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FW-11-1107Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 162206 Permit Number: FW -6 -11 -1107 Scheduled Inspection Date: July 20, 2011 Inspector: Bruhn, Norman Owner: FIELD, PAUL & CAROL Job Address: 1235 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MACHADO FENCE INC Permit Type: Fence/Wall Inspection Type: Final. Work Classification: Wire Fence Phone Number Parcel Number 1132060143991 Phone: (305)691 -5579 Building Department Comments INSTALLATION OF CHAIN LINK FENCE AND GATE 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- 161073. NO PLANS AVAILABLE NB 7/19/11 e(---- July 19, 2011 For Inspections please call: (305)762 -4949 Page 15 of 20 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' Permit No. F V Master Permit No. BUILDING PERMIT APPLICATION FBC 20 juN . 7 2011 Permit Type BBUILDINGG ROOFING OWNER: Name (Fee Simple Titleholder): 1 t P L . 4 T Q 1 l E i Q-, k Phone #: 50`x' 1'51— 19 $Z Address: ' Z S N. e. c1. cs-°'` .s kyQ..6- II City: 641, t V. 's o c-1,1,0 (. S State: air o e Zip: 5 3 1 S T Tenant/Lessee Name: N /A Phone #: Email: Oas, t O. LaQ ,V5-00 _ r%f_. ' JOB ADDRESS: 1, `94.' S t City: Miami Shores County: Folio/Parcel #: 11 "' 3 ZO (p ° O LL} - Miami Dade zip: 313 Is the Building Historically Designated: Yes NO X CONTRACTOR: Company Name: `I /}e PIA P 0 frA) E Address: V S s �. Flood Zone: tvid, Phon #:; Z'5 -6 9/557/ City: ikt / c) f i Stat e: Zip: % t 13 `"/ PO 19 NP Phone #: �y�? 90 Certificate of Competency #: 5 00 6 2 Z Qualifier Name: 4 if R R 0 State Certification or Registration #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 11 (JAI ' Square/Linear Footage of Work: Type of Work: >5 .Addition ❑Alteration ❑New ❑Repair/Replace UDemolition I let RAN Description of Work: ******** * * * * * * * * * * * * * * * * ** * ** ** *** * * * ** Fees************* * * * * * * * * ** * * * * * * * * * * * * * * *** * * ** Submittal Fee $ Permit Fee $ /L -ao CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 NIA, 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 go o< t at a co of the notice of commencement and construction lien law brochure will be delivered to the person whose p erty is subject to attach ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for e first inspection which occ rs seven (7) days after the building permit is issued. In the absence of such posted notice, the ection will not be approved s a, ection fee will be charged. iature �l�`11`;1k The foregoing instrument was acknowledged before me this lb+`'` The forego' , day of who is personally known to me or who has produced ft- who is kX d L C R.^ 5t. As identification and who did take an oath. "Is NOTARY PUBL C: day of Tai r1/4 , 20 I l , by %.‘A. , 6.L. Sign: Print: My Commission Expires: APPROVED BY � \\\\\\\\ /i / / / � , U I I 1 111 ��/,, j_1 /� �® • =r— : goy ri ll : _ (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) Plans Examiner Structural Review ent was ac .1 iI wle )20 .i ,by own me or who has produce icd�atification and who did take an oath. ed before me OT AI PUBLIC: Xkb; Sign: Print: My Commission Expires: 1,01' `�v'a�q}S O CiP Q. cu� az3 Zoning Clerk Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 PermitNO. FW -6 -11 -1107 Issue Date: Not Issued Expires:Not Issued Folio Number:1132060143991 Owner's Name: PAUL & CAROL FIELD Job Address: 1235 95 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 0 Total Job Valuation: $ 1,040.00 1 Contractor(s) MACHADO FENCE INC Phone (305)691 -5579 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/21/2011 : Yes Comments: CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 11/15/2010 PRODUCER HIALEAH GENERAL INSURANCE 1432 WEST 49 ST HIALEAH,FL 33012 305 821 -2777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED MACHADO FENCE 3525 NW 98 ST HIALEAH.FL 33012 INSURER A: GRANADA INSURANCE INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTA N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN - LTR AWL IS TYPE OF INSURANCE POLICY NUMBER DADA °P (MMJ ?IP E DATE (MMP/DDIYIRN 7) LIMITS A GENERAL LIABILITY El COMMERCIAL GENERAL LIABILITY CLAIMS MADE F r OCCUR J : 0185FL00022009 10/08/2010 10/08/2011 EACH OCCURRENCE $ 2.000.000.00 DAMAGE TO RENTED PREMISES (Ea occurence) $ 100.000.00 MED EXP (Any one person) $ 5.000.00 PERSONAL & ADV INJURY $ 1.000.000.00 GENERAL AGGREGATE $ 2.000.000.00 GENII AGGREGATE LIMIT APPLIES PER: 7 POLICY n PROJECT n LOC PRODUCTS - COMP /OP AGG $ 2.000.000.00 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ Y BODILY accident) (Per $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO 7 AUTO ONLY - EA ACCIDENT $ EA OTHER THAN ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE J DEDUCTIBLE 7 RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC S IAA U- OTH- n TORY LIMITS n ER E.L. EACH ACCIDENT $ E.L DISEASE • EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS? VEHICLES? EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDERS IS NOT AN ADDITIONAL INSURED - - - - - - - - - - - - - - - - - - - - - - - - - - - - - MIAMI SHORES VILLAGE BUILDING DPTO 10050 NE 2 AVE MIAMI SHORES, FL 33138 ACARn 9X /9nM/net S H O U L D ULD ANY OF THE ABOVE DESCRIBED POUC DATE THEREOF, THE ISSUING INSURER WILL E NOTICE TO THE CERTIFICATE HOLDER NAMED IMPOSE NO OBLIGATION OR LIABIUTY OF ANY REPRESENTATIVES. It 3 BE C ! D -" OR 0 E L Clw -• UFO NCELLED BEFORE THE EXPIRATION 3 0 MAIL 30 DAYS WRITTEN =.1 , BUT FAILURE TO DO SO SHALL IP E INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE MARCO FIGUEROA IPIP 1 a CORPORATION 1988 11-24 -2009 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: BUSINESS NAME AND ADDRESS: MACHADO FENCE INC 3525 NW 98TH STREET MIAMI FL 33147 11/24/2009 EXPIRATION DATE: 11/24/2011 MACHADO 550852706 SCOPES OF BUSINESS OR TRADE: 1- FENCE ERECTION LAZARO IMPORTANT: Pursuant to Chapter 440. 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -160E DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 11/24/2009 EXPIRATION DATE: 11/24/2011 PERSON: LAZARO MACHADO FEIN: 550852706 BUSINESS NAME AND ADDRESS: MACHADO FENCE INC 3525 NW 98TH STREET MIAMI, FL 33147 SCOPE OF BUSINESS OR TRADE: 1- FENCE ERECTION IMPORTANT 0 Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the. business or trade listed on Rthe notice of election to be exempt. E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHAIN LINK FENCE DESIGN DETAIL (ACCORDING TO THE F.B.C. SECTION R4408.11) TABLE R4408.11 CHAIN LINK FENCE MINIMUM REQUEREMENTS Fence Height (ft) Terminal Post Dimensions (in inches) (o.d. X wall thickness) Line Post Dimensions (in inches) (o.d. X wall thickness) Terminal Post Concrete Foundation Size (diameter X depth) (in inches) Line Post Concrete Foundation Size (diameter X depth) (in inches) Upto4 23/8x0.042 1518x0.047 10x24 8x24 Over 4 to 5 23/8x0.042 1 7/8 x 0.055 10 x 24 8 x 24 For SI: 1 inch = 25.4 mm. NOTES: 1. This table is applicable only to fences with unrestricted airflow. 2. Fabric: 12 %2 gauge minimum. 3. Tension bands: Use one less than the height of the fence in feet evenly spaced. 4. Fabric Ties: Must minimum the same gauge of the fabric. 5. Fabric Tie Spacing on the Top Rad: Five ties between posts evenly spaced. 6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced. 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail. 9. Post Spacing: 10 foot (3m) on center maximum. 10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation. 11. In order to follow the contour of the land, the bottom of the fence may dear the contour of the ground by up to 5 inch (127 mm) without increasing table values to the next higher limit. 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 ram must be placed facing the inside of the property. Pedestrian gates shall have self- closing and latching devices installed at the minimum of 54" above ground. For further details see Section R4401.7.1 of FBC. CONCURRED Created an 5/22/2009 WDM