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DS-11-1220Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161764 Permit Number: DS -7 -11 -1220 Scheduled Inspection Date: September 06, 2011 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Owner: GONZALEZ, SONSIRE Work Classification: New Job Address: 154 NW 111 Street Miami Shores, FL 33168 -4323 Inspector: Bruhn, Norman Project: <NONE> Contractor: ESPINOSA CONCRETE Phone Number Parcel Number 1121360030450 Phone: (786)346 -5579 Building Department Comments REMOVE EXISTING ASPHALT DRIVEWAY AND INSTALL CONCRETE MIXED WITH FIBER MESH Passed 1<i Failed Inspector Comments Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 02, 2011 For Inspections please call: (305)762 -4949 Page 9 of 36 Miami Shores Village 1 1` `' - Building Department JUL 0 8 2011 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 IP 1BUILDING Permit No PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING ° � OWNER: Name (Fee Simple Titleholder): J /tM Sekl-&tiit.e.S Phone #: Ni' gill-10-1Y Address: 15 Cj ,/W /115T /^� 33,40 City: U/ 4,1 . 5 ib it State: � Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: / SI//WV /1 / sT City: 4, Miami Shores Folio/Parcel #: County: Miami Dade Zip: 33 14 0 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Es Pales A CdA/c/t ele lime Phone #: 90C-31/46 Address: trq ? / i' sr City: State: Irt- Qualifier Name: L,1// E$P /4'e £A Zip: 3Z/0) Phone #: WI-31/6- �S State Certification or Registration #: 0511.9 ®Q q Certificate of Competency #: Contact Phone #: �3/6 ° S 4 Email Address: t$pMi(/ 05A • C041("0'e 42 yAkiee coy DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ gat) 0a' Square/Linear Footage of Work: / ©e 0 Type of Work: ❑Addition DAlteration New ° ORepair/Replace /� Description of Work: P C4/ c e 141 rd 8 w1'� ODemolition *****v. *** * * *x * * * * * ** k******** ******* ** *Fees*�k * ***** * * ** **** * * ** :* *******x:***** ********** Submittal Fee $ Permit Fee $ [ / "CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 114S" 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 b; delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement for the first inspection which occurs seven (7) days after the building permit is issued. In the abs inspection will not be approved and a reinspection fee will be charged. Signature .,4, Signature C i Owner or Agent 1 . ntractor The fore 'oiing�iiJnstrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ((iL l , 20 14 , by .J t L\4-1 GILNIIAL fit-' posted at the job site uch posted notice, the who is personally known to me or who has produced A-'t' 0 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: III(/!/i0, r %6%4 p>2 day of ULl , 20` � , byYU - 1317(14 CIS , who is personally known to me or who has produced r .-4D as identification and who did take an oath. u)'• Com �r�8 ®1 /C mi ,7 $8/0"` . ********* * * * * * * * * * * * ** * **** * * * * * * * * * *Q� , $<:.1: *** **3k4.*** APPROVED BY ,2 II I)Alratts examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) NOTARY PUBLIC: Oomail 444, Sign. .. . .''. Print: ' '17O8,' " _�. � ' My Commi 9onC �feeZi,o •` --..W6: Brio 44' , Zoning Clerk 1 AUG 0 9 N11 Rick Scott Governor rank Farmer, Jr., M.D., Ph.D. State Surgeon General August 04, 2011 (one stop paving) 1463 NE 173 St Miami, FL 33162 RE: Contingency Letter Application Document No: API043405 Centrax Permit Number: 13 -SC- 1362600 OSTDS Number: 154NW111 St Miami, FL 33168 Lot:13 Block:220 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 08/03/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced Proposed concrete driveways at existing front and rear asphalted driveways area. There is not increase in sewage flow, change sewage characteristic, or any alteration that change the conditions under which the system was approved From a review of your completed application, it has been determined your existing system is adequate for the proposed use. If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: 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 Whereas, (owner) 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 7b9/4 ‘e2/- f7C e S hereinafter referred to as the owner of the following described property (address): t 5 C/ 2/ to /11 $ T Ad/AA/Lit SIM /1 €3 PC, 3;16g Legal Description Lot Block Subdivision Folio # Requests permission to install (describe work): Pt Ale J,t' tO4"6Ae 7e AfileetvAy Within the public right of way of (address) F 56/ V w 1/13T 4d 24 1 g/ CAe 5 pL 1 de 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 Tien 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 1.414 Owner or Agent The foregoing instrument was acknowledged before me this day of -SUI)-t , 20 (, by l A-41, 6 ` Z who ' person y known to me o ho has produced As identification and who did take an o NOTARY PUBLIC: Sign: Print: 00„,\"‘„...;.tity,p 1181 I/ 2 ▪ CP • y'Dp jest' %o� ''' d> ...••' . FL OR\ My Commission Expires: 2 SCALE:I "=30 75.O0(P) 75.06'M 5' MI( ?Wig' .70 Ole STORY RE5E1510E #154 Tuaugredac g2iH 141 7 61 na Z53 al' 010 ° CYOU ;ILIUM aAO ° day N LOT 12 BLOCK 220 12.40 75.001') 75.IO(M) 1011ATff0At1 Y- 10'AS�•- • • .••• ••• ••' ••• • • • •••• • • • ••• WW1 Smre e0 who Itragbadte Ste oihdda. Phase e darts us abate ri weelaitechInew aPtodatekdamako Stem em Wise and taw sta. Mum/Iesbreo hod byde:,r.,. Sussitg efts 1500 N.W. 62nd Street, Suite 511 Fort Lauderdale, Rorida 33309 Mar r (9541776-6766 Fax: (954) 776 -4660 hire Neater :01443041 Omen By: Kris Dee el Field Work :MOB 411M11110 LANDTECH S U R V E Y I N Prong Fast & Accurate Lad Survefog Services throughout tI PERMIT #: 1, \Li gn Miami Shores Viiiage . Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT dA3t9 DATE: I I� b I� NContractor ❑ Owner ❑ Archi Address: 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 Dep. ° - t to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: AMISCAPL BUILDING DEPARTMENT BNZM1142 08/03/2011 ADD MISCELLANEOUS APPLICATION PAGE 1 12:42:56 YALI22 APPLICATION DATE 08/03/2011 PROCESS NO. X2011124515 OTHER DEPT. APPLICATION # OR BLDG DEPT. PERMIT # /ADDRESS:[!AP1043405 J CONTACT NAME ONE STOP PAVING SUB TOTAL $70.00 ADDRESS 1463 NE 173 ST CITY NMB STATE FL ZIP 33162 PHONE COUNTY AGENCY SALES FEE UNIT USER PAID TYPE CODE UNITS DESC FEE DESCRIPTION ID FEE IND DOH H006 1 EACH EXISTING SYSTEM YALI22 70.00 PF1 = UPDATE PF9 = MOD MISC APL NEXT SCREEN NEXT KEY MISC APPLICATION ACCEPTED...ENTER NEXT KEY TO CONTINUE Pes EMI �. . ' BUILDING AN�=K�"�M�O~ out. APIAMPtEpARTNENT 11805 SW 26 STREET MIAMI, FL 33175-2474 (786) 315 2000 ROCESS NO X2011124515 NE STOP PAVING 463 NE 173 ST MB, FL 33162 REVIEW FEE TYPE CODE DOH H006 EXISTING MISCELLANEOUS RECEIPT 08/03/2011 UNIT FEE DESC AMOUNT 8/ 3/2011 12:48 NWHITE 281108030093 TCPM939I CENTRAL 70.00 r DC BUILDING DEPT 11805 SW 26TH ST RM 149 MIAMI. FL. 33175 -2464 786- 315 -2381 Merchant ID: 530314459 Term ID: 0010540020530314459095 Sale xxxxxxxxxxxx5033 VISA Entry Method: Swiped Total: $ 70.00 08/03/11 12:47:51 Inv #: Hu 7 Agar Code: 051695 Apprvd: Online Customer COPY 1HAt1K VOW Permit No: 11 -1220 Job Name: July 16, 2011 Miami Shores Village Building Department Building Critique Sheet 1) Plans must be approved by HRS for the septic system. 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 doa 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 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: TAX FOLIO NO. 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 description of property and street/address: 2. Description of improvement: f 11111111111111111 II11I11II1111II CiFN! 20 011R0!1! a 16 OR Lk 27779 Ps 0766; (fps) RECORDED 08/003/2] i11 15:38 :00 HARVEY R11VIN? CLERK OF COURT MIAI1I -DADE COUNTY, FLORIDA LAST PAGE Space above reserved for use of recording office V/A ®V ,3 Aimumiamo 5 mo plAmi irbV Cae7'e Di/ /v e u/Ay 3. Owner(s) name and address: - /RA' 6 e ides Interest in property: /3C/ IV GU 111 57 Ai/Ake -) Vii, /mss ,3"5 )1 Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: 5. Surety: (Payment bond required by o Name, address and phone numbe : Amount of bond $ Z1000 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: 8. In addition to himself, Owners designates the follofl 713.13(1)(b), Florida Statutes.fjledin Ws Name, address and phone number: Lienor' 9. Expiration date of this Notice of Commencement: ovided in Section ,271,17/ ofGYrt J_.���'�r''r' ' puce on dai �r f .m : •fleordin • '_--- '�erent date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWN AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 Prepared By Print Name Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE -/"- The foregoing instrument was acknowledged before me this 15 day of By Individually, or ❑ as for ersonally known, or ❑ produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. ner(s) o. ner(s)' Authorized Officer/Director /Partner /Manager �/ f a Prepared By l (�J AJ E5 P) 4JQ 5A 0;001 ski o vJ Zale2 Print Name /5"y y / 5 tto iee Title /Office AI-kif 44.4 43 4 ```,0,1iiiii!friar,�lI, S. mss`` ` ----- t'.• 4." %sri Ps • •.� Com ,s ,161 `C "o/- '1/ till lllrlf1111t Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By P /mot By ( C 7