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DS-11-1320Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 164421 Permit Number: DS -7 -11 -1320 Scheduled Inspection Date: September 20, 2011 Inspector: Bruhn, Norman Owner: SAMMULI, LYNN Job Address: 510 NW 113 Street Miami Shores, FL 33168- Project: <NONE> Contractor: EA LANDERS G.0 INC Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 3021360210870 Phone: 305 - 823 -3938 Building Department Comments CONCRETE DRIVEWAY INSTALLATION Passe 9)(J)-7( Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 162309. Sod disturbed areas. NB September 19, 2011 For Inspections please call: (305)762 -4949 Page 17 of 31 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 q j SPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit T OWNER: Name Address: City: Tenant/Lessee Name: ROOFING leholder): L &At"! /1 Permit No. pamiNtymn AUG 1 i 2011 �� BY. 0511- 1 Tr,D Master Permit No. Phone O J Z 1 4R3 _ p` 3410 cut e tvo ek t s- t State: If Zip: Phone#: Email: JOB ADDRESS: City: Folio/Parcel #: ,no -a do I I J afi Miami Shores County: Miami Dade Zip: 102.13 021 0i-?0 Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: City: e b 0 NO Flood Zone: A Laid O C 'l S -c Qualifier Name: State Certification or Registration #: Contact Phone #: DESIGNER: Architect/Engineer: 143‘,40 Certificate of Competency #: ric Phone#: i3 l 3P (iqq2 « I Zip: f Phone #: 3 2 1 0 1 Email Address: ACA Phone#: a-219 4503 Value of Work for this Permit: $ / ,��® ° Square/Linear Footage of Work: Type of Work: ❑Addition Description of Work: OAlteration ONew DRepair/Replace Ci Lk.)l am. ODemolition + x********* **********x :***+x****+x**+x****** Fees** ***********+ x*w: x****** **** ***************** CCF $ CO /CC $ DBPR $ Bond $ Submittal Fee $ Scanning Fee $ Permit Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ 4� 4 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 commence t must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the a s nce of such posted notice, the inspection l not be a'i.'roved and a reinsp will be charged. Signature X or Agent Contractor The foregoing insttxument vgas acknowledged before me this The foregoing instrument was acknowledged before me this day of i , 20 , by , day of who is personally kns to : produced who :1' ?� who is per onally known 0 , by me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co LIMN LORRAINE L01 • MY COMMISSION # EE 089612 EXPIRES: Bonded Tin No yt 1, 201u r ******* **+ x**x:**** **u:************ **+ x*********** ******x:*** ***** * * * *** * *** x *** *** ** ** x********* * ******u:***** APPROVED BY aTCrOC%17 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 131-0 Get C ol�•tt =R• Fna> t /Z." WON Ptpc • • P1•46 t t:++3 p PE LOT lc, •j !4I. 10 0-4) . Fr4r> 5/5" 05. teoN Roc 1a 5.0 1, U7IL�Tj• jib • - Q 1.-•T tZ tn 5.0 Z5' e Y P Z ( L.• ra • r be`6+ side -r d e (zit( k+ is at !,Ii �✓�`ter 7 /� i 1 0 �v; G �ytr�. v1 0 (n ,111Y Sr LEGEND: 1- —1— OFND E; Fes= LINE . 6FN:7T••WC.'.D FENCE LINE • M • MEASURED_ - . OHC • . OVERHEAD Pow CA&E ORB - OFFICIAL Flacoaas Doo4 P • • 'PLAT • NOTES:1 1 THIS SURVFY IS BASED UPON RFCORDED INFORMATION A CLIENT. NO SPECIFIC. .5E/ARCH OF THE PUBLIC REC RD HA Miami Shores Village Building Department i'� ���'� ���� p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. ` I J Master Permit No. BUILDING PERMIT APPLICATION FBC 20 BY: !.' .................. >. Permit Type: BUILDING ROOFING OWNER: Name\(Ve Simple Titleholder): Phone #: Address: N 3-10 8 1 Cl u D Ci ty t � State: T- l Zip: 73 / Tenant/Lessee Name: Email: Phone #: JOB ADDRESS: City: Miami Shores Folio/Parcel #: Rio -I2 /Jo 113 Sf- County: Miami Dade 02 3 0 oZ og 7D Is the Building Historically Designated: Yes Zip: I /6 S Flood Zone: CONTRACTOR: Company Name: 6 l•, Dc C hone #: C '12 Address: City: P0,1 k State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Contact Phone #: 3 `b 2 0 fo 3 Email Address: DESIGNER: Architect/Engineer: 00 0 e Value of Work for this Permit $ 0o SquarelLinear Footage of Work: Certificate of Competency #: e »TEI rh-2A1) I Phone #: Type of Work: ' DAddition Description of Work: UAlteration New ORepair/Replace CCU ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ lio15- CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ � Double Fee $ ilc�Q . Structural Review $ Technology Fee $ 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 6 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 inspe -'. ihich occurs even (7) days after the building permit is issued. I - abse .f such posted notice, the inspection wi, of be ap'roved and einspection ill be charged. Owner or Agent •ntractor The foregoing instrument was rtowledged before me this The foregoing instrument was acknowledged before me this ,20 ,by 20 = ;qv -2-t c'` 5 74.0 day of o has produced who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: ©!!'�/z�✓Gfi Print: - 7 My Commission Expires: APPROVED BY /l 2-1=1 / (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) as identification and who did take an oath. Plans Examiner Structural Review Sign: Print :l?2, My Commission Expires: M• / ?O l / * * * ** ** * * * * * * * * ** * * * * * * ** / Zoning Clerk N IZ fjLO GE. G OR -Nat F.rD ' /Z" /Rt;N P*PG • r-1vo t!z" rb*4 Pi Pe JUL 2 2011 �a me�ee�eOevamveoeeeee C.l•LC. y" ; , /41• 10.(Nr).- Miami Shores Village APPROVED SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS LOT to FNa 5/D" 101>t4 Rot) 3 4-0 d I O /5.50 tV '4(e•oo IV n v 00 51244Y. PLt"r t c to n Ft. D Z *' to . l Brno ?I Pe o. g A. Fr. ri... • f t co :rtli FiffT47 ij ` i e p colocgeSe 3 `7 ` 1J�✓ r G� '� Z1` Lon/• I • • J- jl.C3• .}� oo ( .) V • ••• • P .* L„-r 1°0"s4,-' /1 eekiq � -? c4, LEGEI.tO: • �/` `iii' //.". LO NOTES FENCE LINE f._NCE Laos M • MEASURED. • . OrIC . • OvEnHEaD PowCR Catu.E On3 • OF:u.3.0. R coaos flea. t�tOT1,S: 1 THIS St1RVFY IS BASED IJ?ON RFC.ORDEO INFORMATION .. ejL.D ct. GOP—NCR rm.) r /Z" (Korr PiP6 • P-1-4C> lcr.4,+:.+ piPe Ca • SGAtE. y" Zvl •j 4-1 • IO.0,4) - • GONG . /3.4.0 N •46•o0 m. s• t Z51 O/./6 S?Dr?Y DuPrc iF 5/O -5/3 Lor 9 ,5i_k F•F= Z/•17C+ -4-8 • is W 134'0, 4//( cal /c'17 -_'• /� 74e 2.11 L6n9 8/24C PLANrC72 • 7 GJwtc A6K /5.50 m /3 •4Q 8a LOT tc Lary, 'I 19" ••..I (M); S----c-eA eir,V 1f..� l t e -) t+ side - 1,"/lr a 1 C� 1 (wWly i 1Oj 1t' LOY?c( t •'f G, 1 .6.12 42)4 10 `iii' c-Qn � • to P c-a i tU 3 FND 5/5 (C'pN FtpO 5.0 �. 5.O L-c›T i2 F'- {° 6/a 117c14 LEGEMD: _1---.-3/4--x,-,,,._ UfiNt1 ES FENCc LIN>; •_l /— •— /f -- /�• t 1 �N(,-a •NG LN x.42, _ M - MEASuPED_ • OHC . - OvERHEAD PowGa CAE .E ORB OF-I 1 R cocas Boa,: TOTES:! 1 THIS SURNFY IS SAtiFD UPON RECORDED INFORMATION -A CL1ENT.140-- SPEC:rtF SEAR -I OFTHE- P.URUC- RECOi3ClrHA PROPERTY ADDRESS: 510 -513 NW 113 ST, FL. 33168 LEGAL DESCRIPTION :: . LOT 9, BLOCK 5 +OF "WEST- SHORES" ACCORDING TO THE PLAT THEREOI AS RECORDED IN PLAT BOOK 42, PA( 18 OF THE PUBLIC RECORDS OF DAD COUNTY, FLORIDA CERTIFICATIONS: SAM TK LLC FLOOD ZONE INFO: COMMUNITY # 120635 LOWEST PANEL & SUFFIX 0090 J GARAC1 FLOOD ZONE X N/A I DATE OF FIRM 3/2194 NW 117 r - - - - -{ 111.5 2 �PAKK1ri1G, t BLSCAYNE' ,r�^! {�N"NEL CLUB 11 - (CUED) th vE NW-- -1 TER- cr;, 95 NWT' NW NW llMW > 110 S U 109 108 TER �nR ST REVISION SCHEDULE; ATION AS PROVIDED 13Y . .ORCI HAS E ktN MADE 'B,Y SURVEYOR'S CERTIFICATION: • 1'H£RE$Y CERTIFYTHATTHIS , SURVEY MEETS THE AHNILIUMTECHPJICAI G� c( e(1 fiorig 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) A 1 hereinafter referred to as the owner of n0- the following described property (address): 12 ii LJ 117 / r Legal Description Lot Block Subdivision Folio # P Requests permission to install (describe work): D(Rivewot C o d C(0 -6 SUAt Within the public right of way of (address) r( 0 r L) (1 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 items) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village of 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, Flori by the Village Manager of Miami Shores Village (or his fully authorized representative). The foregoing instrument was acknowledged before me this who is personally known to me or who has produced !-PYYT)'I an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: 2 day of , 20 _, by itrA) 7bAeAs identification and who did take