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FW-13-2151Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 202428 Scheduled Inspection Date: November 05, 2013 Inspector: Rodriguez, Jorge Owner: VILLAGE, MIAMI SHORES Job Address: 9617 PARK Drive Miami Shores, FL Project: <NONE> Permit Number: FW -9 -13 -2151 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1132060172350 Contractor: STRONG FENCE CORP Phone: (786)262 -2660 comments REPLACE 194' FENCE WITH 8' HIGH CHAINLINK - - - - -- -- - - INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 199705. Permit must be on site Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 04, 2013 For Inspections please call: (305)762 -4949 Page 30 of 40 10/02/28 13:32 305--383-3668 FEDEX OFFICE 1574 PAGE 02 � � � � � 09/2412013 15:10 305 -- 383 -3668 FEDEX OFFICE 1574 FIAST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT No. gal S2673S -6 THIS IS NOT A BILL - D© NOT PAY BUSINESS NAME / LOCATION RENEWAL, STRONG FENCE CORP RECEIPT NO. 550423 -9 12471 SW x.30 ST CC # 97BSOOIBZ 33106 UNIN DADE COUNTY 10 OWNr =R' STRONG FENCE CORP $caa Type of Duman" 196 SPECIALTY BUILDING CONTRACTOR WORKER,/S I J COUNTY ON cm& liag u �o QR FROM ANY OTHER DO NOT FORWARD a P6gw OR E i "nFCn;,O"Op STRONG FENCE CORP LEONARDO SUAREZ PRES rOONS OuauFaCA- PO BOX 161722 MIAMI FL 331,6 . nAYMEM'1'8C61VEb �IAMFDAIiE '" . ,f CAUNTY TAX COLL9CTORa 1liozi2ai2 i 60040'000067 60008Z.ssa to # •Ii }l,:I'1•t• :rat 1111111.11i1t19141.tII I J)iillt��i],�7�t7D9�Q� !� SEE OTHER SIDE r i PAGE 01 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 702.4949 PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 9617 Park Drive ti c i 8 FBC 20 rO Permit No. Master Permit. W 13 ®1 s 1 ROOFING City: Miami Shores County: Miami Dade gip; 33138x Folio/Parcel #: Is the Building Historically Designated: Yes NO X Flood Zone: OWNER: Name (Fee Simple Titleholder): Miami Shores Village Phone#: 305- 758 -8103 9617 Park Drive City: Miami Shores Village State: fl Zip: 33138 Tenant/I.essee Name: Phone#: Email: estepj @miamishoresvillage.com M-1 CONTRACTOR: Company Name: Address:' 0 Value of Work for this Permit. $ 7,985 Square/Liuear Footage of Work: I p L Type of Work: ❑Addition ❑Alteration L ❑New ❑Repair/Replace ❑Demolition Description of Work: Replace 194' of fence g tz " Submittal Fee Scanning Fee $ Color thru tile: Permit Fee Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $212,62— Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 a reinspection fee will be charged Signature Owner or Agent WX The forego instrument was acknowledged before me this day of , 2d( , by who is Wally known to or who has produced t As identification an,dlo �idtt�igp oath. 0 NOTARY PUBLIC: �•�``` Q`� .. ,..tea : '••.e b Sign: Print: My C APPROVED BY Contractor The foregoing instrument was acknowledged before me this day of , 2(�� by � ,0�1 • who is personally known to me or who has produced Q Plans Examiner Structural Review (Revised 3 /1212012)(Revised 07 /10/07)(Revised 06110nM9)(Revised 3/15/09) identification and NOTARY PUBLIC: Sign: Print: My Commission Expires: ca Clerk ACID D DATE (MM /DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C CONTACT J NAME: Melba M Melba M Me la PHONE, (305)255 -6685_ _ AX No : (305)234 -1878 EMAIL � � melbamejia @bellsouth.net rAE: — NAIC # INSURER A : Granada Insurance Company _ _ _ I INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - - - - -- — -- -- I TSRR ADDLSUBRI POLICY EFF POLICY EXP TYPE OF INSURANCE WV _ POLICY NUMBER MM /DD/YYYY MM /DD/YYYY LIMITS A ❑ GENERAL LIABILITY E 201306113 M 06/19/2013 0 06/19!2014 P EACH OCCURRENCE $ $ 500,000.00 DAMAGE TO RENTED $ MED EXP (Any one person) $ $ 5,000.00 PERSONAL & ADV INJURY $ $ 500,000.00 ❑ _ GENERALAGGREGATE $ $ 500,000.00 _ _ G PRODUCTS - COMP /OP AGG $ _ $ j ❑ AUTOMOBILE LIABILITY C / A — - - -- - -- - ❑ COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ $ BODILY INJURY (Per accident) $ $ --.... - -i $ AGGREGATE $ _ ❑ TV RY AMT ❑ ORH — E.L. EACH ACCIDENT $ $ E.L. DISEASE - EA EMPLOYE $ — — E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village T SHOULD ANY OF HE ABOVE DESC IBED POLICIES BE CANCELLED BEFORE 8 - 20tI�RPORA N. Affrights reserved. ACORD 25 (2010/05) QF /MAC gistere RD name and logo are d marks of ACORD V# .;..MIAMI SHOR9S VILLAGE '. 10060 M;E. Second Avenue Miami Shores, Floridan 33130 ' y - '1qx I.D. #23 -10- 330630 -SYC TO SHIP TO 1 �7 C C�S 4d 4-1q fit C63 C-CLA(t Miami Shores Village 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 2382 Phone -305 795 -2207 Fax 305 756 -8972 PURCHASE ORDER NO. 16 5 6 7 This number must appear on all imroloes, I 13 7�3 shipping labels, correspondence, etr. DATE. 6- ZZ -15 Nlic�ml shvre.� �� ie� Clbt -1 Ral( k- 1"`7, it i Ve- P U R C H A S E O R D E R P.O. Number 0000041353 Page 1 Order Date 08/22/2013 Ordered By ell Terms Net due 5 days FO13 Ship Via Vendor: AU0479 Ship To: AUTAMATIC GATES & GARAGE DOORS 479 NW 98 COURT MIAMI FL 33172 Phone 786 346 -4034 Fax 786 573 -9084 = a= ooaaeaaa= �cco�= a�oaoao�ac�aaan.: �e�aaean�oo�ne= a= :oaoaoaaaeo= �a��== �aoo�aso� Item No Qty Received Line Item Description jUnit Price I Units I Qty Ordered jQty Open aaaa,: aaaaeo.: o�on��oaax�aaoanaeaa== ooao�aaaaa�a�o= ao= aoa�aa== coaaa= �aasaao�.a -oe 0001_ 1.0000 10585.000 08/22/13 AUTOMATIC GATES & GARAGE DOORS 10585.000 REC /Fence replacement Basketball Court 301 - 1401 -572 -64000 Capital: Machinery /Equipment (Recreation) Order Notes: Remove fence & install new fence & gate ids �"(AeA �"V 04Wr EVw'�s 4W j ,c� Hof r�spond ,n Order Total 10585.00 -------------------------------------------------------------------------- - - - - -- ��Gll� d g a3 13 "Z /3 Authorized Si nature Auth ized Signature Authorized Signature Miami Shores Village APPROVED BY DATA ZONING DEPT BLDG DEPT SUBJECT i0 CGNIPLYNCE WITH ALL DERAL STATE ANo C( UN lY RUBS AND REGULATIONS