BP-05-1347Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 10/22/2008
Inspector: Rodriguez, Jorge
Owner: BLEFARY, VINCENT & LAURA
Job Address: 57 93 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060130400
Lot:
Building Department Comments
PATIO WITH BRICK PAVERS AROUND POOL ON SAND
BASE
OCT 2 3 2008
Passed
Inspector Comments
CREATED AS REINSPECTION FOR INSP - 93436. CREATED AS
REINSPECTION FOR INSP -5846. DRIVEWAY AFTER THE FACT
NO PERMIT AVAILABLE JR 08/25/08
8/26/08
Paver deck at rear is to close to the property line, need a minimum of 5' t
rear prperty line. Remove excess pavers and recall inspection. CG
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, October 21, 2008
Page 1 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305)756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electri
Owner's Name (Fee Simple Titleholder)
Owner's Address 91
City ;AM / ' teori,165 State
Tenant/Lessee Name
q3 51
Permit No. O6 , 1,Y4-7
ster Permit No.
/705,' ` i •
bing Mec apical Roofmg`P
13w 13wa Jit=' Phone 3c ?5q. o Y .
Zip 31.3,
Phone #
Job Address (where the work is being done) $JtM ( c ? ./Vt; q? 5.t
City Miami Shores Village County Miami -Dade Zip ,3 / 3J? '
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City ; State
Phone #
Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit Z.
.telFo rrage
CI-Sliti;A 01
T yp e of Work: ['Addition
DAlteration i�,`� a �` ° " tmsfaifiRtfAnce ❑Demolition
Describe Work: (P6t A a o in, i T ` PiICk PA. i, e")-5 a� btoc',vh POOL psi
AAJ•" 15/451,
* * * * * * * * * * * * * * * * * * * * ** es ** * *- * * * * * * * * * * * * **
�^.
Submittal Fee $ Permit Fee $ Z $ - CCF $ 1 .20 CO /CC
Notary $ Training/Education Fee $ 0 • 410 . Technology Fee $ ... z0
Bond $ • 00
Scanning $ .300 Radon $ Zoning
Code Enforcement $
Total Fee Now Due $ 43Z . 80
Structural Plan Review. $
(Continued on opposite side)
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 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 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 approved and a reinspection fee will be charged
Signature
Owner or Agent Contractor
The foregoing instrument was ackn wledged before me this 0 The foregoing instrument was acknowledged before me this
day o ' ..,-.,•24 K by '' i ,sr 1 •� 9 21c_f5 . day of , 20 by
who i., - rsonally known me or who has rroduc d . s personally known to me or who has produced
As 'dentifi -' 'R• :, mho did telkMaitirdaDEZ
NOTARY PUBLIC: :49 1 NotenyPut c- StateofF
?; ' -m, Commission Expires N . jY PUBLIC:
���� # 00 388420
Sign: �a. f v�.r
Print: 't . � � ■►.j�r�(- �
• ,� Sign:
'= ° -J_ Print:
My Commission Expires: My Commission Expires:
as identification and who did take an oath.
APPLICATION APPROVED BY:
Chc 05/13/03
VS
‘r-V, 7/.(105.
Plans Examiner
Engineer
Zoning
•
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE .STATEMENT
I C l<ic`` rx) P�,Ic6 being the legal property owner, for the property
Located at: 5 3 a 5
Legally described as Aar ; g '% cf / i' Cjl°.t:" 3 fa Jo ' 63 ,
Do hereby petition the Village of Miami Shores to act as my own contractor pursuanttio the laws of the
State of Florida, F.S. 489.103 (7), end I have read and understand the following disclosure
Statement, which entitles me to 3irork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. ` You may also build or improve a
commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a 'violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have Licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not Iicensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with - holding tax and
provide 'workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. Tlie foregoing instrument
Was acknowledged before me this S day o
e or who has
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tcl (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit No.
Master Permit No.
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) ��ta, 4-kh Phone # ° 1 �1 \ - SYb�
Owner's Address 5.1 9Tj r l S
City a+, -,,, s�a ti ti 1 State P1. Zip 3 / 3
Tenant/Lessee Name 'I Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone
Contractor's Address
City State Tap
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ['New bi Repair/Replace ❑ Demolition
Describe Work: eo, .o l.s■ t) c A.. f yvwtia. 5. r L. € w A •
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side —+
CCF $ CO /CC
Technology Fee $
Zoning $
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 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 must be posted at the job site
for the first inspection which oc ... : • the building permit is issued. In the absence of such posted notice, the
inspection will not be approv f% : >� , itl be c > rged.
Signature
Contractor
The for going i ', trument was ac : •; ledged ." for• � v; __� The foregoing instrument was acknowledged before me this
day of t, � ► , 2 , by ,_.1 - :,._AAA, 9 WAD" day of , 20 _, by
who r s personally kn a wn to me or who has produced l A/I__ who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
13
My Commission Expires: 4 e .V'
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* *** ******** ******* x *** **** *********�x ' .:, , . .< ***************************************************************
APPLICATION APPROVED BY: 07- a Plans Examiner
Engineer
Zoning
(Revised 07/10/07)
31. SO
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Certified to: Thomas R. Burke, Jackie J. Burke, 57 N.E. 93rd St.
Miami, Florida, 33138., Neal S. Litman, P.A., Attorneys' Title
Insurance Fund, Inc., PHH Mortgage Services Corporation, its successor
and /or assigns as their interest may appear.
PPE 40::i
a
Zoning
pproved
;4i t."
NOT VALID UNLESS EM80SSED WITH
SL'P.VEYCc c SEAL
bcdoc-
Cop -Ne R/
LEGEND • FIP= Found Iron Pipe
S.P.0 =SET 1/2 "PIN &CAPLB4789 F N /D =Focn3 `ail & Disc
S.PCP= SET PERMANENT CONTROL POINT L84789
0= CENTERLINE, P /L= Pnr.1PEh+Y "yi.•GI /L : LINE
M.H.= MANHO1,4 WOA=oVv 7F.R &1E E1i. PP= WEER POLE
FC.= FENCE CORINIER• F}i PIECOR£3! ki IIVEASMIRED
CHAIN LINK OR IQITRb'56(V f#' c • • -• • NWOOD FENCE=•a —d r --= i. -s.**
MASONRY WALLt.•
CONCRETE= .. ,•,.• «- , - ... •:. s / �
MAIPrPIIQPNCE & DRIISAGE EAS wy = f - D.> ..
NOTES: UNLESS•eIHERMSE•SI�OWII,' f FOLLOWING NOTES APPLY.
1) Record aQd:meaettr c$)Is •ue ins b$ta$fial agreement. 2) Bearings, if shown are based on Plat data. 3) The lands
shown hereon e e 2 of alastra
� gir � 4�g4 for asenteri4s or other recorded emcumbrances not shown on the plat and the same, if
any may not the shown on Nis sketch. 4) Underground portions of Footings. Foundations or other improvements were not
located. 5) Elevations are based on National Geodetic_ Datum. 8) Fence Ties are to the Centerline of the fence. 7) Wall
Ties to the face of the Wall. 8 �»NG IVHo ARE 12EFERED TO AN ASSUMED VALUE SAID PB PAGE
_ • • • _ •
•
Ele'. = lor-,s based on
C5t 1 ;
Elev. NcivDa :.:m.
Locator Index #
••••• • . • • • •
• • ••• •
•••
�s.
t• i
GI S25162.0 .
LEGAL DESCPINTICN : (Furnisha by Client)
LEGAL DESCRIPTION: LOT 18 and If of Lot 19
'OF AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10
OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA.
I HEREBY CERTIFY That the survey represented
hereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant .10 Section 472.027 Florida
Statutes. -
There are no encroachments. overlaps. easc•menjs•
appearing on the plat or visible easements other.
than as shown hereon '
MARK M. KRAJPViK
RegistgrecrLand Surveyor No. /371
State of Florida
••
II.%I41-
• •• • • • • •
BLOCK 3
SUBDIVISION
AT PAGE 70
..: '•33LA & &Ci; DANIAL
Land Surveyors
4100 Aurora St.
rrat •eagle /.1' :• 33146 •
:Spirt '1 :• •
(345)•865 - -1201 •
FLOOD ZONE: x
; : : lion3•
lyt
1
AGE• • • •
SEAL. • • •
& ASSOC. INC.
• Planners
(Mailing Address)
555 N. Shore Dr.
Mia. Beach F1. 33141
Fax (305)865- 7810
UFFIX::J DATE: 3/2/94 BASE
T it lul. • 1 • "0
DWN. BY:
F. SfAr`i Co
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JOB No.
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