FW-16-2242 frS 9 d�-
peniiji
24 ,
su Miami Shores Village
10050 N.E.2nd Avenue NE '
s �, � ►�:
Miami Shores,FL 33138-0000 3
` ® Phone: (305)795-2204
� 1
Expiration: 0 19/2 17
Project Address Parcel Number Applicant
800 NE 91 Terrace 1132060050390
BANCROFT INVESTMENTS, LLC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
BANCROFT INVESTMENTS, LLC 7950 NE BAYSHORE Court (786)241-6627
MIAMI FL 33138-
7950 NE BAYSHORE Court
MIAMI FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
ABURI LLC (954)548-1548
_._ __.... _,_...... _...tt_ ._......... :..._ Total Sq Feet: 246
Approved: Available Inspections:
Comments:
Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:WOOD FENCE AROUND PROPERT` Review Planning
Classification:Residential Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# FW-8-16-60930
DBPR Fee $3.69 08/09/2016 Credit Card $50.00 $215.58
DCA Fee $3.69
Education Surcharge $0.40 08/23/2016 Credit Card $215.58 $0.00
Permit Fee-Wire&Wood $246.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $265.58
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 th work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contractor to he ork stated.
August 23,2016
Authorized Signature:Owner / Applicant / Contractor ent Date
Building Department Copy
August 23,2016 1
Y I.
Miami Shores Village --
` Building Department ° 9 2016
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 BY: �
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 20 r,
BUILDING Master PermitNo I�—
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: Z?z( -�
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
og
OWNER:Name(Fee Simple Titleholder): ar�iDc2—±j(mfg=A)fS . 411L •Phone#: '79d 7—Z(
Address: .:)G= X4jZ,51 G� ,,r�'®�
City: )�J�l State: L Zip: Z,31 3.5
Tenant/Lessee Name: Phone#:
Email: 0 /� 1
CONTRACTOR:Company Name: V` 1�� �""'C-- Phone#:
Address:, 5 9-�
City: State: Zip:
Qualifier Name: Phone#: Q
State Certification or Registration#: C61C I�► I2 P-9 'D Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$^( 20o Square/Linear Footage of Work:
Type of Work: 2Ad5 ion ❑ Alteration ❑1 New ❑ Repair/Replace ElDemolition
Description of Work: LAAiee, ;q&c-1,jd —&QJeelyy (,-Al T1�410-)d
Specify color of color thru tile: 1
Submittal Fee$ !U Permit Fee$ CCF$ 9• CO/CC$
Scanning Fee$ Radon Fee$ <; D�BtPR$ Notary$
Technology Fee$ �_Training/Education Fee$ T Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ '
(Revised02/24/2014)
A
Bonding Company's Name(if applicable) >
J
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.
�!VARNING 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.
Signature Signature
,,�ZOWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foreAing instrument was acknowledged before me this
_ day of �L e, 20 by _ -�!J day of J 20 1� ,by
IJ
who is personally known to ��,�//�ttE�L <!01 �a�� ,who is�ersonally known to
me or who has produced r 26`4 7f•262- 1 as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:Q[dW Or _ ( 1/G• �7 "—
Elizabeth Yelin cn a spar Pu FLETCHER
Seal: Q Seal: a°;•'•.��* CO 10N#FF087245
° o My Commission FF 083558MY
or ti Expires 10/16/2017 * EXp1RES:Mad 14,2018
�r"�ort�oP�O� BOdThNBudgdNOWSMICO
############################ # ### #####################################################################
Ly
e/�z��(ZoningAPPROVED BY Plans Examiner
Structural Review Clerk
(Revised02/24/2014)
8x312016
Printer FriencQy Report
o �d&the p 1-9 Ons&Votlna (S�nFaton Flnarx� MY-.,7ic,
I Leoislatlon&Bauer re�,.e,, i gusin sse
norp y ur BU
MESS begins here
Print this report
Corporation Detaiis
Entity Number 1555208 Deft8s
Business Nam BAN OFT BWES7MENTS,LLC
Ring Type
� rM LIMITED LIABCOMPANY
Status Ao6ve
Original RData QA082005
Expiry Data
Location:
County
State:
Agent/Registrant hdbrmathn
EDMUNDPH1LLfP-5
224 NORTHWOOD AVE APT 1
DAYTON,OH 45405
Efbeove Date:07108/2005
Contact Stratus:Active
bwrparWwkdbMwtWn
ANGHARA PHILLIPS
LES OF ORGANQA-ROtt� go
pOM L�NREp LIABiL(iY CO Date o/ Document Numberfte
7/Q8/2005 1 2
www5.sas.state•�•us/or'd�=100:1897778333q(163p;;N0:18:P18 TYPE,P18 NUM:CORP,15552�
1/1
Limited.Power of Attorney
BE IT ACKNOWLEDGED that I,__,r
Full name
5qF412 20 77 e undersigned,do hereby grant a
Social security number D'ver 'cense
limited power of attorney to
of t Full N e
Address Phone
as my attorney-in-fact.
Said attorney-in-fact shall have full power and authority to undertake and perform only the following acts
on my behalf sign for and do all thingAcessary to this appointment(check only one option):
'��
1
2.
3.
The authority herein shall include such incidental acts as are reasonably required to carry out and perform
the specific authorities granted herein.
My attorney-in-fact agrees to accept this appointment subject to its terms,and agrees to act and perform in
said fiduciary capacity consistent with my best interest, as my attorney-in-fact in its discretion deems advisable.
This power of attorney is effective upon execution.
This power of attorney may be revoked by me at any time, and shall automatically be revoked upon my
death, provided any person relying on this power of attorney shall have full rights to accept and reply upon the
authority of my attorney-in-fact until in receipt of actual notice of revocation.
Signed this day of O ,2p-LUL,
Signature
STATE OF FLORIDA COUNTY OFT'' Do
` /
T going i r j acknowledged before me this day of 20 ,by
b n I�t 1 QS who isrsonally kronor to me o who has produced
1 ide ification and who did(did not)take an oath.
Signature
Print or type name notary Public-State of
Commission No.
W Commission Expires: '" ''
��r v��,�Merle S1t1dTS PiBITiB
_a'!°; :'Commission
#"065496
'Expires:Oct 23,2017
'°'�o�';�p www.A�,olallo�ttY,co�
` Aburi Constructions LLC 2331 N State Rd 7, STE 203,Lauderdale Lakes,FL 33313
Tele: 954-548-1765 Fax: 954-484-7784
Dateo� 63 j 201
State of
County of
Before this day personally appeared �� i who,being duly sworn,deposes
and says :
That he or she(and accompanied)
will be the only person(s)working on the project located at: Ica- M I n w 6 FL '7r
� a
Swo to(or affirmed)and subsbribed before me this day of .20_/t by
Personally known
Or Produced Identification
Type of Identification Produced
wum Amon
MYCOMMISSION AFFOM,
�* EXPIRES tardt 14,20
Print,Type or Stamp Name of Notary
" c
t •a
R
!f
sale v"'n' Miami Shores Village
Building Department
10050 N.E.2nd Avenue
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,includingthe owner,must obtain workers'compensation coverage. Corporate
exempt if officers
or members of a limited liability company (LLC) in the construction industry may elect to be
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
Department of State,Divan officer of the corporation in the records of the Florida
ision 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 YOU ACKNOWLEDGE THAT YOU HAVE READ
CONTENTS. THIS NOTICE AND UNDERSTAND ITS
Signature•
Owner
State of Florida
County of Miami-Dade {�
The foregoing was acknowledge before me this Ua day of ,20�,
By ��� 1 'M m
who is personally known to me or has produced
as identification.
Notary:
SEAL: otery Public Sta a onda
in
my Commission FF 063558
aof�, Expires 10/16/2017
AC a. di.ERTIFICATE.'OF-LIABILITY-I '8UR-ANC'E �►�. ,►,,
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TIFi�r�4TE�OES:NOYi4FFIRI0RA71VELY•OR.NEGAT11fELY ANfiNO.6> VD QR ALTF. ?NEiwVERAAE' FORDQ BY iH 'POLlC1ES
1OFM;THIB CE�TIF7CATE OF:ItIRANCE CIES A10T'C�ONSTI 1IJ R�A EONIRA'CT'BBiWEEN THE.ISSUiNG.iIVEURE[i(®).AU7 HORIEEQ
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: FL L4uderdate.FL 33309 i�Fr ae�covPxaee 1rADi
:..,.' .Phone , (954.8M29" Fax sa."2w. ° IN6UAfBtA: ARCMISPC CIALTYINSItiRANCECOMP Y
Abuo CLC Imo;
3331•N STATE.RaGID 7 St-203•
Fort•Lar�etilele fl. 33335 •aasiiaaa.e: '
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7�115'l3:TORERRIFI°.?HAT7TIE`P.OLJC�50F.fN5URANCE•LISFED'BECOW.. :REENISScUED:TOTHE'fNSURED:N. , 'l1BOVEFOR;TiIE.POWCIFPERtOA .
INDICATED. NDT4Y{TNS'gIVDWOAMMF1RC�t11REM1X11;'rtR(IgO�iCbT�bIfIDN.CORNY;CONTMCI'DRO7HERtDORUMEl�1TWtTFlRE�PEGTiQWH(CH'TH1S
CERTIFICATEBAAY�IE ISSUED OR INAY PQGAIN„TltE lF�6UtiANC�'Y FQIidpS Blf 7 '. . ' bEbMBED MtEK18.GUb leG7�O A[1 THE BERMS;
ExCLIlSIONB AAID CDNDfnONS OF SUCH.P.ODCIL�.•k01UM SHO WY I 0
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' S!(OULdDANYOFTWABOVE.D PGLbtP
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Miami Shares;FL'33138
At`ALZD f3ORPORAa1oN. Ad•i..9 op:les rverl..
ACORD25(801A,t"kQF Iw ACARD'naiva-artillogo'ert_reSleEeredniartt�.ofACORD
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•••• •• • ,
•••••• • • •s•••
• • s • •
Fences Good Side out. The vertical and horizontal ••••.• ,•
Zt 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 • •'•'••
lot or any abutting right-of-way. '
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Lt -.
H •
g't1�RFs
s�
Miami shores Village
Pilding
Department
10050 N.E.2nd Avenue
Fences Good Side Out. The vertpaLand_horazonta iami Shores, Florida 33138
supporting members of#fence shall face the Tel: (305) 795.2204
interior of the plot on which the fence is located Fax: (305) 756.8972
and the finished side shall face the adjoining see*
lot or any abutting right-of-way. 000 •
. . . 0 0000..
00 0 00 . •
WOOD FENCE DETAIL 000000 '°•'
0000 0000 0000..
❑ Shadow Box 0000 ••••• •••••
000000 . .. 0000.'
El Vertical Picket •
0000 0000
❑ Board on Board "••'•
0000..
so
0114-ce r'�®r8 � •000• 0000:0
•
Fences < = 6' high posts spaced at 4' on center maximum •••• : ••••••
Fences < = 5' high posts spaced at 5' on center maximum •••• 0 '
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
per connection
4x4 pressure treated
posts embedded Yinto
concrete footing 10"
diameter x 2'deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
w �
i
KME&
.5 irc193a
NG�
Miami shores Village
loin
Building Department
�., .� Fences Good Side Out. The vertical and horizontal 10050 N.E.2nd Avenue
R�DA supporting members of a fence shall face the Miami Shores, Florida 33138
interior of the plot on which the fence is located Tel: (305) 795.2204
and the finished side shall face the adjoining
lot or any abutting right-of-way, Fax: (305) 756.8972
• •
WOOD FENCE DETAIL ;;;;;; •••;••
❑ Shadow Box •••••� •.,.•
�j .o,•o• • •• • •
y.� Vertical Picket • • , , • •••••
•• •• o••s 000•ro
❑ Board on Board ;boe
•
Fences < = 6 high posts spaced at 4 on center maximum •
Fences < = 5' 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
;:;*Ix 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 2'into
concrete footing 10"
diameter x 2'deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
Revised 06/22/2015
LOCATION SKETCH
09 016 SCALE: NTS
' _�-�°��=�'rte=s•`�-
�y
30'TOTAL R!W L- - N.E■ Stud AVENUE
: � ) :
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W Property Address:800 N.E.91st Terrace, Miami Shores, FL.33138.
CD
ABBREVIATIONS: to
SM-SIDEVALKCSS-,OWRETEBLOMSTRUCTURE.CIF�HA1NLRdKFENCE PL=PROPERTYLWED urnxryEASB4EvTPh-1RDNP1PE.- •
w ►R ! Description:aFOUM.ac=ACONDmoNERPAX).PIC-PROPEIMCORNERDfli-DRS41" HOLE,VWFa1WMNFENCE,RES=RES(pENCE,CL-CLFJIR.RB=REBAR Le g Lot 13, Block 3,GOLDEN GATE PARK ADDITION,according to the Platt4reA-,as
UE=u,nmr EASEMENF coNC=coNc re sLAa w+naRlc,HT of v+arr DE-aRAnvacs EAsaaENT CIL L,NNE, o-C rn=Tf AI, recorded in Plat Book 6, Page 130,of the Public Records of Miami-Dade County, Florida. ¢0 �
I MO+MEASURED.RARECORDED.ENCR=SNCROACFME IT,COMP=COMPU•rEK ASH=ASPH&TTEL
.NID=NAIL 8 DOC.SET,FEE FMH FLCDR EVATION.
OZ-OFFSET,P)P=POIAF-RPOLE.OHP=GVERHEAdPOVASUJNE,V� =*ATERMETER
.tea°FENCEm ELEVATION BASED ON LOC.#
MAi1dNRr 3250 S I pill ISO
NOT VALID UNLESS EMBOSSED WffH RA GE A a .:••c r.••: a••: :.•� :.
coNCRErE=: :. SINCE 1987 , -
MAINrENANc anw►wAaE>ASEaNENr MSD E CBM' B-62 ELV 8.67 TYPE OF SURVEY:B0UNDARYSURVEY j HEREBY CERTIFY That the survey.represented
$dF�vEY�3I �EA4 SURVEYOR'S NOTES: 1)• OWNERSHIP SUBJECT TO OPINION OF TITLE. 2)NOTVALID WITHOUT THE SIGNATURE thereon meets the minimum technical requirements BI.?1NGCJ ��RS INC.
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER 3) THE SURVEY DEPICTED HERE IS NOT adopted
N�by the STATE OF FLORIDA Board of Land Engineers•Land Surveyors•Planners•LB#0007059
a
-COVERED fBY PROFESSIONAL LIABILITY INSURANCE.. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. . 5). Y pursuant to Section 472.027 Florida
UNDERGROUND ENCROACHMENTS NOT LOCATED. ELEVATIONS ARE BASED ON NATIONAL GEODETIC statutes. 555 NORTH SHORE DRIVE
VERTICAL!DATUM OF 3929_ 7) OWNERSHIP. OF FENCES ARE UNKNOWN. 8) THERE-MAY BE ADDITIONAL. There are no encroachments,overlaps,easements
i RESTRICTIONS NOT SHOWN ON THIS SURVEYTHAT MAYBE FOUND IN THE PUBLIC.RECORDs OF THIS COUNTY. 9) ap frearing on the plat or visible easements'other than
MIAM!BEACH,FL 33141
CONTACTS THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING -as shown hereon. (305)8654200 EmaB:blancosurveyorsinc@yahoo.com Fax: (305)865-7810
•INFORMATION. 10)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
R�OED INSTRUMENTS,IF4NY,AFFECTINGTHIS PROPERTY � FLOODZONE X SUFFIX DATE: 9 BASE N/A
Additions or deletions to sluvey maps or reports lry other than The signing party or parties is pralu•bited ADIs N.NUNQ PANEL 6 COMMUNITY# 1.20652
withoit writtea consent of t1w sib paTtY or PartiesREGISTERED LAND SURVEYOR DATE SCALE DWN.BY: JOB No 16-646
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED YALUF-09�ktD PB" PAGE STATE OF FLORIDA#5924 8�1�16 1"=20 F.Bianco