posts shall be 4"x4" (Minimum) with concrete footing
(10"0 x 30")
2. HINGE ATTACHMENT:
2.1. Concrete: 1/2"0 x 6" wedge anchors
2.2. Wood: 1/4"0 x 3-1/2" Lag Screws
2.3. Steel: Welded or 1/4"0 Carriage bolts with washer and nut.
component -_-)cneauie & uenerai mies
Scale: Not to Scale
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