FW-14-613Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-221673
Scheduled Inspection Date: October 16, 2014
Inspector: Naranjo, Ismael
Owner: SHAARBAY, TIRSIS
Job Address: 118 NW 93 Street
Miami Shores, FL 33150 -
Project: <NONE>
Contractor: LOWES HOME CENTER INC
Isunamg uepanment comments
INSTALL WOOD FENCE
Permit Number: FW -3-14-613
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1131010330910
INSPECTOR COMMENTS False
Phone: 407/370-2872
October 15, 2014 For Inspections please call: (305)762-4949 Page 28 of 29
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 15, 2014 For Inspections please call: (305)762-4949 Page 28 of 29
W,
Miami Shores Village
3 Building Department
E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762A949
PERMIT APPLICATION
MAR 2,7 ZQ%
20
Permit No. 1
Master Permit No — V 3
Permit Type: BUILDING ROOFING
JOB ADDRESS: aI 0 I1 W q 3
City: Miami Shores Country: Miami Dade Zip: 35150
Folio/Parcel#: I!` 31 C) 1- -d 6) 1 V
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): -Ti r `J`1 5 _-'S ka 9 G1 bC4 F Phone#:
Address: 11(2) r,4w G J r:r-
City: "1 0evi 1 S` NY 5 State: F:11 Zip:
TenanVUssee Name: Phone#.
Email:
CONTRACTOR: Company Name: WlNWJ 'GdJoo Y Cts Phone#. -7 ieL, q&�&aS4
City:
Qualifier Name:
Zip: � Z
State Certification or Registration #: L.l,'') (�` � b I -Ft / Certificate of Competency #:
Contact Phone#: JVW Lff Q`-tQ;;GL4- Email Address: j O� �L)G . n e+
DESIGNER: Architect/Engineer: Phone#:
Valve of Work for this Permit: $ '3 Square/Linear Footage of Work: -f /
Type of Work: OAdditionXUteration INew ORepair/Replace ODemolition
Description of Work: X/^1J ol( wo- ,,
Ecno a
Color thru tile:
Submittal Fee $�� Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $ Fd—.. I -A
61
PERMIT # GV 61-3
CONTRACTOR:
SUBMITTAL DATE: --
ADDRESS: IN /V U
NAME: / � � P/,t e' Si' 1 1`21171/Gulf
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
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 inspectiol which occurs seven 7) day ' after the building permit is issued In ence of such posted notice, the
inspection will not b appro*l and a i h4ction fe will be charged
Owner or Agent U v ontractor
The foregoing instrum t was acknowledged before me this - The foregoing instrument as cknowledged before me this,,
day of , 20 L�, by 1 1 iJ 1 S �l t't•'u % day of �i� 20��' by {P -lo r -Ir
who is personally known to me or who has produced who is personally known tome or who has produced
p�4k, As identification and who did take„aLgath. a w4denti6ication and who did take an oath.
NOTARY PUBLI T -
,�a Notary Public Siete of Florida
• �" Geoconda Bonilia
My Commission FF 064475
Expires 01/05/2018 -
=Y- IA9WA- �V
APPROVED BY
Plans Examiner
Structural Review
(Revised 3/1212012)(Revised 07/10/07)(Revised 06/10/2009)(RMsed 3/15/09)
CNotary Public state of Florida
Geoconda Bonilla
�y, v My Commission FF 084475
QOF?- N fres 01/05/2018
Print: [
My Commission Expires:
� t' Zoning
Clerk
..t
STATE OF (FLORIDA)
COUNTY OF (DADE)
Miami shores Village
Suilding Department
SURVEY AFFIDAVIT
10000 MEAN Avenue
Miami Shores, Florida 33133
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant, I'A Ir SI S -,-Y1G1.C'414s hereby attest that
(Property owner)
The attached survey, performed by �C0J0 . kDw6dy5-
(Name of surve or's company)
For address: J) ! 1yUj t IC,IIMI �Smi5r&'s
Performed on (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 inspections as applicable to this or other permits.
Further Affiant eth naug .
�f �i S �'1g�1 ✓��
Property Owner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this �'� day of i'Y?a/�
Affiant is _personally known to me, produced j2L as identification.
Lcww
Notary PuWIC State of %ride v—
Geownda BonHla Notary
My Commission FF 064475Revised on 5/2212009/ Revised on 6197109Expires 01!05!2078
Mar,27. 2014 2:14PM Florida Land Use Consultants
No, 2672 P. 1
,eco oCERTIFICATE OF LIABILITY INSURANCE
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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 pollcy(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 Nils cartBlcate does not confer rights to the
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PRODUCER
Marsh USA Inc.
100 North Tryon SirasL Sulle 3200
Chadolle. NC 28202
Alin: For qumfom callact lmurancerequesi@iaw.com
CONTAC
NAME:
PHONE FAX
E-MAIL
AObRE
INSURE $ AFFORDING COVERAGE
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47095 -CASUA-ONLY 13.14 Llcens FL LHC
INSURER A : Nalkmal Union i=1re Ins Co PI(Isbufgh PA
19445
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Ldvrs's Cnmlranles, Inc,
INSURER Is : NewHampOlm Insurance Company
23841
and Sabsldiarlm
1000 Lowe's Blvd. (2811»
PO Box 1000
INSURER 0: IO11Iols National Ins Co
43817
Safe NaOonal Cesusl
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15105
Mo0levv&,NC 28175
INSURERE: 61e6dissllnsuramO mpany
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INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED ON 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.
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DESCRIPTION OP OPERATIONS I LOCATIONS 1 VEpICLES (amen ACORD 101, Ad4i0onal Remarks seftedule, If mom apace Is raqurrecl)
Insured Is sea Insured rar General Ltablydy br Um pedal of 4101/2013 to 4101@014.
Lowe's Nave Centers, Ino. la a named Insured under the C89kned P*Ies, Fbdda CMI(w ars Lkense No. CG01WMI7, PelarAnthorly Ceram III, Candied Celsrd Contraolor. Florida Contm ors Limnse No.
CCC 1328824, PetarAnitmny Cararo 11, Certified Roo Ong Comm. (Please see Page 2 for adcrmAig in(em05on.)
Cltyormod snores
10050 N,E.2nd Aymue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Mianve Shores, FL 33138 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEkOD IN
ACCORDANCE WITH THE POLIOY PROVISICINS.
AUTHORIZED RFPR939NTATWE
bf Marsh USA Irm
Diana Bentley
®1968.2010 ACORD CORPORATION. Al rights reserved.
ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD
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1114 WCAlaUEL:$Srn17; xs S2W SIR
DESCRIPTION OP OPERATIONS I LOCATIONS 1 VEpICLES (amen ACORD 101, Ad4i0onal Remarks seftedule, If mom apace Is raqurrecl)
Insured Is sea Insured rar General Ltablydy br Um pedal of 4101/2013 to 4101@014.
Lowe's Nave Centers, Ino. la a named Insured under the C89kned P*Ies, Fbdda CMI(w ars Lkense No. CG01WMI7, PelarAnthorly Ceram III, Candied Celsrd Contraolor. Florida Contm ors Limnse No.
CCC 1328824, PetarAnitmny Cararo 11, Certified Roo Ong Comm. (Please see Page 2 for adcrmAig in(em05on.)
Cltyormod snores
10050 N,E.2nd Aymue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Mianve Shores, FL 33138 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEkOD IN
ACCORDANCE WITH THE POLIOY PROVISICINS.
AUTHORIZED RFPR939NTATWE
bf Marsh USA Irm
Diana Bentley
®1968.2010 ACORD CORPORATION. Al rights reserved.
ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD
Mar.27. 2014 2:14PM Florida Land Use Consultants No.2672 P. 2
AGENCY CUSTOMER ID: 47095
LOC #• Charlotte
a� �R� ADDITIONAL REMARKS SCHEDULE Page z of 2
AGENCY
NAMEDINSURED
tvah USA hw•
Lowe'e Canpenles, Ino
OW SubstdBan
1000 Lowes Bbd (28117)
POLICY NUMBER
PO Box 1000
mWasylle, NO 20115
CARMER
MAIC CODE
EFFECTIVE DATE:
Ann1YlAA1A1 dtlR/AbVc
The ACORD name and logo are registered marks of ACORD v
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Fences Good Side Out. The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence Is located
and the finished side shall face the adjoining
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Miami shores Village
Building Department
WOOD FENCE DETAIL
4x4 Post Spacing
Fences <= 5' high posts spaced at Yon center maximum
Fences <= 4' high posts spaced at Won center maximum
Fence must not exceed 5' in height
10050 N.E.2nd Avenue
Miami Shores,. Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
May 2009
No less than two fasteners in any connection
s fastened
corrosion
fasteners per
Dn
horizontal
ssure treated
A members
i two corrosion
Stant fasteners
connection