FW-16-300 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-252142 Permit Number FW-2-1.67300
Scheduled Inspection Date:June 01,2016 Permit Type: Fence/Wall
Inspector Mesa,Michel Inspection Type: Final
Owner: RAMIREZ,_LEONARDO Work Classification: Wood Fence
Job Address:25 NW 91 Street
Miami Shores,FL
Phone Number (788)226-5901
Parcel Number 1131010140050
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
WOOD FEET 6 FEET HIGH Infractio, Passed ornnwts
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
reinspection fee Is paid.
b
May 31,2016 For Inspections please call: (305)762.4949 Page 4 of 45
Miami Shores Village
10050 N.E.2nd Avenue NW a
R
a
Miami Shores,FL 33138-0000 J '
> ` Phone: (305)795-2204
2 Expiration: 071201
Project Address Parcel Number Applicant
25 NW 91 Street 1131010140050
Miami Shores, FL Block: Lot: LEONARDO RAMIREZ
Owner Information Address Phone Cell
LEONARDO RAMIREZ 25 NW 91 Street (786)226-5901
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 500.00
HOME OWNER
Total Sq Feet: 58
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info: Review Planning
Classification:Residential Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# FW-2-16-58550
DBPR Fee $2.00 02/09/2016 Credit Card $69.60 $50.00
DCA Fee,, $2.00
Educatic6lurcharge $0.20 02/03/2016 Credit Card $50.00 $0.00
Notary F $5.00
Permit FW-Wire&Wood $100.00
Scanning Fee $9.00
Technok.*Fee $0.80
Totak,` $119.60
In consWration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertainirigthereto 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-Nor ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFI rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction a d zoni a re,I authorize the above-named contractor to do the work stated.
February 09,2016
:"":Authorized Sig -Owner / Applicant / Contractor / Agent ate
Building epartment Copy
February 09,2016 1
►�(J 6 Miami Shores Village
Building Department
artment
FEB 032016
r� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
• Tel:(305)795-2204 Fax:(305)756-8972 By: f i
INSPECTION LINE PHONE NUMBER:(305)762-4949
Fn
BC WAY
BUILDING Master Permit No 3&c)
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Z'S K W cm.A.5A. 5 ,j`f
City: Miami Shores County: Miami Dade Zio: 33150
Folio/Parcel#: `` __,, Is the Building Historically Designated:Yes NO X-
Occupancy Type: �tlex�w'Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): LcA:,r1cxt(As> Caw ( ezt- Phone#: -A`mooZ.Lf-5901
Address: 2 h r4W '—Alek
City: Mk"M% State: -- Zip: 33154
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: in C-t'fb-e=� Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 'c6ee----/e �� Square/Linear Footage of Work 15$ U y\2u t
Type of Work: ❑ Addition `❑ Alteration [ New ❑ Repair/Replace ❑ Demolition
Description of Work enc VCX VJO ode •Fpm_.
Specify color of color thru tile:
Submittal Fee$ Permit Fee$1 00 ' CCF$ 4 •ro —CO/Ccs
Scanning Fee$ C:?l C"JO Radon Fee$ 0 10O DBPR$ -� '00 Notary$
Technology Fee$ Training/Education Fee$ 0 •PJ�3 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 6!I COO
(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.
"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 a d 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
day of 1��� ,20 /1� , .by day of ,20 ,by
12aay6fiAval spnally known to ,who is personally known to
me or who has produced 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
Print: Print:
S 'a. Notary Public State of Florida Seal:
Joanna M Feliciano
�j My Commission FF 082753
Expires 01112/2018
** ** I*********************************s***********************************
APPROVED BY `y Plans Examiner P6 IM�6 Zoning
Structural Review Clerk
(Revised02/24/2014)
w
IF yd s 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: �2 V\cx rc3p NC 211 DATE: OZ 1�,
ADDRESS: 2 b A W C(k CDA Sk<ej Nnkcxyvn% SVc%eo IL.- mi 5o
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,FS 489.103(7).
And I have read and understood the following disclosure statement,which entities 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 act as my own
contractor 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 is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
Initial l
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 own
name.I also understand that the contractor is required by law to be licensed in Florida and to list his or license on
permits and 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 or lease,which violates the exemption.
Infial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. l
Infial
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.
Initial
7. I 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.
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 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 1�
10. 1 understand that I may obtain more information regarding my obligations as an employerfrom 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 Licensing Board at 850.487.1395 or htto://www.mvfforidalicense.com/dbor/aro/dlbfindex.html
Initial
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:
vp haw ��5� -zAl e.e,}
Initial
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
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does 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 contradpr 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 02 day of T' ,20 /Z>
By L'!n®� '�Tgr�1`l eWW was personally known tome or who has t
Produced th C r as identification.
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SUBJECT CO CCNIPI_VJIJCE WITH ALL FEDERAL
STATE ANLj C( I-fN'jY rlbL�ES AND REGULATIONS
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m o 4, v LOT-4 c LOT 5, "RECTOR SUBDIVISION, ACCORDING TO THE PLAT THEREOFAS
o RECORDED IN PLAT BOOK 45,PAGE 1,OF THE PUBLIC RECORDS OF
m coNc. O TOY sdv o m v MIAMI-DADE COUNTY,FLORIDA.
z = N STEP o RES/DEICE o Xt
0 0 Z m �^ / b SURVEYOR'S NOTES:
E A 3E
m y\c 3X3 890 j 1)NOT VALID UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYOR'S SEAL
CONC. 2)LEGAL DESCRIPTION PROVIDED BY OTHERS.
Q m y 3)PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED
In� -N ENCUMBRANCES NOT SHOWN ON THE PROPERTY RAT OF RECORD.
m p O C •5 9.9 / 1800' O 4)MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD.
cn p a'n 5)UNDERGROUND UTILITIES,FOUNDATIONS,OR OTHER IMPROVEMENTS,IF ANY,WERE NOT
y S w 6)ELEVATIONS,IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929.
CERTIFIED TO: 8 MEASUREMENTSSOWNERiIP NOT DETERMINED UNLESS TO WIRE FENCES ARE TO CENTER OF OTHERWISE
NOTED
UL RAPID TITLE SERVICES COMPANY, 9)WALL MEASUREMENTS ARE TCVFROM FACE OF WALL
3.42' 10)DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTY LINES MAYBE
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, DA�ERA FOR CLARITY
F.I.P.%z• F P.%z' JESSICA MERCEDES RAMIREZ AND LEONARD RAMIREZ, 11)FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY
` .8 •8.: F.I.P./z NO/D.
NO/D. NO/D. PREFERRED MORTGAGE,ITS SUCCESSORS FLOOD INFORMATION RATE MAPS
95.00'R AND/OR ASSIGNS AS THEIR INTERESTS MAY APPEAR 12)BEARINGS IF ANY SHOWN ARE BASED ON ASSUMED PLAT MERIDIAN AT:NORTH RIGHT OF WAY OF
• R&A9 �V/M dW/M CORNER BLOCK N.W.91st STREET=WEST
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F.H. a2LWYDRANT P.C.0 POINTOFCI7MPOUNDCLIRVATURE U.E UTILITYEASEMENT t7 FIREDEPAlR401ITCONAECT70N
FLOOD ZONE:X PROPERTY OF:JESSICA MERCEDES RAMIREZ A BOUNDARY SURVEY
MAP&P NEL= 12086CO302 AND LEONARD RAMIREZ I HEREBY CERTIFY THAT THIS SURVEY CONFORMS TO PROFESSION�A+L pSUR/V►E/Y�ING AND MAPPING.
COMMUNITY No.: 120652 THEVEYING I THE TECHMM STANDARDS OF AS OUT LANNE & uli RCIA l/Y C.
SURVEYING IN THE STATE OFFLORIDA,AS OUTLINED AWMW
SUFFIX.L 25 N.W. 91st STREET, 1N RULES 5J-17,(FLORIDA ADA WSTRAT7VECOETE),AS u t
DATE OF FIRM: 09-11-2009 ADOPTED BY THE DEPARTMENT OF AGRICULTURE n LB#2098
MIAMI SHORES, FLORIDA 33150 PROFESSIONAL SURNSUMER VEYORS AND a FRANCISCO F. FAJARDO PSM#4767 QUALIFIER
BASE ELEV.= N/A .NOT VALID WITHOUT THE SIGNATURE AND THE (
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SEPTEMBER 1981,AS AMENDED,PURSUANT TO
SURVEYOR AND MAPPER. CHAPTER 472.027 OF THEALORIDA STATUTES,Arm IS 386 ALHAMBRA CIRCLE-SUITE C,
TRUE AND CORRECT TO TIE BEST OF MY CORAL GABLES, FLORIDA 33134
KAK)lA2EDGEANDBELIEF, �'°'
— PH(305) 666-7909 FAX(305)442-2530
FRANCISCO F.FAJARDO
FLORIDA PROFESSIONAL SURVEYOR AND MAPPER fy
REGISTRAT7ON NO 4767. IELD DATE09/09l2015 SCALE:I"=20' DRAWN BY JONELLE DWG.NO.: