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FW-16-961 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Vz Phone: (305)795.2204 Fax: (305)756-8972 Inspection Number: INSP-256578 Permit Number: FW-4-16-961 Scheduled Inspection Date: October 05,2016 Permit Type: Fence/Wall Inspector: Mesa,Michel Inspection Type: Final Owner: CARVAJAL,,LINA M __ Work Classification: Wood Fence Job Address:390 NE 98 Street Miami Shores,FL 33138-2410 Phone Number �305�746-9959 Parcel Number 1132060135670 Project <NONE> Contractor: HOME OWNER Bu _ Departnettt Comments INSTALL ONE WOOD FENCE AND GATE 6" HIGH infractio Vassed Comments HORIZONTAL FENCE. INSPECTOR COMMENTS False MOVE EXISTING CHAIN LINK FENCE&INSTALL FRONT HOUSE WOOD FENCE&GATE. REPLACE PERMIT FW 15-1806 Inspector Comments Passed Failed El Correction Needed a Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 04,2016 For inspections please call:(305)762-4949 Page 2 of 21 T ; Miami Shores Village 10050 N.E.2nd Avenue NE •°°• Miami Shores,FL 33138-0000 r *er al AIPR Cz Phone: (305)795-2204 F LOR11� � � 2p1Expiration: 10/31/2016 Project Address Parcel Number Applicant 390 NE 98 Street 1132060135670 LINA M CARVAJAL Miami Shores, FL 33138-2410 Block: Lot: Owner Information Address Phone Cell LINA M CARVAJAL 390 NE 98 Street (305)746-9959 MIAMI SHORES FL 33138- 390 NE 98 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 400.00 HOME OWNER Total Sq Feet: 12 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:INSTALL ONE WOOD FENCE AND G Review Planning Classification:Residential Scanning:3 Review Planning Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# FW4-16.59363 DBPR Fee $2.00 04/11/2016 Credit Card $50.00 $69.60 DCA Fee $2.00 Education Surcharge $0.20 05/04/2016 Credit Card $69.60 $0.00 Notary Fee $5.00 Permit Fee-Wire&Wood $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $119.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify t all th regoing info ation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhe e,I aut rize the abov med contractor to do the work stated. May 04, 2016 Authorized Signature: ner N Appli t / Contractor / Agent ate Building Department Copy May 04,2016 1 Miami Shores Village AP 1 2016 Building Department BY. D`\ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201` BUILDING Master Permit No.E tc— �6 PERMIT APPLICATION sub Permit No. C*UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL .]PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 2090 Kr 018 SA_ 2 City: Miami Shores C un : Miami Dade Zip: 3 Folio/Parcel#: ' C b 0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone:�_BFE: FFE: OWNER:Name(Fee Simple Titleholder): VC4 A ' Phone#: Address: QAC ME MT _ City: ��Y� S 1� � State: I Zip: 3 12> Tenant/Lessee Name: `/ 1 r b Phone#: Email: UIY1 V I) Tiga1 � 0 CONTRACTOR:Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: i Value of Work for this Permit:$ Square/Linear Footage of Work: 122 1. FT- Type of Work: ❑ Addition ❑ Alteration y�9 ❑ Ne ❑ Repair/Rept ce ❑ Demoliti TI . Description of Work: fi) / �. YI 61k Tf�1 fnnCC.AA0Vt ft(,5ijnh �tGlvl i n T C1 I1 _Fr ' T k(VS- - b� c�U 2— Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$0. 6 0� CO/CC$ Scanning Fee$ '(-� Radon Fee$ DBPR$2' �> Notary$ i k Technology Fee$ (D° ) Training/Education Fee$ ) Double Fee$ ,1 Structural Reviews$�_ Bond$ TOTAL FEE NOW DUE$ CG V (Rev1sed02/24/2014) 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 suNect-to attachment-Also,o-certified copy of-the-recorded notice of cammencementmust be posted-cit 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 approve dare spection fee ill be charged. Signature Signature 01A�N R or AG NT CONTRACTOR The foregoing instrument s acknowledged before me this The foregoing instrument was acknowledged before me this LJ � A day of f +E�� 20_ (ro by day of 20 by L1 r4A M l°AZPLwhc is personally known to who is personally known to me or who has produced i:(,'tY24l1QZ ( me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PU I NOTARY PUBLIC: Sign: Sign: Print: 1 t`v Q Print: Seal: ao1YP�s�A:Expires Public State of Florida Seal: Alvarez Qemission FF 156750 coo@09103/2018 APPROVED B � F Y Plans Examiner J Zoning Structural Review Clerk (Revised02/24/2014) ° Miami Shores Village Building Department 10050 N.E.2nd Avenue I p Miami Shores, Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: c 1rV 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. r , 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 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. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial ►11►C 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_ W ^ r 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 L(�' 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 L 10. 1 understand that I 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 htto://www.mvfloridalicense.com/dbpr/t)ro/cilb/­`lndex.htmi Initial LO 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 res onsible for the proposed construction activity at the following address: ��� -�� Mlc� ► �1n�ce� 13�1� 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. I C Initial I� 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 kk day of 20 ,6 By L iMC,. toy�C���-- who was personally known to me or who has Produced re License or as identification. 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IV.89.51'04"W. 1 X3.68 I N. � 10' ASPWLLT PAVEMENT BW.2 6'S,0.0'E 4'W.0.4'N ( I I' �('��11 J�\,f5��/. i4 WVVIJ '-- h� e- nA r p • �O� II �� 13 �w+OVe Ci STih ckwnim 21'10 CtVtC� reinsTaI l -r fwcf— I I LCITC, f OY, FT MEE 3 w • Ct/ CPEp' ® W ® ® o f•ff- •ff• "-�••Iff • fff•• •ff• Support oto;** ool by becoming an advertised business partner! •• Ourschool ispaCticipating in the Boosterthon Fun Run, a 9-day fundraising event that •�•••• in%rp6rates fitness, leadership, and character on elementary school campuses. ••••� EvffW.studEM1rMars a t-shirk the day of the Boosterthon Fun Run, where the school community gathers to cheer on students as they run laps. Laps are tallied on the t- shirts, and students wear them as year-round,trophies for their achievement. We're excited for our students to experience this school-wide, fitness event! Please support our school and become an advertised business partner by including your logo on our t-shirts. SPONSOR DONATIONS q fl a $1000 SLEEVE AD NEW VF= $750 LARGE AD 2X larger than medium - - MEDIUM AD $500 2X larger than small c EMU r v n ss n r lI //� ism n v ae ae r trz a• $250 S�flALL AD eeomeno�.. a• : 1 VIRGINIA HEART COE Aq; Contact info �e ,; , R ° 'School , Name Email Phone To learn more about the Boosterthon Fun Run visit Boosterthon.Com and watch the overview video!