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FENCEInspection Number: INSP -19061 Permit Number: FW -6 -06 -1509 Inspection Date: 07/18/2006 Inspector: Grande, Claudio Owner: MORROW, PATRICK Job Address: 670 93 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, July 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Sa 18 far Block: Permit Type: Fence/WaII Inspection Type: Final Work Classification: Wood Fence Phone Number 305/528 -5714 Parcel Number 1132060141510 Lot: Page 1 of 2 Passed Inspector Comme is n etkm.: h. a z..... 4 0 eAfrs -,:„...„.. Failed MI Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -19061 Permit Number: FW -6 -06 -1509 Inspection Date: 07/18/2006 Inspector: Grande, Claudio Owner: MORROW, PATRICK Job Address: 670 93 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Monday, July 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Sa 18 far Block: Permit Type: Fence/WaII Inspection Type: Final Work Classification: Wood Fence Phone Number 305/528 -5714 Parcel Number 1132060141510 Lot: Page 1 of 2 Miami Shores Village P,A-4--,� Building Department I ► . s1 c=7 wn la° BUILDING MCc MEWM Permit No. $'� l(J - ( J I PERMIT APPLICATIOl ;; ;�,\, Master Permit No FBC 2004 Permit Type (circle): Contractor's Company Name e- 10050 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 L, Y. Electdical umbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 71 t C 14A-0 Phone # 3 S- 5 . - .57' L-t . Owner's Address (9'70 is) e 93 R � sT City INA ( , D(L1.1.k S HAS State 12 Zip 33 t 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) S / \ V t G J A V G City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Phone it Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 (DC.D ® Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration New ()4 Repair/Replace ❑ Demolition Describe Work: R 'A C i lJ °a ka t r- & W • N V� V.ZOZ E CL . ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ dL So ? � Cf CCF $ O ,)(J CO /CC M Notary $ S, 01 Training/Education Fee $ .0 . a Technology Fee $ 3:75 Scanning $ , l/L/ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —+ 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 ni approved qnd a rei fee will be charged. Signature NOTARY PUBLIC: Sign: Print: My C . ission Expires: APPLICATION APPROVED BY: (Revised 02108/06) Owner or Agent Contractor The fore oing instrument was ac owledged before me this 2 The foregoing instrument was acknowledged before me this day o , 200Cgby Gt T O if 1O_U.da of 20 b Y , Y who is personally known to me or who has produced ICS . As identification and who did take an oath. LIC-ST P FLORIDA dez 6455 9 Co., Inc. Signature who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning 4 attached survey, performed by STATE OF FLORIDA) COUNTY OF DADE) p The undersigned Affiant, Al" % 6 gOV)Idoes hereby attest that the (property owner) (name of surveyor's company) performed on , is an accurate representation of the existing conditions and (date of survey) 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 six (6) months 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.. Further, Affiant sayeth naught. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me thisa2■—. day of JVL�---e Xero 6 Affiant is personally known to me, produced 1C as identification. 'ern. TIT& .... sion # DD47 fires: SEP.. 27, 2009 Bonded Thra Atlantic Bonding Co., Inc. 0, • NAME: ADDRESS: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT IPA-nQ C ( VVU P n V`D ' DATE: 6/ 11 O t`7O NE 93 Si r tKim S FLO Do hereby petition the Village of Miami. Shores to act as my own contradtor pursuant to the laws a ofthe State of Florida, F.S 489. 103(7). And I have read and understood the following disclosure 3 3 statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in' person to complete. all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence. You may also build or improve a commercial building at a cost of.$25,000.00 or less. The building must be for.your own use and occupancy. It may not be built for sale or lease: If you sell or lease a building you have built yourself within one year after the.construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any .person working on your building who is not licensed must work under your supervision and must be employed by you, Which means.thatyou must deduct F.I.C..A and with - holdings tax and • provide workers' compensation for that em•ployee,.all,as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction f1� Initial I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial 1 3. .I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. 4. I understand that the building official alter or give advice on how to meet minimum code. Initial T I1, • and inspectors are not there to design, code —. only if the structure meets the D Initial l �1i1. 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors. and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. 6. 1 understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. Produced there License or Initial ?rVI Initial 71 7. [understand that if any person gets injured on my construction project —they are entitled to workmen's compensation. And if they do not posses a workmen's policy 1 could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial ?ilk.lk 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial ?r1A Was acknowledged before me this vs-s) day of J , 20 YV19(.--L) who was personally known to me or who has as identification. NOTARY PUB OF FLORIDA Yorleny Hernandez Commission # .DD476455 n�n aed n, SEP. 27, 2009 r, 4t1gntie Rendinz Go.. Inc. •, FM ..._ ___... Miami Shon"o ‘9100@,0 IIII = r‘itte4it: . y DATE edi ‘ ZONING DEP " aill BLDG DEPT ow- • ; st111,1FCT TO COMPLIANCE STATE AND COI WITH ALL FEDERAL MTV RULES AND REGULATIONS t I .1 I : • • •a.; • • '.. 9; •• 4 • • • • • • • • • • • , • • • • • ,. ... _ • • • • • • • • • • ; • •• • • • • • • • . • ;„ ......zzve.. / r ce./ : •. • ••••• • .- • • • • 1. .4.... - . • • • • •■•■ ••••■• • • • • • • • • • • • • • • • : : • • • • • • • • • /S /.5' .1.••■•••• ./ IZ271e 1' /T.54. - 1/4\ ft" r re-e- , 7e1/ • ig‘rrfr 1 , 4 4‘ / .2'.5" P /1 rI ■4%. 78 • se• sz. s • ".* //: 9e • • • . - 1••••- - . 40 'hof T-4 r le Issue Date: 6/8/2006 Owner's Name: PATRICK MORROW Permit Type: Fence/Wall Work Classification: Wood Fence Job Address: 670 93 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: REPLACE ORIGINAL WIRE FENCE WITH A NEW WOODEN FENCE 5' HIGH Additional Information Type of Construction: Wood Fence Additional Info: Classification: Residential 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $150.00 $3.00 $3.75 $162.55 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/29/2006 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: FW -6 -06 -1509 Phone: 305/528 -5714 1132060141510 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections Foundation Final Invoice Number FW - 6 - 06 - 25136 Total: luN08 FRO ( C. Amt Due $162.55 Amt Paid 1 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.