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FW-13-2179 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-204083 Permit Number: FW-9-13-2179 Scheduled Inspection Date: December 11,2013 Permit Type: Fence/Wall Inspector: Rodriguez,Jorge Inspection Type: Final Owner: GOMEZ, LINA Work Classification: Wood Fence Job Address: 10109 N MIAMI Avenue Miami Shores, FL 33150- Phone Number Parcel Number 1132060131510 Project: <NONE> Contractor: ATLANTIC CONSTRUCTION U.S INC Phone: (305)804-5854 Building Department Comments INSTALLATION OF 309 LF OF 5'H BOARD WOOD FENCE IN Passed Comments WITH ONE 4'X 5'H GATE AND 12'5'H DOUBLE GATE INSPEC SPECTOR COMMENTS False I Inspector Comments Passed 9 5 CREATED AS REINSPECTION FOR INSP-199904. Gates must be self closing with child safety locks Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 10,2013 For Inspections please call: (305)762-4949 Page 15 of 21 Miami Shores Village CE'v Building Department SEP 2 g 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 v \ Tel:(305)795.2204 Fax:(305)756.8972 BY: C. INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No.�_1i) l �i Permit Type: 'BUILDING ROOFING JOB ADDRESS: 10109 North Miami Avenue City: Miami Shores County: Miami Dade Zip: 33150 Folio/parcel#: 11-3206-013-1510 Is the Building Historically Designated:Yes NO X Flood Zone: OWNER..Name(Fee Simple Titleholder):Lina Gomez phone#:786-271-5346 Address:10109 North Miami Avenue City: Miami Shores Ste. Florida Zip. 33150 Tenandl essee Name: N/A phone#:N/A Email: N/A CONTRACTOR:Company Name: Atlantic Construction U.S. Inc. Phone#.. 305-804-5854 Address: 13321 SW 78 Street City: Miami Ste. Florida Zip: 33183 Qualifier Name: Raymond V.Sales Phone#: 305-804-5854 State Certification or Registration#: C.G.C. 1518456 Certificate of Competency#: N/A Contact Phone#: 305-804-5854 Email Address: ray @atianticcon.com DESIGNER:Architect/Engineer. N/A Phone# N/A Value of Work for this Permit:$5,400.00 SquarelLinear Footage of Work: 309 LF Type of Work: ❑Addition OAlteration VNew ORepair/Replace ODemolition Description of Work: Installation of 309 LF of 5'h board on board wood fence with one 4'X 5'h gate and 12'5'h double gate. Color thru tile: Submittal Fee$ 6 Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ TrainhWEduc ation 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 S 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 EMPROVEMENTS 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$2500, the applicant Hurst promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first * ction which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will be approved a reinspection fee will be charged Signature Signature er or Agent �` The q3P-ao ument was ackn owledged before me this•a G - The foregoin instrument was acknowledged before me this�[�day ;01,by /�''4 GO��'� day of = b if 201,3,by Gli 14 -M('1 S(de-S , who is personally known to me or who has produced A L who is personally known to me or who has produced P/— As identification and who did take an oath. ,)Jjj J_l C,U as identification and who did take an oath. NOTARY PUBLIC: G 550' SJ'5-7-7- 9//-O NOTARY PUBLIC: Sign: � ' • •. Sign: l wu� - BARBARA A.ESTEP Print �'� EEO7�1e •:*$ Print' I, DD 955300 • Wr�l. b :r EXPIRES:March 29,2014 My Commissi n Expires: o ;.' My Commission Expires: ��' ea�d�t Thru NoWy Puaac um►erwters tAPPROVED BY �r5 1 ( Plans Examiner L Zoning Structural Review Clerk (Revised 3/12P2012)(Ravised 07/10/WXRevised 06110/2W9)(Revised 3/15/09) d .son �� Miami Shores Village % Building Department IORNp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A$30.00 FEE PER YEAR IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. X COPY OF QUALIFIER'S STATE LIC CARD B. X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE(CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. X COPY OF WORKERS COMPENSATION(EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE(.CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 ........................................................................................... COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Atlantic Construction U.S. Inc. BUSINESS ADDRESS: 13321 SW 78 Street CITY Miami STATE Florida ZIP CODE 33183 BUSINESS PHONE: 3( 05 ) 804-5854 FAX NUMBER 3( 05 ) 387-3042 CELL PHONE 05 ) 804-5854 QUALIFIER'S NAME: Raymond V. Sales QUALIFIER'S LIC NUMBER: C.G.C. 1518456 E-MAIL ADDRESS(IF APPLICABLE): ray @atlanticcon.com Created on 3H90 BY MLDV 1 RV 314M MLDV I� STATE OF FLORIDA: DEPARTHENT: QF 'B TSINESS AND PROFSSSI.ij L :- ' GULATION CONSTRUCTION INDUSTRY LICZNPING BOARD SEA L120808Q1749 LICENSE NHl 0 0 3/102 1C. 1518456 .; The GENERAL CONTRACTOR Named below IS CERTIFIED_. z:Jz' ' ' Under the provisions of Cha t�,r, P P9 ;rFS. Expiration date: AUG 31, 2014 ; 5, SALES, RAYMOND V ATLANTIC CONSTRUCTION S IXC 13321 SW 78 SREET MIAMI FL. 33183 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW 002793 Local Business Tax Receipt Miami-Dade County,State of Florida THIS IS NOT A BILL—DO NOT PAY ILBT -6695986 BUSINESS N"EILOCAMON RE-CEIF°T NO. EXPIRES ATLWC CONTRUCFION US INC RENF-WAAL SEPTEMBER 30, 2014 13321 SUN 78 ST 6969019 Must be clisplayed at place of business MIAMI FL 33183 Pursuant to County Cafe Chapter BA—Art.9&10 Oman SEC.TYPE OF BUSINESS PAYMENT RECEIVED ATLANTIC CONTRUCTION US INC 1WGENERAL BUILDING CONTRACTOR SY TAX COLLECTOR Worker(s) t CGC1518456 $75.00 08/23/2013 CREDRCARD-13--006192 This L=W Business Tax Receipt aniy confirms payment of the Local Busies Tax.The Receipt is mr a frcanse, permit,or a eertHrcaden of the�s quelNe� which b Holder comply with any governments!or mingovernmental regulatory TheRECE1PT NB.above must he displayed an all commercial veffl6les-Mburl-Dade Code Sec For more information,visit wwwinlamidadeAmdawAucter t, 09-05-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 10/11/2012 EXPIRATION DATE: 10/1112014 PERSON: SALES RAYMOND V FEIN: 271931130 BUSINESS NAME AND ADDRESS: ATLANTIC CONSTRUCTION U S INC 13321 SW 78 STREET MIAMI FL 33183 SCOPES OF BUSINESS OR TRADE: 1- LICENSED GENERAL CONTRACTOR IMPORTANT. Pursuant to Chapter 440 . 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer masts the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS COMPENSATION O Pursuant to Chapter 44(105(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS COMPENSATION LAW 9 D chapter. EFFECTIVE 10/11/2012 EXPIRATION DATE: 10/11/2014 Pursuant to Chapter 440.0502), F.S., Certificates of election to be PERSON: RAYMOND V SALES H exempt_ apply only within the scope of the business or trade listed on FEIN: 271931130 R the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt ATLANTIC CONSTRUCTION U S INC and certificates of election to be exempt shall be subject to revocation 13321 SW 78 STREET if, at any time after the filing of the notice or the issuance of the MIAMI, FL 33183 certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE person named on the certificate to meet the requirements of this 1- LICENSED GENERAL CONTRACTOR section. QUESTIONS? (850) 413-1609 CUT HERE Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 CERTIFICATE OF LIABILITY INSURANCE 09/26/13 THIS CERTIFICATE It 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: ff the certflcate holder Is an ADDITIONAL INSURED,the poilcy(les)must be endorsed. ff SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsnneft A statement on this certlicate does not confer rights to the certificate holder In Hou of such endomeme s. PRODUCER F_CT OneiSIS IhaS Insurance Professional Consultants PHONE (305)273.4530- F No 10481 SW 88 St Ste.D 204 D L ofriasofta.com Miami,FL 33176 PRODUCER Phone (305)273-4530 Fax (305)2734409 INSURERM AFFORDING COVERAGE NAIL 0 INSURED INSURERA: FEDERATED NATIONAL INSURANCE COMPAN ATLANTIC CONSTRUCTION US INC. INSURER B: 13321 SW 78th St INSURER C: Miami,FL 33183 INSURER D: INSURER E: (305)8045854 INSURER F 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. lf&R ADM SUM POLICY EFF TYPE OF INSURANCE POLICY NUMBER M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300,000 DAMAGE TO RENTED Q COMMERCIAL GENERAL LIABILITY PREMISES oaYmwm $ 100,000 F1 F] CLAIMS-MADE R] OCCUR GL-0000015644-00 MED EXP(Any one peraw) $ 5,000 A ❑ 02/26!2013 02/16/2014 PERSONAL B ADV INJURY $ 300,000 ❑ GENERAL AGGREGATE $ 600,000 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 600,000 ❑ POLICY ® ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea acddwM ❑ ANY AUTO BODILY INJURY(Perpmon) $ ❑ ALL OWNED AUTOS BODILY INJURY(Per aoddani $ ❑ SCHEDULED AUTOS PROPERTY DAMAGE ❑ HIREDAUTOS (Perecddent) $ ❑ NON-OWNEDAUTOS $ ❑ $ ❑ UMBRELLA UAB ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAR CLAIMS-MADE AGGREGATE $ ❑ DEDUCTIBLE $ El RETENTION $ $ WORKERS COMPENSATION WC STA& OTH- AND EMPLOYERS'LIABILITY y1h El ANY PROPRIETORIPARTNEROMCUIIVE[ NIA E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ Under SM �p OPERAnoN s q EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS i LOCATION!VEHICLES(Attach ACORD 101,Additional Rem Schedule,If more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN VILLAGE OF MIAMI SHORES ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT 10050 NE 2ND AVE AUTHORED REPRESENT'AWE MIAMI SHORES,FL 33138 FAX 305-756-8972 1 :;�04: ©19W2=ACORD CORPORATION. All rights reserved. ACORD 26(2009/09)OF The ACORD name and logo are registered marks of ACORD Miali hores Villa e ♦SoRES�i Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 xORiDA Fax: (305) 756.8972 September 25, 2013 Permit No: FW 13-2179 Building Critique Review 1. PENDING ZONING APPROVAL. Ismael Naranjo Building Official 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. ' Miami R Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 LORIUA Fax: (305) 756.8972 September 26, 2013 Permit No: FW13-2179 Plannina Critique Please comply with the following: (4) Orientation of fences. The vertical and horizontal supporting members of a fence shall face the interior of the plot on which the fence is located and the finished side shall face the adjoining lot or any abutting right-of-way. (7) On corner plots. b. On all other corner plots, walls and fences in the following areas shall be ornamental metal, ornamental masonry or picket fence as defined in Section 518(b). Any wire fence is specifically prohibited. 1. In any front yard or side yard the property line of which borders a side right-of-way other than an alley, including the margining thereof. Definition of Picket fence as referred to above: Picket fences of wood, composite board or composite material may be permitted in the front yard provided the pickets are two inches to four inches in width with spacing between pickets of not less than one inch and not more than two inches. 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. 777 N.W.72rtd AVE MB SWO 3024,FAUWK IgAxu"33120 TMMMONB:(300 ZM-0400 1 F":(800 a 094)404 WWWAMRRMAND$URVEYORSAXM iw_ 00 ROUND 10109 NMTH MMA AVENUE,MMM$HOREA FE WSW CEP Z® •ec: :le 00ft NIN PL :ate: P, :CAP L) Co ( I � ■ 'E tL 0 uri Lu z ° Lu �\ O D a WATEto Ptuww MW 41 4 i I 1..11'q.. •• ` I LOT-14 I LQt-13 I. BLOCK-11 I LESS 5FMY i Pi a}� I I I i lot d . .�vt � 1 ` V JOHN MARRA & ASSOCIATES, Professional Land Surveyors & Mappers 777 N.W.72nd AVENUE:SUITE 3028,MLAMI,FLORIDA 33128 TELEPHONE:(3W)262-0400 1 FAX:(306)262-0401 !, YYYYW.111ARRALANDSURVEYORS.00M I ar r � Ag- E�' LOCATION SKETCH VIEW OF S J 7`PROPERTY WAI =ALM 10109 NORTH MLAW � SHORES,FL 33110 a=ARC. 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TITLE COMPANY LENDER r.� � e Loomf` LLC 46 CREW ION C 0 m DRAWN BY: DA UNDERWRITER FIELD DATE: 04252013 �Ir NO.W"o JOB NO: 13-001528-1 * OLD UIRLIC STATE OF SHEET.- 1 OF 2 L. .#7806 SEAL j i k I a k y a i' i a i � f V I C i d f I i ;i WOOD FENCE DETAIL ou" n #2pt 4" X4" post #2pt 2" x i cross member uu Lj L LJ u 2' embedded into 10" diameter concrete footing 1.5" spacing 1" X 4" picket posts spaced 5' oc All lumber pressure treated All fasteners corrosion resistant No less than 2 fasteners per connection a.0/3 " a2