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FW-14-1262Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-214241 Scheduled Inspection Date: July 15, 2014 Inspector: Rodriguez, Jorge Owner: MORISSET, EDRIS Job Address: 10691 NE 11 Court Miami Shores, FL 33161-2122 Project: <NONE> Contractor: HOME OWNER Building Department Comments REPLACE WOOD FENCE 5 FT HIGH Permit Number: FW -6-14-1262 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1122320280170 INSPECTOR COMMENTS False July 15, 2014 For Inspections please call: (305)762-4949 Page 15 of 31 Inspector Comments Passed✓ Failed Correction Needed a Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 15, 2014 For Inspections please call: (305)762-4949 Page 15 of 31 Miami Shores Village RECEIVE—Ti JUN 16 014 1 BuildingDepartment p artment 12- Y:- 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. 4qj,-) 11-1 1_2'� PERMIT APPLICATION Sub Permit No. BU LDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP /n CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: / eI 2nd 70 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):_ ' �r)/� IS A Ki S.SP .3ar 213 Address: City: hit a vA C 1 State: f L Zip: J')/_ 22 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: M,lI S M/0r r l f. 0 /l Phone#: /�OJ% 2,73 Address: &."-%/ /V"C // L'k City: Qualifier Name: State Certification or Registration #: of Competency #: DESIGNER: Architect/Engineer: Phone#: ) )t iep Address: City: State: Zip: to Value of Work for this Permit: $ zomp .r Square/Unear Footage of Work: Zt- Type of Work: ❑ Addition ❑ Alteration _ ❑ NewRepair/Replace ❑ Demolition Description of Work: k'o ,/a/LL C Specify color of color thru tile: Submittal Fee Scanning Fee $ Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF DBPR $ bc�h CO/cc $ . Notary $ Double Fee $ _ Bond $ 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 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. I, Signature OWNER or AGENT The foregoing instrument was acknowledged asacknnowledged before me this day of ���C . 20 . by 1 --s rw—q-133clho is personally known to me or who has produced 45:L— d!4Q<a-A as identification and who did take an oath. NOTARY PUBLIC: nui u�h� I I S S+ Sign: Print: Seal: �'°•. E ssion ,,y�, •. E173py9 �,. N��kffi�k�k�kak*�k�k�k�k�k8��k�R�k�k4tl�*i+k*�k&�k APPROVED BY (Revised02/24/2014) The foregoing instrument was acknowledged before me this day of me or who has produced 20 , by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner Structural Review as Zoning 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�/f!S t4b1rr-r.r e 1*- DATE: i2 ADDRESS:./#1;p Ale- /( &" 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 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. Infial 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 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. InitialG�, 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 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 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. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abid y 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 '44 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 ://www.m loddalicense.com/db r/ ro/cilbfindex.htm Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands at I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that 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 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�l qday of �uf , 20�- By 2d 41 !-80 rz a_ who was personally known to me or who has Produced there License or)—W-3 as identification. i 0 Notary Public State of Florida " Joanna M Feliciano %9°� MY Commisalon FF 082753 11 'IV Ezpires01/12/2018 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, i p/10,Ft re , does hereby attest that (Property owner) _ The attached survey, performed by �- (Name of surveyor's company For address: Performed on (date of survey) is an accurate representation of the existing conditions and locations of all st ct res on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further, Affia saeth ght. Property Owner Signature Property Owner Print Name . SWORN TO AND SUBSCRIBED before me this day of Affiant is personally known to me, produced as identification. Notary Revised on 5/22/2009/ Revised on 6/12(09 o Shadow Box o Vertical Picket YL 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 Ton center maximum 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 -2x4 horizontal +pressure treated wood members with two corrosion resistant, fasteners per connection 4x4 pressure treated , posts embedded Tinto concrete footing 10" diameterx 2'deep ALL wood must be pressure treated I All fasteners must be corrosion resistant L No less than two fasteners in any connection SOT 1 • %LOC. 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WOOD qQ;t 4vagoe I ►`x ao N_c � Fnd e e -r ( \Sto•54' i u ct 1A Am NOTE: AL_ RIGHTS OF WAY, EASEMENTS, SET BACK AND ZONING INFORMATION MUST BE CONFIPMED BY ARCHITECT AND/OR OWNER BSED UPON DESIGN USAGE. )_LEVATION SHOWN THUSLY X 7 1 ARE REtATI711E TO THE NATIONAL GEODETIC'ERTICAL DATUM OF 1929 A'4 re N \��'�:•� a U 4 s C JlscrtE:l" 2� 3tXi 6 9 �a 1� It j►� "POtt'T%W 4P SEC. 32-52$ 42'-� 1_bG/a'�'10N '�ItETCH I"`a• �� I t1" 4e ro'b'- 51„ �� +�► A �� . t�i • SPHtE .� eo i` % 1• - t l\ R TOS to3 "y *t. � '""" .�.ti �« CH -1 NSir-09'• S211S C34•'JO' C'oao ZZ! PnvEMENT --- �Noeo) ' 1 1. SQ11KE_ I X1.'1 b' P /�► C2, K VJ /� �.( S = 86•-3S'-03 �S°••�- _�Ns•�a�-ae-e�'2:Z S.G.& - ^-'�°4Z'•3b,g" /�=\32.98 d =/ X3 JQs Z.6tO#.QO.kG 334-tv SCl .TY o5.ra, S. 15lit aE Fva .oO� � Rh LV 'f / r�-O. G CouC. WOOD qQ;t 4vagoe I ►`x ao N_c � Fnd e e -r ( \Sto•54' i u ct 1A Am NOTE: AL_ RIGHTS OF WAY, EASEMENTS, SET BACK AND ZONING INFORMATION MUST BE CONFIPMED BY ARCHITECT AND/OR OWNER BSED UPON DESIGN USAGE. )_LEVATION SHOWN THUSLY X 7 1 ARE REtATI711E TO THE NATIONAL GEODETIC'ERTICAL DATUM OF 1929 A'4 re N \��'�:•� 0 i7 cenr. Orb 06 O i L SURVEYOR'S CERTIFICATION: We hereby certify that the attached "Sketch of Sur- vey" of the above described property is true and correct to the best of 'our knowl- edge and belief as recently surveyed under our direction. 'dcfiTlm, Form. MAW. SKM, ><NC. 4�gu 9 State of Florida N(NOT VALID dNLES32 SEALED McNTOSH, FORTIN. I.BAVY. SK112S. INC.. 9111 Pa tk Drive Miami Shores, Florida 33138 eAl 8332q do�,le .-q,�-�, �qB3 �v x - 91-W � at/ 2'80 7T Feb. /G, `V7B �✓ 76'•�