FW-10-1784Inspection Number: INSP - 157814
Scheduled Inspection Date: April 04, 2011
Inspector: Bruhn, Norman
Owner: PACK, MATTHEW & GRACE
Job Address: 383 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: EUROPEAN SCULPTURED STONE CORP
Building Department Comments
5' WOOD FENCE
Passe V
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- 157766. CREATED AS
REINSPECTION FOR INSP- 153357. CREATED AS REINSPECTION FOR
INSP- 152088. FENCE HIGHER THAN 5'
PERMIT NOT AVAILABLE FOR INSPECTION JR 3/30/11
April 01, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: FW -10 -10 -1784
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1132060135920
Phone: (954)742 -6832
Page 19 of 26
re
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ft 747r OWNER: Name (Fee Simple Titleholder): ft714Tr �K Phone #: q54 -7 4- Rq o a
Address: 3 8 3
City: M1a - 64, 1 SP State: /_ Zip: g31 3g
Phone#:
Tenant/Lessee Name:
Email: E oS COG q ®V 4oL .GDIA/
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
JOB ADDRESS: 383 NF q6 grimier
City: Miami Shores County: Miami Dade
Folio/Parcel#: /1 - 320' -o L 3 - i sq a,t7
Is the Building Historically Designated: Yes NO
DESIGNER: Architect/Engineer.
Permit No eel--70-17gr
Master Permit No.
Contact Phone#: t° 2-07 bg Email Address: pae_0 , i C JtA
Zip:
Flood Zone:
CONTRACTOR: Company Name: Et, R ' JO SCVLFT O 5 0 Phone# : N--S61.-261-0q
Address: /Odb 1 AP-0 !9 "' $i
City: SL1 A-► S State: F L. Zip: 3 Z.Z S t
Qualifier Name: Racier Athterc6 / Phone 561- 4 �5 �6ea.
State Certification or Registration #: C& ¢i 4'1 b85 Certificate of Competency #: r
• Phone#:
IO /
Value of Work for this Permit: $ 1•240 Square/Linear Footage of Work: /00
Type of Work: OAddress OAltera * - : ■ gw ORepair/Repla - ODemoliti
... a .�
Description of Work:
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by:
***************************************F ***** *****ee**** * ** art **** a ** ***** ********** e*
Submittal Fee $ Permit Fee $ /(2' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
'n11 'e
Notary $ Training/E445ation Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
J p v,
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 CONDmONERS, 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 reinspection fee will be charged.
Signature
The for
day of
who is per
NOTARY PUBLIC:
Owner or Agent Q
instrument was ackno ledged before me this L(8
20 by Arr r . ,
nally known to me or who has produced who is personally known to me or who has produ
as identification and who did take an oath.
NOTARY �" LIC:
As identification and who did take an oath.
The for
* * * * * * * * * * * * * * * ** **:.*::.****** � ***************************************** * ** * , * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY ' - ' /040) Plans Examiner
(Revised 07 /10 /07)(Revised 06/10 /2009XRevised 3/1 5 /09Xrev6/4/10)
Structural Review
Signature AboAlaw4,41,,,
day of /'Cpt ,20 by
Contractor
Zoning
Clerk
or
Fieori,6ict
wood Fevi,ces
Etat& Fee�,es tot exceeding 6 L0, height from. grade weak,. be ciestgiuot ford 6 Mph (33 m/s).- astest wale
0,'t tot
speed or jo milli (40 wits) 3- sec01 gust. .
wood fewness wood ffvtice design shall. be as s o fled bj the Cride...
4-7)4' Post .S•pa Clwe,
Fewt es <= b ft. 141,0 - 4 ft. ow Cewte v
rot
FewCes < = 5 1444 4 ow Getter
Fewaes <= 4 -L. high - ro -t. of Getter
2x4 4- orizov u1. wood members
Nowatwat 4$4x8 posts No. 2 erode Or
better embedded 2 feet Into a concrete
foattwg w itches 1.w dtameter and 2
feet deep
•
Notts, bobs and other 0,.e L •
eowweators that are used ion.
Locations raised to the weather •
shall. be gatva&ntzed or
otherwise eirrostovo reststawt.
1. gPnerat, waits shad• .
,penetrate the second rumba, a .
distance eatuaL to the thickness
o f the raensber being matted
thereto. There shall. be not Less
than two naffs L0, anti
cowneottow
wait sties:
46i: i-=/a° tong
Tad: a• 14140
Sd: 2-W tone
2004: s' 1.00,9
• 224: 3-sM Lowe
rod,
4. " - - . .
ALL -posts, poLes and eoLuwmws embedded L0, cowertte•whteh is in. contact with ground. and sccpportivtg perho
Shores Villa..
APPROVED -
' Milt
trA741
NINGDEPT Eril
BLDG DEPT LIMO .4 r 7 A ...e.teD
SUBJECT TO comma vas ousateloi.
S D &DUNN NUM AND IT-GULATK*0
accil(41,19R Lb*? pint th.cront rt, Ord tfl 1141 z
'i [triennia* ii Miami -11444.1e , Florida
LIP
COPIC
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tLECI 1 nv,t ft ifitlf161 PRLIVIVIED UV 4 .)1porw.
4W ' 'Ayryti VIVAISN4 "Iwo Nitii ABSTRACT C.)
itec oRD L4e1 imliErvok
?DT JIflWY 1 414 THE riA
litiDERGRu4 iN PM( [IONS Of ockilr. ErJ. rm INDATfOri or? UPILO
IMPROVU.,41,1Vr, wtr N1) , of. FPI)
oftit y r0
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rii! gt.t 1 10 mr i ft) Lona Nort:EI.A2i 11
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411,4311, .FLORMA ; I
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DBPR - ANASTASI, ROBERT LAWRENCE; Doing Business As: EUROPEAN SCULP... Page 1 of 1
Licensee Details
Licensee Information
Name: ANASTASI, ROBERT LAWRENCE (Primary Name)
EUROPEAN SCULPTURED STONE CORP (DBA Name)
Main Address: 5510 WISHING STAR LANE
LAKE WORTH Florida 33463
County: PALM BEACH
License Mailing:
.LicenseLocation: 10001 NW5OTH STREET
SUITE 104
SUNRISE FL 33351
County: BROWARD
License Information
License Type: Certified General Contractor
Rank: Cert General
License Number: CGC049685
Status: Current,Active
Licensure Date: 03/21/1990
Expires: 08/31/2012
Special Qualifications Qualification Effective
Construction Business 05/20/2003
View Related License Information
View License Complaint
1 Terms of Use 1 1 Privacy Statement 1
10:57:32 AM 11/4/2010
https:// www. myfloridalicense .com/LicenseDetail .asp ?SID= &id= B413F62F1D 1CAE45416... 11/4/2010
D ry CERTIFICATE OF UABIUTY INSURA
f • iv" i µ�-..iri1Lao #ti�se
+ ,OW
NOM
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mitelletwaa comma bat tir
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°si9 d q$ 7104 R` tla0 iF4 Irplermb . a-.�
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Ytli� ilY X41 G14�. MO � 1101 W m 1 . i:111 IP WARM 1101"11C
4.01,004
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY)
W22/2010
PMDUCEFt Phone - 954 583-5444 Fax - 954-583-2820
Pelican Insurance Agency
6950 Cypress Rd Ste 208/7® G
Plantation, F133317
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ALTER THE COVERAGE AFFORDED BY THE POUCIIEES BELOW
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Burlington
'""'BIM
Concrete By Design Inc. dba European Sculptured
Stone, Corp.
10001 NW 50 St #104
Sunrise, FL 33351
INSURER B:
INSURER C:
INSURER D:
INSURERS:
COVERAGES
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L
J
TYPE OF INSURANCE
POLICY NUMBER
DATE (MIWDDIYY)
POLI(MIWDDIYY)N
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
359B003600
5/13/2010
5/13/2011
EACHOCCURENCE
$ 1,000,000.00
X
DAMAGE TO RENTED
PREMISES (Ea Occurrence)
$ 100, 000.00
'CLAIMS MADE IX IOCCUR
MEDEXP (Area one person)
$ 5,000.00
PERSONAL & ADV INJURY
$ 1,000,000.00
GENERAL AGGREGATE
$ 2,000,000.00
GEN'L
AGGREGATE LIMIT APPLIES PER:
nJEC I LOC
PRODUCTS - COMP/OP AGO
$ $2,000,000
Ipoucv
AUTOMOTIVE
LIABILITY
AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
I ANY
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY:
AGO
CESS LIABILITY
EACH OCCURENCE
$
— IOCCUR I 'CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
WsrAru-
I TORY LIMITS I ER
E.L. EACH ACCIDENT
$
El. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY UMIT
$
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER 1 }D1TIONAL INSURED: INSURER LETTER: A CANCELLATION (See Below) -
Miami Shores Village
Attn: Building & Zoning Department
10050 N.E. 2nd Avenue
Miami Shores, FL 33138
305 - 756-8972
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
10 EDA THEREOF, TO THE CEERTIFICA�TE HOLDER NAMED ENDEAVOR
NAMED TO THE LEFT,
— MR FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AvrlloR>2EORFPRES®ITiATi� ..- =4 �
Samuel Jacks -°J _ — --
ACORD 25 (2001108) 1 of 2
QACORD CORPORATION 1988