FW-13-350Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 186171
Permit Number: FW -2 -13 -350
Scheduled Inspection Date: May 30, 2013
Inspector: Bruhn, Norman
Owner: COOK, MARIANNE
Job Address: 360 NE 105 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Iron/Ornamental
Phone Number
Parcel Number 1121360130020
Building Department Comments
REPLACE EXISTING CHAIN LINK FENCE WITH
ORNAMENTAL
PENDING - NOC
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 29, 2013
For Inspections please call: (305)762 -4949
Page 3 of 18
At the time 1 did the estimate of costs for the fence at 360 NE 105 ST, 1 had estimated
for another 92 feet between 360 and 390 NE 105 St., thus the estimate of $3000. That
scope of work was lessened by the 92 feet per the diagram of fence and was not included
in the permit application, however 1 was in error not to adjust that estimate from $3000 to
$1900 As the fence is now up and ended up less that $!900 a Notice of Commencement
should not be warranted.
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. lW
Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: I (O OE 05— S `*
City: Miami Shores County: Miami Dade Zip: 33 1 5
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Ail AC i iiiiiMi cc 3c Phone #: 3t:35--7 57-5
IG
Address: :3( Q (A c 1(3 5 5-1-
City: 'NINA- Iv t 5 viek viii C S State: F L Zip: 8313 il"
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company Name: G4cWt+P OwA.e 'r 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: $ C)a . Square/Linear Footage of Work: O L t n Pa •
Type of Work: ❑Addition ❑Alteration °Newepair/Replace °Demolition
.�`�-P� tau .e 14P ng .�n�� w Low fr Penct i+ �,
y in Q ;.eke- •vvz lqo iu . lcb 5+)
Description of Work:
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * *** * * * * * * * * * * **
Submittal Fee $ Permit Fee $ rj( 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
o'
State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City y 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 be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The for �'' in1 ginstrument wwas ackno - edged b
day of �` V 1 , 20 I V b�`
who is p opll own to me or who ha • produced
As identification and who did take an oath.
NOT PUBLIC:
Sign:
Print:
My Commission Expires:
uDIA V C11811.1.-OS
• tai I p jt C - s State ept Florida
Os 23 2015 Comm
fission # 10
na1- Flotgy Assn.
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 , by
ho is personally known to me or who has produced
as identification and who did take an oath.
APPROVED BY
Plans Examiner
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
/ -�
C-'' / -"zoning
Structural Review Clerk
(Revised 3 /12 /2012XRevised 07 /10 /07)(Revised 06 /10/2009XRevised 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: VV ei 1 011 lac DATE: LI 1 ;1 I 7 -)
ADDRESS: 3 c.0 dlg 1® S 59
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.
'11 V
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.
Initial
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 inst ad of my own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or lice r purr ers on
permits and contracts.
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 bent or su tantially
improved it for sale or lease, which violates the exemption. E la %vim
5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction.
Initial
Initial
1
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. 1 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
41/A
t
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.
Initial Cyl 1
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.mytioridalicense.com /dbpr /pro /cilrndex.html
Initial t ®-✓
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 information that I
have provided on this disclosure. 'n n
Initial 1/ U ! h
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 contractors 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 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
Produced there License or
013
COO�who was personally known to me or who has
�0 1
OWNER
as identification.
JLL 1 f__LJ#
LAUDiA V. CUBILLOS
v ? Notary Public - State of Florida
• ; - °m • E My Comm. Expires Sep 23, 2015
Commission # EE 128810
Bonded Through National Notary Assn.
'40r
ALLEY
ALLEY
PERMIT #
1'3 J
CONTRACTOR:
SUBMITTAL DATE:
7� j
t/ ,0 0 • 1 O5+
ADDRESS:
t- !) k5
NAME:
)2-
RESUBMITAL DATES:
PROJECT TY
.
art.
2
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3
3
FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
NOC
MPC4dmNICOI
_. -�
123.15' (R&M)
LOCATION SKETCH
SCALE: NTS
30.10'
11.10'
39.50'
1.20'
16.00'
24.10'
30.00'
N.E. 4th AVENUE
24.10'
4' C.L.F.
SNOLLV1I1O3 CIIJV15 ;W J_ °. NV 3130 T
�1► Ha= Ys71 0.1 .LoBrBf1S
�rd5liwag Itiy!I?
37.50'
123.1
Ld30 OOlB
. A 1mi 1 tz a a it e a. , ,,,,,
r Asir Amu
4 1'd1NG aEP% of , //
y
?1_13 <^ � rApj '' �'11f1, �TC) C;C)1V11 H A
f' D0
_ OUN ?Y ROI. C"S AND . ' All ATIONS
1c130 ONINOZ
034OUddV
i Me
NOT VALID UNLESS EMBOSSED WITH
SURVEYOR'S SEAL
REVISED: 4/3/12
FOR PAVERS
�= BREVIATIONS
SV K =SIDEVALK, CBS= CONCRETE BLOCK STRUCTURE, CLF =CHAIN LINK FENCE; WL=PROPERTY'LINE, DUE = DRAINAGE UTILITY EASEMENT, IP =JRON PIPU,
F =FOUND, A/C=AIR CONDmONER PAD, P/C =PROPERTY CORNER, D/H =DRILLED HOLE, W/F =WOODEN FENCE. RES =RESIDENCE, CL- CLEAR, RB=REBAF:,
IJE =UTILITY EASEMENT, CONC= CONCRETE SLAB. RAWRIGHT OF WAY, DE =DRAINAGE EASEMENT, C/L= CENTER LINE, O=DIAMTER, TYP=TYPICAI.
M= MEASURED. R =RECORDED, ENCR = ENCROACHMENT, COMP =COMPUTER, ASH=ASPHALT, N/D =NAIL & DISC. S=SET, FEE =FINISH FLOOR ELEVATION,
0 /S= OFFSET, PJP =POWER POLE, OHP= OVERHEAD POWERLINE, AM =Wk TER METER
MA ONRYCw =1 I I •1 1 I I I I_ I ELEVATION BASED ON -LOC. # 3100
MAINTENANCE &DRAINAGE EASEMENT= M&D.E• � l CBM# N-'397 ELV. 9.8O',. OF SURVEY: BOUNDARY SURVEY
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NO1
COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED. 8) ELEVATIONS ARE BASED ON NATIONAL GEODETIC
VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL
RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9)
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING
INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IFANY "AFF€CTING 11iIS PROPERTY.
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE
SURVEY FOR: MARIANNE COOK, 360 N.E. 105TH ST., MIAMI SHORES, FL. 33138.
LEGAL DESCRIPTION: LOTS 3 AND 4
OF AN AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES
BLOCK 117
SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 47
OF THE PUBLIC RECORDS MIAMI -DADE
COUNTY, FLORIDA
HEREBY CERTIFY That the survey represented
thereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments, overlaps, easements
appearing on the plat or visible easements other than
as shown hereon.
SINCE 1987
BL.ANGO SURVEYORS ING.
Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
(305) 865 -1200 Email: blancosurveyorsinc@yahoo.com Fax: (305) 865 -7810
ADIS N. NUNEZ
REGISTERED. LAND SURVEYOR
STATE OF FLORIDA #5924
SCALE:
1 " =20'
DWN. BY:
F. Blanco
JOB No
. 11 -549
- Fencing Notes:
1. All fencing desi • ns have been designed with a minimum of a top horizontal rail and a bottom horizontal rail. Additional intermediate rails may be added without
affe • - nom rail is typically located 2" above grade but may also be located up to a maximum of 6" above grade. All picket thru rail
cond ! hanically fastened to top rail or bottom rails.
2. Fenc
as m
eight from grade
e fence centerline.
Two Rail Sty
Three Rail Style
with bottom thru picket
♦ •
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Fencing Installation Details
Scale: 3/8° =11-0"
Gate Notes:
1. All hardware used for pool fencing enclosures shall be automatically,
self- closing and self - latching. Magna Latch and Lokk bolt shall be used in a
pool fencing application with latch location 54" aff minimu
Leaf Varies
wirshoeme
/
Drawing Gate Details
Scale: 3/8° =11-0"
HI
Hinge Detail
Latch Detail
Drop Rod Detail
Adjustable
self - closing hinge
with (4) #12 Tek
screws per
manufacturer
requirements
Automatic latch
with #12 x 3/4"
Tek screws
per manufacturer
requirements c7
Magna
Latch
3/8 "0 center drop
rod & guide
with (4) #12x3/8"
Tek screws
i�
Hardware Details
(Typl� Scale: 1" =1'-0"
General Notes (Design):
1. This design is for at grade railing installations ONLY!! Installations above
grade shall be designed for specific conditions for the location.
2. Design complies with the requirements of the Florida Building Code 2010
Sec. 1615.2 & ASCE 7- 10,122 MPH (Category I, 3 second gust), Exposure
D.
3. Installation may be either mechanically (screw) connected or fully welded.
4. Gate leaf (single or double) widths can be installed up to the allowable size
as shown in Detail 5 / AL1.0. Should a double leaf gate be installed then
the Latch and Drop Bolt shall be installed (per the local requirements).
5. All openings shall be less than 3- 11/16" and shall be able to reject a 4"
sphere.
6. No changes are allowed without written authorization from the Architect or
Engineer.
7. All exposed visible ends shall be provided with caps or covers.
Connection Notes (Installation):
1. POST CONNECTIONS:
POST @ GRADE: Anchored in 10" x 24" (2,500 psi) concrete.
POST @ CONCRETE DECK: Pre - Manufactured Aluminum Post Shoe
Anchored with (2) 1/4"0 x 3-1/2" tapcons (min. 3" embed).
2. WALL CLIP CONNECTION: (Pre - Manufactured or 2"x2"x1/8" aluminum
bent plate) Aluminum to concrete connections shall be 1/4 "0 x 2 1/4"
tapcons (min. 1 3/4" embed). Aluminum to aluminum connections shall be
made using (1) #8 x 1" Tek screw per receiver.
3. RAIL / POST CONNECTION: (1) # 8 x 1" Tek screw.
4. RAIL / PICKET CONNECTION: (1) # 8 x 1" Tek screw.
D Fencing Design Information
2
Scale: Not to Scale
ID
DESCRIPTION
SIZE
THICKNESS
REMARKS
CF
Concrete Footing
10'Gx27'
WA
2,500 psi (Minimum)
c)
Concrete Post Mount
Fit to Post
WA
Alternate installation to Concrete Deck
(D1)
Drop Rod
318'0x24'
N/A
Standard Drop Bolt
CD
Gate Frame
2- 1/2'x2 -1/2'
0.100'
Ati comers fully welded
NIA
N/A
Standard 4' Hinges
Horizontal Rau
1 -5/8'x 1 -518"
0.100'
Knox Box
TBD
N/A
Coordinate with Local Fire Department
Latch
N/A
N/A
Standard Self-Locking Latch
(LP)
Line Post
2 -112' x 2 -1/7
0.075'
GP
Gate Post
2- 1/2'x2 -1/2'
0.075'
2- 1/2°x2 -112'
NIA
(PI)
Picket
1'x1'
0.082'
(WC)
Wall Clip
1 -318' x 1 -114'
N/A
General Notes (Materials):
1. All aluminum extrusions shall be made of alloy 6005 - T-5 AIIoy (35,000 psi yield) unless
noted otherwise.
2. All hardware used for pool fencing enclosures shall be automatically, self- closing and
self - latching. Magna Latch and Lokk bolt shall be used in a pool fenclng application.
See Component Items / Manufacturers List
Item: D&D Technologies Part #
Hinges: True Close TCAIWTL2 -Mk2
Latches: Lokk Latch MGHDD1019
Magna Latch MLTPS2BGA
Drop Rods: 24' Metal Drop Bolt NW38305N -24SSW
24° Lokk Bolt MGHDR1061 WT
°' ` Materials Details
(Typicx� Scale: Not to Scale
Tom- Village
APPROVED BY
ZONING DEFT/
BLDG
SNUB Lei L�; lfLL.rlcEw1r1 -i ALL FEDERAL
R;aL
STATE AN LC UN-1.f r?LLES AND REGULATIONS