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FW-15-2871 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-247782 PermitNumber: FW-11-15-2871 Scheduled Inspection Date: December 16,2015 Permit Type: Fence/Wall Inspector: Rodriguez,Jorge Inspection Type: Final Owner: ANDERSON BLACKMAN, MARIE Work Classification: Wood Fence TAW'WA Job Address:1259 NE 97 Street Miami Shores,FL Phone Number (850)591-4870 Parcel Number 1132050090420 Project: <NONE> Contractor: AMELIO FENCE CORP Building Department Comments 6 FEET HIGH WOOD FENCE 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 15,2015 For Inspections please call: (305)762-4949 Page 24 of 51 1 � Miami Shores VillageFBY �" L1I � 2015 Building Department ` 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECr10N LINE PHONE NUMBER:(30S)762-4949 FBC/ 20 / Y' BUILDING Master Permit No. Fp /-Z;7— PERMIT APPLICATION Sub Permit No. ®BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ®�✓�% A...,6 ZZ 5-f/7 CC 7" City: Miami Shores County: Miami Dade Zip: 33 13 S Folio/Parcel#: //—31_PJ bog= o (f L Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: f�f BF/E�: FFE: (, OWNER:Name(Fee Simple Titleholder): �y vr- Phone#&E-o �Yl—I-le—ze Address: /_a 6C IV L j!' 7 S 72L CG T City: ^1i .ST/6/Zh.0 1//I-4-fX—C state: Zip: ,33 13 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: dei CLQ f:e 6,e L- l®ofx Phone#:,30429119.2 --®%DO Address: ex?,$' /6JS �- / City: f (� 'l ! State: r!. Zip: 33-4016 Qualifier Name:• /�/ P✓�/ d ei2AAP5-Pc,1%%n/ Phone#:3GtS ff.Z ®9 46 State Certification or Registration#: Certificate of Competency#: no/or Z. DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ,r.w, a . Square/Linear Footage of Work: J 10 Type of Work: ❑ Addition ❑ Alteration I?New ❑ Repair/Replace ❑ Demolition Description of Work: d eeu /106ti 4`ev 9 )*es-/C 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$ V (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 properly 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. t Signature Signature OWNER or AGENT CONTRACTO The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of A..,® 20 /Jr ,by 17 day of A..-cov ,20 /f .by JLldr�a � rC.'y �..Issf�P who s`personally known to And- 6.,e elkee., ,wh !s per me or who has produced 0/9L 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: �i� Sign: / Print ,v V'JPrint .•p....._....4.,s YANELLA YANES Seal: :•= MY COMMISSION#FF007876 Seal: '= s MY COMMISSION#FF007876 +''6" 'off'' EXPIRES April 14.2017 i;i-.'......: '�M„„;m•''` p +.,?�a� EXPIRES April 14.2017 ( n 388-0153 FlorldeNotoyServimcom (407)3lfi-0153 FbrldallotaryServtce.com APPROVED BY OL l41�� Plans Examiner �� l d Zoning Structural Review Clerk (RevisedO2/24/2014) ,5 0 E°°° °°°°°M Miami shores Village y� Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 CONTRACTORS' REGISTRATION Fax: (305) 756.8972 IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: OPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. COPY OF LIABILITY INSURACE* L-1 c COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 WA Certificate must specifythe descd _ion_of ouQrat ons or contractor license num�pr ■��®e®®os®■��o��we��s��ao�ooaeea®e®eeeeeeeeeemm®e��a BUSINESS NAME: BUSINESS ADDRESS: 2 ,Z cf r,-- CITY STATE GL ZIP 3�os.� BUSINESS PHONE: ( 1 ��_J�� FAX NUMBER CELL PHONE( 3v3' ) 41 3 JVcr QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: q 3 AX0 0/a 4 CorahsWonTdes ouai Board BUSBIES S CERTIMATE OF--,CC Nty 93BS00102 MELIO,, CE GORE D.B.A.: I CONCEP,: '', ELIO is certified undesP ,. ,WWWons of Chapter loaf Miami-Dade i 0 OM19 Municipal Contractor's Recut Miami-Dade County, State of Flori a —THIS IS NOTA BILL — DO NQTPAY MC 938500102 BUSINESS NAMFULOCATION RECEIPT NO. EXPIRES AMELIO FENCE CORP 7470004 SEPTEMBER 30, 2016 259 W 24 ST HIALEAH FL 33010 Pursuant to County Code Sec 10-24 OWNER SEC.TYPE OF BUSINESS AMEUO FENCE CORP SPECIALTY BUILDING CONTRACTOR BY TAX COENT LLECTOR Category(s) 1 93BS00102 $175.00 08/05/2015 FPPU04-15-009838 For more information,visit www miamidade govtta=.101ecmr OW2CS Local Business Tax Receipt Miami-Dade County, State of Florida THIS IS NOTA BILL — DO NOT PAY �LBT ) 2892751 BUSINESS NAME/LOCAT/0N RECEIPT NO. EXPIRES AMELIO FENCE CORP RENEWAL SEPTEMBER 30, 2016 259 W 24 ST 785767 Must be displayed at place of business HIALEAH FL 33010 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED AMELIO FENCE CORP 196 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR Worker(s) 10 93BS00102 $45.00 08/05/2015 FPPU04-15-009838 This Local Business Tax Receipt only confirms paymeat of the Local Busing Tax.The Receipt is oat a license. permit,or a certification of the holder squalificabeM,to do business.Holder most 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 Cade See tla-276. ACCO o® CERTIFICATE OF LIABILITY INSURANCE °ATE`MMI° „' 4.� 1 11/11/2015 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate 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 certificate holder in lieu of such endomement(s). PRODUCER ME ,ACT Mercy zzcampuzano Fortun Insurance, Inc. PHONE (305)445-3535 No:(866)415-0825 365 Palermo Ave. AD RESS,mercy.campuzano@fortuninsurance.com INSU S AFFORDING COVERAGE NAIC# Coral Gables FL 33134-6607 INSURERAGranada Insurance Cc INSURED INSURER B MAPFRE Insurance Co. AMELIO FENCE CORPORATION INSURER C: 19606 NW 62 Ave INSURER D: INSURER E: MIAMI FL 33015 114SURER F: COVERAGES CERTIFICATE NUMBER-CL1561807964 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 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILSR TR TYPE OF INSURANCE L POLICY N MBER POLICY EFF POLICY EXP LIMITS R COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 GE TO RENT A CLAIMS-MADE ®OCCUR PREMISES Ea rrence $ 100,000 0185FL00010202 6/20/2015 6/20/2016 MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 % POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBIN DSINGLE IN LIMIT $ 10/20/10 Ea acddent B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED B SCHEDULED 41150120006037 6/18/2015 6/18/2016 BODILY INJURY(Pm accident) $ HIRED AUTOSAUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident pip-Basic $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N ISTATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If gas,desrtibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Lic#93BS00102 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Hector Fortun/JG ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025=14ntt J JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW • CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual lis ed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 1/28/2015 EXPIRATION DATE: 1/2712017 PERSON: CONCEPCION AMELIO FEIN: 650088957 BUSINESS NAME AND ADDRESS: AMELIO FENCE CORP 259 WEST 24TH STREET HIALEAH FL 33010 SCOPES OF BUSINESS OR TRADE: FENCE INSTALLATION AND REPAIR- Pursuant to Chapter 440.05(14).F.S.,an officer or a corporation who elects exemption from thth chapter by fM9 a certificate of election under this�dfon may not recover bartelits or compensation under titin chapter.Pursuant to Chapter 440.05(12).F.S..Certificates of election to be exempt..apply only within the scope of the business or trade listed on the, of etection to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notfoes,of election to be exempt and cia6Tnates of effort to be exempt 00 be subject to revocation d,at any tune atter the fUbtg of the notice or ft issuance of the oarlificate, the parsen named on the notioa orcerillitmts no longer mrd the requirements of this section for Issuarm of e ceffillcat&The department shag revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 v 5goRFy @all Miami shores Village Building Department Rte` 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 I0 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 and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: 3xill ner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 9 day of A,G v ,20 &r. By 4-r6- ,who is personally known to me or has produced as identification. Notary: YAN LLA YAN S SEAL: t' •E " MY COMMISSION#FF007876 !rwr ,. EXPIRES April 14,2017 AMELIO FENCE CORP. 259 W 24P Street Hialeah, FL 33010 Tel (305) 882-0900 Fax(305)882-0630 November 12, 2015 State of Florida County of Dade Before me this day personally appeared Amelio Concepcion of Amelio Fence Corp. who being duly sworn, deposes and says: That he or she will be the only person working on the project at: 1259 NE 97h St. Sworn to (or affirmed) and subscribed before me this 12 day of November, 2015, by Amelio Concepcion Personally Know Or Produced Identification Type of Identification Produced Print o a YANELLA YANES MY COMMISSION#FF007876 AXops '•"„'�n�;o�.' EXPIRES April 14,2017 3t1�1 F Not o AMELIO FENCE A 259 WEST 24th ST., HIALEAH, FL 33010PR®�®SAI. Ph: 305-882-0900 - Fax: 305-882-0630 Toll-Free: 1-877-204-2268 Submitted to: ,��LO' �� .�illAi//� ®�gZ AL, i Date:/ "G) 7 r%l✓�' Address: .fib �7 /1/ 2 7 :S ��L. y� Tel:92!5;d Location: Fax: % �lVe�rk Speclficatl®nsS��/.}�r� _ n � All material is guaranteed to be specified and the above work to be performed in accordance with the drawing and specifications submitted for above work and completed in a workmanlike manner. MATERIALS SPECIFICATIONS Aluminum Wood Galvanice Steel Chain Link Total Height Total Height Total Height Total Height Post Post T Post Corner Post Channel Stringers Stringers Line Post Picket Board Picket Top Rail Gate Post Stile Gate Post Wire Gauge Drive Gate Drive Gate Drive Gate Drive Gate Walk Gate Walk Gate Walk Gate Walk Gate Ilk SKETCH Job Sales Price State Sales Tax $ �� -/-Permit Fees $'C"� Down Payment $ ��• a Balance Due Upon Completion $ This proposal is subject all covenants and conditions on the reverse side hereof,and is not bindind Amelio Fence Corp.Purchaser hereby agrees that he/she has read and understands all terms and conditions as explained on the back of this agreement.Furthermore,Purchaser/Owner agrees to pay all Court cost,attorney fees,and any other expenses incurred by seller in an effort to collect payment upon default thereof by Purchaser.The above prices,specifications and conditions are satisfactory and hereby accepted.You are author¢ o work as specified.Payment will be made as outlined above. 9 Salesman: Customer Acceptance Date (.mmnnnv Annrnval Date �a.�ro�e �t.e1.. (, � �+%6a +....v--o �t,.a-e �l�rs.-.vl��►./t /�e'.t.>r� -� �•��9-4sa Are`. 6Ar.*;6,1 fe—ec Professional Lend Surveyors&Mappers NDARY'� H amt GRAPHIC SCALE ,m+waeaaaal.allosunwropecaa MY 20 0 10 20 JWr N.W.72M AVENUE 4904 NO MA110 WI 003RN WLAMI PLO BARE NO.202 U Mt WLAMI. )M-33129 Pave PPpaa.a ai9a4 t 978)STREET PA loos)ass-oa2o PM t239)eaa•aeao ABAhB .FLORIDA,33138 PAR i f3=)E82-0401 RAXt 1239)040.2880 I LOT-8 I I 1 . LOT-3 fBlf�-JVAE 7 d BLOCK-3 I OVERHEAD d LOT-4 (C BLOCK-3 LOT-6 - BLOCK•3 ) d I F Ur ___ �__ ui. CAP y BLOCK-3 --- � - — —7 -�, � - — — - -- — — — �• ......>, _ 91280• KLA- suE� 1 asvra .bm ��, 0.88'CL MW*C) . ZONE AE' I + over>•?Ao ro) S �.. LOCATION AIN Sl�TCN ELEV.spa ; L Wuas ° BTBPB& .�:�d� ZONE AE• CROACHRiBY'MO7f<'S• G`�¢C"0• am�. AC PAD cam I �/ a A'SfgliHI/B8t124/0P.'CI PflO '^'�� : a06aN[a(00E00ial � Am'2WPIIW OL A BLAB eWmamOF0ffa8FS7P1�90ii �� eo.n Seo.wunuvv[.wmicrica�nminmmaLwmmmr�o2rea®asa.aa. 1B ^� /PLAN7W w q 1 r °cwwaax9a L0mL 2r mew ma b°'aa amaraenm 'mogrme.uaanaa en8lyduRsaaawoeimv 87T LOT is N BLOCK 9 1225 ''i 44.80' otr°D@� cs.smu. w .renemavlBotmwtamOomaarmmPtmonun: •• ••• !� '..'. I °" .n .momlr aaa•mu�ava.a:tn¢mtmis°wvasa�4a.ta • ON+4P410.12 c enrmsoewii�a�riavr2ri �J8l ONEBTORY Bei naeeR�rR vaeasavroa.°m°"�.aaeaa �mau'm �Ov� nPi>�a �aommiausa • �° $ 4 O6: RES.!71259 n 9aara cRi�aB�im�rrr .. a�a2�mo.eaawaelmmisama.ND •• 000 THE WE$T V2 �' 1�(1 LOT-17 w am aaocwat Am =° �' mrmaPwaeam•aenx • ge BLACK-3 SS f eroro9¢ar ; a ane taawtm4aturmarltnemazrwae LO •i \ �) 12.48' �.1. Bim' 10.10'am i'.'i.wo'�a�i :reams arra¢Iwamnaa,ramr��saea.tm�o.tagt • ••• \1 _gam • BL - 2281• LOT-18 n:tm a awa rm�emm.naeaa�r8pp r areaa�armt. • •• BLOCK-3 Y ' 8 umm astm. •• ( "- I BTe+ gAN78? .umiippPw�''�.a ��', • GON W40P0PO roe[8(W�2! �) A 4 ease 88401e40F81• •• •• ••• • ® THE EAST 92 ' .� ...wa ••••• • •• S16 LOT.16 I COQ �i.1°. aa.na e870' —�] (D) u.7 �x� O�St2wa_"i`�i-i-i °r '•• 060* b v a .fOEoo..bw"n'"lw�aww N ASPHALT PIAARER NCR A'C.B.W. �' I' a.a vllimrarr.•• ••• > ( Q omlg � � �aw.�mnm Lm�a>Bv °tdCum�a•3mNaaassYi�orr.�•� • • a aarvnve aammtaKnwu.ia1.. N :: N •.aa.s°�im°.�m.ue.txma9maaaPrar�P•ata 9,ei,umx'1R014h1A e- ae aramraaamaa.waavn U M � AVW ZONE L%NC T iV �Wj pj!!��ypp��p �/RVBY�S ATI�W _ M i ...0 .�#.•R40.0®m �01'0m/8WVd1ID1Y®PW14 WRR WalfD6'a1016�GfT1®M01I12 K -a0 '�j'i .�a.wa0. t00fa17IDWfXMOLf/0Wa0Y02 RC0�00Pimplltq'OnPlgt a a -tlR'' �' ' n'm�ineemmnnaaa. �aGw/at0L13:nom.MiapRVMfm0RA41AvfW CU112 SD' RLP. B.C. °"".a.. (O NO CAP F.I.P.1W as-mmv. L ASPHALT ' ® NOW V RE7RN va ' m 18bPW (A) A(A) LP.W er 0827/Z014 m a. �Al� macv morow Ll.l ® E. e@oae"P1o�'nwr'A°°` woaamal.P.6770 eartas7°aM ,^ W nt�m. u�mamauMaaeam amrraaamaauceracv.aaaabw ®� O z 21.8'ABPNALTPVANT. LU O NE 97th STREET —� �' ORAYW DY: Ba d Q IV CO cn v7 507DTALRR2?ORII/AY „� `p4BµfIFICq FELD DATE- OSPVM14 Como?CINWOM Na e4�a LOT 17 AND THE FAST IAT OF LOT 16.BLOCK 3.EARLFTON AlP1fAllUCR DOANB.ROWSfCYi MARIP PATRICIA 81ACFANlW _ -w B►A>g� SHORES,ACCORDING TO THE PLAT THEREOF A9 RECORDED IN PLAT ROUW AUPN LAW ma JOB M. 14401873.9 ��''•.:F<�,pV,;••' BOOK 43,PAGE 60.OF THE FUBUC RECORDS Of MWNI-DADS OLD RCPUB(IC NATIONAL TRIP INSURANCE COMPANY COUNTY.FLORIDA. WBRALTAR PRIVATE DANKING I TRUST.RS SUCCPSg*5 AND OR ——-—- °� •i LAt10 A99AGNS.AS THEIR MEREST MAYAPPPAR BflZ:Elr. 9OF1 Lao NOV 12.2015 B A . . ... . . . . ... .. .. . . . 60: : :60 .. .. trtc � 00 Kia" mi hores illage call ' •Building Department -.0 00 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 Board 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 I pickets fastened with two corrosion resistant fasteners per connection INI 2x4 horizontal 4 pressure treated wood members with two corrosion resistant fasteners per connection 4x4 pressure treated posts embedded Yinto 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 i h6 `t "! y�� Miami Shores Village' p f t etwo = 10050 N.E.2nd Avenue NE G � /el�{may e."V � ai? " Miami Shores,FL 33138-0000 Phone: (305)795-2204 :: PIn" IR erff` `'A •` 3 Expiration: 06/29/2016 - ts�us 11�01'� p� Project Address Parcel Number Applicant 1259 NE 97 Street 1132050090420 Miami Shores, FL Block: Lot: MARIE PATRICIA ANDERSON BI Owner information Address Phone Cell MARIE PATRICIA ANDERSON 1259 NE 97 Street (850)591-4870 - - -- MIAMI SHORES FL 33138- 1259 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 AMELIO FENCE CORP _._..... _ _..._ _ .. _.. ._. ,,,...... Total Sq Feet: 190 i Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:6 FEET HIGH WOOD FENCE Review Planning Classification:Residential Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 DBPR Fee Invoice# FW-11-15-57752 $2.85 12/01/2015 Check#:2993 $ 162.70 $50.00 DCA Fee $2.85 Education Surcharge $1.00 11/13/2015 Check#:2977 $50.00 $0.00 Permit Fee-Wire&Wood $190.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $212.70 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 and zoning. Futhermore,I authorize the above-n ed contractor to do the work stated, yr�� December 01, 2015 Authorized Signature:Owner / Applicant / Contractor / &&fent Date Building Department Copy December 01,2015 1