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DS-11-993Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 160446 Scheduled Inspection Date: July 26, 2011 Inspector: Bruhn, Norman Owner: CASTRO, JULIANNA Job Address: 1020 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: CHAMPION CONCRETE Permit Number: DS -6 -11 -993 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)978 -0977 Parcel Number 1132050320020 Phone: (305)252 -8055 Building Department Comments CONCRETE DRIVEWAY Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ec- July 25, 2011 For Inspections please call: (305)762 -4949 Page 5 of 24 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NOS l — ThTAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE.UNDERSJGNED..hsreby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Ronda Statutes, the following information is provided in this Notice of Commencement, 1111111111111111111111 1111111111111111111 1111 CFN 201 1 R..0.dig.e a 14- 6 OR St; 27727 Ps 0052; tips) RECORDED 06/20 /2011 11 :3S :33 HARVEY RUtV'INf CLERK OF C0!JRT MIAMI -LADE C0UNT'YQ FLORIDA LAST PAGE 1. Legal description of property and street/address: C 0740 v r - sit-LW,t t- y 7 2. Description of improvement: LAXL9 3. Ovtmer(s ) name and address: 3U Il Gnu CA3 toao S vtfacre avolts , 133! 38' Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: itri: (b ,0 l -®`yam Iwo/ )) D 33 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: STATE QF �I it . COt Amount of bond $ f HEREBY CERTIFY { ski,.' 6. Lender's name and address: origin: BIo f r>? f�is o c = car of AU'LO RuEY "/ VItN, CLEikK, of Cfrcu�/ 7. Per - sons- within -the state of-Florida-designated by -owner F' be served as provided by Section 713.13(1)(a)7., Flc�l - ;- f '`� Name and address: 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 and address: 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) Sign :i T e of Owner Print Owner's Name Sworn to and s Notary Public Print Notary's Name My Commission expires: 2,pemethis1 Ost4( 0 day of 1) This Instrument prepared by: Name: ✓ A / Aft 6(6(ii 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 JUN 0 1 R ! Permit No. qq 3 Master Permit No. Permit Te: BUILDING OOFING //??�� Owner's Name (Fee Simple Titleholder) JU � " £ 9 ) Phone # _k.1 L.\ k- CAO r ! L C� 61.1 Owner's Address City Tenant/Lessee Name Email Job Address (where the work is being done) t©m lJ sic City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name C Contractor's Address (10 0 , A) City , D A/1_ County Miami -Dade Zip YES NO Flood Zone �AM toil m) Co l �i nt,-6 �e Phone # 3 - z 52- sS . �3 T s 17e 1:03 Zip Qualifier Name i State Phone # State Certificate or Registration No. Ce rtificate of Competency No. GC 05 3 8 8 Contact Phone E- mail - ∎1114/Pre- Ciii /P 9 VA A/0 ' tz7r, Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: Phone # 000, ['Alteration Square / Linear Footage Of Work: New /Z ❑ Repair/Replace ❑ Demolition **** * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Fees***+* * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** ** * * * ** Submittal Fee $ .CO Permit Fee $ Notary $ Scanning $ Double Fee $ Training/Education Fee $ Radon $ Structural Review. $ CCF $ DPBR $ Violation date: CO /CC $ Technology Fee $ Bond $ Total Fee Now Due $ See Reverse 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 the recorded notice of commencement must be osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foreg ing instrument was acknowledged before me this st' day of ,20 it ,byYUI(n& �I�f i� who is personally known to me or who has produced L) Cis °p. NOTAR Sign: Print: As identification r►uq` Notary Public State of Florida n Luca Estrella j My Commission DD883836 ov a° *� Expires 07/02/2013 CLU C E-s tiej � al Signature Contractor I. The foregoing instrument was acknowledged .before me this day of �\ , 20 111, by J curn"e, bets, ► I Q who 4ersonally kno _Tto me or who has produced as identification and who did take an My Commission Expires: APPROVED BY ya�%7 /-7- Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) NOTAR Sign: Print: 0 °N. Notary Public State of Florida 0. Lucia Estrella 'o. Commission e* Expire07/02/2013 DD883836 1a)a._ 6s hdi Cs- My Commission Expires: 12o13 Clerk checked c STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Vivage Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant, 0-%6l0 , does hereby attest that (Property owner) The attached survey, performed by (Name of surveyor's company) For address: I ° Z° A) E - q l sT MA fry 3 ' Performed on (date of survey) is an accurate representation of the existing conditions and 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 seven (7) years old 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 permitted 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. Farther, Affiant say eth naught. PrO'erty Owner Signature SWORN TO AND SUBSCRIBED before me this Affiant is personally known to me, Revised on 5/22/2009/ Revised on 6/12/09 IA 1 an nCL Q.,OSIA0 Property Owner Print Name I s� day of LA CU-f , 2© I produced d-L °� 8 ; ntific -lion esf Pot. Notary Public State of Florida Lucia Estrella My Commission DD883836 OP 0,0# Expires 07/02/2013 ck_gssVZ_ Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) UO1 in n OA CO Sh-o hereinafter referred to as the owner of the following described property (address): 1°2-0 ft1 161 r 33 Legal Description Lot Block Subdivision Folio # Requests permission to install (describe work): 2- 4r f ULO c Within the public right of way of (address) 10 20 t.) ,g. 16? t-14-41,(4 S 4 3 .(f -3a) 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 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. 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. 1 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). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 3 Ish day of OLLI , 201 SIGNED, SEALED, AND DELIVERED in the presence of: 2 iscf n Notary Public State of Florida Luaa Estrella My Commission DD883836 or, a Expires 07/02/2013 (Owner's Signature ) .:.....„.•:;:. SNOMf1110.3t142N11 • ,„ lasoad TN Hum a3wriiiii00, I; f.`,.• • •I• ••■ APPutVED MIAM1—DADE COUN HEALTH DEPARTMENT c, PERMIT #: 3 a 3 a 0 DATE: I • ' ROZ T 0 A FLORIDA DEPARTMENT OF HEALT Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General June 13, 2011 Jaime Basilio (Champion of miami) 11001 NW 83 Rd Miami, FL 33178 RE: Contingency Letter Application Document No: API038313 Centrax Permit Number: 13 -SC- 1354092 OSTDS Number: 1020 NE 99 St Miami, FL 33138 Lot:B Block: n/a Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 06/08/2011 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 (new semi - circular driveway on the North side of property). If you have any questions on this matter, please call our office at (305) 623 -3500. Sincerely, Enclosures cc: p er, Engineer Specialist II 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 vi(0/1/ Permit No: 11- iffi Job Name , 2011 Miami Shores Vuuage Building Department `J ' Building Critique Sheet /'e /7/ /[S /6/ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 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 IVilami Shores Viiiage Building Department RECEIPT PERMIT Qk" 6— DATE: I, _.}Af11-c_ /14.51L40 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 7 p< Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) e-s Address: 1O% s"f. fin 3'7 From the building department on this date in order to have corrections done to plans And /or get County stamps. 1 understand that the plans need to be brought back to Miami Shores Village Building Department to co %tinue ptting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: __Q_________