FW-16-391 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-257102 Permit Number: FW-2-16-391
Scheduled Inspection Date:April 21,2016 Permit Type: Fence/Wall
Inspector: Naranjo, Ismael
Inspection Type: Final
Owner: UKAZIM, UCHENNA Work Classification: Wood Fence
Job Address:960 NE 97 Street
Miami Shores,FL 33138- Phone Number (561)901-3471
Parcel Number 1132060143160
Project <NONE>
Contractor. HOME OWNER
Building Department Comments
NEW FENCE 6 FEET WOOD Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSR-252730. Need to provide
support at T O.0 for the rear gate.Also need to clean up site.
Failed
Correction C[U
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 20,2016 For Inspections please call: (305)762-4949 Page 23 of 29
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q Miami Shores Village
10050 N.E.2nd Avenue NE
z
Miami Shores,FL 33138-0000 4,
Phone: (305)795-2204
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Project Address Parcel Number Applicant
960 NE 97 Street 1132060143160
Miami Shores, FL 33138- Block: Lot: UCHENNA UKAZIM
Owner Information Address Phone Cell
UCHENNA UKAZIM 960 NE 97 Street (561)901-3471
MIAMI SHORES FL 33138-
960 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,600.00
HOME OWNER
Total Sq Feet: 87
Approved: Available Inspections:
Comments:
D : Inspection Type:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:NEW FENCE 6 FEET WOOD Review Building
Classification:Residential Scanning:3 Review Building
Review Planning
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.60 Invoice# FW-2-16-58666
DBPR Fee $2.00 02/11/2016 Credit Card $50.00 $72.80
DCA Fee $2.00
Education Surcharge $0.60 02/23/2016 Credit Card $72.80 $0.00
Notary Fee $5.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $122.80
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 AFF VIT: I rtify that all the foregoingipformation is accurate and that all work will be done in compliance with all applicable laws regulating
constructio d on' o autho'z f a above-named contractor to do the work stated.
February 23,2016
A rued Sign :Owner 14 Applicant / Contractor / Agent a e
Building Department Copy
February 23,2016 1
Miami Shores Village
Building Department7BY: - ���
10050 N.E.2nd Avenue,Miami Shores,Florida 33138EE i ��
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC20 (y
BUILDING Master Permit No. 39
PERMIT APPLICATION Sub Permit No.
N BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
, q CONTRACTOR DRAWINGS
/�V
JOB ADDRESS: �I 6 / E 1 1 S 1 pp
City: Miami Shores County: Miami Dade Zip: 3,; 1 3)
Folio/Parcel#: I I . d, 0 60 6 IL{. APO Is the Building Historically Designated:Yes NO _
Occupancy Type: Load: Construction Type: Flood`Zone: BFE:('� / FFE�:t ) 2
OWNER:Name(Fee Simple.Titleholder): �P�- �- u ( y Phone#:
/�
Address �P b / � J-7
City: M , 4 hn i �)�l D� ,-,S State: `� Zip: 7J 3i3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: d L✓ h 2� 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:$ �- �`�7� Square/Linear Footage of Work:
—T'
Type of Work: ❑ Addition ❑nAlteration ❑ New Repair/Replace ❑ Demolition
Description of Work:A/-' 0 I L L C, r�e e 4
Specify color of color thru tile: r Q�
Submittal Fee$ //�;�� Permit Fee$ �� CCF$ 1 L7LJ CO/CC$ o"
Scanning Fee$ •[W Radon Fee$0, DBBPRR$ °� Notary$
Technology Fee$A):. "C' Training/Education Fee$ GO Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ cG,� r
(Rewsed02/24/2014)
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 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
t day of 20 (� ,by day of 20 .by
�,�-��-I11who is personally known to ,who is personally known to
me or who has produced J:�Zy ��-�- 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:
uuuu
\,`\\�,•``` tl s 7sY�G,
Sign: �rP'.�0� " Sign:
Print: Print:
CP
Seal: `E1j�'siQ7 Seal:
OFFLOR�q,
Uo
APPROVED BY Plans Examiner G Zoning
Structural Review Clerk
(Revised02/24/2014)
i
$t 0 Miami Shores Village
a Building Depalrtment
"" "M 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
r OWNER BUILDER DISCLOSURE STATEMENT
NAME: ,U-�'Y� ehb ,vri DATE:
� I
ADDRESS:�t'�b � -- g-7 t S L 3 3 t3 b
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,FS 489.103(7).
And I have read and understood the following disclosure statement,which entities 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 penton 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.CA 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 1,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 Al ���
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsibl r the
construction and is not hiring a licensed contractor to assume responsibility.
Initi
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit I understand that I may protea myself
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of
name.I also understand that the contractor is required by law to be licensed in Florida and to list his or li nu rs o
permits and contracts.
Initi
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 i ved
myself is sold or leased within 1 year atter the construction is complete,the law will presume that I bui s
improved it for sale or lease,which violates the exemption.
Initial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial 44
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 erasure that the persons whom I employ have the license required by law and by my or
municipal ordinance.
Inti 0/42�/
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.1,as an owner-builder,may be held
liable and subjected to serious financial risk for arty injuries sustained by an unlicensed person or his or employees while
working on my property.My homeowners 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 protj �
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 risk
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.
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 co the
Florida Construction Industry Licensing Board at 850.487.1395 or htto:/Avww.mvffoddalicanse.comldbor/pro/cilbrindB)Lh
Initi
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 construction activity at the following address:
CI 60 tom. ct`t b-7
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information th
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 property 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 �1 day of fE 3 .20 ` �P
ByyC4 f "j"� (- �Z4 who was personally known to me or who has
Prod ced there License �L" ��'2 as identification.
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ACCORDING TO THE PLAT THEREW.AS RECORDED IN PIAT BOOK 10.AT PAGE �� �������•� �
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37.OFTHE Pl18I.tC RECORDS.OFMVtNB-0ADECOUNTY.FLORIDA. 1 :•:::•:::• :•:•
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PROPERTY ADDRESS: UCHSNNA UKAaNt
960 N.E.97th$10*1 WW SHORES.FLORIDA 93198 p� '� 1•:::::::: `'
FL000zor>rr x COMMUNITY:120662 PANEI:o906 1 I ic:4:•::r.d�:iii tT.m I ,
DATE OF Fit 09611409 SUFFBL•L ELEVATION:WA �"�� 12.x' h';;;;:{;•;:�:(�;':::
GENERAL NOTES: at Ap na 1 9 h i3Da °
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RECORDED RNSRRME9IS.IF ANY.AKCTTFESPROPE TY. J
3)THE LANDS94OWN HEREON WERE NOTABSTRACTED FOR EASWEVT OR OTHER COW- "OENOTESCONCRW Z g I $ 0
RECORDIDSNCUMIRANCSS NOTSHOWN ONTHE PLAT PLD AaVOIESMEasIAE c�0.rc IN
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4)UNDERGROUND WERE NOT TEDPORnaa�FOomvG.Pou�ATRons�oTt IMPROVEMENTS 00
cucaATD (} M F 1-STORYJBURDING •• i
5)ONLYVIS&E ON ABOVE GROtBDENCROACKV84SLOCATED. R/W -DESWEISRIGHT-OF•WAYitrA] SCJr "" ReddenC6I No.960 Bev. 3 y y
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6)WALLMSAAE THE FACE OFTHEWAU., g -DENOIESCENTHal1NE h 3 Low.PF.S&V.11.10PL. =^h W O
7)FENCE OWNERSHIP NOT DEIERMNED. UL WXN=o11UFY`LSB4ENr � � � � I g:S) - v x �'
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8) ATOUNE NOTED ASPLR. P.B. �TESPLATBOOK 0 'O d, 3434 10.38' O
9)BOUNDARY SUQVEY MEANSA DRAWING ANDIORGRAPHIC REP�ENFARON OF PG. -01390TESPAGE z+ 0 9m I
THE SIRVEYWORiK PEED IN THE FGD.COIRDBE DRAWN ATASHOWN SCALE ® �1ESWATERMEIER Vf3 g T !
APIDIORNOTTOSCALE. °-0-+ -DENOT69WOOD POWER POLE z efface
10)NO ATI)N FOUND ON PROM"COMM —o-- AXWMWOODF84CE 3 I gj
11)NOT VALID UISE-ESSSEALE)WITH THE 9GA1IN6391IWEYaS SEAL -a 4XR•10IESCHAMIVCE�E N
12)DIME49a�94OWN ARE PIAT AND MEMUREDUT�OT 9�VM. _ ---T —T---+— �
13)ELEVATIONS G SCAN ARE BASED UPON N.G.V.D.1929UNESSOTHERW�tOTED O -06OTMOV RHEADWIRM OtO DJ 11.78 21Ap ' q0,
14)Tt�ISAB SAM OTHERWISE NOTED. ,; / 79.60 10.66'
15)THIS BOUNDARY9EVEY HAS BEEN PIRE+ARE FORTHEE0=111VE USE OF THE ENTRIES � �'�� S' '
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