FW-13-1960Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 201084 Permit Number: FW -8 -13 -1960
Scheduled Inspection Date: March 04, 2014
Inspector: Rodriguez, Jorge
Owner: MASSOLO, ARTHUR
Job Address: 43 NW 91 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number
1131010000171
March 03, 2014 For Inspections please call: (305)762 -4949 Page 3 of 34
Building Department Comments
NEW SIDE GATES REPLACING CHAIN LINK FOR
BETTER PROTECTION
Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed j
CREATED AS REINSPECTION FOR INSP- 200969. CREATED AS
REINSPECTION FOR INSP - 198144. No permit on site
Gates must be self closing
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 03, 2014 For Inspections please call: (305)762 -4949 Page 3 of 34
-F* .
Miami Shores Village
F Building Department "I'll",
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC ZO
BUILDING Permit No. /
PERMIT APPLICATION Master Permit Nq; � >�—
Permit Type:
Q JOB ADDRESS:
WELDING
ko
ROOFING
Ij fr ei--r
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): t '5 6Lc"� Phone#:
Address: ,a> cz- �
City: State Zip:
Tenant
Email:
e CONTRACTOR: Company Name: Phone#:
Address:
City: State: 7jp:
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 Foo e of Work:
Type of Work: OAddition OAlteration ew air/Replace. A ODemo •lion
Description of Work:
Color thru tile:
Submittal Fee $ Permit Fee
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
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 at; chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which ;curs n (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appro and a ection fee will be charged
Signature Signature
L) Owner or Agent
Contractor
The forego' g ins ent was ac o edg before a this The foregoing instrument was acknowledged before me this
day of , 20 __G, by v� day of .20 _, by
identification and who did take an oath. as identification and who did take an oath.
NOTA PUB�,I�: ;, / 11 _ _ NOTARY PUBLIC:
Sign :
--my
x
Print Sion # EE 128810
'' °p Bonded Through
t4ational Notaly
My Commissi
APPROVED BY lW y �/�
Sign:
Print:
My Commission Expires:
Plans Examiner NJ( —Z -0Lf,[f ! > Zoning
Structural Review Clerk
(Revised 3 /1212012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09)
NAME:
Miami Shores Village
Butitling Department
10050 N4.2nd. Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCL SURE STATEMEENT
SG ' DATE:
Do hereby petition the Vlgage, of Miami Shores to act as my own contractor pursuant to the taws of the State of Florida, RS 489.103(7).
And I have read and underst oor! the. following disclosure sfatement, which entity n>e 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 coat of $25;000.00 or less (The new form states i5, 000): The bullding,mustbe for yourown use and
occupancy: it may not be-built for sale or-lease.-If you'seli or WO a building you` have built yourself within drityear after the
construction Irbd*6te title law willipfesunre that you bulk foreale of lease, which is'a violatlon of thitsx6h0on. You may not hire
an unlicensed person ;;a contractor. It Is your responsibility to make sure the people employed by you have flcenses 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.CA and with - holdings tax and provide workers-
compensation forthatemploj is, all 6 pre ribed bylaw. Your construction must comply with all applicable laws, ordinances,
buildings codes and zoning regulations.
Please read and iMtlal each paragraph.
t. I understand that state law requires construction to be done by a licensed contractor and tava.appliel for an owner - builder
permit under an exemption from the law. The exemption speckles that I, as the owner of the property listed, may act own
contractor with certain restrictions even though I do not have a license.
f
2. 1 undamtend 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 r to assure resporwibiltiy.
1
3. 1 urxthrstand that as an owner bulder, I am the respotnshble party of record on a permit I understannd tact I may protect myself
from potential financial risk by hiring a licensed contractor and Having the permit tiled in h� or her name Instead of my own
name. I also understand that the contractor is required by low to be licensed in Fl rids and to flat his or flc;ense u on
permits Arid contracts.
I
4. 1 understand that I may build or improve a one family or two -family resctenrce or a farm I
a commer dal bull If the cost do not exceed $76,000, The but �' !� also build or improve
�9 building or residence mist be for my use or occupancy, it may
not be bulk 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 corstruction is complete, the law will presume that I bulk or
Improved it for sale or Ise, which violates the exemption.
1
5. 1 understand that as the owner - builder, I must provide direct, onske supervision of the coratruptiom
irdtial
6. 1 undemtend that I may not hire an unlicensed person to acct as my comtractor or to supervise persons working on my building or
residence. It is my responsibility to ensure that the persons whom I employ have the Dumas requhred by law and by or
municipal oMnance.
Initial
7. 1 undersmnd that it is frequent practices of unlicensed persons to have tie properly owner obtain an owner-builder permit that
enonedusly dmptes that the property owner Is providing his or her own labor and materials. I, as an owner- builder;,' be halo"
Boo and sub*W to serious financial risk for any Injuries sustained by an unlicensed person or his or em
working on my property. My homeowner's Insurance ray not provide coverage for those injuries. I, am willfully, as eA
owner - titian and am aware of tie limits of my Insurance ooverage for injuries to workers on my property.
Instal
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who Is riot Boerses to
perform the work.being,dore. Arry person working on my build" who is not,.licpnsed must work under my direct supervision
and must be employed by me, which rn 'trat I must nom* with laws raqui % the withholding of federal Income tax and
social security oordributors under the Federal Insurance Contributions Ad (FICA) and must provide workers cod on for
the employee. I understand that my failure to follow tnwe may subject to serious financial rh k.
In
9. 1 agree that, as the party Dally and finencially responsible for this prod Construction adivity, l will abide by at plicable
Ins and rquirement that govern owner4wilders es well-es employers. I also understand that'the
ConsWdbn mist comply with all applicable Isms, ordinances, tiding coded, a and zonbg regulmions.
Initial
10. 1 understand that I may obtain more Information regarding my obligators as an employer from the Internal Revenue Service, the
United Stag Small Business Administraton, and the Florida Department of Revenues. I also understand that I may
Florida Const ucdon industry Warming Board at 850.487.1385 or hblhvww.mYWW
i
11. 1 am aware of, and consent to; an owner - builder building permit applied for in my name and understands tha7,a"mnft
legally and firsnctally responsible for the proposed construction activity at the fo wit eddmw.
Initial
12. 1 agree to notify Miami Shores pillage immediately of any additors, deletions, or flanges to any of the Informatto
have provided on the disclosure.
instal
Licensed contractors are regulated by laws designed to protect the public. H you contract with a person who does not have a
license, the Corstr4udion Industry Warming Board and Department of Business and Professional Regulation may be unable to
asset you with arty fihanroiai loss that you sustain as a result of contractor may be In civil court. It is also Important for you to
understand fret, If an unlicensed contractor or employee Of an Individual or firm Is tnOW while 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
verifft whether the contractor Is properly licensed and the status of the contractor's workers compensation coverage.
Before a building permit can be Issued, the ddsdesum statement must be completed and signed by the property owner and
returned to the kcal permitting agency respcndfble for wing the permit. A copy of the property owiVs`drtver license, to
notarized silirieture of the property owner, or other type of verification acceptable to the local pennitiing agency Is required when
to permit is issued.
Was acknowledged before me this BY of 20.
gy V who was personally known to me or who has
vvvnrr_r%
C ate of 2 3 20"1
"P:h'• Nota�YP'P uesSep1D
mrt, Exp EE 12aa n.
MY s}on otary Ass
D ommrs n National N
Q ec la fled throu8
Miami s Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
September 5, 2013
Permit No: FW 13 -1960
Building Critiaue Review
1. PROVIDE DETAIL AND SPECIFICATION FOR THE GATE AND THE DOOR.
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.
Miami S Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
September 5, 2013
Permit No: FW 13 -1960
Building Critique Review
1. PROVIDE DETAIL AND SPECIFICATION FOR THE GATE AND THE DOOR.
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.
ECETV - -
AUG 2 829131/2-
IRON ROD
►-s# 7
WEST LINE OF THE
124
S.E. 1/4 OF THE N.W. 1/4
OF THE S.E. 1/4 OF
SECTION 1 -53-41
`- 229'
FOUND 1/2° FOUND 1/2°
CONC.
r
SURVEY NOTES
ASPHALT DRIVE & CONCRETE WALK CROSSING
PROPERTY BOUNDARY ON SOUTHERLY SIDE OF LOT
THE ANGLES SHOWN HEREON ARE REFERENCED
FROM "MIAMI SHORES MANOR- (P.B. 45/PG. 13)
0.3 0.8'--\ THERE ARE FENCES NEAR THE
BOUNDARY OF THE PROPERTY
Al A2 SET 1/2-
eo IRON ROD A1= 89'43'00° (P)
LB# 7893 A2= 90. 17'00° (P)
Fences G d Side Out•
verClcal and horizontal,
orti members 01. a fence shallia�ted
supp lot on whch the fence
j side shall face the ad101ning
interior o the p
Pool and t ael m001n rl ht -of -way-
lot Of
°'
32.8'
:4•: 7` BUILDING
�°0 23.3'
r � �
jil g \ 4
9.9' t�`�
o
00
ro 00.
1 F I
Ift280
:..�: SET 1/2° 7a'WM
SET 1/2° FOUND 1 2°
IRON ROD %`-� IRON ROD /
LB# 7893 LESS SOUTH 35' (D) '.. , o LB# 7893 IRON PIPE Q
S.W. CORNER
M OF LOT 4
(P.B. 5/PG. 4)
.. NX 91 at STREET
-70.0' R/W`::
SOUTH LINE OF THE
■ ® S.E. 1/4 OF THE N.W. 1/4
_ OF THE S.E. 1/4 OF
Miami Shores Village SECTION 1 -53-41
E.
i3
S
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CLYDEa AidwAL, PROFESSIONAL SURVEYORAwAfAPPER
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n
SERVING ALL FLORIDA COUNTIES
6250 N. MILITARY TRAIL, SUITE 102
WEST PALM BEACH, FL 33407
PHONE (561)840.4600
FACSIMILE (561) 640-0576
STATEWIDE PHONE (800) 2264807
STATEWIDE FACSIMILE (800) 741 -0578
124
`- 229'
FOUND 1/2° FOUND 1/2°
CONC.
IRON PIPE BI IRON PIPE
S.W. CORNER
WALK .:
S.W. CORNER S.E. CORNER
OF LOT 5 OF LOT 4
OF LOT 10
(P.B. 5/PG. 4) (P.B. 5 /PG. 4)
(P.B. 45/PG. 13)
•
N
ASPH T
N
264 00'
DRIVE ,.
Al
83.91' 75.00' 95.00'
00
ro 00.
1 F I
Ift280
:..�: SET 1/2° 7a'WM
SET 1/2° FOUND 1 2°
IRON ROD %`-� IRON ROD /
LB# 7893 LESS SOUTH 35' (D) '.. , o LB# 7893 IRON PIPE Q
S.W. CORNER
M OF LOT 4
(P.B. 5/PG. 4)
.. NX 91 at STREET
-70.0' R/W`::
SOUTH LINE OF THE
■ ® S.E. 1/4 OF THE N.W. 1/4
_ OF THE S.E. 1/4 OF
Miami Shores Village SECTION 1 -53-41
E.
i3
S
P STA No1rUI�Ai�toOxs8l+nn>rreFA
�' �, sra�� p s NOTVAtIDW !/HOUTANAUTHENT/CA7�FLEC7ROAl /C
p L 1t R 19 pQ' S/ QNATUREANDAUT IiENTlCA7EDELECTRQN/C3FJIL.
� 6 ORA RAISED EMBOSSED SEAL A11R7 SlONA7!!RE
(SIaww)
CLYDEa AidwAL, PROFESSIONAL SURVEYORAwAfAPPER
LB #7893
TA
GET
n
SERVING ALL FLORIDA COUNTIES
6250 N. MILITARY TRAIL, SUITE 102
WEST PALM BEACH, FL 33407
PHONE (561)840.4600
FACSIMILE (561) 640-0576
STATEWIDE PHONE (800) 2264807
STATEWIDE FACSIMILE (800) 741 -0578