FW-15-2357I
Miami Shores Village
Building -Department
10050. N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204'Fax:J305) 756=8972
INSPECTION LINE PHONE NUMBER: (345)7111-4949
P.-FICEIVE-D
C 'V
SES -1 2 5
R7P- E6 0
V. 47
BY:
FBC 20'/ 5/
BUILDING
Master Permit No. 235--L
PERMIT APPLICATION Sub Permit No.
I ZI /BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION MRENEWAL
MPLUMBING [:] MECHANICAL MPUBLIC WORKS ❑E]_CHANGE OF❑ CANCELLATION M SHOP
C_ CONTRACTOR, DRAWINGS
JOB ADDRESS: /-'offo
City:- Miami Stores Shores -
County: . ...... .. Miami Dade
Folio/Parcel#: 11-3206 -03/ Cao 30 Is the Building Historically Designated: Yes NO
,Occupancy Type: Vcrc- Load: - Construction Type: Zone: - SFE: rFE:
OWNER: Name (Fee Simple rltleholder)'-_M�_.Re Phone#:
Address:
City:
State:
Tenant/Lessee Name: Phone#:
Email:
A7
y
CONTRACTOR: Company Name:
C497 (f Phone#: _50,S a�3 93d
Add ress:.
City:
State:_ -P 31C9
Qualifier Name: •10 4!5-Z e-1 C 1p* -.') :
Phone#: 5-0-f-ERZf.P�_66
State Certification or Registration M -Certificate of Competency #: 7v --H5 co.14-10
DESIGNER: Architect/Engineer: Phone#:
Address: _City: _State: _Zip:
Value of Work for this Permit: DD Souareear Footage of Work: '.2't38
Type
TypeofWork: 0 Addition 0 Alteration New F-1 Repair/Replace [-I Demolition
Description of Work: -7 7 •'Or6 /
A/C(?
SPecify color of color thru tile:
Submittal Fee
ID . Le2C). Permit Fee S,,.230 . CCF $'
CG/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary
Technology Fee Training/Education Fie $ Double Fee :$
Structural Reviews $ ----------- Bond
(Rev1sed02/24/2614)
TOTAL FEE NOW DUE$ (30a
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 r 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'vrill 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 allthe foregoing information isoaccurate and that allwork 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 Applico As a condition to the issuance of a building permit with an estimated value exceeding $2500 the applicant must
promise in good i that a copy of the notice of commencement and construction' lien law brochure will be delivered to the person.
whose property is ub to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the jab site
for,the first inspec io h ccurs seven (7) days. after the, building permit is -issued. In' the absence of such posted notice, the
inspection will not ved nd a reinspection fee=will be charged
Signature 'Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of c 20 _ /J' , by
L`��C� 1✓ -•n who is -personally known to
me or who has produced as rso n,-, ,;-A.;&4 as
identification and who did take an oath
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
L
�7 day of /� 2015— by
ye o is personally known to
-me or who has produced as
identification and who did take an oath
NOTARY PUBLIC':
Sign: Sigh-
-Print: (
Seal: -• ' MY COMMISSION #EE876185 Seal:
;'' MARIA ESTHER VAI.DES
,c EXPIRES February 14, 2017 •'r MY COMMISSION # E"751.,85
4o7 39MI53p0rwakawy. EXPIRES February 14, 2017
i
**tttttt�ts**rtrtrt�**ass***rt*ttt*tts**t* **t**t*rttsss*�*srtrttt*ttrt *rt****trtrtt
4A
71_1
APPROVED.BY Plans Examiner k1 Zoning
YStructural Review
'Revised02/24/20141
'Clerk
`g80RES h
Miami Shores Village
CCF
10050 N.E. 2nd Avenue NE
DBPR Fee
$3.45
Miami Shores, FL 33138-0000
fLORtDA
Phone: (305)795-2204
$0.60
Permit Fee - Wire & Wood
$230.00
i
'roject Address
Permit NO. FW -9-15-2357
Permit Type: FenceMlali
Per[
' Work Classification: Wire Fence
Permit Status: APPROVED
Issue Date: 9124/2415 Expiration: 03/22/2016
Parcel Number
Applicant
1420 NE 103 Street 1132050310030
Miami Shores, FL Block: Lot: MARC AND ANNE LITZENBERG
MARC AND ANNE LITZENBERG
Address
1420 NE 103 Street
MIAMI SHORES FL 33138-
1420 NE 103 Street
MIAMI SHORES FL 33138-
:ontractor(s) Phone Cell Phone
:BENEZER FENCE INC (305)273-8930
Approved:
Denied:
of Construction: Wire Fence
,ification: Residential
Fees Due
Amount
CCF
$1.80
DBPR Fee
$3.45
DCA Fee
$3.45
Education Surcharge
$0.60
Permit Fee - Wire & Wood
$230.00
Scanning Fee
$9.00
Technology Fee
$2.40
Total:
$250.70
Phone
Cell
Valuation: $ 2,300.00
Total Sq Feet: 230
Additional Info: TEMPORARY FENCE CHAIN LINK 6 I
Scanning: 3
Pay Date Pay Type Amt Paid Amt Due
Invoice # FW -9-15-57106
09/16/2015 Check #: 8795 $ 50.00 $ 200.70
09/24/2015 Check #: 8861 $ 200.70 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
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.
September 24, 2015
Authorized Signature: Owner / Applicant
Building Department Copy
September 24, 2015
/ Agent
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 em loyees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person altod to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation i su price coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELO R"CKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS. ,1 / 1
Signature:
Owner
State of Florida
County of Miami -Dade
TheXtL
oing was acknowledge before me this �lday of Z,
BYui whois personallyknown to me or has produced
as identification.
Notary:
SEAL: ,,; MIIIJE CARRENO
MY COMMISSION 4 FF 053960
EXPIRES: December 4, 2017
EBENEZER FENCE INC
6200 SW 122 AVENUE
MIAMI FLORIDA
Tel. 305-973-8930
Fax: 305-973-8933
Date:
State of
County of �h 4A41
Before me this day personally appeared darG� ,C.�.ze��PR9 who,
being duly sworn, deposes and says:
That he or she will be the only person working on the project located
at: 0 1v/03 s -f
Sworn to (or affirmed) and subscribed before me this / '� day of
20 15 by
/,
Personally know 4
OR Produced Identificationvs,v, �, OVXv,0-")
Type of Identification Produced,)rc"--✓ bZ,, o
`'pY PV MARIA ESTHER VALDES
''� "'.. ISSION EES75185
MY COMM
I -`• Nary 44, 201 �
EXPIROW.F�/
(407 398.0153
Print, Type or Stamp Name of Notary
LOT 13 B
Aw
PERMIT #:
-2
Miami
hares Village
APPROVED
BY
DATE
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHAIN LINK FENCE DESIGN DETAIL
(ACCORDING TO THE F.B.C. SECTION R4408.11)
TABLE R4408.11
CHAIN LINK FENCE MINIMUM REQUEREMENTS
Fence
Terminal Post
Line Post Dimensions
Terminal Post
Line Post Concrete
Height (ft)
Dimensions
(in inches)
Concrete
Foundation Size
(in inches)
(o.d. X wall thickness)
Foundation Size
(diameter X depth)
(o.d. X wall thickness)
(diameter X depth)
(in inches)
(in inches)
Up to 4
2 3/8 x 0.042
15/8 x 0.047
10 x 24
8 x 24
Over 4 to 6
2 3/8 x 0.042
17/8 x 0.055
10 x 24
8 x 24
For SI: 1 inch = 25.4 mm.
NOTES:
1. This table is applicable only to fences with unrestricted airflow.
2.. Fabric: 12 % gauge minimum, Black or Green.
Tension bands: Use one less than the height of the fence in feet evenly spaced.
4. Fabric Ties* Aust minimum the same gauge of the fabric.
*:Gee* ' r.•'Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced.
6• Fabric 1%% jjng on Line Posts: One less than height of the fence in feet, evenly spaced.
• • • • • • . 7...Either topsail 96 top tension wire shall be used.
• • • • • � J * * Braces OwsCW, used at Terminal Posts if top tension wire is used instead of Top Rail.
• • • • • 9. Dost Spaciog410 foot (3m) on center maximum.
;.. • :?6 Post shah ba oftedded to within 6 inches (152 mm) from bottom of the foundation.
' t1. In orde'b•folkwv the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch
"" • •'; • V 27 m";Ah@ut increasing table values to the next higher limit.
• • N(rl' M TO PROP&TIES WITH POOLS:
If thePence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing
the inside of the property. Pedestrian gates shall have self-closing and latching devices installed at the minimum of 54"
above ground. For further details see Section R4401.7.1 of FBC.
CONCURRED
Created on 512212009 MLDV;06/22/2015