FW-12-319f
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 171028 Permit Number: FW -2 -12 -319
Scheduled Inspection Date: March 13, 2012
Inspector: Bruhn, Norman
Owner: SENA, DION
Job Address: 1301 NE 104 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 1122320300040
Building Department Comments
INSTALLATION OF CHAIN LINK FENCE ON THE WEST
SIDE OF THE PROPERTY
Passed
)?../f
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- 170671. CREATED AS
REINSPECTION FOR INSP- 170345. Expose 1 post foundation for
inspection.
Gate must open away from pool.
Provide plans and permit for inspection. NB
Expose 1 post foundation for inspection.
March 12, 2012
For Inspections please call: (305)762 -4949
Page 17 of 18
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 No K) J
Master Permit No.
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): r2 !1 �� n Q L / / Phone#:
City:
State: Zip: 70 /F7,--
Tenant/Lessee Name: Phone#:
Email: L%C OWN/ ER � (OA')
JOB ADDRESS: „ci / °` /
City: Miami Shores
Folio/Parcel#:
County: Miami Dade
Zip:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: t'7P(/ 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: $ I '' J Dl - ; s Square/Linear Footage of Work:
Type of Work: DAddition rititeratri New ' ❑Repair/R : ce ❑Demolition
Description of Work: 1 t / ; / 1 ' If 1
� �_ ICS _ ET VA I.
Ft
7f'
* *+ x***** **+ x*** ****** ***** ********* *****Fees*+x****** ** ****w * * **
�j�
001
Submittal Fee $ Permit Fee $ /60
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
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 At 1( 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 b - 8 . ? oved in a reins lion fee will be charged.
Signature
Signature
Owner or Agent Contractor
The f _ • p instrume tt1 as ac I . ed bef a this p 4— The foregoing instrument was acknowledged before me this
day o ' [- i, , 20 � h, by � ��
who is • rso all v to me or who has produced personally produced
40) -� I) -1
NOTA PUBLIC: - NOTARY PUBLIC:
day of , 20 _, by
who is ersonall known to me or who has oduc
identification and who did take an oath. as identification and who did take an oath.
Sign:
Print:
My Commission Expires:
Sign:
nt:
My Commission Expires:
* *+ x**+ x**************+x******** * ** ***+x•x******** **** x* ******* *** ******+ x* ****+ x+ x+ x+ r***** *** *+x*****************
APPROVED BY
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk
NAME:
ADDRESS:
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
fd2`
DATE:
A, -1_ 37r4--
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.
Initi
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 • y own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license Hers on
permits and contracts.
In
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.
Ionia
Initi
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 ft 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.
Initi
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.
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.
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.mvforidalicense.comIdbpr /pro /cilb/iinde 'I
jiff
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:
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the inform
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
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 T day of _____ 20 19--J Y
By O)VY J SC9/1)
• 1
ce
re License or=
who was personally known to me or who has
OWNER ,
0 i 1 +Mg.
ntification.
•
,,,,, CLAUDIA V. CUBILLOS
o`"RV Pie(%-; Notary Public - State of Florida
'rdn My Comm. Expires Sep 23.2015
Commission 8 EE 128810
,,,,;; ,, Bonded Through National Notary Assn.
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:1122320300040
Owner's Name: DION SENA
Job Address: 1301 104 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 60
Total Job Valuation: $ 925.00
Contractor(s)
HOME OWNER
Phone
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 2/27/2012 : Yes
Comments: MAXIMUM FENCE HEIGHT IS 5 FEET
—.BISCAYNE
50'
CANAL —
/25.00'
o -!a jcoad 4
0
/z 4= 56st YYGGG.
S.P.G. -fir
r,'
0 23.0'
2.30'
4'
. (3e1C.tG
20. .3z•
a0
STY c 53 - Izgs # /30/
Z.30'
5.4.65'
\'/
/S.o
Is' /5.40'1
■UO
/9.30'
/5.42'
Zr)
t■
15 /5.40'
(4'
J
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•
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A 5 PKAGr o2/vg
r - //2,.
361 .c5'e
3&/.. 90;44
75'
LEGEND AND ABBREVIATIONS:
A. ARC. A.
B.M.. BENCHMARK
BOW. BACK OF WALK
BR.. BEARING
BLED. BRCMfARD COUNTY
ENGINEERING DEPT.
C. CALCULATED
CB. CATCH BASIN
CH.. CHORD
0.15. CABLE JLNCT I CN BOX
C /L. CENTERLINE
ON. OUT NA I L
CONC. CONCRETE
a•
D.®..
DORM.
D.E.•
D.H.•
E.E..
EL•
EMS.
E 168.1.
E /P.
DELTA OF CENTRAL
ANGLE
PENNY
DEED BOOK
DADE COUNTY PUBLIC
WORKS DEPT.
DRAINAGE EASEMENT
DRILL HOLE
END OF FENCE
ELEVATION
ELECTRIC METER
ELECTRIC MANHOLE
EDGE OF PAVEMENT
E.T.•
HIP.
FIR.
FC.
FD.
FH•
OM.
ID?.
M.
MM.
N.•
/25.00'
,e/P/
NE /04 Sr
5o'2 /kV- /8'P,avaMEUr
ELECTRIC TRANS-
FORMER
FOUND IRON PIPE
FOUND IRON ROD
FENCE CORNER
FOUND
FIRE HYDRANT
GAS METER
IDENTIFICATION
ILLEGIBLE
MEASURED
MANHOLE
COMMON NAIL
NOD.
N.H..
ORB.
O /S.
O.H..
O /L.
P.B.•
P.C..
P.C.P.
PG..
PKN.
yyyR.
J
25�
NAIL t DISC
NAIL HOLE
OFFICIAL RECORDS
BOOK
OFFSET, TIE
OVERHEAD
ON LINE
PLAT BOOK
POINT CF Ct)2VATURE
PERMANENT CONTROL
POINT
PAGE
PARKER KALCN NAIL
WATER METER
WATER VALVE RISER.
P1. POINT OF INTERSECTION
P /L. PROPERTY LINE
P.O.L. . POINT OF BEGINNING
P.O.C.. POINT OF COMMENCING
PP. POWER POLE .
PRO. POINT OF REVERSE
• CURVE
PPM. PERMANENT REFERENCE
MONLAENT
P.T.. POINT CF TANGENCY
RAO.. RADIUS
R.. RECORD
RES.. RESIDENCE
REF. OCR..SET 1- IRON PAD CAPPED MASO%LAItY WALL oR
`P.. 4 •'3 REF
C P. FEIV
rcr,F- 3)� ?.e -vt�.: r.•'] :s�g',p'PT1'S+c > -rz Y..z,-'et•.:u �vFS'e:St' mar :RS:t2 <r.- . :o- .�s..oli :-m' ++ iii:.- c.: es :R-a:.�..•�l^aVis'iD�+sr;r?.•N
BOUNDARY SURVEY
FOR: SENA
ADDRESS : 1301 N
FLOOD Z
LOWEST F
SKETCH OF SURVEY
JOB# : 92 -509 DATE : 1 -17 -92 SCALE : 111 = 2o'
EET, MIAMI SHORES, FLORIDA
FLOOD ELEVATION: 8.0' CPN #: 125098 0093F 11/4/87
LOT 5 AND
LOTS 4 •&
BOOK 41 AT
CERTIFIED
8.63 FT.
GARAGE ELEVATION : 8.33 FT .
OF. LOT 6 AND THAT CERTAIN 25.00.FEET STRIP LYING BETWEEN
OF R ER. BAY PARK ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT
THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA.
TO DION R. & CATHY S. SENA
GULF STREAM TITLE COMPANY
DOW GUARANTEE CORPORATION
IT'S SUCCbSSORS AND/ qp f
LNOOD FENCE I
S T ALLEL) ii3O G E
POOL REOUIREMENTSi
SELF - CLOSING/ SELF - LOCKING
GATES REQUIRED
FENCE: 4' HIGH (MIN.)
AND NON - CLIMBABLE
IF NEIGHBORS REMOVE FENCE/
WALL, OWNER MUST REPLACE
WITH A 4' FENCE ON
OWNER'S PROPERTY
P E e& 1 T rd`- : ! r
Miami Shores Village
APPROVED
BY
DATE
ZONING DEFT
(g�%
ir
iZ
---,e/74,1-
BLDG DEPT
SUBJECT co CCMPUANCE WITH ALL FEDERAL
STATE AND CCUN•r f RULES AND REGULATIONS
BENCH MARK BRASS ROD IN CONCRETE HANDRAIL BASE OF SE CORNER BRIDGE OVER BISCAYNE RIVER
CANAL NE 104TH STREET & BISCAYNE BOULEVARD ELEVATION 12.04 FT.
R/W. RIGHT OF WAY
SNBD• SET NAIL d DISC LB
SPC. SET I" IRON ROD CAPPED
"PSI LB
T. TANGENT
U.E.• UTILITY EASEMENT
V.G.• UNDERGROUND
CONCRETE. ) ..• • . ..:. _•• I
CHAIN LINK OR
WIRE FTNCE
vox) MOE.
mac
NOTES: UNLESS OTHERWISE SHOWN HEREON, THE FOLLOWING NOTES
APPLY.
1) RECORD AND MEASURED CALLS ARE IN SUBSTANTIAL AGREEMENT.
2) THE LANDS S1- S1 HEREON WERE NOT ABSTRACTED FOR EASEMENTS
OR OTHER RECORDED ENCUNERANCES NOT SHORN ON THE PLAT
AND THE SAME, IF ANY MAY NOT BE SHORN ON THIS SKETCH.
3) UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS OR OTHER
IMPROVEMENTS MERE NOT LOCATED.
4) ELEVATIONS ARE BASED ON NATIONNAI. GEODETIC VERTICAL DATUM.
5) FENCE TIES ARE TO THE CENTERLINE OF THE FENCE.
6) WALL TIES ARE TO THE FACE OF THE WALL.
7) THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE PURPOSE
FOR USE AS AN AID IN OBTAINING TITLE INSURANCE ON
THE HEREON DESCRIBED PROPERTY. NO ADDITIONAL WARRANTIES
APE HEREBY EXTENDED.
PREPARED BY
PIONEER SURVEYORS, INC.
CERTIFICATION:
1 HERE- CERTIFY THAT THIS SURVEY MEETS THE MINIMUM
TE• ri STA. • '•� AS SET FORTH BY THE FLORIDA
OF PROF- • L
6, FLORIDA
1/0 4 4 72
�. wV�
LOUIE P. 3)THN5TON
PROFESSIONAL AND SURVEYOR
STATE OF FLORIDA
8600 TAFT STREET 8312 HOLLYWOOD. FL. 330224
(305) 882 -5334
TORS IN CHAPTER
CODE. ANT
S.
No, 2173
t
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•
•