DS-10-1638Scheduled Inspection Date: December 16, 2010
Inspector: Bruhn, Norman
Owner: ,
Job Address: 102 NW 108 Street
Miami Shores, FL 33168 -4313
Project: <NONE>
Contractor: ALPERO GENERAL CONTRACTOR
Building Department Comments
December 15, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 154251 Permit Number: DS -9 -10 -1638
For Inspections please call: (305)762 -4949
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360100010
Phone: (786)357 -7414
REMOVE EXISTING DRIVEWAY AND BUILD NEW
ASPHALT DRIVWAY TO 40 X 8
Passed o /
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- 151174. NO PLANS AVAILABLE
FOR INSPECTION JR 12/13/10
DRIVEWAY IN REAR PERMIT ON REAR DOOR.
CL
Page 18 of 22
Charlie Crist
Governor
(Gc Alfredo Peres)
8900 SW 126 Ter
Miami, FL 33176
RE: Contingency Letter
Application Document No: AP981324
Centrax Permit Number: 13-SC- 1282808
OSTDS Number.
102 NW 108 St
Miami, FL 33168
Lot: 1 Block: 212 Subdivision:
October 13, 2010
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
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 : "PROPOSED DRIVEWAY "
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:
Sincerely,
Miami -Dade County Health Department
1725 NW 167 St, Opa Locka, FL 33056
Phone: (305) 623 -3500 Fax: (305) 623 -3645
ngineer Specialist II
(7810 i n - D? 44
(101 IONS
Miami Shores Village SCAL
APPROVED
BY
DATE
ZONING DEPT
El `,�
Or
d
<�
BLDG DEPT
✓
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
5582 N.W. 7th STREET SUITE 202
MIAMI, FLORIDA 33126
TELEPHONE: (305) 220 -3171
FAX: (305) 264 -0229
DRAWN BY: ALBERTO
rant ururgo - rz ,Jn
LAND SURVEYORS
SURVEY No. 6 -0002860 -2
SHEET No. 2 OF 2
• •
• • •
• •
• •
•
•
•
•
• •
• •
•
1
10.73
10.87
N89
89 "81'07.'
10.48
PERMIT*.
21.90'
10.32
}•5' CONC:'SWK '• 78.o
10.48
ONE STORY
RES. # 102
F.F.E.= 12.58'
LOT -1
BLOCK - 212
10.93
A =89 °46'57"
CHB= 315 °02'22"
CH= 35.29'
10.43
10.55
13.50'
B.C.
F.I.P 1/2°
NO CAP
10.70
13.20'
10.43
10.73
10.45
10.47
10.48
30.00'
•••
• •
••••
LOT -2
BLOCK - 212
0.25'CL
LOT -15
BLOCK - 212
LL
SURVEYOR'S NOTE:
• There may be Easements recorded in the Public Records not shown on this Survey.
E:IADCAD1dwtl5es%Testdwt 7/29/2005 3:35:49 PM EST
BOUNDARY SURVEY
=1- : 20'
LOT -16
BLOCK - 212
SEP 1 3 2010
•
U.P.
60.00'
TOTAL R/W
0
5582 N.W. 7TH STREET. SUITE 202
MIAMI, FL 33126
TELEPHONE: (305) 284-2660
FAX: (305) 264-0229
DRAWN BY: A.A.
SURVEY OF LOT 1, BLOCK 212, OF DUNNINGS MIAMI SHORES EXTENSION NO. 6, ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BOOK 51, PAGE 31, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY,
PROPERTY ADDRESS: 102 NW 108 ST, MIAMI SHORES, FL 33168
FOR: HSBC BANK USA
LOCATION SKETCH Scale 1" = IVT.S.
0
Z
U.1
A = ARC
NC = AIR CONDITIONER PAD
A.E. = ANCHOR EASEMENT
A/R = ALUMINIUM ROOF
NS = ALUMINIUM SHED
ASPH. = ASPHALT
B.C. = BLOCK CORNER
B.C.R. = BROWARD COUNTY RECORDS
B.M. = BENCH MARK
B.O.B. = BASIS OF BEARINGS
C = CALCULATED
C.B. = CATCH BASIN
C.B.W. = CONCRETE BLOCK WALL
CH = CHORD
CH.B. = CHORD BEARING
CL = CLEAR
C.L.F. = CHAIN LINK FENCE
C.M.E. = CANAL MAINTENANCE
EASEMENTS
CONC. = CONCRETE
C.P. = CONCRETE PORCH
C.S. = CONCRETE SLAB
D.E. = DRAINAGE EASEMENT
D.M.E. = DRAINAGE MAINTENANCE
EASEMENTS
DRIVE = DRIVEWAY
ENCR. = ENCROACHMENT
E.T.P. = ELECTRIC TRANSFORMER PAD
F.F.E. = FINISHED FLOOR ELEVATION
F.H. = FIRE HYDRANT
F.I.P. = FOUND IRON PIPE
F.I.R. = FOUND IRON ROD
F.N. = FOUND NAIL
F.N.D. = FOUND NAIL & DISK
CERTIFIED TO: HSBC BANK USA
8
7
10
Nova Surveyors, Inc.
LAND SURVEYORS
'+5
11
NW 108 STREET
669.96
6
ABBREVIATION AND MEANING
FNIP. = FEDERAL NATIONAL INSURANCE
PROGRAM
IN. &EG. = INGRESS AND EGRESS
EASEMENT
L.F.E. = LOWEST FLOOR ELEVATION
L.M.E. = LAKE MAINTENANCE EASEMENT
L.P. = LIGHT POLE
M. = MEASURED DISTANCE
M/H = MANHOLE
N.A.P. = NOT A PART OF
NGVD = NATIONAL GEODETIC VERTICAL
DATUM
N.T.S. = NOT TO SCALE
O.H.L. = OVERHEAD UTILITY LINES
O.R.B. = OFFICIAL RECORD BOOK
0/8 = OFFSET
OVH. = OVERHANG
P.B. = PLAT BOOK
P.C. = POINT OF CURVE
P.C.C. = POINT OF COMPOUND CURVE
PL. = PLANTER
P.L.S. = PROFESSIONAL LAND
SURVEYOR
P.O.B.. = POINT OF BEGINNING
P.O.C.. = POINT OF COMMENCEMENT
P.P. = POWER POLE
P.P.S.. = POOL PUMP SLAB
P.R.C. = POINT OF REVERSE CURVE
PRM = PERMANENT REFERENCE
MONUMENT
PT. = POINT OF TANGENCY
PVMT. = PAVEMENT
PWY =PARKWAY
R. = RECORD DISTANCE
T
15
LEGAL, NOTES TO ACCOMPANY SKETCH OF SURVEY ( "SURVEY"):
- THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY.
3
qq 14
M
15
i
2
7S
14 15
Z
a
RAD. = RADIUS OF RADIAL
RGE. = RANGE
R.P. = RADIUS POINT
R.O.E. = ROOF OVERHANG
EASEMENT
R/W = RIGHT -OF -WAY
SEC. = SECTION
S.I.P. = SET IRON PIPE L.B. #6044
SWK = SIDEWALK
T = TANGENT
TWP = TOWNSHIP
U.E. = UTILITY EASEMENT
U.P. = UTILITY POLE
W.M. = WATER METER
W.R. = WOOD ROOF
W.S. = WOOD SHED
= ANGLE
= CENTRAL ANGLE
g = CENTER LINE
= MONUMENT LINE
- EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE'RECORDED INSTRUMENTS, IF ANY,
AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS
OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED.BY CLIENT OR ATTESTING TITLE COMPANY.
BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN
- THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND / OR NOT TO SCALE.
EASEMENTS AS SHOWN ARE PER PLAT BOOK UNLESS OTHERWISE SHOWN.
- THE TERM "ENCROACHMENT" MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
- ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS, AND THEY WILL BE RESPONSIBLE -
- FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO
AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE
FOOTING AND /OR FOUNDATIONS.
FENCE OWNERSHIP NOT DETERMINED.
- THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED.
- HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
- THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F.E.M.A
- AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED
LAND TO BE SITUATED IN ZONE: X COMMUNITY/PANEL/SUFFIX 120852 0302 L DATE OF FIRM: 09/11/2009
BASE FLOOD ELEVATION: N/A.
1
77. ?E
a7.a7
16
BY:
1
SURVEY NO
SHEET NO 1 OF 2
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W o
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ti le
- J C
s
SUBJECT ••••••
•• PRGPERTY ••••
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0
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I
•
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±
of r • •• •• ••
I •• •••
3o' • •
LEGEND TYPICAL
•
— OVERHEAD UTILITY LINES
szz2 CBS = WALL (CBW1
-X na C.L.F. = CHAIN LINK FENCE
-0--0- I.F. = IRON FENCE
W.F. = WOOD FENCE
BE B
SURVEYOR'S SEAL
6- 0002860 -2
• •
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•
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••. •
• 0.03 = EXISTING ELEVATIONS
SURVEYOR'S NOTES
1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED
MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE
PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO
COUNTY, TOWNSHIP MAPS.
2) THIS IS A SPECIFIC PURPOSE SURVEY.
3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE
1:7500 FT.
4) IF SHOWN, ELEVATIONS ARE REFERRED TO
MIAMI -DADE COUNTY.
ALL ELEVATIONS SHOWN ARE REFERRED TO
NATIONAL GEODETIC VERTICAL DATUM OF 1929
MIAMI -DADE COUNTY BENCHMARK # L -16
LOCATOR # 3110;
ELEVATION 9.96 FEET OF N.G.V.D. OF 1929
SURVEYOR'S CERTIFICATION
I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY' OF
THE PROPERTY DESCRIBED HEREON, AS RECENTLY
SURVEYED AND DRAWN UNDER MY SUPERVISION,
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
AS SET FORTH BY THE FLORIDA BOARD OF
PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017 -6,
FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,
FLORIDA STATUTES.
p_7
- •
. YV• -
, PROFESSIONAL LAND SURVEYOR NO. 6437
' STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL
BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR).
REVISED ON: -
REVISED ON:
D
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•
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•
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4.
•
•
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•
•
i
11 1' -At WD
BUILDING
PE RM
�c zo
Miami Shores Village
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 Type: BUILDING
OWNER Name (Fee Simple Titleholder): 14313(.... � ,wK l /S ` 7 ' P °Ph 7 _ 1 ' o 9.014 _ 'too
Address: 2-7 1 1 N r i 4 1, 4 k e t 1 ,k ve S4 e. /OO
City: pat t 1 a.) State: TY Zip: 7 F2.. 0 V
Tenant/Lessee Name: Phone#:
Email
JOB ADDRESS: (01 % i j 10 5
City: Miami Shores County: Miami Dade Zip: _5 16
Folio/Parcel #: t`- z(36, °- O (®- 00 to
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: I1-? eA2 O A t AC. Phone# : 1 %C 3 5 7- 1$4(
Address: QSO 0 s Wl t Z-4.
City: M L P1.k.1 State: (L P Zip: 3 3 (7 to
Qualifier Name: A rGv,e .L.
Phone#: 1 42, W 3 5 - IL( v
State Certification or Registration #: CIA C_ 1 5 10 Z. Z ( Certificate of Competency ##:
Contact Phone#: 7/ 3 &1 - 1 i{ (4 Email Address: IL I-1' Ee-O A O G K R 0
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 2 ; ®� Square/Linear Foota ge of Work: 7- ' 1 4 p.
Type of Work: OAddress DAlteration ONew L epair/Replace ODemolition
e DR- id AA)
A r`z r 0 G__cAJ 1 `f 0
Master Permit No.
t•L
BY;
Permit Noa5J O" f Sr 0
0
IT
3 2)10
lit
COLOR THROUGH ROOF TILE LS' REQUIRED acknowledged by:
,t**** * ****aY*****at ***aSra *** ****xalraY*&ab****F * & **arar***drdr*al **sYdr*****aQa ***atr**de*a ****sYsY****
Submittal Fee $ `� Permit Fee $ 40" CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ l X (p.2C
Bonding Company's Name (if applicable)
$ ooding 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 A}rIDAVIT: 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
APPROVED BY
/ / Signature
Owner or Agent
The foregoing instrument was ackrrejvledged before me this 1
day 20 by l L) V1 E7xcz C Z ,
who is peso s . known to me or who has produced
As identifi�on who did take an oath.
NOTARY 1 C:
0: -.G Colleen Bonifaz
*( � ; * My Commission Expires
5`• '. 05/25/2012
.OF
Sign:
Print:
My Commission Expir
/ Plans Examiner
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09Xrev6/4/10)
NOTAR
The foregoing instrument was acknowledged be ore e this g
day of ' I� ,20 jp ,by
who is perso
known to me or who has produced
9 1
motaiitelia l @tt a an Lath.
.•`'i Vie''•. Notary Public - State of Florida
y ' � : My Commission Expires Sep 9, 2011
' Commission # DD 713110
Through Notional Notary Assn.
4 � you �� !1 %L '1 ''
Sign: if
Print: >t ea - . 4 •
My Commission Expires:
OD/ ,6 Zoning
•
Structural Review Clerk
CERTIFICATE OF LIABILITY
Producer: Lion Insurance Company
2739 U.S. Highway 19 N.
Holiday, FL 34691
INSURANCE
Date
11/4/2010
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 the policies below.
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc.
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer A: Lion Insurance Company
11075
Insurer B:
Insurer C:
Insurer D:
Insurer E:
Coverages
The puficiesu insurance sled elm have .en rssue lu Ole irrsute nmuedabuve ur It) polity periudindicate . Nutwi istai Mg any rayturennerrt, term orcon him any contract or Whet document with respect towlicit
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 policies. Aggregate Omits shown may have been reduced by
paid claims.
INSR
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date
(MM/DD/YY)
Policy Expiration Date
(MM/DD/YY)
Limits
ENERAL
LIABILITY
Commercial General Liability
Each Occurrence
■.
Damage to rented premises (EA
occurrence)
$
Claims Made Occur
Med Exp
$
Personal Adv Injury
$
eneral aggregate limit applies per:
General Aggregate
$
■
Policy ® Project LOC
Products - Comp /Op Agg
$
UTOMOBILE
LIABILITY
Any Auto
At Owned Autos
Scheduled Autos
Hired Autos
Non Owned Autos
-
Combined Single Limit
(EA Accident)
$
■
■
■
■
'
Bodily Injury
(Per Person)
$
Bodily Injury
(Per Accident)
Property Damage
(Per Accident)
$
EXCESS /UMBRELLA LIABILITY
Each Occurrence
■
■
Occur Claims Made
Deductible
Aggregate
A
Workers Compensation and
Employers' Liability
Any proprietor /partner /executive officer /member
excluded?
if Yes, describe under special provisions below.
WC 71949
01/01/2010
01/01/2011
X
WC Statu
tory Limits
oTH-
ER
E.L. Each Accident
$1.000,000
E.L. Disease- Ea Employee
$1,000,000
E.L. Disease - Polley Limits
$1,000,000
Other
Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616
Descriptions of Operations /Locations/Vehicles /Exclusions added by Endorsement/Special Provisions: Client ID: 80- 65-828
Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. that are leased to the following "Client Company":
Alpero General Contractor, Inc ,
Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Florida.
Coverage does not apply to statutory empidyee(s) or independent contractor(s) of the Client Company or any other entity.
A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562.
Project Name:
FAX: 954 - 456 -2360 & 305 -756 -8972 / ISSUE 11 -04-10 (CF)
Begin Date: 11/1/2010
CERTIFICATE HOLDER CANCELLATION
CITY OF MIAMI SHORES
10050 NE 2ND AVENUE
MIAMI SHORES, FL 33138
Should any of the above described policies 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
obligation or Iiebiliy of any kind upon the insurer, its agents or representatives.
►' r
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