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DS-11-2354Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 168137 Permit Number: DS -12 -11 -2354 Scheduled Inspection Date: June 18, 2012 Inspector: Bruhn, Norman Owner: BRIDGES, MARK & KATHERINE Job Address: 1207 NE 92 Street Miami Shores, FL 33138- Project <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number (305)758 -7366 Parcel Number 1132050270310 Phone: (305)252 -8055 Building Department Comments INSTALLATION OF PAVERS DRIVEWAY c.a..alC�iti_ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 15, 2012 For Inspections please call: (305)762 -4949 Page 4 of 27 NOTICE OF COMMENCEMENT' A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE 0 STATE OF FLORIDA. l HEREBY COUNTY OF MIAMI -DADE: vri9i r THE.UNDESSIGNED.herehy.gitz Mice .hal Improvements will be made to certain :r rNESS • property, and in accordance with Chapter 713, Florida Statutes, the fallowing informallonHARVEYY Is provided in this Notice of Commencemerd. BY 1. Legal description of property and street/addregs: i`d Z I14.A z.0 1111111111111111111111111111111111111 11111111 CFN 201280043034 OR Bk 27968 Ps 2024; (1Ps) RECORDED 01/20/2012 12:45:52 HARVEY RUVIH9 CLERK OF COURT t'IIAt1I -DADE COUNTY? FLORIDA FLORIDA, COtiiiii&bE ERTIFY Ph& this ' GoPY of the in t; ' 011 /-rte AD20 LC. bend and Mel Seel Casty Casa 313it 2. Description of improvement: .&/tl i ofl-1 f A 17e4/A 3. Owner(s) name and address: 1ti4rle ._01110 interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: ehoi O Q A% 17 `e. { t 00 t 103 ,O ,tL. ti_ 33117 V' 5. -Surety: (Payment bond required by owner from contractor, if any) lame and address: aunt of bond $ . Lender's name and address: 7. Persons- within -the state of-Florida-designated by- Owner.upon whom notices or other documents may be served as provided by Section 713.13(1Xa)7., Florida Statutes, Name and address:. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1Xb), Florida Statutes .Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording ur?less a different • - - is specified) Signature of Owner Print Owner's Name Sworn to 1 1/" • c, Notary Public _►.u.L � law ' al Print Notary's Name OFRATANINATE My Canes orpires:va - _ CLAUDIA V. CUBILLOS *,% Notary Public - State of Florida • ___ My Comm. Expires Sep 28, 2015 Commission #E EE 128810 • Boni Titterer National Notary Assn. This Iristrument prepared by Narne: Jstreie 611411.-1 0 Address: 1 111-5 n • 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 Typ • BUILDING ROOFING (C" �Yl DEC 2 2 2011 BY,°,e�_emem_eee Permit No.1761) Master Permit No. OWNER: Name (Fee Sim. " " 1 e older): 11/444 .312446%05 Phone #: Address: 12-®7 OM- 472 --97' City: i)0417%-0' State: if" Tenant/Lessee Name: Phone#: Zip: 3 ") 7 } . Email: JOB ADDRESS: 12.01 /I1 C q2-11' City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: erfAMP Itni ' %97,140_ Address: ft 001 1/0100 e73 fl — 103 Phone#: ZCL cft City: be Qualifier Name:.J/f/t1e.— *44p-A 0 State Certification or. Registration #: Contact Phone #: 9a- 1-tarbZ_ DESIGNER: Architect/Engineer: State: Value of Work for this Permit: 0"10, Type of Work: ❑Addition °Aeration Zip: 3'1 Phone#: Certificate of Competency #: ®fk9j5 Email Address: J 1+1/ ' - imP rp ICJ Y ao, et..e Phone #: 0 Square/Linear Footage of Work: 4/0770 ),...579. f °New ORe air/R laee °Demolition Description of Work: W y 14-V c'ett- 5' * * * ** *** * * * ** * * * ** : * *** * * ****** **Feesx:**x+ : *+ x*** ***x: ** **+ x**** **************** * **** / •�b� Submittal Fee $ Permit Fee $ / /J CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ r vI 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. "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 , elivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence 'nt muse .e posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the ' .sencejf such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The fo day of I oin ins 1�.L• '‘1 / e is dentification and who did take an oath. tAlveerr S floods i %owl Public, tee Sep 23,2 3 My mission 4 �ed tart' Assn. Commission National No �Throug Signature The forgoing in ; n day of " /� �� I w is •-rsonna IOTA Contractor was ackn led 20 n ,, by known to me or who has produced ntification and who did take an oath. LIC: Sign: Print: My Commission Ex x•x•a••xx• •*•xx••x•x•x•x•x•x•x•x•x*x• •************************** ** ************** *****e•**e•**e• APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) ,m,. ' CLAUDIA V. CUBILLOS 04P e(7‘,. Notary Public - • •rida • My Comm. Expires Sep 23, 2015 ��r�; Commission # EE 128810 ••.f of c��.. Bonded Through Nations Notary Assn. •pons �• ' e• *a• **s•e•*** s•* * ***** *e• lrf/ Zoning Clerk My Home Show Me: hopertyinformation Search By: Select Item Text only r .<4 1J Property Appraiser Tax Estirnator 1-4 Pio_perty Appras= Comparison Summary Details: 11-3205-027-0310 1207 NE 92 ST MARK BRIDGES KATHERINE C BRIDGES 1207 NE 92 ST MIAMI SHORES FL 33138- Prope Primary Zone: CLUC: Beds/Baths: Floors: Living Units: Ad" • Information: 1100 SINGLE FAMILY RESIDENCE 1 RESIDENTIAL - NGLE FAMILY Lot Size: 2,50050 FT Year Built: 956 Y LURE PB 44-63 FT OF LOT 19 & L L LOT 20 BLK 2 LOT egal E IRREGULAR OR saiption: 9168-1084 06 2000 4 • I 1 444 23800-3676 09 1 Assessment Information: Taxable Value Information: 2011 APPIIed Exemption/ Taxable Value: 2010 APPrted Exemption/ Taxable Value: =14=21111111: 7T-.1*11,, =1111111111111:'et.itz:LafaUZJ ,LF31111111111111ir= RE. 4e'.,,i..,12E= .iUt,JM‘ 19 984 Sale Information: les Sales qualified as a *ualification result of examination of .4 cr. ion: the deed ACTIVE TOOL: SELECT Aerial Photography - 2009 1 I Property Taxes Property Appraiser 0 113 ft Homel Usina Our t I no DirectoalPrivuAl 0sctaum er If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Web Site © 2002 Miami-Dade County. All rights reserved. Legend Property Boundary Selected e, Property 4"9 Street 'de Highway Miami -Dade County Water 5 2011 2010 nd Value: 11211112,111 150... I-4,ver!!3.11111 sass 19 1.-...,:., r1r.!•rI9Mr111111111 1..... AULIII :.. .. a . e. A: .. :...•7 ' Igiv.!1Y7 MI IIII $448 19 ;AM... Taxable Value Information: 2011 APPIIed Exemption/ Taxable Value: 2010 APPrted Exemption/ Taxable Value: =14=21111111: 7T-.1*11,, =1111111111111:'et.itz:LafaUZJ ,LF31111111111111ir= RE. 4e'.,,i..,12E= .iUt,JM‘ 19 984 Sale Information: les Sales qualified as a *ualification result of examination of .4 cr. ion: the deed ACTIVE TOOL: SELECT Aerial Photography - 2009 1 I Property Taxes Property Appraiser 0 113 ft Homel Usina Our t I no DirectoalPrivuAl 0sctaum er If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Web Site © 2002 Miami-Dade County. All rights reserved. Legend Property Boundary Selected e, Property 4"9 Street 'de Highway Miami -Dade County Water 5 :,..Aildvousidenes -smaletotnitetantorsovensuatastementessonnonisna1 DEC 2 2 Ali 17 '' 77 ' .... . ................. AM 16010000! 100,000099 0.441 •••••*444111.4.4 .4LOC-044 1041MA____ Ll tre-Ovcd--,M5e C0A1c4211r- Ar / alive-rex. PERY,,,,HT #: '1VIrarni Shores Village APPROVED BY DATE tONING DEPTux7 f(ei 7/2- a LDG DEPT agog '.:. NOW. -• ' - ''--■ ' FI-1 ALL FEDERAL ./171.1ZLES AND REGULATIONS .TA II" k WSW naunztriay 73a 1 Elf COWED • SI 477 1 b SOZ2 1 1 59O'0(700W 100.0 NAOMI MINN& Maisettnamplismitibilisip AssentailleatteMptibes, 1 fatgr-VOla 4115LBOX IVE50 MLR 475.11 20161WIDESSIT SIVOIRWMAY N.E. 9 2 d STREEI 1111-40. el/ 4) ORO kaddissliedissentalhationdkiedialkensikkanthibd_ likomOdeeknayllitigitekkanftice 15WMAtendasts80511 Fat Fbrida33319 o5077641761 Faciasonme whivasgedisupsysem LANDTECH S U R VE-YING Ptoddivi fat is Accoade Lead Sale Stabs Ovoughcel Rortdo —szonnWelal Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General January 18, 2012 Rolanda Arrieta (Glasshammer, Inc) 19341 Sterling Dr Cutler Ridge, FL 33157 RE: Contingency Letter Application Document No: API057223 Centrax Permit Number: 13 -SC- 1385705 OSTDS Number: 1207 NE 92 St Miami, FL 33138 Lot:19, 20 Block:2 Subdivision: Bay Lure Dear Applicant: This will acknowledge receipt of an application dated 01/04/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Proposed a new semicircular replacement and enlargement paver driveway. 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: Sincerely, Carlo Carlos Icaza, Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500. Fax: (305) 623 -3645 . http: / /www.MyFloridaElI.com RECE JAN 17 2012 AP 1v572 23 Miami Shores Vital ?,1A____ APPROVED BY ZONING.DEPT 131 .DG DEPT 1.1P...1C:CT 10 (y ( *rWr.•: .1/1 , m ! .. r. rc ®a.rW. Offs SEPTIC TANK GAL • EXIST. 300 *Amp Taw -,r N.E. 92nd STREET FMC . DTECH 5 fed & -tannmdOntai STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant, M Age- 60,6 60 , does hereby attest that (Property owner) The attached survey, performed by LA-106 T'I. "H ,S V LV'71 N 6 (Name of surveyor's company) For address: 12-0 7 pJ E sT I1'Y A 5 - - -33,/3 Performed on i _ Z °- 09 (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey Tess than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further, Alf nt say -th naugh Property Owner Signature SWORN TO AND SUBSCRIBED before me this _da of Affiant is personally known to me, produced Revised on 5/22/2009/ Revised on 6/12/09 i- v A 4/ v, Prop -, Owner Print me identi icatipri•. Notary -- - --- -- r ,,,,, CLAUDIA V. CUBILLOS ` (i `% Notary Public - State of Florida My Comm. Expires Sep 23, 2015 =:PA, .of Commission # EE 128810 ,°, ,`�'�' Bonded Through National Notary Assn. Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #:li' DATE: aCi e1 ��bi �u lm actor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) 1 Address: 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 ne d to be brought back to Miami Shores Village Building Department to contin, permitti �� process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: IVitami Shores Village 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) .tpidtkp comprfispe9 ,Q L LOb hereinafter referred to as the owner of the following described property (address): 9 2.97 fU A 5I-10 * « r Legal Description Lot Block Subdivision Folio # Requests permission to install (describe work): f fl)-- 1/y/4.3. A /4-,0_12/144.0.> Within the public right of way of (address) I2_D ) ll= co_ cr ht I Ax4/1 j-j, y . ; '3i7 f IN CONSIDERATION of the approval oft isPpermit by the .'Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the, above- mentionea'item s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade CO County to make repairs or maintain said items within public right of way including restoration of street by rep on of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 1 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 -*IA Owner or Agen The foregoing instrument was acknowledged before me this who is personally known to me or who has produced an oath. NOTARY PUBLIC: ar Sign: Print: My Commission Expires: 2 20JL,b —.) As identification and who did take