DS-09-1884 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 129286 Permit Number: DS -11 -09 -1884
Scheduled Inspection Date: May 17, 2010 Permit Type: Driveways /Sidewalks(Slabs
Inspector: Bruhn, Norman Inspection Type: Final
Owner: BAIOFF, ELSIE Work Classification: New
Job Address: 336 NE 98 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060135700
Project: <NONE>
Contractor: RELIABLE CONCRETE CORP. Phone: 3051229 -4945
Building Department Comments
stamped concrete driveway in backyard
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 14, 2010 For Inspections please call: (305)762.4949 Page 2 of 32
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g Miami Shores Village#��
' 10050 N.E. 2nd Avenue ,M
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204a k
f Expiration:0 0712010
PORI
Project Address Parcel Number Applicant
336 98 Street 1132060135700 ELSIE BAIOFF
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone cell
ELSIE BAIOFF 336 NE 98 ST
MIAMI SHORE FL 33138 -2410
Contractor(s) Phone Cell Phone Valuation: $ 2, 100.00
RELIABLE CONCRETE CORP 305/229 -4945 (789)326 -4041
m_.._ _ _,_._, .. _ ....... _ .... .._ ,.._.._ _ .:._. Total Sq Feet: 390
Approved: Yes For Inspections please call:
Comments: (305)7624949
Date Approved: 11/13/2009: Yes Available Inspections:
Date Denied:
Inspection Type:
Type of Work: DRIVEWAY Additional Info: STAMPED CONCRETE Final
Bond Return : Classification: Residential Sidewalk
Landscaping
Foundation
Fees Due Amount Invoice # Total Amt Paid Amt Due
Bond Type - Owners Bond $300.00 DS -11 -09 -36418 $ 460.80 $ 160.80 €
CCF $1.80 -
Education Surcharge $0.60 DS -11 -09 -36418 $ 460.80 $ 460.80 $ 0.00
Permit Fee $150.00 Check #: 1724 Bond #: 1912
Scanning Fee $6.00
Technology Fee $2.40
Total: $460.80
In consideration of the issuance to me of this permit, I 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
December 09, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 09, 2009 1
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
BUILDING � ��Q�9�® PermitNo. ) _0q_��j8
PERMIT APPLICATION 1 3 2009 aster Permit No.
FBC 20
Pic it Type BUILDING ROOFING -
' Owner's Name (Fee Simple Titleholder) e= / / 6 a,q /® iz�/C Phone # A& S - - V& 7 ° '96
Owner's Address 33 (® N, 91' Y_A S iR
City 7'1'd 1&fX Sh ®46S State WOZ4 Zip .33 IS 9'
Tenant/I.essee Name Phone #
Email
Job Address (where the work is being done) ____ 3& (e A/-E' 9,?�LA
City Miami Shores Village County Miami -Dade Zip __ 3
FOLIO / PARCEL #
Is Building Historically Designated +� NO Flood Zone
F=J 4r_ `u Q� , zV.1 6 32 6 _ 404
Contractor s Company Name t Phone # � O /
Contractor's Address
city Ta� " L Stat � zip 3331
Qualifier Name ► Q• Phone # C 6 3 2 6 {� Q
State Certificate or Registration No. Q ��d 2 Certificate of Competency N
Contact Phone E -mail
Architect/Engineer's Name (if applicable) Phone #
r
Value of Work For this Permit $ �t Square / Linear Footage Of Work: ` O S • 3►
Type of Work: ❑Addition ❑Alteration %New ❑ Repair/Replace ❑ Demolition
Describe Work:
�► vQ,vJ a� �..
o v
Permit Fee CCF $ CO /CC .$
Submittal Fee $ $ ` //�'� $ n
Notary $ Training/Education Fee $ V • Technology Fee $ OC •J
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $
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 falth 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 not' a of commencemet ust be posted at the job site
for the first inspection which occurs seven (7) days after the building pe rs issued In th bs a of such posted notice, the
ection will not be approved and a reinspection fee will be charged..
Signature Signs
Own Agent �9 �Conctor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this S
day of _ 20 PJ by J A L akA 10Q day of 20 at, by CA-r /4eC0 ,
` who is personally kno wn to me or who has produced 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.
NOTARY PUBLIC:. NOTARY PUBLIC:
Sign: Sign:
Print: �d cS Print My Commission Commission Expires: L014 E LINDLEY My Commiss n 'Ts; SUSAN UNDERWEISER
MY COMMISSION # DD838034 �i ° * *`��•, Notary Public - State of Florida
EXPIRES December 15, 2012 A My Commission Expires Mar 14, 2011
(407) 398 0153 FiondalloWySenr�oe.can ' ;�+ °- Commission # DD 650954
APPROVED BY � Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
♦ y�oREs yr
Evil m i* Shores Village
Building Department
4P ZORID1� ' 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
i Tel: (305) 795.2204
Fax: (305) 756.8972
j
I
RECEIPT
I 1
PERMIT M C - �1 4 DATE: !
IC 1
• Owner {
• Architect a
icked up 2 sets of plans and (o Ao �0 kfz t l i a T
Address:
From the building department on this date in order to have corn tions done to plans
And/or get County stamps. I understand that the plans need to I e brought back to Miami
Shores Village Building Departme o ue permitting pra�ss.
Acknowledged by: N
i
PERMIT CLERK INITIAL:
i
a
RESUBMITTED DATE:
i
PERMIT CLERK INITIAL:
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Plann an Z Cr
Miami Shores Village Permit No. DS - 1 1 -0 9 -1884
umu 10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000 �r� f ' 2
_�� Phone: (305)795 -2204 Fax: (305)756 -8972 �F,. .! �ow
BAR _ice'
Issue Date Not Issued Expires;NOt I ssued
Folio Number) 132060135700
Owner's Name: ELSIE BAIOFF Owner's Phone:
Job Address: 336 98 Street Total Square Feet: 390
Miami Shores, FL 33138- Total Job Valuation: $ 2,100.00
Contractor(s) Phone Prim Contractor
RELIABLE CONCRETE CORP. 305/229 -4945 Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 11/13/2009: Yes
Comments:
` FLORIDA DEPARTMENT OF
HEALT
Charlie Crist Ana M. Viamonte Ros, M.D., M.P.H.
Governor State Surgeon General
November 20, 2009
Frank Albaladejo
336 NE 98 St
Miami, FL 33138
RE: Contingency Letter
Application Document No: AP942962
Centrax Permit Number: 13 -SC- 1078614
OSTDS Number:
336 NE 98 St
Miami, FL 33138
Lot: 7 -8 Block: 41 Subdivision: Miami Shores
Dear Applicant:
This will acknowledge receipt of an application dated 11/18/2009 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 entails: "INSTALLATION OF A STAMPED CONCRETE DRIVEWAY. "
From a review of your completed application, it has been determined that your existing system is
adequate for the proposed use: " APPROVED ".
G/P
If you have any questions on this matter, please call our office at (786) 315 -2444 000.0 9990 :9
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Sincerely, • • •;' •
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Enclosures c A(, �� ��Aa- ••� ' :0 •
cc: 11-NI
Miami -Dade County Health Department
11805 SW 26 St, Miami, FL 33175
Phone: (786) 315-2444 Fax: (786) 315-2090
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Driveway Measured 100.00'
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4.77' APPROVE
Concrete 35.1 MIAMI -DADE COUNTY HEALTH DEPARTME
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APPROVED BY DATE
ZONING DEPT
BLDG DEPT 44 A
SUBJECT TO COMPLIANCE WITH Al l FEDERAL
ST ATE AND COUNTY RULES AND REGULATIONS
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I Miami shores Village
logo a ,,, Building Department
10050 N.E.2nd Avenue
.• Miami Shores, Florida 33138
/�►, Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No: 09-
Job Name:
2009 Page 1 of 1
Building Critique Sheet
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204