The URL can be used to link to this page

DS-10-1810Inspection Number: INSP - 152244 Scheduled Inspection Date: December 28, 2010 Inspector: Bruhn, Norman Owner: AMARO - RUDAN, GINA Job Address: 358 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: PAVERS AND BRICKS SERVICES CORP Building Department Comments REPLACE WOOD DECK WITH BRICK PAVERS ON A SAND BASE Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 27, 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 Number: DS -10 -10 -1810 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360130030 Phone: (305)986 -2544 Page 2 of 10 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) 5 T f= VE N /'2 vim Ai Owner's Address .35R ME 10514 SM. City M J 4 yV , � SenoLt,D State P City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address City /■/1 -i alifier Name State Certificate or Registration No. 0674 5 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY: Tenant/Lessee Name Phone # Job Address (where the work is being done) 55 8 N E /05 S -0130 4941 1,6 (\..d /h<<K> County Miami -Dade Pi:)aCP!S Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ PermitNoP S(O'" iB ( 0 Master Permit No. Phone # Zip 33i,33? Zip # 7P6 *13 Zip 33 h 9 Phone # teC 4 ,7' Certificate of Competency No. chitect/Engineer's Name (if applicable) Phone # S�IQj $ no. title Value of Work For this Permit $ 2 Square / Linear Footage Of Work: •0 r Type of Work: ❑Addition ❑Alteration 'Sew © RepaiiIReplace! ❑ Demolition Describe Work: ` ' P (Pic ( . u., & ' c ' c ' t'-; t ' -c.; c P Pis O/'-.' * * * * * * * * ** * * * * * * * * ** x * ** * * * * ** ** * * ** ** F * * * * ** * * ** * * * ** : * * * * * * * *** * * * * ** * * * ** * ** * ** Submittal Fee Permit Fee $ 7(/12 CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ 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 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. Signature The foregoing instrument was acknowledged before me this day of `e5P ' /�4�'20 kQb :�"' 4 A f1} who is personally known to me or who has produced As identificaiw t dy ,t k® NOTARY PUBLIC: ce!! Ruchiely lopes Cordeiro Zta Ccn,misiiaa # EE019117 E NOV 15, 2011 IUD THRI: ATLANTIC B0N'DLNG CO., INC., v Sign: Print: Sf an di Rol i My Commission Expires: (Revised 07/10/07) wner or Agent APPLICATION APPROVED BY: Signature Contractor The foregoing instrument was acknowledged before me this 2C day of . e, , 20J0 by 1 . 0, C_. who is personally known to me c rlhi _ " ''' haritell ' iel Lo asidentific wv c NOTARY PUBLIC: •:.,• Exp NOV.15, 20t BUM= THU ATLANTIC BONDING CO., INC. P My Commission Expires: Plans Examiner Engineer Zoning ASR TR 'M INSRD TYPE OF INSURANCE POUCY NUMBER IPOLCY EFFECTIVE I OATS (MIMIDD/IfY} POLICY EXPIRATION DATE (A�W LIMITS a ❑ GENERAL LIABILITY ARTE009373 c { 12/20/09 12/20/10 EACH OCCURRENCE j 1,000,000 DAMAGE RENTED RE�MES occurence) ' 50,000 ►n COMMERCIAL GENERAL LABILITY MED EXP (Any one person) 5,000 IIIIII CLAIMS MADE .�/ OCCUR ❑ PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 ❑ PRODUCTS - COMP /OP AGG 1 1,000,000 GENT_ AGGREGATE LIMIT APPLIES PER: ❑ POUCY 1 PROJECT ❑ LOC ❑ AUTOMOBILE LIABRJTY ❑ ANY AUTO ❑ ALL OWNED AUTOS E COMBINED SINGLE UNIT (Ea accident) BODILY INJURY (Per pecan) II SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS ❑ BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) j J ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ C AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG 1 ❑ EXCESS/UMBRELLA LIABILITY { EACH OCCURRENCE a AGGREGATE 1 OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ I 3 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? ir SPECIA RPL OVI S e tONS below WSAUIEC11596901 [ 04/07/10 04/07/11 0 WC STATU- 1111 OTH- TORY LIMITS ER EL EACH ACCIDENT j 100,0001 EL DISEASE - EA EMPLOYEE 100,0001 E.L DISEASE - POUCY UMff 500,000 OTHER 4co r3 PRODUCER Accurate 8300 West Hagler Suite 114 Miami, FL 33144 Phone (305)226 -8727 INSURED Pavers And Bricks Servises Corp. 11835 W. Dixie Hwy North Miami, FL 33161 INSURER E: INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W RH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH COVERAGES )ESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMEN ruildings Dryways, CERTIFICATE HOLDER ACORD 25 (2001 /08) OF CERTIFICATE Village of Miami Shores 10050 NE 2 Avenue Miami Shores, FL Fax (305)226 -8767 OF LIABILITY INSURANCE DATE MM 0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER k Lloyd's Of London INSURER B SUA INSURER C: INSURER D: CANCELLATION AUTHORIZED REPRESENTATIVE Lucia Estrella ® ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Scale :. Each block re • resents 10 feet and 1 'n h = 40 feet. 111111111111 NMI 11 ■UNU 1111 S • Notes: v Site Plan submitted by: Plan Approved DH 4015, 10/96 (Replaces HRS -H Form 4016 which may be used) (Stock Number: 5744- 002- 4015 -6) STATE OF FLORIDA DEPARTMENT OF HEALTH R ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT - PART II - SITEPLAN - -- Signature /! Not Approved By County Health Departments. ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Charlie Crist Governor (Pavers And bricks) 99 NW 156 St Miami, FL 33169 RE: Contingency Letter Application Document No: AP981360 Centrax Permit Number: 13-SC- 1282853 OSTDS Number. 358 NE 105 St Miami, FL 33138 Lot: 5 Block: 117 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 10/12/2010 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 : NEW PATIO WITH PAVERS " 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 (305) 623 -3500. Enclosures cc: October 13, 2010 Sincerely, Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 Fax: (305) 623 -3645 Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General OCT 2 0 2010 4 333 Pa ermo A v THOMAS J. E L LY, INC. DADE = 303) 444 -7882 CORAL GALES, 6 9 LAND SURVEYOR ( 2 saw {3051 779- 3288 FAX : (EOM 441 -6494 SKETCH OF SURVEY SCALE: 1 • = d ad N. N.E. 05th ST. • • • • • .. • • • • • S1113.1FCT TO COMPLIANCE WITH ALL FEDERAL S [ATE ANI) COUNTY RULES AND REGULATIONS 0.'.d." • e•• • • • . • • • • • • • • 1 •. . • • • * • Ic7 • • SURVEY NO. - 94-339 SHEET OF Z SURVEY OF LOT 5 A ,D TNT ST /�2 OF L.,:::77 6 • BLOCK. LL SUBDIVISION k■ .S AR ' !'. A' ACCORDING TO THE PLAT THEREOF DED IN PLAT BOOK No l AT PAGE No. PUBLIC RECORDS gF COUNTY, FLORIDA. ' /t- /4-QT • c M DATE • // Z/ - `9 FOR. L .I I BeTg / G .ao y • • 333Pa lermo Avenue. THOMAS J. KELLY, INC. CORAL GABLES, FLA. 33134 e.DADE: (306) - 7692 '`9RWD (306) 779- 3296 FAX: (306) 441- 6494 LOCATION SKETCH SCALE: I 700 1- v FLOOD ZON /.2S /, S. . X /7 /e LAND SURVEYOR 20 • m ay • e /Pat /h • THIS S A FLOOD HAZARD ZONE COMMUNITY PANEL No. /2(76,52 ' c22. 12 4.) it .SG'• 92,72• 2/ 358 iq&...f w• A414/.-11 P.U7 S• •.• .... • • • • • • • • • • . • •. • 0• • • kti • • • ••.• • • •••• • • ••.• s `� THIS IS NOT A FLOOD HAZARD ZONE PANEL No. (2° SUFFIX : r2 DATE OF FIRM' ` BASE FLOOD ELEV. A LOWEST FLOOR ELEV. : —.aa_ HIGHEST ADJ. GRADE' NOTE : UNDERGROUND ENCROACHMENTS, IF ANY NOT LOCATED. ENCROACHMENT ''NOTED: I hereby certify that this sketch of survey of the above described property is true and correct to thi best of my knowledge and b. ief os surveyed and platted under my direction. 1 further certify that this survey meet the mi imgn riguirements adopted by th Society of IonahLand Surveyors and the Florida Land Title Association and also / FA. code. There o encro cept as shown. Z/- Notes: I. If shown, bearings are to an assumed meridian (by plat ) E PER A Date or Field Work 2. If shown, elevations are referred N.O.V. Datum 1929 ... essionol Land Surveyor # 4858 3. This is a land survey. ate of Florida Closure above I : 7500 • / (Not Valid Unless Imprinted With An Embossed Surveyor, Seal) SCALE ` 1 ": /00