FW-15-2909 M � � #�•11 � -249
otzF� ( t
Miami Shores Village y
10050 N.E.2nd Avenue NW �g
Miami Shores,FL 33138-0000
3 s a
Phone: (305)79-5-220441
,Fj .. .F ;•.
ID
Expiration: 05!28/2016
Project Address Parcel Number Applicant
102 NW 108 Street 1121360100010
Miami Shores, FL 33168-4313 Block: Lot: DOUBLE TT LLC
Owner information Address Phone Cell
DOUBLE TT LLC P.O. BOX 90393
KEY BISCAYNE FL 33149-
P.O. BOX 90393
KEY BISCAYNE FL 33149-
Contractor(s) Phone Cell Phone Valuation: $ 5,316.00
LANDA ENTERPRISES CORP (786)333-5248
Total Sq Feet: 265
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Fi al
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:NEW EXTERIOR WOOD FENCE Review Planning
Classification:Residential Scanning:3 Review Planning
Review Planning
Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60
DBPR Fee IIIVOICe# FW-11-15-57797
$3.98 11/30/2015 Credit Card $241.56 $50.00
DCA Fee $3.98
Education Surcharge $1.20 11/17/2015 Credit Card $50.00 $0.00
Permit Fee-Wire&Wood $265.00
Scanning Fee $9.00
Technology Fee $4.80
Total: $291.56
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, OORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the for going i rmaf n is curate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authod a the a -n ractor to do the work stated.
November 30, 2015
Authorized Signature:Owner / pplicant o / Ag nt bate
Building Department C
November 30,2015 1
Miami Shores Village
\_7 \ NOV i 7 2915
oV Building Department
\� 10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
IBC 20►y�
BUILDING Master Permit No.:F�� _. � ( 1-1
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10 Z ?1A10 10 �i 115�T
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:IYes NO
Occupancy Type: Load: ��C��onstruction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 3k _L_C. Phone#: C 213 GS-Q/
Address: j CMZ K l LU 1 Q�c- ST
City: OK -S 40 Stater Zip: 3 3 1
Tenant/Lessee Name: Phone#:
Email: it crc'
CONTRACTOR:Company Name: ����� ���� �a��� Phone#: - .35� 4�Z
Address: SS--
�- WAJ 122 ZQ U
City: V%7_n'�i State: Zi : &2
Qualifier Name: 0-09,�'-CLa, Gn�� Phone#: 8-6 333 12-(4d
State Certification or Registration#: Certificate of Competency#: nncc��
DESIGNER:Architect/Engineer: `�y�`� (� ��QDFNSy �0140 L�Phone#:�i� �GJ�
Address: U 1. City: state:� Zip: 3-3
Value of Work for this Permit:$ Square/Linear Footage of Work
Type of Work: ❑ Addition ❑ Alteration ❑ New Ix Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ � Cr Permit Fee$ �� CCF$ CO/4$
Scanning Fee$ Radon Fee$ DBPR$ Not�ry$
Technology Fee$ Training/Education Fee$ Double Fede$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE'$ c�'t
(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 ' in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ��" Signatur
&"r AGENT ONTR CT
The foregoing instrument was acknowledged before me this The foregoing instru ent was acknow edged be ore me this
day of 020 LS ,by L ` day of 20 ( ' by
kaY-4l`AIA OUD OtTA ,who is personally known to CAIZAX-1-S (,=:QHu'I-Z who is personally known to
me or who has produced as me or who has produced 15 L- i�- as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
\\\����tlnlluilriii
Arley js;'%,,//,
Sign: Sign:
Print: A& - Print:
Seal: =�E
ate of Florida Seal: >>�os9,� ;
s EE 841144 � ..ID..016 iii o
J
1
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: (306) 766.8972
Notice to Owner- Workers' Compensation Insurance Exemption
em. ,,.525CF 777
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction 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'compensationverage. 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 percent of the stock of the corporation,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 and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of
workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICEI AND UNDERSTAND ITS
CONTENTS.
Signature:
e
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day Of WO V"6*L�20 S'.
By 4YLA10A 6 L5 b On who is personally known to me or has produced
as identification.
No [,KeNotery Public State of Florida
U
dia M=F
let We M Fuentes
My Commission EE 841144
Ire,I 0iog
S Expires 1010912016
DESIGN &CONSTRUCTION
CERTIFIED GENERAL CONTRACTOR&CONSULTING
_ ,.
Date: Nov 16-2015
State of Florida
County of Dade.
Before me this day personally appeared Carlos E Gomez. Who,being duly sworn,deposes and says:
Iill be rking on the project locate at 102 NW 108 ST Miami Shores,FI 33168
44personscril
d subed before me this Day of A-J 61-J 1-1 i S by
Personally Know
Or Produced Identification
Type of Identification Produced
Print,Type or Sta nand
/107 -Z
857 NW 122 Ave,Miami,FL 33182
Cell 786.333.5248 - Cell 786 493 0446 - Fax 786.953.7422
www.LandaDC.com
OR
sS Miami shores Village
�eeee aeeeM
Building Department
10050 N.E.2nd Avenue
tORIDA Miami Shores, Florida 33138
Tel: (305) 795.2204
Nov Fax: (305) 756.8972
WOOD FENCE DETAIL
❑ Shadow Box
❑ Vertical Picket
Board on Board
Fences < = 6' high posts spaced at 4' on center maximum--
Fences < = 5' high posts spaced at 5' on center maximum
Fences < =4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
1 x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
4x4 pressure tread • •• • • • •
posts embedded Tin • • : :•: •
concrete footing 10"
diameter x 2'deep
ALL wood must be presSyre ti eatrd • •
All fasteners must be corGQsioj•res[SWt ;• •
No less than two fasteners in any connection
• O • • • • • •
Revised 06/22/2015 • • • ••• • • •
• • • • • • • •
•••
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