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FW-11-534Miami Shores Village o '- Building Department MAR 2.5 2011 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit iso. PERMIT APPLICATION master Permit No. 1 0-H 9� FBC 20 Permit Type: UILDING ROOFING ^� OWNER: Name (Fee Simple Titleholder): Q f %yc �c40�E S �� Phone tS� S �' 1 Address: City: Y)n LC—Avn it S1�U C State: Zip: Tenant/Lessee Name: Phone<a!S�-S \ �1'l) Email: 000r'Fh(AVr �� LIQ -LMceA-4 JOB ADDRESS: SI -4 City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes CONTRACTOR: Comp an Name: Address: S7-tc) b I C'� t c ck'�' C, Zone: n 4c) L -`S -)—Z 51—'8 ) Z-7 City: Y )"l V- AIA � I-S�C) I -e- S State• 7:K� zip: 33 ly Qualifier Name: Phone#: State Certification or Registration #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Certificate of Competency #: Value of Work for this Perm $ U CXD . 00 Foo S uare/Linear a of Work: 9 � Type of Work: ❑Addition _ ❑Alti Description of Work: —k A-xQ-6 I ❑New ❑Repair/Replace ❑Demolition C(tt0V"rs ( -Ye 9- toltiex ) Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ ' TOTAL FEE NOW DUE $� ) 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 EMPROVEMENTS 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 I ction will not be approv nspection fee will be charged. Signature Signature Owner or Agent Contractor The fore g i g intrument was a wledge befo a this The foregoing instrument was acknowledged before me this day 0y —, by , day of , 20 _, by , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 4 '\/) . 1 f' Sign: Print: My Commission Expires: APPROVED BY (Revised 07/10/07)(Revised 06/1=009)(Revised 3/15/09) who is personally known to me or who has produced as identification and who did take an oath. Plans Examiner Structural Review NOTARY PUBLIC: Sign: Print: My Commission Expires: Clerk NAME Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ADDRESS: !�V() G" C ��Cr-5r Ink m i h S FL 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 sh is respon le 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 hisse numbers on permits and contracts. 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 tha ally improved it for sale or lease, which violates the exemption. Infial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision 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 homeowner's insurance may not provide coverage for those injuries. I am willfully acting as owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my pro 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. Initia 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 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 htt ://www.m oridalicense.com/db r ro/cil Ii 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 legally and financially responsible for the proposed construction activity at the following address: 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of info ation that I have provided on this disclosure. 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. --KAWas acknowledged before me this day o , 20 who was personally known to me or who has Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHAIN LINK FENCE DESIGN DETAIL (ACCORDING TO THE F.B.C. SECTION R4408.11) TABLE R4408.11 CHAIN LINK FENCE MINIMUM REQUEREMENTS Fence Terminal Post Line Post Dimensions Terminal Post Line Post Concrete Height (ft) Dimensions (in inches) Concrete Foundation Size (in inches) (o.d. X wall thickness) Foundation Size (diameter X depth) (o.d. X wall thickness) (diameter X depth) (in inches) (in inches) Up to 4 2 3/8 x 0.042 15/8 x 0.047 10 x 24 8 x 24 Over 4 to 5 2 3/8 x 0.042 17/8 x 0.055 10 x 24 8 x 24 For SI:1 inch = 25.4 mm. NOTES: 1. This table is applicable only to fences with unrestricted airflow. 2. Fabric: 12'% gauge minimum. 3. Tension bands: Use one less than the height of the fence in feet evenly spaced. 4. Fabric Ties: Must minimum the same gauge of the fabric. 5. Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced. 6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced. 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail. 9. Post Spacing: 10 foot (3m) on center maximum. 10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation. 11. In order to follow the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch (127 mm) without increasing table values to the next higher limit NOTICE TO PROPERTIES WITH POOLS: If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing the inside of the property. Pedestrian gates shall have self-closing and latching devices installed at the minimum of 54" above ground. For further details see Section R4401.7.1 of FBC. Z Will CONCURRED Created on 5/22/2 DV Folio Number) 132060171411 Owner's Name: DARK & MARLENIS SMART Owner's Phone: (305)751-8127 Job Address: 540 GRAND CONCOURSE Total Square Feet: 0 Miami Shores, FL 33138- Total Job Valuation: $ 600.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/28/2011 : Yes Comments: Miami Shores Village 10050 N.E. 2nd Avenue .a Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax. (305)756-8972 Folio Number) 132060171411 Owner's Name: DARK & MARLENIS SMART Owner's Phone: (305)751-8127 Job Address: 540 GRAND CONCOURSE Total Square Feet: 0 Miami Shores, FL 33138- Total Job Valuation: $ 600.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/28/2011 : Yes Comments: Miami Shores Village 10050 N.E. 2nd Avenue alit Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 x Folio Number: 1132060171411 Owner's Name: DARK & MARLENIS SMART Owner's Phone: (305)751-8127 Job Address: 540 GRAND CONCOURSE Total Square Feet: 0 Miami Shores, FL 33138- Total Job Valuation: $ 600.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/28/2011 : Yes Comments: 4/22/11 NEW PLAN OK MAX HEIGHT OF FENCE AND ANY POINT ON GATE IS 5 FEET IN THE REAR YARD. 03/30/2011 17:06 FAX 1 800 685 7530 DATA SCAN FTFLD SF.RVTCF.S TRANSMISSION OK TX/RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT Permit No: 11- Job Name 2011 �k TX REPORT 1225 97862079141 03/30 17:06 00'26 OK o nni Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Critique Sheet Page 1 of 1 POOL GATE S: Access gates must open outward away from Ine pool arm, bs elf rin Ing.4cslf locking, Wee located on pool side of the gate ana 10-ME1 no less than WO from Isetterrt FaC 424.2.17.1.81 - ./ Permit No: 11- SY 1Y Job Name 2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Pagel of 1 Building Critique Sheet POOT GATE 11EQUIRFMUfTSa Access gates must open outward away from Tne Pool area, (tea _gaff rin g/calf Inrking. UwAce located on pool side of the gate and located no less Voin 548l fcnm fe=rn of go, FBC +424.2,1701.® AAal Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings. Norman Bruhn CBO 305-795-2204