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DS-11-1673Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 164340 Permit Number: DS -9 -11 -1673 Scheduled Inspection Date: December 06, 2011 Inspector: Bruhn, Norman Owner: MORERA, JAVIER Job Address: 464 NE 91 Street Miami Shores, FL Project: <NONE> Contractor: ACR CONTRACTORS INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number (305)305 -1524 Parcel Number 1132060190030 Phone: (305)262 -3424 Building Department Comments NEW STAMPED CONCRETE DRIVEWAY AND DRIVEWAY APPROACHES Failed /I = Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments rG December 05, 2011 For Inspections please call: (305)762 -4949 Page 9of31 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 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): i� VIE 2 M� 2E 2A- Address: £lo �� QJ £ // City: 514 /47/4/ S d /tom' State: Q'�1 parcriymni a SEP 1 s zo>> Permit No. 1/ V013 Master Permit No. Tenant/Lessee Name: Email: Phone #: s. 0 S-/ 5'7? y (// Ea- • in 0 46/44 e /4-6774/L. Vol Phone #: "4 JOB ADDRESS: 17(4' V Nt q d City: Miami Shores County: Miami Dade Zip: 3 31 '5 8 Folio/Parcel #: 11 ° 3,2.E 6 ° 011 - 00 3 0 Is the Building Historically Designated: Yes NO ✓ Flood Zone: X CONTRACTOR: Company Name: ,4 G CorTr � � Address: 9 +00 J'IA) .5 3- Gl- ✓c. i3 T-vZC. Phone #: (3 ®s) 6 -1"• 31- 9-�( City: r-� a C447") State: 1 Zip: Qualifier Name: c Phone #: State Certification or Registration #: C C O 6 00 1 3- Certificate of Competency #: Contact Phone #: o s) .3-6 2- - 3 4 3-4 Email Address: DESIGNER: Architect/Engineer: Phone#: 0.G ✓@ c Lre®rif , ,( p Value of Work for this Permit: $ 641. ) 8 9 1-- 0° Type of Work: ❑Addit}on UAlteration Description: of Worl: _ 4— d r ee ok_Ppeo,L et Square/Linear Footage of Work: 12Ilew ❑Repair/Replace e?. OD`emolition CO ric.,-e-t e_ * * * * * * * * * ** :** * * * * * *** * * * ** * * * * * * * * * ** Fees *** * * * * * ** ** * * * * * * * * *** * * *** * * * *** * ******** ra' Submittal Fee $ Permit Fee $ / f /J CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) 1 4 /t- 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 comment nt must be posted at the job site for the first ins tion which occurs seven (7) days after the building permit is issue. 6jn sence of such posted notice, the inspect'' -r— "7 . .e approved and a re�tftspe tjtion fee will be charged. wne or Agent The foregoing instrument was acknowledged before me this q The foregoing instrument was acknowledged before me this 9 day of 09 , 20 49 , by -3-4V1 o et- , day of oe , 20 91, by Arbierer istoJr-r4.e...; who is personally known to me or who has produced who is personally known to me or who has produced -- Signature . Contractor L- As identification and who did take an oath. as identification and who did take an oath. C>NOTARY PUBLIC: Sign: � h • Print: �A�J t SK- J!...��O My Commission Expires: D2( 23 2-4)%4 ®® ..,. JAVIER A RAMOS MY COMIVMISSIONs:# DD944298 * ***�x *�xa�x�** ** **** ** *�x:x�x� ***max * NPIR . 20$4*4 7 x'69' )399 ��. .0153 FtmidallofaryAerv►cecon. APPROVED BY / NOTARY PUBLIC: Sign: Print: My Commission ofw-4 Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) * * * * * * * * * * ** JAVIER A RAMOS 'I MY COMMISSION # Di?' 44298 EXPIRES February 23, 2094 Clerk NOTICE A RECORDED COPY MUST BE PDS OONINIENCn MEN INSPECTION 111111111111 11111 11111 "1" "1"'li't 1111 11/1 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. Leg d CFN 2011Ro r668553 OR Bk 27849 Ps 0487; (1os) RECORDED 10/05 /2011 14:04 :30 HARVEY RUVIHtr CLERK OF COURT MIAMI -DADE COUNTYr 'FLORIDA LAST PAGE Space above reserved for use of recording office ription of p.r.- o :L = y �a/ d � Vddes: � - ..r // /' ■ r' /4 i r ; A-C) ��� 2. Description of improvement: 3. Owner(s) name and address: Interest In property Name and address of fee simple holder. 4. Contractor's name, address j d phone number. 7 7 /2 // 5. Surety: (Payment bond r =' • uired by owner from contractor, if any) Name, address and phone number. Amount of bond $ 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.. m, Af sin 1 d 8. In addition to himself, Owners designates the following person(s) to receive &copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 NO I j e- ENT. Signature(s) of Prepared By Print Name JAW e Title/Office oyf/Ylet"- STATE OF FLORIDA COUNTY OF MIAMI -DADE The for oing instrument as acknowledged before me this By 1 � Ai re, Individually, or ❑ as for ❑ Personally known, or72 produced the following type of identifi 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. NDirector/Partner/Manager Prepared By Print Name Title/Office /day of t:z44,0 cp.", YENISEI. GONZALEZ Notary Public - State of Florida My Comm. Expires Oct 25. 2015 e• Commission EE 112545 Signature(s) of Owner(s) or Owner {se's Authorized Officer/Director/Partner/Manager wM s By By 123.01 -52 PAGE 3 3/10 'FATE FL OF O COUNTY OF E HEREBY CERTIFY Oat t fs Ise true copy Mho original fllnd in ttds oil'co on day of S 0 ,d ficiat 5abl .4'4 HARV 1N, CLEW, of Cifotft end Cocas Cants eV : dl Li SO1 vithH :12; 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Expires:NOt Issued Folio Number:1132060190030 Owner's Name: MARY BERRY Job Address: 464 91 Street Miami Shores, FL Owner's Phone: (305)754 -5783 Total Square Feet: 1585 Total Job Valuation: $ 4,895.00 Contractor(s) ACR CONTRACTORS INC Phone (305)262 -3424 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 9/13/2011: Yes Comments: DRIVEWAY NOT EXCEED 12 FEET IN WIDTH. DRIVEWAY TO BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE. Whereas, (owner) Miami Shores Viiiage 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 14 Ore.ral. the following described property (address): hereinafter referred to as the owner of 64- NE airrr sr- Legal Description 1)3 "'1 — 9 ° 1 Lot 4.s- Block 4 Subdivision 1 f T f Folio # 11- 3.w6- 0101- OQ p Requests permission to install (describe work): lye s1wpe c Within the public right of way of (address) 4 6 4 r4-6 1 1 j r � ' °'T" �%� � •a IN CONSIDERATION of the approval of this permit by the Village, therownePagreesaas foUovus: 1. To maintain and repair, when necessary, the above- mentionediter' (sl.insfelled tl d leiiieati d right of way. If it becomes necessary for Miami Shores Village or Dade Courity to rrrake i.epeirs 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 Owne or Agent The foregoing instrument was acknowledged before me this q day of oe , 20 47 , by v who is personally known to me or who has produced 1>i N 660 - *„2,0-66- 1.1-6AS identification and who did take an oath. NOTARY PUBLIC: Sign: 4001%, JAVIER A RAMOS *_ MY COMMISSION # DD944298 ' r EXPIRES February 23, 2014 (401) 398-016.: Flora{ to4�y&errl*e aDm Print: 0— v: JL A. V---A X1.85 My Commission Expires: 02 I-3 \ 2491g. 2 (Rolando Arrieta) 19341 Sterling Dr Miami, FL 33157 September 02, 2011 \00%/VM SEP 1 3 2011 RE: Contingency Letter Application Document No: API046128 Centrax Permit Number: 13 -SC- 1367198 OSTDS Number: 464 NE 91 St Miami, FL 33138 Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General Lot:4 5 Block: 1 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 09/01/2011 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 (driveway construction). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Joseph Piv pecialist II 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 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number AP - PART II - SITE PLAN Pg. 1 of 1 Scale: Each block represents 6.0 feet and 1 inch = 24 feet. NE 5th AVE 0 EXIST. 80 SR 1RIICTED AREA RESERVE 6' WOOD GATE 35' EXIST. 220 BR MIAMI-DIaDE COUNTY HEALTH DEPARTMENT DRAINFIELD POT. 150 GAL PERMIT : SEPTIC TANK :(31 (R)(M) - DATE COt� 41 V: 8.3' T�y �rz '. c4 0.10' CL. M4N J VALVE v Notes: 35' 9.00' ■ 4' u, B s' s'CH.Lx. A C I o 4 — 0.60' CL. B 70' TOTAL R/W PROP. ARTISTIC CONCRETE DRIVEWAY 4 APPROACRES bIp1`'- r- 6' W.F. c:2o 135.00' (R)(M) LEGEND C. RIv WA D RE RE E iRv Existing: OSTDS w/ 750 gal. conc. septic tank located on the East side of the residence and 220 sf standard drainfield & 80 sf unobstructed area reserve toward the North and the East sides of the property as per 01- 2969 -R. Scope New semi - circular enlarged drive o North side of the property, sufficiently distant from the above described of work: existing septic system to which Site Plan submitted: Plan Approved "' By -j ALL CHANGE Kolan e. o Arrieta Not Approved 08/29/11 CEHP 0964 Date County Health Department M ST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10/96 (Replaces HRS -H Form 4016 w hich may be used) Page 2 of 4 Miami Shores Village APPROVED ZONING DEPT BLDG DEPT SUBJECT TO CcrUANCE WITH ALL FEDERAL STATE AND CO)NTY RULES AND REGULATIONS 17.00' 10.0' 9.0' SPA vi 31.00' POOL 1.5' 1.5' BRICK DECK 23.00' 22.00' 9.2' 10.0' ■,) PUMP 22.0 SalEDED TERRACE 22.40' 28.60' •13.00' ONE STORY RES. No 464 F..I.P 1/2° 75.0' (R) LEGEND ASPHALT PAVEMENT PROP. ARTISTIC CONC. DRIVEWAY