DGT-11-2376Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 168262
Scheduled Inspection Date: July 12, 2012
Inspector: Bruhn, Norman
Owner: BELLINSON, JENNIFER
Job Address: 9205 NE 4 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ORONI INC
Permit Number: DGT -12 -11 -2376
Permit Type: Decks /Gazebos/Trellises
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132060140230
Phone: (305)685 -0412
Building Department Comments
REPAIR SOME BOARDS ON WOOD DECK
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Cc_
July 11, 2012
For Inspections please call: (305)762 -4949
Page 3 of 23
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: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder)' t J �� � U4' t hone #: (-) 3rJ 3'Z1(
Address: / Z'S "re- q �/
City: �l/V*J st S State: Zip: ?7 / ? K}
Tenant/Lessee Name: l Phone #:
Permit No.
JEC cz 1201 "r
Master Permit No.
E
Email:
JOB ADDRESS:
City: Miami Shores
County: Miami Dade
Zip:
Folio/Parcel #: j [ ° 32-06®° 0 1 i - I7.30
Is the Building Historically Designated: Yes NO Flood Zone:
Phone #Nf 4"Qc- o 41
zip: 73 68'
CONTRACTOR: Company Name: Q(kk3 WC—
Address: /14-c) t-1-6 6 C.T
City: ■JU Ai\k l State: ft-
Qualifier Name: OP -C-1=1%)-) l/AC'� Phone#:
State Certification or Registration #:CC -rif! �oSf Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 7Gc) Square/Linear Footage of Work:
Type of Work: ❑Addition
Description of Work:
DAlteration ONew epair/Replace
1� u2 g rA Q 1)_S
ODemolition
cmd e * * * * * * * * * * * * * * * * **** ** * **** * * *** ******Fees ** ********* * ** **** * * **** ** ** ***** * * ** *****
J
Submittal Fee $ 50* Permit Fee $ /646') 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.
"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.
Signature
Signature
Owner or Agent Contractor
The foregoing instrument s� Awas acknowledged before me this Z� The fore oing instrument was acknowledged before me this'
day of 6- , 20 (4, by , day of , 20 lI. , by
who is ersonally known to me or who has produced who is p onally known o me or who has produced
Ao
0t 00 01-rAs identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:_
�tA°S' �tei�t� �e -s��� OF FLORIDA
e Mores Lopez
.y '.irk 'f.i I) 66456
Sign: 2,..,„ a.. , ,/ , +" ' g1g0, 2012
Print: BONDED TIM
My Commission Expires:
Sign:
Print:
K.4 cei
,sr
My Commissi
APPROVED BY
A2" Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
13 /.2 Zoning
Clerk
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
Permit NO. DGT -12 -11 -2376
Permit Type: Decks /Gazebos/Trellises
Work Classification: Repair
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1132060140230
Owner's Name: JENNIFER BELLINSON
Job Address: 9205 4 Avenue
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 0
Total Job Valuation: $ 300.00
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 1/3/2012 : Yes
Comments:
111:11111011PTI,11111171111111!••11ITIPM
R,12
11
S1
10
9
N.E. 93rd STREET
8
In
7
6
5
1/
4
3
2
55.12; 30'
ALLEY
in
v
7
1
0
15
16
17
18
19
20
21
22
23
io
L. 127.5'
N.C. 92nd STREET
- 141.2'
'J r.4'X4'
SKETCH OF SURVEY
SCALE: 1 INCH = 20 FEET
LOCATION MAP:
SECTION 6 TWP . 53 S. RGE 42 E.
SCALE: 1'=100.
A. R. TOUSSAINT & ASSOCIATES. INC.
LAND SURVEYORS
FLORIDA CERTIFICATE OF AUTHORIZATION NO. LB-273
620 N.E. 126 ST. NORTH MIAMI, FLORIDA 33161
ORDER No. 14041 DATE: SEPTEMBER 11, 2006
- RI 523 PGS. 54-57 SCALE: AS SHOWN
▪ FIE: 2006/11X17/14041 DRWN BY: WT
ORDER: 14367, UPDATED THIS 28th DAY OF 2008
F.B. 523 PG& 51-54
ECT TO CCMPUANCE WITH ALL FEDERAL
Alatam,tmrriR W1-1) (so WA,
• • • • •. S
MGM;
CONC
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ENC
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N&D
= CONCRETE
. CENTERLINE
=
.
ENOR M
CHAINZIK (FENCE)
CLEAR FEN
=
= FOUND
= IRON PIPE
= LAND SURVEYOR BUSINESS
= NAIL & DISK
= PROPERTY LINE
= REGISTERED LAND SURVEYOR No.
ABABIECAMM
0 10' 20' 40'
60'
SCALE: 1 INCH = 20 FEET
SURVEYORS NOTE;
ELEVATIONS SHOWN REFER TO THE NATIONAL GEODETIC VERTICAL
DATUM. 1929. (N.G.V.D.)
MITALREEIMEgh
LOTS 13 & 14. OF BLOCK 50. OF 'MIAMI SHORES. ,SECTION NO.
2", ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 10
AT PAGE 37 OF THE PUBUC RECORDS OF MIAMI—DADE COUNTY,
FLORIDA. BEING SITUATED IN THE VILLAGE OF MIAMI SHORES.
SURVEYOR'S CERTIFICATION
•
WE HEREBY CERTIFY THAT THIS SKETCH OF SURVEY IS TRUE AND
CORRECT TO 111E BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY
SURVEYED AND PLATTED UNDER MY DIRECTION AND THAT THIS SURVEY
COMPUES WITH THE MINIMUM- TECHNICAL STANDARDS FOR LAND
SURVEYING IN THE STATE OF FLORIDA. UNDER CHAPTER 61G17-6 FLORIDA
ADMINISTROVE CODE, CHAPTER 472.027 FLORIDA STATUTES.
NOT VAUD Irma THE SIGNATURE AND RASED SEAL OF THE
REGISTERED LAND SURVEYOR SHOWN HEREON.
THERE ARE NO ENCROACHMENTS UNLESS SHOWN HEREON.
A.R. TOUSSAINT & ASSOCIATES, INC.
BY:
aelleclyzziord
ALBERT R. TOUSSAINT
REGISTERED ENGINEER NO. 8939
REGISTERED LAND SURVEYOR NO. 907
STATE OF FLORIDA
FLORIDA CERTIFICATE OF AUTHORIZATION LB-273
PRES.
14041 14367