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DS-11-711Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 165383 Permit Number: DS -4 -11 -711 Scheduled Inspection Date: August 01, 2012 Inspector: Bruhn, Norman Owner: LEBOWITZ, MARIA Job Address: 1285 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: QUALITY HOME REPAIRS Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050250120 Phone: (786)797 -2797 Building Department Comments REPLACE TILE ON POOL DECK PERMIT RENEWED 7/31/12 Passed /`/2 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- 158628. July 31, 2012 For Inspections please call: (305)762 -4949 Page 2 of 30 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Maori Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT .APPLICATION Permit Type: BUILDING JOB ADDRESS: 024,r) S+ City: Miami Shores County: Folio/Parcol#. Is the Banding Historicakr mated: Yes NO 3 JUL 3.1 25:2 to r B Y: FBC20 Permit No. E ]) Master Permit No. ROOFING Miami Dade Zip:Jgl Flood Zone: OWNER Name (Fee Simple Titleholder): r' l .4 Yi ea__ j. �L l Ph i,�,f 1 Address: SA VI", tom' ) . City: State: Zip: Tenant/Lessee Name: Phone# Email: CONTRACTOR: Company Name: 44.10t-l--t r' J WO He k j As N Whonet Address: 45 ® Nc. 1'7 City: 1_ 4 I Yii i i t G f4 State: PL_ Zip: 3 Qualifier N a m e : S ' " 7 0 P h o n e # : 7 % a7? 7 State Certification or Registration #: C RC- % 4 Certificate of Competency #: Contact Phone#: "7eC 717 ,7q7 Email Address: < Q DESIGNER: Architect/Engineer: Phone Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: °Addition .°Alteration rDescription of Work: °New °Repair/Replace °Demolition 4 A e Color thru tile: ***************************************pees******************** * * * **** ***** * * * * * * * *+x+ vex *** * * * ** * * * * * * * * * *e Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ 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 anti that ally* 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 VINANMG, CONSULT . WITH YOUR ,L NITER OR AN ATTORNEY BEFORE RECORDING YOUR NOtICE'OF UOMMVIEN MENT. " --� Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this 3v day of who perso s : y known to m Contractor The foregoing instrument was acknowledged before me thia3( day of , 201,2 by . s ENt /-rif -C PtAI , or who has produced who is personally known to me er-wirrhas-pre4peed- As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Co NOTARY PUBLIC: ******************* **+k*+k+k+N+k*4+k*** **** **+ NAB ********+F************ ******** *** ******+k***** *** *N**+k+i+ *** ****** **** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 M Permit No. Master Permit No. Permit Type: BUILDING �� " ROOFING i OWNER: Name (Fee Simple Titleholder): /" e• 4Af$ L..�goi•of+ Phone #: 30'2- R-'a- --. Address: 18 a 5 NE 18' a- 5+ 1 City: / t / 4 J 51 t - C$ State: ci �s ft d A Zip: 33 /3 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: I- S 1 404'1'1 54. City: Miami Shores County: Folio/Parcel #: Loh tl &5 , &Ia GI< 1 8k 04 13ky Is the Building Historically Designated: Yes NO Miami Dade zip: 33'3 '► Flood Zone: CONTRACTOR: Company Name: Q(JcJ % F'1 av l-i , IQ-TARS Address: LI 5© M. �A $ S City: Al . � r k 3 13 oh State: Fl a pi J Qualifier Name: S e n (`L em, ail Pr-.e: s State Certification or Registration #: C"QG ' as iii-{ -[ $ Contact Phone#: 1597 g-D- 7 /00 Email Address: DESIGNER: Architect/Engineer: —2/Li Foce, Phone #: 796-791 -7/7 zip:33/ 62— Phone#: `726- 797 -4747 Certificate of Competency #: Phone #: Value of Work for this Permit: $ gev® Square/Linear Foo a of Work: Type of Work: OAddition Description of Work: DAlteration ONew Wye • /Replace agoe ODemolition D-67c../ec * * * * * * * * * * *x_; * * * ***** *** * ** ** ** ******* Fees************* ****** ******** ** *** * ** *a******* Submittal Fee $ /P' Permit Fee $ Scanning Fee $ Radon Fee $ CCF $ CO /CC $ 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, BOII.RRS, 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 sub' t to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspect which occurs seven 7) days after the building permit is issued. In the absence of such posted notice, the inspection will no be �pprove� : 'r, a reirr.cnartin- -e will be charged. The foregoing in .. •gas acknowledged before me this 5 day of Aah1 ,20 L( Lt'I( ,by I 1 ,elXt/I' , who is personally known to me or who has produced .151%M.I kC As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ,,/ RICHARD R 3ENCA ;'C: MY COMMISSION # D0978068 CXPIRES April 01, 2014 Contracto5/ The foregoing instrument was acknowledged before me this day of ;'1 P/ 1 , 20 41 by ce/0-/ , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expii ,, RICHARD R BENCA It; MY COMMISSION # D0978068 A`,> EXPIRES April 01, 2014 (407) 398 -0153 * *****.k******sk******sisak** <*** * **** ** *** ******** ** ** .02,024oning FloridallotarySorvioe.com Plans Examiner Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 425 fbco Permit No: 11-7/7 Job Name ,2011 dr; 71-Z-e /Ater Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet /7074 s/ /./ /4 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 - 795 -2204 cotj 11 6 6V-1 MLr 4,11 ctiv4R-, F,buz 156.00' FND 1/2" IP NO ID PADD I A/c® AD 1 U 02 LOT 6 Lo BLOCK 186 N FND 1/2" IP NO ID 8' ASPHALT DRIVEWAY 6' INF POOL LiTlunr IETE 1 +©o Fjbe» POOL �15.Q° --- - LOT 5 BLOCK 186 ONE STORY STRUCTURE: #1285 t CONCRETE DECK 2' CBS WALL FND 3/4" IP NO ID 381, �' •• — 6' CBS WALL 6' )bBS ,WALL LOT 4 BLOCK 186 156.00' 75.0' 38.1' FND 1/2 "IP NO ID O/S 4.75' WEST rrij 0 a N INVOICE NO.: 11- 35514 PROPERTY ADDRESS: 1285 NE 102 STREET, MIAMI SHORES, R.. 33138 hLL URVEYOR COUNT pO "� OR1 - l LICENSE NO. 66 1 Office: (954) 77 -4747 Fax: (954) 777 -2707 5950 W. Oakland Pk. Blvd. - Suite 309 - Lauderhill, FL 33313 LEGAL DESCRIPTION: LOTS 4 & 5, BLOCK 186 OF "BAY BREF7 SECTION MIAMI SHORES" ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 42, PAGE 25 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. LcS1 CERTIFICATIONS: MAURICE LEBOWITZ z FLOOD ZONE DATA: COMMUNITY NUMBER: 120652 PANEL AND SUFFIX: 0306 L DATE OF FIRM: 9/11/09 BASE FLOOD ELEVATION: AE 8 LOWEST FLOOR ELEVATION: 10.92 Miami Shores Village SUBJECT TO COMPUANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS XiOlNdlfi1,33414.6q. 411.$, U 258:5 PM, QesOethm U60174 PCL Sc NE 102nd STREET 75' RAN 21 ASPHALT +12 BLOCK CORNER SE CORNER OF TR 186-C (NOT A PART OF THIS PLAT) FND 1/2" IP NO ID BY: :'........... MAP OF BOUNDARY SURVEY SCALE: 1 " =20' GENERAL NOTES: (1) THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE. (2) UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. (3) ELEVATION ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM 1929 (N.G.V.D. 1929). (4) IN SOME CASES, GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED FOR CLEARER ILLUSTRATION. MEASURED RELATIONSHIP SHALL HAVE PRECEDENCE OVER SCALE POSITIONS. ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. UNLESS OTHERWISE SPECIFIED, THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION PURPOSES. WELL- IDENTIFIED FEATURES IN THIS SURVEY AND MAP HAVE BEEN MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 0.10 (FT) (8) NOTE: "I HEREBY CERTIFY" IS UNDERSTOOD TO BE AN EXPRESSION OF PROFESSIONAL OPINION BY THE SURVEYOR AND MAPPER BASED ON THE SURVEYOR AND MAPPER'S KNOWLEDGE AND INFORMATION, AND IT IS NOT A GUARANTEE OR WARRANTY EXPRESSED OR IMPLIED. ATTENTION IS DIRECTED TO THE FACT THAT THIS SURVEY MAY HAVE BEEN REDUCED OR ENLARGED IN SIZE DUE TO REPRODUCTION THIS SHOULD BE TAKEN INTO CONSIDERATION WHEN OBTAINING SCALED DATA. (5) (6) (7) (9) I HEREBY CERTIFY THAT THIS BOUNDARY & PARTIAL TOPOGRAPHIC MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61G17 -6 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUES. DATE OF ORIGINAL FIELD WORK; 4/11/11 GINO FURLANO, PRO ESSIONAL SURVEYOR & MAPPER FLORIDA REGISTRATION NO. 5044 (NOT VAUD WITHOUT SIGNATURE AND ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) NOTICE OF COMMENCEMENT A RECORDED cOOPPY 7/ MUUSTBE /POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. Re ! TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. 1. 2. Descri tion of prov ent 3. Owner(s) name and address: 11111111111111111 11111111111111 111111111111 CFN 2011R0267319 OR Bic 27665 Ps 1604; Ups; ) RECORDED 04/25/2011 15:26:04 HARVEY RUVIH, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE �^ Space above reserved for use of recording office address: / ✓ 0 55' f'"' ' Li / o2o. -$ �Ilg�' alf7.57 r—eniMilEME.PrdirrMIL4Or 4I, .0 O. a4.1 c e I 6e'a2 /fZ, l Zits NE /b a s-f pm/ Interest in property: ® (t)NE Name and address of fee simple titleholder•. 4. Contractor's re, ad ho /U I / S number: 74 QL +5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number Amount of bond $ O. Lender's name and address: 797 A7`l7 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)(7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date Is spedfled) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 •„ *�?? <.) or • „ , s), �, . cer/DUector/Partner/Manager Prepared By la! r".%...,--r, ti+ tinily/ Prepared By > . /L) Print Name r:°_t._►i • '.tea 'li s if 2 Print Name / /' % % Z.T Title/Office 0 1e Tide /Office � f 'STATE OF FLORIDA . 9042.0. s g NQ/S /� 0 COUNTY OF MIAMI -DADS tyi 3tlJW S!�.3'� A The foregoing instrument was acknowledged before me this 5 day of 21e- (�1% BY la ividually, or ❑ as for Personally known, or ❑ produced the following type of identifi Signature of Notary Public: Print Name: (SM. o_ 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. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By x :. 'f)])747113 FOAM' 3,2012 123.0142 PAGES 3/10 STATE OF FLORIDA, COUNTY OF DADE I HERESSYYCERTIFY thatth Is atrue copy ofthe �J t 'J4, Ms office on Fg a'i 5r day o� 21111 A.D.2D WITNESS my hand and Official Seal, Nag R N,SILES.of 04-2E -20(1 .IEEE AT WATER STATE Of FLORIDA I;dllElarieelKCiA! WIDER VISION OF women, COMPENSATION * * COW/CATE OF RAM TO BE EKRWT FROM ROMA WSW COMPENSATION tAW * CONSTRUCTION INDUSTRY exam N This carlillse Set the Indlvtdcrel listed blow hat elected fie be exempt from Florida WcrWs Compeasetkm few. EFFECTIVE DATE; Q412a /2011 EXPIRATION DATE: *4127/3 POISON: KAGAN SENDER FEIN: 61E5241S5 BUSINESS NAME AND Ate: QUALITY Ma RBPARRS4*9 r.1C Aso ex MAW ST 61 >pi1AMZ ICI FL 331E2 SCOPES OF fiUSINESS OR TRADE 1— CERTIFIED I1111.*ZNG CGJIAIRAL"FUR JWPrJAr6NTt Peresam w Ch.Asr 4(S . aE NI. 1.1. at Olaf d s earporodia tots aft *simplify has m s Mow by (Ring ► mates CI 441101111 Oder tlltd wafts *op lilt sans asst t% en aaapodd1t44 yndr Als ohptu. 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