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FW-10-213 1 0 1 10413 v Miami Shores Village jypg i"tit 03 Mal i ` 10050 N.E. 2nd Avenue � Maw ��� � ,y , I�:vufc �es31� �idROd °' f=ence Miami Shores, FL 33138 -0000 Phone: (305)795-2204 s A Expiration: 08118/2010 Project Address Parcel Number Applicant 390 107 Street 1122310130220 ALFREDO RUIZ Miami Shores, FL Block: Lot: Owner Information Address Phone Cell ALFREDO RUIZ 390 NE 107 ST (786)586 -6786 MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 HOME OWNER ........_ Total Sq Feet: 83 Approved: Yes For Inspections please call: Comments: (305)762 -4949 Date Approved: 2/12/2010: Yes Available Inspections: Date Denied: Inspection Type: Type of Construction: Wood Fence Additional Info: 5 feet high Final Classification: Residential Foundation Fees Due Amount Invoice # Invoice Total Amt Paid Amt Due CCF $1.20 Education Surcharge $0.40 � - - - 37034 Permit Fee - Wire & Wood $100.00 $106.20 $106. $0.00 Scanning Fee $3.00 Check #: 200 8 Technology Fee $1.60 Total: $106.20 1. Building Department Copy February 25, 2010 2 Miami Shores Village Building Department FEB 11 2010 Lj 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY. *__ INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. _FLU 10 -- 1 PERMIT APPLICATION Master Permit o. FBC 20 7 Permit Type BUILDING ROOFING- N htt � Owner's Name (Fee Simple G�1G � Titleholder) n l W ? Phone # CS / 1 YIR(o f Owner �` 1 ( ® _ N City 1vl�icw�� �''State f�L— Zip Tenant/I.essee Name Phone # Email Job Address (where the work is being done) 9 c) , o City Miami Shores Village County Miami -Dade Zip I (® I FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name IHAI - ph one # 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 $ 1 bock 00 Square / Linear Footage Of Work: Type of Work: ElAddition t Alteration E]New Repair/Replace aF El Demolition Describe Work: (� Submittal Fee $ -� Permit Fee $ CCF $ CO /CC .$ Notary $ Training/Rducation Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Doable Fee $ Violation date: Structural Review. $ Total Fee Now Due $ cl �p •�� 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 not be approved and a reinspection fee will be charged.. Signature - Signature Owner or Ag t Contractor The foregoing instrument was acknowledged be e�� this 0 The foregoing instrument was acknowledged before me this day of �, 20 K 1' by A4,A k d // ock LNZ.AcI 6 day of , 20 _, by , who is personally known to me or who has produce who is personally known to me or who has produced As identification and who diiy��th. as identification and who did take an oath NOTARY PUBLIC: �O �1' %� NOTARY PUBLIC: d... ... ... . • L 06 S 9 100'�b�J, UOISSIWWO� Sign: _ = Sign: Print:. • °•., ZdOt /�p/gp Print• p ail My Commission Expires: My Commission Expires: S ` T �����,��x *�� *�� APPROVED BY �6z�C) Plans Examiner V ,4 Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) Planning and Zoning Criteria ° Miami Shores Village Permimo. F W - 2 - 1 0 10050 N.E. 2nd Avenue f "0 00 FettG ttlitlBM� -= - s Miami Shores, FL 33138 -0000 f 9 w v. Ly Phone: (305)795 -2204 Fax (305)758- 8972. 8R Issue Date: Not Issued Issued F�cpires: Folio Number) 122310130220 Owner's Name: ALFREDO RUIZ Owner's Phone: (786)586 -6786 Job Address: 390 107 Street Total Square Feet: 83 Miami Shores, FL Total Job Valuation: $ 1,500.00 Contractor(s) Phone Primary C ontractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 2/12/2010: Yes Comments: M iami Shores V illage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE_STATEMENT v i �� NAME: 1 �e �Q S �� �2 DATE• (� I 1 ADDRESS: 5 l v PC C lJ �� I, R(C r L. - 33 1 to l Do hereby petition the village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 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 ftrat 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 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 one4amily or two - family 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 main 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 odes 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 have applied for an owner - builder permit under an exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act as my 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 respo for the construction and is not hiring a licensed contractor to assume responsibility. I' 3. I 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 list his or license numbers on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may 2alsouild or prove a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially 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 V Y V V 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial . r 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 owner-builder, may be held liable and subjected to serious financial risk for arty injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am were 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 licel to perform the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by which means that I must comply 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 financally responsible for this proposed construction activity, I will abide by all !cable laws and requirement that govern owner-builders as well as employers. I 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 tnformation regarding my obligations as an employerfrom the IMemalRevenue 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 h : /Avww.m oddarcerts .com/d t cilf�ndex tm Initial 11. 1 am aware of, and consent to, an owner - bolder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial___ 12. I agree to notify Miami Shore Village 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 to responsible for verifying whether the contractor is properly licensed and the status of the contractor's 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 lei permitting agency responsible for issuing the permit A copy of the properly owner's 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 Pfl� . 20 By who was personally known to me or who has Produced there License or as 11'r' p5: a � Q •• Asa � ** sa 1 ami Shores Village . APPROVED BY DA f _73N NG DEPT C DG DEPT i ECT TO COMPL•IA14 WITH ALL FEDERAL COUNTY 'l. ;r- +-��.� . ��� - x Alv - TH rye f� s � j@d�t/ .J�J3� >o►O 1 0 ?: W CPA • '+ , • a (W10 cam ' log.8' 00 7 = OB AT TI. ZA d 14 42 1 • �` a" 8.45' $. 4o • .w 1 y '4 030' • 01 ! 1 107. 02p —cam Approev F - FWAM - c— c I111G�V ���'B 9 chm - Me — a anai�r c -oi- tee vf` am .. L o bl► - -_i+"" M iami shores Village ..a a.� Building Pepaitment IOW.' 0 N.E.2nd Avenue IVliami $Flores, Florida 33138 R del: (305) 795.2204 Fax: (305) 756.8972 WOOD FENCE DETAIL • Shadow Box • Vertical Picket �rrB�ar 4x4 Post Spacing Fences <= 5' high posts spaced at Ton center maximum Fences <= 4' high posts spaced at 6 0 on center maximum Fence must not exceed 5' in height 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal / pressure treated wood members with two corrosion resistant fasteners per connection 44 pressure treated posts embedded T into concrete footing 10 diameter x 2'deep ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection Mav 2009 M iamisho r es V . � ..n om Building Department �'—"`- 10050,N.E.2nd Avenue 4m Miami Shores, Florida 33138 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 ❑ 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). ft ❑ 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 specs form (one with each survey). 11 $50.00 submittal fee when submitting your permit. NOTICE: ALL OTHER TYPES OF 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. Revised on 50009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 135417 Permit Number: FW -2 -10 -213 Scheduled Inspection Date: March 15, 2010 Permit Type: Fence/Wall Inspector: Bruhn, Norman Inspection Type: Final Owner: RUIZ, ALFREDO Work Classification: Wood Fence Job Address: 390 NE 107 Street Miami Shores, FL Phone Number (786)586 -6786 Parcel Number 1122310130220 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 12, 2010 For Inspections please call: (305)762 -4949 Page 13 of 29