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DS-12-1542
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 177379 Permit Number: DS -8 -12 -1542 Inspection Date: August 16, 2012 Inspector: Bruhn, Norman Owner: LEBOWITZ, MAURICE Job Address: 1285 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: CREATIVE DIRECTIONS, INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132050250120 Phone: (305)933 -9392 Building Department Comments 2 SMALL SIDE WALK Passed�� `p7 U Inspector Comments e '.� / f Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until August 22, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 !Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Bill To MARIA LEBOWITZ 1285 NE 102 ST MIAMI SHORES, FL 33138 -2617 Invoice Number: DS -7 -12 -44967 Invoice Date: July 30, 2012 Permit Number: DS -11 -11 -2163 Bond Number: Comments: Date 07/30/2012 07/30/2012 07/30/2012 Fee Name Miscellaneous Fee Notary Fee Expired Permit Renewal Fee Fee Type Calculated Fixed Calculated Fee Amount $3.00 $0.00 $100.00 Total Fees Due: $103.00 Payments Date Pay Type Check Number Amount Paid Change 07/30/2012 Cash $103.00 $0.00 Total Paid: $103.00 u i y► �L D.31)-1(03 L 1 S Total Due: $0.00 `�t-f Wi�1r j °Cv ,74 ` (SNZ4 1 CoA4« {row -n j co Tuesday, August 14, 2012 156.00' FND 1/2" IP NO ID LOT BLOC FND 3/4" IP NO ID 0.15„— ccl CERTIFICATIONS: MAURICE LEBOWITZ a. 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 INVOICE NO.: 11 -35514 PROPERTY ADDRESS: 1285 NE 102 STREET, MIAMI SHORES, R. 33138 LEGAL DESCRIPTION: LOTS 4 & 5, BLOCK 186 OF "BAY BREEZ 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. LL COUNT IIRgSYOR EYORS jjj LICENSEE NO. 66 111 ERS Office (954) 77 -4747 Fax: (954) 7774707 5950 W. Oakland Pk. Blvd. - Suite 309 - Lauderhill, FL 33313 SsiZ 9 I 3 4- FND 1/2" IP NO ID Q SUBJECT 1 O CCMPI.IAPICE WTTT -I ALL FEDERAL STATE AND U(UN 3l NE FO n 75' R/W 21 ASPHALT RECEIVE AUG 1 3 2C2 (hl MAP OF BOUNDARY SURVEY ,4-e, oc4 axei.eli 9, 1 4A si h 1 % \bet 125.00' BLOCK CORNER SE CORNER OF TR 186-C (NOT A PART OF THIS PLAT) FND 1/2" IP NO ID 7 G (1) (2) (3) (4) (5) (6) (7) (8) (9) CALE: 1 " =20' ERAli„ SOTES THIS URVEY IS ASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SIECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. ELEVATION ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM 1929 (N.G.V.D. 1929). 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 NOTE: "I HEREBY CERTIFY" IS UNDERSTOOD TO BE AN EXPRESSION OF PROFESSIONAL OPINION BY THE SURVEYOR AND MAPPER BASED ON THE SURVEYOR AND MAPPERS 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. 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 VALID WITHOUT SIGNATURE AND ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) xgQUaESOSS14A0q, 411512011 25&25 PM, mmtna 135024 PO. Sc •Ds._..,i- 1L- -2.ti, 3 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 Permit Type: BUILDING JOB ADDRESS: I P, t t ozh d l City:. Miami Shores County: Folio/Parcel#: Is the Building Historically Designated: Yes NO . - 'r Flood Zone:,; FBC 20 bl Permit No.,D,S® Master Permit No. ROOFING Miami Dade Zip:3313e p Phone3 5 1 C *�� OWNER: Name (Fee Simple Titleholder): r GQ 1 Address :_56 W,e City: State: Zip: Tenant/Lessee Name: Email: Phone#: CONTRACTOR Company Name: C R 1 V 1t UJr�. �{/( Address: tS A \ City: N - 01-1 state: C Qualifier Name: A -W PrF State Certification or Regxstratson #- Phone#: 3 V c 11" Zip: 23(x/ Phone#: Certificate of Competency #: Contact Phone#: P\/'t TPtF--r --!` Email Address: c 12 Pt--n .-' 12 r°�, f (CA DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ ©1 S`U - 0 -' Square/Linear Footage of Work: Type of Work: OAddition OAlteration UNew ORepair/Replace Description of Work: ;,1 S 'rN/g. 1 US /(j K c. Pock i? c ODemolition Color thru tile: * * * ***** * * ** ***** **** * * ***** * ***** *****F vv* *ewe ** * * * ** * * ** *ev * ** Submittal Fee $ Permit Fee $ , _ _ . — Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ * * * * * * * * * * * * ** * * * * ** CCF $ CO /CC $ DBPR $ Bond $ 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, FURNACBS, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, FTC...;. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and. Vitali wprk 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 LLTO` OBTAIN FIupTCImq, CONSULT °j?VITI YOUR LENPL( OR AN ATTORNEY BEFORE m. p. ItECORIING YOUR NOS OF thMME etik ENT." 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 # roved will be charged. The fore day of wh oing instrument was acknowledged before me thi T Signature A Contractor The foregoing instrument was acknowledged me this 30 day of L) , 20 by Arbt- C:liviw`t. 3 A -d¢- ' who is personally known to me or who has produced t • D -L . as identification and who did take an oath. or who has produced As identification and who did take an oath. NOTARY PUBLIC: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOTARY PUBLIC: ******** * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07XRevised 06/10/2009)(Revised 3/15/09) Notary Public State of Flonde Jack Polastri ®a My Commission DD953746 ,ip� Expires 01/19/2014 *`' *`. * ** Zoning Clerk sl161 Zrjap Ds 12/..., s�2 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 BU D G PERMIT APPLICATION FBC 20 b% Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: ,F (91)-- City: TA State: Tenant/Lessee Name: Email: Permit No. Master Permit No. D5 k i d 1.7 Phone #: Z 7 )255 :erg 1: 1 v AON CIMAISOMI CEIVED NOV 112011 JOB ADDRESS: f 1' E 74 City: Miami Shores County: Zip: 33 ; Phone #: Miami Dade 35 !A Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: fig e-4 ' n Sl ��� ��� Phone#: ?:S e' a 20 Address: t o W AhViti Peb City: 7AA04 Qualifier Name: State Certification or Registration #: ea e- tr95 Contact Phone #: 9, 5 ©51* Email Address: DESIGNER: Architect/Engineer: Value of Work for 's Permit: $ 96-7 Square/Linear Footage of Work: it Type of Work: ddition OAlteration ONew ORepair/Replace Description of Work: ODemolition ** * * *************** ** **** x+x*********** *Fees*** *+x+x*************** *********** **** * * * **** Submittal Fee $ Permit Fee $ /640©u CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ COI 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 CONDmONERS, 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. I absenc of such posted notice, the inspection will not be approved and a reinspection fee will be charged. , Signature 114 A.JA. Owner or Agent The foregoing instrument was acknowledged befo day of 1A141444K, 201\ , by .t., who is personally know . me or who has produced Van. \ % As identification and J o did take an oath. NOTA ' ' UBL C: ign: Print: My Commissio Expires: `/ Contractor e foregoing instrument was acknowledged before me this 9 y of ?JOWL- btu , 20 / 1, by 61. rs C n ) , who is personally known to me or who has produced 7,4` as identification and who did take an oath. NOTARL'UBLIC: a1 �f Sign: Print: My Comm **** ********* *+ k+k**************** *d+ ** *******+ k*+ k*+ k******* *************** APPROVED BY /0 1t� - Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) , 'V'� io ljjjreS7otary public State of Florida Thomas Arniotis o` My Commission DD960184 dF Expires 02/10/2014 to i 7/ * ** Zoning Clerk 40 E. ,,t, b -, - i - ‘ ,. Notary Publio, State of Florida CommInland EE 107495 My cam, expires June 20, 2010 `/ Contractor e foregoing instrument was acknowledged before me this 9 y of ?JOWL- btu , 20 / 1, by 61. rs C n ) , who is personally known to me or who has produced 7,4` as identification and who did take an oath. NOTARL'UBLIC: a1 �f Sign: Print: My Comm **** ********* *+ k+k**************** *d+ ** *******+ k*+ k*+ k******* *************** APPROVED BY /0 1t� - Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) , 'V'� io ljjjreS7otary public State of Florida Thomas Arniotis o` My Commission DD960184 dF Expires 02/10/2014 to i 7/ * ** Zoning Clerk