FW-14-771Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 210949
Scheduled Inspection Date: May 07, 2014
Inspector: Rodriguez, Jorge
Owner: RIVERA, PETION
Job Address: 10639 NE 11 Court
Miami Shores, FL 33138 -2122
Project <NONE>
Contractor: HOME OWNER
comments
Permit Number: FW -4 -14 -771
Permit Type: Fence/ Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1122320280250
WOOD FENCE ON BACKYARD 5" HIGH BOARD ON
INSPECTOR COMMENTS
BOARD False
May 06, 2014 For Inspections please call: (305)762 -4949 Page 20 of 34
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 06, 2014 For Inspections please call: (305)762 -4949 Page 20 of 34
Miami Shores Village c
Building Department APR I�5 20g 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ]By
Tel: (305) 795 -2204 Fax: (305) 756 -8972
INSPECTION LINE PHONE NUMBER: (30S) 762 -4949
��� f FBGC20
BUILDING Master Permit No. f ��"' 777
PERMI APPLICATION Sub Permit No.
CgffUILDING
ELECTRIC
❑ ROOFING
Ej REVISION
[:] EXTENSION
❑RENEWAL
❑PLUMBING
MECHANICAL
[:]PUBLICWORKS
[:] CHANGE
CONTRACTOR
r-1 CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS: 10 r. -41 1� K11 1 t W'I)'— C+ _
City: Miami Shores County: Miami Dade Zip: 1 S iI l
Folio /Parcel #: Is the Building Historically Designated: Yes NO
Occupancy Type: IZ E- 5 Load: Construction Type: )= 60C_ E Fiood Zone: a E- BFE: FFE:
OWNER: Name (Fee Simple Titleholder): d'e rr, Phone#: 13 bs -1) C ) Cc
Address: Its 6 1 I t6 `-t
City: 110 6 m
Tenant /Lessee Name:
Email:
State: Zip: L
CONTRACTOR: Company Name: 0 EG A e r IJ A Q C Phone#:
Address:
City: State:
Qualifier Name:
State Certification or Registration #:
ne#:
of Competency #:
DESIGNER: Architect /E Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 1 jQ () ,- _Squar Uneair)Footage of Work: `) S
Type of Work: ❑ Addition ❑ Alteration L_JNew ❑ Repair /Replace ❑Demolition
Description of Work:
��o��'� ��i►.:.� C,ai Y�r�� %. �, r \. ��,��r�� Je�Ca �.�7 .���i^1c�,lr� ,
�.
Specify color of color thru tile:
Submittal Fee Permit Fee $
Scanning Fee $
CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
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
0 it
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 are' n ee will be charged.
s
Signat —'- Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
this day of --J 20 byRioz I% ✓ei�
who is personally known to me or who has produced.
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Contractor
The foregoing instrument was acknowledged before me
day of . 20 by
who is personally known to me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
MyCommissio liilal, N PublkStBtepfFiOM8 My Commission Expires:
Joanne M Feliciano
AwdY CoAtrttieeion Ff. 087753
801 018
*��xx�
t '
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
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: I �a �i� �t� a. ,� r, DATE: u 1 �1
ADDRESS: s 6 ry sCi K) I t -t S ba es, T -L {" �,
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, FS 489.103(7).
And I have read and understood the following disclosure statement, which entities 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 bulk 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 bulk for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person as a contractor. It is your responslbiiky 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 1, as the owner of the property listed, may act as my own
contractor with certain restrictions even though I do not have a license.
Initi al
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 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.
Initial ' t' P✓
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
A
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.
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.
Initial
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. 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 htto:/Avww.myRoOdalicense.com/dbi)r/Dro/Cilbfindex.htmI
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 financially responsible for the proposed construction activity at the following address:
lac3q A1& Ib°r" C–$_
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 Ices 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 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 46 day of Z 020 , 20 /Y
B Y J20b . L it' A Vera. who was personally known to me or who has
OWNER
' -
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Neely One
Joanne M Fet
•
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My C�mt FF 012153
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e0 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
ences <= 5' high posts spaceMon n r maximum Fences pos s spec cen r
Fence must not exceed 5' in height
4x4 pressure trea
posts embedd 2' into
footing 0°
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
Ix pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
u
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APR 15 2014
oc
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r
SCALE: f940'
e
LOT 8 BLOCK 2
`o 154.32' 5' Wood R
a 154.09' C.L.F. LOT 1 O BLOCK 2
0
ad NA / {i0M Y I ML 1
PERMIT l I/
Miami Shares Villa
ja
co y
8Y
Brick
12.00'-
25.00'
r9.W
a' 17.0(Y C
�4
SUBJECT TO CCMPLLANCE WITH ALL FEDE M'!.'
52.x'
$$
Q
13.80'
w ONE STORY CBS
CON C. RESIDENCE # 10639
9.59'
18
cd
13.80'
CV
r
24.72'
52.00'
e ---- ----- -- 77.34' �p9,
"~— O.H.P 's6
W.M.Or,'\
x
a 154.09' C.L.F. LOT 1 O BLOCK 2
0
ad NA / {i0M Y I ML 1
PERMIT l I/
Miami Shares Villa
ja
APPROVED
8Y
ATE
ZONING DEPT
BLDG DEPT
SUBJECT TO CCMPLLANCE WITH ALL FEDE M'!.'
STATE ANL) CCUMY RULES AND REGULAMM J?
g
W.P.P. 4
d
ff
pn PETION RIVERA
D 1
pip. An 10639 N.E. I l8T COURT, MIAMI SHORES, FL 33138
CERT/FIED:
PE71ON RIVERA
PROSPECT MORTGAGE LLC. ITS SUCCESSORS AND /OR ASSIGNS.
GUARANTY TRUST & TITLE INC.
STEWART TTILE GUARANTY COMPANY.
JOB NO: 1008 -020
FIELDDATEt 08-17 -2010
LEGAL DESCRIPTION:
LOT. 9 BLOCM 2 Agpmsxn MIAMI SHORES ESTATES
FLAT BOOK; 47 pAGE1 58 OF MIAMI DADE COUNTY, FLORIDA.
TWSPROPERTYIS MORE THAN 2ULWAWAYFROMTHEASANWADECOtlAf 7'YL KESELTAREA.
SURVEYOR'S MOTES.
1.) THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE
DESCRIPTION FURNISHED BY CLIENT.
2.) UP90 A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOWN
ARE THE SAME AS PLAT VALUES.
3.) THE LANDS SHOUIM HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER
RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY
NOT BE SHOWN ON THE SKETCH.
4.) UNDERGRAUND PORTION$ OF FOOTINGS, FUNDATIONS OR OTHER IMPROVEMENT
W172E NOT LOCATED.
5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME.
6.) WALL. TIES TO THE FACE OF THE SAME.
7.)ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM
(192.9) UNLESS OTHERWISE NOTED.
a.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN.
0 BURVEYIS POR A"R76AOEPURPOSES ONLY, NOT TO BE USED FOR
CONSTRUCTION PURPOSES.
(FLOOD ZONE INFMATION)
ZONE:-AE--COMM: 120652 PANEL_ 12086CO306 SUFFIX: L DATE' 9 -11 -2009 E. 8.00'
NOTO ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF
ON THE CENTER LINE OF PROPERTY LINE.
EASEMENT VIOLATION& ❑ YES 31 NO
APPARENT VISIBLE ENCROACHMENT& p YES A NO
COMENTS:
ASSREWATIOMS.
SWK= Sidewalk CBS= Concrete Block Structure, CLF- Chain Link Fence,
PL= Property Line, DU Draln�e Utlifty Easement IP= Iron Pipe,
A/C= Air Conditloner Pad, P /O= Property Comer, DID Drilled Hole,
W/F- Wood Fence, RES= Residence, CL= Clear, RB- Refmr, UE= Utiity
Easement, CONO= Cone, Slab, RrM Right of Way, DE= Drainage Easerrant
CIL- Center Line, 0= Diameter, TYP= TypIcal, M= Measured, R= Recorded,
ENCR= Encroachment OOMP= Computer, ASPI — Asphalt NIA Nail &Disc.,
tr Set, FFE= Finish Floor Elevation, 0 15= Offset, PtP= Power Pole,
0HP= Overhead Powerline, VvM= Water Meter.
GLI D MEhSIONS INC.
Land Surveying Services
OFFICE:
14770 SW 43rd WAY,
1
MIA F 33185.
PHONE: X05), 512 -4225
FAX: (3as) 512 -1914
' TIWTTHE ATTACHED SKETCH OF AEDYE SURVEY OF'
ED PRt F`RTY 18 A TRUE AND CPARHCT REPRESQdTATN
BY MADE UdiDEEqq MY MRECTION, ARID ME&T8 MIWW
V 8ET FONTM'Sh THE FLORIDA BOARD OF
LAND tURYEY0R8IN CHAPTER Tt HH4 FLORIDA
I CADS, PURSUANT TO SECTION 472027 FLORIDA STATU'
Qv (-d�-
DAVID L.'FUTCH
REGISTERED LAND SURVEYOR # 4643
STATE OF FLORIDA
LB # 00ON74
SHEET OF?