FW-14-395Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 208225 Permit Number: FW -3 -14 -395
Scheduled Inspection Date: April 09, 2014
Inspector: Rodriguez, Jorge
Owner: BOWARD, DAVID
Job Address: 55 NE 97 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
umiding Department comments
5' high wood fence
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (305)968 -2445
Parcel Number 1132060130990
INSPECTOR COMMENTS False
April 09, 2014 For Inspections please call: (305)762 -4949 Page 6 of 29
Inspector Comments
Passed 59
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 09, 2014 For Inspections please call: (305)762 -4949 Page 6 of 29
Miami Shores Village
gu.ilding Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
11 I INSPECTION'S PHONE NUMBER: (305) 762.4949
L�
BUILDING Permit No.
PERMIT APPLICATION
Permit Type:
JOB ADDRESS:
BUILDING
City: Miami Shores
Folio/Parcel #: - _I - 1� / re 7)(0-1
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
County:
10
Master Permit No. rt----t I H - �, -ri S
ROOFING
NO ✓ Flood Zone:
Tenant/ ,essre Name: \ �� _ __, _phone #:
Email:
CONTRACTOR: Company Name: 0Ut,.xj(z— 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: DAddition
Description of Work:
Color thru tile:
ODemolition
Submittal Fee $ Permit Fee $
Scanning Fee $
CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the firstinspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wN not be approved Ind a reinspection fee will be charged.
Signature
The foregoing intent was acknowledged before me this 4
day of QCsA 201 , by �)AV l D H 0 Va 2�
who is personally known to me or who has produced C L-- l
As identification and who did take an oath.
Signature•
Contractor
The foregoing instrument was acknowledged before me this
day of .20 _, by
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
e ;
G
Print:
-„ : cn
My Commission Expires:
a� :'�� \`
/•��-
�Y�Y��oY• k# dr& oYoYaYk�Yot�Y :r�YiY9e4eArs4dtoYd:•&
�sYY�9r3e�Yktk3r &sY4t��YoY�YoO$tsk�kk &nY7Y
APPROVED BY
���L/ Plans Examiner
Structural Review
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
(Revised 5 /2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007)
Zoning
C
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
t OWNER BU ER DISCLOSURE STATEMENT
NAME: 1 6LAY 1 c,c� Chi DATE: '
ADDRESS: �' ✓�'� -cam f
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 "' ,�
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.
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 own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his nse umbers 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 dors t tally
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
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
I 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.
Initial
I 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.
Initi al
I agree that, as the party legally and financially responsible for this proposed Construction activity,1 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 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 http://www.myfloddalicense.com/dbi)r/Dm/cil findea tml
Initial f
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 respqrsible for the proposed construction activity at the following address:
[nital
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the inf rmation that
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 Constr4uction 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 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 owners 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 VY)CQ C-TI , 20�
1�
By OL- -�`—rZ,1� who was personally known to me or who has
LEGEND OF SURVEY ABBREVIATIONS
rA ..... ARC DISTANCE AIC .... AIR CONDITIONING
CBS ... CONCRETE BLOCK STRUCTURE
NGVO ... NATIONAL GEODETIC VERTICAL DATUM
C ..... CALCULATrD C.B ...... CATCH BASIN
O.U.L ...OVERHEAD UTILITY LINE
PRC
... POINT OF REVERSE CURVATURE
CL .... CLEAR CIL ....CENTER LINE
P.C.C... POINT OF COMPOUND CURVE
RAD
, , ,RADIAL
ENC ... ENCROACHMENT P,C ..... POINT OF CURVATURE
P.O-C... POINT OF COMMENCEMENT
W W ...RIGHT
OF WAY
FIP .. FOUND IRON PIPE P.O.S... POINT OF BEGINNING
BLDG.. BUILDING
SEC
... SECTION
O.H.... OVER HANG W.M.... WATER METER
C.H..... CHORD DISTANCE
SCR...
SCREENED
P.B. .. PLAT BOOK M ..... MEASURED
D.E..... DRAINAGE EASEMENT
S.I.P .....
SET IRON PIPE
PIL ...PROPERTY LINE CONC .. CONCRETE
F- H..... FIRE HYDRANT
SWK
...SIDEWALK
UP... UTILITY POLE F.D..... FOUND
R..... RADIUS
UTILITY EASEMENT
CERTIFY TO:
bU.E.....
1 '
FL_ LT
David A. Howard
Law Offices Of Kirk A. Jaslow
American Pioneer Title Insurance Co.
Nexstar Financial Services, Its Successors And /Or Assigns
LEGAL DESCRIPTION:
Lot: 17 & W 1/2 OF LOT 18
Block: 7
Subdivision: Amended Plat Of Miami Section I
According to the Plat thereof as recorded in
Plat Book: 10 Page: 70
Public Records of MIAMI -DADE County, Florida.
ADDRESS:
55 NE 97 STREET
MIAMI SHORES, FL 33138
Encroachments Noted:_
LOCATION SKETCH
SCALE: I III 049
Vr1
�o
4
ID
4n
I I
Is
14
Sheet 1 of I
FLOOD ZONE: X _
THIS IS A FLOOD
/OAZARD ZONE
_THIS IS NOT A FLOOD
HAZARD ZONE
PANEL NO.:. 93/J
COMMUNITY #: 120652
DATE OF FIRM: 07/17/1995
BASE FLOOD: N/A
FINISH FLOOR: N/A
LOWEST N/A
ADJ GRADE
NOTES: (�
A) All Clearances andior encroachments shown I rn
hereon are of apparent nature. Fend ownership ,t.Y
by visual means. Legal ownership of fences not
determined.
B) The Issue of this survey Is only for the exclusive
and specific use of those persons, parties or
instituttons shown In the certification. Any other
intended use will require written approval from the
certifying surveyor or firm.
C) Code restriction and title search are not reflected
an this survey.
D) The flood Information shown hereon does not imply
that the referenced property will or will not be free
from flooding or damage and does not create Itabfllty
on the part of the firm, any officer or employee thereof,
for any damage that results from reliance on sold
Information.
E) The lands depicted hereon were surveyed per the
legal description and no claims as to ownership or
matters of title are made or Implied.
F) Underground Encroachments, If any, not located.
I hereby certify that the survey represented
hereon meets the minimum technical stan•
dards forth by the Board of Land Surveyors
in cha er B1G17-s Florida Administrative Code
pursue to Section 472.027 Fla. Statutes,
JOSE A. P fib . M. #4858
'!�TATE OF FLORIDA
NOT VALID UNLESS IMPRINTED WITH AN
EMBOSSED SURVEYORS'S SEAL
NOTES:
1. IF SHOWN, BEARING ARE TO AN ASSUMED
MERIDIAN (BY PLAT).
Z. IF SHOWN, ELEVATIONS ARE REFERRED N.G.V.D 1929.
3. THIS IS A BOUNDARY SURVEY,
THOMAS J. KELLY, INC.
L. B. #6486
SURVEYORS- MAPPERS -LAND PLANNERS
333 PALERMO AVENUE CORAL GABLES, FLORIDA 33134
(305) 444 -7692 DADE (954) 779 -3288 BRWD
(305) 441 -6494 DADE FAX (954) 779 -3260 BRWD FAX
DATE IoWORK SCALE nn ' ISUR EY O.
o5/22o1 ( p
Miami Shores Villago
APPROVED
DV
DATE
ZONING DEPT
-) c 1 tv
l_DD DEPT
(c5 c C(
I St 111.11 CT TO COMMLIANCE WITH ALL FEDERAL
A^11) CC)UN w nULFS AND REGULATIONS
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NE, 97T STREET
THOMAS J. KELLY, INC.
L.B. #6486
SURVEYORS- MAPPERS -LAND PLANNERS
333 PALERMO AVENUE CORAL GABLES, FLORIDA 33134
(305) 444 -7692 DADE (954) 779 -3288 BRWD
(305) 441 -6494 DADE FAX (954) 779 -3260 BRWD FAX
DAT FIELpp WORK SCALE ' SURVEY NO
015/0z/ II 1 "= 2.° o1- I1 a(.
• 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 "on center maximum
Fence must not exceed 5' in height
4x4 pressure treated ,
posts embedded Tinto
concrete footing 10"
diameter x 2'deep
ALL wood must be pressure treated I
All fasteners must be corrosion resistant L
No less than two fasteners in any connection
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection