FW-09-1076 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (300795 -2204 Fax: (305)756 -8972
i nspection Number: INSP- 117910 Permit Number: FW -6 -09 -1076
Inspection Date: August 25, 2009 Permit Type: Fence/Wall
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: BAPTISITE, CILOTTE Work Classification: Wire Fence
Job Address: 534 NW 113 Street
Miami Shores, FL 33138 -0000 Phone Number
Project: <NONE> Parcel Number 302136021085
Contractor: OWNER
Building Department Comments
NEW WIRE FENCE
Inspector Comments
Passed �.
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
For lns ectii�ns please call. (305)762 -4949
August 25, 2009 Page 1 of 1
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S h�. Miami Shores Village
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10050 N.E. 2nd Avenue y
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: 1111tt6,;
Miami Shores, FL 33138 -0000
' Phone: (305)795 - 2204
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Expiration: 121291200
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777,77-
Project Addres Parcel Number Applicant
534 113 Street 3021360210850
Miami Shores, FL 33138 -0000 Block: Lot: CILOTTE BAPTISITE
Owner Inf ormation Addres Phone Cel
_. _. _ _..
CILOTTE BAPTISITE 534 113 Street
MIAMI FL 33168 -
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
OWNER
Total Sq Feet: 112
Approved: Yes For Inspections please call:
Comments: PROVIDE PROPOSED FENCE HEIGHT
(305)762 -4949
Date Approved: 6/30/2009: Yes Available Inspections:
Date Denied: Inspection Type:
Type of Construction: Wire Fence Additional Info: 6 FEET HIGHT. ( Final
Classification: Residential Foundation
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $0.60 FW -6 -09 -35211 $ 50.00 $ 50.00
Education Surcharge $0.20 $ 0 •��
Notary Fee $5.00
Permit Fee - Wire & Wood $113.00 FW - - - 35254 $ 74.62 $ 74.62 $ 0,00
Scanning Fee $3.00
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $2.82
Total: $124.62
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: 1 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 06, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 06. 2009 1
ti 1011\ C Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:. (345) 795.2204 Fax: (305) 756.8972
BUILDING Per
PERMIT APPLICATION Master Pertnit No.
FBC 2004
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) l'{ �(^ Phone
Owner's Address /� �/l� (� ✓ee f `��- r-PC
City C ` ' a 1n 1 State Pl oy a Zip 531
TenanM.essee Name Phone
Job Address (where the work is being done) 6-3 (NjAj 1 1 3 , a6Vet
City Miami Shores Village County Miami -Dade Zip 3��
FOLIO/ PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration [ Repair/Replace ❑ Demolition
Describe Work• Cha t n U o L n cc
00 a pse
Submittal Fee $ � Permit Fee CCF $ 0 COiCC
Notary $ Training/Education Fee $ Technology Fee $ a `
Scanning $ (3 , On Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee
Structural Review. $ Total Fee Now Due $
See Reverse side -4
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage a Lende � r , ,, Natn". (' r cable)
Mortga�;eT�ender's Address. QA -x
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. - fcedify that as the`ltoregeing iufoonatigh 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.
Signatures Signature
Owner or Agent Contractor
The fo going instrument was a wl ged a me this The foregoing instrument was acknowledged before me this
day o, 20 (r fl by day of 20 _, by ,
,w o is personally known to me or who has produced who is personally known to me or who has produced
11 - 11 As identification and who did take an oath. as identification and who did take an oath.
NbTARA PUBLIC:o o 0 ,� NOTARY PUBLIC:
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Sign: �� Sign:
Print: Cgs G �` �� Print:
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
or
Engineer
K. J Zoning
(Revised 07/10/07)
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5582 N.W. 7TH STREET, SUITE 202 Nova MIAMI, FLORIDA 33128 �
TELEPHONE: -782 2243171 SURVEY NO.
FAX: (305) 554.7822
LAND SURVEYORS SHEET NO - OF 2
SKETCH OF SURVEY scale "= 2 0
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PERMIT ##:
Miami Shores Village.
APPROVED DA
ZONING DEPT �O
BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
VILLA GE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: DATE:
ADDRESS: 559 1 S�1' t
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, FS 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 residbnce. 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 sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as it 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. An y person working on your building who is not licensed mast 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 road and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Myself
J
Initial
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
permit.,
Initial
3. 1 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
4. I; understand that 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 4a
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 required 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 understand 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 doctor and related cost which could include
loss of wages during recovery from injury.
Initial
8. .1 understand that under state and local laws 'l can not do . any Electrical,
Plumbing, Heating, Air & Roof work on my . property with out first obtaining
the proper permits by licensed contractors.
Initial
Was acknowledged before me this day of , 20
B �J who was ersonall known to me or who has
P Y
Produced there License or as identification. ' 10
0 R 7 NOTARY1,a,.,9
fte r'
Miami Shores Village Permit NO. FW - 6 — 0 9 - 1 0 7 6
e 10050 N.E. 2nd Avenue "' ..
m
Miami Shores, FL 33138 -0000
}�F?177i1 88111a1i
Phone: (305)795 -2204 Fax: (305)756 -8972
�`���� ✓+! Pik€ /#lGiQf7titQ�t1C$
''`-- --'' Issue Date: Not Issued
Expires:
Folio Number 3021360210850
.......................
.......................................... ...............................
Owner's Name: CILOTTE BAPTISITE Owner's Phone:
Job Address: 534 113 Street Total Square Feet: 112
Miami Shores, FL 33138 -0000 Total Job Valuation: $ 1,000.00
......... .........
Contractor(s) Phone Primary Contractor
OWNER Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 6/30/2009: Yes
Comments: PROVIDE PROPOSED FENCE HEIGHT
FENCE CAN NOT EXCEED 5 FEET IN HEIGHT
6/30/09
LOCATED IN ANNEXATION AREA MIAMI -DADE RULES APPLY 6 FOOT CHAIN LINK FENCE ALLOWED
ig and Zon'ng Criter'
R
Miami Shores Village Permit No. FW-6-09-1076
I IrT 10050 N.E. 2nd Avenue ...........
............ .............
.............................. . . .... ..........
............ ..............
all:
..............
............
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Pwm -T F
..................
........... .: .. ................................... .............. ................ ............. ............ ...............
Miami Shores, FL 33138-0000 . .... ............... .................... ......
- - ... :* --, ..... -* .......... ............................
............ ........................... .........
..... ....... ....................
...... ... . ......
Phone: (305)795-2204 Fax: (305)756
-----------
................. -------
Wj
................. ........
r W
-8972 .........
.............................. . ........
....... ....... -- ........................ .................. M!: 5V.
. ........... ...........
Issue Date: Not Issued Expires:Not Issued
.................
..........................................
........ .......
Folio Number:3021360210850
Owner's Name: CILOTTE BAPTISITE Owner's Phone:
Job Address: 534 113 Street Total Square Feet: 112
Miami Shores, FL 33138-0000
Total Job Valuation: $1,000.00
.............. ....................... .................. ................................................................ ......................... ........................ - ......... - ..... .............................
Contractor(s) Phone Primary Contractor
OWNER Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied:
Comments: PROVIDE PROPOSED FENCE HEIGHT
FENCE CAN NOT EXCEED 5 FEET IN HEIGHT
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
R eturn to:
Miami Shores Village Invoice Number: FW-6 -09 -35211
10050 N.E. 2nd Avenue NW Invoice Date: June 25, 2009
Miami Shores, FL 33138 -0000 Permit Number: FW -6 -09 -1076
Bond Number:
Bill To I Comments:
CILOTTE BAPTISITE
534 113 Street
MIAMI, FL 33168-
��
Date Fee Name Fee Type Fee Amount
06/25/2009 Submittal Fee Fixed $50.00
Total Fees Due: $50.00
Payments
Date Pay Type Check Number Amount Paid Change
06/01/2009 Cash $50.00 $0.00
Total Paid: $50.00
Total Due:
L
Thursday, June 25, 2009
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: FW -6 -09 -1076
Invoice Number: FW -6 -09 -35211
Applicant: CILOTTE BAPTISITE
Company Name:
Date Payment Type Check Number Amount Change
06/01/2009 Cash $50.00 $0.00
Total Payment: $50.00
i`E3 - r3rg
Thursday, June 25, 2009 Page 1 of 1