FW-16-890 l
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-256143 Permit Number: FW-4-16-890
Scheduled Inspection Date: May 13,2016 Permit Type: Fence/Wall
Inspector: Porto Jr,Jose
Inspection Type: Final
Owner: SMITH, PATRICE AND SCOTT Work Classification: Wood Fence
Job Address:358 NE 101 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060135280
Project: <NONE>
Contractor: SOUTH FLORIDA FABRICATION AND FENCING INC Phone: (305)233-5333
Building Department Comments
HORIZONTAL WOOD FENCE 5" Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 12,2016 For Inspections please call: (305)762-4949 Page 7 of 19
h Miami Shores Village a.
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 x
3 ti
Phone (305)795-2204
Expiration: 1011 /2016
Project Address Parcel Number Applicant
358 NE 101 Street 1132060135280 pATRICE AND SCOTT SMITH
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Coll
PATRICE AND SCOTT SMITH 358 101 Street
MIAMI SHORES FL 33138-
358 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
$ 2,423.00
SOUTH FLORIDA FABRICATION AND (305)233-5333 Valuation:
II,
Total Sq Feet: 76
Approved: Available Inspections:
Comments: InspectionType:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:HORIZONTAL WOOD FENCE 5" Review Planning
Classification:Residential Scanning:3 Review Building
Review Building
Fees Due Amount
Pa Date Pa Type Amt Paid Amt Due
� Y Yp
CCF
$1.80
Invoice# FW-4-16.59263
DBPR Fee $2.00
$04/01/2016 Check 50.00 $67.80
2252#.
DCA Fee $2.00
Education $
Surcharge 0.60 04/18/2016 Credit Card $67.80 $0.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $117.80
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and the above-named contractor to do the work stated.
April 18,2016
ed Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 18,2016 1
L\ I
Miami Shores Village
APR 0 OIt
Building Department
i�
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
t INSPECTION'S PHONE NUMBER:(305)762,4949 I I
lam✓ FBC 2014 a�
BUILDING Permit No. '°-,
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: 3 S11K N t-• to l S 1
City: Miami Shores County: Miami Dade Zip: 3313
Folio/Parcel#:
Is the Building Historically Designated:Yes NO X Flood Zone:
OWNER:Name(Fee Simple Titleholder): SCO-TrPhone#:
Address: 3 N-V--• \0 S 5—,r
t3
city: �.,e..�t`c�` S �e.S State: �� zip: 33 V-
Tenant/I.essee Name: Phone#:
Email:
CONTRACTOR:Company Name: SOUTH FLORIDA FABRICATION AND FENCING phone#: 305-233-5333
Address: 6989 SW 125 ST.
City: PINECRESTState: FL zip: 33156
Qualifier Name: ANTONIO I IGLESIAS Phone#: 305-710-4512
State Certification or Registration t 13BS00086 Certificate of Competency#: 13BS00086
Contact Phone#: 305-710-4512 Email Address: tony@southfloddafencing.com
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 2��3• `
Square/Linear Footage of Work: `Z
Type of Work: OAddition QAlteration LINew ❑Repair/Replace• LIDemolition
Description of Work: VAagg _. =DA_ Y:!g�
Color thru tile:
Submittal Fee$� "COD Permit Fee$ 0-3 CCF$ :�� CO/CC$
Scanning Fee$ Radon Fee$ Q . GCj DBPR$ _� ON Bond$
Notary$ Training/Education Fee$() -G(h Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$� •
s
Bonding Company's Name(if applicable)
Bonding Compatly'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 copy of the recon notice o' co cement must be posted at the job site
for the first inspection ch occurs seven (7) s after the building p rmit is issued In the sence of sucl ed no ' e, the
inspection will not be p ed and a reinspe fee ill be charged
Signature Signature
Owner or Agent 'Q� Con ctor
The foregoing instrument as acknowledg before "'v The foregoing instrument was acknowledged before me thi-
-� 90 ,.�
day of e��'�;20 by �1 dayof 1�QI l:Y \ .20�byf�lQ Lq)'els1 ,
who' personally kno o me or who has produced who is personally known to me or who has produced--*Pt
As identification and who did take an oath. Q ee as identification and who did take an oath.
NOTARY PUBLI • NOTARY PUBLIC:
.y
Sign: Sign:
Print: ,•Y••,, Print: µ
�P10M,.IIay$0 20"8
My Co My Commissi y is #FF1318 5
SAW MY COMM til ;8
APPROVED BY Plans Examiner / t/ Zoning
Structural Review Clerk
(Revised 3112JZ MXRevised 07/1WXRevised 06110/ M)(Revised 3/15/09)
CTQB
Construction Trades Qualifyinq Board
BUSINESS CERTIFICATE OF COMPETENCY
13BS00086
SOUTH FLORIDA FABRICATION AND FENCING INC
D.B.A.:
IGLESIAS ANTONIO IGNACIO
Is certified under the provisions of Chapter 10 of Miami-Dade County
VALID FOR CONTRACTING UNTIL 09/30/2016
006221
Local,Business Tax Receipt
Miami-Dade County, State of "Florida
{, ....._THIS 6 NOTA BILL DONOT PAY ,
BUSINESS NAMMor-ATION
RECEIPT NO. EXPIRES
SOUTH FLORIDA FABRICATIONANCI FE", INC RENEWAL SEPTEMBER 30, 2016
6989 SW 125 ST 7396732 Must be displayed at place of business
PINECREST FL 33156 ' Pursuant to County Code
a
tr a Chapter 8A-Art.9&10
i
LBT
OWNER ~" BEC.TV"OF BUSINESS ? i.
PAYMEN6IFECEI y f•
SOUTH FLORIDA FABRICATI( �6 SPE( ALTY BUILDING CONTRACTOR BY TAX c cT •,
at ENctNc INC ss000 5.00 0/2M'
worker{s) 1 T EDITCA 15 2993
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This LocaLBusmes F' ceipto VMS,Pa F>. 8usmesg7ex.The Race s nota l naa
parmit ore certific the vol lificaIIio Hold ny goveomental'
or nongovernmental tory lav qutreme the b"
The RECEIPT N0.abeZemust bad ltb cion all c2, rcial v cies-Mi Ba 276 y '
erk
For morelA 11 tion,vidtlM�Yw miamidade ':-fix ,�d
t
} baa r
xr
Municipal'rUhtractor"s Tax Receipt
Miami-Dade County, State of Florida
-THIS IS NOT A BILL-DO NOT PAY
CC NO: 138500086 6IY rKt40�w
BUSINESS NAME/LOCATION^ RECEIPT NO: EXPIRES
SOUTH FLORIDA FasRICAnoN AND SEPTEMBER 30 201 G
� . FENCINCINC _7473815, y'
6989 SW 125 ST
PINECRCST,FL 33156 ` Pursuant to County Code
Sec 10-2#
TYP��F BUSI�J�„�
PAYME ECEI
'MR
FAE! ON SPECITY 8 �.�r
ING INC 17Y TAX
LLE
s. a. ... 75.04 10/05
'ANTONIO IGLE RESID45-1 Sb00017
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ipt rs aattzal+d in the following Mamc�pelities:Aventura Dnrat H�atesv,Key eiauv
txdelfa kes,Palmetto Bay,Pinecrest,Sunny tSIeS Beach,town of Cutler Ix
MIAMI
Q4DE FA(Illpfe information,visit fyv�w.miemldade,ggy(taxcot7eMOr'. '"
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s
Mar. 24. 2016 1 ;42PM No. 0283 P. 1
CERTIFICATE OF LIABILITY INSURANCE1 03(2412016
DATE WMWMM
THIS CERTIFICATE 10 ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES
BELOW. THIS CMIT1FICATE OF INSURANCE DOES NOY CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: U the cerilliaale holder lean ADDITIONAL INSURED,the pogoy{lea)must 6e endomed. If SUBROGATION 13 WAIVED,SUbjeot to
the terms and conditions of lhs pouey,corlaln pollolos may NQUire an endorsement. A statomont on Ilds certificate does not confer rights to the
CertlOoale holder In geu of auoh endornement(a).
PRODUCER
IRIelbsurence,Uw. 305 866-1442 go). (306)8684405
4970 SW 72 Ave Stille 107 Inwigntell4aswenee.com
MISAA FL 33165 INSURE AFFGROINGOWGRA B Natoe
Phone 886-1442 FOX M WO-1405 INSURENA: GRANADA INSURANCE COMPANY
INSWteD INSIURIN It a.
SOUTH FLORIDA FABRICATION AND FENCING,INC. INSURERC:
6989 SW 125 STREET U s
PINECREST FL 33156 INSURER F:
COVERAGES CERTIFICATE NUMBER; REVISION NUMBER:
THIS IS TOGERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE ROVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iv TYPE OP INSURANCE AUDI U
N IN NUMBER damn Aza® ua4¢is
COMMERCIALAU.LGOER 'AIM TY
EACH OCCURRENCE s 1000000.00 i
❑ CLAIMSMAOE ❑ OCCUR S100,000.00
El A [1 0105 FLOOOSO178 03!04PEI230M 1
/2016 03104/2017 MES Oane .QW 00
am A1.4 S 1,000,000,00
OENt.AWREGATE UWTAPP MS Kit GENERAL AGGEG
RATE 3 2,O00 000.00
❑POLICY ❑JEI:T El Lor.
OTHER PRODUCTS-COMPIOPAt1G S 2.00000
,0 .00
❑ S
AUTOMOEILEtIASIUTY t bIBIN lA
❑ AALN{Y AW ODia LY INJURY(Per pw o) S
❑
a&
ED E] SCH BODILY INJURY(Per $
[IMWAUTOS [3AIIIIOS D R 8
F1 0 $
UMBRELLA LIAa El OCCUR FACH OCCURRENCE s
tCIC068 UAB C M AC4R;REGATE 3O
VIORNERS COMPENSATN:N S
AM 6MPLOYFRppByy'ppWgq1��81'UiY YIN
ANYOFPIPCRE=P ATBI R EXCI.UDED7 E MIA E•L EACHACCrDSNT 5
(�alCUaVED
otyd��fP2. E.L DISEASE-EAEMPLOYH $
DE5CRrnONOPOPERATIONS bebw E.LDISEASE-POLICYUMIT $
DE&;lUMN OP OPEWITIONSI LOCATIONSI VMUiC e8(Aaach ACORD 101,Addldohal Remarks ScUedulo,U more space is road"
FENCE:ERECTION-8989 SW 125 STREET,PINECREST,FL 331W-LICENSE S 13BS0WK
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY Olt THE ABOVE DESCRIBIso poUci s BS CANCELLED BEFORE
CITY OF MIAMI SHORES THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
MIAMI SHORES VILLAGES ACCORDANCE WITH THE POLICY PROVISIONS,
10050 NE 2 AVE. AU MRRED RKINfw6SNTATIVE
MIAMI SHORES,FL 33138
4^0L(o N 1te2.•'
®1998-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01)QP The ACORD 1101110 aad logo at B registered marks of ACORD
I
i
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
**CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 3/10/2015 EXPIRATION DATE: 3/9/2017
PERSON: IGLESIAS ANTONIO I
FEIN: 460805816 -
BUSINESS NAME AND ADDRESS:
SOUTH FLORIDA FABRICATION AND FENCING
6989 SW 125 ST.
PINECREST FL 33156
SCOPES OF BUSINESS OR TRADE:
FENCE INSTALLATION
AND REPAIR-
Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by flim¢a certificate of election under this section
may not recover benefits or compensation n under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempL..apply only within
the scope of the business or trade Iced on the notice of election to be exempt Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and
cardficates of election to be exempt stall be subject to revocation if,at any time after the fling of the notice or the issuance of the certificate,the person
named on the notice or carHficete no longer mets the requirements of this section for issuance of a cartilicate.The department shelf revoke a certificate at
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609
�( �!0...;P� t�•A.'� L. �Z •
YY TENCHIG
d
March 16,2016
State of Florida
County of Miami Dade
Before me this day personally appeared ToA0;gYvho, being sworn,deposes and says:
That he or she will be the only person working on the project locate at: ITY
Sworn to(affirmed)and subscribed before me thisA&_day of 2016 .by
Personally know
Or Produced Identification
Type of Identification Produced
Print,type or Stamp Name of Notary
AIAYBIPM
* * A1YWAft9J0N#FP13W1
EXPRES:diMneuJUN10 2018
p�ys�rk�s
6989 SW 125 St PINECREST, FL. 33155 PN:305-233-5333 FAX 1-305-359-5197
VV) iVI iViV ri.2V i.... .�JVVr
, Z
Miami Shores M illage
Building Department
10050 N.1_.2nd Avenue
AAlemi Sh=s, Fiords 33138
Tel: (305)795.2204
Fax: (305)756.8972
Notice to owner- Workers' Compensation Insurance Exemption
nor,&Law requires Wim' Common insumnce coverage tinder c*tw"0 of the Florida Statutes. Fla. Slat. f 440.05
allows cmporate ofllow in the consmmuon industry to exempt dwWWas fiom this requirazzien for any construcdon project prior to
obtamitng a budding permit. Pnmuant to the Florida Division of work=,Comp bon Employes Facts Broobure:
An employar in the co+a*uction industry WhD etPloys one of more part time or fu11-time
emplo>eM inchxbg themust obtm wofsers'compensadon coverage. Corporate officers
or members of a limited compamy W-C) in the c oneWalon iuduotry may elect to be
exempt it
1. The officer,owns at least 10 percent of the stocfC of the coipotldm or in the case of
an ILC,a Statement att�ng to the mntt110 petit ownership;
2. The of is luded as as OM=of the corporation in the records of the Ronda
Deparlanad of State.Division of Corporations;and
3. The cotpomtkai is rcgisweii and liswd es alive with the Florida Deportment of
State,Division of Cdgmmdow
No mote tban tbrac oapxjo officers per=pmwwn or limited liability conWay newmbms are
allcmv 1 to be exempt. Onodi exemptions arc valid for a period of two ycers or until a
vaholwy revocation is filed or the exemption h revoked by the Division,
your conbvocr is mgwsbM a perWt=der this workers'compmation exemption and has aclmowk*that he or she Will not use
day labor.part-ti=emplo y or subcozlttaamrs for yarn'project.The comirwor las provided an affidavit stating that he or she will
be dw ot+l'y persorn allowed to work on your project In these 0hc=manwj6 Miami Sham'Village does not require verification of
wwkw mon corsage flour the c onvacioes corny for day labor.put-time e�loya"of subcontractors.
BY SIGHT m B YOU ACRNQ E THAT YOU HAW RPAU TWS NOTICE AND UNDERSTAND' ITS
CONTIRM.
Signubm. r'
State of Florida
County of Miami Uadc
The foregoing was wclmowledge before me this �b day of /��/ ,20
ay Cao 1 S'
h',7T who is to me or has prodttoed
Notaty:_. �
STI..: .•..•"; AW.AMW
MYCoWssMEEtsg4a2
EXFIRES:�sy 30,2048
UM SIN 43rd NAY, scum 1 a20' JOB N0:
UD <1BAAH,FL 33188. FMIA BATE 201
ASSIONS INC. pN= 0512.4225 rmor PwMM A
FAIk M$12.1914 BOUNDARY SUR
Land Surveying Services �.
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CES TES AREETTOTHEMITER LIKE OF THE SAKE,TOTHff FACEOF THE SAME WHENSHOWNAREHALONNATIDNALNffODTTHCVE3tTICALDATUM �pppOTtR9tWI�NOTBD. PWeme.DRE NO ASOVEC,�dO&1HNdt0AtINTS OTHffRTNAN il109E SHOYwN. •ie5e
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• • • • • • • • • • •
NOT&ALL BBABOIO Nle AIM MM TOTHE PIAT N/A •_ • •• • • • •
THE f�iT ER LOtE N/A PR�TY UNL • • —r--
DAYID LFOTCR
EASUWVUUTM OYES ENO WGISTERED LAND SURVEYOR#4110
IWPAMW VM 9WMMACM M ❑YES ®NO _ STATE OF ROMA IS#OMW4
60MdlTSs •• sEat� • • 8HEET?OF 1
Fences Good Side Out. The vertical and horizontal
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished side shall face the adjoining ,
r raxg
.•••
. .
_� ��. ♦- '1 r � < �, -.. ( �:ty SNI � ••••••1tY
r< ::` �•` ti: i� N�� ^<i�}. S v �^;�:5°� �. 1 y, �� ;r� C' Lgs1•`•V '�- per, +�,�
E' Fencin Installation Details Fence City , ,
Sows: 114=r o• (TOW iffrl Nw�n>�, Fak3E.4St90022
_ WF 3M65
General Notes(Design): I ro 1 Mwar m I sm
1. Design complies with the requirements of the Florida Building Code 2010 wood Nag a7D x 2-,r4• K int Nag per bowdbeaoh post kaiak.,,OaN
Sec.1S152&ASCE 740,wind speed 115�PH,Category I,Exposum C. ® —
2 Horizontal pickets sW be Installed in a hoftrft style with no opening ! GIM LIM a
larger than 1/4• ® P,)stg 12Vx24' Pl*gnY.50 9 y
3. No changes are allowed without writen ft the ArcWbaa ® p4m 1t I PMBMTrew
4. No gates am desigrAd for its fencing Installa ion. Consult with the Archtect ® aw pod rx rxsr I MftM•Reese Wd
for spekdaily erpineering and gets design this particular slyte of fencng.
COMPONENT GENERAL.NOTES(Deaicn and Inslall,*,:
1. SUPPORTING STRUCTURE
:
Connection Notes(Installation ,.,. . wood_laWbe4•x4'c tn)-ith—ro*V(,rsx24') p
1. SOIL @ GRADE POST CONNECTION: LL
_ Anchored In 12•x 24•(2,500 psi)concrela.i
2. PICKET/POST CONNECTION:(2)(7D x 2-1/4•Wood Nail @ each post. $
i � U
o �
of
CID
5' Not Used 3' Fencin Design Information rialsDetailsN�to�te IJottoSceie Eta�ty tr t cryo
1ND4.Q
i