FW-15-1376 (2). Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236257 Permit Number: FW-6-15-1376
Scheduled Inspection Date:July 30,2015 Permit Type: Fence/Wall
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: PEGG,JOHN Work Classification: Wood Fence
Job Address:333 NE 103 Street
Miami Shores, FL 33138-2432 Phone Number
Parcel Number 1121360130250
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
INSTALL 5 FT TALL WOOD FENCE IN PLACE OF Infractio Passed Comments
PRE-EXISTING 4FT CHAIN LINK FENCE. TO CLOSE INSPECTOR COMMENTS False
PERMIT#FW14-1606.
Inspector Comments
Passed JOHN 305-989-2050
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
July 29,2015 For Inspections please call: (305)762-4949 Page 14 of 40
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Miami Shores Village �u• E F„
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204
rz_ Expiration: 01/25/2016
Project Address Parcel Number Applicant
333 NE 103 Street 1121360130250
Miami Shores, Fl- 33138-2432 Block: Lot: JOHN PEGG
Owner Information Address Phone Cell
JOHN PEGG 333 NE 103 Street
MIAMI SHORES FL 33138-2432
333 NE 103 Street
MIAMI SHORES FL 33138-2432
Contractor(s) Phone Cell Phone Valuation: $ 1,600.00
HOME OWNER
Total Sq Feet: 167
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied:
Foundation
Type of Construction:Wood Fence Additional Info:INSTALL 5 FT TALL WOOD FENCE I Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# FW-6-15.55875
DBPR Fee $2'51 07/29/2015 Credit Card $184.22 $0.00
DCA Fee $2.51
Education Surcharge $0.40
Permit Fee-Wire&Wood $167.00
Scanning Fee $9.00
Technology Fee $1,60
Total: $184.22
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 AFFIDAVI I ce ' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo n . Fut ore,I authorize a above-named contractor to do the work stated.
July 29,2015
Authorized Signature: / Applicant / Contractor / Agent Date
Building Department Copy
July 29,2015 1
•
0
S
Miami Shores illse Village
Building Department REC0TMED
• 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUN ® 2015
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(MS)762.4949
BY:
FBC 20
BUILDING Permit No. F ^ IS
PERMIT APPLICATION Master Permit No.
Permit Type: WELDING ROOFING
JoB ADDRESS: 333 NE 103rd Street, Miami Shores, FL 33138
C'u3"• Miami Shores County: MiamiDa& Zio..
33138
Folio/Parc W 11-2136-013-0250
Is the Building Historically meted:Yes NOFlood Zone: NO
OWNER:Nam ( Simple Titeholdr).John M Pegg Phone#..
30&428-OW
Address..333 NE 103rd Street
city: Miami Shores Ste: FL zip. 33138
TenantlU&we Name: Phone#:
Email: jpeggmanQgmail.com
CONTRACTOR:Company Name.. SELF-INSTALLED Phoma:
Address:
City: State: Zip:
Qualifier Name Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone# Email Address:
DESIGNER:Arschitect/Enginew. Phone#:
Value of Work for this Permit:$1600 Square/I.inear Footage of Work: 167 LF
Type of Work: DAddition OAltemdon DNew ORepair/Replace ODemolition
Deseription of Work; Install 6-ft tall Wood Fence in place of pre-eAsting Oft chain-link fence enclosing back yard
Replace driveway sliding chain link gate with 5-ft tall wood sliding gate. Replace 5-ft tall chain link gate with 5-ft wood gate.
Add new 5-ft tail wood gate to front of back yard with replacement 5-ft tall wood fence OM C rZC
Color&M tile: 'fit R W li 4-trroy=
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Boml$
Notary$ TrainingWAncation Fee$ Technology Fee$
Double Fee$ Strac4ural Review$
TOTAL FEE NOW DUE$,�
w 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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVYT: 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
EWP'ROVEMENTS 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 a 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 Agent Contractor
The foregoing instrument ac wled me this The foregoing instrument was acknowledged before me this
day of ,20�,by day of .20 by
who is personally known to me or who has produced L- • who is personally known to me or who has produced
As identification and who did take an oath as identification and who did take an oath.
NOTARY PUB C: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: Sindla l�tRje My Commission Expires:
My CemmlOWP FF j5p7!M
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APPROVED BY LS Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12=12)(Revisea 07/IQWXRevised 06/1W2MXRev1sed 3115M)
Miami Shores Village � , 201 '
Building Department $Y:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(30S)762.4949
FBC 20/0
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type(:
ype( BUILDING -F6A)Cff ROOFING
JOB ADDRESS: 333 NE 103rd Street, Miami Shores, FL 33138
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-2136-013-0250
Is the Building Historically Designated:Yes NO XX Flood Zone: NO
OWNER:Name(Fee Simple Titleholder):John M Pegg phone#;305-428-0945
Address:333 NE 103rd Street
City Miami Shores State. FL Z;p: 33138
Tenant/Lessee Name: Phone#:
Email: jpeggman@gmail.com
CONTRACTOR:Company Name: SELF-INSTALLED Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#•
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$2000 Square/Linear Footage of Work: 167 LF
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: Install,K ft tall Wood Fence in place of pre-existing 4-ft chain-link fence enclosing back yard
Replace driveway sliding chain link gate wftffAft tall wood sliding gate. Replace 5-ft tali chain link gate witA)f-ft wood gate.
Add new ft tall wood gate to front of back yard with replacement -ft tall wood fence
Color thru tile:
Submittal Fee$ . Permit Fee$ `w CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ .
1 .
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 co {atif the iyc r tice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after til�tire 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 The foregoing instrument was acknowledged before me this
day of�'20 by �n/�n__p&IX day of .20_,by
who is personally known to me or who has producec� � who is personally known to me or who has produced
4 ,,3 eJ-- As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print:
My Commis II es:Notary Public State of FloAda My Commission Expires:
.01
Joanna M FeUaianO
My g Om1igei ll 18 082753
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/1=012)(Revised 07/10W)(Revised 06/10/2009)(Revised 3/15/09)
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There may be Easements,reow4ed in the Public Records not shown on this Survey.
no Purpose of this Survey is Bot•use in cbt bft Tide Insurance and Finaciag and should not be used for Couftudim pumas.
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