FW-13-1067Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 193918 Permit Number: FW -5 -13 -1067
Scheduled Inspection Date: July 11, 2013
Inspector: Rodriguez, Jorge
Owner: RUIZ, WILLIAM & IVET
Job Address: 10400 NE 12 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1122320310010
Building Department Comments
INSTALLATION OF CHAINLINK FENCE AROUND
BACKYARD AND SIDE YARD OF PROPERTY
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
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- 191517. FENCE HIGHER THAN
5'
July 11, 2013
For Inspections please call: (305)762 -4949
Page 14 of 32
PERMIT #
T-1,0 r3- (an
CONTRACTOR:
SUBMITTAL DATE:
ADDRESS:
NAME:
Ha/tic) , am/1,-N
5/islo
to400 NE_
RESUBMITAL DATES:
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
NOC
MECHANICAL
BLDG
�, Miami Shores Village ER.
VZ
MAY 1 5 2013 Buildin e p artment
a'
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
BY: oomm0vamagaom40.000000
FBrrC20
Permit No. J-- (O 3— / O
Master Permit No.
Permit Type: 0400 ROOFING
JOB ADDRESS: t 0400 E z k AOC
City: Miami Shores County: Miami Dade Zip: 3 3i 7
Folio/Parcel #:
Is the Building Historically Designated: Yes NO N, Flood Zone:
OWNER: Name (Fee Simple Titleholder): ki0 1 6 till 1 4 1VEA eu \'Z Phone #: 305 40 k-aa.16 8
Address: 10400 L)4 la A O
city:kAli p(\ s K.ore s. State: P Zip: 3313 g
Tenant/Lessee Name: Phone #:
Email: $Vekr0 1'Z. at6 C yNa.,,A ®e_0(Y\
CONTRACTOR: Company Name: 4b ` .0 ()LAP _)f Phone #:
Address:
City State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Linear
Value of Work for this Permit: $ 3 (30,0-0 Square/Linear Footage of Work: 0
Type of Work: ❑Addition CIAlteration *Tew ORepair/Replace ODemolition
Description of Work: 1 Ir1S -CL. It " 1 ) (j i&P1 V.A. `C
V\
Color thru tile:
* * * * * * ** **** ** * *** * * *** ** ** ** * ** r** * * ** Fees * ** * *** *** **** ** ** **,rat* * * * * **** ** **** ** ** r*
Submittal Fee $ Permit Fee $ /® 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 r P >
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 will n,• se approved and a reinspection fee will be charged.
1
Signature
The foreg
day o
%Pers
NOTAR
Owner or Agent
trument was a kno ' ledg
201 , by l
own to me or who has produced
Sign:
Print:
My Commission Expir
before me this
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 , by
1 Orwho is personally known to me or who has produced
entification and who did take an oath.
* * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
***************************************************** * * * ** ** ** ** * ** * *** ***** * ** ** ***
Plans Examiner (S �3 Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09)(Revised 7/10/2007)
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: l) ,) d . ' 7 . _ DATE: 51 151
d
ADDRESS: 0400 ta. O L)E,
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; l 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 foryour 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.1C.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. 1 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 fisted, may act as my own
contractor with certain restrictions even though I do not have a license.
Initial 2 1L
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 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.
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.
5. I understand that, as the owner - builder, I must provide direct onsite supervision of the construction.
Intial
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 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 injsries 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 f ,
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 SmaU 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 htto:// wwww. mvfloridalicense .com/dbar /oro /cilbrndex.html
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 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 local permitting agency is required when
the permit is issued.
Was acknowledged before me this day of
By
u1
who was personally known to me or who has
‘..T.1 Produced there License or �� , .� , 9'6 10 identifica.'on.
•
ER
ILLOs
..� 1' of Florida
: T Expires ep 23.2015
Commission # EE 128810
Bonded Through National Notary MO.
•rayanw Of w.A.
ILMnrar ooartvgT%Me
SURVEY OF LOT 1, BLOCK 1, OF BISCAYNE RIVER T THEREOF AS IN PLAT
R E 13, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY. FLORIDA
PROPERTY ADDRESS 10400 NE 12 AVE, MIAMI SHORES, FL 33138
FOR: WILLIAM IROR
LOCATION SKETCH scar r z Nr.s.
ABRREVIATIQN_AND_MLANINO
A +ARC
AIC • AIR CONDITIONER PAD
A E. • ANCMQR EAssasHr
AfR • ALUCiRNUM Roo=
AIS • ALU1IWJ UM SHED
ASPH • ASPHALT
8 C, = MOCK CORNER
Sea. • SR0WARc1COUNTY RECORDS
B.Id • BENCH MARK
a o a DAMS CP BEARINGS
C • CALCULITEO
C,It • CATCH BASIN
C 8W • CONCRETE BLOCK WALL
CH • CHORD
CH 8 • CHORD BEARING
• CL CLEAR
CLF • CHAIN LINK FENCE
C M E • CANAL MA77TENANCE
EASEMENTS
CONC • CONCRETE
C • CONCRETE PORCH
C Si- • CONCRETE SLAB
0 E • TIRAIPIA0E EASEMENT
D.ME • DRAINAGE MAINTENANCE
EASEMENTS
DRIVE a DRIVEWAY
ENCR • ENCROACHMENT
£ T P • ELECTRIC TRANSFORMER PAD
F F E • MIMED FLOOR ELEVATION
F, Pt • FIRE HYDRANT
F1P • FOUND IR PIPE
FIR • FOUND IRONRO
F N. • FOUMO NAIL
F N O • FOUND MA.u. 8 CCSR
FR P- • FEDERAL. NATIONAL. INSURANCE
PROGRAM
AEG. • INGRESS MO /EGRESS
EASEMENT
L F,E • LOWEST FLOOR ELEVATION
LM.E • LAC MAINTENANCE BASEMENT
LP. • LIGHT POLE
M • D mama
MJ 4 • MANHOLE
NAP. • NOT A PART OF
NGVD • NATIONAL GEOQE1'iC VERTICAL.
DATUM
N TS • NOT TO SCALE
ONE • OVERHEAD UTILITY LINES
ORD • @FRCVS. RECORD 80DK
0IS • OFFSET
OW • OVERHAND
P 8 • PLAT 8O01C
P . • PONT OF CURVE
P C . • POINT OF COMPOUND CURVE
PL. • PLANTER
P L 8- • PROFESSIONAL LAND
SURVEYOR
P.O.B.. • POINT DP ILEGINNE40
P .G • PONT OFCOMMENCEMENT
P • POWER POLE
P P . • POOL MAO SEAS
P.R.C, • POINT OF REVERSE CURVE
ERN • PM/ANEW REFERENCE
1EDTAAIIENT
PT, or POUR OF TANGENCY
PAR ;•PAVEMENT
PM 4 PARKWAY
R • RECORD DISTANCE
RAD. • RADIUS OF RADIAL.
RGE • RAViOS
R.P.. RAO}U3'POINT
ROE 4 ROOF OVERHANG
EASEMENT
RAW • RIGHT.OF WAY
SEC • SECTION
S.I.P.. • SET IRON PIPE L.B MOM
MIL • SIDEWALK
T • TANGENT
TWP • TOWNSHIP
U • UTILITY EASEMENT
U.P. • UTILITY POLE
YA.II>L • WATER METER
W.R. • WOOD ROOF
W.S. • NOD SHED
4 • ANGLE
A • CENTRAL ANGLE
t • CENTER UNE
r • MONUMENT LINE
LEgek,U2 :S TO &7t M EINICRRVR CE
• THERE MAY SE EASEMENTS RECORDED NITRE PUSUC RECORDS NOT SHOWN ON THE SURVEY
. THE PURPOSE OF THIS SURVEY ILO FON USE U8 01TAINING TITLE INELEUNCE AND FINANOINIE AND SMILED NOT BE
USED FOR CONSTRUCTION PURPOSES
EXAMINATIONS OF THE AESTIRACT OF TITLE WELL HAVE TO IM WM TO DETEFECNE RECeRBED DEMUMFAMS IPM
AFFEOTJNR DIE TEES SURVEY TO DEDICATIONS LI/NTAT4DNS. REB1R TR}NS�
CA easemeNTs OF RECORD AND LEA mactaanose Kama ov war OA MEMO TITLE CONIPA18Y,
wOuNDART 9UR1PEY MEANO A 0RAWet1A WI OR A ~EC REPRESENTATION OF THE SURVEY WORK PERPOMLED
THE DECO. COULD BE DRAWN AT IMAM SCALE AND 1 OR NOT TO
AS mom ARE PER PLAT BOOK MESS OTIMME MAN,
THE TERM vcRoActontar maws V IBAB Alts Al
SHALL NEWT BOND M
▪ FOR PLOT VAIN THE 48FDNMAT�$ FOR W L T1ON TO
TTt CONSTRUCTIONS. UNLESS OTNERINISE NOTED, MS F1 II$AS NOT ATTEMPTED TO LOCATE
ONTARSNIP KW DETERMINED
TINS PLOW OP SURVEY HAS SEEN PREPARED FOR TM EXCLUSIVE USE OP THE ENTITIES NAMED
NER * DIE CE. TIFIC TE DUB NOT EXTEND TOME a W PAi
tgatairEt261,
•-EN° oVERNEAO UTILITY LINES
E C 83, • VAML tCOW4
*�aP C.L.F • OWN UIPI FENCE
-0-8Y
W R • Wt3DD FENCE
• En • Swam ELEVATIONS
L F. • PION FENCE
raga 0
1) IF WOW & O'WINGS ARE REFERRED To AN ASSUMED
TOMMIAN, DY SAID PLAT INTitE CESCFUPTIDN CIF TINE
PROPERTY, IF NOT, THEN sEARINGS ARE REFERRED TO
, TOWNEREP MAPS,
34 THIS IS A SPECIFIC PURPOSE SURVEY,
9}
THE CLOSURE IN THE BOUNDARY SURVEY IS MOVE
TIED) FT
4)1F MOW ELEVATIONS ARE REFERRED TO
WAIDOADIE coml.
EUNI ELLV FEET OF N.G V.O.OF 1039
AUNEMBISEanSAIM
I MAT TIES IIDUNDARw SuRvEr AP
THE PROPERTY ON AS RECENTLY
AND ORAINNARRIER MY SUMPASNIN
AS SIVT FORTH RY TP 1
iDN1II. LAUD SURVEYORS PI CNAPTER ENTIT -6.
FLORIMAIMINESTRATIVE CODE PuRSUANT TO 479`,
FLORIDA 5Y*TUTES.
r f ss s 1.,r,,.
PROPESSIONAE LAND SURMOR 034
SUM OF Its V
BFARTNE EATEDESED SEAL OF TINE Anima tAND
sufwaua
Miami Shores Vuuage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
May 16, 2013
Permit No: FW13 -1067
Planning Critique
1 Fence in side yard cannot be chain Zink. If wood must picket fence, masonry or
ornamental metal also permitted. Gate must be wood picket style or ornamental
metal.
David Daquisto
305 - 762 -4864
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re- submittal drawings.