DS-07-137Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 08/21/2007
Inspector: Grande, Claudio
Owner: ARKIN, BURT
Job Address: 705 95 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: ONE OF A KIND GENERAL CONTRACTOR INC
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number
Parcel Number 1132060142120
Lot:
Phone: (305)812 -3544
Building Department Comments
TEAR OUT OF GRAVEL DRIVEWAY AND
FIBER MESH CONCRETE DRIVEWAY
INSTALL
2 Ni
Passed
7(l
Inspector Comments
Fibermesh OK, pick up ticket at foundation inspection. CG 8/16/07
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid •
until
Friday, August 17, 2007
Page 1 of 2
ARRIEIRO
CONCRETE �.
MATERIALS, INC.
9409 N.W. 109 th Street • Medley, -Florida 33178
Phone: (305) 805 -0095 • Fax: (305) 805 -0080
ro NO
SOLD 'I TO
DE =CR3PTION
►,' +0 '"EGU.,t R
V I RONMENTI 1L
FUEL DADE
(FIBER)
tarp4 O
RA tH OADIHG TIME CHART
THIS DELIVERY TOTAL CU YDS
OF YOUR ORDER FOR CU YDS 1;
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH
AND 1 OR ANY CONCRETE PLACED DESIGNED SLUMP OR WHEN WATER IS ADDED.
TOTAL
TIME ARRIVED ON JOB STARTED UNLOADING FINISHED UNLOADING LE.:VINt
SUBJECT TERMS, CONDITIONS AND "CAUTION" INARNING LISTED ON
FRONT AND BACK OF THIS TICKET
TRUCK DRIVER
I acknowledge thet I have r
stand and agree to the
the mater
this tidke
13 RAFAELL
RECEIVED BY: X
CONTROL
CAUTION!!!
Freshly mixed ,_= ,merit, hr 5f; v, cu,wi'ete grout may cause skin injury. Avoid
contact with eyes where possible and wash exposed skin areas promptly with
water. if any cement mixtures get into eyes, vinse immediately and repeatedly
with water and get prompt medical treatment. Sawing, or grinding of concrete
masonry units may result in the release of dust particles which, without the
use of proper ey or respiratory protection, could cause ,yye or nose irrita-
ion. The materia safety data she _J'. [Tor she products sold by Barreiro
Concrete Materials, 4nc. are available r, ..)on reques' .
UNLOADING
Drivers are prohibited from delivering concrete except under the truck's own
power, and where site conditions permit the sale and proper operation of his
equipment. Drivers are not permitted to add water to the mix nor to go beyond
the curb line, except upon the authorization of the purchaser / purchaser's
agent and his acceptance of risk for any loss or damage.
Buyer, or his agent, agrees to assume responsibility for concrete, and any
property damage resulting from the truck making delivery beyond curb line.
ALL CLAIMS MUST BE MADE AT TIME OF DELIVERY.
if it becomes necessary to bring any action to collect amounts due on this
invoice, purchaser shall be responsible for reasonable attorneys fees and
court incurred by vendor in securing collections. Interest shall accrue at 1 1/2
per month on outstanding balances.
PERMIT #:
I,
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
RECEIPT
DATE:
? . rfo
c1&707 )
❑ Contractor
l -wner
❑ Architect
Picked up 2 sets of plans and (other)
Address:
?OS—
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLEARK INITIAL:
RESUBMITTED DATE: 6/ 3 /T
PERMIT CLEARK INITIAL:
Miami Shores Village
Building Department
Planning & Zoning Critique Sheet
Permit No.:
DS07 -137
Applicant:
Burt Arkin
Job Address:
705 NE 95th St.
Date
Comments
January 24, 2007 Driveway must be set back at least 10 feet from the side lot line.
Driveway can not exceed 12 feet in width at the rear lot line.
IJ S,t
Initials
fect nrY7f
10050 NE 2nd Avenue Tel: (305) 795 -2207
Miami Shores, Florida 33138 Fax: (305) 756 -8972
NAME:
ADDRESS:
VILLAGE OF MIAMI SHORES
VErA---faL IL) • 7-(1/0--)
OWNER BUILDER DISCLOSURE STATEMENT
DATE: %
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure
statement, which entitles me to work as my own contractor; I further understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one - family or two- family residence. You may
also build or improve a commercial building at a cost of $25,000.00 or less. The building must be
for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work under your supervision and must
be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Initial
2. I understand that as an owner- builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial
3. :I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code —. only if the structure_ eets the
minimum code.
Initial
5. I understand that as an owner - builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate any contract disputes.
Initial
6. I understand that if I compensate any person or company for work performed
they are required to have a business license in the county. Iffor any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed companyor person.
Initial
7. I understand that if any person gets injured on my construction project—they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
Initial
8. I understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaining
the proper permits by licensed contractors.
Was acknowledged before me this 24 day o
Bcen A (Qi,( ,A }"/4 Y) Who was personally nown to me or who has
as
200 7
Produced there License or A 25 -001 -3-1 4 as identification.
if ►-(,1�
YP
£v!taD V
9 dssion4DD2319
= Ex; ?tres • 4u1 13., 2(la'
I',ondr_d rhr:
Wilt. bonditiOco,I G
Miami Shores Village , 6 :
Building Department AUG 0 3 007 ij
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY: - - --
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
m Permit No. D5 /137
Master Permit No.
Wl!llLT Roofing
Owner's Name (Fee Simple Titleholder) B,42.4 Ace. K. Phone # �`�� ��� - ` �, 42,
Owner's Address . ) 0S K.) r 9.54' S +
City M ; Art. tlJ£1: State i . Zip 1 ce
Tenant/Lessee Name �—' Phone #
Job Address (where the work is being done) 7 0 S C. `i S } k S4
City Miami Shores Village County Miami -Dade Zip 3 -? 9 cit
FOLIO / PARCEL # J 13 O 1 £ . a-r
Is Building Historically Designated YES NO l�
Contractor's Company Name _,r0E- 3 -A- J�Nc ( /.(. ��� Phone # (3J_%:)'c13..- 3SVII
Contractor's Address 19 SSC) D' -7�' Pi-
City pl.. ArN 1 State PL.. Zip -3-3c.31 S
Qualifier Name ■ cAr r (-)$ oi Phone # 0 :,_.9 t1 - 3sL/` -I
State Certificate or Registration No. C C:ri C 1S 1 x91.5 Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Phone #
Value of Work For this Permit $ 37 00 . J Square / Linear Footage Of Work: 0®
Type of Work: ['Addition ['Alteration ['New E Repair/Replace ❑ Demolition
Describe Work: c . �� �����C� fez c.t.'� A„, me_s -t
bizar t_s ,;a
Submittal Fee $ Permit Fee $ \ 25- CCF $ '14 CO /CC
Notary $ Training/Education Fee $ . W Technology Fee $ 5 - \ 3
Scanning $ Radon $ DPBR $
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ '4-
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 tat 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
Owner or Agent
The foregoing instrument was acknowledged before me this ,
day of /-)-(i ( ,20( 'by t +r t o'�
who is perso
Contractor
The foregoing instrument was acknowledged before me this
!{
day of t ±' s , 20L_1, by 114 t t o
ly known to me or who has produced who is personally known to me or who has produced
As identificatiWiT
NOTARY PUBLIC:
Sign:
Print
t /2147
arYaW Commission #DID367502
Expires: OCT. 31, 2008
cd,T'luti Aidc,nxielkncling Co.,
a
C < -,.1( (2
My Commission Expires: t(` _
APPLICATION APPROVED BY:
(Revised 02/08/06)
C is) L
as identification%
NOTARY PUBLIC:
Sign: /b - L (/
Print: !) lei'' i i (!
My Commission Expires:
ary Taltdo DIA
Commission #DD367502
Expires: OCT. 31, 2008
Banded Thru Atif4ti (8-onding Co., Inc.
C((:_ -c
IC 1 t
Plans Examiner
Engineer
Zoning
its Instrument Prepared By:
Namef ) _eL-tiM 1- (.71 P o
Address} 4S siJ S7�" fl:
M .gr. , F..
MS 0 3.2007 b
Permit No.________ I`S"
STATE OF
i
COUNTY OF
111111111111111111111111111111111111111111111
NOTICE OF COMMENCEMENT
CFN 2007R0770202
OR Bk 25831 Ps 11741 Ups)
RECORDED 08/03/2007 11:53:03
HARVEY RUVINr CLERK OF COURT
NIAE1I—DAOE COUNTY? FLORIDA
LAST PAGE
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
S. Description of property: (legal description of property, and street address if available) r ®acs
s'rl: is\ "3(10., Sic -3 P(3 10-3-7 Lod t o d. L,} 11 c I-fc ( (
2. General description of improvement:
C S4 LL4..,J 4F (Ac..a -tit ISQ.J "w1A? � . 31 ��
3. Owner information r7 A 2x,� _ -) S 9S4" S-, – �•A SK A,4, t --. St,1, �
a. Name and address: 3
b. Interest in property: 1 3 O 'As
c. Name and address of fee simple titleholder (if other than owner): WA
4. Contractor.
a. Name and address:
b. Phone number:
5. Surety
a. Name and addres
b. Amount of bond $
c. Phone number.
0p- E.- OE- A- Clvo.arOL
a) �(j1 -3sv 1
6. Lender
a. Name and address:
b. Phone number.
'cgs °osws7'•lPi
f 1.A►�., Fs... 33WS
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 7 3.13(1 (a)7., Florida Statutes:
a. Name and address:
b. Phone number.
8.1n addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section
713.13(1)(b), Florida S Lutes:
a. Name and address:
b. Phone number.
9. Expiration date of 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 BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signatu— of Owner or Owner's Authorized Officer/Director
Partner/Manager
Signatory's Title /Office
AA--
Thh�e,,..jjoregoing instnment was acknowledged before me thI day of ALta
s4fiNKfci (name of person) as r%
authority, ...e.g. officer, trustee, attomey in fact) for (name of party on
, 07(year) by
(type of
behalf of whom instrument was executed).
NOTARY PUB �� FLORIDA
Toledo
Commission #DD367502
Expires: OCT. 31, 2008
Bonded Thru Atlantic Bonding Co., Inc.
Sig
Print, T
Comm
• =,orS
sion Nu
;// 4"
Pu•tic – State of Florida *€L/ 77 %(i<(.
mp Commissioned Name of Notary Public
ber
Personally Known — or Produced Identification
Verification Pursuant to Section 92.525, Florida Statutes
Under penalties of perjury, 1 declare that 1 have read the foregoing ar,,. at the = ---
knowledge and belief. /
4l %E
are true to the best of -my
Signature of Natural Person Signing Above
If iamt.. Shorej %4Lp
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207.
Fax: (305)756- 8972....
WHEREAS, QLJ24'
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
, hereinafter referred to as the Owner oftn9
'DS 1°121
following described property:
(owner)
Legal description/folioth C. (= 7S f/..--6-310`
Lot 80 , ) - +l1
Tax Folio A!:
AUS 0 3 2001 w _;
Block Subdivision
Fr-):1\r"+: SY-1,46 e° Sec.
requests permission to install:
Asphalt, oncret ; brick pavers
[ ] Landscaping
[]Other
within the public road right of way of —7 0 . N C 9 $ 4 '‘
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 causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4 The undersigned further agrees that these conditions shall be deemed a covenant running with•the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this ) day of Avg V 0-7
SIGNED, SEALED AND DELIVERED in the presence of: Cr),
..STATE OF FLORIDA)
COUNTY OF DADE)
• . .
AFTDAVIT
B Y:
The undersigned Affiant, GL.,(2.4 Atarc: , does hereby attest that the '1), 1 -1N1
(property owner)
attached survey, performed by
(name of surveyor's company)
performed on
7
( te 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.
Witness(sign and print)
itness(sign and print)
.•,) -j
SWORN TO AND SUBSCRIBED before me this,;) day of //-.)a ,---41-(1-) 7
Affiant is personally known to me, produced
NOTARY PDB:LIC-STATE OF FLORIDA
Mary Toledo
Commission #DD367502
Expires: OCT. 31, 2008
Bonded Thru Atlantic Bonding Co., Inc.
t)L
as identification.
Notary / i) fr-;(1(.7"
,
T
- y described''' f,
11, Block 68,
:S SECTION NO .1
.o the plat
recorded in
0, Page '37
ic.Records of
, Florida.
ground
:ts and
if any,
Fence
y visual
legal
.ot
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Certified To: Rap
kl Services Company
m Title Insurance
Arkin, Butt and Ma
Standard Federal
successors apd /or
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nc
••••
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ZONING DEPT
SLD it EPT
C
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6.1;
P O?ERTY OF:
Arkin, Burt. & Marilyn," 705 N.E.
•
' f G7.•-zex•k2/./ 7
f
t nic s' ftSeats the striatum and
the ot.etnalaafsed seal of a ,Flonda
'icemen sufvevor and mapper this
drasIng. sketch, plat or map is for
rnic•maunaat porpncec only and is
ri^ ,alt
A BOUNDARY
BUR bE 1
I eeteby certify that the starves repre•
sensed hereon meets the mmrmum
technical standards set forth by the Board
of land re r1 chapter G1(174,
Florida' Adam tratrve Code yururam e,
7
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ENGINEI
e
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Expires:Not Issued
Folio Number:1132060142120
Owner's Name: BURT ARKIN
Job Address: 705 95 Street NE
Miami Shores Village, FL
Owner's Phone:
Total Square Feet: 800
Total Job Valuation: $ 4,000.00
Contractor(s)
Phone
Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 8/3/2007: Yes
Comments: