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FW-11-474Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 158666 Scheduled Inspection Date: May 27, 2011 Inspector: Bruhn, Norman Owner: STRAWDERMAN, KAREN Job Address: 260 NE 102 Street Miami Shores, FL Permit Number: FW- 3- 11-474 Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060134730 Building Department Comments WOOD FENCE BOARD ON BOARD 5' HIGH Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 157321. 1) Three horizontal members are required. 2) Fence post spacing must not exceed 5'. 3) Fence at west side is not attached to post per detail /code. NB Clc May 26, 2011 For Inspections please call: (305)762 -4949 Page 4 of 6 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING Permit No. MAR 172011 � tk4- Master Permit No. OWNER: Name (Fee Simple Titleholder): . ' . N ', a`R /�? � "� �?Li Phone#: 2 at Address: , �,L;1 City: /7:7Y/771M State: Zip: 3 33,/ 3 c_ Tenant/Lessee Name: — - Phone #: Email: ,./C-19(16 9 „� JOB ADDRESS: r. City: Miami Shores County: Miami Dade Zip: ,33./ Folio/Parcel #: Is the Building Historically Designated: Yes NO A_ Flood Zone: / a CONTRACTOR: Company Name: ! Phone #: Address: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ a L`' Square/Linear Footage of Work: Type of Work: OAddress ❑Alteration New P ORepair/Replace ❑Demolition Description of Work: w �° Odd 51 1-P5 COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ***************************************F ees******************************************** Submittal Fee $ Permit Fee $ /6® Scanning Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 afier 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 acknowledged before me this The The foregoing instrument was acknowledged before me this day of ' a '•-j , 20 \ (, by 5TaALIVel day of , 20 , by who is personally known to me or who has produced ("Lt t) 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: Sign: `� ° '�� .. Sign: Print: ! ®� ': Print: My Commission Expires: q'\' �� 1 My Commission Expires: �d .�o�o:cc: cj Q iii /i .''•. ------ ••kB fC \e` \a�� * * ******** v** ** * * **** v v v* *** * * ** r* *:�:� **14 * *t �x 0\S'1xx **** v:v***** * *:��:�:�r ***** < :r:�:�**** * * * * * * * *x * * * **** APPROVED BY eJ�p���� Plans Examiner ` 3 /7 /,, Zoning NOTARY PUBLIC: Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: L 2 . �'� % '4/'DATE: ADDRESS:,rs' /4 /- // 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 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. 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 property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 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 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 numbers on permits and contracts. Initial 4. I 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 substantially 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 onmybuilding or residence. It is my responsibility to ensure that the persons whom I employ have the license required by la* and`by county or municipal ordinance. Initial .�r 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 homeowner's 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. Initial 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I 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. Initial 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 http: / /www.myfloridalicense.com /dbpr /pro /cilb /index.html Initial 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. ,,, .; - Initial ,; y 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 contractors 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. Was acknowledged before me this n day of Produced there License or OWNER , 20 11 who was personally known to me or who has � ! 1- l E0) s identification. 'ri Y.Jr ��[ NO MAP OP BOUND "V RV Y SITE ADDRESS: 260 N.E. 2nd Street, Miami Shores, Florida 33138 \1 6(1/_4 22' PARKWAY ere •• N • •a. 1... • •• 5' CCJNC. SWK e••,• F.I.P. 1/2" ••• •• •• • •• • • • R•• • • •••• • • • • F.I.P. 12" BLOCK • CORNER • • • 7.00' 20.30' 0.2 OUT 2.10' 10.75' 11.94' 0 2.00' ONE STORY RESIDENCE # 260 3.30' 0 0 u) LOT 6 BLOCKS 0.20' 114 0 0 ui 7.00' 5' frh,ii woad F- -fi c� ttri4i CONC. SLAB 4.75' 0 // F.LP. 12" 20.10' C.B.S. rsi GARAGE 20.10' LOT 4 BLOCKS 3Y� 0.67' IN F.I.P. 12" 50.00' 15' ALLEY IT PAVEMENT • :ILL • •lt ••• • • •�••• • V • M iW z •••• • • •••• • • • • • •• •• • • • • • • •• • • • • •••• • • • •••• • ••• • • •• • • • • • • • • •• •• • • • • • • • • • • • •• Rfl0[ SCALE: 1" = 20' I HEREBY CERTIFY THAT THIS SKETCH OF SURVEY OF THE HEREON DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY MADE UNDER MY DIRECTION AND SAID SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 5J -17 FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND IS ACCURATE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. LL!PM HERRYMAN PROFESS„ ONA // URVEYOR & M - PER No. 2804 STA OF FLORIDA FIELDWO DATE: 03/11/2011 COMPLETION DATE: 03/12/2011 LEGEND A ABBREVIATIONS INZE23 • CONCRETE =I CONC. BLOCK WALL ® =WOOD DEQ( ®• COVERED AREA ASPHALT —X —X --X— • CHAIN LINK FENCE(CLF) WOOD FENCE(WF) 0.O= EXISTING ELEVATION A • ARC DISTANCE L• LENGHT A • CENTRAL ANGLE /DELTA R • RADIUS T • TANGENT P.T. • POINT OF TANGENCY P.C.. POINT OF CURVATURE P.C.C.• POINT OF COMPOUND CURVE P.R.C. • POINT OF REVERSE CURVE CH CHORD CH. BRO.• CHORD SEARING B.M. BENCH MARK B.R.• BEARING REFERENCE P.O.C. = POINT OF COMMENCEMENT P.O.B. • POINT OF BEGINNING T.B.M.• TEMPORARY BENCH MARK P.O.B.= POINT OF BEGIN LNG T.B.N.• TEMPORARYBENCH MARK B.C.= BLOCK CORNER PROPERTY LINE - CENTERUNE V. MONUMENT UNE CALM. CALCULATED M.• FIELD MEASURED P. • PER PLAT TYP. • TYPICAL P.R.M. PERMANENT REFERENCE MONUMENT P.C.P.= PERMANENT CONTROL POINT FD. NAIL • FOUND NAL PD. CIA • FOUND DRILL HOLE FD. 1I2 I.P. • FOUND IRON PIPE Ur DIAMETER C.M. • CONCRETE MONUMENT FD. I.R. • FOUND IRON REBAR FD. P.K.NAIL•FOUND PARKER•KALONNALL P.B.M. PROFESSIONAL SURVEYOR AND MAPPER NC • AIR CONDITIONER PAD TX. TRANSFORMER P.P.• POWER POLE DMZ. DRAINAGE/I MAINTENANCE maim U.E. UTILTIY EASEMENT A.E • ANCHOR EASEMENT D.E = DRAINAGE EASEMENT ENGR.• ENCROAQ@/¢Nr F.F. ELEV. • FINISHED FLOOR ELEVATION N.T.S.= NOT TO SCALE P.B.= PLAT BOOK O.R.B. =OFFICIAL RECORD BOOK M.H.= MAN IDLE C.B.S.= CONCRETE BLOC( STRUCTURE BLDG = BULLED/0 O.H.L. OVERHEAD U ILRY ONES TEL. TELEPHONE FACILTIES C.B.= CATCH BASIN CAN • CABLE UTILITY SOX W.M. WATER METER RNV •RIGHT OF WAY ELEV.. ELEVATION NEC.. SECTION TVS. •TOWNSHIP Re. RANGE SIDEWALK GENERAL NOTES 1. LEGAL DESCRIPTION PROVIDED BY OTHERS. 2. THIS SURVEY DOES NOT DETERMINE OR IMPLY PROPERTY OWNERSHIP. 3. THE LANDS SHOWN HEREIN ARE SUBJECT TO RESTRICTIONS OF PLAT OF RECORD, THERE MAYBE ADDITIONAL RESTRICTIONS THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 4. BOUNDARY DISTANCES AND DIRECTIONS ARE PLATTED AND MEASURED UNLESS OTHERWISE SHOWN. 5. ELEVATIONS, IF SHOWN, ARE REFERRED TO N.G.V.D. 1929. 6. UNDERGROUND IMPROVEMENTS AND UTILITIES ARE NOT LOCATED ON THIS SURVEY MAP. 7. FENCE OWNERSHIP NOT DETERMINED, APPARENT CLEARANCES AND /OR ENCROACHMENTS ARE NOTED BY VISUAL MEANS ONLY. 8. NO IDENTIFICATION CAPS FOUND ON PROPERTY CORNERS, UNLESS OTHERWISE NOTED. 9. THE SCALE, AS SHOWN IS THE INTENDED PLOTTING SCALE OF THIS MAP. 10. THIS SURVEY IS EXCLUSIVELY FOR THE USE OF THE PARTIES TO WHOM IT IS CERTIFIED. 11. THIS SURVEY MAP AND THE COPIES THEREOF, ARE NOT VAUD WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. Legal Description: Lot 5, Block 35, AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1 , according to the map thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Miami -Dade County, Florida. Flood Insurance Rate Map (FIRM) Information: Community Number. 120652 Panel Number. 0302 Suffix: L Panel Revised Date: 09/11/2009 Flood Zone: X Certified to: Karen P. Strawderman BELLO & BELLO LAND SURVEYING CORPORATION LB No. 7262 12230 S.W. 131 Avenue, Suite 201 Miami, Florida 33186 PH: (305) 251 -9606 Fax (305) 251 -6057 kbello@bellolandsurveying.com 1 PROJECT No. 12555