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FW-14-1919Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-218944 Permit Number: FW -9-14-1919 Scheduled Inspection Date: September 30, 2014 Inspector: Rodriguez, Jorge Owner: MARY ELLEN BENTON, DOUGLAS OAMWc Job Address: 10108 NE 1 Avenue Miami Shores, FL Project: <NONE> Contractor: HOME OWNER dunamg uepartment comments shadow box fence on alley Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060131560 INSPECTOR COMMENTS False September 29, 2014 For Inspections please call: (305)762-4949 Page 10 of 31 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 29, 2014 For Inspections please call: (305)762-4949 Page 10 of 31 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: (305) 762-4949 BUILDING ❑ ELECTRIC ❑ ROOFING SEP 6 4 20A FBC 20 1� Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /1o! o F N6 /5 t- .4 v -e-- City: Miami Shores County: Miami Dade Zip: -3-3/3 O Folio/Parcel#: Is the Building Historically Designated: Yes >< NO Occupancy Type: Load: Construction Type: Flood Zone OWNER: Name (Fee Simple Titleholder): _DQQd7Mr# ( Address: ! ®!o g /V E /5T— Ut City: A " IC_ (EJB c,vl-fw BFE: FFE: State: �L Zip: 3 3l 3 7-' Tenant/Lessee Name: /I Phone#: I g(O - V131 -1 z3,6 Email: h a6)e'51-041 b o� CONTRACTOR: Company Name: 1v ! Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration M Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ -75-0 Square/Linear Footage of Work: �A Type of Work: ❑ Addition Description of Work: ❑ Alteration ❑ New ❑ Repair/Replace s-frvcf s Aa.J o L -v box P r; .Jac y -6-po Specify color of color thru tile: Zip: 39 ❑ Demolition on allcu Submittal Fee $ � Permit Fee $ 10 0 • (Z CCF $ 0 CO/CC $ Scanning Fee $ _ C�� Radon Fee $"2- (33 DBPR $ �_) DO Notary$S e -m Technology Fee $ate Training/Education Fee $ ®` �—® Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 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. Signature Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of{gipp 20 1 by -who is personally known to me or who has producedas CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 , by me or who has produced , who is personally known to identification and who did take an oath. identification and who did take an oath. as NOTARY PUBLIC: t O fl I NOTARY PUBLIC: lllie�fi �Oen I sd�li�j�j'i Sign: �� Sign: 14 Print:'; - Print: Seal:�`'•wrn"� Seal: L FLp��O���°�` APPROVED BY c S Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 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: OaZ4644.f&AiOve—c j /'�,qny &5"7W DATE: 9- '/- iv y ADDRESS: 101 O 8 M5 /,r f ,4vE e A11,41V, Lr*6;e F. r Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 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. I 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. Initial 1G 01-5 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 107t� 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_/0�1-6 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. InitialN/� 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 AV`M/D 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 ^15 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 codes, and zoning regulations. Initial 45 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 htta://www.myfo6dalicense.com/dbpr/oro/Cilbfiindex.html Initial 01"O7 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: /0/000 11/6 & 14116 "140Vr Sl �cr Initial ©lk2 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial.1006. _. __ - 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 °r`� day of A66—IJ-1-0-1 20 Bywho was personally known to me or who has Produced there License oras identification. OWNER NOTARY JOHN MARRA & ASSOCIATES, INC. Professional Land Surveyors & Mappers 777 N.W. 72nd AVENUE SUITE 3026, MIAMI, FLORIDA 33126 TELEPHONE: (306) 262-0400.1 FAX: (306) 262-0401 W W W.IBARRALANDSURVEYORS.COM MAP OF BOUNDARY SURVEY 10108 N.E. 1st AVENUE, MIAMI, FL 33138 -Lor-2 LOT -1 BLOCK -1.1 I BLOCK -11 • Sem 4A x --d ab 1W -ALLEY (N.A.P.) so 0 9' ASPHALT • . • I Co. c,q �E: . 3 `eq'�tcf �x 80.57' PVMT. F.N.D ..'. NQ I ��. ZD.UU' F.I.P.. 1/2. I -- I •-. ;/ i, i; �i�lyd / NO C 8so 4 C.L.F. I b S. 1L /'.'.'.'.'.'.'.'.'..g`l�.'.'...'.'. z 0.3a 'CL. _ 2so, ONE STORY(A) GARAGE :.;.:.:.......<..:.:.'. ¢ ..... .......... .. im //1.1.1C.23.0.. 29.16' i1Z' 4' C.L.F, rn . w , NG {SIC NC C.S. 33.98' V unOOD uTY ; /, . / 23.18' . 3 REAS/► I NDER 9 LOT - 23 V R I/2 OF BLOCK -11 a p L.P. O r oo LOT 22 O 17.88'ii' ® Q' • ti O O (ie BLOCK- 1 l -wy �i O 47 ' I- (N.A.P. TWO-STORY W m .RES. # 10108 . '.............. ... �, i G.S.�~ s..'. , Z.a. 23.25' WOOD STEPS P.C. 0.40' CL. E. 112 OF , F.I.P. 1/2" - LOT - 22all,:i g� /14 f'% NO CAP 30.00' T ON PL. _ BLOCK -11 8 -a�Oo �s :.I.'.' 0 ON PL._ b0� P.C. .. z:. F.I.P. 1114. 4' C.L.F. 1- F.I.P. 1/2" 25.00' NO CAP 1 NO C <* '` '.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'. 5.CONC.'SWK'.'.'...'.'. 80.$0�....'.:.'.:.'.'.'......... ' ' F r F.I.P. 1 R C 71 N 7 - R=25.00 No CAP w � �0 L=39.33' SEP 0 20i� A=90°08'20° o o .: 24' PWY BY: CH. 6.= N44 4145 E M M CH.=35.40' 11liiami Shores VII N.E. 101st STREET APPROVED BY 18' ASPHALT 75' TOTAL RIGHT-OF-WAY ,'_'G N I N G DEPT PVMT. _: 7 tJ ENCROACHMENT NOTESs r. 10 COMPLIANCE WITH ALL FEDERAL A. EAST SIDE OF THE SUBJECT PROPERTY, ASPHALT RETURN IS ENCROACHING INTO THE RIGHT OF WAY OF N.E. 1st AVENUE. B. NORTH SIDE OF THE SUBJECT PROPERTY, CONCRETE DRIVEWAY IS ENCROACHING INTO THE 15 FOOT ALLEY. INTY R1 II rS ANIS REGULATIONS C. NORTH SIDE OF THE SUBJECT PROPERTY, WATER METER IS ENCROACHING INTO THE SUBJECT PROPERTY. -' i LEGAL DESCRIPTION: THE EAST 1/2 OF LOT 22 AND ALL OF LOT 23, BLOCK 11, AMENDED PLAT OF DRAWN BY. DA SCALE: 1"=20' V G��SIFIt;,1T� MIAMI SHORES SECTION NO. 1, ACCORDING TO THE PLAT THEREOF AS , RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF NO. 6770 :O MIAMI-DADE COUNTY, FLORIDA. STATE OF CERTIFICATION: FIELD DATE. 02H 112013 '•. DOUGLAS BARNES AND MARY ELLEN BENTON JOB NO: 13-000577-1 P •..0 ... y MARIA C. ARRIOLA VELEZ, P.A. 4 LANA OLD REPUBLIC NATIONAL TITLE INSURANCE CO. SHEET. 2 OF 2 SEAL USAA FEDERAL SAVINGS BANK, ITS SUCCESSORS AND OR ASSIGNS, AS L.B.407806 THEIR INTEREST MAY APPEAR I AV' Tz.s� aPA�ox. 3 �y �Qrbay.�.a.�r�. '� 5 origrge 4.235'oe *.235'cc 4.235' 4.235' 3.lo2S'Or V corner �, "`� , u /�ropana .°� post Ponce P g 5 o gate, e 4.1s'oc N fencm Clc-v& +on Vj eW corAzr end post Pos* osfs = 4-Y-4- P.T.,Fj✓�e✓ boar�S . 2-x ¢ iD 1.Ad", e• i.e / < S. x S pj' lv�e �GtS71�1�r6 tr1Gl �e; � 3" Ge✓G�/N'i c �c�aatc�a kSGeLQS /'i r� - Sblank�9c�1 dam; �ki,,k sly"x � con��a�io�-s V Shadow Box o Vertical Picket o Board on Board May 2009 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 ,Q 0 (egL,lq x Fax: (305) 756.8972 /,'V/fy gE�-oAj J0/0 e N6 /f/ WV/ , 61/4/w Sl.16X E -r 363138 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 4x4 pressure treated ,, posts embedded Tinto concrete footing 10° diameter x 2'deep ALL wood must be pressure treated I All fasteners must be corrosion resistant L No less than two fasteners in any connection 1x pickets fastened with two corrosion resistant fasteners per connection •2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection