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DS-11-4230. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 160058 Scheduled Inspection Date: May 25, 2011 Inspector: Bruhn, Norman Permit Number: DS- 3- 11423 Owner: CHARLOT, ROSEBEL Job Address: 305 NW 111 Street Miami Shores, FL 33168 -3303 Project: <NONE> Contractor: ESPINOSA CONCRETE Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number (305)754 -4740 Parcel Number 1121360010730 Phone: (786)346 -5579 Building Department Comments 2 DRIVEWAYS AND WALKS 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- 157056. Provide plans and permit for inspection. NB May 24, 2011 For Inspections please call: (305)762 -4949 Page 19 of 22 Miami Shores Village Imelovml Building Department MAR ° 9 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �v. Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: , O 1 / �/ City: e� /4A - ( 5 , A-e) Permit No. 0.04:30 OOOOOOO Master Permit No. Tenant/Lessee Name: State: PC 3 6 LY e hone #: G 333 - W3 q Zip: �331 6 / � e Phone #: 333— Yc3i5 Email: JOB ADDRESS: 3oSjjl/ 1/1 5 T City: Miami Shores County: Miami Dade Zip: 33 (6 e Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ES ft /.VO5 A 6 A _. " ? , i6 Phone #: Address: /5-61(4,1 S fill /6 ;77 � City: Lit-A- r MA A- State: ,� (o Qualifier Name: L) /dV S, pi 4 ;✓` SA Phone #: State Certification or lregistration #: 058,5 B J 0 4 , Certificate of Competency #: P Y Contact Phone #: b 3Lj _ 57S Email Address: DESIGNER: Architect/Engineer: Phone #: Zip: 331 g ,036- 36/6 -51 Value of Work for this Permit: $ 3M; . Oa / Square/Linear Footage of Work: /30 b Type of Work: Address ❑Alteration New ORepair/Replace ODemolition Description of Work: 7.4 &if e . cikeTe D,% ('e el/ Ay #tke phyms COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ** * * *, ter** *** * * * * * *** * * *** * * * *** * ** * * * **F ************* * **** * * * ** * * * * * * * * * * * * *** * * **** /Submittal Fee $ ov Permit Fee $ ram Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 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 .. such posted notice, the inspection will not be approved and a reinspection fee will be charged. 1 AGA Owner or Agent The foreg ment was ac owled ` • befo - me this day o ►t% .. 0 1 by . , i . i O:) it who • i eersonnally known o me or who has produced' L-. L IL • .ntification and who did take an oath. wok /- o ,I tractor The forego' ' g mst' ment was ackmaijedged bef,• - me` this ) I VV r= , day o � t� 4��k 20 , by L_i��, owwho ', pe �� onal 1 "�►. i NI NOT Sign: Print: Y PUBLIC: i i cation anti , hp did take an oath. My Com sion Expir s: 4 i / ^� ,got Gf 1 APPROVED BY vi� `1/ 4P Plans Examiner (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/I0) Sign: Print: r ;LIC: A My Commission Expires: LE. (0/ Zoning Structural Review Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO - TAX FOUO 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. 1. Legal descri•tion and street/address: 1111111111111111111111111111111111111 11111111 CFN 20111R0157161 OR Ek 27613 Ps 0632: (fps) RECORDED 03/10 /2011 13 :29:39 HARVEY RUVIPIv CLERK'. OF COURT i1IAMI -DADE COUNTY. FLORIDA LAST PAGE f/ _ Space above reserved tor use of recording office �1rL 2. Description of improvement: 57,9 ,e 4 'o ere 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder. 4. Contractor's name, address and phone number. 5. Surety: (Payment bond required by owtpr from ntractor, if any) 0J n� Name, address and phone number: 1Y 4% ij /% ®�/-� / SV "V See IIIST P 331) 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, address and phone number Pea- A 444 - , 3/ ,. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS: UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.• Signature(s) of • 'U' =r(s) or a )' uthoriz 'uicer/Director/Partner/Manager �f Prepared By ` i' -` Prepared By / �� S ®) A/05 Print Name Print Name `S f(� 7' • -.. Title/Office T(tie/OfNce r , i i> f r►� STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing Instrument was acknowledged before me this _I By - 12 ase t _i I Individually, or CI as day of Mafal 33/O . 2d/I for a Personally known, or XI produced the following type of identl i Signature of Notary Public: Print Name: (SEAL) VERIFK AT1ON PURSUANT TO SECTION 92.525, FLORIDA STATUTES Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated In It are true, to the best of my knowledge and belief. Sig s) of • s) or Owne By 123.01 -62 P/0E3 3110 Officer /Director/Partner/Manager UAW 1 HEREBY CERTIFY that this is a true copy of the 9nginal Mad (rf INS ce c.i day of , A.D. 2() 4' ' ry f ra n irsf SsoI. HAS'`' Firms +�� � Whereas, (owner) r'D 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT is OF CONSTRUCTION WITHIN RIGHT OF WAY Ito se. he t R. Q) T hereinafter referred to as the owner of the following described property (address): 303- e I /Is r S#04€5 Pt 33/60 Legal Description D4 we v 1 Lot Folio # Requests permission to install (describe work): Block Subdivision Within the public right of way of (address) 36S- it /CV /11 S T 1,1A .5 4eS F6- 33)0 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 Vill . or D d C u ty to make repairs or maintain said op, items within public right of way including rests atiofilf5MV son is failure to do so, fbileti Wilde ASIA %Mita such expense shall be paid by the Owner or Cana �(r. a w•y described property 1 until paid. 2. 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 obligations 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). Signature RA Q4.0-72 Owner or Agent The foregoing instrument was acknowledged before me this 29 day of I-Eacc.& , 20 Imo, by 12-cod Carla] who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: I A Sign: AA � � Print: . ,� a 6—e, S lea My Commission Expires: 2 - -�yLIrJ h - Permit No: 11- e,, Job Name ,2011 Miami Shores Viiiage Building Department B uilding Critique Sheet /itt- c.o/Z a✓ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 f� Mice tic- 41C ((d --.r t 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 SKETCH OF BOUNDARY SURVEY APK 0 4 20f h , SCALE: 1":=20 BY: 001"100 PO X X x x x X x iti� 10' ALLEY 75.00'fP)(M) dg • f Pavement F.I.P.1 /2" fW F.I.P.1 /2" LiWM SHED .70' C.LF.. 12.70' 38.00' 14.30' 21.05' 12.80' 18.85' _ r a ~ U g OO g sF 9 9 7 g 9 0 E COUNTY HEALTH DEPARTMENT C -13072 � MIAMI -DA PERMIT DATE: Tod F.I.P P. 25 70' 5' CONC. WALK F.LP.1 /2" 75.00'(P)(M) • 19' PARKWAY m Miami Shores !Village N,w ZONING DEPT BLDG DEPT 11th STREET tdge of Pavement 422' AS HALT PAVEMENT 7250' Tt TAL RIGHT -OF -WAY SUBJECT TO COMP( IANCE WITH ALL FEDERAL STATE AND 0011N 1Y Rlif FS AND 1DFG111 ATIONS r \DS 1 t -43 3O5-jj" 111sT • FLORIDA DEPARTMENT OF HEALT Rick Scott Governor March 25, 2011 (Statewide Septic) po box 3865 Hollywood, FL 33083 RE: Contingency Letter Application Document No: AP997890 Centrax Permit Number: 13 -SC- 1307282 OSTDS Number: 305NW111St Miami, FL 33168 Lot:25 Block:3 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 03/15/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your existing system is adequate for the proposed use (driveway construction). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Josep iv ger, ngtn ecialist II Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645 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:1121360010730 Owner's Name: ROSEBEL CHARLOT Job Address: 305 111 Street Miami Shores, FL 33168 -3303 Owner's Phone: (305)754 -4740 Total Square Feet: 1500 Total Job Valuation: $ 6,300.00 Contractor(s) Phone Primary Contractor ESPINOSA CONCRETE (786)346 -5579 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/8/2011: Yes Comments: CIRCULAR DRIVEWAY IN FRONT CAN NOT EXCEED 12 FEET IN WIDTH WITH 2 x 2 FOOT FLARES. DRIVEWAY MUST BE LOCATED NOT LESS THAN 10 FEET FROM SID PLOT LINE. 4/8/11 NEW PLAN OK. BASED ON THE SCALE OF THE DRAWING, THE CIRCULAR DRIVEWAY IS 23 FEET IN WIDTH AT THE STREET AND 16 FEET IN WIDTH IN THE SWALE. PLEASE SEE ABOVE FOR PLEASE SHOW ALL DIMENSIONS INCLUDING SETBACKS ON PLAN AND DRAW TO SCALE. END OF FLARE CAN NOT BE LOCATED CLOSER THAN 3 FEET TO EXENSION OF SIDE PLOT LINE INTO SWALE. CIRCULAR DRIVEWAY IN FRONT YARD AND SWALE AREA CAN NOT EXCEED 12 FEET IN WIDTH WITH 2 x 2 FOOT FLARES WHERE THE DRIVEWAY MEETS THE STREET DRIVEWAY MUST BE LOCATED NOT LESS THAN 10 FEET FROM THE SIDE PLOT LINE. PLEASE DRAW TO SCALE ON THE PLAN 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:1121360010730 Owner's Name: ROSEBEL CHARLOT Job Address: 305 111 Street Miami Shores, FL 33168 -3303 Owner's Phone: (305)754 -4740 Total Square Feet: 1500 Total Job Valuation: $ 6,300.00 Planning and Zoning Criteria and Comments Approved: No Date Denied: 3/9/2011 Comments: CIRCULAR DRIVEWAY IN FRONT CAN NOT EXCEED 12 FEET IN WIDTH WITH 2 x 2 FOOT FLARES. DRIVEWAY MUST BE LOCATED NOT LESS THAN 10 FEET FROM SID PLOT LINE. BASED ON THE SCALE OF THE DRAWING, THE CIRCULAR DRIVEWAY IS 23 FEET IN WIDTH AT THE STREET AND 16 FEET IN WIDTH IN THE SWALE. PLEASE SEE ABOVE FOR PLEASE SHOW ALL DIMENSIONS INCLUDING SETBACKS ON PLAN AND DRAW TO SCALE. END OF FLARE CAN NOT BE LOCATED CLOSER THAN 3 FEET TO EXENSION OF SIDE PLOT LINE INTO SWALE. CIRCULAR DRIVEWAY IN FRONT YARD AND SWALE AREA CAN NOT EXCEED 12 FEET IN WIDTH WITH 2 x 2 FOOT FLARES WHERE THE DRIVEWAY MEETS THE STREET DRIVEWAY MUST BE LOCATED NOT LESS THAN 10 FEET FROM THE SIDE PLOT LINE. PLEASE DRAW TO SCALE ON THE PLAN Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #:CK II � 42Z DATE: -6)1))) 1, Niti PIA/ em- Contractor ❑ Owner ❑ Architect r� ' ked I-1/w up 2 sets of plans a d (other) t' ; � ° Nu) '93a tiN S; Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I u erstand that the plans need to be brought back to Miami Shores Village Building i, -nt to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL" 1 RESUBMITTED DATE: q PERMIT CLERK INITIAL: e.,A* 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:1121360010730 Owner's Name: ROSEBEL CHARLOT Job Address: 305 111 Street Miami Shores, FL 33168 -3303 Owner's Phone: (305)754 -4740 Total Square Feet: 1500 Total Job Valuation: $ 6,300.00 Contractor(s) ESPINOSA CONCRETE Phone (786)346 -5579 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 3/9/2011 Comments: CIRCULAR DRIVEWAY IN FRONT CAN NOT EXCEED 12 FEET IN WIDTH WITH 2 x 2 FOOT FLARES. DRIVEWAY MUST BE LOCATED NOT LESS THAN 10 FEET FROM SID PLOT LINE. PLEASE SHOW ALL DIMENSIONS INCLUDING SETBACKS ON PLAN AND DRAW TO SCALE. END OF FLARE CAN NOT BE LOCATED CLOSER THAN 3 FEET TO EXENSION OF SIDE PLOT LINE INTO SWALE.