FW-19-1752Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
lr'�u D�uu,�is
Issue Date: 07/31/200.19
Location Address Parcel Number
165 NW 92ND ST, Miami Shores, FL 33150 1131010331000
Contacts
Permit No.: FF'W-07
Permit Type: Fence/WaH
Work Clossifrcation: Wood Fence
Permit status: Approved
Expiration: 01/27/2020
SAMUEL & YAEL HYKEN Owner Samada Fence Inc Contractor
165 NW 92 ST, MIAMI SHORES, FL 33150 Sergio Samada
Mobile: 9735256113
Business: 9545594355 samadal@msn.com
Description: WOOD FENCE SHADOW BOX 5' HIGH 1 GATE 48" Valuation: $ 600.00 Inspection Requests:
WIDE 30546j-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.13
DCA Fee
$2.00
Education Surcharge
$0.20
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$3.55
Wire and Wood Fence Fee
$92.00
Total:
$194.48
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$194.48
Credit Card
07/31/2019 $194.48
Amount Due:
$0.00
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'York will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named ca r ctor to do Oe work stated.
Authorized Signature: Owner
/ Applicant / Contractor /
Date
July 31, 2019 Page 2 of 2
' OOV)
Miami Shores Village
RECEIVEID
BUILDING
PERMIT APPLICATION
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
PUILDING ❑ ELECTRIC ❑ ROOFING
J L 3 0 2019
BY:
FBC 20 / -"�
Master Permit No. _py/ "a-� - I q ` I �s 2
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
,� / CONTRACTOR DRAWINGS
JOB ADDRESS: b S !Y C4.J q �_ s
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:/ / 31010 3 110 0 o Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 4- tf---a-wn Phone#:S 43 -.S �-.T- (V//3
Address: IO JV w -/ S 'f
City:r1-1 1 kc.40�.i State: Zip:
Tenant/Lessee Name:
Email
Phone#:
7-7/1-0
CONTRACTOR: Company Name: Samada Fence, Inc Phone#: 954-559-4355
Address: 110 W 31 ST
City: Hialeah
Qualifier Name: Sergio M. Samada
State Certification or Registration #:
State: FL
_Zip: 33012
ne#: 305-720-6344
Certificate of Competency #: 11 BS00347
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ (DOO - 00 Square/Linear Footage of Work: / y 9—
Type of Work: ❑ Addition ❑ Al)teratioon� R New � Repair/Replace ❑ Demolition
Description of Work: Q 4 c�J 6i �''Y' �- c " o, t3 j �p
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(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 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
,)7 y o
day of 20 � 7 , by
ho is personally known to
e or who has pr duced �. --1 L as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
/ CONTRACTOR
The foregoing instrument was a knowledged before me
a this
-� day of 20 t / by
ho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: v"
Sign:
4
Print:
AM
Print:
�
NKyAWA
_<
Seal
206270
E*m:,dy 17 2022
Seal:
�` s
.
E : July 17, 2022
. F. o
�,M„„
Bd UNU Airf 011 N018 ry
'y,*
�?�' ��V
Balded 1hrU Axon a1011uy
7/1
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
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, Lompensation 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:
OwKer
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of , 20 7 �.
BY k4F--Q--✓7 who is personally knoli to me or has produced
_ as identification.
y-
Notary:_ Gs a Me1yAW3
CAmtnission GG206270
SEAL. ' = Expires: July 17, 2022
Bonded On Aaron Notary
:Z SAMADA FENCE, INC.
OUR PERSONAL ATTENTION MAKES THE DIFFERENCE( PROPOSAL -CONTRACT
rqy 110 W 31 ST HIALEAH, FL 33012 MIAMI-DADE IIBS00347
Phone:(954) 559-4355 Fax: (305) 823-8551 BROWARD: CC# 05-F-12164-X
Email: samadal@msn.com PALM BEACH: U-20538
CUSTOMER'S
STATEP
ITY 14
STREET
/ (0 f
HOME PHONE CELL PHO%F�, FAX # BUSINESS PHONE
CHAIN LINK ./- FENCE TO BE INSTALLED AT.
Overall Length Overall Height i...... .... . ......
. ...... .. ... ......
---- - - --------
4-
4_1 4_ j 1
r
Fabric Coli
Gauge CIL Wire T
Barb Wire
K Up
B Up
Frame Color
Term./Comer Posts
Line Posts
Line Post Space
Top Rail
Walk Gate
Razor Wire
D. Drive/Roll Gate
Gate Post
Wall Mount
Sea Fans-
i Tension Wire
WOOD
Overall Length
Overall Height
Sr
ST
Style Fence
Post Inc.
!Sil`C'A�
O'A
Good Side In
Good Side Out
(GSI)
(GSO)
I x 2 Strips
2 x 2 Strips
I I
I
I
IN
OUT
IN
OUT
Wood Type
Board Size
of Boards
My
Board Spacing
Dog Earred
AUGER ACCESS ❑ Y a
N
❑ Part FT, ACC.
ITEMP FENCE 0 Y J N —FT.—HT, [SELF
CLOSER(S) Q Y
Q N TYPE:
Y
NO
PRICE INCLUDES ADDITIONAL CHARGE FOR DIRT PILE REMOVAL. J Yes Q
No INITIALS REQUIRED: CUSTOMER—
SALES REP.
P.T. Pine Posts
Post Spacing
FENCE LINE VISUALLY CONFLICTS WITH EXISTING SPRINKLERS UY
1JN INITIALS REQUIRED: CUSTOMER—
SALES REP.
k-4 Y--,-f
U 0 /" ,
PROPERTY PINS FOUND Q Rt. F. U Rt. R. Q Lft. F, Ll Lft. R.
0 Other I
CUSTOMER TO CLEAR FENCE LINE LI Y IJ N
P.T. Pine Stringers
Steel Gate F . rame(s)
* CORE DRILLS — WATER: J Y Q N HOSE REQ _'
ELECTRIC Q Y Q N CORD REO
ASPHALT L) Y LIN
GaIv.
I Vinyl
TAKE DOWN EXIST. IJ Yes U No L) Part TYPE)FOOTAGE:
—HAUL
AWAY: LJ Yes Q No
Walk Gates
Double Drive Gates
CONCRETE FOOTING X
HOMEOWNER'S ASSOC. LETTER REQ: ❑ PRIOR TO PERMIT
PRIOR TO INSTALLATION
SPECIAL INSTRUCTIONS.,
... . ...... . .
W. Gate Post
D. Gale Post
# Shoot Ons
Fenials
L
Drive
Gate
Walk
Gate
\IAl
1ORNAMENTAL
';.
Manufacturer
style
Steel
Aluminum-,
-.'00tibW'B'.
PROPOSALICONTRACT SALE PRICE
V, F_
CONTRACT PRICE
Overall Length
Overall Height
Picket Size
Picket Spacing
-�- / 0
Vly 0
PERMIT CITY FEE + $100
Y'q
I
TOTAL
Une/Term Post
Post Spacing
Walk Gate
W. Gate Post
I
fID /.L_
y Ig A
LESS DEPOSIT
Fence Color
Options
Drive
D, Gate Post
BALANCE DUE UPON COMPLETION]
I
i \0 k.
All material is guaranteed to be as specified, and the above work to be performed in accordance CUSTOMER'S
with the drawing. any alteration or deviation from the above specifications involving extra costs SIGNATURE
will be executed only upon written order, and will become an extra farge over and above the estimate SEE REVERSE SIDE FOR INFORMATION Upon signing by purchaspthis become a binding contract
A.
APPROVED AND ACCEPTED DATE SALES REP., yQ
._,
Shadow Box
❑ Vertical Picket
❑ Board on Board
. . ... . . . ...
.. .. . . . .. .. .
. . . . . . . . . .
. . ... . . . . .. .
. ... ... . . .
. . . . . . .. . .
iCmi h'oPb*s Village
•:' :.%Mag -Department
1005b 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
Fence Good Side
Out. The vertical
pp Ixpickets fastened
and horizontal
with two corrosion
resistant fasteners per
supporting
connection
members of a
fence shall face
the interior of the
plot on which the
fence is located
2x4 horizontal
pressuretreated
and the finished
wood members
side shall face the
with two corrosion
adjoining lot or
resistant fasteners
any abutting right-
per connection
of -way.
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
s
...
r!>ti =
;n
. ..... .
.. o a . •ALLEY _
"'..:' ',•' 15 RNV •. (IMPROVED) . -- -- ;
...
.: 75.00'
: wnTER
-1r
ni
rA>. ! .�
le
I m a (B)
l2�O�
LB6 4d
,--•�w •
,- r
POOL
I 16.T
//
• w
e!
• 1
/�
1`�ffNISHED)
i
:
242:
•
19.81
20' 0 icy20'
• „
PAVER
I
IX
GRAPHIC SCALE (In Feet)zo
6EC1C
15.1`
�- 1 inch = 2
21.0'
ASSh"�'
yes'
4
w,� �ys�
PAVER
PAD
ORIGINAL FIELD WORK
s/ t
LOT
COMPLETED BY:
6'
BLOCK
_
.�
TARGET SURVEYING, LLC LOT 15w
i
Ow
DATED: 01/20/2017 BLOCK 134
04�o
-
w MQ
W
SURVEY #279532
g
ISO
�Pr�
I
U
0U
I�SII7�NC�
i
E-0
as �
#165
REVISIONS:
1. ADDED REQUESTED POOL TIES: 11-06-2018
13.4'
STILE v '
13.T
21.
FOUND
CORNER ANGLE DATA
(A) 89'47'01'
(B) 90.1759'
(C) 89'46`23'
(D) 90°13'37"
71
,, 75.00' ; .
MLLJ
�4.—
I I
%I--
;Er err
a-�-
-
C
RONROD I Q
M
LIJ
4
,
o
L
z
p.
�
D
U)
w
�• ✓�
z
Q
z
C
�-
0-
f7
F—
J
C
5
j
N
EAST HALF OF
LOT 17
N
BLOCK 134
(NOT INCLUDED)
I-FG& DESGp/pr/0N;
LOT 16 AND THE WEST 1/2 OF LOT 17, BLOCK 134, MIAMI
SHORES SECTION NO.6, ACCORDING TO THE PLAT
THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 39,
OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,
FLORIDA.
FLOOD ZONE: X
COMMUNITY NUMBER: 120652
PANEL:0302
SUFFIX: L
�3.
A00ftVIA7_10N DE5GP1f'T'I0N,
FOUND f/2" A/C AIR CONDITIONER
NO!4. I.D.
(C) 0.5'Nxa4E La
METE iNiaiK,,� w � '�• �; R-�C DIVED �
sm
)JU30 2 19
TLIGHM BY
75'yR/W' (IMPROVED) :.,, ...:•.:.>.
FOUND- - NAIL
M 185.00'----_'y- FOUND N.W. 92ND STREET` ---
NOTFS;
1. LEGAL DESCRIPTION PROVIDED BY CLIENT
2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE
3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY
4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED
PARKER KYLON NAIL
PROFESSIONAL SURVEYOR MAPPER
RIGHT OF WAY
Kenneth J. Osbome PSM 96415
THIS SURVEY IS NOT VALID WITHOUT
THE SIGNATURE AND THE ORIGINAL RAISED SEAL
OF A FLORIDA LICENSED SURVEYOR AND MAPPER
O
Z
j l~�
w
LJ
} a�
QW-1
a G`
a.
Z�
a
a
o
rp-
C-1155843
Daft
04-02-2018
1 oF1
r`
r,
M
�M
C
N
�O
F-1 V
y
O
�
'y
U V
cn
o
a
z
�W
00
N
V1�
x
a
M