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DS-09-15434 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 124817 Permit Number: DS -9 -09 -1543 Scheduled Inspection Date: October 19, 2009 Inspector: Bruhn, Norman Owner: TOTH, CHRISTOPHER Job Address: 95 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: PAVERS AND BRICKS SERVICES CORP Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060131170 Phone: (305)986 -2544 Building Department Comments New Driveway, walkway, patio with brick pavers Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Cc-- October 16, 2009 For Inspections please call: (305)762 -4949 Page 5 of 20 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 Permit No. as - q-oci l Master Permit No. Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) C loft. 7o t& Phone # Owner's Address 5 1 g City a`(;�ne�ew_, S State F (--- Zip .3.3 /31 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Phone # 5 tJ 5_ County Miami -Dade Is Building Iiistorically.Designated YES (.7 Contractor's Company Name ?4,V et not /St 44. Es4 Vic& Contractor's Address tit 3 5 Wo..42t T:) t 1.e.i. -_ 40 City /l)(4 Ai �`pk"A":., state /�- C._ Zip 3 3 / 3 g Qualifier Name , • / Phone # zip 33/ 3.7? vauLe- Phone # 16(0- 4L - -1 1 07 State Certificate or Registration No. Certificate of Competency No. 06 65 6 70 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ['Addition Describe Work: �° icc PP,ver.5 ❑Alteration ® ate PA/4- Square / Linear Footage Of Work: coo _' /Fr, ❑ Repair/Replace ❑ Demolition \II * * * * * * * * ** * *** * ** ** xa:�:***** *�xv:� *** * ** Fees * *******a��x *� *** ****** ** :�x:x�x�:*** *** ** ****** ** Sub Fee $ V U' Permit Fee $0--- CCF $ ac' Q C- Notary $ °°^— Training/Education Fee $ * S3) Technology Fee $ aI 3/1-�� Scanning $ �Radon $ 0 DPBR $ 0 Zoning $ V Bond $3 SCode Enforcement $ C) Double Fee $ 0 Structural Review. $ 0 Total Fee Now Due $ a C 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 At IDAVIT: 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 Agen The foregoing instrument was acknowledged before me this day of ' 20 '� by C s loft/ io , who is personally known to me or who has produced As identification and who did take an oath. NOTARY P Sign: Print: covaetj-icCi Signature Contractor The foregoing instrument was acknowledged before me this 3 day of p, , 2 , by r �� who is personally known to me or who has produced as identification and who did take an oath. NOTARY ,' t LIC: My Commission Expires: N C) `) A 5 ,30 . I My Commission Expires: Q (J U. 1 0 **. x** ******* * **,x************ * ** : ***** * * ******, ******** **+x*+x*,x*************vm � Lt 1' tFFLORIDA *** **** NOTARY PUBLIC -STATE OF FLORIDA R Ruth Cordeire °• uth Cordeir0 Commission #DD734765 APPLICATION APPROVED BY: % Expires: NO�P italaminer Expires: NOV. . 15, 201 B oxnEnzaxUnTLAN ,rtcBQxnIrraco.,nvG BONDED THRU ATLANTIC BONDING CO., INC. (Revised 07/10/07) Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Expires:Nt Issued Folio Number:1132060131170 Owner's Name: CHRISTOPHER TOTH Job Address: 95 98 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: 1000 ............... $ 4,000.00 Contractor(s) Phone Primary Contractor PAVERS AND BRICKS SERVICES CORP (305)986 -2544 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 9/18/2009 Comments: DRIVEWAY CAN NOT EXCEED 12 FEET IN WIDTH AT THE REAR PROPERTY LINE. Permit No: 09- /SW Job Name: , 2009 Miami Shores Viiiage 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 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. DS- 9 -09 -1 543 Issue Date: Not Issued Expires:Nt issued Folio Number:1132060131170 Owner's Name: CHRISTOPHER TOTH Job Address: 95 98 Street • Miami Shores, FL 33138- Total Job Valuation: $ 4,000.00 • Owner's Phone: Total Square Feet: 1000 Contractor(s) Phone PrimaryContractor PAVERS AND BRICKS SERVICES CORP (305)986 -2544 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 10/1/2009 : Yes Comments: DRIVEWAY CAN NOT EXCEED 12 FEET IN WIDTH AT THE REAR PROPERTY LINE. 10/1/09 SEE NOTE ON PLAN MUST PROVIDE THE GRASS STRIP IN MIDDLE OF DRIVEWAY, 5 FEET DEEP ON PROPERTY, 8 FEET FROM ALLEY PAVEMENT AND 2 FEET WIDE. 10050 N.E. SECOND AVE. •MIAMI SHORES. FLORIDA 33138-2322 Telephoria: (30.5), 795-2207. WHEREAS, 1 • • . • • COVENANT OF CONSTRUCTION WITHIN. RIGHT OF WAY • (owner) following described property: Legal description/foliok: 3.2DS — — /1 9 Lot .2 3 tidia 0 i•allock 2 Subdivision Tax Folio #: , hereinafter referred to as the Owner of the requests permission to install'. 1 Asphalt, concrete, brick pavers 11 Landscaping g-Other pAven,5 r within the public road right of way of c)5 V C- ci if' Oute--- M- CelevAga.4.--FL *3-1 / 3 8 (address) 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. • • 1, The owner does hereby agreeto indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which itay 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 (on his fully authorized representative). -1. SIGNED S P A I STY 1 NOTARtPOS =MAFIA& ACKNOWLEDGE on this, q day of .,Q146,,Aleigh— 7/0°9 Ws Cordeiro • - AIIIM • sCommission#DD734765 . . s % ,017 Expires: NOV.15,2011 BONDED MEW ATLANTIC BONDING CO., INC SIGNED, SEALED AND D LIV ED in the presence of Wormy Public . Print Notaty% Name '‘• My cominlislon exPlres: tra_ol.rer awns *4.14 Charlie Crist Governor p5- O1,09/5Y3 Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General September 17, 2009 9 (Pavers and Bricks Services) 95 NE 98 St Miami, FL 33138 RE: Contingency Letter Application Document No: AP936108 Centrax Permit Number: 13 -SC- 1002501 OSTDS Number: 95 NE 98 St Miami, FL 33138 Lot: 23 Block: 8 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 09/15/2009 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails : ". PROPOSED NEW DRIVEWAY, PATIO & WALKWAY " From a review of your completed application, it has been determined that your existing system is adequate for the proposed use : " APPROVED ". G/P If you have any questions on this matter, please call our office at (786) 315 -2444. Enclosures cc: Sincerely, er, Engineer Specialist II Miami -Dade County Health Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Fax: (786) 315 -2090 Charlie Crist Governor Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General September 17, 2009 9 (Pavers and Bricks Services) 95 NE 98 St Miami, FL 33138 RE: Contingency Letter Application Document No: AP936108 Centrax Permit Number: 13 -SC- 1002501 OSTDS Number: 95 NE 98 St Miami, FL 33138 Lot: 23 Block: 8 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 09/15/2009 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails : ". PROPOSED NEW DRIVEWAY, PATIO & WALKWAY " From a review of your completed application, it has been determined that your existing system is adequate for the proposed use : " APPROVED ". G/P If you have any questions on this matter, please call our office at (786) 315 -2444. Enclosures cc: Sincerely, Jose iv ° rger eer Specialist II Miami -Dade County Health Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Fax: (786) 315 -2090 STATE OF FLORIDA. DEPAkTMENT OFHEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PE M Permit Application Number �� PART. II-- SITEPLAN'H Scale: Each block represents 10 feet and 1 inch 40 feet. d9 e3o, 9 ERMIT #: ATE 7. 4.d i L, . - p� i3 .� g g J d i3 tJ .4)N l � o� ^•t1°< 6 1 311 Na�P'ta so, •• ( a II ��u.iS ill i iI. I 1eI r'-‘A''. _Li- 7FrN11 T., g tinhi PROPERTY ADDRESS: 95 t"1E- 9; n+ "T" • i MIA..•.r‘;'1l , FF , % A_. Notes: Site Plan submitted Plan Appro ed • By Signature Not Approved '' NOTARY PUBLIC- STATE of FLORIDA. we r ' • iippe -NV ALL CHANGES Must arxmi”"1.on`#DD734765. .. Title Date- / ' County Health Department �E COUNTY. HEALTH DEPARTMENT DH 4015, 10/96 (Replaces HRS -H Form 4016 which may be used) (Stock Numb,•;, § Page 2 of 4 'id 5d0&MT/II:11 F FLORIDA' .- '.0F,.-HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCT! PER I Permit Application Number � /p7 Scale: Each block re • NMI v ■1 n■ OEM MEM ii■�iMUM 1111116 MEM i MIN MIME MIN > 1 Notes: PART II - SITEPLAN resents 10 feet atid.1 inch: - 40 feet. ' q -o i MI ul I MI 1 U) w jU L1) .4 3 t wal od it N / A■-• HAI- 1- , cur_vE. -TA A.O' 2 = 2'✓.GL? --r•: ''�F•.r�' PROPERTY ADDRESS: 9S K-ia 9 T-t 1A -.Mk , Fi 0' �i✓s -cu MIAMI -DADE COUNTY HEALTH DEPARTMENT Site Plan submitted by: Plan pproved %ZIT q,717/07 PERMIT #: .� 37 SC-1, 0 6 .2-30 d / & DATE:. Signature- ..Not Approved Title Date County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10/96 (Replaces HRS -H Form 4016 which may be used): (Stock Numbia;, � �� • Page2of4 1d 5 d0 d2101VI213dW1 f- f r-Rs 1,,:;, n)F-17PT IP 1 r) nEr-T s USJECT TO COMPLIANCE WITH ALL FEDERAL LTATE AND COLINTY RuLEs AND REG uLAT-ioNs 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 MIAMI -DADE: 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. 11111111111111111111111111111111111111111 1111 CFN 2009R0735664 DR Bk 27043 Ps 36284 (1as} RECORDED 10/09/2009 14:15 :34 HARVEY RU4'IHr CLERK OF COURT MIAMI -DADE CDUHTY► FLORIDA LAST F'AGE 1. Legal description of property and street/address: Zoe qz 3 et." a2 - / de $ PL. 3 2. Description of improvement: 3. Owner(s) name and address; C �- i3e2 • i v - Pt/rat / P,Ad r ra 1 1'h hoi'Gk Interest in property: ' Q�,`.� ' Name and address of fee simple titleholder: 4. Contractor's name and address: 9410.w.. ' cJCs c )a o / /43,6' .1401sit..alt4.1) 4)4 41e 5. Surety: (Paymer..t bond required by owner from contractor, if any), R11FYthatthisisa 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: ro' 8. In addition to himself, Owners designates the following person( Po receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: Expiration date of this Notice of Commencement: (the expiration dat-e is 1 year from the date of recording unless a different date is specified) Signature ef-69vner Print Owner's Name i2' $10 N EZ Th Sworn to and subscribed befo = e this 3 day of 6pt 1• Notary Public Print Notary's N My commission expires: kJ 00 . S 123.41.52 PAGE 4 W02 Prepared by AAA, oS Address: i r 83. S' tveyl o5 ► d kw /47AA/ra f� NOTARY PUBLIC STATE OF FLORIDA ;/1 1 " Ruth Cordeiro ,,;,. = .Commission #DD734i6b Expires: NOV. 15, 2011 BONDED THED ATLANTIC BONDING CO., INC �b4v 0 1 THIS PROPERTY D -CRIBED AS:THE EAST 1/2 OF )T 22 AND ALL OF LOT 23, "AMEND PLAT OF MIAMI SHORES SECTI-No,1", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. CERTIFIED TO: CHRISTOPHER J. TOTH AND LIZIANNY G. FRANCZAK ALLEN & GALEGO ATTORNEYS TITLE INSURANCE FUND, INC. EQUITY MORTGAGE CORPORATION, ITS SUCCESSORd' ND/OR ASSIGNS,, 0. 5 a 2 0 ,• • . - . _ . • _ • r HALT PN1T _ ***** • PROPERTY ADDRESS: 95 •sak Nn*l. rAlt--SCIk , EDA NOT VALID UNLESS SEALED WITH THE EWOSSEDSEAL OF CEIRTIFYING SURVEYOR CERTIFICATERAWKLYIL4YEL. I hereby certify that this sON/1 f turpy:q1ElhainI1404 described propotty Is s true.and OOMOCIPON1001114V011 Ob a survey made under my direction Sad lha!Saki stymy le cute and correct to the best of my knowledge and be:ieg, and unless otherwise shown, there tars no vleitge encroachments. 1 further corlitis. that IND survey ewe. Rented hereon meets the Minirpum:TechOlctItangardC au it ;orth by the Florida Board iat Proletworial 3!irvayore In Chapter SIG9Z1O F deoAchnilhisloalivi• Code, pursuant to Section j, 7 r 8 ages. r Dale: -6 .FAST SURVEYS, INC. Ll'24(46'72 :)10FESSIONAL LAND SURVEYORS VS90 NW 53rd Street. Suite 200 Miami, Fl 33166 .•(305)385-0385 Office i(305)385-0623 Fax 41(305)951-5470 SCALE: LK-35—N-6: Permit No: 09- /WI Job Name: i . , 2009 Miami Shores Viiiage 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 2atilt— /40,rO2oc / A /Let /13..e 41 �� //is A-46. C/tried 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