DS-11-2349Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 170253
Scheduled Inspection Date: February 23, 2012
Inspector: Rodriguez, Jorge
Owner: INC, NICAMERICAN
Job Address: 1360 NE 103 Street
Miami Shores, FL 33138-
Permit Number: DS -12 -11 -2349
Project: <NONE>
Contractor: DIMITRI CONSTRUCTION SERVICES
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050300070
Phone: (305)345 -1199
Building Department Comments
REPAIR PAVERS DRIVEWAY
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- 169072. CREATED AS
REINSPECTION FOR INSP- 168108. NOT READY. AS
February 22, 2012
For Inspections please call: (305)762 -4949
Page 34 of 34
12I?Si�� i - (06,11nA*.1
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
Permit Type. UILD ROOFING
RECEIVED
DEC 212U11
Permit NoD v 11 -%$4-9
Master Permit No.
OWNER: Name (Fee Simple Titleholder): / Phone#:
Address: 0 3 0 /0.3 5 f.
City: Y ) . / ,c110-11-673
Tenant/Lessee Name:
State: �- Zip: 5 3) 3 g
tate:
Phone#:'
Email:
JOB ADDRESS: / 5 G 0 / / O ' 51 .
City: Miami Shores
Folio/Parcel #: it -477 0 ? 00'0 70
County:
Miami Dade Zip: 3 3
Is the Building Historically Designated: Yes
NO Flood Zone:
cort- -7,S4-g34-142,34
CONTRACTOR: Company Name: b r N , r R ,' "- $ 7 — g° / C Phone #: 63v5) j 9®
Address: G (2 -''1' i-4'' _ //
City: / ? , 7-7-7 J State: /- Zip: % of
Qualifier Name: r �. , % Phone#:r >S 5 e 1
State Certification or Registration #: C� �- ? - '( 5 i-<- Certificate of Competency #:
Contact Phone #: 6) ✓ 1f Y ` `' Email Address: /r,' Crc- VA, '-t $ P. ' ®/ 1
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 2- CC)C) Square/Linear Footage of Work: /CO 04(r-
Type of Wark: UAddition ❑Alteration ❑New ZIRepair/Replace ❑Demolition
o,
Description Of Work: 12. E P —,'L fA s .1) \ UL6,./fi r
* *** x******+ x******* * ****** ** ****+x****** Fees******** *************+ s*w *+x*+x ****************
CO
Submittal Fee $ .0-0 Permit Fee $ /71-e' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double 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 FI.FCTRICAL 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.
Owner or Agent
The foregoing instrument was acknowledged before me s The fo
day of 1 [�— , 20 L , by 11,AOZA 0 ONCO by of
who is personally known to me or who has produced _wh
As identification and who did take an oath.
\enis S;�'� %;
ire;
s•
Sign: d
Print: _ .� �RyPU 12
u,' c„mm 6k /C
�.�>.'•. D78S Q a
NOTARY PUBLIC:
Contractor
living ins • me s was ackno edged • ore s A
%L1ii�.i ,20)1 , by ,, 1104 altd
rrr
onally known to me or who has produced
kification and who did take an oath.
My Commission Expires:
APPROVED BY
//..1?". /c Plans Examiner
N
LIC:
Sign:
Print:
My Commission Ex
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Miami S Viivage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: 7 % DATE: /2/2r//
6c1_51-%t.,
1. Contractor
❑ Owner
❑ Architect
Picked up 2 sets of plans and (other)
Address: /3‘® x' 703
From the building department on this date in order to have corrections done to plans
And /or get County stamps. l understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
a
►�lagl��- GoA,AKI
Permit No: 11 -2349
Job Name:
December 29, 2011
Miami Shores Viiiage
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
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 -12 -11 -2349
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: Addition /Alteration
Issue Date: Not Issued Explres:Not Issued
Folio Number:1132050300070
Owner's Name: Owner's Phone:
Job Address: 1360 103 Street Total Square Feet: 1400
Miami Shores, FL 33138- Total Job Valuation: $ 2,000.00
Contractor(s)
DIMITRI CONSTRUCTION SERVICES
Phone
(305)345 -1199
Primary Contractor
Yes
1
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 12/22/2011: Yes
Comments: PLANS DO NOT SHOW ENTIRE SCOPE OF WORK,
NO PART OF DRIVEWY EXCEPT PORTION LEADING TO GARGE, MAY EXCEED 12 FEET IN WIDTH.
11/22/11
PLAN NOT TO SCALE NOTE AREA OF AUTHORIZED WORK.
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204 Fax: (305)75 6-8972
PenntNO. DS -12 -11 -2349
Perim Type: Driveways/Sidewalks /Slabs
WdrkClassification: Addition /Alteration
Issue Date: Not Issued Expires:Not Issued
Folio Number:1132050300070
Owner's Name:
Job Address: 1360 103 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 1400
Total Job Valuation: $ 2,000.00
Contractor(s)
DIMITRI CONSTRUCTION SERVICES
Phone
(305)345 -1199
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: No
Comments: PLANS DO NOT SHOW ENTIRE SCOPE OF WORK,
Date Denied: 12/21/2011
NO PART OF DRIVEWY EXCEPT PORTION LEADING TO GARGE, MAY EXCEED 12 FEET IN WIDTH.
T
Rick Scott
Governor
H. Frank Farmer, Jr., M.D., Ph.D.
State Surgeon General
January 09, 2012
(Westland Plumbing)
101 W 24 St
Hialeah, FL 33010
RE: Contingency Letter
Application Document No: API047390
Centrax Permit Number: 13 -SC- 1369485
OSTDS Number:
1360 NE 103 St
Miami Shores, FL 33138
Lot:6 Block:5 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 09/16/2011 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
property.
Proposed circular driveway and internal renovation with same # of 3 bedrooms.
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
**of •■• st. 41
PROJECT LOCATION: aarg 2C
1360 N.E. 103rd STREET DRAMS:
CITY, STATE & ZIP CODE
MIAMI SHORES, FLORIDA 33138 -2624, US
03/28/11
UP —DATE SURVEY & ADD ALL IMPROVEMENTS FOUND
P °E'
AS 2135 -10
uolt�
ELAgg
COMMENTS: NOTE ONLY VAUD WITH PAGE 1
NO APPARENT VISIBLE UTILITY EASEMENT NOLAIIONS SERE OBSERVE AT THE TIE OF THIS
SURVEY.
ABBREVIATIONS AND LEGENE
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4. IOSTWO ELEVATIONS
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CERTIFIED TO:
A) NICAMERICAN, Inc a Florida Corpor on
B) Finley & Bologna International
C) Old Republic National Insurance
0)
FOLIO NUMBER:
11- 3205 - 030 -0070
FLOOD ELEVATION INFORMATION
This property appears to be located in o Flood Zone AE ,Base Flood Elevation 9', as per Federal
Emergency Management Agency (FEMA) Community No.120652 —Map Number 12086 C, Panel No.
0306, Suffix L, Effective Date: September 11, 2009.
LEGAL DESCRIPTION
Lot 07 less the E10 ft. and the El0 ft. of Lot 6, Block 5' of "REPLAT OF TRACT B
MIAMI SHORE BAY PARK ESTATES" according to the Plat thereof, as recorded in Plat
Book 63 Page 17 of the Public Records of MIAMI —DADE County, Florida.
SURVEYOR'S NOTES:
1) The above captioned property was surveyed and based on the above legal
description.
2) Foundations and /or footings that may cross the boundary line of the parcel herein
described are not shown. Undergound utilities are not depicted hereon.
3) The lands shown hereon were not adstracted for easement or other recorded
encumbrances not shown on the plat and the same if any may not be shown on this
section
4) Wall ties are to face to the wall
5) Ownership subject to opinion of the Title.
6) Additions or deletions to survey maps or reports by other than the signing party
or parties is prohibited without written consent of the signing party or parties.
7) Elevations shown hereon are based on a dosed level loop using third order
procedures and are relative to the Notional Geodetic Vertical Datum 1929.
8) Survey map and report copies thereof are not valid without the signature and
raised seal of the Florida Licensed Surveyor.
9) Ownership of fences are unknown.
10) This survey has been prepared for the exclusive use of entities named hereon
this Certification does not extend to any unnamed party or parties.
11) The purpose of this Survey is for obtaining Title Insurance and Financing and
should not be used for Construction purposes.
SURVEYOR'S CERTIFICATE:
I HEREBY CERTIFY THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESCRIBED
PROPERTY IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED
UNDER MY DIRECTION, ALSO THAT THERE ARE .IC VISIBLE ENCROACHMENTS UNLESS SHOWN, AND
THIS SURVEY MEETS MINIMUM TECHNICAL STANDARDS .ET BY THE FLORIDA BOARD OF LAND
SURVEYORS, AS SET FORTH IN CHAPTER 472.027 (F.S) AND CHAPTER 5J -17 OF THE FLORIDA
ADMINISTRATIVE CODE. THIS SU NOT REFLECT OR DETERMINE OWNERSHIP.
� —L
r F.D.H.
(IN FEET)
1 inch = 20 ft
WILLIAM
NOTE NOT VALID UNLESS
SIGNED AND SEALED
SAL LA I SURVE OR
STATE OF FLORIDA
NO. 2804