DS-09-241•
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP-108265
Permit Number: DS- 2419.2411
Scheduled Inspection Date: April 10, 2009
Inspector: Bruhn, Norman
Owner: MARCILLO, ALEXANDER
Job Address: 365 NE 99 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ESPINOSA CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132060135520
Phone: (786)346 -5579
Building Department Comments
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- 106853. Repair sod and street.
A.. -11 flfl •)AAf1
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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 Type (circle): Building
Roofing
Permit No.
r:3 1 8 26119
BY: VC')
Master Permit No.
Owner's Name (Fee Simple Titleholder) , �'� / �7�J.�/ � /� Phone # ��� 7 5-7— 9vr-al,°'
Owner's Address
City/00/12./ Clec
Tenant/Lessee Name Phone #
State
Zip cg./` -5' eP
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated
Contractor's Company Name
Contractor's Address
YES
NO (/
Zip r.3.R ?
City Li/A 44 State P6.,
ES_IP O ,'osA
State Certificate or Registration No. () 8 5Oo 9 y O Certificate of Competency No.
Qualifier Name
hone #1U�(J yi(,1 ° ��
Zip�1 p-
Phone #
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ / SOO
Type of Work:
Describe Work:
['Addition
DAlteration
Phone #
if%
Square / Linear Footage Of Work: 3 fT
New
❑ Repair/Replace
❑ Demolition
e )(AD \ 4
FE 1 8 PAID
Submittal Fee $
Notary $
Scanning $
Bond $
Permit Fee $
pilrim
Fees
'
Training/Education Fee $
Radon $ DPBR $
Code Enforcement $ Double Fee $
CCF $
CO /CC
Technology Fee $
Zoning $
Structural Review. $
Total Fee Now Due $
See Reverse side -
Bonding Company's Name (if applicable) j,7
Bonding Company's Address G �j'�
City State l Zip
Mortgage Lender's Name (if applicable) ehritii
Mortgage Lender's Address G?3Oy /QP1'6
City Eloie. State Y l9 Zip r•— ' 2—
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
of such posted notice, the
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab
inspection will not e approved and , reinspection fee will be charged.
The foregoing instrument was acknowledged before me this
day of .c', 20 , by
who is personally known to me or who has produced . who is personally known to me or who has produced .if 2/5
, 6 4 9D # s dentification and who did take an oath. 'MO Y0500 as identification and who did take an oath.
�i� —®I7- O
NOTARY PUBLIC: NOTARY PUBLIC:
Signature
Contractor
The foregoing instrument was acknowledged before me this / ,
day of E 20 aq, by
Sign:
Print:
My Commission E
*sjc'k*$esk*=k$c* $e***
' ' `' T I I i N # DD 5954'T
EXPRE8: September 17, 2010
Bonded Thru Not Public Underwriters
APPLICATION APPROVED BY:
(Revised 07/10/07)
i
Sign:
Print:
My Commissi
hex, ************ ***** ***** ****
ry�i
t ?� s:Bonded EXR1RES: September 17, 2010
ihru Notary Pubflc Underwttters
JEANNE Y Gt17tERRZ
Plans Examiner
Engineer
Zoning
HIS pia_��n�M
A.LORIDD
Lami
oreJ t Gr
10050 N.E. SECOND AVE.
MIAMI SHORES, FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax 13051756- 8972 ,.
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, ,�,�p, �, � ��LA / . , hereinafter referred to as.the Owner of the
(owner)
following described property:
Legal ddescription/folio # : 11„7414
Lot �G 6 Block Subdivision an) c
o 0/11 cieCI
Tax Folio th
requests permission to install:
aAsphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of OCoS 9q"
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
l • 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.
?• 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 1' day of
SIGNED, SEALED AND DELIVERED in the presence of:
BOUNDARY SURVEY
SCALE: 1" = 20'
15' ALLEY
\-9' ASPHALT PAVEMENT -
R/W 75.00' I ..
F.I.P.01 /2
(NO ID) i
f. =;
•t:
25.0'
F.I.P.01 /2 "!
(NO ID.)
20.4'
SOD
x x x—x—x
\-4' C.L.F.
I-
21.1'
191
ASPHALT DRIVE.
SOD
SOD
LOT T 2 €
U
0
U
SOD
CV
F.R.01 /2"
I (NO ID.)
.g..
1 F.I.P.01 /2"
(NO ID.)
Ct:..
C A--\
R�IIY 75.0Q " 5' SWK
., 153
21' PARKWAY —A
1•
M
F. R.01 /2"
(NO LID
^BLOCK
CORNER
, c�s fivt
ile
23' ASPHALT PAVEMENT ---�
N.E. 99th STREET
PROPERLY ADDRESS 365 N.E. 99th STREET VILMFa'e01(-t:M /AMI�FICFES�►; FLORIDA
• •...• • ..
LEGAL DESCRIPTIOI .
LOT 21 AND THE EAST 1/2 OF LOT 20
SUBDIVISION MIAMI SHORE SECTION ONE AMENDED
• ... • •
. . • • • •
•...•.• •
ACCORDING TO THE PLAT THEREOF AS RECORDED IN FIAT Lodi s • . • ? K • •
OF THE PUBUC RECORDS OF MIAMI —DADE �C8UPITY, F 00tIDA:• •
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BLOCK 40
:ITT• PAG 70
• . .
.•. •
.. • • ..
. ... . •
• • . . . . . . .
N.E. 100tH • RikEi
12
11
10
9
8
7
6
5
4
3
2
1
13
14
15
16
17
18
23
24
N.E. 99th STREET
LOCATION SKETCH
N.T.S.
SURVEYOR'S NOTES:
— NORTH ARROW REFERS TO PLAT BOOK 10, PAGE 70, PUBLIC RECORDS OF
MIAMI —DADE COUNTY, FLORIDA.
— CONTAINING 8,625 SQ.FT. OR 0.20 ACRES, MORE OR LESS, BY CALCULATIONS.
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THE NATIONAL FLOOD INSURANCE RATE MAP DATED 07-17-1995 PUBLISHED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCY DELINEATES
THE HEREIN DESCRIBED LAND TO BE SITUATED WITHIN ZONE X COMMUNITY NO. 1250652 pANE 0093 SUFFIX
I HEREBY CERTIFY: That the BOUNDARY SURVEY of the above described property is true and correct to the best of my
knowledge and belief as recently surveyed under my direction. Further, there are no above ground encroachments unless shown.
This survey meets the minimum technical standards set forth by the Florida Board of Professional Surveyors and Mappers, in Chapter
61017 -8, Florida Administrative Code, pursuant to section 472.027 Florida Statutes. Examination of the abstract of title will
have to be made to determine recorded instruments, if any, affecting the property. Location and identification of utilities adjacent
to the property were not secured as such information was not requested. Ownership is subject the opinion of title.
CERTIFIED TO:
JUAN J. BONF1LL
PROFESSIONAL ". ° f. •R MAPPER NO. 3179
STATE OF FLORI'A
DATE 10 -01 -08
NOT VALID WITHOUT THE ORIGINAL RAISED
SEAL AND SIGNATURE OF A FLORIDA
UCENSED SURVEYOR AND MAPPER.
j• Bonfill & Associates, macs
Registered Surveyor and Mapper, State of Florida. LB No. 3398
9360 S.W. 72nd STREET, Suite 265
Miami., Florida 33173 (305) 598 -8383 FAX: 598 -0023
REVISION:
REVISION:
CLIENT:
ORDER NO
08 -0396
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• •
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• ••• •••
.II
red 1 u 2CL l�
BY:
••• • • • •• ••• ••
• •
•
•
•
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PERMIT #: ,IPSO X41
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
60
if dr _
BLDG DEPT
.,A97 /J'
_
l '9c
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SUBJECT TO COMPUANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. DS -2 -09 -241
POrtri :09,0*
....:.:...:....................
offio
Issue Date: Not Issued
Expires: of Issued
Folio Number:1132060135520
Owner's Name: ALEXANDER MARCILLO
Owner's Phone:
Job Address: 365 99 Street Total Square Feet:
Miami Shores, FL 33138- Total Job Valuation:
Contractor(s) Phone Primary Contractor
ESPINOSA CONCRETE (786)346 -5579 Yes ::
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 2/19 /2009 : Yes
Comments: 10 FOOT DRIVEWAY
2 FOOT FLARES