FW-14-615Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-209835 Permit Number: FW -3-14-615
Scheduled Inspection Date: July 22, 2014 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: PEREZ, LUIS Work Classification: Wood Fence
Job Address: 145 NE 103 Street
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
comments
REPLACE WOOD FENCE 5" HIGH
Phone Number
Parcel Number 1121360130830
INSPECTOR COMMENTS False
July 21, 2014 For Inspections please call: (305)762-4949 Page 6 of 33
Inspector Comments
Passed ML
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 21, 2014 For Inspections please call: (305)762-4949 Page 6 of 33
.A
BUILDING
Miami Shores Village
PERMIT APPLICATION Sub Permit No.
A IV
ABUILDING
❑ ELECTRIC
❑ ROOFING
XP61SION
❑ EXTENSION
❑RENEWAL
❑PLUMBING
❑ MECHANICAL
❑PUBLICWORKS
❑ CHANGE
CONTRACTOR
❑ CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 3 (�
Folio/Parcel#: ( c21 (3 n6 3 � Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): S- Phone#:3�_—��
Address: %�� �% % ®3"
City: ��� i 7r S /�'��_� State: Zip: a �o
Tenant/Lessee Name: —� Phone#;; 'eec
Email: �^
0
CONTRACTOR: Company Name: CDs' Phone#:
Address:
City: -State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:
State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition –1 Alteration E New ❑ Repair/Replace ❑ Demolition
Submittal Fee
Scanning Fee $
Permit Fee $
CCF $ CO/CC $
Radon Fee $ DBPR $ ' Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ Jg
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which�ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approve and a reinspection fee will be charged.
Signature
�" Owner or Agent Contractor
The foregoing instrument was acknowled % d before me this The foregoing instrument was acknowledged before me
this day of —i --J 20I by ` -J "S 1� ek2r day of . 20 J by
who is personally known tome or who has produced- who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC,...
Sign:
Print:
My Commission Expires:
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Ne�k�[t*�kAe�le+k*aletkakakale�kak*�k�k*�k&*�k ��kak�kakakakakalt�k+k*ffi�hM�k�k�k�N�k�k�k�k*�Italt�kkalt*+k�k�k&&+k*�k�kM�k&�k�k&****�dCalt4�kak*�k&ffi�k**�k�k�k�k$�k�k44�k�k�k&&�k�k�F4�k�kakakak
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
r L6
r r\
Magna Latch
(if req'd for pool code)
Mechanical Aluminum Fence
ad for use as a balcony rail or other elevated structural barrier)
x .062"
ube Pickets
WI
*�
PR 0 Sit 2014
N— 2" —�
2"
.075"
Snap Post
2" x 2" Post
60" Max.
1.25" x 2.458" x .062" Top Rail
(Install over channel or cap snap plate)
1"x1%"x.062"
Channel Rail
3.875"
24"
1 Typical Fence Elevation
.� + .062"
Picket detail
2500 psi
cont.
36" Min.
60" Max.
2"
—0-1 12"0 1 -
168"f?1*�— 2.0"
.075" I IE .168"
Post Snap
pi..vc-
2.458" --♦�
, q.:
1.25" .062"
1
Overfill with Sikadur 32 Hi- 2" x 7/16L" top channel 3/16" pop rivets
3Y2" r Mod Epoxy extended with (aluminum)
sand aggregate. Top Cap Detail
4lRL37'. rLpbEb:
3%" et �►.
Post Set in Concrete
HR 12 Wall Bracket HR 10 Wall Bracket
(attach with (2) 3/16" x 1 %" Tapcons)
Notes:
1. Design: 2010 FBC, Sec 1615.2 & ASCE 7-10, wind speed 75 MPH, exposure C.
2. All connections shall be with #10 x 1%" SS sheet metal screws UON. (fill all bosses)
3. Material: Extruded aluminum 6061-T6 or equal. Powder coated or corrosion resistant paint
4. Gates to be self closing and self latching.
5. Top Cap is riveted to channel or snapped to plate.
6. No changes allowed without written authorization from the engineer.
7. Copies of this drawing without an original signature and seal of the engineer are invalid.
Island fence 10.20.12
1
1
14 1 Ve" -►I
Channel detail
(bottom)
,f 111Af; 11jf
W'illjam e.I
135,1.
Pompano.
CertiApate of',
,rPOR2
Al;: 5221
wepete
FLr13080
Miami Shores Village
Building DepartmentMAR 7 2094
V - 1i 050 N.E.2nd Avenue, Miami Shores, Florida 33138 ��.
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No
Permit Type: BUILDING
ROOFING
JOB ADDRESS: 145 NE 103 Street
City: Miami Shores County: Miami Dade 33/.7r0
Folio/Parcel#: 11-2136-013-0830
Is the Building Historically Designated: Yes
NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): I uis A_ Pe & .lanet F_ PArP_7 Phone#: (305) 812-0650
Address: 145 NE 103 Street
City: Miami Shores state: Florida zip: 33138
Tenant/Lessee Name: N/A Phone#:
Email: I perez@bellsouth. net
CONTRACTOR: Company Name: ��,�)%� Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 1,600. Sgnare/Vpear,,P of rk: 45'
Type of Work: OAddition ❑Alteration_ ONew tt? n `IReplace� ODemolition
Description of work: Replace wood fence �
Color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee-$
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO/CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Nhme (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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to hment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which ccurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be ap ro and a reinspection fee will be charged.
—d
t "Signa _ - Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this
day of &nt—, 20 A by Au),f 9 e m ,
who is personally known to me or who has producedp
LAO-
6o? fD 3 Z&'4 As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
.11rlw - -Frog
Notary pgbl►t Steffi
of JoartraCOMmi FynnFFFF 082753
Ems$ 0111?J201A���
APPROVED BY
The foregoing instrument\asacknday of ,2who is personally known
NOTARY
Sign:
My Comipisg(on Expires:
Plans Examiner
before me this
has produced
id who did take an oath.
Structural Review Clerk
(Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
►�
JhissProperty described as: a
'.Lot :20, Block 122, AN
i AMEN'= PLAT OF SECTION NO
agAdlNIMA4a11S' 1 i lae
MAR 2-7
thereof, as recorded In
Plat Book 10 .,Page 47
of the Public Records of E'
Dade County, Florida.
;-
VV
.�
.•
•.1N
Gd
'"�
MAR 2-7
thereof, as recorded In
Plat Book 10 .,Page 47
of the Public Records of E'
Dade County, Florida.
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'i HEREBY CERTIFY that the survev L A N N E S and G A R C I A, INC.
iasrreasnted hereon meets the m)m- s
uin - ret uiremen s adopted by the
CS.P•L.S. and the F L.T.A. and ENGINEERS - LAND SURVEYORS - LAND PLANNERS
there- ere not encroachments. over-
on-
ver -
easements eApea ,, g on the
ar vrstble essemena o�therQth/en
131
�C4�� is i, FloridaBox331
Miami, Floda 33156
ja;z
FL. peg. Surveyor No. DATE AL DRA N,BY pRWG. NO.
FL: Reg. Engimer No. 2243 J�; —C 1s . 1$3-4412
STATE OF (FLORIDA)
COUNTY OF (DADE)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
The undersigned Affiant, Luis A. Perez , does hereby attest that
(Property owner)
The attached survey, performed by Lannes and Garcia, Inc.
(Name of surveyor's company)
For address: 145 NE 103 Street, Miami Shores, FL. 33138
Performed on 5-24-83 (date of survey) is an accurate representation of the existing conditions and
locations of all structures 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 i ctions as applicable to this or other permits.
Further, Affiantrsay au
Property Owner Signature
Luis A. Perez
Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this day of
Affiant is personally known to me, produced as identification.
Revised on 5/2212009/ Revised on 6/12/09
Notar
Notary PUb11C Stets of Florida
Joanna MFeliciano
n�My Commission FF 082753 .
Expires 01112/2018
NAME:
ADDRESS: NS- /Ve (/ Gj 5-/—
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DIAICnflCWI
DATE: 27
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 thaf 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
sOpenrise the cgnstruction 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 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 a7myr
C/
contractor with certain restrictions even though I do not have a license.
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible the
construction and is not hiring a licensed contractor to assume responsibility.
In
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 own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or If ' rs on
permits and contracts.
In.
-4. 1 understand that I may build or improvea 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 o ntially
Improved it for sale or lease, which violates the exemption.
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
In
9�
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 cou ty or
hiunicipal ordinance.
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 aotia an
owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my prop221
I1t
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
social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compe r
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 govem owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building cosies, and zoning regulations,
In al
10. 1 understand that I may obtain more Information regarding my obligations as an employer from the Internal Revenue Service, th
United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may conta
Florida Construction Industry Licensing Board at 850.487.1395 or h d .m oridelicanse.comidb d ro/cllVmdex.
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:
Initi
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the Informaetha
have provided on this disclosure.
Ina.
Licensed contractors are regulated by laws designed to protect the public. if you contract with a person who does not have a
license, the Constr4ucdion 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
veritying 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 day of o! 20
t
By Ui ,� Nut who was personally known to me or who has
Produced the �Uinse or �,� ®�� t S i 3 1 0 as identification.
e,�-a -u Notaty Public Stets of Fiodda
;� �; Joanna M Feliciano
d� My Commisabn FF oa2753
%40? Expttee01112P2018= y�