DS-09-390Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: March 25, 2009
Inspector: Bruhn, Norman
Owner: ROMAGOSA/ WHITE, CARLOS/ PETER
Job Address: 1098 NE 99 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ARCO CONSTRUCTION
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
ekologo
Phone Number (305)762 -6178
Parcel Number 1132050180160
Phone: 305 - 892 -6507
Building Department Comments
March 26, 2009
Page 1 of 1
eN ®314
,
Passed
G��J
Inspector Comments
V
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
March 26, 2009
Page 1 of 1
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 II
Owner's Name (Fee Simple Titleholder) �� -0'- 1'J h
Owner's Address i®'i 6JE Qq 41.‘
City fiin State
OAR 13 009
alt Re S. 84
Permit No.T Oct l)
Master Permit No.
Phone # ( - 5 ? 6 03
Zip J
Tenant/Lessee Name Phone #
Job Address (where the work is being done) /' 9,g E q
City Miami Shores Village County Miami -Dade Zip '3,) 8
FOLIO / PARCEL #
Is Building Historically Designated YES NO A
Contractor's Company Name `Jaco . (fi Phone # (7pQS) gg2_ GCTO 7
Contractor's Address ) b b c 0~ e 137
City 9 I - kg' 6,,,AAn ' State 41 "*L., Zip : ' 2 a
Qualifier Name / F S,.. � , 3 $ Phone # ' .s ®- ) 6 5' D
State Certificate or Registration No. C / 5 0 5 f 65 Certificate of Competency No.
Architect/Engineer's Name (if applicable) 0 per— Phone #
Value of Work For this Permit $ l 7e0 ® °
Square / Linear Footage Of Work:
Type of Work: ['Addition ❑Alteration ['New Repair/Replace ❑ Demolition
Describe Work: 1
Submittal Fee $ Permit Fee $ fJ 1 CCF $ ('9 eotee—
Notary $ Training/Education Fee $ 0 '40 Technology Fee $ 3
Scanning $ CV' ) Radon $ DPBR $ Zoning $
Bond $ 41' > Code Enforcement $ Double Fee $
4�
Structural Review. $ Total Fee Now Due $ 4 L C:- 5 •
See Reverse side -�
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
/64-
Mortgage Lender's Name (if applicable) r�y<
Mortgage Lender's Address
Zip
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 , t be approved and a reinspection fee will be charged.
Signature
to,
Owner or Agent
The foregoing instrument was ac
day of ,20t L,by
owledged before me this
ke
actor
The foregoing instrument w owledged before me this
day of , 20 _, by
who is personas �un4o me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY P LIC: d NOTARY PUBLIC:
As identification and who did take an oath.
Sign:
Print:
My Commission Expires:
****************************
APPLICATION APPROVED BY:
(Revised 07/10/07)
PERLa4 M. GARCIA
W R " tda *
k . ,
f s no :« 'r.' riiES: January 7. 2010
Notary Public Underwriters
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
Mianti Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit NO. DS-3-09-390
Issue Date: Not Issued
:AiirltiiitfiiikiiiiidiitiiiiikiiS.Iibgg
Wrk MWMCM1f#44111#00::iiiii
Expires:Not issued
Folio Number:1132050180160
Owner's Name: CARLOS/ PETER ROMAGOSA/ WHITE Owner's Phone: (305)762-6178
Job Address: 1098 99 Street
Miami Shores, FL 33138-
Total Square Feet:
Total Job Valuation:
Contractor(s) Phone Primary Contractor
ARCO CONSTRUCTION 305-892-6507 Yes
...
1200 :::;•
.....
$ 2,000.00
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 3/16/2009 : Yes
Comments:
l
(PROPERTY ADDRESS :
1098 NE 99T11 STREET J
COUSINS SURVEYOR & ASSOCIATES ,.:INC.,
6501 ORANGE 'DRIVE :.•„•; ' : : • • •': :
DAVIE, FLORIDA 33314: : : :: • •
CERTIFICATE OF AUTHORIZATION L•B'# 6448'
PHONE (954) 680 -9885 FAX (954680 -0213
v4'v
". •
N EkJ A5 t't! ALT OyErz1 J q SiCETH 'OE SURVE .
•••
PROJECT NUMBER : 5012 -04
CLIENT :
ROTHMAN & TOBIN, P.A.
s
'ems 1A)ti4
I D c/ g Ne 99 r
•;' :.::: NE :.g T.H STREET
: : : : : : • :20., A�PAALT PAVEMENT
•• • • • •
LAND DESCRIPTION:
LOT 7, MACK 179 OF THE "REVISED PLAT OF
TRACTS 1780. 1780, 179A, 1798, 179C, 180A
AND THE NORTH 1¢ 180C OF REVISED PLAT OF
YAW SHORES, SECTKHI 8 ", ACCORDING TO THE
PLAT THEREOF, RECORDED IN PUTT 800K 43, PAGE
69, OF THE PUBLIC RECORDS OF MIAMI/DADE FRP (1/2 ")
COUNTY, FLORIDA.
,• 4
CID CNE ,
CONC CON +-
OWN DRAWN
FIELDg „ - �� f:
FB/PG
SR SET Milt IRON MID CAP 8448
SNC SET HAlL AND CAP 46448
FIR FOUND IRON ROD
RP FOUND IRON PIPE
FNC FOUND NAIL AND CAP
RD FOUND NAIL & DISC
P.B. PLAT
Y/D.C.R. C#UIz COUNTY RECORDS
8.8X31(' ELEVATION / W000 FENCE
POB „COMMONER
1ER STRUCTURE
OF BEGINNING
CR R
C CAME COMMENCEMENT
W11 WATER METER
CLP CONCRETE LIGHT POLE
WPP WOOD POWER POLE
LEGEND:
LOT 8
BLOCK 179
CERTWIED TO :
1 I.
14.8'
� h
/
..•,:y
18.0'
Tx—
10.6°
1 STORY CBS
el RESIDENCE
FLOOR ELEVATION = 10.10'
`95'
13.5'
32.4'
.......
CARLOS ROMAGOSA, A SINGLE MAN
PETER WHITE, A SINGLE MAN, AS JOINT TENANTS
WITH RIGHT OF SURVIVOUTHIP
FIRST AMERICAN TITLE INsuRANCE INSURANCE COMPANY
CHASE MANHATTAN MORTGAGE CORPORATION,
ITS SUCCESSORS AND /OR ASSIGNS,
ROTHMAN & TOBIN, P.A.
JA-) t.9y� c:
0 Mi !' 12 ,,,r
(a)
NOTES :
1.
FIP (1/2 ")�
SEA V F {AA= Marna j OAtAPPER.
EASEYENiS. t�YV OTHER O FORFRKiiiTS-QF -WAY.
4L
,,i'
z �x
OF ANY YUNICIPAL.. STATE
AND DOES
4. THE LAND DESORPTION SHOWN HEREON WAS PROVIDED BY THE CLIENT.
S. UNDERGROUND
6 UNDERGGRO UND 1MIMPROVEMENTS NOT SHOW.
A}lDANW MON
ARE BASED ON THE NATIONAL GEODETIC
7
lavOARITioAri =R & ICE : MUUA /DADE COUNTY BENCHMARK 8-82
9.5' ASPHALT PAVEMENT
15' ALLEY
•
1 HEREBY CERTIFY THAT THE "SKETCH OF SURVEY" OF THE HEREON DESCRIBED
PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF
AS SURVEYED IN THE FIELD UNDER MY DIRECTION IN AUGUST, 2004.
1 FURTHER CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TEAL STANDARDS
FOR SURVEYING IN THE STATE OF FLORIDA ACCORDING TO CHAPTER 61817 OF
THE FLWIDA ADMINISTRATIVE COD. PURSUANT TO SECTION 472.027, FLORIDA
STATUTES. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE
SHOWN HEREON. SUBJECT TO THE QUAU ICATIONS • .„11A1 HEREON.
FOR THE FIRM, 8Y. `
RICHARD E. COUSINS
PROFESSIONAL SURVEYOR AND MAPPER
SURVEY DATE : 08/29/04 FLORIDA REGISTRATION NO. 4188
FLOOD ZONE INFORMATION
COMMUNITY NUMBER
120652
PANEL NUMBER
0093 J
ZONE
AE
BASE FLOOD ELEVATION
8
EFFECTIVE DATE 07/17/950
( SCALE: 1"= 20'
(SHE
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