FW-14-614S \1e
4�a q
Miami ,Shires Villa o k
�.
Building Department
50 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
ECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: _1172 NE 103 ST
Permit No. m 2U CO I
—
Master Permit No.
QI 1 I `I!'
City: Miami Shores County: Miami Dade Zip:
Folio/ParceW 11-3205-019-0040
Is the Building Historically Designated: Yes
NO XXX Flood Zone:
OWNER: Name (Fee Simple Titleholder): ENGLISH BULLDOG LLC Phone#:
Address: 13040 NEVADA ST
City: CORAL GABLES State: FL zip: 33156
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SOUTH FLORIDA FABRICAION AND FENCING
305-233-5333
Address: 6989 SW 125 ST.
City: PINECREST State: FL Zip: 331.56
Qualifier Name: ANTONIO IGLESIAS Phone#: 305-233-5333
State Certification or Registration #: 13BS00086 Certificate of Competency #:
Contact Phone#: Email Address: tony@southfloddafendng.00rR-..'
.i
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 4055.00 Square/Linear Footage of Work: 281.00
Type of Work: ❑Addition QAlteration ❑New
Description of Work:
5' TALL BLACK CHAIN LINK FENCE
Color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
❑Repair/Replace ❑Demolition
CCF $ CO/CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ '��
R
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 propertyubject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first i een whit yccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be ap edited a reinspection fee will be charged
411 L(JI/I Sign e
Owner or Agent Contractor
The foregoing instrument was ackdged before me this ��
day of �C� 20 by ;77ik!n � 9
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
The foregoing instrument was acknowledged before me this 12` 0
day of ffi-z c-e-� -120 l yby OY lcrf Ltd 35�
who is personally known to me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
t¢ mo'6ary Public State of Florida MY
Antonio Iglesias
TyMy CoMmiaslon FF
po EE*m NW/2 17 024487
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
ARAM LEON
MY COMMISSION 6 EE 074406
EXPIRES: March 16, 2015
BMW ngu NotM Pub0c Umlembrs
`'-
— Hing
Clerk
Property Search I Miami -Dade County
Page 1 of 3
-AUMMUTIONAP)
Internet Explorer 8 is not fully supported In this application. Please upgrade or use a different browser to enjoy all features of the Miami -Dade County
Property Search.
Address 0 Owner Name 0 Folio n (https:tlwww.f&cebook.com/MiamiDadeM
C
(hiMs://hvftter.com/MiamiDadeM
........... ............. - ................................. ....................... -- ------------- ------- ................
SEARCH: 1172 NE 103 ST Suite
PROPERTY INFORMATION le
Folio: I I -=5-019-0040
Sub-Diftlon:
MIAMI SHORES SEC 8 REV IN PB 4367
Property Address
1172 NE 103 ST
Miami Shores, FL 33138-2852
Owner
ENGLISH BULLDOG
�1 C
Mailing Address
1172 NE 103 ST
MIAMI SHORES, FL 33138
Primary Zone
1100 SGL FAMILY - 2301-2500 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE FAMILY: I UNIT
Beds I Baths Half 2/2/0
Floors 1
Living Units 1
Actual Area 1,857 Sq.Ft
Living Area 1,515 Sq.Ft
Adjusted Area 1,681 Sq.Ft
Lot Size 10,531.25 Sq.Ft
Year Built 1949
. ......I . ............. ..........
http://www.miamidade.gov/propertysearch/index.html 3/27/2014
• we
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 3/5/2013 EXPIRATION DATE: 3/5/2015
PERSON: IGLESIAS ANTONIO I
FEIN: 460805816
BUSINESS NAME AND ADDRESS:
SOUTH FLORIDA FABRICATIO
8838 SW 129 TERR.
MIAMI FL 33176
SCOPES OF BUSINESS OR TRADE:
FENCE INSTALLATION
AND REPAIR -
Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may
not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope
of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS? (850)413-1609
ACC?R[�® CERTIFICATE OF LIABILITY INSURANCE
DATI�
'�
03/27/2014
3/27/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER
ROYALTY INSURANCE GROUPPHONE
8846 SW 129 TERR 2nd Floor
NONE CT Tony Iglesias
305-233-5333 FAX 1305-359-5117
A/C No):
AEOoRess: agency@royaltyinsurancegroup.com
INSURER(S) AFFORDING COVERAGE NAIC #
MIAMI FL 33176
INSURER A: Granada 0
INSURED
SOUTH FLORIDA FABRICATION AND FENCING INC.
8838 SW 129 TERR. 2ND FLOOR
INSURERS:
INSURERC:
INSURER D:
INSURER E:
Miami FL 33176
INSURER F
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
,
TYPE OF INSURANCE
A-DIYL
BUSH
POLICY NUMBER
POLICY EFF
M/DD
POLICY EXP
M/DDIYYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 500,000
COMMERCIAL GENERAL LIABILITYPREMISES
CLAIMS -MADE ® OCCUR
Ea occurrence $ 100,000
MED EXP (Any one person) $ 5,000
A
0185FL00043703
03/04/2014
03/04/2015
BADV INJURY $ 500,000
-PERSONAL
GENERAL AGGREGATE $ 500,00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $ 500,000
17 POLICYPRO LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $
Ea accident
BODILY INJURY (Per person) $
ANY AUTO
ALL OWNED SCHEDULED AUTOS AUTOS
BODILY INJURY (Par accident) $
NON -OWNED
HIRED AUTOSAUTOS
PROPERTY DAMAGE
Per accident $
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION $
$
WORKERS COMPENSATION
WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
N 1 A
TORY LIMITS E
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYE $
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more apace Is required)
FENCE LICSENCE #13BSOp086
I
GEKI IFIGATE MOLDER CANCELLATION
CITY OF MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2 AVE.
MIAMI SHORES, FL. 33138 AUTHORIZED REPRESENTATIVE
305-756-8972
ACORD 25 (2010/05) @ 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Detail by Entity Name
LISH BULLDOG LLC
invent Number L13000095526
IN Number NONE
Filed 07/03/2013
FL
8 ACTIVE
tive Date 07/01/2013
172 NE 103RD STREET
IIAMI SHORES, FL 33138
08/13/2013
172 NE 103RD STREET
IIAMI SHORES, FL 33138
: 08/13/2013
!ECKER, WILLIAM F
3040 NEVADA STREET
,ORAL GABLES, FL 33156
& Address
MGR
ECKER, WILLIAM F
172 NE 103RD STREET
IIAMI SHORES, FL 33138
MGR
;CHAEFFER, MICHAEL
172 NE 103RD STREET
IIAMI SHORES, FL 33138
Page 1 of 2
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetaillEntityName/flal-11... 3/27/2014
I
.�f pap.wf
W* -WAY rip. 1/2.
S' %ew ILI
Rple
90 . 21
-Q.0.
Q.0.
#1ow
1—STORY :jy ///4;/
..e WS1 1172
11.70
Jp I . 1.00,
A/C
SIO,
4
. IF
74�
WOW
A
yy
j
Miami Shores Village
APPRO By
DAMw
negg OL
"ft am. WW -teat fcnw" &46
ZONING INL
mm
BLDG DEPage 2 012IA= 4M 17
t
SUBJEQLQ COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
90 * ci
0:TT tT0z_99_Hvw
MAR -25-20i4 11:47
BOUNDARY SURVEY
Property Address:
1172 NE 103ur' STREET, MIAMI SHows. rLORIt?A 33138
LEGAL DESCRIPTION:
Lot 4, LESS the Wet 20 feet thereof, Block 176. of "REVISED FLAT OF M1I Mi SHORES.
SECTION d" aooWNW to the plat thereof as recorded in Ptat Book 43 at Page til of the Public
Records of Mismwade County, Florida.
SURVEYOR'S NOTES:
1) The above captioned Property was surveyed and described based on the above Legal
Description: PmWded by Client.
2) This CerttBcation is only for the lands as described. it is riot a certification of Title, Zonrng.
Easements. or Freedom of Encumbiancss. ABSTRACT NOT RLMEWED.
3) There may be additional Reshichons not shown on flus survey that may be found in the Public
Records of this Courtly, Examination of ABSTRACT OF TITLE will have to be made to determine
recorded instrumonts. if any affecting this properly.
4) Accuracy:
The expected use of the land. as classified in the Minimum Technical Standards (5J-17 FAC}. is
'Restdnrlfat High Risk". The minimum relative distance accuracy for this type of boundary survey
is I loot k) 10.DW feet. The atacrrracy obtahred by measumment and catcutotion of a dosed
geometric figure was found to exceed this aequiremertt.
5) Foundations and/or footings that may cross beyond the boundary lines of the parcel herein
debt.,, to not Mown elit'.4a."
Mapper. aadd8i+pns or tiel@hons t0 sunray Wraps or reports by other than the sqning party Or
7) Contact the slppropriate atdhorlfy prisor to any design w4wk on @the herein -described parcel for
8) Underground utilities are not depicted hereon, contact the appropriate authority prior to any
design work or construction on the property herein described. Surveyor shall be notilted as to any
deviation from ulitt6es shown hereon.
g) The surveyor does not determine fence and/or wall ownership.
10) Ownership subjects to OPINION OF TITLE.
111 Type of Survey: WuNDARY SURVEY.
.+Lf avva u. .., —. 1466IiYWit"1 0.4 eu mom... . --.0,0 .0 vii aewva,a.avu 1"101t Cl%rJ& q4 tla Viage o/ Ur UW* t'ruunc
Arc u.......:. ,..._.... il—t- kA. -
16)
,...... �,. u.. n..0.......4 ase RC rte• wl.......:...-. — . ate. �sw•
'I�tii�-V9ay�-i»v�'r� r�wi►ii::: 1 i, �Yifrti
This PLAN OF SURVEY has been prepared for the exclusive use of the entities named hereon.
7)re CerOads does not e0t4 W b any unnggnedawrty:
A) ROtSA LOUIS
a.)
SURVEYOR'S CERTIFICATE:
1 Herby Certify to the best of my knowledge and belief that this dravring is a true and
emot representation of the BOUNDARY SURVEY of ttte veal property described hereon.
I further cer y► that this survey was prepared in aWaidance with the applicable mi isions
Field Date: ,/emery 22.2013
I/
h+t1 _. R •1t_._ M A A
Professional Surveyor & Mapper
State of Florida Reg. No.5880
CSI T
MW b&ND iuilIVCY01lli. iND.
t;tyi NW ia]phoneR 305.827 808] UITIE 1. Maj
A 3105 LA8275888FLORIDA 33014
1 WttaWty ,w�ttt WdjI&`Il+:xr eol slt16p1•►lugtl S.n.w1 11116•
Page 1 of 2
P.07
%I
I
AMERICAN AFA
FENCE ,
ASSOCIATION 0
q4000
LINE POST CAP l*k1lk
LINE POST j .66's
TOP RAIL 13A . a4 --
FABRIC TIE q1 Gl�X All
FABRIC SELVAGE K .k
POST CAP
CORNER / END
POST1/_ a(�
A
TENSION,�Bn ND
TENSION BAR
314x -sw
4'-5' CHAIN LINK FENCING DETAIL
SM TO RAIL AND BOTTOM RAIL (CL -02)
NOTES:
copyright AFA - 1997 CL -02
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
April 2, 2014
Permit No: FW14-614
Planning Critique
1. Chain link fences facing streets are not permitted on corner properties.
2. 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.
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
April 2, 2014
Permit No: FW 14-614
Building Critique Review
1. Zoning approval required.
2. Chain link fence use as apool barrier should be a maximum of 2-1 /4"as per section
84101.17.1.6 of FBC, Residential.
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
April 1, 2014
Permit No: FW 14-614
Building Critique Review
1.. Pending zoning approval.
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
April 2, 2014
Permit No: FW14-614
Planning Critiaue
1. Chain link fences facing streets are not permitted on corner properties.
2. 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.
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.