DS-11-416Inspection Number: INSP- 156997
Scheduled Inspection Date: April 20, 2011
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 9701 NE 5 Avenue Road
Miami Shores, FL
Project: <NONE>
Contractor: ESR FLORIDA CONSTRUCTION INC
Building Department Comments
SAND SET PAVERS OVER EXISTING POOL DECK AND
EXISTING WALKWAYS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
April 19, 2011
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
paper work by mail box
For Inspections please call: (305)762 -4949
Permit Number: DS- 3- 11-416
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060171450
Phone: (305)812 -2716
Page 7 of 20
BUILDING
PERMIT APPLICATION
FBC 20
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) 762.4949
RTOT
MAR 0 8 011
Permit No. T 4 1
Master Permit No.
Permit Type: Electrical ^� i
OWNER: Name (Fee Simple Titleholder): 0 r Y� U fl i V e C S I H 2 Phone #: 305 " I' — 1 w'7
Address: 113 00 1.1. 3
- 6 2. PiVle 2
City: 'kim? Shores State: 1 L Zip: 31 (D 1
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
City: Miami Shores
Folio/Parcel #:
1401 NE. V" AV4 Rd.
/1 - -o1 -144 o
Is the Building Historically Designated: Yes
County:
Miami Dade Zip:
NO t�
Flood Zone:
PAcN\ Ale
CONTRACTOR: Company Name: �I I p • /sn P Y ���I�.� Aa�nl�c (�1� c Phone #: ` 3oS" 116- tit, c 9
- 71 r .( 14 4 pp'��
M 1 11 State: Pit . Zip:
Qualifier Name: AiAl /44 *ti AVAtt kS Phone #: IoV 2P9'44?4
State Certification or Registration #: Certificate of Competency #: C C s
Contact Phone #: 30S Email Address: Al2401 S 43 e A01. G oV
DESIGNER: Architect/Engineer: Phone #:
Address:
City:
Value of Work for this Permit: $ 141 DAD 0 0 Square/Linear Footage of Work: 1 4.00 4.
Type of Work: Address
Description of Work:
0 a . Ac,
OAlteration New ORepair/Replace ODemolition
SA 40 SAT Cv3tbm 44$ f OAVart ' aystt. 6)(11h/J Poo(. 4U
*+x** ** *** *********** ** x+x*******+x**+xx *** F *********** ***x:* * **** * ****************
Submittal Fee p ermit Fee $ Zd CCF $ CO /CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
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 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 :A N 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 ap ed and a reinspection fee will be charged.
Signature � Signature X
Owner or Agent
The fore g instrument was acknowledged before me this
day of , 20 L, by TE3 st d IA rd
is ersonally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC: •
Sign:
Print:
My Commission Expires:
******** * * * ** **** ****** :* ***
APPROVED BY
07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Iftatesermitemo
own* 43, gaii
Plans Examiner
Structural Review
Signa --
Print:
My Commission E
Co a tor.
The foregoing instrument was cknowledged before me this
day of c: k i 20 A, by
is personnall known to me or who has produced
dr , /D I entification and who did take an oath.
NOTARY PUBLIC•
I O.FERNANDET
MY COMMISSION # 0 D9 64
Q EXPI Octaba 04
N O. a Fl. Nom Discount Awe, Co.
1.800.3- NOTARY
14
"/ / / / /Zoning
Clerk
ti
Daniel Arguelles
9455 SW 78 St
Miami, FL 33155
RE: Contingency Letter
Application Document No: API000544
Centrax Permit Number: 13 -SC- 1311262
OSTDS Number:
9701 NE 5 Ave
Miami, FL 33155
Enclosures
cc:
April 07, 2011
Lot:13 -14 Block:97 Subdivision: Miami Shores
Dear Applicant:
This will acknowledge receipt of an application dated 04/05/2011 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
From a review of your completed application, it has been determined that your existing system is
adequate for the proposed use (installation of pavers).
If you have any questions on this matter, please call our office at (305) 623 -3500.
Sincerely,
Jos'p� P •- Engin- - •ecialist II
Miami -Dade County Health Department
1725 NW 167 St, Opa Locka, FL 33056
Phone: (305) 623 -3500 . Fax: (305) 623 -3645
Rick Scott
Governor
iami Sh Viliag.
APPROVED
b BY' O E
ZONING DEPT
!Plus bi/
,a '0 -
opir_ Ni-rAwAs.
WITH ' EDFRAL
RULES AND REGU IONS
BLDG DEPT
SUBJECT TO COMPLIANCE
STATE AND COUNTY
20 40
F.: 1 INCH = 20 FEET
? •
d
MAR 0 8 011
SKETCH OF
BOUNDARY SURVEY
FD. LP.
pp
MIAMI-DADE COUNTY HEALTH DEP TMENT
PERMIT #:
0
ca
t\j4j Poi4
tt)O S kr
CorYAL.
A. R.
FLORIDA
620 N.
FB: 551
ORDER 1
•
PERMIT #:
❑ Contractor
❑ Owner
❑ Architect I
Picked up 2 sets of plans and (other) l�'/---3 42
Address: C O. 01 � -
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building tepartmen,'o continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
RECEIPT
DATE: 3
M iami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
NOT VALID UNLESS EMBOSSED WITH
SURVEYOR'S SEAL
i HEREBY CERTIFY That the survey represented
thereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments, overlaps, easements
appearing on the plat or visible easements other than
as shown hereon. _
ADIS N. NUNEZ
REGISTERED LAND SURVEYOR
STATE OF FLORIDA #5924
SINCE 1987
BLANCO SURVEYORS ING.
Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
(305) 865 -1200 Fax: (305) 865 -7810
FLOOD ZONE:
PANEL:
X SUFFIX: j
0093 COMMUNITY #
DATE7/ BASE: N/A
120652
BOUNDARY SURVEY
fi
30.65'
31.17'
6.10'
20.00'
Conc.Deck
19.80'
96 60'
35.90'
15.50'
SW 1i2 of Lot 14
II II 05 - r1
us Ina
oD PS a o
O � w °O °' O z
•
v im_
=
•
SCALE :1' =20' �.
it
NE5AVE
19' Asphalt
15.5' Parkway
130- 00•(R8"M) 5' Conc.Walk
1 30.0Q'(R&M)
Remainder Lot 14
BLK 97
ABBREVIATIONS;
SNM- SWENMLIC CBS•CONCRETE BLOCK STRUCTURE. C.F•CHAIN LINK FENCE, PL•PROPERTY LINE, DUE•DRAINAGE
UTILITY EASEMENT, IP-IRON PIPE, F•FOUND, A"C•AIR CONOmONER PAO. PIC- PROPERTY CORNER, DM- DRILLED HOLE.
WIP V. ODEN FENCE, RES- RESIDENCE, CL-CLEAR. RB- REiBAR, UE•UTWTY EASEMENT, CONC- CONCRETE SLAB,
RNY•RIGHT OF WAY, DE•DRAINAGE EASEMENT CA..CENTER LINE. D- OM/ATER, TYP- TYPICAL, M =MEASURED,
R- RECORDED, ENCR•ENCROACHMEN , COMP•COMP'UTER. ASH•ASPHALT. WD -NAIL 80LSC. S-SE .. FEE =FINISH FLOOR
ELEVATION. 01S- OFFSET, PIP -POWER POLE, OHP=OVERHEADPOWERLINE.NMWW IERMETER
WOODFENCE
M ELEVATION BASED ON LOC. #
CONCRETE• I ......_,.v. -rte:., n•., w.•...a..,.,
MAINTEVANCE&OPAINAOEEASEBAENDMAS D.E. C BM# ELV.
SURVEYOR'S NOTES: 1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE. 2) EXAMINATION TO THE ABSTRACT OF
TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 3)
NO UNDERGROUND IMPROVEMENTS WERE LOCATED. 4) ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC
VERTICAL DATUM OF 1929. 5) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN IN THIS SURVEY THAT MAY
BE FOUND IN PUBLIC RECORDS OF MIAMI -DADE COUNTY. 6) LEGAL DESCRIPTION PROVIDED BY CLIENT. 7)
UNLESS OTHERWISE NOTED RECORDED OR MEASURED DATA ARE IN SUBSTANTIAL AGREEMENTS. 8) BEFORE
ANY CONSTRUCTION THE SET BACKS MUST BE CHECKED. 9) THIS SURVEY IS INTENDED FOR MORTGAGE OR
REFINANCE PURPOSES ONLY, EXCLUSIVELY FOR THE USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS
NOT TO BE USED FOR CONSTRUCTION PERMITTING, DESIGN OR OTHER USE WITHOUTTHE WRITTEN CONSENT OF
THIS COMPANY. 10) BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB_PAGE
_ LOCATION SKETCH
2 ;a5,7(; l/.veai SCALE: NTS
ex - 45 -;z i;r97.
vN �� /° //e ere i °
NE 5 AVENUE _
I d i
Eo
,corm
r, .s
'o
Zoning
Approved
CERTIFIED TO: CHARLES KLUCK AND GEORGETTE KLUCK, HIS WIFE, 9701 N.E. 5TH AVE., MIAMI
SHORES, FLORIDA 33138., NEAL S. LITMAN, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC.
LEGAL DESCRIPTION: LOT 13 AND THE SOUTHWESTERLY 1/2 OF LOT 14 BLOCK 97
OF AMENDED PLAT OF MIAMI SHORES SECTION NO. 4
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15 AT PAGE 14
OF THE PUBLIC RECORDS MIAMI -DADE COUNTY, FLORIDA
DATE:
6/4/02
SCALE: DWN. BY:
1' = 20' F. Blanco
T E ON
TIME OF
$PECTION
SUBDIVISION
JOB No.
02-