Loading...
DS-11-1028Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 160666 Permit Number: DS -6 -11 -1028 Scheduled Inspection Date: June 29, 2011 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Owner: DE LUCA, BEATRIZ Work Classification: Addition /Alteration Inspector: Bruhn, Norman Job Address: 150 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: PAVERS AND BRICKS SERVICES CORP Phone Number Parcel Number 1132060132140 Phone: (305)986 -2544 Building Department Comments NEW DRIVEWAY WITH CHICAGO BRICK ON SAND BASE AND PATIO WITH CHICAGO BRICK. Inspector Comments Passed r 4 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 28, 2011 For Inspections please call: (305)762 -4949 Page 17 of 38 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ((����ROOFING C OWNER: Name (Fee Simple Titleholder): 13eAT li 2.. tx L u ciS Phone #: Pe 't No. Master ' ermit No. D5 6- ((- i O 7es2 12,6v OA/ Address: t S 0 la.i t 4 0 0 S't City: ) A A M t sttotrzEs State: F Zip: Tenant/Lessee Name: 1 - Phone #: Email: JOB ADDRESS: /5-C) /J L 00 St- City: Miami Shores County: Miami Dade Zip: Y3 1 3 ' Folio/Parcel #: Is the Building Historically Designated: Yes ci.isc Flood Zone: CONTRACTOR: Company Name: PA 1/6 r2 kC.jS 12U_ (/C D) #tt2,)$hone #: Address: '39 WW /56 V- City: A4 r/4/M1 1 State: (ri L Zip: , ;/64/. Qualifier Name: ¶ AU L 4h , Ff} GU N D c 2 Phone #: '986 Y Y 3 ?, State Certification or Registration #: Certificate of Competency #: 06 650 06 ?-O Contact Phone #: Email Address: PIA (d & R A/14O$ 126 A .e %iO /t/i4 i e. 6044 DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 600 Type of Work: Addition DAlteration Description of Work: Ac-1DD Phone #: Square/Linear Footage of Work: 'Z'43®5:Z &c ew ❑Repair/Replace ❑Demolition * * * * * * * ** * ** * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * *** * * * * * * * * * ** Submittal Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Permit Fee $ CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State MIFF 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will ' e approved and reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this J 5 day of , 20 11 , by De Al `t 2 I)c LUC/15 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLI Sign: Print: SINPin NOTARY PUBLIC -STATE OF FLORIDA "" " '., Shantell Ruthiely lopes Cordeiro = = Commission # EE019117 ,,,,; Expires: NOV 15, 2011 BC THRT CBOND CO, I.. C. et My Commission Expires: Ij ®v - 5 Signature Contractor The foregoing instrument was acknowledged before e this I S day of , 20 ) ( , bcRi'w D. G0 >1 _ . who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBL OTARY PUBLIC -STATE OF FLORIDA "' ShantellRuthielyLopes[ordeiro mmission # EE019117 Expires. NOV..15, 2011 0000 •:r 1 • Y • VII • • My Commission Expires: /UOV•J5,o2J -$L� oY*** **d:9: *9c9:****** ** t*** ** Y4rY *9rY****oY**** *** Y9:** ** **** *o` * ** * * * * * ** Peck *** *R4e9e*Fe*oY:F**ke ***::** ** ***oY*** Y * ** APPROVED BY (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) Plans Examiner Structural Review Zoning Clerk 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 -6 -11 -1028 Permit Ty Pa. Driveways /S1 e' a it s /$labs Work Class st tion ArlditiotlffAtter tlo� Issue Date: 6/14/2011 ,1 Expires:6 /14/2011 Folio Number:1132060132140 Owner's Name: BEATRIZ DE LUCA Job Address: 150 100 Street Miami Shores, FL Owner's Phone: Total Square Feet: 750 Total Job Valuation: $ 2,400.00 Contractor(s) PAVERS AND BRICKS SERVICES CORP Phone (305)986 -2544 Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/17/2011: Yes Comments: PLEASE MODIFY PERMIT TO REFLECT ALL WORK. 6/17/11 OK aVVIiYru*1 YY�s��• SCALE =r =201 SUBJECT TO COMPLIANCE tli1TH ALL FEDE l• STATE AND COUNTY RULES AND REGULATIONS 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 JUN 0 k REEC1 Permit No. DS O� Master Permit No. Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titlehold OA Z' LWS Owner's Address /TO Al /00 3T City All 1 Wp ir-2-- Zip ''-, I Tenant/Lessee Name Phone # lob Address (where the work is being done) I S ci N L [ O 0 5t City Miami Shores Village County Miami -Dade Zip 3313: FOLIO / PARCEL # Ls Building Historically Designated YES NO 1 Contractor's Company Name PA (1 Elam- ) iv C. S Sc flV ( one # Contractor's Address Ci 9 N, (" / J`- e S# City A1 a ,q✓-f i State F Z Zip '- 3 l 6 Qualifier Name 'RA u L ) F.4 6 Li A' PC Z Phone # q 66 ° Y li 3 . 31,0'3 406 13S co 6 - ®,'. 30r-, ga-i 913 State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if ,applicable) Phone # Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: N C-1A✓ iA ' V 0 ❑Alteration Square / Linear Footage Of Work: > Q .D-17; L/ j [ew vi 1'4-14 c ❑ Repair/Replace b ,cl= ❑ Demolition 6 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ I Permit Fee $ /LL,,r°4" CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -) Bonding Company's Name (if applicable) Bonding Company's Address City ss° e Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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 rot be approved and a reinspection fee will be charged. The foregoing instrument was acknowledged before me this 5 day of ‘641e- ,20 l (,by 136-AThi2 D,c LVCA, who is personally known to me or who has produced Signature /s9 Aisvc " , wContractor pil-0 L. C-e)/J Z e foregoing instrument was acknowledged before me this 3 day of , 207 ( , by � V L �/�6(WPC 2 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: NOTARY PUBLIC -STATE OF FLORIDA ;ow" Shantell Ruthiely Lopes Cordeiro •5 Commission # EE019117 „��.. Expires: NOV. . 15, 2011 TA � M TBRC AT'I\.DTI^3Q DIN ,.-..,utc. My Commission Expires: 100u - 5 , 0 .1 APPLICATION APPROVED BY: (Revised 07/10/07) NOTARY PUB Sign: Print: C• NOTARY PUBLIC-ST IE OF FLORIDA p••' " "`''•, Shantell F,uthmely Lopes Cordeiro Commission # EE019117 / Expires: NOV. 15, 2011 rir %.,, Al, Do h Fort e r +Vt' TSRUA j;C BONDING ' INC. - 1� [fir. My Commission Expires: ,V GO ,1 f , a ®l i Plans Examiner Engineer Zoning 130611 12:37 PAVERS AND BRICKS SERVICE 305 - 759 -3165 p.1 YV) CERTIFICATE OF LIABILITY INSURANCE LDAJI17/1 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE.COVERAGE AFFORDED BY THE POLICIES BELOW) PRODUCER Accurate 8300 West Flagler Suite 114 Miami, FL 33144 Phone (305)226 -8727 _— — Fax (305)226 -8767 INSURED Pavers And Bricks Services Corp, 99 NW 156 Street Miami, FI 33169 INSURERS AFFORDING COVERAGE I NAIC # — INSURER A: Lloyd's Of London INSURER B: SUA INSURER C: — INSURER D:__ INSURER E: COVERAGES I INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • INSR AMYL POLICY EFFECTIVE • LTR : INSRD TYPE OF INSURANCE POLICY NUMBER DATE {ra►troun Y). GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY .ARTE009373 -2 IM CLAIMS MADE [ OCCUR GENT. AGGREGATE LIMIT APPLIES PERT ❑ POLICY E PROJECT ❑ LOC A! ❑ AUTOMOBILE LIABILITY • ANY AUTO • ALL OWNED AUTOS ❑ SCHEDULED AUTOS • HIRED AUTOS • NON OWNED AUTOS —1 GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY - OCCUR ❑ CLAIMS MADE DEDUCTIBLE - RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B ' ANY PROPRIETOR/ PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? if yes, describe under SPECIAL PROVISIONS below OTHER WSAU IEC 11596902 01/12/11 01/26/11 POLICY EXPIRATION DATE I141/41IDDIYY) _ 01112/12 LIMITS EACH OCCURRENCE _ - DAMAGE TO RENTED _PREMISES (Ea occurenee) - MED EXP (Anyone person) PERSONAL& ADV INJURY — GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per ardent) PROPERTY DAMAGE (Per ccident) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE - - -- - - f,000.000 50,000 - " -__ 5,000 1,000,000 _ 2,000,000 1,000,000 01/26/12 TORy.uf s _D .E EL EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Miami Beach is named as additional insured with regards to the following project: Project Name: Elizabeth Potter Project Address: 4554 Adams Ave Project Description: Driveway Approach Duration of construction activity: 1 Month CERTIFICATE HOLDER City of Miami Shores 10050 NE 2 Ave Miami Shores, Florida . 1 ACORD 25 (2001 /08) CIF' CANCELLATION 100,000 500,000. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY • OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Lucia Estrella OACORD CORPORATION 1988 Miami Shores Viiiage Building Department RECEIPT PERMIT #: �� l - Z—Sr Au RAA-6.4 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: b C i 3b1 ntractor ❑ Owner o A _ hiteet- Picked up 2 sets of plans and (other) uic_N-TLL Address f ® A/6 too 51 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: CO 4, ' 1 n PERMIT CLERK INITIAL: Y //� 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 Permit NO. DS -6 -11 -1028 Issue Date: Not Issued Expires: or' Folio Number:1132060132140 Owner's Name: BEATRIZ DE LUCA Job Address: 150 100 Street Miami Shores, FL Owner's Phone: Total Square Feet: 750 Total Job Valuation: $ 2,400.00 Contractor(s) PAVERS AND BRICKS SERVICES CORP Phone (305)986 -2544 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/9/2011: Yes Comments: PLEASE MODIFY PERMIT TO REFLECT ALL WORK. • +J 1 •••• v I 1 1 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax (3051756- 8972.. WHEREAS, f}PPSotrC -t COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Riot 7, b - Lick— following described property: Legal description/foliok: Lot (owner) Tax Folio 4: , hereinafter referred to as the Owner of the Block /N Subdivision /t'/444, ,S71,0ner.0 requests permission to install: [ ] Asphalt, concret [] Landscaping [ ] Other within the public road right of way of (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 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 3 day of /t..'AJ 20(( is 2 IBC 2c/GA . (0 SIGNED, SEALED AND DELIVERED in the presence of: NOTARY PUBLIC -STATE OF FLORIDA 00""4, Shantell Ruthiely Lope's Cordeiro Commission # EE019117 y.,;, fl,,,.' NOV. Expires: NO 15, 2011 BONDID THRU ATLANTIC BONDING COO= n 4LJ"'e- • OVVIIILIP@IDI VV••vim.• SCALE s 1. • 10' { S111l,IFCT TO COMPLIANCE WITH ALL FEDERAL AND COUNTY RULES AND REGULATIONS THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. THE SURVEYOR MAKES NO.GU AGENT SHOULD BE CONTACTED LAND TO BE SITUA1ED IN ZONE HASE FLOOD ELEVA1IoN . APPROVED 0 HE H REI M' CERTIFIED TO. BEATRIZ D: �O�Y1NG DEPT LEOPOLD,KORN 8 LEOPO ��gffial FIRST AMERICAN TITLE IN - BANK OF AMERICA N.A., IT � � m . �: ... s SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS HIS "E G'1 JOB AT 11 E Gr INSPECTION E.M A DESCRIBE 1995 FLORIDA DEPARTMENT OF HEALT Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General April 25, 2011 Orville Evans 743 NW 111 St Miami, FL 33168 RE: Contingency Letter Application Document No: API002593 Centrax Permit Number: 13 -SC- 1314355 OSTDS Number: 150 NE 100 St Miami, FL 33138 Lot:8 -9 Block: 16 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 04/21/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced From a review of your completed application, it has been determined that your existing system is adequate for the proposed use (brick patio installation). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Joseph Pi er ; - f � •r e ' • - - ist I I 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 TELEPHONE (305) 264 -2660 FAX (305) 264-0229 - LAND SURVEYORS DRAWN BY' • LIL Y U b4 C 444. s.s 4. •Vif.P .v♦%4111.• SHEET No. • 2 OF BOUNDARY SURVEY SCALE =1' = 20' • - F.IP 112° F.I.P 112° NO CAP NO CAP