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FW-13-1149Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 193018 Permit Number: FW -5 -13 -1149 Inspection Date: June 13, 2013 Inspector: Rodriguez, Jorge Owner: PEGG, JOHN Job Address: 333 NE 103 Street Miami Shores, FL 33138 -2432 Project: Contractor: HOME OWNER Permit Type: Fence/WaII Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1121360130250 Building Department Comments ADD 40' OF 5' TALL CHAIN LINK FENCE WITH CHAIN LINK GATE AND 8FT WIDE DOUBLE DOOR WOODDEN GATE Infractlo Passed Comments INSPECTOR COMMENTS False PaSSed� Inspector Comments CREATED AS REINSPECTION FOR INSP- 192052. NO PERMIT ON SITE JR 6/6/13 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 June 13, 2013 Page 1 of 1 6.°°) 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 MCgiEnVNI MAY 232013 BY:0000004 a0000aoea000 FBC 20 Permit l Permit No. TU.) Master Permit No. Permit Type: BUILDING ROOFING JoB ADDRESS: 333 NE 103rd Street City: Miami Shores County: Miami Dade Folio/Parcel #: 1121 3601 30250 Is the Building Historically Designated: Yes NO XXX Flood Zone: NO Zip: 33138 OWNER: Name (Fee Simple Titleholder): John Pegg Address: 333 NE 103rd Street City: Miami Shores sue: FL Tenant/Lessee Name: John Pegg Email: jpeggman @gmail.com phone#: 305 - 428 -0945 zip: 33138 phone#: 305 - 428 -0945 CONTRACTOR: Company Name: Address: City: Qualifier Name: N/A Phone#: State: Zip: Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Valve of Work for this Permit: $ 220.00 Square/Linear Footage of Work: 48 L.F. Type of Work: ❑Addition DAlteration ONew ORepair/Replace ODemolition Description of Work: Add 40 ft of 5' tall chain Zink fence with chain link gate, and an 8 ft wide double door wooden gate Color thru tile: ** e******* ** ****** ***+�** **x�x�** **+s *a�a * **Fees+x****** * **** * *+�******** * ** **** *******w+xx *** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ /C©er) CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ OWEI Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 FT.RCTRICAL 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 Owner or Agent The forego instrument as ac day of bef Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. own to me or who has produced ntification and who did take an oath. NOT Y ' LIC: ` ` NOTARY PUBLIC: Sign: Print: My Commission Expires: %' v \-)00.eFwt \da .6' 2 15 Sign tCo putt` ies Se9 55 n xP 12$14,10 P n Print: tiny 'J 0 mmts5t0n a��o 00 acy go �oeaj��ou9nN My Commission Expires: ********* * ******* *aye *+s * * **.. •; + s******** rm **** **** ****** ******b*********a**a� < ,, ***** ** *way* if/7f **�n****x�+s+�+ *** APPROVED BY Je,r'7� Plans Examiner ° ' 3 Zoning Structural Review Clerk (Revised 3 /1212012)(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: �`+ r DATE: ADDRESS: 333 A)E /03 s% Do hereby petition the Village of Miami Shores to act as my own: contractor pursuant to the laws of the State, of Florida, FS 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 leaser 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 taw 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 bylaw. 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. 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 tiled 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 %� s is tantiaity improved it for sale or lease, which violates the exemption. p initialI 5. I understand that as the owner - builder, I must provide direct, onsite supervision of the construction. Initial 1� 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons worldng 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; maybe 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 ectirig t an 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 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. 1 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 htttx/Avww.mvfloridalicense.com/dborffiro/cilbtindex. y I Initial 11. 1 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: 333 /OE /03 57—. initial J y 12. I agree to notify Mlaml 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 heal permitting agency is required when the permit is issued. Was acknowledged before me this 3 By Produced there License or day of 0 ,20/3 who was personally known to me or who has _0 (01A- /rv) s identification. 5582 N.W. 7th STREET SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 264-2660 FAX: (305) 264-0229 DRAWN BY: A� .aruu 'ururgrfrz ,Jrtr. LAND SURVEYORS SURVEY No. 02 -0014672 -2 SHEET No. _ 2' OF 2 Pogo OP�O Y o� oom 10°LOT -10 BLOCK -118 BOUNDARY SURVE LOT - 9 BLOCK -118 SCALE a 1' = 20' i�diarn's Shores Village APPROVED ?'ONING DEPT BL[ 43- 'T DATE LOT- SUBJECT TO COMPLIANCE WI H ALL FEDERAL 9.75 C) % aho Ulf 9.90 15'ALLEY (N.A.P.) �_ 9' ASPHALT PVMT. CO Of 100.00' fah I 4' C.L.F. LOT 16 BLOC 118 9.80 /011614-7 LOT -17 BLOCK -118 M N 10.00 21.40' 11.42' LOT 15 BLOCK - 118 a 10.40 x 9.80 FI`P1I NO CAP v 0, 9.98 27.72' 23.91' (0 if 15.40' A ONE STORY ''•RES. fr 333 co F.F.E =12.40' ao M GARAGES ELEV.= 10.05' ' re)v 14.70' of 19.2 so 15.40' 9.70 10.03 9.50 A/C /--- x x x x 27.49' eti 0.40'CL. NS LOT -18 BLOCK -118 0.40'CL. PL 10.10 14 N C.B.W. 9.90 11.92 \ 10.20 C.B.W. x` 10.10 N 150' 9.80 10.00 CO O W 9.70 v B.C. F.I.P 112" NO CAP • F.I.P 1/2" • •• NO CAP • • i • . :10.0.00 • S' CONC. swk'. . 9.85 tn3 I I I I I I 1 20' PWY I.P1/2" . NO CAP 10.50 N.E. 103rd 10.. STREET 10.45 23' ASPHALT IQr) 1-- PVMT. 0 SURVEYOR'S NOTE: There may be Easements recorded in the Public Records not shown on this Survey. The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes. 5582 N.W.7TH STREET, SUITE 202 MIAMI, FL 33128 .... TELEPHONE: (305) 284 -2880 FAX: (305) 264.0229 DRAWN BY: A.A. .Nova Surveyors, Inc. LAND SURVEYORS SURVEY NO 2- 0014672 -2 SHEET NO 1 OF 2 SURVEY OF LOT 16-17, BLOCK 118, OF SECTION NO.5 OF MIAMI SHORES, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 47, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. PROPERTY AD DRESS: 333 NE 103 ST, MIAMI SHORES, FL 33138 FOR: JOHN PEGG LOCATION SKETCH Scale 1" = NT.S. - ri: la II ill 4 .4 , 1 4 5 • to I. .- r Set 2 SZ. I : 13 14 .. Ifs 1 1 •` frOf, ■ i IS . 7 **a ■ to I. z.1 ••. za, as i Za 4.k # y S St SUBJECT PROPERTY Fi z N.E. 103rd ST. , , 8. ABBREVIATION AND MEANING A = ARC A/C = AIR CONDITIONER PAD A.E. = ANCHOR EASEMENT AIR = ALUMINIUM ROOF AIS = ALUMINIUM SHED ASPH. = ASPHALT B.C. = BLOCK CORNER B.C.R. = BROWARD COUNTY RECORDS B.M. = BENCH MARK B.O.B. = BASIS OF BEARINGS C = CALCULATED C.B. = CATCH BASIN C.B.W. = CONCRETE BLOCK WALL CH = CHORD CH.B. = CHORD BEARING CL = CLEAR C.L.F. = CHAIN LINK FENCE C.M.E. = CANAL MAINTENANCE EASEMENTS CONC. = CONCRETE C.P. = CONCRETE PORCH C.S. = CONCRETE SLAB D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE MAINTENANCE EASEMENTS DRIVE = DRIVEWAY ENCR. = ENCROACHMENT E.T.P. = ELECTRIC TRANSFORMER PAD F.F.E. = FINISHED FLOOR ELEVATION F.H. = FIRE HYDRANT F.I.P. = FOUND IRON PIPE F.I.R. = FOUND IRON ROD F.N. = FOUND NAIL F.N.D. = FOUND NAIL & DISK FNIP. = FEDERAL NATIONAL INSURANCE PROGRAM IN.&EG. = INGRESS AND EGRESS EASEMENT LF.E. = LOWEST FLOOR ELEVATION LM.E. = LAKE MAINTENANCE EASEMENT LP. = LIGHT POLE M. = MEASURED DISTANCE M/H = MANHOLE N.A.P. = NOT A PART OF NGVD = NATIONAL GEODETIC VERTICAL DATUM N.T.S. = NOT TO SCALE 0.H.L = OVERHEAD UTILITY LINES O.R.B. = OFFICIAL RECORD BOOK 0/S = OFFSET OVH. = OVERHANG P.B. = PLAT BOOK P.C. = POINT OF CURVE P.C.C. = POINT OF COMPOUND CURVE PL. = PLANTER P.LS. = PROFESSIONAL LAND SURVEYOR P.O.B.. = POINT OF BEGINNING P.O.C.. = POINT OF COMMENCEMENT P.P. = POWER POLE P.P.S.. = POOL PUMP SLAB P.R.C. = POINT OF REVERSE CURVE PRM = PERMANENT REFERENCE MONUMENT PT. = POINT OF TANGENCY PVMT. = PAVEMENT PWY =PARKWAY R. = RECORD DISTANCE RAD. = RADIUS OF RADIAL RGE. = RANGE R.P. = RADIUS POINT R.O.E. = ROOF OVERHANG EASEMENT RAN = RIGHT -OF -WAY SEC. = SECTION S.I.P. = SET IRON PIPE LB. 48044 SWK = SIDEWALK T = TANGENT TWP = TOWNSHIP U.E. = UTILITY EASEMENT U.P. = UTILITY POLE W.M. = WATER METER W.R. = WOOD ROOF W.S. = WOOD SHED = ANGLE = CENTRAL ANGLE C = CENTER UNE V = MONUMENT LINE LEGAL. NOTES TO ACCOMPANY 8 ETCH OF SURVEY PSURVEY 1 - THERE MAY BE EASEMENTS RECORDED IN THE PUBUC RECORDS NOT SHOWN ON THIS SURVEY. - THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING, AND SHOULD NOT BE USED FOR CONSTRUCTION PURPOSES. - EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OFRECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CUENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN - THE FIELD, COULD BE DRAVH4 AT A SHOWN SCALE AND / OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. - THE TERM "ENCROACHMENT" MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. - ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS, AND THEY WALL BE RESPONSIBLE - FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND /OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. - THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED. - HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. - THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F.E.M.A - AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE SITUATED IN ZONE: X COMMUNITY/PANEUSUFFIX, 120852 03021. DATE OF FIRM: 09/11/2009 BASE FLOOD ELEVATION: WA CERTIFIED TO: JOHN PEGG LEGEND TYPICAL -OH- OVERHEAD UTILITY LINES zzzz CBS. = WALL (CBW) -K- C.LF. = CHAIN LINK FENCE -0-0- I.F. = IRON FENCE W.F. = WOOD FENCE • 0.00 = EXISTING ELEVATIONS SURVEYOR'S; NOTES 1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY, TOWNSHIP MAPS. 2) THIS IS A SPECIFIC PURPOSE SURVEY. 3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 4) IF SHOWN, ELEVATIONS ARE REFERRED TO MIAMI•DADE COUNTY. MIAMI DADE COUNTY BENCH MARK NO. M -802 LOCATOR NO. 3250W ELEVATION 8.97 FEET OF N.G.V.D. OF 1929 SURVEYOR'S CERTIFICATION I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-8, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. 724 c, ROBERT IBARRA (DATE OF FIELD WORK) PROFESSIONAL LAND SURVEYOR NO. 8437 STATE OF FLORIDA (VAUD COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON: REVISED ON: SURVEYOR'S `SEAL PERMIT # 'Fv� 15-1 1,4q CONTRACTOR: 0J14ftr SUBMITTAL DATE: ADDRESS: 333 107zi Per a RESUBMITAL DATES: C., NAME: PROJECT + • E: FIRE STRUCTURAL IMPACT FEES ELECTRICAL HRS/DERM PLUMBING MECHANICAL NOC 1�