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DS-09-548Inspection Date: April 16, 2009 Inspector: Bruhn, Norman Owner: NOVAK, MYRON Job Address: 71 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: PAVERS AND BRICKS SERVICES CORP Building Department Comments R20 £NT'D Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 15, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Work Classification: New Phone Number Parcel Number 1132060131010 Phone: (305)986 -2544 Page 1 of 1 71 97 Street Miami Shores, FL 1132060131010 Block: Lot: MYRON NOVAK MYRON NOVAK 71 NE 97 ST MIAMI SHORES FL 33138 -2330 Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Contractor(s) Phone Cell Phone PAVERS AND BRICKS SERVICES COI (305)986 -2544 (786)443 -7107 Approved: Yes Comments: Date Approved: 4/7/2009: Yes Date Denied: Type of Work: PATIO Bond Retum : Additional Info: PAVERS Classification: Residential Fees Due Bond Type - Contractors Bond CCF Education Surcharge Permit Fee Permit Fee Scanning Fee Technology Fee Amount $300.00 $1.80 $0.60 $0.00 $125.00 $9.00 $3.12 Total: $439.52 In consideration of the issuance to me of this permit, 1 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. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 15, 2009 Address Parcel Number Phone Valuation: Total Sq Feet: Invoice # Total Amt Paid Amt Due DS -4-09 -34454 $ 439.52 $ 439.52 $ 0.00 Bond #: 1839 April 15, 2009 Date Expiration: 10 /12/2009 Applicant Cell $ 3,000.00 0 Available Inspections: 1 Inspection Type: Final Sidewalk Landscaping Foundation Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 0 MEVM Permit *).009 c • PERMIT APPLICATIOlt APR 0 2 2009 P.J.1 Master Permit No. FBC 2004 Permit Type (circle): Building Roofmg Owner's Name (Fee Simple Titleholder) /4 `fI' ®�i4 Phone # Owner's Address 1 / Al E 0 1 4 7 City i%4* tAN, a state «L. Zip 3 Tenant/Lessee Name Phone # � — Job Address (where the work is being done) 7 l AiE q. a City Miami Shores Village County Miami -Dade Zip 33 3 g FOLIO / PARCEL # // 3 a /3 10/ o Is Building Historically Designated YES NO Contractor's Company Name lid ja14,_c ►dLjkic /Ck Phone # - 4g6/ 1 /4 1 3.. -) 10 . Contractor's Address l/ g s i( 4 7/ 4 W U!y City_arzatet "1 it ', State Imo- L Zip .� /� Qualifier Name �, Fe 3 YA� P hone # State Certificate or Registration No. 6 c Certificate of Competency No. Q 6 L..SOO 63 0 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ j 417 0.0 0 Type of Work: Describe Work: ['Addition • E, DAlteration Square / Linear Footage Of Work: [New Cro 0 Repair/Replace 0 Demolition & KS '1 -'L *********** * * * * * * * * * ******* ********a * ** Fe x�u�xx: a�: x�x********* **** *a��x�x�x�:�x **** * * * * * **�x� *** Submittal Fee $ Permit Fee $ Z15" CCF $ 1 • C Notary $ Training/Education Fee $ V Technology Fee $ 3` W' Scanning $ / ~ • Radon $ DPBR $ Zoning $ Bond $ , ; �� i T ► ' 9 Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 459 . oa . See Reverse 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 My Commission Expires: APPLICATION APPROVED BY: (Revised 07/10/07) As identification and who did take an oath. NOTARY PUBLIC-STATE OF FLORIDA •' "" Ruth Cordeiro ' •, Expires: NOV. I 15, 2011 BONDED THRU ATLANTIC BONDING CO., INC. Signature Owner or Agent Contrac The foregoing in trument was acknowledged before me this ©eZ The foregoing instrument was acknowledged before me this _ 2. day of , 2009, by 6 rzOA O YR C day of Ape i Z , 20 <a, by RAUL • 1). fJA,PE Z who is personally known to me or who has produced who is personally known to me or who has produced as identifi .. ' n and who did take an oath. lily. • : LIC.STATE OF FLORIDA f ,/ �.• Ruth Cordeiro I Commission #DD734765 ires: NOV 15, 2011 CO., INC. Sign: Print: My Commission Expires: N .... ................. x........ x.......... .: s: ..: k: k.... .: k.... .:h.........a:.**** ** * * ** x ********** *+x******* ** ***** No . 1 , 02®_k .k AO) c Plans Examiner Engineer Zoning Owners Name: MYRON NOVAK Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/7/2009 : Yes Comments: Issue Date: Not Issued Permit NO. DS-4-09-548 Work New Expires:Not issued Folio Number:1132060131010 Owners Phone: Job Address: 71 97 Street Miami Shores, FL Total It Valuation: Total Square Feet: :.:. Contractor(s) Phone Primary Contractor •• .....• •• .....• •• PAVERS AND BRICKS SERVICES CORP (305)986-2544 Yes ....: .... •• 3000 $ 0.00 PERMIT #: Miami Shores Village APPROVED BY DATA. ZONING DEPT 7/s 0 1" BLDG DEPT ,/ .i6 SUBJECT TO COMPLIANCE WITH ALL STATE AND COUNTY RULES AND REGUiLATIO"S FEDERAL rcznvg APR 0 2 2009 v.1-? Charlie Cnst Ana M. Viamonte Ros, M.D., M.P.H. Governor State Surgeon General Paulo Ramos (Pavers and Bricks Services) 71 NE 97 St Miami, FL 33138 RE: Contingency Application Docu 24 Centrax Permit Number 7� 65 OSTDS Number: 71 NE 97 St Miami, FL 33136 - Lot: 20 -21 " '' ? tikk Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 03/20/2009 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project only entails the installation of BRICK PAVERS in the patio area. From a review of your completed application, it has been determined that your existing system is adequate for the proposed use : " APPROVED ". G/P March 31, 2009 Enclosures cc: If you have any questions on this matter, please call our office at (786) 315 -2444. Sincerely, Miami -Dade County Health Department 1725 NW 167th St, Opa Locka, FL 33056 Phone: (786) 315 -2444 Fax: (786) 315 -2090 ngineer Specialist II 214 r 9/6' 3/ — A R WIT 9 - 0 SkETCH OF SURVEY SCALE .' I z: ciP /74 L . v ehz: 4fri F' • - 4:L . L- . . w ;!. 7/ NE 17i T a p LC •■■■••••.... 9 go 1 ill V = LEGAL DESCRIP TION LOT 40 E. d LOCK 7 OF 1 A A S • e SC-7 SUBDIVISION ACCORDING TO THE PLAT THEREOF A„ _S RECORDED In PLAT BOOK 10 AT PAGE 7c> OF THE PUBLIC RECORDS OFS:)ZgF„e_COUAtTY LOCATION SKETCH SC,4LE..)" LAND SURVEYORS DATE • - .108 .10 LI\ 11 kt\ IQ ki\ Q' 41* ITO fl 014W (P2i 60 56. Th GRAMM. GROUP INC. ENGINNEERS- LAND SURVEYORS 4055 S.W. 89 Ph AVENUE MIAMI , FLORIDA , 33165. PHONE( 305 ) 559 - 3 8 8 6 NOT VALID wan EMBOSSED Irme SURVEYOR'S -commiwase, 7 1 . FOR :... AO:TORII 0. . V: C.:A LL AS CERTIFY re ° Viitzza2 • - E;tvlAc.i.r.-.; CAY f3.1 1..:-ILA 5 71 Ki C . 4.2 1 rh T. -..- - • .zs Nil s 1---ioze_c. FL_ . en4io cogooli-LAs MA&(015- WE .• c_o act_t-A,s _ HEway CERTIFY THAT rHe ATTACHED BOUNDARY SURvEr OF THE ABOVE DESCRIBED FivoPERTY IS TRUE AND CORRECT m ME at OF KNomiLEaGE AND BELIEF AS RECEN77.Y SURVEYED UNDER OUR OIRECTION. ALSO /MT THERE ARE No ABOVE GROUND ENCROACHMENTS LIVLESS SHOWN. AND MEETS flE 'AMNIA TECMWCAL STANDAROS SET Foam er THE FLORIDA BOARD OF LAND SURVEYORS. PURSUANT TO SECT7 472.027 FLA. siArurEs AND CHAPTE? ZIN-H6 OF FLOREM ADMINISTRATIVE CODE. EXAmmATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DEITRANNE RECoRDED iNsTRumEIVIS, IF ANY, AFFECTIND TIE PROPERTY. LOCATIDN AND IDENTIFICATION OF UTILITIES ON.ANDV OR ADJACENT IV THE RWERTY WERE Nor sac:MED AS Soar INFORMATION WAS NOT REQUESTED. OWNERSHP 15 SUBJECT TV OPINION OF TITLE / 4 . 1. ). ORLANDO GRANDAL PROFESSIONAL LAND svEnxv czymrsrart ? 429 7 MDT ar FLORIDA