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FW-11-1073b Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 160886 Scheduled Inspection Date: August 22, 2011 Inspector: Bruhn, Norman Owner: VALDA, SERGIO & VANESSA Job Address: 18 NW 106 Street Miami Shores, FL 33150- Permit Number: FW -6 -11 -1073 Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/VVall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1121360050180 Building Department Comments 5' WOOD FENCE Passed 0 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ec- August 19, 2011 For Inspections please call: (305)762 -4949 Page 4 of 32 Fb1-11" 10-13 LEGEND OF A ARC DIS C CALCULA CLCLEAR ENCENCROA FIPFOUND IR R"CO 1.� - >= :: -�'•`Y RETE BLOCK STRUCTURE CATCH BASIN LINE sUflJfeCT :TaDt IANCE y�i¢� A4_@ ficilhi PC.C....� ( ENT POINT OF C CURVE N'P1PETFP.O B rI � ) � y 4-A O.H.... OVER HANG P.B.... PLAT BOOK P!L ...PROPERTY LINE UP ... UTILITY POLE W.M.... WATER METER M MEASURED CONC.. CONCRETE F.D FOUND G BLDG .. BUILDING C.H..... CHORD DISTANCE D.E .... DRAINAGE EASEMENT F.H FIRE HYDRANT R RADIUS CERTIFY TO: Sergio Valda Action Title Company First American Title Insurance Co. Tropical Financial Credit Union, Its Successors And /Or1'Assigns N .W. NGVD ... NATIONAL GEODETIC VERTICAL DATUM PRC ... POINT OF REVERSE CURVATURE RAD :.. RADIAL RIW ...RIGHT OF WAY SEC ... SECTION SCR... SCREENED S.LP.....SET IRON PIPE SINK ...SIDEWALK U.E .... UTILITY EASEMENT CHLF CHAIN LINK FENCE LEGAL DESCRIPTION: Lot: 2 Block: 203 Subdivision: Dunning's Miami Shores Extension No. According to the Plat thereof as recorded in Plat Book: 41 Page: 51 Public Records of MIAMI -DADE Gou AbbRESS: 18 NW 106 STREET MIAMI SHORES, FLORIDA 33150 Encroachments Noted: NONE LOCATION SKErCN SCALE: N:T; S. 0 1 106T'' 5T Sheet 1 of 1 FLOOD ZONE: X _THIS IS A FLOOD VHAZARD ZONE THIS 15 NOT A FLOOD HAZARD ZONE PANEL NO.:. 302/L COMMUNITY #: 120652 DATE OF FIRM: 09/11/2009 BASE FLOOD: N/A FINISH FLOOR: N/A LOWEST NIA ADJ GRADE 18'ASP1-1 . ROAD. 24' PKWY. iS- OO'.(R /M) . 5' 5WK 3` as 2.6 -.1 1v 12.60' x11.4.5`1 P. 0 O 0 N of. .W • 106 ST . i i cm i / 1 40 t 1 4 I 3 • 2g3 13 f /4 N !O5 O • CO 0> N mD F0.1 /2" I.P. L) 4 15 ' /6 5.25 TILE 25.55' 9.80. ON1 E STORY. RE5= N° 18 1300 in 17.40 to 291 OD CV N 1440 4 ST. NOTES: A) Ali Clearances and/or encroachments shown hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences net determined. It) This survey is Mended for mortgage or refinance purposes only exclusively for this use by those to whom it is certified. This survey Is not to be aced for construction, permitting, design, or any other use without written con- sent of Thomas T. Kelly, Inc. C) Code restriction and title search are not reflected on this survey. D) The flood hrformotios shown hereon does not imply that the referenced property will or will not be free from flooding or damage and does not create Itabllty on the part of the firm, nay officer or employee thereof, for any damage that results from retlaaca on said Information. E) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or Matters of title are made or implied. _0 0 r� U 0 L>. FO .1/2' RE l3AR . i51ALLD' 9.9 10.251 ON P /L• O 9.0 41c14 •L. F(TYP -) -75.00 1 R/M x LO N oa) x 0 0o J U 9 A5 P1-1 RAV. ON P/L FD.NAIL 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 ROOFING OWNER: Name (Fee Simple Titleholder): Address: ' $' NGc) /O&'` "S/ City: /1.4 cLA( /* State: C2. Zip: 33 /$C Tenant/Lessee Name: P /hone #: Email: 2 e dli/IP i ��1¢t Gv,� i 2/ ii/Qt/c17W Permit Not JUN 2011 11-1013 Master Permit No. �rxn�,rsQ �rlr�ir��rr Sgr9/0 e /aia. Phone #: 4235,35 .7a193yQg JOB ADDRESS: / 7 A/4.) 1069' 6.71-- City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: /W r'1'IG (%o/le)" Address: Flood Zone: Phone #: 3507 .219 az/ Or 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: $ stc, J® 0 Square/Linear Footage of Work: Type of Work: ❑Addition OAlteration Description of Work: (JQQ0/ A/7(e. ,New ORepair/Replace ODemolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a Submittal Fee $ Permit Fee $ sz>. f 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 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 appr ed and a reinspection fee will be charged. Signature J Signature Owner or Agent ra Contractor The foy oing instrument was a g owled d bef e me thi I \J The foregoing instrument was acknowledged before me this day oil 11 , 20 11 , by t, /i r - 4 1 Varday of , 20 by ho is per onally known to me or who has produced ntification and who did take an oath. NOT Sign: Print: My Commission Expires: (7) c ©�` ^1l �` es, • My Commission Expires: vvvvav r N• �YdC�iC�C�Y�Y9CVY' �YvtdC�Y9td' �YvY�1C�Y***k �t' �Y\ Y' J[ 11C�Y�Y�iP*Y�Y3G�t' �t '********10tf]t*9C**A'*** '**9ro1* **:YA'** ** /1A i who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) Plans Examiner * * * * * ** * * ** * * * * * * * * * * * * ** .019 / Zoning Structural Review Clerk 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: a ,S,SQ_ chi �a-s DATE: Dt, / /3. /aa // ADDRESS: / /V I J /O (v '`" ,/'l/amt , F.- 32 ir 0 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. 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 )/2,..k. 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. .1 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 on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial �� 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 "-- .d"ti-- 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 govern 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.mvfloridalicense.comldbpr /pro /cilb/iindex.html Initial c>"2-- 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 G, 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 /7 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 contractor's 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 day of / , 2011 who was personally known to me or who has Produced there License or • tikaVederitific tion. ij? NOTARY 1o9 y,ti�S• �. 0�.3 t�oT 14 C�aUd1ao�f �v23 7„5 o Shadow Box o Vertical Picket o Board on Board Miami Shores Vivage Building Department WOOD FENCE DETAIL 4x4 Post Spacing Fences <= 5' high posts spaced at 5'on center maximum Fences <= 4' high posts spaced at 6"on center maximum Fence must not exceed 5' in height 4x4 pressure treated posts embedded 2'into concrete footing 10° diameter x 2`deep 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1x pickets fastened with two corrosion resistant fasteners per connection ALL wood must be pressure treated All fasteners must be corrosion resistant No Tess than two fasteners in any connection May 2009 ,:-S on 13 cud 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIREMENTS FOR FENCE PERMIT Permit application must be accompanied by: ❑ 2 copies of your survey (not older than 7 years). ❑ If survey is older than 7 years fill out Survey Affidavit form. ❑ If owner is doing the job, owner must fill and notarize Owner Builders Disclosure form (This form must be signed and notarized in the building department only). ❑ Show the proposed size on survey including, required 40 sq ft of garbage area, location of gates if any, and height (can not exceed 5' ft height). ❑ Include wood or chain link specs form (one with each survey). ❑ $50.00 submittal fee when submitting your permit. NOTICE: ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECIFICATIONS MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITECTURAL OR ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY PRODUCT APPROVALS. Revised on 5/22/2009