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FW-11-2021Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166097 Permit Number: FW -11 -11 -2021 Scheduled Inspection Date: July 18, 2012 Inspector: Bruhn, Norman Owner: LONGMAN, JOHN Job Address: 333 NE 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number ()- Parcel Number 1132060136370 Building Department Comments EXTENDING FENCE AND REPAIR EXISTING. 5' HIGH SHADOW BOX FENCE Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 17, 2012 For Inspections please call: (305)762 -4949 Page 2 of 29 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (3Q5) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION RECEOVE JUL 17 . °A 019 a 4 a 4 a FBC 20 Permit No. t Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 23.? /L/ fr.. City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): T4‘_, Phone #: ? j � �" 6 /9 Address: 3) E � Z City: M I State: /, Zip: Tenant/Lessee Name: Phone#: • Email: 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: $ / Square/Linear Footage of Work: Type of Work: DAddition DAlltteration ONew ORepair/Replace ODemolition AfrAi1/43 Kcort rr Description of Work: Color thru tile: ****** ** *** * * * * ** ************** *** x:*** Fees********** *x: ****+ x********m**** ** ********* * ** �. Submittal Fee $. Permit Fee $ ff CDL. 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 se (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve . a rein pection ee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this day of l�JY , 20 �� � J !by A6Q day of , 20 _, by who is personally known to me or who has produced l_Th who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. ulu►u►►io NOTARY PUBLIC: Sign: Print: My Commission Expires: NOTARY PUBLIC: Sign: Print: My Commission Expires: * *** *******+ +x+x**** :* ***************** ********* ************+x*+x+x** ** * * * ** x****a:********** **************x:a: ***** APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 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): Zf o ..✓� 09••' Address: ' Z NOV 01 2011 EP BAP. Permit No. °1 11 C-'\ Master Permit No. Phone #:jDrrrr 44719 City: f4 3tj `, ?hf.{J State: p L. , Zip: Tenant/Lessee Name: Phone#: /� c Email: ..r--'0,t) ,,., ♦ Lo i+JG,.4 / Q A) it �- 17iS 0 Al . .,ti JOB ADDRESS: '2 2 i✓,E 7 Cr 7--, City: Miami Shores County: Miami Dade Zip: .73 / 2 1 7f)2 Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: ,AD t Gi- NO Flood Zone: .1 /)Ver-- Phone #: .'6 w 5 Address: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: 8 Value of Work for this Permit: $ 4 I A V ,0 / M/ Square/Linear Footage of Work: 2 4 %Fa-e., i Type of Work: ❑Addition 57j1Teration ❑New 016air/Replace ❑Demolition Description of Work: Ek 7044.A.., K i —7 .P0 ,_....1.;% A "-LA, ' /j/ s' y Fe_� -cQ 1� e ®b ,�, j A2 13 /its ` ' 0 b 0 A t. - 3 .Adc d.- ,ti,v....7' _ **** + * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees********* * * * * * * * * * * * * *a�a� * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ frere 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 o s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be apps' %ed a,'I a reinspection fee will be charged. Signature 1 Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is rsonally known to me or who has produced who is personally known to me or who has produced As 1 entification and ho did take an oath. as identification and who did take an oath. LIC: Sign: Print: My Commission Expire NOTARY PUBLIC: Sign: Print: My Commission Expires: ********************* ***************************** ******* ************ **** ****** ** *** ** ******** ****** Zoning APPROVED BY Plans Examiner 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: 1;44, DATE: 12 Q l Z tc,,l% ADDRESS: 3 3 3� �� 41pS 'I re P, r 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 wn 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 i 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 th : may otect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead y o . n name. I also understand that the contractor is required by law to be licensed in Florida and to list his or limns 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 so or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my us or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantial) 'ro myself is sold or leased within 1 year after the construction is complete, the law will presume that I built . surly 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 wo g or( 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 a owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor w ;' 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 compens - on 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 a side 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 cont Florida Construction Industry Licensing Board at 850.487.1395 or http:// www. mvfloridalicense .com /dbor /pro/cilbfindex. 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 info have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who r 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 contractors 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 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. �(� I Was acknowledged before me this day of IN , 20 who orally known to me or who has Produced th`nse or was ntific .-tion. •�,,,,,,,, CLAUDIA V. CUBILLOS o�`�'`a` .,, Notary Public - State of Florida . : My Comm. Expires Sep 23, 2015 • w o� Commission * EE 128810 +r '� .. Through National Notary Assn. �.,,,o; ;� .•• Bonded Throng RY 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 Permit NO. FW -11 -11 -2021 Issue Date: Not Issued S Expires:Not Issued Folio Number:1132060136370 Owner's Name: JOHN LONGMAN Job Address: 333 92 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: 30 $ 1,100.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes i Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 11/2/2011: Yes Comments: Miami Shores Village APPROVED BY D TE 1, 0 / / /• // ZONING DEPT i , BLDG DEPT N7 /Gr�G !1 114,11 (: I- 1O COMPLIANCE ;!',,!! , ",,Jf{AAI WITH ALL FEDERAL JI`!I ?ULESANDREGULATIONS Appi--14,,,0.4_,1-10 "kr ,i,) & w b 0 o rs S • c t Th- T Ie„at r PLAT 9' Asphalt Pavement • .ugy.aa. ...... .. •....n.WrPfNl+a a wr+dl MA, • vw .w.tz y., 1� WO, POOL WO STO MMIOEN I 20 'AVER J • .•••••*••-••IAAYIM••••.•MLp .w..ww••...•..w.K h...•.ehLm ...yy..........W:.••.•,...-..••• urn... w. .••••••..• i. w...•••.•Wew••••.••+y∎+ba•40.04 . '. . WWiV. whM .A1•EHRNdMearr.64.•• :•1aT.YtRO • BOUNDARY SURVEY • LOCATION SKE.TCJ SCALE: a)TS _�� --"AZ if 7;2 •. • • • • • 7„70, , ©?97AYx FOR POOL LOCATION ••1 • • • •• • • • • • •• E:eniar..s :law; oft 1.00 . Ct:'• • NT" 0211-1.0. Lode to: Indent: # ■ sae t UNLESS OTHIERWlSE MOWN. THEE FOLLOWING NOTES APPLY. snow= =a an ice moo at ;pZ = r . T) Record acrd measured calls ire In substaftfaf agreement. 2) Bearings E shown are based on Plat data g) The tends sboivft•herooe y. ere not abstracted for Easements or other recorded encumbrances non shown on the plat and the same, if env may not be shown on this sketch. 4) Underground portions of Foots. Foundations or other improvements were not Iodated. • 8) Elevations am based on Nsttetnal Osodtttlo Datum. I) Fence Ties are to Me Centerline of the lane+;:.... TI Wait mans to the face of the YIeIL S $fAiLi :t'.i IdezemdC�ta- ` 2 a?, IFTED TO: JAMES E. WILLEM/ORO AND ANN MAATA VILLENBC r 333 N.E. 92ND ST., MIAMI SHORES. FLORIDA 33138., C P. KELLEY, P.$•, ATTORNEYS' TITLE INSURANCE FUND, INC., C. FRECHETTE, JR., ESQ.. CHASE MANHATTAN MORTGAGE CORPOR SUCCESSORS AND /OR ASSIGNS, AT/MA. LEGAL DESCRIPTION: LOTS 15 16 BLOCK A7 Or AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 SU ®DIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT SOOK 1Q ATPAGE 7n OF THE PIJSLIC RECOROS OF 31412, I . COUNTY. FLORIDA. I ItEAEBY CERTLFY Thin the survey repressntea narsh meets the minimum re at remorerrerms adopted by me STATE OF FLORIDA Bos•a of Lane Surveyors pursuani to Section ai?.08r Florida Statute.. • There are no courteous:enis bvpnaps. essementa arreatino on me put etr.wstn:c casements Othgr than as ahO..n hereon .Q1 ti ADIS h.• NURSE •••• =S •,, a• r SINCE 1981 BLANCO, DAN1AL & ASSOC. INC EiVn®S•rs • Land Survivors a Planers LB • ,. 555 NORTE SHOD DRIVE MIAMI BEACH FL. 3314I 86 -I200 FaT rap 05) FLOOD ZONE: OATS: X SCALE: 86 eFI;i ::J am' 3/3/96 Ty n,earrta • 1? flAi OWN. SY: JOB No.