FW-14-882Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-211659 Permit Number: FW -5-14-882
Scheduled Inspection Date: July 21, 2014 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge Inspection Type• Final
Owner: REBELO, ALEJANDRO Work Classification: Wood Fence
Job Address: 353 NE 94 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060136110
Project: <NONE>
Contractor: HOME OWNER
Building loepartment comments
REPLACING WOOD FENCE 5'HIGH
INSPECTOR COMMENTS False
July 18, 2014 For Inspections please call: (305)762-4949 Page 9 of 23
Inspector Comments
Passed °
,
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 18, 2014 For Inspections please call: (305)762-4949 Page 9 of 23
BUILDING
PERMIT APPLICATION
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: (30S) 762-4949
Master Permit No. )w & —
Sub Permit No.
BUILDING
F-1 ELECTRIC
❑ ROOFING
E] REVISION
❑ EXTENSION
RENEWAL
r-jPLUMBING
MECHANICAL
[—]PUBLICWORKS
[:]CHANGE
CONTRACTOR
CANCELLATION
SHOP
DRAWINGS
JOB ADDRESS: D 3
City: Miami Shores 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): N C) }Ce-'" Phone#: 4-:?Cp- -:�'9 3�1®
Address: 3G-3 1',J C !)4
QT -
City: Hiwui �s C� State: � L Zip:
Tenant
Email:
CONTRACTOR: Company Name: C 4) o e c: 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: 24
Type of Work: ❑ Addition ❑ Alteration ❑ New .Repair/Replace 1�1 Demolition
Description of Work:�14
� tfle' P
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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 occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and rei pection fee will be charged.
Signature.
Owner or Agent
The fore'go�ing instrument was acknowledged before me this
day of by k /' e� l
who is personally known to me or who has produced'
30 X 'LIA� As identification and who did take an oath.
NOTARY PUBLIC:
Signature.
Contractor
The foregoing instrument was acknowledged before me this_
day of , 20 by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
;ommission Expires:
APPROVED BY� Plans Examiner �! Zoning
Structural Review
(Rev1sed02/24/2014)(Rgv1s.ed 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
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: A1'e k�S: CO DATE: J 12 -
ADDRESS:. ADDRESS:
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, FS 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.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 specifiers 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.
Initial
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 licena 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. I
Initial_
5. 1 understand that, as the owner -builder, I must provide direct,,onsite supewision 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 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 homeowners 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 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 odes, 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 h :/Aivww.m loddalleense.com/dbpr/ ro/Cilbriindex.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
Dally and financially responsible for the proposed construction activity at the following address:
X 191,
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information 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 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 , 20 � Z ,
ByAlL/O j9dhL7 who was personally known to me or who has
Produced there License or 11-107 as identification.
:2t �/� -
OW R
112
N
Notary Publie State of Fiorlda
Joanna M Feliciano
1s� My Commiasion FF 082753
4ojwd' Expires01/12/2018
Shadow Box
Q
Vertical Picket
Board on Board
Miami Shores Village
.
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Falx: (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 5' in height
fill IQJLGI 16i1J I I I�iJL NG ►.VI I VJI VII IGJIJlO11L
No less than two fasteners in any connection
s fastened
corrosion
fasteners,per
ytt
horizontal
;sure treated
sd members
i two corrosion
Stant fasteners
connection
A
SCALE: 1" = 20'
'b k� � G '& � ..1 - 5' A
BLOCK -45
LOT- l 2
W. 20ft of Lot 13
I
5 ' ALLEY
tom
.10-15-
c—'
52,c- C • ftem
X 15.11' ONE STORY
�3
C. B.S.
�4�S N:
Sxg �s Res.# 353 6g1"c
F F E/ev.: 13.05'
/o.1T • 3C\d - 6.70'Gar. Bev.: /0. /8'
0
�0 34.55'
4' �s i
0'C
1o_0r 02
. Cone. Walk i
6
e to
°.
d
-.4 ° ° ° °g ' l 5 / .93' (R) (N1) 51Sidewalk° °
Asphalt - 22.50'Parkway
/a.
9
BLOCK- 45
Remainder of
LOT- l 3
/V.
Mad Desk
No3y NE 94th St. toys. 10,56.
2aA�halt Pa„t — —. —r-- —
75' TOTAL R/VV
NOTE:
ELEVATION5 ARE REFERRED TO MIAMI DADE COUNTY BM# N -5G8 EU!V.=9.G5' OF N.G.V.D.
LEGEND AND ABBREVIATIONS
�
. .
Oa 4?Q Z0' tJj
.0. _
.
C.G.
a CURB &GUTTER -
A&14
= ARC DISTANCE
�0 JQ
P/L
= PROPERTY UNE
O.H.L.=
OVERHEAD UTILITIES
W.M. = WATER METER
V.G
=VALLEY &GUTTER
D
BLOCK -45
LOT- l 2
W. 20ft of Lot 13
I
5 ' ALLEY
tom
.10-15-
c—'
52,c- C • ftem
X 15.11' ONE STORY
�3
C. B.S.
�4�S N:
Sxg �s Res.# 353 6g1"c
F F E/ev.: 13.05'
/o.1T • 3C\d - 6.70'Gar. Bev.: /0. /8'
0
�0 34.55'
4' �s i
0'C
1o_0r 02
. Cone. Walk i
6
e to
°.
d
-.4 ° ° ° °g ' l 5 / .93' (R) (N1) 51Sidewalk° °
Asphalt - 22.50'Parkway
/a.
9
BLOCK- 45
Remainder of
LOT- l 3
/V.
Mad Desk
No3y NE 94th St. toys. 10,56.
2aA�halt Pa„t — —. —r-- —
75' TOTAL R/VV
NOTE:
ELEVATION5 ARE REFERRED TO MIAMI DADE COUNTY BM# N -5G8 EU!V.=9.G5' OF N.G.V.D.
LEGEND AND ABBREVIATIONS
B.C. @ Lot 1
716 JOB NUMBER:
LOCATION MAP
N.T.5,
PROPERTY ADDRE55: 353 NE 94th 5t. Miami 5hore5, FL. 33138
LEGAL DESCRIPTION: Lot 12 � West 20.00 feet of Lot 13, Block 45, of MIAMI
SHORES SECTION ONE, according to the plat thereof as recorded In Plat Book
10, at Page 70, of the Public Records of Miami Dade County, Florida.
Z FaFRMIT #:
rn Ml� sr
� ZONING DEhf
DEPT�� �a _.
SUMECT-toCoMpUPNCE NrtTH AILFEOEHAt.
STATE AN,U CrL*Ciy 8ULc"S 00 REGUTATIONS
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY REVISED ON 9- / / -09 THE HEREIN
DESCRIBED PROPERTY IS SITUATED WITHIN:
ZONE_X BASE FLOOD ELEV. /V A COMMUNITY NUMBER—j23-02l 20652 PANEL NUMBER SUFFIX L
LEGAL NOTES
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO
DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATION, LIMITATIONS,
RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DESCRIPTION PROVIDED BY CLIENT. THE LIABILITY OF THIS SURVEY
IS LIMITED TO THE COST OF THE SURVEY. UNDERGROUND ENCROACHMENTS, IF ANY, ARE NOT SHOWN. TH1S FIRM HAS NOT ATTEMPTED
TO LOCATE FOOTING AND/OR FOUNDATIONS AND/OR UNDERGROUND IMPROVEMENTS OF ANY NATURE. IF SHOWN BEARINGS ARE
REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1928. THE CLOSURE IN THE BOUNDARY
SURVEY IS ABOVE 1:10000. THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES. FOR THOSE
PURPOSES A TOPOGRAPHIC SURVEY IS REQUIRED.
CERTIFIED TO: DATE OF FIELD WORK' JUly l2, 2013
Alejandro Rebelo REVISED ON:
I hereby certify that the atipohed Sketch of Surrey of the herein
described property Is WtM beat of rhyknowledge and belief, a true
and correct representation, of a field survey performed under my
direction. And also meats the Minimum Technical Standards as set
�n /,� ((�� n nnnn (n� nn ��,77 forth by the Fior1da Board of Profs ns_ 1 Surveyors and Mappers In
A LN `Vr �@@@ L,o U�.I V E ELS 472027 F-3 � thru 5J-17 FA nt to on
Professional Land Surveyor & Mapper
2825 NW 11th Street Miami, Florida 33125 7saW'm
L. SJL
Tel: (786) 357-6204 Fax: (305) 443-1608 No d e andthe c seal of a
orlda Sund Maoaer
a CENTER UNE
FD.
= FOUND IRON PIPE
AC = AIR CONDITIONED UNIT
C.G.
a CURB &GUTTER -
A
= ARC DISTANCE
P/L
= PROPERTY UNE
O.H.L.=
OVERHEAD UTILITIES
W.M. = WATER METER
V.G
=VALLEY &GUTTER
D
= CENTRAL ANGLE
MIL
= MONUMENT UNE
C.B.
= CHORD BEARING
U.E = UTILITY EASEMENT
E.M.
= ELECTRIC METER ;
R
a RADIUS
RNV
a RIGHT OF WAY
(C)
= CALCULATED
C.B.S. -CONCRETE BLOCK STRUCTURE
STY.
a STORY
0
a DIAMETER
C.L F.
= CHAIN LINK FENCE
(M)
= MEASURED
P.C.P. = PERMANENT CONTROL POINT
SEC.
a SECTION
B.C.
= BLOCK CORNER
W.F.
= WOODEN FENCE
(R)
= RECORD
D.M.E. a DRAINAGE MAINT. EASEMENT
MH.
= MANHOLE
TYP
S.W.
a TYPICAL
= SIDEWALK
=ELEVATION
ENC.
a ENCROACHMENT
P.O.B. =POINT OF BEGINNING
CL
F.F.E.
= CLEAR
= FINISH FLOOR ELEVPnON
PL
a PLANTER
-CONC.
= CONCRETE SLAB
RES.
a RESIDENCE
P.O.C. =POINT OF COMMENCE
B.C. @ Lot 1
716 JOB NUMBER:
LOCATION MAP
N.T.5,
PROPERTY ADDRE55: 353 NE 94th 5t. Miami 5hore5, FL. 33138
LEGAL DESCRIPTION: Lot 12 � West 20.00 feet of Lot 13, Block 45, of MIAMI
SHORES SECTION ONE, according to the plat thereof as recorded In Plat Book
10, at Page 70, of the Public Records of Miami Dade County, Florida.
Z FaFRMIT #:
rn Ml� sr
� ZONING DEhf
DEPT�� �a _.
SUMECT-toCoMpUPNCE NrtTH AILFEOEHAt.
STATE AN,U CrL*Ciy 8ULc"S 00 REGUTATIONS
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY REVISED ON 9- / / -09 THE HEREIN
DESCRIBED PROPERTY IS SITUATED WITHIN:
ZONE_X BASE FLOOD ELEV. /V A COMMUNITY NUMBER—j23-02l 20652 PANEL NUMBER SUFFIX L
LEGAL NOTES
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO
DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATION, LIMITATIONS,
RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DESCRIPTION PROVIDED BY CLIENT. THE LIABILITY OF THIS SURVEY
IS LIMITED TO THE COST OF THE SURVEY. UNDERGROUND ENCROACHMENTS, IF ANY, ARE NOT SHOWN. TH1S FIRM HAS NOT ATTEMPTED
TO LOCATE FOOTING AND/OR FOUNDATIONS AND/OR UNDERGROUND IMPROVEMENTS OF ANY NATURE. IF SHOWN BEARINGS ARE
REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1928. THE CLOSURE IN THE BOUNDARY
SURVEY IS ABOVE 1:10000. THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES. FOR THOSE
PURPOSES A TOPOGRAPHIC SURVEY IS REQUIRED.
CERTIFIED TO: DATE OF FIELD WORK' JUly l2, 2013
Alejandro Rebelo REVISED ON:
I hereby certify that the atipohed Sketch of Surrey of the herein
described property Is WtM beat of rhyknowledge and belief, a true
and correct representation, of a field survey performed under my
direction. And also meats the Minimum Technical Standards as set
�n /,� ((�� n nnnn (n� nn ��,77 forth by the Fior1da Board of Profs ns_ 1 Surveyors and Mappers In
A LN `Vr �@@@ L,o U�.I V E ELS 472027 F-3 � thru 5J-17 FA nt to on
Professional Land Surveyor & Mapper
2825 NW 11th Street Miami, Florida 33125 7saW'm
L. SJL
Tel: (786) 357-6204 Fax: (305) 443-1608 No d e andthe c seal of a
orlda Sund Maoaer