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FW-15-1701 Permit No. FW-7-15-1701 � --OR Miami Shores Village M Permit Type:Fence/Wall 10050 N.E.2nd Avenue NEPen ' Work Classification:Wood Fence ,,,• ""''" Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 rt>ty* bsuedate:71141201'5 Expiration: 0 111 0/2 0 1 6 Project Address Parcel Number Applicant 420 NE 95 Street 1132060140461 STEVEN ZELKOWITZ Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell STEVEN ZELKOWITZ 420 NE 95 Street MIAMI SHORES FL 33138-2730 Contractor(s) Phone Cell Phone Valuation: $ 1,220.00 SAMADA FENCE INC (305)720-6344 - - Total Sq Feet: 32 Approved: Available Inspections: Comments: Inspection Type: Date Approved: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:WOOD FENCE BOARD ON BOARD E Review Planning Classification:Residential Scanning:3 Review Building �JE Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# FW-7-15-56267 DBPR Fee $2.00 07/08/2015 Check#:2733 $50.00 $66.20 DCA Fee $2.00 Education Surcharge $0.40 07/14/2015 Credit Card $66.20 $0.00 Permit Fee-Wire&Wood $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 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 A#ing I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio . Futhermore,I authorize the above-named contractor to do the work stated. J July 14, 2015 Authori ignature:Owner / Applicant / Contractor / Agent ate Buildin Department Copy July 14, 2015 1 Miami Shores Village E:e-rNj�j T�D J2015 Building Department ` 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. _ Tel: (305)795-2204 Fax:(305)756-8972 '�- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.k& PERMIT APPLICATION sub Permit No. INnUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP \ ^ q c CONTRACTOR DRAWINGS JOB ADDRESS: Ll d�-� ILD I6 ! 9- .51t_ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: -Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): 'ey �% -C�i �OlJl�'i� Phone#: 30s- 3 O/ - ST 3 Address::,� -` �-O IV E 9 S S'r City: , J State: -- Zip: 33 1-38 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 0. ��� L e ��✓�C. Phone#: 9Sy—fSY3-0 Address: 0 W City: a-1 e-- C_� v State: 1►� � Zip: 0 I Qualifier Name: S e r�4 d R. C'11-1 c Phone#: 3 OS-- -) d O - (3 '-/'Y State Certification or Registration#: Certificate of Competency#: I/ �� D O 3 Y-7 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: / �0 - ©40 5 g Value of Work for this Permit:$ Z quare/linear Footage of Work: .3.)_ 1 Type of Work: ❑ Addition ❑ Alteration (� ❑ New ❑:Rep it/Replace ❑ Demolition Description of Work: t p f I Ll 8 1A Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ be) �G (Revised02/24/2014) r,` w 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 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 Signature 7'C OWNER or AGENT CONTRA The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of � 20 l by day of 20 by S�'2y E,-% bldk-e W114-1 ,who is personally known to r 16 is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: . gv.: Nery Avila Seal: ,AVIFkIlf Ne Avila Seal: `k �•1;' COMMISSION#FF1361V =� �= COMMISSION#FF136164 EXPIRES: July 17. 20nEXPIRES: July 17, 2018 ***WWWAAR0*NRT,4(** ���******WWWAA*ONNO**R***B************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) SCORES txC t932 Miami Shores Village 1511 Building Department 10050 N.E.2nd Avenue r"LV8�� Miami Shores, Florida 33138 �ZORIDp' Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF (DADE) The undersigned Affiant,e�+ 1 ,ZeA '/does hereby attest that (Property owner) The attached survey, performed by L,Gt✓1Atlr-7 � 6,iW&ia- (Name of surveyor's company) For address: �� I►�. �h `=��el W l��„^: ateS �L �Zi 1 Performed on (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. Furthe , ant say eth naught. Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this sy day of %, a I '�:- Affiant is personally known to me, produced v as identification. Nery Avila COMMISSION#FF136164 EXPIRES: July 17, 2018 Notary ��i Revised on 5/22120091 Revised on 6/12109 www.AARONNOTARY.COM Ju1 . 08 .2015 11: 47 AM Samada Fence Inc 3058238551 PAGE. 1/ 1 Client#:1452573 132SAMADFEN ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD)YYYY) OW04/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSt1RER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the oertificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the ce)tiflcate holder in lieu of such endorsement a. PIIfpDUCER MTACT dli&T-Oswald Trappe and Company E.�}g 954 389.1289 868802.8684 ZYUo N Commerce Pkwy,Ste 204 I o Ext 1 ac Ne: Weston,FL 33326 d�`k..: 954 389.1289 _ INSURBR(S)AFFORDING COVERAGE NAIC 0 _ INSURER A 1 Traveler$Props Casualty CO 25674 INSURED Semede Fence Inc lN8URER a:Hartford Fire Insurance Company 19662 Sergio INSURER C; 110 West 31 at Street INSURER D; Hialeah,FL 33012 INSURER E: r' INSURER P COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 168UC-0 OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL THE'TERMS, EXCLUSIONS AND CONDITIONS Ow SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. TYPE OF INSURANCE DL PoucY NUMBER P LIMITS - ---- Its, p.. ..._ .__��. ., -_ �► � �,,._. F�.__...� _. -- A GENERAL LIABILITY 6602D999168 6/07/2018 06/07120V ppEAp,��C,,��HgqQ�OEECCCrURRENOE s1 000000 COMMERCIAL GENERAL LIABILITY PREMI885 a uoaTLEenae s I()0,000 CLAIMS•MADE OCCUR MED EXP(My onePerson) 15,000 10E, PD ded:250 PER6_O_NAL 6 ADV INJURY $1 000 000_ _ �— 7.A00REOA7p LIMIT APPLIES PERGENERAL AGGREGATE s2009S000: PRODUCTS•COMPIOP A00 $1,000,000 POLICY P LOC AUTOMOBILE LIABILITY = Ea oca Drs ANY 4DED UTO BODILY INJURY(Par person) s D LA LEO BODILY INJURY(Per axbenl) S OS NED PROPERTYDAMA6ELIARUREACH CCCURR6NCE AB M&MADE AGGREGATE S RETENTION WORKERS COMPENSATION we TATO• 0TH. _ AND EMPLOYGRs'LIABILITY ANY PROPRIETOWPqR@g�E7�ECUTIVE Y/N OFFICEFUMEMBER EXCLTUOED7 N/A C.L.EACH ACCIDENT (Mandatory in NH) ' If damprbe undar E.L.DISEASE•EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below P.L.DISEASE•POLICY LIMIT $ B Surety Bonds 21BSBtEB4S32 9/30/2013 09/30/201 2,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If mors specs Is required) Fence Erection Contractors CERTIFICATE HOLDER E A Miami Shores Village $MOULD ANY OF THE ABOVE DE9CRIBSD POLICIES Be CANCELLED BEFORE Building Department 1 OOSO NB 2nd THE EXPIRATION Arii THE POLICOF' NOTICE PROVIBtONs WILL OF DELrvEREb IN Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE a � 01988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #514266021/M14265980 LIDO e � SNoRFs G Miami Shores Village �,,,, C FT Y Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 QTel: (305) 795.2204 Fax: (305) 756.8972 WOOD FENCE DET o Shadow Box o Vertical Picket o Board on Board hor�2onta\ � qNv` �tizp� vect�cal and ce G ood Side DUt.pt a fence sha11 sa\ocaked — Fantes G members which th� C I n g VO support\n9hQF �r<— �ldicF�sosts s on c er maximum RFc� Fkg� tntecsor gi� de paced at 6"o center maximum @An�th ��Hi ence must not exceed in height S dot A 1x pickets fastened with two corrosion 101 resistant fasteners per connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection . .. ... . . . . . .. •• •`40pressaretreated •• •••posts embedd;d2•into concrete footing 10" diameter x 2'deep . . . . . . . . . . .. . . . . . . . . . A";wadd must IS%�restuw Mated All fasteners must be corrosion resistant No lass than tm fastianers in.any connection . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . May 2009 15-V 70 fA4 p /pp 00 � Ons , 'Ll 2-41 3� ' i inp Catas.. I !AO 77•70' Gw �E o MAW-wcru cY1 Q1v0, - � �l� - 33•�Of ,Goof+ S bf?'1 o Z o! i n g� (/V o o �c, One va A ' oved o S•oo' Y c701Y1/ j o Z4-.Co O' • _ conies K/z,15 o z70 lot To 3 wood rn � i • i i`i tlZ• QL. for C9410 Lp •TI llv( 4ciio on 41 G'KOZ7�� o ••• •�� • • w• Ail , This property described as: t Lots 9 and 10, Block- 52 -LD��O� `- rf N©T 7-O slAtE---_ _ o MIAMI .-SHORES SECTION NO. 2, f9 a according to the Plat -?:57A/ J771sF 7' thereof, as recorded in l�©+ Ad Plat Book 10, Page 37 - ---of the--Publ- c—Records-of v Dade.- County, Florida. b IZ !l 1 S ?. z 0 �� 5 t.LE uoi y L%;Q ) 14 is Ito 11 f8 o x t „ tri - n z W Note: Underground eneroachmetns and utilities, if any, not located. Fence ownership by visual means .only, legal ownership not determined. PROPERTY OFZell�awitz.,.:4ySt�ve YJn7 .Alison L. , 420 N.E. 95th Street, • •• • • • • ••• • Miami Ores, Florida. Unless it bears the signature and .. J �ifSou A)l ' LANNES and G A R C I A, IN—C. the original raised seal of a Florida I hereby certify that the survey repro- L.B. #2098 licensed surveyor and mapper this sensed hereon meets the '"'nimum ENGINEERS - LAND SURVEYORS - LAND PLANNERS drawing,sketch,plat or map is for jeC}1��andar4F set I'�'by'he Bard Rene Ai esvives P.S_M. #4327 informational purposes only and is • k'ni p in• ��� not valid. j • Office address: 359 Alcazar Avenue,Coral Gables,Florida 33134 S•X205.ih 6ta�Nd Ther ark r� • •ERCOa�""`"a' •°"`" " a ^K Mailing address: P.O. Box 561131, Miami, Florida 33156 appearing on the Mat• other than as shown hereto. ... .�. (305)666-7909 (95-1) 523-9663 Ft. Veg. W-14-4p,0.. DATE SCALE DRAWN BY DR4VG. \O _ _ Q�r ro-z4-q(, 1 I"= 2 C- 0• f r131 46642 �- Recerti leName and CerTitiedTO 102845 --