FW-16-1458 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-259767 PermitNumber: FW-5-16-1458
Scheduled Inspection Date:August 29,2016 Permit Type: Fence/Wall
Inspector: Mesa, Michel Inspection Type: Final
Owner: BARBERA,JACQUES Work Classification: Wood Fence
Job Address:101 NW 102 Street
Miami Shores,FL 33150- Phone Number (305)696-2031
Parcel Number 1131010220050
Project: <NONE>
Contractor: ULTRA FENCE INC Phone: (305)592-4578
Building Department Comments
WOOD FENCE 6'HIGH BOARD ON BOARD Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed [ine �St
,
Failed
Correction
Needed
Re-Inspection a
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
V
August 26,2016 For Inspections please call: (305)762-4949 Page 11 of 38
Permit No. FW-5-16-1458
�st!O1 y Miami Shores Village an Permit Type:Fence/Wall
10050 N.E.2nd Avenue NW Penni
Work Classification:Wood Fence
Miami Shores,FL 3313&0000 Permit Status:APPROVED
Phone: (305)795-2204
Issue Date:6/3/2016 Expiration: 11/30/2016
Project Address Parcel Number Applicant
101 NW 102 Street 1131010220050 JACQUES BARBERA
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone cell
JACQUES BARBERA 101 NW 102 Street (305)696-2031
MIAMI SHORES FL 33150-
101 NW 102 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone $ 1,600.00
ULTRA FENCE INC (305)592-4578 Valuation:
- -- ----��—_-- ----�_�___ _ Total Sq Feet: 126
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:
Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOOD FENCE 6'HIGH BOARD ONE Review Planning
Classification:Residential Scanning:3 Review Building �JE
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# FW-5-16-59940
DBPR Fee $2.00 05/26/2016 Check#:3735 $50.00 $92.20
DCA Fee $2.00
Education Surcharge $0.40 06/03/2016 Check*2333 $92.20 $0.00
Permit Fee-Wire&Wood $126.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $142.20
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 zming. Futhermore,I authorize the above-named contractor to do the work stated.
June 03,2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 03,2016 1
. . ... . . . ...
' ' •"5H°; • "• Miami Shores village
'00-6.00 'CITY Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
•�' ' � �� Tel: (305) 795.2204
Fax: (305) 756.8972
.. . • • ••• ••
C. 0. PY
WOOD FENCE DETAIL
MA
o Shadow Box j
o Vertical Picket
Board on Board
Fences Good Side Out. The vertical and horizontal
supporting mernbers of a fence shall face the
interior of the plot on which the fence is located
4x4 Post Spacing and the fini,,::-ri -,de shall face the adjoining
Fences<=5' high posts spaced at Yon center maximurr lot or any abuttr,g right-of-way.
Fences<=4' high posts spaced at 6"on center maximum
Fence must not exceed Yin height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
4x4 pressure treated
posts embedded 2'Into
concrete footing 10"
diameter x 2'deep
ALL wood must be pressure treated LI
All fasteners must be corrosion resistant
No less than two fasteners in any connection
May 2009
(FOLIO No.11-3101-022-0050)
DESCRIPTION
• ••s • • • ••. Lot 13 and the East I of Lot 14,In Block 1, hff ` •
•• •• • • • •• •• • ,according of GOLD CREST SUBDIVISIONdl
�: '' s • • • • • • • • ! ng ora eh ,;• • • • a
Scale 1"=20'• • • • • • s • to the Plat thereof as recorded In Plat ��-.� a a n n u a
s • ••• • • • • •• • • • • J' •
t I { { Book 21,at Page 56,of the Public r, . •m t, ,I q ,� 5
{ { a Records of Miami-Dade County, Florida, a ►- _> >3 e
• • . .LP'f0-9 ,. 1 LOT-10 I LOT-11 { LOT- a There may be legal restrictions on the subject . ;
". .BIK000
a ; •• BLOCK-I I BLOCK-I BLOCK E ' Property that are not shown on the Map of Survey � r sr�. s �� •• • •• •
••s •••
:00 •s' •i• •� s I that may be found In the Public Records Of :i i • i • i i
& �„ Miami-Dade County,or the records of any other :J +v�s s :'( • ' • ' '
tv public and private entitles as their jurisdictions
4' CHAIN LINK
FIP 1/2' H { I �n FIP V2°� ��, -�G May appear. •e 3 3
•• • • s •• ,Np•i,D,• FENCE Q NO 1.D.
•e• •••••• ••v••_••••i• s—7'CL• I � l pThe Ma of Survey Is intended to be displayed at
25.W � 1., a••1 e
00 8'H hWood Fencethe statim graphic scale in English units of t'�• i• •• •• •
k d
r r 0
8 a3 t7
••• •• s• •s• •• •• •••• •. epO I <o' I measurementAttention Is brought to the fact that. +r'++ •r i 79 `i►; •• ••
Z•p n n p u n n p
Q•aD �- I o sold drawing may be altered In scale by the
25.00' �✓� /of rn reproduction process. a O
1.4(Y °s I This Survey was conducted for the purpose of a N Q
0.53' 34. BOUNDARY SURVEY only and is not Intended to M N
_ I 40.00 i ----- delineate the regulatory Jurisdiction of any federal, LOCATION MAP (NOT TO SCALE)
LL state,regional or local agency board,commission
eo
� I or other entity. m
v I CONE. Q
:::,3de Out.The vertical and horizon I e•�' DRIVEWAY I � Legal description was famished by the cSlarrt. If shown elevations are referred to N.G.V.D.of 1929
CONC. The elevations Diwali-IdenUt features as The surveyor makes no representation as to
F'7
mbers Of a fence shall face t I f PORCH W
Cc
i lot on which the fence is locat m depicted on this survey arxl map were measured ownership,possession or
tp,po occupation of the
to an estimated vertical positional accuracy of 1/10 subject property by any entity or Individual. >
ed side shall face the ad'}oinin I 15.71F 25•x2' for natural ground surfaces and 1/100 foot for
THEV.I Iing right of-way. EAST t/2 I ', ardscape surfaces,including pavements,curbs Subsurface improvements andlorencroachments t/?
LOT-13 and other man-made features as may exist, within,upon,across,abutting or adjacent to the LL.
5' OF LOT-14 I BLOCK-I !� 1-�enUfied features as depicted on this survey
BLOCK-1 subject property were not located and are not shown. O 4
I r a ' rid map were measured to an estimated n a n o p a n n n n
m b •iJ oriaantel positional accuracy of 1110 foot unless Not valid without the signature and original raised Z >,q
THE WEST 1/2 - e- I 6� P0e seal of a Florida Licensed Surveyor and Mapper. W d
LOT-14 I-STY � otherwiss shown. a a i�d
BLOCK-1 STEPS w I Res.#101 a �+I r. Additions and deletions to this Map of Survey by t7
Legal Description subject to any dedications, other than the signing party are prohibited without J
Z Area= sq.fL " - easemeMs►estrklons,reservations or recorded the written consent of the signing party.
( _J I = Sketch of Surrey cannot be used for construction This Map of Survey has been prepared for the
I` Land Area=}9,027 sq.it purposes.Surveyor not responsible for third party exclusive use of the entities named herein and z
c the codification does not extend to any unnamed party.
+0 21 acres 1.1{0 w alterations.
0.48'CL- - - ( a....,r :.r.n. c r+rr�.•„•,i.ratr,r.- �wR,P,RN�
10.00 I LArea=±J,126 sQ_IL 5 y r` easements. " -w
III � �. ,�I;,; .,. nu Orr �n4c�
z -'1 - r = I Sketch of Survey cannot be used for constructionThis Map of Survey has been prepared for Ude S
' \ Land Area-- sq.R. fAC 'a I °' purposes.Sunreyor not responsible for third party exclusive use of the entities named herein and911hp
0 0W F ►' ±0.21 acres 1.80'
alterations. the certification does not extend to any unnamed party. 3
li 0.48'CL- _J I LIST OF POSSIBLE ENCROACHMENT: CERTIFY TO:
10.00 �'I Ism
Q � b PLANTER I WA Jacques Barbera• n p a u u n n a n p n a
1 _ o I f Z Siegfried Rivera Hyman Lerner de Is Torre
i � I di71(7LLLLLLLLY.�.J
Mars&Sobel,P.A. 8
(� Old Re ublic National Title Insurance Co.
c; w rn ` 0.4r—, 47.90' _ 28.88' A
m u FIP 1/2' c
'� PLANTER NO I.D.+�I " 1 SURVEYOR'S CERTIFICATION:
t rc 25.00 STEPS
EAST 1/2I ,1 HEREBY CERTIFY:THAT THIS"BOUNDARY SURVEY"
AND THE MAP OF SURVEY RESULTING THERE FROM $
L-) = •o- I v I WAS PERFORMED UNDER MY DIRECTION AND IS
1 1 Ua TRUE AND CORRECT TO THE BEST OF MY
O
1 C _ I I CONC. ( KNOWLEDGE AND BELIEF AND FURTHER,THAT SAID c� L4
FIP 1/2° i4' I WALK e�� I I "BOUNDARY SURVEY"MEETS THE INTENT OF THE a u a n n n n u n u u
C NO I.D. " FN` _ _ "MINIMUM TECHNICAL STANDARDS FOR LAND a U Slid;
1 — — 1 -- m---- �w - 25.x' SURVEYING IN THE STATE OF FLORIDA-,PURSUANT
5'CbNC SIDEWALK FN TO RULE SJ17 OF THE FLORIDA ADMINISTRATIVE
FIP 1/2° CODE AND RS IMPLEMENTING RULE,CHAPTER Survey IS not covered by
NO I.D. _ Proffesionai Liability
NORTH RIGHT-OF-WAY LIPS CONC. 472.027 OF THE FLORIDA STATUES. RY
12'PARKWAY RAMP g I --jr!._ Insurances.
lPill
r ORIGINAL
EDGE PAVEMENT FIELD DATE X15-2015
EVISIONS
_N. W. _1 0 2nd_ S T. i. s'S N „
UPDATED. 02-22-20113
�'��-�-' -•- 1 02-22-2D18
GARY B.
EL
16'ASPHALT PAVEMENT AERIAL MAP (NOT TO SCALE) A PROFESSIONAL LAND SURVEYOR No.4129 DRAWN J.V.D.&A.V.1.
50'AUC RIGHT-OF-WAY STATE OF FLORIDA sl Ir E I
FLOOD ZONE INFORMATION:
Community No. 120652 Land Surveyors &6 upper i0B No.:
Panel No. 0302
Suffix: L 8587 Coral Way,Miami,FLORIDA 33155 08-407-15-A
FIRM Date: 08-11-2009 Telephone:786-290-4184
Flood Zone' X
•
t
Miami Shores Village 'F.
�. t,.
MAY 2 6 2016
Building Department
\ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING
OWNER:Name(Fee Simple Titleholder):
Address:
I C) �t__>j `
City: -- Q State: Zip: 15--C)
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS:J
City: Miami Shores County: Nami Dade
Folio/Parcel#: I1 ?-.3 101 n?:-LC_0STo
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR-Company Name:
d�rr/ Phone#: - S77�
Address: ✓"' I k�w C"
City: VC4 State: Zip:
Qualifier Name: 1 Y'� (n f —Phone#:
State Certification or Registration#: I® 1� � Certificate of Competency#:
Contact Phone# – 'y�� Email Address:
DESIGNER:Architect/Engineer. Phone#:
r
Value of Work for this Permit:$
, 60e�, a,';? Square/Linear Footage of Work:
Type of Work: OAddress DAlteration ONew ORepair/Replace ODe olition
Description of Work:
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by:
Submittal Fee$ :ra-jV_Permit Fee$ 1 - ®Q CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Doable Fee$ Structural Review$
TOTAL FEE NOW DUE$ C� D-�
R
t
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 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 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
r
-7 k —),Z�
Signature — Signature
Owner or Agent t V / J Contractor
The foregoinstrument was acknowledged before me this The foregoing instrument was acknowledged before me this 7–b' g
dayof 20&by��c e% f � , day of 20 by 1676 V� Qj
who is personal known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
ANA M TORRES
Sign: Sign: •* da
"""°°° ANA M TORRJ7,2019
pmt. =°; �Q Commission#FF 210912
Print: �f F �o� P�,q
Notary Public- tate ' oFFlq�.••• 9
My Commission Ex :• Commission#FF My Commission E t""'"' BaidedtfaroughNatlanlN yAssn
Bo y COMM.throughXNatie�Jul
qU, V
APPROVED BY Plans Examiner ��? �Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09xrev6/4/10)
T
t '
cis� p�
s� Miami shores Village
��ta■ ppti�
�~ Building Department
- �� 10050 N.E.2nd Avenue
10111 Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation Insurance Exemption
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'compensation coverage. 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 NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:`
0
Owner
State of Florida
County of Miami-Dade
The foregoing was acknowledges before me this day of a ,20y('.
BY_� ➢➢ who ' ersonally known to a or has produced
as identification.
, pRY PVAi�, ANA M TORRES
Notary �? + Notary Public-State of Florida
*•; Commission#FFL
0912e' bly Comm.Expires J7,2019SEAL: Boratedthrough NationalaryAsm
r ,
ultra Fence Inc
7941 NW 64 ST
MIAMI Fl_, .33166
CONTRACTOR WORK EXCEMPT AFFIDAVIT
Sate of 1;1
County of Miami-Dade
Before me this day personally appeared Lazaro Torres.who , being duty sworn, deposes
and says:
His workers compensation exempt form is attached for reference to pull out
permit. Which expires 10/9/2016.
1.
That he will be the only person working on the project located at
Sworn to ( or affirmed)and subscribed before me this day Of 201
Bye
Personally Kno%N°n
Type of identification produced
Prty e or stamp name of Notary
=-State
ES of Florida19
210912'I'ZRVlu1�7�0ssr
5N�..i
Miami shores Village
some Building Department
10050 N.E.2nd Avenue
roe toMiami Shores, Florida 33138
�ORtDA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned AffianL-rnoes does hereby attest that
(Property owner)
The attached survey,performed by t nnA SU,e4` Qw;' ` ' rise
4 ( me of surveyor's company)
Foraddress: t� � I(�� ®fir
Performed on u )�0 (date of survey)is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7)years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures may affect final inspections as applicable to this or other permits.
Further,Affiant say eth naught_._
-)OC-6 U e 5
roperty Owner Signature Property Owner Print Name
SWORN TO AND Fowntome, '
re me this_4 day of (C
Affiant is roduced as identification.
ANA M TORRES
Notary Public-state of Florida
?�* 3 Commission#FF 210912 Notary
Revised on 5/22/2009/Revised on 6/12109 ',?,� �;� My Comm.Expires Jul 7,2019
fill throw National Nay Assn