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DS-09-433Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 1091'' 16 Permit Number: DS -3 -09 -433 Scheduled Inspection Date: May 04, 2009 Inspector: Bruhn, Norman Owner: Job Address: 438 NE 96 Street Miami Shores, FL Project: <NONE> Contractor: STONE AGE PAVERS INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number arcel Number 1132060140590 Phone: 954- 755 -3432 Building Department Comments Inspector Comments Passed ad 31...go Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. .. - ^• ..R.." Miami Shores Village �gGgIIC�7gj� Building Department MAR 1 a 2009 BUJ 10050 N.E.2nd Avenue, Miami Shores,.Flbrida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit. No. 'OS 0e 443 Master Permit No. Permit Type (circle): Building Roofmg Owner's Name (Fee Simple Titleholder) MIA/4 t Siatl:S SA ells i Cfi4 ACti Phone # SOS 7 SS ° o 5 Owner's Address 37D G204 CotiC E Cityrn t API d 5 1402E 5 State % L Zip 3 3 13 g Tenant/Lessee Name /V JA Phone # N IA Job Address (where the work is being done) y S ✓'/ ( 5T (E, T City Miami Shores Village County Miami -Dade FOLIO / PARCEL # , l - 3Z 156 - tot °° (35 cD Is Building Historically Designated YES NO X Contractor's Company Name J1'bW.E goe f 3✓tkS Contractor's Address _,14�S' H4) A2'1/ live City �'`/?'''' " '�O/lionwo &4'l/ State FZ- Zip 33449/ Qualifier ame b i/bLAS fl. 7>■9'f %E�QS Phone # 59'1 11'1' l' 111-% State Certificate or Registration Noll. Che b1a/8 Zip 33 /3 Phone # 9S41-41/- /- / '70 0 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition Describe Work: A on sqf A/ /AI Certificate of Competency No. Phone # Square / Linear Footage Of Work: ['Alteration ❑New D Repair/Replace D Demolition .JALK 4 dl,LUF Co,c../ rE f'AvEiR **** ** *** ******* * *** *** ** **** :******* Fees****************** *** **** * *** ********** *** ** G p' Permit Fee $ CCF $ [� 7.--1) :'°`c`' Training/Education Fee $ 040 Technology Fee $ J. Submittal Fee $ Notary $ Scanning aci) Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —* Bonding Company's Name (if applicable) Bonding Company's Address ity 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 of such posted notice, the inspection will not be approved inspection fee will be charged. Signature Owner or gent The foregoing instrument w ; cknowledged before me this day o740 , 204 , by S c:,9 -7---7/1 A who is personally known to me or who has produced /CA a4J v1 As identific NOTARY P LIC • Notary Public State of Florida Edward Nurquez My Commission DD768612 Expires 03/10/2012 Sign: Print: b %(iea i15) My Commission Expires: \3/10 / i Contractor The foregoing instrument was acknowledged before me day of ,20(4,by�,, 6 O Bi who is personally known to me or who �0 �,� 4/in 4 as identificationd �, :'',4`'� .°->`" NO 2o� 5 a s SItr NOTARY PUBLIC: Sign: Print: CA • • o : #DD 753769 Z. , TA My Commission Expires: J "'" APPLICATION APPROVED (Revised 07/10/07) 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-3-09-433 Issue Date: Not Issued Expires:Not issued Folio Number:1132060140590 • . . • • • • • • • • . • • • • . • • • ' • • • • • • • • . - • . • • • . • - - • - Owners Name: Owner's Phone: Job Address: 438 96 Street Total Square Feet: 600 Miami Shores, FL Total Job Valuation: Contractor(s) Phone Primary Contractor •• .• • • e l • • • ..., STONE AGE PAVERS INC 954-755-3432 Yes •• •• .• .• •• •• 4. • • • • • ,••• .......................M.W.,.....,,,.........,....,...:.:.:.:,:4.:.:.:.:.:.:.:.:.:MX,:.*:.:.:.:.:.:.:.:.:•:,:,:,:.:•:•:•:.:•:•:•XlAlZ4:*:•:,:,:•:.:•:.:•:.:4:,:,.T......:l:,..:•:, X l:,:,:il:•:,:,:.:•:•:,:•:.:•:•:•:•:•:.:.:.:.:.):::.X4:.:.:.*.X.*.:.:.:.:.*:.:.:.:,:.:.:.:.:.:.:.:.:.:.:**:.:.:V*X.M.:.:.:.:.X.:.:,,K.:.:.•••••,,,.............,•••••,.......• Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/19/2009 : Yes Comments: MSBC MIAMI SHORES BAPTIST CHURCH HELPING PEOPLE CONNECT WITH GOD March 9t', 2009 To Whom It May Concern: This is to state that Scott Fink is authorized to sign papers as an agent of Miami Shores Baptist Church, Inc., 370 Grand Concourse, Miami Shores, Florida, 33138. Hope this sufficient information so we can go forward with this permit. Cordially, Anthony D. Mitchell President of Corporation Chairman of Deacons ADM/me Notary Public State of Florida Edward Nurquez My Commission DQ766612 Rp Expires 03/1/20 pQ 370 Grand Concourse E Miami Shores, FL 33138 PH 305.758.0559 FAX 305.758.0587 ry\.1 An^ S j4cs,2F s t`34 voT !ST e 1-fta AC (71 tv t LAJ IA) tc d IOR I t-J E Co�rC���F pefv ,/LS Fr fp n<8 8 z 3/$ f3e/4 E ©V F r2 CO^ P #c'r E f3A-sa v • 0 x 4141.• • • • • • 00 • • •• • • • • • •00• • • • • 0041. • • • • • • .• • • • • • 00 • 0. 041 • • • • • . • • •••• • • • • 041.• • • • • •. • • • • • 1k< 41/4 .. • • 0• • • • • • E/ /s T,Nei PALJ!iv N.E. 96th STREET R= 25.00':: A= 39.51' = 90'32'30" LP. 1/2"0 5' CONCRETE SIDEWALK =35.00 z •W • LOT 13 BLOCK 53 This properly described as • '1?ae West. z •of Lot 6' acid IZts 7 -12, Block 53, • • •M►IAM151dC a ES SECTION Ns 2, • • according to the Platakcrraor • • • •2tlrecoriledpi P1at Bpok. 1u0, Page 37, • ":dithe Public RecordstelVItami -Dade County, Florida. • •••• . • Wetting, if may, shown ppsgsl on N/A LOT 14 BLOCK 53 LOT 15 BLOCK 53 CERTIFIED TO: Miami Shores Baptist Church 438 N.E. 96th Street, Miami Shores, FL 33138 (reference) N/A LOT 16 BLOCK 53 LOT 17 BLOCK 53 LOT 18 BLOCK 53 fAuE E p LA/' "THIS SURVEY DECLARATION IS MADE ON THE FIELD DATE INDICATED, TO THE OWNER(S) LISTED. IT IS NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS." LOT 19 BLOCK 53 LP: 1/2"0 C'• CO .0 =., m c ° @ g .9-370 c c m 0 o l2 @o c a a m E ca g m = E w o 35 .. 't; . .. o c 6 m a . z c E 0 m = ES m t , o crn=c o x m a s s m o �°.-a .-• c m ..° ra :a •S .g Q c E 2 E a m m m t g m c� € a o m v i"o1mc�'b��o o� Z m o w v�'omoc m aaJ� C. m t � � O C 8 6 2 1 c sQ C E 8 i a m E'°. mm =� Iii 1 2 4 Z• m,a oam • • • LEGEND A = Central Angle A =Arc NC = Air Conditioner ASPH = Asphalt BBQ = Barbecue BM = Bench Mark CB = Catch basin CBS = Concrete Block Structure CH = Chord Chatta.= Chattahoochee = Center Line CLF = Chain Unk Fence Cl. = Clear Conc. = Concrete D = Deed 0 = Diameter DC = Miami -Dade County DH = Drill Hole DME = Drainage & Maintenance Easement Enc. = Encroachment F.H. = Fire Hydrant F.I.R. = Found Iron Reber FPL = Florida Power & Light F.I.P. = Found Iron Pipe Fd. = Found M = Measured = Monument Line Mon. = Monument N/A = Not Applicable N/D = Nail & Disc N. = Number NTS = Not to Scale O/S = Offset O.U.L. = Overhead Utility Lines OH = Overhang P = Plat PB = Plat Book PC = Point of Curvature PCP = Permanent Control Point PG = Page P.I. = Point of Intersection PKWY= Parkway = Property Line P L = Planter P.O.B.= Point of Beginning P.O.0 = Point of Commencement P.P. = Power Pole P.R.M.= Permanent Referenca Monument PT = Point of Tangency. R = Radius Res. = Residence RNG = Range RJR = Railroad PSM = Professional Surveyor Mapper RNV = Right -of -Way SWK = Sidewalk Sec. = Section TR = Tract : gyp) = Typical .3 Tangent •TWP •= Townsht • I:.G • •= Utility E•semerit • eln• "Wood FgrLcii • • • W.M. = Water Meter • • REVISIONS:. • • • • ••.• • • •••• • •• • • • • • FLOOD ZONE X COMM. No. 120652 PANEL No. 0093 SUFFIX: 1 F.I.R.M.DATE 03/02/94 F.I.R.M.INDEX 07/17/95 BASE ELEV. + N/A N.G.V.D. ELEVATION NOTE: (IF APPLICABLE) L.F.Elev.= N/A (lowest habitable floor elevation). Elevation shown hereon refer to N.G.V.D. 1929. Lowest adjacent grade elevation= N/A BM. N/A Eiev = N/A Garage Elev.= N/A Erp = N/A , Not valid unless it bears the signature and the original raised seal of Florida licensed Surveyor and Mapper. BOUNDARY SURVEY. I HEREBY CERTIFY: that this survey meets the minimum technical standards as set forth by the FLORIDA BOA- s • SSI • L SURVEYORS AND MAPPER in chi ; er 61G17 / lorida Administrative Code, pursuan o Section'` 027 Florida Statutes. SVIVES 03/12/08 FESSISN SURVEYOR AND APPER No. 4327. State of Florida. • Alvarez, Aigues;. es and• tss ®ciates:tp. Surveyors, Mappers and Land Planners.:..' 5701 S.W. 107th Avenve #2061 Miami, FL 3117.3• Phone 305.22=474 Fax 305552.8181• • L.B. No. 6867 PE'rMi : aaas i?t aol.coM •. • •• • • . • Field Date 03/10/08 Scaler.' Drawn, low. 1 " =20' D.0 &•• Dr�rB •DIE. 08 -12556 • • • • •••• • •• • • • • • •• • • •• • .••• • • •••• • ••• • • • • • Ai. •. • • • • •••• • • • • APPROVED ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS