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DS-11-1809Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 165055 Scheduled Inspection Date: December 15, 2011 Inspector: Devaney, Michael Owner: DUNKLIN, BERL Job Address: 580 NW 113 Street Miami Shores, FL 33168- Project: <NONE> Contractor: AMERICAN STAMP CONCRETE Permit Number: DS -10 -11 -1809 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360210810 Phone: (305)226 -8983 Building Department Comments SINGLE DRIVEWAY PLAIN CONCRETE Passe lhof- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments cc_ December 14, 2011 For Inspections please call: (305)762 -4949 Page 6 of 29 1 Miami Shores Village Ati 0 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 r8e De/o 4 r Ko OWNER: Name (Fee Simple Titleholder): CC-1 0 2011 Permit No ( 1 I YO J Master Permit No. Phone #: Address: City: State: Zip: 33 l Z( Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: / 36 (-(J // c-5 4e City: Miami Shores Folio/Parcel #: Is the Building Historically Designated: Yes County: Miami Dade Zip: ,r3(l© CONTRACTOR: Company Name: Address: City: NO Flood Zone: 1 9 Phone 2z Qualifier Name: State: Qv L c) lia State Certification or Registration #: Certiflc to of Competency #: Contact Phone ‘W ?O —$36(1 Email Address: ,Q/ /) lex (iii 2 DESIGNER: Architect/Engineer: Phone Phone #: Value of Work for this Permit: $ Type of Work: DAddition DAI -ration Description of Work: 'r Square/Linear Footage of Work: New ❑ ' epair/Replace Loa a ❑Demolition * *** *w **+ x** ******** ***+x+x***+xw**+x***,?*** Fees******* **** ****+ x+ x+x+x************* * * ** ******** Submittal Fee $5r) .I Permit Fee $ /s(' 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ )15:10 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 FT,ECTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. The foreg day of who is personally known t Owner or Agent ment NOTARY PUBLIC• Sign: Print: My Commissi The foreg o i in ment was a day of • `S;i� „ �. , 20 A_ whooiispersonally known to me �1 �� as identi NOTARY P * * * ** * * * * * * * * ***** * * *** *a ********* * * * * * * * * * * * * *** * * *** * * * * * * * * * ** * ***** * * * * * * * * * *** *a� ***** ** * * * * ** *** * **** APPROVED BY �� // �e � Plans Examiner AS 3 1 Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) MIAMI -DATE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR IAM1. FL 33130 LOCAL BUSINESSTAX RECEIPT 'MIAMI -DADE COUNTY - STATE OF FLORID +, EXPIRES SEPT. 30, 3012' MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CfAPTER ^8A -ART. 9 & 10, U S. POSTAGE PAID MIAMI, FL ` 's PERMIT NO. 231 3841 (11110$L RICAN° -S 10 E OLATE TORY OR .? Of THE OTHER {•. Ell SY LAW. A CERTOWATI ... /09/ . (0101 000045. SEE OTHER SIDE_ • DO NOT FORWARD -AMERICAN STAMP CONCRETE CORP DANILO LEYVA PRES 11362 SW 7 ST SWEETWATER FL 33174 1) 1i) t11i) r) tllE) i1) it )Eii1111111MIli)ilii)))E)MU K is 00(08 it C1 0pitte pa M UULO F3 K i— LNG L J NI- ,t =RIO O2 8 3s m "a3 (,(-'�4{. X ca. 0 %Ii1J Ili : iiai .at a it 1-4 x 800 40 nT :B . BUSINESS CERTIFICATE OF COMPETENCY E0601139 AMERICAN STAMP CONCRETE CORP D.B.A.: DANILO I Is certified under the pros of C sr 10 of Mfarni -Dade C CIPAL CONTRACTOR TAX CONCRETE CORP N RING CONTRACT 10/03/2011 11:18 3052792549 WESTSUNSETINSLRANCE PAGE 01 P. .. AfeCli CERTI*ATE OF LIABILITY INSURANCE • otildi bow , ' iwovl 1 PRODUCER West Sunset ITISUremee VMS) - . - - WES. cEiitiiiciiiiiiiiiiLis5iiiiriAtikR130 146411; 1* I . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT, ,_ 10300 Sunset MY*, Sub WC ; HOLDER, THIS oEIRTIFICATE COES NOT AMEND, MEM:* OR MIMI, FL 33173 I . 41-TER TIS. cOYARAGig AREPIRM..BY-TAIREOLICIEfilfr Phone (305)2/0-0499 Pax (3C3)2711-2549 INSURERSAFIF9ROING COVERAGE - 1 NAN 8 SURAN—OE COMPANY ... . .. .. . . . ; IlusROk .......... --___ .. -. - . - -1. • - - - • , GaSuRED Merl= Stamp CDROTete itisuituum US SECURITY INSURANCE COWAN L ----- " 11.110. Y..RER 0:.71AVPERS.O.'.*YOCP COMPANY ' ........ .,..... , . ..... --. 11302 S,W. 7th &rest .. MIAMI, FL 33174- , WOOER 0: usisuReR.R. COVERAGES .. ,,_ 12: . I THE POLICIES OF WEURANCE USTED HAVE EEEN ISSUED TO THE INSURED NAME5AioiiillrelitHilioLICY15.04160 INDICATED. NOTWITHSTANDIIN I . .-.... ...— —.. .. ..-.— • ANY REOUttmecr, TERM 0R common oFIANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE MEWED )R MAY PERTAIN. THE INSURANCE AFFORDED S? THE POI.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE RMS. actusioNs AND CONDMONS V SUCH , • 1 POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUDEO BY PAID CLANG, . .... . •. • . . . • . „.....—........• . - •••••••• •••••• • • • • ••••• ••••• • TrT OF INKIPONCE.. .,,_ ' POLICY NUMBER ILIAtgacTWE I "MY 62114RA — 1.4,n.. "'ITCH ocC0RRENDE :T..: .. :i..16667001 . I GENERAL LIABHUTY . . ; 1:0CSKGETIMINTD „on.; COMERCIAL GENERAL uAsury * 05114111 05114/12 , FREMIligirps..M.Stme 5 0-661 iPiiiiik.L.t""5—, "Dv INJURY .1 "I ,05,pcip., ' • ! 1 WWII MADE , OCCUR : 1 .. . GENERAL AGGREGATE •. _ 1,900,0001 .... ....... T31117:1DUETS-ToNyiTib -AGG. ' ..-1 ,600,66.0 i GENL AG* GATE LIMIT APPLIES I* i I pouDY .. I PROJECT ,_ LOtt ' ! ; AUT0MOSILE UABILTIrT COMBINED SINGLE.— —Uluni . • • . • • ... • . ... . .... • ,...._..... ...... .. . .... ...... ANY AUTO I CA-88850-02 05/12/11 05114/12 ALL OWNED AUTOS i ROOMY INJURY 10,0001 B' , , ■ : I SCHEDULED AUTO , iPer.Patarg4 . ......_... ..... ; I .; HIRED Amos ; BODILY INJURY 20,000' '. '. NON OWNED AUTOS : (Per esekisn0 • • I • ; . , pRoPERTY DAMAGE • 10,0001 AUTO ONLY EA ACCIDENT . - owse LUOILITY I . ■ C . ! 'L ; ; ANY AUTO MI•P . ..... - -I AUlt, ONLY: , Mc.. .. .. EXCEBSIUSERFJJ.A LIABILITY I OCCUR CLAIMS MADE • „ DEDUCTISLE RETENTION 8 I , B.LOYERS. UABETTY WC-23822 A ANY pRoptunTDR PARTNER! EXICUME OFFICER /MEMBER EXCLUDED? If yaa, desniiin Mar AFIECM,L PROVISIONAJWIeR, OTHER STAMP CONCRETE ADDITIONAL INSURED TO READ AS FOLLOWS; IVES DAIRY iNVESTMINiTS, LLC 782 N.W, 42ND AVENUE, SUITE * 830 ;MIAMI, FL. 33128 ......... .............. CERTIFICATE HOLDER MIAMI SHORES VILLA SLOG OFT 10050 N.E. 2 AVENUE MIAMI SHORES, FL 33138 05/28/11 EACH OCCURRENCE AGGREGATE 1. 11-1- 05/28/12 • V.1 E.L EACH ACCIDENT ikif ik • 1:000 000: otii EMvPLOyEe e ADDED RS8NTI skam. PROVISIONS CANCELLATION SHOULD ANY OF 11'18 ABOVE D GRIME) POLITIES BB CANCOLLIEE BEFORE THE • i EXPIRATION PATE ISSUING ENSURER WILL EINDSAMV %TO MAIL • 30 • s .• Cli TO THE DERTFICATE HOLDER WED TV ' THE , T F 0 DO SO ,t1...-- _• WPOSE NO OBLIGATION IS Maury KIND U = ' ■ -I' ITS A- ' -= OR RIPRESENTATAILS. . ,,,, . .............. ....... .. , . . ^,m —19AC0R0IfibN19 tti PERMIT # — Miami Shores ' Vella e 9 Building Department RECEIPT Wi DATE: 1, ��;'��� /D 4L/VL 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 *Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) Address: 5 »9,L) //3 From the building department on this date in order to have corrections done to plans And /oaet county stamps_ understand that the plans need to be brought back to Miami Shores Village Building Department to con 'rue ..-rmitting process. Acknowledged by: PERMIT CLERK INITIAL: (, RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 11 -1807 Job Name: October 7, 2011 Miami Shores Village Building Department Building Critique Sheet 1) Provide approval from HRS /DOH/ 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 do a 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 5582 N.W. 7th STREET SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 264-2660 FAX: (305) 264-0229 DRAWN BY: ULY. nun puru14Jnr$ Jnr. LAND SURVEYORS SURVEY No. 11-0000848-1 SHEET No. 2 OF 2 d n� aIra o dd BOUNDARY SURVEY SCALE =1w =20' ?r� s aGC1 6/0 (1 C7 F.I.P V2' P1 d ; NO CAP T 0 �. - ' I ► n/CYO- N' z'%th -nsvp,209/0114- --Vow? 4., ) 11.14 11.a 10' PWY 5' CONC. SWK 2`28w' 8.35' 11.22 0.55 ENCR. 0.25'ENCR. 4.75' LOT -1 BLOCK -5 1l0i E 0 130 UEnntaMEE 20.35' ONE STORY RES. # 580 LOT -2 BLOCK -5 F.F.E.= 13.20' FLOOD VENT ELEV.= 11.47' 15.40' 8.03' 11.42 ON PL 0.05'CL> A/CELEV+ 11.60' 0 or- AdOc: Alan 6.70' 11.56 26.20' 0.76'CL 111 7 MI 9p015w• 5'U.E. 89 °581551• 5100' A 5'U.E LOT-19 BLOCK -5 I � I Ii F.I.P 1/2" NO CAP 4'C.L8. 0.20 ij LOT -3 BLOCK -5 SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS di BLDG DEPT AJ/,for../f I ZONING DEPT (e) 1 APPROVED Miami Shores Village SURVEYOR'S NOTE: - There may be Easements recorded in the Public Records not showb on thislurvey. - The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes. LOT -18 BLOCK -5