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FW-10-359 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 139298 Permit Number: FW -3 -10 -359 Scheduled Inspection Date: April 07, 2010 Permit Type: Fence/Wall Inspector: Bruhn, Norman Inspection Type: Final Owner: JORGE, MARIA Work Classification: Wood Fence Job Address: 42 NE 94 Street Miami Shores, FL 33138 - Phone Number Parcel Number 1132060130330 Project: <NONE> Contractor: CACERES FENCING INC Phone: (305)262 -7112 Building Department Comments REPLACE EXISTING CHAIN LINK GATE AT REAR OF THE HOUSE WITH WOOD SLIDING GATE (5 FEET HEIGHT) ADDITION OF CONCRETE STRIP FOR OF THE SLIDING GATE RAIL Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 137355. Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 06, 2010 For Inspections please call: (305)762 -4949 Page 9 of 16 v if r 9 n Ina h Miami Shores Village ` ' 3, 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 { Phone: (305)795-2204 y on '�r3 Expiration: 09 107/ 201 �.. Project Address Parcel Number Applicant 42 94 Street 1132060130330 Miami Shores, FL 33138- Block: Lot: MARIA JORGE Owner Informatlon Address Phone cell MARIA JORGE 42 94 Street MIAMI SHORES Fl- 33138 -2820 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 CACERES FENCING INC (305)262 -7112 (305)505 -8273 Total Sq Feet: 0 Approved: Yes Available inspections: Comments: Inspection Type: Date Approved: 3/8/2010: Yes Final Date Denied: Foundation Type of Construction: Wood Fence Additional Info: 5 FEET HEIGHT Classification: Residential Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice # FW -3 -10 -37225 Education Surcharge $0.20 03119/2010 Credit Card $ 54.60 $ 50.00 Permit Fee - Wire & Wood $100.00 Scanning Fee $3.00 03/08/2010 Credit Card $ 50.00 $ 0.00 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. 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. March 19, 2010 Authorized Signature: Owner / Applicant I Contractor / Agent Date Building Department Copy March 19, 2010 1 Miami Shores Village 3031TED, Building Department MAR 0 8 2010 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 t PtPPHYPHPPP.......... INSPECTION'S PHONE NUMBER (305) 762.4949 BUILDING Permit No PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING -- ROOFIN - - - - -- -- - - - - - -- _ _. Owner's Name (Fee Simple Titleholder) MAR-1 jrD Rr. C- Phone # Jo - 77 u . ,Fa Owner's Address 2 iol 4 S7 City M 7 S)4v 4-s State /t"Ar Zip 3 13 Tenant/Lessee Name Phone # Email f Job Address (where the is being done) 7 '• 1 o%Mt S'AAP - 3313 City Miami Shores Village. County Miami-Dade Zip I FOLIO / PARCEL # Is Building Historically Designated YES Flood Zone - C M A- P, Ar Contractor's Company Name f Phone # 3o P Contractor's Address City All & � M l State , Zip ty Qualifier Name 5 a r Phone # 3 D �l ^ � , p ✓' f 3 State Certificate or Registration No. 13 S Certificate of Competency No , 3 0 17 0 a 3 t Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ I Square / Linear Footage Of Work: Type of Work: DAddition QAlteration ❑New 99-Repair/Replace ❑Demolition i t Describe Work: RcR 14 �f�i n �rs� � R �-°� w of4 9A 4-e- n x UZ ywx�, MAR Q Submittal Fee $ Permit Fee $ _r?'"' CCF $ CO /CC $ P Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ - Violation date: 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 instalki tiion 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 )1LECTRICAL WORK; PLUMBING,!;',SIGNS J _ eP . _ _ WORK, 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 NOTIC E OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE "FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB 'AIN '> FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to A pp licant: 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 - he delivered to the person whose property is subject to attachment. Also, a_certied copy of the recorded notice of commencement must be posted at th��' 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. Signatur 4� �G- Signature Owner or Agent Contractor The foreg g i ent was ackn ledged be me s The foregoing instrument was acknowledged before me thus day of 20 La by day of 1't , 20 ( y 0 J t who i ersonally known to me or who has produced I OU who is personally known to me or who has produced '"nti fication and who did take an oath. as identification and who did take aril oath. NOT A6 UBLIC: NOTARY PUBLIC: , �� ``\ �����►���ttr a ®o ,��� i, ... Sign: +t,� �, gn: `I� �0'� �, Si Print: ' ~ �aG ° ' Print: Y •� M Commission Expires: , ` " ° °'• Y P a� My Commission Expire Cup01659p1 Q`r� T Q, ! & �° 4e9° ir4° kd: sY9nF4° 9° 4: e4oYdr9c4e�aY4°: k' t3e�° 9nY4r4e4e3e 9 aY�k1roYfr�t° 4rda9°& oY9° d° 3roYaeYink�tYdtkY3ideTr9e9 °8t9e�°k3ta°+k4toY9°9tdr9° 4cY4rYF° 9nYksY: Yk9td° 4 °4°4eoYsk9rlrYF°�d� &strk ��, .. G.�.//�t� flans Examiner APPROVED BY r (��® zoning g En ineer Clerk checked (Revised 07 /10 /07)(Revised 06 /10/2009) R � s 1ZiG 193a M iami S hores V illage mai Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affian N O �/ ' �' 9 1ti � does hereby attest that (Property owner) The attached survey, performed by Z5 e f4r, S U r veyvrs - (Name of surveyor's company) For address: 42— N 46 o f S i- �i stjt j 31 3 p Performed on _s - (date of survey) is an accurate representation of the existing conditions and 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 seven (7) years old 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 say eth naught Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this of & �lo Affiant is personally known to me, _p roduced _ d as identification. qTA1� #. FznRIDA Notary Revised on 5/2212009/ Revised on on 6112/09 NO ` C> iilcs #DD717 SE1? 23, 2011 ,� DxY7ses: ONE . BONDED TM A17.ANTI C BONDING CO., INC Mar.10.2010 02:22 PM CACERES FENCE 3052213711 PAGE. 1/ 1 • Fast Service Date: 20 1& •Work rice* teed • Low P ACERES FEN Price* Tel: (305) 262 -7112 • Licensed & Insured LC (305) 221 -3710 • CC# 93BS00636 FENCING ESTIMATE AGREEMENT Cell: (305) 505 -8273 NAME JOB SITE ADDRESS BILLING ADDRESS CITY PHONE & FAX WORK LEGAL DESCRIPTION ' ` !' &� aR• � a 5 A !:I Yr, ��5 ,�;.�: . o� e:,� • < >. • .,� . `fie, CHECK ONE A STOCKADE A r CHECK ONE O STOCKADE 0 SHADOW BOX _ A _ w O 2f m SHADOW 13OX O BOARD ON BOARD j,( `�d-'� d 0 BOARD ON BOARD OVERALL OVERALL 4 �ySZ�IN� OVERALL OVERALL LENGTH LENGTH LENGTH LENGTH WALK DRIVf WALK DRIVE GATE GATE DATE I (SATE .PAM �A ja g yo '� :ro STOCKADE WIRE DIAMETER Rflm 9 GAGE TERMINAL POST DIAMETER DIAMETER SHADOWBOX UNE POST TOP RAIL � ,o �d DIAMETER LINE POST BOARD ON BOARD G ATE FRAME SPACING KNUCKLE BARE UP UP 0 REMOVAL DOES NOT INCLUDE HAUL -AWAY 0 LEVEL D FOLLOW GROUND ACCEPTED BY: TOTAL CASH PRICE $ CUSTOMER SIGNATURE DEPOSIT $ SALES REPRESENTATIVE CACERES FENCE BALANCE OF DUE AT TIME OF COMPLETION $ DO NOT FORWARD CACERES FENCING INC MARIO BETANCOURT PRES 9527 SW 37 ST * * ** MIAMI FL 33165 itif1333Ft}1f31i11 FfF�)31}F1�133! }lFi��i�tf Fi }1 SEE OTHER SIDE Construction Traces �Iif�irtg BUSINESS G'ERTlll, P,TE OF COMOETENCY 938 ................. � ".�fi Wflt9� t#� of G�� t,p of fiAititrfi � err � a , i � _— fi ■ � � � ��. QUALIFYING TRADE(S) 0018 FENCE Hermirio Gor¢al" P.E. Secretary of the Board / a — .miamidade.WWb l6ngcode wamn- Dade ,Count retains all rt ,ri a herein. 9 .0 12 -09 -2008 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 12/09/2008 EXPIRATION DATE: 12/09/2010 PERSON: BETANCOURT MARIO FEIN: 061744163 BUSINESS NAME AND ADDRESS: CASERES FENCING INC 8527 SW 37 ST MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: 1- FENCE ERECTION IMPORTANT. Pursuant to Chapter 440 . 0914►, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation It, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY y 0 elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS' COMPENSATION LAW D chapter. EFFECTIVE: 12/09/2008 EXPIRATION DATE: 12/09/2010 Pursuant to Chapter 440.05112), F.S., Certificates of election to be PERSON: MARIO BETANCOURT H exempt.. apply only within the scope of the business or trade listed on FEIN: 061744163 E the notice of election to be exempt R BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt CASERES FENCING INC and certificates of election to be exempt shall be subject to revocation 9527 SW 37 ST if, at any time after the filing of the notice or the issuance of the MIAMI, FL 33165 certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this 1- FENCE ERECTION section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion. for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 Planning and Zoning Criteria Miami Shores Village Permit No. FW - 3 -1 0 - 359 10050 N.E. 2nd Avenue W fi F1 Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Expires: ®t Issued .. WSN,.. Folio Number) 132060130330 Owner's Name: MARIA JORGE Owner's Phone: Job Address: 42 94 Street Total Square Feet: 0 1 11 11 1 Miami Shores, FL 33138- Total Job Valuation: $ 1,000.00 Contractors} Phone Primary Contracto Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/8/2010: Yes Comments: M` � MAR 0 8 2010 U om ® ®m 5 ° s Miami Shore s Y illa e ..- �m Department OQSQ N.E2nd Avenue j Shores; Florida 33138 tQ>it> 'Tal. (305) 795.2204 Fax' (305) 756.8972 WOOD FENCE D:ET� 7,1 . ��g� Miami Snores Village - - o Shadow Box o Vertical Picket APPRQVED Y DATE Board on Board ZONING DEPT V� pLDG DEPT , �t 4X4 past Spacing SUBJECT FO CCMPI_IANCE WITH ALL FEDERAL Fences <= Thigh posts spaced at 5'on center ma)d,mu TATS AND C (UN Y ?ULES AND REGULATIG�JS Fences <=4! high posts spaced at 6° on center maximum -m . m — Fence must not exceed Yin height 1x pickets fastened with two corrosion resistant fasteners per connection 1 2x4 horizontal pressure treated wood members with.two corrosion resistant fasteners per connection Li 44 pressure treated posts embedded Tin concrete footing 10° diameter x 2'deep LL wood must be pressure treated r, II fasteners must be corrosion resistant M o less than two fasteners in any connection Mav 2009 M i ami '- r .ills e Buildi3eparment 90050 N:E.2nd Avenue Miami Shores; Florida 33138 �AR1D� Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIREMENTS FOR FENCE PERMIT Permit application must be accompanied by: ❑ 2 copies of your survey (not older than 7 years). ❑ If survey is older than 7 years fill out Survey Affidavit form. r i ❑ 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 F ft height). ❑ Include wood or chain link sped 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. RevisW on 50MO9 s - �� I I'll �� %� 11 11, .11 llg.�p 215, ,, tt 1 ", ;;��­�'�.�,�,,_ -mirsAgg IMMIWTIP�M, 1 1, � , I - - a - �-­,,,.­_.,-',,' � � � � I ` , `11 % _.- I - - , '51 I I NOR - A 1W.11 MINU_W, 7"� ,,, , ­11 5 9 - � � � 1 , 1 � "' I _ I , ,,, 11 I F , . , , �, , _ I ,r7, M _ ', M _� I ,,, � , : : I .11111 � � t 11 - , _0 11�� - -- 4 �,. ` 'l IN m i ,�11 Ime"w2f, 7 � , - � 151, Me i. 1 1 , � ­4"'�­ R ­1__.__11_1ff1._ ____ _____1_11 I-— _. 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