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FW-15-839Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 10125 NE 2 Avenue 1132060480020 EUNICE DAVIS Miami Shores, FL 33138-2349 Block: Lot: Owner Information Address Phone Cell EUNICE DAVIS 10125 NE 2 Avenue MIAMI FL 33138-2349 Contractor(s) Phone Cell Phone SAMADA FENCE INC (305)720-6344 Date Approved: Date Denied: Type of Construction: Other Additional Info: Classification: 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: $ 1,750.00 Total Sq Feet: 25 Pay Date Pay Type Amt Paid Amt Due Invoice # FW -4-15-55156 04/24/2015 Credit Card $ 66.20 $ 50.00 04/10/2015 Credit Card $ 50.00 $ 0.00 Avauame inspections: InsDection TvDe: 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 AFF AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructioD4nd zsnina. Futhermore. a -named contractor to do the work stated. April 24. 2015 `Authorized ignature:Owner / Applicant / Contractor / Agent Building epartment Copy 1 Tal s BUILDING PERMIT APPLICATION 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 UILDING ❑ ELECTRIC ❑ ROOFING APR 10 2 15 FBC ZO /0 Master Permit No. rw 1 5-9M Sub Permit No. ❑ REVISION ❑ EXTENSION (]RENEWAL ❑ PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ``'' t CONTRACTOR DRAWINGS JOB ADDRESS: /01 d� /V/y C7 City: Miami Shores(+ County: Miami Dade Zip: 3 3 Folio/Parcel#: l 3 �"® `P 0 �{ a ©� *-V" O Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):SU­V'1-C--e—o� Phone#: �o�'—�-.-5-'�a'a-.S Address,,: 101 AT Af E �- 6"Ll 67 City: R% . S 1'� e -.S State: �- Zip: 33 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �a'� aj_jc�-- pe"� C -C- tom- Phone#: Address: 1/ d LAD -?I cs i— City: 9-- et.`. Qualifier Name: J erg CN 0 State Certification or Registration M zipp3 > 4" a— �C- Phone#• 91-Y -rx5 k 3 J Certificate of Competency #: 11 8.4- © O 3 DESIGNER: Architect/Engineer: Phone#: _ Address: City: State: Value of Work for this Permit: $ Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Al W�-+� �� ��.. L - / I -U � Q r� d Vt�� /► 0-7tl ° Is Specify color of color thru tile: Submittal Fee $ Permit Fee $ C)kCCF $ 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 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. Signature"� tz,44� OWNER or AGENT The (foregoing instrument was acknowledged before me this 4f day of �Y� , 20 by V +VA A;LJ who is personally known to me or who has produced D L as identification and who did take an oath. NOTARY Seal: Signature'S d-'Q� CONTRACTOR Theforegoinginstrument was//acknowledged before me this -/ day of� r; C.. 20 . by r d J A.&*.L a ho is personally known to. me or who has produced RL as identification and who did take an oath. NOTARY PU Sign:_ Print: Seal: EXPIRES: July 17, 2018 WWW.AARONNOTARY.COM APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF (FLORIDA) COUNTY OF (DADE) Miami shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affianteu W..:%Ce, t) Cf -14 s, does hereby attest that (Property owner) S L C e The attached survey, performed by C 0L'U D VIS �V Y V IF- A4S (Name of surveyor's company) For address: L>_ A-V e Performed on �f f 0 0 �- (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Fir r, Affiant say eth ught. t� Ejy%% CR_' 0 Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of -t-i t ©�S Affiant is personally known to me, produced as identification. gopof, Nery Avila 44AL CORIIBMSSION / FF136164 IXPIRES: July 17, 201E Notary a`� WWW.AARONNOTARY.Com Revised on 5/22120091 Revised on 611210���1100 •4/10/2015 Report Kliewer =/1 100% JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * • CONSTRUCTION INDUSTRY EXEMPTION This certifies thatthe individual listed below has elected to be exemptkom Florida Workers' Compensation law. EFFECTIVE DATE: 9/1412014 EXPIRATION DATE: 9/1312016 PERSON: RAMIREZ ANTONIO FEIN: 204936039 BUSINESS NAME AND ADDRESS: SAMADA FENCE INC 110W31 ST HIALEAH FL 33012 SCOPES OF BUSINESS OR TRADE: FENCE INSTALLATION AND REPAIR - may rwt remw beeft scamp W Mn fle sc°pe mf ft h=hx= a ecert,pted «saer�s ddatian iha pesm marnetl m 8e entice a DFSF2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED x-13 QUESTIONS? (85*13"1609 hftpsJtapps8.fldls.com/crrepartviewa'/rgmWiewer.aspx?dada=keg nc9D7QW6TER6eP1KMZ%2f&,s bXKYlBxkreMESoPVy1v4NPOPN42XeirDRGXVW... 10 4/10/15 Report Viewer =/1 100% i 4 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW* CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 9/1611014 EXPIRATION DATE: 9/1512016 PERSON: ARIAS FRANCISCO FEIN: 204936039 BUSINESS NAME AND ADDRESS: SAMADA FENCE INC SAMADA FENCE, INC 11OW31 ST HIALEAH FL 33012 SCOPES OF BUSINESS OR TRADE: FENCE INSTALLATION AND REPAIR- ThedWm#mtshQ rvmIma DFS -F2 -DWG -252 CERTIFICATE OFFI TION TO BE EXEMPT REVISED M13 QUESTIONS? (85W13•1609 ht" J/apps8.fldts.con/crrepoly ewer/repWiewer.aspx?data=kdvpgnc9D7QW6TER6eP1WZ0/o2PSz5bXKYfBxkrekeESoPVy1v4NPOPN42XeirDRGXVW... 112 04-19 ®9 93:11 FMl-GMJTs Surveyors Its 195 Ota .': 1-719 P813/1193 F-673 COUSINS SURVEYORS & ASSOCIATES, INMM • PROEM. : t252-96 3921 SW 47TH AVENUE. S WE' 1011 WENT DAVIE. FLORIDA 33314 ,. g CERnMAAiE OF TION . #,9 � .: 0+10, DAVIS PHtW C9541 W-M FAX Lm gena', T Ailly ....... sic cw RE suRVEY So1•03'WE 81.700 ASPIIALZ' PAVE! W •� h / Wln•: ► wn.�./` Kam t CONCRETE A5.0 PATO ASPHALTLOT I $1.A' DRIVE N 1 cmam E PA7E0 �.�' � APR l G 1 i 10.1' ati 13 � op r ra- N h ,, "A' 1cav , � FL100R �}yAYRI@ts+10.95` � +w . 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SNEI:I 1 O1" 2 •0000• •411096.06 • 6 Provide cap on posts. 3/16" weld around (optional to I: 2%"x2Y2"x Tube posts 1"x1"x.0( Tube Picke 0000 • 2500 psi CorV • •9• • Welded/Mechanical Aluminum Fence 9"x1"x (19I" 06.9 0000•• ic- iviax. • ••__II I Tube Rail 1 2" x 1" x .093" Tube top rail all 5„ racket) %V tyP 2"x 1" x .095" 093" 11 Channel Rail ecorative circles 11 II II 1"x 1"x.062" 2" x 1" mounting brackets Tube pickets (optional) 2" s 48" to 72" 2" x 1 " x .095" Channel rail LL 11 1111 1 ' 4" • •• < 4" spacing ..� 22" .. 24" 06.9 0000•• • 0000 • ••__II I Typical fence panel Notes: All components shall be shop welded using 5183 or 5356 alloy filler wire. UON 1" X 2" Mounting Bracket Components shall be powder coated after fabrication. (Attach with (2) #10 x IW tec screws) Rails are punched for picket insertion. This fence does NOT meet pool code if under 58" high. Attachment of rails to posts can be by welding or with mounting brackets as shown. Design:`2010 FBC, Sec 1615.2, & ASCE 7-10, wind speed 75 mph, exp. C. Material: 6063-T6 aluminum or equal. No changes allowed without written authorization from the engineer. Copies of this drawing without an original signature and seal of the engineer are invalid. This fence is not designed for use as a balcony or other raised structural barrier. Samada Fence 3.3.15 2"x1"x.093" ,/'-Channel rail 2'/2" x 2%2" x .093" ~ Tube posts 2"x1"x.093" Channel rail Typical fence section William F. Flaherty, P.E. #25221 1351 SE 4th Avenue Pompano Beach, FL 33060 Certificate of Authorization #26223 954-562-9300