FW-08-296Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 03/31/2008
Inspector: Grande, Claudio
Owner:
Job Address: 131 96 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: HOME OWNER
Block:
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1132060132590
Lot:
Building Department Comments
Chain link fence allong alley way w/ 13' wide
gate on E side of property and 1 3' wide gate
Fence to be installed 6" inisde of
gate, 1 4' wide
at west side of
property line
�.
Passed
spector Comments
cc
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Friday, March 28, 2008
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores,. Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
RECEIVE
FED 2 0 tun
Permit No. flAJ
Master Permit No.
Permit Type (circle): Building
,,OO I Roofing
Owner's Name (Fee Simple Titleholder) �-�� t' �/eb J e h e�Bf l3 .hone # 65-- $ C
Owner's Address /�/ V 5 5t S 7
City /� '7/ �hc7� State / » Zip 3 /'' 3'
Tenant/Lessee Name AS4f Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # /6) / /7 W e5; 4 43 %le .2 0 /
Is Building Historically Designated YES NO �—
Contractor's Company Name //// 0 , / , Phone #
/ 3/ /yG-' , ,-C 57
Zip �� 3
l C/ /72 e ,
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 $ gC5'C>
Square Linear 'ootage Of Work: i O 1! l
DAddition ❑AlterationTew
Repair/Replace ❑ Demolition
Type of Work:
Describe Work:/ . sue s rq7/ "52 l ///,941 C- /)+-/ / 1'1- / (6'11 ,Q %4y. I
AJ//
/ 2
(3,-t (3,-trc sills/r4 ate 6 ei '714--S s/
-47 a vI e /cite 9 0.4 . & t c_ sT rc/ b ' lit 6 Cr S e
7a l . 6 / 'Vs /� 2/b ey7 /r/e
* * * * * * * * * * **** ** **********************Fees************************** * *** * *.x**** ******
Submittal Fee $ Permit Fee $ L t9D ' CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ 1,00 Radon $ DPBR $ Zoning $
CO /CC
Bond $ Code Enforceme4t $
Structural Review. $
1
2 H69
5b4/
vnn i
Double Fee $
Total Fee Now Due $
See Reverse side -*
Bonding Company's Name (if applicable) AO-
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) / /Ai
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, BOIT.RRS, 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.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledg ed before me this O The foregoing instrument was acknowledged before me this
day of rek , 200d' , by e g
O i 73(85 VafriI'd , day of , 20 _, by
who is personally known to me or who has produced T96ffiri IC who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
17_4611
As identification and who did take an
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Sign:
Print:
My Commission Expires:
* * ******* *** * *+x****** ***** . ; * * ** ** * ** * *** * *** ::*** *d::x****** ****** : *** ****** : * *** *** * **** *******
APPLICATION APPROVED BY:
(Revised 07/10/07)
Plans Examiner
Engineer
Zoning
R C' ® E
FEB 20 t E
PIPE
1 EKCS 77,G'-
K64.2
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SUBJECT T
STATE AND
6 5
(MEASJt )
206.3'
E LOCK
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IRV'U PIPE:.
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41;44
GRASS ME.c' &t
SCALE :1"= 20
CHAIN LINK FENEE.QEMN DETAIL
N.T.S.
Notice to Properties
with Pools:
If the fence is to meet
the criteria as a pool
barrier, the fence shall
not be climbable and all
rails must be placed
facing the inside of the
property. Pedestrian
gates sh_ all have self -
c ilosng - and latching
devices installed at a
minimum of 54" above
ground. For further
details see Section 424
of FBC.
(ACCORDING Ti) Ti% F'iB.�s�I;E�+CTIQt�24)
1Q1- 0'; o.c. Max.. •
v • '.' • ... ... • v
l_►..+•+•••.• ■∎-sw.......,• .%,_., ..•.,.e•.,
i••�••••••••o s4•�� <' . fi'';•i
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, e/ E'd / f,? ( b td / does hereby attest that the
(property owner)
attached survey, performed by Ike-65"o /IT 1 /mc,p
ECEGVED
FEB 2 0 Z008
AFFIDAVIT. •
(name of surveyor's company)
performed on '—. 20 — ?c5 , 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)
A ant/Proo erty o er
el
Witness and print)
SWORN TO AND SUBSCRIBED before me thisZO day of raj ? €O .
Affiant is personally known to me, produced i --T Ag/S I K...7Z U i as identification.
RECc I OV A
Fi O8
VILLAGE OF MIAMI SHORES
FEB pOWNER BUILDER DISCLOSURE STATEMENT
_®
NAME: d%/ (, �6 /
�' DA'Z'E: 27,g0e,D
ADDRESS: 37 /V 6-75/1/(44,-r/ f r� �3 3f 38'
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, RS 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 construction
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
Initial
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 d
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 an
attorney. The department will not mitigate any contract disputes.
Initial
6)(
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 e6/
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.
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 010
Was acknowledged before me this 20 day of /6 , 20 OF
By No km-7764s al4 who was personally known to me or who has
Produced there License or Ak jiIa►ei'SZ`C, 721vf
OWNER
as identification.