DS-07-1673Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 10/11/2007
Inspector: Grande, Claudio
Owner: WILETS, JAMES DANIEL
Job Address: 1160 100 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NATIONAL BRICK PAVERS CORP
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number _ (305)754 -4322
Parcel Number 1132050190410
Lot:
Building Department Comments
INSTALLATION OF BRICK PAVER DRIVEWAY
II 1(1
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Wednesday, October 10, 2007
Page 1 of 2
Ain
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 2001
AU 8 2 f7 •
Permit No. 'O501-10013
Master Permit. No.
Permit Type (circle): 7 wilding Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple i� e s older) 1f M U)` �1 \ Phone # -ig6 ' 3C` - 51-k‘
Owner's Address l 1 Q \''' If . 9c-IS C-1"
City MIA-A1 S'' State '‘- ,
Tenant/Lessee Name Phone #
Job Address (where the work is being done) I ‘ I•1,4 I®(Y
City Miami Shores Village County Miami Dade Zip 43 &
Is Building Historically Designated YES NO
Zip 3338
Af lO-A'-
Contractor's Company Name 11� ��,,,,
Contractor's Address 3i-i-So i'f) :6 t`'
State VI—U (21
c� RAV6P.5
rtl
•
City 1,26141‘\00-36 'i�0i Nr
Qualifier 0 f -v IQ --i-g6
Phone #
Zip •W7°
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit CI LFRDC9—
Type of Work: ['Addition Q, ['Alteration DNew
Describe Work: 111 AU \1 �c F )� 'PAW ✓
Square Footage u f Work: ! Dl
Repair/Replace ❑ Demolition
**************************** F.:. . ** * * * ** *** * * * * * ** * * *** * * * * * * **
Submittal Fee $ Permit Fee 8 / J b ••,--- • CCF $ 6 -00
Notary $ Training/Education Fee $ 2..00 Technology Fee $ 5, rl 5
Scanning $ ) I OD Radon $ Bond $ b00"
Code Enforcement $ Structural Plan Review. 8
Total Fee Now Due $ (0'15
(Continued on opposite 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 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 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.
or Agent
The foregoin was acknowledged before me this
day of L 20 C-3; by R-- r5
who is perso . . known to me r who has produced
NOTARY PUBL
Sign:
Print:
Signature
"211L
Contractor
The foregoing instrument was acknowwlleddgledd before me this /VW
day of U 2007 , by i /i/
who is rsonall known to me or who prod - °
I� Y has �
As 'dentifi.- 'o. �,` � ��
r _ uns Frwr (' as identification and who •.
004?
d
State Certificate or Registration No
Print:
My Commission Expires• 1
*************************** * * * * * * * * * * * * * * * ** * * *' * * * * * * * **
(Certificate of Competency Holder)
C 'f) 0 Certificate of Competency No.
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * **** ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Cho 10/14/03
Plans Examiner
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE PASTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO 1 1 ' �ar' t b'-
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.
11111
III11 11111111111111111II1 {IIiI1114LIII
CFN 200780839519
OR Bk 25878 Ps 2724; (1Ps)
RECORDED 118 /23/2007 15:25:31
HARVEY RIJVINe CLERK OF COURT
MIAMI- CDADE COUHTYr FLORIDA
LAST PAGE
1. Legal description of property and street/address:
rg,ta ww �-f' c ? mss- - - - s" L lk_ ! W
11.60 4 C045 S\4 * fl\ 2 -es 33
rs
2. Description of improvement: 1 AS v f r. (' -10' L
3. Owner(s) name and address: -' S � f. E-%�S
1tGO r1Ltab - .,�.��..
Interest in property: ettYv- -sx*'^'
Name and address of fee simple titleholder:
4. Contractor's name and address: t C t - BA-Lc-Pc, Pc--es
3ctS1) t` . lx4Q-c"42& t4,c,) Li 1.-kr-6(2.42-(4-)._ Pe)c.43'- 4-e . 0 Gti
, ,
5. Surety: (Payment bond required by owner from coritrratcffiflalWA, COUNTY OF [3ADE
I HEREBY CERTIFY that this is a tru; . op . of the
rMN/
Name and address:
Amount of bond $
6. Lender's name and address:
!MESS my hand
Oft/
Seal.
7. Persons within the state of Florida designated by Owner upon whom notic
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
my Courts
d
other documents may e served as
8. In addition to himself, Owners designates the following
in Section 713.13(1)(b), Florida Statutes.
Name and address:
son(s) to receive a copy of the Lienor's Notice as provided
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differ - •a e : -cified
ner's Name
: U&)(L
e this day of 111-'
Sworn to and subscribed bef
Notary Public
Print Notary ' ameW
My commission expires:
113_01 -39 8/04 PAGE 3
Prepared by i'14 5
, 2009-
Address: ` (04)-06- lc f7
M ii1444,1 SGT u24
33Id
W LB # 7303
Phone: (954) 509-0083
- MAP OF SURVEY -
TYPE OF SURVEY: Boundary FOR. W
Edge of Pavement
NE 100th Street'',„
20' Asphalt Roadway
(100' R/W Total)
Paved Shoulder
••
• •
• • • •••
• • •••• • • •
• •
• •
••••
• 1•••• 10:00"Pde
• •
• • Si4eM
1•••
4,11V140
F°
0 •
• 4" 6181/
PG1 • •
d7O,S0 .i1,1■00S 01436
5411)-6
bNi1,971. 94/1
4'
Fence
▪ I••••
Found 1" Iron Pipe
02' West
orth 119.12'
One Story C.B.S. Dwelling
Finished Floor El. = 9.03
Garage El. = 7.64
North 119.12
A 75.06' (M) V
,,,,,
N 75.00' (P)
)
Northeast Corner
Lot 4, Blk 178
(P.B. 43, Pg. 67, DCR)
Lot 4, Block 178
------------ ------- :A
(1' IOU $L3 o &v
4
Der-rf--ns J. Gabriele
Professional. Surveyor and Mapper No. LS5709
withou the signature
ginal raised seal of a Florida
10050 N.E. SECOND AVE
MIAMI SHORES. FLORIDA 33138 -2382
.Telephone: (305) 795 -2207.
.: Fax:13051.755 8972... •
WHEREAS
MES ��OVE..NIl N OF O TRUCTION WITHIN R HT WAY
,,
(owner)
following described property:
Legal description/foliog: t t S O ICI 0410
Lot Bloch ��0 Subdivision ARM j Sl 110.1 g
Tax Folio th `t , of q 014
, hereinafter referred to as the Owner of the
requests permission to install:
(] Asphalt, concrete,
(j Landscaping
[ ] Other
within the public road right of way of
eior
eCer
IN CONSIDERATION of the approval of this (address)
PP permit by the Village, the Owner agrees as follows:
1. To maintain and repair, when necessary, the above - mentioned items) 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 Tien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless frorn
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 chest conditions shall be deemed a covenant running withthe 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 ar rized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE , Tday of
SIGNED, SEALED AND DELIVERED in the
AMON
Awe r dyl
LUIS FONT
., MY COMMISSION # IX) 366289
r. nn IT
EXPIRES: October 26, 2008
Banded Ttuu Notary Put* underwriters
_
eA'1TA)T4Te rPTSTTa form V.T.Vrr
are / cQQ nnQ T YV.J R7.:ZT ).nn7 /RZ /an
7/,arniarni e J ittar
n eT w 6j e'. �eaeee �
ire �
`STATE OF FLORIDA)
COUNTY OF DADE) ('
The undersigned Affiant, ✓ �1 k) t-L-61-43, does hereby attest that the
(property owner)
attached survey, performed by D6461,1S i 16t. e _ d 5', / +
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
perrnitted-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 this or other permits..
Further, Affiant sayeth naught.
tness(sign and print)
34 44OAJ. 'Rear,firo
SWORN TO AND SUBSCRIBED before me this / 7 -day of lJ L
reduced
as identifieati
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Na DS -8 -07 -1673
Issue Date: Not Issued
Expires:ot issued
Folio Number:1132050190410
Owner's Name: JAMES DANIEL WILETS
Job Address: 1160 100 Street NE
Miami Shores, FL 33138- Total Job Valuation: $ 10,000.00
Owner's Phone:
Total Square Feet:
(305)754 -4322
1205
Contractor(s) Phone Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 8/10/2007: Yes
Comments: SEE NOTE ON SITE PLAN
DRIVEWAY MUST BE LOCATED NOT LESS THAN10 FEET FROM SIDE LOT LINE.
12 FOOT DRIVEWAY AT ROADWAY WITH2 FOOT FLARES.
NO WORK ON SIDEWALK IN PARKWAY IS AUTHORIZED.