FW-09-1481BUILDING Permit No. m Alt I
PERMIT APPLICATION Master Permit No.
FBC20
Permit Type: BUILDING ROOFING.
Owner's Name (Fee Simple Titleholder) 'R /}lo SCAR CELLO
Owner's Address 3 9 ti E 9z/ �S72 T
city/kiwi/1i stio/e6 5 State R_
Tenant/Lessee Name
Is Building Historically Designated
Contractor's Company Name
Contractor's Address
'Contact Phone
03 PAI <
Submittal Fee $
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
Email /&Jf TO,SGgICELLcW @ tioTJW};C. -co/v1
39 Al 9 YUC — c—T
Job Address (where the work is being done)
City X Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Architect/Engineer's Name (if applicable)
YES
Value of Work For this Permit $ I/ SO 'W
Type of Work: ['Addition ['Alteration
Describe Work:
NO
E -mail
Zip
C/
Phone ft 5p / c � , � j - 7/3
33 !38
Phone #
Phone #
Square / Linear Footage Of Work:
k New ❑ Repair/Replace
Structural Review. $ Total Fee Now Due $
33 /3a
Flood Zone
125 ..
Technology Fee $
Bond $
See Reverse side -�
SEP 0 3 2009
BY: —oomao
❑
Dena
emolition
** * ** * * * * * * * * ** * * * * *** * ** * * * * *** F * * * ** * * * * * * ** * * * *x * * *x * ** * * * * **
G `
Permit Fee $ � CCF $ �'
Notary $ Training/Education Fee $ • - t
Scanning $ . 0 0 Radon $ DPBR $
Double Fee $ Violation date:
CWT
3 (/
City . State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
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 reins on fee will be charged..
Signatur
Owner or Agent
Contractor
The f.. go ng ' trument was ac •: • wledg • be me this The foregoing instrument was acknowledged before me this
�I
day of• I iLl.�'pr0101by ill / /,��, 0 day of ,20_,by
who is p who is personally known to me or who has produced
ttntification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
ae
•'. . C 1
Print: c), 15 4, ?• t:
My Commission Expires: `J� ° `c T' lc9°c� My Expires:
Ex ires:
,
Sign:
(Revised 07 /10 /07)(Revised 06/10/2009)
sonally known to me or who has produced
APPROVED BY ,/ = Plans Examiner
Engineer
Signature
* * * * * * * * * * * * * * **
Clerk checked
iF
• g SEA 0 3 2009 J VILLAGE OF MIAMI SHORES
IA
OWNER BUILDER DISCLOSURE STATEMENT
NAME: )4 - 0 Soevc(6 (6O DATE: 0 9 /O3/Q ')
ADDRESS: -43 eu 9 Sleets /1/! 01(2bA3 331, a
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 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 Pot sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as it 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.LC.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 hold.title to the above property and I am planning on doing this construction
Myself.
Initial /(5'
2. 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. Inactive
permits for a period of over 180 days will become null and void (expired)
and a new permit will be required. to be issued for reinstatement of the
p ermit.,
Initial ie
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.
Initial
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code — only if the structure meets the
minimum code.
Initial /(5
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.
Initial gS
6. I understand that if I compensate any person or company for work performed
they are requited 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.
initial U W
7. I understand that if any person gets injured on my construction project—they are
entitled to worlanen's compensation: And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
kiss of wages during recovery from injury.
Produced there License, or
Initial �� .
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 I V
Was acknowledged before me this 03 day of , 20 0 5
B -x/Y a) SCoi
who was personally known to me or who has
ra �. " r, off' • o' as identification.
NOTARY
NOTARY L1 OF FLORIDA
i° D7i.752 3
+.r ExpI SEP. 23, 2011
BONDED �' D T} ATLANTIC DON-DING CO., INC.
Scheduled Inspection Date: November 04, 2010
Inspector: Bruhn, Norman
Owner: SANTANA, MARIANA
Job Address: 739 NE 94 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
November 03, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 137871 Permit Number: FW -9 -09 -1481
For Inspections please call: (305)762 -4949
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (305)510 -3766
Parcel Number 1132060142000
INSTALLATION OF NEW WOODEN SHADOW BOX
FENCE ON THE BACK AND SIDE OF THE PROPERTY.
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 123672. Fence must be no more
than 5' high.
Fence post spacing must be no more than 5' on center. NB
Page 1 of 9
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May 2009
X Shadow Box
o Vertical Picket
o Board on Board
• �
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4x4 Post Spacing
Fences <= 5' high posts spaced at 5'on center maximum
Fences <= 4' high posts spaced at 6 "on center maximum
Fence must not exceed 5' in height
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WOOD FENCE DETAIL
4x4 pressure treated
posts embedded 2' into
concrete footing 10
diameter x 2'deep
•
....ALL wood must be pressure treated
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• • • Atl fasteners must be corrosion resistant
•
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M iami Shores Viiiage
Building Department
• No Tess than two fasteners in any connection
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
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PROPERTY Mariana Santana
739 N.E. 94th Street
Miami Shores Florida 331
* TYAGC IIMPfI'E)1!'AgIGtfA¢BAAVTh
AL/ISfAS®p,"i� 4YeA/tA9R!!
Certified Tot Rapid Title Services.
Company, Commonwealth Land Title
Insurance Company, Mariana Santana
and Regions Bank, FSB, its successors
and /or assigns, as their interests
may appear.
LEGEND
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LOCATION SKETCH
NOT TO SCALE
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1 E . 5
4EGAi. RIP7TON: Lot 20 and the West 28 feet of Lot 21,
Block 67, MIAMI SHORES SECTION NO. 3, according to the
Plat thereof, as recorded in Plat Book 10, Page 37 of the
Public Records of Miami -Dade County, Florida.
1� VALID L4 SSSnmEISEA�OSSED w H 7 ERE S7ERET,LANflJSEY0R9S�AL..
LEYBAL �$flJ! PROtRt7ED BYOTF
EN 01t OTJ�R
C S TT SNo'Mv ON TtE PROP YPLATOF 1
4) BM. S SH MIV ARE BASED ON PLATAE N4 ETNOE
LIYDERGRO UTU7fE$FO(D11Oi .OROTCNiB'ROVEM8JT4 NOTLOCAfC
4 UEHATION$ N S7iOW TARE BASET, ON NATIONAL GEOOEI7C VER71CAt DATUM 1928..
7) FENG OI4?JERSHP NOTDETERM# tJLESS OTI RINI3IENOWD
8) WAS(rnE*8WTS TO link C FISARE 70 C811ER-OF WIRE
V ACAS R9 N1S TO WFEN�SARE TO OUTS OF WOOD
IQJ Wl1L 1EASLA4EM. TSAR& TOIFROM FACE O WVL
11) DRAIW GOVSTANKE8ETKFENWALLSANLYOR SANDPf4CPERTYL SMAY1Tf
@04GGERA7R FOR C! ARl1Y
19) R.00D Z&4E TJON WAS DERIVED FROMFa - EAERGENCYMJWAGEMENTAGENCY
FL000 M FORM47R4TE MAPS
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Not va._ _.. •••
PROFESSIONAL SURVEWNGaAPPNO.
CANNES & CA b , .i :.
LB #2098 •••••
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ORAWNBY.' - f DWG No.;
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SEP 0 3 2009
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--- - - - - --
PER .,, a ad?�
��:, °
Miami Shores Villao!e
APPROVED BY DATE
ZONING DEPT
BLDG DEPT
1
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS