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DS-11-1440Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 169042 Permit Number: DS -8 -11 -1440 Scheduled Inspection Date: February 07, 2012 Inspector: Bruhn, Norman Owner: ARFELD, MARTA Job Address: 55 NW 102 Street Miami Shores, FL Project: <NONE> Contractor: MENA CONSTRUCTION INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1131010180090 Phone: (305)333 -9191 Building Department Comments remove asphalt and concrete and replace with concrete 4' thick with fiber mesh 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- 163029. MISSING PERMIT CARD. JR ec- February 06, 2012 For Inspections please call: (305)762 -4949 Page 9 of 14 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: MENA CONSTRUCTION INC Owner Name: ROGELIO E SR GARCIA Business Location: 4801 NW 34 ST #611 LAUDERDALE LAKES Business Phone: 305- 333 -9191 Rooms Seats Employees 2 Receipt #:180 -9035 Business Type :GENERAL CONTRACTOR (GENE CONTRACTOR) Business Opened:08 /07/2009 State /County /Cert/Reg:CGC1516782 Exemption Code:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 2.70 0.00 0.00 29.70 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: MENA CONSTRUCTION INC 4801 NW 34 ST #611 LAUDERDALE LAKES, FL 33319 This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does nbt indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2011 2012. Receipt #03B -11- 00000278 Paid 10/11/2011 29.70 1 111111 11111 1111111111 11111 11111 11111 1111 1111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME,OF F7R.ST..INSPECTION PERMIT NOD • .1 1'' ViAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UMQ,p3, sjGNED N).reby, gives notice that:improver eats will be made to certain real property, aced In accordance with Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. "�.9- �t 1�b 1. Legal description tin of property : L "�� _ S 2. Description of improvement: gQ /UE UlrO ".�. 3: Owners) name andaddress. ',71' � In enest in property: • c a Name and address of fee simple titleholder /') C 4 Contractor's name, address antl hone number. C t° ;_' (r • �1^ • 5. Sure y r 4 �� tY• (Payment bond required by owner from bontractor, if any) Name, address and phone number : A Amount of bond $ y�. ,� �„ 6 Lender's name and address =` �->G. 7 Persohs within the Stete of Flonda designated by Owner' upon whom notices or other documents may be served as.provided by ■ • Section • 71313(i)(a)7., Florida- Statutes, a� Name, address -and phone number: - a Ud tu k x . I� _ 0. Expiration date of thieNotice of.Commencement:::: (the expiration" date le tyeerfrom the date of rei ordtn i tut a 19ifle�enf datitilei ecified) WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRA11OP OFTHE'NO'T ICE OF COMMENCEMENT ARE CONSIDERED . ImPROPER PAYMENTS UNDER CHAPTER 713 PART I, SECTLON 713:13 FLORIDA STATUTES, ANA CAN RESULT IN YOUR PAYING}TWICE FOR IMPROVEMENTS TO YO%JR tiooPiEkly, A NOTICE OF COMMENCEMENT MUST BE RECORDEL) AND POSTED ONIHE•JOS Str-E- BEFORE THE •FIRST •IN$P CTION IF YOU INTEND TO OBTAIN EINANCING,`CONSULT WITH YOUR ,LENDER OR,/}N AT:TOR,N)vY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF. COMMENCEMENT:' CFN 201 1 80682563 OR Bk 27855. Ps 2744.6 (1P8) RECORDED 10/2/2011 10 :25 :52 ,HARVEY RIJVINr' CLERK. OF COURT fiIAUI -DADS COUNTYr FLORIDA LAST PAGE Space above reserved >fi r use of recording oft 6 c 4) In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section • .13(1)(b),° Florida .Statutes: Name, address.: and phone number: glAt ®f ° re a � )sl�uthgrlxed Offieer/Director/Partner/Manager Prepared,Byf: -:> Prepared Print Name` • `fiitie%Oifre STATE OPPLO'RIoA COUNTY'OrMIAMI =1 ADE The foreg.lhig instrrirnent- Wes acknowledged before Me this By t-{42:14— FlrcS� 'I Individually, dr U as for Pere 'KecitiWiti-rerV 4p1-Qddbed jhe,fOiiowih ty re °dfldentification: Signatufe of Wet* P'ubli'c Print Name: (SEAL) VERIF'iCAxLON PURtSuuANT, TO SE011161 92.525 FLORIDA STAIIJTES • e 7 p:.. I L • ' er Print Narhe, mistf Tice ebi -tt affliav e e,TaY go eJAIR ' - that the facts_stated in It are true, to the best' of my. knowledge and belief 'may O,� •. • ' Signatures) oY Owner(s) or Qin+Tier(s `s Authorized cer/Director/Pariner/Mans er who signed. al o(fA7; R Ic x�``���`` g ff ©iria:IS�� By BY �..;. al\‘17\°\1 B\o,\‘‘, BUILDING PERMIT APPLICATION FBC 20 Miami Shores Village Building Department LA 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 3103EW o Permit No. 'd 51 \ 1440 Master Permit No. Permit Type: BUILDING ROOFING A F� L OWNER: Name (Fee Simple Titleholder): ttt 2 VA. INEMER, Phone#: S d' ? i3 ectOrt Address: t4 W t o p ,45T City: LA IttAJIt •n1 O CMS State: PLD WO A Tenant/Lessee Name: Phone #: Email: Zip: t JOB ADDRESS: 65 W lO 2 City: Miami Shores County: Miami Dade Zip: I SO Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: NO 1C Flood Zone: � n CaairtP0-7go tv 1 v p► Covlr5tV t4 twC Phone #: B b S "'3 -.919 t Address: r ..,,,�� 1 8t% %TB. City: k.AMILA.M b42... State: T'' 12. VD-0 Zip: We) OI Qualifier Name: 'OG o GA[QGIIN n State Certification or Registration #: C GC tS 1 G' S G Certificate of Competency #: Contact Phone #: 3O6 '112q,9" 9.t9 ` Email Address: Va ( i:i +a cou5T QGV.CO 1M DESIGNER: Architect/Engineer: ✓ Phone #: Phone #: -aaa. "9%a Value of Work for this Permit: $ 51 Boo .0D Square/Linear Footage of Work: +t 2 ✓ .64 Type of Work: ❑Additiioon� ❑Al�terration gNew ❑Repair/Replace ❑Demolition Description of Work: tiG M J U a issPipt t t.X Al !� Vt4CIZAFTg AM& 2ePtte0 w ts-c •c- Q%\cQeT . 41 `111 W rt °PiNisselt LAIaMp1 Submittal Fee $ Permit Fee $ i2 DO Ov CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ Va 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. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspe,ction will.not.be approved and a reinspection fee will be charged. ,. Signature 4 e 'Owner or Agent _ Signature The foregoing instrument was acknowledged before me this The fore day of , 20 , by 11A622-1 , who is personally known to me or who has produced Cps As identification and who did take an oath. NOTA!K�r,, co 0 Sig:: -r, it® : oa a . _ a -a ® ® -:.:',,i-2,-,,' ,` MyV�mis ifi$E ili > N-, "' - „,,,, h1111111111 \ \\�‘\\\`` .. yp5 �e *********** ****************ri**p***** **1.1 kskip ***** *******sN ******Hs******* rrrn:.r” .r, ,„„,111111,,„„ i, day of who is ing instru N rson Contrac ent was acknowledged before me ,2Q by 14 , 1 T Sign: Print; r . , P to me or who h. produced entification and who did take an oath. BLIC: lLi al` °� My Commission Expires: APPROVED BY • (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Plans Examiner Structural Review tiu :Q Co•° oning Clerk PERMIT #`1 I, (04R. ❑ Contractor Nb Owner ❑ Architect P Miami Shores Viiiage Building Department RECEIPT DATE: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Address: ;xis ]]c vAk,o 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 continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: 1 PERMIT CLERK INITIAL: g\ tkeitif0`) Permit No: 11 -1439 Job Name: August 29, 2011 Miami Shores Village Building Department Building Critique Sheet 2nd 1) Provide HRS /DOH approval.. 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, removethem 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 Permit No: 11 -1439 Job Name: August 11, 2011 Miami Shores Viiiage Building Department Building Critique Sheet 1) Provide zoning approval. 2) Provide HRS /DOH approval.. STOPPED REVIEW. 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)756 -8972 Folio Number:1131010180090 Owner's Name: MARTA ARFELD Job Address: 55 102 Street Miami Shores, FL Owner's Phone: Total Square Feet: 2129 Total Job Valuation: $ 9,300.00 Contractor(s) MENA CONSTRUCTION INC Phone Primary Contractor (305)333 -9191 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 9/26/2011: Yes Comments: DRIVEWAY THROUGH SWALE ON EAST SIDE NOT TO EXCEED 10 FEET IN WIDTH WITH 2 FOOT SWALES. 9/16/11 NEW PLAN IS DIFFERENT THAN PREVIOUSLY APPROVED. 9/26/11 NEW PLAN OK DRIVEWAY CAN NOT EXCEED 10 FEET IN WIDTH. DRIVEWAY MUST BE LOCATED NOT LESS THAN 10 FEET FROM EAST LOT LINE. 1 FLORIDA DEPARTMENT OF HEALT Rick Scott Governor H. Frank Fanner, Jr., M.D., Ph.D. State Surgeon General , September 16, 2011 Carmen Hernandez 55 NW 102 St Miami, FL 33150 RE: Contingency Letter Application Document No: API 045984 Centrax Permit Number: 13 -SC- 1366952 OSTDS Number: 55 NW 102 St Miami, FL 33150 Lot:18 , 19 Block:1 Subdivision: Navarro Dear Applicant: This will acknowledge receipt of an application dated 08/31/2011 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 (driveway). If you have any questions on this matter, please call our office at (305) 623 -3500. Sincerely, Jose°p Enclosures cc: er Specialist II 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 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number RC-8 t ' 1433 PART II - SITEPLAN Scale: Each block repr -sents 10 feet and 1 inch = 40 feet. H 1015 C(` 1 NM i l � _ iiiiKEIRI M II II °r "7`' No t 7771, ',I? . ' � "l' ° l ,ens: f lC,s' ��'l•4 -' !i F°�'°Y /O ap "'� 6 -d ! 6" 4/ °rAA; " df� e'°- �` 3' C� (2c6/5/Z.4,93-7 -?'' ''.'"�� e e d - Site Plan submitted by Plan Approved By A6 /1f1 g'1‘ ature Not Approved Jo ~7✓ �� ' 9r�� g� ` 4, ;6 -oe Datel70s County Health lDepartment ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10/96 (Replaces HR -H Form 4016 which may be used) (Stock Number. 5744 - 002 - 401-6) Page 2 of 4 FLORIDA DEPARTMENT OF HEALT Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General September 16, 2011 Carmen Hernandez 55 NW 102 St Miami, FL 33150 RE: Contingency Letter Application Document No:AP1045984 Centrax Permit Number: 13 -SC- 1366952 OSTDS Number: 55 NW 102 St Miami, FL 33150 Lot:18 , 19 Block:1 Subdivision: Navarro Dear Applicant: This will acknowledge receipt of an application dated 08/31/2011 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 (driveway). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Joseph er Specialist II 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 GRAPHIC SCALE 0 10 20 40 (IN FEET) 1 INCH= 20 FT. cool LOT 14 BLOCK 1 CONC. WALL F.I.R. NO ID. LOT 13 LOT 12 BLOCK 1 BLOCK 1 5' HIGH -CHAIN LINK FENCE ON LINE 85.00 (REC. & MEAS.) LOT 11 BLOCK 1 F.I.R. NO ID. 10.70' 15.00' 10.00' 13.00' 3'X3' A/C - ELEV.= 10.9' 0.10' 12.50' CC�`;r'LIA��CF iiVITH ALL FEDERAL • F.I.P. NO ID. BLOCK CORNER J ( -) ?Ere ILATIfNS 70.00' OT 17 ;CONC.' 10.00' BLOCK 1 4.95' 25.15' ONE STORY C.B.S. RES. 155 F.F. ELEV.= 12.45 GARAGE ELEV.= 10.25' 17.55 30.20' • 10.00' 15.00' F.I.R. s 5 HIGH CHAIN LINK FENC ON LINE LOT 20 ott BLOCK 1 I� F.I.R. NO ID. LEGEND . =ELEVATION # OR No NUMBER DWG.= DRA\MNG LIC. = LICENSE INC.= INCORPORATED MIN. = MINIMUM A/C =AIR CONDITIONER CONC.=-CONCRETE N/A =NOT APPLICABLE ASPH.= ASPHALT ID.= IDENTIFICATION REF.= REFERENCE C = CENTER LINE F.F. ELEV.= FINISH FLOOR ELEVATION ELEV.= ELEVATION F.I.R.= FOUND IRON ROD C.B.S.= CONCRETE, BLOCK & STUCCO N.G.V.D. = NATIONAL GEODETIC VERTICAL DA1UM P.S.M. = PROFESSIONAL SURVEYOR AND MAPPER L.B. = LICENSE OF BUSINESS REC: & MEAS. = RECORD AND MEASURED W 1 WM= WATER METER f N1W. 102nd STREET 4. cox/ i ( IN FEET) 1 INCH= 20 FT. 4-- F.I.P. NO ID. BLOCK CORNER LOT 14 BLOCK 1 CONC. WALL F.I.R. NO ID. LOT 13 BLOCK 1 5' HIGH CHAIN LINK FENCE ON LINE 85.00 LOT 12 BLOCK 1 LOT 11 BLOCK - - _ (REC. & MEAS.) NO ID. 10.70' LOT 17 BLOCK 1 70.00' 15.00' 10.00' 13.00' 12.50 3'X3' A/C - ELEV.= 10.9' 0.10'. 13.65' 10.00' , p 3,65' 15.00' F.I.R. NO ID. 5' 1-!;CH ----CHAIN LINK rtiNCE ON PK 107.50 (REC. & MEAS.) F.I.R. NO ID. LOT 20 BLOCK 1 LC) c-N LEGEND C) =ELEVATION # OR No..-- NUMBER DWG.. DRAWING LIC.=LICENSE JNC ll■TORPOR. TED A :=mitoum C,=GAICRE (0„AFNOPAPRI_I ASPHAL ;)DEFDFICAITI ( • \ f,1'7g:Er* KritiNPE • =,'..7.0E4TEft-L(NE 4EV4,\ FINISH OR ELEVATION f M•jf EAMATION F.I.R. = FOUND IRON ROD C.B.S.= CONCRETE, BLOCK & STUCCO N.G.V.D.=NATIONAL GEODETIC VERTICAL DATUM P.S.M.=PROFESSIONAL SURVEYOR AND MAPPER LB.=LICENSE OF BUSINESS REC. & MEAS. = RECORD AND MEASURED by] WM= WATER METER N.W. 102nd STREET —16.0' ASPHALT PAVEMENT— C C U L ask D 114, s.I.A 0 e A.VPIA tiLT t.11:0 CO tqt12.tere z-4 ‘,44c -r 'T'c* t %I- k s•a_ pA s • -1"L•14,41..r Y. 1, P • COUNTY HEAL, gif • 1