DS-10-813Inspection Number: INSP - 142873 Permit Number: DS -5 -10 -813
Scheduled Inspection Date: August 31, 2010
Inspector: Bruhn, Norman
Owner: ASTRALAGA, IVAN AND MARCELA
Job Address: 254 NE 101 Street
Project: <NONE>
Miami Shores, FL
Contractor: PAVERS AND BRICKS SERVICES CORP
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
August 30, 2010
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)773 -0577
Parcel Number 1132060134620
Phone: (305)986 -2544
Page 4 of 18
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building Roofmg
Owner's Name (Fee Simple Titleholder) Phone # a 23 9,09 2'?
Owner's Address 2 5'1 N t' 101 5+
City Air te'! i eS State Z Zip 3 3132
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Value of Work For this Fermi $ t 4 5
Type of Work: ['Addition ['Alteration ['New
Describe Work: E )c Ti f COpe 0 - '
It
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
25y ytic lo( S'T.
County Miami -Dade
Permit No. V Sl 0 13
Master Permit No.
Zip 33/32
Contractor's Company Name '1A C 1 6/Ztd<3 SO i.s .
Contractor's Address 11135' L # " e6 7 1X(
City �A /4/14 % State — Zip 3 3/‘ r
Qualifier Name TovL P FA Ca/4E2
State Certificate or Registration No. Certificate of Competency No. 0 6 BS 4®6 ? is
Architect/Engineer's Name (if applicable) ��
Phone # 05.8 9 `l R/ ?f
) i)
EM IIV3
MAY 1u2iu
BY:
Phone #
Phone #
Square / Linear Footage Of Work: .375
Repair/Replace
U
itff
M/
2 -i " fit C)ii:vES ` o e®' e n ere"
g
�v C.z,, 5:✓r WAL-1"-- I i
U o2 b t o **** * * * * * * * * * * * * * * * * **** ***** * ***** ** F ** * *** * ** ***** *** *** * * *e* *** * **
,
Submittal Fee $ Permit Fee $ � o CCF $ AO
0.40 Technology Fee $
See Reverse side -
Demolition
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ l . 20
' O/
Notary $ Training/Education Fee $
Scanning $ G I" V J Radon $ DPBR $ Zoning $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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 F! .RCTRICAL 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.
P-0 - 44-( C --t,4„ v _
Owner or Agent I Contractor
The foregoing instrument was acknowledged before me this 3 The foregoing instrument was acknowledged before me this 3
day of __,, , 20 /0, by day of AtA , 20/ 0, by it L D. F/-i�UAea
who is personally known to me or who has produced 01 who is personally known to me or who has produced
As identification and whct did y 4-►b5 as identification and who did 14!„,11.10:6\lC° /1k‘l: s‘t1t)D°5Gicl°"'ll
NOTARY P
Sign: Sign: �' l
Print '!,�
_ Print: �' t' a� Q=2.5
1
My Commission Expires: f t - &' ?° My Commission Expires: fj Q(I J 01
* * * * * ********* * ********* ::*** * ** ** * axe * * **** : ****a:**** * * * **** * *** * **** **+x**** ******** *** ** * *** * ******** ***
APPLICATION APPROVED BY:
(Revised 07/10/07)
51-247cc
wIG
Plans Examiner
Engineer
Zoning
WHEREAS,
following described property:
Legal description/folio #:
Lot !/1/P
Tax Folio #:
requests permission to install:
/ COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
AL ( ZC" l ` 0 AS TRA 64 hereinafter referred to as the Owner of the
(owner)
ictmi Sh,oreJ
Block 3
10050 N.E. SECOND AVE
MIAMI SHORES. FLORIDA 33138 -2382
Telephone (305) 795 -2207
Fax: (3051-756- 8972
Subdivision ✓� / $// 65 5 c flat, 4-
Wksphatconcrete brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of t5 ,v ( /0/ 5r°
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I • 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 liven 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'tiie 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).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 3 day of
SIGNED, SEALED AND DELIVERED in the presence of:
owner
NOTARY i : LI ' TATE OF FLORIDA
"'r••, Ruth Cordeiro •
` Commission #DD734765
Expires: NOV 15, 2011
BONDED TBRU ATLANTIC BONDING CO., INC.
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ONE STORY
RESIDENCE
#254
F.F.E. =1 1.36
GAR =9.38
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N. E. 101st STREET
20' ASPHALT PAVEMENT
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•: • NOTES; NQ.NOTES.
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Legal Desc: ption:
The West ` _ of Lot 5 Et Lot 6, Block 34, of "AN AMENDED PLAT OF
MIAMI SHORES SECTION NO.1", according to the plat thereof as
recorded in Plat Book 10, at Page 70, of the Public Records of
Miami- Dade County, Florida.
Certified to:
MARCELA ASTRALAGA
Commv,";,-' Number: 120652
Panel: L .___
Suffix: J
Date of Firm Index:03 /02/94
Firm Zone: X
Base Flood Elevation: N/A
Date of Completion: 08/03/2007
Property Address:
254 N.E. 101 STREET
MIAMI SHORES, FL 33138
SURVEY: S -4550
no'
GENERAL NOTES:
SI
MIGUE
NOT AUD WITH
ELE . NIC SEAL
THE RIGNAL RA
AUTHENTIC ELE
/OR THIS MAP IS N
SEAL OF A LICENSE
LOCATION SKETCH
NOT TO SCALE
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-LEGAL DESCRIPTION PROVIDED BY OTHERS.
- EXAMINATION OF THE ABSTRACT OF TITTLE WILL HAVE TO BE MADE TO DETERMINE
RECORDED INSTRUMENTS. IF ANY. AFFECT THIS PROPERTY.
-THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED
ENCUMBERANCES NOT SHOWN ON THE PLAT.
- UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS OR OTHER IMPROVEMENTS WERE
NOT LOCATED-
-ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED.
-WALL TIES ARE TO THE FACE OF THE WALL
-FENCE OWNERSHIP NOT DETERMINED.
- BEARINGS REFERENCED TO LINE NOTED AS B.R.
- BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF THE SURVEY
WORK PERFORMED IN THE FIELD. COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO
SCALE.
-NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
-NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYOR'S EMBOSSED SEAL.
- DIMENSIONS SHOW ARE PUT AND MEASURED UNLESS OTHERWISE SHOWN:
-ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED.
-THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED.
-THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES
NAMED HEREON. THE CERTIFICATIONS DO NOT EXCEED TO ANY UNNAMED PARTIES.
SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY IS A TRUE AND
CORRECT REPRESENTATION OF SU EY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH
THE MINIMUM TE.jj NICAL STAN {.; DS AS SET FORTH BY THE STATE OF FLORIDA BOARD OF
PROFESSIONAL •f +D SURVEY. Y. IN f:'APTER 61G17 -6, FLORIDA ADMINISTRATIVE CODE
FOR THE FIRM
No.5101 STATE OF FLORIDA
SIGNATURE AND AUTHENTICATED
LID WITHOUT THE SIGNATURE AND
URVEYOR AND MAPPER.
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MIGUEL ESPINOSA
LAND SURVEYING, INC.
5511 SW 8th STREET — SUITE 202
MIAMI, FLORIDA 33134
PHONE: (305) 262 -2992
FAX: (305) 262 -2995
www.espinosalandsurveying.corn
L.B. 6463
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