FW-15-2803 a
Inspection Worksheet ;
Miami Shores Village
t
10050 N.E. 2nd Avenue Miami Shores, FL }
Phone: (305)795-2204 Fax: (305)756-8972 ��
Inspection Number: INSP-247554 PermitNumber: FW-1`1-15-2803
Scheduled Inspection Date: November 12,2015 Permit Type: Fence/Wall
Inspector: Rodriguez,Jorge Inspection T e• Eo ► tFer�-
Owner: RICE, CORRIE Work Clas ifi tion: Wood Fee
Job Address:41 NW 105 Street
Miami Shores, FL 33150- Phone Number
Parcel Number 1121360050290
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
WOOD FENCE REPAIR, CHANGE IT TO 6 FT. 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.
November 10,2015 For Inspections please call: (305)762-4949 Page 24 of 34
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Miami Shores Village ``` \ ",ft""
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4 10050 N.E.2nd Avenue NW �O p ` `\ '81,
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Miami Shores, FL 33138-0000 \sem
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Phone: (305)795-2204 �'�, � • 3 •• �
W 11 j�a Expiration: 05/07/2016
Project Address Parcel Number Applicant
41 NW 105 Street 1121360050290
Miami Shores, FL 33150- Block: Lot: CORRIE RICE
Owner Information Address Phone Cell
CORRIE RICE 41 NW 105 ST
MIAMI SHORES FL 33150
Contractor(s) Phone Cell Phone Valuation: $ 300.00
HOME OWNER
Total Sq Feet: 70
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved: : Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOOD FENCE REPAIR,CHANGE IT Review Planning
Classification:Residential Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# FW-11-15-57650
$2.00
DCA Fee $2.00 11/09/2015 Check#:2300 $ 114.60 $0.00
Education Surcharge $0.20
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: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction andr
ng. Futhermor uthorize the above-named contractor to do the work stated.
November 09, 2015
Authorize Signature:Owner / A i / Contractor / Agent Date
Building Department Copy
November 09, 2015 1
Miami Shores Village
QS) Building Department 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax: (305)756-8972 _(
INSPECTION LINE PHONE NUMBER:(305)762-4949 t ( F
FBC 20
BUILDING Master Permit No BUJ (S--
PERMIT APPLICATION Sub Permit No.
I L D I N G ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: F �
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type:,NU10 Load: Construction Type: Flood Zone: BFE: FFE:
Jyz ,,
OWNER: Name(Fee Simple Titleholder): i Ci IQ< lid\C,t Phone#:,:qI " A 7 ' 1 15
Address: t W
City: 1` era vrt \��C e. State: ' i_- zip: 3`3 15 l
Tenant/LesseeName: Phone#:((��
Email: `ti....g re Q, + �^ .\( _. c's3 r r ' r Y"1
i
CONTRACTOR:Company Name: ? C. I Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration M Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 00 Square/Linear Footage of Work: f,
Type of Work: ❑ Addition ❑ Alteration ❑ New E epair/Replace ❑ Demolition
Description of Work: 1�7 e_�"z r `�
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$ 1 ` j'
TOTAL FEE NOW DUE$ I `1 . G
(Revised02/24/2014)
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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
C) 2- day of �40\FLMIE' tk-- 20 IS by day of 20 by
�►^� 1 tt who is personally known to who 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: gr
t { ' L VC f-) Print:
Seal:
oarpr's�� Notary Public State of Florida
r Sindia Alvarez
My commission FF 156750
0,P6� Expires 09.'03/2018
APPROVED BY it to If11 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
5HOxes
, I y� Miami Shores Village
� pc.1932
� Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: � `IC �� DATE:
ADDRESS:
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).And I have
read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption
allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the
construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a
cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or
lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built
for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on
your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and
with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all
applicable laws,ordinances,buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an
exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain
restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility. �'/
Initial Cl
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name.I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
Initial C ct
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial
building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale or lease,which violates the exemption.
Initial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial l��V
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial CX_1__1
s
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I,as an owner-builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow
these may subject to serious financial risk.
Initial
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and
requirement that govern owner-builders as well as employers.1 also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/ciIb/index.htmI
Initial
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
�� 'NDN 10��' `��—. �•��vw�jY����j � 33i �, { ,
Initial C_*�''�
12. [agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on
this disclosure. C -,
Initial
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or
employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder
permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property
owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this day of 13T 20 !�
By NtZRt t✓ f60P t who was personally known to me or who has
Produced there License or �� t`JS as id + i +cei�+a�nr�,r�r,wr,
��nr Pye� Notary Public State of Florida
Sindia Alvarez
WMy Commission FF 156750
�°� Expires 09/03f2018
OWNER �X./ �--' NOTARY
SKORES Gil
s 1 Miami shores Village
agog ..,,.
Building Department
10050 N.E.2nd Avenue
�t0RIDA Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
•••••• ••••••
WOOD FENCE DETAIL
❑ Shadow Box '""• ••"•' .•:•.'
❑ Vertical Picket ••.•'• •
f�i Board on Board .••••• '•
Fences < =6' high posts spaced at 4' on center maximum, "See • "' •
Fences < = 5' high posts spaced at 5' on center maximum •
Fences < = 4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
vw 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"
diameter 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
LOCATION SKETCH
o SCALE: NTS
�N 122.67' ( R $ IVI ) dti �1��J1
O. 37.50' +
12
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PROPERTY ADDRESS: 41 N.W. 105TH ST. , MIAMI SHORES, FL. 33150.
LEGAL DESCRIPTION: LOT13
' BLOCK 203
ABBREVIATIONS: OF DUNNING'S MIAMI SHORES EXTENSION NO. 1 SUBDIVISION
SIM(=SIDEVY4LK CBS=CONCRETE BLOCK STRUCTURE,CLF=CHAIN LINK FENCE,PL=PROPERTY LINE,DUE=DRAINAGE UTILITY EASEM ENT,IP=IRON PI-E.
F=FOUND,A/C=AIR CONDITIONER PAD,P/C=PROPERTY CORNER,DM=DRILLED HOLE,VWF=WOODEN FENCE,RES=RESIDENCE,CL-CLEAR,RB=REa'R. ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK--4-'—AT PAGE 51
UE=UTILITY EASEMENT. CONC=CONCRETE SLAB. RAWRIGHT OF MY, DE=DRAINAGE EASEMENT, C/L=CENTER LINE, O=DIAMTER,TYP=TYPICAL, _
M=MEASURED.R=RECORDED,ENCR=ENCROACHMENT,COMP=COMPUTER,ASH=ASPHALT,N/D=NAIL&DISC.S=SET,FEE=FINISH FLOOR ELEVATION,. ` OF THE PUBLIC RECORDS MIAMI-DADS COUNTY, FLORIDA
0/S=OFFSET,P/P=POWER POLE,OHP=OVERHEAD POWERLINE,VOg=PATER METER
.. _..._.L.-v�oobFENCE= - �. tam • • • •
MASONRYVIALL= ; ELEVATION BASED ON LOC.# 3100
CONCRETE=I :S;s•.:;NAs.�rrs:ii=:i' '•�:.Y.•ai'•
NOT VALID UNLESS EMBOSSED WITH MAINTENANCE&DRAIGEEASEMENIT=M&O.E. • + r %BM# N-567 ELV. 10•54 TYPE OF SURVEY:BOUNDAF.'Y SURVEY SINCE 1987
SURVEYOR'S SEAL •• ••• •• • ' ' " 1 HEREBY CERTIFY That the survey represented
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2)NOT VALID WITHOUT THE SIGNATUPE thereon meets the minimum technical requirements BLANCO SIJRV?'YORS INC .
AUL AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT adopted by the STATE OF FLORIDA Board of Land
COVERED BY PR FE
�``-�— Q $$IQNAL LIABILITY INSWG;AW+ E. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT 5) Surveyors pursuant to Section 472.027 Florida Engineers•Land Surveyors•Planners•L8#0007059
Y
UNDERGROUND �ENERO, HM NTS;N+rjT LOCATEEI 6) ELEVATIONS ARE BASED ON NATIONAL GEODETC Statutes. 555 NORTH SHORE DRIVE
VERTICAL DATU4JQF 1 29..A .01MVER8HIP,-OF ;�CES ARE UNKNOWN. 8) THERE MAY BE ADDITION/:4 There are no encroachments, overlaps, easements
RESTRICTIONSNQIiSHC4ft 0 SS,;J�2VEYliHAT rJAY BE FOUND IN THE PUBLIC RECORDS OFTHIS COUNTY. 3) appearing on the plat or visible easements other than MIAMI BEACH,FL 33141
CONTACT. THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING as shown hereon. (305) 865-1200 Email:blancosurveyorsinc@yahoo.com Fax: (305)865-7810
INFORMATION. 10)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
REVISED: INSTRUMENTS,IF AN.Y,,4FF.ECTIWG•TH4S eft,QPFpRTY.• FLOOD ZONE: X SUFFIX: I DATE:9I11/09 BASE:N/A
Additions or deletiols telsurvey�ps Zr re�ortAy other than the signing partyorparties is prohibited .�C[, �� 0302 120652
ADIS N. NUNEZ PANEL. COMMUNITY# 5
without Written COIISCnt U!441-viQ �aSt;Or leS. REGISTERED LAND SURVEYOR DATE: SCALE: DWN-BY: JOB No
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE-OF SAib M�41 PAGE 51 STATE OF FLORIDA#5924 7/24/14 1"=20' F.Blanco
14-626 _ ......