FW-11-656Inspection Number: INSP - 158722 Permit Number: FW -4 -11 -656
Scheduled Inspection Date: May 10, 2011
Inspector: Bruhn, Norman
Owner: TERRY, MARK
Job Address: 349 NE 102 Street
Project: <NONE>
Miami Shores, FL 33138-
Contractor: HOME OWNER
Building Department Comments
May 09, 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 Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (786)443 -7720
Parcel Number 1132060135080
REPLACE OLD BROKEN CHAIN LINK FENCE FOR NOW
WOOD BOARD ON BOARD FENCE 5' HIGH
pass eVe c-)9 /
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- 158389. 1) posts spacing must
be 5' maximum
2) 3 horizontal boards are required
3) Posts must be 4x4 minimum.
4) Top of fence must be even. NB
'6--
Page 14 of 23
1 -117s1--i It -c_k_LANC
BUILDING
PERMIT APPLICATION
FBC 20
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
34q Nf, iOsi
Phone#:
7q PAgW
APP 142011 /
BY:...!' ..................
Permit Ccij 0
No `I'
Master Permit No.
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): r 1L e v r" / Phone #: cISv1" (.fl 1 to " S (a I
Address: 3 y ei NtC 102. s-t-•
City: MI Ann ► C Oh 64Pe S State: 'FL-
Tenant/Lessee Name: u ( A
Email:
Zip: 3 3 13
Phone #:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: N /� Ou Phone #:
Address:
City: State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:':
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: / A
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Addition DAlteration UNew ❑Repair/Replace ❑Demolition
Description of Work: r-e P a to r,-,it ® l a n G `a \ : 1n\t - .Po ( r .( 'Nr f C .) Woad cenCP .
************** *• x***** ****ma•****** ** **** F *a: *x:+ u*** ********************* ** x*******
Submittal Fee $ Permit Fee $ / CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
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.
Owner or Agent ! Contractor
The for •_oing, strument was a kn led ed bef e me this I The foregoing instrument was acknowledged before me this
l Y
day of � , 11 , 20 �L, b 1 u _ a , day of , 20 _, by
ho i�person�ll�k�owp to me or who has produced !7 ho is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Signature
s identification and who did take an oath.
NOT
Sign:
Print:
My Commission Expires: .6t°
APPROVED BY
State Zip
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Plans Examiner
Structural Review
Signature
Sign:
Print:
My Commission Expires:
il/s Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: a v'- \ e V (LJ DATE: 3 23-11
ADDRESS: 3 N.-e_ 1 02 st. Mi ami Shcv 33 138'
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 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 within 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 codes 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 I, as the owner of the property listed, may act as my own
contractor with certain restrictions even though I do not have a license.
5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction.
Initial ' V ‘
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
Initial
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. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve
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
Initial DV
I 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 IV \r'
7. I 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 any 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 aware of the limits of my insurance coverage for injuries to workers on my property.
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses 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 me, which means that I must comply with 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.
9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable
laws and requirement that govem owner - builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue 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 http : / /www.mvfloridalicense.com /dbpr /pro /cilb/iindex.html
Initial_
11. I am aware of, and consent to; an owner - builder 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:
c9 Nit. l 0 -
Initial 14 W
12. I agree to notify Miami Shores 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 be 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 local permitting agency responsible for issuing the permit. A copy of the property 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 ()VI. - , 20 1 t
Produced there License or l I 0
4 s-identificatio
Intial
Initial r"
who was personally known to me or who has
Initial
�t�s '
LOT 17
LOCATION SKETCH
NOT TO SCALE
ID I
• I
F 812.09
21.90'
One Story Residence I
349 NE 102nd Street
Nnts0 Flow Bev . +11.1
Lowest Flow EIeo= +9
38.70'
N tO1000O'
BOUNDARY SURVEY
GRAPHIC SCALE
(M Pest)
1 loch 20 ft.
CERIFICKIE
LB. N 3388 INORDAIWN
STATE IF FLORIDA
305-253 -0909
FM 305- 253 -0933
REID RIMY DAIS 4-1 -11
DRAM DATE 4-4-11
DELTA SOMME, 01C.
SCALY 1' = 211 ORAWN 131: MAO.
F& SKETCH DRAY94G 110.: 11 -092
a�
1P.7,4211,
SUBJECT TaWPM= WI'M ALL FEDERAL
STA1E AND COMM NMI AND FEGULATIONS
10011E DE91RP110Fk Lot 16 and the West 1/2 of tot 19, Deck 37, AN AMENDED PUT Cr 141450 SNORES
SEC110N NO. 1, according to the Plat therm( os recorded h Plat Book 10, Page 70 of the AM Records of
Dade Carty, Florida, now known as 10anil -0a4 Carly, 11.914 .
SURVEY FOR: MARX P. TERRY
349 NE 1020) SIRIET
INA18 SORES FLOrmA 33138
I HEREBY MIN: That the SEE10t OF SURVEY of the above capOsed property was completed under my
erpaefiian and se Wrecks, to the best of my kroadedge and bdla1 Ihte esOey mmte err exceeds the Dktann
Tadonkd StWm& eat teeth by the Fladda Board of Land Swwr re k Chapter 5J-17 Ftoido Admkkho9w
Cade. Pursuant to Secks 472.027, Florida Statute.
1)11.000 ME X PAWL N0. 1203910302 L
COMM N0. 120952 DATE OF YAP: 9 -11 -09
2)DERE DAY DE ADNOOVAE REMOTIONS D1AT ARE NOT GOON ON THIS SURVEY MT DAY BE FOUND D4 TILE
Mt RECORDS OF DOS COUNTY
J VII4A11Q4 OF AMMO! 0) TITLE 00) HAVE 10 BE MADE 10 DETEIOJDIE D1STRINDLI3, IF ANY,
1010 PROPERtt
4) 110 CENDFlCA1106 IS ONLY FOR DE LANDS AS DESCRIBED, IT IS NOT A CERDNCA1101 OF 111LE, ZOONG
EASSEN19, OR FREIEUdi OF ENd008 1HIE9. ABSTRACT NOT REVISED
5 ARO 0ENTPIC411101 OF UI911DAS, P ANT ARE 9404N M ACCORDANCE 16111 RECORDED PLAT
B 6 R/ILECT 10 OPPDON OF 1111E
7 TYPE OF SURVEY: BOUNDARY 914147
B ILE HERON CLIENT PROPERTY WAS SURVEYED AND DESCRIBED BASED ON DE 90080 1EOAL O,SR N:
PI4
9)51IM8EY DAP ND REMIT OR THE COPIES THEREOF ARE NOT VALID AND FDR REFERR0CE 00.Y, MESS 51000
AM SEALED 191H IIW CRIMAL RA6f0 SEA Cr A G 118) DOOMED SURVEYOR AND YAPPER
10)1108 PLAN OF SURVEY, HAS MN PREPARED FOR THE DeOWSIVE USE OF TEE ENDUES NAMED MEOW DM
CERTIFICATE DOES NOT MVO TO ANY UNSAVED PARTIES
1� MS ARE NOT DEPICTED 1ENED9 CONTACT 1FE APP4OPPJAIE AUD1001Y PRIOR TO ANY
ANY 0
TA00 OR 110I57MI ON 1EE P ROPER TY ItEA011 OESO08 9. SURVEYOR bHAt1 BE N OIUED AS 10
1111117X18 F908 0111165 940411 119E481.
12)11IE SIURVEYIN Cr RECORD 016 NOT 0E3ERND4E O SP O FENCES YFASNEDFHI9 SNOW MEW
MET PHISCAL LOCAl1O1 OF FENCE
13)ACCURACI. THE EIPECIID USE OF LAND AS O400840D N TIE MINUS mama STANDARDS (5J-17 MC),
13 'S 90)9900' . DE YADNY RELATIVE INSTANCE ACCURACY FNR DE TYPE OF SMART SURVEYS 1 FOOT
N 7500 FEET. DE ACCURACY OBTAINED 10 CAS REDINT AND 0810)11100 OF A CLOSED OEOIEDOC MOLE
WAS FOUND TO EXCEED MIS RE00 YQIT
14)17 SOME D45TA70ES GRAPHIC REPAES91TAIENS HAVE BEER EXAOORAIED TO 140RE NEARLY ILLUSTRATE
RELAIDNSEIP3 BEDEW PHYSICAL BPROVEYFNIS ANO /OR TAT LINES. D4 ALL CAM g0ENSOVS 940186 9Wl
CONTROL 1HE 10CAD08 OF THE R8040401FN19 OVER 3CAIED P09110NS
15)110 ATIESPT HAS OWN WADE TO LOCATE ANY FOUNDATION MEAD! DE SURFACE OF THE GROUND.
19)C01TAC1 DE APPROPPoAIE A0ONORDY PRIM 10 ANY MIN 991 0Y THE IDAERI 0EStl08E0 PARCEL FOR
0 AND 200140 INFORMATION.
17) AWIOOS OR mama TO 98M141 LOPS OR REPORTS BY 01NER 10110 THE MID PAR1Y CR PARIES R
PR090ED YdMILOUT U9T104 COGENT OF TIE SWIG PARTY OR PADRES
E ()EVA1107S ARE Sift DEY ARE BASED ON A NOSED 1(007. 101 USING 1)190 CEDER
PROCEDURE AND ARE R 810411011E NA1IONAL GE0EOC VERDCAL DAM OF 1029.
0.0 011016 D397010 94111971118
IDEYA140N REFERS 1O DE NATIONAL GEODETIC OM/ DAM OF DEAN SEA LEVEE O: 1929
BFN08800 N -802 EDAM +1191'
LOCATOR Nom 3250 N
DRAWING NO:
11-0100Y
DAD::
04.01 -2011
SCALE
.211
MAD.
W1
Miami Shores Village
IPR n11
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