FW-13-0795Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 202429 Permit Number: FW -4 -13 -795
Scheduled Inspection Date: November 05, 2013 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: PEREZ- CONTRERAS, YENI E Work Classification: Wood Fence
Job Address: 54 NE 106 Street
Miami Shores, FL 33138 -2035 Phone Number
Parcel Number 1121360060040
Project: <NONE>
Contractor: HOME OWNER
comments
REPLACE BACK FENCE ADD 20' SLIDING GATE ' - - -`-
INSPECTOR COMMENTS False
Inspector Comments
Passed
EF-_ I CREATED AS REINSPECTION FOR INSP- 189528. Missing footing
inspection
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
November 04, 2013 For Inspections please call: (305)762 -4949 Page 31 of 40
O(A
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit No.
APR 17 013
FBC 20 LCD
Master Permit No. I' W) 3 --79S
Permit Type: BUILDING ROOFING
JOB ADDRESS: -54 A�E Z bb
City: Miami Shores County: Miami Dade Zip: —531 3'9
Folio/Parcelk
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple
<;;j—
City: AA1c.,v 1' ' 9-
Tenant/Lessee Name:
Email: -- ` -?1l- �
State: Zip:
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#•
State Certification or Registration #. Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer. Phone#:
Zr;�--
Value of Work for this Permit: $ -1, Y S O , Square/Linear Footage of Work: STS
Type of Work: OAddition _ OAlteration ONew ORepair/Rjeplace 1 ODemolition
Description of Work: / 7--V ems-' I �I Rf> �t T
Color thru tile:
Submittal Fee $ '� Permit Fee $ C-'® CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TraininglEducation Fee $
Double Fee $. Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ ®,�
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 notAbe approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of �, 20 I e2 by �i� �CTey off , 20 _, by
who is personally known to me or who has produced 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.
My Commission Expires:
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3/15/09)
Clerk
U-1 "N
I
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
ADDRESS: 7;1'4 fV� I Ob 71 "I�V1il�
1331 ) r-,1?1?
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 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 my own
contractor with certain restrictions even though I do not have a license.
Initial 4_1
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.
I. ✓,
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 license numbers 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 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.
Initial
5. 1 understand that as the owner - builder, I must provide direct, onsite supervision of the construction.
Initial_ t7iA
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.
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 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 acting as an
owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Infial�
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. 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
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 Intemal 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:// www. myfloddalicense .comldbor /oro /Cilbfndex.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 "V4—
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 youpwith 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 properly 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 , 20 13
By Y(LN1 OW personally known to me or who has
Produced there License or
identification.
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CERTIFIED TO:
YENI PEREZ-CONTRERAS
Community Number. VILLAGE OF MIAMI SHORES.
A & A TITLE SERVICES, LLC
120652 '
FIDELITY NATIONAL TITLE INSURANCE COMPANY
Panel Number. 1208500302
HOME FINANCING CENTER, INC.
Suffix: L
ITS'SUCCESSORS AND /OR ASSIGNS AS THEIR
Date of Firm Index: 9/1112009
INTEREST MAY APPEAR.
Flood Zone: X
Base Flood Elevation:
Date of Survey: 8115/2012
Legal Description: LOT 4, BLOCK 202, OF SUBDIVISION DUNNING'S MIAMI SHORES EXTENSION NO. 2, ACCORDING
TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 41, PAGE 78, OF THE PUBLIC RECORDS OF MIAMI -DADE
COUNTY, FLORIDA
— PR04R..IRE Surveyor's Legend
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1) LEGAL DESCRIPTION PROVIDED BY OTHERS 9) BEARINGS REFERENCED TO UBE NOTED AS S R.
2) OWAINATI ON OF THE ABSTRACT OF TITLE WILL HAVE TOSE MADE TO 10) BOWM ARYWJM' EYMEANSAORAWWSAMMORAPMBCREPRESBJI 'ATION
DETERMINE RECORDED INSTRUMENTS, IF ANY. AFFECTING PROPERTY. OF THE SURVEY WORK PERFORMED IN THE FAD. COULD BE DRAWN AT A SHOWN
3) THE LANDS SHOWN HEREON WERE NOTABSTRACTED FOR EASEMENT OR OTHER SGLLEANDXOR NOT TO SCALE.
RECORDED ENCUMSERANCES NOT SHOWN ON THE PLAT. 11) NO DBNTIFlCATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
4) THE PURPOSE OF THE SURVEY E FOR USE IN OBTAINING TITLE INSURANCE AND W NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMOSSED
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OTTHE i PURPOSE WITHOUT THE WRITTEN CONSENT OF ONLINE LAND ' 13) DIYEMMONS SMW ARE PLATAND MEASOM UNLESS OTHBiVM SHIM
SURVEYORS INC. 14) ELEVATIONS IF SHD M ARE BASED UPON N.6 V.D. 190 UNLESS OTHERWISE
E) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER NOTED.
IMPROVEMENTS YAM NOT LOCATED. 1E) THIS EA BOUNDARY SURVEY UNLESS OTHERWISE NOTED.
B) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENT LOCATED THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF
0) FENCE OWNERSHIP NOT DETERMINED. THE EMn1ES NAMED HEREON. THE CERTIFICATIONS NOT EXTEND TO ANY
7) WALL TES ARE TO THE FACE OF THE WALL UNNAMED PARTIES.
-HanEyp" DES 1 HEREBY CERTIFY THAT THIS BOUNDARY SURVEY SA TRUE
AND CORRECT' REPRESE NTATION OF SURVEY PREPARED UNDER MY DOEECTION THIS
COMP MSWIl'= STANDARDS. AN SET FORTH BY THE STATE OF
FLORIDA
DMINIB BOARD $Q�7lRVEY OR8 Ui CHAPTER B1IP17b, FLORIDA
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SURVEYQRS, LNG.
Online Land SurveVors Inc.
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7925 Coral Way. Suite 101
P.SMNo.5259
STF OFFLv SUR
Miami, FL 331558524
DPW NOT YAW TAN ` SIGNATURE PAD
6 SPlaty
PHONE: (305).910-0123
ELECTROHx tPEN. ANO+ORA WIE ERANDroR THE ORIGINAL RAISED gEALA
FAX: (305)� $75 -0999
LICENSED SURVEYOR AND MAPPER. THE SFAL APPEARING ON THIS DOCUMENT WAR
'LEO
LB* 7904
AUTF�R BY FERNANDO II. GOMEL P.B.M. ID. SM Ou THE SURVEY DATE NOTED HEREON.
Survey Date: 8/15A.2012 Survey Code: 0 -7225 Page 2 of 2 Not valid Without all pages.
4 r
• Shadow Box
• Vertical Picket
• Board on Board
May 2009
Miami Shores Village
Building Department
WOOD FENCE DETAIL
4x4 Post Spacing
Fences <= 5' high posts spaced at Yon - center maximum
Fences < =4' high posts spaced at 6 0on center maximum
Fence must not exceed Tin height
4x4 pressure treated ,,,,,
posts embedded 2' Into
concrete footing 10°
diameter x 2'deep
ALL wood must be pressure treated I
All fasteners must be corrosion resistant
No less than two fasteners in any connection
10050 N.E2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
1x pickets fastened
with two. corrosion
resistant fasteners per
connection
,2A horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (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
..
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
April 18, 2013
Permit No: FW13 -795
Building Critique
Provide information on proposed fence and construction details.
Norman Bruhn CBO
305 - 762 -4859
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.