FW-16-704 Inspection Worksheet /
Miami Shores Village t!
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-255004 Permit Number: FW-3-16-704
Scheduled Inspection Date:April 27,2016 Permit Type: Fence/Wall
Inspector: Naranjo, Ismael
Inspection Type: Final
Owner: GAZMURI,VERONICA Work Classification: Wood Fence
Job Address: 101 NE 110 Street
Miami Shores,FL 33161-7045 Phone Number (786)543-2230
Parcel Number 1121360040230
Project: <NONE>
Contractor. HENRY'S FENCE INC Phone: (305)669-0180
Building Department Comments
6' HIGH PT WOOD FENCE VERTICAL tnfractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comnts
Passed o Ile
�
Failed S�cJ�
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 26,2016 For Inspections please call: (305)762-4949 Page 19 of 49
60
Miami Shores Village /
10050 N.E.2nd Avenue NE ""
Miami Shores,FL 33138-0000 H` 3
Phone: (305)795 2204 �a� ., ., a tsEM,
Expiration: 10/01/2016
Project Address Parcel Number Applicant
101 NE 110 Street 1121360040230
VERONICA GAZMURI
Miami Shores, FL 33161-7045 Block: Lot:
Owner Information Address Phone Cell
VERONICA GAZMURI 101 NE 110 Street (786)643-2230
MIAMI SHORES FL 33161-
101 NE 110 Street
MIAMI SHORES FL 33161-
Contractor(s) Phone Cell Phone Valuation: $ 2,0.00.00
HENRY'S FENCE INC (305)669-0180 Total Sq Feet: 82
Approved: Available Inspections:
Comments:
D : Inspection Type:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:&HIGH PT WOOD FENCE HORIZON Review Planning
Classification:Residential Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# FW-3-16-59054
DBPR Fee $2.00 03/17/2016 Check#:9380 $50.00 $66.20
DCA Fee $2.00
Education Surcharge $0.40 04/04/2016 Check#:9402 $66.20 $0.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and tho all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-nam 1 contractor to d e work stated.
April 04,2016
Authorized Signature:Owner / Applicant / Cont Agent Date
Building Department Copy
April 04,2016 1
Miami Shores Village FMAR
C �
Building Department 17 20
g p
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
�e INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 204
BUILDING Master Permit No. 4-W tk —` Foq
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
r-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
1 � CONTRACTOR DRAWINGS
JOB ADDRESS: 11 I N D�
City: Miami Shores County: Miami Dade Zi : %i'J J
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: (��CConstruncttiilon Type:
��,�n Flood Zone: BFFE:/� FFE:
OWNER:Name(Fee Simple Titlfeholder): ViC.1 onI CA /At IL&1 Phone#: AVID 228,0
Address:
City:—
State: zip: lSJ 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Phon /%�✓ EL
p Y
Address: a
City: 1 1rYl� State: Zip:
Qualifier Name: t Phpn
State Certification or Registratisn#: Certificate of Comptgncyt#:-
i
DESIGNER:Architect/Engineer: i Phone#:
Address: City: State Zips.
Value of Work for this Permit:$ ` �, Square/Linear footage of Work:
Type of Wo* ❑ Addition Alteration ❑ New ❑ pair/Replace ❑ Demolition
Descript on*of Work:
Specify color of-color thru rile: l
Submittal Fee$ Z:) "�'� Permit Fee$ CCF$ 1 CO/CC$
Scanning Fee$ _Radon Fee$ '`w DBPR$$ Notary$
Technology Fee$ ' 60 Training/Education Fee$ J `J Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ r0
(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.
"WAMING`T6 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.CQMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value yceeding$200, the applicant must
promise in good faftfi f4at a copy of the notice of commencement and,construction lien law brochure will be dgliverod W,ttiie person
whose property is subject to attachment. Also,a certified copy of the reborded notice of commencement must be posited-tit 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 a oved and a reinspection fee will be charged.
e 1 B A. • r . 1 i e ,
.• •' !
Signature +Signature
OWNER or AGENT CONTRACTOR ,
The for g 'r1g jnstru erytwas ack wleaged*2by
The dor g ing instrument,wa�ackn wledged before a this
i
Y
of of� ! by
1 .S w o' personally know to
me or who has produced as me or who haJ produced as
�NNII�III100d11 j� g I�IO01
identification arid who.did take an ROD Z identificatign and who did to , /
NOTARYPUB C: •� c�A�t�`c Jvv TARY PUBLIC: �\ ��• �IIISS! '.S,��i
ip #\g'2oj' ,
Sign: ; f .Sign: I ��
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Print: •o 2 •m•Q\ Print:. •
.Q a 8/yA ei�r\� !`••• 1hA► ee Q\\
Seal: s/e9y•'••.'::::+•' 'k \\ Seal: '� ' ::: 0�\\\
/%,� �ll 1111111 0`N, ���s B� ,ISTAM0,
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�ww�*��*��*xxx��x�**ss�*��xsssss��*•*�*a*s**��*r�wm*waxsssxx�xwwr*�*ss**��*�**�**se�saw��x�*�x►w**wsss�s
APPROVED BY Plans Examiner `37Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application-Miami-Dade County Page 1 of 8
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Address Owner Name Folio
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SEARCH:
! 101 NE 110 ST Suite
_.. ................. .. ---....._......................_..__..........................._.................._............................ ................._._._.....__... ... .... ......7
PROPERTY INFORMATION
z
Folio:11-2136-004-0230
Sub-Division:
t
COLLEGE HGT
S
Property Address
101 NE 110 ST
Miami Shores,FL 33161-7045
i
Owner
MANUEL A RAMIREZ
VERONICA GAZMURI
Mailing Address
101 NE 110 ST
MIAMI SHORES, FL 33161
Primary Zone
1000L FAMILY AMILY-
2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT I
i
Beds/Baths/Half 3/1/0
Floors 1
s Living Units 1
http://www.miamidade.gov/propertysearch/ 3/17/2016
kit
HENRY'S FENCE, INC.
3931 SW 63`d Ave.
Miami,FL 33155
Phone: (305) 669-0180
Fax: (305) 669-5992
heMscogbellsouth.net
March 11, 2016
State of Florida
County of Dade
Before me this this day personally appeared, Henry P. Villoch, who
being duly sworn, deposes and says:
That he or she will be the only person working on the fence project
located at: 101 NE 110 Street Miami Shores, FL 33138
Sw o ( r affirmed).rqnd subscri de a this y of
q
by dC7
Personally known
Or produced Identification
`�tttttllUNNsyj�i
Type of Identification Produced ���� Q,O RODq�6,o�i���
s •• y
e*a ®•A • e
Z • #EE165O • e.:
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e ::®•O� a®�®
t e o Stamp Name����`
Miami Shores Village
Building Department
I�j�R�p► 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 constn6don 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 10 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.In these circumstances,Miami Shores Village
does not require verification of workers'compensation insurance coverage from the contractor's company. Therefore.you may be
personally liable for the worker compensation injuries of anyperson allowed to work under this vermit Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
1 Owner Contra or
Print Name: V 1 l�r.j Print Name: I
Signature: Signature.
State of Florida) #%t11111110 0 / State of Florida) �11N1os ll!/��� /
County of Miami-Dade) ����� Op ;/ County of Miami-Dade) RIC �,C'►R....
Sworn before p••.•�'(���� Sworna S/ • �:
Ch ay of 2 •v� id 9,2p F-1 o�FiA day of
~ r��1�/VI U,� 9 • S e-*U
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T of I �i 9•••� :•��� T of I on '•• fa Un .••O ��
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llil 11101�t ////j0%llllOiN ONZ�\`\
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Miami Shores Village
Building Department
LtO �e 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
. . .... . ...
.. ...
0 Shadow Box ••���� �• •� ��•�••
171 Vertical Picket
El 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
4x4 pressure treated
posts embedded Tinto
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 0622!2015
LEGEND
ABBREVIATIONS:
V� A ARC DISTANCE
/C = AIR CONDITIONER PAD CERIIFlCATe OF AUIHOPoZADWI f U3-7104
a� COUNTY RECORDS
BLDG- BUILDING
SuarOZ sure@ying 8c mapping, Inc.
BM = BENCH MARK 15190 SW 136th Street, Suite 20, Miami, Florida 33196
(\ = CK & STUCCO
\J J
j Bob CALCULATED
www3suarersiurve05
i I
BEARINGS Tel: 596 1886
.: CBS= CONCRETE BLOCK
,� (c) CALCULATED ying.c o m
N . SPHAL'T.•P,AVEMEN. o. .¢ C&G - CURB & GUTTER
c in r •'' � CHAIN LINK FENCE
PLAT IMAGE:
rJ.00
_ DNC = CONETE NOT TO SCALE
{SORT} "DE = DRAINAGE EASEMENT
SCALE: 1"=20' FIP 1/2" _ _ �_ FIP 1/2" a` o/W=DRAINAGE&MAINTENANCE EASEMENT
NO ID�j o o NO ID p
EB = ELECTRIC BOX rN<A„N•, - -
0 0-! 0.70` , ENC. = ENCROACHMENT NE /!/ 577
.
m.: EP = EDGE OF PAVEMENT
EW= EDGE OF WATER
FDH=- FOUND DRILL HOLE s a a m y e s ro ii is a
FF FINISHED FLOOR
llll�o I FIP = FOUND IRON PIPE _ 1
i FIR = FOUND IRON ROD
FN - FOUND NAIL (NO ID) re I r� r •
FND = FOUND NAIL & DISK
i FPL= FLORIDA POWER & LIGHT TRANSFORMER PAD
IF = LANDSCAPE EASEMENT
LME = LAKE MAINTENANCE EASEMENT /�L� //0'"' ST•
i (M) = MEASURED
MMDCR=MIAMI-DADE COUNTY RECORDS
5.
5.2 ML= MONUMENT UNE PROPERTYADDRESS:
1
o W = PST
Ps = PLAT BOOK 101 NE 110TH STREET, MIAMI SHORES, FLORIDA 33161
9.75' 20.0' O PB
N c ��C a - PC = POINT OF CURVATURE LEGAL DESCRIPTION:
21.E' i C PCP = PERMANENT CONTROL POINT
PE POOL EQUIPMENT PAD
LOT 24, BLOCK 1, OF COLLEGE HEIGHTS, ACCORDING TO THE PLAT
� =
0.70' ^ �lAp y ���Q PG = PAGE THEREOF, AS RECORDED IN PLAT BOOK 42, PAGE 8, OF THE PUBLIC
Irlhilt A ® PI = POINT OF INTERSECTION RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
PL = PLANTER
13.3' POB = POINT OF BEGINNING FLOOD ZONE INFORMATION:
0.70' pN POC = POINT OF COMMENCEMENT BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL
BY: PRC = POINT OF REVERSE CURVATURE
O LIN a n O PRM = PERMANENT REFERENCE MONUMENT EMERGENCY MANAGEMENT AGENCY REVISED ON 09/11/09 AND INDEX
O I ONE STORY CBS I O PT = POINT OF TANGENCY MAP REVISED ON 09/11/09 THE GRAPHICALLY DEPICTED BUILDING(S)
V-:
I STEPS RES# '01 2 I r R = RADIUS DISTANCE SHOWN ON THIS MAP OF SURVEY IS WITHIN ZONE X BASE FLOOD
(R) = RIGHT OF= RECORD ELEVATION N/A. COMMUNITY NAME & NUMBER MIAMI SHORES 120652
LOT 25 v- LOT 24 V_ LOT 23 RES. = RESIDENCE WAY MAP & PANEL NUMBER 1208600139 SUFFIX
BLOCK? i BLOCK? i z BLOCK? SIP - SET IRON PIPE SURVEYORS NOTES:
SND = SET NAIL & DISK (PK)i
STL = SURVEY TIE LINE 1. ELEVATIONS WHEN SHOWN REFER TO 1929 NATIONAL GEODETIC
ON LINE 2' co SWK = SIDEWALK VERTICAL DATUM (NGVD 1929). 2. NO ATTEMPT WAS MADE TO LOCATE
20.3' N (TYP)= TYPICAL FOOTINGS/FOUNDATIONS, OR UNDERGROUND UTILITIES UNLESS
9.75' 6.9' . :^,:'. 5.6' u6 = unurY Box
OTHERWISE NOTED. 3. THE LANDS SHOWN HEREON HAVE NOT BEEN
••ri I UE = UTILITY EASEMENT ABSTRACTED IN REGARDS TO MATTERS OF INTEREST BY OTHER
n W/F= WOOD FENCE PARTIES, SUCH AS EASEMENTS, RIGHTS OF WAYS, RESERVATIONS, ETC.
12.30' 0.30' SYMBOLS: ONLY PLATTED EASEMENTS ARE SHOWN. 4. THIS SURVEY WAS
32a' M = TELEPHONE RISER PREPARED FOR AND CERTIFIED TO THE PARTY(IES) INDICATED HEREON
4.8' °` 7.1' N 3' 0 = CABLE TV RISER AND IS NOT TRANSFERABLE OR ASSIGNABLE 5. THE INTENT OF THIS
-1 c Co O 9 �. ' Zi ® = WATER METER SURVEY AS COMMUNICATED BY THE CERTIFIED PARTIES IS FOR
y n X 0.00 = ELEVATION REAL-ESTATE TRANSACTION OR MORTGAGE REFINANCING, THIS SURVEY
O Z '� .0' PL ��p (00')•= ORIGINAL LOT DISTANCE IS NOT TO BE USED FOR ANY OTHER PURPOSE OR PARTY(IES)
(t1 O Z c3 4 �7WITHOUT THE AUTHORIZATION OF THIS FIRM. 6. THIS SURVEY IS NOT
Z - 0 O 0 � D = CENTRAL ANGLE INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES, FOR
C -� fTl 0 (� - CENTER LINE THOSE PURPOSES, A TOPOGRAPHIC SURVEY MAY BE REQUIRED. 7. ALL
O 0 m v 'oo o lcz w' BOUNDARY LIMIT INDICATORS SET ARE STAMPED LB# 7104. 8, THE
WAS VALVE BOUNDARY LIMITS STABLISHED ON THIS SURVEY ARE BASED ON THE
C7 -i 7 cn = CURB INLET LEGAL DESCRIPTION PROVIDED BY CLIENT OR ITS REPRESENTATIVE 9.
Zi:F.E HY x,i FENCE OWNERSHIP NOT ODETTERMINPY �E.D L110.nADDITIONS 4AN THE SO DELEOR TIONS To PARTY OR
3. •• PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING
Z f!) 1 J = LIGHT POLE PARTY OR PARTIES. 11. BEARINGS WHEN SHOWN ARE TO AN ASSUMED
Uj MERIDIAN, THE CENTERLINE OF NE 110TH STREET HAS BEEN ASSIGNED
M IP 1/2" FIP 1/2" Q = CATCH BASIN A BEARING OF EAST.
CD NO lD
= UTILITY POLE
w 4a4 NO ID 554.5'
-7 � .44.(Y ® = DRAINAGE MANHOLE
-E 7Jr.00 - <. .. BLOCK QS = SEWER MANHOLE CERTIFIED TO:
:33o = ALUMINUM FENCE
C O CORNER _x = WOOD FENCE MANUEL A. RAMIREZ AND VERONICA GAZMURi, HIS WIFE
= CHAIN LINK FENCE UNITED WHOLESALE MORTGAGE, ISAOA ATIMA
— = OVERHEAD UTILITY WIRE CASTRO & RAMIREZ, LLC
°° °•° ° ° • • ° °° OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
m . . • • • •
z LO
0 0 • •• • • • • ••o •
in • • • • • • • • • REVISIONlS):
a •• ••• •• • • • •• Lid L�j El LEM VN,-J
ASPHALT CONCRETE PAVERS TILES COVER
lvqxN
SURVEYORS CERTIFICATE:
I HEREBY CERTIFY THAT THIS SURVEY IS TRUE ANG CORRECT gADIN
F MY KNOWL E AND BELIEF AS RECENTLY
° °°° ° • SURVEYED AND DRAWN UNDER MY DIRECTION AND MEETS THE ICAL STAND DS SET FORTH BY THE FLORIDA
• • • •
00* • •
• • • • • • • • STATE BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 5J-1INISTRATI CODE P RSUANT TO SECTION
• •
1$' ASPHALT .PAVEMENT ° °„ ° f°• 72.027 FLORIDA STATUE. DA
•° AUTHENTIC COPIES OF THIS SEALTE OF SURtiEY
EAST SURVEY SHALL BEAR THE 0911 /2
IrLj B.O.B ;
`� 014
�� _ JOB 140920316
••° • • • • .°• • ° ORIGINAL SIGNATURE AND
'75�' / i i i i•+ i i i RAISED SEAL OF THE SUAR FILE # C-15229
ATTESTING REGISTEREDPROVEYo & MAPPER CAD FILE(T):RAIdIREZ
SURVEYOR AND MAPPER SDA # 6220 SHEET 1 OF 1