Loading...
PW-18-222Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Issue Date: 2113/2018 Permit NO. PW-1-18-222 Permit Type: Public Works Work Classification: Public Works Permit Status: APPROVED Expiration: 05/14/2018 Parcel Number 270 NE 104 Street Miami Shores, FL 33138-2016 Owner Information Address 1121360130320 Block: Lot: Phone Applicant JOESPH BASSETT Cell JOESPH BASSETT 270 NE 104 Street MIAMI SHORES FL 33138- 270 NE 104 Street MIAMI SHORES FL 33138- Contractor(s) ROSS SERVICES Phone (954)227-8944 Cell Phone (305)484-6527 Valuation: Total Sq Feet: $ 100.00 0 Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.00 $0.00 $0.00 $0.20 $100.00 $3.00 $0.80 $104.00 .Z5 ss ASS 11 Pay Date Pay Type Amt Paid Amt Due Invoice # PW-1-18-66261 02/13/2018 Credit Card $ 104.00 $ 0.00 Available Inspections: Inspection Type: Excavation Review Public Works Final Public Works 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 E ECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS A construction Autho VIT: I pyertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating hermore, I authorize the above -named contractor to do the work stated. ignature: Owner / Applicant / Contractor / Agent February 13, 2018 Date Building Department Copy February 13, 2018 1 STRUCTURAL INSPECTION Foundation Stemwall Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance FINAL DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Truss Certification RAL COMMENTS INSPECTION RECORD INSPECTION Attachment FINAL INSPECTION Excavation FINAL WINDOWS & DOORS PUBLIC WORKS ELECTRICAL INSPECTION Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Wall Rough Ceiling Rough Rough Telephone Rou Telephone Fi TV Rough Cable corn Rough tercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With FINAL ELECTRICAL COMMENTS INSPECTION Final Sprinkler Final Alarm FINAL PLUMBING INSPECTION P Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final FINAL PLUMBING COMMENTS MECHANICAL INSPECTION Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum FINAL MECHANICAL COMMENTS DATE INSP -- RECEIVED Miami Shores Village JAN 2 9 2018 Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138 PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property ?V\I Permit#: Name of Applicant (if utility see below): .go SS 5£Ctv\C 5 Owner off the following described property: ,...5si'+c '3AS5•27- ���''' 6.41- C.' ) Legal Description: Lot a( 5-(i) Block t►q Subdivision v--SikoNIS Folio #; , I i Z t 3(o o1 3c. 3 20 Address: 'Z;-Ra t$2 xos-1;Av.,3313g UTILITY NAME: Qualifier/Authorized Agent: Address: City: State: ZIP: Telephone: Email: State Certification or Registration #: Certificate of Competency # CONTRACTOR NAME: ?GsS s:O 'l(AS Qualifier/Authorized Agent: S . 3A.241-y Address: yb2o cp.N. . 4 2 City: c i&w,4Ac State: FL ZIP: 333 ►9 Telephone: 9S‘i -t V --51M4 Email: ro555 elV I C€ S`7 1 JQ, t rvlcx.i I o Ld ►v1 State Certification or Registration #: CC C 150?SZZ Certificate of Compe ncy #: Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: Sr,° LL ►V�..,ai3:cu,µ Fkr., Li - c.LcAa. ,.)Lwwel Type of Work: ❑ Paving ❑ Utility © Sidewalk ❑ Electric ❑ Irrigation Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: I State: ZIP: Telephone: Email: Registration #: Value of Work for this Permit: $ Square/Lineal Footage of Work: ***** Fees***** Permit Fee $ 100.00 C.� 10 Notary $ + Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ ` Bond $ (if required) Total Fee Now Due $ Bonding Company's Name (if applicable): Bonding Company's Address: City: State: ZIP: Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in this jurisdiction. I understand that separate permits must be secured for APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with applicable laws regulating construction and specifically construction in the right-of-way. "WARNING TO APPLICANT: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value exceeding $2,500, 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 the 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 public works permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection will be charged. Signatur Apc11licant or Authorized Agent The foregoing instrument was acknowledged before me this "2Z day of ,S A N , 20 ig , by .JosEp-1 13ASSETT who is personally known to me or who ha produc� DIZ%Vt-12s LiC -IJSI as identification. NOTAR 001L`ILK''', .�`coa�. 1r .o' n.o2.a'� L. 2�veiaA 041031 NO1�RY PUBLIC Commission { cP'.GG11319IOQ'i re.. F... �'' moo APPROVED BY: 2017-04-15 Signature . :� 4.60r e` Compa Utility Age rft�� The foregoing instrument was acknowledged before me this 22 day of A 0 , 20 I $ , by S. d AZ-. Ai21EPe` who is p Hall knovrn me or who has produced as identification. NOTA Sign: Print: 5/ 12Xt.� L. 121 v &V .A - • Nouar, uc • SEAL: Z ICommissiii Iv'\GG 1131l,='Q- :11 .. .k> •: OF Ft-O:.•�`�. ****#*t************************************** t�21�1 , Public Works Director, or Designee Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 LFN 2018R0031732 OR BK 30830 P9 647 (1P9s ) RECORDED I01/ 16/20t13 14: 7:0 H IRVEY RIJVIN, CLERK OF COURT MIAMI--DADE COUNTY, FLORIDA COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, `(owner) . Z'os1 ?i- eP cSq: hereinafter referred to as the owner of the following described property (address): 2' -0 Wcr__t%K-,1‘{ sT Legal Description: Lot Y*C` Block i Iti Subdivision v . ;. Sr(Gtv c-S Folio # 1) 2,1--“0 c two Requests permission to install (describe work): Dm., s o) N- :E Within the public right of way of (address) 2 30 NV._ iO4 t*' s-r- w-i i Si-kettc FL IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above -mentioned item(s) installed 'within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2.. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County I harmless from any and all liability, which may rise by virtue of permitting the installation of . these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, ;within 60 days notice by the Village to do so. Failure to comply with this notice will result in the 'Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or his ully authorized representative). Signature `St-iC Pik 4<kS4' G( Owner or Agent State of Florida County of Miami Dade The foregoing instrument was acknowledged before me this day of GAY\ , 20 g, by J,(StPh ` cSe---'►— who is personally known to me, or who has pro uced 'tiCQr1 NO I _ :UBLIC: Si•,;, �� 44111I Pr as identification. 1 QAaInC f(11 L or C'l . SEAL: MAHARAI K. GONZALEZ MY COMMISSION # GG 044602 Ns" Bonded EXPIRES: November 2, 2020 ';43• F Nq. Bonded Thru Notary Public Underwriters 1