FW-14-515Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 209105 Permit Number: FW -3 -14 -515
Scheduled Inspection Date: April 11, 2014
Inspector: Rodriguez, Jorge
Owner: BLASBERG, LARRIE
Job Address: 1155 NE 103 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
tsunaing Department comments
WOOD FENCE EAST SIDE OF PROPERTY
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (305)864 -6411
Parcel Number 1122320310080
INSPECTOR COMMENTS False
April 10, 2014 For Inspections please call: (305)762 -4949 Page 6 of 31
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 10, 2014 For Inspections please call: (305)762 -4949 Page 6 of 31
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
March 21, 2014
Permit No: FW 14 -515
Building Critigue Review
1. PROVIDE DETAIL OF THE WOOD FENCE, INCLUDING FOUNDATION.
Ismael Naranjo
Building Official
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 Shores Village MAC 1
� �01�
2AI Building Department BY:
10050 N.E.2nd Avenue Miami ami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No& e Z S ��
Permit Type: BUILDING ROOFING
JOB ADDRESS: e1 sS N . r 1® 3 s i 11 6-L -r
City: Miami Shores County: Miami Dade
Folio/Parcel #:
Is the Building Historically Designated: Yes __O —Flood Flood Zone:
OWNER: Name (Fee Simple Titleholder): 4,469,61 S • f3 l- 4 5 kE /t C Phone #:3 (3 -Ir
Address: 4 /' 5!E� T-4'C %6 , 17'%—/Lc€.' 1—
City: / I /M 1 ' 5 4h R ES State: r L Zip: � _
Tenant/LeTV4 / ssseee Name: %y /1 Phone #:
Email: /_ f.t (`r L S ®cQ7f�
CONTRACTOR: Company Name: '/-1 M e_ 041 /✓C 2 Phone #:
Address:
City: State:
Qualifier Name:
State Certification or Registration #:
Contact Phone #:
Address:
of Competency #:
: Architect/Engineer: Phone #:
Value of Work for this Permit: $ // a 6/ Square/Linear Footage of Work: i� 3 f ert T
Type of Work: DAddition OAlteration QXew ORepair/Replace ODemolition
Description of Work:
2A/ce ,0-757 S r/%'0-- C3-e-- ��b e0
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.
i 1 �
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.
IVSignature ' r f3
Owner or Agent
The foregoing instrumentwas acknowledge efore me this /-7
day of �, 20,q , by / tt sb i ,
who is personally known to me or who has produced
. 37 3 `` J,? /3 As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
My Commissio teary plj S Fle a
Joanna M Fedaano
MY f'"Igsrpa FF 002753
aw e,�t►e8 o1n2r2o1a
APPROVED BY
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Plans Examiner qA) 3 ((%/L` kning
Structural Review Clerk
(Revised 5 /2/2012)(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007)
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
NAME: A 14 YL Yq 1 S —15/4's DATE:
ADDRESS: ,�Ss
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 thatemployee, 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. 1 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 or license numbers on
permits and contracts.
Initial
4. 1 understand that l 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. 0� =/
Initial
5. 1 understand that as the owner - builder, I must provide direct, onske supervision of the construction.
Initial
I 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 homeowners 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 7—DE )
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. t�
Initial — o " -
I 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. I 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 httodhmw .mvfloddalicanse.com/dbpr /pro /cilbfindex.html
Initial
I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that 1 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.
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
retumed 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 I -1 day of A61fA , 20 /C/
By1,�`'� !� /Q_rha� who was personally known to me or who has
Produced there License or 1y2 / .r 3 7 3`l 2/9- e• as identification.
OWNER
�� Notary Public State of Florida
• Joanna M Feliciano
w1ry, ° My Commission FF 082753
°arE► Expires 01/12/2018
l
*" HUD-1 OMB Approval No. 2502 -0265
" = ` A. Settlement Statement (HUD -1)
,S
B. Type of Loan
Q 1. FHA Q z RHS 0 & C=V. Urft 6. File Number 7. Loan Number & Mortg. Irm Case Num.
1813.14002 106800
0 4. V.A. Q 6. Cant. ins.
ID:
C. NOTE: This forth is fumistred ID give you a egad of act W selfimod Costs. Amasde pakl tD and try tlIe sonde erd agent are shown. Items
marked "(p =.r were pail outside the closhC they ate shown hem fo hftmallonal purposes arai are not Included in the totals.
D. NAME OF BORROWER: Lame S. Scriber& a sisgk mm
Address of Borrower. 6411 Allison Street, Mimic, Florida 33 t41
E. NAME OF SELLER' . Mmnu Propoty Sohmons. LI.0
Address of Seller. 190 NE 111 Strcct, Biscayne Park, Florida 33161 TIN:
F. NAME OF LENDER' Gibraltar Private Bank & Trust
Address of Lender. 55 Alhambra Plaza, 6th Floor, Coral Gables. Florida 33134
G. PROPERTY LOCATION: 1155 NE 103rd Street -, Miami, Florida 33138 and 6411 Allison Sum, Miami, Florida 33141
K SETTLEMENT AGENT: L09%cYT do Services, Imo. TIN: 65-0884502
Addrges: MWermium Plena -Suite 106. 18560 Collins Avenue, Sunny Isles Beach, Florida 33160 -2485 Phow 954455-0123
Place of Settlement M Uranium Plaza -Suite 106,18650 CollmsAvenue. Sunny Isles Beach, Florida 33160 -2485
1. SETTLEMENT DATE: 2W14. DISBURSEMENT DATE: 228114
The Pubft Repor" Burden for tlds collection of Infatuation is estlrtuftd at 35 mhudes per response ft WON&& mvlwft, and repadng the dela. This ageriy
may not collect gds infomnatian, acid you are not required to campiele tldaform, Imams it displays a currently vdd OMB control rumba. No cafdemft Is assured:
U is diadmm fs mandotoy. Ttds N designed to provide be pestles to a RESPA t tt Um Wth lnfartrmtlon durbng the seftlernernt process.
t3orrowees Inwal s : Senses hftws�
DoubleTbnaM
-IUD -1 U.S. Depsi"" ar tjMWq a M UTMM UUMgXrWc
780. TotalRca[ teBeal rFees' 533.MM
Division ofcom mi pine 700) as M-
701. 701. S 16,950.00
702. S 16,950.00
to (Cellar
to One S
703. Cmnmffia(onpazdetscttlament
(11ma ME 610)
(fiomGFE63)
704.
2MM
705. Pioc ssingFee
to One Sol
1801. Ourmigameoncha o
25•OO
a02. YomaalitcedmV( poiam ) for the spedHcmtetent into Cho=
803. YacedhustedotigimNaaehmgea
to GOnel
604. Appraisal lee
to Appmiwl fist. In
605. Credit mpon
to &oil Factual Date
606. Tax service
to LercmCorp.
607. Flood aortifimtion
to Corciagic
M.
to
809.
to
Sim
to
all.
to
613.
to
613.
m
1002. Homaowaor'sh
3 months (dl
.I-
Paid Hiatt Pam from
BOTOwees 8dws
Furs at Funds at
Set(Iemwd St Clem
17.01
901. Dallyhtterustelsrgevfimn
902 Mottgwinstnmme premium for
02=4 to 03/01/14
mumsto
@60.4167 /
(11ma ME 610)
(fiomGFE63)
tons
2MM
903. Homeowners iaamarew psmrdum for
I yew to Frontline Homeowners lawueace
(fi=n GFE011) 7733.52 POC (B)-
25•OO
1111. to
904. Flood Imaaaco premium for
I years to First Protective & Fidlity Fire Group
Snoo POC (B).
903. Flood Ittwsaoa
1 yearn to Town6ill Prime luaoavco
Cormlmy
3130.00 POC (8)•
1302. Dead SIM Mortgage(s) 517150 Rates= SOA S190.00
1203. Tmmfartmma l6mnGFE
3.300.00
1001. found deposit foryouresmow so==
1204. CWCournyoutfistompis Deed 50.00 MOMSO (s) S1,2g0A0
(fion WE 9"
2,801.49
1002. Homaowaor'sh
3 months (dl
SM75 per mouth
S1,8T/.2S
137. Title Affidavit to Mfamd-DmleCowny Clink of Court
1003. Mo:VW Women
mondd @
perm
1301. Required sarvitss that you can shop for (from M#0
473.
1004. propertytaaew
6 months
S26625 per mouth
SI'M.50
I00S. Flooditwmatc,
3 months@
S41.83permonth
SI25.49
1006.
months@
per month
1307. SollarAaumuy Fecs to Emigw Femaoda, F.eq•
SW's
1607
months@
pmt
1309.
1008. @ permanth
1009. ($798.75)
1101. Title servos and lanbr's title i (fines OR 94) 1,310.00
1102. Sadememorclasiagfee to LoM701eSmvlcc%Ine. 5930.00
1103. Owner's titleirommiae to OldRapablicNdi=WTit(ch==Ca WWLCSXYThte (fmmGFE6S) 2,900.00
OF6- 2900.00
1104. Landoestitoirsmsaca to Old Republic National Title Inammuc ComiSS60.00
MF6.200.00;&23:8.1- 24;F9-3l0.00
1105. Loader's title policy limitS600000.00
1106. Owner's title policy limit S563,000.80
1107. Agxme portion ofthe total title lummxe premium "1,422.00 to LegacyTdle Services. Inc.
1108. umlmae( ter' s portion o ftho tow fide insmenmpremium SI.03800 to Old Republic Nmtonml ratio- lasmanceCompaay
2MM
1109. Abstract or fide search to Aaosryrs Food Sarvlors.LLCA331
1110. Until Samab to I.sailmorc Lice Services. CorpA37SI
25•OO
1111. to
1I12. to
1113. to
1201. ()ovemMcntn nftd=BM (fione GMn
1302. Dead SIM Mortgage(s) 517150 Rates= SOA S190.00
1203. Tmmfartmma l6mnGFE
3.300.00
1204. CWCournyoutfistompis Deed 50.00 MOMSO (s) S1,2g0A0
123. Smic ma/stm ps Dead S3,390.00 M 09880(s) S2,100.00
3390.00
1206. Tid Afidevit toMlem6DadeCoumyClarkofCom S18.S0
137. Title Affidavit to Mfamd-DmleCowny Clink of Court
37.00
Imo. ThICAfdavalloCandRelasso to Mhmd4)&dcCouWYClcfk ofCocn
MW
1301. Required sarvitss that you can shop for (from M#0
473.
1302. Fedes/ComierFees to tegac.yTideservifts'l . 593.00
1303. Digi al lmagial; to LepeyTalo Services, Inc, S55 -00
1303. RcW Esmtc ftvpmty7mces 2Dl3 FoHo Ne to Mind Daft CM"TaaCollcctor
9,744.76
1305. Survey to ME Laud Sov(xs, Int. 5325.00
1306. Utilities Fscrcw to Legacy Title Smview, lure.
3M.00
1307. SollarAaumuy Fecs to Emigw Femaoda, F.eq•
SW's
1308- Cmtifieoe OfOwdSmeudvug m Emiqum Fetmrdrs, Esq.
5.00
1309.
1
( Eamrm lines 103. seaoo J and 502, Section K)
!2.970.
48.413.26
• POC (B) -Paid o ti ide ofdosinaby bomwva
• POC (S) - Paid outside ofdodq by seller
Ba en's ntttal(s):
Sasllm's Initlal(s):
DoubleTlme®
SETTLEMENT CHARGES AND LOAN TERMS
Pap 3
Settlement Cbrages
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51.713.00
S1,213A0
'
YmcaedtordmW (pobm) for the specific' toraalmicdw=
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50.00
Yomeaimalo Wels"Ps
0803
51.713.00
S1,213A0
Tteaafarm�ma
01703 I
,53300.00
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5930.00
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saw
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:17.00
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S1.699.16
52.801.49
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SIS10.42
S60.42
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57.73332
Flood insumompremima
0904
5.00
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0903
SAO
53.130.00
Tde SWAM and lemMra title insurance
01101
SA
$1.51oAD
Owmradticmetum
01103
S.00
S2.900.00
FedmdComierFas
01302
SAO
593.00
DWW hngft
0 1303
SAO
333.00
Svey m
01303
5430.00
S3?3.00
LAW Il8mas
Yorciaidalloatmreomais
S 600.000.00
Yomloan tram is
30000 lM
Ym¢imtial. -.mi.
3.6-5 %
Ymc'adtialmont*amomd owed for laindpal,imerem.
S 2,736.31 vmludcs
andanymtmiummomis
W Priffipal IV Intmem r Martgago Inw¢aooe
Can your imomstmmrw.
ONo *Yes .itcmdWt08mvIm=0f $6?S °hTho&A6080 will be
on 03mirA2I andeancimpagwtevory 12mos after
ON irml . Evcrycbapigcdotc ,yamintorestmteaminaemcord
by 2.W % Over the iifooftbo Wan, yomdaaemtatels8vammemItono rbe
lmwd n 3M5 %orbilltmthan &623 %
Even ifyoa make payrnmtmandum can Yom loan
ON* O Yes .Item dWtDamWdmumcfS.00
balance rise?
Even ityoumala paymanlson dm. can ymu•montldy
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mmmd owed fnprimipai,hdervst, and SS
owed can rise mS 4,27033
iasoraxe rise?
Thcmmtimu iIcmmvoariscreaS 47023
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• No O Yea .Ycwm xim=Fcp*nmPmdWisS .00
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amwxtt ymrnm
teats and bomccvvpersice . You tammpayOMitemdiree YOUTSWE
• YouhavemadddmalmorMyenmwpaymadofS 933.53
tbmmaftiaatoolh *Wrmmblyamcma owed ofS 3A70.14 Tb imindw
'
Flucipal,intetcm,saymmiaw mmea d any h mschxkadbelow.
W Fropedyaxes W Hwmwme %W mmmo
R flood insmmroe r
IF r
Note: Ifyon have enygtmeeiore aboart tbo 9eOlemootChm�sadl Loma7btnts Osmd oa tbia form, please eonmet yore lades
Baarox�a i s):
Seller's MKS):
`. ° HUD -1 SETTLEMENT STATEMENT ADDENDUM
all. N'—* r IMA4002
1 have carefully, reviewed the HUD4 Settlement statement and to the best of my knowledge and turner, it is a uue
and accurate statement of all receipts and disbursements made on my account or by me In this transaction. I
further certify that I have received a copy of the HUD4 Settlement Statement.
Borrower(s)
L-*:Le B- -7 Seller(s)
Miami Property Solutions, LLC
By:
Edward Miller
Managing Member
(Corporate Seal)
Settlement Agent
The HUD -1 t Statement which I have prepared is a true and accurate account of this transaction. I have
caused or wil the funds to be disbursed In accordance with thle statement.
Legacy T e aes, x
By: Date: �z y
T
WARNING: It Is a crime to knowingly make false statements to the United States on this or any other similar form.
Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section MI
and Section 1010.
U
v
t-1.1
Fences Good Side out. The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished side shall face the adjoining
lot or anv abuttimm
I
Coll
TE, SET
W- AXIAL* Rai it'
Miami Shores Village
PPROVED By DATE Ily
T,—W- = � VL Ar
BLDG DEPT (--V— 3 f ( t
SUBJECT TO CCMPUANCE WTM ALL FEDERAL
STATE ANu ccuM f MULES AND REGULATIONS
M-
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• Shadow Box
• Vertical Picket
• Board on Board
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
4x4 Post Spacing
Fences <= 5' high posts spaced at 5' on center maximum
Fences <- 4' high posts spaced at 6 "on center maximum
Fence must not exceed Tin height
Ix pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
Per connection
4x4 pressure treated
posts embedded 2'ti
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