DS-12-248Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 169933 Permit Number: DS -2 -12 -248
Scheduled Inspection Date: July 18, 2012
Inspector: Bruhn, Norman
Owner: DUNHAM, CHRISTIAN
Job Address: 269 NE 103 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: SFL
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)758 -9791
Parcel Number 1121360130430
Phone: (786)356 -8806
Building Department Comments
BRICK PAVER DRIVEWAY ON
Passed wk
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Sidewalk must be replaced. NB
e�-
July 17, 2012
For Inspections please call: (305)762 -4949
Page 5 of 29
BU LD G
PE ' PPLICATION
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC
Permit Type: BUILDING
OWNER: Name (Fee Simple Titleholder):
Address: 2 C 4 Alt:. lD✓'
City: !1At'arI' /t Shore f
ROOFING
G A%r64i Bun Dar.
State: FL. zip: 33/3V
Permit No.CP 1� l�
Master Permit No.
hot ••
Phone #: t365) 2(3- ( 3 4
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 2 61 +f/r- /05 5T
City: Miami Shores County:
Folio/Parcel #: it -2/3 - 0/3 02/3c,
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: /B5 5o CSC/
2/o 57-
Miami Dade
Zip: 33 /3b
NO Y Flood Zone:
Phone#: C-4)4) 3r6 - 8 S 04,
City: %�sai"'! i' State:
Qualifier Name: 141 eX.r
Gds
FG
Zip: 33/2
Phone #: ( -Jc) 3S6 _ 0
State Certification or Registration #: Cbe /s /9/ T$ Certificate of Competency #:
Contact Phone#: i t r t Pmai1 Address: 4.6.rdi c ‘.564) i4,46/5 Ca . C o r-1
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ qi 5-00 Square/Linear Footage of Work: 6500 s
Type of Work: Addition ❑Alteration
Description of Work: Pre10y«°`
011 144y Cde'4-le ,14-41k.
aP 4661,446.-1 1 fe!"96iit. eX.St•`r ''An
62"/A ca-ttl
❑New epair/Replace ❑Demolition
k11- 54- /&.r °bite. k
s/b 4y -10 ' `o -i4,11 r4nc.e0.
f $*1 �a.w✓( f rZ )4 �,r� } h lJ t %c IC
4 (1 et-4.0 dire e.,/ rl 11 edu-s, 3' .
* * * ** ray********** ** *+nay+x *>! ************** Fees**************** * * * **+r+r ****** * * * * * * ** * *** * **
11QVS
Submittal Fee $
Scanning Fee $
Notary $ Training/Education Fee $
Double Fee $
Permit Fee $
/CO '251
CCF $
CO/CC $
Radon Fee $ DBPR $ Bond $
Structural Review $
Technology Fee $
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, BOTLERS, 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
Owner or Agent
The foregoing instrument was acknowl ged befoe me this % The forego
day of , 20/2, by �"' J 5 e) 9, 1, day of
who rsonally known to me or who has produced ✓
As identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY
Contractor
g instrument was acknowl ge efore me thisc3
- , 20,a, by /i5
whoi personall own to me or who has produced
✓ as identification and who did take an oath.
NOTARY PUBLIC:
Prin
My
AL-Ai .. _ALA
ANNE GO
ION # EE91274
EXPIRES: Juno 27, 2015
I.800.34,i0TARY PL Notary Mond Atom Co.
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Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
• /�
Zoning
Clerk
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SFEJIT TIME OF FOISTOSPECTION
TA FOIJO IC10.
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE: STATE OF
I HEREBY
THE UNDERSIGNED ,herebygives notice that Improvernartts NV be made to Nadir
real -
property, and ineccordance with-ChaPter 713,,Florida Statutes, the following
Is provided in this Notice of Oprornencement.
1111111 11111 11111 11111 11111 11111 11111 1111 1111
CEN 2012R0072925
OR Bk 27982 Ps 24981 (1Ps)
RECORDED 02/01/2012 15:29:45
HARVEY RUVIHI CLERK OF COURT
MAUI-DADE COUNTY, FLORIDA
LAST PAGE
COUNTY OF DADE
FYitiat this true copy of lis
We !fru on- day of
11111
Space above reserved for use of tesistin goyim
;1-1u9S1VescrlPtiun9f -ProPtfte_n±!dirEMtiacicYess, : ' - Re'Yt'acIT-13 ' - f fol IL- 2 6t ---:1Pg 1 0-3
Li- .
.s . .,
1491"1 i5 IVO r I IL .33/1, .„ _ , . . . ...
2. Description of improvement ere.; le. ate;■it.. (4.).44: ,i7 ei 4-1-- ,
, _ _ ,
P.4"..4-1,-t. -in : ,...„„„..,:. :-.4.4›,.--, v_igilf-filalet4 44,.. 0, MI 0 40-; V otther-i- cs,:pc..,-- eN.0 +/Ai
d.O.iiiiei(i) name 't-7i address 'C -Wit.- ' (),-;--- 4.4 Nciektie 0,A Ptoev,..=:- (.2 I --, iio..E' --, 1 a a! I r - fin lek
V' 4‹
Interest in properly: . -e-vditi-aw4-44- :
Name and address of fee simple titleholder:
4N:9aliit?4Po --'r.la-:i11:1'1Jacia ri*':Ian-Cad khkr4 hl-irri'l' :1:4=3r:';4",1, ..17,'-.. ;5:..fiin:11'.- '3' '.A./.^31P»
iill - T1.1:471 C'414.c.-- 13':71i7fr.
Nen' ' ditireSs andliitene nUmb
B.SOreti:(Payiherrtbond reouireceirbyowneryom contractor
• ,,.., . _ ,_ -, _,,,, , ,
'Aindiiit Ol`bdrid $
-
7. PereonS'withirt-Me Skr--4 of Florida designated by 'OWN-it:600n whom notices or other documents may be served-as-provided by
'Se'cddri'713:13(1)(a)7., Florida Statutes, -- .- = : -
Nairie; address and-JO-Nine number - --
8. In addition to himself, Owners designates thei-f011dwing 'person(s) to receive a copy.of the Lienor's Notice as ,provided in Section
713.13(1)(b), Florida Statutes.
Narrie;adOress ancI phone number
9. Expiration date.of this Notice of Commencement:,
_ . • , (the,Leocpiratioti date id Sfeeir frdm the date of recording unless a different deitels specified)
WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNER AFTER THE FLORIDA OF THE Niyncti*e,_bhitikENCEMENT ARE CONSIDERED
. _ _
IMPROPER PAYMENTS UNDER CHAPTER 13 PART I.-SECTION 713.13. FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMEtsITS.TO YOUR PROPERTY ,A NOTICE,OF COMMENCEMENT MUST-BE RECORDED AND-POSTED OINITHE.JOB SITE BEFORE THE
FIRST INSPECTION: IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Authorized Officer/Director/Partner/Manager
Prepared By _ - , .- . .. -- - ,,..._-;- : _ - a - : Prepared By
Print Name - 'fritiettittEr-T- ' IAtitii+.1--: '-'''''' Print ,.Name
f r t i e t " Offi'4 c e ' J A :- ' -- ' : Title/Office
STATE OF FLORIDA
COUNTY OF MIANII-DADE -- . .. ..
The fciregtgliistrurritintives iCknovill ed before me th1ss3/ - day of
By / e / rote' 1.) a ,1,- .4-44
lir (-7.ez.
L:isjog,',ividolio, or as _i;„ - - - -- - - --f -, = : - - for
eiPersonallyLiinewri; or Paproduced the follbrinrigtYbebf-lbentification:
' - - - ,- = - ,sr f'--Si§natUre Of -Notary Pliblib:-':--,
' Print Name:
(SEAL):- °-
VERIFICATION PURSUANT TO-SECTION--92.625-:-FLOFIIDASTATOTES
Under benalties a-berjury, "1-deClare that I have read,t1-fe foregoing and
that the.facts stated in it are true, to the best of mYknowledge and belief.
Signature(s) of ()whorls) or Owner(sys Authorized Officer/Director/Partner/Manager who signed above:
By - By
ibit''A;111904q jet i A•H'VttIM/1
- EXPIRES: juror!, 2015
ilste-3-Nonkirr tlofelYpiscauff Alf**. Cs.
123.01.62 PAGES 3/10
Whereas, (owner)
M iami 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
(h034-ia," k)ui ‘'10svn
hereinafter referred to as the owner of
the following described property (address): 2 61 Jl E J 03 LT 04114r1 shoves , PL.
3 3131,
Legal Description A ;4rs,' sivief 5c Lot 1 R Block 111 Subdivision
Folio # i t- 213C,- /3 - 02/30 (breve— Requests permission to install (describe work): w 4y l ) (le e - - -4-
C ae4-4-4s; A - p0';c k 9a1- dik. I -v C. co.L.7 A 4 r r S l!-!- a 4 (4 .., f
Within the public right of way of (address) 2 69 Al E /03 SST A'av -I i yhuir-r; PL
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of
way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason 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
sYLQ
Owner or Agent
The foregoing instrument was acknowledged before me his v/ day of , 20 _ , by r,s Icir //epy;
who is personally known to me or who has produced , ii�s G�' 1. As identification and who did take
p Y P + l'�P'
an oath.
NOTARY PUBLIC:
2
FLORIDA DEPARTMENT OF
HEALT
Rick Scott
Governor
H. Frank Farmer, Jr., M.D., Ph.D.
State Surgeon General
February 08, 2012
(Sofia Lanscaping Inc)
18550 SW 210 St
Miami, FL 33187
RE: Contingency Letter
Application Document No: API 060570
Centrax Permit Number. 13 -SC- 1391002
OSTDS Number:
269 NE 103 St
Miami, FL 33138
Lot:20 Block: 119 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 02/02/2012 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 (driveway construction in the parkway, between the sidewalk
and NE 103 St).
If you have any questions on this matter, please call our office at (305) 623 -3500.
Enclosures
cc:
Sincerely,
ineer 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.MyFloridaF.H.com
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT 4'
Permit Application Number
- - PART II - SITEPLAN -
Scale: Each block represents 10 feet and 1 inch_= 40 feet
c-L
C
71..9: I\3L N31
9
Lr+tit� d�.c
(` :i
.`
e= 1601-c
Notes:
re
Site Plan submitted by: 4'; � - .,� AA. 't 1 i i s`p'y IN t)
c'
Signature
Plan Approved V °-'' Not Approved_
b ilkIN e
�1
By eFt
Date i 1T 2.-1 1 i t
County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015, 10/96 (Replaces HRS -H Fox n 4016 which may be dC
(Stock Number. 5744- 002 - 4015 -6)
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41
ADPROVED
ZONING DEPT
BY DATE
WI a
SUBJECT 10 COMPLIANCE wiTH ALL FEDERAL
STATE ANL) cr,UN Y HUES AND REGULATIONS
41,
MVti.OADd tburet-Ne ATh tifii-AfttMENI
PERMIT thiLLIPAAPS.Lt9----
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DATE:
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
Permit NO. DS -2 -12 -248
Folio Number:112136013043C
Owner's Name: CHRISTIAN DUNHAM
Job Address: 269 103 Street•
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet:
Total Job Valuation:
(305)758 -9791
1500
$ 9,500.00
Contractor(s)
SFL
Phone
(786)356 -8806
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: No -Date Denied: 2/14/2012
Comments: DRIVEWAY IN THE'REAR CAN NOT BE LOCATED CLOSER THAN 10 FEET TO SIDE LOT LINE.
PLEASE IDENTIFY THE TREE, LIGHT, STANDARD AND TRAFFIC SIGN ON A NEW SURVEY AND SHOW HOW A
DRIVEWAY NOT TO EXCEED 10. FEET IN WIDTH AND- NOT CLOSER THAN 2 FEET TO THE SIDEWALK CAN BE
LOCATED WITHOUT HARMING THE TREE OR CONFLICTING WITH THE LIGHT STANDARD OR TRAFFIC SIGN.
•
Permit No: 12 -248
Job Name:
February 17, 2012
1) Provide zoning approval.
Miami Shores Village
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
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