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FW-11-556Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 157775 Permit Number: FW -3- 11-556 Scheduled Inspection Date: April 18, 2011 Inspector: Bruhn, Norman Owner: DUBOFF, PATRICIA Job Address: 795 NE 95 Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number (305)758 -7402 Parcel Number 1132060142180 Building Department Comments INSTALL WOOD FENCE AND CHAINLINK Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 15, 2011 For Inspections please call: (305)762 -4949 Page 16 of 27 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 TCETWM MAR 3 0 2011 Permit No. l 5 Master Permit No. '0710-2, t2 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): �1q TV (Gl ✓� �% Phone #: Ed �s� Z `� % ' Address: 1.( /(k ^-�.� /Ye 0 City: /,/-1v(. l Si- State: Zip: z?/1 8 Tenant/Lessee Name: Phone #: pa4 do 6o`" e //d L` CD/1 Email: JOB ADDRESS: 1 c1 5 P. s s % %a& 1 City: Miami Shores County:M - '_Miami Dade Zip: 33 l 38 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: 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: $ C * ©' ©tO Type of Work: DAddition DAlteration Description of Work: i0.51- 4t.0Svs I (A-- ner-02 Square/Linear Footage of Work: t 2 V--00 de . �ci A-ry Lem r �ONew 400 0 7 ❑Repair/Replace ❑Demolition ft ************ * **+x*+x **** * * * ** *** * *** * * * ** Fees * * ** x**+ x+ n**** *+ x*** ******** * *** * * * ***** ** **** Submittal Fee $ 53 . P Permit Fee $ /ee,G. 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 approved and a reinspection fee will be charged. Signature /toy= 0V Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by day of iv-012e4-No IL ,byVAr 124(_„L -- C who is personally known to me or who has produced --- t .._.i who is personally known to me or who has produced As identification and who did` e an. oath. as identification and who did take an oath. NOTARY PUBLIC: i ����`��� : r /�''o,, NOTARY PUBLIC: � . mod+ °� ^:cn =. Sign: __:tom CD : = Sign: Print: _ ®': o - s--' ;4'7 ' Print: %,�e� 'A` .�� My Commission Expires: ,,,iI�jOA \``\�. �/,lrttiiiliti&� My Commission Expires: *+ x *****+ x+ x* ****** a: **** ***** *+r********** ** * * * : * * * * * * * **+ x**m **** ** **m**+x*+x*** **** *****+x+x*********+x** **a *** APPROVED BY Plans Examiner ] /l Zoning / g Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 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 Folio Number:1132060142180 Owner's Name: PATRICIA DUBOFF Job Address: 795 95 Boulevard Miami Shores, FL 33138- Owner's Phone: (305)758 -7402 Total Square Feet: 31 Total Job Valuation: $ 650.00 Contractor(s) Phone • Primary Contractor HOME OWNER Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/4/2011: Yes Comments: NAME: 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 PA —Tr1 4- 1 4- 44 dd a DATE: 313 On/ ADDRESS: 79( g r ✓%?L2 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 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 FA, 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 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 1)Ak 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.myforidalicense.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 responsible for the proposed construction activity at the following address: Initial PA 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 I P 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 retumed 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 , 20 By CR* U2-lC i A (.5113.0P-6.--- who was personally known to me or who has Produced there License or f--- -s identific 4'! "'r "'1,,, = e��••.• i �a /, /���J ®1A1 1111 \ \\ \‘``a`a OWNER hnf"7"G�= • S� POOL ATE R .:5 MEN Access gates mu ; pen outw a ay from the area, �' pool area self - closing /self- locking, devic located on pool side of the'' ypy looted no less than 1. ^'u1•35'fro bottom of 4.2. i7.1 Ste. CNN �eqa q ?oration . w 0 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 15/8x0.047 10x24 8x24 Over 4 to 5 2 3/8 x 0.042 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 1/2 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 Rail: 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 clear 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 rails 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 on 5/22/2009 MLDV 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 o Shadow Box o Vertical Picket 9/Board on Board Miami Shores Village Building Department WOOD FENCE DETAIL feAtefroi 4x4 Post Spacing Fences <= 5' high posts spaced at 5'on center maximum Fences <= 4' high posts spaced at &on center maximum Fence must not exceed 5' in height May 2009 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ix pickets fastened with two corrosion resistant fasteners per connection 4x4 pressure treated posts embedded 2'into concrete footing 10° diameter x 2' deep ALL wood must be pressure treated All fasteners must be corrosion resistant No Tess than two fasteners in any connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection