FW-15-2619 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-250261 PermitNumber: FW-10-15-2619
Scheduled Inspection Date:January 04,2016 Permit Type: FenceMall
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: STOWE, HOWARD T Work Classification: Wood Fence
Job Address:79 NE 93 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060130420
Project: <NONE>
Contractor: ALL FENCING AND REPAIR Phone: (954)306-3477
Building Department Comments
79 LF X 6' H STOCKADE WOOD FENCE W/(2)4'W Infractio Passed Comments
GATES INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 04,2016 For Inspections please call: (305)762-4949 Page 22 of 23
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Expiration: 05/14/2016
Project Address Parcel Number Applicant
79 NE 93
Street 1132060130420
Miami Shores, FL 33138- Block: Lot: HOWARD T STOWE
Owner Information Address Phone Cell
HOWARD T STOWE 79 NE 93 ST
MIAMI SHORES FL 33138-2815
Contractor(s) Phone Cell Phone Valuation: $ 2,200.00
ALL FENCING AND REPAIR (954)306-3477
»m . .. .. .. .: .:: ..:.. ._._ :...: .,: .M ,..:. Total Sq Feet: 79
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:79 LF X 6'H STOCKADE WOOD FES Review Planning
Classification:Residential Scanning:3 Review Planning
Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# FW-10-15-57433
$2.00 11/16/2015 Check#: 14424 $67.80 $50.00
DCA Fee $2.00
Education Surcharge $0.80 10/15/2015 Check#:14312 $50.00 $0.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $117.80
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 an ning. F the re,I autho' e the above-name n actor to do the work stated.
I November 16, 2015
Authorized Signature:Owner / Applicant / Contractor / ate
Building Department Copy
November 16,2015 1
I ,5 Miami Shores Village _
Building Department
gOCT 1 l
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 =_
INSPECTION LINE PHONE NUMBER:(305)762-4949 -"- --
FBC 201y �`
BUILDING Master Permit No. FO IS-2-61q
PERMIT APPLICATION Sub Permit No.
24luo"ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
NC---
(� CONTRACTOR DRAWINGS
JOB ADDRESS:71 q I�Y C `l 3
City: Miami
iSShores
" County: Miami Dade Zip: I t�(J
Folio/Parcel#: `� LlJ �1' V� Ll� Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): l w ward Sloss.. Phone#:
Address::19 biG a *,b �*' i
City: 1 1 ► am't ��< State
Tenant/Lessee Name: Phone#:
Email: ,(� �y� ��/ �-1 -I
CONTRACTOR:Company Name: N\ Em�c� V� ►� a'1 RepPhone#:CtS4_3(b-�' 6 1
Address: r 00 42 N W 50
City: 9 acu-i s , State: iE U Zip:�����
Qualifier Name: , `ol(-�..� C,C)(►,/10LC r ,, Phone#�CCy/ �-31AState Certification or Registration#: cc C I�k 71 � (D
s Certificate of Competency#:
DESIGNER:Architect/Engineer: 1 Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ��®® Square/Linear Footage of Work:
Type of Work: ❑ Addition E] Alteration El New 4 A ElRepair/Replace El Demolition
IQ
Description of Work: - 'l.Fx Vp 1`\ S+pC.�C� Vv5
u-) I -,4 w al-.b-e"5
Specify color of color thru tile:
�a
Submittal Fee$ Permit Fee$ I o (03 CCF$ CO/Cc$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(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 ` 1 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
---�-—day of. o e n be .20 J ,by day of C 20 15 by
w-A I ,who is personally known to MIN COM0 who i ersonally known to
me or who has produced C-- 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. � �l Sign•
Print: MNELODIES WRIELL0 Print:�YPVd� IsnnE anuM ..
* * MY COMMISSION#FF 194761 Aw'fe*
MY COMMISSION#FF 194761
Seal: r EXPIRES:February 1,2019 Seal: EXPIRES:February 1,2019
Bonded Thru Budget NotryServices Bonded Thru Budget NofarySetytgs
�kakKeKe4e��Irffi+NBe�e�k�&s[e*8t�xefle�rcaleKesie�&McBe �teMeMeKeMeKeXe�[effifleytKeKe�[e8egeye�[eMeffi�kNe�le�k�k9�W9toF8eflt�]egeffi�k�k�k�kffi�k�kN��k�k�k+kkste�F�ley�ys�kflt�aNaBM�&&aede�teHeM��RY��k�k�N�k�k�kN�P�k�F�kafeKe
tl��j lr�
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
OCT-15-2015 14:37 From: To:3057568972 Pa9e:1/1
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A ® ouTE t�uu2015
CERTIFICATE OF LIABILITY INSURANCE ,0115/20ts
THIS CERTIFICATE 13 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 polity(les)must be endorsed. If SUBROGATION IS WANED,subject to
the terms and conditions of the policy,certain policies may require an andorsoment. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsemen s.
PRODUCER CONTACT
NAME:T
Rlait 1hinsfsr Insurance Agency.LLC p�E -
707 East Washington Street H(�flis offif 866481.9383 PAX Nod
Orlando,FL 32801 E4111A1L
ADDRESS;
tri 3 AFFORDING COVERAGE "Cc
IMMneeComisany,Inc. 42376
rNSUgED WSURER B t
Stafliink Outsourdng,It,u1,IV,V 8 VI Inc. -
1776 N.Pine Inland Road INSURER G:
Suite 108
Piantation.FL 33322 INSURER D:
tNSURER E i
WSURER F
COVERAGES CERTIFICATE NUMBER:i®ECSSHd 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 BF 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.
R TYPE OF INSURANCE POLICY NUMBER POLICY EFF
DDMYM UM re
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S
CLAIMS-MADE F1 OCCUR PRem ES ommenoe $
_ MED EXP(Anypim Pw—scm)_ $
PC-ASONAL&ADV INJURY S _
GEN%AGGREGATE LIMIT APPLIES FED.: GENERAL AWft-GA-M $
POLICY❑JEECTm-em �IM PRODUCTS-COMPIOPAGG $
OTHER: $
.1
AUTOMOBILE LIABILITY
I INGLE LIMIT
b
ANYAUTO BODkyINJURY(Per P"M) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Parn=dent) $
HIRE AUTOS N 5 I DAMAGE S
UMBRELLgL1pa QCCUR EACH OCCURRENCE S
ErtCEBB LIAR mcu"-MADE AGGREGATE $
VED =ONS
A ANP�LOY�LIABILITY YIN
Y/N 03/0112015 03/01/2016
ANY PROPRIETORfflwnWERIEXECUnVE R
OFFICF.RIMEMBER EXCLUDED? N/A E.L EACH ACODGWr $ 9.000,000
(NI-ximmy.le
d ;�ceder E.L.01S6A -FA EMPLOYEE S 1,000,000
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY UMrr S 1•W0.000
$
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DESCRIFrICN OF OPERATIONS I LOCATIONS/VEHICLES(ACO=101.AdMonal R&M to 8G1aAYl0,may he aftw&d Ifmp,p SP&M N Nquwa)
Covereg0 L4 extended to the leased employees of ahernwe employer in an States except In monopolistic states(PID.OH,WA,WY)and other states(AK,HI,ID,OI): {Sold
COOSt Industries,Ina dba AiI Fen&V 8.Repairs 04046(EffeWve 08/04/14)
This cartif Bate only applies to License number CGC1617256.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRMED POLICIES BE CANCELLEV BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE ]DELIVERED IN
ACCORDANCE WITNTHII POLICY PRMSIONS.
Miami Shores Buldnng Department AUTHORI&WREPREs.F.1ITATNE
10050 NE 2nd Avenue
Miami Shores,FL 33138
Page 1 of 1 ®1888-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo Bre registered marks of ACORD
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
R,1D Iftmi Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, Howard T.W- StOwe does hereby attest that
(Property owner)
The attached survey,performed by Delta Surveyors, Inc.
(Name of surveyor's company)
For address: 79 NE 93rd Street, Miami Shores, Florida 33138
Performed on 9-16-02 (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.
ffia ay th naught
Property Owne - nature •• ••• . . .. Property Owner Print Name
SWORN TO AND SUBSCRIBED'peford r*12ii$ ' ' •• ay of
.. ••• .. . . . •• _
Affiant is personally known to me, produced ��s as identification.
. ... . ... . ...
. .
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otary
Revised on 5/29/2009/Revised on 6/12/09 . . • . . . . .ng
••.
• • • • • • • • • • �01 Flo�• •e• i iFF 08275318
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Fences Good Side Out. The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished Si
or
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found 1/2•Pipe Wo SQW&FtO DA 33154 ANY tR9a U PARIES
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STATE AND CO(INTY RULES AND REGULATIONS
�I
N
ORF s
s� Miami Shores Village
NINE�~ Building Department
iM- o�t 10050 N.E.2nd Avenue
�ORiDA 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
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
.. •0. . . . . . ..
4)r praseretreated
post:a i"e f into
•• eecmcrete foaling I—..'
diameter x 2'deep
. ... . ... . ago
ALL;wbo4 must bLpressure treated
All fa's'tenks Must be%orccii$n resistant
No tess than WAT fastbners ih any connection
... . . 10 . ... . .
. . . . . . .
. . . . . . . . . .
. .. .. ... .. .. ..
... . . .. . .