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FW-16-2892 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-269687 PermitNumber: FW-10-16-2892 Scheduled Inspection Date: December 14,2016 Permit Type: Fence/Wall Inspector: Naranjo, Ismael Inspection Type: Final Owner: MOORE, REBECCA Work Classification: Iron/Ornamental Job Address:9118 NE 5 Avenue Miami Shores, FL Phone Number Parcel Number 1132060140010 Project: <NONE> Contractor: HOME OWNER Building Department Comments ALUMINUM REAR 5' HIGH, SIDE 3'6" HIGH FENCE. Infractio Passed comments BROWN INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until reinspection fee is paid. December 13,2016 For Inspections please call: (305)762-4949 Page 15 of 40 l r _ .. t3- / � � _ � 2 ,g Miami Shores Village Po IF 11 I1V 10050 N.E.2nd Avenue NE � � l or'k t��E��� Miami Shores,FL 33138-0000 Phone: (305)795-2204 ' �`'' ? � Rte► d a.Ex iratton: 04/23/2017 I tats 102"lt}1 p Project Address Parcel Number Applicant 9118 NE 5 Avenue 1132060140010 Miami Shores, FL Block: Lot: REBECCA MOORE Owner Information Address Phone Cell REBECCA MOORE 9118 NE 5 AVE MIAMI SHORES FL 33138-3141 Contractor(s) Phone Cell Phone Valuation: $ 4,800.00 HOME OWNER Total Sq Feet: 174 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Other Additional Info:ALUMINUM REAR 5'HIGH,SIDE 3'6' Review Planning Classification:Residential Scannlp 3 o d. a Review Building i G, Jot& - rs a, T, tl-' . Fees Due Amount Pay Date Piii& A'tnY,b ie CCF $3.00 Invoice# FW-10-16-61769 DBPR Fee $2.61 10/25/2016 Credit Card $201.22 $0.00 DCA Fee $2.61 Education Surcharge $1.00 Notary Fee $5.00 Permit Fee-Wire&Wood $174.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $201.22 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 zoning. re,I authorize the above-named contractor to do the work stated. October 26,2016 A er / Applicant / Contractor / Agent Date Building Department Copy October 25,2016 1 Miami Shores Village cEaVIED Building De p artment oc Zoos 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 6�' BUILDING Master Permit No.-FW 10--16^?Sq2 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION F-1 EXTENSION RENEWAL F-IPLUMBING F-] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP A CONTRACTOR DRAWINGS JOB ADDRESS: l) �E S Irl A Ire. City: Miami Shores County: Miami Dade Zia• Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: Ke,ln v►e�ln J� ��cl�,o is OWNER:Name(Fee Simple Titleholder): Re beC LGC M Q n re M w C,"0 k Phone#: Address: RI UK A-X- Tk S State: Zip: City: E Tenant/Lessee Name: Phone#: Email:�"'e c V--V1 Can �e- S d L4`4"n. I!1 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: -7 Value of Work for this Permit:$ 'y. Square/Linear Footage of work: A Type of Work: ❑ AdditionEJ Alteration [z New ElRepair/Replace ❑ Demolition ��++ Description of Work: , A l c. m:n Lt-nn rear- S' ��� S t�d� S '& " Is' M L.l)1-1 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ L 0 (ReAsed02/24/2014) 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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. P Signature f'h. Signa e OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing i rument was acknowledged before me this day of�1_+0%blQ t ,20 ,by day of 20 by kb'eCCA id& ho is personally known to who is personally known to me or who has produced D risHy ( j C;i%kR•Q, as me or who has produced as identification and who did take an oath. identification and who did take a ath. NOTARY P IC: CD NOTARY PUBLIC: Sign: b Sign: Print: Print: Seal: � Seal: �. YANADY PRIETO :,. .., MY COMMISSION N FF 214031 EXPIRES:March 25-2019 APPROVED BY Plans Examiner /Dzs- Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Q Building Department �,-�- 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT iOPC NAM E: Ra N i CV)cZ s DATE: 101 ADDRESS: 01 <<1 5- h A; z 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.CA 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 permlt.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 S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial� 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_`fL,� 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 S. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who isnot 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 parry 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 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 1 may contact the Florida Construction Industry Licensing Board at 850.487.1395 or htto:/Iwww.mvfloridalicense.com/­­dbt)r/pro/­d­iblindex.htmI Initial__� 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 responsible for the proposed construction activity at the following address: Initial 1 I/ 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—4Z 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����r,20 By��IQ,CCA�QA iC�10IC who was personally known to me or who has Produced there License or as I e cation. ��� _,ia�^`t�"jmL. YMMY PRIETO OWNER N OTAR =*: +" MY COMMISSION#FF 214031 Pq EXPIRES:March 25,2019 ",Rf 4,P Bonded Thru Notary Public Underwriters 'Cot -BOU NDARY SURV SCALE t"= 20. C]EI`TE - - -- ----- -- _ ®� '2 5 2016 _ BY: Lr -T - - 11 "Iry Cm. M711 4 n n Qv ,� see Y C 000006 i d 000.0 • •• 000000 I • { 00000 • • • i err � i 2 3 0'� • • W-7 i •.•.• � .•• 0000• ((/,1 0000• • •• 0 0666.0 1S • s Good Side • •••••• Qut. The vertical an oro ' 6 "2A xC pporting members of a fence sh • 6 - terior of the 6• I `!w a .. 00� Plot on which the fe i �• 6•� �— d the finished side shall face J t any abutting right-of-way, . � v � IbL V _ �y: r-- •t �:• o Uq� 031 N �• Fences Good SidE Oui Tht; veriic.,al nd horiz nt ad`s ;,•.• supporting mem ers of a fence s fall face th interior of the plo on nhfah the fe e is loc to = 13 and the finished sid khall face t e adjoining l (� lot or any abuttingr of-way, zo 3 toe ML A 71 rig V12!� b - i•� 5;' 04 30� Ayr LT JLV. 3� i I� AW.15Y LOCA`nON --ASAP scxz- r= 4�,1 ,j 9 1 7 S 4 •i-z ,+" fv - I • u 7 .• •° 1 . - Fences Good Sde Out. 7 — -x The "cal.atii f9t� 4�= _- } - -.. ._ - - _ supporting members of a Le:Mall.face F,h�: '.. Q a_ j :t J.. �.)•,!- :f zj Lbw interior of the plot ori.which.L s^'"= 't• y t•.' .�:; s • •4 and the finished side shall f 'the ad oenin N F- act 9•�T:`"-: s T ,'; a lot or any abutting right-of .cT r - _9 v'rr /s�/s:/i" _m zf•zc za: •r, _ �/. q �'• ,„•: 4 1.F ,:his n;�iz/.zz.ta nt - .. "✓r `Q`:. . Sr sr V. - .. � �w •tea' - - e 4, _ �• �,+, r . p \ � •• W N�..f)8.Sia 71654;Si R+/ -Y t�7�Bt�Y 4�3 L /: � - :'p'-�. r+. �T?--a'mt���.: Izri r ZLr-I- Gooses `��l .ran. "rw.t/>'- • d see "-�l� 1 iy 4 I _ e 9 r H�y n 7 E1 f•4�31 ' r l atA-0.3.d 'f �t ?o • • N i ,, 000 000000 p6• a. 00080 9•:61trtrr:r., .` 0f• ••_ + • .•••'T '• • • " CiJ� �,/ 1 ht' • --�-• =t froi 8C s.. '.•' a"_ +s - .. & • •' � ••••• N E Oji ` s••�r•. ••• ••••• I I �i� Tu•rlc� jay�� c_ ii ii �.• • • *so*:* 11 ctti ccs rcr rc0ii ey'- ..7 :S')n nicllA'+ ,:_, - .•• •r7f:•iii:1 • 7+c::sa'•is Y�mi/�' y!s �}. r�'!i: : rre'� y :vist>>;idienf. �, hJ. ••i• •••••• L• % °• . •• .•�iF•s�2 •••••• .' PETER DC LA ROSA, P.LS. INC. •• • LAND SURVEYORS • LAND PLANNERS SUBDMSIONS • CONSTRUCTION SURVEY . PLATnNG 400 959 S.W. 1 Q4nd AVENUE •�C'su�s MINORCR PLAZA.MIAMI,FLORIDA 33184 i i L.:-;AL VESCRrIFnOW PH. {305) 552-SS45 FAX (305] 551-6SS6 LOrr��lyL'Of E OF BLOCK QA Will SS WS SEGTSb0j 41 ACCORDING TO THE PLAT 17fERrOF.AS RECGRD'V IN PLAT BOOK ld , AT PAGE 3� OF THE PitBLIC RECORDS OF VAVE COUNTY, FLOWA C- eFTED TO: REBECCA J. MOORE AND KENNETH J. NICHOLS JOB. NOM.. IO9Fyb C BARNETT BANK OF SOUTH FLORIDA, N.A. FIELD BOOK: leS, E ATTORNEYS' TITLE INSURANCE FOND, INC. DATE PIED T+=.. 1..- GM47AL W rM CAROS J. ARBOLEYA, JR., P.A. 11 OaerEtStfrP•IS JtXJECr TO OPINION OF TITLE 21 ExANINATION OF THE AESTRACr OF TITLE mrCL KAVE Tp BE XM TO DEr=-RINE R=RVW IN ,-ZmQyrS. IF ANY. Afi ECr TING THIS PROPERTY. 31 LOCATION Aw IDENTIFICATION OF UTTLITIES Ok AWIOR AVJACWr TO 77M PROPERTY WERE Nor S"CrmW AS 4= INFOR;VM0N WAS•WOT jLcgUESrED. l) NO Sea=OF FOLIC RECORDS HAS REEwNUDE &Y THIS,OFFrC-a FOR ACfC=ALY Awl= vUz=ajV& SI EF.ARD4 SNOW NaEZM IIF ANY)-ARE:Lksw Cla AN ASSsraD NEWMX EL6,4TIVa-VSQ f NEREW•f IF ANY) ARF RELATIVE TO NATIONAL Gwpmc VEV7CAL'VATRUR. 6) nu CER77nczrou ZS ONLY FOR Thar Lum AS pvs,RIBw, It rSWr A CER7MCATTON OF TITLE.. ZONW. EAS30=0 OR FREE M Fog DC34WANCEL AEST/TACr NOr ZMEWEV. ;) THE NFEVESA NERETN IIfDW L�'TO 31 3TTZ=E0 q4PURLLSNEV- BY THE(GVZTED SATES VE7AxfNFXI OF IIOUSD�G ANO tOt4RN V>:VELOPf�7tr. 1) -TNFL 1tAY DE AppITTONAt "'t "1 rONS r,[AT ARE NOT S1f R! O!f TTfLS�YI v y TAY c naw IN THE Ptt UC IECMWS OF TKIS CMWY. 91 TRIS SURVEY ILLS EFJs'f PREPARED FOR TWE E=S=CSE OF TME B TITLES NAKED HEREON AND Tiff C.samc j WU NOT EXrw TO ANY Upaa EV PARTY 01 Wr VALW LWLESS SEL"WM AN EMSSE7 SUV/P OR_S SELL.• N - r) AlfdGEVIATTOMSi RG . ZMAW a' - Dry OR HOUR R - RADILLS FVP - FMW IRRI PTFE RID • NAIL f Vt= O - 1(ru=OR FOOT TO - Tom- CK - CNORO S .SOurK. GLS -ZE=Srr9mamorr LAIRD S(E Swu PCD -POW O O/E - OVERNEAD ELECTRIC A - veaj. r - owsr Pr"JL • PEtarANBrC iEFEYHOCE PC POW OF PC - PLUS,dQOK •� 'S� .PW - POTNr OF REVERSE LTSVATURE Pr - raw OF TEfrLmmau E� - EL.EVAT &a •alva PCC - PDirrf OF C4t?Q<DeD CfIRVATtRf FTL - FL=vA.Pam s LIL�fr SrA --rATTON � PAM •-SEMTAU C-...S r CP43= stain S:TICCO TEL -TELEnOW G/m - RIGKr OF WAY -TObltSlf2P L-A -•ARM L5CM c..s - OFFrtrAL swc CIL - C8f m LIM RAFISE I H543Y CEW7Y TW TMS SURVV WLS YAM WIM My RESpoMsTME CMUtGe AW XarS - XU3UW t . TM 91M=W TEMICAL. SrANVARDS AS .ST FORTH 8Y 77m FLo;=A BWAIM OF PROFESSrONAL ZECM LARD SUMMMYORS W CHAPTER 6IG77-6, FLORIDA AVuLvZS/ZG"IvE CODE, pU ZSTIAWr TO SEMON 471.017, FLORIDA STATUTES. - !9 -Lrnless it bears the signature and the original raised seal of a Florida licensed surveyor and mapper, this drawing, sketch, plat or nap is for informational purposes only and is not valid' AM to 20 Coast to oast Iron Work Corp. g N * 10115 SW 19r Sheet Unit 44 Miami,R 33151 0011:786-370-9257 W.788-713-0411 INVOICE N2 0922 NAME: STREET: CITY: STATE: DATE: PHONE: WORK SPECIFICATIONS AND MATERIALS: A L&A �`• •• •• ••• ...... .... .. ... Fences Good Side Out. The vertical and horizontal • ' supporting members of •••• •• • a fence shall face the ' ' • • interior of the plot on which the fence is located •••• • • • • and the finished side shall face the adjoining 0006•• • 00• •• •• ' lot or any abutting right-of-way. •• �• •' ':' {� .66666 Z 1 • • • egos •• •6• a16 The balance of paid price is due and payable immediately upon AMOUNT: completion of the work unless otherwise set both.The owner upon signing the contract represents and warrents that he has read the agreement. DEPOSIT: It is expressly agreed that no statement,arrangement or understanding, oral o written expressed or implied,not contained wlll be recognized and BALANCE: that this contract constitutes Me entire agreement. SALESMAN: SIGNATURE: SIGNATURE: SIGNATURE: BANK CHECK# ♦SNuREs `i Miami shores Village WHIM Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 lOR1DA Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant, gJxccGf e cyot S does hereby attest that (Property owner) The attached survey,performed by �2+e'C - ,ClL.5, L n C . (Name of surveyor's company) For address: g N F Pt v-e. Performed on l ILI Q S (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. Fur ,er,Affiant say eth naught Reloec co, kit ck 0�S Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this 2-5 t-r day of oc- n l o (6 Affiant is personally known to me,✓produced T)r &ty as identificati -- "D 0 D x t 1 1- otary Revised on 5/22120091 Revised on 6112109 tr pya,, YANADY PRIETO MY COMMISSION#FF 21431 * EXPIRES:Wtd "� oQ Bonded Thor NGtM Ru','e';ierm ters �;�;�,«� `• f Ck 4 � A o Q -a {� O CD 4 } { y o f1 � to cD Q � ° ,414 HAK O =T CSD . r m `IL Q m • • • • • . s • • / • • • • • • • • • 4e E4 �' a •• ••• •• R • • •• t CL'2 Q (p t titIAlx:.X ... . . . . ... . . . .. .. . . . .. ..