FW-12-1660Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 190704
Permit Number: FW -9 -12 -1660
Scheduled Inspection Date: May 21, 2013
Inspector: Bruhn, Norman
Owner: KAMP, BARBARA
Job Address: 296 NE 99 Street
Miami Shores, FL 33138-
Project <NONE>
Contractor: ISLAND FENCE OF FLORIDA INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Iron/Ornamental
Phone Number (786)536 -2004
Parcel Number 1132060134300
Phone: 305 -888 -9090
Building Department Comments
INSTALLATION OF 152' GALV. CHAIN LINK FENCE 4'
HIGH AND 179' BRONZE ALUMINUM FENCE 36" HIGH
Infractlo 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- 189853. CREATED AS
REINSPECTION FOR INSP- 178165. Remove soil and sod disturbed area
Fence sections missing. NB
May 20, 2013
For Inspections please call: (305)762 -4949
Page 10 of 20
l_ Vii.
CONTRACTOR:
I
SUBMITTAL DATE: ra
ADDRESS: 2,
NAME: ��'I.!�1ri #L /_ „_
�`����1'LL*.r�
RESUBMITAL DATES:
C /
°L
PROJECT PE:
J
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L
.
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
NOC
;� i
MECHANICAL
BLDG
.._
ke
•
1 � O-
enliiiami Shores Village
Ulm
Villa e
"41/"Alt Buldin Department
i �������� � ,
io a_ N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756 8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
I DING
PERMIT APPLICATION
11/40 V,(1
Permit Type:
UILDING
JOB ADDRESS: ol /1/E 9 J ‘="r
City:
Miami Shores
County:
IL-ZIT:CETATED
SEP 062012
FBC 20
Permit No.r193 Y 2-71(0)(0A0
Master Permit No.
ROOFING
Miami Dade
Zip: 03/38
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
1
OWNER: Name (Fee Simple Titleholder): i' . 1 F
Address: Al qq �
City: k m U / O State: 1_ L
Phone #: 2)001'
Zip: 53
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR:
Company Name: (rl d W a2 kik Phone #:
Address: ?ill
I
City: 01 Pii .056 State:
Qualifier
Qualifier Name: C ( (tij (1194
Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: 505 g r el 0 Email Address: 6-fayleiall & !s% a r e3 of
Zip: ,) DIQ
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $
Type of Work: ❑Addition
Description of Work:
'52'
l'
WOO
❑Alteration
120)-11.7.e.
Square/Linear Footage of Work: S3 c—F
yUNew ORepair/Replace ❑Demolition
C41t L`(� r� !
e75
Color thru tile:
*************************************** Fees********** **** * * * * * * * * * * * * * * * * *** * * * * * * * * * **
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
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 not be approved and a reinspection fee will be charged.
The foregoing instrument was acknowledged before me this
6
Signature
Con . ctor
The foregoing instrument was acknowled ed before me this
day of , 20 /? by %lj Yhave, k , day of
who is personally known to me or who has produced who is
As identification and who did take an oath.
NOTARY ' LIC:
Sign:
Print:
/
My Commission Expire
�ritr�•.
s•:
C- /9e�-f
EVELYN L PASCAL
MY COMMISSION # DD 940519
EXPIRES: Januar 2, 2014
o Bonded Thru Notary Pu Underwriters
* * * ** * * ** *** * **** * * * * ***v:
APPROVED BY
20 /0-, by / Iz 6510622,—
to me or who has produced
as identification and who did take an oath.
LIC:
Plans Examiner
Structural Review
NOTARY
Sign:
Print:
My Comm
p,
(Revised 5 /2 /2012XRevised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09XRevised 7/10/2007)
„t
EVELYN L PASCAL
MY COMMISSION # DD 940519
v: EXPIRES: January 2, 2014
Bonded Thru N P , is
rrr`�wvww�rA'r► • y'.
I/ /WI-
Zoning
Clerk
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. I .32-010'0)5 °430D
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
111111111111111111111111111111111111111111111
CF/4 2012R0873170.
OR. Bk 28386 Ps 0777; (fps)
RECORDED 12/05/2012 14:11158
HARVEY R:UVII4' CLERK OF COURT
MIAMI- CDACDE COUNTY, FLORIDA
LAST PAGE
STATE OF FL RDA, COUNTY OF L.�:f3E
/ HEREBY CER iFY that *is isE r py of the
I i /ht'
THE UNDERSIGNED hereby gives notice that improvements will be made to 81M aal
property, and in accordance with Chapter 713, Florida Statutes, the following
is provided in this Notice of Commencement.
HARVEY RUVF
By
�.;,AD20
and Ofr
CLE
y of
C unty Calls
0 C.
Space above reserved for use of recording office
1. Legal description of property and street/address: C-0 r 1 Z O
/) t&- M I' t 5 t-ic3P -E5 SEC. ox-3 2 q62 . ■ 5 42-2 5'7
2. Description of improvement: 14°4 /lJ Lt 0.1 rE ( A Ai 4 °,4..W t (1-'C . & 'CL
3. Owner(s) name and address: (3 P)-C3 x.43 2-4L t-s efiq t` /4- 6671.%05 • 5 J2 g
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name, address and phone number. :F-5/../4/116
'"2 (t G Ot c-t-j l ?,� r 3 .3Oi�
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number: pJ /4
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number: >‘) ke
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Sign . a) of •wner(s) o,... 'r s)' Authorized Officer /Director/Partner/Manager
By . >.�1 s By
Print 1± e 4 � ►
� 'r" 4 ` Print Name
Title /Office
Title /Office }'v Y
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The foregoing instrument was acknowledged before me this day of
By b.1►I 4 yt7
Individually, or ❑ as :`? �✓ for
la Personally known, or ❑ produced the following type of identifi lon:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in ft are true, to the best of my knowledge and belief.
Signature(s) of Owner(s) or Owner(s)'s Authorized Officer /Director/Partner /Manager who signed above:
By By
+mrn_F. Dnr_c, 14111
1
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:1132060134300
Owner's Name: RUBEN SEOANES
Job Address: 296 99 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 331
Total Job Valuation: $ 6,800.00
Contractor(s) Phone Primary Contractor
ISLAND FENCE OF FLORIDA INC 305 - 888 -9090 Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 9/6/2012
Comments: FENCES IN FRONT YARD REQUIRE PLANNING BOARD APPROVAL.
FENCES IN FRONT YARD CAN NOT BE HIGHT THAN 3.5 FEET.
CHAIN LINK FENCES NOT PERMITTED IN FRONT YARD.
Permit No: 12 -1660
Job Name:
October 23, 2012
Page 1 of 1
Building Critique
1). Provide zoning approval.
2) The fence plans are designed under the wrong code. The correct code is the 2010 FBC.
Planning Critique
1). CHAIN LINK FENCE NOT PERMITTED IN FRONT YARD.
SEE PLANS APPROVED BY PLANNING BOARD.
Electrical Critique
1). N/A
Plumbing Critique
1). N/A
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.
Norman Bruhn CBO
305 - 762 -4859
Fes = 305 - 79 24
10/26/2012 15:55 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES
I_j001
* * * * * * * * * * * * * * * * * * * **
* ** TX REPORT * **
* * * * * * * * * * * * * * * * * * * **
TRANSMISSION OK
TX /RX NO 3035
RECIPIENT ADDRESS 83058887424
DESTINATION ID
ST. TIME 10/26 15:54
TIME USE 00'19
PAGES SENT 1
RESULT OK
Permit No: 12.16C>O
Job Name:
October 2 3, 2012
Page 1 of 1
Building Critique
.)•
Provide ironing approval,
2) i'he fence plans are designed under the wrong code. The correct code is the 2010 I• BC,
Planning Critique
:1). CHAIN LINK I:'CNCC NOT PERMITTED':) IN FRONT YARD,
SFE PLANS APPROVED BY PLANNING BOARD.
E riccrl Critique
1). N/A
Plumbing Critique
1). N/A
Plan review is not complete, when all items above are corrected, we will clo i1 complete plan review.
if any sheets are Voided, remove therti from Lhe plans and replace with new revised sheets and include
one wt. Of voided %heel ; in the re-submittal drawings.
Norman Bruhn C130
09/12/2012 09:56 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES
e1001
*********************
*** TX REPORT ***
*********************
TRANSMISSION OK
TX/RX NO 2908
RECIPIENT ADDRESS 93058887424
DESTINATION ID
ST. TIME 09/12 09:55
TIME USE 00'54
PAGES SENT 2
RESULT OK
Permit No: 12-1660
Job Name:
September 10, 2012
Miami Shores Village
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
1) Provide zoning approval.
2) The fence plans are designed under the wrong code. The correct code is the 2010 FBC.
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.
Norman Bruhn CBO
305-762-4859
FAY
S.Af) 4-1
Permit No: 12 -1660
Job Name:
September 10, 2012
Miami Shores Village
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
1) Provide zoning approval.
2) The fence plans are designed under the wrong code. The correct code is the 2010 FBC.
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.
Norman Bruhn CBO
305 - 762 -4859
rAy.
3() - FYY -7423-1
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, t(&Y A , does hereby attest that the
(property owner')
attached s u r v e y , p e r f o r m e d b y dIC-A-0 t \ y ‘ 50 - y 5) rU , f„5
(name of surveyor's comlav ny)
performed on Ll t , is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miajni Shores Village to issue a building'permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
SWORN TO AND SUBSCRIBED before me this ✓c"° day of
Affiant is personally known to me, produced �—
EVELYN L PASCAL
t4 MY COMMISSION # DD 940519
41 EXPIRES: January 2, 2014
j . Bonded Titre Notary Public Underwriters
G2.
as identification.
Notary
' .',3Rt1 CERTIFICATE OF LIABNLiTi( INSURANCE
DATE (MMI° "''
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: Witte certificate holder la an ADDITIONAL INSURED, the policy(les) must be endowed. U SUBROGATION IS WAIVED, subject to
the berme and candltlona of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endoreement(e).
PRODUCER
Accurate Insurance Group Corp
10300 Sunset Drive, Suite 202
Miami, FL 33173
Phone (305) 595 -3377 Fax (305) 595 -3397
T Jererrdah Pere2
t' No. s: (305) 595 -3377 1 in. : (305) 5954397
,'DRESS: Jperezt§accurateinsgroup.com
INSURER(S) AFFORDING COVERAGE
NAISO
Baum A: Anmust Associated Industries Insurance Company
INSURED
PALDAMA INVESTMENT INC D/B/A ISLAND FENCE
711 E OKEECHOBEE RD
HIALEAH, FL33010 (305) 8884090
Ida:
INSURER C:
EACH CC
INSURER D:
INSURERS:
$
iNSIRER F :
• COMMERCIAL GENERAL UABIUrY
COVERAGES.
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED: NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THiS
CERTIFICATE MAY RE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Miami Shores Wage
Building Department
10050 NE 2 Avenue
Miami Shores, FL 33138
TYPE OF INSURANCE
ADDLSUBR
AUTHORIZED .;= -:-,z AnvE .
. f
POLICY NUMBER
RS IDOIYYYYI
l L YYYf
LIMITS
..1
GENERAL LIABILITY
EACH CC
5
DAMAGE
PREMISES 1
$
• COMMERCIAL GENERAL UABIUrY
❑ ❑ CLAMS -MADE • OCCUR
MED EXP (Am aro per)
5
III
PERSONAL aADVINJURY
$
•
GENERAL AGGREGATE
5
GENT-AGGREGATE LIMIT APPLIES PER:
❑ POLICY ❑ 21W • LOC
PRODUCTS - COMPIOPAGG
$
$
AUTOMOMLE LIABILITY
VEINED ?INGLE LIMIT
$
• MN AUTO
BODILY INJURY (Per person)
$
• AU. OWNED • SCHEDULED
$
■ Np
�❑-1 HIRED AUTOS
0 ❑
pB�DDILYIINJJURY(Per=Nerd]
tP�-ea1d�
$
$
• UMBRELLA UM 0 occuR
• EXCESS UAB • CLALMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
❑ DED ❑ RETENTIONS
$
A
WORKERS EMPLOYER'S' NSATIO f YIN
AND
ANY PROPRIETOMPARiNERIEXECUTNE
NIA
AWC1017271
10%2$12012
10/2812013
STATU- &H-
TORY A1U- ❑
E.L EACH ACCIDENT
$
100,000.00
((r k, NH) EXCLUDED? ri
E.L DISEASE -EA EMPLOYEE
S
500,000.00
yyssee,.l_
DE&CRIPTI OPERATIONS below
EL DISEASE - POLICY oar
s
100,000.00
DESCFLIPTION OF OPERATUNS I LOCATIONS /VESICLES (Attach ACORD 101, Addlilanrd Remake $ch,dut . N more epee ffi required)
Fence Installation Company for Residential and Commercial
CERTIFICATE HOLD
CANCELLATION
1
Miami Shores Wage
Building Department
10050 NE 2 Avenue
Miami Shores, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED .;= -:-,z AnvE .
. f
ACORD 26 (2010105) CIF
® 0 ACORD CO RPO TION. All rights reserved.
The name and logo re registered marks of ACORD
4r,
A.C"CP,t7 CERTIFICATE OF I DATE (MM/DD/TY)
PRODUCER Slanco Insurance Associated Inc.
1460 E. 4th Ave.
Hialeah, FL 33010
Phone (305) 888-0524 Fax (305) 883-6218
INSURED PALDAMMSLAND FENCE OF DADE
711 E OKEECHOBEE RD.
Hialeah, FL 33010
COVERAGES
LIABILITY INSURANCE 11/28/12
THIS CERTIFICATE IIISSUEI3 AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, E)(TEND OR
ALTER THE COVERAGR MIMED BY THE Plaktigus DELQW,
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: ENDURANCE AMERICAN SPECIALTY
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
. • •
---iii—E-POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (NINUDEVYYYY)
POUCY EXPIRATION
DATE (MMiDDANYY)
LIMITS
GENERAL LIABILITY
W.] COMMERCIAL GENERAL LIABILITY
LEI CLAIMS MADE etM OCCUR
171
CBC10000717100
11/26/2012
11/26/2013
EACH OCCURRENCE
1,000,000
100,000
-5AMAUCTO REtsrrED
PREIVIISES (Ea occurrence)
MED EXP (Any one person)
.....
5,000
1000,000
2,000,000
2,000,000
PERSONAL & AIN INJURY
GENERALAGGREGATE
GEM AGGREGATE LIMIT APPLIES PER:
li■el POLICY LI PROJECT 0 LOC
PRODUCTS - COMP/OP AGG
0
El
AUTOMOBILE LIABILITY
1_,J ANY AUTO
Li 1
1_1 Alt. OWNED AUTOS
0 SCHEDULED AUTOS
ID HIRED AUTOS
L NON OWNED AUTOS
El
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
• r a te •
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident
AUTO ONLY - EA ACCIDENT
GARAGE LIABILITY
EJ ANY AUTO
0
OTHER THAN EA ACC
AUTO ONLY AGG
! 11
EXCESS / UMBRELLA LIABILITY
ci OCCUR [11 CLAIMS MADE
[7_1 DEDUCTIBLE
0 RETENTION $
EACH OCCURRENCE
---- —
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS UABIUTY IN
ANY PROPRIETOR 1 PARTNER 1 EXECUTIVE
OFFICER / MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
SPECIAL PROVISIONS below
SZ WC STATU, D OTH-
TORYAMB ER
EL EACH ACCIDENT
EL. DISEASE - EA EMPLOYEE
E.L. DISEASE - POUCY LIMIT
4
1
OTHER
, .--.--_
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
10050 N.E. 2 AVE.
MIAMI SHORES, FL. 33138
ACORD 26 (i009/Iii) i5F
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, 118 AGENTS OR REPRE IVES.
AUTHORIZED REPRESENTATIVE
MARIA ALMO •
0 „
RPORATION. All rights resenredj.
ORD name and logo are registered marks of ACORD
FIRST - CLASS
U.S. POSTAGE I
PAID
FL
NO. a 231
637889 -7
BUSINESS NAME / LOCATION
ISLAND FENCE OF DADE
711.E OKEECHOBEE RD
33010 HIALEAH
THIS 18 NOT A BILL — DO NOT PAY
R'ER A
RECEPT NO:
OWNER
PALDAMA INVESTMENT INC
Sec. Type of B sines
220 TANGIBLE PERSONAL PROP DLR
jIS IS ONLY A LOCAL
USINESS TAX RECEIPT. R
DES NOT PERMIT THE
OLDER TO VIOLATE ANY
XISTING REGULATORY OR
DOING LAWS OF THE
OUNTY OR CITIES. NOR
DES IT EXEMPT THE
OLDER FROM ANY OTHER
ERMIT OR LICENSE
EOUIRED BY LAW. THIS 15
OT A CERTIFICATION OF
15 HOLDER'S OUALIFICA-
ONS:
AVMENT RECEIVED
IAMI -DADE COUNTY TAX
OLLECTOR:
0971:972012
02260008001
000045.00
SEE OTHER SIDE
EMPLOYEE/ S
10
DO NOT FORWARD
ISLAND FENCE OF DADE
PLACIDO A LOPEZ
711 E OKEECHOBEE ROAD
HIALEAH FL 33010
1111111 .111111111111111i1111iIlI1tit11
11 i1Iti11H111ij1JJ81i1
THIS IS NOT A BILL — DO NOT PAY
RECEIPT NO. 30- 4146346 CC NO: 98BS00247
BUSINESS NAME / LOCATION
ISLAND FENCE OF DADE
711 E OKEECHOBEE RD
OWNER :PALDAMA INVESTMENT INC
SEE BACK OF RECEIPT FOR
ST OF NON —PARTI
RECEIPT HOLDER MAY DO
BUSINESS AS A CONTRACTOR
AS SPECIFIED HEREON.
DO NOT FOR1NARD
ISLAND FENCE OF DADE
PLACIDO A LOPEZ PRES
711 E OKEECHOBEE RD
HIALEAH FL 33010
It:1111111 11;11111111411111111111111 11ii111t111111i!#1411
637891 -3
711 E 0
33010 HIAL
° a RDAMA INVESTMENT INC
seliwefteritry mut
515 IS ONLY A LOCAL
USINESS TAX RECEIPT. IT
055 NOT PERMIT THE
OLDER TO VIOLATE ANY
X=STING REGULATORY OR
ONING LAWS OF THE
OUNTY OR CITIES. NOR
OES IT EXEMPT THE
OLDER FROM ANY OTHER
ERMIT OR LICENSE
'EGUIRED BY LAW. THIS IS
OT A CERTIFICATION OF
145 HOLDER'S OUALIFICA-
IONS.
AYMENT RECEIVED
MAMA -DADE COUNTY TAX
DLLECTDI 971972012
02260008002
000045.00
SEE OTHER SIOE
DO NOT FORWARD .
ISLAND FENCE OF DADE
PLACIDO A LOPEZ PRES
711 E OKEECHOBEE RD
HIALEAH FL 33010
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•
C:(n
Standard Residential Shop Drawing>
Tie
Wire
Top Rail
Cap .
6' max.
I0' -0" to center
maximum
Tension
Band
1
.84Ta IL J
Post hole diameter is 4 times the diameter of the post.
TERMINAL POST LINE POST
ize
21"
Wt. per ft. Size
1 5/8 or 2"
* Size -Is outside dimension
Wt. per ft.
TOP RAIL
Size
Wt. per ft,
1 3/8" or 1 5/8"
P- Weight-is pounds per linear foot
Chain Link
Fabric % Gauge
> n
rr m
n
z
C
CL7 0-
-
0
r n
m n
>
5
D
n
C
iy T�
11;
r� Mechanical Aluminum Fence
\?�; (Not designed for use as a balcony rail or other elevated structural barrier)
3/4" x 3/4" x .062"
Tube Pickets
2" x 2" x .075" _
Tube Posts
Magna Latch
(If req'd for pool code)
4 2" —01
.075"
Snap Post
2" x 2" Post
3%2"
Overfill with Sikadur 32 Hi-
Mod Epoxy extended with
sand aggregate.
31/20
Post Set In Concrete
r
60" Max.
IIIIII IIIIIIII 11 II II II11
1.25" x 2.458" x .062" Top Rail
(Install over channel or cap snap plate)
1" x 1% x .062"
Channel Rail
2" —►
Vii + r
.075"
Cap snap plate
4— 3.875"
Typical Fence Elevation
14— .75" -' l
.062"
Picket detail
2.458"
2500 psi •
conc.
.168 "f
•
36" Min.
60" Max.
2"
—► 12 "0
2.0"
T 'L .168"
Post Snap
1.25"
L
2" x 7/16" top channel
HR 12 Wall Bracket
3/16" pop rivets
(aluminum)
Top Cap Detail
HR 10 Wall Bracket
(attach with (2) 3/16" x 1 %" tapcons)
Notes:
1. Design: 2010 FBC, Sec 1615.2 & ASCE 7 -10, wind speed 75 MPH, exposure C.
2. All connections shall be with #10 x 1%" SS sheet metal screws UON. (fill all bosses)
3. Material: Extruded aluminum 6061 -T6 or equal. Powder coated or corrosion resistant paint.
4. Gates to be self closing and self latching.
5. Top Cap is riveted to channel or snapped to plate.
6. No changes allowed without written authorization from the engineer.
7. Copies of this drawing without an original signature and seal of the engineer are invalid.
I4-- 1 %" —'
Channel detail
(bottom)
FLA TY
ASS 17 TES
YNc.
William F. Flaherty, P.E. #25221
1351 SE 4th Avenue
Pompano Beach, FL 33060
Certificate of Authorization #26223
Island fence 10.20.12
REPORT OF SURVEY
FL1205.2480
This is page 2 of 2 and is not valid without all pages.
.LEGAL DESCRIPTION:
Lot 1 and the East 172 of Lot 2, Block 32, AMENDED PLAT OF MIAMI SHORES SECTION ONE, according to the plat thereof, as recorded in Plat
Book 10, Page 70, of the Public Records of MIAMI -DADE County, Florida.
JOB SPECIFIC SURVEYOR NOTES;
THE BEARING REFERENCE O.F. EAST IS BASED ON THE ASSUMED BEARING OF THE SOUTHERLY RIGHT -OF -WAY LINE OF N.E. 99TH STREET,
LOCATED WITHIN AMENDED. PLAT OF MIAMI SHORES SECTION ONE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK
10, PAGE 70 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA.
GENERAL SURVEYOR NOTES:
1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or imply ownership.
2. This survey only shows improvements found above ground: Underground footings, utilities and encroachments are not located on this survey map.
3. If there is a septic tank, or drain field shown on this survey, the location is approximate, and was determined by visual above grout d inspection only, and cannot
be relied on for accuracy.
4. This survey is exclusively for the use of the parties to whom it is certified.
5. Additions or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing party or parties.
6. Dimensions are in feet and decimals thereof.
7. Due to varying construction standards, house dimensions are approximate.
8. Any FEMA flood zone data contained on this survey is for informational purposes only. Research to obtain such data was performed at www.fema.gov.
9. All corners marked as set are at a minimum a Nh "diameter, 18" iron rebar with a cap stamped L6#7337.
10. If you are reading this survey in an electronic format, the information contained on this document in only valid if this document is electronically signed as specified
in Chapter 5J- 17.062 (3) of the Florida Administrative Code. The Electronic Signature File related to this document is prominently displayed on the invoice for this
survey which is sent under separate cover: Manually signed and sealed logs of all survey signature files are kept in the office of the performing surveyor. If this
document is in paper format, it is not valid without the signature and original raised seal of a Florida Licensed Surveyor.
11. Unless otherwise noted, an examination of the abstract'of title was NOT performed by the signing surveyor to determine which instruments, if any, are affecting
this property.
12. The symbols reflected in the legend and on this survey may have been enlarged or reduced for clarity. The symbols have been plotted at the center of the field
location, and may not reptesent the actual shape or size of the feature.
LEGEND.
BOUNDARY UNE
STRUCTURE
I
CONCRETE BLOCK WALL
CHAIN -INK or. WIRE ?MICE
WOOD FENCE
IRON rENCE
PASEv ENT - -
EDGE OP WATER
WOOD
CONCRETE
rl r or TILE
hill
WATER COVERED AREA
•
BENCHMARK
CAW.* ENT.. CALCULATED POI'
• CENTRAL ANGIE or DELTA
• COMM POINT
CONCRETE MONUMENT
CATCH BASIN
ELEVATION
FIRE HYDRANT
MANHOLE
TREE
UTIUTY OR UGHT POLE
WELL
COMMON OWNERSHIP
IIIIIIII
NC
B.R.
ELK.
B.C.
BILL
BSMT.
BAW
(C)
c
CAW
C.B.
CHUM.
C.LP.
C.O.
CONC.
C.V.G.
CAL
CIS
CIP
CSAV
COIL
(D)
D/W
D.P.
ELE
ENCL.
E'.
E.O.P.
E.O.W.
P/L
F/P
P.P.
PPE
PAH
PVC
riRC
flR
PIP
FCM
FN
ENE)
END.
GAR
GM
ELECTRONIC SIGNATURE:
In orderto"Electronically Sign"aIl of the PDFs sent
by STARS, you must use a hash calculator. A free
online hash calculator is available at
.http://www.fileformatinfoftool/mdSsum.htm
To Electronically Sign any survey PDF:
1. Save the PDF onto your computer.
2. Use the online tool at
http://www.fileformat.info /tool /md5sum.htm
SURVEYOR'S LEGEND
AIR CONDIONING
BEARING REFERENCE
BLOCK
BLOCK CORNER
BUILDING RESTRICTION UNE
BASEMENT
BAY/BOX WINDOW
CALCUL/TMO
CURVE
CABLE TV. RISER
CONCRETE BLOCK
CHIMNEY
CHAIN UNK PENCE
CIZ N OUT
CONCRETE
CONCRETE VALLEY GUTTER
calm UNE.
CONCRETE BLAB
COVERED PORCH
CONCRETE SIDEWALK
CORNER
DEED
DRNEWAY
DRAIN FIELD
ELECTRIC UTILITY BOX
ENCLOSURE •
ENTRANCE
EDGE OP PAVEMENT
EDGE OF WATER
PENCE UNE
FENCE POST
RED
FINISHED FLOOR
FLORIDA POEM* LIGHT
rOUND DRILL HOLE
POUND IRON PIPE * CAP
FOUND IRON ROD 4 CAP
POUND IRON RO1
FOUND IRON FIFE
END. CONCRETE MONUMENT
FOUND NAIL
POUND NAIL * DISC
POUND
GARAGE
GAS METER
ID. IDENTIFICATION
INT. INTERSECTION
IR IRON ROD
IP IRON PIPE
L LENGTH
LB# UGENSE # - BUSINESS
L5# MENDE#.,SURVEYOR
(M) MEASURED
N.R. NON RADIAL
N.T.S. NOT TO SCALE
.
O.C.S. ON CONCRETE SLAB
O.G. ON GROUND
O.H.L OVERHEAD UNE
O.R.B. ormmcW. mum BOOK
OH. OVERHANG
O/A OVERALL
QS OFFSET
PKN
PARKER-KALON NAIL
P5M PROFESSIONAL aURVeveR
AND MAPPER
PLS PROFESSIONAL LAND SURVEYOR
(P) PAT
P/E POOL EQUIPMENT
PLT RANTER
PP PINCHED PIPE
P.B. PIAT BOOK
P.I. POI' OF INTERSECTION
P.O.B. POINT OP BEGINNING
P.O.C. POINT or COMMENCEMENT
P.T. POINT OP TANGENCY ,
P.C. POINT OF CURVATURE
P.C.C. POINT OE cOMPOUND CURVATURE
P.R.C. POINT OF REVERSE CURVATURE
P.C.P. PERMANENT CONTROL POI'
P.R.M. PERMANENT REFERENCE MONUMENT
R RADIUS or RADIAL
(R) RECORD
RES. RESIDENCE'
R/W RIGHT OF WAY
(5) SURVEY
S.B.L SETBACK LIND
S.C.L. SURVEY CLOSURE UNE
SCR SCREEN
S/DH SET DRILL HOLE
SEP. SEPTIC TANK
PRINTING INSTRUCTIONS:
1. While viewing the survey in Adobe Reader, select the
"Print" button under the "File" tab.
2. Select a printer with legal sized paper.
3. Under "Print Range ", dick select the "AII "toggle.
4. Under the "Page Handling" section, select the number
of copies that you would like to print.
5. Under the "Page Scaling" selection drop down menu,
SEW.
5.P.
5011
SIRC
SN
SN4D
STY.
S.T.L
av
sN
S.W.
TEL
T.O.B.
TX
1 1,.
WIC
W.P.
WM
EN
V.P.
SEWER
SQUARE PEET
SET DRILL HOLE
SET IRON ROD 4 CAP
SET NNE
SET NAIL 4 DISC
STORY
SURVEY TIE LINE
SEWER VALVE
SIDEWALK
SEAWALL
TELEPHONE PAC ILITES
TOP OP BANK
TRANSFORMER
TYPICAL
WITNESS CORNER
WATER FILTER
WOODEN PENCE
WATER METERNALVE BOX
WATER VALVE
VINYL PENCE
A.E. ANCHOR EASEMENT
C.M.E. CANAL MAINTENANCE ESMT.
C.U.E. COUNTY UTILITY CWT.
D.E. DRAINAGE EASEMENT
CSMT. EASEMENT
I.EdE E INGREE S/EGRESS ESMT.
IRR.E. IRRIGATION EASEMENT
LA.E. UMITED ACCESS E5MT.
LB.E. LANDSCAPE - atom ESMT.
LM.E. LAKE OR LANDSCAPE
RWNTENANCE BASEMENT
M.E. MAIM :FENCE EASEMENT
P.U.E. PUBLIC UTILITY EASEMENT
R.O.E. ROOF OVERHANG ESMT.
S.W.E. SIDEWALK. . eaventr
S.W.M.E.S;TO wAWATEIt`
MANAGENr:SMT.
T.U.E. T5tlNOLOGICAL nun. EaMr.
U.E. UTILITY BAS TENT
OFFER VALID ONLY FOR:
JEFF KAMP AND BARBARA KAMP
j
I POOL•FENCE 'ADDITION!
j l
Ordered By:
e4e4A6 CAMP
diFIDELITY
NATIONAL TITLE GROUP
PROPERTY ADDRESS: 296 NE 99 STREET MIAMI SHORES, Florida 33138
FIELD WORK DATE: 6/9/2012
FL 1205.2480
BOUNDARY' SURVEY
Mall-DADE COUNTY
TABLE:
L 1 53.42' (P)
53.34' (M)
L2 24:83' (P)
24.78' (M)
L3 24.83' (P)
24.89' (M)
L4 90.18' (P)
89.93' (M)
REVISION DATE(S): (rev.0 6/12/2012)
C-I
R= 25.00rNM)
L= 39.009'0 39.04'(M)
6". 4 =135°35157r) 89•28'113YM)
5 45°121026E; 35.23'(P)
5 44°59'56" E vw)
N.E. 99TH 5TR
B.R. (ASSUMED)
EAST 78.12' (M) I/2° rip
ID T 70.25' Sp) NO ID
25.0
-•■■•emnealarOATROC
I hereby
described p
the bast of
represon
standards
Surveyors a
AdmIntsfratIve
A. Join,
4 it*7- SU —
Sketch
has bianarla und
Wedge &ref belle, It Is
yffibt
rth bythe Flo
.1 '1.
• 1111%;
and accurate N
ill technLcal LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER.
f.`lfieSS/OfMilLand FENCE OWNERSHIP NOT DETERMINED 30
the Ronda
0
15
30
GRAPHIC SCALE (In Peet)
1 inch = 30' ft.
State of Rorida Professional Surveyor and Mapper
License No. 6572
Use of This Survey for Purposes other than Intended, WithoutWritten Verification, will be at the User's Sole Risk and Without Liability to the Surveyor. ,
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified
FLOOD INFORMATION:
By performing a search with the local governing municipality or vvww.
fema.gov, the property appears to be located in zone X. This Property was
found in the VILLAGE OF MIAMI SHORES VILLAGE, community number
120652, dated 09/11/09.