FW-16-3026 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-270560 PermitNumber: FW-11-16-3026
Scheduled Inspection Date: December 09,2016 Permit Type: Fence/Wall
Inspector: . ---' ov
V0n`e� -k.� Inspection Type: Final
Owner: CEDENO,JOSE Work Classification: Wood Fence
Job Address:157 NE 101 Street
Miami Shores, FL Phone Number (857)998-0376
Parcel Number 1132060131951
Project: <NONE>
Contractor: HENRY'S FENCE INC Phone: (305)669-0180
Building Department Comments
6'WOOD FENCE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 08,2016 For Inspections please call: (305)762-4949 Page 12 of 31
Nwm
111
Miami Shores Village fi i�
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000El
x
Phone: (305)795-220477
�ORIDII' i { a e �3si�A�° a!Gia:. r
a Expiration: 05/20/2017
Project Address Parcel Number Applicant
157 NE 101 Street 1132060131951
Miami Shores, FL Block: Lot: JOSE CEDENO
Owner Information Address Phone Cell
JOSE CEDENO 157 NE 101 Street (857)998-0376
MIAMI SHORES FL 33138-
157 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
HENRY'S FENCE INC (305)669-0180
Total Sq Feet: 227
Approved: Available Inspections:
Comments:
Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:&WOOD FENCE Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# FW-11-16-61952
DBPR Fee $3.41 11/04/2016 Check#:9631 $50.00 $196.02
DCA Fee $3.41
Education Surcharge $0.40 11/21/2016 Check#:9645 $ 196.02 $0.00
Permit Fee-Wire&Wood $227.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $246.02
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 certif a foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin I authorize the above-named contractor to do the work stated.
November 21,2016
orized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 21,2016 1
Miami Shores VillageFNOV
IVED
Building Department 4 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 :
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 �h
FBC 20 (4
BUILDING Master Permit No. 77W 11•-11b -3DZ6
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
�
CONTRACTOR DRAWINGS
JOB ADDRESS: \15-+_ �c `►�) I
4 City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I F2�tQ-_-::oI
�" S I Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1 Phone#:
Address: � 7 4i f� �y
City: .S State: C (i Zip: 33,38
Tenant/Lessee Name: Phone#: 0' 3�id
Email:
CONTRACTOR:Company Name:�ty"p�1�� a�ii��l� .-�`�/ Phone#: &
Address:!2o92A !nAb) -La Z ►'
City:t4l a State: Zi p:
Qualifier Name: , �+ Phone#:
State Certification or Registration#: Certificate of Competency#:�3u�.�..7Z4
DESIGNER:Architect/Engineer: Phone#:
Address: City: State:f Zip:
Value of Work for this Permit:$ 0– Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ N F-1Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
2�
Submittal Fee$ Fj��o►, Permit Fee$ 2 �" CCF$ CO/CC$
Scanning Fee$ Radon Fee$ S•q I DBPR$ • Notary$
Technology Fee$ ® Training/Education Fee$ • 0 Double Fee$
Structural Reviews$ Bond$ �—
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 ail
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 i' be approved and a r ' ection fee will be charged.
Signat Signature
ER or AGE CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�111111111lI1i//
day ofb�/y by 0!ajg;4�day/o/f/� ►_VL,! y'n 20 .by
own to who is personally known to
me or who has produced w; as me or who has produced ''
identification and who cffd tate an o A` identification and who did take an oath.
NOTARY PUBLIC: 00�.�:'� Bo �: Q NOTARY PUBLIC: ��'• 2p0Zp,•�•;r'
vblic Uncl*dod V9 e •O ��
a�
•STAiSOF ��\, _�r ; ••
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Pri Print ��
Bondedtgymor .
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Seal: Seal: UC six
�•• •••• O���`\
APPROVED BY �' t'v Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Henry's Fence Inc.
3931 SW 63"Ave
Miami, FL 33155
Phone: (305) 669-0180
Fax: (305) 669-5992
Email: hen . sco o,bellsouth.net
November 3, 2016
RE: 157 NE 101' Street Miami Shores, FL 33138
To whom it may concern,
I, Henry P Villoch, qualifier and president of Henry's Fence Inc. Will be working on
the fence project. I will be the only contractor installing the fence at 157 NE 101 Street
Miami Shores, FL 33138.
Thank You,
R"u-y P.vazoc,
4�p8 R0%titi
.•••••. VA�
it
•
OFFOW
/emsz SaTT
A&.. ......���
��lNlllii11111�
5 ORES
X y Miami
� shores Village
Room u"'" Building Department
ree10050 N.E.2nd Avenue
LORA Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.6972
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 YO KN GE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENT'
Signator
tate of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day oLVIJ V ,20
B ei� - ���% S RO
y, py��q is personally known to me or has produced
i
'•cPern ••° ti
MW
Notary: �►�� d
• #FFOSWr
SEAL: ,"°°
S ORES D
s� Miami shores Village
evil Building Department
zk �e 10050 N.E.2nd Avenue
IARIDp' 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 YO KN GE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENT
Signature
tate of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day of ,20 KkO.
,is personally known to me or has produced
3 ;�cP Pa@nti�,
w o
Notary: = ►. r s
aFROMFr `
SEAL: off '`�.
' '+i:bPiPY.*
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JOHN IBARRA & A SOCIATES INC.
Professional Land Su Q ors & Ma
WWYv.IBARRALAND8U 8.� Pp�erS
777 N.W.72nd AVENUE 2804 DEL PRADO BLVD SOUTH
SUITE 30M SUTI'E N6.202 UNIT 1
MIAMI.FLORIDA 33120 1 CAPE CORAL,FL 33904
PH. (308)262-0400 PH: (239)M40 28W
FAX:(308)262.0401 FAM 640-2664
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THE CTPROPB47YOOESAVrL,EAVASPEMROODHAZARAAgSt
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TITLE COMPANY LEN ER
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Franklin American
MORTGAGE COMPANY
DRAWN BY: NGH UNDERW RER
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FIELD DATE: 08N2W14 t dd
{ NO.-8770
WFG Natiocml Title Company - srnrE OF
SURVEYNO: 14-002713-1 •wLx�• wc�oc� —
SHEET- 1 OF 2 L.8#7808 SEAL
JOHN MARRA & "SOCIATES. INC.
Professional Land Suiweyors & Mappers_
IBARRALANDSURVEYORB.00M =
777 N.W.72nd AVENUE 2804 DEL PRADO BLVD 8OUj'H
SUITE 3028 SUITE NO.202 UNIT 1 — r
MIAMI,FLORIDA 33126 _ --
CAPE CORAL,FL 33904
PH: (306)282-0400 PH: (239)640-26M
FAX:(308)262-0401 FAX-(239)640-26"
MAP OF BOUNDARY SURVEY - -
157NE 1011h STREET,MIAMI SHORES,FL 33138 - `~
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NOTES:
A SOUTH SIDE OF Tiff SUBJECT PROPERTY,CONCRETE DRNEWAY IS ENCROACWN(i Df D THE RIGHT OF WAY OF NE 101st STREET.
B. NORTHEAST EDE OF THE SUBJECT PROPERTY,ASPHALT PAVEMENT AND MANHOLEAREBOMACHMKMTHE SUBJECT PROPERTY.
p3
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sraT>:OF = CER77f7CATZoAI.- FIELD DATE: 0811212014
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FRANKLINAMER/CANMORTGAGECOMPANY, /TS SUCCESSORSAND OR
L.B.#'7816 SEAL A=IGNS,AS 7AMINTERESTMAYAPPEAR ; SHEET 2 OF2
CkI�-v
L4 2016
BY: �L
5t1�,,�Fs
Miami shores Village
nn ami
Building Department
40,
10050 N.E.2nd Avenue
BORN Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305)756.8972
w
WOOD FENCE DETAIL F, �-
❑ Shadow Box
❑ Vertical Picket
❑ Board on Board -
Fences < = 6' gh posts spaced at 4' on center maximum
— 'high posts spaced at 5' on center maximum
Fences < =4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
.0090
pe��onnectYon .••...
•
••••e• • 0000••
•
0000 0000 0000•
0000•• 0000 0000•
• r •
•• •• •••s ,,0000•
•
4x4 pressure treated •";" '
•
posts embedded 2'into ' • ;•••;• 0 610•'
concrete footing 10" ; •°• • • •
diameterx2'deep to • 0000 • •
• P •
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
Revised 06/22/2015