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FW-10-420Inspection Number: INSP - 139999 Permit Number: FW -3- 10-420 Scheduled Inspection Date: September 08, 2010 Inspector: Bruhn, Norman Owner: LOPEZ, MAIKEL Job Address: 117 NE 103 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Pass Failed Correction Needed Re- Inspection Fee September 07, 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 CREATED AS REINSPECTION FOR INSP- 138050. Not Ready NB For Inspections please call: (305)762 -4949 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1121360130810 Page 2 of 20 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING Owner's Name (Fee Simple Titleholder) M A I IL A L- LOl7E Z Phone # 305 4 1'1 °I I S (o 0 Owner's Address 11 N e 103 tzD 5 E ET City M I A M l S 1-tO12- ES State FL_ Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # ROOFING Is Building Historically Designated YES Ow NSIZ. Contractor's Company Name Contractor's Address City State Contact Phone 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 NO V Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ I - Type of Work: ❑Addition ❑Alteration ❑New Describe Work: WOOD F it NC i` 5' 17 LL Pe NC C A l2- OtA Notary $ Training/Education Fee $ O •'ill Scanning $ (k• Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Permit No. Master Permit No. in N 103 W S EET Zip 33135 Phone # County Miami -Dade Zip 33 Phone # Zip Square / Linear Footage Of Work: MMCM:i ifi?, fig MAR 1 62U6 U BY:_ Flood Zone F w icy -4m ❑ Repair/Replace ❑ Demolition ********* * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * es ************* * * * * * * * ** * ** * * ** * * * * * * * * * * * * * ** ?Pi k �ubmittal Fee $ ° /° Permit Fee $ T w .J CCF $ I. CO /CC $ Technology Fee $ 1400 Bond $ Total Fee Now Due $ Q04-a0 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 CONDMONERS, 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. Signature Signature or Agent Contractor The foregoing instrume it was acknowledged before me this fi'4o The foregoing instrument was acknowledged before me this day of AQ -- , 20 (a by TY1 A-114t , day of , 20 _, by who is personally known to me or who has produced 1_ 1V) 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: er o►►u isan % - tom .... Sign: \� Print: Bm� a On My Commission Expires: _ v> i i i (Revised 07 /10 /07XRevised 06/10/2009) NOTARY PUBLIC: Sign: Print: My Commission Expires: *******************************44 4 a j 4***** * * *** * * * * ** * * * * * *** **** r� *** �r rt * �r fr ,� �r�e APPROVED BY J ���� Plans Examiner � , /O Zoning Engineer Clerk checked OWNER BUILDER DISCLOSURE STATEMENT NAME: M Pt nu= L ZOPFZ DATE: 3/I VI/ ADDRESS: 117 A J a I O, 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 fora 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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 properly listed, may act as my own contractor with certain restrictions even though I do not have a license. N 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 l Initial 444411 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 nu l . -rs on permits and contracts. Initial /41.1A. 4. 1 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 su .,; . tially improved it for sale or lease, which violates the exemption. Initial 5. I understand that, as the owner-builder, I must provide direct, onsite supervision of the construction. Initial 6. 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. 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 homeowners 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. Initial 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 Dally and financially responsible for this proposed Construction activity, l 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 htto:// www. mvfloridalicense .comidbnrioro /aib/index.html, Initial •.VJ 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: Initial 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. Was acknowledged before me this 1( C' By IVA uss- t Produced there License or day of , 20 to 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. who was personally known to me or who has as identification. NOTARY . • • • • P 14 WO 44 4 to t-c =it* /f •t • • 1 ,..-�:�T i O CCNIPLIANCE JU LLLN1YRULE •••• • .•• • 000 .• • • •• 00 •1 ••• • •• s• •••• • i • • •••••• • • • - • ...i •'•1 • .• • • • • • • • • •• • • • solo• • • • ORONO TO 11E NgNDNAL FLOOD INSURANCE PROGRAM 1HE SUBJECT PRoPoi1Y IN FLOOD ZONE: SKETCH OF SURVEY SCALE r 0 Kc1 y 1 6 2010 LOCATION MAP OELT.S.) t.k• SURVEYORS NOT ET hb coney eeseaoadhosedlbr0a moon= o lko Ab+ rAeroecchandbmtiga naleodetne®oelse r a •m+ ( MONK IdiegamOIDndarwoeleesay baen.•omodslonarcherally. h Theaccuomanbairodlbptneaustnenaccolcolcutionscrlistuna. mhomd osecos halenso Tetanal brsetbudbee•reap botb7E0o[ee4calta golf pClahor 7-5 RoddoAdn CI Tan Sunasrdoesresrwaet •rdesnaiso•na b. � � :$ e� n +� MSc .' ed � ao.•ee � dt ese , e�e�apaoesASOr 7Nbssv�Yp•s de o aissa#aarabss'rgme tnarq 1plahwonden• • • • er�ragdasmme highaor p•poosnora ' nrh.abaeeeaeedobrOmionmalbraen ssposasda+outmo I ®J its not•oedesaatmss ei)labonhavpma,eaee.aaptain ®v7eb Bone. t� FEWIER bsmdtfr btwWanaea ao r0wtmsyaraesbcoona o aeeaaw reatlseseiedeaaabsd V •r igrmjohnowouse ma pesoaocepstseeesoss VS Fanooa rrothbdaunhobydeud ondhhand a lagetaare Mono e1 llg•preRtalwseeeberasmabblab_ =cal pthgooltboso IledketienarMachotp *oonot hrniehed ►a"••apewepaae9pirprtarar� Q'0 8 dep rbwa.b•+eod dt�tos b iebetnesoa e�rosyeread libpperaa boisoee iletsedoO�LB�,btabdRagds Mita own" isaeealfdalll saes regsemffiedoi l= Rollo LSono Loodanconnota wpm. . IlaS fib• �' E nnan�raeleaatheebnBatoha /8larg@thocha ndpmpa�j, seda0oasbts �ndardnaseYf aha rInC07� peeardOn�earflye RagFc gaerasaeneATadaaTSm1 Cbdq, Paul= bSaet<Ore� �lfde$tea,a DAlEt .1123 RUMS SIDRitllHll i P +Fl5+ OICtlIM8 ' • o 2B7,at 1 101-- /7 488 1 /6533 1 i , �:2 P� POI& Waft= inialTERSBIEW DAM. inounowE sae CERTIFY TO: MAIKEL LOPEZ & DAVID VALDES. SOVEREIGN TITLE & TRUST COMPANY. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY. REGIONS BANK D/B/A, REGIONS MORTGAGE, its successors and/or asks, as their imp nay appear. PROPERTY ADDRESS: 117 NE 103 Street Mimi Shores, Florida 33138. LEGAL DESCRIPTION: Lot 17 and the West V of Lot 18, Block 122, of "MIAMI SHORES SECTION 5", according to the plat them as recorded in Plat Book 15, at Page 47 of the Pak Records of Miami-Dade County, Florida. ' FOR: MAIKEL LOPEZ & DAVID VALDES. MMERgent PF1@'AFDa am ff GROUP M LAND $E — LAND F FOUND t�epE.g FL EA Mama OF anno ; LB 4507 ia/N RO % rin 950 S* 22nd s R & 0 AM EItIA 33185 CBS p 7, i-71873 Ca709 BM • Oral CA . am MC& UNE V.F. CL. CLEAR NBC MOM, • ' VOW MICE =am COME CP. CONCEDE POLE W in woo n � en slooD POLE LP. ECM POE P.CP. p t COMM ▪ yp cm- es &wow= EA59maT & MAPPER,. 57A1E OF FLORIDA. •••• • • • • •• • • • • • • • • • • o Shadow Box o Vertical Picket Board on Board • • • • •• • • • •••• • • • • •• •• • • • • • •••• • • •••■ Mav 2009 • • • • ••• • • •• • • • •• • • • • • 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 • • • • • •• ••• •• •• WOOD FENCE DETAIL 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 less than two fasteners in any connection 1� N L l O5 5`7 M iami Shores Viiiage 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 iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIREMENTS FOR FENCE PERMIT Permit application must be accompanied by: ❑ 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 ESPE E ATIO •• : • MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCH/ EC ORAL OR • • ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY PRObblerAPPRY3 'LS. • • Revised on 5/22/2009 •••• • • .• • •.•• • • • • • • • • • • • •• • • • • • • • • • • • • • • • •••• •