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DS-10-1450Inspection Number: INSP- 150595 Permit Number: DS -8 -10 -1450 Scheduled Inspection Date: September 07, 2010 Inspector: Bruhn, Norman Owner: BIRCH, JACEY Job Address: 261 NE 105 Street Miami Shores, FL 33138 -2023 Project: <NONE> Contractor: MIAMICRETE INC Building Department Comments BRICK PAVER DRIVEWAY Passed g �fc) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 150017. Clean up debri and pallets. resod area. clean sand from drive and road. NB September 03, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122310130620 Phone: (786)853 -7454 Page 24 of 35 Tenant/Lessee Name Miami Shores Village BUILDIG PERMIT APPLICATION FBC 20 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 Permit T BUILDING ROC FIN�G , ype . � Owner's Name (Fee Simple Titleholder) ' . (' Phone # r --- 7• -6 Owner's Address 242 NO : l0 5 '51 citY-a '' state FL Email D Gam'' Job Address (where the work is being. done) 2 N6 10 5 ' r City yIiand Shores Villa County FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name / 4 CR re Contractor's Address / 0 .. If City : R lral Qualifier Name &71 State Certificate or Registratio No. Contact Phone State AJ1JNe? Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 'C • C Type of .Work: °A A ddition � , (� � Altteration Describe Work:.. ‘ 4 Y - t 2:4/1 GV Submittal Fee Permit Fee $ Notary $ Scanning $ Radon $ Double Free $ ►1 Training/Education • Fee $ Permit No. L ED Master Permit No. Zip Phone # Miami -Dade' . Zip Phone # e 9- l 'tl Flood Zone Zip 3 Phone # r d' } / / \1 Certificate of Competency No. 0 3 ? 00 6. 1 . J E -mail (' • / frz(4 tx a Phone # Square /Linear Footage Of Work: New 0 . Repair/Replace. 0 Demolition * * * * * * * * * * * * * * * * ** *yo- * *. ** *** * *. * * * * * *** Fees*************** * * *** * * ** * * * * * *. *** * ** * * * *.** ** $ • - • CO /CC $ Technology Fee DPBR $ Bond $ . . Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side L. Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name if applicable) C' 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, .x. WELLS, POOLS, FURNACES,: BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: T 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 $2300, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property ..is subject to attachment. Also a certified copy of the recorded .notice of commencement ' , st be posted at the jib site for the first inspection which occurs seven (7) days after the building permit is igsu: In the abse �� such posted notice, the inspection will not be proved and a reins ection fee will be charged Signature Signature The fore day of who is NOTARY PUB APPROVED BY oing instrument was acknowledged before me this ,20 , b y IL. !son »I known As identificati (Revised 07 /10 /O7XRevised 06/10/2009) Zip o has produced - n and who did e an oath. € UNEZ Sign: Print My Coinmission:Expires: ***** 7k$ t**dt .'t*** **9t7kYr**ic9C* 9r* k9ednkdadrdi9edt*gr9cdc*&*** **+4 ***drip'***dtd *** *'ki't9rir *a4dt**** < Plans Examiner Engineer Contract The fore o n .'. ,irument as cknowl ; ged before me this C g day of. A i , .2 t , by who is ersonally known to me or who has produced ty as identification and who did take an oath. NOTARY PUBLIC: \``‘ \\‘‘ 0 "11 3 4 1 "1"41// � b15 ` ` 0 14• %\ Sign: Print: '�� -' My Commission Expriis: s a��'c NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.10 g► MCC TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to property, and in accordance with Chapter 713, Florida Statutes, the following Infef t1d UVI is provided in this Notice of Commencement. gy 1. Legal description of property and street/address: � 24 �, � , A/ 4 - 10 / 1 T � f _ `9 frt 1, v �'te l.. 2. Description of improvement: 3. Owner(s) name and address: Interest in property: 774/Pai- Pal/e,4 frarir Aceed-- 12,14411— au/NLn- Name and address of fee simple titleholder: 4. Contractor's name and address: 0 4 a/1441, adle We 93 / 9w /b .. , 5. Surety: (Payment bond required by owner from contractor, if any) / Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration dill nt ate is spec 49 ignatu f O rvyne Print Owner's Name r /7 Sworn to and sub ribed before EN :9 MY COM Notary Pub Print Notar'y's 'amr 1 My commission ex 123.01 -52 PAGE 4 8/02 e this day of 1111111111111111111111111111111.111111011111 .r� ejz ?T51 h RIDA, COUNTY OF DADE 1FY thot ttis is flue copy of the 0f1_ day of ,AD20 '!/v 1 and Orficiol teal. CLER '/. Circu 0 County Courts 9 T — o.C. STATE OF F 1 HEREBY CE vrigirra! Rad fi CFN 20110R0552916 OR Bic 27388 Ps 37391 Ups) RECORDED 08/16/2010 12:08:08 HARVEY RIJVIHr CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE date is 1 year from the date of recording unless a Address: ; to SW/ 46 Prepared by trl(arce A/!/i/e Charlie Crist Governor (Statewide) P.o. box 3865 Hollywood, FL 33083 October 21, 2009 RE Contingency Letter Application Document No: AP939907 Centrax Permit Number: 13 -SC- 1006610 OSTDS Number: 261 NE 105 St Miami, FL 33138 Lot: 1- 2 -17 -18 Block: 14 Subdivision: Pasadena Hills Dear Applicant: This will acknowledge receipt of an application dated 10/20/2009 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. There is no increase in sewage flow, no change in characteristics compromising the integrity or function of the system. From a review of your completed application, it has been determined that your existing system is adequate for the proposed use.. This permit is granted for construction of a driveway that will have no impact on the unobstructed area. If you have any questions on this matter, please call our office at (786) 315 -2444. Enclosures cc: Sincerely, Miami -Dade County Health Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Fax: (786) 315 -2090 Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General h Piverger, Engineer Specialist II • • • • ••• ••• • • ••• • • ••• • ••• • • • . ••• LDG DEPT UBJECT i TATE AND JANCE WITH ALL FEDERAL RULES AND REGULATIONS MONO / PIPE 1/2' r; k?) OV &Oa' CAE? FOUMO NON PFE 1/2 (NO IN •••• • • J EVISE11 • • • .• • • •• PIPE 1/2" (NO ID) " t a25' ►c • • 0.30' O r •• • • • • • • NOT VAgLLI�D yIQLESS E WITH • •••• §r11RVEYOR'$ SEAL • •• •1111• • ••• • .• - ! - 2 2 5 ' 1585' ONE S7ORY cas RESIDENCE N' . 261 saw' 100 100TR,r) atva csi 525' 30.6o' - .1.1wa3d qtr y ea L1IVd30 HL?bat I ,utmoo o -avvrw v_a■c b '4 11111143d • COA0elddV j auavdna 140V3H •, a 3 A 0Mddtf 2500' L0 -c ABBREVIATIONS; SWC=SIDE►MLKCHS =CONCRETE BLOCK STRUCTURE. CLF=C lANLINKFENCE,PL =PROPERTY LINE, DUE=DRAINAGE UTILITY EASEMENT,it F =FOUND, A/C=AIR CONDITIONER PAD. PIC =PROPERTY CORNER, DIH DRILLED HOLE, WF =WOODEN FENCE. RES =RESIDENCE, CL -C LEAR UE =UTILITY EASEMENT, CONC =CONCRETE SLAB, RM+=RIGHT OF MY, DE=DRAINAGE EASEMENT CIL=CENTER LINE, O T M =MEASURED, R=RECORDED, ENCR = ENCROACHMENT, COMP=COMPUTER, ASH=ASPHALT, N!D=NAIL & DISC. S=SET, FEE =FINISH FLOOR OIS= OFFSET. PIP =POWER POLE. OHP=OVERHEAD POKERLINE, W = ARTER METER KOOD FENCE= MAS NO_ ELEVATION BASED ON LOC. # CONCRETE= 1•:;:..'r;tw• -:.•I le- ••t;:: •t;,.•.t;:..c;•:.r C + MAINTENANCE& DRAINAGE EASEMENT= M & D.E B ETV TYPE OF SURVEY: BI SURVEYORS NOTES;, 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SK AND RAISED SEAL OF A FLORIDA UCENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HES COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLI UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL G VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADI RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS CC CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RE INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY" Charlie Crist Governor October 21, 2009 (Statewide) P.o. box 3865 Hollywood, FL 33083 RE: Contingency Letter Application Document No: AP939907 Centrax Permit Number. 13 -SC- 1006610 OSTDS Number: 261 NE 105 St Miami, FL 33138 Lot 1- 2 -17 -18 Block: 14 Subdivision: Pasadena Hills Dear Applicant: This will acknowledge receipt of an application dated 10/20/2009 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. There is no increase in sewage flow, no change in characteristics compromising the integrity or function of the system. From a review of your completed application, it has been determined that your existing system is adequate for the proposed use.. This permit is granted for construction of a driveway that will have no impact on the unobstructed area. If you have any questions on this matter, please call our office at (786) 315 -2444. Enclosures cc: Sincerely, Miami -Dade County Health Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Fax: (786) 315 -2090 Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General h Piverger, Engineer Specialist I1