DS-11-2045Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP - 168695
Permit Number: DS -11 -11 -2045
Inspection Date: January 26, 2012
Inspector: Bruhn, Norman
Owner: MARIA GONZALEZ, ISABELLA
DCTDI 17C1 1 1
Job Address: 9546 NW 1 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: GREYSTOKE CONSTRUCTION INC
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1131010240240
Building Department Comments
LANDING STEPS ON PATIO & DRIVEWAY
/)oU
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 168573. CLEAN AND SOD. JR
ec__-
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
January 25, 2012
Page 1 of 1
Miami Shores Village
Buildin g Department
artment �"Nov 0� ' "1'
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 Q45 BUILDING Permit No. �\ ,
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): ISABELLA PETRUZZELI Phone #: 786- 301 -6411
Address: 9456 NW 1st AVE
City: MIAMI SHORES State: FLORIDA Zip: 33150
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 6 NW 1st AVE
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel #: 11- 3101 -024 -0240
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: GREYSTOKE CONSTRUCTION INC. Phone #: 786 - 380 -9841
Address: 8799 NW 99st STREET
City: MEDLEY State: FLORIDA Zip: 33178
Qualifier Name: GUSTAVO BLAZQUES Phone #: 786- 380 -9841
State Certification or Registration #: CGC1510710 Certificate of Competency #:
Contact Phone #: 305 -822 -2804 Email Address: AMAGROUPINC @YAHOO.COM
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 1800.00 Square/Linear Footage of Work: 314
Type of Work: ❑Addition SdAlteration New ❑Repair/Replace ❑Demolition
Description of Work: LANDING WITH STEPS ON PATIO & DRIVEWAY
** *: u********* ** ******** ************** ** Fees************* * ***** * * * **** * *** * * **** **** * * **
a
Submittal Fee $ Permit Fee $ ■C 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 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.
"WARNIN TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMEN EMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVE NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCI G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDI G YOUR NOTICE OF COMMENCEMENT."
Notice to Applic nt: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good aith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property i, subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first ins i ction which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing in trument was aeknowl dge
day ofij ,20L,by
who is personall known to me or who has produc
As identification and who did take an oath.
NOTARY P LIC:
Sign:
Print:
My Commission
Contractor
The foregoing instrument was acknowledged before me this Zr
day of pEi Jetelt- , 20 L, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY P LIC:
Sign:
Print:
My Commis
I ►;; Sr
y omm. - pires Nov 16, 2012
oft. . Commission # DD 838802
************* 1************************* ** * * *** *** * * ** * * * * ** * * * ** ** **** ,., *** * * ** * * * * * * ** ** *** * ** * *** ** ** ***
APPROVED BY 7 f2 000fit Plans Examiner y' jI /(74/7/
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Zoning
Clerk
Rick Scott
Govemor
H. Frank Farmer, Jr., M.D., Ph.D.
State Surgeon General
November 16, 2011
Alejandro Mendez
1560 W 46 St Ofc 206
Hialeah, FL 33012
RE: Contingency Letter
Application Document No: API052584
Centrax Permit Number: 13 -SC- 1378416
OSTDS Number:
9546 NW 1 Ave
Miami, FL 33150
Lot:2 Block:5 Subdivision: Bonmar Park
Dear Applicant:
This will acknowledge receipt of an application dated 11/14/2011 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
Proposed Concrete Driveway at front of the house, and addition of a stair on the back of the
house, septic system located at the back yard. Previous permt AP- 1047893 -R
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
Miami Shores Vivage
Building Department
RECEIPT
PERMIT #: I DATE:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
tractor
❑ Owner
o Architect
Picked up 2 sets of plans and (other) R 5611 A"S, (L, tr4
Address: qS�..=) N L, - ANJC.
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:
PERMIT CLERK INITIAL: