The URL can be used to link to this page

DS-18-2470rr.oY-1 `PF`�".res Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001450-2018 Permit Number: DS-9-18-2470 Scheduled Inspection Date: November 08, 2018 Inspector: Riveron, Alexis Owner: MICHAEL C DORN Address: 502 NE 106 ST Project: Miami Shores , FL 33138 Contractor: CHAMPION CONCRETE JAIME BASILIO Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Building Final Work Classification: Addition/Alteration Phone Number: 3057541311 Parcel Number: 1122310140220 Phone Number: 3052528055 Building Department Comments TRAVERTINE PAVER DRIVEWAY REPLACE 5 BROKEN FLAGS / STREET SIDEWALK Checklist Item General Comments Passed False Comments Passed /if Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments November 07, 2018 ' For Inspections please call: 305-762-4949 Page 21 of 38 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address JTC1 Permit NO.: DS-9-18-2470 Permit AIR Number: 609850 Permit Type: Driveways/Sidewalks/Slabs Work Classification: Addition/Alteration Permit Status: Approved Issue Date: 10/05/2018 Expiration: 03/18/2019 Parcel Number Project 502 NE 106 ST, Miami Shores, FL 33138 1122310140220 <NONE> Contacts MICHAEL DORN 502 NE 106 ST, MIAMI SHORES, FL 331382046 Other: 3057541311 Owner CHAMPION CONCRETE JAIME BASILIO 10280 NW 63 TER 105, DORAL, FL 33178 Business: 3052528055 Other: 7864024802 Contractor Description: TRAVERTINE PAVER DRIVEWAY REPLACE 5 BROKEN FLAGS / STREET SIDEWALK Fees Amount CCF DBPR Fee DCA Fee Education Surcharge P&Z Review Fee Permit Fee Scanning Fee Technology Fee $3.60 $2.00 $2.00 $1.20 $35.00 $100.00 $9.00 $4.80 Total: $157.60 MICHAEL DORN 502 NE 106 ST, MIAMI SHORES, FL 331382046 Other: 3057541311 Applicant Valuation: Total Sq Feet: $ 5,400.00 500.00 i Payments Total Fees Credit Card Amount Due: Amt Paid $157.60 $157.60 $0.00 Inspection Requests: 305-762-4949 Building Department Copy 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 th'. permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for LECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI ' I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co structi• and zoning. Futhermore, I authorize the above named contractor to do the work stated. AuthorizeSignatur •wner Applicant / Contractor Agent Date October 05, 2018 Page 2 of 4 BUILDING PERMIT APPLICATION Miami Shores Village 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 201-1' Master Permit NODS I ' a 1 i o Sub Permit No. ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ��^^�� q CONTRACTOR DRAWINGS JOB ADDRESS: . 5Q? f b 10 City: Miami Shores ,/� County: Miami Dade Zip: Folio/Parcel#: I) _ Z23/ a yL/ � ?ci Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone:�BFE: FFE: OWNER: Name (Fee Simple Titleholder): N� c -0OQ4v L 64414 ,q tfn/ e#: Address: 502— Ever /0 `& 5 j� City: 41 {� "V ► 5/1O1State:4/1- Zip: 3312i Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 61-l/9Np1 nN cioN o.-e- C Phone#: 30..5 1-S2- rQS5 7 Address: 102- 0 AW 63 -%`C 4- 0 3 City: _0 _ '. State: Zip: 3 'i 7 i Qualifier Name: ,-./ PJ `e .6/3I i -1 V Phone#: 9 j Z,S2 4)7OS5- State Certification or Registration #: Certificate of Competency #: Ce.-05 65 O005 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ c/ 615 Type of Work: ❑ Addition ❑ Alteration Description of Work: Square/Linear Footage of Work:.Soa, ❑ New ❑ Repair/Replace ❑ Demolition ,)1/1 ,i4Jivti f /5 j5 T- 5f1' 1 Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ I S 7 . (e-o (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) k 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 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 st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absent; of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature VIES C. d'(/1 OWNER or AGENT The foregoing instrument was acknowledged before me this Signature i CONTRACTOR The foregoing instrument was acknowledged before me this ri 4'P by L / a nv./9,, Awho is personally known to ,�,�� /1 _ �%/, wf7o is personally known to me or who has produced :.�J &j�It � 5i(5,z b lime or who has produced 7/ day of a?�,%%/ eff//%r&/ , 20 lr , by .70 day of THY G i' 2,- , 20 identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 37i MY COMMISSION # FF213776 "'gore; EXPIRES March 25, 2019 t407, 398-0' 53 Floridallo.4a Service.car. ################################ identification and who did take an oath. NOTARY PUBLIC: 'Sign.: „i 4 Pri nt: Seal: MY COMMISSION # FF213776 ^..�..• EXPIRES March 25, 2019 a FlaidaN ota75wvice. car. 007, 398-C" 53 j## ######################## APPROVED BY Plans Examiner Structural Review 7 as Zoning Clerk (Revised02/24/2014) • • • • 19.00' �. 461 • • • • • K: • 3 `e^••-.1 • •• • • �• • e 00••• _ • •• • .: r •• ••J;••••, •• • • .• • � ? •$4•••;:4 •~•.e••4: o . • • e O" • • .a • • • Le..• • • • • ... Y l,` • 0 . 0 • • • • •• •• •• -. • • • • • • FD. 3/4' LP. SET I.P. & CAP 1 `i .yr ••v• • o • • • U9 ri 0. N.E. lO6th STREET 6.24' _/6.24 M �i 0.00— d SFr ' -LP•. & //2-STY C.B.S. #502 1—STY C.B.S." /91 4' -280' 16.6' 75:60- ASPHALT PAVEMENT -- 5' CONC. SIDEWALK • 50.05' 4.D' 2 I r? 126':. (4. SKETCH OF SURVEY w A. R. TOU:SSAINT & ASSOCIATES, INC. LAND SURVEYORS FLORIDA CER'IFICATE OF AUTHORIZATION NO. LB-273 620 N.E. 126 ST. NORTH MIAMI, FLORIDA 33161 FB: 11 PG: 66 DATE JANUARY 2, 2006 Cn c No. 1.3673 SCALE: 1' = 20' ( / -v, c O Q 2 z -! 9 O w 55 1 SEP 1F -uorn Q c) 1„ m r ro 12% 1 10 n 13 14 15 16 17 i 18 19 20 21 I i• _ I 22 id E. EE LOCATJON MAP LEGAL DESCRIPTION: LOT 12 AND THE WEST 1/2 OF LOT 11, BLOCK 110, AMENDED PLAT OF SECTION No. 5 MIAMI SHORES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10 AT PAGE 47 OF THE PUBLIC RECORDS 7F MIAMI-DADE COUNTY, FLORIDA. • tvt i a rn S l -•—.Z41 O tic-res Village APPROVED 8Y ZONING DEPT L LDG DEPT SUB E T ,•O COMPLIANCE WrVH ALL PEA cs STATE ANL) Cc IjN 1'( RULES AND REGULATIONS SURVEYOR'S CERTIFICATION: WE HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND PLATTED UNDER OUR DIRECTION AND THAT THIS JRVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS OR LAND SURVEYING IN THE STATE OF FLORIDA, UNDER �IAPTER 61G17-6FLORIDA, itIDI�IINISTRATNE CODE, CHAPTER -1-; 2.07 FLORIDA ST MDT VALID WITHOUT nip. • syt,ts1A AND RAISED SEAL OF THE '3EGISTERED LAND SIJRVMYDR S�`HEII'ON. A.R. TCOUSSAINT & ASSOCIATES, tNC. NO. 8939 NO. 907 PRES.