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FW-10-1249Inspection Number: INSP - 148107 Scheduled Inspection Date: July 28, 2010 Inspector: Rodriguez, Jorge Owner: Job Address: Miami Shores, FL 33161- Project: <NONE> Contractor: HOME OWNER Building Department Comments INSTALLING WOODEN BOARD ON BOARD GATES Passed Failed Correction Needed Re- Inspection Fee July 27, 2010 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Phone Number (305)323 -1964 Parcel Number 1121360110430 Permit Number: FW - -10 -1249 Permit Type:'Fence/Nall Inspection Type: Final Work Classification: Wood Fence Page 15 of 31 Project Address Miami Shores, FL 33161- 1121360110430 Block: Lot: Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Parcel Number Phone MIAMI SHORES FL 33161 (305)323 -1964 1 Contractor(s) HOME OWNER Phone CeII Phone Approved: Yes Comments: Date Approved: 7/9/2010 : Yes Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: BOARD ON BOARD GATES Scanning: 2 Fees Due CCF Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $100.00 $6.00 $1.60 $109.20 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Pay Date Pay Type Invoice # FW -7 -10 -38392 07/14/2010 Credit Card 07/09/2010 Credit Card Amt Paid Amt Due $ 59.20 $ 50.00 $ 50.00 $ 0.00 Applicant Valuation: Total Sq Feet: $ 1,600.00 27 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. July 14, 2010 Date Expiration: 01/10/2011 Cell Available Inspections: Inspection Type: Final Foundation 1 July 14, 2010 1 BUILDING PERMIT APPLICATION FBC 20 Folio/Parcel #: Miami Shores Village Building Department JOB ADDRESS: City: Miami Shores 030 Is the Building Historically Designated: Yes NO 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 y Permit No. CIA- ( � ( 2' I Master Permit No. Permit Type: BUILDING Phone #:( / Address: City: A it/ .S }-t O tt ES State: FL- Zip: 33 / (u Tenant/Lessee Name: d /db. Phone #: /VA Email: County: CONTRACTOR: Company Name: /✓ /4 (14o vue_o v tr k) Phone #: Address: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: DESIGNER: Architect/Engineer: Phone #: Email Address: Value of Work for this Permit: $ / OD Square/Linear Footage of Work: .27 Fee..+ 1 Type of Work: ❑Address (]Alteration i ew nn ORepair/Replace ODemolition Description of Work: i v�S4.4 vu� L,. cre'1 o d,. C kDc.-41 0 v.. 4.14, ) (="A—CA paMW3 BY. .a .•.....w Miami Dade Zip: S/ 4 / Flood Zone: A/® COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * ** ** * *** ** *, *** * *,a***** Submittal Feer - 0 Permit Fee $ Ja0 " CCF $ CO /CC $ Scanning Fee $ L e ! Radon Fee $ ^ DB BP PR $ Bond $ n Notary $ Training/Education Fee $ t l� -4C)Technolo Fee $ ' (1)0 Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ::1•220 Bonding Company's Name (if applicable) A/ /p 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 a pproved and a reinspection fee will be charged. APPROVED BY Signature — Signature "v: r or Agent Contractor The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me this day of , 20 (d , by . , day of , 20 , by who is persona y known to me or who has produced et-- k ( who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC. NOTARY PUBLIC: Nniiuii,11, � I ./ _/r . • . 'ci Sign: °ir ��l %O. = Print: = ca !p , f v k : us z. �.._ %) *offaii;***e;************************************************************* ." ,a 11111 Sign: Print: My Commission Expires: (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09Xrev6/4/10) Plans Examiner My Commission Expires: Zoning Structural Review 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 *&BATE: Q/r ° ADDRESS: / ® /4 i or4/ t C SeoVS_S l ft S8 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. NAME: Please read and initial each paragraph. 1. !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 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 Initial Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand tMrr 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. 4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may t uild 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. Initia 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons`wotking 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. 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 n icenses 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. ! 414AA4 8 Cas&es ' 33(6 Initial Initia Initial I 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will a•': -- sy all applicable 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. 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.myfloridalicense.com /dbpr /pro /cilb /index.html 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that the party legally and financially responsible for the proposed construction activity at the following address: 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. Inigar �L_ Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who do not ve 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 owners 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 4 7 day of p , 20 /0 By / who was personally known to me or who has Produced there License or as identification. VILL CALL, FO. TRI COUNTY /O TITLE '..DARANTY OF S. 'LORIDA, INC. THIS INSTRUMENT PREPARED BY AND RETURN TO: Title Guaranty of South Florida 4470 Weston Road Davie, FL. 33331 Property Appraisers Parcel Identification (Folio) Numbers: Spay Above This Line For Recording Data THIS WARRANTY DEED, made the 20 day of NOVEMBER 2009 by , whose post office address is , MIAMI, FL 33161 herein called the grantors, to , whose post office address is , MIAMI, FL 33161, hereinafter called the Grantees: (Wherever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs. legal representatives and assigns of individuals. and the successors and assigns of corporations) W I T N E S S E T H: That the grantors, for and in consideration of the sum of TEN AND 00 /100'S (810.00) Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee all that certain land situate in Miami Idle County, State of Florida, viz.: See Attached Exhibit A Miami Snores Subject to easements, restrictions and reservations of record and taxes for the year 2009 and thereafter. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND, the grantors hereby covenant with said grantees that the grantors are lawfully seized of said land in fee simple; that the grantors have good right and lawful authority to sell and convey said land, and hereby warrant the title to said land and will defend the same against the lawful claims of all persons whomsoever, and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2008. IN WITNESS WHEREOF, the said grantors have signed and sealed these presents the day and year first above written. 2 page of Deed File No: PS88 1111 CFN 20O9R0913880 OR Bk 27125 F'ss 1758 - 1760 ;; (3pss) RECORDED 12/22/2009 15:53:42 DEED DOC TAX 1t950.00 HARVEY RUVINt CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA Planning and Zoning Criteria Approved: Yes Comments: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Expires:Not Issued Folio Owner's Name: Job Address: Miami Shores, FL 33161- Owner's Phone: Total Square Feet: Total Job Valuation: 0— 27 $ 1,600.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Date Approved: 7/9/2010 : Yes o Shadow Box May 2009 WOOD FENCE DETAIL 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 4x4 pressure treated posts embedded 2' into concrete footing 10" diameter x 2'deep ALL wood must be pressure treated All fasteners must be corrosion resistant No Tess than two fasteners in any connection Miami Shores Village Building Department 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 ispitmi#P1W , VaAo 11VbS Property Address: Not NO N MIAMI SHORES FLORIDA 33161 BLDG DEPT Accepted By MIGUEL ESPINOSA LAND SURVEYING INC 10665 SW 190 kix Street Suite 3110 MIAMI, FL 33157 PHONE:(305) 740-3319 FAX #:(305) 669-3190 LB # 6463 ••• • •e• • SUBJECT 1 CLN WITH ALL FED RAL STATE AND CL,UN Y HULLS AND REG ULA IONS Survey: A-11823 PAGE 1 OF 2 (t. • • • •• • •• •• • • • • 1 2_91 1 ••o•oo • • • •OOOOO • • 0 1 01.•: OOOOO • • OOOOO •OO••• • • • OOOOOO • • OOOOOO • • NOT TO SCALE Certified To: TITLE GUARANTY OF SOUTH FLORIDA, INC., OLD REPUBLIC NATIONAL TITLE INSURANCE FLAGSTAR BANK, FSB Its'successors and/or assigns, as their interest may appear Community Number. Panel Number0302 Suffix: L Date of Firm Index:09 /11/2009 Flood Zone: x Base Flood Elevation: Date of Field Work: 11/21/2009 Date of Completion: 1/1/1900 43 Tt! CF.:# S VET ISIjRtld UIS8T (tA' i€ i : - dtil{5Y OTTaR NUS WIT OIITTr N to r0Fi✓�i UE) .< . AY ��troOTehmst TIONSORO11eRIIIPR0v 7) e s To RI aim ttt t•liit! 1tItdIES�2SEkLEO rtH DS7>RyETe SE &M sft. +4t ilik � l .r eN C V ats t> .QTt SEIIOTED, Doss .,. moofotk7 - rpm FT —••••11 ATOI Se7N0't? '�tYt �...., ,. ••• • Legal Description: LOT 11,BLOCK 215,OF DUNNINGS MIAMI SHORES EXTENSION NO. 7 • •••••• ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 52,PAGE 13; • • • OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. •••• • • /f / %i�if �� ��• • � • • :1400.4. RS. • )Ufl l . - 7 . 7 ••.• •• •.: a 'm I L f i. pyAX[.' . t .. pA • .% ..• comerisisateti rte` Property Address: MIAMI SHORES FLORIDA 33161 MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 SW 190TH Street Suite 3110 MIAMI, FL 33157 PHONE:(305) 740 -3319 FAX #:(305)669 -3190 LB # 6463 Accepted By Survey: A -11823 PAGE 2 OF 2 • • • • • • • • • OOOO • • • ••••• • • • OOOOO •••••• • • • OOOO • • •••••• • •