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FW-15-3089 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-259741 Permit Number: FW-12-15-3089 Scheduled Inspection Date: November 04,2016 Permit Type: Fence/Wall Inspector: Inspection Type: Foundation Owner: COMPO, MICHAEL&NADJA Work Classification: Wood Fence Job Address:138 NW 109 Street Miami Shores, FL 33138- Phone Number Project: <NONE> Parcel Number 1121360100200 Contractor: HOME OWNER Building Department Comments REPLACING METAL FENCE WITH WOOD FENCE IN Infractio Passed Comments FRONT AND RIGHT SIDE OF HOME AND REAR HOME. INSPECTOR COMMENTS False L 04 Ke Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-249325. 5-25-16 FENCE ALREADY UP, FOUNDATIONS ALREADY POURED, NO ACCESS, GATE LOCKED, NEED TO SPEAK TO BUILDING OFFICIAL: ISMAEL NARANJO ABOUT CONCEALED WORK. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid November 03,2016 For Inspections please call: (305)762-4949 Page 2 of 28 j' October 24, 2016 Miami Shores Building Department 10050 NE 2nd Ave, Miami Shores, FL 33138 Re: Building Permit # FW-12-15-3089 138 NW 109'h Street Miami Shores, Florida 33168 Dear Building official: I have been asked to review the above reference fence permit plans, the structure, and foundation of the fence located at 138 NW 1091' Street Miami Shores, Florida 33168. In reviewing the plans, structure and foundation, the homeowner has complied with the building code. An on-site inspection was performed by me; all wood is pressure treated, all fasteners are corrosion resistant, with no less than two fasteners in any connection. The 4x4 treated posts are embedded 2 feet into a concrete footing 10 inches in diameter and are spaced 3 feet apart. The good side of the fence is facing out, and the horizontal supporting members face the interior of the plot. The height of the fence does not exceed 6 feet. I certify the plans, structure, and foundation are in compliance with Miami Shores code and ordinances as well as the Miami Dade County code and ordinances. Sincerely, Mauricio A. Paredes, PE Florida License No: 56832 , lz� a � 5408 Miami Shores Village / Fenoeman 10050 N.E.2nd Avenue NW 45 i rk mood Fonce Miami Shores,FL 33138-0000 bA` Phone: (305)795-2204 t"PFR€PVEa. �.., Expiration: 06/20/2016 Project Address Parcel Number Applicant 138 NW 109 Street 1121360100200 Miami Shores, FL 33138- Block: Lot: MICHAEL&NADJA COMPO Owner Information Address Phone Cell MICHAEL&NADJA COMPO 138 NW 109 Street MIAMI SHORES FL 33168- 138 NW 109 Street MIAMI SHORES FL 33168- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER _..,, _._........, _ .w... Total Sq Feet: 50 Approved: Available Inspections: Comments: Inspection Type: Date Approved: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:REPLACING METAL FENCE WITH VA Review Planning Classification:Residential Scanning:3 Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# FW-12-15-58042 DBPR Fee $2.00 12/23/2015 Credit Card $69.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 12/15/2015 Credit Card $50.00 $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 qII work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBIN , EC PAIC ,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFF AVI . I certi tha all a fo ing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo i Fut a e, auth ' the ab named contractor to do the work stated. December 23,2015 Auth ed Signature: wner / plicant / Contractor / Agent Date Building Department Copy December 23,2015 1 .,, Miami Shores Village Building Department DE 15 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 r Tel:(305)795-2204 Fax:(305)756-8972 nl�_ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC ZD A q BUILDING Master Permit No. `� PERMIT APPLICATION Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 138 NW 109th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO X Occupancy Type: res Load: Construction Type: CB Flood Zone: NA BFE: FFE: OWNER:Name(Fee simple Titleholder):Michael and Nadja Compo Phone#:3057562588 Address: 138 NW 109th Street City: MIAMI SHORES state: FL Zip: 33168 Tenant/Lessee Name: Phone#: Email: mcompo@hotmail.com CONTRACTOR:Company Name: Owner Phone#: Address: Same City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 1000.00 Square/Linear Footage of Work: NA Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: REPLACING METAL FENCE WITH WOOD FENCE IN FRONT AND RIGHT SIDE OF HOME AND REAR OF HOME Specify color of color thru tile: P (� Submittal Fee$ 60 " Permit Fee$ u�° e � CCF$ '` O CO/CC$ Scanning Fee$ C:) Im Radon Fee$ DBPR$ CJZ) Notary$ e Technology Fee$ P Training/Education Fee$ 40• ZO Double Fee$ Structural Reviews$ - Bond$ TOTAL FEE NOW DUE$ • Go (Revised02/24/2014) "r --1% Bonding Company's Name(if applicable) NA Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) CITIBANK Mortgage Lender's Address PO Box 790002 City St. Louis State MO Zip 63179 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 a, hment. Also,a ce 'ied copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs severl yslafter the building permit is issued. In the absence of such posted notice, the inspection will no o ed and r ' p e will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Cl day of 'DI L ,20 ,by day of ,20 ,by M 1Cr'' N(U- (,.om i7,-'� who is personally known to who is personally known to me or who has produced ..1�� r'�' 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: .Arley Sign O�Ex�s� Sign: e• _ —�: "'�/ 6�0`�•'CD = Print: Print: — Seal: p �j,,'�'04 /�: Seal: (�\�l ��1 t r� APPROVED BY 6 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �y 0 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 'OWN R1 DER DISCLOSURE STATEMEIf 9 N✓�T NAME: ATE: ADDRESS: J 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. Initial _kt� 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 I as which violates the exemption. Initial 5. 1 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 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 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 *w"--- 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 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/dbor/oro/cilb/index.html 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 constr ction activity at the following address: Z skztil— 4�Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the i form ion t have provided on this disclosure. Initial 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 "l day of I � 20 L5 By who was personally known to me or who has \�alululuu�/�,� Produced there License orGO as ic� �ati�f�, o = OWINf R N� ��//1111111111" ♦SNveEs yi Miami shores Village ERIN Building Department 10050 N.E.2nd Avenue 'tNo,� Miami Shores, Florida 33138 rEs too NOR�pA Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant, ,does hereby attest that (Property owner) The attached survey, performed by afi&-t& A-7� ej p (Name o u is comp n ) For address: o Performed on '7/1407 (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 viol I zoni uilding code regulations. The Affiant further understands that the existence of any such c m y affect fi al inspections as applicable to this or other permits. F i t say ht. r �P erty Owner Si ature Cil n Property Owner Print Name SWORN TO AND SUBSCRIBED before me this l day of is Affiant is personally known to me,_produced .1YPis��'%��identifica'on. Exp'; cn Notary p' .......... Revised on 5122120091 Revised on 6112109 F(0 R6 It $gO.. G� ' Miami shores V WIN Building Department 10050 N.E.2nd Avenue �t1RIDp' � n� Miami Shores, Florida 33138 1�E Lf-s Tel: (305) 795.2204 Fax: (305) 756.8972 WOOD FENCE DETAIL ElShadow Box � , fA ❑ Vertical Picket V-7 ElBoard on BoardFences < =6 high posts spaced at 4 on center maximum , Fences < = 5' high posts spaced at 5' on center maximum Fences < =4' high posts spaced at 6' on center maximum to l Fence must not exceed 6' in height 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal treated Xpressure ood members with two corrosion resistant fasteners 010 per connection 4x4 pressure treated posts embedded Tin concrete footing 10" diameter x 2'deep ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection Revised 06/22/2015 6125 STIRLING RD. BROWARD (954)587-2100 OR MAE, FLORIDA 33314 PALM BEACH (561)488-9628 ZO O 20� 40 60 / FAX (954)587-5418 SURVEYING, INC. 0=7 ATLANTIC CQAST SLR INC „ Scole V- 20, Lf 44,v-"r LB N0. 5495 P Q.�• «,� ch y F Ab. r. 109TH STREET _ - - 'T a:: 75' RIGHT-OF'-WAY „ 12.5 MEDIAN IR m M AF �3w LEGA. 0C 745' ASPHALT PAVEMENT to LOT 4r BLOCK 214 Una= A W! SHORES EXT NW ACCORDING 70 �t b 7HE PIAT THUdW AS RECORDEDPUBLIC M� COUNTYBOOK ' P 7 i 1• GRASS .o.o s r OUND soD NAIL AT PMCowo C �Y `. � .:. .59'40"E. 75.00'' ' �.: ' ` 202 .•o:s•cM) JERKNO 7ME SERVMS BARING BASIS F�iWJ AM1ERMW TRLE NOMNCE COMPANY - � 4• PUT eara.1's � � ,: e-� F1P3/$",NO tDt' FIR1 2:CANT 10 P MORTGAGE GAGE LEERS (BIW. �. � � J z 0.20'F,o.21'S o o.1s/'Eo.00'N Sl)OCESSORS AMI \ � Q N a AAS 7HER MAY APR ® W LL E _ E/F,0.2'E,27.3 S 138 NW �.T m Q 4.• F/C.0.6T.25.3,S MOM SHORM R 33168 > 12.8 -_ s.o' 5.4' _ F.n 9 BOUNQARY O y < F/C,26.1'S•0.4'E �o OP M 14.4 co �� 22.5' S'i IRNEY LATE 07/11/07 FLOOD ZONE Xj ❑ a c ONE STORY N MAP DAX 03 02/94 ( ® w - LOT 5 N o'0 RESIDENCE L 04 NAP Jam' 120652 0090) > O BLOCK 213 N BLOCK Z1 j T `' LOT 3 DE 15215 �.G c - Li Bt� � N „ r� - s.5' r : � 7 m.0 N ❑' iE ° -00 0 4'-11.7' •• ��O •00000 _ • .�••,-': v 38.0' i3.4' �i4 ^�� 0000•• N ''.• to to p cm O •0040• •�. .' 4.8' r}�r44• � � • • •44• =7 •� 2 0000• NOTES & FENCE TIES ARE TO THE CDM-UNE FOM tA4itJ.TIES ARE TO THE FACE 6F WALL 6 m � � • • 1. BASE'+ OF! AS INDICATED ON SKETCH. 7. IN SOME INSTANCES G NAPTIC HAVE SEEN !'FD TO MORE CTFi � ? •••••• b�,ri•D�•to 00000 2. LEON DESCRIPTION PROVIDED BY CLIENT TRATE THE RELATIONSHIP BETWEEN PHYSICAL. tlOWMeM AND/OR LOT LIQ IN � .� _M• m i m ••4••• 3. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THIS OFFICE FOR CASES, SIAL.CONTROL THE WWION OF'THF p� OVER ' •••••• m•n a •4 E4SEMENTS, RlCMT-OF WAY% OR OTHFR INSTRUMENTS OF RECORD. 4 TINDER OR INTERIOR PORTIONS OF FOOTINGS. FOUNDATOM WADS 8. �AND Oh ECDONS SHM HEREON ARE W SUBSTANTIAL AGREEMENT WITH 4 OR OTHER NON-VISIBLE IMPROVEMENTS WERE NOT LOCATED. RELY MUJAS-MM OTHERWISE NOTED. J.• 4 4 _ :•4•• ON PROPERTY LIVE AND ARE 0.7' WIDE UNLESS • • • - ••••.4 5 ELEVATIOAts ARE BASED ON THE NATIONAL GEODETIC VERTICAL DATUM OF 19299. P14fiiW(�i1fAt iS.j�iFE •n. •• • Q j L •4 0 • • NVL'f. OTHE SS RWISE SHOWN. �� = %� na pp 10 OQ PROPERTY COIF A o BY AfgwvEMElNTS 222= CONCRETE BLOCK WALL _ - ' .'•a Q, - -�-�- OVERHEAD WIRES ® MONITORING WELL. _ -,f = _ _ � cfl a m - --b--d-�-a CONCRETE FENCE ® wu JUNCAON BMXF/C,52'N gJ pjrOlvS (SEE BACK OF THS PAGE} `. ... .0 3`W r-- CENTEPJJNE -'0' POWER/UGHT POLE I E OUBY C&T1FY.A1N7.71IS SURVEY 6 A TRW AND COMMOT R£PRESENTATK s7 ' `•" ,` E/F.1.8'N.02'W F/C.1.8N.0.3E C7 WATER METER -'OF.A - F/C,0.4'N.0.3'W -rr-rr-ar-rr- WOOD FENCE / --x-x- METAL FENCE ® FF8cL/SBT FAD0)09&RASED SFJU. A FLORIDA EP,2 55 -x •� _ j - - - -- /-0.21'W� 9Q 0'ID N _ 07/12/07 PJS /+� CbJNC.` "�B�„CK 5.5' DENOTES EL.E:VATTON BY }�17E FIP3/8:NO ID N.89 57 1 2 . 75.00 #CtiAr... W0 ° PA1/�RS T-- .0of 0.00IN 10'ASPH&T PAVEMENT EP.1.6's ;. .* r.i -"3 GUY ANCHOR PALM.J- LAND SURVEI'OR FLORIDAFTORlDA CF.RT>fXA7t0IV NO 52! 15'ASPHALT MOW OF WAY Miami Shores Village �u� o� zoos Building Department 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. C/ r PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION X XTENSION F-1 RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 12 (`J�Fe City: Miami Shores County Miami Dade zip: Folio/Parcel#: r ?, f I/� 1,jQr__-) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFEE,: OWNER:Name(Fee Simple Ti leh der): Phone#: N/ 7i e 4' I # Address: �•� City �� State: Zip: Tenant/Lessee Name: Phone#: Email: 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: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 1:1 New _ ❑ Repair/Replace E] Demolition Descri mar Work: —0- - 1� 4- AW �ga4 4*01 Specify color of color thru tile: Submittal Fee$ Permit Fee$ � CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/EducationTee$. Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 11 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? notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to tta me . Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection ch ccurs even (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a ave and reinspection fee will be charged. Signature Signature R or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of (/�1 e 20 0 6 ,by day of ,20 by W is personally kno to who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUB NOTARY PUBLIC: Si _ Sign: ONO Print: Print: �g rye Notary Public r F0 S o no Seal: Seal: :o_ 4� Joanna M Fel 082�ss v My Commission v?o.moa Expves 0111212018 Li V APPROVED BY d Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014) Michael C Compo -_- -- 138 NW 109" Street Miami Shores, Florida 33168 JUN 07 2016 June 7, 2016 L Miami Shores Village Building Department 10050 NE. 2nd Ave., Miami Shores,FL 33138 Re: Permit No. FW— 12-15-3089 Property Address: 138 NW 109th Street Miami Shores, Florida 33168 Dear Sirs/Madam: Allow this letter to serve as my request for an extension of the above referenced permit number and pursuant to the attached application for extension of said permit. Upon denial of inspection I became aware that is necessary for me to retain an engineer in order to sign off on the foundation of the fence.I am leaving for vacation and will not return in time to retain said engineer. I respectfully request an extension of six months for the above referenced permit in order to meet the building department's requirements. P c lly, ichael C ompo D o • y nu Notary Pubiic State of Florida •• ••• •• k' ,loanna M Feiiaiano a My Commission FF 082753 • • • • • • • • Expires 01J1212018 • s•• • • • • • h• •