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FW-13-1185 • Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-196916 Permit Number: FW-5-13-1185 Scheduled Inspection Date:August 09,2013 Permit Type: Fence/Wall Inspector: Rodriguez,Jorge Inspection.Type: Final Owner: VALMOCINA, MARIBEL Work Classification: Wire Fence Job Address:685 NE 93 Street Miami Shores, FL Phone Number (305)758-7829 Parcel Number 1132060141750 Project: <NONE> Contractor: HOME OWNER Building Department Comments TO REPLACE NEW CHAIN LINK FENCE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-192337. NO PERMIT 8/7113 call 786-271-1215 or 305-758-7829 Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call:. (305)762-4949 Au ust 08 F 2013 Page 13 of 18 August ' Miami Shores Village Building Department g De p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 �e e FBC 20 l C' BUILDING Permit No. PERMIT APPLICATION Master Permit No. 1 �' Permit Type: BUILDING ROOFING JOB ADDRESS: 6090 City: Miami Shores County: Miami Dade Zip: v3�3Sb Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):_W► .nr �- O)N f)a Phone#:-1g(0 (i�1 2P­p Address•(Oss 0- 0i3°r City: _SRI snxrA= State: TA, Zip: 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: <!,I u�`!I K i. ' \, ne#: Mho 2771 1'2 Address: 6%!!s 9__:R^ City: ,k1Q%kk1_ &"LQrt_� State:_91, 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: Type of Work: ❑Addition ❑Alteration ❑New (' Rep ' e lace ❑Demolition Description of Work: Ito Color thru tile: Submittal Fee$��° °-� Permit Fee$ �eJ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Educadon Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ l Bonding Company's Name(if applicable) \09 t ' Bonding Company's Address City �-- State Zip Mortgage Lender's Name(if applicable) Q q 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. "WARMING 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$2500, the applicant roust promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature `1'W Signature`„ Owner r Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of M_W ,20,3,by �C-L(-VN-M P�Lx�A day of ,20_by , who is personally known to me or who has produced FL 10 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: \�����tuu► ►nl/,,���i,� NOTARY PUBLIC: Sign:, - F 4N Sign: Print: =Q: W r,o o •c — Print: cix CV My Commission Expires: O M y Commission Expi res: res: V,f'llll l l I Il l l�l HssksP+RIa�sR�ksRBadsakdssk8ak8akrRHaKek�aRknknkIaaRHa:akskIankIsaRsIaeR:ksksIaskHa%aIsnksIaskak�aHaHaHiHaffiasIaBafla�aHasIaHssB�aAakBsdasIasRsksRskskIs HsskskskdIssRikkak�B k�sk8akskkIask$nkaksksk8asksk APPROVED BY Plans Examiner Zoning Structural Review Clerk vised /12/2012 evised 3 1 (Re 3 )(Revised 07l10l07)(Rev�sed O6/10/2009)(R /5/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: 305 795.2204 Fax: (305)756.8972 QWNER BUILDER DISCLOSURE STATEMENT NAME: ` DATE: ADDRESS: 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 th e 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 bulk yourself within and year after the construction is ixanrplete.the law wilrpresume thetyou built forsale 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 licence must work under your supervision and must be employed by you,which means that you must deduct F.I.CA 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 cedes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be donne 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 ad as my own contractor with c erW restrictions even though I do not have a license. Initfaal_ 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[learned wn#octor to assume responsibility. W 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may profit myself from potential flnenclal risk by hiring a licensed contractor and having the permit fllai In his.or her name Instead of my own name.I also understand that the cordrector is required by law to be licensed in Florida and to list his or ticerse numbers on permits and contracts. lnfiial 4. 1 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 costa do not exceed$75,000.The bufiding'or residence must be for my lee or oc oupancy.It may not be built or substantially improved for sate or lease. If a building or residence that I have built or substantially Improved myself is sold or leased within 1 year alter the construction Is..complete,the law will presume that I but or substantially Improved it for sale or lease,which violates the exemption. initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initiai� 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 and by county or municipal ordinance. y�� Initial ^�"� 1 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,ma)r be held: liable and subjected to serious financial risk for any Injures sustained by on unlicensed person or his or em 11 10 i , working on my property.My homeowner's Insurance may not provide coverage for those injuries.I am willfullyy acting as an owner-builder and am aware of the limits of my Insurance coverage for injuries to workers on my property. ,`,1 Initial M_'1V 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 mean that I must amply with laws requiri4the 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`��� 9. 1 agree that,as the party legally and financially responsible for this proposed construction activity,I will abide by all applicable taws and requirement that govern owner-builders as well as employers.I also understand that`the construction must comply with all applicable laws,ordinances,building cam, and zoning regulations. initial, 10. 1 understand that 1 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)may contact the Florida Construction Industry Licensing Board at 850.487.1395 or d d rise. d r roldl Td Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for to my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Mme, � VLQ!6'M� InRial 12. 1 agree to notify(Miami Shores Village immediately of any additions,deledorw,or changes to any of the hftnnafion 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 low that you sustain as a result of contractor may be in civil court.It Is also important for you to understand that,9 an unlicensed contractor or employee of an Individual or firm is Injured white working oh 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 verityinng 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 retumed to the local permkft agency responsible for issuing the permit A copy of the properly 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 L9L-i day of rnPry 20 12) r -►� who was personally known to me or who has Produced there License or as identification. OWNER I TY PERMIT : � Miami Shores Village i APPROVED BY DATE /t z r o ZONING DEPT 13 _ ``' O BLDG DEPT SUBJECT 1-0 crnlP1.k rlcE!fie er y Line Lot 19 /o. 3 :)" I e —— STATE ANv C;[IAN'i'f rlt,i,���7U REG'tJl�ftflhi3'— —————1 - ! f "r.: • .37.rJ` " ' �,, a-T " MIAMI SHORES SECTION 0 0 o NI , u, o 3 g P B. 10- PG. 37 PL:pCL I 75'TOTAL R/W a s n $I ; f Portion Lot 19- Block w N Chain Link Fence 0 S00000' "E 128,7S. (4'high) I I F g Ip m O • wS. 15.40' 51.05' ik. ,Sp ° Asphalt °' Asphalt Driveway °' CJi < 0 `'` i n I 28.0' lh LA 5 _� m i s �J ►Z'. t0 _ — w� n H w Westerly Line Lot 20 C ° ga a gv TAO D I II cn. : N $ w 24.96' w .ti 9 F X12 0'. a i n '� t/1� (Nn V.v Con.. o < n i �i HOC o `o o K -----28.65------ w Z C 15,30' s 49.70' 9_0 6.85' p — '1 V � . � v, O d ' 5. .----------------------------- 4.0'3. I rr O _ 28.65_ r' _ Chi 1-0 4 ° Chain Link Fence 0(4'high) + 3 ------------- L-- - o <'_ - - - N00000'00"W 128.75 I - r' F 1, � I 375 �L 0 0 o Lot 21 -Block b5 0 a c 75'TOTAL RJW ° " MIAMI SHORES SECTION No. 3" i' P.B. 10 - PG. 37 �' I � VCJT .01 m1ftim, - Q cut r Scale: 1" = 100' NORTH / 17 16 I 15 14 I 13 12 11 j� 15' ALLEY �4 34.9c 50 r ;50.ar 50 W 60.ar 50M 50.00• 5000• 50 00• Black 65- 18 04 ', 40 21 22 23 24 25 26 N 55.19, so 50:oa 5000 So 00 5000 50 Om 50 ar 50.0(y _ L -------------Pfd-------%fd-----SiREE-T --------� ---- lf�41 OffeA61PR9N. FOLIO:11-3206-014-1750 7^ THE EAST 1/2 OF LOT 19 AND ALL 6F LOT 20.BLOCK 65. MIAMI SHORES SECTION NO. 3 ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,AT PAGE 37,OF THE PUBLIC RECORQS,OF MIAMI-DADE COUNTY.FLORIDA. PAMPEAPTffAWAoffS CEPTlFyT(I 685 N.E.93rd STREET,MIAMI,FLORIDA 33138 MARIBEL VALMOCINA FLOOD ZONE:'X' COMMUNITY 120652 PANEL:0306 DATE OF FIRM:09-11-2009 SUFFIX:L ELEVATION:N/A ffilYFA I.NOTES 1)LEGAL DESCRIPTION PROVIDED BY OTHERS. 2)EXAMINATION OF THE ABSTRACT OF THE TITLE WILL HAVE TO BE MADE TO DETERMINE A98AMlATlDNSANO IgU RECORDED INSTRUMENTS,IF ANY,AFFECT THIS PROPERTY. 3)THE(ANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER A/C -DENOTES AIR CONDITIONING UNIT CONC. =DENOTES CONCRETE RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4)UNDERGROUND PORTION OF FOOTING,FOUNDATIONS OR OTHER IMPROVEMENTS (M) =DENOTES MEASURE WERE NOT LOCATED. (R) =DENOTES RECORD 5)ONLY VISIBLE ON ABOVE GROUND ENCROACHMENTS LOCATED. (C) =DENOTES CALCULATED 6)WALL TIES ARE THE FACE OF THE WALL. R/W =DENOTES RIGHT-OF-WAY 7)FENCE OWNERSHIP NOT DETERMINED. CL =DENOTES CENTERLINE 8)BEARINGS REFERENCED TO LINE NOTED AS B.R. U.E. =DENOTES UTILITY EASEMENT P.B. -DENOTES PLAT BOOK 9)BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION OF PG. =DENOTES PAGE THE SURVEY WORK PERFORMED IN THE FIELD,COULD BE DRAWN AT A SHOWN SCALE ® AND/OR NOT 70 SCALE. =DENOTES WATER METER rQ� 10)NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. =DENOTES WOOD POWER POLE=DENOTES WOOD FENCE 11)NOT VALID UNLESS SEALED WITH THE SIGNINGS SURVEYORS EMBOSSED SEAL. =DENOTES CHAIN LINK FENCE 12)DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. --o =DENOTES IRON FENCE 13)ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D.1929 UNLESS OTHERWISE NOTED —OH— =DENOTES OVERHEAD WIRES 14)THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. © -DENOTES FOUND IRON PIPE(NO ID.) 15)THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIVE USE OF THE ENTITIES =DENOTES FOUND NAILAND DISC NAME HEREON.THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES, 16)BENCHMARK No:N-603-R.................ELEVATION:8.06 FEET LOCATION:N.E.96th STREET&N.E.6th AVENUE CERTIFICATION: SURVEI'OR'S CERTIFICATIO\:1 HEREBY CERTIFY THAT HIS"BOUNDARY SURVEY"IS A TRUE AND CCHtRECT REP I`�ESE.�'rATIO A SURVEY ALL BEARINGS AND DISTANCES SHOWN HEREON ARE PREPARED UNDER NY DIRECT MN.THLS COmPLt ITH THE 411NLILlIM RECORD AND MEASURE UNLESS OTHERWISE NOTED. TECHNICAL STANDAR .YS StT TI)RT"BI rITE OF FLORIDA BOARD OF PROFESSIONAL$I I ORS \DMA AFTER SJ-17.051, FLORIDA AD, NI$T TI-ECODEPU$S TO CTfON�7L027,FLORIDA MIGUEL ESPINOSA LAND SURVEYING INC. STATUTES.; / f/ r / PROFESSIONAL SURVEYOR AND MAPPER StGNE� j�� 4/ 10665 S.W.190th SME.SUITE 3111,MIAMI.FLORIDA 33157 �IIGUEI SPIN k � /G FOR THE FIR NI PHONE:(305)262-2992 FAX:(305)964-9303 PS.K. .SIOT-STATE OF FLORIDA NOT VALID WIT OUT 1% ENTtC•e_FCTRC,"IK; TURF ANDAUIHENTICTED BOUNDARY SURVEY ELECTRONIC SEAL AN R THtc MAO LS NOT VA WITHOUT THE SIGNATURE AND THE ORIGINAL L OF A[-EN%SUmrEVOR AND MAPPER. Original Dote: Field date: Revision Date: Drawn by: Job No. 05/16/2013 05/15/2013 05/16/2013 R.U. I S-10439