FW-12-133Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 169207
Permit Number: FW -1 -12 -133
Scheduled Inspection Date: February 13, 2012
Inspector: Bruhn, Norman
Owner: MACPHAIL, GAVIN AND MARCIA
Job Address: 226 NW 93 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1131010331080
Building Department Comments
REMOVAL OF SOME CHAIN LINK FENCING AND
INSTALLATION OF SHADOW BOX WOOD FENCE ALONG
REAR OF PROPERTY FACING ALLEY AS WELL AS THE
FRONT AT EITHER SIDE OF THE HOUSE. WOODEN
GATES WILL ALSO BE INSTALLED TO REPLACE
EXISTING CHAIN LINK GATES
Inspector Comments
Passed „fj/�
d/ctl 'Yf6S-
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 10, 2012
For Inspections please call: (305)762 -4949
Page 5 of 19
BUILDING 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 APP ICATION
FBC2007
Permi e:
Nr(�ct Rall
d 6_ tg =6 iPAem )
�" �.P.a a C I V E )
FEB 062012
Permit No. F� - r i ,
Master Permit No.
yp UILDING ROOFING
OWNER: Name (Fee Simple Titleholder): �7,� 6 ). ,,/ t 40, el Phone #: 3 OS 71�� °3 S/P
Address: 6 /V W 9'3 ��T•
City: 41 irtivkls. S%n rei State:
Tenant/Lessee Name: Phone#:
zip: 331s®
Email: Jett,' vk a t a , 1 � sir y ca � 4
JOB ADDRESS: 22C 4/k' j f/
City: Miami Shores
County: Miami Dade
Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone #:
NO Flood Zone:
Value of Work for this Permit: $ W-1 0 Square/Linear Footage of Work: < <
Type of Work: DAddition ❑Alteration ONew °Repair/Replace
Description of Work: 1 1 fq 51 A LL Sl- A -PO rD
_c ? iz - (' t Nsk, ALL E-`C'
❑Demolition
�-5 " 7 iL t=2 �,i-V i 0,47 Cz C V -k-1 C� -.2._ s 11 o C' A"( v,rrv(. UJ Cx
'PLACC CA-1 ta.1 r tJvr_ Cam•'- ■S.
* *+ x****a **+ x*+ u*** ** ********m************ Fees+ x+ x****+ x**+ x***+ x+ x***** *****+x ****m*+x***********
Submittal Fee $ 5-6 -t 0 Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
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 approved and a reinspection fee will be charged.
Signature�� —
Signature
04 Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20( , by - \--))( r' ` ' ,L—day of , 20 _, by
me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
who is
As identification and who did take an oath.
,\e\q�ggg1t111111111///////� ell a
Sign: ` ` a .IVY :-. `.. Sign:
Print: v", ez .m`' ;. : c, = Print:
vo� '-
�p�
t
., �� \\��
iii // Si �`
// /lIIIi,Iiiio
NOTARY PUBLIC:
My Commission Expires:
APPROVED BY
D2 111- Plans Examiner
My Commission Expires:
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
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
\ % P
/ NAME: ✓r ��c�c % DATE: C�
ADDRESS: 22_6- / L v 7 S%/ �s r SLrne
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.
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.
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.
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.
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 abi s e 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.
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.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:
22 2W9 j'
Initial . fIr
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
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 liV15 , 20
By ' ' `' who wa ersonally known o or who has
Produced there License or as identification.
NER
1
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
Issue Date: Not Issued
TUNE
Expires:Not Issued
Folio Number:1131010331080
Owner's Name: GAVIN AND MARCIA MACPHAIL
Job Address: 226 93 Street
Miami Shores, FL 33150-
Owner's Phone:
Total Square Feet: 110
Total Job Valuation: $ 2,470.00
Contractor(s)
HENRY'S FENCE INC
Phone Primary Contractor
(305) 669 -0180 Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 1/26/2012 : Yes
Comments:
LOCATION MAP atm
Nov 9�Q.O ✓T(4E-I'
N.
7
6
/0
4,r
p/
,4
‘5°1
543?
,,
ka
.
ALL
r
/6
t9
to
it .
r,
/.g
24
Hy.. 9e147 sr-
PROPERTY ADDRESS: 226 NW 93 Street Miami Shores, Florida 33150.
LEGAL DESCRIPTION: Lot 4 and the East 1/2 of Lot 5, Block 135, "MiA1vil SHORES
SECTION NO.6 ", according to the plat thereof, as recorded in Plat Book 10, Page 39, of the
Public Records of Miami -Dade County, Florida.
FOR: GAVIN RUSHMORE & MARCIA PATRICIA MACPHAIL.
CERTIFY TO: GAVIN RUSHMORE & MARCIA PA V'� '
UNION TITLE SERVICES, INC.
STEWART TITLE GUARANTY CO
FRANKLIN AMERICAN MORTGAG
assigns, as their interest may appear.
SKETCH OF SURVEY SCALE r- /1p, 00
�( \u 93RO srp-E:'
17, c'ASPI4/14,1 powe.64014r
5,00 g e <N1gAs
k;
FWD.
55\VIC,
45•
440/
Miami Shores Village
y
ZONING DEPT
BLDG DEPT
/7. !p/
¢.4e/
' 07
SUBJECT TO CCMPUANCE WiTH ALL FEDERAL
'STATE ANU CCUNT i' RULES AND REGULATIONS
1) This far the purpose of a Boundary Scowl✓' ady and is not Intended to ddtneate the regulatory
j,Nadictlon of any federal, state, regional ar local agency. board, commission or other entftx an tide surnsd meets and exceeds the ifinimum Technicat Standards
2) The accuracy obtethred by requirements Suburban area (1 to 7,500 feet) epedfled to Chapter 81917 -6, Florida Admrdetrotly Cods.
3) This Survey doss not reflect or determine ownership.
4 Lead description was provided by the client end is subject to any dedications, limitations, restriction reservations or
easements of record.
5) Examination of the Abstract et Title wD have to be made to sidemdne recorded instruments, if any affecting the property;
mach of Public Records not pvdan.,el by this office.
6) No effort was mode by this office to locate any underground utilRb,e and/or structures dlhlo ar abutting the subject
Thb cave. has been prepared for the exclusive use of the e,titbs named hereon only and the cortillostions hereon de not
extend to any unnamed partied
8) This survey was prepared far a mortgage Transaction eoip. Not to be used for design and/or construction purposes "DMA
the consent of this ofiioe.
9) Uta(ty facilities within UtIIty Easements not noted as Ndation'.
10) Driveways or pardons thereof wlthtn Roadways not noted as violathms er encroachments.
11) Fdrnbtboa and /er footings underneath the graw,d surface that may arose beyond the boundary 16ros of the herein described
parcel are not shown.
12) AD_ Iron Pipes er Re -Bard found and shown on I e sketch of survey haw no cape wten othsrwi , stated.
13) Fe ce ownership determine by visual means only Of any) L� b not determined.
14) No search of records was made by this firm beside the record plat therefore we do not imply er accept responsbiity for
an Easement. Dedication ar Limitation for which Information was not furnished.
15 Contact the agnpropriote authorities prior to any design work on the hereon - d.eaib.d pares for Budding and Zoning
in
1
AllaatallAIIQM
1aI#IT OF WAY ENC. ENCROACH {E RtED C.L.F. C.L.F. WAIN DPW FENCE
1EOORECORD wF. ROOD FDICE
CALCULATED CONC. CONCRETE
FCIRID AE -9ARD HOLE
KTE �y rj/ � TE DRILL YVAR NOIE
FOUND D
IEP. MDO�D PO
LP. rvimmANDTCHSIUMSASIN P.D.P. LPpppIE9gT POLOLE ODtrtROI priERSECtiati
OEN1ER WE
P.I. .C. POINT OF COMM
PROPERTY MONUMENT D P.T. OF TA6Ett0Y
UE. 17Y
CLEAR
ME.. T �FA
T
GINTER CAMP, NC.
LAND OUNVEYNN3 - LAND PLMINT40
R.01104 CERTAIN= OF ,ADINVIZ/116 4551T
9350 S.W. 22nd
Mt MI. FLORIDA Mir •
(303) 220 -0073
18) Professional Land Surveyor and Yapper in responsible doge Rdando Ortiz LS 4312, State of Florida.
17) This surly is not vend without the spnabre and the raised seal of o Florida Licensed Lend Surveyor and flapper.
I hereb cortify to the above clamed firm and/or parsons that the Sketch of Survey of the described property Is true and correct to the best of my
and belief, as recently surveyed end platted under my direction; duo that meet. the Minimum Tedmlod Standards set it Chapter 61017 -6.
itaridcArefthafivs Code, pursuant to Section 472.027 Florida Statutes.
DATE* JOB WOOER* SKETCH NU/4BERh DRAWN BY* REVISIONS)
2 4 / 0 1 0 - 1 �'1S3 7 1 V.< 1
Ls43/
BY: '.
OR: RICARDO ORIIZ LS 5629
PROFESSIONAL. LAND SURVEYOR
& MAPPER, STATE OF FLORIDA.
I-0T
L or.3
1944k\YA
75.00
15'M -L 9a / PAV44+r
ACCORDING TO THE NATIONAL FLOOD' INSURANCE PROGRAM
THE SUBJECT PROPERTY FALLS IN FLOOD ZONE,
0 #2 L. "-1/
4°
BASED FLiIOD ELEV. n