FW-15-1468Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236863 Permit Number: FW -6-15-1468
Scheduled Inspection Date: June 30, 2015 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge _ Inspection Type: Final
Owner: BAEDITA, SHEILA & PETER Work Classification: Wood Fence
Job Address: 318 NE 102 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060135160
Project: <NONE>
Contractor: HENRY'S FENCE INC Phone: (305) 669-0180
comments
5' HIGH WOOD FENCE AND GATES BOARD ON BOARD . `"v _
INSPECTOR COMMENTS False
June 29, 2015 For Inspections please call: (305)762-4949 Page 11 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 11 of 39
rr
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 Appucant
318 NE 102 Street 1132060135160
SHEILA 8 PETER BAEDITA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
SHEILA & PETER BAEDITA 318 NE 102 Street
MIAMI SHORES FL 33138 -
Contractors) Phone Cell Phone
HENRY'S FENCE INC (305) 669-0180
Approved:
Denied:
of Construction: Wood Fence
ifcation: Residential
Fees Due
Amount
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee - Wire & Wood
$100.00
Scanning Fee
$9.00
Technology Fee
$1.60
Total:
$116.20
Valuation: 1,500.00
Total Sq Feet: 90
Additional Info: 5' HIGH WOOD FENCE AND GATES
Scanning: 3
Pay Date Pay Type Amt Paid Amt Due
Invoice # FW -6-15-55980
06/15/2015 Credit Card $ 50.00 $ 66.20
06/19/2015 Check #: 9125 $ 66.20 $ 0.00
Avaname mspemons:
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 ' urate anat all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the abov n me actor o the work stated.
June 19, 2015
Authorized Signature: Owner / Applicant / or / Agent Date
Building Department Copy
June 19, 2015 1
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
= IJUN 15 2015
FBC 20
BUILDING Master Permit No. s-- (08
7PE MIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING r-] MECHANICAL PUBLIC WORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Fe -+e. -e I& 0. -e Phone#: 3 a s' 4 4 6 i % 0 S'
Address: 3 l 1B N E 10 2. S T'
City: ("A % A At i S Wn 2.t=. S State: F Zip:
Tenant/Lessee Name: Phone#:
Email: P 6 g e o) % 4-*, @ ft% e • ury"
CONTRACTOR: Company Name::
,
Address: �jl �1 <:)U) C
City: t::fl IOLM
Qualifier Name: V)e 1 K)
1 �
M-1
AWD - 50l
.0
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: c li (iL-F,
Type of Work: ❑ Addition ❑ Alteration ❑ N \ ❑ Repair/Replace ❑ Demolition
Descripticon of Work: 1
X /Uri n .� �.1 rth n f1 n. tr
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
r
Bond $
TOTAL FEE NOW DUE $ YAG • 2.0
2
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 bgfore me this
day of ;yu , 20 by
V eCU ho is rsonally kn o
Ior who has produced as
identification and who did take an oa,`i1%t1111i10/%
NOTARY PUBLIC:
9, 2o,,s
s • �` N
•
Sign: — • � •
Print: LA 'l i bj`%'\ �r „ .QRQ ••
t
S'igna'ture
CONTRACTOR
The foregoing instrument was acknowledged before me this
of �U•i�� 120 by
W► ho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign`.
Print:
a•
..�
Seal:o
w r 8� •
r, q .•a , accT�. �,. � Seal: � � ibS?69
g9 1�j,�,•••aw O �o� ,.;fit\,`��' °G\•J\
ir•:ia�J`IC Sit��R0.�e ��
APPROVED BY w �� t'� Plans Examiner 40 �5 �� 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
Notice to Owner - Workers' Compensation Insurance Exemption
777777777�777- 777
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 t1,�,�,�� ///,� '20
lY��
o me or has produced
S- y
•*as idention.kk
No #EE 185969h
•
SEAL: °�� AU •....... �F ��5
X51/ //. R �, Jf 14TO `'\\§'
07
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 persop working on the fence project
located at: 5197 W6 1X22 S? M Otry i G1DKe G F'1 1651-3p>
Sworn to (or affirmed) and subscribed before me this may of
J)jr)e,20l5,by
hen vqp. UD6
Or produced Identification
Type of Identification Produced
0
U
N
•
M
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
Shadow Box
Does
Vertical Picket
'
Board on Board
' ' • • • •
'
...... •
•
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•DDD
......
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....D
' '
4x4 Post Spacing.....
...... ....
Fences <= 5' high posts spaced at Ton center maximum•
•
.
..Des.
Fences <= 4' high posts spaced at 6"on center maximum
•• •D ••
.'
Fence must not exceed Yin height
Doss.. •
....:.
1 x pickets 4tstened
; . • ..:
with iwi co;rosio • • ;
'
;
resistant fasteners prep •
connection
4x4 pressure treated
posts embedded 2'into
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
2x4 horizontal
pressure treated
woad members
with two corrosion
resistant fasteners
per connection
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
REQUIREMENTS FOR FENCE PERMIT
Permit application must be accompanied by:
0000
0000.. 0000 . .
• 0000 ..
• •• ❑ •9;e®pies of your survey (not older than 7 years).
• 0000..
.0889.
•00.00 00.00: ❑-Ifstuvey is older than 7 years fill out Survey Affidavit form.
0000
•; 000 0 El: j f o;4ner is doing the job, owner must fill and notarize Owner Builders
•�•••• •' : ®isclosure form (This form must be signed and notarized in the building
• 0000..
•
0000.. 0
' • 0 * 0 • • department only).
❑ Show the proposed size on survey including, required 40 sq ft of garbage
area, location of gates if any, and height (can not exceed 5' ft height).
❑ Include wood or chain link specs form (one with each survey).
❑ $50.00 submittal fee when submitting your permit.
NOTICE:
ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECIFICATIONS
MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITECTURAL OR
ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY PRODUCT APPROVALS.
Revised on 5/2212009
0
08/28/03 17:33 FAX 3062640229 NOVA SURVEYORS
491001/002
5582 N.W. TIN STREET SIDE 202
MIAMI, FLORIDA 1
SURVEY Nynn -
TELPHONE(305)220-3171 pubv rbpz
FAX (305): 204-029
LAND SURVEYORS SHMT No. T OF 2
DRAW BY: -i�OAJ
Survey of JAT 10 AiID THE WEST 12 OF T OT 9, II3 BLOCK 38
Subdivision: AN AMENDED PLAT OF MIAMI SHORES SECTION NO 1
According to the Plat thereof as recorded in the --Plat Book No. 10
at Page No. 70 of the public records of MIAMI-DADE County, Florida.
Property Address: 318 NE 102 ST, MIAMI SHORES, FL 33138
For: PETER M. BAEDITA Date: 08/25/2003
LOCATION SKETCH Scale 1"=,NT.S.
V
I 1 1 15W
P-Ap Gr
Oil
r �mmmm -.1111
-
r '
Z
ABBREVIATION
AND MEANING
A- ARC
FR.E- FN SHED FLOOR ELEVATION.
PRD.- POINT OF REVERSE
A/C- AIR CONDITIONER PAD.
FNA. FOUND NAI. & DISK .
CURVE
A.E.- ANCHOR EASEMENT.
FR -E.
P.B.- PLAT BOOK.
A/R- ALUMINIUM ROOF.
FT FEET.
PO.�- PAG'E.
AWiLWNM SHIM
FNP.- FEDERAL NATIONAL
PWY- PARKWAY.
J/S-
. ASPHALT.
INSURANCE
PRM- PERMANENT REFERENCE
B.C.- BLOCK CORNER.
F.N.- FOUND NAI.
H.- HIGH (HE14i17)
MONUMENT.
P.LS.. PROFESSIONAL LAND
BlDO.= BUILDING.
&M,- BENCH MARK
OJ.d,EQ- W0RE59 AND EGRESS
SURVEYOR.
&O.S.- BASIS OF BEARINGS
EASEMENT.
IL. RECORDED DISTANCE
C. CALM"TED
LP= LIGHT POLE
RR• RAIL ROAD.
C.B- CATCH BASIN.
Lm. LOWEST FLOOR ELEYNHON.
RFS- RFSIMCE
F WADY,
C.R.B- CONCRETE BLOCK s1RUC11AiELM.E- LAKE MAINTENANCE EASEMENT VW RIGHT -CF -WAY,
CBW CONCRETE BLOCK WALL
. MINUTES.
RAD OF
CH. CHORD.
M.- MEASURED OLSPANCE
R.P.- RADIUS PONT.
CL.&. CHORD BEARING.
MAH- MANHOLE
RM- RAND•
C.- CLEAR
M/L- MONUMENT LANE.
SED.- SEC7KK
D.L.F.- CHAIN LNK FENCE
N.A.P.-NOT A PART OF.
STY.- STORY.
C.M.E- CM MAINTENANCE
NOW+ NATIONAL GEODETIC
SVM.- SIDER"
ELLENIS.
VERTLCAL DATUM.
S.M. SET NON PIPE La
CONO.- CONCRETE
N.- NORTH.
ICS
QT'S•- NOT SCALE
SN.
O.S.- CONCRETE SLAB.
1
"0- NUMBER.
SECONDS
D.E.:D.DRAINAGE EASEMENT.
0/S.. OFFSET.
T TANGENT:
D.M.E- DRAINAGE MAINTENANCE
OCL„ OVERHEAD
TWP•TOWNSWP.
EASEMENT-
O.H.L. OVERHEAD UTU1Y LINES
UTILITY.
DRIVE DRIVEWAYS
GVH- OVERHANG
U.P.- U70M PULZ
• - DEGREES.
pyy7;. PAVQAENT.
W.M.• WATER METER.
E EAST.
PL- PLANTUL
W.F.- WOOD FENCE
ECP.- ELECTRIC TRANSFORMER PAD P/L- PROPERTY LNE
PA
W.S. WOOD SHED.
ELEV.- ELEVATION.
POINT OF COMPOUND CURVE
W/R- WOOD ROOF.
EN T.
- FIRE
P.Q. PONT OF CURVE.
D . CENTRAL ANO E.
4 KYDRAN
AH.- FIRE HYDRANT.
PT.. PONT OF TANGENCY.
4c - CENTER TWE.
FU.P.- FOUND IRON PIPE.
POD.- PONT OF COMMENCEAEUT.
X • MULE.
F.LIL- FOUND NON ROD.
POS.. PONT OF BEGUO NG.
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY):
THOLE MAY BE EASOMIT9 REOORDIO IN THE PI TUC RECOROS NOT SHOWN ON THIS SURVEY
LIE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TTIE D6URAN12 AND
RNANCND AND .
SHOULD NOT BE USED FOR GWI RUCTON PURPOSES
E(AIM-TONS OF THE AISIRACT OF
TILE KL HAVE TO BE MADE TO OflMUM I'MCOROHD
WMRUMTTITS, IF ANT. AFFECTNO THE PROPERLY. THIS SURVEY IS SUM= TO
OWICA7309,
UMITATIOA RE4IRIC-11MA RESERVATIONS OR EASME NTS OF RECORD. LEGAL DMORWTONS
PRONDW BY tLUNT OR A77E91W0 ,11E COMPANY.
9DI)NDARY SlIBVEY MEANS A DRAWUJO AND/ l>R A tNLAPHIC REP1USI!? ATICN OF TD SURVEY WORK
THE _MRM'FdkROACGIQIi YEANO NSBLE AND ABOVE UADW UMOACHM M
ARCHITECTS SHALL VI ROY ZONING REC LK0001 . RESTRICTIONS AND SE INKS AND THEY IM
BE RESPONSIBLE OF SUBMrtiNO PLOT PIANS WN THE CIRRECT WM M 790 N FOR THBR
APPROND7PD,VAL FOR TH19 FIRMMHHASNOTAn1MPTED TO LCOAIE FOOTING OUNDATONS.UNIESS O�W�
FFNCR 01WNERUw NOT DE'IFRIINW.
THOS PLAN OF SURVEY. HAS BEEN PWARM FOR THE EXC UJSIVE USE OF THE ENT= NAMW
HEREON. THE CEMi1FG&W DOER NOT TODEND TO ANY ULAIAMED PARTY.
THE FNP FLOOD MAPS HAVE OESIONATTD T@ HEREN DHSCR M LAND TO BE '
LEGEND TYPICAL
.. *.
CLF- CHAIN UNIKFENCE
C.B.O. WALL(CBM
-0-0• IF -IRON FENCE
_UH- OVERHEAD UTILITY LINES
7" VYF=VV0OD FENCE
-0.00 - EXISTING ELEVATIONS
• 0
0888..
•
0008•.
0000
0000••
0000••
®- PROPOSED ELEVATIONS • •
•• •
RVEY� ORS'S NOTERL
1} IF SHOWN, SEAMUS ARE REFERRED TO AN ASSUMED
ftBEAR�A'� TSF SOL Pl yam• IF S01i
2} IF SHOWN . 9=411AYS ARE RIFUM TO
DMI EL@I. FEET.
OF KO.VJL OF 1928.
4 THIS 18 A WeINFIC PURPOSE SURVEY
4), THE CLOSURE N THE BOUNDARY SURVEY IS
ABOVE "BODHERSEY FT: A
OF TM PROPERTY D E5lXtIBED _ *BOUNDARY
EOEHERMD, AS SURVEY'
RECENTLY SURVEYED AND DRAWN UNDER MY
SUPERVLSION. C OWLIES VATH THE MINIMUM
=Me& STANDARDS AS SET FORTH BY
THE FLORIDA BOARD OF PROFESIONAL LAND
SURVEYORS IN CHAPTER 01017-0. FLORIDA
�YL
TO 4FLORIDA STATUTE&
1 % ag! }Wr ISAR RA (DATES OF FIELD WORK)
PROFESSIONAL LAND
(ySURVEYOR N0. c�IM _
STATE OS� SEAL COPIES OF THIS SURVE
THE ATTESTING LAND SURVEYOR).
REVISED ON=
REVISED ON:
Situated in Zone: X Community/Panel/Suffix: 120652-0093-J
Date of Firm: 07/17/1995 Base Flood Elevation:
Certified to: PETER M. BAEDITA AND SHEILA M. BAEDITA
FLORIDA TITLE EXPRESS WE
ATTORNEYS
ATTORNEYS TITLE INSURANCE FUND, INC. OF
WILL CALL ��"q .'5
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4), THE CLOSURE N THE BOUNDARY SURVEY IS
ABOVE "BODHERSEY FT: A
OF TM PROPERTY D E5lXtIBED _ *BOUNDARY
EOEHERMD, AS SURVEY'
RECENTLY SURVEYED AND DRAWN UNDER MY
SUPERVLSION. C OWLIES VATH THE MINIMUM
=Me& STANDARDS AS SET FORTH BY
THE FLORIDA BOARD OF PROFESIONAL LAND
SURVEYORS IN CHAPTER 01017-0. FLORIDA
�YL
TO 4FLORIDA STATUTE&
1 % ag! }Wr ISAR RA (DATES OF FIELD WORK)
PROFESSIONAL LAND
(ySURVEYOR N0. c�IM _
STATE OS� SEAL COPIES OF THIS SURVE
THE ATTESTING LAND SURVEYOR).
REVISED ON=
REVISED ON:
Situated in Zone: X Community/Panel/Suffix: 120652-0093-J
Date of Firm: 07/17/1995 Base Flood Elevation:
Certified to: PETER M. BAEDITA AND SHEILA M. BAEDITA
FLORIDA TITLE EXPRESS WE
ATTORNEYS
ATTORNEYS TITLE INSURANCE FUND, INC. OF
WILL CALL ��"q .'5
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08/28/03 17:34 FAX 3052640229 NOVA SURVEYORS
IM002/002
am N.W. F STREET, BUtTE 22 � '•' SURVEY N0
M
FLNA�IDA 331 �' tt
R " a LAND SURVEYORS SHEET No. of
p n BOUNDARY SURVEY scare V _
There may be Easements recorded in the -
Public Records not shown on this Survey.
The purpose of this Survey is for use in obtaining Title Insurance and
Financing and should not be used for Construction purposes.
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There may be Easements recorded in the -
Public Records not shown on this Survey.
The purpose of this Survey is for use in obtaining Title Insurance and
Financing and should not be used for Construction purposes.
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