FW-15-1810 Inspection Worksheet
Miami Shores Village
10080 N.E.2nd Avenue Miami Shores,F!
Phone:(306)755-2204 Fax:(305)7564972
inspection Number:INSP-249187 PerrnitNumber: FW-7-15-1810
Scheduled Inspection Date: December 14,2015 Permit Type: Fence/Wall
Inspector.Naranjo,Ismael
Inspection Type: Final
Owner. PEREIRA,INNIA S Work Classification:Wood Fence
Job Address:409 NW 111 Terrace
Miami Shores,Fl. Phone Number
(305)924454$
Parol Number 1121360010450
Project: <NONE>
Contractor. HOME OWNER
Bullding Department Comments
6"WOOD FENCE em
INSPECTOR COMMENTS Felse m
Inspector Comments
Passed , CREATED AS REINSPECTION FOR INSR 242656.CREATED AS
REINSPECTION FOR INSP-242602. Permit must be available for inspection
4x4 should be space at 4 feet on center.
Failed ❑ good side of the fence should be to neighbors side.
The ends of the 2x4 horizontal member should be supported by the 4x4
wood post
Correction a
Needed
Re-Inspection
Fie
No Additional Inspections can be scheduled unil
re-Inspection fee Is paid
December 11,2015 For Inspections please calk (305)7624949 Page 41 of 45
Permit No. F -7-15-1,410 ,
Miami Shores Village Pef7??D Fent Mall
10050 N.E.2nd Avenue NWWO1 Cf25S1'cation,Wood Fence
n n�
Miami Shores,FL 33138-0000 �
Phone: (305)795-2204
�GORtD�
Issue at .72112 15 Expiration: 01/17/2016
Project Address Parcel Number Applicant
409 NW 111 Terrace 1121360010450
Miami Shores, FL Block: Lot: INNIA S PEREIRA
Owner Information Address Phone Cell
INNIA S PEREIRA 409 NW 111 Terrace (305)924-4848 €
MIAMI SHORES FL 33138-
409 NW 111 Terrace
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
HOME OWNER
.._. _ Total Sq Feet: 163
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:6"WOOD FENCE Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# FFW-7-15-56399DBPRFge $2.45
DCA FR $2.45 07/21/2015 Credit Card $ 180.10 $0.00
Educi Surcharge $0.40
Permittee-Wire&Wood $163.00
Scan�iprq Fee $9.00
Techn-*gy Fee $1.60
re..
Toft $180.10
n
C-7
tee_-
In cin.[asideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
per6ning thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
acting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
req'iTiied 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
c iQruction and zoning. Futhermore, a thorize the above-named contractor to do the work stated.
' July 21, 2015
Authorized Signature:OivneK / Applicant / Contractor / Agent Date
Building Department Copy
July 21,2015 1
Y'®�A C
Miami Shores Village F ftp '_1
JUL 2 2015
Building Department
BY
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 --
Tel:(305)795-2204 Fax:(305)756-8972 T H
INSPECTION LINE PHONE NUMBER:(305)762-4949 n
FBC 20 1 �)f
BUILDING Master Permit No. PW 1 l F) O
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION Ej RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 409 NW 111 th ter
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1121360010450 Is the Building Historically Designated:Yes NO X
Occupancy Type: Res Load: Construction Type: Masonry Flood Zone: No BFE: FFE:
OWNER: Name(Fee simple Titleholder):Marcel A Borges & Innia S Pereira Phone#:305-924-4848
Address:409 NW 111th ter
City: Miami Shores State: FL Zip: 33168
Tenant/Lessee Name: Phone#:
Email: inniapereira@hotmail.com
CONTRACTOR:Company Name: By Owner Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work: )0
Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: W 1�.D'-� ��" r
Specify color of color thru tile: 1
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$ V
(Revised02/24/2014)
c
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) Caliber Home Loans
Mortgage Lender's Address 3701 Regent Blvd#200
City Irving State TX Zip 75063
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.
Signature4-,gSignature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of �U 20 > by day of 20 by
N 114, J- who is personally known to who is personally known to
me or who has produced 'E�-- VQ VEL Li C—*E jas5�\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:
Seal: , °os Notary Public State of Florida
Sindia Alvarez Seal:
< My Commission FF 156750
�`aFcvo� Expires 0910 312 01 8
APPROVED BY v� Plans Examiner 1 (yl�Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
> o Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: In tQ�-Tt'rO DATE: 1/2 t f f S
ADDRESS: GOq OW III 'rcr 'NL;aM� 56mS fG 3340%
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. I 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 P
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
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 P
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 2
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial
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 ::CP
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 fisk.
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.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations. p
Initial -Tr
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 hftp://www.mvfoddalicense.com/dbor/oro/cilbriindexhtmi
Initial TCx.
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 constructio �activity at the following address:
y0q v1 W 11► '�cr ..ani,: Sly�vts . 3 SLG 8
Initial
12. 1 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. p
Initial If
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
beheld 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 L , 20
iC�1 P1t
By N 1 (� w lx`� who was personally known to me or who has
Produced there License or FL �� ��- � as identification.
Jj�
OWNER NOTARY
R
Notary Public State of Florida
Sindia Alvarez go
Expires 08/03/201815850
THIS INSTRUMENT PREPARED BY: CFN 2015RO4.37055
Steven L.Jones,Esta. OR BK 29688 Ps 1081 (LPss)
9999 NE 2nd Ave.,Ste.216 RECORDED 07/08/2015 11229:24
Miami Shores,FL 33138 DEED DOC TAX $1030.00
HARVEY RUVIN. CLERK Of COURT
RETURN TO: ifIA11I-BADE COUNTY► FLORIDA
Brokers Title Group LLC
20900 NE 30th Ave.,81'Floor
Aventum,FL 33180
Property Appraisers Parcel Identification No.11-2136-001-0450
WARRANTY DEED
THIS INDENTURE,made this--L_day of 9 .20 L�'between TANYA A.TRACH,individually and as Successor
Trustee of THE JEAN TRACH REVOCABLE LIVING TIRUST AGREEMENT DATED NOVEMBER 8,2001,whose post office address
Is c%Steven L.Jones,Esq.,9995 NE 2nd Ave.,Suite 216,Miaml Shores,FL 33138,grantor*,and MARCEL A.BORGES and INNIA
S.PEREIRA,husband and wife,whose post office address is 409 NW 1110'Terrace,Miami Shores,FL 33168-3327,grantee*,
WITNESSETH that said grantor,for and in consideration of the sum of then and 001100($10.00)Dollars,and other good and valuable
considerations to said grantor in hand paid by said grantee,the receipt whereof is herby acknowledged,has granted,bargained and
sold to the said grantee,and grantee's heirs and assigns forever,the following described land,situate,lying and being In Miami-Dade
County,State of Florida:
Lot 29,Block 2,of NEW MIAMI SHORES ESTATES,according to the plat thereof as recorded In Plat Book 51,Page 80,Public
Records of Miami-Dade County,Florida.
THE DESCRIBED PROPERTY IS NOT THE HOMESTEAD OF THE GRANTOR NOR IS IT ADJACENT TO OR CONTIGUOUS WITH
ANY HOMESTEAD PROPERTY OF GRANTOR OR ANY RELATIVE THEREOF.
SUBJECT TO(1)lanai use designation.zoning restrictions,prohibitions and other nequ'aements Imposed by governmental euthorites;(2)restrictions,
easements and other matters apearing on the plat and/or common to the suWWision; (3) public ud8ty easements of record which are Wcated
contiguous to the property litres;and(4)taxes for the year 2015 and subsequent years.
and said grantor does hereby fully warrant the title to said laid, and will defend the same against lawful claims of all persons
whomsoever.
*"grantor' and"grantee"are used for singular or plural,as the context requires
IN WITNESS WHEREOF,grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed,sealed,and area In our presence:
-�-�-t°t a ` (Seal)
TANYA A.TRACH
Printed or rmrhe: Individthaliy and as Successor Trustee of THE
JEAN TRACH REVOCABLE LIVING TRUST
AGREEMENT DATED NOVEMBER 8,2001
(S000k wibness)
Printed or typed 8: -Wovlff" .l-,•,,1d"7.�S
STATE OF FLOR
COUNTY OF MLAMl-RADE
THE FOREGOING INSTRUMENT was acknowledged before me this_�day of 20 Lby TANYA A.
TRACH, individually and as Successor Trustee of THE JEAN TRACH REVOC ff% G TRUST AGREEMENT DATED
NOVEMBER S,2001,who is(or are)personally known to me or who has(have)produ as identification,and who
did(did rot)take an oath.
My commission expires:
me:
Rotary Public,St offtrld
S' ONES
Notary Public-State of Florida
My Comm Expires Dec 5.2016
* Commission#EE 850621
&(;am Througe hauo?al Notary Assn
Book29688/Page1081 CFN#20150437055 Page 1 of 1
OR
♦ FS 1l
s1111iami shores Village
eggs
Building Department
R,�A 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
❑ Shadow Box
❑ Vertical Picket
Board on Boar N c,,�Cd l ► ��� l
'.,, cam-.
Fences < = 6' high posts spaced at 4' on center maximum
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
::E:pw lx pickets fastened
..-- with two corrosion
resistant fasteners per
connection
2X4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
sees
• • see• •Osseo
••see• e• •Dees•
4x4 pressure treated •e o:e e e e
posts embedded 2'into •so**:
concrete footing 10" • O • •
sees • •• ••see
diameter x 2'deep � e
eo•oe• a eeeee
• e sees••
ALL woad must be pressure treated
•• ee • sees••
All fasteners must be corrosion resistant :e e e •
No less than two fasteners in any connection � e :...:. a"e e'
• • :see**000 •sees•
so.* .
1150 E. ATLANTIC BLVD. ACCURATE LAND SURVEYORS, INC. TEL (954) 782-1441
POMPANO BEACH
FLORIDA 33060 LB. #3635 SHEET 2 OF 2 FAX. (954) 782-1442
LOT 3 LOT 4 • LOT 5
BLOCK 2 I BLOCK 2 I BLOCK 2 °
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"tot e ortga d title purposes only and is not valid for design or construction pu>pb
n ••••••
• OM48MM DIED FIELD MEASUREMENTS ARE IN AGREEMENT WITH RECORD CERTIFICATION: • • • ...
Ts. THIS IS To CERTIFY THAT I HAVE REcENTL7 Sl1RVE&D THE •
.BEARINGS SHOWN HEREON ARE BASED ON A-BEARING OF N/A PROPERTY DEsmew IN THE FOREGOING ON AND HAVE• •
INE.LAAJBS S)ROYIl;HEREON.WERE NOT ABSTRACTED FOR OWNERSHIP, SET OR FOUND MONUMENTS A�fND*'A OPi �9CETCH AND • *egos*
GHTS-�rWAY EA IBI'IS,�.OR 07H R MATTERS OF RECORDS BY ACCURATE LAPD) THAT SND ABOVE GROUND SURV Y AND ACCURATE
_CBCT TO THE SM:•OF y'Ktd AND 1 .I FURTHER • •.
IPXw M-�j;��'J ••��••
.OWN1RStFD+
OF FENCES ANO WALLS.IF ANY NOT DETERMINED. CERTIFY THAT THIS SURVEY' pMININpDlt�O� CAL-ST � • •
'DOS DRAVANG;15 P'NE,PRO'ERTY OF.ACCURATE LAND SURVEYORS,UTC.AND SHALL UNDER RULE SJ-17 ADOPT THE.Mf OF LA • .
T BE USED OR.REPRODUCIED UI WHOLE OR IN PART WITHOUT WRITTEN SURVEYORS,JANUARY 11 20101- •••• •• •••••
THORIZATION. ... - - Pr. . - • •
SURVEYTHIS CONASTS OF A.MAF AND TEXT REPORT.ONE IS NOT VALID.WITHOUT .. "•"••••• • " • _ •••••
THIS SURVEY1$MAO"c FOR THE EXCLUSIVE;ISE OF THE CERTIFIED HEREON,TO BE •••••• �_04�•••
VALID ONE YEAR FROM THE DATE OF SURVEY AS SHOWN. - 0#9000
EL THIS SURVEY WAS!JADE"FOR'aMCRTCAGE-"AND TITLE PURPOSES ONLY AND SHOULD ''-h'i"•4'• 5 �- - . ". •NOT BE USED FOR CCN OR CONSTRUCTION RPP5E5..�, , • - I�H VALID VMOUV AND SIONA `. ...� ..
-. •,., 7Ht•OWGINAL•RAISED ••r•••
_ - -SEAL OF A FI"A
•'.:."eCENSED SURVEYOR •... •
. •! • MAPPER 0000••
REVISIONS.. ^, DATE BY �.��c_-. 1�/�•,��ys. •:: •• •• - •, •
ROBERT L THOMPSON (PRESIDENT) 0
PROFMONA.SURVEYOR AND MAPPER Na386a STATE OF FLORIDA
DATE OF SURVEY DRAWN UT - CHECKED BY FIELD BOOR
06-12-15 AL ,IMS 15-2055 SCALE 1"= 20' SSU-15-2055