FW-14-1579Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-216328 Permit Number: FW -7-14-1579
Scheduled Inspection Date: October 07, 2014
Inspector: Rodriguez, Jorge
Owner: LIBONATTI, BRUNO AND ALEXANDRA
Job Address: 10343 NE 6 Avenue
Miami Shores, FL 33138-2047
Project: <NONE>
Contractor: V&C SUPPLY ORNAMENTAL CORP
euilaing Department comments
METAL PICKET FENCE @ 5" HEIGHT
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number
INSPECTOR COMMENTS False
1122310120210
Phone: (305)634-9040
October 06, 2014 For Inspections please call: (305)762-4949 Page 7 of 33
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 06, 2014 For Inspections please call: (305)762-4949 Page 7 of 33
BUILDING
Miami Shores Village �,
:9.
Building Department
71UL
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
7RMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
2014
1`13&20 �0
Master Permit No. _ Q k4 _ iq
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I 0.3Y3 ✓1/9 6rN AU E
City: Miami Shores County: Miami Dade Zip: 3 3 ►3A
Folio/Parcel#: J/-c�/— a1z e azlo ` Is the Building Historically Designated: Yes NO _�
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1; m0'4A 1r I .QAd_4'a Phone#: -?C)5-7)3-0525_
Address: /03Y3 4J9 6 t-24 AVE
city: __1_r,a i .S �)OleS State: Zip: -33 139
Tenant/Lessee Name: A) /A Phone#:
Email: 21e h c) L4 _.". 00 . r'Dey)
CONTRACTOR: Company Name: _
Address:�I 4"
City: SiOLr
Qualifier Name:
State Certification or Registration #:
0
Zip:��
Phone#:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address
Value of Work for this Permit: $ 91 50® `
Type of Workr,, El .Addition +Alteration
Description,of Work:
City: State: Zip:
/
Square/Linear Footage of Work: 7t�r11'!''P� ,
❑ New
❑:.Repair/
Ej Demolition
Ad`s -
Specify color of color thru tile:
L7 n
Submittal Fee $ 1 00 Permit Fee $ ii 03 CCF $ CO/CC $
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
i
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 -"L -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.
Signatu
OWNER Or AGENT
The foregoing instrurn'eatwtrs acknowledged before me this
;?-( day of --G1")/1 , 20 by
BfUA0 G 16r__BB jj� , who is p ! m to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
i6 e BETtY CIQAR TORFIES
* * (.'0 ISSION # FF 075887
Sign: C ry 2, 2018
Print. �Al `v'� �ti.t �C1 ri-.-d �
Seal:
as
Signature 4 '-Y ,
CONTRACTO
The foregoing instrument was acknowledged before me this
Of day of //�% ��/ , 20 by
IY/,c o I/ who " rson q to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
rc�►�;: �'� BE17Yt KWITORFES
* IN COMM SSION # FF 015887
Sign: ' F b 2, 2018
Print: � 2 �rQ Ic>v
Seal:
APPROVED BY Plans Examiner �3 lL Zoning
Structural Review Clerk
(Revised02/24/2014)
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: 6/19/2014 EXPIRATION DATE: 6/18/2016
PERSON: SOLANO MARIA V
FEIN: 331001192
BUSINESS NAME AND ADDRESS:
V & C SUPPLY ORNAMENTAL CORP
3601 NW 50TH ST
MIAMI FL 33142
SCOPES OF BUSINESS OR TRADE:
FENCE INSTALLATION
AND REPAIR -
Pursuant to Chapter 440.05(14), F.B., an offlcerof a corporation who elects exemption from this chapptteer by flim a certificate of election under this section may
not recover benefits or compo n under this chapter. Pursuant to Chapter 440.05(12), F.S., CertiOcates of =Min,?,
to be exempt.. apply only wimm the scope
of the business ortrede Rated on the notice of election to be exempt Pursuantto Chapter 440.055(�13), F.S., Notices of election to be exempt an certificates of
election to be exempt shall be subject to revocation If, at any time after the flfing of the notice ortir0 Issuance ofthe ceNficate, the person named on the notice or
certificate no longer meets the requirements ofthis section for Issuance of a certificate. The department shall revoke a certificate at anytime for failure of the
person nerned 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 -ISM
I l
Page 1 of 1
https://apps8.fldfs.com/crreportviewerlreportViewer.aspx?data=kdvpginc9D7Q3gH6TER6... 6/19/2014
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances, Miami Shores Village
does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, you may be
personally liable for the worker compensation in juries of any person allowed to work under this permit. Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Owner
Print Name:►r�
Signature:V
State of Florida )
County of Miami -Dade )
Sworn to su scribed before mfg's
day of , 20 1'I
By
ES: Feb u l 2, 2018
(SEAL) 1P�''FOFno��OP B�nNdlhroBudget obrySery
Type of Identification produce W
Contractor
Print Name: A,;. V. �Dl
Signature: ovycvv+ ' v
State of Florida )
County of Mi 'Dade)
Sworn to an 5
ubsc bed before s
day of , 20.
of Identification
2, 2018
:3
J
70.00- TOTAt R/W
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5
cod y5
A04) livt
miah
Shores iVillage
�
APPROVED
v
BY Ai
ZONING DEPT
BLDG DEPT
SUBJECT TO COMPUANCE 111lITH All. FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
vEYOWS NOTE: CERTIFIED TO:
7C TANK WAS NOT VISUALLY LOCATED. LOCATION
IDED BY MOTHER OF OWNER ($fMR7' M QN f# �pj. • 4BRUNO AND ALE'JANDRA UBOALATTI
• •• . •So
ONE. X •
INEL= 12011 CO306 • �PlWER�YY CiF: BRUNO AND ALE.FANDRA
PITY l�tD.: 1245124552 LIBONAT77
.... ... ... ... . •
FIRM: g-11-09 R70EAST 6 p�`'ENUE
EV. = : 9- ' M i�MI , FCOR/Mg 33138
AV,
UPDATE. 02 -
NOT VALID WITHOUT THE SIGNATURE
ORIGINAL RAISED SEAL OF A FLORIDA I
SURVEYOR AND MAPPER
r
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A
MAX. POST SPACING
6
Connections _
fillet weld
Ny` (typ•)
VT ►' 2
66WA z Px I
Connections
fillet weld (typ.)
a �
z,03
2500 PSI min. 2500 PSI min.
CONCRETE CONCRETE
24" 24"
..... �:f'•': �: �:: �IL�i�ai®c�: •: - .. •:6"•: •.: .........
12" dia. ---p- I 1*— 12" dia. --*
Aluminum /
Iron / Steel
Fence Detail
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