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FW-15-197Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227318 Permit Number: FW -1-15-197 Scheduled Inspection Date: February 25, 2015 Inspector: Rodriguez, Jorge Owner: CAMEAU, RASHA AND PAUL Job Address: 266 NW 92 Street Miami Shores, FL Project: <NONE> Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1131010331270 Contractor: HENRY'S FENCE INC Phone: (305) 669-0180 Building Department Comments 5' HIGH WOOD FENCE AND GATES. BOARD ON BOARD INSPECTOR COMMENTS False February 24, 2015 For Inspections please call: (305)762-4949 Page 11 of 36 Inspector Comments Passed T9 Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid February 24, 2015 For Inspections please call: (305)762-4949 Page 11 of 36 BUILDING Miami Shores Village 2615 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 FBC 20 Master Permit No. 1 S PERMIT APPLICATION &BUILDING ❑ ELECTRIC ❑ ROOFING Sub Permit No. ❑ REVISION [:] EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF JOB ADDRESS: ❑ CANCELLATION [:]SHOP DRAWINGS — �.-JI V U s the Building Historically Designated: Yes NOv� Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: VMER: Name (Fee Simple Titleholder): & Phone#:) 305 " IIS -2411z. Addresys� City: U C g State- .Zip- 331 S Tenant/Lessee Name: Phone#: -- CONTRACTOR: Company Name: Address: City: -r!d1 Qualifier Name: State Certification or I #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $C2� Square/Linear Footage of Work: CQn0 4J Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition ggcription of Work: F'1, yah - I— D �J _miA Specify color of color thru tile:, Submittal Fee Scanning Fee $ Permit Fee $� CCF $ CO/CC $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (ReviSedoz/24/2014) DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1)� 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Sign_ re OWNER or AGENT The foregoing instrument was acknowledged before me this day of i � Qf)L4t.1�►�� 2015 , by !rl ea mo (,A, ✓lwho is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Signatur 400, CONTRACTOR Th for going instrument was acknowledged before me this day of 20 by q i erso 0 me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sa • a ign: Sign:. Print 1 Print Seal: Seal: '4qN. ELI$J1BM PON -w W COMMISSION t EE 143134 EXPIRES: March 2, 2016 i APPROVED BY ` Plans Examiner Structural Review (Revised02/24/2014) %- �•.•••••••• v , s'hA9���' � $CC 107 ;gay �dedlic u Zoning Clerk r � A Jan 28 15 01:31p 3054429839 p.1 Illbw•✓' /J CERTIFICATE OF LIABILITY INSURANCE ` DATE(MMlDP11fYYY) 01/28/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: K the certificate holder is an ADDITIONAL INSURED, the policypes) 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 this certificate does not confer rights to the oertlficate holder In lieu of such endolsemengs). PRODUCER NAMECT I PHONE (305)442-2791 AfC: (305)142-9839 Royal Tax Insurance Agency 3195 SW 24 StL royaltwdnsuranoe3Qhotmall.com INSURE S AFFORDING COVERAGE NAIC0 Miami, FL 33145 Phone (305)442-2791 Fax (305)442-9839 INSURERA: GRANADA INS CO INSURED INSURERS • i INSURERC: HENRY'S FENCE INC INSURER D. 3931 SW 53 Ave INSURER E : MIAMI FL 33155 - INSURER F Vv V CR/lvG.7 ur-K 111'IUA I C NUMtitKL REVISION MUMMER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS. �NgEEXCLUSIONS LTR TYPE OF INSURANCE DLSI UBR POLICY NUMBER 1411YIlO MER POLIC LIMITS A GENERAL LIABILITY ❑ COMMERCULL GENERAL 11ABILITY ❑ ❑ CLAIMS -MADE ❑ OCCUR ( ! i 0185FL00005114 12/i5l2014 12/15/2015 EACH OCCURRENCE 300 000.00 DAMA-PREMISES E� � $ 100,000.00 MED EXP one tson $ 5,000.00 PERSONAL a ADVIWURY $ 300,000.00 C GENERAL. AGGREGATE I $ 300,000.00 GEN•L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRD- ❑ LOC PRODUCTS - COMPIOP AGG $ 0.00 $ AUTOMOBILE LIABILITY ANY AUTO I ❑ FM A J OS ❑ SOSOWNED EDUI NON-CUMHIRED AUTOS ❑ AUTOS ED C I .oc COMBINED gfSINGLE OMIT ! S BODILY INJURY (Per person) i $ BODILY INJURY (Per acelderr0' $ P E j $ $ i ❑ UMBRELLA UAB ❑ OCCUR ❑ EXCESS LIAR CLAIMS -MADE tI 4 EACH OCCURRENCE $ AGGREGATE is DED ❑ R Is t . WORKERS COMPENSATIONY YIN AND EMPLOYERS' LIABILITYCER98 i ANY PROPRIETOR/PARTNEWEXECU OFFICERJMEMBER EXCLUOEIYt (Mandatory In NH) B yes, describe under DESCRIPTION OF OPERATIONS below N i A ! Z ❑ E ❑ OTH- E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYFA E.L. DISEASE - POLICY LIMIT 1 $ I I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is requiredl FENCE ERECTION - -- - - -- --- • • — • •—'�—�• � UAIV GCLLA I E1.71Y Miami Shores Village 10050 NE 2nd AVE Miami Shores FL331598 ACORD 25 (2014101) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f"8-2014 ACORD_C.WPORATION. All rights reserved. ACORD name andJ&fgo are registered marks of ACORD ■FFECTIVEE DATE: 2WM4 PERSOM VILLOCH FEM esDaml MA MESS NAME AND Ate: HENRY'S FENCE INC 3931 SW 63RD AVE • •�rx�r10i IT -J, Vii T. I„ i. EXPE;ATION DATE; 26=16 HENRY p 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 and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.. Therefore, you may be Personally liable for the worker compensation iniuries 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. O er C tractor Signature a / _ Signature: 00-1 State of Florida of Florida County of The forego 'ami -Dade was acknowledge e me thift County of Miami -Dade The fore o g was acknowledge this da , 20 \a4.. ,f 1 J day o By By M who is p n F �•. ��r to20 who is personal IN so 61 as i c io as id tion * �' Notary: #EE 185969 ; a'z` Notary: y2 ; #EE 185969 SEAL: �%� m%� 90 �i� i�;: pQ� SEAL: i 9 '•;ay a�d%0 . OQ� �j9` •. Peblicl�nd�.• �Q� HENRY'S FENCE, INC. 3931 SW 63`d Ave. Miami, FL 33155 Phone: (305) 669-0180 Fax: (305) 669-5992 Email: henrysco a)bellsouth.net January 27, 2015 Miami Shores Village 10050 NE 2nd Ave Miami, FL 33138 RE: Fence for 266 NE 92nd Street Miami Shores, FL 33159 To whom it may concern, I, Henry P. Villoch, qualifier for Henry's Fence, Inc will be the only person working on the fence project / installation at 266 NE 92nd Street Miami Shores, FL 33159. Thank You, } m,# y P. Vato•cly Contractor Signature: State of Florida County of Miami -Dade Thefor mg was acknowledged before me thi� day of015 who is na11y know me or has produced �`�111111111111//��� as identificationp\C�Q�jS R09A1 V .•''M\SS10&F •.• C , i NO SEAL: a 2'; #EE 185%9 ; c o Shadow Box o Vertical Picket o Board on Board May 2009 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 6" on center maximum Fence must not exceed Yin height 4x4 pressure treated posts embedded Tinto concrete footing 10" diameter 2'deep ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal pressure treated woad members with two corrosion resistant fasteners per connection F SAP Id`s Ax 124.69' CM n� 4' GLF.-7 \ —2533' � • CID 0 to � n w O 34.85 24.66' (C&M) °_ > 3750' tt bv rV CA 4.�. �P.. .°� :,,• .tom Ch Cn '. ': •:••a '�:�: 4.10 :�:;•� � •e:• t�•: 4 . � .. .� C. I... • P••V • .R .a•A ••b • : .R.a'a J t :•�1: X- 30911'' r � �'� �• c � o �k i s °e 37.50' 1{ .roya Miami Shorts Village � �'• �' D TE ED BY EPT V - r g T , l(sJLCT TO COMPLIANCE WITH ALL FEDERAL ® SNR Cni,JNTY RHI FS AND RFC;UI ATIONS ABBREVtAT10NS: SVW=SIDEVVV-K, CBS=CONCRETE BLOCK STRUCTURE, CLF -CHAIN LINK FENCE, PL -PROPERTY UNE,'DUE=DRAINAGE UTIUTYEASEM ENT, IP -IRON PIPE. F=FOUNb, AIC -AIR CONDITIONER PAD, P/C=PROPERTY CORNER D/H=DRILLED HOLE, V19FOADODEN FENCE, RES -RESIDENCE, CL -CLEAR RB--REBAR, LIE—UTILITY EASEMENT. CONC=CONCRETE SLAB. RNV -RIGHT OF VAY, DE=DRAINAGE EASEMENT, CIL=CENTER LINE, O=DIAM7ER, TYP=TYPICAI ' M=MEASURED. R=RECORDED, ENCR=ENCROACHMENT COMP=COMPUTER, ASH -ASPHALT. N/D=NAIL & DISC. S=SET, FEE -FINISH FLOOR ELEVATION, O/S-OFFSET. P/P--POWER POLE, OHP -OVERHEAD POV ERLINE, NM=VATERMETER MMAAWNREY"VA = ELEVATION BASED ON LOC. # NOT VAUO UNLESS EMBOSSED WITH CONCRETE= z•.: •s•.: •::: :•.:..:••� •.:•.z •...� - MAINTENANCE& DRAINAGE EASEMENT= M &D.E. CBM# ETV. TYPE OF SURVEY: BOUNDARY SURVEY SURVEYOR'S SEAL SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER 3) THE SURVEY DEPICTED HERE IS NOT .6�. COVERED BY PROFESSIONAL LIABILITY INSURANCE 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) hE UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929.. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAYBE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. TO) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED REVISED: INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. Additions or deletions to survey maps or reports by other than the signing party or parties is piohibited without written consent of the signing party or parties. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUEOF SAID P8 . 10 PAGE 39 N 0 LOCATION SKETCH SCALE: NTS N.W. 3rd AVENUE LOT 13 LOT 12 Z LOT 14 LOT 11 LOT 15 LOT 10 ' LOT 18. LOT 9 LOT 17 0. LOT 18 LOT 7 co LOT 19 LOT 6 1 m LOT 20 LOT 5 Fences Good Side pit suPporting rnernhefS the vertical and horizontal interior of the of a fence Shall f and the plot °n which the fence i ace the finished side shaft f s located lot or any abottin g rigtit=®f-wayce the adjoining CERTIFIED TO: RASHA C. SORAY PROPERTY ADDRESS.: 266 N.W. 92 ST., MIAMI SHORES, FL. 33160. LEGAL DESCRIPTION: LOT 9 AND WEST 1/2 OF LOT 8 BLOCK 146 OF MIAMI SUORES SECTION 6 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE OF THE PUBLIC RECORDS MIAMI—DADE COUNTY, FLORIDA I HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of.Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat orvisible easements other than as shown hereon. ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 39 SINCE 1987 BLANGO SURVEYORS ING. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 (305) 865-1200 Email: blancosurveyorsinegyahoo.com Fax: (305) 865-7810 WE: g 0302 /15 1,r_ L UA1r-. 9/11/09 esHbt:N/A 120652 14-142