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DS-11-1139Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161272 Scheduled Inspection Date: August 19, 2011 Inspector: Bruhn, Norman Owner: DURU, CLEMENT Job Address: 139 NW 102 Street Miami Shores, FL 33150- Project: <NONE> Contractor: CHAMPION CONCRETE Permit Number: DS -6 -11 -1139 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010220080 Phone: (305)252 -8055 Building Department Comments DRIVEWAY PAVERS PassedWcFj)07# Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments e c- August 18, 2011 For Inspections please call: (305)762 -4949 Page 9 of 40 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 JIM 2 - 'Ref, Permit No. 2,5(1 13c( Master Permit No. Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): a eHeA; r A 0 a U Phone #: Address: 13q 0L 10251- r �q� City: t� -1,'� 5 State: f2_\ Zip: '3 s Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 13 9 / V 0 1.OZ 5,+- ''ll City: Miami Shores County: Miami Dade Zip: 3 is V Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: al ii---Hp 1 Dm.) e- Phone #: ?©5 2-52 6120-5 Address: J] 00i 3 .57- 50 17 - (D City: p,/ State: Zip: 3 3) 7 I Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 2 � S0 d k' Square/Linear Footage of Work: Type of Work: Addition OAlteration UNew ORepair/Replace Description of Work: ,40 g JL I unuA Lif i 2 ) ODemolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * **** * * * * * * * * * * * * * * * * * * * * * * ** oc� Submittal Fee $ Permit Fee $ ®d CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO /CC $ Bond $ 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 m be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the/)bsenc of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this �' day of 20 C.( , by ` or w clAcry , who is p me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: �� °co 49,7,71-1,-;'... .1%' ;. -ice �� , >• *** k�Y4G.Y*****.xik4lYFC�YoY`*** *9:9:4:9:: *** * s #7 ...... � •.*'k'k**eN**k* * ** d:'h'*:Y** k7Y4c* ******** /�� 2 'f1 Plans Examiner Signature Contractor The foregoing instrument was acknowledged before me this 25 day of , 20 " , by i C�� ' t , > who is personally known to me or who has produced r L ' ( 0 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: P� \enis My Commission Expires: APPROVED BY (Revised 07 /10 /07XRevised 06/10/2009)(Revised 3/15/09) 0000. gke °,2'C• FL O R\v,\0\ II,t,III1111111���� * * * * *".***7** ************ Zoning Structural Review Clerk 1111 iami Shores Viiiage Building Department RECEIPT PERMIT #:D (51 ( l 3 DATE: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑ Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) Address: Y-1. N-L '' \ Z Y-1 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: PERMIT CLERK INITIAL: Nvii(51 Miami Shores Village 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) Cl efri ei O1 1 V co hereinafter referred to as the owner of the following described property (address): t3? Ma) (.l✓ 2- 5i (rt119kilA 3 H n 91507 Legal Description Lot Block Subdivision Folio # Requests permission to install (describe work): AJ L o1 S Within the public right of way of (address) 1 3q /J UJ LC? 2— p--1,A444 Sttoies 3)--(_) 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). Signature Owner or Agent The foregoing instrument was acknowledged before me this g.3 day of , 20«, by V‘--421—) C-1-e-Pn(Co-5\ who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: \\\`\ WIN u,,,�� My Commission Expires: 2 l,) Ttr Scale 1"=-20' DATE 74 7h RAL ULA a ��� T -2 i39 LOT -3 BLOCK -I S LOT -4 BLOCK -I II \ JUN 2c,: B Y: FIP 1/2° NO I.D. ao 0.35' CL 75.00'(R&M) 6' WOOD FENCE i� i ice. it—__ yu �u yu : yV LOT -I8 LOT -17 °"°, -0.30' CL BLOCK -I FIP 1/2' NO 1. D. du BLOCK -1 v `irn -_ : THE WESTII /2 25.00' 0.26' -- STEPS a: • m mz r z •4 0 3 0.53° CL i /,��.? !/, / / /, /,ij!� /� /2' / / F.1 it:ar/ / j ! /,;/ ', / //! i! j • / // /, //.// !/, / /,/ / //1//// <'A k F J o V in LOT -17 BLOCK -I Re REMAINDER 3 FIP NO I. .5r CL FIP 1/2° NO I.D. •75:D0'(R&M) • 3NI1 AVM-d0- 1.H918 ISM BLOCK CORNER NORTH RIGHT -OF -WAY LINE 11' PARKWAY N.W. 102th. ST: 16.30' ASPHALT PAVEMENT 50' PUBLIC RIGHT -OF -WAY PROPERTY ADDRESS: 139 N.W. 102 ST., MIAMI SHORES, FL 33150 ( FOLIO No. 11 - 3101 - 022 - 0080 ) DESCRIPTION The West 1/2 of Lot 17 & all Lot 18, Block 1 of " GOLD CREST A SUBDIVISION " according to the Plat thereof as recorded In Plat Book 21 at Page 58 of the Public Records of Miami -Dade County, Florida. There may be legal restrictions on the subject property that are not shown on the Map of Survey that may be found in the Public Records of Miami -Dade County, or the records of any other public and private entities as their jurisdictions may appear. The Map of Survey is intended to be displayed at the stated graphic scale in English units of measurement. Attention is brought to the fact that said drawing may be altered in scale by the reproduction process. This Survey was conducted for the purpose of a BOUNDARY SURVEY only and is not intended to delineate the regulatory jurisdiction of any federal, state, regional or local agency board, commission or other entity. Legal description was furnished by the client. The elevations of well - identified features as depicted on this survey and map were measured to an estimated vertical positional accuracy of 1/10 foot for natural ground surfaces and 1/100 foot for hardscape surfaces, including pavements, curbs and other man -made features as may exist. Well- identified features as depicted on this survey and map were measured to an estimated horizontal positional accuracy of 1/10 foot unless otherwise shown. Legal Description subject to any dedications, limitations, restrictions, reservations or recorded easements. LIST OF POSSIBLE ENCROACHMENT: N/A BENCH MARK USED BM # N -567, Elev.= 10.54' converted to NGVD 1929. rsr N LOCATION MAP (NOT TO SCALE) If shown elevations are referred to N.G.V.D. of 1929 The surveyor makes no representation as to ownership, possession or occupation of the subject property by any entity or individual. Subsurface improvements and/or encroachments within, upon, across, abutting or adjacent to the subject property were not located and are not shown. Not valid without the signature and original raised seal of a Florida Licensed Surveyor and Mapper. Additions and deletions to this Map of Survey by other than the signing party are prohibited without the written consent of the signing party. This Map of Survey has been prepared for the exclusive use of the entitles named herein and the certification does not extend to any unnamed party. CERTIFY TO: CLEMENT DURU & W BRENDA SURVEYOR'S CERTIFICATION: I hereby certify: That this "BOUNDARY SURVEY" and the Map of Survey resulting there from was performed under my direction and is true and correct to the best of my knowledge and belief and further, that said "BOUNDARY SURVEY" meets the intent of the "Minimum Technical Standards for Land Surveying in the State of Florida ", pursuant to Rule 61G17-6 of the Florida Administrative Code and its implementing Rule, Chapter 472.027 of the Florida Statutes. AERIAL MAP (NOT To SCALE) FLOOD ZONE INFORMATION: Community No. 120652 Panel No. 0090 Suffix: J FIRM Date: 03 -02 -1994 Flood Zone: X AR IA PROFESSIONAL LAND SURVEYOR No. 3109 STATE OF FLORIDA 0 Z 0 ce co g 03 co E zRw w F42Va218 8 0f�zzoaaaa 0 n u n 0 11 0 u n n Z ? ui d A IiggC7 m U zzo aaac: J gg U�� a ou „,„z zzzzzz pp uu��ttyyOa OOUG.rrilLLU.000J 0111111 11n 1111 1111nn a 2C1.:14 n: 00'111111111:U- u_ u. u.O 2 0 la! 1 g U giaRg 11 11 11 0 0 0 11 0 0 0 11 < 'r. m v of 01.) cd Survey is not covered by Proffesional Liability Insurance. ORIGINAL 08-07 -2009 FIELD DATE REVlSl0NS: 03-03 -2011 JOB NO. 08- 234-09 -A DRAWN J.V. ARMANDO GARCIA PROFESSIONAL LAND SURVEYOR 8567 Coral Way # 425,MIAMI, FLORIDA 33155 PHONE: (786) 290 -4184 FAX: (305) 262 -1039 SHEET 1/1 Norman Bruhn From: Nicholas_Heybeck @doh.state.fl.us Sent: Tuesday, July 26, 2011 11:33 AM To: Norman Bruhn Cc: Paul_Andre@doh.state.fl.us Subject: 139 NW 102 ST (Walkway over Drainfield) Attachments: Picture (Metafile).bmp; Picture (Metafile).bmp; Picture (Metafile).bmp Mr. Bruhn, I wanted to advise your office of this case since it is an unusual one. Basically during the plan review for the New septic system a walkway was faintly shown on the plans over the drainfield and the site plan was approved by our plan reviewer. As you know the walkway over the drainfield doesn't meet state rules, however since we already approved this layout we will allow the driveway and walkway to proceed. Thanks, Nicholas Heybeck PE Engineer Supervisor III Phone: (786) 315 -2414 Fax: (786) 315 -2090 Email: Nicholas Heybeck(d},doh.state.fl.us Visit us online at httpJ /www.dadehealth.orq Please note: Florida has very broad public records law. Most written communication to or from state officials regarding state business are public records available to the public and media upon request. Your e-mail communications may therefore be subject to public disclosure. 1 it 1 Q- 11- 1 1 Q • 1 EXISTING ONE-STORY CONCRETE BLOCK EXIST. 1,843 S.F. FOOTPRINT F.F.E. - +11.81' NGVD z in TWO WAY FCO 10' -10° 5' -0' 0 GAL. 43' -2° 12' -3° f. S` -6° 49` -3° SIDEl1LK EXISTING DRIVEWAY NW 102N coned Client App 1 have reviewed thee@ p have been given the opportunity to ask questions about them prior to Issue . These plans conform to our requirements. i understand. that any modifications to these plans will be an additional service with potential impact on construction, cost & schedulieg. • . i accaig d• 0 f, 0 occils noted signatuu4 0 0 • 000000 Yates c o c c,� c, e e r; C -CCr` 10 Permit set 09 -13 -10 g Value Eng. 08 -04 -10 8 Bg. ept /� oldmmednts! ' 06 -10 -10 7 Permit set 05 -05 -10 6 Client approval 04 -30 -10 5 MEP Backgmd. 03 -30 -10 4 Client Approv. 03 -24 -10 3 Design Develop. 03 -16 -10 2 Design Mtg. 03 -09 -10 +� 1 As -builts 02 -05 -10 Issue Description Date Project Name Addition to Duru Residence 139 NW 102nd St. Miami Shores, FL. 33150 Pro t wm et oott.dury yawing t e .�...�... Site plan and MIL