DS-12-624Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 172186 Permit Number: DS -4 -12 -624
Scheduled Inspection Date: April 30, 2012
Inspector: Bruhn, Norman
Owner: RHODES, STEVEN
Job Address: 9802 NW 1 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: CAIBAI CONSTRUCTION LLC
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)799 -1407
Parcel Number 1131010240080
Phone: (786)229 -2770
Building Department Comments
REMOVE EXISTING CONCRETE PAVERS GROUND
INSTALL 4 "X8" CONCRETE BRICK PAVERS SET ON
SCREENING SAND WITH CEMENT BORDER. INSTALL
16X16 CONCRETE SQUARE PAVERS SET ON SAND.
Inspector Comments
Pass
Failed
eeL
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 27, 2012
For Inspections please call: (305)762 -4949
Page 15 of A
tA 23112 -
B ILDING
PERMIT APPLICATION
FBC 20 i0 -
Permit T UILDING OFIN
OWNER: Name (Fee Simple Titleholder): GM.tl( e Phone #:
g t
City: 141410.2 51.•••-r..5
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
Permit No.
1{COMIEVIE'i
APR 1 2 Z012 i
BY: coma ®® ®.m...®®® ®60oab
O1lCo24
Master Permit No.
Address:
Fs-1- X92 -32)te
State:
Zip: 3 3 /fl
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
City:
Follunrcef#7
Miami Shores
County: Miami Dade
Zip: 3 3 Ail
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: (OF 76 s••�
City: aa.r': *-
Qualifier Name: lbo-e
State Certification or Registration #:
Contact Phone#:
NO Flood Zone:
Phone #:
74 _22-7- Z776
Z`'f Jer 6--c
State: Zip: 3g
L1 o.. Phone #:
e 4 G 6, 5 b O h.‹ Certificate of Competency #:
Email Address:
DESIGNER: Architeet/Engineer: Phone#:
6o6%.°--- 600
• Value of Work for this Permit: $ Sq��uare/Linear Footage of Work: ``ww
•
Type of Work: ❑Addition OAlterraattion Erl w URepair/Replace ODemoolition
fription of Work: iZe.4,-.40.4- 6j°``30/1, ' G fie ck. iP .e is el eV't
***** ** *4 ** *o * *** *** * * ** * ***** ** * * *4. r'ees * * * *h. ** x**** * * * ** x* .x**** *.n*.x*** ** *** * *** * * *.x
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ "ZA-
/S" CCF $ CO /CC $
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 Al IDAVIT: 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 la brochure will be delive d to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of V enceme ust be t d at the job site
for the first inspection which occurs seven (7) days after the building permit is is the abs'n e of s, osted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
°afpm Kaen
Owner or Agent
The foregoing i trument was acknowledged before me this
day of ,201Z;by
who i wn to me or who has produced
l0
Signature
.„0.144./.7
The foregoing instrument w acknowledged before me this
, day of 14 I , 20 17--rby
who is
10
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Co
to me
as identifica
NOTARY PUBLIC:
PAIGE F # DD 8
Expires x.25'
ndneswancetax
AVM
sion Expires-
Sign:
rint:
My Commission Expires:-
*+ x* x: *+ r **+x***.x**+x*** **a:+xa+ : ************** *****+ x*** *****. x***. x. n. x*. x** a: ******m *+ x***. x********* *+x+x*********+x****** **
APPROVED BY
�1:2•Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk
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
Folio Number:1131010240080
ti
Owner's Name: STEVEN RHODES
Job Address: 9802 1 Avenue
Miami Shores, FL
Owner's Phone: (305)799 -1407
Total Square Feet: 600
Total Job Valuation: $ 1,600.00
Contractor(s)
CAIBAI CONSTRUCTION LLC
Phone
(786)229 -2770
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 4/19/2012 : Yes
Comments:
•
•
SU13JECT TO COMPLIANCE W ' ALL FEDERAL
Fr
1 _ ES AND RFOIJLATION3
N.W. 1st AVENUE
21.00' PARKWAY
73.49' (R&M) FJ.PJ/2
8.50'
11.35' g
13.35'
14.701 4.90'
15'.ALLEY
•
roperty T .:
nnnn i let • s\ T'UI 1 .
Notes:
4111
Rick Scott
Governor
Steven L. Harris, M.D., M.Sc.
State Surgeon General
April 16, 2012
(CAI BAI)
10876 SW 24 Ter
Miami, FL 33165
RE: Contingency Letter
Application Document No:AP1068919
Centrax Permit Number: 13- SC- 1404476
OSTDS Number:
9802 NW 1 Ave
Miami, FL 33150
Lot:18 19 Block:1 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 04/13/2012 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
property.
From a review of your completed application, it has been determined that your existing system
is adequate for the proposed use (paver installation).
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.MyFloridaF,H.com
PERMIT #:
Miami
Shores
Viiiage
Building Department
RECEIPT
DATE:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Contractor
o Owner
o Arc
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:
tl2
Permit No: 12 -635
Job Name:
April 11, 2012
Miami Shores Viiiage
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
1) Provide approval from Miami Dade County Health Dept. (DOH /HRS)
2) Provide updated permit application prior to any further review. The plans will not be
accepted for review without the proper application.
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 - 762 -4859