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FW-14-1194Permit Number: FW -6 -14 -1194 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 213821 Inspection Date: June 25, 2014 Inspector: Rodriguez, Jorge Owner: CHRISTINA MARIA CABALLERO, 'ADI rte Crumonn AQDI TA Job Address: 1431 NE 103 Street Miami Shores, FL 33138 -2625 Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132050310160 Building Department Comments LOWER CURRENT FENCE TO 5 FT Infractto Passed Comments INSPECTOR COMMENTS True Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762-4949 June 25, 2014 Page 1 of 1 PERMIT # f 11/44 < 1 9 Li CONTRACTOR: SUBMITTAL DATE: (C:) \ Cl ( I `—I ADDRESS: 14 3 O 11\J-1--- 10 3 51 NAME: E 0 rZ ( A-- RESUBMITAL DATES: PROJECT TYPE UMBING „-- STRUCTURAL MECHANICAL 6 ELECTRICAL wawri Y > .5g ':5ts ,µ A 4N h.Yr'kP.'h"H ran 1._Y_: BUILD , , c . u` Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 INSPECTION LINE PHONE NUMBER: (305) 762 -4949 BUILDING PERMIT APPLICATION kBUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: Master Permit No. Sub Permit No. REC JUN 0 9X014 BY FBC 20 l° R.,,,„) t 1l L ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS l p3 S T 1�'i f4vt i SF{oz4f FL 3 3 l 3 e City: Miami Shores County: Miami Dade Zip: 3 3 / 3 Q Folio /Parcel #: f (" 3.?-05 -53) 0 .0 C) Is the Building Historically Designated: Yes __ NO X Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): Address: l 45/ A./ IV) s r City: • / 4'/ S C44'? ES c= er/LL &S State: Pt BFE: FFE: Phone#: 34'5 Liltr - c r 3 Zip: - 33/3g' Tenant /Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 7-1/ A Phone#: Address: City: Qualifier Name: State Certification or Registration #: DESIGNER: Architect /Engineer: Phone #: Address: City: State: Zip: Phone#: Certificate of Competency #: Value of Work for this Permit: $ 1,00- uJ Type of Work: ❑ Addition Y4 Alteration Description of Work: AF7E2 Q Ut2G.f{°A$ /f'C State: Zip: Square /Linear Footage of Work: tC( ❑ New ❑ Repair /Replace ❑ Demolition }{oNiE 2Ni LowEn ley 6 cc)2LE ..T 'jctSri r 6 PEwCC- lip 5 D. FT /5 A- woo() et,' }= E,..c- wITW A —F F/M' E. 7'' S/f 15 P1-r cffeo 1-e Ate 4koost d- rltE o 1-}{ A. 510 6. LS territketko x 11 Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $� Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02 /24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 NOTKE 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this CA day of __Et _— , 20 )Lt , by day of , 20 . by CAA-LUIS AQ2.-1r•1 - , who is personally known to , who is personally known to me or who has produced t 7 as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: 1 `, \\\� "', �tilen/s� ,,�� NOTARY PUBLIC: Sign: /]Jiff; :g' = Sign: Print: ��, �;�iss;��IIG Print: • Seal: O..' �QS9 �� Seal: %°•4* ",,,FLOAR ®P\\' ' ***** * * * * * * * * * * * * * * * * * * * * * * *= . * * * *** **************************************** * * ** ■ * ** ** * * * * * * * * * * * * * * * * * * * ** �� APPROVED BY Plans Examiner 7 (y Zoning Structural Review Clerk (Revised02 /24/2014) 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: CAata 5 R(L (mac DATE: 0// ADDRESS: /q 3/ n.E 103 sr i 1(tI M ( S /owes FL 3)I 3 $ Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 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 e 2. I 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. I 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 I 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' ubstantially improved it for sale or lease, which violates the exemption. Initial 5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Initial Cati- 6. 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. 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 di" f 8. 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: Initial CA* 9. 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 Clar 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 http : //www.myfloridalicense.com/dbor /pro /cilb/indeexrx.htmml�l Initial `-1"'T' 11. I 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: 14(3/ "4 / t) Sr 5 #°4 Es /=c 5,13e Initial CI- 12. I 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 contractors 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 CI day of E , 20 l LI By C)'2 —t-0 "L",_ who was personally known to me or who has Produced there License or _ d c as idptifcatigk��/ Ar /o,; OWNER - _ m� �, .. , ��: :: s ' �'\ Hill BOUNDARY SURVEY LEGEND • - FOUND PKNAIL p - FOUND &8- IRON ROD ® -FOUND 314.O Q NPIPE 0 - WATER PIETER T.5' ALLEY RAN (UNIMPROVED) i --,'/-= iT =lr=7Y (INS) 1 INCHES = 20 FT. PLATLIMITS N. LINE OF SEC.5-53 -42 CONC. POOL PATIO LOT 15 ONE STORY RESIDENCE #1431 S89 505114/ 90.00'(P&M) • • .. •. • • • • • •. . .... • • • • • NE 103RD STREET ACE. FLOOD / 2 /ONS • PROWSSIQNAL • A :WAS 4,"6 • • .4801 HOLLYWOOD BLVD., sum C ... • HOLLYWOOD, FLORIDA 33020 PHONE: 954-924-1808 954.924 -1809 com 77ESStOWEY1S PORTHEICRLUSIVEf1SEM® . OF,� �� !/A8ifY7OANY 77WPAR74SWYAWTSE7RAA ORASSAS® RANSOM 17EwR REIDBOOR WPAWNSY EOC DA7EW 7J CHEM:DE TIM .108ABSSHt BOUNDARY SURVEY • N • • • •• • • • •• •• • • • • JOB # S892 -DC13 PROPERTY ADDRESS: 1431 NE 103RD STREET MIAMI SHORES, FL 33138 CERTIFIED TO: CARLOS EDUARDO ARRIETA AND CHRISTINA MARIA CABALLERO, HIS WIFE PREFERRED MORTGAGE LENDERS GROUP, INC. HARK / BURKHALTER / YON, PL OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY FLOOD ZONE INFO: COMMUNITY NAME VILLAGE OF MIAMI SHORES COMMUNITY NO: 120652 MAP & PANEL NO: 12086C0306 L FLOOD ZONE: AE BASE FLOOD: 9 FIRM DATE: 09/11/2009 BM: BM# N/A ELEVATION = N/A LEGAL DESCRIPTION: LOT 14, IN BLOCK 6 OF REPLAT OF TRACT C, MIAMI SHORES BAY PARK ESTATES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 64, AT PAGE 97, OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA SURVEYORS NOTES: 1. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS AND/OR RIGHTS-OF-WAY OF RECORD. 2 VISIBLE ENCROACHMENTS AREAS SHOWN. 3. ELEVATIONS SHOWN HEREON ARE N.G.V.D. OF 1929. 4. NOTICE THERE MAY BEADDITIONAL RESTRICTIONS THAT ARE NOT RECORDED ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 5. THIS SKETCH IS THE PROPERTY OF ACE FLOOD AND INSPECTIONS, PROFESSIONAL SURVEYORS AND MAPPERS AND SHALL NOT BE IN REPRODUCED IN WHOLE OR PART WITHOUT THE PERMISSION OF ACE FLOOD AND INSPECTIONS, PROFESSIONAL MAPPERS AND SURVEYORS IN WRITING. 6. BEARINGS SHOWN HERON ARE BASED ON THE NORTH RAN LINE OF NE 103RD STREET (S89 °50'51WV) ON THE PLAT OF REPLAT OF TRACT C MIAMI SHORES BAY PARK ESTATES, PLAT BOOK 64, AT PAGE 94, OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA 7. BOUNDARY DIMENSIONS SHOWN ARE PER PLAT AND FIELD MEASUREMENT UNLESS OTHERWISE NOTED. 8. CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL SITE PLAN INFORMATION PRIOR TO CONSTRUCTION. 9. UNLESS OTHERWISE SPECIFIED THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION PURPOSES. 10. FENCE OWNERSHIP NOT DETERMINED. 11. DESCRIPTION PROVIDED BY THE CLIENT OR CLIENT REPRESENTATIVE. • •• • • • • • • • • • • SHEET 1OF2 • •• JL M. www • • • • & INSPECTIONS • • .. ` LQ02 • • • • • PROFt * NAL • • SURWRORS• AND MAPPERS • • ' 4801 'AWA&vi, sum • • • HOLLWIOODJ0FLORIDA • • • PHOPi5184 -9P4 -1808 FAX • • ••• THIS SURVEY WAD PREPARED FOR: CARLOS EDUAAJOAARIETAAND CHRBOMM MARIA CABALLERO TH SU'EYSS�� TOF THE PREPARED FM' ua6°IIYMANY NOT VALIQLVI WITHOUT THE SIGNATURE 1MMPM76'B NAY A10I62 MA AND ORIGAVAL ,RASED $EAL OFA a• Ck � AT FLORIDAt LICENSED SURVEYOR AND ARMOR wow SLUR YI 2 YMA C D E V IT T PROFESSIONAL OR AND MAPPER FLORIDA LICENSE NO 4557 Existing fence 1431 NE 103 ST Miami Shores, FL 33138 Fence is currently 66" Tall and will be cut down to not exceed 60" in height The fence currently has a metal frame