FW-10-515Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
41 109 Street
Miami Shores, FL 33168 -4314
1121360030290
Block: Lot:
VIVIANE SANCHEZ
Parcel Number
Applicant
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$5.00
$104.00
$3.00
$1.60
$115.20
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Valuation:
Total Sq Feet:
Approved: Yes
Comments: FENCE IS LOCATED 5 FEET FROM REAR LOT LINE AND AREA BETWEEN FENCE AND REAR LC
Date Approved: 3/29/2010: Yes
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info: BUILDING
Pay Date Pay Type
Invoice # FW -3 -10 -37418
03/29/2010 Credit Card
04/13/2010 Credit Card
Amt Paid Amt Due
$ 50.00 $ 65.20
$ 65.20 $ 0.00
April 13, 2010
Date
Expiration: 10/04/2010
$ 1,500.00
104
Available Inspections:
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.
April 13, 2010 1
Inspection Type:
Final
Foundation
1
Inspection Number: INSP - 142006
Permit Number: FW -3 -10 -515 I
Inspection Date: May 03, 2010
Inspector: Bruhn, Norman
Owner. SANCHEZ, VIVIANE
Job Address: 41 NW 109 Street
Miami Shores, FL 33168 -4314
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
May 03, 2010
For Inspections please call: (305)762 -4949
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1121360030290
Page 1 of 1
Passed _
r"�
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 139095. Provide the 40 sq ft of
garbage area at alley. NB
Cr---
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP - 142006
Permit Number: FW -3 -10 -515 I
Inspection Date: May 03, 2010
Inspector: Bruhn, Norman
Owner. SANCHEZ, VIVIANE
Job Address: 41 NW 109 Street
Miami Shores, FL 33168 -4314
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
May 03, 2010
For Inspections please call: (305)762 -4949
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1121360030290
Page 1 of 1
BUILDING
PERMIT APPLICATION
FBC 20
City f / State T2
Tenant/Lessee Name
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
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) Vitt/Lie G F S CUE.t Phone # 3O' 3 34' S cl'if
Owner's Address lj / AAA) /0 ° T S1t
Email l/i(/®f+ e coo„
Job Address (where the work is being done) e l/ X44.1 / 9 Sf
Permit No. F1A) 1 CJ ° 515
Master Permit No.
Zip 3 VC
Phone #
City Miami Shores Village County Miami -Dade Zip 3 16
FOLIO / PARCEL #
Is Building Historically Designated YES
NO Flood Zone
2016
BYO 11911 somesenesoseeaso
Contractor's Company Name au t\—�t 1 1 L.D jZ, Phone #
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 $ S Oc7 - c.s3
Type of Work: ❑Addition ❑Alteration [New i i Re air/Replace ❑ Demolition
Describe Work: 2Pp-€0 CL- d a 14 fetA C WO
*• *, * *, • • * *• • * * * * * * * * ** *** * * * * * ** * * * * ** F ees ( * •• * * * * * *•* * * * * * * *• ** * * * * * * * * * * * * * * * * * **
Submittal Feel50 .03 Permit Fee $ ,"D / CCF $�• 2 CO /CC $
Notary $ S Training/Education Fee $ 0 ` Technology Fee $ I - (oc0
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $
Square / Linear Footage Of Work: /e - I
Total Fee Now Due $ cos.ao
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 he issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a co - of he o ce • commencement and construction lien law brochure will be delivered to the person
whose property is subje oat ch r. nt. o, a ertjfled copy of the recorded notice of commencement must be posted at the job site
for the first inspection ys after the building permit is issued. In the absence of such posted notice, the
inspection will ' be a. ove' a are' sp =ctio fee will be charged.
Signature -_ � Signature
mum
:; ent Contractor
The foregoing instrum: nt was , ckn • wledged before me this Z The foregoing instrument was acknowledged before me this
day of UN , 20 1.0, by VI V t i 2_•. 54 •+�1t ' day of , 20 , by
who is personally known to me or who has produced Pt — 1 07 who is personally known to me or who has produced
As identification and yiipldi4� ce an oath. as identification and who did take an oath.
• - .. NOTARY PUBLIC:
Sign:
Print:
NOTARY PUBLIC:
My Commission Expires:
(Revised 07 /10 /07)(Revised 06/10/2009)
a ®;
y , � '
F '-:
tT u+
c t om
o
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY . � VC1 Plans Examiner /�
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Engineer Clerk checked
OWNER BUILDER DISCLOSURE STATEMENT
NAME: V /ldo l u abut' 1 --/et DATE: 3 / 2- V/pl 1)
ADDRESS: £'/ A / (-C.f
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 -bu' der
permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act y own
contractor with certain restrictions even though I do not have a license.
Initial �.
2. I understand that building permits are not required to be signed by a property owner unless he or she is respon and is not hiring a licensed contractor to assume responsibility. • 1
3. I understand that as an owner builder, I am the responsible party of record on a permit I understand that I may prat= •1 elf
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name i, : _ . d y own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or li:: n 't I - rs on
permits and contracts.
5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Initial
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 V prove
a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupan . It may
not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially it proved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I b :,,�• r� r daily improved it for sale or lease, which violates the exemption.
Initial
_1
Initial ail
ding or
residence. It is my responsibility to ensure that the persons whom I employ have the license required by ty or
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on m i
municipal ordinance.
Initial
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 employ = while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully a . an
owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
r4
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not li «- to
perform the work being done. Any person working on my building who is not licensed must work under my direct su s : 'sion,
and must be employed by me, which means that I must comply with laws requiring the withholding of federal income . and
social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers com for
the employee. I understand that my failure to follow these may subject to serious financial risk. V
Initial oil
9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all ,Fcab
laws and requirement that govem owner - builders as well as employers. I also understand that the
Initial Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. J
� yi►
�
A L ° Initial Al initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information t I /
Initial
have provided on this disclosure.
w
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have
license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unab - 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.
10. I understand that I may obtain more information regarding my obligations as an employer from the Intemal Reven ue S
United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may co
Florida Construction Industry Licensing Board at 850.487.1395 or htto: //wrww.mvfloridalicense.com/dbpr/ pro /cilbr
11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the
legally and financially responsible for the proposed construction activity at the following address:
Was acknowledged before me this Al day of /-AA- , 20 Il
By \S t V t i°,*r s
who was personally known to me or who has
Produced
\ utliu
rArpG of:
-a 3. c
Gr•
LTN
t0 �.
as identification.
NOTARY
Initial
the
ct the
oanran• and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner's Name: VIVIANE SANCHEZ
Job Address: 41 109 Street
Miami Shores, FL 33168 -4314
Permit NO. FW -3 -10 -515
sq Permit Ty Fenc a#I
�ork
Issue Date: Not Issued
Expires:
Folio Number:1121360030290
Owner's Phone:
Total Square Feet: 104
Total Job Valuation: $ 1,500.00
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 3/29/2010 : Yes
Comments: FENCE IS LOCATED 5 FEET FROM REAR LOT LINE AND AREA BETWEEN FENCE AND REAR LOT LINE
WILL BE SUFFICIENT FOR TRASH AREA IF FENCE IS CONSTRUCTED AS SHOWN ON THE PLAN
SCALE: 1" = 20'
SKETCH NO.: 09 -0806
DRAWN BY: SP
SIDE 2 OF 2
FOUND 1/2"
IRON PIPE
o/8 0.20'(N)
0.09'(W)
0.1'(E)
V
,y N
ti N
6l o0(
to74
FOUND 5/8"
IRON R OD
0/8 0.16'(S)
SUBJECT 10 COMPLIANCE WITH ALL FEDERAL
STATE AND C(LjN Ili RULES AND REGULATIONS
0
4' C.L.F. . ` N
5.7'(S) O•
4' CBS J
WALL
0.05'(w) /
10.11'
10.18'
4' C.L.F.
0.3'(E)
M ami Shores Village
26.5'a '.
CONC.
1.9'
9.86'
ad
e'
5.0
1 89'5 /- 4' C.I.F.
x x x x x x x r 5.55'(5)
45.5' 0.35'(W)
39.65'
1 STORY C.B.S.
RESIDENCE #41
N M
N 15.2' -
\
25.35'
LOT 29
BLOCK 219
/• i _
75.00 5 CONC. WALK
g
61.3' • •
'ASPHALT
•• 12' ASPHALT PAVEMENT
FENCES, WALLS, HEDGES
INSTALLED ON ALLEY MUST
ALLOW 40 SQ. FT. FOR
TRASH CANS, TREE TRIMMINGS, ETC.
N.W. 149th STREET
ASPHALT PAVEMENT;,:•
—a` e
Z . 4' W.F.
e
0.40'(E)
a
4 a
4
A/C
11.55'
4' C.L.F. J
0.2'(W)
12.58' N
ss-
i'iMMEWIth
MAR 2
BY:
//—
4' W.F.
0.5'(E)
FOUND
N AIL
o/s 0.13'(S)
5 GIA
PIP'S
FOUND 1/2"
IRON PIPE
(75' RICHT -OF -WAY)
LIMITS
254.
0 01
BLOCK
CORNER
o Shadow Box
o Ve
Board on Board
May 2009
WOOD FENCE DETAIL
4x4 Post Spacing
Fences <= 5' high posts spaced at 5' on center maximum
Fences <= 4' high posts spaced at6 ' on center maximum
Fence must not exceed 5' in height
4x4 pressure treated
posts embedded 2' Into
concrete footing 10"
diameter x 2'deep
M iami Shores Viiiage
Building Department
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
lx pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
Revised on 5/22/2009
Permit application must be accompanied by:
Miami Shores Vijiage
Building Department
REQUIREMENTS FOR FENCE PERMIT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
❑ 2 copies of your survey (not older than 7 years).
❑ If survey is older than 7 years fill out Survey Affidavit form.
❑ 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).
❑ Show the proposed size on survey including, required 40 sq ft of garbage
area, location of gates if any, and height (can not exceed 5' ft height).
❑ Include wood or chain link specs form (one with each survey).
❑ $50.00 submittal fee when submitting your permit.
NOTICE:
ALL OTHER TYPES OF FENCES 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.
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