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FW-16-275 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-252034 Permit Number: FW-2-96-275 YIIIpIIIYI YIIII Y ii Scheduled Inspection Date: May 12,2016 Permit Type: FencelWall Inspector. Mesa,Michael Inspection Type: Final Owner: THOMAS,LOUIS DE Work Classification: Wood Fence Job Address:1235 NE 100 Street Miami Shores,FL 33138-2603 Phone Number 305 796-4922 Parcel Number 1132050080040 Project: <NONE> Contractor: HOME OWNER YYYIYYIYYYIYIYIYYIYYI Building Department Comments REPLACE EXISTING EAST AND WEST FRONT GATES In ra o aa Comments OF FENCE WITH NEW 4X4'S 360C AND NEW INSPECTOR COMMENTS False HORIZONTAL PICKET ABOUT 9'(W)&16'(E). Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. 16 May 11,2016 For Inspections please calk(305)762-4948 Page 5 of 27 Miami Shores Village WED • • Building Department FEB 022016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 �Y: INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/�/ `4-114 BUILDING Master Permit No. i'W & - Z �-- PERMIT APPLICATION Sub Permit No. DkBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL Ej PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 0 S �p City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: S) hone#: Cil ✓ /A ��7 s��'"�P7�� OWNER:Name(Fee Simple Titleholder); �Y/�[ � z3 Address: / ,P-� �__ E=.Z®® 5��- ® �oc' �-�� City: 17 State: Zip: 3 - / Tenant/Lessee Name: _/� --� Phone#: Email:�tJ'/S C�l� /J7 'l�f�O•�Sl �C/ �i9"7L- a� CONTRACTOR:Company Name: Phone#: Address: City: State Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address. City State: Zip: aiTufllxlaTkptthisfetxtit:$ �t`�t7 . © � ;ra/Liiie foota eo#Work: 5 //✓P�J9'L_ Type of Work: ❑ Addition ❑ Alteration ❑ New WRepair/Replace ❑ Demolition Description of Work: C-e ! S is v r Ac A c jY Specify color of color thru tile: Al-Az>c.7, — 446- 1600 Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) r Bonding Company's Name(if applicable) D 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 9'A day of A"JU 20 I' ,by day of 20 ,by �_�T}Ao Mai ,who is personally known to ,who is personally known to me or who has produced c 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: Sign: A Sign: Print: �llPrint: Seal: P�oNotary public State of Florida Seal: 49 Sindia Alvarez c any Commission FF 156750 pfpo� Expires 09/03/2018 APPROVED BY Plans Examiner 2 Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 OWNER'BUILDER DISCLOSURE STATEMENT NAME: AVC.."® S / ®�'�'V? DATE: fDoADDRESS: /,;5) '3 S f O C7 S7- 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 actcontractor 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 I risible 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 o 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 an con racts. Initial 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 improved myself is eased within 1 year after the construction is complete,the law will presume that I built or substantially improved lt for sale or lease, hi viola s the exemption. Initial 5. 1 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 wor Ingon my building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by cou mun !pal 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.1,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 workin my property.My homeowner's Insurance may not provide coverage for those injuries.I am willfully acting as an owner-builder an am a ar 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 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 employe n er d 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 b 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 c Florida Construction Industry Licensing Board at 850.487.1395 or httr)://www.myfloridalicense.com/dbor/oro/cilbAndex.htmi Initial 11. I 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: Initial — !41 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the in rm o that I have provided on this disclosure. Initial Licensed contractors are regulated bylaws designed to protect the public.If you contract with a person who d s 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. 4Was acknowledged before me this .2-7 day of 20___/ io By LW'l V�T�6 MRS who was personally known to me or who has Produced there License or as identification. Y num Notary Public State of Florida �> OW ER NOTARY a< MY MyCiaAlvarez a ° Commission FF 156760 OF Expires 08/0312018 SKETCH OF SURVEY ' r SCALE: 1" = 20' cn 0 av o o or-in N rn V FIR 1/2- PLAT UMITS ���' FP. 1/2' • • "Now NOAD •.•••• • • • POOL :.:••• V { • ••••• 4.11 8.t�' I ••••• CHIC, • • LOT-4 LOT-5 •• ••• • 25.70 BLOCK-1 I BLOCK-1 •• 16U4T LIMIZ; ••• CONG $ I • •0• • I •••••• • 964 16.16' •••• N 2&W 1—STORY {� RESIDENCE Il �- 235 F.F. ELEV. 9.17' 8 I?n F.F. D.M. 9.77' GARAGE 24.80. 81bU' 23.50' t/ ASPHALT I $o. �+ ORIVEWAY { J FIR / NOAD 20 �00.w RP.1/2" No-to 19'PARKWAY 21'PAVEMENT 'TOTAL R/W. PER THIS PLAT) — N. E. 1 00 ST RE ET TEND H4tA P OR THE IES'%'MO'ARE NOWT THE�gJATi3RE ' �} -u fic PON ANAL RA1 Ep S£AI OF ^~�!—ami tfre tu. f 6ti -Faed�ftw A SED SURvm&MAPPER. ArwMtoo4feue Ei�ta,Omi6 FJW -Fool roof&tem —x-- tc Feam P& FR 4emd bm Sheet 2 t f SPtGi�S Vill2ge� P�ami r DATE BY APP�Ov'ED ZONING DEE' `7i ( tfl BLDG DEPTAL1 �>JERA1 SU6jRCT iC}GG1vLPLLRMCEV�TM AmoRECULAnCNS g STA-fE ANiS CCLUi�i-i{r1t;L�:. c MARTINEZ & MARTINEZ ENTERPRISES, INC. ausiness License A 7702 7179 W 13 Avenue, Hialeah , Florida 33014 Email:pispsm@yahoo.com Gel: 788-277-4881 Webs Ito:martinezendmartinez.com Property Address: 1235 NE. 100 ST.,MIAMI SHORES,FL.33138 LEGAL DESCRIPTION: �. Lot 4,in Block 1,of " GORDON SHORES"according to the plat thereof as recorded in Plat • •• •.• Bio"pt Page 8 of the Public Records of Miami-Dade County,Florida. • SCIRWv OWS NOTES:1) The captioned Property was surveyed and described based on the above Legal �n�tjgn:Provided by Clierrt. ...... ..... 2j' This Vejtififcation is only for the lands as described. It is not a certification of Title, Zoning, 'e.:e• ••. Ea 'riements,or Freedom of Encumbrances.ABSTRACT NOT REVIEWED. • sp There may be additional Restrictions not shown on this survey that may be found in the Public ""': • ReZr M oI this County Examination of ABSTRACT OF TITLE will have to be made to determine •••••• • •• reAWinstruments,if any affecting this property. •� 4)•• Acs 0C% .;.... ••• The%IVeded use of the land, as classified in the Standards of Practice , is "Residential High *00 Risk".The minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. 5) Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. 6) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to survey maps or reports by other than the signing party or 4 parties are prohibited without written consent of the signing party or parties. 7) Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. 8) The surveyor does not determine fence and/or wall ownership 9) Ownership subject to OPINION OF TITLE. 10) Type of Surrey:BOUNDARY SURVEY. 11) Flood Zone:X Base Flood Elev.:NA as per map 130832,Suffix L,Panel 0306 Date of Panel 9-11-09 12) A complete list of abbreviates used in this survey are shown on the back of this sham. r 13) if shown,elevation are relartive to the National Geodetic Vertical Datum of 1929. 14) Survey#16-003 15) This PLAN OF SURVEY has been prepared for the exclusive use of the entities named hereon. a The Certificate does not extend to any unnamed Party: A.)LOUIS DE THOMAS z Field Date: 1-05-2016 For the firm: P o Luis Martinez P.S.M. k P: iorral Surveyor 8 Mapper of Florida Re&No.-9443' Page i off 2 q a. . 000 : 0 .*0000 0 .. . . • • 41:::Oo 000 ....� ....� a� //'''' •meg aA e � pf� '� `• X7-0 �ty a Miami Shores Village r 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 � 'a Expiration: 0713112016 Project Address Parcel Number Applicant 1235 NE 100 Street 1132050080040 LOUIS DE THOMAS Miami Shores, FL 33138-2603 Block: Lot: Owner Information Address Phone Cell LOUIS DE THOMAS 1235 NE 100 Street (305)796-4922 MIAMI SHORES FL 33138-2603 Contractor(s) Phone Cell Phone Valuation: $ 800.00 HOME OWNER Total Sq Feet: 25 Approved: Available Inspections: Comments: Inspection Type: Date Approved: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:REPLACE EXISTING EAST AND WE Review Building Classification:Residential Scanning:2 Review Planning Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# FW-2-16-58523 DBPR Fee $2.00 02/02/2016 Credit Card $111.60 $0.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee-Wire&Wood $100.00 Scanning Fee $6.00 Technology Fes $0.80 Total: $111.60 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: !tF foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. orize the above-named contractor to do the work stated. February 02,2016 Authorized Signatu : er Applicant / Contractor / Agent Date Building Depa ent Copy February 02,2016 1