FW-16-1428 16
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax:(305)7564972
Inspection Number. INSP-259604 Permit Number: FW-5-16-1428
Scheduled Inspection Date: May 25,2016 Permit Type: Fence/Wall
Inspector. Mesa,Michael
Inspection Type: Final
Owner: COULTON,CRAIG AND ANDREA Work Classification: Wire Fence
Job Address:10669 NE 10 Place
Miami Shores,FL 33138-2103
Phone Number (30595-9027
Parcel Number 1122320280530
Project <NONE>
Contractor: HOME OWNER
BuffdhV Department Comments
REPLACE FENCE CHAIN LINK Ildtactio Passed Comments
INSPECTOR COMMENTS False
TO REPLACE EXPIRED PERMIT#BP05-1155
Inspector Comments
Passed ANDREA
786-367-1162 r
\&a TOGWJ� '�Q,G NA.l�
Failed F-1
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 24,2016 For inspections please call: (305)76241949 Page 30 of 34
Miami Shores Village z '?
10050 N.E.2nd Avenue NE A F
Miami Shores,FL 33138-0000
Phone: (305)795-2204 _.. E
Expiration: 11/20/2016
Project Address Parcel Number Applicant
10669 NE 10 Place 1122320280530
CRAIG AND ANDREA COULTON
Miami Shores, FL 33138-2103 Block: Lot:
Owner Information Address Phone Cell
CRAIG AND ANDREA COULTON 10669 NE 10 Place (305)895-9027
MIAMI SHORES FL 33138-2103
10669 NE 10 Place
MIAMI SHORES FL 33138-2103
Contractor(s) Phone Cell Phone Valuation: $ 600.00
HOME OWNER
�s - Total Sq Feet: 133
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Wire Fence Additional Info:REPLACE FENCE CHAIN LINK Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# FW-5-16-59905
DBPR Fee $2'00 05/24/2016 Cash $147.60 $0.00
DCA Fee $2.00
Education Surcharge $0.20
Permit Fee-Wire&Wood $133.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $147.60
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.
O F IT: I certify t t 11 the for mg information is accurate and that all work will be done in compliance with all applicable laws regulating
nstructio z ing. Futhe r ,I auth ' e the above-named contractor to do the work stated.
May 24,2016
uthorized Signa r :Owner / Applicant / Contractor / Agent 5ate
Building Department Copy
May 24,2016 1
" V• Zoning b
ove
Appr d
e
I
k.
-fie nI ' 4 ` tl
I,
I'
x }
cAe(z,
I
' v
�� II
II
II
I
II
I(�)Ck
�a
•
17 i-e-gal Z,
�jj
'HOIRE S
r,e L I t)l J
%
BIOCIZ 'C!, Of
Lot 2
:I g ne Plat tb�crcolj as -re, Crlj.,d in Plat Boo
t vi
FST ATE S, ti i
'co-niS G
I ti'l- -Mic
pap
j
4,
7 Z.0 P)7
C
n, Ka�n and -ornev
Sieg L. Couill*Ozi; Gzrat,
An
2
I 'lens, Inc., a -la—va—
:.
T" all _n D
Ti-le Insurance I
und, Inc.; Impel'i I Flo'
and/or as5--ig-Ins.
;r
N"A
A
L 0 0-�,l KA2 not to sca
J
r; •'� i tti
LOT
X
.4
..r
ri.ell 09/10/97
1,0T 1 ld
V,
G9/11/97
Z�"rvvv G-13648
0 Pla�:
I i.h. L
3
-A 3 138
0,-Z:STORY RESIDENCE flioszl)
J
WICCO F7NC_
1%�ZMpt
VINS 2-FEmr.
�7,jq
y Lggj 7 B 4 0-1-1 C 7 r. 101, 1 LQ-
MMIMNM.,a cc";
0 priopER-11 CCA'Mll -%T I C-.7 f-10111MA AM,
R RECORD :C: 4731-327 FILCIRMA S TA—t-M-
FIELD XIE-Naulso C.M.L. U7ILI*ry
C CALCULk_,E:)
S�
T
0 CL C4 E.-MI TX
eiics
-7:F 7�
C CENTERLIW! N*013 ArjtfIL-Q%
TE_. LAND SU,. f-YOR�IC,5S71
STATE 01 FLCRMA
FCWT FI;-M. S" F`vB*!OM.;NC.
-M. M
..A
Ml 6337
ChCHO
FCUMD ISON ROO CH
Founo IsCN PIPE
SAO RACIAL
-VE-Y
M.R. .1.03 A.401AL
,�7
R:,3HT OFWAY BOUNID _tD
INALK
7700 Mirth Kendal"
BUCICK 'o" tN SHGS S-O%,t AR=MTTM ASSLNM,PER PL-'Cl.CR,PER RE
CO?DED V1*1 Suite 400
T .4. Flortda
MEN1.
F.I.P. iT INSTRUZ
n; IOVIDED BY OrrMRS.
75.00'(P)74.60'(M) 2-THIS KCAL DESCRLMON; WAS P7 T ABSTRAC—S-0 FOR
p�BIEON INE12 NO
3. THE L.%NDS SHOWN ;ng'.. rax
'OVYN
OTHER RE ICES NOT SH , 0\1 PLAT. 'N.-WE n 1,".iv
>_ T-
CORDED ENcUmBRA\ . 3 ,- a , *T
10 t Liictv
IS p
15'ASPHALT PARKING 4. Lj N;DERG ROUND PORTIONS OF FOOTING.FOUNDATIONS ORO
Sm cc 4L
:VERS NOT LOCATED. Maitland—
5. ELEVATIONS ARE BASED ON NATIONAL GEODETIC DATUNI.
7)375
FENCE OWNERSH110 NOT DErE. NED. 071 S75-�Il);
7.WALL TIES ARE TO FACE OF THE WALL Fax
(4
SE.
='0'ASPHALT a. NOT VALID wrrtiouT*rzlz sl IGNATURE AND THE ORIGINAL RAISz D AL OFA
FLOILDA LIMNSED SURVEYOR AND MA�IPEX I-800-227-_'$54
g,. ONLY VISIBLE ErlCRCACljNMN7`S N D AFFILIA LOCATED. A T'ED C�),MPANIES Fax:
10 PLACE 10.NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOT20.
%0 RMI
• �
��
,�
® '�� � �O
� �y
��
.�
�� �,
��
Miami Shores Village I$ -P�
Building Department MAY 242016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 $��
S�
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-0949 S-N
FBC 20(q
BUILDING Master Permit No. -FIJ «— 4 42,'9
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL
❑PLUMBING ❑MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
p n/ CONTRACTOR DRAWINGS
JOB ADDRESS: 1 (`l((110 I CJ o ,/p�
City: Miami Shores County: Miami Dade Zio•
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): AvAd (e!2 Phone#:���J -367 I�
Address:
City: tat PICLW Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: S( 1j� Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: nom,, City State Zip: ,
Value of Work for this Permit:$ Square/Linear Footage of Work: 1 3
Type of Work: ❑ Addition ❑ Alteration ❑ New B-Kepair/Replace ❑ Demolition \
Descripti n of Work: t
1 zve ( o L i n
Specify color of color thru tile:
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$ • Ip
(Revised02/24/2014)
.1
Bonding Company's Name(if applicable) UV
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State✓i 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 occu n (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be pproved a d a reinspection fee will be charged.
Signa a %• Signature
Ow or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
9(3 day of n� 20 (( C by day of .20 .by
N'0P-� `-'r,)U� n 10 i pegs na'fly known to who is personally known to
me or who has produced��1� �.I a me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PU Q NOTARY PUBLIC:
Sign: Sign:
Print: Print:
00°Ae Notary i�lrobc State of Florida
Seal: ? �; Sindia Aivarez Seal:
Ve My Commission FF 1567So
o p� Expires()f; 8
############################ ##### ##### #################################################################
C><
APPROVED BY Plans Examiner 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 BUILD�ER DISCLOSURE STATEMENT
NAME: ldwa 1/ les DATE: '5420b.
II
ADDRESS: t' )w - W,10IM', shah
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,KS 489.103(7).And I have
read and understood the following disclosure statement,which entitles me to work as my own contractor,l 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 act as my own contractor with certain
restrictions even though I do not have a license.
InItial-41
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
Is not hiring a licensed contractor to assume responsibility. "
Initial
3. 1 understand that,as an owner builder,l 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 flied in his or her name instead of my own 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 contracts.
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 sold or leased within 1 year after the
construction is complete,the law will presume that I built or substantially Improved It for sale orlease,which violate the exemption.
Initial
S. I 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 working on my building or residence.It
Is my responsibility to ensure that the persons whom i employ have the license required by law and by county or municipal ordinance.
initiall A
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.I,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 working on my property.My homeowner's
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 property.
initia
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 contact the Florida Construction Industry
Ucensing Board at 850.487.1395 or htto://www.mvfloridalicense.com/dbor/aro/cilbAndex.htmi
In
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:
IO(o(o
In
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on
this disclosure.
Initial
Ucensed contractors are regulated by laws designed to protect the public.If you contract with a person wh does not have a license,the
Constr4uction Industry Ucensing 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.
Was acknowledged before me this 2.6 day of MAY , 20 ( rO
13y � W V i'-MN who was personally known to me or who has
Produced there License or rIL- _I>Z c\ as identification.
.Or°vI Notary Public State of Florida
Sindia Alvarez
My
Expires ommission FF 158750
res 9/0332018
NER NOTARY
Bp
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE .STATEMENT
I'A� being the legal property owner, for the property
Located at: lryp � 6P/ate' t ,vt-
Legally described as
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),qnd I have read and understand 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.
DISCLOSURE STATEMENT
State law requires construction to be done by•liqused.contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner,o f your property, to act as your own contractor
even though you do not have a license. You must supervise the,,.&Astruction yourself. You may build or
improve a one-family or two-family residence or a farm out building. !You may also build or improve a
commercial building at a cost of$25,000.00 or less.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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption.You may not hire an unlicensed person as your contractor.It is your responsibility to make sure
that 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-holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws,ordinances,building codes and zoning regulations.
Proof of ownership provided( ) initial of reviewing clerk Tiie foregoing instrument
Was acknowledged before me this day of ,20
By who is personally known to me or who has
Produced as identification and who did take an oath.*
er Notary
Owner
4 4kAr
4 ,Y.
lodr
R
oil
.a. -
a. •r
a �
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
y Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date: 11/27/2006 NOV 2 8 20M Permit Type: Imported Permit
Inspector: Grande,Claudio
Inspection Type: Tie Beam
Owner: VARONA, BELKIS Work Classification: Addition
Job Address: 517 91 Street NE
Miami Shores Village,FL 33138- Phone Number
Parcel Number 1132060141220
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
Building Department Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Wednesday,November 22,2006 Page 2 of 2
s� Inspection Worksheet
Miami Shores Village
L � 10050 N.E.2nd Avenue Miami Shores,FL
x Phone: (305)795-2204 Fax: (305)756-8972
011 : mmw
r ,
Inspection Date: 11/27/2006 Permit Type: Imported Permit
Inspector. Grande,Claudio �fl 2 8 Inspection Type: Fill Cells Columns
�®V Lu>�e
Owner: VARONA, BELKIS Work Classification: Addition
Job Address: 517 91 Street NE
Miami Shores Village, FL 33138- Phone Number
Parcel Number 1132060141220
Project: <NONE>
Block: Lot:
Contractor: HOME OWNER
Building Department Comments
Inspector Comments
Passed
�
vll�
Failed E]_
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Wednesday, November 22,2006 Page 2 of 2
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel:(305)795-2204• Fax; (305)756-8972
12/10/2015
To: Current Owner
10669 NE 10 Place
Miami Shores, FL 33138-2103
Permit: BP2005-1159
Address: 10669 NE 10 Place Miami Shores FL 33138-2103
Date Expired: 1/30/2006
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit Is commenced within six months after its
issuance,or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced,or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to refinance or sell this property
Please contact the Building Department,within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
<
Ismael Naranjo (CBO)
Building Director