FW-06-870Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Nun
INSP -14001
Permit Number: •FW4-0 -$70
Inspection Date: 02/2012007
Inspector: Grande, Claudio
Owner: SALOMON, KENNETH
Job Address: 973 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Block:
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1132060143130
Lot:
Building Department Comments
CHANGE CHAIN LINK FENCE FOR WOOD FENCE
FEB 2 2 2
Passed at
4)1°
Vinspector Comments
NO PLANS AVBL.
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Thursday, February 15, 2007
Page 1 of 1
Miami Shores Village rn5q 4IizJ0G
Building Department tolQ'iiri" ms0- 4'z3
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Et A FeMEME
0 2006
PERMIT APPLICATION
FBC 2004 BY:
Permit Type (circle):
Building
Elect
Permit c:;-K2
Master Permit No.
Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) /<'n.i (0 P1 OA/ Phone #
Owner's Address C77 d 7 51-Lk S1--
City 6 ' i Ct (An ; 5 (Acme, State FL
Zip
Tenant/Lessee Name Phone # 3 0 5 7S-9 ^ a�� & V
Job Address (where the work is being done) Q Q i qC 0 VI—(
City Miami Shores Village County . Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name (} c . 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 $ iC3 •
Type of Work: °Addition
Describe Work:
°Alteration
Square / Linear Footage Of Work:
°New
!z7'
Repair/Replace ° Demolition
* ** * ***** *, * * * * * ** * * *, *** * * * **** **** ** Fees** * * * * * * * * * *: *** * ** ** * **,r*** * * *** *** * *** * **
Submittal Fee $ G . Permit Fee $
CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
Zoning $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent
Signature
Contractor
The for going instrument was acknowledged before me this •S The foregoing instrument was acknowledged before me this
day o i� `0 L , 2oc(2f$ ..DfVtC J / KCt.JF.J day of , 20 , by
who is personally known to me or who has produced who is personally known to me or who has produced
1� As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Co
rtr0 ' I.
.ra• 1 .
ssion Expires Bond;" Atlantic `•n'
76455
* * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * ** **t** ** Cyr****** ** ** ****** * ** **** ***t * ** * ******
DCm
Plans Examiner
Engineer
Zoning
NAME:
ADDRESS:
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
,
: erg _5016o ow
cr7e- NE qs-T) 9r-
DATE:
nc
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 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 hold title to the above property and I am planning on doing this constructio
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
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.
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 meet 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 an
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
144,
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. 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 obtaining
the proper permits by licensed contractors.
Initial (4
Was acknowledged before me this day of AC f: , 20 v CA
By E1■1 ME S rn °kl who was personally known to me or who has
Produced there License or
l.b
as identification.
..STATE OF FLORIDA)
COUNTY OF DADE) to The undersi ed Affian N f 1 w
undersigned , does hereby attest that the
(property owner)
attached survey, performed by
(name of surveyor's company)
performed on , 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) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this -5 day of 0.) L t Zc b
Affiant is personally known to me, produced
ED
as identification.
NOTARY PUBLICS FLORID
46Yorlen andez
Commission #DD476455
Bonded Thru Atlantic Bo ding Co., Inc.
04 /01/e3 iei3I VAX sound-my ton OIMEIONS
411neaisaa
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ETIET
LE PR 0 5 2006 tit
B Y:
Owner's Side
5'-O" MAX
2'-0"
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WOOD FENCES
4" X.4" Wood post
2" X 4" Wood �aiI
1" X6" crl" X6"
Wood pickets
Concrete
4
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III
3'-0"
4
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Wood Posts
2915 Fences
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4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
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.
(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, having a fiber stress of
1200 p.s.i. in bending, and shall be
embedded 2 feet -0 inches into a
concrete footing 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisioqs of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided In
paragraph 2915.1 (a) 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.