DS-10-23-2691Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
68 NW 95TH ST, Miami Shores, FL 33150 1131010340070
Contacts
WILFREDO HERNANDEZ Owner star island concrete desing Contractor
68 NW 95TH ST, Miami Shores, FL 33150 miguel corpas
12961 sw 50 In ST, miami, FL 33175
Business: 3057767916 miguelcorpas22@gmail.com
Mobile: 7863674712
Inspection Requests:
Description: CONCRETE DRIVEWAY Valuation: $ 9,000.00� 5 t,
}
Total Sq Feet: 767.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$5.40
Concrete/asphalt/pavers, slabs, dways,
$75.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$2.70
Planning and Zoning Review Fee
$70.00
Technology Fee
$12.50
Total:
$219.60
Payments
Date Paid Amt Paid
Total Fees
$219.60
Credit Card
10/30/2023 $50.00
Check # 117
02/27/2024 $169.60
Amount Due:
$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. Iccepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits a e required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWN fFIDAVIT: I certify t at the foregoing information is accurate and that all work will be done in compliance
regulatin co truction and zoning. ruth re, I aut orize the above named contractor to do the work stated.
AuthorizA Signature: 6wnbr / Applicant / I Contractor / Agent Date
all applicable laws
February 27, 2024
Page 2 of 2
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
PE IT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
OCT 30 N23
113y
c" Im
r M%� cvz_v
Master Permit Nos 4o _?b=� 1
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 65
A-?Lv?/ jN_ -v 7-
City: Miami Shores County: Miami Dade Zip: "05, [ Y r->
Folio/Parcel#: /y % - 0✓44-Dw7a Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: �' Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): K/ %' -�� ��"Aeew Phone#:
Address: 6.4 O A-?UD <7. 7-
City:
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: _
/ Address: � -le
Email: /���leo102
Qualifier Name:
State: �/ rr',b
one#:
p: }J3/!Z0
�C•(J�!---t��l �QA.c t7 ( 0-/ Phone#: _734 -?-1/7 !�
�l0 �4 7 �t
04� z� �-� ► Ga v
A -
Phone#:
State Certification or Registration #:� ��'7 3 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ � OG Square/linear Footage of Work: s¢�l
Type of Work: El Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ DemoIto z
Description of Work: Let _0x2e,%z1,--4 VIE, e to a i
Specify color of color thru the:
Submittal Fee S
Scanning Fee $ _
Technology Fee $_
Structural Reviews
Permit Fee $
DCA Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
P&Z Review $ Bond $
(Revised 04/OS/2022)
TOTAL FEE NOW DUE $
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 of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachmen I Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection wh' h cc rs s n (7) days after the building permit is issuer the absence of such posted notice, the
inspection will not be app ve d a i spection fee will be charged. _
Signature VV V Signature,
C�1�i�I►l�:. _ el�i<�Ir
l/-
The foregoing instrurrte ackn ledged before me this The foregoing i strument /c-knowledged before me this
A/5) day f 20 by day of C/ 20 by
4, � � � � , who
-iss personally known to � C/ , who is personally known to
me or who has produced 7 ��t� as me or who has produced 1- as
identification and who did take an oath.
NOTARY PUBLIC: O,PRY PV�4 Notary Public State of Florida
+ Carmen Cecilia Oropesa
y Q My Commission HH 135022
�) 11 Expires 05/26/2 025
Sign: 'ter
7
Print: cipe;t t) P2 0/. )f'S ..
Seal:
identification and who did take an oath.
NOTARY PUBLIC:
otary Publli�ate of Florida
Fm��
armen Cecilia Oropesa
y Commission HH 135022
xpires 05/26/2025
Sign: rG=>t ?
Print: 4 ng?a AF0
�`?iG0I_)C-,S
Seal:
APPROVED BY o[k4 Plans Examiner Zoning
Structural Review Clerk
(Revised04/13S/2022)
AVILA & ASSOCIATES SERVICES
L.B. 1 6971
20132 NW 62 AVEHU- HWFiW. FLORIDA 33015
TEL'(786) 317-0304 DADS (788) 444-1666 DADE
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NO OBJECTION F.I.P. 1/20
Florida Health Miami -Dade County-----
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Date:,___.
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Signature
CERTIFICATION OF BOUNDARY SURVEY:
1 HEREBYCERTIFY THAT THIS SURVEY WAS
MADE UNDER MY RESPONSIBLE CHARGE AND
TO THE BEST OF MY KNOWLEDGE AND BELIEF:
THIS SURREY MEETS THE MINIMUM TECHNICAL
STANDARDS AS SET FORTH BY THE BOARD OF
PROFESSIONAL LAND SURVEYORS IN
CHAPTE-,R 5,1.1T_059;1•017.052 FLORIDA
ADMINISTRATI E CO6 PURSUANT TO
SECTION 477.8 7,, FLO IDA STATUTES.
JUUO S_ PITA, P,S di M r,5789
OFESSI PRONAL LAND SURVEYOR
STATE -0.. I A -
GJ, r) L.vF.', .->'FC^. HTPA'A1.'Ot'
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ONE ST09Y j n
RES. No. C8
FF=12.9U'
LOT-11
5K-167 12.
150BLOC'
22.
PAYER,
.y,
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LEGAL DESCRIPTION:
I
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LMETAL
FENCE 6' I
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9
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'REMAINING OF
LOT-10
BLOCK-167
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IN PLAT E'O^c. P4Zt a, O` THP P,PDJ.]:". RECCCRJS OF %9Akk 17,A`;`
SURVEYORS NOTES:
(1). ANGLES IF SHOWN ARE REFERENCED TO THE RECORD
PLAT AND ARE AS MEASURED.
12). LEGAL DESCRIPTION PROVIDED BY CLIENT UNLESS
OTHERWISE NOTED.
()). NO UNDERGROUND IMPROVEMENTS LOCATED
FLOOD ZONE INFORMATION:
EXCEPT ASHOWN.
S
(4), THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT
THE N`IP BLOOD tAA-_ I.AI'E F. is $A U
OF TITLE COMMITMENT TIIFAEFOR THE ONLY SURVEY
4DLGP'3^: tAt.17 G BE 'ILIA,_, Nj
MATTERS SHOWN ARE PER THE RECORD PLAT. THERE MAY
BE ADDITIONAL MATTERS OF RECORD, NOT SIPOWNWNICH
Ff'J'JI'i ZONE, Y WA.
CAN BE FOUND IN THE PUBLIC RECORDS OF THE
P;WC. N�Y✓UPptY. Cl3Jl i
CORRESPONDING COUNTY OF RECORD.
I5I.OWNERSMP OF FENCE NOT DETERMWEO BY SURVEYOR
COMMUNITY NO. ` 20052
16.1 ALL EASEMENT (IF ANY) ARE REFLECTED ON SURVEYPLAN.
DATE Of PIRM 0- I.2(,X)9
n B.M N406 ELEV (NOVD 2919.65
LOCI NE 95 ST -- T NORTH OF C1L
oSFi.IEC` ..^?17T'Et:lt (yJ -- NC
'�F�';'Jf.,"IA
LOCT NMIAA9 AVE -7S[ST OF PROTECTED WEST EOOEOF PAVEMENT
Y!
f; ?ARAftA.
BOY-
CI LO00' ENE OF AFIRE HYDRANT, t9' EAST OF A TRAFFIC CONTROL BOX.
1
ADDRESS:
PROPERTY110P�11'k
F
[FPOGRAPHIC S U I\V EY
6e •bt -r. STPxC-
, 50
2"E100Z
Mission:
To protect, pmde & inhrovethe health
of all people in Florida through integrated
state, county & corrmnity efforts.
Star Island Concrete
411 NW blvd
Miami, FL 33126
HEALTH
Vision: To be the Heaffl iest SWein the Natim
January 03, 2024
Ron DeSanHs
Governor
Joseph A. Lip% MD, PhD
State Surgeon General
F�d
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP2023202
Centrax Permit Number: 13-SC-2826337
68 NW 95 Street
Miami, FL 33150
Lot: 11-12 Block:167 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 11/27/2023 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. NO
OBJECTION FOR NEW DRIVEWAY AS PER SITE PLAN.
NO FLOW INCREASE, NO BEDROOM ADDED.
This office has reviewed and verified the floor plan and site plan you submitted, for the proposed
remodeling addition or modification to your single-family home. Based on the information you provided,
the Health Department concludes that the proposed remodeling addition or modification is not adding a
bedroom and that it does not appear to cover any part of the existing system or encroach on the
required setback or unobstructed area. No existing system inspection or evaluation and assessment,
or modification, replacement, or upgrade authorization is required.
Because an inspection or evaluation of the existing septic system was not conducted, the Department
cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use.
You may request a voluntary inspection and assessment of your system from a licensed septic tank
contractor or plumber, or a person certified under section 381.0101, Florida Statutes.
If you have any questions, please call our office at (305) 623-3500.
Sincerely,
Gabriel Toledo
Engineering Specialist II
Department of Health in Dade County
FliotWe DepaAmmt of ff.alut trww.Horh7ahoalet4jov
in Dade County • - , Florida TWITTER:HealthyFLA
PHONE: (305) 623-3500 FACE BOOK: FLDepartmentofHealth
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Miami Shores Village D G a
Public Works Department
(305)795-2210 JJ j
Public works forms are available from the building department, 10050 NE 2" Ave., Miami Sh , gs, FL 3313� Lil�;3 U
PUBLIC WORKS PERMIT APPLICATION By k
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#:�-/?��Z3���1
Name of Applicant (if utility see below):
Owner off the following desc ,bed property:
Legal Description: Lot ��� 1013lock Subdivision " /1
Folio #; l� — 3✓O/r b y — c�j�j
Address: �� /V !.y �I S '7
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
CONTRACTOR NAME: 'a
Qualifier/Authorized Agent:
Address: A
City: d
Telephone: 7�7 f 2
State Certification or Registration #:
State:
Email:
ZIP:
Certificate of Competency #
�Gct9 t
iA) 2t = e- - -
State:
Email: U"( utoU602
Certificat
ZIP:
of Competency #:
•G"
Requests permission to ' stall (de ' e work, attach Aeparate necessary) in the adjoining right of
way:
Type of Work: Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑
DESIGNER: Arch?(0
ct/Engineer:
Address:
City: r State:
Telephone: Email:
Registration #: 1 'Ar 6D1fo
,,4)tner:
c 7+- .
Value of Work for this Permit: $
Permit Fee $ 100.00
Notary $
Bond $
ZIP: � 71 Z7
Square/Lineal Footage of Work: 2? v
***** Fees *****
_ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(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 whj.Aynars,seven (7).days after the public works permit is issued. In the
absence of such posted ngti e, th in ection will not'be approved In, a reinspection will be charged.
Signature _
—7— 4-4
Signatures
Applicant or
thorized Agent
Com any,-,... y Agent
The foregoing instrument
sac nowledged before
The foregoing nstrum nt�ckn wledged before
me �v day of
20 L� by
me this day of 20 Z� , by
J`
Gts� who
who
is personally known to n
r who has produced
is pers nally known to me or who ha produced
as
as
identification. .aRY�
i5 P,9-
Notary Public State
identification.
`
=. Q
NOTARY PUBLI 9''oFF,p"�
of Florida
Carmen Cecilia Oropesa
MY Commission HH 135022
O�pRY PUe` Notary Public State of Florida
NOTARY PUB :x Carmen Cecilia Oropesa
cxpires05/26/2025
; 9�c. .:, `oc My Corn issionFiH 735022
s�612025
Sign: 7
Sign:
Print: t{ i-'Iq ellt
SEAL:
APPROVED BY:
2017-04-15
Print:
SEAL:
Public Works Director, or Designee
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t r S�it�- ,,,�, �b��, � N,,,,.r. �, $
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Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
68 NW 95TH ST, Miami Shores, FL 33150 1131010340070
Contacts
WILFREDO HERNANDEZ Owner star island concrete desing Contractor
68 NW 95TH ST, Miami Shores, FL 33150 miguel corpas
12961 sw 50 In ST, miami, FL 33175
Business: 3057767916 miguelcorpas22@gmail.com
Mobile: 7863674712
Inspection Requests:
Description: CONCRETE DRIVEWAY
000.0067.00
LValuatioLn:'
i
Fees
Amount
Education Surcharge
$0.60
Public Works Permit Fee
$100.00
Technology Fee
$10.00
Total:
$110.60
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$110.60
Check # 117
02/27/2024 $110.60
Amount Due:
$0.00
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 ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
FIDAVIT: I certify Il the foregoing information is accurate and that all work will be done in compliance with all applicable laws
struction and zon' rmore, I authorize the above named contractor to do the work stated.
re: ner / Applican9 / Contractor / Agent
February 27, 2024 Page 2 of 2
ISvLS U u Ls
NOV 0 1 202
Miami [S�h�ores Village
Public FPU)6Fk-s B r-tm—er
(305)795-2210
Public works forms are available
from the building department,
10050 NE 2"d Ave., Miami Shores, FL 33138
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (hereby referred to as the owner)
Of the following described property:
Legal Description: Lot // Block
Address:
Requests permission
&J " /Icra- r #1 t �: b
Subdivision Folio #;
III!116lIII hill IIBII IIIII IIAI41111 illl IIII
C-F1-0 202-R11-773 5
OR BK 33944 Ps 34.38 (1P95)
fa._E FIK OF T I..I[: 00 I & `0l`IF'i IaE_1t_I-F_- R
INLAIMI--Df'01i COUNTY, FL.
Dko�l_&_r
l/- _*' 1P 1 p -.-5 4/- a07a
install (describe work, attach separate page if necessary) in the adjoining right of way:
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 Miami -Dade County to make repairs or maintain said items within the public
right of way including restoration of the 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 herby agree to indemnify and hold Miami Shores Village or Miami -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 14 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 bindi rk on the undersigned, their heirs and assigns until such time as this obligation has been
cancelled by an affi avit fii d in Public Records of Miami -Dade County, Florida by the Village Manager of Mi
Village (or his fully u on d re esentative). STATE OF FLORIDA, COWlY OF MIAMI•DADE
I HE i-Y Cr=RTIFY that this Is a true copy of the
we 0tt_.......�,..stay of
Signature Aa 2q—,�--,----
Owner or Authorized Age t W hand and Official SQ81,
erk of Circuit and County Courts
State of��
County of fi-_� P'.` 4 R k— , a E'✓#303632
The foregoing in ent was ackn wI dged before me this L day of 20 3, by
�/ — ( aI �-� e who is personally known tome or who has produced
as identification.
NOTARY PUBLIC:
Sign: h " �
Print: 0��_ SEAL:
o4PFY P&# Notary Public State of Florida
+ Carmen Cecilia oropesa
% a My Commission HH 135022
946 � Expires 05/26/2025
Documents are recorded at the Clerk
of the Courts,
MIAMI-DADE COUNTY RECORDER,
COURTHOURSE EAST,
22 N.W. First Street, 1 st Floor, Miami,
FL 33128.
2017-04-11
epartment of Transportation and Public Works
M�#112
02329 STAR ISLAND CONCRETE DESIGN
024 1018 NW 47 ST
Date of Expiration: 1/11/2025 7863674712 MIGUELCORPAS22@GMAIL.COM
Extended To: Qualifier # FE201903
PW#:
Work Order #:
Permit Status: Open
Building Dept. Process # Qualifier #
Description of Work
Job Address(es)
68 NW 95TH ST
Type of Work
CONCRETE APPROACH < 20' RESIDENTIAL
NON-REFUNDABLE UPFRONT FEE FOR PERMIT
DRV
EA
Unit Quantity
Total
Building Dept. Process #
Cost
$100.00
$80.00
$180.00
Acknowledges the sum of $180.00 dollars in payment of this permit, and it is understood and agreed that all work to be done hereunder will be in
accordance with the requirements of this department. The work herein described and permitted is to be commenced and completed within the above
reference time frame. The permittee is required to obtain all permits required by law. Permittee is also responsible for the General Permit Conditions
which are part of this permit. 24 hour notification shall be made to Miami Dade County Department of Transportation and Public Works, phone 305-375-
2392 when work for which this permit is granted is ready for construction. This permit is issued subject to actual work being done by a contractor properly
certified by the CONSTRUCTION TRADES QUALIFYING BOARD. In accepting this permit, the permittee agrees to hold thereof harmless from payment
of any compensation or damages, resulting from his exercise of the privileges granted under this permit. Construction must be in accordance with the
approved plan, and/or to recorded portions of the Public Works Manual. Contractor/Permittee shall contact DTPW (305) 375-2392 48 hours in advance to
meet inspector prior to final restoration of the right of way. All required Traffic Control devices must be installed prior to placement of asphalt surface. All
required MOT devices shall be installed prior to beginning of construction. There shall be no interruption of traffic permitted Monday -Friday 7 to 9 AM and
4 to 6 PM unless the Traffic Maintenance and Safety Provisions indicate other restricted hours. There shall be no interruption of pedestrian, bicycle or
vehicular traffic on roadways surrounding schools during school arrival/dismissal hours. Any variations from these requirements will require expressed
written permission from the Public Works Director. Failure to close permits, or request the necessary inspections, will incur the Permittee/Contractor in a
civil violation as per section C1.07 (Inspection) of the Public Works Manual and Chapter 8 section 2-103.1 of the Miami -Dade County Code.
Inspection Date Passed Failed
Comments
THIS PERMIT ALONG WITH APPROVED PLANS, APPROVED AS NOTED COMMENTS IF APPLICABLE, GENERAL PERMIT CONDITIONS, AND DOCUMENTS MUST BE POSTED IN A VISIBLE AND
ACCESSIBLE AREA ON THE JOB FOR THE INSPECTOR AT ALL TIMES
FINAL INSPECTION AFTER PERMIT AS EXPIRED