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DS-12-712Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 174380 Permit Number: DS -4 -12 -712 Scheduled Inspection Date: June 05, 2012 Inspector: Bruhn, Norman Owner: GONZALEZ, CLAUDIO Job Address: 1178 NE 98 Street Miami Shores, FL 33138 -2508 Project: <NONE> Contractor: BRICK PAVER GROUP INC Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050180400 Building Department Comments PAVER DRIVEWAY Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 173957. CREATED AS REINSPECTION FOR INSP- 173575. CREATED AS REINSPECTION FOR INSP- 172661. Complete restoration at disturbed areas. NB Same comments. June 04, 2012 For Inspections please call: (305)762 -4949 Page 21 of 24 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 4�a,��� �Au(rJ BUIL ING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: iris? ,9a Tft)MCM Mc- it APR 2 0 X12 6 ___mm maoema __ FBC 20 Permit No. 051 'fl Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: (50 Folio/Parcel #: i(-39D5 -0r8 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleh.j der): ` (O OOna /Cr.- Phone #: CA-6) AX-Ong Address: (( /?� City: State: �i C. �, Zip:.�3 /X Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Address: 'SO W 04 /Ov _ LO mit City: P \V fV\k State: �/ Qualifier Name: ��� dew Phone #: ,acs)Sq(1'CD State Certification or Registration #: Certificate of Competency #: rte©" \() k`rj Contact Phone #: C.3�..5)$`'j -C) Email Address: DESIGNER: Architect/Engineer: _ Phone #: Value of Work for this Permit: $__ 000 t� Square/Linear Footage of Work: 6 5 liti Type of Work: ❑Addition ❑Alteration IiiNew ORepair/Replace ❑Demolition Description of Work: / Rl'f" 41.tutL3fly // Phone #: ..5q( 11 Zip: 33 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** Fees, * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * *,x * ** Submittal Fee $ / �, Permit Fee $ /SQL d CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ _ Structural Review $ TOTAL FEE NOW DUE $ t 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 co encement must be posted at the job site for the first inspection which occurs seven (7) days afier the building permit is issued. , . abs' ce of such posted notice, the inspection will not be approved and a r ' spec tf n fee will be charged. Lth Owner or Agent Signature Contractor The foregoing instrument was acknowledged before me this /7 The foregoing ' - I ment was acknowledged before me this f day of , 20 IL, by 0 c.,,, a C e , , i - a Z c , L . . . - , day of A c v , i , 20 11_, by 2 .L...C„ .r=, who is personally known to me or who has produced fL , L c who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: X, -mow n P )' c'an 11 ***************** 3c9e, Y3e*** ***3:,k**,B4r9roY*,49e****3 *** **** Y**ZY** **4r3esY******Y9:9:*** Y Y9:****k 9e3e, Y, Y: Y9e& 9e9e :Fa4*3e1*,Y,Y,Y9: *,F9e**** YI_Onar travarro COMMfSS10N #EE030439 EXPIRES; SEP 28, 2014 *'#W AAR0NNOTARxacm as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: )././r /�1 (at2? 244 �OtilsY P ,,,i My Commissi�8,g. .7,4; „ „�;' EX�; RES. SEP. 28, 2014 wwy,{ AARONNOTA, 0 in .r v EEtiVart - 9 d/ 5f , �e COMM SSION #EE030439 APPROVED BY dej Plans Examiner Structural Review (Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09) l a Zoning Clerk Miami Shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, Valet, does hereb y attest e st that (Property owner) The attached survey, performed by Vkc. ) ,Ass oc'tr.A L' (Name of surveyor's company) For address: I t--”11 e Performed on 7/cf 10 (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 less 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 Affiant say et Pry Owner Signature a�1lCa\h2 Property Owner Print Name SWORN TO AND SUBSCRIBED before me this I'1 day of " 4 "k` . Affiant is personally known to me, produced FL 1 .y as identification. "VLtf'._ Y'ilan R Navarro PQMMI ION#EE030439 ,MMR0NN0T8AR'r om Revised on 5/22/2009/ Revised on 6/12/09 IR Notary IVliami 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) .� • hereinafter referred to as the owner of the following described property (address): k \ li+ai.v S Legal Description Folio # �� ®� r , k Requests permission to install (describe work): d' - prAdkiwk-o4d L1A CL'��e J V Lot � Block RO Subdivision Within the public right of way of (address) \ Aq, Ne, (55o, 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 Owner or Agent The foregoing instrument was acknowledged before me this 17 day of , 20 i, by C��,) %0 who is personally known to me or who has produced FL . L As identification and who did take an oath. NOTARY PUBLIC: Sign: � r4.ea Print: Wi /vu'. va- 27 My Commission Expires: C..zi . - SO /9 2 •••" "p ,., Vilan P. Navarro °•$ e V,M.SSON #EE030439 $3� P ES: SER 28,2014 �'yy� „<i °: Nww.ARRONNOTARY.com Rick Scott Govemor Steven L. Harris, M.D., M.Sc. State Surgeon General April 11, 2012 (Brick Paver Group Inc) 350 W Park Dr Miami, FL 33172 RE: Contingency Letter Application Document No: API068003 Centrax Permit Number: 13 -SC- 1402913 OSTDS Number: 1178 NE 98 St Miami, FL 33138 Lot:23 Block:180 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 04/05/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your existing system is adequate for the proposed use.This permit is granted to install a new driveway in pavers only. No change in sewage flow. *********************** * * * **tAPPROVED«« *** ** * * *,k,k * *, * * *** * *.,,t*« *, * * *,k,k If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaF.H.com r IX OP B T SCALE: 1n =20' 8.33' 8.62' ME 98th STREET 75.00' Total WIN 21' Asphalt ov ' FND.LP.1 (N010) LOT 22 BLOCK 180 F.F.12.08' v Y HEALT1-1 DEPARTMENT FND.LP:112"— O. P 77.85' (NO ID} •15'ALLEY NOTE: THIS SURVEY HAS BEEN PREPARED FOR EXCLUSIVE USE OFTHE HEREON. THE. U R1li•iCATE LOESS NOT p I• TO ANY UNNAMED ZONING DEPT SUBJECT TO COM' STATE AND COL INTY RULES AND REOULATION3 LOT LEGAL DESCRIP7IOM REVISED PLAT OF TRACTS 178B, 178 C. 179 8, 179 C, 1 BO A. BLOCK 180 OF & N 112 180 C, OF REVISED PLAT OF MIAMI SHORES SECTION 8 SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT B001L 31--__ AT PAGE 41 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. PROPERTI'ADDRESS: 1178 N.E. 98th STREET. MIAMI SHORES, FL 33138 CER17FICAT1ON TO: CLAUDIO GONZALEZ LOCATIO1f SW MIS. SURVEYOR'SNOTE$ 1.) EXAMINATION OF ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 2.) LOCATION AND IDENTIFICATION OF UTILITIES IF ANY ARE SHOWN IN ACCORDANCE WITH RECORDED PLAT. 3 -) OWNERSHIP IS SWECT TO OPINION OF TITLE 4.) TYPE OF SURVEY" BOUNDARY SURVEY°, 5.) THIS SURVEY IS NOT VAUD UNLESS SIGNED AND SEALED BY THE SURVEYOR OF RECORD. 6.) ALL RIGHT OF WAYS SHOWN ARE PUBLIC UNLESS OTHERWAISE NOTED. a.) LANDS SURVEYED AS DESCRIBE). 8.) NO UNDERGROUND INSTALLATIONS ON IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED. FLOOD ZONE INFOR MA T T O N t ����„ Community Number Panel Number Suffix Date of Firm Index Firm Zone I "- Rood Elev. 1 120652 0306 L 9-11 -09 "X" NONE SOURCE ELEVATION PROVIDED BY DADE COUNTY SURVEY DEPARMENT RELATIVE TO MEAN SEA LEVEL NATIONAL GEODETIC VERTICAL DATUM OF 1929 LOCATOR INDEX BENCHMARK NO. ELEVATION COPYRIGHT ROBERTO BRIZUELA & ASSOCIATES, INC. "LEGEND" P.RIA.- PERMANENT REFERENCE MOT`'L EELIT U.E- UTILITY EASEMENT P.CP• PERMANENT CONTROL PONT W.K. WOOD FENCE F.IP,- FOUND IRON PD'E M .. VEILS,. RE SIP,• SET RONP 1/2' STAMPED R- R000FJ CD H.• FOUND DRILL HOLE $ N.D.SET NAIL & DISC STAMPED PLS SDM. SET OIL HOLE F.ND - FOUND NAIL 8 DISC CI. - MINER LE CBS.- CQNCRE7£HLOcI(STRUCiIINE RES .- RESIDENCE ENC. • ENCROACHMENT L:F.E, LOWEST FLOOR ELEVATION RIM.', RICOI T Of WAY F.F.E.- RASH FLOOR ELEVATION C.. • CLEAR CLF.CRAW MAC FERM NOME THIS SURVEY 6INTENDED FOR MORTGAf3E OR RERNAs(CE FORME ONLY, fXCtUSiVELYFOR THIS USEBY THOSE TO WNW IS CERTIFIED. THIS STAVE' NOT TO --BE WED FOR c 4s7RUCTTOk PER&BRNG yam OR?I4VOMER USE =WOW V I17 7CONSENT0FROBER7OBROY/a& ROBERTO R. BRIZUELA & ASSOCIATES Land Surveyors OFFICE: 7319 WEST FLAGLER STREET MIAMI, FLORIDA 33144 PHONE: (305) 551-4393 FAX: (305) 2666112 108 NUMBER , .10 -160 FIELD BOOK ALES FIELD WORK DATE: _07-0040 REVISIONS L REV SI0NS 2 -- REVISIONS 1 HEREBY CERTIFY: HAT THE ATTACHED OF OU,VEr OF 718E ABOVE DESOLATED PROPERTY IS CORRECT TO THERM OF MY KNOWLEDGE AND BEUEF AS REC NTLYSURVEYEDUNDERMTDIRECTOQR ,.ANDTHATTHERE ARE HO ENCROACHWINTS OTHER THAN TK000 SHOWN. AHD MEETS THE weer OF THE MIN MMAI TECIERCAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS 01 CHAPTER St 0 IT OF FLORIDA ATINRESIRATIVE CODE. PURSUANT TO SECTION 47L027 FLORIDA STATUTES. ROBERT / BRIZUELA PROFESSIONAL LAND SURVEYOR No. 31$4 STATE Or FLORIDA 1111111 11111 11111 11111 1111111111111111111111 NOTICE OF COMMENCEMENT A RECORDED COPYY M+IUST BE POSTED ON THE JOB SiTE /AT T1MEOF.FIRST INSPECCT�IO�N PERMIT NOD - 2 I •.<TAX POLIO NO. ii ':3 7-fA0 STA'FE'OF FLO' i1DA '' COUNTY OF MIAMI -DADE: THE UNDERSIGNED )tereby gives notice that improvements will be made to certain real property and in cceedince with Chapter'713, Florida Statutes, the fofowinginformation : is provided fn this Notice of Commencement. CIFN 2012R0238581 OR Mc 28059 Ps 3190; (fps) RECORDED 04/04/2012 11 :26 120 HARVEY RUVIN. CLERK OF COURT I1IAIII -DADE COUNTY? FLORIDA LAST ; PAGE'. Space above re$erved for use of recording office 2. Description of improvement 3.Owfler(s):name'and 'address: Interest In Property:.. , Name and address of fee simple tifehoIder. 4. C o n t r a c t o r ' s name, a d d r e s s and phone n u m b e r . ?G r` 3 356 f a lid q0( 1 ...—f JC{ ':k ► t.. 5. Surety (Payment bond required by owner from contractor, if any) Name, address and phone number:_ Amount of bond $ 6. 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(1)(a)7 , Florida Statutes, Name, address and phone number 8. In addition to himself, Owners designates the following person(s) to receive acopy pf the Lienor's Notice as. provided In Section 713.1- 3(1)(b), Florida Statutes. Name, address and phone number 9. Expiration date of this Notice of Commencement the expiration date fs 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF NOTICE OF COMMENCEMENTARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART f, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 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. Signature(s) of • s) or Owns/ ..)' ,r_. razed 0 " :r/Director/Partner/Manager • i?repa ETY et/ 7/ , ; /' ,:. _ `,/ . Prepared By Print Name , ai1tlC�i / Print Name Title/Office TIt1 &Office STATE OF` FLORIDA COUNTY OFMiAM) DADE The AR o instrnett w4 BY d: ❑� 1r�dividualiy, or ❑ fas' kw y ersorlally known; or O produced the following. 490 of identificati 1VV/��l Signature of Notary, Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Sign = ' -, -) of Owner(s) o By 173.01 -82 PACE 9 9116 r Authorized • ',1tal R Navarro • i§0451210EE030439 ARfat SEP 28e2014 VAVUEWNOTARtil cer/DIrector/PartnerrManager who signed above: BY STATE OF FLORIDA, COUNTY v OF DARE 1 HEREBY CERTIFY that the icr Ding Is a flue and caret -iy et vh original WI fire in this offim, Lrp; / y AD 20 / HARVEY Y' RUV N, Cler of Circa €teed C Comsi Deputy 'Clams 2.173