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DS-06-3038Inspection Number: INSP -35454 Scheduled Inspection Date: September 13, 2010 Inspector: Bruhn, Norman Owner: TOUSSAINT, ELLISON Job Address: 180 NW 111 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ONE STOP PAVING INC Building Department Comments NEW STAMPED CONCRETE DRIVEWAY PERMIT RENEWED 9/10/10 Passed �`,. 3 Failed Correction Needed Re- Inspection Fee September 10, 2010 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Number: DS -12 -06 -3038 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1121360030470 Phone: 786- 299 -1354 Page 23 of 26 BUILDING PERMIT APPLICATION FBC 2 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) ei; food Owner's Address /130 . /OW I/ ( City:.. csI2d.C%5 .. State Tenant/Lessee Name Email 10050 "N.E.2id Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756: INSPECTION'S PHONE. NUMBER: (305)- 762.4949 Architect/ Engineer's Name (if applicable) Miami Shores Village Building Department Job Address (where the work is being done / City Miami Shores Village County Miami -Dade FOLIO /. PARCEL # :. 1 l .:. 2 / 3 ( 0 0 3 .: 0 7 0 Is Building Historically Designated . YES NO Contractor's Company Name 00 e Contractor's Address ; /0 3 ; 'N. e 17 3 City . ).) k4 .'or►i r / Stat Qualifier Name C6714^16 s .: .s 1-4 Zip (o 'Z Phone # -7Bt 79/ (3s et State Certificate or Registration No. Certificate of Competency No. . t3/ Sa d ' Contact Phone 7$Y" 77 / 3 , 5 1 E-mail Co r s ma et,d, 0 Demolition Phone Value of Work For this Permit $ Type of Work: DAddition [Alteration Describe Work: Square / Linear Footage Of Work: ONew 0 Repair/Replace * * *.:* * *ar r** ** * * * **** * * * ***** **# *4 ** * ** *Fees * * * *a* * * *x * * ****** * * * *, * * ** * * ** *ors * **** *IF Submittal, Fee $ Permit Fee: $ /. CO Cc CCF $ . CO/CC $ Notary $ : Training/Education Fee $ Technology Fee $ Scanning $ . Radon $ DPBR $ Bond. $ Double Fee $ Violation date: Structural Review. $ Total Pee Now Dae $ See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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: 1 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 m promise in good faith that .a copy of the notice 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: Owner or Agent The foregoing instrument was acknowledged before me this 6 ) day of ce , 20 , by a,164€ S' ova: who is personally known to me or who has produced p �' As identification and who did take an oath. CARLOS M. ACOSTA MY COMMISSION DD 854485 �' "?✓ �r EXPIRES: May 26,2013 n +r ■ I�ru Public Undeiwiter5 ***** ** ** * *** *. * *. * * * * * * * * * * * ** ** Plans Examiner Engineer ublic State of Florida ro Sabrina on ►1 r': - . My Commission Expires:.:. NOTARY PUBLI My. Commission. Expires: * * ** * * * * * * ** APPROVED BY (Revised 07n 0l07)(Revised 06/1012009) State :Zip State Signature ..: Zip Contractor The foregoing instrument was acknowledged me :this. C day of ,20[O , by CO AOS . 00pt'}a; who is personally known to me or who has produced as identification and who did take an oath. Zoning Clerk checked NEW STAMPED CONCRETE DRIVEWAY FEB 0 9 2007 Inspector Comments CREATED AS REINSPECTION FOR INSP 35453. No permit available for inspection, no one home, no answer at door. 1/16/07 CG. Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 02/08/2007 Inspector: Grande, Claudio Owner: SYLVAIN, GILENE Job Address: 180 111 Street NW Miami Shores Village, FL 33138- Project: <NONE> Contractor: ONE STOP PAVING Building Department Comments Wednesday, February 7, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number Parcel Number 1121360030470 Lot: Phone: 786 - 299 -1354 Page 1 of 1 Issue Date: 1/3/2007 Expires: 07/02/2007 Owner's Name: GILENE SYLVAIN Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 180 111 Street NW Additional Information Miami Shores Village, FL 33138- Contractor(s) ONE STOP PAVING Phone 786- 299 -1354 Primary Contractor Yes Type of Work: STAMPED DRIVEWAY Additional Info: Bond Return : Classification: Residential 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. Fees Due Amount Bond Type - Contractors Bond $300.00 CCF $1.20 Education Surcharge $0.40 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $407.10 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -12 -06 -3038 Phone: 1121360030470 Lot: PB: Total Square Feet: 350 Total Valuation: $ 1,500.00 Re•uired Ins,ections Foundation Sidewalk Landscaping Final Invoice Number DS - 12 - 06 - 27069 Total: Amt Due $407.10 Amt Paid JAN 0 5 PAID fi4 10441214( NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. LEGENC Vi eurtvEr nanHHEv1N • .. AIIO MI 1AnCt A'e ... am cent+nnnbm f . e.tetableo C b .:a ICS. re. te. ft .Glt•R C l ,tilAlq l PM! lMr . .te•POACNtgwt PC rime or n.Nve rot( ► - ... rOUMO nrw' mre P O1 ... rU4nt n! 101010.10 '+w MVP NANO WM.... WAT." Mei !P . .e Ar'MR M M!AtufPo ►i ..tAB"4Bre l'rtP moan ,. rc•P:.ITO rN POWIttn.tnr t n,..t�l:rn e0lt 'P.... n 1tArtve .LP ,...el1`Il10er 9nt6WAfl U.R..... O rn ITY P. CERTI.PY 101 Glens 9rlvain SI:r'ealty Title. Inc. Attorneys' Title Insurance Fund, I.tn:. Bankers Mortgage Truitt, Inc.. Its LrG L 0E5CP,IP I 10 Block: 220 Subdivision: Naomi Cs! . . CONCM111 Kccw, tT qUC Ting O.U.t....i^'dh 1 4o U llht ! t C. . POIkt PP C maftl u,D trnvr P C.C... PSRQ OP CO/AMY'iCPMPH' BLDG .. BU.OR111 C r'. .. rtt•cno VIVI ANUS P.P...... DNAIlAO! RAPP/APO. According to the Flat thereof orchid in Pint Book: 43 Page:. A0 Public Record, of MIAMI-DADS County, Florida. A rQ.) /5//7/.i." FP; �1A'c•' t41' N* Grip° ADDRESS: 100 NW 111 STREET ML' MT, FL 33168 Encroachments Noted: LOCAIT.O 4 PITCH SCALE: N r 11'1 -6 Y4 el; N37RR At Al CNIm'..w• A..e.r •AH.ee'•AMRN 4O1/'. e1 fM trr•1•41 ••1v4. rims n nige Pc quid ...e.nr Lp.1 t*m , Mp et t.nls. rot ltMrnen.t < ( 7 B b /� / 1//1 •P. 1111.010 UM OHM" O.7••4 Wen 11 1 /• tA.nuP/e. ofty, vi 11r seeMmam n 11 NOM./ ing amtsbeuttityneAllmbit P.m OM *Whin mavmmr .'.t Code mAlAetlIA PIE PAO OWN. to rol nB.r31-- 2..1 I e.twnrP 01 Two pN Pitt rfrelen M•.'n hj ...e net e'4r1 u.a ltt tit.•.need wormy Wier wti nei % hot 'ten %Wisp w'Irwin 4 1. •e1.Iro,1mPSP I.e'Iry PnM. metes Om1..L.y a enpew. ttu .t. 'N PPP rewr.rte PAR AM. WW S PA *MA 1) Tro telly remit 11n01 WIN 'anew' et, Ih. •tel 1 P77 0 011. And In (loses 1■ 1e Owns, WP or mot* r el nil( ws Ns4e or Maoist. Pt Umotonn 'i 111PM1tb.pnio. B My, Act paftl. I Welt tin* Iii Ow .Army nO'.VPNA tine, n•rt, M m Mrw. NM'dtei IqP• lwt1.11 ree1 W IM Mira 111.44 Swayer* a' 11314 Pl.rntl Ayr." 'l &tise tote S ` p 1MM-el 3. A M. tram S vat3e U°'1 Bl Arl!rn b M1TH .wt ecs'or i And /Or Aseigne / A 6 ' 'f) Pc WOO ... MA 00.:At 000btfi vtane,L OAtt'•• x110 ...rnf,r OP M .Phit curMAt UR! .AD . MAIM My.. row", orrov 'etc... sec A 4 1.� 3K� f�9t� \, 4 .1 ...'! 1 TWnlu 4 •r F1.001) ZONE: X 1 HIS IS .4 FI.OUt, 111Z ADD ZONE_ V11-1..5 1 s Nor n frt. 0011 HAZARD ZONE PANEL t40,:. y0 /J CUN.tl,UNI U #: 1 7065? A1E Cr FIRM: 071//11995 BA SE 1'LUGa: tdlA PIt�LS ►I rLOOP. tiiA WEST run ft : , L.B. #6+136 i14° /3O i0'A.5 r� vc i 11/ - ri1 C / /t... � ,41, OS et 5. oo', i/ -•- - ghost SURVEYORS - MAPPERS -LAND PLANNERS 333 PALERMO AVENUE CORAL GABLES, PLORiDA 33134 (306) 414 -7692 DADE (964) 779 - 3288 BRWD (305) 441 -6194 DADE FAX (951) 779 -3260 611W0 FAX f BATE mu:. SCALE { SURVEY PJO. l Q6 /Z4 /2UQ1 1 N 01 -2796 DEC I.8 2006 BY: .G • M • . 3204 , 114140 `1 4:1s L4i tit* 0,31N NEW STAMPED CONCRETE DRIVEWAY FEB 0 6 2007 Passed Inspector Comments 0 140'7 404E_ Z. RAi is c- A--T 'Q- ...-- . _ :T 12 . ®2.. © .'J - a7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 02/05/2007 Inspector: Rodriguez, Jorge Owner: SYLVAIN, GILENE Job Address: 180 111 Street NW Miami Shores Village, FL 33138- Project: <NONE> Contractor: ONE STOP PAVING Building Department Comments Friday, February 2, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number Parcel Number 1121360030470 Lot: Phone: 786 -299 -1354 Page 1 of 1 NEW STAMPED CONCRETE DRIVEWAY JAN 17 200 Passed Inspector Comments (SLc.Q i4( ( alp-A.4 74 1 4/ 2 1/tr , V4 - 0A - IL‘4 I? e. 1 . Failed [ l Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 01/16/2007 Inspector: Grande, Claudio Owner: SYLVAIN, GILENE Job Address: 180 111 Street NW Miami Shores Village, FL 33138- Project: <NONE> Contractor: ONE STOP PAVING Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number Parcel Number 1121360030470 Lot: Phone: 786- 299 -1354 Thursday, January 11, 2007 Page 1 of 1 1 • Miami Shores Village l'4. p Building Department artment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 0, ,m . BUILDING DEC 1 8 2006 U Permit No. PERMIT APPLICATION . FBC 2004 BY: �r Permit Type (circle): uilding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1 IG- i T ossai w,f Phone # 3O 5 305 805o Owner's Address 150 vu, 1 t. 6-f City gi ct n'11 Stc) r'e.5 State T Zip 'J' 31(o 8 Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 80 iU W I Si City Miami Shores Village County Miami -Dade Zip 3 3 1 fob FOLIO / PARCEL # 1 1 --- Z.13 ('o - 0o3 - 0 z(-o Is Building Historically Designated YES NO Contractor's Company Name - One £ O. ✓1. Ot Contractor's Address 11 G3 /V Cit /U Li tate f-"� Zip 33 ( � Qualifier Name &i(0 Q C0 b � - t Phone # q8(0, (3 5' f State Certificate or Registration No. Certificate of Competency No. 2 31 58 0 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ! 500.00 Square / Linear Footage Of Work: 3S0 Type of Work: ['Addition ❑Alteration jgNew ❑ Repair/Replace ❑ Demolition Describe Work: Pau / s w, . r Co v► c [ ��c. �* rrS 6 L . ******** * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * ** * * ** ** * * * ** * * * * * * * * * ** * * * ** Submittal Fee $ Permit Fee $ , 1 � � . CCF $ 1 .1- 0 CO /CC Notary $ Training/Education Fee $ Technology Fee $ s - Scanning $ Bond $ Radon $ Code Enforcement $ Master Permit No. Phone # 2ci i 1351 DPBR $ Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a proved and a reinspection fee will be charged. Sign: Print: l Signature A ///�7 . L AIL , �) AL / Owner or Agent The foregoing instrument was acknowlledged before me this 1 % day of \ , 20 by ' :',1 , who is personally known to me or who has produced As identification and who did take an oath. ,s ry, MAANUEL ACOSTA *` ,,,' . *_ y ISSION # DD 433970 ES: May 26, 2009 ded Thro Notary public Undarnriters NOTARY PUBLIC- My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) 2 � a 7 Contractor The for day of who is personally known to me or who has produced-40g— JO as identification and who did take an oath. NOTARY ' ; LIC: ent was acknowledy 20 61 1 byahl Plans Examiner Engineer Zoning � y t STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, EI I (son toaSsal G" ,does hereby attest that (property owner) The attached survey, performed by (name f surveyor's company) for address: ($O 00 W (f S ' ►-T` a rn j 1 performed on (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further, Affiant sayeth naught. Property Owner Signature VtiO4Ili VOW Village 1TCMEV'M Vontose4e DEC 1 2006 10050 NE 2 Ave' Miami Shores, Fl 33138 Phone 305.795 -2204; Fax 305.756.8972 www.miamishoresvillage.com as identification. AFFIDAVIT Affiant is personally known to me, 2 produced 1 - kSo r1 �b US Property Owner Print Name SWORN TO AND SUBSCRIBED before me this 1 day of �� v . Notary Y link. CARLQS MANUEL ACOSTA .; � � :r MY COMMISSION 4 DD 433970 " S May 26 2009 ./ "' e4 ...: , J 'hru Notary Polo tin 7anvn:ar5 9 Miami Shores Village Building Department Planning & Zoning Critique Sheet Permit No.: DS06 -3038 Applicant: Gilene Toussaint Job Address: 180 NW 111 St. Date Comments December 18, 2006 Driveway can not exceed 12 feet in width with 2 foot flares at the street. Initials 10050 NE 2 nd Avenue Tel: (305) 795 -2207 Miami Shores, Florida 33138 Fax: (305) 756 -8972 Miami Shores Village Building Department Planning & Zoning Critique Sheet Permit No.: DS06 -3038 Applicant: Gilene Toussaint Job Address: 180 NW 111 St. Date street. Comments December 18, 2006 Driveway can not exceed 12 feet in width with 2 foot flares at the Initials 10050 NE 2 nd Avenue Tel: (305) 795 -2207 Miami Shores, Florida 33138 Fax: (305) 756 -8972