FW-15-2930 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-248136 Permit Number: FW-11-15-2930
Scheduled Inspection Date: February 19, 2016 Permit Type: Fence/Wall
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: LANSER, CHRISTIAN Work Classification: Wood Fence
Job Address: 175 NW 100 Street
Miami Shores, FL 33138- Phone Number (305)772-4313
Parcel Number 1131010230320
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
WOODEN FENCE HORIZONTAL Infractio Passed Comments
INSPECTOR COMMENTS False
In ctor Comments
Passed
Failed 3
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
February 18,2016 For Inspections please call: (305)762-4949 Page 8 of 35
i, Miami Shores Village M T Fer1e1WaC1
�n 10050 N.E.2nd Avenue NW t�flork C/8S5Tt�n/r Wood enC�
Miami Shores,FL 33138-0000
o til APPVkt)
[--�Ve Phone: (305)795-2204
OR
issue Dow 112112016 Expiration: 7119/ 1
Project Address Parcel Number Applicant
175 NW 100 Street 1131010230320
Miami Shores, FL 33138- Block: Lot: CHRISTIAN LANSER
Owner Information Address Phone Cell
CHRISTIAN LANSER 175 NW 100 Street (305)772-4313
MIAMI SHORES FL 33150-
175 NW 100 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 5,000.00
HOME OWNER
_,,,, _.._ - Total Sq Feet: 250
Approved: Available Inspections:
Comments:
Date Approved: Inspection Type:
Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOODEN FENCE HORIZONTAL Review Building
Classification:Residential Scanning:3 Review Building
Review Building
Review Planning
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00
Invoice# FW-11-15-57825
DBPR Fee $3.75 01/21/2016 Credit Card $279.50 $0.00
DCA Fee $3.75
Education Surcharge $1.00
Notary Fee $5.00
Permit Fee-Wire&Wood $250.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $279.50
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 AF FID ertify tha the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio d nin Fut r , uthorize the above-named contractor to do the work stated.
�- January 21,2016
Au ignature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
January 21,2016 1
r Miami Shores Village ;c��IVE:
Building Department NOV 1 g 2015
\\ L `\ f" 10050 N.E.2nd Avenue Miami Shores Florida 33138 BY:
�� Tel:(305)795-2204 Fax:(305)756-8972
,
v INSPECTION LINE PHONE NUMBER:(305)762-4949
\ .
® FBC 20/�
BUILDING Master Permit No. �`�
PERMIT APPLICATION Sub Permit No.
El'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: l)() <'-�-
City: Miami Shores County: Miami Dade Zip: �a�15 O
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: rr
OWNER:Name(Fee Simple Titleholder): )---Pt45iWA- Phone#:
Address: t-7< P LJ k-n p 1:5i-City: Ft����q -Sftmte& State: F71— Zip:
Tenant/Lessee Name: Phone#: _3r_ —-1Z-4-3(-3
Email: -56A L_r° -5a� C ML- °C "
CONTRACTOR:Company Name: eng��_zJ e Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip: (�
Value of Work for this Permit:$ 500 o G_'C' quare/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ZN w ❑ Repair/Replace ❑ Demolition
Description of Work: kkz3A
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ X0 CCF$ 3° 03 CO/CC$ 0
Scanning Fee$ `� r T� Radon Fee$ D�Bn�PR$ �° Notary$
Technology Fee$ `T r 00 Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
r �
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.
GSignature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of e?Aje 20��� by day of ,20 ,by
` 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:
Si Sign:
Print: Print:
Seal: Seal:
DOW°&s
Notary Pu61k State of Florida
Joanna(w p
eliciano
?w pop° EyyYpp��CornmieWDn FF 08 75�
S'ti
APPROVED BY (lp Plans Examiner L/V v Zoning
Structural Review Clerk
(Revised02/24/2014)
,y 0 Miami Shores Village
Building Department
10050 N.E.2nd Avenue
y Miami Shores, Florida 33138
R
Tel: (305)795.2204
Fax: (305) 756.8972
OWNER
OBUIL pDE,R,DIISCLOSURE STATEMENT
NAME: � �ll P�i� V'�`� DATE: (1 i Q— I's
ADDRESS: 1Fb PC-,I 15 r--t--
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
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-
4.
nitial4. 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
S. I 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
I
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 world 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. I 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.
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 htto://www//www.m�oridalicense.com/dbor/fro/cilb/index.htmlcom/dbnr/nro/cilb/index.html
Initial-
11.
nitial11. 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:
C 7J W (oo 5A%Iui -�.
c ,
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.
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 ZeZ day of .2
mKLZ
X. 0 0
�n3 v
By_ /_Qa J��,who was personally known to me or who has
®a�'�'
mem
p 3 p
Pere License or��'— as identification. CD 0
m
NER NOT
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lili11Ci11
Vlllr $ �
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�= a ,his x�t�stlticsi•
ATTORNMATLAW
000 foe
• • • ••
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 side shall face the adjoining
lot or any abutting right-of-way,
i
LOT 4 LOT 9 LOT 10
BLOCK 4 BLOCK 4 BLOCK 4
112*
REMAINDER OF LOT 5 v vs
BLOCK 4 b o¢ F
LU+
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REMAINDER OF LOT6
BLOCK 4 - W 3
too' a v 6 Z u
Z
REMAINDER OF LOT 720.80 rc
ONE STORY ° ° a
BLOCK 4o RESIDENCE ^ 0. 9 -
#175 i0 O co p ?
""qtob5• Tt07'Tia
0O U QREMAINDER OF LOTS ^ �t ® 1 Z)
BLOCK 4aa Q N M rn U)
N
75.00(M) y Q 75.00'(P)(M) 1-34
7 -
o 17' PARKWAY
�i
N.W. 100#h STREET
16' ASPHALT PAVEMENT
`���^ YLoeeEcN./� �5v �-1A1�_ �'`�' !�� r�.v�v--h�-t~% �2Nev --�••�s�cl.[.. �S �r'�,ZS
try-21"Z
Accepted BY: z T�n� L�31Lei -c1w� Lo+' lki a rt.
Property Address:
r
175 N.W.100 street �� t lfi &t Notes:
Miami,FLORIDA 33150
arw
PRE";7L
rnaMv080`01 rmatcaic tM.E.Land Surveying,Inc.atwrmwaoa.ass so""°OFFROFESOMyuLAWSURrronama^PM 10885 SW 190th Street
+nmF,etoxrozsratuta.
Suite 3110
SIGNED FOR THE FIRM Miami,FL 33157
�^s0 Phone:(305)740-3319
sTsmaF p1 P&at ew szsz Fax(305)589-3190
NOT vumwmmur - s[aatnrAearaaur+a3+rrcan3fe.ecruaacsea,.ue�trat
"1Sf rvwo AND-8 anveroaaeo LB#:7989
Survey O.B.10379 Client File#:15-299 Page 1.of 2 Not valid v ithout all eaP
Surveyor's Legend
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• • • • • • •�0 • PaR/ B.A. BFARM RLFERENct TEL TCLCPRONS FACUMS
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7Y" C CCNiRALANGLE OR OCLTA U.P. UU,Pa.
—x—%— �WENCE� OR•'A1RF•FCNfj •6% •IICCMSC!-e0sums R TUMUs�tUDUt "AL TaJ.CTR'�Unity eox
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on Mit •• • e OONCREM 1109LOAr J.P. am PIPE am 001vok
• • • • • 40 •
r. •CORCR1PfL•• •• •••® 0 •• on RAL 8 DW SCR. SCMN
rte/ ELMATIMT Pic NAIL PARMLR-KALON NAR. pAq GARAGE
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(/.L✓✓..�/J P.C. POW OF CURVATURE a Well N,TjL NUT TO SCAU
6" T0.p•• • • •• �6NCE MOWAUT
• •••• • •P� • E� ® i Rf•MYORANT F.F. i6AUSNED FLOOR
'ITCR •t ••t 1 t PIP epo:orCowcoTB OWMATNR ® W NAWAM T.O.B. TOP OF PAO
• • • • • •P'* 6"of/Winsc 4MATM OJTJd GVVWAD UNE9
E.O.M. moi OF WATER
APPRIMATOK"or UATER • PJW •POW EF�EMNIONO Tx TRANSORM R LOP IM OF PAVEMENT
ovcRm ATtF;A P.O.C. Pow or avadia tow CATV. CAM TV M$ER C.VA. ca"ORM VALLEY OHM
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TIE l
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PA POOL EOWPLtQ7T S.TA.� SUTNCYUKY;T Pam POU P PLATRO MEASUREMENT coca COtmRErt SLAB "MRI LONE
CATCH&MR D arm VAR EASEMENT rr/W MM-of-WAY
CAM, COUNTY Anum rJ601on C CALCIMTEO DRuk.01 EASCIAMP.UB. PUBLK 0TWTT MUM
oicates/LC"EA$E on L.M.E. UMC CR LAA05CAPC MAM.MW. LB.F. tAWSUPE SUFFER CAGR$M CJAE. CAVAL MMOO Mt 000"?
U.G MTV EAXNERY R.oz OW OVER""Daum LAA- UUTCD ACI%SS EASEMENT AJL AMMM CASEMENT
Property Address: General Notes:
1.)The Legal Description used to perform this survey was supplied by others.
175 N.W.100 Street This survey does not determine or Is not to imply ownership
Miami,FLORIDA 33150 2)This survey only sham above ground Improvements.
Underground u116ties,foctiMs,or encroachments are not located on this survey map
3.)If there is a septic tank,well,or drain geld on this survey,
Flood Information: the location of such Items was shown to us by others and the Information was not verified.
4.)Examination of the abstract of title will have to be made to determine recorded Instruments,9 any,effect this prope
Community Number: 120652 rty.The lands shown herein were not abstracted for easement or other recorded erusunbrances not shown on the plat
Panel Number: 12086CO302L 8.)`Nap ties are deme to Me race of the wen•
Suffix: L 6.)Fence ownership is not determined.
7.)Bearings referenced to line noted B.R
Date of Firm Index: 8.)Dimensions shown are plaited and measured unless otherwise shown.
Flood Zone: X 9.)No identification found on property comers unless noted.
Base Flood Elevation' N/A 10.)Not valid unless sealed with the signing surveyors embossed seal.
11.)Boundary survey means a drawing and/or graphic representation of the survey work performed In the field,could
Date of Field Work: 09/14/2015 be drawn at a shown scale and/or not to scale
Date of Completion: 09/15/2015 1i)Elevations If shown are based upon NGVD 1929 unless otherwise noted
13.)This Is a BOUNDARY SURVEY unless otherwise noted.
14.)This survey Is exclusive for the use of the parties to whom it is certified.The certifications do not extend to any un
named parties.
18.)This survey shah not be used for construction/permitting purposes without written consent from Miguel Espinosa.
Legal Description:
Lot 16 and East 25 ft of Lots 5,6,7 and 8,of Block 4,of BONMAR PARK ADDITION,according to the plat thereof,as
recorded in Plat Book 24,Page 71,of the public records of MIAMI-DADE COUNTY,FLORIDA
Printing Instructions: Certified To:
While viewing the survey in any PDF Reader,select the File Christian Anthony Lanser
Drop-down and select"Print".Select a color printer,If ROTHMAN&TOBIN,PA.
available;or at least one with 8.5"x 14"(legal)paper. Old Republic National Title Insurance Company
Select ALL for Print Range,and the#of copies you would PHH Home Loans,LLC dba Sunbelt Lending Services
like to print out its successors and/or assigns as their interest may appear.
Under the"Page Scaling"please make sure you have
selected"None". please copy below for policy preparation purposes
Do not check the"Auto-rotate and Center"box only:
Check the"Choose Paper size b PDF'checkbox,than This policy dales not Insure against loss ordamage by reason of the following
p y exceptions:Any rights,easements,Interests,or claims which may exist by reason
click OK to print of,or reflected by,the ioRowing facts shown on the survey prepared by
EFRAIN L.OPEZ dated 09/15/2015 beating Job#B-10378:
M.E. Land Surveying, Inc.
10665 SW 190th Street,Suite 3110 Miami,FL 33157 Sam
Phone:(305)740-3319
Fax:(305)669-3190
LB#:7989
Survey Ik13-10378 Client File#.15-299 Page 2 of 2 Not valid without RII pages
NORIES
M�ia 'i hores Village `S,K�."�a '�" `
. f1;d v ..�►
Y
epartmentJAN 1u - n "
50� NEe iue
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..
Miami's ,F
on a 33138 Fences Good Sid Out, The vertical an VA
el: ( 05) 95.2 0, supporting members of a fence shall
ax: ( 05) 56. 9- interior of the plot on which the fence is loca a
17
and the finished side shall face the adjoining
OV r ,;2015 lot or any abutting right-of-way.
=
errri : 1 =2 30
--- -- - - Building Critique
1 Pro tails an I specifications for the fence.
IsmaiflNIra •o
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Plan review is not complete, when all items above are corrected, we will do a complete
plan review. see . . 0 , 000 0
If any sheets are voidef, removedertt from the plans and replace with new revised
sheets and include oniCse1 ofYCidedSheets'in the re-submittal drawings.
1 ,