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DS-09-1744
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 127660 Scheduled Inspection Date: December 03, 2009 Inspector: Bruhn, Norman Owner: KLEIN, LESLIE Job Address: 534 NE 94 Street Project: Miami Shores, FL Permit Number: DS -10 -09 -1744 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Contractor: JAL CONSULTANTS INC Phone Number (305)876 -7514 Parcel Number 1132060140950 Phone: 786- 292 -2770 Building Department Comments replace old driveway for a new stamped concrete, same for sidewalk Passed �G�fifJ /������ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 02, 2009 For Inspections please call: (305)762 -4949 Page 9 of 24 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF iv11AM; -DADE: 111111111 1 11111111111111111111111111111111111 STATE OF FLORIDA, � ifY THE UNDERSIGNED hereby gives notice that improvements will be mabgqg�`cY e�t"aln r r_ property, and in accordance with Chapter 713, Florida Statutes, the follarlsgiffri ' =t A is provided in this Notice of Commencement. 1. Legal description of property and street/address: 53 '" N MINE-SS HARVEY CFN 20098 x809443 OR B1•. 27077 Ps 4721; (19s) RECORDED 11/10/2009 09:05:51 HARVEY RUVINr CLERK OF COURT MIAMI-DACE COMM FLORIDA LAST PAGE OUNTY OF D� "'E of the day, Space above reserved for use of recording offi 2. Description of improvement: 511)44 L 'iC - . .WC& f 3. Owner(s) name and address: _ Ca r0 Interest in property: OW Nett --- TiPMEMMISIIIMPAIA Name and address of fee simple titleholder: n,,�, 4. Contractor's name, address and phone number: 1 (A NSA/ /CN S +di C(A) 1 C S r 1krt s - .w 5." Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: 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, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the l.ienor's-Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY ORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signs e(s) of Owner(s) or Owner(s)' Authorized Officer /Director/Partner/Mana By l A-Vc. Print Name (A 12 o L rA D) p) K L L 1 Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The forego gAinstruTent acknow ed before me this day By C� roL— , E'irJ By Print Name Title/Office ❑ II dividually, or ❑ as for Personally known, or ❑ produced the following type of identificatio Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 2.525. FLORIDA STATUI'ES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(sys Authorized Officer/Director/Partner /Manager who signed above: By By oar'' : ENRIQUE NURigZ „ *: MY COMMISSION # DD683640 )0'. .... 4' ,'i� s•s 0153 EXPIRES June 07, 2011 ' J iwidallotaryServtce.com VERIFICATION PURSUANT TO SECTION 2.525. FLORIDA STATUI'ES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(sys Authorized Officer/Director/Partner /Manager who signed above: By By 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 BUILDING PERMIT APPLICATION FBC 20 Permit No. t 10 0 / ( 1 Master Permit No. Permit Type: BUILDING ROOFI G � , Owners Name (Fee Simple Titleholder) � / `/1) Phone # 366 13 f.86 / Owner's Address ✓ -! t NC 99, J t City ,(V C(ljf State Zip Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # 539' Ng 6 cr. County Miami -Dade Zip Is Building Historically Designated YES NO Flood Zone Contractor's Company Name PH. W `l -CV 1'J 7 v a Phone # ?S' ' 8 5 T " Contractor's Address _ ?`o 4W /&47-- t0 4r City 01 i at441 State Zip 33156 Qualifier Name lj kssif— y c �r Phone # '6 d' 3 State Certificate or Reis tion No. v 0O 0 5 Certificate f Regis � o Competency No. 'Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Square / Linear Footage Of Work: Type of Work: [Ads ■Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: cv J f r C`fv k 674e-6'9V 4-746 O/V 171-e ********************** x****, r * * * * * * * * *FFees ** * * * * * * * * * ** * * * * * * * * ** * * * * *** ** * * * * * * * * ** ** SubntttafFee $ Permit Fee $ CCF $ CO /CC .$ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: 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, 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` such posted notice, the, inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of NOV , 200 /by who is personally kno o m ' r who has produced NOTARY Sign: Print:. (2 ation and who • 'd take ENRIQUE NUNEZ MY COMMISSION # DD883640 EXPI June 07, 2011 NotaryServlce.com My Commission Expire APPROVED BY Signature Contractor The foregoin ins ent was acknowledged before me this day of who is personally r own to me or who has produced Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) as identifica NOT Sign: Print: on and who did take an oath. NUNEZ 4 ;M1S ION # DD683640 RE- June 07, 2011 My Commission Expir Zoning Clerk checked IP T:::,' F; T --.7:;-: : IIME ArA . .ami Shores \ illar_me APPROVED By DA L. .._ .._ ZONING DEPT BLDG DEPT: --••■•■ ■■•• SUBJECT TO CO(VIPLIApg.',E STATF D r'.1:-,l,N'T-Y . .. _ . . ... ! • R'L It , WITH -=,.. ES AN. , -. ALL FEDE2AL e• ' .'-'ktr; ,- - (0 oq (-)-4"1 :00 • .54 .4 . . „ 1ew • V, tE" 0 t vrAL 14,SO 6F I WtS II (1.- EpArAet (i-(03 sF 7 tr L35( 5-2‘. 0.44 A6 pit-M-r qx 5 2.` s 2215 fut 1 ricev3- 4\ 0\9.4 -EYj�1 ad 1116) 1-11(1 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 .D3 V No 9-11wf BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING. Owner's Name (Fee Simple Titleholder) CCkAol l t I " Phone # 34 351 _` /� 1 Owner's Address 5•2)4 NPi 4 Y City •44/41441 S i0kW-cState FL aster Permit No. Tenant/Lessee Name Email Zip 3j' 13Q Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name J A L l/r Ns ti Phone # (7) '8 (0) .S() Z- U— Contractor's Address City %� , ( -W1, ( Stat Qualifier Name `I3 U"v c OS�, AO/ / 00 4 C OWN Phone # State Certificate or Registration No. e4 C g ©l°J Certificate of Competency No. E -mail 'Contact Phone Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ . ✓- 0120. S re / Linear Foota Of Work: 5- Type of Work: ❑Addition ['Alteration New Repair/Replace Describe Work: 'P /C! &e' o/4 (-ew � k�� a vet / 57- 74711 Co vl T 4 ut i e. r� �n d C(z tt. ❑ Demolition /* * * * * * * * * * * *r * * * * * * * * * ** * * * * * * * * ** Fees * *r * r * * * * * * * * * * ** ** ** ** ** * *r * * * *** * * ** S t ubmittal Fee 60, c7( Permit Fee $ 1.140 CCF $ Cf3MC1— Notary $ Training/Education Fee t Technology Fee $ 2 •C Scanning $ CI • 00 Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 11 • K) 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 1 brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of c. mencement m ; . ' e posted at the job site for the first inspection which occurs seven (7) days_ after the building permit is issue iik the absen # 1 such ' osted notice, the inspection will not be approved and .a reinspection fee will be charged.. ■ Signature 02.60,0 41, Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument w s acknowledged before me this day of , 20 , by day of , 20 _, by who is personally known to me or who has produced who is personally known to me or-who has produced entification and who did take an oath. as ide tification and who did take an oath. NOTARY Sign: Print:. EN 'I UE i1 UNEZ MY COMMIS; ;ON # DD683640 EXPIRES June 07, 2011 My Commiss OtarYService.com to r (0 *************************** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY 4 7 ? ans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) NOT Sig Print' (0 `11 My Comrmssi� pyres: ENRPOUE NUNEZ MY COM ' b; ION # DD683640 IRES June 07, 2011 * * ** 01 ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk checked Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. DS-10-09-1744 Issue Date: Not Issued Expires:Not issued Folio Number:1132060140950 Owners Name: LESLIE KLEIN Job Address: 534 94 Street Miami Shores, FL • Owner's Phone: (305)876-7514 Total Square Feet: 500 Total Job Valuation: $ 3,000.00 ••• . ••••••,•••• .. • .. ••• .. •••••• .... •• •••••• . •• •• .,; Contractor(s) Phone Primary Contractor •• •• •• •• •• •• •• •• Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 10/23/2009 : Yes Comments: Permit No: O9-f7/ Job Name: / lb � , 2009 Miami Shores Vivage Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 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 Charlie Crist Governor Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General November 02, 2009 Enrique Nunez 7910 SW 16 St Miami, FL 33155 RE: Contingency Letter Application Document No: AP941010 Centrax Permit Number: 13 -SC- 1007793 OSTDS Number: 534 NE 94 St Miami, FL 33138 Lot: 7 -8 Block: 56 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 10/30/2009 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, Jos - •h ngineer Specialist II Miami -Dade County Health Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Fax: (786) 315 -2090 PART II - SITE PLAN- Scale: Each block represents 5 feet and 1 inch = 50 feet. b fl 41 t, 44.1, qoe,-., 8,111,4 o° £ STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION FtRMIT Permit Application Number L. . _ JC2id d ' - • Notes: iviAmbAbt COUNTY HEALTH DEPARTMENT- Ptlimrr #: t C– 100— ?'79 Site Plan submitted by: Plan Approved By p fi A7-91 Al 1 nHA11161FR MI IRT RF APPRCWFFI RV THE CCM INTV HFAI TM InFPARTMFNT Signature Not Approved fr7 Title Date County Health Departmei /lharni Shor 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207. Fax: (3Q5)756 -8972. COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, CA-144)/". RJe itki , hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio#: Lot O Block 57° Subdivision Tax Folio A: requests permission to install: [ ] Asphalt, concrete, brick pavers [ ] Landscaping []Other '.TAbi4/'ed cox ct•- A!(re.W within the public road right of way NE q(1 57- ST IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1 • To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within.60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causipg4Ret • °°°°° • • item(s) to be removed and a lien being placed on the property and/or assessed againstth Ownerfoaall • costs incurred in the removal and disposal of the item(s). • The undersigned further agrees that these conditions shall be deemed a covenant •••••• ry�r;�gwith �tiie land and °°°°°°°°°°°°°°°°°° shall remain in full force and effect and be binding on the undersigned, their heirs andessigns, tattij saGh time as this obligation has been canceled by an affidavit filed in the Public recordso(•Da�e Couflty, l=Torida by the Village Manager of Miami Shores Village (or his fully authorized representatt tee• ; •' °°°°°° •• • SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this • =y of 19 • : c ore) • / • • • • • • • • SIGNED, SEALED AND DELIVERED in the presence of: ?.- 2 , 9 1 - /1/ 5' A / I geid . 4" 6 r) jj t%`•,_ •,,N1 • 103 4.0brl s.; --OW" • • • • • • ••• • • • • • • • •• • 000000 • 000000 •••• • • • • •• •• 000000 • • • • • • • • • • •• • • • •••••• • •••• • • • • • • • • • • •• • • • • • •• •• • • • • • • • • • •••• 000000 • • • •••••• • • 000000 • • ••••• • • ••••• • • • • • • • • • • • • • • • • •••••• • • NE 94' ST SKETCH OF SURVEY 8 and the West -half of Lot 7, Block 56 cording to the plat thereof recor @' in flat Public Records of Dade nty, Florida. Order No. 51487 F. B. No. 1665 -4 FOR Leslie Klein BISCAYNE ENGINEERING COMPANY Civil Engineers Miaml,Florida WE HEREBY CERTIFY; That the attached "SKETCH Of cri property Is tr and correct to the best of as r wsnt1 yy surveyed and platted under our di ti no encroach is other than those s MIAMI SHORES SECTION NO. 2, #.;k 10 at Page, 37 of the.• BISCAYNE EN By: •• • 000000 • • • • •'Feab ruaqr,hie , tg$R• .Showt••.•: Y" 'Qt..the Lbeve de sr. •iedgeA wit be rr8F • al SA Wet there are• •• . 1111.. • • • • 1111 ` 1111.. • • . • EERtNG.0 ;, Ale • loor...• E Yvon Le Gtr Registered Surve r STATE OF FLORIDA 2473 • • 111..1 • • • 0.00 • 0• •••••• • • • • • • .• •••• • • . •• •0000• 0000 0000•• • • .' • • 0000•• •••••. • • • 0000 0000• •• • • • • ••••• • • •••• 0000•• • 00.00• ••• ••• • • • •• •• • • •0000• •••• 0 • • • • • • • • ••••• 000•• • • • • •0•• • • • ••• KL:), .,1v111 H TC' ,d ' � aF_G,)LAT,G �r�LCITyF�7L � Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 127660 Permit Number: DS -10 -09 -1744 Scheduled Inspection Date: December 01, 2009 Inspector: Bruhn, Norman Owner: KLEIN, LESLIE Job Address: 534 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: JAL CONSULTANTS INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number (305)876 -7514 Parcel Number 1132060140950 Phone: 786 -292 -2770 Building Department Comments replace old driveway for a new stamped concrete, same for sidewalk Failed /1)-01 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 30, 2009 For Inspections please call: (305)762 -4949 Page 10 of 32