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DS-09-800Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 123925 Permit Number: DS -5 -09 -800 Scheduled Inspection Date: September 09, 2009 Inspector: Bruhn, Norman Owner: SINGH, PERMENDER Job Address: 920 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: SERVILACON CORP' Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060070010 Phone: (954)804 -0492 Building Department Comments NEW CONCRETE CIRCULAR DRIVEWAY 5" THICK MADE WITH FIBER MESH 6X6 10.10 Passed 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- 113953. Repair sod NB Cc...F._..r. L.e r A4 7 AAA For Inspections please call: (305)762 -4949 D•••+e 74 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 6.8972 Tel: (305) 795.2204 Fax: (305 ; BUILDING AUG p 2000 PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) 1 17'}1 C�NU�1. W 41411 Phone # Owner's Address Qt-0 N C q6)/1 °C City A1 I 1110{-ei State r �- Permit No. C8 Master Permit No. 703 gel 97/Y Zip SS 13 S Tenant/Lessee Name Phone # Job Address (where the work is being done City Miami Shores Village County Miami -Dade Zip g 31 SP FOLIO / PARCEL # q z-� tic qs' sired— Is Building Historically Designated YES Contractor's Company Name Contractor's Address 5 7e)( SCk) 2c)i i Phone # ` S4 ` 04 o, City 62.MML_0-- Qualifier Names Phone # c154' W34- 04—Q Z State Certificate or Registration No. C6 C' . , S‘ 77-4 ¢ Certificate of Competency No. State FUZIZ..10A Zip z', Architect/Engineer's Name (ifrapp}b1e) Phone # Value of Work For Square / Linear Footage Of Work: Type ofW k Descri ['New Repair/Replace ❑ Demolition % 9 ******* ** ***** ***** ** * **** ** **** * ** *** *Fees* * *** ** ***$C O Permit Fee $ Submittal Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /C.C."— Technology Fee $ Zoning $ 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 FT.F,CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BO1TP,RS, 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 $25 promise in good faith that a copy of the notice of commencement and construction lien law brochure will be whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement mus for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o inspection will not be approved and a reinspection fee will be charged. Signature rwke Owner or A ; g The for goingit strument was a wledged • - fore me day of"�l ,20C-,by r f I who i . . - rsonally known to me or who has produced 0 identification and who did take an oath. Sign: Print: My Commission Expires: ***** ******* * ********* * *** **** *eSh�g aSkt '1.�'� I' O My Commission Ex2, Signature The fore day of 0, the applicant must livered to the person posted at the job site ch posted notice, the Contractor oing in ent was cknowl this 1 who is personally. known to me or who has produced as identification and who did take an oath. NOTA r Y PUBLIC: Sign: Print: APPLICATION APPROVED BY: (Revised 07/10/07) * * * * * * * * * * * * * * * * * * * * * * * * ** t. * * * * * * * * * * * * * * ** O rfer OI I.B Plans Examiner Engineer Zoning 1DD Jeo Ahrje 0-17//0-1 .. • 03 4• 52.00' 97.00' 10.00' fa MVICZY1'1! AUG 0 7 ?ON LI 29.70' NI h. .404 • - - ■ 11••1111111•11111.N. elltli•Illiaill.. iiiiiiiessaitassatinas aleellit011111111••1165111111 INSINZIIIIM•211111M611111( 11111111111111111•11111 estalillustft 11101111111111111 •• 11111111111111111 •• pi 110.1161101Eva•MINIEN . •1111MMINII 4111111110111111 SIIIIIII11100 weassast. taprinammtesibmwas •I1PrrIIIIIII•111.IIISIIIICWI. .;.i. 13.00e 31.90 • 13.50' • 01 L '0 .90° Z2•60: or---•N•••—■•••••••••■••• 40.60' • : • : : • • ' • .. ; .•••:•::::••:::•; Aspholt iaovainenti N.E. 95th Street je :H1(4 1 el-;,re kr-7 1‘ . . . • • . . • . •:: ••: •••4 • : • • /0 6,,z6 0 • Z CC 0 OD Charlie Crist Governor Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General May 26, 2009 Permender Singh 920 NE 95 St Miami, FL 33138 RE: Contingency Letter Application Document No: AP923685 Centrax Permit Number: 13 -SC- 983191 OSTDS Number: 920 NE 95 St Miami, FL 33138 Lot: 1 Block: na Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 05/21/2009 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.. AP 923685 is approved for the construction of a driveway. If you have any questions on this matter, please call our office at (786) 315 -2444. Enclosures cc: Sincerely, Jos ilp v, rg =, Engine- cialist II Miami -Dade County Health Department 1725 NW 167th St, Opa Locka, FL 33056 Phone: (786) 315 -2444 Fax: (786) 315 -2090 APPLICANT: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION PERMIT # 'pear M d-er cS1 rs5 h /.1.e e iv SOY) i 2411 E rwl r) mental & \S .� SUBDIV: 1 t CC,C(sC.i f1 cite, CONTRACTOR / AGENT: LOT: BLOCK: d�C ,-3-313e ID #: ((- 3z. 'O6-- 007 -00)0 __ TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR ATTACH LETTER FROM A PERMITTED SEPTAGE DISPOSAL SERVICE. = =■■= =■= = = = = == EXISTING TANK INFORMATION 8 x4 35 [ t Q ] GALLONS SLR? C MA GP D ATU LEGEND: INDW [ ] GALLONS SEPTIC TANK /GPD ATU LEGEND: [ ] GALLONS GREASE INTERCEPTOR LEGEND: [ ] GALLONS DOSING TANK LEGEND: _ _ MATERIAL: Cor)C,He BAFFLE MATERIAL: BAFFLE MATERIAL: MATERIAL: # PUMPS:( ============--==== === _____ _____________ I CERT THAT TBE NOTED TANKS WERE PUMPED ON .2r) / �/O7, HAVE THE VOLUMES SPECIFIED, ARE ST'r ` yi!/ LY SO' !� -�`'i = VE A [ SOLIDS DEFLE ION DEVICE / OUTLET ILTER DEVICE ] I ST D. .�:�1!' ?.44- 1 eNtJVorn-e,1 4CS OF iW C ED CONTRACTOR BUSINESS NAME == ____________________________ _ = == = = = = = = = = = = = = = = = = == EXISTING DRAINFIELD INFORMATION [ 5011P0 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: 1S x2-0 [ ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: X TYPE OF SYSTEM: [(/j STANDARD [ ] FILLED [ ] MOUND [ ] CONFIGURATION: [ ] TRENCH [e]' BED [ ] DESIGN: [ d HEADER [ ] D -BOX [RAVITY SYSTEM [ DOSED SYSTEM ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE INCHES [ ABOVE SYSTEM FAILURE AND REPAIR INFORMATION [ tq 1 0 ] SYSTEM INSTALLATION DATE TYPE OF WASTE [LA/DOMESTIC [ ] COMMERCIAL [ ] GPD ESTIMATED SEWAGE FLOW BASED ON [ ] METERED WATER ( .r TABLE 1, 64E -6, FAC SITE [ ] DRAINAGE STRUCTURES [ ] POOL [ PATIO / DECK [ ( PARKING CONDITIONS: [ ] SLOPING PROPERTY [ ] NATURE OF -[ ] HYDRAULIC GOAD [ ] SOIL [ FAILURE: [ ] DRAINAG UN OFF [ 4 R [ ] WATER FAILURE SYMPTOM: [ ] SEWAGE 9N GRO [ ]J1`AN7� [ ] DBO [ ] PLUMBING BACKUP [ ] REMARKS /ADDITIONAL CRITERIA :XaSTEK DAMAGE ER DRAINFIELD TITLE /LICENSErG 4,,,keembiciic: DH 4015, 10/96 (Previous Editions may be used) Page 4 of 4 STATE OF FLORIDA PERMIT #. DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Per rrvend JIFi °i' lint AGENT: "C�-k- ;7 de? C, C'1'"fYls f�tC LOT: 1 BLOCK: SUBDIVISION: R d I CiGi '�l +s SO to PROPERTY ID #: i1- 2_ °(&7 -O011? [Section /Township /Parcel No. or Tax ID Number] otZ® q 5 S' 33t3e TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: `r' YES [ ] NO NET USABLE AREA AVAILABLE: . 37 7 ACRES TOTAL ESTIMATED SEWAGE FLOW: 0 GALLONS PER DAY ESIDENC TABLE 1 /OTHER- TABLE2] AUTHORIZED SEWAGE FLOW: x[4.3 GALLONS PER DAY [1500 GPD /ACRE OR GPD ] UNOBSTRUCTED AREA AVAILABLE: ' g SQFT UNOBSTRUCTED AREA REQUIRED: 8 ,,>- SQFT BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT THE MINIMUM SETBACK WHICH SURFACE WATER: NA. FT WELLS: PUBLIC: MA. FT BUILDING FOUNDATIONS: CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES DITCHES /SWALES: WAFT NORMALLY WET? [ ] YES [CeNO LIMITED USE: /Iii' FT PRIVATE: .N114\- FT NON - POTABLE: /'JA FT FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 30 FT0 SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [L3 NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NGVD v.rr 3,51 SOIL PROFILE INFORMATION SITE 1 MUNSELL # /COLOR 1 4212,s►,g red TEXTURE DEPTH i.7 G 0 "- TO ►z' TO 1P�r4 TO-/ 2), USDA SOIL SERIES: OBSERVED WATER TABLE: AN- INCHES [ABOVE ESTIMATED WET SEASON WATER TABLE ELEVATION: HIGH WATER TABLE VEGETATION: [ ] YES NO TO TO TO TO TO TO SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: 10 YEAR FLOODING? [ ] YES [tJ NO SITE ELEVATION: FT MSL /NGVD SOIL PROFILE INFORMATION SITE 2 MUNSELL # /COLOR URE DEPT Orr 21" To 12 n TO 72 TO TO USDA SOIL SERIES'1 F'1 S TO TO TO TO ] EXISTING GRADE. TYP INCHES [ABOVE / MOTTLING: [ ] YES [ 7 ERCHED / l EXIST ' RADE NO DEPTH:AJ?4 INCHES DEPTH OF EXCAVATION: i# INCHES 140 exe.Aiaivons SITE EVALUATED BY: cM o97 (26Z Da 4015, 10/96 (Replaces Form 4015 [page 3] which may be used) DATE: Orr Page 3 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number PART II - SITEPLAN Scale: Each block re. resents 10 feet and 1 inch = 40 feet. Site Plan submitted by � .c.�.��1-r'i Corx-l'rcC-(- Plan Approved /5 ��6/ 0c)--- Not Approved Date By County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10/96 (Replaces MRS -W Form 4016 which may be used) (Stock Number. 5744002- 4015 -6) Page 2 of 4 akyo 4.1,1 RI34 1.N3WlaYd3a H11V:1H A mop 4I1 s. 5.21, \.4 NORM reds: 7730' uar suavt4 osv Property Address: 920 N.E. 95 STREET MIAMI SHORES,FLORIDA:33138 ,nRBBY CERT1AY THAT Tone 110UNWARY 9URVEY'1r A TRUE AMC CORREC7 REPP.E$ENTATIOU GIP A SURVEYPREP #RED WAR ray OIREi;TpN Tots CC/API. W) THE RHNAttar T4CNNMAt 9TANCA C$ At AIM ',Ark CY THE iTATE Or'LOR7AL MARC) Or PROM:ta:NAA. uRO� `. „�, -c�' °.Si. 910174 rLORICAAfYA1N197AATN9400E PURSUANT MOrr PLCOIQA PT MIGUEL ESPP STATE OF FLORI FOR THE FIRM P.B.M. NO. 5101 n/A VAL.a, Aft, 01 AN NJ'HITJIIC FirG'AA toG rEPAtn.F* Atilt Ai_MiFMICCARSCn..£GiA'1dC rEA1. Pt4)OR • WE 11AP13 lex.kwCV.nHDI. 1Hr*444 tAE qp +NP. Olta,AnA4 ?ACS:. ESA_ OA A tA”' q-.0 SOP VA,VA At.0 NA.K. Notes: NO NOTES ®me ®ate :A 600i 6 z Its . TAZEOM MIGUEL ESPINOSA LAND SURVEYING, INC. 5511 S.W. STH STREET, MIAMI, FLORIDA 33134 PRONE:(305) 740 -3319 FAX #:(305) 669 -3190 LB # 6463 Accepted By ItkO Survey: A -3797 PAGE I OF 2 BOUNDARY SURVEY PAVED DRIVE 1 STORY CBS RESIDENCE 920 NORTHEAST 95T1-I STREET FF ELEV = 13.54' A A 25'R /W 0.60 FIP3 /4" 1.20 122.70' NOTES: TYCRATD ao • ••• • •• • • NOT TO SCALE Certified To: PREMENDER SINGH AND NEETU SAIN1, CLEAR TITLE GROUP'LLC. CHICAGO TITLE !NSURANCE COMPANY OCEAN BANK, ATIMA, ITS SUCCESSORS AND /OR ASSIGNS. GENERAL NOTES; 3. 4 6 7' B S. 'D , 13 '41 'S 1E; _ EGA_ DESCRIPTION PRO nDED Su OTHERS. _.`AM1NNATIONr OF THE ABSTRACT OF TITLE WIL HA ,E TOSE MADE TO CETERM ;NE RECORDED NSTRUMENTS. IF Ale', AFFECT ''.',AS PROPERT'r -HE _A NOS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCJMBERANCES NOT SHOWN ON THE Pt.AT. THE PURPOSE OF THIS SURVEY IS FOR ;..LSE It: OBTAINING; TITLE INSURANCE AND ?u9At;C a,G AND SHOULD NOT BE JSEC FOR CONSTRUCTION PERM'TTING DESIGN. OR AN', OTHER PURPOSE WITHOUT THE 'WRITTEN CONSENT OF MIGUELESPrNOSA LAUD SUIT: E, INC,. VNCERGRO,..ND PORTIONS OF FC7CTINGS FOUNDATKILS OR OTHER IMPROJEMENTS ATRE NOT LOCATED. out 'e /ISIS_E AND ABO'-'E GROUND ENCROACHMENTS LCvJATED 'WALL TIES ARE TO THE FACE OF THE `HALL PENCE :OWNERSHIP NOT DETERMINED BEARINGS REFERENCED TO LINE 'TOTED AS B R BIOUNCAR, SUR.'EY MEANS s DRAWING AND1OR GRAPHIC REPRESENTATION OF THE SURVEY WORT, PERFORMED IN THE FIELD COULD BE DRAWN AT A SHOWN SCALE ANLYC4', NOT TO SCALE NO IDERIFICATR)N FOUND ON PROPERT'r CORNERS UNLESS NOTED. ':CT': ALtD :NLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED SEAL. DiMEtiSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. ELE: ATtONS IF SHOWN ARE EASED UPON N 0.'; D 1925 UNLESS OTHERWISE NOTED THIS IS ABQVNDARYSURVEY UNLESS OTHERWISE NOTED • Community Number: Panel Number 0093 Suffix: J Date of Firm Index: 7/17/1995 Flood Zone: X Base Flood Elevation: Date of Com letion 9126/2008 P Date of Updation• ' 9/3/2008 THIS BOUNDARY SURVEY HAS BEER PREPARED FOR -HE EYCLwn'E LU-E OF THE ENT'TIES NAMED HEREON THE CERTtFtCATIONS DO NOT EITEND TO ANY UNNAMED PARTIES. ■ enderZ : Legal Description: LOT I ,BLOCK OF REDOING HEIGHTS SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 45,AT PAGE 84, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY FLORIDA. 4— Surveyor's o e FROPER7YORE /mbCIRK4MIiP POINT N1' Legend C. CA(CLLAcE1) FEL IELEEMOAEMCE/OWES •no FoE,o 0 NOT Ft ac SR ENURE ResE UP inifrYPCYe 4 CY3"Y9'Wr[. •NOtE•tEZ iA Eti$ $i naCtlVV7YBRX k RYJIL60r44444t SEP JE'AC /4M( RAC. RA004 T!E LIE SPASM= N RCN RACAL 6C ARCOPICC ONAV rye MAC* SO4 SRIE"AALA la 6aavRaO 0w a .E7wY LP RONPER 31ii 9CRFlp! N44 *Az A OW AK NAL P.L4LQVKL4 Ott wit HOLE r1 T$ Aor rC SCAAE 0 rwu FP 44,4 eppL oR 'CY WE roe craw( L1Nbvr Q RA 01ANAd E O• EDGE OF YER EAi? EASE OFPAYEMENI 12.R t. DLERtfEADtPE G 'O. OCriaE7E YA1LEYG47TER •tb.. P.P. PCSVERPCCE 9. IL SLRirE'YTSSiL GtTV CARE 3N AVM Wm *MR wpm Cd f LENITALS& £.E47 E4&BS2?7 V' fifeltird. MY 5AC3? E .TCP0ACti7i"NF WE r.7t'TYi6451046MT D CIIMPOSSEEtii'E? MF RD£ 'dVAT EASE? Vr 1'SYAT I.B.E. IAAYL4CAPTE MirAFAt alb':: t.4 F : A07F,AM•E$4 EATaorwr cow. 9 cot wALL • •g7 ••••--. ••- C01.80LES'ori•AREFENOE -... •••- ••- A CONTha POW now 11/000 • CONCRETE* 1,444•WT now o- TREE ,. .._ ... _ ._ .. 1e7' —f- -- - — f CEAUEaU1dE tk " + 1R1 POLE fl;iifi Fa 6:47:i0 84:41V l yr '' ' t 1 corozeirro �C iY Ai etEVAt1CV .. 1ALO04LT PJ POSITEf MMOEMC' .'f AC PONY ,'Y'CRVAiURE Lwr maw PRY FromorefrmEngisva ACC PINS'"fCF Ali1p —._ YLA7ER PRC PC1470�'REvail'cQ7i4nslf •••V 7YAIHMOVE OA MaA ran Rao R79YrOY'•.?14PILEY4:BffiYI PCP. FR4044AERICONIRCA '+. CCARBASCAREA AL Raft*FA'9MEX) .. -"' P. PLAYTEX i•'AEDMM Cv..t CLMW.'rPAP, > AAE 41AA7150ACCEASF.4ttP6titl, ?A..££ POSRESS,EOEESS SAO LAI.F L4AL IAAOSC4P6'1.44C.T BuNYEYOR•A DHRTiPICATRRI tHAREE r GAR" iF "HAT r„w TXxuiO4P. art, /• cACA NC f Property Address : 920 N.E. 95 STREET MIAMI SHORES,FLORIDA:33138 A.C.ARCCT REPRM$CRTATI0t1 OF 4 MAW" °HAMM r, UMOER NV DIREC?IC4 T44 c JIAPt.SEA vo1.t Tait MW&IUM TAT%HI44CAl..CA4CMAHM As 9E"FDPT.. Ev T'Ia sTn E,>r noa.-.n1#0na0c= PP,JF3ss,tHHALLAM144 - .,Q'3i?A ruY4.oAAr4,,M16T RAM. E A.0 O1 Pt P..U. 70antD1 FLAIR •ONED L�'. E ALT' FOR THE FIRM i MIGUEL ESPINOSA LAND SURVEYING, INC. 5511 S.W. 8TH STREET, MIAMI, FLORIDA 33134 PHONE :(305) 740 -3319 FAX #:(305)669-3190 LB # 6463 Accepted By PuauFr eraatNCN"> 3 ' STATE OF F'LOM... -. ' .'" PS 44 NO 51LT1 Survey:A -3797 PAGE 2 OF 2 ••• • • •• • • ••• • • • • • ••• • •• •� •• ••• • • • • • • • • • ••• • • • • • • • • •• • •• • • • • fl';'.• £,•• i•• • • • • . • • :, • • • • • - .• •.. • • • • • • • • • ••• ••• • • • • • • •• ••• •• • • .. •• • •i• • • • `••• ••• •• •••• • • i• • • � • •• • Property Address: 920 N.E. 95 STREET MIAMI SHORES,FLORIDA:33138 BURWYON'BtIWfl T I I HERGBY CERTIFY THAT TM% StWHOM&&RJEY' W A TAUS AND CORRECT REPRLBEPRATIOR CFA OURVCV PRBA RED UNCAIR My OIRECTIQN THtti 043MP649 WITH THE MRIILWM nOatlaAi. ETAFRi5RD$. At AV 00‘4"118Y THE STATE OF FLORIDA BOARD OF PRORCOMONAL LA1 /O Q'J f.,. ' :Y:•, ••, ;- LtiMOM.. A1,4MDAADAEM5TRATIVR POPE FURMAAT' T047? OTT. ALAMO%BY SIGNED MIGUEL ESPINO STATE OF FLOR FOR THE FIRM PS.M. NO. 5101 6Gt v414 Atl)C4rt 1 ..vuWIC *LEGIT4511C SMMAAMA;. F1A 4J14E'OlATA1TrA H.. Cr AMCa4W. A7.'MJR • WS ata0 Pr Jai tall NWJ' t Pt! *04Ar&AvHMA'NRCMI:'ata AM1144444 4r 14M4H4SD.B:.WYSvcfl 414} H4W°EA Notes: NO NOTES MIGUEL ESPINOSA LAND SURVEYING, INC. 5511 S.W. 8'H STREET, MIAMI, FLORIDA 33134 PHONE:(305) 740 -3319 FAX # :(305) 669 -3190 LB # 6463 Accepted By Survey: A -3797 PAGE 1 OF 2 • i'@""I 4AY 12 200E • • • • • • ••• • • • • • • • • • • • • • • • • • • • • •, i • • • • •• • ' • • •• • • ••• •• • • • • • SUBJECT TO COMPLIANCE WITH ALI-FEDERAL I STATE AND COUNTY RULES AND RE-_U ONS •• • • • •• • *. . • • • • • • ' •• • :•'c • • • ••. • w • • • • • ••s . • • 0 • • • • • • • • • •• • • • • • •• •• • • • i• ••• • • • • • • • • sec • • ••• •• • • •** o • s • • ** • •• ••• : •0 • • :•e ••• ••• • • • •w • • •.• Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. DS-5-09-800 Issue Date: Not Issued Expires:Not issued Folio Number:1132060070010 Owner's Name: AMY ZIBELLI Owner's Phone: .:.:. Job Address: 920 95 Street Total Square Feet: 1920 Miami Shores, FL • Total Job Valuation: $ 8,000.00 iii • ..:::,,,x,......:.:...:.....:.:.:.:.,:•:•:•:.:.:.*:.:.:.:•:.:.:.:.:.:.:.:..•:..:•:.:.:.:.:•:•:.:.:÷:.:..:".::•:,:;:•,2,x9:9z,,-*:,,,•,,,,,,;-;,•;•,•;•;•;•;•:•,--,,,•;•;•;,•;t;•;•z,•:•,,,,,,•;•z•:•%•,,,,,,,,,,,,,,,,,,t,,:z,:z,:,:::-:‘:',::,-:•:----:-o:+:e:e:;x*:.:+:.:;w•-:+,:.::::*,:::::.:........:..k.:. Contractor(s) Phone PrimaryContractor •• •• •• •• •• •• •• •• •• •• SARABANDA INC. (305)756-7622 Yes •• •• • • • • • •• • • • • • • • • Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/29/2009 : Yes Comments: DRIVEWAY ON SWALE CAN NOT EXCEED 10 FEET IN WIDTH. DRIVEWAY ON SWALE NOT TO HAVE CONNECTION TO STREET PAVEMENT ON CURVE OF STREET. 6/29/09 NEW PLAN OK MAY HAVE 2 FOOT FLARES tf. 10.00rS Y.( . r • Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Perm'it NO. DS-5-09-800 Issue Date: Not Issued Expires: Not issued Folio Number:1132060070010 1 Owners Name: AMY ZIBELLI Owner's Phone: ... Job Address: 920 95 Street Total Square Feet: 1920 .. •-• Miami Shores, FL ,• Total Job Valuation: $ 8,000.00 :Ili .............. ......... ......... . .. ........ ................................ , Contractor(s) Phone Primary Contractor SARABANDA INC. (305)989-8228 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: Comments: DRIVEWAY ON SWALE CAN NOT EXCEED 10 FEET IN WIDTH. DRIVEWAY ON SWALE NOT TO HAVE CONNECTION TO STREET PAVEMENT ON CURVE OF STREET. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 &CIZEVIgit AUG 0 6 2008 BY:_m��__ ®m_a Permit No. Master Permit No. Permit Type (circle): Building Roofmg (' " Owner's Name (Fee Simple Titleholder) Peel e ( 1 n � Phone # 703 t[- 0 ! q7/1/ Owner's Address q N qS, Sfre eet- City Pi, o� S'�49Y6 State °F 1- zip 33 ) Tenant/Lessee Name Phone # Job Address (where the work is being done) er Le W q5 Shred City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO ✓ Contractor's Company Name 5ff—IZV((.aC.c *l QUIP Contractor's Address L5 7C4 3 2044-4 SST City l"'t- state TL Zip cn> 27 Qualifier Name U. j i* I A • pe- a-- Phone # cis-4- 80 4" R2 State Certificate or Registration No. C t C 15 l'7 Z`∎Q. Certificate of Competency No. Phone # 454 et54 041? Arcbitect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ t 4o t.).k . Type of Work: Addition ['Alteration DieSbe-t lo Describe Work: Square / Linear Footer a Of Work: G =0 'F'r ['New R epair/Replace 0 Demolition 0 4 �'�.u- ******** *** * * ** *** *** *** *** ** * *** * * * *** Fees* *' ****** **** * ** * ***** * * * * **** * * ******** Submittal Fee $ Permit Fee $ �� CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ S*00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ 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 FLECTRICAL 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 exceedin $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure w l be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement m t be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absenc of such posted notice, the inspection will not be approved and a reinspection fee will be charged. The foregoing day of Owner Agent strument as ack•wledged .'-for ,2001 by Signature The for o day of who is ho is personally know, q, to me or who has produced Vii, -.a 14 ' �' ►�� NOTAR PUBLIC: Sign: Print: My Commission Expires: ******** * ** * * * ** * * * * * * * * * * * * * * * * * * * * * *% • Contractor r(� nt was acknow edged ! f •, D' me this -° ..� t r identification and who did take an oath. as produced It' tification and who did take an oath. My Commission Expires: APPLICATION APPROVED BYi rf7"1[ (Revised 07/10107) ■ as Sttt,C „p�`�v,'.6c ©., Plans Examiner Engineer Zoning Miami Shores Village Building Depart a AUG 0 6 2009 Change of Contractor Permit No. C5M- Owner's ,Q c Name (Fee Simple Titleholder) C'.'I1�Yl Q n a S, �?r51f) Phone # 7.53 - 61 c i / it Owner's Address q 2-0 A gSiv) -s Q` City M I CON, S ho-'.e s State -FL- Zip S 3' 8 Tenant/Lessee Name Phone # ' Job Address (of where the work is being done) C 2 ® E ''5 i' S hr? e - City I Shtpres County Al fit 1. x ! •C. Zip Legal Description Contractor's Company Name 6aRli tLI Q» OW) Phone # 9.54 - Sal=1) 4 04 S 2 Contractor's Address 1576c .stk3 1& City 11,flisKbe, State T-7-L Zip 3 Z7 Qualifier ` t etD L A, t" R C• ieldv ,lam P 4viiveuictg, I hereby certify that the work has been abandoned and /or the cont ctor is unable or unwilling to complete the contract. I hold the Building Official and t Village of Miami Shores harmless from all legal involvement. Describe Work: Signature or Agent The foregoing instrument was acknowledged before me this The foregoing Signature this clay of who is 1 NOTAR Sign: Print: 20On by PiQktdsSi ) 4rso y kno ' me or who has produced (J"C I116 entificatior,and who did take an oath My Commission Expires: day of who is pc X10 rso Contractor t was acknowledged before me 6 20 U ! by Ur l y known to a or who h NOT ' ' 1.gLIC: Ilw.l Sign: Print: My Commission expires: produced tion end who did take an oa.�o��� Il 1 0 3 \4' 4�, 00- �lp' G °Q� * * * * * *,* * * * * ** * * * * * ***** * *** ' * * * * * * * * ** ****** * * * * * * * *, ********************* * * ** ** * * * *** * *** * * ** * *** ** * * * ** Rev. 09/19/03) AUG 1 4 2009 1.) „gi Siam `J e Bldg• Doni nett 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com HOLD RMLESS DATE: - I4 -2 PROPERTY LOCATED AT: 9.z© `K E 1.e-UllaC -1,1 s t-L. As legal owner of subject property, I request the cancellation of permit number DS CI— ISM issued to for the following reason: e Date of last inspection: hereby apply as owner - builder, or authorize (new contractor) Ye/ad t Gatti to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (includi l• attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I fu hermore assume responsibility for the correction, if required, of work performed under the permit for w cancellation. y ?tlyvk (Owners Signature) (Prime • actor -Only if subcontractor hold permit or if change of qualifier) I am requesting f eiznnCivs c%2 S'iNgK (Print Name) State of Florida County of Dade: The undersigned, being the first property. Sworn to and subscribed before me this 1 Notary Public, Sate of Florida at Large (Print Name) duly sworn, deposes and says that he /she is the legal owner of the aboe so To the Contractor: Sarabanda Construction and Roofing 1835 NE Miami Gardens Drive # 153 N Miami Beach FL 33179 CGC1507000 CCC1327786 AUb o 7 2009 ; 27th July, 200ity. You will no longer be required to do any work on the property address below. 920 NE 95th Street, Miami Shores, FL -33138 From the Owner: Permender Singh c9 vac' W*Mw5,- vetikAan epf;tv Complete Items 1, 2, and 3. Also complete item 4 If Restricted Delivery Is desired. m Print your name and address on the reverse so that we can return the card to you. Attach this card to the back of the mallplece, or on the front if space permits. nittrAMWS,:faN f1,44.44 We** IS SECTION A'at:yi,J4 tft 1. Article Addressed to: Sa0,174 ,1) t/A 94.767/4Clibi veyi, O`YOMMiefirt A. Signature B. Received by (Printed Name) "ARMONg vonwedtiogfft E3 Agent 0 Addressee IC. Date of Delivery D. Is delivery address different from Item 1? 1:3 Yes If YES, enter delivery address below: 0 No /83 f /YE /Wow; 6,0c:tee! 3.)8xvicelYpe Certified Mali D Express Mall (RV fre /f-,3 sf Registered Receipt for Merchandise .1 Insured Mali 0 C.O.D. Riale4,7 4 Pett4 FL.— 33 ) q 4. Restricted Delivery? (Extra Fee) yes 2. Article Number (Thansfer from service tat* PS Form 3811, February 2004 gremstEMANNITMEME ..112112100.116111110=111811.111 MenaMMISMEMM SIBEZEIMEMSIOEMS1 7008 0150 0003 1355 5414 7008 0150 0003 1355 5414 7008 0150 0003 1355 5414 Domestic Return Receipt 1009542-M4540 f*u(aq90,6“. FOOKciAnii0iiWitlozgitelitiyiNt*Efig440M4 • Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Flequired) Total Postage & Fees Pas (murk Here , A . , "P"13"Na //iriVE P.2.141,07.641-drigs...e 14- fiZe 4'7.3317 City State, ZIP+4 Mail Boxes Etc. - #4432 16850-112 Collins Avenue Sunny Isles Beach, FL 33160 (305) 944-7565 07/28/09 1249 PM We are the one stop for all your shipping, postal and business needs. We offer all the services you need to keep your business going. 11111111111111111111111111111111111111111111111111111111111111 001 500017 (022) Meter Mail 002 500017 (022) Meter Mail 003 500017 (022) Meter Mail 004 500009 (025) Office Supplies ACCOUNT NUMBER * TO $ 5.00 TO $ 4,80 TO $ 0.55 T1 $ 0.35 SubTotal $ 10.70 SALESTAX (Ti) $ 0.03 Total $ 10.73 VISA $ 10.73 ************2438 Receipt ID 83009252853180888334 004 Items CSH: Silvia Tran: 1604 Reg; 001 Thank you for visiting our store. Please come back again soon. Whatever your business and personal needs, we are here to serve you. US Postal Rates Are Subject to Surcharge Permit No: 09e6 Job Name: 8-15 , 2009 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 BuilgCritipue Sheet /Ape& E. Aid iOrt. C`Dti�� � 4erl■ 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 NOTICE OF COMMENCEMENT A RECORDED COPT MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION / PERMIT NO. TAX FOUO NO. 4' 32.0 £ 00 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 11111111111111111 1111111111111111111111111111 C:FP -I 2009R0484662 OR Bk 26928 Ps 2111; (1Ps) RECORDED 07/06/2009 15:28:31 HARVEY RUVINv CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE THE UNDERSIGNED hereby gives notice that improvements 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. 1. Legal dessriotion of opertyyy and s eet/addres : 92-0 A/ i! /�,.0,� / G ,t _ X3 /mac ! !'/ Jvd I " /3 '7 S - er 40- �-L 2444- - ill 1 -s L d 6/2 /d F L Z -/53// d/ 9 9 9/ 2. Description of improvement W 3. Owners) name and address: /D 'Pr)' ..% •G•. t 2 o /1' ? S .,T/ ,!a: -- Interest in property: 0 DA/tit C,r�C -c.. c' / /—P Name and address of fee simple titleholder: 4. Contractor's name and address: SA-yak. .r 7z.33/ 5. Surety: (Payment bond required by owner from contractor, If any) Name and address: 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 and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 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) Signature of f caner Print Owner's Name 1 alive-420o- Sworn to and subscribed before me this 5 day of OCAtioeir , 20 A. Notary Public Print Notary's. My commission expires: t1 • � Prepared by Address: R. -1.4.2 1 �/C 123.91 -82 PAGE 4 8/62 STAOF FLORIDA, COUNTY OF DADE t HER% Y °WNWfNaf this a a true copy of the anginal led Pp office an (,..0-th day of , A D 20 WI MESS thy hen one Omcia/ Seal. HO AU , CLERK, d c' a one arm* Courts M NOTARY POBI1C -STATE OF FLORIDA .•• " " "4, Chrissy. Ayala ` . 1Commission #DD746099 ,,,nna' Expires: JAN. 21, 2012 w; wassrutracsoxsixecooNe Miami Shores Village TIOMEVIE Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAY 12 2009 B'Y: Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No.% O13 C (' W Master Permit No. BUILDING PERMIT APPLICATION FBC1111111. Permit Type (circle): Roofmg 'A Phone # 703 41(12/' 9 T Owner's Name (Fee Simple Titleholder) e41-yee-°)�dr- Owner''sAddress %2C-9 City /e 'Cite-State /1 Zip g 3 /3 Tenant/Lessee Name Phone # Job Address (where the work is being done) 22- 0 Pc- x City Miami Shores Village County Miami -Dade Zip 1 f RP- FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name, /1' 6/i- r - f' Contractor's Address %f 3 3 ` /Lie- ,%(% -, ,f- 9- City /( 04-/r°'(. State Qualifier Name f / /Lie- State Certificate or Registration No. to co 0 Phone # Zip Phone # ,305--2/3- /2T 1 gg 367 2/2 • �f3) Certificate of Competency No. • Architect/Engineer's Name (if applicable) Jim /797 Phone # ?c95- 4112— yec? 45' ''`9 Value of Work For this Permit $ S ®40 96' Square / Linear Footage Of Work: Type of Work: 0Addition DAlteration ['New Argepair/Replace ❑ Demolition Describe Work: r/c cvn v� !j2► rva�y iA� �,��a� L� /4 * * ** ::x ****** **** ** **:******* *********** Fees********* ******** ****:****** *********** ** *** Submittal Fee $ — Permit Fee $ .. < w CCF $ 4 • CO /CC Notary $ 5' 00 Training/Education Fee $ • (4• Technology Fee $ 4'61 Scanning $ (p '00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ [ Double Fee Structural Review. $ Total Fee Now Due $ 391. 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 co encement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the ab 'nce 4f such posted notice, the inspection will not be approved and a reinspection fee will be charged. The foreg day o who is Gr NOTA Owner or Agent g instrume t acksowl ged be re me this 1 * 20kri by N VC 2 )0\ V)I Sign: Print: ersonally known me or who has produced entification and who did take an o. asp' My Commission Expires: ***************************************®************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** e0 „5.,i °' oe Cj 1 r�0o ,� "� Signat The foregoi day of who is Contractor instrument was ackno ,2061 b ersonall known to me or who has produced 1 f (1 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expirt#S,"' APPLICATION APPROVED BY: (Revised 07 /10/07) 7.144. Plans Examiner Engineer Zoning Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. DS -5 -09 -800 Issue Date: 7/2/2009 Expires:7 /2/2009 Folio Number:1132060070010 Owner's Name: AMY ZIBELLI Job Address: 920 95 Street Total Square Feet: 1920 Miami Shores, FL Total Job Valuation: $ 8,000.00 ................. u .............................•. ova.. e..............................................................................................•...................................................................... ............................... Contractor(s) Phone Primary Contractor SARABANDA INC. (305)756 -7622 Yes Owner's Phone: Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/7/2009 : Yes Comments: DRIVEWAY ON SWALE CAN NOT EXCEED 10 FEET IN WIDTH. DRIVEWAY ON SWALE NOT TO HAVE CONNECTION TO STREET PAVEMENT ON CURVE OF STREET. 6/29/09 NEW PLAN OK MAY HAVE 2 FOOT FLARES 8/7/09 NEW PLAN TO BE BUILT ACCORDING TO PLANS SEE PLANNING NOTATIONS Permit No: 0915190 Job Name: ��6 , 2009 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Page 1 of 1 e 1.0..„-,4, lAt.s- 4.1...1../ 0 Acraoh. ..41./.7. .9.4 .,v7Z 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 Permit Number: DS -5 -09 -800 J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 124150 Inspection Date: September 10, 2009 Inspector: Bruhn, Norman Owner: SINGH, PERMENDER Job Address: 920 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: SERVILACON CORP' Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060070010 Phone: (954)804 -0492 Building Department Comments NEW CONCRETE CIRCULAR DRIVEWAY 5" THICK MADE WITH' FIBER MESH 6X6 10.10 Passed ig6-, Inspector Comments i/zOrc...6 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 09, 2009 For Inspections please call: (305)762-4949 Page 1 of 1