FW-19-2140Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
NIM)J �J111�
issue °Date: 09/23/2019
Parcel Number
274 NW 92ND ST, Miami Shores, FL 33150 1131010331280
:ontacts
Permit hili.: FW -09-194,140
Permit Type: Fence/Wall
Work Cfassifica€ owWood Fence
Permit Staters: Approved
Expiration : 03/23/2020
DANIEL MAFRA Owner HENRY'S FENCE INC Contractor
274 NW 92 ST, MIAMI SHORES, FL 33150 HENRY VILLOCH
3931 SW 63 AVE, MIAMI, FL 33155
Business: 3056690180 henrysco@bellsouth.net
Mobile: 3057900180
Description: WOOD FENCE Valuation: $ 400.00 Inspection Requests: T
5-762-4949'
Total Sq Feet: 0.00 30
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Wire and Wood Fence Fee
$50.00
Total:
$151.30
Payments
Date Paid Amt Paid
Total Fees
$151.30
Check # 1779
09/16/2019 $50.00
Check # 1784
09/23/2019 $101.30
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_andzoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signat re"'Owner / Applicant / Contractor / Agent /ate
September 23, 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
PERMIT APPLICATION
4UILDING ❑ ELECTRIC ❑ ROOFING
Ft ,0Z o T d3S
(13/\@3038
SEP 1J 2016 V_
FBC 2011
Master Permit No.1'W " ()9-- 19
❑ REVISION
Sub Permit No.
❑PLUMBING ❑MECHANICAL ❑PUBLICWORKS ❑CHANGE OF
i CONTRACTOR
❑ EXTENSION []RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
JOB ADDRESS: /---1 !ft 1 y NN " 1 I -- 731
City: Miami Shores County: Miami Dade Zip:—�1550
Folio/Parcel#: ' �' J I���' 1Zg�Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleho er):
Tenant/Lessee Naa�me:�� Phone#:
Email: //� 'V� � d [�//C/1%
CONTRACTOR: Company Name:
Address: ";Sq --'� I
City: 1--m�
Qualifier Name:
State Certification or Registration #:
`.:.� Zip --5V_56 Q
Phone#//:���
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: _ _ Zip:
Value of Work for this Permit: $ _ ' Y-0 Square/Linear Footage of Work: _ 1 �r� IV
Type of Work: [_1Addition [:1Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ 4--� 70,1a Permit Fee $ k 00 CCF $ 0. LO �_ COAC $
Scanning Fee $ i -ii� • 00 Radon Fee $ .9 no DBPRr1$ 4 • 0 Notary $
Technology Fee $ 4 • p Training/Education Fee $ ()• 0.() Double Fee $
Structural Reviews $
�1Gnn1►nc . 35. o0
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ D). 3O
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 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
AOV(NER or AGENT CONTRACTOR
a
ing instwriegi was acknowledged before me this
day of 20, by
who is personally known to
me or who has produced—.uuuiu,•. as
The foregoing instrument was Aanowledged befolrepme this
.,* L day of Q 20 \ 1 by
ho is er\qto
me or who ha produced /
ION
identification and who did take an oat-f%A 202o /per
NOTARY PUBLIC:
FF 984527 '
Sign: �` y r''..• dtbc�ci'��0� ��\
Print:arA���
Seal: ' ^884^:L/ �trlllMll
APPROVED BY / Plans Examiner
Structural Review
(Revised02/24/2014)
################
�1�11I Ilil�•
Zoning
Clerk
SKETCH OF SURVEY SCALE V=20'
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SCALE: V= 150'
VIM
LEGAL DESCRIPTION:
Lot 10 and the East 112 of Lot 11, in Block 136, of "MIAMI SHORES SECTION N' 6", according
to the Plat thereof, as recorded in Plat Book 10, at Page 39, of the Public Records of Miami -Dade
County. Florida.
PROPERTY ADDRESS: 274 NW. 92nd SL Miami Shores, Florida- 33150,
LEGEND:
C 8 S = CONCRE T E BLOCK STRUCTURE
FIP. = FOUND IRON PIPE
L F F LOWEST FLOOR ELEVATION
G , r 15 GARAGIL FLOOR ELEVATION
M -RE, = MAIN FLOOR ELEVATION
WOOD POLE WITH OVERHEAD
ELECTRIC LINE
CONCRETE AREAS
TILE AREAS
PAVED AREAS
—X—X— = 4* HIGH CHAIN LINK FENCE,
EM IZ = ELECTRIC METER
D—R3 = WATER METER
J. F. LOPEZ & ASSOCIATES, INC.
CONSULTING LAND SURVEYORS AND PLANNER S
CERTIFICATE N- LB -3192, STATE OF FLORIDA
794'5 NW, 155th ST, SUITE 104, MIAMI LAKES, FL,33016
Ph: f305) 828-27725 Far (305) 628.3589
I HEREBY CERTIFY: THAT A SURVEY OF THE PROPERTY AS Dt-,a�Mteo 1,14 1 hU
FOREGOING CAPTION HAVE BEEN UNDER MY DIRECTION,
TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OFSURVILYORSAND
'
MAPPERS IN CHAPTER 61- G17-6, OF FLORIDA ADMINISTRATIVE CODE: PlAiSUANT TO
SECTION 472.027, FLORIDA STATUTES, AND IS TRUE ANG CORRrCT TO THE Bk;rT_f)FA(N,,
KNOWLEDGE, BELIEF AND PROFESSIONAL jUDGEMIENT
NOTE*
THIS IS NOT A VALID SURVEY VIATHOUT THE
UNDERSIGNED SURVEYOR'S SIGNATURE ANO J 0 S E F, L 0 F E 7: P. -SM.
EMBOSSED RAISED SEAL. i��Professional$us,,,ey-.-&Mapptr
N*3086, State o F lorida,
000.0•
009000
SURVEYOWIMMM:
0*9•1- TYPE OF SURVEY; BOUNDARY,
2GE,
� ANLS & DISTAN41 t WV W -N
COMPLIANCE WITH! HOSE i?E(
OTHERWISE NOILD& 0
3- PROPERLY AREA 9%".-Q4R
4, 1 HIS PROPERTY 13 LOCATED 10
BASE FLOOD ELEVATIOM -
MAP COMMUNITY No, 12G652, P!
SUIT IX J, LAST REVISED ON JU
5- ALL ELEVATIONS THUS ARE
GEODETIC VERTICAL DATUM C
MIAMI DADE COUNTY, BENCHN
ELEVATIOk 10.79' AND 15 PK N
SIDEWALK, 3' SSW OF A STREE
NE. 98th ST -50P NORTH OF CA
N MIAMI AVIE,-35'WESTOFCtl
NE, 98th ST- 25` NORTH OF CA
6- LEGAL DESCRIPl ION AS PROV1
7- USE OF PROPERTY, RESIDENT1
4- UNDERGROUND FOOTINGS A 1~0
OR SEPTIC TANKS WHERE NOT
9 -THIS SURVI! Y HAVE BEEN PREF
0V A TITLE SEARCH,'TmFRrFOf
RESTRICTIONS, EASEMENTS, 0
THAI MAY RIF FOUND IN THE P
I-OUND RESAR
0000 0000.•
•
0000 0000..
0000..
0000 0000•
*000V
ELEVATIONS 0
0
RE IN SUBSTANTIAL •
:0600:
FEES 00 0 0
:L N0.0m,
17,199.5
ABED ON NATIONAL
1929, AS MEASURED FROM
RK No N,444, LOCATOR 3100 SIAI,
, AND BRASS VVA.W..R IN CONC
LAMP
IROJEC I E D FROM THE WEST
)JECTED FROM THE FAST
BY O'ANER
4DA'nONS, UTILf1IFS,
]GATED HY fHIS SURVEY,
RFD WITHOUT THE BENEFIT
THERE MAY BE ADOiTiONAL
RIGHTS OF WAY OF OTHERS
WC RECORDS OF THIS COUNTY,
❑ Shadow Box
❑ Vertical Picket
❑ 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
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
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 I
All fasteners must be corrosion resistant L
No less than two fasteners in any connection
Revised 10/14/2016AS
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
...... ....
......
...... ....
.....
.... .. .
......
. . . .
......
1x fastened: • •
• •
pickets • •
with two corrosion • • • •
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
Henry's Fence Inc.
3931 SW 63`d Ave
Miami, FL 33155
Phone: 305/ 669-0180
Fax: 305/ 669-5992
Email: henryscogbell south. net
September 13, 2019
Miami Shores Village
10050 NE 2"d Ave
Miami Shores, FL 33138
RE: 274 NW 92nd Street
Miami Shores, FL 33150
To whom it may concern,
I, Henry P. Villoch, qualifier and president of Henry's Fence Inc will be the only person working on
the fence project / installation located at 274 NW 92"d Street in Miami Shores, FL 33150.
Thank you,
Contractor's Signature:
E O FLORID OUNTY1OF MIAI Fi S o to and s fore me this/Ad of
20 byo ' personally known me ❑ or produced
idents ication ❑ type of identification
(Notary Signature)
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STATE OF (FLORIDA)
COUNTY OF (DADE)
Miami shores Village
Building Department
SURVEY AFFIDAVIT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant,01,'9W'I?Ze!�2�Ao�does hereby attest that
(Property owner)
The attached survey, performed by '/'E T - L & iI/ G
(Name of surveyor's company)
For address:
Performed Al. Z� (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
structures may affect final inspections as applicable to this or other permits.
F her say h naught.
perty Owner Signature P Prop e Owner Print Name
SWORN TO AND SU
Affiant is
Revised on 5/22/20091 Revised on 6112109
NP :
OFF 984527
�nded
Vi . y 6ttc Via °
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as identification
Notary
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
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade
The fregoing was ac now
By .
Notary
SEAL
me this day of
,its 01
who is
�a
to me or has produced
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