FW-09-1812\I. Vuni (0
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) P01, O- Phone # (iC '74 2 33C C
Owner's Address 6 /� tit.) /07� . `]53 • �.-
City .%i? (?'Z 4' State f Zip 3 vg P �'C/
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) 6' A) U.) /0 7 c,./7":6..ei
City Miami Shores Villa.e County Miami -Dade Zip (7_,z 2
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No. Certificate of Competency No.
'Contact Phone
Architect/Engineer's Name (if applicable)
1 t�Jo�
liy 02:� c
S ubmittal Fee $ `-
* * * * * * * * *
;Miami Shores Village
Permit Fee $
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
State
NO Flood Zone N�
(90 n QIC Phone #
E -mail
Training/Education Fee $ Q • 2C)
Permit No. cq
Master Permit No.
Zip
Phone #
Phone #
Value of Work For this Permit $
Type of Work: pAddition O eration
Describe Work: 0 ` / I
Square / Linear Footage Of Work: v 5 f_ 4
ONew ,k Repair/Replace 0 Demolition
* * * * * * * * * * * * * * * * * * * * * ** F ees *,r, * * * * * * * * * * * * * * *, * * ** * * *,r ** * *** ** * * * * * **
/ 0
CCF $ 0 •
CO /CC $
Technology Fee $0'
Notary $
Scanning $(_ (� Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ (r2Q-0,0
See Reverse side -
ht NOV 0 6 2009
By:.. .2 .... ....
Bond $
Inspection Number: INSP - 149981
Scheduled Inspection Date: August 16, 2010
Inspector: Bruhn, Norman
Owner: DE MELLO, PEDRO
Job Address: 54 NW 107 Street
Project: <NONE>
Miami Shores, FL 33168 -4307
Contractor: HOME OWNER
Building Department Comments
August 13, 2010
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 -11 -09 -1812
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number 305 - 753 -5504
Parcel Number 1121360070050
INSTALLATION OF NEW 5 FEET HEIGHT SHADOW BOX
WOODDEN FENCE ON THE BACK OF THE PROPERTY
WITH 40 SQ GARBAGE SPACE
Passed , Q/p.
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 - 128438. EACH FENCE BOARD
REQUIRES #2 FASTENERS PER 2X4 NB
Page 13 of 26
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 ection fee will be charged.
Signature
The foregoing ins
day o
who is pe
NOTAR
Sign:
Print:
My Commission Expires:
Owner or Agent
,,,,
°h .
********* * * * * * * * * * * * * * * * * * * * * * * * ** * * * * **
APPROVED BY
ba
(Revised 07 /10 /07)(Revised 06/10/2009)
wl s ged befor. me this ,/�;� The foregoing instrument was aoknowledged before me this
i � .i1/ �� / 1.. y of , 20 _ , by
r who has produced , a = l . ho is personally known to me or - who has produced
— as identification and who did take an oath.
cation and who did take an oath.
Engineer
Signature
Contractor
NOTARY PUBLIC:
- 3 Sign:
� rmt:
k
l e6 �to My Commission Expires:
• Plans Examiner
Clerk checked
OWNER BUILDER
NAME: 4,71(A-;#
VILLAGE OF MIAMI SHORES
•
CLOSURE TATEMENT
DATE: /
ADDRESS: °2 / /OW /
/ geke 6 f: 3 :fit?
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 cohtractor 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 reaidbnce. 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 for sate or lease, which is a violation bf this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you hav ®licenses required by state law.az d by county or muniolpal licensing ordinances. Any
person working on your building who is not licensed tityst work under your supervision and must
be employed byyou, which means that you must deduct F.LC.A and with - holdings tax and
provide workers' compensation fbr that employee, all as prescribed by law. Your construction .
must comply with all applioable 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 mot/ 1
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 i�
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 ( '"-
By
4. I. understand hat 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. 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
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
7. I understatxd'that if any person gets injured on my construction project-they are
entitled to workmen's compensation,' And if they do not posses a workmen's
policy I could be held liable for all dootor and related cost which could include
lass of wages during recovery from injury.
Initial U
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.
Zdm deLMLO
OWNER
Initial i/
Was acknowledged before me this 03 day of /1,162sirn . , 20 01
who was personally known to me or who has
Produced there License or 4 F1 0.9 /, •� • 4
l4 �o l (dentification.
NO ARY
NOMyP C VOF 1 FLORIDA
Conisioa 11111)71323
y Fop totrao 23 20��1p1
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SMIATICEE oPS
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/ / �% %ice
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F.I.P 3/4"
(No I.D)
P.I. N.W Corner
Lot 8 Block 206
•
• X111 =20'
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•
TCO'2 Y. IIINeRA
20
0.15:
3/4" fa
(No ID) ;Ti
Asphalt
Drive
8'
11 45.
N 90 °00'0" E
75.00'
13.79'
ft �
6OiJ11QARY SOMA'
• • • : Mmeby Cerfig !That the atladled Survey made under
• • • gwesponsibie alms end substantially meeN ttlea,ri,in.ii
tedrical standards es set forth by 60 FLORIDA BOARD
• • • • Gr•IAND SURVEYOR, in 6101 6 !Fonda AdmL
• • dstrative Code, Pursuant to :. °• n 4j2, x Stahtes.
• M • •
••••
Regi r - ; MS Surveyor & Mapper No. 5687
State of Florida
(Not Valid without the Signature and
Raised Seal of a Florida Licensed SUIVOVOr & Mapper)
224.92'(m)
_
BASIS OF BEARINGS
( EAST ASSUMED )
LOT 6
BLOCK 206
40
F.I.P 3/4"
(No I.0)
0.85'
1-4
- r-citn-CR)
/(0.70' /
f Cone
ORION • ORS
& MAPPERS , INC.
t (
16217 S.W 48th TERR.
MIAMI, FLORIDA 33185.
305) 232 -1109 - 232 -4659
" LEGAL DESCRIPTION "
Lot 5 in Block 206 of " DUNNING'S MIAMI SHORES EXTENSION No. 3 " ,
acco -din3 to the plat thereof, as recorded in Plat Book 42 Page 33
of the PItlic Records of Miami -Dade County, Florida.
" PROPERTY ADDRESS "
51. NW 107th Street
Miami Shores, Fl 33168
" CERTIFY TO ":
Pedro H. De Mello.
Bankers Title Services Corp.
Attorney's Title Insurance Fund, Inc.
Fidelity National Title Insurance Co.
Chase Manhattan Mortgage Corporation, its successors
and /or assigns as their interest may appear.
( 75' TOTAL RIGHT OF WAY )
NW 107th STREET
17' Pavement
4.5' a/C io
3'
d
WOOD FENCE MUST BE.
INSTALLED GOOD SIDE OUT
N 89 °57'45" W
75.00'
JOB No: 04-06341 I DATE: 6-09 -2004 I DRAWN BY: H.Y.P I REVISED:
NOTES: I THIS SURVEY WAS CREATED FOR TITLE INSURANCE PURPOSES ONLY.
-TITS SURVEY DOES NOT REFLECT OR DErERMO E OWNEItSNP.
- LANDS SHOWN HERON WERE NOT ABSTRACTED FOR EASEMENTS
AMOR RIGHT OF WAYS OF RECORD.
- LEGAL DESCRIPTION PROVIDED BY CUED.
- BEARINGS IF SHOWN ARE BASED ON ASSUMED MERIDIAN BY RAT OF RECORD.
- NO CONSTRICTION OR PLAANNG SHOULD BE MADE BASE ON
THE INFORMATION CONTAINED ONTIIS DOCUMENT.
THE FLOOD INSURANCE RATE MAP, DATED 3 -2-94 , PUBLISHED BY THE FEDERAL EMERGENCY MANAGEMENT
AGENCY (F.E.M.A) , DELINEATES THE HEREIN DESCRIBED LAND TO BE LOCATED WITHIN :
COMUNITY No: 120652 PANEL No: 0093 SUFFIX: .1 FIRM ZONE X BASE FLOOD ELEVATION: N/A.
--J/ —/i - = WOOD FENCE
EHCRO
C.B.B
C.LF
W.F
(M)
ON
Ft P.
ND
SJ R
ESCROAC.IEW
CONCRETE BLOCK STRUCTIEG
CHAIN UNC FENCE
WOOD FENCE
MEASURED
PLATTED
CALCULATED
OFFSET
FOND IRON PIPE
NAIL a DISC
SET IRON ROD
13.85'
10' Asphalt Road
P.R.M
P.C.P
P.1
P.0
DM
UE
D.M.E
P.P
O.P.L
A.D,R,T
F.I.R
F.I.P 3/4"
(No I.D)
1.30'
W
X: t /
o
X
FENCES, WALLS, HEDGES
INSTALLED ON ALLEY MUST
ALLOW 40 SQ. FT. FOR
TRASH CANS, TREE TRIMMINGS, ETC.
Sin• _ 1.35'
C .416- C' 1
4"
(No I.D)
PERMANENT REFERENCE MONUMENT
PERMANENT CONTROL POINT
POINT OF INTERSECnON
POINT OF CURVATURE COMMENCE
DRILL COLE
UTILITY EASEMENT
DRAINAGE M■WENANCE EASEMENT
POWER POLE
OVERHEAD POWER ONES
ARC, DELTA. RADIUS, TANGENT
FOU.D IRON ROD
LOT 4
BLOCK 206
WnM
F.H
C.B
COM
SAv
A/C
F.F EL
P.O.B
NT.S
B.M
E.O.W
J Il
LAOEROROUI) ENCROACHMENTS NOT LOCATED.
- IF SHOWN, ELEVATIONS ARE REFERRED TO NO.VD 1929.
- DISTANCES ALONE BOUM:WRY OF SUBJECT PROPERTY ARE
RECORD ND MEASURED MESS OTHERWISE STATED.
THS SURVEY WAS PREPARED FOR THE EXCLUSIVE USE OF
THE ENTITY NAMED HEREONTM ATTACHED CERTIFICATION
DOES NOT EXTEND TO ANY IRbiMED PARTIES.
WATER METER
FIRE HYDRANT
CATCH BASIN
CONCRETE
SIDEWALK
AIR COMMONER
FINSH FLOOR ELEVATION
POINT OF BEWARING
NOT TO SCALE
BENCH MARK
EDGE OF WATER
•
_ - = CHAIN LINK FENCE/ = CONCRETE BLOCK
or WIRE FENCE STRUCTURE
J .
6 gi
BY; -----------
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F i .w • • •
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APPROVED
ZONING DEPT
BLDG DEPT
Miami Shores Viil-�g
TOD
DATE
SUBJECT TO COMPLIANCE WITH ALL FEED'-"
STATE AND COUNTY RUES /H LT 71
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