FW-16-1933 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-263053 PermitNumb�r: FW-7-16-1933
Scheduled Inspection Date: August 09,2016 Permit Type: Fence/Wall
Inspector: Mesa,Michel Inspection Type: Final
Owner: MICHOT,WALTER Work Classification: Wood Fence
Job Address:61 NE 96 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060130860
Project: <NONE>
Contractor. HOME OWNER
Building Department Comments
CHANGING OUT REAR FENCE ROM PARTIAL WOOD Inhactio Passed Comments
AND CHAIN LINK TO WOOD AND REDUCING SIZE OF INSPECTOR COMMENTS False
ALLEY WAY SPACE
Inspector Comments
Passed
Failed
Correction ❑ '
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
61
August 08,2016 For Inspections please call: (305)762-4949 page 11 of 36
Miami Shores Village ■ z� f "Y! Fena11
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
hie Phone: (305)795-2204
3 Peat i(�yt �APP W.,
Issue
Expiration: 01/24/2017
Project Address Parcel Number Applicant
61 NE 96 Street 1132060130860
Miami Shores, FL Block: Lot: WALTER MICHOT
Owner Information Address Phone Cell
WALTER MICHOT 61 NE 96 ST
MIAMI SHORES FL 33138-2723
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HOME OWNER
Total Sq Feet: 50
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:CHANGING OUT REAR FENCE RON Review Building
Classification:Residential Scanning:3 Review Planning
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# FW-7-16-60561
DCA Fee $2.00 07/28/2016 Credit Card $69.60 $50.00
Education Surcharge $0.20 07/12/2016 Check*2189 $50.00 $0.00
Notary Fee $5.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $119.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliace with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the prope authorities of Miami Shores Village. In
accepting this permit I assu responsibility for all work done by either myself, my agent, servants, or employes. �I understand that separate permits are
required for ELECTRI MBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.',
OWNERS AFFID I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction ap e,I authorize the above-named contractor to do the work stated.
July' % 2016
uthorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 28,2016 1
F�CIEIV��
Miami Shores Village
0'pr)b L122016
Building Department ,Jay'
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 -4- j
INSPECTION LINE PHONE NUMBER:(305)762-4949 UL
FBC 2 4(
BUILDING Master Permit NOIJV
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING Pei REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zia: -33(7E
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): �/'' C`' —` Phone#: ` �� ���� �2
Address: A—,6 r!
City: �� 1��• ! ��a��r State: G• Zip: !3
Tenant/Lessee Name: Phone#:
Email: ��Gil/lLICf�Q� �` �o/LI�4/L • COWI
CONTRACTOR:Company Name-Aj�2r,,AC� 177),j Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: / City: State: Zip:
Value of Work for this Permit:$ 1 �� Square/Linear Footage of Work:
Type of Work: ❑ Addition Pq Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: C�` Gl� Llu!
�b-0/ G�Q!N 14er— Zo�
—j0
Specify color ofcolorthru tile: 46 S'�-i /9/r�/� ln/e�9rl -rt'/�C
Submittal Fee$ �v ° CJ�) Permit Fee$ 10 0 ` CCF$ 0. 60 C /CC$
Scanning Fee$ Radon Fee$ 2-0!2 DBPR$ Notary$
Technology Fee$ Training/Education Fee$ '0- 2-6 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 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 a proved and einspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument as cknowledged before me this The foregoing instrument was acknowledged before me this
day of 6 20 ` by day of 20 by
64 N—T who is personally known to who is personally known to
me or who has produced�L� �\ me or who has produced as
identification who did take an oath. identification and who did take an oath.
NOTARY PUB L C• NOTARY PUBLIC:
Sign: Sign:
Print: Iv Print:
Seal oY'U@, �!otary? 'n•5f2te of Florida Seal:
'; 5irdia A.lvatv?z '15
N; o p/y ornmiss on FF 6750
7s of t d Expires 0903/2018
'''1y99J�ltP'Gf Cfbaa co7°`K.�'A1S""'sr `..F':�R
kk*# &*k k k k $**k k
APPROVED BY Plans Examiner k�k ek+k�k�k Zoning
Structural Review Clerk
(Revised02/24/2014)
c 7
,e 0 Miami Shores Village
q,,111" Building Department
10050 N.E.2nd Avenue
`p R 10 Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: Z2 '/ lC�" "` DATE:
ADDRESS:
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).And I have
read and understood 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.
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
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 numbers on permits and ntracts.
Initia
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,1which violates the exemption.
Initia
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial (��Q
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 b unty or municipal ordinance.
Initial
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.
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 regulatio
Initial
10. 1 understand that 1 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
Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbor/pro/cilb/index.html
Initis
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 fi cially responsi le for the pr construction activity at the following address:
Z l�
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 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 ` day of \/"` 20 14
Byh/ Lq"-K- who was personally known to me or who has
Produced th re ZLicenoJ!_ � � UCx as identific tion.
Saar PPA, Notary Pubic State of Florida
— Aa Sindia Alvarez
OWNER NOTARY _ �fy orrmission FF 156750
�rofyyo� Expires 09!03/2018
SNORF,S
lnG�sa�
Miami shores Village
i , g Department
Fences Good Side Out. The vertical 1005 N.E.2nd Avenue
�L R{pI► supporting members of a fence shall face the
interior of the plot on which the fence is loc 9 i Shotes, Florida 33138
and the finished side shall face the adjoining Tel: (305) 795.2204
lot or any abutting right-of-way. Fax: (305) 756.8972
WOOD FENCE DETAIL •::::• ••..•.
Shadow Box •••�•• •
Vertical Picket :*see:
•
•
Board on Board *see 0 00.00
0000..
0000.. . 0000.
.
.. .. 6:0.0660000..
ences < = 6' high posts spaced at 4' on center maximum :60:0: e .
ences < = 5' high posts spaced at 5' on center maximum
. . . . 6609:0
4 .0000.
Fences < =4' high posts spaced at 6' on center maximum : • 0906:
0e 0 0000
Fence must not exceed 6' in height 0a
•
0.
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 Tinto
concrete footing 10"
d is meter x 2'deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
L►EdEND OF SURVEY ABBREVIATIONS
A.....ARC DISTANCE AM....AIR CONDITIONINGCBS...CONCRETE BLOCK STRUCTURE NOVO...NATIONAL GEODETIC VERTICAL DATUM `�Ile@t 1 of 2
C.....CALCULATED C.B......CATCH BASIN O.U.-...OVERHEAD UTILITY LINE PRC...POINT OF REVERSE CURVATURE FLOOD ZONE: X
CL....CLEAR CIL....CENTER LINE P.C.C...POINT OF COMPOUND CURVE RAD...RADIAL _THIS IS A FLOOD
ENC...ENCROACHMENT p•C,.•,.POINT OF CURVATURE P.O-C...POINT OF COMMENCEMENT RM...RIGHT OF WAY HAZARD ZONE
PIP....FOUND IRON PIPE P.O.B...POINT OF BEGINNING BLDG..BUILDING SEC...SECTION Z�HIS IS NOT A FLOOD
O.H....OVER HANG W-M....WATER METER C.H.....CHORD DISTANCE SCR...SCREENED HAZARD ZONE
P.B....PLAT BOOK M.....MEASURED ME.....DRAINAGE EASEMENT SJ.P.....SET IRON PIPE PANEL NO.% 302/1-
PIL...PROPERTY LINE CONC..CONCRETE F.H.....FIRE HYDRANT SINK...SIDEWALK COMMUNITY#.* 120652
UP...UTILITY POLE F.D.....FOUND R.....RADIUS ME....UTILITY EMEMENT I DATE OF FIRM: 09/11/2009
CHLF.....CHAIN LINK PENCE BASE FLOOD: N/A
CERTIFY TO: FINISH FLOOR: NIA
Welter Michot LOWEST NIA
Burton S Lee, Attorneys At Law ADJ GRADE
Old Republic National Title Insurance Co
Bank Of America, N.A., Its Successors And/Or Assigns, As Their Interest May Appear
LEGAL DESCRIPTION:
Lot: 19 AND 20 006866:6
Block: 6 •• •
...... as ......
Subdivision: Miami Shores Section One Amended �;•• •
According to the Plat thereof as recorded in 0 :0000:
Plat Book: 10 Page: 70 ***Soo "
ee 00:000
Public Records of MIAMI-DADE County, Florida. 69:00: •••••
as as .. ......
ADDRESS: •
61 NE 96 STREET ••••••
MIAMI SHORES, FL 33138 ; ' ;:Goo*:
Encroachments Noted: NONE• '
LOCATION SKETCH •
SCALE: NT.S.
W
'Q
N.E . e 9-7 TH ST,
6 4 3 2 1
E
21 22 23
N.E. _ °�6 ST
u;
z
NOTES= horizontal
A) All Cleww9m M&or aravaohaents:�wn Out. verCical and
hereon as of apparent nature. Faroe ciewsl p Side The Shall face the
by vhmW maces. Lepel oremmMp of few=not Fences Good bens of a fence Is located
0)This=-my b bftMW for rna Ipp a=rofhm m purpaes supp°ming mem Which the tence d oinin
« Ifu""a for thiv Use t. two these It Is interior of the plot on shall face the 1
finished side
psrmittby, +.a=any other ase Wthout written ESTI- the ht-of-W ay•
want of Thane J.",Xw. i nd r any abutting ng
C) Cade reslrbfbe and HHe saareh an oat reflected
on this sw y.
D) The flood hr www"sn sham hereon done:rot hryly
that the referenced properly will or will ret be fru
frm fl*WIV a•darnoye sed doe,not agate IbbnHy
on the port of the fag.my offlur or wwty ee thereaf,
for cry daeoye that recuts from rdbnes an Saw
efa=eroNan.
E) The Ian&depleted ban=were as eyed per the
leo deeadptwn ami no obbw ar to ownership or
mothn of Nib as rids or hmplied.
P) Uedarvvww Enavaahasnts,if my,Set we".
I hereby Art fy that the-r-y raW—nMd
hereon nests the olein Hahn 1 stee-
In �6 PWrW the s�vayas THOMAS J. KE Y, INC.
In 7-6 FloMdq the t
pumnaM 47B stetuha.
L.B. #6486
SURVEYORS-MAPPERS-LAND PLANNERS
J 5 ., _ �1,P.S.4 M.#4858 8125 SW:120 STREET PINECREST, FLORIDA 33156
FMWTED
rFxDA wrrH AN
sSED SURVEYORS'S SEAL (786) 242-7692 DADE (954)779-3288 BRWD
NOTES=
1. IP SHOWN,BEAR"AN TO AN ASSUMED (786) 242-6494 DADE FAX (954)779-3260 BRWD FAX
MERIDIAN(BY PLAT).
2, 37 SHOWN,ELEVATIONS ARE REPERIM N.s.V.o 1M. DATE FIELD WORK SCALE SURVEY NO.
S. THIS 15 A BOUNDARY SURVEY. 12/01/2009 1" =N.T.S. 09-1859
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SHEET 2 OFIT
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g`I�SPN.PAV. 2.5 TYP. �5' q• L L E �i'� c4.2•
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L
3-1.00 u a 6` W F•—�i 6 , d u
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o n=1 '
Out, The vertical and horizontal
ers of a fence shall`face the co
N on which the fence i5 located
3 aNside shall face the djoinrvgF'0,112° CO FD.1/2IP lot g right-of-way. "
4 I.P.
100.00 RIM _ 51 5W1< -
• L.P. --- ---- ----
-l1 PKWY•
—� 2CURB/GUTTA
0 � I
�-- 20 ASPM. ROAD. (W• BOUKID).
0
00 _ 0.50 CURB
` 5 MEDIA
pwlel _ 11 GRAS N .
JUL i
BY- N.E. . 96T" STREET
ny
THOMAS J. KEL 1Y, INC.
fil ll� L.B. #6486
j 16 SURVEYORS-MAPPERS-LAND PLANNERS
8125 SW 120 STREET PINEMESST, FLORIDA 33156
wiTH N L FFIVIIAL (786) 242-7692 DADE (964)779-3288 BRWD
y' : S;1f1f1 fr I S
(786) 242-6494 DADE FAX (954)779-3260 BRWD FAX
-- - ---- — ATE FIELD WORK SCALE „ - SURVEY NO.
12-01-09 1 20 1 09 - 1859