RC-11-1006Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 160519 Permit Number: RC -6 -11 -1006
Scheduled Inspection Date: October 11, 2011
Inspector: Bruhn, Norman
Owner: LEBOWITZ, MARIA
Job Address: 1285 NE 102 Street
Miami Shores, FL
Project: <NONE>
Contractor: QUALITY HOME REPAIRS
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132050250120
Phone: (786)797 -2797
Building Department Comments
REMOVE 4 NON STRUCTURAL COLUMNS AND
REPLACE ROTTED TRIM WORK ON FRONT PORCH
Passec j� 11/(
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
e 4__
October 07, 2011
For Inspections please call: (305)762 -4949
Page 5 of 22
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Expiration: 12107/2011
Applicant
1285 NE 102 Street
Miami Shores, FL
1132050250120
Block: Lot:
MARIA LEBOWITZ
1
Owner Information
Address
Phone
CeII
MARIA LEBOWITZ
1285 NE 102 ST
MIAMI SHORES FL 33138 -2617
Contractor(s)
QUALITY HOME REPAIRS
Phone Cell Phone
(786)797 -2797
Valuation:
Total Sq Feet:
$ 1,600.00
0
1
Approved: Yes
Comments:
Date Approved: 6/3/2011: Yes
Date Denied:
Type of Construction: TRIM REPLACEMENT
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Retum :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$9.00
$1.60
$116.20
Pay Date Pay Type
Invoice # RC -6 -11 -41092
06/10/2011 Cash
06/02/2011 Cash
Amt Paid Amt Due
$ 66.20 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
1
Inspection Type:
Final PE Certification
Shutter Final
Window Door Attachment
Tie Beam
Slab
Termite Letter
Framing
Insulation
Drywall Screw
Shutter Attachment
Window and Door Buck
Ceiling Grid
Fill Cells Columns
Declaration of Use
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
June 10, 2011
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
June 10, 2011
1
Miami Shores Village
Building Department JUN 2 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
BUILDING
PERMIT APPLICATION
FBC 20
Permit No. gCli I 1,0000
Master Permit No.
Permit Type: BUILDING ROOFING
,0�
OWNER: Name (Fee Simple Titleholder): "/lq I—APS �j e /i) j Phone #:
Address: %„1 5"..6— 021 jd a. a ---
City: /i%) 4 11 / 0 State: I? Zip: 3 31 3 9
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: ) . /U %D 2 5
City:
Folio/Parcel #:
Miami Shores
County:
Miami Dade Zip: 3 3 / 3'
Is the Building Historically Designated: Yes
NO l/ Flood Zone:
CONTRACTOR: Company Name: r (2 11 2. /40,rofi/b 40/9/ii—C Phone #: '.gi 7 7 °"o779 7
Address: 7
City:4 "Alm/
/ee< State: fl
Zip�J/ ,, ,,
Qualifier Name: . djvp ,- ■ X /9 �f4�.. Phone #: .7g6— 7 9 7 ""v% 7c/ 7
State Certification or Registration #: C6 6 i' 7 7,5- 999'81
7 7 Certificate of Competency #: > ,/l
Contact Phone #:79 °797i�75 7 Email Address: %,gh',��.D //i/1°U,%�O(,P,S' &,S/`Ic4KT, X16/ -
DESIGNER: Architect/Engineer: (J Phone#:
Value of Work for this Permit: $ 7�,,e) Square/Linear Fooe of Work:
Type of Work: ❑Addition ❑ h Alteration ❑New epair/Replace ViZnolition
Description of Work: 'AIL 6- eir) Lf C =i S
*** * * * * * * * * * * *** * * * * * * * * * * * * * * * * ** **** Fees *T* * * * * * *** * * * ** **** * *** * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ �� ®c Structural Review $
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 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 as , roves retnspectton a charged.
Signature ' _ Signature
Contractor
The fore Ding t jow edged bPe_f re me pis Oa- The foregoing instrument was acknowle�, before me this
day of V , 20 L l , by 11 Ic i rl (t 1Tt^ , day of ! �' OV , 20 _IL, by j ✓ —.1`- •
who is personally known Cto me or who has produced 1 4 t d't GCEi1 Xho is personally known to me or who has produced
t. ( T { 3(06 C-) identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * ** * * * * * * * * ** * **** **
APPROVED BY
0` %%NTS eglq&4. �f • p
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,cAQ15,2p, $
• .4. 44) •; = My Commission
NOTARY PUBLIC:
Sign:
Print:
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Wls Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
RICHARD R BENCA
°¢= MY COMMISSION # DD878068
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EXPIRES April 01, 2014
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Zoning
Clerk
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SUBJECT TO COMPUFMGE WITH ALL Fr DI- RAI
STATE AND COUNTY PUte AND R[GI II Alt() NI ;
156.00'
0
FND 1/2° IP
NO ID
FND 3/4" IP
NO ID
LOT 6 in
BLOCK 186 N
CV
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FND 1/2" IP
NO ID
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LOT 5
BLOCK 186
PLANTER
81.0'
156.00'
1:
NE 102nd STREET
75' R/W
21 ASPHALT
O
z
INVOICE NO.: 11 -35514
PROPERTY ADDRESS:
1285 NE 102 STREET, MIAMI SHORES, R
33138
LL COUNT
URVE TOR
\/
S M ERS
Y RS �4 r P
LICENSE NO.' 66
I11
Office: (954) 77?-4747
Fax: (954) 777 -2707
5950 W. Oakland Pk. Blvd. Suite 309 - Lauderhill, FL 33313
LEGAL DESCRIPTION:
LOTS 4 & 5, BLOCK 186 OF "BAY BREEZ
SECTION MIAMI SHORES" ACCORDING
TO THE PLAT THEREOF, AS RECORDED
IN PLAT BOOK 42, PAGE 25 OF THE
PUBLIC RECORDS OF MIAMI -DADE
COUNTY, FLORIDA.
CERTIFICATIONS:
MAURICE LEBOWITZ
FLOOD ZONE DATA:
COMMUNITY NUMBER: 120652
PANEL AND SUFFIX: 0306 L
DATE OF FIRM: 9/11/09
BASE FLOOD ELEVATION: AE 8
LOWEST FLOOR ELEVATION: 10.92
1251.00'
BLOCK CORNER
SE CORNER OF
TR 186-C
(NOT A PART OF
THIS PLAT)
FND 1/2" IP
NO ID
MAP OF BOUNDARY SURVEY
SCALE: 1"=20'
GENERAL NOTES:
(1) THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY
CLIENT. NO SPECIFIC SEARCH OF THE PIFIBLIC SECORLVAVE N MADIF BY
THIS OFFICE. • • • •
••••
UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCIRIA.FEPT AS
SPECIFICALLY SHOWN. • • • • • • • •
ELEVATION ARE BASED UPON NATIONAE SCOPETIC VERTICAL DATUM 1929 ,
(N.G.V.D. 1929).
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
•
•
•• ••
IN SOME CASES, GRAPHIC REPRESENT I44AVE BEEN ERAGGERA' 1I5 •'
FOR CLEARER ILLUSTRATION. MEASURED LATIONStIP SI-ALL HAVE' • • ••
PRECEDENCE OVER SCALE POSITIONS, • • • • • •••• • • • •
ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND C•gR1 .SPOND TQ
RECORD INFORMATION UNLESS SPECINIQ41.44 NOTED OTHERWISE. • • • •
UNLESS OTHERWISE SPECIFIED, THIS §1,41M JS NOT TO BB USED FOR
CONSTRUCTION PURPOSES. • • •
WELL- IDENTIFIED FEATURES IN THIS SI.INIftY AND MAP NAIL EEN •
MEASURED TO AN ESTIMATED HORIZONTAL DaSITIONAI, &QQURACY p 0410;
NOTE: "I HEREBY CERTIFY" IS UNDERSTOOD TO BE AN E'iMESS• ION OF
PROFESSIONAL OPINION BY THE SURVEYOR AND MAPPER BASED ON THE
SURVEYOR AND MAPPER'S KNOWLEDGE AND INFORMATION, AND IT IS NOT
A GUARANTEE OR WARRANTY EXPRESSED OR IMPLIED.
ATTENTION IS DIRECTED TO THE FACT THAT THIS SURVEY MAY HAVE BEEN
REDUCED OR ENLARGED IN SIZE DUE TO REPRODUCTION THIS SHOULD BE
TAKEN INTO CONSIDERATION WHEN OBTAINING SCALED DATA.
I HEREBY CERTIFY THAT THIS BOUNDARY & PARTIAL TOPOGRAPHIC
MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS
SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND
MAPPERS IN CHAPTER 61G17 -6 OF THE FLORIDA ADMINISTRATIVE
CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUES.
DATE OF ORIGINAL FIELD WORK: 4/11111
GINO FURLANO, PRO ESSIONAL SURVEYOR & MAPPER
FLORIDA REGISTRATION NO. 5044
(NOT VALID WITHOUT SIGNATURE AND ORIGINAL RAISED SEAL OF THE
FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE)
MONRLIM35514.6q, 4/15/2011258:8 PM, Q 05,424 P0. 5,
•