DS-11-2149Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 168502 Permit Number: DS -11 -11 -2149
Scheduled Inspection Date: January 09, 2012
Inspector: Bruhn, Norman
Owner: LALANNE, VILBRUN
Job Address: 190 NE 91 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ESPINOSA CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1131010190080
Phone: (786)346 -5579
Building Department Comments
STAMPED CONCRETE DRIVEWAY ON THE FRONT OF
THE HOUSE
Passed
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- 166883. RE SOD DISTURBED
AREAS
ASPHALT REPAIRS MUST BE FLUSH WITH THE DRIVEWAY NB/1/6/12
cc
January 06, 2012
For Inspections please call: (305)762 -4949
Page 47 of 47
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 166883 Permit Number: DS -11 -11 -2149
Scheduled Inspection Date: December 29, 2011
Inspector: Bruhn, Norman
Owner: LALANNE, VILBRUN
Job Address: 190 NE 91 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ESPINOSA CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1131010190080
Phone: (786)346 -5579
Building Department Comments
STAMPED CONCRETE DRIVEWAY ON THE FRONT OF
THE HOUSE
Inspector Comments
PasseG d p:f/1
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 28, 2011
For Inspections please call: (305)762 -4949
Page 8 of 22
4,\ (1--Lt(-4 tvvj
BUILDING
PERMIT APPLICATION
FBC 20
Miami Shores Village
Building Department
NOV LE 1, 8 2011 FOMEUT,11
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 /�
Permit No (T l�-Y-9‘
Master Permit No.
Permit T
BUILDING
ROOFING
OWNER: Nam ee Simple Ti Qolder): \J/ G j/w,t/ �-W �uiV e Phone #: O "4s9— 99 i/
Address: / /' ,; G / S Pt-
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: Y W 11 q2 S7
City:
Folio/Parcel #:
Miami Shores
County: Miami Dade Zip: 3J3 6
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: E P /IOSr 62.orie fifer Phone #: 3f —55-34 Address: ! CeJPN
seu ge 5 T
Zip: 33 / 4--
City: k' /44U 1 State: F6
Qualifier Name: YLao/ ,5s? J/j OM.
State Certification or Registration #: 05'.95 049 lice 43 Certificate of Competency #: D 5`,8f' Oa q'I
Contact Phone #: W6* "3 c/o 514 Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ �) • Square/Linear Footage of Work: T 0:9e5 d
Phone #:
r :: Addo .}m._ -;
¢`pp
P rilm1ion 0Wprkti
it'i 'N ,; '..5. ''t-il vihcAtt-i 4aa'ief, *j
Repair/Reppa °°
•
** **+ nsp*******w***+t< * ****a *****+x********* Fees*+ s*> H+ r+ x*> H***** ******* * ***>H** ********* **sx*****
Submittal Fee $ Permit Fee $ J CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1413'60
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.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 ab _ nce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature tI L6A_ ■✓ I
Owner or Agent
The foregoing instrument was acknowledged before me this !/ The foregoing instrument was acknowledged before me this %S`
,
day of 20 19 , by VP Irk) �(\J 10.e4 V'— , day of 11.300144414.r, 20 _, by '/f A Ca odA
who is personally known to me or who has produced Ion (At? who is personally known to me or wiio has produced rr eir
As identification and who did take an oath. as identification and who did take an oath.
Signature
tor
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC:
Sign:
Print:
My Commission E
**** ******* **+x************ x**** *********** *************w ***+ x**+ x************ ***+ x*+ x****** *** ********* *********
%•9 Plans Examiner Zoning
APPROVED BY '4;11'
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Clerk
1 111111 1 1111 11111 111 11 11111 11111 11111 11 11 1111
NOTICE OF COMMENCEMENT CFN 2011R0821317
A RECORDED COPY MUST BE POSTED ON THE JOB SITEAME Of gRgANSPECTION OR Bk 27919 Ps 1078; Ups/
RECORDED-n/07/2011 15:30:48
.HARVEY RUtinft -CLERK OF COURT
PERMIT NO '"
1.1/AIII-DADE OMIT, FLORIDA
LAST PAGE
STATE OF FLORIDA-.
COUNTY OF MIAMI-DADE:
THE UNTX#SIGNEp Ofeby,91NaaliP/4 thatA011MyttrentS will be made tozertaln reat
property, and in accordance vatiti Chapter 719, -Florida Statutes, the following information
Is provided in this Notice of CoMmerlgerfIn.
•
.1. Legal CpsOrIPAorPrOglatil_dsslr.r°E,41ktresP,
2. Description of improvement
8: Owner() name 000:eddm00::.. • •
iii'faeast'ilfROI**. .:..'"' - : •: .
Name and 00*C-tit fee m. a:Web:Mit:- . ..'
4.-coiitii*r' ' .- : ii; a aiiiiiiitiOxtiber:
. —._
• :.,.
.. " , ,..iit.t ..4_,,..eila 2i
5: S!.fretv-(Piitherit'oqiiierecititreci by owner from Contrabtor, if any)
Maine; iddreiii,and'Orial.' number • • .. '. . ' ' - ', ' - ' , --.- : . „,.: - . -.,... .., - - f : . , - .
Amount Ottidifd $'-::-...,,ww„ 0, ' : -: '. . .. . .• ' - ' ':' •' :"‘ •.i -.: . ).::-„. ,:.': ,. , :•. .,,,,,, ,.,... . - .-,-, .. :: . ..-,,,... - ,....
f :. 6; LehderiiiiiiivaitifttaddWo:k ,,-...- : ., .; -;',,,-,-.'.. .,,.... . ' ,•,... , ..,....,...,-., . ..... ,. -........ ..,-'4•;, ,'i, . :Ow , .,,.1 ,••,: ...A,..• ... ,.' ,. ■ .' ' ‘,.,,,,,,P,,,, '1- ....., .
7.- PeMohiliiitIiiti thittStatti'dr fle0100"-iliSignated by 00ittet upon whom notices or other documents.; may be eervedeeprovided by
,..._.,
. .
Section ileAteap{,4fiiiiddistatute%, ' *-. - • :- ' • •
:' ...-4,, ,• Narhe, addrettlittilsphOttit'hUniben- -,-...::'::: I•tr', "' - :' - i ' -''. :.:.: ' _ ... :..,,,-,.. ;.,,,,„ ,, ,,... . ,.,. :. . ,',. - .. ... ••• ,..,..,'....'... ,,,,. . . , • .
. .
O. In additidn to himself i Oirierstiesignates -the -following persoh(s) to recetve a copy of the portor:s Notice 0c provided in Section
713.13(1)(4flotida.Statutes.:
Name, address and phone mitnber:
' .- •-•- .,c.• ' 9. ExpiratiOnAtte..0010NOtice of Commencement: • •.:•,.....”,,,,,:-. , .- '',1.•-:'....-:"''.. •• " . .. .. • , - .. • ••.,. . • . •. .. - _:. • . . .....,...• - . , • • . . •
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. wiffitr4ING=TQOW14" • -.,•,'. . -..., . , .-. 4... - .0' • . 4, SECTION aritit,
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14661Ea
..,:HARtYikbleittriejek YOUR YOU ' • • bitiblIftAiNTINANONW biNSULTAW YOUR ., ..:4WOM:.,0(0X.01: ,MIIKCANO4voRK.
OR RECORDING YOUR. NOTICE OF COMMENCEMENV:':"..i.,:i''.*:,!-- -- -- -- •- -- . : ... . •• . - ' .... . . .. - , :•.:, . , .
. ..... ,,......,.,....„ ,...... ••.: ....,.• - „, ........ •.. .....,•• ........... - ,.,.. .. • ... -._
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Print Natne:
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Print Nam
STAT-E
!; - Titie (A;
,7-0400:1166$ire06POitrrity;
. - '-
that the trth,stated Init are trite, (') the beet 0 rnY)$nOnedge.aniliStliefik
bigiiatutiNOt or ovgiertsh; Authbrid igernj tebtoriPietiset
• I HiNEBY CERTIFY at this is a true copy of the
lrtginat filed n Mr office an day of
'
- .7 • /
S m /' fiend and 0
ilARVEY RUVIN,
, *0 20
tat Seal.
true and County Courts
D.C.
STA "E OF'.FLOfDA
b`1sPAI T -. PH L
CONS '.
AP- PIICAALT:
AGENT: _4 G� •.^ --
PROPERTY ADDRESS: .gyp
LOT: / BLLOCK
CHECKED [X] ITS ARE
1NST T1 --
[01] TANK SIZE [1}
1021 TANK MATERIAL
[03) OUTLET DEVICE - .
[04] MULTI - CHAMBERED ()I*t l
[051 OUTLET E;1L
[06] LEGEN
[071 WATERTIGHT -^
[081 LEVEL ""
[09] DEPTH TO LID
DRAINFIELD MST
1 1 [10] AREA [1] 1 •?.." I -
[ 1 [11) DISTRIBUT1014. HEADER
[ 1 [12) NUMBER OF DRAINLINES
[141 DRAIAIDNE
I 1 [15] DEPTH OF COVER f
[ 1 [161 ELEVATION [ABOY
[ 1 [17) SYSTEM LOCATION . ._
[ ] [18] DOSING PUMPS
[ 1 [19] AGGREGATE SIZE
[ 1 [201 AGGREGATE EXCESSIVE
I ] [21] AGGREGATE DEPTH-0.4
FILL P.IL£AVAT11 t ,:
1 •1221 FILL AMOUNT V ..
1 123) FILL TEXTURE -
1 [241 .EXCAVAIVAUDEPTH
1 [25] AREA REPLACED
] ...[261. REPLACEMENT MATERIAL :.
EXPL
[ 1
{ 1
1 1:
1 STRU PROVE ISAPPROV
$Y PPPROV ISAPRRO
'1EIagI
r�rrsi�+eri? ma
MIAMI -DADE COUNTY 2011
TAX COLLECTOR
140 W. FLAGLER ST.
1st FLOOR
MIAMI, FL 33130
RECEIPT NO.
30- 5802658
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
CC NO: 05BS00448
BUSINESS NAME / LOCATION
ESPINOSA CONCRETE INC
15441 SW 160 ST
OWNER :ESPINOSA CONCRETE INC
SEE BACK OF RECEIPT FOR
A LIST OF NON— PARTICIPATING
MUNICIPALITIES
Receipt holder must
register in the city
where work is to be
done.
PAYMENT RECEIVED
MIAMI -DADE COUNTY TAX
cou1c0025/2011
02240002001
000175.00 '
II
1 MIAMI -DADE COUNTY
TAX COLLECTOR
140 W FLAGLER ST.
1St FLOOR
MIAMI, FL 33130
FIRST -CLASS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 231
RECEIPT HOLDER MAY DO
BUSINESS AS A CONTRACTOR
AS SPECIFIED HEREON.
SPECIALTY BUILDING CONTRACTOR
DO NOT FORWARD
ESPINOSA CONCRETE INC
YLIN ESPINOSA PRES
15441 SW 160 ST
MIAMI FL 33187
1111111, 11331,11 11111 '11f�f111'I11,1i.f1111,U,1, 111111 Ko 11
2011 LOCAL BUSINESS TAX RECEIPT
MIAMI -DADE COUNTY - STATE OF FLORIDA`•
• EXPIRES SEPT. 30, 2012
MUST BE DISPLAYED AT PLACE OF BUSINESS
AN
.
PURSUANT TO COUNTY CODE CHAPTER 8A IART.
THIS IS NOT A BILL — DO NOT PAY
RENEWAL
RECEIPT NO. 580265 -8
CC # 05BS00448
556254 -2
BUSINESS NAME / LOCATION
ESPINOSA CONCRETE INC
15441 SW 160 ST
33187 UNIN DADE COUNTY
OWNER
ESPINOSA CONCRETE INC
Sec. Type of Business
THIS Is 4,36A tSJ CIALTY BUILDING CONTRACTOR
BUSINESS TAX RECEIPT. IT
DOES NOT PERMIT THE
HOLDER TO VIOLATE ANY
EXISTING REGULATORY OR
ZONING LAWS OF THE
COUNTY OR CITIES. NOR
DOES IT EXEMPT THE
HOLDER FROM ANY OTHER
PERMIT OR LICENSE
REQUIRED BY LAW. THIS IS
NOT A CERI' ION OF
THE HOLDERS S QU ESPINOSA CONCRETE INC
QUALIFICA-
TIONS. YLIN ESPINOSA PRES
15441 SW 160 ST
MIAMI FL 33187
FIRST -CLASS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 231
WORKER /S
1
DO NOT FORWARD
PAYMENT RECEIVED
MIAMI -DADE COUNTY TAX
COLLECTOR:
60010000490
000075.00
SEE OTHER SIDE
1..11.,.11,...111„1,1,,,11.. 1111 „1,1.1111,,,.11,1,. =1115,711
.s'
JEFF ATWATER
CHIEF FINANCIAL OFFICER
*s°j 08 -04 -2011
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE:
PERSON:
FEIN:
08/04/2011 EXPIRATION DATE: 08/03/2013
ESPINOSA
202405692
BUSINESS NAME AND ADDRESS:
ESPINOSA CONCRETE INC
15441 SW 180TH STREET
MIAMI FL 33187
SCOPES OF BUSINESS OR TRADE:
1- CONCRETE WORK
YLIN
IMPORTANT: Pursuant to Chapter 440 . 05(14). F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation 11, at any time alter the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section tor issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -16(
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11
PLEASE CUT OUT THE
CARD BELOW
AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE: 08/04/2011 EXPIRATION DATE: 08/03/2013
PERSON: YLIN ESPINOSA
FEIN: 202405892
BUSINESS NAME AND ADDRESS:
ESPINOSA CONCRETE INC
15441 SW 160TH STREET
MIAMI. FL 33187
SCOPE OF BUSINESS OR TRADE:
1- CONCRETE WORK
IMPORTANT
FO Pursuant to Chapter 440.05114), F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
H exempt.. apply only within the scope of the business or trade listed on
E the notice of election to be exempt.
R
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance. of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413 -1609
CUT HERE
* Carry bottom portion on the job, keep upper portion for your records.
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11
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
Folio Number:1131010190080
Owner's Name: VILBRUN LALANNE
Job Address: 190 91 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 1600
Total Job Valuation: $ 5,800.00
Contractor(s)
ESPINOSA CONCRETE
Phone
(786)346 -5579
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 11/28/2011: Yes
Comments: ACCORDING TO SURVEY PROPOSED DRIVEWAY DOES NOT EXTEND TO ALLEY PAVEMENT. BRING IN
PICTURE TO SHOW THAT THERE IS NO GAP BETWEEN DRIVEWAY AND ALLEY OR SHOW THAT DRIVEWAY WILL BE
EXTENDED TO ALLEY PAVEMENT.
11/28/11
OK
DRIVEWAY ON WEST SIDE TO HAVE A GRASS MEDIAN NOT LESS THAN 2 FEET WIDE AND 5 FEET IN DEPTH
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #:1Z II�U.d4C1 DATE: �KJV 11
YL/XJ -sPi,t/osA
Contractor
❑ Owner
❑ Architect
Pic
Address:
2 sets of plans and (othe
) ' aisfJ P iP'J �ei
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to co. '/ •rmitting process.
Acknowledged by:
PERMIT CLERK INITIAL: Y -
RESUBMITTED DATE: 12011
PERMIT CLERK INITIAL:
Permit No: 11 -2149
Job Name:
November 28, 2011
Miami Shores Village
Building Department
Building Critique Sheet
1) Provide approval from HRS /DOH/
2) Complete permit application to show square footage.
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
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
Whereas, (owner) L1 1 b4.44i1".. 4 L4 AcA/ hereinafter referred to as the owner of
iqn
the following described property (address):
1 FL. t J I
Legal Description Lot Block Subdivision
Folio #
Requests permission to install (describe work): STAu c P t / `
die C/ieT7 Ditty et4,14f
Within the public right of way of (address) / Lq0 q J 57 41 A-Lu 1 5 P-Okei
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
1
items within public right of way including restoration
such expense shall be paid by the Owner or shall co
until paid.
of he Owner's failure to do so,
t tS�t �r a a Sri the abo `a c
ie ll h, yiGdt,0
,•;' s vaz14 2.01(0,4 "raia0 vM
4 nab zp, no)
ed property
2. The owner does hereby agree to indemnify and hold Miami Shores Village or ' ' d Tess from any
and all liability, which may rise by virtue of permitting the installation of these items within the public right of way.
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
Owner or Agent
The foregoing instrument was acknowledged before me this lP day of
who is personally known to me or who has produced verite."
an oath.
NOTARY PUBLIC:
My Commission Expires:
2
Il c ege. , 20 If , by Os atom 14.4 ,,.le
As identification and who did take
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)758 -8972
Permit NO. DS -11 -11 -2149
ua
Expires:NOt Issued
Folio Number:1131010190080
Owner's Name: VILBRUN LALANNE Owner's Phone:
Job Address: 190 91 Street Total Square Feet: 1600
Miami Shores, FL 33138 -
Total Job Valuation: $ 5,800.00
Contractor(s)
ESPINOSA CONCRETE
Phone
(786)346 -5579
Primary Contractor
Yes
1
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 11/21/2011
Comments: ACCORDING TO SURVEY PROPOSED DRIVEWAY DOES NOT EXTEND TO ALLEY PAVEMENT. BRING IN
PICTURE TO SHOW THAT THERE IS NO GAP BETWEEN DRIVEWAY AND ALLEY OR SHOW THAT DRIVEWAY WILL BE
EXTENDED TO ALLEY PAVEMENT.
DRIVEWAY ON WEST SIDE TO HAVE A GRASS MEDIAN NOT LESS THAN 2 FEET WIDE AND 5 FEET IN DEPTH
FLORIDA DEPARTMENT OF
HEALT
Rick Scott
Governor
H. Frank Farmer, Jr., M.D., PhD.
State Surgeon General
December 09, 2011
Ylin Espinosa
190 NE 91 St
Miami, FL 33138
RE: Contingency Letter
Application Document No: API054857
Centrax Permit Number: 13 -SC- 1382033
OSTDS Number:
190 NE 91 St
Miami, FL 33138
Lot:10 -11 Block: 7 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 12/07/2011 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 (stamped concrete driveway).
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
::�•y - ,..ir.r..: 5'i,' Xl. �..Lt..;.i.J..r1r.:, r_ ��.a.:+a..� z, ,. (!.- Z�:P:}.Pii'sit.�t8itr'tY�m. ..!...,.yi,i dot .;.:.a:?. +:L•.
N.E. 91st STREET
70' RIGHT -OF -WAY (BY PLAT)
20'± ASPHALT PAVEMENT
8 f ASPHALT PAVEMENT
P.I.Y. T/I
NO 1. D.
7l
104A PARKWAY
d9l
5' CONC. SIDEWALK 135.00' (R &M)
d
350' ,
.�y
F. NAIL
J
Q
N co
PLANTER
0
ASPHAL T
27.30'
I
F.I.P./ 1/2"
(NO I.0.) ASPHALT
25.85'
dh
X?,
CBS ONE STORY
RESIDENCE
S 190
F.F.ELEV.a11.05'
28.80'
CONC. c
WALK
17.85'
4.00
18 so'
Y.+ �:S• .:1!. r� - tea:; S�'lr- .'.L�4{a"e.�a�" � �;�;R �!- ••Fls?A
C.B.
F. NAIL
A89'39'30
R=25.00*-
A =39.12'
38.90'
35.00'
PLANTER
C.L.
x
F.
r
0'
N
A/C x
(3X4)
x
NOT VALID UNLESS EMBOSSED WITH
SURVEYOR'S SEAL
135.00' (P &M)
REMAINDER OF LOT 11
BLOCK' 7
35.20'
ABBREVIATIONS:
S WK =SIDEN LK. CBS =CONCRETE BLOCK STRUCTURE. CLF =CHAIN LINK FENCE, PL =PROPERTY LINE. DUE =DRAINAGE UTILITY EASEM ENT, IR=IRON F PE
F=FOUND, NC =AIR CONDITIONER PAD. P/C "PROPERTY CORNER, D/H"DRILLED HOLE, 'NF "WOODEN FENCE. RES =RESIDENCE, CL -CLEAR RB.REFAR,
UE=UTILITY EASEMENT CONC =CONCRETE SLAB. RP/WRIGHT OF WAY, DE=DRAINAGE EASEMENT, C/L=CENTER LINE, 0 =DIAMTER, TYP•TYPI.AL,
M =MEASURED R =RECORDED. ENCR .ENCROACHMENT. COMP =COMPUTER. ASH=ASPHALT. N/D=NAIL 8 DISC. S =SET, FEE =FINISH FLOOR ELEVAT:IN
0/S =OFFSET P/P =POWER POLE.OHP =OVERHEAD POAERLINE. WM=WA TER METER
WOOD
MASONRYIIA=L.l 1 1 I 1 I , r 1 l ELEVATION BASED ON LOC. # 3101
MAINTENANCE &DRAINAGEEP,SEMENT =M+BDE•'••••' •• •
NTE 1 DCBM# GS-2 -R ELV,8.681 TYPE OF SURVEY: BOUNDA'.YSURVEY
SURVEYOR'S NOTES, 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATU,'E
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT
COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODE' .0
VERTICAL DATUM OF 1929 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONgL
RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY 9)
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING
INFORMATION 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORD _D
INSTRUMENTS. IF ANY, AFFECTING THIS PROPERTY
BEARINGS Wi-IEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PE PAGE
SCALE: 1"= 20'
F.I.
(NO
35.00'
1/2"
I.D.)
pv
co
35.00'
541 ASPHALT PAVEMENT
70' RIGHT - OF-WAY (BY PLAT)
1
ui
z
LOCATION SKETCH
SCALE: NTS
1 2
3
4
N.E. 91at STREET
23 22
21
20
6
19
18
7
17
8
16
APPROVED
COUNTY HEALTH DEPARTMENT
pppp�IYi - --
�i DECe 0 2011
15
SURVEY FOR: VILBRL-N LAL
33136.
7P
tom. fr �1 ��� � d a�
4
— L
Miami Shores Village
APPROVED
•'BY
DATE
ac:MEP/ ..:ANNE,
1
190 N.E.
1ST ST. , MIAMI
BLDG DEPT
` t5.:
/a/ f/q
FEDERAL
SUBJECT (0 CGMPL1ANCE VVI Ill ALL
STATE AND Cr.,IJNIY rii,LES AND REGULATIONS
LEGAL DESCRIPTION: LOT 10 AND THE NORTH 33 FEET OF LOT 11
OF EL PORTAL SECTION 2
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK
OF THE PUBLIC RECORDS MIAMI -DADS COUNTY, FLORID
9
i HEREBY CERTIFY That the survey represented
thereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments, overlaps, easements
appearing on the plat or visible easements other than
as shown hereon -
BLOCK
SUBDIVISION
AT PAGE 115
7
SHORES, FL.
ADIS N NUNEZ
REGISTERED LAND SURVEYOR
STATE OF FLORIDA #5924
BLANCO • c
Engineers •Land S ry # + 059
o ,
555 N , � } R i •: .�,;
MIAMI H, ' 31
(305) 865 -1200 Email: bloncosuveyorsinc@yahoo.com Fax: (305) 865 -7810
FLOOD ZONE g SUFFIX L DATE9/ 11 /09 BASE P' /A
PANEL. 0302 COMMUNITY # 120652
DATE.
4/28/11
SCALE
1 " =20'
OWN BY
F. Blanco