DRIVEWAYInspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
....................
.....................
Is�a�ct
Inspection Date: 07/19/2006
Inspector: Desharnis, George
St 2
Owner: BINAI, ELIZABETH
Job Address: 957 99 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: RELIABLE CONCRETE CORP.
Building Department Comments
Tuesday, July 18, 2006
Permit Type: 'Driveways /Sidewalks6
Inspection Type: Final
Work Classification: New
Block:
Phone Number (305)754 -9541
Parcel Number 1132060340260
Lot:
Phone: 305/229 -4945
Page 2 of 2
Passed
Inspector Comments
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Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
....................
.....................
Is�a�ct
Inspection Date: 07/19/2006
Inspector: Desharnis, George
St 2
Owner: BINAI, ELIZABETH
Job Address: 957 99 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: RELIABLE CONCRETE CORP.
Building Department Comments
Tuesday, July 18, 2006
Permit Type: 'Driveways /Sidewalks6
Inspection Type: Final
Work Classification: New
Block:
Phone Number (305)754 -9541
Parcel Number 1132060340260
Lot:
Phone: 305/229 -4945
Page 2 of 2
Scheduled Insp # Inspection Type
07/10/2006 INSP -21029 Foundation
07/19/2006 INSP -21032 Final
Inspection History
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Project:
Owner:
Phone:
<NONE>
ELIZABETH BINAI
(305)754 -9541
Job Address: 957 99 Street NE
Miami Shores Village, FL 33138-
U
Parcel: 1132060340260
Block: Lot:
Inspection Status
APPROVED
Pending Inspection George
Desharnis
Inspector Date Completed
Claudio Grande 7/10/2006
Not Complete
Tuesday, July 18, 2006 Page 1 of 1
s
Owner's Afldress
0
City
Tenant/Lessee Name
Describe Work:
( Structural Review. $
Is Building Historically Designated
B
Buildin Elec
YES NO j
Value of Work For this Permit $
Type of Work: ❑Addition ❑Alteration
�.C.4:2 Df �,v
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $ 3- C-C") Radon $
Bond $ 3°C) - O
Code Enforcement $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
zoo .
CD -4-0 .
BUILDING qEMEEVIE
Permit No. .73
.T APPLICATION rA 2 5 aster Permit No.
FBC 2004
Permit Type (circle) 1 Plumbin a Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Phone # 7 5 4
s 1.\ 6 1 6 1
S tate � Zip 3� 3>
Phone #
Job Address (where the work is being done) 1,9* t.YE 9g ''
City Miami Shores Village County Miami -Dade Zip `- (
FOLIO / PARCEL #
y Pho�e # ` $�J2 6 ^
Contractor's Company Name `�
Contractor's `�ddress i t D( S.ts v Q ° � ��
City 't'C� a.�.3�t�hr Qualifier Name
State Certificate or Registration No.
Architect/Engineer's Name (if applicable) Phone #
Zip s3 (
Phone # b '°
Certificate of Competency No.
Square / Linear Footage Of Work:
Oew
❑ Repair/Replace ❑ Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ 1 . ZO CO /CC
Technology Fee $ 2
DPBR $ Zoning $
Double Fee $
Total Fee Now Due $ 4C:37 ' 1 0
See Reverse side -3
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 .cite
for the first inspection which occurs seven (7) days after the building permit is issued. In the abse ce of such posted noti( the
inspection will not be approved and a reinspection fee will be charged. 4,
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this d-6 The foregoing instrument was acknowledged before me this _ _
day of if--,-C- 20 C 4 by day of (via- a& , 20 C 4, by ,
civho is / o rt n.to or who has produced who is ersonally known to me or who has produced FL DelV. I e.
As identification and who did take an oath. pi 900 -1 / S7"Y 2 a9identification and who did take an oath.
NOTARY PUBLIC:
Sign: _E / //;a tGl- 1 =Ct -E
Print: U k' Ild 1 R.-
r
My Commission Expires: ( /9 G7
****************************************************************************** * * * * * * * * * * * * * * * * *,r * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
` � pY PV i
Sylvia Halter
Ac `•` • �� : Commission #DD220732
.:�_ Expires: Jun 08, 2007
%9lF •.. •��� lionoel Inru
uo "
Atlantic Bonding Co., Inc.
Signature
NOTARY PUBLIC: ,,��4P,,, Sylvia Halter
Sign:
Print:
S flv�'c
My Commission Expires:
ce/
��'� • A V's Commission #DD220732
*: Expires: Jun 08, 2007
, Bonded Thru
rn,�` Allanli� Bonding Co., Inc.
CLIfs,e_
10 q
Plans Examiner
Engineer
Zoning
WHEREAS,
requests permission to install:
following described property:
Legal description /folio #:
Lot Block Subdivision
Tax Folio #:
SIGNED. SEALED AND DELIVERED in the presence of:
M arni Sh.oreJ
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone (305) 795 -2207
. (305)-756 78972
COVEN NT F CONSTRUCTION WITHIN RIGHT OF WAY
, hereinafter referred to as the Owner of the
(owner)
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 0/6 day of
((A spha concret brick pavers
[ 1 Landsca
[)Other
q £ L `1 L•0---"k
tJ� �'I 10.Q'T - \ P 1
within the public road right of way of
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 3 Jg
l • To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
Sylvia Halter
Commission #DD220732
:Q • Expires: Jun 08, 2007
o� Bonded Thru
,." Atlantic Bonding Co., Inc.
L.
'STATE OF FLORIDA)
COUNTY OF DADE)
cbc:Nc(\°
The undersigned Affiant, , does hereby attest that the
(property owner)
attached survey, performed by
(name of surveyor's company)
performed on , is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
Further, Affiant sayeth naught.
.,, -, Sylvia Halter
�.F `: Commission #DD220732
Expires: Jun 08, 2007
v • ... • .; ,
; Bonded Thru
�' I Atlantic Bonding Co., Inc.
Witness(sign and print) Witness(sign and print)
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted -or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
tg
SWORN TO AND SUBSCRIBED before me this ( 161r—da y o f # ui , a D 0 �P
Affiant is /personally known to me, produced
as identification.
�b're s Sri
Issue Date: 6/28/2006
Owner's Name: ELIZABETH BINAI
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: New
Job Address: 957 99 Street NE
Corn ments:
PLAIN CONCRETE DRIVEWAY
Additional Information
Fees Due
Bond Type - Owners Bond
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Miami Shores Village, FL 33138-
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Amount
$300.00
$1.20
$0.40
$100.00
$3.00
$2.50
$407.10
Permit
Expires: 01/01/2999
Contractor(s)
RELIABLE CONCRETE CORP.
Phone
305/229 -4945
Primary Contractor
Yes
Type of Work: DRIVEWAY Additional Info: PLAIN CONCRETE
Bond Return :
Classification: Residential
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. Futherm ore, I authorize the above -named contractor to do
the work stated.
Parcel #:
Block:
Section:
Total Square Feet: 260
Total Valuation: $ 1,900.00
Required Inspections
Foundation
Sidewalk
Landscaping
Final
Permit Status: APPROVED
Permit Number: DS -6 -06 -1733
Phone: (305)754 -9541
1132060340260
Lot:
PB:
Invoice Number
DS - 6 - 06 - 25386
Total:
Amt Due
$407.10
Amt Paid
r 2 9 MOD
NOTICE: In addition to the requirements of this permit, there may be additional
restrictions applicable to this property that may be found in the public records of
this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES .
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h nspection Number: INSP -21029
ciUL 1 1 MI5
Permit Number: DS -6 -06 -1733
Inspection Date: 07110/2006
Inspector: Grande, Claudio
Owner: BINAI, ELIZABETH
Job Address: 957 99 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: RELIABLE CONCRETE CORP.
Friday, July 7, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Foundation
Work Classification: New
Block:
Phone Number (305)754 -9541
Parcel Number 1132060340260
Lot:
Phone: 3051229 -4945
Page 2 of 2
Passed
�
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
h nspection Number: INSP -21029
ciUL 1 1 MI5
Permit Number: DS -6 -06 -1733
Inspection Date: 07110/2006
Inspector: Grande, Claudio
Owner: BINAI, ELIZABETH
Job Address: 957 99 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: RELIABLE CONCRETE CORP.
Friday, July 7, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Foundation
Work Classification: New
Block:
Phone Number (305)754 -9541
Parcel Number 1132060340260
Lot:
Phone: 3051229 -4945
Page 2 of 2