DS-18-3049Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Inspection Number: INSP-001444-2018 Permit Number: DS-10-18-3049
Scheduled Inspection Date: November 08, 2018
Inspector: Riveron, Alexis
Owner: MANUEL RIVERO
Address: 1286 NE 95TH ST
Project:
Miami Shores, FL 33138
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Building Final
Work Classification: Addition/Alteration
Phone Number: 3057627851
Parcel Number: 1132060144050
Contractor: CHAMPION CONCRETE Phone Number: 3052528055
JAIME BASILIO
Building Department Comments
REPAIR DRIVEWAY- REMOVE DRIVEWAY AND REPLACE WITH SAME OLD BRICKS TO REPLACE OS18-857
Checklist Item
General Comments
Passed
False
Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 07, 2018 For Inspections please call: 305-762-4949
Page 10 of 38
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: DS-10-18-3049
Permit Type.: Driveways/Sidewalks/Slabs
Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 11/06/2018
Expiration: 04/01/2019
Parcel Number
1286 NE 95TH ST, Miami Shores, FL 33138
1132060144050
Contacts
MANUEL RIVERO
1286 NE 95 ST, MIAMI SHORES , FL 33138
Other: 3057627851
Owner
Description: REPAIR DRIVEWAY - REMOVE DRIVEWAY AND
REPLACE WITH SAME OLD BRICKS TO REPLACE DS18-857
Fees
Amount
Application 'Fee - Other
CCF
Concrete/asphalt/pavers, slabs, dways,
swalks
DBPR Fee
DCA Fee
Education Surcharge
Planning and Zoning Review Fee
Scanning Fee
Technology Fee
$50.00
$1.80
$50.00
$2.00
$2.00
$0.60
$35.00
$3.00
$2.50
Total: $146.90
CHAMPION CONCRETE
JAIME BASILIO
10280 NW 63 TER 105, DORAL, FL 33178
Business: 3052528055
Other: 7864024802
Contractor
Valuation: $ 2,200.00
Total Sq Feet: 500.00
Inspection Requests:
305-762-4949
Payments
Total Fees
Check # 2997
Amount Due:
Date Paid
11/06/2018
Amt Paid
$146.90
$146.90
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this pe it I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for EL j TRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFF IAVIT:� ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating co .truction . . zoning. Futhermore, I authorize the above named contractor to do the work stated.
er / Applicant / Contractor / Agent Date
November 06, 2018
Page 2 of 2
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BLDG DEPT
SUB VeiTO COMPLIANCE WITH ALL F
RAL
STATE AND COtINTY RULES AND REGULATIONS
5L ,
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: ¶, �'�= -J 7)
City: Miami Shores County:
Master Permit No.
Sub Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
Miami Dade
RECEIVED
OCT 032018
FBC 200'
❑ EXTENSION ❑ RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Zip:
Folio/Parcel#: (4— 32-016 m' (2L)-t— -1, )$O Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
BFE:
NO
FFE:
OWNER: Name (Fee Simple Titleholder): trivv,EL 8.Veit,O Phone#:
Address: 12 'C2 /vim r��Vfi
City:
0-7A45w0 )ham
State:
Tenant/Lessee Name: Phone#:
Email:
Zip: 3313 Y-
CONTRACTOR: Company Name: 41AI/ 61$0.14'e Phone#:3b5 752 eo$X.
Address: (�C l%2r?O M� 637 44U
City: 'j } State:
J/ Qualifier Name:' ?T'tC-- %461/1'1 1)
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Zip: 5i 7X
Phone#: 3 ct '- '3
Certificate of Competency #: GC osg5a&e
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
2, O 0
Square/Linear Footage of Work: SD L
Type of Work: ❑ Addition ❑ Alteration ❑ New
f AIP141
Description of Work:
❑ Repair/Replace ❑ Demolition
0 The7/Ac e tesnWis J2,17
art
Specify colopr of colorrthru tile:
iR " +
Submittal Fee $4 �v� tii •1Permit Fee $ CCF $ 4 ;tn CO/CC'$
1a11:••
M.'aw�luws"tw^i++w
Radon Fee $ DBPR $ Notary $
Technology Fee $ • Training/Education Fee $ Double Fee $
Structural Reviews $ - Bond $ �(
TOTAL FEE NOW DUE$ 1Cp
Scanning Fee $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City .ti 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. 1
"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 $2500,4the 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'•oste'd at the job site
for the first inspection which occurs seven (7) days after the building permit Is issued. In the absence of jh posted notice, the
inspection will not .e approved anpection fee will be charged.
Signature
NER or AGENT
The foregoi �T 'ru/m�ent was acknowledged before me this
WC"- dayof UQ, Dbe (- , 20 , by
I Y ` o U€i R:Are (0 , who is ppersonally known to
me or who has produced" J-e(`S ` i as
identification and who did take an oath.
NOTAR ' UBLIC:
Sign:
n nt:
Seal:
f
0r*.'M.
,,,•�� MARVA M. WIWAMS
.:' ,•, ':4 MY COMMISSION 4 FP 203592
�=�; EXPIRES: Fe
bruary 25, 2019
.J}% Banded Thru Notary P
APPROVED BY
Signature
ONTRACTOR
JAI .;
%The foregoing instrumeentpwas
Aacknowledged before tme`this
Srik J�✓� E
' daay Of (l O:r , 20 l , by
G1 m.e. '\ . `S ► \;►% , who is personally known to
me or who has produced 0!W-ee S L j CQ �SSL� as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Mc(\C M. I>J:11;
*******************•**
Plans Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)
CONTRACTOR: Company Narrie i /117 / faX/P-e2ce Phone#: 3 �/ 245-2W '
`OS
Type of Work: ❑ Addition ❑ Alteration
Description of Work: J n,
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 20 1'
Master Permit No. --bas-1
-1
Sub Permit No.
L ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
JOB ADDRESS: / Z1b L& psi
City:
Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: // og- 0 0 Is the Building Historically Designated: Yes
Occupancy Type:
Load: Construction Type:
Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): ' [ kA)O . Y2t Lt%z:
Address: nib kg- 57-Tenant/Lessee Name: VI tip
Phone#:
City: /17Mfl �/1/ij State:
Email:
❑ RENEWAL
❑ SHOP
DRAWINGS
NO
FFE:
Address: 1020 0 63 ) 44,
44, M
City:
Qualifier Name:
State:
fr(
Phone#:
Zip:
State Certification or Registration #: Certificate of Competency #: (6i T .5Ot9�,
DESIGNER: Architect/Engineer: Phone#:
Address: ! City: State: Zip:
Value of Work for this Permit: $ i 2 tin/ re NI °li ear outage of Work: 4.90Z)
❑ New pair/Replace n Demolition
4•( o vse lace bS
Specify color of color thru tile:
Submittal Fee $ D Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $ Notary $ S -
Double Fee $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
f
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 IMPRO. =,�, ENTS TO YOUR `PROPERTY. IF YOU INTEND
pis
TO OBTAIN FINANCING, CONSULT WIT
YOUR NOTICE OF COMMENCEME�11�
\, r
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 b- delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement mu be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence ' such posted notice, the
inspection will not be approved and a rei ..ection fee will be charged.
Signatur
The foregoing instrum
dayo
OWN R or AGENT
s ackn
DER OR AN ATTORNEY BEFORE RECORDING
edged befor this e foregoing instrument was acknowledg efore a this
IS
me or who has produced
identify . n and who did take an oath.
NO
Si
Pri
Seal:
20 by
y known to
as me or who has produced
CONTRACT
db
Zday ofQ-Qv ` ", 20
by
rz 1 �l��-wno is personally known to.^.•.
`t'j1 I C01S)C— as
identification and who did take an oath.
NOTARY PUBLIC:
Sign
Print:
Seal:
d
pp
wag/ Bonded Thru Notary Public Underwriters
I.I...hr
�nf�l�il
-i, MY COMMISSION # GG 044602
w;�� 1fPIRL'S. iQAtrdlrrobr £,1U1'
************************************************************************************************************
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
BUILDING
PERMIT APPLICATION
1-71f3UILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL El PUBLIC WOS [I] CHANGE OF
JOB ADDRESS: I,-6 2 / Vv � Sf'
City: Miami Shores
Folio/Parcel#:
Occupancy Type:
County:
Sub Permit No.
CONTRACTOR
,w/
le*
Load:
Construction Type:
r 3Y
nti 1 8 ?ova
S4-i1
FBC 20NLt
ID s1 L
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Is the Building Historically
OWNER: Name (Fee Simple Titleholder): fr 4A) 0 K-t+E 'Z-C)
Address: IZ-i'6 NE (S *"
Flood Zone:
Zip:
ted: Yes NO
FFE:
City: ►► 44 vl'f1 5140/I4°5
State:
Zip: 33/ `3)e-1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 0-# 1 /40 f -1 Phone#: 3c5 ZS5
Address: (p-4z30 AN) 14 'sr ''yoce
City: State: r Arm Zip: 33) 7 a'
Qualifier Name: -.IMMe— /14,7.40
State Certification or Registration #:
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
Master Permit No.
❑ ROOFING ❑ REVISION
Certific
Phone#: 3O5 am 4333
fit ency#:uO$ sg,A:9alS
id:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 3,200• Square/Linear Footage of Work: 4005r
Type of Work: ❑ Addition ❑ Alteration
❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: L Vl, %J11/J V.—et—VA L1
Specify color of color thru,tile:
Submittal Fee $ Sar t� Permit Fee $ CCF $ u. CO/CC $
Scanning Fee $ VV Radon Fee $ DBPR $ Notary $
Technology Fee $' Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable) / J - ,kk
`'' Bonding Company's Address . ` t' '
i
City ^ _ State Zip
Mortgage Lender's Name (if applicable) 44. •
Mortgage Lende.r's Address
, City Lii r ••'• 1 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 ccurate and that all work will be done in compliance with all
"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."
applicable laws regulating construction and zoning.
,. ; l °, „,
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 copyof the recorded notice ofcommencement must posted they 'ob site
P P Y 1 f• P 1
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence ^s such posted notice, the
inspection will not be a • proved and a reinspection fee will be charged.
Signature
• 0 NER
The foregoing instrument was acknowledged before me this•
v".- day of • l , 20 %r , by
t(4416'e712Z
who is perinally known to
identification and who did take an oath.
y ; w
NOTARY PUBLIC:
•Signature
•
• , �«
CONTRACTOR
'' `(
The foregoing instrument was acknowledged before me this
a'S day of
—Sig/ 014
o is personaalllyknown to
me or who has produced h 1S as me or who has produced S as
as
identification
identification and who did take an oath.
NOTARY ' : LIC:
Sig Sign: ,
Print: Print:
: RUTH LEDESMA
Seal: '* �• .. MY COMMISSION 0FF 172019 Seal:
4p Bo
EXPIRES: January 18 2019
nded Thru Notary Public Underwriters
APPROVED BY
Plans Examiner
Structural Review
ry l•
' '•' MY COMMISSION # FF 172019
s of EXPIRES. January 18, 2019
. • Bonded Thru Notary Public Underwriters
************
Zoning
Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, FI 33138
Tel: 305-795-2204
Fax: 305-756-8972
12/4/2017
Owner: 1286 NE 95 Street
Miami Shores FL 33138-
Process No: DS-2-16-447
Address: 1286 NE 95 Street
Dear Sir or Madam:
Our records indicate that the above referenced permit application has expired.
According to section 105.3.2 "Time limitation of application. An application for a permit for
any proposed work shall be deemed to have been abandoned 180 days after the date of
filing, unless such application has been pursued in good faith or a permit has been issued."
In order to serve you better, we need to keep our files up to date.
Please be advised that an expired permit application will hinder your ability to obtain
new permits, refinance or sell this property. It may also suspend a contractors permit
privileges in Miami -Dade County.
Please contact the Building Department, within 15 days of receipt of this letter in order to
take care of this matter.
Sincerely,
tV/JX7
Ismael Naranjo, CBO
Building Director
305-795-2204
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION W THIN RIGHT OF WAY
Whereas, (owner) i- r7l��S f �/ f,tl>G
hereinafter referred to as the owner of the following described
property (address): /3 6' JV 95 j77M 'i 4 33/
Legal Description: Lot Block Subdivision
Folio # Requests permission to install (describe work): Replace' L/
lTs� si l/?6
t!�rec,
Within the public right of way of (address)
111111111111 11111 11111 11111 11111 11111 1111 1111
CFN 2016R 1195761
OR BK 30023 Fg 548 (1P9s)
RECORDED 04/04/2016 13:13:30
HARVEY RfVIN C:LERK. OF COURT
MIAIMI-DADE COUNTY? FLORIDA
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
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 D . de - nnty, Florida by the Village Manaqgr QfMiami = - Village
(or his fully . uthorized r-p - - ative). szaTEF R�oa► out�rr BF DAo he
I HERE CERTIFY thht this is a true copy f t of CI F GK C
inai filed in this office ort y
A.D. 20
Signature „�,. j'and: cial$e•
gent HBAAR►�.i1 ER , o
Oner or
State of Florida
County of Miami
The foregoing instrument was acknowledged before me this day of
who is personally known to me or who has produced
TL "Dpi ki,f NS-as identification.
NOTARY P BLIC:
Sign:
Print: aulp,ek.2,
Courtly Courts
D.C.
ER DARNS 11227
SEAL:
� NaF
boa
20 /6 , by
Notary Public State of Florida
Sindia Alvarez
My Commission FF 156750
Expires 09/03/2018