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DEMO-12-1240
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 175467 Permit Number: DEMO -7 -12 -1240 Scheduled Inspection Date: August 22, 2012 Inspector: Bruhn, Norman Owner: MADSEN, PAUL Job Address: 335 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number Parcel Number 1132060136260 Building Department Comments REMOVAL OF CONCRETE SLAB IN BACKYARD Inspector Comments Passe2W Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 22, 2012 For Inspections please call: (305)762 -4949 Page 15 of 38 1 B DING PERMIT APPLICATION 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 Permit Type: BUILDIN— G ` JOB ADDRESS: '335 RECEIVED JUL '0 5 2012 Y: a!J FBC20c® Permit No. DV MO -l7 -12:4 Master Permit No. ROOFING City: Miami Shores Folio/Parcel#: Is the Building;Historlcaliy Designated: Yes OWNER: Name (Fee Simple Titleholder): Address: City: State: Zip: County: Miami Dade Zin• NO Flood Zone: one# ,05 No' l Tenant/Lessee Name: %% Phone#: Email• i aL el -ey1 e)) e, 4 ((9 Y✓1 CONTRACTOR: Company Name: 4,4iy7to y/AA (1/441 Phone: Address: City: State: Zip: Qualifier Name: Phones State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect /Engineer: Phone Value of Work for this Permit: $ ge9a et9 Square/Linear Footage of Work: Type of Work: OAddition OAlteration ONew R air/Replace Jo 'lion Description of Work: ely.fil�c ,�i catic�k f /1 fork ad Color thru tile: *** ***********a *** axe**** *****+s***** + ****F **** ********** ** *** *********** ****** * * *** ** CV ) Submittal Fee $ • ©0 Permit Fee $ [ D ' 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, FTC 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 wt4e approved and a reinspection fee will be charged. Signature / Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 5 The foregoing instrument was acknowledged before me this day of -7 , 20 i7.., -by , day of , 20 _, by who is personally known to me or who has produced Pt-- who is personally known to me or who has produced, As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: :,1! 0, 11 011,114 , ''EE173 °1 •nnnim0 • NOTARY PUBLIC: Sign: Print: My Commission Expires: ******** **** ** say * ******************* ** ******, x+ x+ x************ *** *** ** * *** * *** *** ** * *** ***** ****+six * ***a ***** ** APPROVED BY J %� Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) COUSINS SURVEYORS g ASSOCIATES, INC. 10005 SOUTH WEST 16th STREET PEMBROKE PINES, FLORIDA 33025 PHONE (305) 431 -7433 FAX (305) 435 -7048 LAND DESCRIPTION: LOTS 21 AND 22. BLOCK 46, 'AN AMENDED PLAT OF MIAMI SHORES S CTION NO. 1'. ACCORDING TO THE PLAT THEREOF, RECORDED IN PAT BOOK 10, PAGE 70 OF THE PUBLIC RECORDS OF DADE COUNTY, LOR I DA. OTES: 1. REPRODUCIONS OF THIS SKETCH ARE NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL. 2. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS -OF -WAY. EASEMENTS. OWNEIISIIIP, 011 OTHER INSTRUMENTS OF RECORD. 3. THIS SURVEY WAS DONE SOLEY FOR BOUNDARY PURPOSES AND DOES NOT DEPICT THE JURISDICTION OF ANY MUNICIPAL, STATE. FEDERAL OR OTHER ENTITIES. 4. TIIE LAND DESCRIPTION SHOWN HEREON WAS PROVIDED BY THE CLIENT. WATER NETER 2.0' SOUTH 6.1' EAST 10' ASPHALT PAVEMENT 100. 00' FIP RP L LOT 20 LC) P c'J /-09e OJ Rm. DRILL HOLE # CHAIN LINK FENCE fOCK LOT 21 13. 5' 4 10.2' HALL 14.0' 22.4' 16.1' ASPHALT ORISTAY OT 22 6 2.6' LOT 23 CONCRETE PATIO 1 STORY CBS BUILDING 9.2' O I 5' CONC. WALK a 20.6' 13.5' 0 A/C SLAB 11.8' HALL 3. ' '. 100. 03' ( MEASURED) i00.00' ( PLAT) FIP 300. 00' ( PLAT) PROJECT N0. O085 -9� J CLIENT : z ' : r . INSURANCE CORPORATION LEGEND: CBS CKD •CONC OWN FO /PG SIR FI FIP CONCRETE BLOCK STRUCTURE CHECKED BY CONCRETE DRAWN BY FIELD BOOK AND PAGE CHAIN LINK FENCE SET IRON ROD AND CAP 4188 FOUND IRON ROD FOUND 1/2 "IRON PIPE 21' ASPHALT PAVEMENT NORTH EAST 93rd STREET CERTIFIED T0: PAYI R. HADSEN AND DEBORAH H. MADSEN LAWYERS TITLE INSURANCE CORPORATION BARNETT MORTGAGE COMPANY LLJ LtJ .t� U') LLJ I—' CC CD WE HEREBY CERTIFY THAT THE ATTACHED 'SKETCH OF SURVEY' OF THE HEREON DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF AS SURVEYED IN THE FIELD UNDER OUR DIRECTION IN JUNE. 1993. WE FURTHER CERTIFY THAT THIS SURVEY MEETS. THE MINIMUM TECHNICAL STANDARDS FOR SURVEYING IN THE STATE OF FLORIDA ACCORDING TO CHAPTER 21H11 -6 OF THE FLORIDA ADMINISTRATIVE CODE. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN HEREON, SUBJECT TO THE QUALIFICATIONS NOTED HEREON. FOR THE FIRM. BY: �` 01,4k €. RICHARD E. COUSINS PROFESSIONAL LAND SURVEYOR FLORIDA REGISTRATION N0. 4188 PROPERTY ADDRESS : 335 NE 93 STREET 1 r SCALE' .1„ — 30 '.. cn c- m 0 0 ti =il .f I le" F, _D • n ri 0 0 D m . REVISIONS DATE FB /PG OWN CKD FLOOD ZONE INFORMATION £ MORTGAGE SURVEY b6/07/93 2/8 RFC 'REe• COMMUNITY NO. 1 20652 . PANFI NIT nna1 r PROPERTY ADDRESS : 335 NE 93 STREET 1 r SCALE' .1„ — 30 '.. cn c- m 0 0 ti =il .f I le" F, _D • n ri 0 0 D m