FW-16-2007 (2) i '
Miami Shores Village
�. 10050 N.E.2nd Avenue NE 4� 8tit7f#
Miami Shores,FL 33138 0000
Phone: (305)795-2204 felTtlitAti AtE "` `',
a
Expiration: 02107/2017
Project Address Parcel Number Applicant
511 NE 101 Street 1132060171090
Miami Shores, FL 33138- Block: Lot: WALTER HUNTER NEW
Owner Information Address Phone Cell
WALTER HUNTER NEW 511 NE 101 Street (706)340-8793
MIAMI SHORES FL 33138-
511 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,260.00
SOUTH FLORIDA FABRICATION AND (305)233-5333
r.
Total Sq Feet: 90
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wire Fence Additional Info: Review Building EEEH]]E
Classification:Residential Scanning:3 Review Planning
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# FW-7-16-60639
$2.00 07/18/2016 Check*2408 $50.00 $67.80
DCA Fee $2.00
Education Surcharge $0.60 08/11/2016 Credit Card $67.80 $0.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $117.80
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in complia ce 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 anc oning. Futhermore,I authorize the above-named contractor to do the work stated.
August 11, 2016
Au a ure:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 11,2016 1
Miami Shores Village ��
16
o� SOA Building Department BY.
`` 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
°\ L Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 LI
FBC 20 y
BUILDING Permit No.
PERMIT APPLICATION Master Permit No-T-W
Permit Type: BUILDING ROOFING
JOB ADDRESS: 511 NE 101 ST.
City: Miami Shores County: Miami Dade gip; 33138
Folio/Parcel#: 11-3206-017-1090
Is the Building Historically Designated:Yes NO Xxxxx Floodne:
OWNER:Name(Fee Simple Titleholder):WALTER H NEW Phone#: � " �q 13
Address:511 NE 101 ST Miami Shores, FL 33138-2450
City: MIAMI SHORE State: FL zip; 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: SOUTH FLORIDA FABRICATION AND FENCING phone#: 305-233-5333
Address: 6989 SW 125 ST.
City. PINECRESTState; FL Zip: 33156
Qualifier Name: ANTONIO I IGLESIAS Phone#: 305-710-4512
State Certification or Registration#: 13BS00086 Certificate of Competency#: 13BS00086
Contact Phone#: 305-710-4512 Email Address: tony@southfloridafencing.com
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ Square/Linear Footage of Work: q01
Type of Work: ❑Addition QAlteration UNew URepair/Replace ODemolition
Description of Work: CHAIN LINK FENCE
Color thru tile:
Submittal Fee$ '0) Permit Fee$ 199)• QZ3 CCF$ Znd
/CC$
Scanning Fee$ 1fRadon Fee$ ' (JODBPR$ -2 $
Notary$ Training/Education Fee$ ® ' G d Technology Fee$-2-
Double Fee$ 0 Structural Review$
TOTAL FEE NOW DUE$ 0�7
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 III
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.
Signature4a t �2Signature
Owner or Agent Cor tractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of J�l� ,20 L,by W,.1T-ex day of t3�-4 ,20l L. ,by
who is personally 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:
i
Sign: Sign:
Pring ��l"�-"Z Print: M t
My Commission Expires: ��►a;���o MAYBI PERE My Commission Expires: a°`;.-'oho MAYBI PEREZ
# * W COMMISSION i FF 13M * W COMMISSION 0 FF 131383
EXPIRES:June 10,2018 ,y EXPIRES:June 10,2018
of ��s oP`Oe SWIdThruB Note Sends
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
03/15/2016 21:49 FAX 0 002
4. 1
Miamihores Village
EVEN not
Buiidi g Department
UR 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
Notice to owner — workers' Compensation insurance Exem tion
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 construe tion project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure.-
An
rochure: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 iu 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 its active with the Florida Departmorit of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exarapt. 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'compattsation exemption and has acknowledge that he or she will not use
day labor,part-tune employees or subcorltraators 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 emplciyees or subcontractors.
BY SIGNINGr BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
v
Owner
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day of k2 >20
By \/l3 c�\'��.5 @A ..�who is personally known to me or has produced
as identification.
Na _
SPAL: N .►ar"°� MAYBI PEREZ
yp ...%
* * W COMMMON#FF 131363
'+�����°�` Ba�edfim8udgetNodryservk;es
March 16, 2016
State of Florida
County of Miami Dade
Before me this day personally appeared_Antonio Iglesias who, being sworn,: deposes and says:
That he or she will be the only person working on the project locate at: 511 N 101 ST
Sworn to(affirmed)an cri fore me this I day of -3,A ,20 tf— .by
Personally know
Or Produced Identification
Type of Identification Produced
rotaar noB��c MAYBI PERE,Z
* W CCWSSIM#FF 131383
EXPIRES:June 10,2018
of ru Budge!NotaryServ1M
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interior of the plot on which the fenc is located
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y abutting right of-way,
20'4SPH4LT PAVEMENT
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Property Address: Notes: NO NOTES
511 N.E.101 Street
Miami Shores,FLORIDA 33138
suam IAC.," »r FVTHAr,x�seo nmw+•s vtr1sAT�Arutcor'Mar M.E.Land Surveying,Inc. ,
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3zaN,^AReS.As sET 6o3t P-1 E�Qf �oaoA eoaRc yrs rorEcseuvw.tAwos4RvEvoastwcrowTea 10665 SW 190th Street ..
e;ara�t TnRatxiw se�r.axa F1;;jrx�aRl%TRAtrvE wt+E ruw,cuAwr To na=.aat�toRmA arAT�ks Suite 3110
SIGNED ^? FOR THE FIRM Miami,FL 33157
EFRAIN LOPEZ '; s LAND
STATE OF FLONIOA",..6 ,' RS.M.No.em Phone:(305)740-3318
`.� Fax:(305)669-3190 -
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Survey#:B-15767 Chent File#:2016-242 Page 1 of 2 Not valid without all pages
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Property Address: General Notes:
1.)The Legal Description used to perform this survey was supplied by others.
511 N.E. 101 Street This survey does not determine or is not to imply ownership
Miami Shores,FLORIDA 33138 y)This survey only shows above ground improvements.
Underground utilities,footings,or encroachments are not located on this survey ma 0004
3.)If there is a septic tank,well,or drain field on this survey, • •
Flood Information: • •• • 600680
the location of such items was shown to us by others and the information was not v •
4.)Examination of the abstract of titre will have to be made to determine recorded in Nrllents,9f any,effeEtlim prope •
Community Number: 120652 rty.The lands shown herein were not abstracted for easement or other recorded an pQcisnot shown on 01 ilt •
Panel Number: 12086CO306L 6.)Wall ties are done to the face of the wall.
6.)Fence ownership is not determined. ?••+•• • • •
Suffix: L 7.)Bearings referenced to line noted B.R •+•• + • • e•0
Date of Firm Index: 09/11/2009 8.)Dimensions shown are platted and measured unless otherwise shown. • • 000000
Flood Zone: X 8.)No identification found on property comers unless noted. •••• • ••••+
Base Flood Elevation' 10.)Not valid unless sealed with the signing surveyors embossed seal. •••••• •• • 00000
•
11.)Boundary survey means a drawing and/or graphic representation of the survey worloperfolfned in th•field,coulid
Date of Field Work: 03/31/2016 be drawn at a shown scale and/or not to scale •• •• •• • **go••
Date of Completion: 04/04/2016 12•)Elevations if shown are based upon NGVD 1929 unless otherwise noted •••••• • ••
13.)This is a BOUNDARY SURVEY unless otherwise noted. • • • •
14.)This survey is exclusive for the use of the parties to whom it is certified.The certjfications do not extog W i4,Wn ••••••
named parties. • • • • •
15.)This survey shall not be used for construction/permitting purposes without writtdh cenfentlrom the land surveyor •++•+•
who has signed and sealed this survey. •• • •••• • •
Legal Description:
Lot 15,of Block 94,of AMENDED PLAT OF MIAMI SHORES SE7the
co din to the plat thereof,as recorded
in Plat Book 15,Page 14,of the public records of Miami-Dade CISide Out. The vertical and horizontal
embers of a fence shall face the
plot on which the fence is located
hed side shall face the adjoining
utting right-of-way.
Printing Instructions: Certified To:
While viewing the survey in any PDF Reader,select the File Brian J.Entin and Walter H.New,JR.
Drop-down and select"Print'.Select a color printer,if Cay Title,LLC
available;or at least one with 8.5"x 14"(legal)paper. Old Republic National Title Insurance Company
Select ALL for Print Range,and the#of copies you would Regent Bank
like to print out. its successors and/or assigns as their interest may appear.
Under the"Page Scaling"please make sure you have
selected"None". Please copy below for policy preparation purposes
Do not check the"Auto-rotate and Center"box. only:
This policy does not insure against loss or damage by reason of the following
Check the"Choose Paper size by PDF"checkbox,then exceptions:Any tights,easements,interests,or claims which may exist by reason
click OK to print. of,or reflected by,the following fads shown on the�urvey prepared by_
EFRA/N LOPEZ dated 04/04/2016 bearing Job#B-15767:
a. NO NOTES
M.E. Land Surveying, Inc.
:
IgE LANA. 10665 SW 190th Street,Suite 3110 Miami,FL 33157 LAND
Phone:(305)740-3319
Fax:(305)669-3190 "
LB#:7989
Survey#:B-15767 Client File#:2016.242 Page 2 of 2 Not valid without all pages
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interior tubers of a fence and horizontal FabricGouge.
of the shall face
* - lot or an finished is de shah the fence is locate e ilk
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