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DS-10-1467Scheduled Inspection Date: November 23, 2010 Inspector: Bruhn, Norman Owner: BRUGUES, ELSA Job Address: 621 NE 92 Street 1A Miami Shores, FL 33138- Project: <NONE> Contractor: ALL DADE DRIVEWAY MAINTENANCE Building Department Comments November 22, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 150115 Permit Number: DS -8 -10 -1467 For Inspections please call: (305)762 -4949 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132060430010 Phone: (305)836 -8678 PATCH HOLES, SEAL COAT AND RESTRIPE EXISTING ASPHALT PARKING AREAS Passed� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ec___ Page 4 of 31 BUILDING PERMIT APPLICATION Master Permit No. FBC 201 Permit Type (circ : Building E ctrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Title o er) argEs PLAZA - Ito / Phone # 3g - CC Q v- ° q c r 4 Owner's Address e a,1 E q`,2 Tenant/Lessee Name City M i A 0-0 gitorair5 State 1Lo n. i b Miami Shores Village Building Department Job Address (where the work is being done) Coat kJ 5 - rjz 15 - I Permit No V O 4 Zip 3S t3 Phone # City Miami Shores Village County Miami -Dade . Zip " � i 8 Is Building Historically Designated YES NO yMeggv 40-6 nio ............. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Contractor's Company Name LI.- DAVE ()IA/KT Phone # ®s 36 67S Contractor's Address t WC> v I ? City Ml PALL 1S 7 rXM State Creo bA Zip 53150 Qualifier R c a Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City " State Zip $ Value of Work For this Permit y Number of: Bays Stories Families Bedrooms Type of Work: ['Addition ['Alteration [New Er Describe Work. a r .;? . V- ' °r Square Footage Of World 4 ", 7(e F Baths 0 Demolition ****************************F **** County Escrow Fee $ Permit Fee $ f • gC Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ 5 St J• C PO (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 (If all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL J ORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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 a charged. Pe.d.■arat. 41111L2 T h e f o r e g o i n g ' , . , „ ent was a c k n o w l e d g e d b e f o r e m e t h i s / — The foregoing-instrument s instrument was acknowledged before me thi day of 20%a , by aEiji 2. ka- P,977fes< , day of 1 , 2 /a b y QR1' C. APPLEdielunl, who is personally known to me or who has produced ) . /C_ w As identification and who did take an oath. Signature ' iC NOTARY PUBL Sign: Print: My Co Owner or Agek ` ' gip' of sion Expires: EXPIRES., June 20, 201 APPLICATION APPROVED BY: ch Signature NOTARY PUBLIC: Sign: Print *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** or who has produced as identification and who did take an oath. (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. **** Mph******* *41**************** *** * * ******* * * ******** ****** k+ k****** *# ****+ Y****# *** ****#*+k*#******** **** ** * L- GC.‘C) C ' JV�-- cl s �- 111111111111 IIIiI Ii11i IIiiI 1111111111 11111111 C t= N 201080582103 OR Bk 2741M F'9 34446 tips) RECORDED 08/27/2010 10:28:38 HARVEY RUVIWp CLERK OF COURT MIAMI-DADE COUNT ?p FLORIDA NOTICE OF COMMENCEI NT LA ST , . DAD ADE ATE of FL ORIDA, COUNTY PAGE OF Permit No. 1 HEREBY CERTIFY that this iVo y of the (issued by Vie City of North Mans Dsach, Florida! �++ ylad fn once oa /7 I WITNESS my tad end , ,,,, -- A D.2D HARVEY RUVIN, CLE STATE OF FLORIDA ) COUNTY OF MIAMI -DADE ) THE UNDERSIGNED here and in accordance with Chapter 713. Florida Statues, me follower information is provided in the Notice of Commencement 1. Legal description of ;moony: Street address: a. 1 le q 2. i gT 2. General description of improvement ` a Soklatir 1 or — 1 x «trs-s 4 A 6 mil- r 3. Owner(s) Information • 3.a Owner(s) name: g'I4 RE'S PLA°z r+4 Owner(s) address: Street ba 1 i.). , Q 2 .'T"t - City r het & ' ® -S , Slate IFCc1a. -4 DA Zip °31 5.b Interest in Property : 3.c Name of fee simpler titleholder (if other than owner): Fee simple titleholder's address: Street City . State Zip Contractor's name: ALL-4 M • . I'' WA II-Me/4 MSC (:Li . Contractor's address: Street I irso &J9 • 1.x9 , ` 1 '" '' City M iA .L.J , Slate tF DA Zip '53 t SCa 4.a Contractor's Phone No.: ' c S ' - s 3 - 8 e1 8 4.b Contractor's Fax No.: &tor --13 S.Ce, - 742.659 5. Surety (Payment bond required by Owner from (ontractor, if any) 5.a Surety name: Surety address: Street City , State Zip 5.b Surety Phone No.: 5.c Surety Fail No.: , 5.d Amount of band: 5 6. Lender's name: Lender's address: Street City State Zip 6.a Lender's Phone No.: 6.b Lender's No.: 7. Persons '1 within the State of Florida designated by Owner upon whom notices or other • documents may be served as provided by Section 713.13(1)(a)7., Florida Statues. Name: Address: Street City Slate Zip 7.2 Phone No.: t.b Fax No.: In addition to hinelf or herself, Owner designates of to receive a copy of the Lierors Notice as provided in Section 713.13(1Xb), Florida Statues. Name and address: 8.a Phone No.: t.b Fax No.: 9. Expiration date = of ( the c anon date is date al re .,t ' 1 Owner's Signature } e ` er . �. ,S ' i `.. Print OwnMs Name: MIIII''.! Prepared 8r 11111 " s : - - - Slats of ty riiN1. VI � ' - J •. ti. L *'+saw ` a • MD 81296 swam .�i E'� bsf re n,e ws _ day oa ,�n►e a by 1eaTleue4 St aEit PRODUCER (305)822 -7800 FAX (305)558 -4294 Collinsworth, Alter, Fowler & French LLC P. 0. Box 9315 Miami Lakes, FL 33014 -9315 INSL. All Dade Driveway Maintenance Co. P 0 Box 430350 South Miami, FL 33243 -0350 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER k. Amerisure Insurance Co INSURER B: INSURER C: INSURER D: INSURER E: NAIC # 19488 COVERAGES A THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A INSR ID L LTR NCRE A A A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE © OCCUR X Employee Benefits X Add'l Insd Inc/ GEN'L AGGREGATE LIMIT APPLIES PER — I POLICY n ECT n LOC AUTOMOBILE UABIUTY X ANY AUTO X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY R ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR J ] CLAIMS MADE DEDUCTIBLE RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below I Marine Special Form POLICY NUMBER GL20628520001 $1,000,000. CG7048 03/04 CG7049 09/05 CA2062850001 CU206285101 WC206605000 CPP2062887001 POUCY EFFECTIVE DATE IMM/DD/YY1 07/01/2010 07/01/2010 07/01/2010 01/01/2010 07/01/2010 IESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS POUCY EXPIRATION DATE IMM/DD/YY1 07/01/2011 07/01/2011 07/01/2011 01/01/2011 07/01/2011 UNITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PRFMISFS (Fa nrri vans) MED EXP (My one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP /OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EA ACC AGG EACH OCCURRENCE AGGREGATE X I TORY IMITS I X I O FR E.L EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L DISEASE - POUCY LIMIT $ 300,000 10,00 $ 1,000,001 $ 2,000,000 $ 2,000,00', 1,000,000 $ $ $ 4,000,000 $ 4,000,000 $ 4,000,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 Scheduled Equipment $1,026,074 Leased /Rented Equipt $50,000 $2,500. Deductible Applies :ERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Richard French/TERESA City of Miami Shores Building & Zoning Dept 10550 NE 2nd Avenue Miami Shores, FL 33161 CORD 25 (2001/08) CANCELLATION ©ACORD CORPORATION 1988 Shores- P1 Miam± Shores, FL ' phaKal.„, - 4'52 -‘304 Ote15r ATTENTION: Mr. John Kilpatrick 2. 3. 4. 5. Roll and Clean up PRINT NAME TrnF -Apts. 6 Yard: 1100 N.W. 73rd Street • Mail: P.O. Box 430350 SouthMiami,Florida33243-0350 Dade: (305) 836-8678 • Broward: (954) 763-3350 Fax: (305) 836-7209 6/22/2010 Shores Plaza West- Front and Rear Asphalt Area "REVISED AND UPDATED 06/21/2010" 621 N.E. 92nd Street Miami Shores, FL e inspection & directions, we propose to perform the following ,FEET OF DAMAGED ASPHALT, AREAS WILL BE MARKED WITH COMMENCING WORK: iphalt where required and clean areas S with RC-70 primer tack. ot plant mixed asphalt, Type S-III. compact with a 3-5 ton roller. and remove any related asphalt debris off site. SEALCOATING EXISTING FRONT AND PARKING AREAS:, TWO COATS WITH SAND. *7 Avail the entire asphalt area with power air brooms. ,will be treated with "Bond Seal". _ of Staycoat JC-7 sealer with 3% FSA Co-Polymer -4 "rictly to manufacturer's specifications with 3-4 _71silica sand added per gallon, mechanically agitated d at the rate of 1/6 of a gallon per square yard using our 6 SAND FLOW process. WrAolurt grtc oF g filait•or and material — complete in accordance with above specifications, and subject to conditions 7f. WITH PAYMENTS TO BE MADE AS FOLLOWS: • Not responsible for any damage to underground utilities. • • A Certificate of Insurance will be issued upon request prior to commencement of work. • specifications and conditions are satisfactory and All material is guaranteed to be as specified. All work is to be completed in a orized to do the work as specified. Payment will workmanlike manner according to standard, practices. Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, gwoF PROPOSAL and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance u ed by Workmen's Compensation Insurance. 111: C V ALL-DADE DRIVEWAY 1 - 1 **PAGE ONE OF TWO** to be patched. 01-100457 (305) -758-7114 FAX# (305) -895-9299 (5 1 / 4 2. Q.. ()+ (°,>) Cas2a 4 - (° (61 136t4;k6 SEYMOUR 'Lay 8 2010 ATTENTION: *OPt „ REMOVE AND REPLACE ANY BROKEN OR MISSING CARSTOPS AT A UNIT I PICE OF $41.00 EACH, (PLEASE CIRCLE ONE) YES / NO. * *SEALCOATING TO BE COMPLETED IN ONE (1) MOBILIZATION. * *THERE IS A SEVERE SHORTAGE OF COAL TAR AVAILABLE FOR DRIVEWAY SEALERS. A MORE EXPENSIVE ASPHALT EMULSION MATERIAL MAY HAVE TO BE SUBSTITUTED COST. BE BARRICADED DURING WORK. THIS CONTRACTOR WILL NOT BE ! ERSONS OR VEHICLES BREAKING THROUGH BARRICADES, TRACKING GES TO VEHICLES OR PERSONS TRESPASSING IN DESIGNATED Mr. John Kilpatrick 4) UREMENT FEES AND ANY ADDITIONAL WORK REQUIRED BY THE P kNXT +I BE AN EXTRA COST TO THE CUSTOMER. WITH PAYMENTS TO BE MADE AS FOLLOWS: NET UPON COMPLETION PRINT NAME i �� / ��KgS..� Cfppd TITLE ., ' fCSAL Yard: 1100 N.W. 73rd Street • Mail: P.O. Box 430350 South Miami, Florida 33243 -0350 Dade: (305) 836 -8678 • Broward: (954) 763 -3350 Fax: (305) 836 -7209 Shores Plaza West- Front and Rear Asphalt Area "REVISED AND UPDATED 06/21/2010" 621 N.E. 92nd Street Miami Shores, FL ND, separate coat of Staycoat JC -7 with sand on the the same quantity and proportion as the first coat. Kisting using DOT approved traffic white paint to kg, lines, linear footage, repaint and stencil * *PAGE TWO OF TWO ** specifications and conditions are satisfactory and orized to do the work as specified. Payment will C- OF PROPOSAL i ts 6/22/2010 • Not responsible for any damage to underground utilities. • • A Certificate of Insurance will be issued upon request prior to commencement of work. • 01- 100457 (305)- 758 -7114 FAX# (305)- 895 -9299 ish1abor and material — complete in accordance with above specifications, and subject to conditions SEVEN HUNDRED SIXTY FIVE DOLLARS AND 00 CENTS ** star 435MCCard All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard pmacllc es. Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tOrhado and other necessary Insurance upon above work. Our workers are covered by Workmen's Compensation Insurance. ALL -DADE DRIVEWAY MAINTENANCE CO. SEYMOUR BILGRAY Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. DS -8 -10 -1467 Expires: Not Issued Folio Number:1132060430010 Owner's Name: ELSA BRUGUES Job Address- 621 92 Street Suite: 1A Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 10710 Total Job Valuation: $ 3,765.00 1 Contractor(s) ALL DADE DRIVEWAY MAINTENANCE Phone (305)836 - 8678 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/16/2010 : Yes Comments: APPROVAL IS FOR REPAIR ONLY APPROVED BY DA1 ZONING DEPT l l ( 6 g) SCOPE OF WORK Sealcoat the existing private residential parking lot and restripe the parking stalls as existing. As per sections 11 -1.1, 11 -1.3 and 11 -3.5 of the Florida Building Code this work is normal maintenance, no alterations are being made. No disabled parking are required. 10,710 square feet interior parking lot. PARKING DATA Standard Regular Parking Stalls 38 Total Parking Provided 38 JOB SITE Shores Plaza West - Condominium 621 -689 N.E. 92 nd Street Miami Shores , Florida 33138 STA VARKING, S,P4CE_ •' • : • • • . • . r .. �q« PARKINGWHEELSt .?r , • Ca a Tit , ct .2 ~' S 1. 6 24 AP.- ..e.as 'melt GB - gal meters 41 • Nelle tray n - sI.oaove steel 1114 • water meter Of • eralo /leld ht . T` A L'r, e WAN) f■1 ami Shores BLDG DEPT SUBJECT iO CCMPI.IANCE 1MT1i AI_L FriL Efl STATE AND cr._.! iY r'l If F pi !n JOB Shores Plaza :ViTS 621 -689 Miami Sh . /S.LL- Oh.t>E 11 o {∎c .w I 1 N[ +,6. t..et T e..t 4 L' d jt /co µ,j.5 • • • • • •• • • pOISRVIE1 AUG 1 3 2910 BY: S 33 SG ••• • • • • • • • 33I� •• • • • 4 •• • • • • .•0400 "nium• • • •••• • •• • • %I • • i• s •••••• c . lrw'it; • • • ••• • • • • • •