DS-11-2217Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 167689
Scheduled Inspection Date: December 14, 2011
Inspector: Bruhn, Norman
Owner: TIERNAY, NANCY
Job Address: 1226 NE 93 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NIEBLAS AND SONS PAVING ENGINEERING INC
Permit Number: DS -11 -11 -2217
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050270170
Phone: (305)253 -5354
Building Department Comments
RESURFACE EXISTING ASPHALT DRIVEWAY
Passe///
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- 167160. Reconfiguration not
overlay. NB
December 13, 2011
For Inspections please call: (305)762 -4949
Page 35 of 53
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
NOV 2 9 nil
B
Permit No.PS ! Cd +
Master Permit No.
Permit Type: BUILDING ROOFIN G
OWNER: Name (Fee Simple Titleholder): t/4 let(: q A/4) rd P C c h Phone#: 16, 313. f
1t2& q3
City: 4410yri Sp e State: FL Zip:
Tenant/Lessee Name: Phone#:
Email:
Address:
JOB ADDRESS: l -..71e .eU 7.3 54'
City: Miami Shores County:
Folio/Parcel #: 11 ` 3 2 0 S" 0 Z%- 0/ 7 0
Miami Dade Zip:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: t&Mm' $SAS Pik in5 41q COS" rtS'W'►/ Phone #:3(:. Zs" 3°-C3 2/
Address: in n 7 0 sw 1s- Of--
City: Ivi (fr* vii State: EL_
Qualifier Name: Jos Q C. 440
State Certification or Registration #:
Contact Phone#:
DESIGNER: Architect/Engineer:
Email Address:
Zip: 33/ 1(-7
Phone #: :Fs . 2 c 3, 5 q
Certificate of Competency #: EC/ 'i / goo
3-0e, a rDei ca, ✓i S , CO An
Phone #:
Value of Work for this Permit: $ lip 0 0 Square/Linear Footage of Work: 23 00 S C:
°Alteration °New ptepair/Replace ODemolition
Description of Work: ' S S F* c-e '. i.S ° A at a.,4. ua.
Type of Work: °Addition
Submittal Fee $ Permit Fee $ 00 o4
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ lot 2k0
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. W 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 properly 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 the absence of such posted notice, the
inspection will not be • • • roved and a reinspection fee will be charged.
/
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 2 /
day of /l10 V% , 20 /1 by 1% I er. "1 / % vcl e eel" • ,
who is personally known to me or who has produced
Cam. As identific
NOTARY PUBLIC:
0IE Y CAU pLFth
STATE OF FLORIDA
Comm# DD965494
Expires 3/9/2014
My Commission Expires: 3 l (2 tl l u
Signature
��
S o/ntractov r 4
The foregoing instrument was acknowledged before me this Z9
day of A1®✓ , 201( , by JcSP L, A%leb k5 ,
who is personally known tome or who has produced
as identificationYand w3EagY-CA L t .
NOTARY PUBLIC: �
o NOTARY PUBLIC
STATE OF FLORIDA
Comm# DD985494
3/9/2014
Sign:
Print:
e,W11 Ct , b �e
3)61126/q
My Commission Expires:
* *s,s,s,s, * * * * * **** * *** * * * **** *** ****** ass, **** **** ********, x*********** ********** **+ x+x ***** **+x+u**+xa,****** ***+x ****
APPROVED BY
//J —if Plans Examiner
i/ Zoning
Structural Review Clerk
(Revised 07!10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTICE OF COMMENCEMENT
At1ECDRDaI COPY MOST BE POSTED OVINE J S STINT TIME OF FIRST INSPECTION
PERMIT NO, TAX FOUO.NO. II. 32A-- 011- Ot '71"
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE;
THE UNDERSIGNED hereby gives notice that IMprovements will be made to certain real
properly, and in accordance with Chapter 713. Florida statutes, the Wowing Information
is provided In this Notice of Commencement.
1. Legal description of property and stoat/
CFN: 20110799632 BOOK 27908 PAGE 3638
DATE:11/29/2011 02:01:19 PM
HARVEY RUVIN, CLERK OF COURT, MIA -DADE CTY
Space above rived for use, of rig office
s 4,1.3 Lei Z. Sr4 B y e ow
J \)4 , •
2. Description of improvement 42 e *. ... .,c t �t °i .. .4S.e 33 6 (4 44 r i %/•eu.•e'a"i
3. Owner(s) name and address: .y • i
Intemst In property:
Name and address of fee simple titleholder:
4. Contractors cone; address and . hale number: iliie.bie5 .ItS 'r Pig g gilt 1.4,064Viitc if
StA
c1 .t? CC
rr
5. Surety: (Nyman bond required by owner from contractor, if any)
Name, address and phone number: . .
Amount of bond $
5. Lender's Hartle and address
7. Persons w'ithiri the State of Fkirlda designated by Owner upon whom latices or other documents may be served as Provided by
Section 713.13(10M, Florida Statutes,
Narne, address and phone•nurnbe: . . ...
8.• In addition to hiinseif, Owners designates the following persons)• to receive a. copy • othee Uenor's Notice as provided. in Section
• 713.13(1)(b). Florida Statutes.
Nana, address arid phone number:
B. Expiration date of this-Notice of Commencement:
(the :exptretun date:b 1 year itet year the *Its. of fOotclIng OM a diNeigntdatte Is s ease*
WARNING TO OWNER: ANY PAYME tS MVMADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF OOMM NCEMENT.ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 71'9,, PART I, .SECTION 713.13. .FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR.
IMPROVEMENTS TO. YOUR PROPERTY: A NOTICE OF COMMENCEMENT MUST DE RECORDED AND POSTED ON THE Jos .WE SWORE THE
FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR .LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR REt 0RDING.YOUR NOTICE OF-COMMENCEMENT.
SIgnatcee((s)• of • • : ) .or i3ui�ner(s)' Aunt O!'si r!biictor/Partner/Manager
Print e _ _ • • A.f ,' { "i . By Print Mune
Title/Office .,-; o.
Title/Office . .
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The 1 • iitg instrument was acknowledged before the this it cry et. 461 rt ai & C.,•''. . 2.0 11
l a ndiiriduatly, or t as . far
❑ Personally known, or latkiduced.the following type of kien
Signature of Nolan/ Public:
Print Name: j.e,r4- )4,-,. ".- -eJEREMY CAtii . .
(SEAL) NOTARY PUBLIC
VERIFICATION PURSUANT TO SE OTION ROM& FLORIDA STAtUTES
Under penalties of perjwy.1 declare that I have read the foregoing and
that the facts. stated In it am true, to.the best of my knowledge and beSef.
STATE OF FLORIDA
Coma*
Expires 3/9014
Stgna sr a) or•Ownor(s)'s A r • !• : • Officer/Director/Partner/Manager who signed above:
By -�
BY
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N/A. .4#01* Ae
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‘a4.‘"‘•-,w1V—V470A■W +
D) EXISTING .,�
ASPHALT DACE Oaf EOM Did
•
•
1
4 AND THE WEST 50 FEET
BAY LURE SUBDIVISION".
IEREOF, AS RECORDED IN
3, OF 711E PUBLIC RECORDS
OR!DA.
N.A., ISAOA /A77MA
:R /CA
POW
70
18
d
IDITIONING UNIT
7E BLOCK STUCCO
-WAY
INE
& MAINTENANCE EASEMENT
SEMENT
,•K
P.C.P.
Q-
ETER
WER POLE
CE
NK FENCE
CE
WIRE
ON PIPE (NO ID.)
AIL AND DISC
SHOWN HEREON ARE
SS OTHERWISE NOTED.
CERTIFY, THAT TRW 'BOUNDARY 5UBVBr
OF St1'SVSY PSBPAIMU WERMY
6TANDABDS.ASSET
OF JAM SURVEY0BSIN
PURSUANT T0472027,
FORTHE FIRM
a5101.3TATTOFFI.ORD A
BO OEM= SDI NOD/OA
SPA. OF A UMW SI MVON
MAP OF SURVEY
19.0' ASPHALT PAVEMENT
N.E. 93rd STREET
215.93' (R&M)
WOOD FENCE
0.11' EAST t
6
— /1
ASPHALT it 16.0' PARKWAY
100.00' (
32.00' 11,00' .\ 30.00'
P
TER
7.20'
STAIR,
'� 1**-16.96'
Qo4,
a6a
CHAIN LINK
FENCE ON -LINE
WOOD FENCE
0.11' EAST
37.70'
7.70'
3'
2
2.30'
ASPHALT
ASPHALT..
DRIVEWAY
11.
0
S
O$.
19.00'
ONE -STORY
RESIDENCE
No.1226
LOT 22 OF BLOCK 2
P.B. 44 - PO. 63
100.00 (R&M)
LOT 21 OF BLOCK 2
P.B. 44 - P0. 63
CHAIN LINK
FENCE ON -UNE
1-16.416/1-1 111►.d1 II 111b11'
SCALE: NOT TO SCALE
mil
9Fiiii
s
of
HO ��a WO
111111111! N
Q®1®4,4L M07P1 7
LEGAL DESCRIPTION PROVIDED BY OTHERS
EXAMINATION OF THE ABSTRACT OF 7745 177LE WILL HAVE
TO BE MADE TO DETERMINE RECORDED INSTRUMENTS IF ANY,
AFFECT THIS PROPERTY.
774E LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR
EASEMENT OR OTHER RECORDED
ENCUMBERANCES NOT SHOWN ON THE PLAT
711E PURPOSE OF THIS SURVEY IS FOR THE USE IN OBTAINING
77TLE INSURANCE AND FINANCING
AND SHOULD NOT BE USED FOR OTHER CONSTRUCTION,
PERMIT77NG, DESIGN, OR ANY OTHER PURPOSE WITHOUT
171E WRITTEN CONSENT OF MIGUEL ESPINOSA LAND SURVEYING.
UNDERGROUND PORTIONS OF FOOTING, FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED.
ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED.
WALL 77E5 ARE 774E FACE OF THE WALL
FENCE OWNERSHIP NOT DETERMINED.
BEARINGS REFERENCED TO UNE NOTED AS B.R.
BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC
REPRESENTA770N OF THE SURVEY WORK PERFORMED IN
711E FIELD, COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT
TO SCALE.
NO IDEN77F7CA770N FOUND ON PROPERTY CORNERS UNLESS NOTE
NOT VAUD UNLESS SEALED 14I71 THE SIGNINGS SURVEYORS EMBI
DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS 07HERIMS
ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS I
NOTED.
THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED.
THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIV!
711E EN77TIES NAME HEREON. THE CER17FICA770NS DO NOT EXTENI
UNNAMED PARTIES
BECHMARK: B -62 ELEVATION: 8.74
FLOOD ZONE A b COMMUNITY 120652 PANEL' 093
DATE OF FI'RMAE:03 -02 -1994 SUFFIX: J ELEVATION: &0
FIELD DATE OF SURVEY 05 -08 -08
s-7627
FOR DIRECT CONTACT PLEA
PEDRO FERNANDE? AT (786)
MIGUEL ESPINOSA LAND SURVEYIM
PROFESSIONAL SURVEYOR AND MAPPER
5511 SW. 8th STREET INAMI, FL 33144 PHONE (305) 262 -2992 FAX (305) 2
BOUNDARY SURVEY
DATE
05 -08 -08
DRAWN BY SCALE
P & I 1 =20'
JOB N
0805 -0
CFN: 20110799036 BOOK 27908 PAGE 2175
DATE:11/2912011 11:59:11 AM
HARVEY RUVIN, CLERK OF COURT, MIA DADE CTY
Miami Shores Vmage
Building Department
100.50 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 7952204
Fax (305) 756,8972
COVENANT OF CONSTRUCTION. WITHIN RIGHT OF WAY
Whereas. (tee') \ 3 Akie.e. s b J'i + a-- (.C. " • hereinafter referred to as theownerof
the following described property (address):
Legal Description Qa (9 4`i 3 Lot 5
Folio* 1.1 Z 65-'" 01 7 + 1 C)
Requests pelmisslon to install (d work):
ty "004-h
Block 2. Subdivision g »
Within the public right of way of (address) 12.7,4 fr.) e
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 Miarnl Shores. Village or Dade County to make repairs or maintain said
items within pubic 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 hod Miami Shores age Or Dads County harmless front any
and all mobility, which may rise by virtue of permitting the installation oftheee Iternswithin the public right of way,
1
p.
CFN: 20110799036 BOOK 2:7908 PAGE 2176
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, wthirt 30 days
notice by the Village to do so. Failure to. comply with thls notice wili result in the Village causing the Itern(s)
to be removed and a Hen being placed on the property andfor assessed against the Owner for all costs
incurred into removal and disposal of the iteen(8).
4. The undersigned further agrees that these cxmditionS shall be deemed a covenant running with the land
and shall mullein lo fuitforce and effect and be binding on the undersigned, the heirs and assigns, until
such time as this obligations has been canceled by an affidavit flied in the Public Records of Dade ,County,
Florida by the Village Manager of Miami Shores Village. {or his fully authorized representative).
Signature
•
t AVe VZ-k" 6c;-7
Owner or Agent
The R010901119 inattument was asiolowbadgedbefore rue this II- day of AA/ , 20 by tiettele:14
Wile is personalty neer ,.„ As identification and who did take
on do91;
M4,74
NOTWPWRAC:
My Commission Expires: "IS 1 12614
2