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FW-10-235 a .� Miami Shores Village T�� 10050 N.E. 2nd Avenue• �f Miami Shores, FL 33136 -0000 Phone: (305)795- 2204 r m_ uh 3 Expiration: 081 22J2010 Project Address Parcel Number Applicant 314 94 Street 1132060136190 Miami Shores, FL 33138 Block: Lot: ORCAR LONGA Owner Information Address Phone cell ORCAR LONGA 314 NE 94 ST (954)254-0491 MIAMI SHORES FL 33138 -2832 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER _....... . . ...... ....___ , Total Sq Feet: 0 Approved: Yes For Inspections please call: Comments: (306)762 -4949 Date Approved: 2/17 /2010: Yes Available Inspections: Date Denied: Inspection Type: Type of Construction: Wood Fence Additional Info: GATES 5' HEIGHT MAX Final Classification: Residential Foundation Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 FW -2 -10 -37057 $ 104.60 $ 104.60 Education Surcharge $0.20 $ �'�� Permit Fee -Wire & Wood $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $104.60 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. 1 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. February 23, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy February 23, 2010 1 �o Miami Shores Village ro� g Buildin ��� 1 7 2010 d ng I) ep artment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B�' ��������� INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. w 10 Rod PERMIT APPLICATION Master Permit No. FBC 20 Permit Type BUILDING ROOFING- Owners Name (Fee Simple Titleholder ° _ � p ) ��� � � ` lv Phone # � O � HI KPJ_ Owner's Add City W 1 , T`-1 tate Zip j = j 1 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) ' V 4s City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name �c� Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E-mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ E O S uare /Linear Footage Of Work: Type of Work: ❑Addition []Alteration ew ❑ Repair/Replace ❑ Demolition Describe Work: CD Submittal Fee $ Permit Fee $ /06 J CCF $ CO /CC .$ Notary $ Training/Education Fee $ Q. Technology Fee $ 0 Scanning $ ' Radon $ DPBR $ Bond $ Double Fee $ Violation date: �/ Structural Review. $ Total Fee Now Due $ 1040 0 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 COMAIENCEMENT." 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 p operty is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the rst i ection which occurs seven 17 days after the building permit is issued. In the absence of such posted notice, the inspectt n wit of be a proved and a reinspection fee will be charged. Signatur Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this I The foregoing instrument was acknowledged before me this day of � J , 20 0 by Ev_o No ^ 5 rt_Cn R clay of , 20 by who is personally known to me or who has produced R— 1 who is personally known to me or has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIq NOTARY PUBLIC: Sign: Sign: Print:. Print: My Commission Expires: My Commission Expires: APPROVED BY '� -Plans Examiner ( ® Zoning Engineer Clerk checked (Revised 07 /10/07)(Revised 06/10/2009) Miami S hores Village �,.. Building Department 10050 N.E.2nd Avenue Rte► Miami Shores, Florida 33138 _ Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT 1 NAME: 42�TfE ADDRESS: _ ST 1 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure 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 fora permlt under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contiWor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two4aMily residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000 }. 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 that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, 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 understand that state law requires construction to be done by a licensed contractor and hive applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as R own contractor with certain restrictions even though I do not have a license. n ' Initial 2. 1 understand that building permits are not required to be signed by a property.owner unless he or she is resp gle the construction and is not hiring a licensed contractor to assume responsibility. I 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to fist his or Rice on permits and contracts. Infiai 4. 1 understand that I may build or improve a one family or two4ar* residence or a farm outbuilding. I may also build or i prove a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or paricy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or su ty ' roved myself is sold or leased within I year after the construction Is complete, the law will presume that I bu tially improved it for sale or lease, which violates the exemption. Initial 5. 1 understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contracor or to supervise persons working on my ding or residence. It is my responsibility to ensure that the persons whom I employ have the tioense required by law and by unty or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner4wilder, may be held liable and subjected to serious financial risk for any Injuries sustained by an unlicensed person or his or employees while working on my property. My homeowners insurance may not provide coverage for those injuries. I am Wgully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not lice to perform the work being done. Any person.woddng on my building "or IS-not licensed must work under my direct superviskon and must be employed by me, whIch means that I must �iirrply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirement that govern owner - builders as well as employers. l also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employerfrom the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850 .487.1395 or httpJAvww.mvfor dalicense.com/dbor /Dro /cilbrin I Initial 11. t am aware of, and consent to, an owner - builder building permit applied for in myname and understands that I am the party y 0 6 rally and financially responsible for the proposed construction activity at the following address. Initia 12. 1 agree to notify Miami Shores Wage immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contrectors workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit A copy of the property owners driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me'this day of 20 _- / A t By as personally known to me or who has Prod d there License or as identification. F�� eL OW NOTARY top Planning and Zoning Criteria WOO w Miami Shores Village Permit No. FW - 2 - 1 0 - 2 3 5 � 10050 N. E. 2nd Avenue Z Miami Shores, FL 33138 -0000 `�� Phone: (305)795 -2204 Fax: (305)758$972 " „ { "� � 1 .. ,� . � u .11 „. R Issue Date. Not Issued Expires: Folio Number) 132060136190 Owner's Name: ORCAR LONGA owner's Phone: (954)254 -0491 Job Address: 314 94 Street Total Square Feet: 0 Miami Shores, FL 33138- Total Job Valuation: $ 1,000.00 Contractor(s) Ph Prim C HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 2/17 /2010: Yes Comments: s ' a G Miami St�r,,Il S', •. • oval sm Buiidin ":::' .S9 D WOOD FENCE DETAIL FEB 7 2910 • Shadow Box BY: ....................... • Vertical Picket Board on Board 4x4 Past Spacing Fences <= S high posts spaced at Yon center maximum Fences < =4' high posts spaced at 6 °on center maximum Fence must not exceed Yin height 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection o W � CD _T Q 4x4 pressure treated = posts embedded Tin to cn s concrete footing 10 0 P L;J U) diameter x2'deep t a:. ALL wood must be pressure treated All fasteners must be corrosion resistant e 6 , No less than two fasteners in any connection Nom, Q N C1� cn � Mav 2009 : —1994 07:42 CARM — MIAMI 305 526 2762 1 P.03 . N.1f794v x.59 191 2-.. Vi 11 �6I1 rr o� MAPY 11v . 51 coo ev grpno,� •, a1r a,. ; "� L qtr►'► IF f 1 7 n lit "t ti r VA i :a ,a�kt - Vt ( F Ala JArk ca I n • • s ass• • • •• '11 �� ' `, o l e o. ) sass•• • • • i • • sass • • •r �d �` ��i? � r i 4 p '9rr ABlJ •6.00• • • • !�p . • ... � ...-- � ! ..� •• „ iei6si jL.�G.r�S.• ?/ 1 �l!'�Jft'. d •r �V ,� sass•• • • •• •• �{ �r � r� 1y � � sass• •i6s i4•i6• , � . , . ��,... ��, •�� 4 .6i4• • sass own p® � sass• • s i • • • • sass sass•• • • • •444•• • ••sago •• • 46.41•• • w • s • • •• 4 •• • • • • •o•s•• goes • • • • 4 •w•• .t p J r1'�n�'d �-� sN��v Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspec N u m ber: INSP - 139389 Permit Numb FW -2 -10 -235 Scheduled Inspection Date: April 13, 2010 Permit Type: Fence/Wall Inspector: Bruhn, Norman Inspection Type: Final Owner: LONGA, ORCAR Work Classification: Wood Fence Job Address: 314 NE 94 Street Miami Shores, FL 33138 - Phone Number (954)254 -0491 Parcel Number 1132060136190 Project: <NONE> Contractor: HOME OWNER Building Department Comments WOOD GATES AROUND PROPERTY Inspector Comments Passed W45 CREATED AS REINSPECTION FOR INSP- 135680. Maximum fence height is5'NB Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 12, 2010 For Inspections please call: (305)762 -4949 Page 9 of 17