FW-15-1877 Mai
Miami Shores Village PO #TxW Fly �tll
{� 10050 N.E.2nd Avenue
�'.... .., ' F f �t 1 '�"►G E?�! W660 F ft
Miami Shores,FL 33138-0000
Pelmit Status.-AP
Phone: (305)795-2204 y v
7'II2�1 `; Expiration: 01/25/2016
Project Address Parcel Number Applicant
8900 BISCAYNE Boulevard 1132060110160
Miami Shores, FL Block: Lot: JOHN AND ADRIENNE MILITANT
Owner Information Address Phone Cell
FJOHN AND ADRIENNE MILITANA 8801 BISCAYNE Boulevard
MIAMI SHORES FL 33138-3381
8801 BISCAYNE Boulevard
MIAMI SHORES FL 33138-3381
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HENRY'S FENCE INC (305)669-0180
Total Sq Feet: 50
Approved: Available Inspections:
Comments:
Inspection Type:
Date Approved: : Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:&HIGH WOOD FENCE GATE Review Planning
Classification:Commercial Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# FW-7-15-56481
$2.00 07/29/2015 Credit Card $64.60 $ 50.00
DCA Fee $2.00
Education Surcharge $0.20 07/24/2015 Check#:9169 $50.00 $0.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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: ,cert' at all th foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction t er I aut orize the above-named contractor to do the work stated.
July 29, 2015
Authorized Signat :Ow / —Applicant / Contractor / Agent Date
Building Department Copy
July 29, 2015 1
Miami Shores Village JUL 2`4 2015
Building Department BY
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
F B C 20/'y
BUILDING Master Permit No. F6d l �
PERMIT APPLICATION
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[]PLUMBING ❑ MECHANICAL E]PUBLIC WORKS [❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: qno -A Pi #J V
d -
City: Miami Shores LCount Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name(Fee Simple Titleholder): .J t�✓Y> � � ( ) " ` '.n ci Phone#:
Address: ; �i��,^s�/t�;,�{�
City: i _��t i s t e- State:_ L- _Zip:te t 1
Tenant/Lessee Name: njAG 1 J L � +y
"�-- Lt I'� Phone#: Jtl l `t
Email: Ci ?C..)f')
s dg�
CONTRACTOR:Company Name: Phon :��
Address:
City: State: Zi
� _...._ l
Qualifier Name: Phone#: �1
State Certification or Registra on#: Certificate of Competency#: 6 fj
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$__ If
Square/Linear Footage of Work:
Type of Work: ❑ Addition, ❑ Alteration ew ❑ Repair/Replace ❑ Demolition
Description of Work: _ '
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ -Train ing/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
ti
� 3
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 att chment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection wh' o curs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be oporove and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this ATheforeginstrume wa acknowledged before W this
i--C dayof ft,(2• q 20 /�; . byay f by
-�c �J n�L i 1 � wtio is personally known to wh is person ly kn to
me or who has produced as as produced
as
identification anld�)o did take an oath. identification and who�tflli -
NOTARY PUBLIC: f NOTARY PUBLIC: 'N��� �
•...•..
8A ks
n: (-(__4_ c�-J� Sign: _ �n
N tary Psplic-t e floddip
Print:
S al"E err Commission# 097566 D • •O
•,,,oi ��•� 6bnded Throw Nat W Notary Assn. Seal: •.��a 90 t��:pQ\S
ST
APPROVED BY Pla49�2 Z41ns Examiner ✓ Zoning
Structural Review _ Clerk
(Revfsed02/24/2014)
�._.
ttioRFs
Miami shores Village
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 compensation 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.
r Contractor
c
Print Name: ln 'V7 0— P Name:
-4mfil sb. V(
Signature: Signature:
State of Florida / State of Florida) X11111111111/
County of Miami-Dade) County of Miami-Dade)�����C?P�SROQ
eeeeeooe
Sworn to and subscribed before me this Sworn t scrib
day of ,20 day of
By
RUTH A.BYDASH 5-% #EE 188969 .° .
(SEAL) P lic-State of F
Type of Ide ification produced ; •''MY Comm.Expires Mar 27,'VWMX f Identi cation
Bonded t ro* W"A r�� fif ��
a►Y
HENRY'S FENCE, INC.
3931 SW 63rd Ave.
Miami, FL 33155
Phone: (305) 669-0180
Fax: (305) 669-5992
henryscoAbelIsouth.net
July 24, 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 person working on the fence project
located at: 8900 Biscayne Blvd Miami Shores, FL 33138
Sworn to (or affirmedl and subscribe befor me thispf ay of
III 2015, by
..1.11.111W)om
Personally known
Or produced Identification
Type of Identification Produced S�ROp����ii,,
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KaMiShores Village
�- •. :.: : : : :Building Department
10050 N.E.2nd Avenue
�L R,�A •. w ••• ••Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
❑ Shadow Box
❑ Vertical Picket
❑ Board on Board
nces < = 6' hi posts spaced at 4' on center maximum
igh posts spaced at 5' on center maximum
Fences < = 4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
lx 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 Tinto
concrete footing 10"
d is meter x 2'deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
Revised 06/22/2015