FW-08-596Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 06/09/2008
Inspector: Rodriguez, Jorge
Owner: DOWSON, DAVID AND NANCY
Job Address: 65 95 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
et........ Inspection Type: Final
Work Classification: Wood Fence
Block:
Phone Number (305)754 -1685
Parcel Number 1132060130710
Lot:
Building Department Comments
WOOD FENCE MAX 5 FEET
0
Passed
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 80011. No permit available
for inspection. Renter does not know where permit is. 6/3/08 CG
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, June 5, 2008
Page 1 of 2
Miami Shores Village
APR 0 4 2300
.1` \` t Building Department ��,
'K 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 BY.
Tel: (305) 795.2204 Fag: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) A 62,,, aWS 0A. Phone # 30,5 / 5 5/ /‘ P6
Owner's Address
City MOM /
Tenant/LesSee Name Phone #
Job Address (where the work is being done) 65 /1/15� 95 5./-
City Miami Shores Vi11ag_e County Miami -Dade Zip _T/3/
FOLIO / PARCEL #
Is Building Historically Designated YES NO \Y___
}
Contracto s Company Name kk2 1 Phone #
P y
Contractor's Address
City State Zip
Qualifier Dame Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Permit No.. NA, (
Master Permit No.
E S
State f Zip 3.3/3 r�
Value of Work For this Permi , �Ut/ L%U Square / Linear Footage Of Work: ($ / F
Type of Work: ❑Addition ['Alteration ['New pair/Replace ❑ Demolition
Describe Work: /®C �P Gyt e
Vikok
Submittal 'Fee $ Permit Fee $ /O9 0� • CCF $ 0 (a0 CO /CC
Notary $ ' / r Training/Education Fee $ 0' l , Technology Fee $ 2 S
Scanning $ CQ .)fJ Radon $ DPBR $ Zoning $
Bond $ I Code Enforcement $ Double Fee $
Total Fee Now Due $ t) l 6- ' 10
Structural Review. $
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 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 j pproved a ' ' reinspection fee will be charged.
Signatur
wner or Agent
The fore goingtinstrument was ac
day of
owledg
befor
me
Signature
Contractor
The foregoing instrument was acknowledged before me this
, 20(k, by Pi �/ /, , �\, , day of , 20 _, by
who is personally known to me or who has produced
As identification and who did take stn"\ as identification and who did take an oath.
NOTARY PUBLIC:
h e is personally known to me or who has produced
2 1
NO ARY ' UBLIC:
Sign:
Print:
0A.611f ..
My Commission Expires:
e k�k+ k+ k�k�kak�k* �k�k�k+ k�k�k+ k+ k�k�k# �k�k�k�k�k�k�k**** �k�k�k�k**** �k% 4�kA_ ***ak*+ k****** *.k*** ******* k***************** **%k*** **+k*#***+k *******
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 07/10/07)
Plans Examiner
Engineer
Zoning
VILLAGE OF MIAMI SHORES
NER BUILD ,R DISCLOSURE STATEMENT
NAME: 1 1
DATE: c/- y s--
ADDRESS: 305 //r q( 5/—
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 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 etnplqyee, 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 hold title to the above property and I am planning on doing this construction
Initial 47
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
Initial 6Z2/2
3. .I 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 ap
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 TL9/)
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 an
attorney. The department will not mitigate'any contract disputes.
Initi
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.
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.
Initi
8. I understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaini}g
the proper permits by licensed contractors.
Initia
Was acknowledged before me this 4 day of A . I 20 tCR
By God( Oojxgt&,who was personally known to
me or who has
Produced there License or
OWNER NOTA
Fl �� l� %p� V) as identification. 4
4, .0
66,0‘44
e,;$ cot,
`S .Q
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
performed on
oes hereby attest that the
(property owner)
L 5 r-v-r9 far-5
(name of surveyoris company)
is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted -or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print)
Affiant/Property owner
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this day of l?r1 L `.1°a
Affiant is L/ personally known to me, . produced
42, RUTH PALMIERI
;�: MY COMMISSION # DD 419749
4 EXPIRES; August 18, 2009
Bonded Thra Notary Publlo Underwdtere
as identification.
Notary
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit NO. FW-4-08-596)
sfkation Woad Pence
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1132060130710
Owners Name: DAVID AND NANCY DOWSON Owners Phone: (305)754-1685
Job Address: 65 95 Street NE Total Square Feet: 85
Miami Shores, FL 33138-
Total Job Valuation: $ 2,000.00
...:
Contra ctor(s) Phone Primary Contractor :.:.
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HOME OWNER Yes ••
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Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 4/8/2008 : Yes
Comments:
Owner's Side
5' -a' MAX
2'-0"
4'
WOOD FENCES
4' Wood post.
2" X 4" Wood Ball
1" X 6" min X 8o
Wood Pickets
ee
PERMIT #:' 0`6+
Miami Shores Village
APPROVED
ZONING DEPT
BLDG DEPT
•
it APR 0 4 2308
BY:
Wood Posts
4' -0" High or Less = 6' -0° O.C.
5' -0' High or Less = 5' -0" O.C.
2915 Fences
2915.1 Wood fences,, so located on .a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minirnum specifications.
1111107,411 Concurred
SUBJECT TO COMPLIANCE' I H ALL EDERAL
ST -I= AND COUNTY RULES AND REGULATIONS
(a) Fences not exceeding 5 feet in
height shall be constructed to 'meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee. -0 inches on
centers, havirjg a fiber seettepf
1200 p.s.i in be
• embedde �p .� a -� �•a
concrete in
diameter " t -0 the : =ep.
Other s sha_ 'be
designe
provisio
Chapte
(b) Fences " ,t � - fegt
feet in h - r • = -cl lysla be
constructed • •as • provided. in
paragraph 2915.1 (al.. herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 .feet -0 inches on
.centers.for these. heights.
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ABBREVIATIONS AND MEANING"!
F N.D. FOUND NAIL & DISK. P R.C. POINT OF REVERSE
FA ■FF(AME' t> I. t; I • (' • CURVE. I,
FT'. FEET.' P OP. • OR:. PROPERTY
Ff�IP
at' DE)`fAL NATIONAL ; CORNER.
Uri C .'ROB M ` „' P B ■:PLLAAT BOOK
I L± Ff4tigilt
PARKWAY
I PRM &.PERMANENT REFERENCE
MONUMENT fi ". I `
P L . PROFESSIONAL LAND
'!t1 SURVEYOR 4i
R RECORDED DISTANCE.
A. }RAILROAD. h a r
RE RESIDENCE-1,
R s> RIGHT•OF•WA. _ 1,'
RA D. • RADIUS OR RADIAL. p.
R P RADIUS POINT
ROE RANGE. s
SEO . SECTION, q • h'r3! ' al.
• STYi • STORY.
SWK. • SIDEWALK. '
S I.P... SET IRON PIPE
! L.B. W6044
S.. SOUTH.
S.N.b.'d.SET NAIL & DISK.L.B.96044
SP. = SCREENED PORCH.
atyl� = SECONDS.
7
T. • TANGENT.
TWP'4ITOWNSHIP.
us]. UTILITY EASEMENT,
UTIL: • UTILITY.
U.P.I. UTILITY POLE.
W.M • WATER METER.
:i!' s °`' }CURVE, I .sit,. 1.',W.F>,. WOOD FENCE.
P.C. •POINT OF CURVE. & • CENTRAL ANGLE:
W .. +WEST:
P.T. POINT OF TANGENCY.
POC: • POINT OF COMMENCEMENT 1. '&'• CENTER LINE. .
• PCB) 6 POINT OF BEGINNING. 4 . ANGLE.
WW
INGS
EASEMENT. '',
D,!y( 7 t L Pc LIGHT POLEI
ASIN. LF,E LOWEST FLOOR
4ETE'BLOCK ! iiiELEVATION
dTUA L f L ..1, LAKE MAINTENANCE
:BLOCIt WA .L , i .k EASEMENT} )
ISTANOErirr . ' INUTES. , j
ING M MEASURED DISTANCE.
1 �.. , MON.•:MONUMEN,T.
U ENOE 4, M/F4.;• MANHOLE
• M{,11N ENANCE d M/L.'• MONUMENT LINE. ,
01E l I { f' N.A.P. • NOT A PART OF
RETE. NOVD NATIONAL GEODETIC ;
ORCH ' '`' {[ ! VERTICAL DATUM.
E SLAB. N, a NORTH.
1E EASEMENT N.T.S.. NOT TO SCALE.
AGE MAINTENANCE 11 u NO. p NUMBER.;
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OVH: • OVERHANG.
r 4 O.R.B. 111 OFFICIAL RECORD B
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IRON PIPE.'
IRON ROD
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X CIA NINA1.L (0,8
y SURVEY (SURVEY).
E ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
IV AFFECi1NG THE' PROPERTY.ITHIS SURVEY IS SUBJECT TO DEDICATIONS,
ES TIONS,,RES R .. ON�B OR EASEMENTS OF REC• D L 3GAL DESCRIPTIONS •
�{iill. C4,x iVh�/O !� "i> Ak�IID R ���.h )�rJ dF�rNE suaVEY WOR
1 v • • •
SURVEYORS S NO'es: 4. I
: REFERRED TO AN ASSUME
IN TYIE OESCRIPTIQN, OF
THEN BEARINGS ARS SEE
WNSHIP MAPS A ) ' a
SHOWN, EL VATIONti A1
%)r
E;REFERRED.
OF- G V.D. OF, 1929. i' I
zi) !THIS 'SKETCH OF SURVEY' REPRESENTS A LAND
' . SURVEY; ALSO REFERRED AS A BOUNDARY SURVEY:
I? '
3A.) THIS IS A SPECIFIC PURhOSE SURVEY.
Ali
4.) THE CLOSURE IN THE BOUNDARY SURVEY IS
ABOVE 1 :7600 FT. '
I HEREBY CERTIFY: THAT THIS 'SKETCH OF SURVEY : ,
OF THE PROPERTY DESCRIBED HEREON A8: E' )
REO NTLY SURVEYED 'AND (DRAWN UNDENMY
;SCR, R■OSION. COMPLIES WItH THE MINIMUJ�1
;TEC NICM . STANDARDS As ORTI{ e' t1
THE', FLORIDA BOARD OE? PROFESSIONAL ND
SURUEYORS.IN CHAPTER 61G17,0, RL RI
ADM NISTRATIVE CODE PURSUA�JT
T Z 02ilF,,L • AIDA STTUTEB,
‘4';. *.: .i. i '"
p 's 19 - C;9
T Y ti. A A SHOWN SCAL ND • b{ TO SCALE'
SU VEV11S Mid - . O THE COSTjOF THE SUijV i 'Fr
Rtl ¢ MET!, .4EANS 1f ISIEiLE AND ABOVE GROUND ENCROACHMENTS
iA RIFY ZONING REGULATIONS, RESTRICTIONS1ANDSETBACKS AND T HEY WILL
E UBi�ITTING P,Lb .PLANS WITH THE CORRECT JNFORMATIONI FOR THEIR
AU �tRATION TO AU ITIES IN ANEW CONSTRUOTION''UNLESS OTHERWISE
AM NA NOT A!`TEMPTE� d LOCATE FOOTINGS AND/OR FOUNDATIONS '
SHIP NOT DETERMINED' •.' t I ','it 1.
J MAPS F VE DESII� T 0 T E HEREIN DESCRIBED LAN PT4 BE
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NE •E I COM NITYa. .12'06x2,; PANEI,,a • ,0093::
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6O��Q IBARRA (DATE OFflR
ROFESSIONAL LAND SURVEIYAR NO. ,0
STATE OF FLORIDA. (VALID COPIES OS.TNIS BUR EYILL.
BEAR THE EMBOSSED SEAL bP THE ATTESTING LAND ,.
SURXEVOR).,•. • I!... .s t €.. :+d -•r, k
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LAND SURVEYORS,,
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