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FW-13-2803Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 204541 Scheduled Inspection Date: January 07, 2014 Inspector: Rodriguez, Jorge Owner: LEONE, DEBORAH Job Address: 5 NW 105 Street Miami Shores, FL Project: <NONE> Contractor: EJD CONSTRUCTION CONSTRACTORS & INVESTMENT CO rsuuamg uepanment comments REPLACE EXISTING CHAIN LINK WITH NEW PICKET WOOD FENCE 5" HIGH TALL AS REQUIRED MAX HEIGHT Permit Number: FW -12 -13 -2803 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1121360050320 INSPECTOR COMMENTS False Phone: (305)433 -4843 January 06, 2014 For Inspections please call: (305)762 -4949 Page 9 of 26 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 06, 2014 For Inspections please call: (305)762 -4949 Page 9 of 26 is ■ M, 4--, it Li.Aes t 3 • ,. .. 4 ►fY1) ' © Q �A off• � „ i r d 3 q•. i �1 -}j < , a .-pp 1 I S - �°' 1 Lt9C1� r , il— � •I'�UN�12. 8 . r � 1 i M, 4--, it Li.Aes t 3 • ,. .. 4 ►fY1) ' © Q �A off• � „ i r d 3 q•. i �1 -}j < / 1 A$l) � L n Q Q A..J►RC DISTANCE AIC...AIR CONDITIONING CBS — CONCRETE SLOCK'STRUCTURE O.U.L..OVERHEAD UTILITY LINE CL..CLEAR CJL....CENTER LINE RAD- JtADIAL ENC_.ENCROACHIAENT RlW...RIGHT OF WAY... FW...ROUNO IRON PIPE O.H ... OVER HEAD W.M-...WATER METER C H CHORD DISTANCE PA- .PROPERTF.H. Y LINE CONC...CONCRETE . F FIRE HYDRANT UP...UTILITY POLE R...RADNS U.F— UTILITY EASEMENT CENTRAL ANGLE R— RADIUS Pte{ .....PLANTER T.. TAWMT C.B. CATCH BASIN MH-- JAANHOLE CL.F ... CHAIN LINK FENCE W.F„_,W000 FENCE , a .-pp 1 I S - �°' 1 Lt9C1� r , il— � •I'�UN�12. 8 . / 1 A$l) � L n Q Q A..J►RC DISTANCE AIC...AIR CONDITIONING CBS — CONCRETE SLOCK'STRUCTURE O.U.L..OVERHEAD UTILITY LINE CL..CLEAR CJL....CENTER LINE RAD- JtADIAL ENC_.ENCROACHIAENT RlW...RIGHT OF WAY... FW...ROUNO IRON PIPE O.H ... OVER HEAD W.M-...WATER METER C H CHORD DISTANCE PA- .PROPERTF.H. Y LINE CONC...CONCRETE . F FIRE HYDRANT UP...UTILITY POLE R...RADNS U.F— UTILITY EASEMENT CENTRAL ANGLE R— RADIUS Pte{ .....PLANTER T.. TAWMT C.B. CATCH BASIN MH-- JAANHOLE CL.F ... CHAIN LINK FENCE W.F„_,W000 FENCE HP OfficeJet Pro 8600 N911 g Series Fax Log for EJD Construction 305- 981 -6715 Nov 15 201310:34AM NOTE: Blocked calls are not displayed on this report. For more information, see Junk Fax Report and the Caller ID Report. Last Transactlon Date Time Type Station ID Duration Pages Result Caller ID Digital Fax Nov 15 10:33AM Received 954 333 3700 0:55 1 Error 283* 19546344714 N/A * A communication error occurred during the fax transmission. If you're sending, try again and/or call to make sure the recipient's fax machine is ready to receive faxes. If you're receiving, contact the initiator and ask them to send the document again. I IL Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 WOOD FENCE DETAIL I �adow Box �5� f ° 6 2 o Vertical Picket � o Board on Board D'r� 4x4 Post Spacing tA Fences <= 5' high posts spaced at Yon center maximum Fences <= 4' high posts spaced at 6 ° on center maximum Fence must not exceed Yin height 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 1x pickets fastened with two corrosion resistant fasteners per connection ,2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection R-L' 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 5122IZ009 Miami Shores Village Buildin g p De artment �WED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 DEC 132013 Tel: (305) 795.2204 Fax: (305) 756.8972 L . 1 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No.�'= —' Permit Type: (B7UILDIING ROOFING JOB ADDRESS: !�T A) Ia/ 10 S S City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: /% . .213(o • 1966^ 03.2 D Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): d e by cd h L o -n P Phone #: *30-5 7 Z6 % 7Z`/ Address: S 4) k/ 10 S 5T �' Zi 753 13Y City: � , d �til �u' �i� e° � State: p: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: E7 S.b Phone#: 305 3/?4(979 Address: 170® AI % lq3 S-7- City: Afer -1 % A Mme State: 53 I f Qualifier Name: State Certification or Registration #: 0- G l S i J OtO I Certificate of Competency #: Contact Phone #: Email Address: t Gt �4�5 fl'v��®► C��`� �� P DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑Newep�ixjeplace�'il1 "' o Description of Work: gejelaC O h f�` n // /L t.,/ePia9 // try H1 1. G S ' T!y iA �� 4 ®L /� a !✓ I � i� 1M /V Kr [v.nk°i- " Color thru tile: Submittal Fee $ " `(� ��! Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding'Coinpany's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip A It 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In a absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent Contractor The forego' g nstrument was acknowledged before me this day of ��, 20 G, by C— who is pe�;serrdl yf -knife or who has produced r The foregoing instrument was acknowledged before me this L� day of ? , 20)J,byi'xJnra1, Q DriA� , who is personally known to me or who has produced'b • L L-0Z0 &) 0 x'1;3 As identification and who did take an oath. NOTARY PUBLIC: RQUEL A. SC ARBOROU& Print: o a M Co 44'."an. SM7 Comm. Expires Oct 18, 2015 My Commission 8 EE 132379 APPROVED BY as identification and who did take an oath. NOTARY PUBLIC: A \\���```0\1- A :X0 Sign: ZZ Print: = ,_ ®`s /" `1. CO My Commission Expires: . fltd111111111t00 ��k�k= k9kikak�kHaskskak�IeakskskakakskaksI¢$¢ aksk' k' k9kHaokokskak $c$eokag�a$saieskslcsksk$e aksk'ksksIaals$aala $ aalaalaalaalaskakakak Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) II % JEFF ATWATER CHIEF FINANCIAL OFFICER . �Y� 1 ,111t STATE OF FLORIDA 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: 8/3012013 PERSON: SCARBOROUGH FEIN: 201222264 BUSINESS NAME AND ADDRESS: EXPIRATION DATE: 8130/2015 ERIC E J D CONSTRUCTION CONTRACTORS & INVESTMENT CORP 1700 NE 143 ST NORTH MIAMI FL 33181 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR -- J Pursuant to Chapter 440.06(14), F.S., an officer of a corporation who elects exemption from this chapter by MV a cer0cate of election under this section may not recover benefits or compensation under this chaptan Pursuant to Chapter 440 .05(12), F.S., Certificates of election to be exempt... apply only whin the scope of the business or trade lamed on the notes of election to be exempt. Pu rma t to Chapter 440.05(13), F.S.. Notices of election to be exempt and certificates of election to be axmnpt shall be subject to revocation ff at any time after the" of the notice or the issuance of the certificate. the person named on the notice or c artificate no longer meets the requirements of this section for prance of a cartiticate. The department shall revoke a certificate at any time for failure of the person named on the cartificate to meet the requirements of this section. DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 Wist be Pursuann to County Code Chapter flA — Art 9 Sn10 2014 OWNER SEC. TYPE OF BWSWESS PAYMENT RECEIdED EJD CONTRUCTION CONT& IW CORP 196 SU"UILDING CONTRACTOR BY TAX T RECETOR Workers) t CGC1515�1 $45.00 08/07/2013 TXHS1- 13- 043412 This Local Basiooss Tax Receipt Daly corder it of the Local Brminoss Tex. The Roceiat a not a license, permit, or a certification of Oehhoolder's �or6 to do basiaess. Holder apna c"ly wIM any govemmenml or walloven mental regulatory lam and requirements wbich apply to the business. The RECEfgf-HU. ahave must he displayed on all commercial vehicles - i Dade Cab Sac Sa-M QUESTIONS? (850)413 -1609 HP OfficeJet Pro 8600 N911 g Series Fax Log for EJD Construction 305 -981 -6715 Nov 15 201310:39AM NOTE: Blocked calls are not displayed on this report. For more information, see Junk Fax Report and the Caller ID Report. Last Transaction Date Time Type Station ID Duration Pages Result Caller ID Digital Fax Nov 15 10:38AM Received 954 333 3700 0:55 1 Error 283* 19546344714 N/A * A communication error occurred during the fax transmission. If you're sending, try again and/or call to make sure the recipient's fax machine is ready to receive faxes. If you're receiving, contact the initiator and ask them to send the document again. i'�? -v-a� ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDJYYYY) 12M8/2013 PRODUCER A.B.S. Insurance Consultants 11402 N W 41st Street Suite 213 Miami FL 33178 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NA1C # INSURED EJD Construction Contractors & investment Corp. 1700 N.E. 143rd Street North Miami FL 33181 INSURER A: Republic Vanguard Insurance Company POLICY EFFECTIVE INSURER B: LIMITS INSURER C: INSURER D: INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERALLIA8ILITY EACH OCCURRENCE $1,000,000 A MERCIAL GENERAL LIABILITY PGL00437343 08/13/13 06/13114 DAMAGE TO RENTED $100,000 NCOM CLAIMS MADE FxI OCCUR MED EXP (Arry one person) 5,000 PERSONAL & ADV INJURY $ 1400"o GENERAL AGGREGATE $ 2'000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $2,000,000 X I POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC ANY AUTO $ AUTOONLY. AGG EXCMMM13RELLA LIABILITY EACH OCCURRENCE $ OCCUR EI CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMhENSATION AND WC STATU OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If pea, describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS General Contractor L7- IAIIIJL7L11- City of Miami Shores 10050 NE 2nd Ave. Miami Shores, 33138 SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE