DS-11-349Permit Number: DS -3 -11 -349 j
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 156537
Inspection Date: June 29, 2011
Inspector: Bruhn, Norman
Owner: BOWMAN, NOELLE
Job Address: 117 NW 101 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1131010220150
Building Department Comments
REMOVE OLD DRIVEWAY. FORM, FRAME COMPACT,
STAMP NEW DRIVEWAY. CONCRETE 3000 P.S.I
Passe
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
June 28, 2011
For Inspections please call: (305)762 -4949
Page 1 of 1
zAe
Nv0.,
-5 674'6
/VO sta.,/
BUILDING
PERMIT APPLICATION
FBC 20
C012-1(i1 --
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No.
OM 3
[BAR 0 1 2UY 1 '
11.---.!,4
Master Permit No.
Permit Type: BUILDING ROOFING 2
OWNER: Name (Fee Simple Titleholder): NO'e hie 60 u M
7 an Phone#: 1860 271 -2237
Address: 117 NLt) 101 54 fa+
City: 1friti anti 51°1®t'25 State: Florida.
Tenant/Lessee Name: Phone#:
Zip: 33150
Email: motile bobon o rt' grii 1. Wrrl-
JOB ADDRESS: 117 N a) 101 51-a .-I-
City: Miami Shores
Folio/Parcel #: 1131010210150
County:
Miami Dade
Zip: 33) 50
Is the Building Historically Designated: Yes NO V Flood Zone: N
c ).1 LA
CONTRACTOR: Company Name: °76/3 - M-1 K Con - e .IIG. Phone#: 7810 -31 q-3095
Address: 73 01 MU 47" h o!-r,e.Q,+
City: Vd plYl t e : ��-
zi p: 3316(p
Qualifier Name: _� r ,_. ,U -_ �� . - ., s v ei� ye1 ti- ],
! I Phone #: 36.5 T 7 2. `
°-00- z1
State Certification or Registration #:
Contact Phone #: 2 `l - 7 2- - 1 -5 ( Email Address:
DESIGNER: Architect/Engin = r: N 11 Phone#:
Certificate of Competency #:
Value of Work for this Permit: $
a,a0b.00
Type of Work: ❑Addition ❑Alteration
Description of Work: ketn,014 ®1d, driYe u)a,
ti o dries &Oej aoc( uca111 way . C
Square/Linear Footage of Work:
PNew ®Repair/Replace ❑Demolition
Fb,rrx. �ran4 e ,corn pat+ is-tamp
/ICf c' 3606 P5.1.
620 s9-ff.
* ***** * *** * ********** : * ***** * * * * * * *** * Fees * * ** n********** *** *** * * ** ** * ** * * ***** * * * * **
Submittal Fee $ Permit Fee $ GC) 0 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $
s /�$�� %Sc
E/ Ge „ JceJ
TOTAL FEE NOW DUE $ , 0
Bonding Company's Name (if applicable) N 1 A
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) NIA
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted no the
inspection will not be approved and a reinspection fee will be charged.
Signature
wner Agent
The foregoing instrument was acknowledged before me this 23
day of FLbwof j , 20 I ! , by No .tl k £OtO,,W )
who is personally known to me or who has produced fL - O. L who s personally kno :, 'o me or who has produced
As identification and who did take an oath. identification and who did take an oath.
NOTARY UBLIC:
Signature a ;;
dged before me this 2 S
r 20 ` = iy Alanso 1e1 Poc-F, \ (.)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
C ,sr-1 1 Pi li "WAS
* *** k** ***sIasksksk.k*sk N*****.N k*s k*ikikik**** ***+ ksN******* **iN************ ********** ******
t, • o azos
" of �oP�a
My Commission s n E4 040212
Sign: COQ 9CSAG. k.C_C \
Prin;' icon c p ICC,,( 1 \ c)
My /Commission ExpiresNO;Y PUBLIC -STATE OF FLORIDA
Xiomara Piccirillo
Commission #DD908138
Expires: AUG. 01, 2013
BONDED TBRII ATLANTIC BONDING CO., INC.
** *$ asks$******* ******** ********
APPROVED BY � Plans Examiner
°N�)-A\,� Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
1
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1131010220150
Owner's Name: NOELLE BOWMAN
Job Address: 117 101 Street
Miami Shores, FL 33150-
Owner's Phone:
Total Square Feet: 620
Total Job Valuation: $ 2,200.00
Contractor(s)
JOB MIX CONCRETE INC
Phone Primary Contractor
(786)319 -3095 Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 3/3/2011
Comments: MUST SHOW THE DRIVEWAY EXTENSION THROUGH THE SWALE AND CONNECTING TO THE STREET,
ON THE PLAN.
3/28/11
SAME AS ABOVE
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. DS-3-11-349
Issue Date: Not Issued
,Am
Expires:Not Issued
Folio Number:1131010220150
Owner's Name: NOELLE BOWMAN
Job Address: 117 101 Street
Miami Shores, FL 33150-
Owner's Phone:
Total Square Feet:
Total Job Valuation:
Contractor(s)
JOB MIX CONCRETE INC
Phone
(786)319 -3095
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 6/20/2011: Yes
Comments: MUST SHOW THE DRIVEWAY EXTENSION THROUGH THE SWALE AND CONNECTING TO THE STREET,
ON THE PLAN.
3/28/11
SAME AS ABOVE
6/16/11
SAME AS ABOVE
6/20/11
stt4
Permit No: 11-_171
Job Name
, 2011
Miami Shores Vuiiage
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 7952204
Fax: (305) 756.8972
Page 1 of 1
FC4:3�--
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 Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: ✓" I I • DATE: v 1
I, Ave 1
Cdv J r•` 4'
\Owner Contractor
❑
Architect
ked up 2 sets of Tans and oth r
p P )
Address:
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:— 69/1926
PERMIT CLERK INITIAL:
RESUBMITTED DATE: 5)2-6 \ill
PERMIT CLERK INITIAL:
PERMIT #:
Miami Shores Viiiage
Building Department
RECEIPT
DATE:
. C+-nj.e
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
(d
❑ Contractor
Owner
eked up 2 sets of plans and
)1n U) 0
Address:
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE: `dl g `I
PERMIT CLERK INITIAL:
FLORIDA DEPARTMENT OF
HEALT
Rick Scott
Governor
H. Frank Farmer, Jr., M.D., Ph.D.
State Surgeon General
June 08, 2011
Noelle Bowman
117 NW 101 St
Miami, FL 33150
RE: Contingency Letter
Application Document No: API037340
Centrax Permit Number: 13 -SC- 1352481
OSTDS Number:
117 NW 101 St
Miami, FL 33150
Lot:9 Block:2 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 05/27/2011 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
Proposed removal of existing driveway and replace it with a new one with a walkway at front of
the house.
There is not increase in sewage flow, change sewage characteristic, or compromise the
integrity or function of the system.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use.
If you have any questions on this matter, please call our office at (305) 623 -3500.
Enclosures
cc:
Miami -Dade County Health Department
1725 NW 167 St, Opa Locka, FL 33056
Phone: (305) 623 -3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaEH.com
Corn C
4"
tOi« ask
620 :51, 4-f.
3.000 P61
BOUNDARY SURVEY
SCALE: 1" =20'
.OPERTY ADDRESS 117 NW 101 STREET, MIAMI SHORES, FLORIDA. 33150
LEGAL DESCRIPTION: (FURNISHED BY CLIENT)
LOT 9 AND THE WEST 1/2 OF LOT 8 BLOCK 2 SUBDIVISION GOLD CREST A SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 21 AT PAGE.
OF THE PUBLIC RECORDS OF MIAMI -DADS COUNTY, FLORIDA.
laMEnWIE1
RP
1/2'
(NO ID)
ROVED
Rem it no. �
Dec
Miami-Dade County
Health DePartment
/P"
(NO ID)
LOCATION SKETCH
SCALE: NTS
ON /PL
3'
CBS WALL
120"
N
•
14 THE
•J 715 tti
k I
42'
s Cz:°40�F F
11.00'
0.00'
FIP
1/2"
(No ID)
pn PAfj ( '
. 20.10'
-7.40' 23.10'
10.40' ONE STORY
C.B.S. RESIDENCE
N° 117 •
.15.40'.
10.50'
16.60'
11.60'
PIP
1/2"
(NO ID)
UR a
107 ID
1/27
1077
NW 101 STREET
i
15.90'
PK /WY
NW 101 STREET
(50.00' TOTAL R /W)
20.00'
AVEMENT
(75.28)
RP
1/2"
(NO ID)
B/C
THIS SURVEY IS VALID FUR MORTGAGE ONLY
BASED ON THE FL000 INSURANCE RATE MAP OF THE FEDERAL EMERGENT MANAGEh1ENT AGENCY GATED
REVISED ON 09/11/09. THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE X
BASE FLOOD"
ELEVATION N/A COMMUNITY 120882 PANEL NUMBER 0302 SUFETX L
OR
LEGAL NOTES
THIS SURVEY 006 NOT REFLECT OR DETERMINE 01INERSHIP.
CRAM 9 TION OF THE ABSTRACT OF TIRE MILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFEC11N0 THE PROPERTY. THUS SURVEY IS SUBJECT TO DEDICATIONS,
WITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. I.EOAL DESCRIPTIONS
PROVIDED BY CLIENT. THE CARLIY OP THIS SURVEY IS LIMITED To THE COST OF THE SURVEY.
UNSOUND ENCROACHMENTS, IF MAY. ARE NOT SHOWN. THIS FIRM WAS NOT ATTEMPTED TO
LOCATE FOOTING AND /OR FOUNDATIONS NOD/0R UNDERGROUND IMPROVEMENTS OF
ANY NATURE. IF SHOW, BEARINGS ARE REFERRED 10 AN ASSUMED RERDUW. IF SHOWN,
ELEVATIONS ARE REFERRED TO N.0.V.0. OF 1929. THE CLOSURE IN THE BOUNDARY SURVEY HS
ABOVE 1 :70000. THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN FOR CONSTRUCTION PURPOSES.
FOR THOSE PURPOSES A TOPOGRAPHIC SURVEY IS REQUIRED. FENCE OWNERSHIP NOT 06TERMMED
CERTIFIED TO:
NOELLE BOWMAN
INFINITE TITLE SOLUTION
KEL TITLE SOLUTION GROUP
WCS LENDING, LLC
ITS SUCCESSORS AND /OR ASSIGNS,ATIMA
NOE AGUILAR
19630 FRANJO ROAD
CUTLER RAY ,FL33157
PHONE: (305) 283 -0632
FAX: (305) 259 -5769
FIELD WORK REVISIONS
DA10 11/18/2009 DATE:
1NS OERIAIAB RYE INS OLN EY OF OE PROPERTY
DESOMBAD HEREON MI MME 1NmLR MY S1IPERN -KIN
NO 110" Lib W M MS 191119018105090.
SWINGS SET FORTS 07114 NORM NO ET Of
9.991090 NW NIPPERS M 4HM2ER 01017 -e. FORat
OSCP PURISM TO REPRO 472037,
NOE AGUILAR P.S.M. 5571
NOT VNO MMO1T 100 >OIWWJQ NO DC ORW9AE. wet SFN. LIF A
F1ORO1 LIMBED SUMMIT NO MAPPER
A/C
A
OLDS.
0.9.
CAS.
CH.
0.
0/L
MONO.
d1E
LEGEND AND ABBREVIATIONS
- {FRAY POLE
- 1194 OP BEAMS
- 99A CONOOIMEO PAD
- ARC DISPNCE
• MGR
• MOH GEM
• WN01ER -LOCK STRUCTURE
• 0190 00T-M0.
- CLEAR
• GENDER UNE
• COMM
- LOENAWE EBI RENN= PANT
F.N.
P.T.
F.H.
FIP.
- FOWIO NAR
- PINT OF TNNOO4CY
- ENCROACHMENT
FIRE HYDRANT
- FOUND IRON PIPE
F.I.R. - FOUND RESAR
18.E. • LOWEST POOR ELEVATION
4P, - LIHT POLE
(M) - IRASURED
OW RECORD -
0R & Y)_ 9 MEASURED
F.N.D.
P.C.C.
9/1.
NAND.
0.E
P.B.
P.C.P.
P.O.
P.09.
N.T.S.
- PONT OF COMPOUND CURVE
- MONUMENT UNE
- NATIONAL OEOCE01 VERTIGO. WAN
- 012900 DEMO LONE
- PAT BOON
- PERMAFI117 CONTROL POINT
- PAGE
4* NM OF9ENNICO
- PROPERTY UNE
.4 NOT TO SCSLE
• SET IRON ROD
2Zm
-1/-
R
RAG.
RE&
R/W
SEC.
S.I.P.
51Y
MIK
7.RC
•0.99. WALL
• MOOD FENCE (B HOOD
-
MRS
.MA.
REMOSTICE
- ROUT OF WAY
• SECTION
SET IRON PIE
• STORY
- E EIVATX
-
PTO OF REVERSE 059E
5/11 -0.0744 CORKER
CRWY. - ORNEMW
PAC. • POINT OP COI/IN -909NT
P.C. - POW OF 01RYIQIRE
' - FINED RONA N
--K— -0901 UNX FENCE (4' OW)
A . 01 NIRBN. MOLE
ORDER No. 09 -355
1
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1131010220150
Owner's Name: NOELLE BOWMAN
Job Address: 117 101 Street
Miami Shores, FL 33150-
Owner's Phone:
Total Square Feet: 620
Total Job Valuation: $ 2,200.00
Contractor(s)
JOB MIX CONCRETE INC
Phone Primary Contractor
(786)319 -3095 Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 3/3/2011
Comments: MUST SHOW THE DREIVESAY EXTENSION THROUGH THE SWALE AND CONNECTING TO THE STREET,
ON THE PLAN.
1
Permit NO. DS-3-11-349
Issue Date: Not Issued
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Expires:NOt Issued
Folio Number:1131010220150
Owner's Name: NOELLE BOWMAN
Job Address: 117 101 Street
Miami Shores, FL 33150-
Owner's Phone:
Total Square Feet: 620
Total Job Valuation: $ 2,200.00
Contractor(s)
JOB MIX CONCRETE INC
Phone Primary Contractor
(786)319 -3095 Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 6/16/2011
Comments: MUST SHOW THE DRIVEWAY EXTENSION THROUGH THE SWALE AND CONNECTING TO THE STREET,
ON THE PLAN.
3/28/11
SAME AS ABOVE
6/16/11
SAME AS ABOVE