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DGT-10-1694Inspection Number: INSP - 151572 Scheduled Inspection Date: March 09, 2011 Inspector: Bruhn, Norman Owner: PACK, MATTHEW & GRACE Job Address: 383 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: EUROPEAN SCULPTURED STONE CORP Building Department Comments NEW TRELLIS INSTALLTION OVER EXISTING CONCRETE PATIO AREA ON THE BACK YARD Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments (rc__ March 08, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: DGT -9 -10 -1694 Permit Type: Decks /Gazebos/Trellises Inspection Type: Final Work Classification: Trellise Phone Number Parcel Number 1132060135920 Phone: (954)742 -6832 Page 4 of 27 NEW TRELLIS INSTALLTION OVER EXISTING CONCRETE PATIO AREA ON THE BACK YARD Passed g' �� / Inspector Comments CREATED AS REINSPECTION FOR INSP- 151573. Work covered with out inspection. NB Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid until r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 154578 Permit Number: DGT -9 -10 -1694 J Inspection Date: March 09, 2011 Inspector: Bruhn, Norman Owner: PACK, MATTHEW & GRACE Job Address: 383 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: EUROPEAN SCULPTURED STONE CORP Building Department Comments March 08, 2011 For Inspections please call: (305)762 -4949 Permit Type: Decks/Gazebos/Trellises Inspection Type: Footing Work Classification: Trellise Phone Number Parcel Number 1132060135920 Phone: (954)742 -6832 Page 1 of 1 • • • • • March 7, 2011 Soilprobe Engineering & Testing, Inc. Miami Shores Village Building Department 10050 NE 2 Avenue Miami Shores, FL 33138 Engineering is the essence of science and technology 7450 Griffin. Road, Suite 140 Davie, FI. 33314 Tel: 954 -584 -6115 Fax: 954 -581 -2415 E -mail: ppeana@soilprobe.net RE: Trellis Addition 383 NE 96 Street Miami Shores, FL 33138 Permit No. 1049694 As requested by the contractor, the undersigned visited the referenced site to observe the as built condition of new trellis addition structure. At the time of my site inspections, conducted on February 22, 2011, the trellis structure was completed. The purpose of this inspection was to observe the site and evaluate as-built structural condition of footings and footing to wood columns connections. During my inspection, the property owner was present on site. My understanding of field conditions and as -built construction is based on my field observation, meeting with the owner and as well as review of in progress photograph, permit plans and documents provided. Based on my field observation and evaluation, reviews of construction documents provided by contractor and interview with the owner, I certify that, to the best of my knowledge and belief that the construction of footings and footings to columns connections at the referenced as-built structure were constructed in substantial accordance with the structural drawings specifications, approved permit plans and FBC. This inspection, evaluation and report were made for the purpose of disclosing the existing condition of the subject structures as constructed in the area of concern (footings and columns to footings connections). This report is based on visual examination, review of construction documents and other information supplied by the client and the owner. Miami Shores Village 383 NE 96 Street March 7, 2011 Page 2 of 2 As a routine of matter, in order to avoid possible misunderstandings, nothing in this report should be construed directly or indirectly as a guaranty of any portion of the structures To the best of my knowledge and ability, this report represents an accurate appraisal of the subject structure based upon careful evaluation of the as-built conditions, to the extent reasonably possible. The inspector or this office are not responsible, nor do we accept any liability for defects not reported here, or problems that may occur in the future. It has been a pleasure to perform this investigation for you and we hope that you will call on us if we may be of further service. Sincerely, SOILPROBE ENGINEERING & TESTING, INC. Cc: Luxury Pools and Outdoor Design City: Tenan Email: BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple p't7 older): Address: 369 14 ' JOB ADDRESS: essee Name: // / Phone #: 7i 'J.3 4f CONTRACTOR: Company Name: Addre o40 City: Miami Shores County: Folio/Parcel #: / 1 ' � t .. - D / 3 • 51020 Is the Building Historically Designated: Yes lr ss City: l b State: c ' Qualifier Name: �bn'� . �-` �T9fl� State Certification or Registration C4• c D v 7 6 ( Certificate of Co Contact Phone #: 95/ Al Y tip? E ail Address: DESIGNER: Architect/Engineer. O Type of Work: Address OAlteration ("067 '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 ,Tr� Phone# f/ ' �7t` -f9fL) State: Zip: 7 /5 NO Flood Zone: A JcIL 0 1 L 71Z I2.�, ve/It -. lt S;r 5 - _ Iv y Miami Dade Master Permit No. Value of Work for this Permit: $ 4S0.0 �$ quare/Linear Footage of Work: ew ORepair/Replace gmalmnq SEP 2 3 2010 Ali BY: Permit No!) V P l((Jq4 Zip: Phone #: zip: 31 lf Phone # : 4 P 5!/• •27 y M43 etency #: C r � dl/ ,G r S_ aka �) Phone Igo ODemolition Description of Work: Algt).4 r ,r COOL TE OUGH ROOF TILE IS REQUIRED acknowledged by: 4*** *ar*,r********a**a ****4,aa,***** *Fees ra*******,r,r** roar***** ** **a,*********** ******** Submittal Fee $0 Permit Fee $ c:12dNC' Scanning Fee $ Radon Fee $ Training/Education Fee $ Technology Fee $ Structural Review $ TOTAL FEE NOW DUE $ CCF $ CO /CC $ DBPR $ Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address n' City State �- r 'c 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 k, Owner or Agent The foregoing instrument was acknowledged before me this PALL day of J J '» ,20 who is personally known to mcoor who has produced As _ i tificat n and who did take an oath. NOTARY PUBLI Sign: Print: My C mission E * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09Xrev6/4/10) Plans Examiner Structural Review Zip Signature Contractor The fore oing instrument was ackno • ged bef 'e e this 1, day o d Z 20 by K . who is personally known * * * * * * * * * * * * * * * ** or who has pro a ced as identification and who did take an oath. Clerk CUM PERIOD INDICATED. NOTWITHSTANDING 34 THIS CERTIFICATE MAY BE ISSUED OR MS. EXCLUSIONS AND CONDITIONS OP SUCH LIBSTS EACH COMMENCE i MED E PMekong . , ,.., PERSONAL aA(A/INJURY 5 ORAL AM MAR $ PROWICTS.GAOL $ _ MIMES= ) MELO LIMIT Ma INC300 INJURY (Par paw BODILY INJURY PROPERTY OINME Pr imakkas) AUTO ONLY -EA ACCI>ENf 5 _ MAN 8 A110 5 MOM =MARI= t AGGREGATE I S T— 5 5 _ EJ -I N A�AENT 0 1,000,000 E,L- 01&E495 -EAEMP YIE 5 1,000,000 RA.MWASE.POUCYLIMIT $ 1.000,000 , Georgia And Texas Cpsrationo 10) MUSE CALL PIA3T FINANCIAL A OCT -19 -2010 TUE 11:27 All FFEL ACORD� CERTIFICATE OF LIABILITY INSURANCE Rink TTahibfer Programs. LLO 210 sane Livingston Street Orlando, PL 32501 PHOIE; 866- 481 -9363 MOM First 8inanoial Employee teasing II, Ina. Ph 941 -039 -7141; 500- 624 - 1808 /px 041 -883-8852 3945 Trmiwmi ?rail Pare Charlotte, PL 33952 C O VERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FOR THE ANY REQUIREMENT: TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I8 SUBJECT 70 ALL THE Tk' POLICIES. ALRGREONE LIMITS SHOWN MAY WAVE BEEN REDUCED BY MID CLAIMS, nroree ,usua.u� POL[OY wunst 0>ENE'AAL LiA5OAY COMMO CIAL GOA LIAOU.ItY IMAMS 00 I POUCY Aurora mLB LIABILITY ANY AUTO _ ALL O MEO Autos SCIIOULED AUTO$ MIS AUTOS N0N4MMNES AUT09 GARAGE Lumen R ANY ACID exCESSNOINRELLAMEANT OCCUR ❑ CLAIMS MADE R_ DEDUCTISLE RETE9MON affiaX ml O L1 MON AND OTHER PROVISIONSPazu 0115CRUMON oP OPERAMONst LOCATIONS /NESCIZIMINaLUSIONS AWED 5Y EICORSIRUINT / SPECIAL PROVISIONS Coverage ie extended to the laaGed employees of alternate employer (Alabama, Florida Only), European sculptured Steno Corp. dba Concrete by Resign 1128666(13ffertivo 5/20/ FOR AN UPDATED LIST OP COVERED EMPLOYEES. CERTgFlGATE HOLDFR Miami Shoran Yuilding Capt. 305/766 ■8572 10080 NE sgaand Ave Miami shores, FL 3313E ACO 26 100) PER LO'C WBLTSFS 000066 05 FAX 140. 9418835852 P. 01/01 THIS C RTIRICATE IS RUED AS A MAT YER OF INFO TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE$ NOT AMEND. EitTEND OR ALTER THE COVERAGE AFFORDED BYTNE POLICIES BELOW INSURERS AFFORDING COVERAGE IN3ilRERA;caet1epoint National Insurance Co. 00194 INSURER it INSURER INSURER 0: INJURER E: 12/33/2009 01/01/2011 WeepeAtmOnTI, sF601629W 10/19/2030 NAIC # CANCELLATION mom ANY Oltl03 OESCIMED mums mcmataims MOST 0rOWIRATtOT OATETIERQOF.TIe5 ISM* 040.11 NNRVALt. ENNRANORTO Um. 30OAS'5 VOW= NO110ETO TNBCERTIROATII MUM NaN61)T01lSLE ,RUUTMIMIC DO60 SHALL WOE NO OBUGMiON OR LAMM Of ANY KIND IMONTigi BOIIRER,ITS AGENTS DR AatlaR» mparammavits B ,e 1ot3. ®ACS CORPORATION 1988 BM LTR TYPE OP INSURANCE POLICY NUMBER it a41=g 6 FUILYIEMNY") LIMITS A GIREIRAL LAMM CORWERCIAL GENERAL UA13IUTY 359E003800 5/13/2010 5/13/2011 EACH °MONO! I 1,000,000.CK WAAGE TO RENTED jimmismasjudarportem Is 100,000.Cc CLAM MADE El OCCUR MED EXP (My one weal) $ MW ........ PERZIORAL & AM/ WURY - $ 1 ,C40000.0( • • •• GENERA. AGGREGATE Is__ztnoutlat _Igt0001 Wiwi. AGGREGATE war APPLIES PM POLICY I FiLOCI pRODUCTS . COMP/OP AGO AUTOMITIWB LIABILITY ANY AUTO J. OWNED AUTOS SCHEDULED MOOS HIRED AUTOS NONCAP41191 Al ma COMBINED SINGLE MIT (EA Accidant) BODILY NARY (Per poem) — — . _ BODILY INJURY (Penuridelt) PROPERTY DAMAGE (Per mak* $ BABEM UABILITY ANY AUTO AUTO ONLY. EA ACCIDENT as INNER MAN EA AC • Avro ONLY; AEG I — I EACH OCCURENCE OCCUR CLAMS MAIM ADBMATE $ OELAJOUBLE RETEMON 9 — ..._. . $ . — $ 1 $ WORKERS runDYBNIY ANY OFFISERAMPARR ra OTHER - COMPENSATION AND— UMW PROPRIETOR/PARTNER/EXECUTIVE XCLUOS137 beva — - - INC I TORY U.] BM WIT EL mop $ . /5pDprr . B L. DEBASE . EA reakss — o EL, DISEASE - POLICY LW( $ PROUDER AWED CERTIFICATE OF LIABILITY INSURANCE Unl irmiliwTY) 10/19/2010 Phone -1164 5834444 Fax- 854-5133-2020 Pelican Insurance Agency 6950 Cypress Rd Ste 20817 Plantation, Fl 33317 awn roan Concrete By Design Inc. dim European Sculptured Stone,Corp. 10001 NW 50 St #104 Sunrise, FL 33351 .:tERTIFICATE HOLDER 1 IADOITIONAL aisus USURER LErTER: A Meng Shores Village Building & Zoning Department 10050 N.E. 2nd Avenue Aleml Shores, FL 33138 415:758-8972 THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, AND OR ALTER ThECOVEMGEAFFORDED BY THE POLICIES MOW INSURERS AFFORDING COVERAGE BISIBER A: audIngten INSURER B: . • MEURER 01 INSURER D: . . INSURER B: COVERAGES THIS 18 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED WED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT ,_TERM OR conornoN OF ANY CONTRACT OR OTHER DOCUMENT wmi RESPECT TO wHicti THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, me INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, MITE SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. aiNIFIMIN O oPERATBBOBLOWmattemBBINMMOURNOme ADDED BY entOIESEMSTIESPEOIAL PROMO)* CANCELLATION (See Below) - EIDRi : Pitaf IRATN DA ageouLemyge 10 DABS oar= NOTICE To — Err FAILURE TO UAL Wall OP ANY IUND UPON UM AI/MOWED REPRESENTATPAI NAIC # NOTICE OF COMMENCEMENT _FN Cli 1e 1e eu A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTIOP�R pl. 27477 Ps 3045i (1 P9 ECORDED 11/03/2010 13 :O5 :59 PERMIT NO. IAR:VEY RUVIN, CLERK OF COURT TAX FOLIO NO. IAMI -DADE COUNITYr FLORIDA AST PAGE STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street / address: 38 ijE glen-1ST, sdlO42tuj FL 3313 4a 2. Description of improvement: raS 3. Owner(s) name and address:.. P 393 MF qN, n S� Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: Eu2 oJ SGVL.Pru17E0 VroAAF ►OOda uta) sat sr sol.36E 3 }=1L 'Rass 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: 7. Persons 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 Statutes. Name and Address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) gnature of Owner Print Owner's Name Prepared by Sworn to and subscribed before me this day of ) , 20 i b � . ®4 t /4-/ . Cjt 57- rtv>.�yw , P - X3 4 Notary Public: Print Notary's Name: My commission expires: 1."` I'-- STATE OF FL A, 0,4, urcre or41) ADE 2 '• ; CERTIFY that this t a ;■yrfthe OP idierii 11 1111111 1111111111111111111111111111 1 1 11111111 1 SnE & G1)— twoorduatz g tite pLt KIN:1mM au rfitto 41 PW tikvia ?A lubtit flUonis Mud 0 Cousay, Fkrode 1 1 ' vt04 ;ET SE 1 :AV 9 W' 06,zeit4 _ elfr C NORTH EAST 96th Ar1RN'FYi mu IN.SMANCL rum ANIL PICAS WHOLESALE LENDERITS Stit3, MORS ANDOR ASMNS STREET f ttt *44*-fi IV 0 Cominuzury 2061 5 ffi Nkrib..vyr CWS3). Stiititt thin Elm trlV1 7 Flood Dme o Ckvitlpitlani 0716N k Peopmy Addreat F g StrdET mmik41 'SHORES, J 310 11 rit.,EALlyfirtti orsClarrioN PRovaltD tiv otvitt5 ott. s.P1514&!,514reirA 1110101 Agriltiirtto Art,fr EAstro* it:Kum:MD INCOMEENANCL%wol 314oWN 4H MK PLAT. iommoo.A10 POSIT041 Q V)TAVVATKM45 01100, iiMMOYVMPM WLPA4 NO1' TOCSITIO lz) ONLY %%IL L nieROACTItalit% ma Trm ARI "TO Tin PACE fp TM WALL KAMM ith-ttimme uNN sorra Ah & .740 ITI IWICATITM iQUNTioN *KOJI CON,Witrni VN:L1:55 gp Sin VAL 'lb VAX% %CALM W1fl MONTSU littltvEY0141 MOO! 1/4040,15101411 ttRiOW Apt PLAT . meAstatD MUSS atallEtWW0. CLINAMONS $44i0V44 riots4.1".1/0.14 w 1.4 V 13 rOci MANI OM Ih NOTED, 11t i 70 spa toutre crang :out T1214 • SiTYRVEV ' „Titittr 00ao cora ttput tAIX 7r 5t.ff.vr..' ItEDI..ffit) - 1 0.110011114 14'5;40) 5(4A VW? h IF4T1NrctOpOR N11)KTOAQE Kr.T19/04(.7 iftikr0q 014' rxcLosportr FOR II U5411:1 7110$4 ro wtiom t i crArgritio am TO of 1)510 op. rumfrolo rioki AM .C.,41%E.A 1)51 4490Ver VA0444141 voiwkoN 1 3* Crnintw 1st, rr MIGUR LS PM, NO 5 NTATV (JE tUWM r J ESPINOSA LOP SVR FE TING, INC 4494' g, W. W S TREE T ii FLORIDA 1313.3 PIIONE: 0) 740319 La 1 6463 te c1v, Charlie Crist Governor Michael Schill 383 NE 96 St Miami, FL 33138 RE: Contingency Letter Application Document No: AP987319 Centrax Permit Number: 13 -SC- 1291699 OSTDS Number: 383 NE 96 St Miami, FL 33175 Lot: 21 +22 Block: 43 Subdivision: December 15, 2010 Ana M. Vianionte Ros, M.D., M.P.H. State Surgeon General Dear Applicant: This will acknowledge receipt of an application dated 12/14/2010 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. There is no increase in sewage flow, no change in characteristics compromising the integrity or function of the system. From a review of your completed application, it has been determined that your existing system is adequate for the proposed use.. This permit is granted for construction of a trellis that will have no impact on the unobstructed area. If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 Fax: (305) 623 -3645 Jose ineer Specialist II