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DS-09-1661 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 142009 Permit Number: DS -10 -09 -1661 Scheduled Inspection Date: May 04, 2010 Permit Type: Driveways /Sidewalks /Slabs Inspector: Bruhn, Norman Inspection Type: Final Owner: CALLAM, MAIRI Work Classification: Addition /Alteration Job Address: 149 NW 101 Street Miami Shores, FL 33150- Phone Number Parcel Number 113101023014 Project: <NONE> Contractor: HOME OWNER Building Department Comments INSTALL PAVERS OVE EXISTING CONCRETE DRIVEWAY. Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 126746. Tie in at street is ragged. Make it straight. NB Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 03, 2010 For Inspections please call: (305)762 -4949 Page 10 of 11 Planning and Zoning Criteni-a Miami Shores village Permit No. DS-1 0-09-1661 10050 N.E. 2nd Avenue mocsr Miami Shores, FL 33138-0000 .... ........ ... ad .......... ..... Phone: (305)795-2204 Fax: (305)756-8972 ....... Issue Date: Not Issued Expires:Not Issued . ........ . .......... Folio Number) 131010230140 Owner's Name: MAIRI CALLAM Owner's Phone: Job Address: 149 101 Street Total Square Feet: 500 Miami Shores, FL 33150- Total Job Valuation: $1,500.00 sva . . .•...c. . .................. ------ .......... . . ................ . .................... ........ . ......... . .. . ...... . .... --. ..... . ....... .......... contractor(s) Phone Primary Contractor .......... . . . . . . . . . . . . . . . . . . ...... Planning and Zoning Criteria and Comments Approved: No Date Denied: 10/13/2009 Comments: AREA OF PAVERS DOES NOT COMPLY WITH VILLAGE REGULATIONS. PAVER DRIVEWAY CAN NOT BE HIGHER THAN ROAD. WATER MUST BE ABLE TO DRAIN FROM ROAD TO SWALE. Fr § s s►�° ,,{ Miami Shores Village 10050 N.E. 2nd Avenue „ ihetal 011 Miami Shores, FL 3313 8-0000 Phone: (305)795 -2204 x x A Expiration: 05/02(201 n 1►3� : p Project Address Parcel Number Applicant 149 101 Street 1131010230140 Miami Shores, FL 33150 Block: Lot: MAIRI CALLAM Owner Information Address Phone Cell MAIRI CALLAM 149 101 Street MIAMI SHORES FL 33150- ; Contractor(s) Phone Cell Phone Valuation: $ 1, HOME OWNER Total Sq Feet: 500 Approved: No For Inspections please call: Comments: AREA OF PAVERS DOES NOT COMPLY WITH VILLAGE REGULATIONS. (305)762 -4949 Date Approved:: No Available Inspections: Date Denied: 10/13/2009 Inspection Type: Type of Work: DRIVEWAY & WALKWAY Additional Info: SEAL & STAIN Final Bond Return : Classification: Residential Sidewalk Landscaping Foundation Fees Due Amount Invoice # Total Amt Paid Amt Due CG F $1.20 Edu cation Surcharge $0.40 DS -10-09 -36119 $ 114.20 $ 64.20 Education '- Notary Fee $5.00 DS 10 - 36119 $ 114.20 $ 114.20 $ 0.00 Permit Fee $100.00 Permit Technology Fee $0.00 Scanning Fee $6.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $1.60 Total: $114.20 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. January 06, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy January 06, 2010 1 tit j _ Miami Shores Village ` Buildin g D artm.ent OCT 1 20 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY °. ®-- °- °-- ®- ® - ® ® - ®. INSP'ECTION'S PHONE NUMBER: (305) 762.4949 I� BUILDING Permit No. r PERMIT APPLICATION Master Permit No. FBC 20 Permit Type BUILDIN ROO Owner's Name (Fee Simple Titleholder) � � � � ° Phone # 9 Owner's Address City & �� State Zip Tenant/Lessee Name 4ZM Phone# Email Job Address (where the work is being done) . 4 A City Miami Shores Village County. Miami—Dade—z FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) 0" 0 Phone # Value of Work For this Permit $ 5_ (2b Square ! Linear Footage Of Work: Type of Work: ❑Addition []Alteration ONew R airlR lace ep ep ❑Demolition Describe Work: Q O CT :1 SubmittajFe. Permit Fee $ ® CCF $ `' C'O CCe Notary $ Training/Education Fee $ Technology Fee $ Scanning Radon $ DPBR $ Bond $ Double Fee $ r Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side -� • I 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subjectt to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged.. Signature Signature Owner or Agent Contractor The for g r st ' ument r was ac owledged re me this ) The foregoing instrument was acknowledged before me this , day of 0, by day of , 20 _, by , who is berso nally known to me or who has produced who is personally known to me or has produced ' identification and who did take an oath. as identification and who did take an oath. NOTARY P LIC: r NOTARY PUBLIC: Sign: Sign: Print:. Q 6 I1 Print My Commission Expires: My Commission Expires: zY? e�k4e$ 9tik�lt3e$ rkrkJr4e4riktk�ehdC�1C $ *4Cieik9nk4t9cde9e�Flt � � & 9[' kYodcdt4e9e3esF9ezY9rar3erk�kiCSkl t4clFl Cdc4c4rtiksY�itlkit( �Rt4edc3e�Yk4e9e3e: N1k4t4e9C3: des�dC9CBe: F�kik�tnY &��rdnit4C�/t�Ylt1@�1t4e'kik APPROVED BY ����' � • Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Rovised 06/10/2009) 0 6 . VILLA GE OF N lAAff sgo:nES OCT 19 20 9 ,-f omoo ©mm O WNER BUILDER DISCLOSURE, ST 6mOmomm© ATEMNT E �1 NAME: Vt V C DATE: ADDRESS: Q I -- Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 484. (03(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to.be done by a licensed Pontractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the 004slmo0on youraalf. You may build or improve a one- fadilly or two- family residbnce. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale-or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation bf this exempti ®n. You Bray not hire an unlicensed person as k contractor. It is your responsibility to make sure the people employed by you have licenses required by stag law .arid by county or municipal licensing ordinances. Any person working on your building who is not licensed tityst work under your supervision and must he employed by you, which means that you must deduct F -LC.A and with - holdings tax and provide workers compensation for that employ all na prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please rotld and initial each paragraph. I. I hold, fide to the above property and I am planning on doing this construction Myself. Initial 2. I understand that as an ovvnor- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days -will become null and void (expired) and a new permit will be required: to be Issued for reinstatement of the permit., Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help. enforce and interpret the code. There is a copy of the code in this ,office for review. ' Initial 4. [ that the building official and inspectors 'are not there to design, alter or give advice on how to meet code — only if the structure meets the minimum code. Initial S. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of 0 attorney. The department will not mitigate any contract al — /7D b. I understand that if I compensate any person or company for work performed they are requited to We a business license in the courfty. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I under$tok& that if any person gets injured on my construction projcot they are entitled to workmen's compensation: And if they do not posses a workmen's policy I could be held liable for all doctor and relaxed cost which could include ldss of wages during recovery from injury. Initial 8. I understand , that under state and local laws ' I can not do . any Electrical, Plumbing, Heating, Air & Roof work on my'property with out first obtaining the proper permits by licensed contractors. Initial Was .acknowledged before me this 1 day o o , 20 By w 15�� who was personally known to me or who has Produced there License of as identification. 1 OWKER T Y �iQTP1tY Pt1 LTC �:P.TE opFWMDA NOTARY n t l � ,�,, 6 �- v ( os s st C CSbd'.At�°"'° AD 7 11.92 2a, i a Y3 � � acct ^ it r i .%viz : ^" Y •F i pp b p � / o?�,.::•_fw ■/{` . P gild J in oe fu1 ami Shores Villag? :� �PROVED BY DATE ZCNING DEPT D LDG DEPT '(97 IS IS A BOUNDARY SURVEY SUBJECT TO COMPLIANCE WITH ALL FEDERAL - W A NSC O}}��g - Lo 13 and the Past 1!2 of Lot 14, Block 2, c STATE AND COUNTY PULES AND PEGULATIONS A ITXON, according to the plat thereof, as recorde at Page 71 of the Public Records of Dade Count The undersigned, a Land Surveyor- authorivnd to the laws of the State of Florida, hereby certitie The sketch as shown hereon represents a BOU110A: under my direct supervision in compliance witl technical standards for land surveys in the State Fit to chapter 21 -UH -6 Florida Administrative Code, a. correct to the best of my knowledge and h..1 -. y_ M v e i �� 1 e SUPER STONE INC. 1251 Burlington Street Opa- Locka, Florida 33054 �F (305) 681 - 3561 S � 800- 456 -3561 UPERSTONE 800 - 432 -5037 FAX (305) 681 -5106 CHLOR -STAIN 233 -91) AZURE POOL BLUE 233 -4A AGED ONZE 233 -10A AGED BUFF 233 -88 LIGHT TERRA COTTA is 233 -2E AGED COPPER GREEN 233 -1 D GOLD BER 233 -3C LIGHT PALMETTO GREEN 233 -7F V r2 6 �S MISSION OWN 233 -6A BLACK 233 -5C LIGHT WALNUT BROWN i The effects of the colors produced by SUPER STONE CHLOR -STAIN are unique to each concrete surface and will vary in shade as do colors of stone, sand, and other natural materials and may differ quite a bit from the colors on the chart. Variations uneven or translucent colors can be expected. As each concrete surface is different so shall the results of chlor -stain be. Experimenting with colors and applications is required. Test sections should be made on each concrete surface.