FW-13-1441 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-194237 Permit Number: FW-6-13-1441
Scheduled Inspection Date: September 10,2013 Permit Type: Fence/Wall
Inspector: Naranjo, Ismael Inspection Type: Final
Owner: HERNANDEZ, ROLANDO Work Classification: Wood Fence
Job Address:95 NW 95 Street
Miami Shores, FL 33150- Phone Number
Parcel Number 1131010330540
Project: <NONE>
/
Contractor: HOME OWNER
Building Department Comments
REPAIR WOOD FENCE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 09,2013 For Inspections please call: (305)762-4949 Page 6 of 31
i
PERMIT#
CONTRACTOR:
SUBMITTAL DATE:
ADDRESS: N& C
NAME:
RESUBMITAL DATES:
PROJECT TYPE: L° 4� • j.
ZQNi' FIRE
�-
•STRUCTURAL IMPACT FEES
ELECTRICAL HRS/DERM
PLUMBING NOC
MECHANICAL .
0 • ,1 Miami Shores Village
Building De partment JUL 0 2 JU13
9W50 N.E.2nd Avenue,Miami Shows,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 1
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.P I
Permit Type: BUILDING ROOFING
JOB ADDRESS: / �7'ol�
City: Miami Shores County: Nami Dade Zip:
Folio/PWVel#: °3 1,01-033 0 S-7/0
Is the Building Historically Designated:Yes Zone: �.^...
OWNER:Name(Fee Simple Titleholder):_ �e'311100 AMd,0 Phonek._f;p-
Address: � s t5 e`er
f
City: State: t Cs Zip;
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ® .✓t Pte- Phone#•
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:
Type of Work: OAddition OAlteration ONew ORepair/Replace ODemolition
Descripdon of Work: f�-�� .4 G 4Z'MID
l'-W--2 AO.0 a ��`�u ) ems_ �r� far ic�`�7�✓��� c z�r€� r�
Color thru f9e:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Tndning/Edumdon Fee$ Technology Fee$
Double Fee$ 5tracUnral Review$
TOTAL FEE NOW DUE$
L
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,BORYM,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 certfied 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 oved and are' coon fee will be charged.
Signature Signature
Own&or Agent Contractor
The foregoing instru nt was acknowledged before/me this The foregoing instrument was acknowledged before me this
%day Q7 ,23 ' by - ;-0%,%)Tu�? 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: w�`► +'�Jn, NOTARY PUBLIC:
O EX i��%��';
Sign: �� Sign:
Z CD
Print =—' cool �0 1e = Print:
My Commission Expires: 30� o My Commission Expires:
��0'fnn n i i n►►��`�
APPROVED BY Plans Examiner _�� � Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10WXRevised 06/1=009KRevised 3/15/09)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUIL R DISCLOSURE STATEMENT
NAME: Rol
ADDRESS:
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 entitles 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 y wn
contractor with certain restrictions even though I do not have a license.
Initial
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible fo the
construction and is not hiring a licensed contractor to assume responsibility.
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 wn
name.I also understand that the contractor is required by law to be licensed in Florida and to list his or lice nu rs on
permits and contracts,
Initial
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 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,!
irj
myself is sold or leased within 1 year after the construction is complete, the law will presume that I ntially
improved it for sale or lease,which violates the exemption.
Initial
5. 1 understand that as the owner-builder,I must provide direct,onslte 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 and by coun or
municipal ordinance.
Initial
e
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,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 acti 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 lain requiring the withholding of federWincometax�an social security contributions under the Federal Insurance Contributions
Act(FICA)and must provide workeor
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&I de by all applicabl
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 odes, 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 htto:/twww.mvfloddalicanse.com/dbpr/pro/cilbfindex.htrinAI
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 th
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 ConstAuction 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 Sua� ' 20
By who was personally known to me or who has
Produced there Li se or as identifi ton.
0H•C
1�
OWNE fi �fy,OG �� _
%�RI D A
,5t1oRES+
Miami shores Village `
Building Department , n �
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204 ZORIDA
Fax: (305) 756.8972
June 25, 2013
Permit No: FW13-1441
Building Critique Review
1. Provide a licensed contractor for the proposed work.
I
Norman Bruhn CBO
305-762-4859
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.
SKoRES
Miami shores Village txG 19'a
Building Department NINE
10050 N.E.2nd Avenue �hy�
Miami Shores, Florida 33138
Tel: (305) 795.2204 IORIDA
Fax: (305) 756.8972
June 25, 2013
Permit No: FW13-1441
Planning Critique
1. No part of fence including gate may exceed 5 feet in height.
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.
t ' ABREVIATION OF ANY APPLIED}
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13.20' ASPHALTED AREAS HANDICAP SPACE Z W E M
> : 0 O EASEMENT LINE
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EL 3 C4
I ® ROOFED AREAS tV TV-CABLE BOX
® Y
' a O ONE STY CBS I ® WATER(EDGE OF WATER) wM WATER METER
°' vim} No.95NCE i m O �, a 108 SPECIFIC SURVEYOR NOTES:
�s 0 I I •0' i? --t ®THE PROPERTY DESCRIBED ON THIS SURVEY DOES NOT LIE WITHIN A SPECIAL HAZARD AREA AS DEFINED BY THE FEDERAL.EMERGENCY MANAGEMENT
AGENCY,THE PROPERTY LIES WITHIN A
Go .. FLOOD ZONE`X"OF THE FLOOD INSURANCE RATE MAP IDENTIFIED AS COMMUNITY PANEL No 120852-302L.WITH AN EFFECTIVE DATE OF SEPT.11,2009. BASE FLOOD ELEVATION
OF
LL r r' 14.00' I N/A
//�� t0 O o� I O LAND AREA of SUMECT PROPERTY: 11,626 SF
r- Z 3.4' - " " "+I r Z 0 ® ATIONS ARE BASED ON THE NATIONAL GEODETIC VERTICAL DATUM(NGVD)OF 1929,AS PER MIAMI-DARE COUNTY BEN H
MARK Na N A WITH AN ELEVATION N A PI9 T.
`` // ......: 18.80' 00 7.6 00 18.60 �I1 Y,
20.00 1.4 N 10.8 M j I 13.5 F- '-; � ® SHOWN HEREON ARE BASED ON AN ASSUME MERIDIAN OF NORTH-SOUTH.,BEING THE RECORDED BEARING FOR THE CENTERME
OF N.W 1st AVE,AS SHOWN ON PLAT BOOK 10 AT
. c 39 OF THE PUBLIC RECORD OF MIAMI-DADE COUNTY FLEA
X F.I P. o 9 I � � w �
N i 1/2'� ri I \ ��LI g SURVEVOR NOTES.
(V] II 7 (no cap) .. I a) l LL SHOWN LEGAL DESCRIPTION USED TO PERFORM THIS BOUNDARY SL RM WAS PROVIDED BY THE CLIENT
L w IS BASED ON RECORDED INFORMATION PROVIDED BY CLIDVT.NO SPECIFIC SEARCH OF TIE PUBLIC RECORD HAS BEEN MADE BY OUR OFFICE.
1 d Asph. � Q UUNLSS OTHERWISE NOTED,AN EXAMINATION OF THE ABSTRACT OF TIRE WAS NOT DOLE BY THE SIGNING SURVEYOR TO DETERMINE WHICH INSTRUMENTS,IF ANY ARE AFFECTING
THE SUBJECT PROPERTY.
W :DriveW m
.. ...!a••.•.•.. ... .�. � � � � THIS SURVEY IS EXCLUSIVELY FOR THE USE OF THE PARTIS TO WHOM IT WAS CLStTIFIED.
LL,I .•� ....
J ,1�.. CO e U IUj PURSUANT TO RULE SIG17-6 OF THE FLORIDA ADMINISTRATIVE CODE THE EW+ECTED USE OF LAND IS SUBURBAN,THE MINIMUM RELATIVE DISTANCE
AMA WY FOR THIS TYPE OF SURVEY IS I FOOT IN 7,SDD FEET.THE ACCURACY
I F.I.P. J OBTAINED BY MEASUREMENT AND CALCULATIONS OF CLOSED GEOMETRIC FIGURES WAS FOUND TO DC®THIS REQUIREMENT:
C� I 1 2- 0 a 4 �L THERE ARE NO VISIBLE,ABOVE GROUND ENCROACHMENTS(a)BY THE IMPROVEML M OF THE SUBJECT PROPERTY UPON AD30MNG PROPERTIES,STREETS
OR ALLEYS,OR(b)BY THE IMPROVEMENTS OF THE ADJOINING PROPERTffi
Planter iii I 22.6' (no�•�°p) STREETS OR ALLEYS UPON THE SUBJECT PROPERTY OTHER THAN THOSE SHOWN ON THIS BOUNDARY 9IRVEY.
(no Cap)i - ; sT—WEST 81.30' •(MR)• 5' �Ide " ` " THERE ARE NO VISIBLE EASEMENTS OR RIGHT-OF-WAY OF WHICH THE UNDERSIGNED HAS BEEN ADVISED OTHER
THAN THOSE SHOWN ON THIS SURVEY.
a_ �.... U �) THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE sFOwN GRAPHIC SCALE IN ENGLISH UNITS OF MEASTIREMIDNT.IN Sow CAS'S GRAPHIC REPRESENTATION
HAVE BEEN EXAGERATED TO MORE CLEARLY ILLUSTRATE A
• • G jJ C) Q ,0 PARTICULAR AREA WHERE DIMENSIONS SHALL HAVE PREFERENCE MR GRAPHIC LOCAnON.
15 P ay O Car Q 1-- Z THE ELwAnONs(IF ANY)OF WELL-IDENTIFIED FEATURES AS MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY OF
Ya FOOT FOR NATURAL GROUND SURFACES AND Koo
••:•:•• •':::••• z U Q FOOT FOR HARDSCAPE SURFACES,INCLUDING PAVEMENT, DEPICTED LK THIS SURVEY AND MAP WERE
•••••• W CURBS,SIDEWALKS AND OTHER MANMADE STRUCTURES.
'•15.0'•' :17.0 • '"°� d. Z m W THE SURVEYOR MAKES NO REPREma nON AS TO OWNERSHIP,POSSESSION OR OCCUPATION OF THE sUBIECT PROPERTY BY ANY ENTITY
OR INDIVIDUAL
....................................... .. ... .. ...
..............................................
••••••• ••••••••••••••••••••••••••••'••'•••••.•••••• •••••••••••••••.......•••••••••••••••••••••••• •••.•••••••• Q O m � � ANY FEMA FLOOD ZONE INFORMATION PROVIDED
ON THIS SURVEY IS FOR INFORMATIONAL PURPOSE ONLY AND IT WAS OBTAINED AT WWWM4A.COM.
2 C & Gutter::::::::::: : ::::.•""•;:::::::: IF You ARE READING THIS LIOUNDARY SURVEY m AN
••••••••••••••••••••••••••••••••••••••••••••••.•••..• SU ELECTRONIC FORMAT,THE INFORMATION CONTAINED ON THIS DOCiI+E9U IS ONLY VALID IF THIS DOCUMENT IN ELECTRONICALLY
SIGNED AS SPECIFIED IN CHAPTER M-17.062
.........................................................•••••• (3)OF THE FLORIDA ADMINISTRATIVE CODE IF THIS DOCUMENT IS IN PAPER FORMAT,IT IS NOT VALID WITHOUT
THE SIGNATURE AND ORIGINAL RAISED SEAL OF THE PROFESSIONAL LEWD SURVEYOR AND MAPPER OF RECORD.
48 Asphalt Pavement****'*':'.'.'.'.'.'.'.'."'.'-: :::::::::: ::: ::::' L"
CERTIFIED TO:
® ENCROACHMENTS AND OTHER POINTS OF INTEREST:
80 cTOT EAMON MCERLEAN THERE ARE NO VISIBLE ENCROACHMENT OF THE SUB3ECf P
AL QROACHM PRO ERTY
''XX.• 'L�1ac THE SUB3ECt'PROPERTY IS WITHIN A FLOOD ZONE X(SEE NOTE 1)
PUBK R/W -THERE ARE NOT PLATTED LITIL EASEMENT ON THE SUBJECT PROPERTY
N.W. L/ `1 1 STREET ' I HEREBY CERTIFY THAT THE ATTACHED RESE H TI 'BOUNDARY SURVEY"
SURVE AND THE DER SURVEY MAP DIRECTION RESULTING THEREFROM OF THE F THE DESCRIBED UCAB
� PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE INTENT OF THE APPL1CABtE
PROVISIONS OF THE 'MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA' PURSUANT TO RULE 5J-17 OF THE FLORIDA
ADMINISTRATIVE CODE AND ITS IMPLEMENTED LAW, CHAPTER 472.027, OF THE FLORIDA STATUTES.
LEGAL ON: American Services of Miami, Corp. C4...*
L TH 1/2 OF LOT 17,BLOCK 131,OF MIAMI SITE ADDRESS: 95 N.W. 95th AVENUE, MIAMI SHORES, FL. 33150 Consulting Engineers . Planners . Surveyors '
6 ACCORDING TO THE PLAT THEREOF AS JOB NUMBER: 13-619 9360 S.W. 72nd Street, Suite 200 P 60,". Ed 4V
RECORDED"7479T BOOK 10 AT PAGE 39,OF THE PUBLIC DATE OF SURVEY JUNE 12, 2013 Miami. Florida, 33173 ` J.. Nrsb 771 449 RECORDS OF MIAMI-DADE COUNTY,FLORIDA.
FOLIO NUMBER:B-31-01-033-0540 LB 6683 PH: (305) 598-5101 FAX: (305) 598-8627 v DA
NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER ASOMIAMLCOM DATE. E 13, 2013
NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER