FW-15-1467Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236859
Scheduled Inspection Date: June 30, 2015
Inspector: Rodriguez, Jorge
Owner: MORELLI, NOREEN
Job Address: 54 NE 94 Street
Miami Shores, FL 33138-2820
Project: <NONE>
Contractor: HENRY'S FENCE INC
tiunaing uepartment comments
5' HIGH WOOD FENCE
Permit Number: FW -6-15-1467
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1132060130320
INSPECTOR COMMENTS False
Phone: (305) 669-0180
June 29, 2015 For Inspections please call: (305)762-4949 Page 10 of 39
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 29, 2015 For Inspections please call: (305)762-4949 Page 10 of 39
Project Address Parcel Number Applicant
54 NE 94 Street 1132060130320
NOREEN MORELLI
Miami Shores, FL 33138-2820 Block: Lot:
Owner Information Address Phone cell
NOREEN MORELLI 54 NE 94 ST
MIAMI FL 33138-2820
Contractor(s) Phone Cell Phone
HENRY'S FENCE INC (305) 669-0180
Approved:
Denied:
of Construction: Wood Fence
,cation: Residential
Fees Due
Miami Shores Village
10050 N.E. 2nd Avenue NE
CCF
Miami Shores, FL 33138-0000
DBPR Fee
Phone: (305)79-r-2204
Project Address Parcel Number Applicant
54 NE 94 Street 1132060130320
NOREEN MORELLI
Miami Shores, FL 33138-2820 Block: Lot:
Owner Information Address Phone cell
NOREEN MORELLI 54 NE 94 ST
MIAMI FL 33138-2820
Contractor(s) Phone Cell Phone
HENRY'S FENCE INC (305) 669-0180
Approved:
Denied:
of Construction: Wood Fence
,cation: Residential
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee - Wire & Wood
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$114.60
Additional Info: 5' HIGH WOOD FENCE
Scanning: 3
Valuation: $ 500.00
Total Sq Feet: 26
Pay Date Pay Type Amt Paid Amt Due
Invoice # FW -6-15-55979
06/19/2015 Check #: 9125 $ 64.60 $ 50.00
06/15/2015 Credit Card $ 50.00 $ 0.00
Avaname
Inspection Type:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing inform ion j� ccurate and t all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -n me( c� tractor t the work stated.
June 19, 2015
Authorized Signature: Owner / Applicant / or / Agent uate
Building Department Copy
June 19, 2015 1
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
Miami Shores Village
JUN 15 015
Building Department
1BY:
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 10)
Master Permit No. 15— N
❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS
JOB ADDRESS:
w �2,0%71 J I A r
Occupancy Type: Load
OWNER: Name (Fee Simple Titleh
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
the Building Historically Designated: Yes NO
Construction Type: Flood Zone:
Address: F046 I4'G `14 1r_n_117•
City: t!& State:
Tenani
Email:
BFE: FFE:
one#:
CONTRACTOR: Company Name: "enru S r cg=, a- 1 t✓' Phonet�✓M� tV tV `f -&'
Address:
City:
Qualifier Name: 14,192Len —Phone
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
one#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:�Q_ I'
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: n leiay% I _ 7 rlloe
Specify color of color thru tile: �1 �y^�
Submittal Fee. $ Permit Fee $ DO • W CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
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,
t'
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. ► a
"WARNING `FOhbWNER: 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" A,
Notice to Applicant: As a condition to the issuance of a building permit with an estimated ivalue•exgeding $2ZO, tie applicant must
promise in good faith .that a copy of the notice of commencement'o-td construction lien law brochure will be delivered to the,person
whose property it sobject to attachment. Also, a certified copy of the recorded notice of c6&mencenre'nt'must be'postod dt 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 chgr ed., •
OWNER or AGENT
Ahegoini instru A P,..et was acknowledged befor this
.day of 20 ,by
rho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
:r
Sign:
Print:
Sea
APPROVED BY l C
(Revised02/24/2014)
•: #EE 185969
•••
n io
Signature •
CONTRACTOR
The foregoing instrument was acknowledged Before me this
tffl6day'
of o tyAq i t 20 by
Ironwho is pers ally kno n o
me or who has produced as
identification and who did take an oath.
Seal:
- o
•o.
Plans Examiner
Structural Review
Zoning
Clerk
HENRY'S FENCE, INC.
3931 SW 63rd Ave.
Miami, FL 33155
Phone: (305) 669-0180
Fax: (305) 669-5992
Email: henrysco@bellsouth.net
June 12, 2015
State of Florida
County of Dade
Before me this this day personally appeared, Henry P. Villoch, who
being duly sworn, deposes and says:
That he or she will be the only person working on the fence project
located at:
rn to or affirmeY nd subscribe bei ore m Y s a of
( 2015, by
Personally known
Orr roduced Identification J d fc� oj mdv-t-'�
Type of
Notice to Owner —Workers' Com
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation Insurance
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.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature.
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this of�1 /1
By C who is er Wally �� •• •• G
9,20x6, 9•�
as identification.
a
Notary: a #EE 185969 :q
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Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
sees••
sees•• 4x4 Post Spacing
i I-Pnepc e= S' hinh nnctc cnarpri at ';'nn rpntpr 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
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