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FW-11-383Inspection Number: INSP - 159606 Scheduled Inspection Date: May 11, 2011 Inspector: Bruhn, Norman Owner: HEFFERNAN, COURTNEY Job Address: 9120 NE 10 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: IMBURGIA CONSTRUCTION SERVICES, INC. Building Department Comments INSTALLATION OF WOOD FENCE PER PERMIT REQUIREMENTS LIST SPECS AROUND PERIMETER OF PROPERTY Passed Failed Correction Needed Re- Inspection Fee May 10, 2011 F No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments CREATED AS REINSPECTION FOR INSP- 156784. For Inspections please call: (305)762 -4949 Permit Number: FW -3 -11 -383 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060030010 Phone: 305/525 -5707 Page 25 of 25 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TiME OF FIRST INSPECTION PERMIT NO5FtAi T — 83 TAX FOLIO NO. 11 — 3 Z0(40 ` Ov3 ` O STATE OF FLORIDA: COUNTY OF MIAMI -DADS: 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 Space above reserved for use of recording office 1. Legal description of property and street/addreSs: q 17-0 NE-- ' 6 ikvt —2..Descriptionofimprvvemerit t...%J° 3. Owner(s) name and address: C.0 1" -''1 44 0PC En., N AY t NS - t d 4Ve- rvr I AVM S 4otB.4 33458 — Interest in property: 14 ( Name and address of fee simple titleholder. 4. Contractor's name, address and phone number TYPON.,41 0 (t (311 ®A° t2 -S5S ' WA) salt 1`. a 14 W t aoA-.1 Vt. 33 18 1 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)(47., Florida Statutes, Name, address and phone number. •la 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number 1 9. Expiration date of this Notice of Commencement (he exptratlon date is 1 year from the date 01 recut tng unless a dif e d date B specMed) 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) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Managpr _ * pi vh f Prep Print N Print Name y V / 4 ; / r7! / 'Title/Office Me/Office PR6Ueer /74090/ ■4t7 STATE OF FLORIDA b 9D SCl/ l Cf of f /202. COUNTY OF MIAMI -DADE A4 1:42N* FL 33/ 30 The foregoing ent was ackno edged before me this / day of / J. ' r(J' • � ' 0?/ By �,i 5 A ndividually, or for Personally known, or ❑ produced the following type of identl8cation: 12901 Sign. :: 1 of • ' s) or Owne IrLter 4-4 Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.51. FLORIDA STATUTES Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true, to > best of my knowledge and belief. 6o4f i 7 /W7' /fie e �h4n 111111111111111111111111111111111111111111111 C FN 2011R0174.581 OR 2k 27621 Fs 2331; (1ps) RECORDED 03/18 /2011 109:08:51 HARVEY RUVIN, CLERK OF COURT IIAMI -DADS COUWTYr FLORIDA LAST PAGE Officer/Director/Partner/Manager who By stATE 1 HEREB CE Ghat this Nista dare end Canty Cowl D.C. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder):C®�� Address: ° n a- AA ® I� ) £ I O -4 J% A' IC City: 1a VV 1 Sr @ Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: f d A V City: Miami Shores Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: \\A\OMC'\\ck C Phone# S ° 1' Q ` T.4 I 1 Address: 53S 616e / , L ) * City: V . \ 1 01 %AA 1 State: Qualifier Name: L S S. 1 ` vto\AN 7 a ,.,e_ - Phone #: s' 52 C' SI 0 State Certification or Regist,ation #: Cal C 01 1 1 Certificate of Competency #: �o Contact Phone #:, �J ' 5S Oa Email Address: � 1 0 VV k U (-6 1c C ®� C � OVl ' C.� DESIGNER: Architect/Engineer: IJi Phone #: Value of Work for this Permit: $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 l �j Permit No. Master Permit No. State: County: Type of Work: ❑Address n ❑ Description of Work: 1Y McJi - OV\ Cr i e v 'i k +e Miami Dade NO Square/Linear Footage of Work: Phone #: � 1 Zip: Flood Zone: ECZOSI toRo 41011 EY 33)38 Zip: ) 8 ❑Demolition e.,rw h ibt&ew Woos AV\C 'CL ,not e C 174) ❑Repair/Replace COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * *F * * * ** * * * * * * * * * * * * * * * * ** * * * * * *** * * * * * * * * * * ** Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Permit Fee $ p'0 / CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ TOTAL FEE NOW DUE $ 36 ' VO 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. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 rei pection fee will be charged. Signatur, y Signatur 6 . ner Sign: i ' Print: I►ticF1 I./ 1 - NOTARY PUBLIC: Sign: Print: My Commission Expires: NOTARY H rgv C-- STATEOF FLORIDA J•• "".i, Mary Toledo a I Commission #DD835161 1'illr 'a•. Expires: OCT. 31, 2012 APPROVED BY (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/ 15/09)(rev6/4/10) Plans Examiner Structural Review My Commission Expires: Contractor The foregoing instrument was acknowledged before me this 11 4'1— The foregoin instrument was acknowledged befo e me this) 7 day of , 20 I ( , by 1 II(!K.(r] g[l{ /2!% b i � , - day of , 20 1 by JJX1 [ 3 /n(da'ii g i J) who is personally known to me or who has produced 0 ) L' who is personally known to me or who has produced roduced ()( As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: i iL 7 0 NOTARYPOBLIC.STATE OF FLORIDA " ' a Mary Toledo , Commission #DD835161 /q Zoning Clerk 1J1%" AN 0 • • U.P. R=25.00' L=40.48' Tan=26.24' 45=92°46 ato - - BLOCK - 1 0.3P SVC& F.I.P ire NO CAP M-• • • • • • LOT - 2 4 411 - 04 - % pict,LLe cooed n (DP Vymse... o Shadow Box o Vertical Picket Board on Board May 2009 WOOD FENCE DETAIL 4x4 Post Spacing Fences <= 5' high posts spaced at 5' on center maximum Fences < =4' high posts spaced at6 "on center maximum Fence must not exceed 5' in height 4x4 pressure treated posts embedded 2'into concrete footing 10" diameter x 2'deep M iami Shores Vuiage Building Department •• • • • •• 1x pickets fastened with two corrosion resistant fasteners per connection ••• • • • • • • III • • ALL wood m ust be pressure treated •E • T • ' • ••• • • All fasteners must be corrosion resistar : • • • • No less than two fasteners in any connection • 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection • • •• • • • • •• • • •••• • •• • • • • • • • ••• • ••• • • • • ••• • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Permit application must be accompanied by: M iami Shores Viiiage Building Department REQUIREMENTS FOR FENCE PERMIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 i k 2 copies of your survey (not older than 7 years). If survey is older than 7 years fill out Survey Affidavit form. If owner is doing the job, owner must fill and notarize Owner Builders Disclosure form (This form must be signed and notarized in the building department only). Show the proposed size on survey including, required 40 sq ft of garbage area, location of gates if any, and height (can not exceed 5' ft height). Include wood or chain link specs form (one with each survey). $50.00 submittal fee when submitting your permit. NOTICE: ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECIFICATIONS MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITECTURAL OR ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY PRODUCT APPROVALS. •• • • • • • ••• •• • • • • • ••• • . • • •• • • •• • • • •• ••• •• • • ••• • • • • ••• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • •• •• • • • •• •• • • • ••• • • • ••• Mar 01 11 01:16p Lou Imburgia AlC"C:101? CP e CERTIFICATE OF LIABILITY INSURANCE DATE (MM;DDIYYYY) 12103/10 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not corder rights to the certificate holder in lieu of such endorsement(s). PRODUCER Tanenbaum Herber of Florida 2900 SW 149th Avenue Miramar, FL 33027 -6605 Manny T. Altneu INSURED Imburgia Construction Services, inc 12555 Biscayne Blvd #888 North Miami, FL 33181 954- 883.2900 954- 517 -7400 CONTACT NAME: PHONE JAM., No. Est): E -MAIL ADDRESS: PRIDUCER — — -- • - - - - - -- FAX (NC, No): M INSURER(S) AF FORDING COVERAGE NAIC INSURER :Scottsdale Insurance Company 412 INSUREER 8 : cusTOM11ERID$1 ; BUCO1 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF DISURANCE piU'Jl_ u iR I -- - POLICY NUMBER r tDD YY MIDD YY LIMITS GENE RAL LIABLWY I A X I COMMERCIAL GENERA_L LIABILITY CLAIMS -MAD_ 1 X l OCCUR X - Blanket AA X � Via aiver of Subro GENt AGGREGATE UMW APPLIES PER X POUCY IECT LOC AUTOMOBILE LIABILITY ■ ANYA:ITO ALL OWNED AUTOS __ SCHEDULED AUTOS HIRED AUTOS NON - OWNED AUTOS UMBRELLA UAB EXCESS LIAR DEDUCTIBLE RETEN - ION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRCPRIETOR/PAR-NERIEXECUTIVE Y OFFICERJTMEMBER EXCLUDED? (Mandalay In NH) .f yes. describe under DESCRPr10N D= OPERATIONS eel= CERTIFICATE HOLDER ACORD 25 (2009109) OCCUR CLAIMS -MADE Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 NIA CPS1267562 DESCRIPTION OF OPERATIONS (LOCATIONS) VEHICLES (Attach ACORD 101, Addition& Remarks Schedule. If more space Is required) P B�r 1401 NE 102nd Avenue; Miami Shores, FL 33136 MIAMI3B TPOLICY EFF POU —EXP -- '_' - - - .._. _.. --- -- 12105/10 CANCELLATION (305) 891 -9579 12!05111 EACI- OCCURRENCE DAMAGt TO RENTED PR EMISEglEa occuren e - _ MED EXP (Arty one person) - PERSONAL 8 ADV rAJURY .... GENERAL AGGREGATE _ PRODUCTS- COMPIDPAGG COMBINED SINGLE LIMIT {Ea accident) BODILY INJURY (Per person) EACH OCCURRENCE_ AGGREGATE - -- - -- -, - p.1 s 1,000,000 50,000 s _ 1,000 $ - 1,000,000 $ 2,000,000 $ 1,000,000 $ $ nla -- - - nfa BODILY INJURY (Par accident) E nfa PROPERTY DAMAGE - -g— n1a (Per ac idertl I5 $ $ nia 19811-2009 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID: CR .._ L . _ 1DER -' — -.. EL. EACH ACCIDENT $ nla- E.L. DISEASE - EA EMPLOYEE $ nia E.L. DISEASE - POLICY UNIT $ nia SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE. CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C CQ92l rrC Y. �a:l C/L!i>GI Mar 01 11 01:16p Lou Imburgia Accur©° CFRTiFIt`1►TE OF LIABILITY I'1ry ItNcURriwl!'4t1"' DATB(MWDOIYYYY) 02!28!11 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION r5 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUt R SIHLE INSURANCE GROUP, INC. P. O. BOX 160398 ALTAMONTE SPRINGS, FL 32716 Scott Hlauldln 407869-0982 FACT PHDTE IA,c, N Ne. Ext): ADDRESS: PRODUCER IM 1 CUSTOMER 100 407-774-0936 INSURERS) AFFORDING COVERAGE I FAX I IAA Not NAD! INSURED Imburgla Construction Services Inc. 12555 Biscayne Blvd, B North Miami, FL 33181 INSURER A:Vinings Insurance Company INSURER B : INSURER C: 04761 USURERD : tRE: INSURER P COVERAGES INSR CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W1TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ; A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY J CLANS -MADE n OCCUR GEN'L AGGREGATE Limn APPLIES PER: POLICY n cro- n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS UMBRELLA LIAB EXCESS LMB accuR CLAMS -MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' UABJuTY ANY PR OPRIETOR,PARTNCUTIVE Y OFFCERRr1ENEM EXCLUDED? (Mandatory In Mt) yes, Casaba umter DESCRI'TiON OF OPERATIONS below ADO- NFA su POLICY NUMBER CV006316402 P73_ E 03103111 03/033/12 DESCRIPTION OF OPERATIONS i LOCATIONS F VaiCLE0 (AltachACORD t01, Additional Remarks Schedule, If Mau space le regained) Job Io es d Residence 1481 NE 102nd St, NRaml Shores, FL 33138. CERTIFICATE HOLDER ACORD 25 (2009109) Miami Shores Village 10050 NE 2nd Ave. Mlam i Shores, FL 33138 MIAMSHO CANCELLATION (305) 891 -9579. MPOI.IM UWYY�YV EACH OCCURRENCE DAMAGt I U ItbN tl) PREMISES (Ea ocaurrerme3 MED EXP (Any one person) PERSONAL & ADV N,UR Y GENERAL AGGREGATE PRODUCTS - COMP/OP P.GG COMBINED SINGLE LIMIT (Ea ea BODILY IN,IJRY (Par Person) BODILY INJURY (Per acddertt) PROPERTY DAMAGE (Per madded) EACH OCCURRENCE AGGREGATE LOUTS $ X - TORVI S l x OTH- EL.EACHACCIDENT $ E.L. DISEASE -SA EMPLOYEE $ El DI - POLICY LIMIT _ $ p.2 @ 1988 - 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD OP ID: DO 1,000,000 1,000,000 1,000,000 SHOIA.D ANY OF THE ABOVE DESCRIER POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THEPOIJCYPROVISIONS. AIANCRIZED RE PREsENTATI V E