FW-12-1131
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP - 171831
Permit Number: FW -1 -12 -113
Inspection Date: April 03, 2012
Inspector: Bruhn, Norman
Owner: AKERMAN, SANDRA
Job Address: 1170 NE 100 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1132050190400
Building Department Comments
DEMOLISH EXISTING CONCRETE WALL ON THE BACK
OF THE HOUSE AND REPLACE IT WITH CHAIN LINK
FENCE TO COMPLY WITH THE POOL SAFETY
REQUIREMENTS
Passed
��1,1
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 169090. WORK NOT PER
PLANS. JR
ec___
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
April 03, 2012
Page 1 of 1
Miami Shores Village l'
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 2.0
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): l Phone4 Oo ca'-9 8.v2
r�
v
Address:\ 0 0
City:
Tenant/Lessee Name: Phone #:
Email:
B Y: _[! ________ ®___
Permit NR) I C•
Master Permit No.
State:
Zip: (�
JOB ADDRESS:
City: Miami Shores County: Miami Dade
Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO
CONTRACTOR: Compan Name:
Address: /1 -70 Aj£ / f
0® s
City: " l A fY\ 1 sc O --S State: T- Zip: 3 3/
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Flood Zone:
Phone #3 S t r ga V
Value of Work for this Permit: $ 31 S Square/Linear Footage of Work:
Type of Work: ❑Add' n OAlte W tion ❑ - w ORepair/Replace \Demolition
Desc ption of ork: fi A ,! �' i I_ h i Aft .0. 1
* * * * * * * * * * * * * * * * * *********+ +x***+x******* Fees**** ******+ x********** ** ********+x************
Submittal Fee $ Permit Fee $ /00 av 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 mot be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The fo = ,loin: instrument was . . owled, ed before
day o It
1w ho s
N
Sign:
Print:
My Commission Expires:
AR
k
20
y
is
. 1/. .... it
WIFE
wn to me or who has produce
As identification and who did tak
LIC: •
Signature
Contractor
he foregoing instrument was acknowledged before me this
f
,20_,by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
"My Commission Expires:
******************* * *** * *** * ** * ****** * **** * ******* ens•* ** * ** *** ******* **** **** * ** **** ** *** ** *** *** *********
APPROVED BY f/ /� Plans Examiner
/7.2
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
NAME: S4iJflL4 /14/ 2frU/�DATE: /7)041
ADDRESS: / /20 /?'(:) 3%
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 514
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. C /�
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 ownerrbuilder, I,must provide direct, onsite supervision of the construction.
Initial
Initial_
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 -5A
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 SA
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/dbor /pro /cilbfindex.html
Initial -S 11
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 5A
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 S i
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 owners 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
,2012 —J
o was personally known to me or who has
P oduced there License or' l > 181.0) ( p' 1 '100 as identificatio
OW} ER
<o r Pie CLAUDIA V. CUBILLOS
•'ao � Notary Public - State of Florida
• •,cM Comm. , r,- c My Expires Sep 23, 2015
•,,' s°F cote Commission # EE 128810
Bonded Through Naho, al Notary Assn.
NOTARY
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 % 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.
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
•
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SP.CrSET1 /2"PIN &CAPt$4799 F /c *Founs N a i 1 s. atsc
S.PCP. SET PERMANENT cONTRppD I 1.84789 Ete�a :icrs based en
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MASONRY WALL=
CONCRETE= 717777r:7'.--.77.777 7.7.•-
NOTEESS::oUNLCSSpTIMot1SE OLIN, TFIE FOLLOWING NOTES APPLY.
1) Recoil and meesu CI' 4th Insubstantial agreement. 2) Bearings. if shown are based on Plat data. 31 The lands
shown h tettott wetp,not •abstracted lb? Casements or other recorded encumbrances not shown on the plat and :he same. 0
any may not be shown on this sketch. 4) Underground portions of Footings. Foundations or other improvements were not
located • 5) Elevations are based on National Geodetic Datum. 6.) Fence Ties are to the Centerline of the fenl:e. 7) Watt
Ties to the face of the Wall. S iiTAR'!.Xt fsmn -h rSHr!Re ARF' RF FFRrn In AV n<crI trr) v, :iiir SA ?D PS PAGE
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SKETCH
SURVEY FOR: AL AKERMAN, 1170 N.E. 100TH ST., MIAMI,.. FLORIDA 31138.
/
D bl.y :r I ZC .
LEGAL DESCRIPTION: LOT 4
OF MIAMI SHORES VILLAGE
ACCORDING TO THE PLAT THEREOF AS
(BLOC'( 178
SUBDIVISIO,N�
•• ••• • •
RECORbED IN;P>'A3 l $oi 13 AT PAGE
cOUNTr. E4PR:5A-j :: %: • •
OF THE PUBLIC RECORDS OF DADE
1 HEREBY CERTIFY That the survey represented
hereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant 10 Section 472.027 Florida
Statutes.
There are no encroachments. overlaps. easements
appearing on the plat or visible easements other
than as shown hereon
J1
MARK M. KRAJNTK
Reg!s :ereCLand SurveyorNO 3 3 71
U.1
'IS:LANC DD4NIX. & ASSOC. INC.
•
• • • tai d StTrveyojs ± . Planners
4900 S. J. 74TH OdUIZT' '•Mai N. Shore Dr.
MIAMI, FLORIDA 33155
.•• . Mia. Beach F1. 33141
(305) 865 - 20 Fax' (305)865 -7810
ly�lai l • Address)
FLOOD ZONE:,��; ;
DATE:
jJ DATE I- 3/2/94 BASE:
SCALE: OWN. BY:
7n,
JOB No.
98- (o44
f "f rI LES AND c