FW-15-10514 b Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address Parcel Number Applicant
101 NE 105 Street 1121360050090 FERNANDO MONEDERO OREJA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
FERNANDO MONEDERO OREJANA 101 NE 105 Street (786)329-0222
MIAMI SHORES FL 33138-2032
Contractor(s) Phone Cell Phone
HENRY'S FENCE INC (305) 669-0180
Approved:
Denied:
of Construction: Wood Fence Additional Info:
kation: Residential Scanning: 3
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: $ 2,000.00
Total Sq Feet: 100
Pay Date Pay Type Amt Paid Amt Due
Invoice # FW -5-15-55414
05/04/2015 Credit Card $ 50.00 $ 66.20
05/13/2015 Check #: 9106 $ 66.20 $ 0.00
Avaname inspections:
Inspection Type:
Final
Review
Review
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 AFFIDA IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construc andozo 'ng. Futhermore, I authorize the above-named contractor to do the work stated.
May 13, 2015
Authoriz 'ture: Owner / Applicant / Contractor / Agent
Building apartment Copy
May 13, 2015
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department MAY 04 9015 4.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
OUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL E] PUBLIC WORKS
JOB ADDRESS:
FBC 20 10
Master Permit No. CDs 0
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:Z_
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): jt2 Phone#: f2,
Address: \ b 1_\�) 5 3
City: /A� t, .l� "� a State: rL. Zip: �3 A. I SR
Tenant/Lessee Name: Phone#:
Email: MSP C.4e C
CONTRACTOR: Company Name
Address:
City: PI I'�l�i\1
Qualifier Name:4DY M )
State Certification or Registrath
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $ l l / Square/Unear Footage of Work: Mn ;F
Type of Work: ❑ Addition Alteration New ElRepair/Replace ID Demolition
Description of Work: ,.0- •
Specify color of color thru We:
Submittal Fee $ o Permit Fee $ 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 $
C-
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 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.
x Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrum nt was acknowledged before this The fore oing ins trum nt was ac l now ledged before mg this
day of 11 L 20 Q , by --w0 day o 20 , by
hope sonally kno o • who ' ers nally n to
me or who has produced as me or who as produced as
identification and who did take an oath.
NOTARY PUBLIC:
identification and who did take an oath.
=W,
s e o
#EE 185969 °
s�.• `y e0a
APPROVED BY �eIPC°St 9��� ��Plans Examiner
II
T
Structural Review
(Revised02/24/2014)
Clerk
7
HENRY'S FENCE, INC.
3931 SW 63d Ave.
Miami, FL 33155
Phone: (305) 669-0180
Fax: (305) 669-5992
Email: henrysco@bellsouth.net
April 6, 2015
Miami Shores
10050 NE 2nd Ave.
Miami Shores, FL
Job Address: 101 NIE 105 Street
Miami Shores, FL 33138
1, Henry P. Villoch, president of Henry's Fence, Inc. Will be the only
person installing and working on this fence project. Should you need
any further information, feel free to contact us.
T k Yo
han ; u,
HM41Y P. vazochl
9S ROp,�/
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
Insurance Exem
Florida Law requires Workers' Compensation insurance coverage ander 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.
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this -�Z(& y of
By who is.4f
ntifcation.
•°•
eeolg' O y,10��'„/9� �•
•Z2: 185969 ° #EE kcb):
///�.,1061106111®�\aa
LOCATION/ SKETCH SCALE 1"= i
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149
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L.B.
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N:Iot 9,Block 201,DIINDTINGIs SHORES E�SION NO. L,according to the
recorded' in PLat Book 41,Pag ' 51 of the Public Records of Miami -Dade County,
'GENERA4 NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
2)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO'BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING
THIS PROPERTY.
3)� (2.22) DENOTES•THOSEIELEVATIONS REFERRED TO 1\T�__— DATUM.
4) LOCATION AND iDENTIPICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
5)l INFORMATION WAS °NOTg _REQUESTED. . X
THIS P,ROPE14*14 WITF N THE LIMITS OF THE FLOOD Zt N Updated:May 19,201a
6)� NO UNDERGROUND LOCATIONS WERE DONE BY THIS CO ANY.
ItIED TO Gladys Pi.' Cardenas,Esq. jern do Monedero Orejana and DATE:
,odes Plaza Sanchez,*November 15,2011
Lcan Bancshares Mortgage,LLC
;6187 N
MIAMI,
305/51;
APPLICABLE ZONING, UNDERGROUND, ZONING ANI
ARCHITECT OR BUILDER BEFORE DESIGN C
I HEREBY CERTIF
and correct to the beg
under my direction, ah
UNITEC This survey meets the
pursuant to Chapter 6
ING, INC
3333
167TH STREET, H5
.ORIDA 33015
.940 THIS IS A BO
NOT VALtD UNLESS SEALED WA
,
BUILDING SET BACKS, MUST BE CHECKED BY OWNER,
Z CONSTRUCTION BEGINEI ON THIS PROPERTY.
e: That the attached Plan of Survey of the above described property is true
3f my knowledge, information and belief; as recently surveyed and platted
that there are not above -ground encroachments other than those shown.
ninimum technical standards set forth by the Florida Board of Land S4rveyors
317-6, Florida Administratiye Code, Section 472-027, Florida Statues.
to D. Alonso
Pr ssional Land Surveyor
Certificate No. 3590
State of Florida
NDARY SURVEY
I AN EMBOSSED.SURVEYOR'S SEAL
10
I
1
r
I
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oridtla.-
Amer
8UF
L.B.
v,
N:Iot 9,Block 201,DIINDTINGIs SHORES E�SION NO. L,according to the
recorded' in PLat Book 41,Pag ' 51 of the Public Records of Miami -Dade County,
'GENERA4 NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
2)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO'BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING
THIS PROPERTY.
3)� (2.22) DENOTES•THOSEIELEVATIONS REFERRED TO 1\T�__— DATUM.
4) LOCATION AND iDENTIPICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
5)l INFORMATION WAS °NOTg _REQUESTED. . X
THIS P,ROPE14*14 WITF N THE LIMITS OF THE FLOOD Zt N Updated:May 19,201a
6)� NO UNDERGROUND LOCATIONS WERE DONE BY THIS CO ANY.
ItIED TO Gladys Pi.' Cardenas,Esq. jern do Monedero Orejana and DATE:
,odes Plaza Sanchez,*November 15,2011
Lcan Bancshares Mortgage,LLC
;6187 N
MIAMI,
305/51;
APPLICABLE ZONING, UNDERGROUND, ZONING ANI
ARCHITECT OR BUILDER BEFORE DESIGN C
I HEREBY CERTIF
and correct to the beg
under my direction, ah
UNITEC This survey meets the
pursuant to Chapter 6
ING, INC
3333
167TH STREET, H5
.ORIDA 33015
.940 THIS IS A BO
NOT VALtD UNLESS SEALED WA
,
BUILDING SET BACKS, MUST BE CHECKED BY OWNER,
Z CONSTRUCTION BEGINEI ON THIS PROPERTY.
e: That the attached Plan of Survey of the above described property is true
3f my knowledge, information and belief; as recently surveyed and platted
that there are not above -ground encroachments other than those shown.
ninimum technical standards set forth by the Florida Board of Land S4rveyors
317-6, Florida Administratiye Code, Section 472-027, Florida Statues.
to D. Alonso
Pr ssional Land Surveyor
Certificate No. 3590
State of Florida
NDARY SURVEY
I AN EMBOSSED.SURVEYOR'S SEAL
10
I
1
`her
oridtla.-
Amer
8UF
L.B.
v,
N:Iot 9,Block 201,DIINDTINGIs SHORES E�SION NO. L,according to the
recorded' in PLat Book 41,Pag ' 51 of the Public Records of Miami -Dade County,
'GENERA4 NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
2)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO'BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING
THIS PROPERTY.
3)� (2.22) DENOTES•THOSEIELEVATIONS REFERRED TO 1\T�__— DATUM.
4) LOCATION AND iDENTIPICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
5)l INFORMATION WAS °NOTg _REQUESTED. . X
THIS P,ROPE14*14 WITF N THE LIMITS OF THE FLOOD Zt N Updated:May 19,201a
6)� NO UNDERGROUND LOCATIONS WERE DONE BY THIS CO ANY.
ItIED TO Gladys Pi.' Cardenas,Esq. jern do Monedero Orejana and DATE:
,odes Plaza Sanchez,*November 15,2011
Lcan Bancshares Mortgage,LLC
;6187 N
MIAMI,
305/51;
APPLICABLE ZONING, UNDERGROUND, ZONING ANI
ARCHITECT OR BUILDER BEFORE DESIGN C
I HEREBY CERTIF
and correct to the beg
under my direction, ah
UNITEC This survey meets the
pursuant to Chapter 6
ING, INC
3333
167TH STREET, H5
.ORIDA 33015
.940 THIS IS A BO
NOT VALtD UNLESS SEALED WA
,
BUILDING SET BACKS, MUST BE CHECKED BY OWNER,
Z CONSTRUCTION BEGINEI ON THIS PROPERTY.
e: That the attached Plan of Survey of the above described property is true
3f my knowledge, information and belief; as recently surveyed and platted
that there are not above -ground encroachments other than those shown.
ninimum technical standards set forth by the Florida Board of Land S4rveyors
317-6, Florida Administratiye Code, Section 472-027, Florida Statues.
to D. Alonso
Pr ssional Land Surveyor
Certificate No. 3590
State of Florida
NDARY SURVEY
I AN EMBOSSED.SURVEYOR'S SEAL
n
r PLAN OF SURVEY,;SOLEI
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o Shadow Box
o Vertical Picket
o Board on Board
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
4x4 Post Spacing
Fences <= 5' high posts spaced at Ton center maximum
Fences <= 4' high posts spaced at 6"on center maximum
Fence must not exceed 5' in height
1 x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per 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