FW-14-1162Miami 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: (30S) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20 LL::� 11
Master Permit No.
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 101- �yV Ma ST -
City: Miami Snores 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): y M A -f— rJ� tj� 0 'yrj Phone#: JOS V 1�
Address: ®Z � �d 0 !J L�+, {,
City: i Glr+1'1 l �`)w ru State: , Zip:
Tenant/Lessee Name: k Phone#:
Email:
CONTRACTOR: Company Name: VWK91 Phone#:
Address:
City: -State:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
p:
Address:ff City: State: Zi
Value of Work for this Permit: $ " C - Square/Unear Footage of Work: i l-®
Type of Work: ❑ Addition 11 ❑ Alteration ❑ New Repair/Replace WDemolition
Description of Work: 6 I f ,
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews
(Revised02/24/2014)
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
_L(Q
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 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 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.
Signature Signature
LI/OWNER r E CONTRACTOR
The foregoing instrument was acknowledged before me this
day of �� 20 , by
who is personally known to
me or who has produced h'� 4' as
identification and who did take an oath.
NOTARY P ���` c�1` ra
Sign: -4
Print:
The foregoing instrument was acknowledged before me this
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:
rZI
Seal: %,•QF��,.�� Seal:
!llllII W\0
as
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APPROVED BY I Plans Examiner 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: �' ,1 ( L) DATE: 6 4�41_q
ADDRESS:. 1'03- lJ W jUU-V{-:fi f- 9k&-tt& F—E 3 31��
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, KS 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 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.CA and with-
holdings tax and provide workers' compensation for that employee, all as prescribed bylaw. 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.
s
Initial. f
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.
InitialJ�
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. i
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
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 and by county or
municipal ordinance.
Initial Vn..j—
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 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 -f
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
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
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:/hNww.myfoddalicense.com/dbor/aro%ilbriindex.html
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:
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. I --
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 �) vwi ,x- , 20/_
By llA� r -J who was personally known to me or who has
Produced there License or as identification.
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Miami sh,ores 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 c- 5-1 high posts spaced , t S .on center m-wdmum
Fences <= 4' high posts spaced at 6# on center maximum
Fence must not exceed Yin height
1 x pickets fastened
with two corrosion
resistant fasteners per
connection
No less than two fasteners in any connection
horizontal
pressure'treated
V----,,,,,----,2x4
wood members
with two corrosion
reststant fasteners
000
per °connection
•s•••• •
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• • •,. • • • • •
• • • •
� posts embedded Tin
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••••••
concrete footing 10,
•
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diameterx2'deep
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ALL wood must be pressure treated
••••
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All fasteners must be corrosion resistant
• • • •
No less than two fasteners in any connection
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SURVEYNOTES
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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
June 4, 2014
Permit No: FW14-1162
Plannina Critique
BOARD ON BOARD FENCE IS NOT PERMITTED ON CORNER.
VERTICAL PICKET IS PERMIITED.
ON ALL CORNER PLOTS EXCEPT REVERSE CORNER PLOTS, WALLS IN ANY
FRONT YARD OR SIDE YARD THE PROPERTY LINE OF WHICH BORDERS A SIDE
RIGHT-OF-WAY OTHER THAN AN ALLEY, INCLUDING THE MARGINING THEREOF
SHALL BE ORNAMENTAL METAL, ORNAMENTAL MASONRY OR PICKET FENCE .[
PICKET FENCES OF WOOD, COMPOSITE BOARD OR COMPOSITE MATERIAL
MAY BE PERMITTED IN THE FRONT YARD PROVIDED THE PICKETS ARE TWO
INCHES TO FOUR INCHES IN WIDTH WITH A SPACING BETWEEN PICKETS OF
NOT LESS THAN ONE INCH AND NOT MORE THAN TWO INCHES.] ANY WIRE
FENCE IS SPECIFICALLY PROHIBITED.
ORIENTATION OF FENCES. 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 ANY ABUTTING RIGHT-OF-WAY.
David Daquisto
305-762-4864
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
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
June 6, 2014
Permit No: FW14-1162
Building Critique
1. Pending zoning approval
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.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-216488
Scheduled Inspection Date: July 31, 2014
Inspector: Rodriguez, Jorge
Owner: PAMANDANAN JARIN, MARLENE ANNE
Job Address: 102 NW 100 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor:
HOME OWNER
tsunamg Department comments
REPLACE CHAIN LINK
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Permit Number: FW -6-14-1162
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number
INSPECTOR COMMENTS False
1131010220370
Inspector Comments
CREATED AS REINSPECTION FOR INSP-213610. Connections must be 2
fasteners per
July 30, 2014 For Inspections please call: (305)762-4949 Page 16 of 26