FW-13-2604 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-203207 Permit Number: FW-11-13-2604
Scheduled Inspection Date: December 09,2013 Permit Type: Fence/Wall
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: LANE,CULLAN Work Classification: Wood Fence
Job Address:33 NW 93 Street
Miami Shores, FL 33150-
Phone Number (305)498-9822
Parcel Number 1131010340280
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
WOOD FENCE 5 HIGH Infractio Passed Comments
INSPECTOR COMMENTS False
i
I
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 09,2013 For Inspections please call: (305)762-4949 Page 15 of 29
s
PERMIT# 1
CONTRACTOR: CAL�
SUBMITTAL DATE: k k I t y I i
ADDRESS: 5 l Nj� ci
NAME: L-)�-NC
RESUBMITAL DATES:
PROJECT TYPE: C
Zr NING_ `-_ _ FIRE
STRUCTURAL IMPACT FEES
ELECTRICAL HRSIDERM
PLUMBING NOC
MECHANICAL BLD r -
Miami Shores Village 7BY: CEwED
Building Department ov 18 013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
I NSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 lD
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.FW
Permit Type: BUILDING ROOFING
JOB ADDRESS: 33 NW 93 Street
City: Miami Shores County: Miami Dade gip; 33150
Folio/Parcel#: 11-3101-034-0280
Is the Building Historically Designated:Yes NO X Flood Zone: NO
OWNER:Name(Fee Simple Titleholder):Cullen J Lane phone#:305 498-9822
Address;33 NW 93 Street
City Miami Shores State. FL gip. 33150
Tenant/Lessee Name: Phone#:
Email; clane@cullenlanelaw.com
CONTRACTOR:Company Name: "D Own-cr Phone#: S Crn-e,
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: Square/Linear Footage of Work: Lw n e0r FT.
Type of Work: DAddition OAlteration w air/Replace ODemolition
Description of Work:
Wood Fence
COIAT thru lik:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ 1 Radon Fee$ DBPR$ Bond$
Notary$ TmUng/Educ 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) MBA
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
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 ie !a conditto to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise iat f the notice of commencement and construction lien law brochure will be delivered to the person
whose prt nt Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the fi ccurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspectioand a reinspection fee will be charged Signature Signatu re wner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of kQy ,20 a by Callen, Lah e day of .20. by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: ° Codaft Print:
Expkei-0-6-13012013
My Commission, My Commission Expires:
APPROVED BY 1 r ' ° Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012XRevised 07/10/ ARevised 06110/2009KRevised 3/15/09)
• yt! s Miami Shores Village
Building Department
son
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
s
OWNER BUILDER DISCLOSURE STATEMENT
z
NAME: U(,L F- Q (-' ' � DATE: d I I
_.,
ADDRESS: 33 0 66o✓ W3�)'S v
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 entities 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. , C
Initial
2. 1 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. L
Initial
3. 1 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 H numbers on
permits and contracts. �
Initial
4. I understand that 1 may build or improve a one family or two-family residence or a farm outbuilding.l 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. v
Initial
5. 1 understand that as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial
6. 1 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 by county or
municipal ordinance.
Initial
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 properly 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. 1 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.l understand that my failure to follow these may subject to serious financial risk.
Initial
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 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
10. 1 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 httt)lArm.mygoridalicanse.com/dbor/pro/cilbrindex.html
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:
Initial
12. 1 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 property 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 00V —,20 I
By U)to l-ah - who was personally known to me or who has
Produced ere or as identification.
ER ly Notary Pubilc State of Florida
i� M11011, Cpdailo
r ? My Commission DD879988
o►� ExpiresOW3012013
I
V 2 6 �'` Miami Shores Village
Sins Building Department
�. 10050 N.E.2nd Avenue
Miami Shores,Florida 33138
I��R�p► Tel: (305) 795.2204
Fax: (305) 756.8972
Ferm14 *� F-w o - 13-2(o® c
WOOD FENCE DETAIL 3-3 t4io Cl 3 ST
• Shadow Box
M i aM i S V tortes FL. 3 31'S®
• Vertical Picket C i
Board on Board
f5eilm will 6,t beard orN board.
6a4,,s uj► II be board or, boa`d-
4x4 Post Spacing w 4ii pressui-e
Fences<=5'high posts spaced at Yon center maximum ~ffe4--k O®Od
Fences<=4'high posts spaced at Won center maximum
Fence must not exceed Yin height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
7 2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
4x4 pressure treated
posts embedded 2'Into
concrete footing 10°
diameter x 2'deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
May 2009
..•• um Miami shores,' Village
Building Deparmen#
�OR 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fex: (305) 756.8972
REQUIREMENTS FOR FENCE PERMIT
Permit application must be accompanied by:
❑ 2 copies of your survey(not older than 7 years).
❑ If survey is older than 7 years fill out Survey Affidavit form.
• If owner is doing the job, owner must fill and notarize Owner Builders
Disclosure form (This form must be signed and notarized in the building
department only).
• Show the proposed size on survey including, required 40 sq ft of garbage
area, location of gates if any, and height(can not exceed 5' ft height).
• Include wood or chain link specs form (one with each survey).
❑ $50.00 submittal fee when submitting your permit.
NOTICE:
ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECIFICATIONS
MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITECTURAL OR
ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY PRODUCT APPROVALS.
Revised on 5/2212009
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® _SCALE.V20' CERTIFIED TO: JOSEPH M. KAWALEK, A SINGLE MAN, 33 N.W. 93RD ST. , MIAMI SHORES, FLORIDA
-'L zoo W ` 33150. , SCOTT R. JAY, ESQ. , ATTORNEYS' TITLE INSURANCE FUND, INC. , CHASE MANHATTAN
v v o I L MORTGAGE CORPORATION, ITS SUCCESSORS AND/OR ASSIGNS, ATIMA.N x
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LEGAL DESCRIPTION: LOTS 22 AND 23 BLOCK 168
PLAT OF SECTION NO 6—A MIAMI SHORES
OF SUBDIVISION
ABBREVIA TI _ ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 12 AT PAGE 54
SVW=SIDEVP,LKCBS=CONCRETEBLOCK STRUCTURE,CLF-CHAIN LINK FENCE.PL-PROPERTY LINE,DUE=DRAINAGE UTILITY EASEMENT,,IP=IRONPIPE, OFTHE PUBLIC RECORDS MIAMI—DADS (BOUNTY,
FLORIDA
F=FOUND,A/C-AIR CONDITIONER PAD,PIC=PROPERTY CORNER DM-DRILLED HOLE,VWF=WOODEN FENCE,RES=RESIDENCE,CL-C LEAR,RB=RESAR,
UE=UTILI Y EASEMENT. CONC=CONCRETE SLAB, RAN RIGHT OF MY, DE-DRAINAGE EASEMENT, CA.-CENTER LINE, O-DIAMTER TYP-TYPICAL,
M=MEASURED,R=RECORDED,ENCR=ENCROACHMENT,COMP-COMPUTER,ASH=ASPHALT.NAD=NAIL&DISC,S=SET,FEE-FINISH FLOOR ELEVATION,
NOT VAUD UNLESS EMBOSSED WITH O/S=OFFSET,P/P=POWER POLE,OH VEI;
P=OVERHEADPORLINE,VIM=VVATERMETER SINCE 1987
SURVEYOR'S SEAL vwODFENCE= i HEREBY CERTIFY That the survey represented
MA0 NRYM = ELEVATION BASED ON LOC.# thereon meets the minimum technical requirements BL.ANGo SURVEYORS ING.
�► CONCRETE= �•.:• �••� •.•� ..••� •:••� .••� •••� CBM# ELV. adopted by the STATE OF FLORIDA Board of Land
MAINTENANCE BDRAINAGEEASEMENT-MBD.E. TYPE OF SURVEY:BOUNDARY SURVEY Surveyors pursuant to Section 472.027 Florida Engineers•Land Surveyors•Planners•LB#0007059
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2)NOT VALID WITHOUT THE SIGNATURE Statutes. 555 NORTH SHORE DRIVE
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT There are no encroachments,overlaps,easements
COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) appearing on the plat or visible easements other than MIAMI BEACH,FL
33141
JuUNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC as shown hereon. (305)865-1200 FIX: (305)865-7810
VERTICAL DATUM OF.1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL
REVISED: RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAYBE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) All�f FLOOD ZONE: X SUFFIX: I; DATE:9/11/O9
BASE:N A
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING ti
INFORMATION. 10)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED ADISN.NUNEZ PANEL: 0302 COMMUNITY# 120652
INSTRUMENTS,IFANY,AFFECTINGTHISPROPERTY. REGISTERED LAND SURVEYOR DATE: SCALE: DWN.BY: JOB No.
BEARING°SVYHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB, PAGE STATE OF FLORIDA#5924 it%14113 1°=20' F.Blanco 13-898