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DS-11-1109Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161092 Permit Number: DS -6 -11 -1109 Scheduled Inspection Date: July 28, 2011 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Owner: BROWN, BRUCE Work Classification: Addition /Alteration Job Address: 402 NE 95 Street Miami Shores, FL 33138- Inspector: Bruhn, Norman Project: <NONE> Contractor: PAVERS AND BRICKS SERVICES CORP Phone Number (305)758 -1303 Parcel Number 1132060140470 Phone: (305)986 -2544 Building Department Comments NEW PATIO WITH BRICK PAVERS ON A SAND BASE Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 27, 2011 For Inspections please call: (305)762 -4949 Page 4 of 20 '6°).(--A 11— . . Miami Shores Village to 3tt, i k -1 Nua 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 1 j (11 No D I L \ 1 Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): 2l 02 N E (-35 ilM i 3H0R0 Address: City: Tenant/Lessee Name: Email: JOB ADDRESS: City: Folio/Parcel #: ROOFING Bevy MC/CC JUN 17 Phone #: State: V- L- go ,■t. q5 S� . Zip: 3Y/ V Phone #: Miami Shores County: Miami Dade Zip: *l)7j Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ?4.(.V62.,5- Are re 1fi . .Avrez$ / WY W "? Address: 4 N W ) S(o 5t- City: AA l./V4 l State: Qualifier Name: Iat UL D. FAg t✓.VD¢ Z State Certification or Registration #: Contact Phone #: 3 ' Y33104- Email Address: DESIGNER: Architect/Engineer: Zip: 331 g.'9 Phone #: 86. W3?/°? Certificate of Competency #: ®( 435 6 ? ® Au /o/' o$P67Ao ?Ho7 A4l .. &i( Phone #: �— Value of Work for this Permit: $ 1 - Type of Work: ❑Addition ❑Alteration Description of Work: /■ -Tr Square/Linear Footage of Work: 2/8 &crew ❑Repair/Replace ❑Demolition ertiCJ lP, veYzs o/- i1 * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /60 • d CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Cc. 3. WJ 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 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 not be approved and a reinspection fee will be charged. The foregoing instrument was acknowledged before me this R day of wire , 201% , by 1134 Obt//, ant'C( , day of Contractor The foregoing instrument was acknowledged before me this .? , 20 i I , by riZAci. .1 . r" , t/Nx.e . who is personally known to me or who has produced who is As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: NOTARY PUBLIC-STATE OF FLORIDA " Shanteli Ruthiely Lopes Cordeiro Commission # EE019117 / Expires: OV. 15, 2011 THRU ATLANTIC NDLVG CO., My Commission Expires: N ©v' APPROVED BY 4, Kiri/ (Revised 07 /10 /07XRevised 06 /10/2009)(Revised 3/15/09) ersonally known to me or who has produced as identification and who did take an oath. Plans Examiner Structural Review NOTARY PUBLIC NOTARY PZ BLIC -STATE OF FLORIDA Shantell Ruthiely Lopes Cordeiro Commission # EE019117 Si �! ►\�` • Expires: NOV. . 15, 2011 Sign: Commission A CS0 ING CO., INC. " Print: c'hi 1->vaf1 \ ` t/kl�P dl f y! sec My Commission Expires: i J ©U • J , j a"� iA_ Zoning Clerk Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General June 20, 2011 Paulo Ramos (Pavers Bricks Service) 402 NE 95 St Miami, FL 33175 RE: Contingency Letter Application Document No: AP 1039185 Centrax Permit Number: 13 -SC- 1355572 OSTDS Number: 402 NE 95 St Miami, FL 33175 JUN 2 Lot:11/12 Block:52 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 06/16/2011 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 patio with concrete pavers). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, 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 Permit No: 11 -1109 Job Name: June 23, 2011 Miami Shores Village Building Department Building Critique Sheet 2nd 1) Provide HRS /DOH approval. 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 - • a•O' .8 7 • /.8 IS • .20 2/ • 22 '14 - 1 .5447.5 .4) 15 11 rnd 1P, 31 pear recorded i ity, Florida. r # 23723 # 864-2 ITCH OF SURVEY • • SHORES, SECTION NO. 2, accordins to the plat at Page 37, of tae Public Records of Dade IV For ohn Prunty BISCAYNE ENGINEERING COMPANY Civil Engineers- Miami Florida rtbed Thali ef a no e February 13, 1951 5cal es Sholm led "3K7TCH OF SURV"Y" cf the above ect to the best of our' under olir di rec ti nn ; al so t t t here rl r . - 7 APPROVED BY DATE ZONING DEPT ,,„0 C17//' BLDG DEPT AV 42F-t, SUBJECT TO COMPLIANCE WITH ALL FEDERAL , STATE AND COUNTY RULES AND REGULATIONS ISCAYNE •ENGINEERINa CL7.1.71 :LN'ir 1 IP :I/. t_ , I R sistered Eninecr li R gictcred Surver if STATE OF FLcaIDA. .„ • er:ett, ) tj • ■wor JJ pzios.ver 2!5,".40bIe 0/7e 5/ory 4, 4402 icoinitVele)* 41 7ivo .3/7' 2/ 2a 30.22 460 '4k so • 1. < Apo) zefe/- /7" . . „C 4°14 • eP 40 4/ COW •• •1•• •• • 5E1' eAzie A-Pe. ft ,orp, / a • a 1 ■•• 1 ji Q A •••• N *Wee cher,- /7 ierTiC Ad 700.0 ' cc?/'- /4 8a 199 IUI FIAVE'R G c „0,47 rAvvx p,E rIL ab,