FW-16-901 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-256226 Permit Number: FW-4-16-901
Scheduled Inspection Date: May 09,2016 Permit Type: FencefWall
Inspector: Mesa, Michael Inspection Type: Final
Owner: COHEN,ROBERT Work Classification: Woo! Fence
Job Address.140 NW 110 Street
Miami Shores,FL 33168.4321 Phone Number
Parcel Number 1121360030110
Project <NONE>
Contractor. HENRY'S FENCE INC Phone: (305)669-0180
BuIlding iDeparknent Comments
IT HIGH WOOD FENCE Infractio Passed nts
INSPECTOR COMMENTS False me
Inspector Comments
Passed
Failed
Correction
Needed
Re-inspection
Fee
No Additional Inspections can be scheduled until
reinspection fee Is paid.
May 06,2016 For Inspections please call:(305)762.4949 Page 19 of 46
Miami Shores Village
10050 N.E.2nd Avenue NW
Miami Shores,FL 33138-0000 h ,
Phone: (305)79-r-2204
Expiration• 1 1042016
Project Address Parcel Number Applicant
140 NW 110 Street 1121360030110
ROBERT COHEN
Miami Shores, FL 33168-4321 Block: Lot:
Owner Information Address Phone Cell
ROBERT COHEN 140 NW 110 Street
MIAMI SHORES FL 33168-4321
140 NW 110 Street
MIAMI SHORES FL 33168-4321
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
HENRY'S FENCE INC (305)669-0180 Total Sq Feet: 270
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:6'HIGH WOOD FENCE Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# FW-4-16-59276
DBPR Fee $4.05 04/04/2016 Check#:9402 $50.00 $240.30
DCA Fee $4.05
Education Surcharge $0.40 04/13/2016 Check#:9411 $240.30 $0.00
Permit Fee-Wire&Wood $270.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $290.30
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 forgoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize th ove-named contractor to do the work stated.
April 13,2016
Authorlzdd Signatu Applicant / Contractor / Agent ate
Building Depart ent Copy
April 13,2016 1
ZA
o .c Tyr r
Miami Shores Village R 1016
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION UNE PHONE NUMBER:(305)762-4949
�
FBCr20
BUILDING (waster Permit Nd.W I b `1701
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: L-Am Io 4
City: Miami Shores County: Miami Dade Zi :
Folio/Parcel#: ,T?I�0 :5 I/I the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address •
City. State Zip
Tenant/Lesseg Name: M Phone#:
Email: 101CP 1 I • 0 br(I
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CONTRACTOR:Company Name: Phon
Address:
City: State: Zi J
Qualifier Name: Phone#
State Certification or Reglstratio Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address _city: state: Zip:
Value of Work for this Permit: Square/Unear Footage of Work: C�Z'-71..�Lil —
Type of Work: ❑ Addition ❑ Alteration ❑ Ne ❑ Repair/Replace ❑ Demolition
Description of Work: 1
Specify color of color thru We:
Submittal Fee$93 Permit Fee$c�- - 0- CCF$ •`' Co/CC$
Scanning Fee$ ! - CC) Radon Fee$ k 05 /-� DBPR$$ T U Notary$
Technology Fee$ 1 • r. Training/Education Fee$ V• V Double Fee$ -Q
Structural Reviews$, Sa Bond$
TOTAL FEE NOW DUE$ 2-40- -30
(RM-A02/24/2014)
'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 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$2500,the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7)days after the building permit is issued. In the absence of such posted notice, the
Inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
Thle for ng instrumeolias acwqmledged before mq this a ing instrume Y vas ackhooledged before this
day of /' 20 by ay of ` yr�q by
Ze
n.who i rsly noonalo e�7
���911l1�1 a��®� •'••1SSl
me or who has produced�s .,t\S R ( ^p _as me or who his produced �Q Ate;
identification and,who did\ '® SSIONF•,Glc\>,;, identification and who did takes o a N Z
NOT Y BUCr �\V \\\9,2Q��A�a� NOTARY PUBLIC:
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Sig i2' #EE 185969 0�;� Sign // �,o'•. lic Undg;;•' `oe
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Seal: ®'li/'0PtIc ST04Nfllil��O\9a,� Seal:
sssesssssss$sssesssssssssssssssssesssssssssssssssssssssessssssssssssssssssesssesssssssss ss ssssssssssssss
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(ReV--d02/24/2014)
.... am
Miami shores Village
Building Department
�lpRlpA 10050 N.E.2nd Avenue
Miami Shores, Florida 33168
Tel: (305)795.2204
Fax: (305)756.89.72
Notice to Owner— Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 4,40 of the Florida Statutes. Fla. Stat. §440.05
allows corporate officers in the consh%tion 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 percentof the stock of thecorporation,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 any person allowed to work under this permit 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.
Owner Contractor
Print Name: 1460-f- Print Name: )1 1%lmk?
Signature: Z1—- Signature.
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StateFlorida) ) ����°'� S9�2�F°•G�`�s CState of ounty of Florida
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Countyof Miami-Dade O��iOi: o .�Q M\9 1& •1
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HENRY'S FENCE, INC.
3931 SW 63rd Ave.
Miami,FL 33155
Phone: (305)669-0180
Fax: (305) 669-5992
Email: henrysco@bellsouth.net
March 30, 2016
Miami Shores Village
10050 NE 2nd Ave
Miami Shores, FL 33138
Job Address: 140 NW 110 Street
I, Henry P. Villoch, president of Henry's Fence, Inc. will be the
only person installing and working on the fence project at the above
address. Should you need any further information, feel free to contact
me.
Thank You,
He+u�y P. Va odv
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S...°. WV®Fm
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Room nun Building Department
artment
10050 N.E.2nd Avenue
AOR Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
WOOD FENCE DETAIL
o Shadow Box
o Vertical Picket
o Board on Board
4x4 Post Spacing
Fences<=S' high posts spaced at Yon center maximum
Fences<=4' high posts spaced at 6"on center maximum
Fence must not exceed Yin height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
000 F"2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
4x4 pressure treated
posts embedded 2'into
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
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FL X"211 SURVEY NO 1 008
7TJ.EPHONE(3�264.2000
PAX:(M)284-0249
DRAWN BY:AA LAND SURVEYORS SHEET NO 1 OF 2
SURVEY OF LOT 11,BLOCK 219,OF MIAMI SHORES EXTENSION,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43,
PAGE 40,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA.
PROPERTY ADDRESS: 140 NW 110 ST,MIAMI SHORES,FL 33168
FOR: ROBERT CONEN
LOCATION SKETCH Scale 1"=NT.S.
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ABBREVIATION AND MEANING LEGEND TYPICAL
A-ARC FNIP.-FEDERAL NATIONAL INSURANCE RAD.-RADIUS OF RADIAL —OH-OVERHEAD UTILITY LINES
AIC-AIR CONDITIONER PAD PROGRAM RGE-RANGE
AE.=ANCHOR EASEMENT IN.&EG.-INGRESS AND EGRESS R.P.=RADIUS POINT C.B.S.=WALL(CBMAIR-ALUMINIUM ROOF EASEMENT R.O.E.-ROOF OVERHANG C.L.F.=CHAIN LINK FENCE
A18-ALLM94 M SHED LF.E.-LOWEST FLOOR ELEVATION EASEMENT
ASPH.=ASPHALT L.M.E.-LAKE MAINTENANCE EASEMENT RW:RIGHT-0F-WAY -o-O- I.F.-IRON FENCE
B.C.-BLOCK CORNER L.P.-LIGHT POLE SEC.-SECTION
B.C.R.-BROWARD COUNTY RECORDS M.-MEASURED DISTANCE S.I.P.-SET IRON PIPE L.B.06044W.F.-WOOD FENCE
B.M.-BENCH MARK MRI-MANHOLE SWK-SIDEWALK
B.O.B.-BASIS OF BEARINGS NAP.-NOTA PART OF T-TANGENT •0.00 -EXISTING ELEVATIONS
C-CALCULATED HGVD-NATIONAL GEODETIC VERTICAL TWP-TOWNSHIP
C.B.=CATCH BASIN DATUM U.E.-UTILITY EASEMENT
C.B.W.-CONCRETE BLOCK WALL N.T.S.=NOT TO SCALE U.P.-UTILITY POLE SURVEYOR'S NOTES
CH-CHORD OAL-OVERHEAD UTILITY LINES W.M.-WATER METER SIF SHOWN,BEARINGS ARE REFERRED TO AN ASSUMED
CH.B.-CHORD BEARING OAS.-OFFICIAL RECORD BOOK W.R.-WOOD ROOF 1)IF SHO B1,SAID PLATIN THE DESCRIPTION A THE
CL=CLEAR OISVK-OFFSET W.S.-WOOD SHED PROPERTY.IF NOT,THEN BEARINGS ARE REFERRED TO
CAE-CHAIN LINK FENCE OVR.-OVERHANG -ANGLE COUNTY,TOWNSHIP MAPS.
CJM E-CANAL MAINTENANCE P.B.-PLAT BOOK
EASEMENTS P.C.-POINT OF CURVE O-CENTRAL ANGLE 2)THIS IS A SPECIFIC PURPOSE SURVEY.
3)THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE
CONC.-CONCRETE P.C.C.-POINT OF COMPOUND CURVE 9 =CENTER LINE 1:75W FT.
C.P.-CONCRETE PORCH PL»-PLANTER
C.S.-CONCRETE SLAB P.L.S.-PROFESSIONAL LAND >� =MONUMENT LINE 4)IF SHOWN,ELEVATIONS ARE REFERRED TO
D.E.-DRAINAGE EASEMENT SURVEYOR MIAMI-DADE COUNTY.
D.M.E.-DRAINAGE MAINTENANCE P.O.B..=POINT OF BEGINNING ALL ELEVATIONS SHOWN ARE REFERRED TO
EASEMENTS F.O.C..=POINT OF COMMENCEMENT NATIONAL GEODETIC VERTICAL DATUM OF 1929
DRIVE-DRIVEWAY P.P.-POWER POLE MIAMI DADE COUNTY BENCH MARK NO 3100
ENCR-ENCROACHMENT P.P.S..-POOL PUMP SLAB LOCATOR NO.SM
ET.P.-ELECTRIC TRANSFORMER PAD P.R.C.-POINT OF REVERSE CURVE ELEVATION 10.76 FEET OF N.G.V.D.OF 1929
F.F.E.-FINISHED FLOOR ELEVATION PRM-PERMANENT REFERENCE
F.H.-FIRE HYDRANT MONUMENT
F.I.P.-FOUND IRON PIPE PT.-POINT OF TANGENCY SURVEYOR'S CERTIFICATION
Flit=FOUND IRON ROD PVMT.-PAVEMENT
F.N.-FOUND NAA. PWY-PARKWAY 1 HEREBY CERTIFY:THAT THIS"BOUNDARY SURVEY"OF
F.N.D.-FOUL NAA.&DISK R-RECORD DISTANCE THE PROPERTY DESCRIBED HEREON,AS RECENTLY
SURVEYED AND DRANK UNDER MY SUPERVISION,
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY 1"SURVEY"k COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
AS SET FORTH BY THE FLORIDA BOARD OF
-THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17.6,
-THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING,AND SHOULD NOT BE FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,
USED FOR CONSTRUCTION PURPOSES. FLORIDA STATUTES.
- EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS,IF ANY,
AFFECTING THE PROPERTY.THIS SURVEY IN SUBJECT TO DEDICATIONS, E OR ATT ,RESTRICTIONS,RESERVATIONS
OF EASEMENTS RECORD,AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
BOUNDARY SURVEY MEANS A DRAWING AND I OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN
-THE FIELD.COULD BE DRAWN ATA SHOWN SCALE AND I OR NOT TO SCALE -.69 "BY. , T
EASEMENTS AS SHOWN ARE PER PLAT BOOK UNLESS OTHERWISE SHOWN.
-THE TERM'ENCROACtBIIE M MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS,
-ARCHITECTS SHALL VERIFY ZONING REGULATIONS*RESTRICTIONS AND SETBACKS,AND THEY WILL BE RESPONSIBLE
FOR SUBW TTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO
AUTHORITIES IN NEW CONSTRUCTIONS.UNLESS OTHERWISE NOTED.THIS FIRM HAS NOT ATTEMPTED TO LOCATE PROFESSIONAL LAND SURVEYOR NO. 2534
FOOTING ANDIOR FOUNDATIONS. STATE OF FLORIDA(VALID COPIES OF THIS SURVEY WILL
FENCE OWNERSHIP NOT DETERMINED. BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
-THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED. SURVEYOR).
HEREON.THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
-THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW.THE LOCAL FEMA
-AGENT SHOULD BE CONTACTED FOR VERIFICATION.THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED REVISED ON:
LAND TO BE SITUATED IN ZONE X COMMUNITYIPANELISUFFIX:120652 0139 L DATE OF FIRM:OSMIJ 008
BASE FLOOD ELEVATION:WA
REVISED ON:
CERTIFIED TO:ROBERT CONEN N
VILARELLO,GONZALEZ&ASSOCIATES,LLP
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANYP
o ''•••A
UNIVERSAL MORTGAGE 8.FINANCE,INC AND/OR THE SECRETARY OF HOUSING AND URBAN *:v lwcz '%?�
DEVELOPMENT ISAOAIA71MA 0.- •k g W 8
m STATE OF Y y0`9
:iQCOR10R. Qa
1<�AND ......
SURVEYOR'S SEAL S