DS-07-2208Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 12/17/2007
Inspector: Grande, Claudio
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
0)laisew'
Owner: KNOX, JEFFREY Work Classification: New
Job Address: 843 96 Street NE
Miami Shores Village, FL
Project: <NONE>
Block:
Contractor: CHAMPION CONCRETE
Phone Number
Parcel Number 1132060142810
Lot:
Phone: (305)252 -8055
BuildingDDepartment Comments
DRIVEWAY PAVERS
lEC3/315 L
Passed
f
Inspector Comments
CREATED AS REINSPECTION FOR INSP-65685. 1) Repairs to curbs
are not acceptable, cut back and repour curb with slope.
2) Broken sidewalk on west end need to be replaced. 11/27/07 CG
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, December 13, 2007
Page 2 of 2
111111111111111111111111111111111111111111111
CFH 2007R1065598 OR E:1: 26030 Ps 0300 (10s)
This Instrument Prepared � yB : RECORDED 11/05/2007 09:50:33
Name�1/1.t14.4. frk," HARVEY RUVI1'U e CLERK OF COURT
Address $ 53A { re—le t ' PAGE
• 3 3120
Permit No. Tax Folio No.
NOTICE OF COMMENCEMENT
MIAMI -DADE COUNTY, FLORIDA
STATE OF 'F 00(4 Of:
COUNTY OF
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.
1. Description of property: (legal description of property, and street address if available)
NE ' 6 zr 1-21,40-pi t'lo, es f - ;3 /qj
2. General description of improvement:
-Dm 0.ecuoi
3. Owner information
a. Name and daddressJ' t f1LYy ICA) pit,
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
U'-t3 NE 'j6Sj
4. Contractor.
a. Name and address:
b. Phone number:
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number:
frl tAwi S J 3 3/5
4144.040 0n1 Co,►�'riz.: 1s-33 0 $ 4) iJ'l d'? rut..
tvi A.t4 f. 53 1Z 6 30S 252- �'a S
SIAM OF FLORIDA, COUNTY OF DADE �® COQ,
HEREBY CERTIFY that this a true copy 'A
)nginal filed in his off'ce
the
day 0
, A D 20
6. Lender vVITNESS my hand and Official Seal.
a. Name and address: HARV °s_ CLERK/ of Circuit and County Courts
b. Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or
provided by Section T13.13(1)(a)7., Florida Statutes:
a. Name and address:
b. Phone number.
cuments may be served as
a
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section
7.13.13(1)(b), Florida Statutes:
a. Name and address:
b. Phone number.
8. 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 EXPI TION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER C . PTER 7 3, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR ROVE NTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POST 0 THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YaUR DER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMME EME
44191
rtn
r /Manager
er's Authorized Officer /Director
Signatory's Title /Office
e fo ego g i trument was acknowledged before me this 10 day of
J°J% (name of person) r. �, �' of
authority, ...e.g. officer, trustee, attorney in fact) f :� \;.: (name of party on
behalf of whom Instrument was executed).
tate of Florida
tint, T •e, or Stamp Co ssioned Name of Notary Public
Commiss
Personally Known or Produced Identification c G.✓il5 rC
eriflcation Pursuant to Section 92.525, Florida Statutes
Under penalties of perjury, 1 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 of Natural Person Signing Above
PAGE 2 OF 2
NOT VALID WITHOUT PAGE 1 OF 2
JOB No. 07 -0312
• • ••• • • • •••
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•
•••
D'AVILA & ASSOC. SERVICES, INC.
LAND SURVEYORS
1800 W. 49th SUITE 324E
HIALEAH, FL 33012
PHONE:(305) 512 -3710
LB# 7538
BC.5U1VDAFRY SURVE
•• • • • 410 •00 ••
•
• ••• • • • • •• •
• • •
•
•• • • • • • 01610 ••
SCALE: 1" = 20'
FND
OCT 302007
BY:
....................................... .............................
....................... ...............................
'. 9' ASPH. PVMT''. '.�o '''.'.'.'
s+
9. 75.00' (R&M) ;;g°
z Nrir.Rrr
PERMIT ##:
Miami Shores Vil
APPROVED
ZONING DEPT
BLDG DEPT
39.00'
STATE AND COUNTY RULES AN
ELEV. A/C =9.78'
NE 8th AVENUE
BLOCK 275.00
CORNER
N
F-
O
LL
OY
1 0
0O
zm
W
tt
115.00' (R &M)
ONE STORY
RES. # 843
F.F.E= 11.52'
13.30'
9.90'
FND
1/21.P.
I(D
11
0.60'
0.80'
26.10'
15.2'
3' CBS WALL
LOT 22
BLOCK 74
9,73.
FND
'75.00' (R &M
® C.B
Co!F}E. S
7' PARKWAY
• t 4 s
...............53 ASPH. PVMT....... ............ . .
.................................. ...............................
..................................... ...............................
.. .................................. ...............................
...................... ..............................
NE 96th STREET :':':
• •
.... • • • • • • • • • • • • • . :_ :(80' TOTAL R/W BY PLAT).'...''''''''':'.
LEGEND AND ABBREVIATIONS
DRWY.
U.P.
8.0.6.
A/C
A
BLDG.
C.B.
C.B.S.
CH.
CL.
C/L
CONC.
= ELEVATION
= DRIVEWAY
= UTILITY POLE
= BASIS OF BEARINGS
= AIR CONDITIONING PAD
= ARC DISTANCE
= BUILDING
= CATCH BASIN
= CONCRETE BLOCK STRUCTURE
= CHORD DISTANCE
= CLEAR
= CENTER UNE
= CONCRETE
C. & G. = CURB & GUTTER PA.
8.LR. = SET IRON ROD P.R.0
P.O.C. = POINT OF COMMEN- CEMENT P.C.
F.N. = FOUND NAIL F.N.D.
P.T. = POINT OF TANGENCY P.C.C.
E.N.C. = ENCROACHMENT M/L
F.H. = FIRE HYDRANT N.G.V.D.
F.LP. = FOUND IRON PIPE 0.E.
F.I.R. = FOUND MBAR P.B.
LF.E. = LOWEST FLOOR ELEVATION P.C.P.
LP. = LIGHT POLE P.G.
(M) = MEASURED P.O.B.
(R) = RECORD P/L
(R & M) = RECORD & MEASURED N.T.S.
POINT OF INTERSECTION
= POINT OF REVERSE CURVE
= POINT OF CURVATURE
= FOUND RAW/DISK
= POINT OF COMPOUND CURVE
= MONUMENT LINE
= NATIONAL GEODETIC VERTICAL DATUM
= OVERHEAD ELECTRIC LINE
= PLAT BOOK
= PERMANENT CONTROL POINT
= PAGE
= POINT OF BEGINNING
= PROPERTY UNE
= NOT TO SCALE
D. &M.E.
A
-/
Ern
B/C
R
RAD.
RES.
R/W
SEC.
S.I.P.
STY
SWK
UE
= DRAINAGE & MAINTENANCE
EASEMENT
= CENTRAL ANGLE
= WOOD FENCE (6' HIGH)
=CHAIN LINK FENCE (4' HIGH)
=C.D.S. WALL
=BLOCK CORNER
= RADIUS
= RADIAL
= RESIDENCE
= RIGHT OF WAY
= SECTION
= SET IRON PIPE
= STORY
= SIDEWALK
= UTILITY EASEMENT
••• • • • • •
• •• •• • • • •• ••
• • • -• • • • • • •
• • • ••• • • •
LOCATION SKETCH
SCALE: NTS ••• • • ••• • •
• • • • • • • • ••
• • • • • •
• • • • • • • • •
• • • • • • • • • •
• • • • • •••
PAGE 1 OF 2
NOT VAUD WITHOUT PAGE 2 OF 2
NE 8th AVENUE
BLOCK 275.00'
CORNER
•• ••• •0 • • • ••
•
• • • •
• • •
•
•• •011 • • • • • •0
10
9
8
23
7
24
JOB No. 07 -0312 CLIENT: JEFFREY SCOTT KNOX
PROPERTY ADDRESS 843 NE 96 STREET MIAMI SHORES, FL 33138
LEGAL DESCRIPTION: (FURNISHED BY CLIENT)
E 1/2 OF LOT 21 & LOT 22 BLOCK 74
SUBDIVISION MIAMI SHORES SECTION No. 3
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 __ AT PAGE 37_
OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA.
SUBJECT TO ALL RESTRICTIONS, RESERVATIONS, EASEMENTS AND RIGHT —OF —WAY OF RECORD, UNDERGROUND
ENCROACHMENTS IF ANY, NOT LOCATED.
LEGAL NOTES
THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED .
BY CLIENT NO SEARCH 0 PUBUC RECORDS HAS BEEN MADE BY THIS OFFICE FOR ACCURACY
OR OMISSIONS. SUBJECT TO OPINION TITLE.
I HEREBY CERTIFY: THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TO THE
BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED PLATTED UNDER MY DIRECTION; ALSO THAT
THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN, AND THAT THIS SURVEY MEETS
THE MINIMUM TECHNICAL STANDARDS SET BY THE FLORIDA BOARD OF LAND SURVEYORS -AS SET FORTH IN
472.027 (F.S) AND CHAPTER 61G17 -6 FLORIDA ADMINISTRATIVE CODE. ELEVATIONS REFER TO:
NGV DATUM 1929
B.M. USED N -603 —R ELEVATIONS 8.11 FEET B.M. LOCATED NE 96 STREET
NE 6th AVE
ELEVATION INFORMATION:
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR
REVISED ON 7/17/95 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE
X
BASE FLOOD ELEVATION NA 120652 PANEL NUMBER 0093 SUFFIX J
THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
CERTIFIED TO:
JEFFREY SCOTT KNOX
SURVEY DATE: 03 -05 -07
REVISED
DESCRIPTION
EFRAIN . Z
PROF • AL LAND SURVEYOR No.2300
NOT VALID ...- `oUT THE SIGNATURE. DATE AND THE ORIGINAL RAISED SEAL
OF A FLORIDA LICENSE SURVEYOR AND MAPPER.'
D'AVILA & ASSOC. SERVICES, INC.
LAND SURVEYORS
1800 W. 49th SUITE 324E
HIALEAH, FL 33012
RHONE:(305) 512 -3710
Cat 1l\t*Tt \,-LAck ?
Miami Shores Village � �6
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
Building
Roofing
Owner's Name (Fee Simple Titleholder) .-1 e 1ey RA) D'S Phone # oS 7fd' 4 S747.
Owner's Address VI N E" / b Sr
City rtt94n4 5ftei L
State
ft-
zip 3313a
Tenant/Lessee Name 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
Contractor's Company Name eKAlev 1X11 Cc' N41YZC.
Contractor's Address e 533 ® «51/U P I-. (, �
City i*-4
Qualifier Name J 14-1
State
Phone # 705 7C2-- re) 5.13-
Zip 33/74.
Phone #
State Certificate or Registration No. Certificate of Competency No. 01 $S D 0 49 t
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Square / Linear Footage Of Work: 1 f I v_d/
Type of Work: ['Addition [Alteration [New
Describe Work: 4)/0 J GwA y / A vrk,
0 Repair/Replace [ Demolition
* * * * * * * **
Submittal Fee $
Notary $ 5..00
Scanning $ �.aO
* * * * * * * * * * * *** ***** ******** ** Fees************* ** ** * * * * * **** * * ** * ** ** * * ** * * * **
Bond $
Permit Fee $
Training/Education Fee $
CCF $ 4.2.t• Co /CC
Technology Fee $$ 3•
Radon $ DPBR $ j ,
Code Enforcement $
NOV_
ClkM PcrT
MIAMI SHORES VILLAGE
Double Fee $
Total Fee NaiaDutk .
See Reverse side —�
MIAMI SHORES VILLAGE
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, BOITYRS, 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 ti 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 subje attac ent. Also, a certified copy of the recorded notice of commencement must be, posted at the job site
for the first inspecti' w ch o . urs s en (7) days after the building permit is issued. In the absence of 'ch posted notice, the
inspection will no a ap. i roved ; nd a ° inspection fee will be charged.
Signature
Owner r" Agent
The foregoing instrument w. acknowledged before me this kid
day of , 20 e , by 'C fn MOX
who is personally known to me or who has produced -Paltt.)
(L (4L430 As identification and who did take a
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
*******•x******** * * *** : * *** * * * * *** * ***** *****
APPLICATION APPROVED BY:
(Revised 07/10/07)
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of Cter , 200 , by c7tome SD IIO
who is . rsonally known o me or who has produced
as identification and who did take an oa
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires
**** * * * ** * * * * * * ** * * ** I' * * ** * * **
Al
* * * * * * * * * * * * * * * * * * ***
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 -10 -07 -2208
Issue Date: Not Issued
.........................................................................
.........................................................................
.........................................................................
.......................................... ...............................
Expires: of issued
Folio Number:1132060142810
Owner's Name: JEFFREY KNOX
Job Address: 843 96 Street NE
Miami Shores Village, FL
Owner's Phone:
Total Square Feet: 989
Total Job Valuation: $ 7,000.00
Contractor(s) Phone Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 10/31/2007 : Yes
Comments:
1) APPLICANT TO PROVIDE EVIDENCE THAT PROPOSED DRIVEWAY IS NOT LOCTED OVER A SPETIC SYSTEM.
2) DRIVEWAY MUST BE LCOATED AT LEASTI O FEET FROM SIDE LOT LINES.
3) SIDEWALK CAN NOT EXCEED3 FEET IN WIDTH.
10/31/07
NEW PLAN OK
if/.7:0\\
till m
i
;LORIDN
I/iajnj Sh,oNe6 %4//ag
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138,2382
Telephone: (3051795-2207
:Fax: (30.5)- 756-8
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, J K/VQy'
(owner)
following described property:
Legal description /folio4:
, hereinafter referred to as the Owner of the
Lot Block Subdivision
Tax Folio #:
D 01` LT,
requests permission to install:
Asphalt, concrete, brick pavers
[ ] Landscaping
[]Other
within the public road right of way of
a`i3 fir-- sr
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I • 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 understgned further agrees that these conditions shall be deemed a coven
shall remain in full force and effect and be binding on the undersigned, their
time as this obligation has been canceled by an affidavit filed i : -"e Public
by the Village Manager of Miami Shores Village (or his fu ° a orized
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE
running with'tlie land and
eirs and assigns, until such
ecords of Dade County, Florida
epresen : tive).
SIGNED. SEALED AND DELIVERED in•the presence of:
..STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, ° Y fr R' VZ y , does hereby attest that the
roperty owner)
C ZUS
attached survey, performed by
�/3v J ta44 r 4-55 e)-1
a�f
(name of surveyor's company)
performed on , is an accurate representation of the existing conditions and
(date of survey)
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 r permits..
Further, Affiant sayeth naught.
r
i.avi`c .- o er
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this D day of ()CI • 21-0
Affiant is personally known to me, produced fop f' 1- /C. as identification.
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 -07 -2208
Issue Date: Not Issued
Expires: Not Issued
Folio Number:1132060142810
Owner's Name: JEFFREY KNOX
Job Address: 843 96 Street NE
Miami Shores Village, FL
Owner's Phone:
Total Square Feet: 989
Total Job Valuation: $ 7,000.00 .,
Contractor(s) Phone Primary Contractor
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 10/30/2007
Comments:
1) APPLICANT TO PROVIDE EVIDENCE THAT PROPOSED DRIVEWAY IS NOT LOCTED OVER A SPETIC SYSTEM.
2) DRIVEWAY MUST BE LCOATED AT LEASTIO FEET FROM SIDE LOT LINES.
3) SIDEWALK CAN NOT EXCEED3 FEET IN WIDTH.