FW-14-1839 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-218353 Permit Number: FW-8-14-1839
Scheduled Inspection Date: December 31, 2014 Permit Type: Fence/Wall
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: ROMNEY,JENNY Work Classification: Wood Fence
Job Address:863 NE 99 Street
Miami Shores, FL Phone Number
Parcel Number 1132060340140
Project: <NONE>
Contractor: DUARD ORNAMENTAL IRON INC Phone: (786)277-7313
Building Department Comments
INSTALL WOOD FENCE 5' HIGH. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 30, 2014 For Inspections please call: (305)762-4949 Page 7 of 26
RUM
Miami Shores Village
AUG 2 2 2014
Building Department : r:
� S 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972
5, INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit NoT V� - `y - �bgqk
PERMIT APPLICATION
Master Permit No.
FBC 20
Permit Type: BUILDING
OWNER:Name(Fee Simple Titleholder): E-41 tJ T�e4 fav '1D.24LN�Phone#:��
Address: �3tv N � S
E ' '1
City: H I A r"I 16L ter.+✓- State: F(-, Zip:
Tenant/Lessee Name: - Phone#: -
Email:
JOB ADDRESS: R 3 NE !9!9 S 7,
City: Miami Shores County: Miami Dade Zip: 3c5 13n
Folio/Parcel#: I y-:3 O& - &14- 0140
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name: b O A Q-1) (')r.NA H E.r.-rA L. I" 1 N C Phone#: ,305)59Z-Sfs 7
Address: 41 E 4v0 5-1.
City: H(A L,.C.A N State: f i- • Zip: 33 013
Qualifier Name: L)UJc.L.AS M At,roN>5u Phone#:
State Certification or Registration#: _ Certificate of Competency#: 429 43S DEQ S36o
Contact Phone#: l30s) SQ'?-162 a Email Address: _
DESIGNER:Architect/Engineer: - Phone#:
Value of Work for this Permit:$ _3 R CSG• % SS uare/Linear Footage of Work: (v(v
Type of Work: ❑Address ❑Alteration LtONew ❑Repair/Replace ❑Demolition
Description of Work: I N 3 U — V IOOO rCW-E .S ' H 14 H
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by:
ffr,
Submittal Fee$_(50 ' Permit Fee$ 1 6(rrO•.0� CCF$ 9,, L'0 CO/CC$
Scanning Fee$,,(� -00 Radon Fee$ 2- : �f` 1 ' JO
$ 2_• �i Bond$
Notary$ lU Training/Education Fee$y/"1 ' OJV Technology Fee$
Double Fee$ Structural Review$_
TOTAL FEE NOW DUE$ I' ��i
� �:
l�
� ��� ���
,, ,�� , �
��-
�.
`Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 Signature
Owner or Age Contractor
The foregoing instrument was acknowledged before me this 0 The foregoing instrument was acknowledged before me this 20
day of�#i�:I (�,201+,by ANA M"� -JO r�Zday of 20 14,by ATpt,4 f-�(. 'Tprra?C ,
wh ' personally known o me or who has produced o is personal r o me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: At4A H- '7QiL12E5 Print: ANA
My Commission Expir '� �' My Commissionx , ANA M.TORRES
ANA M.TORRES �e ;� Notary Public-State of Florida
Notary Public-State of Florida : ;• My Comm.Expires Jul 7,2015
My Comm. Expires Jul 7,2015 Commission#EE 110471
Bor. rough tional Lary Assn.
APPROVED BY > lans Examiner lj G, Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)(rev6/4/10)
CTQB B�rd Iw
Construction T Qt�Tiiyin9
BUSINESS CERTIFICATE OF COMPETENCY
09BS00636
y
IRON INC
DUARD ORNAMENTAL
D.B.A.:
PEREZ
pDOUGLAS M
ns of Chapter 10 of Miami-Dade COunW
Is caffedIYON the Provisi°
.. .,.
W3724
Local Business Tax Receipt
Miami-Dade County, State of Florida
—THIS IS NOT ABILL—DO NOT PAY
7067051
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
4318
DUARE OR ENTAL IRON INC RENEWAL SEPTEMBER 30, 2014
7013576
HIALEAH FL 33013 Must be displayed at place of business
Pursuant to County Code
Chapter 8A-Art.9&10
SEC.TYPE OF BUSINESS
DUARD ORNAMENTAL IRON INC 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED
1 09BS00536 BY TAX COLLECTOR
$45.00 08/13/2013
TXHS1-13-045666
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit,or a certification of the holders qualifications,to do business.Molder must comply with any governmental or
nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec 6a--276.
For more information,visit M",miamidade,fluLtexcollector
Municipal Contractor's Tax Receipt
Miami—Dade County, State of Florida
—THIS IS NOT A BILL—DO NOT PAY
CC NO: 09BS00536 LM Cj
BUSINESS NAME/LOCATION RECEIPT NO.
DUARD ORNAMENTAL IRON INC NEW BUSINESS EXPIRES
4318 E 10 LN 7436955 SEPTEMBER 309 2014
HIALEAH,FL 33013 Must be displayed at place of business
Pursuant to County Code
Chapter BA-Art.9&10
OWNER TYPE OF BUSINESS
DUARD ORNAMENTAL IRON INC SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED
BY TAX COLLECTOR
200.00 09/09/2013
0225-13-001025
MMUZO
IAMFpApE For more information,visit www.miamidade govkaxcollector
ATE
ACORD,M CERTIFICATE OF LIABILITY INSURANCED08/21/20 4
PRODUCER 305-595-2095 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
REGIONS INSURANCE CONSULTANTS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
10585 SW 109TH CT SUITE 207 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MIAMI, FL 33176
INSURERS AFFORDING COVERAGE
-------------- -- — -- --------------------
INSURED INSURERA: GRANADA INSURANCE COMPANY
DUARD ORNAMENTAL IRON INC INSURER B: — _
41 E 60 ST INSURER C:
HIALEAH, FL 33013 INSURER D:
INSURER E:
OVERAGES
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,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POUCY EFFECTIVE POLICY EXPIRATION LIMITS
INS
TR R TYPE OF INSURANCE POLICY NUMBER -DATUD
GENERAL LIABILITY i EACH OCCURRENCE S_ 1,0_0_0,000
X COMMERCIAL GENERAL LIABILITY 0185FL000288883-2 08/23/201408/23/2015
I �FIRE DAMAGE(Any one fire) S 100,000
CLAIMS MADE OCCUR j MED EXP(Any one person) S - 5,00_0
PERSONAL&ADV INJURY S 1,000,000
GENERALAG_GREGATE j S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP
10PAGG j S 1,000,000
- POLICY JE O- LOC I -
AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT I S
(Ea accident)
i ANY AUTO
!ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) S
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)
I PROPERTY DAMAGE S
i (Per accident)
GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT S
ANY AUTO I I OTHER THAN EA ACC S
AUTO ONLY: AGG ;S
EXCESS LIABILITY i EACH OCCURRENCE 5
OCCUR CLAIMS MADE AGGREGATE
DEDUCTIBLE - — - ----- 5 --
j RETENTION S S
WORKERS COMPENSATION AND STATU —_-
TORY LIMITS ER
EMPLOYERS'LIABILITYE.L.EACH ACCIDENT S
E.L.DISEASE-EA EMPLOYEE; S
j E-L.DISEASE-POLICY LIMIT ;S
OTHER
i
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Fence Installation
License#09BS00536
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Miami Shores Village IMPOSE O OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
lOOSO NE 7 AV REPRES TATIVES.
Nardi Shores Ft 33138 AUTH RI REPRESENTATIVE
ACORD 25-S(7197) o ACORD CORPORATION 1988
----------------------- I ----------------.�
I r------- IMPORTANT
STATE OF FLORIDA _ I Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation
DEPARTMENT OF FINANCIAL SERVICES who elects exemption tothis chapter by filing a certificate of
I election under this section
may not recover benefits or
I DIVISION OF WORKERS'COMPENSATION �' I F compensation under this chapter. l
I CONSTRUCTION INDUSTRY EXEMPTION 10
L Pursuant to Chapter 440.05(12),F.S.,Certificates of election to
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
j WORKERS'COMPENSATION LAWbe exempt...apply only within the scope of the business or trade
EFFECTIVE DATE: W120013 EXPIRATION DATE: 7112t5 I D listed on the notice of election to be exempt.
7112=i5
PERSON: ALFONSO DOUGLAS M III Pursuant to Chapter 440.05(13),F.S.,Notices of election to be '
FEIN: 270356012 I E exempt and certificates of election to be exempt shall be
I BUSINESS NAME AND ADDRESS• I R subject to revocation if,at any time after the filing of the notice
I DUARD ORNAMENTAL IRON INC i E or the issuance of the certificate,the person named on the
notice or certificate no longer meets the requirements of this
I I section for issuance of a certificate.The department shall revoke
41 E 60 ST I a certificate at any time for failure of the person named on the
HIALEAH FL 33013 I certificate to meet the requirements of this section.
SCOPES OF BUSINESS OR TRA
iMASONRY NOC IRON OR STEEL: FENCE INSTALLATION
ERECTION NOC AND REPAIR- _-----------------
§t10 I
n
Miami shoresVillage"" ""'
`Pzr + Building Department
��ORiDp 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. In these circumstances Miami Shores Village
does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore,you may be
personally liable for the worker com ensation injuries 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.
Owner Contractor
Print Name: 3e,"nq BAWT 1ZQMMGf_3nPrint Name:
Signature: Signature:
State of Florida) State of Florida)
County of Miami-Dade) County of Miami-Dade)
Sworn to and subscribed before me this�_ Sworn to and subscribed before me this L/
day of A&KuS-r ,20 _. da of
y —�ti�1 ,20_1_�K .
By By
gyp '1
(SEAL) ' `
Notary Public-State of Florida Notary Public-State of Florida
Fypirecz It-1 z.2n (SEAL) *�* Comm. Expires Jul 7,2015
Type of Iden f)t titin. xoducedmission #EE 110471 Type ofIde " fidu,—In mission#EE 110471
Bondeh hrcugh National Notary Assn• Bonded Throug a iona o ary
hSL0
DBA LAZARO FENCE x
yiliesidtntiak Commercial Insured Ir ;r Invoice
Licrnud d Insured
Ph.: 305.592.4578 a Fax: 305.592.4579
7941 N.W.64 SL Miami, Fl.33166
lazarofence®bellsouthnet
Spdoialtrhng In Wood Fence,Iron,Chainlink PATE
Aluminum 3 PVC
,:. SOURCE
PROPOSAL TO OF LEAD
ADDRESS ZONE TELEPHONEr
NUMBER
LOCATION JOB LOG NO.
LOT BLK sue
SPECIFICATIONS:Ah work will be performed in a workmanlike manner and in accordance with standard practice.All posts in concrete.
Total Height Check Caption Preferred Additional ktonnal on
Post Spaced Top Rail .................... O " O.D.`
Line Post ......... O.D.
Style Fence -;-s ',. 1 z .........
"
ISM
End Post .................. O " O.D. Nora *come akAekurek worcnPrcxET �iMDCAIIhMEANE
Gauge O 9 O 11 Corner Post O " O.D. PROTECTVOUR NOME
Knv^kled O o%," Walk Gate Post ... .... O " O.D.
Safeguard O x x x Drive Gate Post........ O O.D.
Scroll Gate Frames ............ O O.D.
TOP RAIL OF FENCE TO FOLLOW GROUND O BE LEVEL WITH LOWEST GRADE O BE LEVEL WITH HIGHEST GRADE O
Ouantltyy SKETCH
1
1
1
e
1
1
.� 1 4
1
1
k 1
1
Totals' d
Saes Tax "ACCEPTED
TO BE PAID ON COMPLETION Down 'SaI8SR1Rr1 }' 1
TOTAL
The Undersigned purchaser warrants that he is the owner of the property on which the items purchased in this tA -CNo be installed.The customer YA fumish the company with an
updated copy of the property survey,if one is not available the customer is responsible for locating all his personal i dories.The company will locate for the company any and all
underground wires,sewers,pipes,septic tanks,sprinklers,drain fields or any other personal underground property, _ -?A FENCE&CONSTRUCTION COMPANY DBA LAZARO
FENCE is not responsible for damages caused to any trees,shrubs,plants,grass,etc.,situated on or neer the line of th,. t4 damaged during construction.In the event ULTRA
FENCE d,CONSTRUCTION COMPANY has to make unnecessary and/or additional expenses in order to fulfill the contract, N as:additional labor time customer changed hisAw
mind on the contract,etc.,the customer will be charged additional expenses.No charges or alternations in measurements wilf. 'owed except at price to be agreed upon at time
changes are made.and same to be treated as an entirely new contract.
NOTICE:FAtLl1RE TO MAKE PAYMENTS IN FULL UPON COMPLETION OF WORK WILL RESULT IN A 2D%CHARGE OF THE Fla s,")NTRACT AND ANY REASONABLE
LEGAL FEE TO OBTAIN OVERDUE BALANCE UNLESS OTHERWISE SPECIFIED BY THE CONTRACTOR,CONTRACT DOES NOT.,'/ 'IDE PERMITS UNLESS SPECIFIED.
NOT RESPONSIBLE FOR LOCATED OFFENCE WHEN SURVEY IS NOT PROVIDED BY CUSTOMER.NOT RESPONSIBLE FOR REP/..' F UNDERGROUND CABLES.
'vER HEREBY AGREES TO PAY THE BALANCE IN FULL TO LAZARO FENCE DBA ULTRA FENCE&CONSTRUCTION COMPANY.BL fER ALSO AGREES TO THE
TO OWNER FEE,LIENS OF ALL COSTS INVOLVED ON THE COLLECTION OF THIS ACCOUNT INCLUDING COURT AND ATTORNEY'S FEE.
INSPECTION RECORD - POST ON SITE
Permit NO. FW-8-14-1839
SNORES t
<< Miami Shores Village Permit Type:Fence/Wall
F
taM 10050 N.E.2nd Avenue
uu ua.
Miami Shores,FL 33138-0000 Work Classification:Wood Fence
Phone: (305)795-2204 Fax: (305)756-8972 03/25/2015
�'�oRtvA Issue Date: 9/26/2014
Expires:
INSPECTION REQUESTS: (305)762-4949 or Log on at https://bidg.miamishoresviIlage.com/cap
REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3 pm for following day inspections.
Fence/Wall Parcel#:1132060340140
Owner's Name.JENNY ROMNEY Owner's Phone:
Job Address: 863 NE 99 Street Total Square Feet: 166
Miami Shores FL Total Job Valuation: $ 3,800.00
Bond Number:
WORK IS ALLOWED MONDAY THROUGH SATURDAY,
7:30AM-6:OOPM.NO WORK IS ALLOWED ON SUNDAY
Contractor(s) Phone Primary Contractor OR HOLIDAYS.
DUARD ORNAMENTAL IRON INC (786)277-7313 Yes
BUILDING INSPECTIONS ARE DONE MONDAY
THROUGH THURSDAY. ROOFING INSPECTIONS ARE
DONE MONDAY THROUGH FRIDAY. NO BUILDING
INSPECTIONS DONE ON FRIDAY.
THIS MUS N
FENCES,WALLS,HEDGES
JOB
INSTALLED ON ALLEY MUST AT TIME OF
ALLOW 40 So.FT.FOR
TRASH CANS,TREE TRIMMINGS,ETC.
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
f
j . a4
i
~aur: ' `t
NoSR'ES
l Miami
S�
♦ hores Village
mail Building Department
d 10050 N.E.2nd Avenue
Nres� its
�.. Miami Shores, Florida 33138
�ZORiDA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, JrAtJ J 8Aft1'Zt*does hereby attest that
(Property owner)
The attached survey,performed by —1 A F Sv#LyE-�/jN '
(Name of surveyor's company)
For address: blv� Qq . H#f1?'(jr'S� .3('39Performed on v z (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.
Further Affiant say naught.
ht.
9
(Pr erty Owner Signa re Property Owner Print Name
SWORN TO D SUBSCRIBED before me this =O day of
Affiant is personally known to me, produced as identification.
Notary
'
Revised on 5/22/2009/Revised on 6/12109 ANA M.TORRES
2o�aY P`,`� Notary Public•State of Florida
_ My Comm.Expires Jul 7,2015
Commission #EE 110471
Bor:ded Through National Notary Assn.
h
�S 0 Miami Shores Village
51111 ,,,,,� � Building Department
Arm
Are 111110050 N.E.2nd Avenue
hr, �►` Miami Shores, Florida 33138
�tOR Y Tel: (305) 795.2204
e ,gmk p y Fax: (305) 756.8972
AErMW
WOOD FENCE DETAIL r i-,imi I—Shores Village
o Shadow BoxAPPRCVED BY DATE
o Vertical Picket 4 ZOWivG 13EpT
o Board on Board .
Da DEPT i
'U. -: —
--- - �UBJFCT TO COMPLIANCE WITH ALL FEDERAL
4x4 Post acing
Fences<=5' high posts spaced 5'on center maximum Y>' rr! 17('Gt�nITY RULES AND REG!11_AT!nNS
Fences<=4' high posts spaced at 6"on center maximum
Fence must not exceed 5'in height
lx pickets fastened
with two corrosion
resistant fasteners per
connection e *0
. . sees sees..
sees.. � •
sees•.
�x4 Mjizontat•. •
eeee
Aressure treat'�d '• ••;•••
woodinembsr . •••••
e. .. sees..
with two corrosion•
jesees..
ilta;t fasteners•
.per connection•••• •'••"
.. sees
sees
4x4 pressure treated
posts embedded Yin
concrete footing 10"
diameter x 2'deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
May 2009 6'E�
RY RVEY N.E. 100th STREET
OUNDA U
ZI
A L E Y 9'ASPHALT PAVEMENT Go 7 .6 R LLJ
o®r �/` _ - :_>- 8 6 5 4 3 2 1
75�r�vvood Sole '. •
- �- FOUND 1/2" I r 16
FOUND 112" % rr ( 930
IRON ROD x IRON ROD f1
NO I.D. _
15.4' NO LD, 15 l
- 0.47' = / c - 10)
-
_ 0.92' n 16 17 18 19 ; 20 21 1 22 23
C -T i _.. -----.-_. 40.0' X r/% a�oi �, ;_ u
-a ��//
A
- _...
S E:1"=20' uj
25.T •-I Z
.6' c6 m co co
B NO.JAF I J 5.0
- 15.45' Swimming Pod _ - - ' -- 0' _ s
_ 50 50' ` 50' 50' 50' S0' 0'
Lo N.E. 99th STREET
25.7"
I LOCATION MAP
U -
GOnGfete
L j10 ' in w i ( Scale: 1"= 120'
L _ chi'
^� u rn
(� 0 0 t,, LL m 10 Terrace U U GENERAL NOTES:
F" U U d O U aO L a O PERTY A ESS: 1.LEGAL DESCRIPTION FURNISHED BY CLIENT. NO SEARCH OF PUBLIC
CL 0 uj d Q 0 +'. 25.6 12.1 +gyp RECORDS WERE MADE BY THIS OFFICE.
_ 863 N. REET
�, w 2.ANY ELEVATIONS SHOWN HEREON ARE PER NGVD(NATIONAL GEODETIC
m � ~ m W x10-8'x-- $�' � 37.70' 34, N � iri ;y MIAMI SHORE, FL 33138 VERTICAL DATUM)OF 1929.
m °�° uj 10 m w 'r' `O •' x N = a 0 3.NO EXCAVATIONS WERE PERFORMED AS TO DETERMINE UNDERGROUND
= a t— = n cV ' ONE STORY STRUCTURE 'S x p � v J ,sees•
ENCROACHMENTS.
U) OJ � � ~ �' O 2 LEGAL DESCRIPTION: 4.DISTANCES AND ANGLES ARE FIELD MEASURED AND OOR'RESPONd01�1N•
04 , 863 N.E.99th STREET o 0
O e' a;< X a LOT 20 AND THE EAST 1/2 OF LOT 19, BLOCK 169, RECORD DATA UNLESS NOTED. • • .. ••
_ _ O a. MIAMI SHORES,FL 2 ••
Q O 9 4A' i OF MIAMI SHORES SECTION EIGHT, 5.THIS SURVEY WAS PREPARED FOR FENC ff5MITTIf4Q.A1fgPOSESe 4719•
Cn W' o°O, X NOT INTENDED FOR CONSTRUCTION USE7� RMITTING FOR,ADDITIONAL •
ACCORDING TO THE PLAT THEREOF RECORDED CONSTRUCTION ETC.MAY REQUIRE ADD11115XINFORMATIOV WHICF?L""AIL':
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�hw l D t , ' I BASE FLOOD ELEVATION = N/A SIGNING PARTY OR PARTIES IS PROHIBITED WI;rAQUT THE WR�TJEN
6 i i CONSENT OF THE SIGNING PARTY OR PARTIES.(CHAPTER db17-6.003 OF
Cot COMMUNITY NUMBER: 120652 THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECI'fW472.027 OF
N� Nj PANEL NUMBER: 0306 L THE FLORIDA STATUTES)
OUN RO1/2
D" FOi i OUNND ROD" COMMUNITY NAME: VILLAGE OF MIAMI SHORES
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NO I.D. :' ;;, q NO I.D. CERTIFICATION: DATE: DESCRIPTION:
S890
32'39"W 75.00' 1. JENNY BABOT ROMNEY 08/09/2014 BOUNDARY SURVEY
5'SIDEWALK
- i I HEREBY CERTIFY:THAT THIS SURVEY SKETCH WAS PREPARED
1 UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST
Brick Paver 20'PARKWAY i OF MY KNOWLEDGE AND BELIEF. FURTHERMORE THIS SURVEY
Driveway J SKETCH MEETS THE INTENT OF THE MINIMUM TECHNICAL
N Q STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA,
M I
!0 PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE
oi c CODE AND ITS IMP NTIINCyRCJILE,CHAPTER 472.027 OF THE J A F
FLORIDA STATU S.
144 ---N.E. 99th STREET • SIGNED: 2492 W 72ND STREET
GINO F RLANO SLAVEYOR AND MAPPER HIALEAH, FL. 33016
FLORIDA LICENSE NO.:5044
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL (786)416-1018 OFFICE
20'ASPHALT PAVEMENT RAISED SEAL OF THE FLORIDA LICENSED (305)817-9709 FAX
SURVEYOR/MAPPER NAMED ABOVE. jOSefall)Ul@yl'1'1ail.001Tt