FW-14-306Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 207404 Permit Number: FW -2- 14-306
Scheduled Inspection Date: March 26, 2014 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: CONDOMINIUM, SHORES Work Classification: Wire Fence
Job Address: 1700 NE 105 Street
Miami Shores, FL
Project: <NONE>
Contractor: DM FENCE CORP
comments
Phone Number
Parcel Number 1122300500010
Phone: (305)227 -0910
REPLACE POOL FENCE WITH GREEN VINYL COATED • .-.., __ __......_.._
CHAIN LINK FENCE INSPECTOR COMMENTS False
March 25, 2014 For Inspections please call: (305)762 -4949 Page 13 of 40
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 25, 2014 For Inspections please call: (305)762 -4949 Page 13 of 40
Miami Shores Village
d1 t Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 EEC 4 g 2014
1 Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305 )762.4949 BY'
FBC 20
BUILDIN Permit No.
-PERMIT APPLICATION 3 y Asso�►�� -�o� Master Permit No.
Permit Type: BUILDING
ROOFING
JOB ADDRESS: ® % 0 a All Fm 0 lj� A ,Zko jer
City: Miami Shores County: Miami Dade Zip: y1 d z
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Le`_' Flood Zone: /-
OWNER: Name (Fee Supple Titleholder): B 11E WO eg& MM9MIA110070 I Phone #: 10 1—
Address: 000 Ali c, ST
City: gukzl
Tenant/Lessee Name:
State:
CONTRACTOR: Company Name: h 94 1F01V &F_ Phone #:
Address: �7e6,s ItopS % t5zs- e -r,
City: ~4-A/ State: ,eL ® Zip: ®�
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: .2 :) r7— 09 Pty Email Address: JD s' #10 PVC je (§? Am. J✓p- r
DESIGNER: Architect/Engineer. Phone #:
Value of Work for this Permit: $
44 o 0
Square/L�inear®Footage of Work:
14-0
Type of Work: OAddition
DAlteration
ONew IrRepair/Replace
ODemolition
Description of Work: _ &9PI /P-V Z R® ®L. _EkA✓e, r t� J
v ► nYl cj4&,0:? L r k a .•n
Color thru d1e:
.i r4
Submittal Fee $, Permit Fee $ CCF $ CO /CC'$
Scanning Fee $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE • , EL tJ
Bonding Company's Name (if applicable)
Bonding. Clompan s-Address
City
State
Mortgage Lender's Name (if app fiidable)
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 not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 4D
day of V 20 � , by (? E.3 Shm)n o ot6 'i ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: I dUl�n-r -(^ t Z A
dP�i(�.LU (A' e
Print: T <' `
,a
My Commission Expires:
MY COMMISSION #EE885191
Bir�CPIRES Match 18.2017
Signature
tractor
The foregoing instrument was acknowledged before me this/,7
day of , 20 �, by %`Zr ?a
who is personally known to me or who has produced���
16 T as identification and who did take an oath.
Examiner
Structural Review
NOTARY PUBLIC:
Sign:
(Revised 5/2/2012 )(Revised 3/12/2012) )(Revised 06 /10/2009 )(Revised 3 /15 /09)(Revised 7/10/2007)
,Wtna M Feliatano
My Cammulm FF 0827S3
Expir" 01/12/2018
11i zoning
Clerk
To: P ®g ®2 oP 2 ^x0'14 -02 -73 21:16:'13 (d MT) Prom: .
DMFEN -1 OP ID: MG
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDNYYY)
02/13/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED TE THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER
iSure Insurance Brokers
8700 W. Flagler St., Suite 270
Miami, FL 33174
�E; Javier A. Fernandez
c° N E ; 305 -223 -2533 c No : 305 - 220 -0765
Javier A. Fernandez
AnoRESS: Javier ISureBrokers.com
INSURER(S) AFFORDING COVERAGE
NAIL i
s
INSURED D ence C o rporation
David Meza
INSURERA: Wesco Insurance Comp
INSURERS:
INSURER C:
465 W 28 ST
HIALEAH, FL 33010
INSURERD:
INSURER E:
INSURERF:
COVFRAGE-1% __
Ur-K 1 rrwnr E NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE POLICY NUMBER WDD MIDD LIMrrS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY WPPI135040 01/28/2014 01/28/2015 PREMISES Ea occurrence) $ 100,000
CLAIMS-MADE � OCCUR WED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEML AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 1,000,000
POLICY PR LOC $
AUTOMOBILE LIABILITY ED LE LIMIT
Ce accident $
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY (Per accident) $
HIRED AUTOS NON -OWNED
AUTOS PER ACCIDENT) $
UMBRELLALIAB OCCUR
EACH OCCURRENCE $
EXCESSLIAB CLANS-MADE EACH
DED RETENTION $
WORKERS COMPENSATION $
AND EMPLOYERS, LIABILITY YIN . WC`Sn
ANY
OFFICER/MEMBER EXC EXCLUDED? ❑ N I A E.L. EACH ACCIDENT $
(Mandatory in NH)
ryes describe under E.L. DISEASE - EA EMPLOYE $
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
FENCE INSTAIIATION
CERTIFICATE HOLDER CANCELLATION
MIAMIS1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS.
Bldg Dept
10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE
Miami Shores, FL 33138 � ^1��
m 1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Local Business Tax Receipt
Miami -Dade County, State of Florida
THIS IS NOT A BILL -DO NOT PAY
3516664 - =L=B T.)
BUSINESS NAME&OCATION RECEIPT NO. EXPIRES
DM FENCE CORPORAICIN RENEWAL
465 W 28 ST 3674026 SEPTEMBER 30 2014
I-1IALEM, FL 33010 Must be displayed at place of business
Pursuant to County Code
Chapter SA - Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS
DM FENCE CORPORATION 196 SPECIALTY BUILDING PAYMENT RECEIVED
BY TAX COLLECTOR
CONTRAC71`011 45.00 10/03 /2013
11ilorker(e) 1 951350038E
0225 - 14000050
This local Bustsess Tax Receipt only coatirms payment of the Local Business Tax. The Receipt is note license,
permit, or a certification of the holder's qualifications, to do basinees. Holder most comply with any governmental
Of songovetsmental regulatory laws and requirementS which apply to the business.
The RECEIPT RIO. above must be displayed on aR commercial vehicles -Miami-Dade Code See 8a 276.
,�. For more information, visit ygy►na.mlgpitde sovltaxcoileetg f
M uni ci pal Contractor's Tax %cei pt
Miami-DadeCounty, State of Florida
! THISIS NOTA BILL ZDONOT PAY
CC NO: 95800386
MC
BUSINESS ENC CNAM FORA''nO JATFOM
RECEIPT
EX Pl.RES
465 W28 Sr
NEW BUSINESS
SEPT EMBER 30, 2014,,
HLkEAH, R 33010
7438650
Must bedisplayed at place Of business ;
Pursuant to County Code
Chapter 8A =Art. 98610
OWNER
TYPE OF BUSINESS
DM FENCECORPOORA11ON
pA,Yia ENT RECEIVED
S'ECIALTY BUILDING CONTRACTOR
BYTAX COLLECTOR
175.00 10/03/2013
0225 -14 -000050
MI®
For from InfarrnatiCn, visit w -ww. aittldade.
tdletta
e
a
Constructio Trades Qualifying Board
BUSINESS CERTIFICATE OF COMPETENCY
95BS00386
DM FENCE CORPORATION
B.A..
CTQB
Construction Trades Qualifying Board
BUSINESS CERTIFICATE OF COMPETENCY
k 95BS00386
z-
DM FENCE CORPORATION
D.B.A.:
MEZA D ID G
Is certified under the provisions of Chapter 10 of Miami -Dade County
0018 QUC Lj y1
FEN E NG TP-4,1E(S)
T
""NNW
" 03 -07 -2012
JEFF ATWATER STATE OF FLORIDA
CHIEF FROWCfAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CE MICATE OF ELECTION TO BE EX®NPT RIONI PLORIOA WOAKEW CONFENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation lawn.
EFFECTIVE DATA 03/07/2012 EXPIRATION DATE: 03/07/2014
PERSON: MEZA DAVID
FEIN: 680607
BUSINESS NAME AND ASS:
ON FENCE CORPORATION
468 41 28TH STREET
HIALEAH FL 33010
SCOPES OF BUSINESS OR TRADE:
1— FENCE ERECTION
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=aim edy eat recoaer bendits or cu um ender this car. Fwum to Chgtu 440.45412), F S., Certificates of eleuiae to be MOP-- apptY 8WY WMM the
uapa of be btsteess or tra4e I14M w He oatice of Stan= to be see"a- Fqmm to Mow 440.05113% F.S., 1 of elog a to he 0 1 pt nd cmOf "s of
Weedso to be esenit shall be aobod to reraatfaa It u MY ttea alto fhs film fit the 011ce w Op tssroco sf Ore cmtOfMe. ffie tma aemi = as Mica u
outificM as lodger eoeeta tip re4eimmffi is of tlts sectim far fssmoae of a ceffifktle. The dopa'tiffat *dI rnoofp i cwtft is at eefl tine for faWte of tip puaoe
awed an the cerIfficate to ,east the FROIreaeets of this 89so. OIESTOW (850) 4131609
OWC -252 COMRCAATE OF ELECTION TO E MMWT BM= 01 -11
•00
nm SHORES
CONDOMINIUM APARTMENTS
1700 NORTHEAST 105TH STREET ON BISCAYNE BAY • MIAMI SHORES, FLORIDA
Miami Shores Village
February 19,2014
10050 N.E. 2 "d Ave
Miami Shores, Florida 33138
Re: pool fence replacement
Gentlemen;
FED 10 21114
Permit # FW -2 -14 -306
Please be advised that The Shores Condominium, Inc. has selected and
contracted with David Meza of D M Fence to replace the chain -link
fence around our swimming pool which has become extremely
deteriorated.
Board of Directors