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DS-11-2035
/ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 166177 Permit Number: DS -11 -11 -2035 Scheduled Inspection Date: November 28, 2011 Inspector: Bruhn, Norman Owner: MEYER, NICOLA & GUNTHER Job Address: 860 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MIAMI PAVING CORP Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)981 -0540 Parcel Number 1132060142550 Phone: (305)786 -4240 Building Department Comments SUPPLY & INSTALL PAVER DRIVEWAY Passe / r Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ee-- November 23, 2011 For Inspections please call: (305)762 -4949 Page 14 of 23 �11r B DING PERMIT APPLICATION Fsc zo 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 RECEIVED NOV f2 BY: Permit No.3) I--- 3 Master Permit No. Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): (u kk ev IU.e-lu,- 4- (v Cb ( c. Phone# :153 (o - 5 5 y - 6° (15 Address: 6 0 t)E GI R sk City: \ A 6,-, i, k V Q S State: r I zip: 33 131 Tenant/Lessee Name: Phone#: Email: in 1 C 0 f 7 03 Co vv\ C a-siT - ke 4- JOB ADDRESS: GO NE 9 5T. City: Miami Shores County: Miami Dade Zip: 3 3 / 3S" Folio/Parcel #: 1 1 m 3 /.09-01 1` 2.5 5 b Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: rVI t & f/'4' P6^N iVl.0 coal, • Phone#: 305) z 9 Address: V O l l S W S� O. i State: C zip: 3 3 113 PlAckki- City: Qualifier Name: State Certification or Registration #: Certificate of Competency #: E /5 Z 3 Contact Phone#: 3k)5 -'Z-» L 1 o1 ci Email Address: Phone#: uC& ■meck; 3 cLbl. Ct DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ y , 2 6o 6 .5 b Square/Linear Footage of Work: 711 Z S Q Ff Type of Work: OAddition UAlteration New ORepair/Replace ODemolition Description of Work: ' ) ya ' k `i ;-- --� . \, 1 7 L(2 S Q 5 %1 o C- u % 2 31 g 0 1 c4 • ..3. Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ co. co $ Bond $ 17 0 Permit Fee $ i Radon Fee $ CCF $ DBPR $ Training/Education Fee $ Technology Fee $ 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 Fl,F,CTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ri..kt -CC Owner or Agent The foregoing instrument was acknowledged before me this v day o4„019.461,,, 20 , by CC & (i-ti (DI O( , who is personally known to me or who has produced — As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: J ki. as Vk e\AA, \*,k. tkeLANI,tA My C 1 1 1 1 Y\ 1 I l K 0 . , . . VALIA MENA MEDINA 1 . Notary Public - Stte of 1 a • My Comm. Expires Jen 13, 2015 *, F rte. ,. 7 010<efeNITNINA+ Nekti IaMe* Bonded Through Nag1N0Mry Assn. APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this 3 ) day of b c-\-1)6e -v , 20 I by ?-34-e-1/41* 1l ftitti ;kia who is personally known to me or who has produced — as identification and who did take an oath. NOTARY PUBLIC: Sign: ClSIAJA, \I'N2CLL Print: V Wl'l` P k@. .A.. 6., \A 0. My Co - iissifln Aptto4, VALIA MENA MEDINA sp •• Notary Public - State of Redd, pig commission Banded Through National Notary Atoll 0401 W 010184' a1L' I* * ****tie$.**d11aCB ***** ** Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF STATE OF FLORIDA: 111ERE3Y GE COUNTY OF MIAMI -DADE: WOW feed in 1111111111111111111 1111111111111111111111 1111 THE UNDERSIGNED hereby gives notice that improvements will be made to property, and in accordance with Chapter 713, Florida Statutes, the following iIi is provided in this Notice of Commencement. CFN 201 18076498 7 OR Bk 27892 Ps 4006; tips) RECORDED 11/14,/011 14.04 :11 I-IARVEY RUV'IHr CLERK OF COURT MIAMI -DAC'E COUNTY? FLORIDA LAST F'AGE COUNTY OF DADE TIFY la> t this Is ®itto : < of Me drlY AD2O end f, Sad m r c ourt DC. tr Space above reserved for use of recard'ing office 1. Legal description of property and ! t/address: (� i C�Vltl 5 e-5 S2c 3 Ply (�'�j� cc yZ of ro {C �f C�.('1 0,69,..r 6-4 Dcl 2. Description of improvement: IQ 4,6 3. Owner(s) name and address: `4G0 P)C S�. I CU tC � -/— (' F Interest in property: hov~2 ®w r•e4&.. Name and address of fee simple titleholder. 4. Contractor's name, address and phone number. Aki avk i PPret Cs + 13O t) C w • 1'3 ` '` S - V mot^^∎ t F( �3tfS CgDS `CC -2 5. Surety: (Payment bond required 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., Ronda Statutes, Name, address and phone number 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor'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 NOTICE OF COMMENCEMENT. Signature(s) of win Prepared ByC Print Name 1•11601A J4 E Title /Office OLWJEtt.. STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this day of �-OV �'��'� ZO ( ) Individually, or ❑ as for LPersonally known, or ❑ produced the following type of ides Signature of Notary Public: Print Name: VA i A Kum k A, ‘•,\ 4 (SEAL) VERIFICATION PURSUANT TO SECTION 02.525. FLORIDA STATUTES Under penalties of perjury, l declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager )' Authorized Officer/Director/Partner/Manager Prepared By Print Name Trtle /Office By L/ C go if , e/iu By 4 123.01 -52 PAGE 3 9110 Miami -Dade My Home -Text Page 1 of 1 Summary Details: Folio No.: 11- 3206 -014 -2550 Property: 860 NE 98 ST Malting Address: GUNTHER MEYER &W NICOLA 860 NE 98 ST MIAMI SHORES FL 33138 -2533 Property Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 2/3 Floors: 1 Living Units: 1 Adj Sq Footage: 3,985 Lot Size: 18,000 SQ FT Year Built 1951 Legal Description: MIAMI SHORES SEC 3 PB 10-37 W1/2 OF LOT 4 & ALL OF LOTS 5 & 6 & E35FT OF LOT 7 BLK 73 LOT SIZE IRREGULAR OR 24274 -1671 02 20061 COC 25890-2901 08 2007 1 Assessment Information: Year 2011 2010 Land Value: $216,781 $270,974 Building Value: $405,620 $406,889 Market Value: 5622,401 $677,863 Assessed Value: $622,401 $677,863 Taxable Value Information: Year 2011 2010 Taxing Authority: 'Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0I$622,401 $0/$677,863 County: $0/$822,401 $0/$677,883 , City: $01$622,401 $0/$677,863 School Board: $0/$622,401 $01$677,863 Sale Information: Sale Date: 8/2007 Sale Amount 51,100,000 • Sale O/R: 25890 -2901 Sales Qualification Description: Sales which are qualified http: / /gisims2. miamidade .gov /myhome /proptext.asp ?folio = 1132060142550 &vbMakeLink 10/31/2011 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) COQ v•AkkIZ �P D.ft -) hereinafter referred to as the owner of the following described property (address): 6 v;A a s k Ices r 1 3S I'S Legal Description .c 3 Lot MI g t 5 Block 7 Subdivision 4.0,6 sk (Q s Folio# 11s3ZO OI `F. 2560 Requests permission to install (describe work): g.<6 0 k& C'--C o_r ppru Within the public right of way of (address) NE 9, S 6-\-• v Q Q k 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). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 1D1 day of KQ \ter , 2011 SIGNED, SEALED, AND DELIVERED in the presence of: 2 (Owner's Signature ) A CERTIFICATE OF LIABILITY INSURANCE DA 7r`�" 01' ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _ AMA Underwriters, Inc. 8796 SW 8 St Miami, Fl 33174 TACT Pablo M Conde P N,, act 305 -220 -7447 1 cm N,): 305-220-4821 pmc@aaunderwriters.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: North Pointe Casualty INSURED Miami Paving Carp 13011 S.W. 83rd Street Miami FL 33183 mum 8: Technology Insurance Company 3094120219 INSURER C: $ 1,000,000 INSURER D: s 100,000 INSURER E c INSURER P OCCUR COVERAGES CERTIFICATE NUMBER: ION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OMR TYPE OF INSURANCE wve PDIJCY NUMB FOewt 03/07/11 1M0 03/07/12 LIB A GENERALUAIMUTY X 3094120219 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea uuanrence) s 100,000 COMMERaAL c NERAL LIABILITY I CLAIMS-MADE (X OCCUR MED EXP (anyone person $ 5,000 PERSONALBADVINJINtY $ 1,000,000 GENERAL AGGREGATE s 2,000,000 OWL AGGREGATE UMIT APPLIES PER 1 POLICY I I APR& n LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE UAINHm ANY AUTO ALL HIRED AUTOS AUTOS Am* At ED C MBINED SINGLE UMIT ( $ BODILY INJURY (Par pes s) $ BODILY INJURY (Per melded) $ melde (P U $ $ UMBRELLA UAB EXCESS LIAB O UR OtAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 1 RETENTION $ $ S WORKERS COMPENSATION AND EldPLOYERS' LIABILITY Y 1N ANY PROPRIETOR/PARTNER/EXECUTIVE OFRCERIMEMBER EXCLUDED? (yyan� M � DESCRIPTION OF OPERATIONS below N 1 A TWC3270259 03 /07/11 03/07/12 1 WC STATU- 1 1GTH- TORY TS ER LIMI EL EACH ACCIDENT $ 1,000,000 E.L DISEASE- EA EMPLOYEE $ 1,000,000 E.L DISEASE- POLICY um- $ 1,000,000 DESCRIPTION OP OPERATIONS! LOCATIONS 1 VEH !CLE$ (Attach ACORD 101, Additional Remarks Schedule, B more space Is required) CANCELLATION Miami Shores Village Building Department 10050NE2Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1986 2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PDF created with pdfFactory Pro trial version www.pdffactory.com CTQB Construction Trades Qualifying Saved BUSINESS CERTIFICATE OF COMPETENCY E1323 MIAMI PAVING CORPORATION D.B.A.: MARTINEZ'ROBERTO Is certified under the provisions of Chapter 10 of Miami -Dade County QUALIFYING TRADE(S) 0007 PAVING ENGINEERING • • B 093867 -1 PAPRidiffaRp THIS IS NOT A BILL - DO NOT PAY RENEWAL 13011 SW 83 ST 33183 UNIN DADE COUNTY °VW PAVING CORP S.c go tnerlitTY TM$ IS ONLY A LOCAL TAY RECEIPT. IT ROES NOT PERM THE HOLDER TO MATE ANY EYG3TMO REGULATORY OR LABS OF THE COUNTY OR ams. NOR DOES IT IDIEMPT THE HOLDER FROVI ANY OTHER PERMIT OR LICENSE REWIRED EY LAW. THIS IS ROT A CERTIRCATIOAI OF TIE HOLDERS DOAI[RCA- TOIiS. PAYMENT RIMMED MIAT6 -GAGE COUNTY TAX caummh07/27/2011 60030000225 000075.00 r 1 SEE OTHER SIDE MMAM141ADE COUNTY TAX COLLECTOR 140 W. RAGLER ST. let FLOOR MIAMI, FL 33130 ENGINEERING CONTRACT cc it'Efiff WORKER /S 10 DO NOT FORWARD MIAMI PAVING CURP ROBERTO MARTINEZ PRES 13011 SW 83 ST MIAMI FL 33183 FIRST -CLASS U.S. POSTAGE PAID FL PERMJT NO. 231 093867 -1 Jaff/ttdlllttlf lttltta0tll4allnttUlhnfl nilanlf 2011 MUNICIPAL CONTRACTOR'S 2012 TAX RECEIPT MIAMI-DADE COUNTY - STATE OF FLORIDA PURSUANT TO COUNTY CODE SEC. 10-24 EXPIRES SEPT. 30, 2012 THIS IS NOT A BILL - DO NOT PAY RECEIPT NO. 30- 0938671 CC NO : E1323 BUSINESS NAME 1 LOCATION MIAMI PAVING CORP 13011 SW 83 ST OWNER :MIAMI PAVING CORP SEE BACK OF RECEIPT FOR A LIST OF NON- PARTICIPATING MUNICIPALITIES Receipt homer must nagger in the city where work is to be atone. PAY6 Pff RECD 69AIN1.OADE COUNTY TAY 7/27 /2011 60030000226 000175.00 HRST -CLASS U.S. POSTAGE PAID MUUM, FL PERMIT NO 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECFIED HEREON. SPECIALTY ENGINEERING CONTRACT 0O NOT FORWARD MIAMI PAVING CORP ROBERTO MARTINEZ PRES 13011 SW 83 ST MIAMI FL 33183 ltaIDrt/1FtataIlIatIn Ihttt ,ItttfeatrllrltlnttflertlifiN Mme 7'd ` i 113, If CT T.PTMP( =Ip CE WITH ALL FEDE F..P 1/2" NO CAP 182:20 . • t�J 10.30' 1.10' CL. 14.00' ON PL. REMAINDER OF LOT- 7 BLOCK 73 (N.A.P) 9.55 to N 4' C.L.F. 10.26 9.31' 4, 2 .25' 'N TWO TORY RES. `# 860 F.F.ELE41.=12.28' L.F.EL V.=9.27' GARGE E{.EV. =9.17' I h 4.50' C.B.W. REMAINDER OF LOT- 4 BLOCK - 73 (N.A.P.) h 12.60' 4 ps y ijijCj j e 9.03 1.69' ON PL. F.1.P 12" NNC- Thickness: —� 02 3/8 " ®31/8;; 0 1" 00.600 OB. ea Finish: 0 Standard —7 0 Antiqued Brick 4X8 When the project calls for a classic, traditional brick aesthetic, Tremron has the paver. Our Brick 4 "x 8', available in two finishes and a wide range of colors, is a favorite for both residential and commercial applications.