DS-11-2102Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 166618
Scheduled Inspection Date: March 12, 2012
Inspector: Bruhn, Norman
Permit Number: DS -11 -11 -2102
Owner: MUTUAL BANK, WASHINGTON
Job Address: 129 NW 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: GTF BUILDERS INC
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type:lo.
Work Classification: New
Phone Number (305)754 -5123
Parcel Number 1131010250100
Phone: (305)251 -5466
Building Department Comments
FORM AND POUR OF NEW WALKWAY
Passed
Failed
Inspector Comments
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 09, 2012
For Inspections please call: (305)762 -4949
Page 7 of 31
BUII.DING
PERMIT APPLICATION
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) 762.49491
Permit No. v 1 2 -10P"'
Master Permit No.
NOV 14 201IMCIEET9
r�—
B Y: e------ - - - - --
FBC 20
Permit BUILDIT G
ROOFING
OWNER: Name (Fee Simple itieholder):Washington Mutual Bank Phone#:
Address: 129 NW 96 Street
City: Miami Shores
Tenant/Lessee Name: N/A
Email:
state: FL
Zip: 33150
Phone#:
JOB ADDRESS: 129 NW 96 Street
City: Miami Shores County: Miami Dade
Folio/Parcelt 11- 3101- 025 -0100
Is the Building Historically Designated: Yes NO X
Zip:
Flood Zone:
CONTRACTOR: Company Name: GTF Builders, Inc. Phone: 305- 951 -5466
Address: 18629 SW 107 Avenue
City: Miami
Qualifier Name: George Flynn
State Certification or Registration #: 045370
Contact Phone: 305 - 251 -5466
DESIGNER: Architect/Engineer: N/A
State: FL
zip: 33157
Phone: 305 - 796 -5241
CGC Certificate of Competency #:
GTF5466 @aoLcom
Phone#:
Mr
°Demolition
Value of Work for this Permit: $
Type of Work: Addition
Description of Work: Form and pour new walkway
Email Address:
-6.00
Square/Linear Footage of Work:
°Alteration
°New °Repair/Replace
**s*sw* s *sssa* *****s * *s *ss*s * **s* *sasF s* s1* ss•►** *ss*sssssss*sss**s** * * *s* *sass***
/DO
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ Co /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 0
3� aO � � - �'r+► 5 RtrcN rr -co t_pcAr� BRs---(62,Li
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) N/A
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 - livered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ; %e posted at the job site
for the first inspection which occurs seven (7) days after the building permit Is issued In the ,' sans of such posted notice, the
Inspection will not be approved and a reinspection fee will be charged
Owner or Agent
The foregoing instrument was ackno ledged before
`\ \� \ \ \1 \,1�I day of Ivf� 2
..r.7 -- ®P`aY Pve �iI ho is personally
C
Signature
'
Contractor
The foregoing ' �/ ,c%t was acknowledged before me this
, day of INiQV• ,20.(L,by Oleo" Flynn ,
I whowho�nap�oo to me or who has produced
did take an oath. as identification and who did take an oath.
n
NOTARY ' UBLIC:
Sign:
Print:
My Commission Expires:
****** *M4N********tgttl* *4 ***** * * * ***tt ►gH
i*******M*ttd*r
p,
APPROVED BY
Plans Examiner
Structural Review
(Revised 07 /1e107)(Revised 06/102009XRevlsed 3/I5/09)
'ii(312'l5
•ssrpowro► w.... rrrssess.e
i ,// zoning
Clerk
VUNIA PAEZ
NOTARY PUBUC
STATE OF FLORIDA
EE083842
Exphes 4/13/2018
11/21/2011 10:34 3052518218
AEC RII
GTF BULDRS
CERTIFICATE OF LIABILITY INSURANCE
PAGE 02/05
DATNuovIYYY)
T CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAl TE HOLDER, TWIYHIS
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: 11 iha certificate holder Is an ADWri INSURED, the pollcy(tss) must be enitonlad. 11 eR0 TION IS WAIVED, subject 1
the tame and conditions of the policy, certain policies may require an endnesemnnL A statement on this certificate does not confer rights to the
certificate holder U1 Eau of such andorsernent(a).
"MUM Alliance Insurance Solutions LL,C
PO Box 1777
St Petersburg, FL 33731
ItiTLR of Bonita, Inc dba EnterpriseHR
Encore Business Solutions. Inc
and its Subsidiaries
1700 Dr. MLKJr. Street N., Ste. B INSUVIERE:
St Petersburg FL 33704
COVERAGES INSURER P F
CERTIFICATE NUMBER: 11240387 REVISION NUMBER;
THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHS7ANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T118
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MOM
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE A,
MAW NUMBEIi (MMfDD%YY▪ M ▪ (NNADDfYYYYI LIMITS
eoMlrACr NAME
PHOME 727-97 -1 .k., -727- 4 97 -1 280
SIL-A
MSaAFF>yRDR/OCOt
INSURER A : SUNZjnsi1ranoe Cglmpany
mums:
NATO
INSURER C :
INSURER D :
OMNEMAL uas1LeY
CONIMERCW. GENERAL uAl5LNy t
J CAM El
EACH QCCURRENr s
BENI AGGREGATE TIM IT AP PM
7 POLICY n -IF�ZJ LLOG
AUTOMOBILE LIABILITY
ANY Ay70
AU. OWNED
AUTOS
MREDAtITOS
UNDRELLA LIAR
EXCESS LIAR
MNED EXP (Any one person 9
P ERSONAL 8 ADP IMAM !
gENERAL AOGRESIATE $
• -OOMP/OPAGO $
D
AUTOS
RETENTIONS
accUlt
OL/UMS.MAOE
ANDCOMPENSATION
EMPLOYE
ANY PNoRRTEToRrPARTNEINEXEC
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SINGLE UMW !
BODILY INJURY /Penmen) $
U O D I L Y I N J U R Y ( F a r !
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8/1/2011
EACH OCCURRENCE
AGGREGATE
S
a
9
$
a
6/1/2012 j T ATLL 1 Ia�I
EL EACH AQLIDENTU -•-S
EL DISEAN - EA EMPLOYEE 5
EL DEMOS - POLICY UUfl
OERCIMP11015 OF OPERATions / LOCATIONS iValsozs (Mach ACORD 10L Adelliener Licmn►Ie Schedule. a more spoon In )
Coverage provided fOr all leased employees but not subcontractors of: GTF Builders, Inc.
CF.�RTIFFICA
3775
Miami Shores Village Building Department
10050 NE 2nd Ave
Miami Shores FL 33138
ACORD 25 (2010/05)
CART NO., 2.1440389
I I. Err ,
CANCELLA_TION
1
! 1
IRMO
SHOULD ANY OF THE ABOVE DF.SCRZED Mums BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AU1740AS203 REPRESENTATIVE
Douglas Usk
to 1988-2010 ACORD CORPORATION. All rights reserved,
The ACORD name and Togo are registered marks of ACORD
TL! lU.nna r,:vgy C, 727.630.7576 II/7,n/,7011 !+,36:23 AM BUM 1 cd 2
44.40_
09/29/2011 11:29 3052518218 GTF BULDRS
ACO E° CERTIFICATE OF LIA 1LITY
`.... INSURANCE
Femme
Mc Taggart Insurance Agency, !no.
9900 Stirling Rd. #229
Cooper City Ft. 33024
G.T.F. Builders Inc.
18629 SW 107th Ave
Miami, FI. 331 57
COVERAGes
PAGE 05/05
BATEpossOrmyr)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8 9/2Q11
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOMER. THIS CERTIFICATE DOES NOY AMEND, EXTEND OR
.•• ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
',INSURERS AFFORDING COVERAGE
ikeueE:Ra Gr1tAme►ican
kiESuRER o-
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THE POLICIES OF INSURANCE
LISTED BELOW HAVE BEEN ISSUER TOME IN$ NAMEDAI�pyE FOR THE PQLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR COMMON TED BE OF ANY HAVE BEEN OR OTHER DQCUbA
PERTAIN. THE fNSUFOANCE AFFGRDED 8Y THE POLICIES DESCRIBED HEREIN75;3EdM,fECTfiE ALL THE TE
PERTAIN. THE INS RA WATTS SHOWN MAY HAVE BEEN REDUCED BY PAID CJ,AIMg . CT T Rif WHICH CERTIFICATE CO MAYBE =LIED OR MAY
ki,LA1 TYPE 0011111=111..
RMS EXCLUSIONS AND CONDriIONS OF SUCH
GENERAL Lutsam
comut5RciAL 0ENDPAL UADIUTY
`a CLAIM$ MADE
NAIL
Fatter man
046.000739760
09/08/12
EACH ODCURFENCV $
r, WacTCt
I,000,0OD
700,000
$
2.000,0uo
5 2,000,ODo
RnFICAtE KOL.DER
Miami shores Village
10050 NE 2nd Ave.
Miami Shores, FI.
33138
ACORD 25 (2001103)
A7� p ABOVE D gED PDUCIE9 es QAtailmeD THE Pena
ova a The cowman= Lsuwis mum w u.8 EAVQR TO rum 30 DAYS WIBTrF,Iy
nRCATE MOLDER 'ammo= THE Lem Bur FARthte To Dow magi.
mutt* NO anuovrioN OR mammy Op ANY KIM UPON THE fNEDRER. ITS AGHYrS OR
®ACORD 'ORATION /988
09/29/2011 11:29 3052518218
GTF BULDRS
,rte; .'%0., STATE OF FLORIDA
DEPARTMENT OP BUSINESS AND PROFESSIONAL .REGULATION
yr'k • s! CONSTRUCTION INDUSTRY LICENSING BOARD (850)
'•:.•*9i, ; v 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399.0783
FLYNN, GEORGE THOMAS
GTF BUILDERS INC
PO BOX 973107
MIAMI
FL 33197 -3107
t:nnit,nrul,4ilarr.:1 With this litho e you 110(7)11le nnfr nl IN,. nearly one million
Hopi lirranr:nd by the f)rttrnrlmertt of Ft'irserrn:3s end f'rnfessinnrnl f2Qprri:atinn
tour nmfen.:iturals and ht,airteltow. mops, fr otti architects to yac:ht ornk+lrn, from
boon In hnrnr+t ur iesiaurrn,tll, a,nr9 they kentl i• Iottrl :a'S enonnnry grump
1 ve ?r'v rl;ay wt•1work to improve. the wray wr•. rir-. ln,r•:rrtr•s; to order r Ir, serve: you hatt.a,
1 nr rnlrlrintAlie,n alhnut OUT services, ple,1:.r;, hop onto www.rilyfloridelfcenge,cam
111prc: ysel ,;rare riots more information abort cull divisions anti the regulations that
II p. l yrnr. sI11)u:rrI ' to tlepartmnot n.,waIPtters ants Ir••nrri more nhnot Ih,.
1 !ut'arlI1; nt' : ,rtitilahvee
i lur
mission at the i) it hnent is 1 twit•• ;f I fficiently, 1:rquleslc f a:rIy. Wq
onnstjrily annvr• 1', : :r,rvra yrnct hotter so that you C;en sprvp Ynl ir e'11S1l,rriers•
111:,rtk vr•,u lot •1011114 inr ::rnrtss in I It wide. nnrl r.1 tr utlularinnx nn yarn rum lirrrnr.,81
e
OE. ACI•t 1 It:i1F
PAGE 03/05
487 -1,395
err$ '47 :717„v„
STATE? t}r R sateen
DEPARTMENT OF 'MINESS AND
PROFSSSIONAX,. REGULATION
CGC045370
•Oi6 /11/10 090477750
CERTIFIRE00EMERAL.dikTRACTOR
FLYNN, GEbTLOSIIMAS
GTi' B17ILPERE' INC
TS CFRTIFIt:D in,Aar tT■ pre tel,..ur n[ cT,4Bo rs
,41r,••n L1 on Mtn, AtTO 71, 2012 L100411011741
8 STATE OF FLORIDA
DEPARTMC kSTRVCY Zp�NVEI1 DOPRYRECCEN gesilARD ATIQN
SEQSkL100611a0701,
00/1.412010 1090.477750 1C00045170
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the p'l-oviAi0ns of Chapter 4E:9 FS.
Expiration date: AUG 31, 2012
FLYNN, GEORCF. THOMAS
Ci'F BUILDERS INC
18629 SW 107 AVENUE
MIAMI FL 33157
CHeti1RLIE CRIST
GOVERNOR
DISPLAY AS RE(. 11IRF-D BY LAW
INT$ERIMLSECRETARY
09/29/2011 11:29
3052518218
GTF BULDRS
r a. • - __,r._���..
PAGE 02/05
SEE OTHER SIDE
DO NOT FORWARD
p T F BUILDERS INC
GEORGE 7 FLYNN
PO BOX 973107
MIAMI FL :13197
11111111111111111 111131111111111111111611111111111111111104111
Rick Scott
Govemor
H. Frank Farmer, Jr., M.D., Ph.D.
State Surgeon General
February 28, 2012
(GTF Builders)
po box 973107
Miami, FL 33197
RE: Contingency Letter
Application Document No: API062945
Centrax Permit Number: 13 -SC- 1394867
OSTDS Number:
129 NW 96 St
Miami, FL 33150
Lot:10 Block:13 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 02/23/2012 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
property.
Installation of a new concrete walkway, Previous permit AP- 1059062R
There is not increase in sewage flow, change sewage characteristic, or any alteration that
change the conditions under which the system was approved.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use.
If you have any questions on this matter, please call our office at (305) 623 -3500.
Enclosures
cc:
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
5582. tt W 7111, S7'RRET $ UU7t E 202
PAIANIL FLORIDA 33126.
TELEPHONE: (305) 264.2660
FAX: (305) 264-0229
DRAWN BY: LILY
ova t urve ors
LAND SURVEYORS
SHEET No. 2 -OF 2
" =20'
OT -7
Notpl
OCK -3
Agl
201)
BLOCK 3
SUBJECT i 0 CCMIPU
STATE AND CCUM I V
ICE WITH ALL FEDERAL
JLES AND REGULATIONS
15'ALLEY (N.A.P.)
F.I.P 112"
NO CAP... -
75.00'
F.I.P 1.12-
NO CAP
6' W.F.
0.15 CL,
1.50'CL
5' C.L.F.
5' C.L.F.
UTILIT
15.33'
APPROVED
Permit no. AV. I% 629'/5 E
Date: v2) zed iz
Miami-Dade County
Health Departm
12.59'
LOT -,11
BLOCK -3
0.25'CL
13.42' �JJJ
LOT-10
BLOCK -3
TWO STORY
RES, # 129
F.F.E =12.59'
GARAGE = 10.61'
FLOOD VENT = 10.80'
ati
LOT - 9
BLOCK -3
W0.05
1.01'CL
35.85'
72.34'
F.I.P 112"
5 ,GO NC:
75.00'
alkway
ciao
SEP
9 °4730•'
LTA��c
81.23'
F•I_P t12' .. •
NO GAP
B.C.
F.I.P 1/2"
NO CAP
11' PWY
16' ASPHALT
PAIL
1
OD
a
1446.
N. W. 96th. ST.,
15' MEDIAN
16' ASPHALT
PVMT.
SURVEYOR S NOTE:
• There may be Easements recorded in the Public Records not shown an this Survey.
• The purpose of this Survey is for use in °btuming Title Insurance and Financing and should not be used for Construction purposes.
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