FW-14-730Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 210754 Permit Number: FW -4 -14 -730
Scheduled Inspection Date: May 14, 2014 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: DARYA MEDVEDYEVA, SHANNON
12RUE' 1
Job Address: 78 NW 95 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
comments
Work Classification: Wood Fence
Phone Number (786)597 -3705
Parcel Number 1131010340080
ADD WOOD FENCE IN FRONT YARD REPLACE AND ADD ' --
CHAINLINK TO BACKYARD INSPECTOR COMMENTS False
Inspector Comments
Passed C awl-e_l) . 4, 0,
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 13, 2014 For Inspections please call: (305)762 -4949 Page 8 of 35
Miami Shores Village
BUILDING
PERMIT APPLICATION
ling Department
id Avenue, Miami Shores, Florida 33138
05) 795 -2204 Fax: (305) 756 -8972
LINE PHONE NUMBER: (305) 762 -4949
APR 2'g 2014
FBC 20
Master Permit NA
Su "rmit No.
KBUILDING
❑ ELECTRIC
❑ ROOFING
B-AltVISION
❑ EXTENSION
❑RENEWAL
❑ PLUMBING
❑ MECHANICAL
❑ PUBLICWORKS
[:]CHANGE
CONTRACTOR
❑ CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio /Parcel #:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
fl _
OWNER: Name (Fee Simple Titleholder): 1_ �� �! % +' 1� rry ! Phone#:
Address: /,I C_j
r
City: ,, r C A -A �v N State• C Zip: s /
Tenant /Lessee Name: Phone #: b _,ti I 0 J�
Email: uSr"r.+ �✓� _� S l �'� br.?w, � n_
i
CONTRACTOR: Company Name:�Gv,�� e —� '1.�'' ( Phone#:
Address:
City: State:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
City:
Certificate of Competency M
one#:
State: Zip:
Value of jN*Y Ffor this Permit: $ Square /Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair /Replace
' Description of Work: � t ckoc i ✓L = �' a"� Lj ea r2rars7 C r- i. 01
r �
Foe —ii d-
Specific color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
❑ Demolition
4 r✓3nr51 -e
CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 3 g ` U
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 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 approyed and a reinspection fee will be charged.
Signature dam- Signature
Owper or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this_
day of 20LL�, by.
who is pe sally known to me
identific
NOTARY PUBLIC:
Or who has produced
ation and who dic��Ce ®�iPb�tiCj
Alrp
00nm SpU9l /C .
Sign: fFi on
Print: iy ®: ORS ®P`�`��`\
i1nnm
My Commission Expires:
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:
�x��� *�a�� *�x *�����x�� *��e�• �� *�x �xixa�x� ��** s�+ �s�wm* w* a�a��x�**** mm��* w��**+ ����x * *�x�x * *�x *���xw�mmw��m�x��x *a� *mix *x��� * * *�+�+��
APPROVED BY Plans Examiner Zoning
Structural Review
(Revised02 /24 /2014)(Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007)
Clerk
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--
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BUILDING
PERMIT APPLICATION
Miami Shores Village -- —
Building Department APR 11 2 14
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795 -2204 Fax: (305) 756 -8972 BY: -
INSPECTION LINE PHONE NUMBER: (305) 762 -4949
FBC 20P
Master Permit No. `—LIJ I LA — I 30
Sub Permit No.
BUILDING
ELECTRIC
❑ ROOFING
❑ REVISION
EXTENSION
[-]RENEWAL
❑PLUMBING
MECHANICAL
❑PUBLICWORKS
[:]CHANGE
CONTRACTOR
CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS: -7f y ij -i g- q e, -e+-
City: Miami Shores County: Miami Dade Zip:
Folio /Parcel #: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder) : �h���o� �U' I Phone#:
Address: AJ L.% 4--
City: . slages State: Zip: 3� lSU
Tenant /Lessee Name:
n' �^ Phone #:
Email: U S4 °1 v SUr p -1 C�<"2 "ti
CONTRACTOR: Company Name: ('-j Phone#:
Address:
City: State:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
p:
DESIGNER: Architect /Engineer: Phone #:
Address: "7 ('� &®e)O City: State: Zip:
Value of Work for this Permit: $ Square /Linear Footage of Work: 13-42D
Type of Work: LI Addition ❑ Alteration ❑ New Repair /Replace ❑ Demolition
Description of Work:
�Gu�A I;,►k -fb 6AC� v�zjl
Specific color of color thru tile:
Submittal Fee Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1 00 >TO
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 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 p4 a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
this day of �- . 20N by
who is personally known to me or who has produced 4-1 ` 1:D
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:,
Print:
My Commission Expires:
sy P S °r
o "
Contractor
The foregoing instrument was acknowledged before me
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:
APPROVED BY / / Plans Examiner l® Zoning
Structural Review Clerk
(Revised02 /24 /2014)(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: 5�,��„ ®�, ���e DATE: I 11
ADDRESS:
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. 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 S.
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 S
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 rypmbers on
permits and contracts. C, F 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 built or substantially
improved it for sale or lease, which violates the exemption. , f
Initial f
5. 1 understand that as the owner - builder, I must provide direct, onsite supervision of the construction.
Initial S - C.
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 51
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. n
Initial 5-- `
9. 1 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 odes, 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 h : //w m.m loddalicanse.com/db r/ ro /cilbriindex.him
Initial
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 fina�ncciially 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 property 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 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 _day of -, 20
By s��`�'^'`��"' �`-` -- who was personally known to me or who has
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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 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'lnto
oncret footing 70"
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
1x pickets fastened
with two corrosion
resistant fasteners per
connection
;2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
I1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHAIN LINK FENCE DESIGN DETAIL
(ACCORDING TO THE F.B.C. SECTION R4408.11)
TABLE R4408.11
CHAIN LINK FENCE MINIMUM REQUEREMENTS
Fence
Terminal Post
Line Post Dimensions
Terminal Post
Line Post Concrete
Height (ft)
Dimensions
(in inches)
Concrete
Foundation Size
(in inches)
(o.d. X wall thickness)
Foundation Size
(diameter X depth)
(o.d. X wall thickness)
(diameter X depth)
(in inches)
(in inches
x
Over 4 to 5
2 3/8 x 0.042
1718 x 0.055
10 x 24
8 x 24
For SI:1 inch = 25.4 mm.
NOTES:
1. This table is applicable only to fences with unrestricted airflow.
2. Fabric: 12 %2 gauge minimum.
3. Tension bands: Use one less than the height of the fence in feet evenly spaced.
4. Fabric Ties: Must minimum the same gauge of the fabric.
5. Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced.
6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced.
7. Either top rail or top tension wire shall be used.
8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail.
9. Post Spacing: 10 foot (3m) on center maximum.
10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation.
11. In order to follow the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch
(127 mm) without increasing table values to the next higher limit
NOTICE TO PROPERTIES WITH POOLS:
If the fence Is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing
the Inside of the property. Pedestrian gates shall have self-closing and latching devices installed at the minimum of 54"
above ground. For further details see on R4401.7.1 of FBC.
CONCURRED
Created on 5/2212009 MLDV