DS-10-901 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 145094 Permit Number: DS -5 -10 -901
Scheduled Inspection Date: June 03, 2010 Permit Type: Driveways /Sidewalks /Slabs
Inspector: Bruhn, Norman Inspection Type: Final Building
Owner: CAREY, RODNEY Work Classification: Addition /Alteration
Job Address: 145 NE 110 Street
Miami Shores, FL 33161- Phone Number
Parcel Number 112136004019
Project: <NONE>
Contractor: CABRERA PAVING & ENGINEERING, INC Phone: (786)554 -8762
Building Department Comments
Inspector Comments
Passe
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
,rune 02, 2010 For Inspections please call: (305)7624949 Page 34 of 39
gR Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 3313 8-0000
Phone: (305)795 -2204 \
Expiration: 1/122/2010
Project Address Parcel Number Applicant
145 NE 110 Street 1121360040190
Miami Shores, FL 33161- Block: Lot: RODNEY CAREY
Owner Information Address Phone Cell
RODNEY CAREY 8097 HILLANDALE Drive
SAN DIEGO CA 92120 -1512
Contractor(s) Phone Cell Phone Valuation: $ 1,400
CABRERA PAVING & ENGINEERING (786) Total Sq Feet: 100
Approved: Yes Available Inspections:
Comments: NEW DRIVEWAYS MUST BE CONSTRACTED PARALELL TO THE ROAD A SINGLE SPACE BEIN( Inspection Type:
Date Approved: 5/26/2010: Yes Final
Date Denied: 5/21/2010 Sidewalk
Type of Work: REPLACE PARKING Additional Info: Landscaping
Bond Return: Classification: Residential Foundation
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $ 1.20 Invoice # DS -5-10 -37949
Education Surcharge $0.40 05/20/2010 Credit Cana $ 50.00 $ 56.20
Permit Fee $100.00
Scanning Fee $3.00 05126/2010 Credit Card $ 56.20 $ 0.00
Technology Fee $1.60
Total: $106.20
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.
May 26, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 26, 2010 1
Miami Shores Village
B ildin D I!!
g p MAY , fl
10050 E:2nd Avenue Miami Shores Florida 13
T 33 8
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING Permit No.
PERMIT APPLICATION master Permit No.
FBC 20
Permit Type BUILDING RQi. _PING
Owner's Name (Fee Simple T ►1J�'C�� Phone # 0.969)5 9309
Owner' -- s gq Address JOZZ 3 ®z R0� l U OE
•City V A8 - O State C A Zip C111
Tenant/Lessee Name Phone #
Emaii CU r` 1 i ,5 � e' @ QynaiL
_
T O/A�
Job Address where the work is being done
City Miami Shores Village _ County Miami -Dade Zip
FOLIO / PARCEL # , r. �� °� d — C(9
Is Building Historically Designated YES NO Food Zone
Contractor's Company Name CM � W C G 16 Phone # 00 - ) $ gq 3.5 `'
Contracto�r'ss Address g042 m 0 �! - ^
City c--
State �1-L Zip 51 rl
Qualifier Name I Phone #
State Certificate or Registration No. Certificate of Competency No.
Contact Phone ��) 554 V 7& � E -mail 0-a av L n s
Architect/Engineer's Name (if applicable) I Phone
h �
Value of Work For this Permit $ 14 0 0 W Square / Linear Footage Of Work J 3
Type of Work: ElAddition ❑Alteration ❑_New r Repair/Replace El Demolition
Describe Work: ® f��e 6 46TIA) j
1' Ek,1C-A)T O IA) : eCK 6 - PAVE
oetM epumc-D
zj •
Submittal Fee $ Permit Fe $ -. M CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $ . W
Scanning $ 3 Radon $ DPBR $ Bond $
Double Fee $ i i ',Violation date:
Structural Review. $ _ Total Fee Now Due $
See Reverse side
i
Bonding Company's Name: (if applicable)
Bonding Company's Address y
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.
"WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONIlVIENCEMENT MAY RESULT IN YOUR PAYING TWI 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 certi�ed 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.
Signa Signature
.<
e5;4t Contractor �1
The fore oing ' trument was acknowledged before me this � � The foregoing ins ent Was acknowledged beforg me this P�
day of , 20 �, by �C �G�..���rP'�� , day of , 20 by ,
who is personally known to me or who has produced who is personally known to me or who has produced
Q4Q
3�� As identification and who did take an oath. M� � ` 72 * I - as identification and who did take an oath.
NOTARY P LIC: NOTARY PUB NOTARY PUBLIC - STATE OP FLORII9A
°. Gabriela Santana - Guinan .
Commission #DD793903
Sign: Sign: "•. ires: 9M 0
Print: �- ( f�¢ Print: 6 r nxx>cs ormrxGCa,zxc.
My Commission Expires:
4,,'- �0 Public State of Fl My Commission Ex Karla Alvarez
My commission OD861108
o ,,, Expires 02JI512013
K P/f 0
APPROVED BY r �./� L7 Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
1
Planning and Zoning Criteria
Miami Shores Village Permit No. DS
10050 N.E. 2nd Avenue ' a
Miami Shores, FL 33138 -0000 3
Phone: (305)795 -2204 Fax: (305)758-8972 va .. "` 3
Issue Date: Not Issued Expims:Not Issued
Folio Number) 121360040190
Owner's Name: RODNEY CAREY Owner's Phone:
Job Address: 145 110 Street Total Square Feet: 100
Miami Shores, FL 33161- Total Job Valuation: $ 1,400.00
Contractor(s) Phone Primary Contractor
CABRERA PAVING & ENGINEERING, INC (786)554 -8762 Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 5/26/2010: Yes
Comments: NEW DRIVEWAYS MUST BE CONSTRACTED PARALELL TO THE ROAD A SINGLE SPACE BEING 10 FEET
IN WIDTH AND 23 FEET LONG
5/26/10
NEW PLAN OK
A
Planning and Zoning Criteria
s° Miami Shores Village Permit No. DS
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000'
Phone: (305)795 -2204 Fa�c (305)756-8972
Issue Date: Not Issued � ~ _.
Expires Issued
Folio Number) 121360040190
Owner's Name: RODNEY CAREY Owner's Phone:
Job Address: 145 110 Street Total Square Feet: 100
Miami Shores, FL 33161- Total Job Valuation: $ 1,400.00
Contractor(s) Phone Primary Contra
CABRERA PAVING & ENGINEERING, INC (786)554 -8762 Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 5/21/2010
Comments: NEW DRIVEWAYS MUST BE CONSTRWCTED PARALELL TO THE ROAD A SINGLE SPACE BEING 10 FEET
IN WIDTH AND 23 FEET LONG
I RE'S` Miami shores Village
Z
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
A O R+ Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No: 10-
Job Name
4e�,� , 2010 Page 1 of 1
Building Critique Sheet
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 -795 -2204
i
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