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DS-12-996
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 179757 Permit Number: DS -6 -12 -996 Scheduled Inspection Date: November 06, 2012 Inspector: Bruhn, Norman Owner: FREDRICKS, THOMAS Job Address: 433 NE 91 Street Miami Shores, FL Project: <NONE> Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Contractor: PHOENIX CONSTRUCTION SERVICE & PAVERS INC Phone Number Parcel Number 1132060140120 Phone: (954)818 -9625 Building Department Comments INSTALL NEW CONCRETE DRIVEWAY AND WALKWAYS REPLACE EXSIITNG PUBLIC SIDEWALK Infractio Passed Comments INSPECTOR COMMENTS False Pass // 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- 174316. November 05, 2012 For Inspections please call: (305)762 -4949 Page 17of34 . 7 , 12 Nikessc;J e- 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 BUIT,DING1 PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: Lk k3 �, E 9 /.f; RECEIVED JUN 0.12012 FBC 20 Permit No. VS Master Permit No. cfriteET- ROOFING City: Miami Shores County: Miami Dade Zip: 27/ 3 Folio/Parcel #: is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): Address: ?7 N E I - City: //; afv,; S w'eS NO Flood Zone: 1 ?A F e 7'1A Phone #: -r State: Zip: 33/ 3 gd Tenant/Lessee Name: 544 Phone #: I�r 0, rrel y / CONTRACTOR: Company Name: PHOC-s/V/ X &aVJ 2QCTio,✓ J .f /4-freyv Acphone #: 9f` ef1/, 9 ' J Email: Address: / OS/ /ti • Gv. J /J,- 4/a - City: 4,47 / ,4,vo State: f C. Zip: 3-7d 6 $' Qualifier Name: f rec-/H c-. I /U 0(44 W r Phone #: State Certification or Registration #: C6C /S/ 736 i Certificate of Competency #: Contact Phone #: /C'J y „Aar % 6 Z 5— Email Address: /x 6441-erg-W10 MA i, • DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ (/ 000 ' m Square/Linear Footage of Work: /G 7S Type of Work: Addition UAlteration UNew EIRepair/Replace ODemolition Description of Work: /NS74 /11 a-4J ed,''C rrd- ver" 1(.44-P° i44' 44444k ego4%S C s- Cx /d`,iv ' t f.�c i.t: £ J &#A 1..e" Color thru tile: ******** * * * * * * * *• *• * * * * * * * * * * * * * * * * * * ** Fees*******••**** * *** * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 Submittal Fee $ 'SO U .c. Permit Fee $ s2CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1.54-.44 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 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 4,,A Owner or Agent Contractor ff�� The foregoing instrument was acknowledged before me this 01 The foregoing instrument was acknowledged before me this b oi day of c .tly , 20 `f2—, byST QN PTr4i, who is personally known to me or who has produced F 1() who is personally known to me or who has produced 17 As identification and who did take an oath. as identification and who did take an oath. Signature day of SUN , 20 a byT9(.Y \ A-.3 FtU C4 NOTARY PUBLIC: NOTARY PUBLIC: \``\`,` .e. ,,,, 111 I� 1r i Sign: .......... '•. d+ ., Sign: .... �, s. Print: �®1��°;m��= �ti,�, •1o�o ^c: CD Print: m ?``.d %.1, `•cte, s' s : My Commission Expires: _ m '``��0!rs f'DG ��� ...................."...........*#461 6 .41,00,\ ........... ......................x..x..... x� . � mg. "/II11111110 0 Zoning My Commission Expires: APPROVED BY Plans Examiner Structural Review Clerk (Revised 5 /2 /2012XRevised 3 /12/2012)(Revised 07 /10 /07XRevised 06 /10/2009)(Revised 3/15/09) 1111111 1111111111111111111111111 11111 11111111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION' F= 2 a ° �- 2R { ' ' 1L `7 7 R B k 28148 Ps 1963T (fps RECORDED 006/13/ 2012 14 :11:39 HARVEY RUV'IPir CLERK OF COURT MIAMI—DADE COUNTY? FLORIDA LAST PAGE PERMIT NO. STATE OF FLORIDA. COUNTY OF MIAMI -DADE: TAX FOLIO NO. 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. Legal description of property and street / address: },ope See p Jo -3-7 L.n ' / 'la_ LO1 18 1'U( �I°l 1.0+ size 7r. 000 ' 1)--7 2. Description of improvement: ' Mew O(`i Ut, W 3. Owner(s) nam - and address: , P Interest in property: Name and address of fee s to 9/1, 4, 4. C D'udn P, r tractor's name and ad by iX Co 9th Af■ ress: Aticrs l c . ) o1-- vw 3i %ve- 5. Sure (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: hG 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 a d Address: 143'3 NE I 9- -3-3,3R 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement (the ex different date is specified) Signature of Print Owner's Name �r • wner OM Sworn to and subscribed before me Notary Public: . :,., vi , del „i. _ L11 L■riz Print Notary's Nam; : a IMAM My commission expires: :11J fami!Jh. it 1IG.i• Off reco on ` orlginalfifedlh ice � ° am HA By -!_ • ow by day of , 201 COMMA V. o ar _ ' l_i..umanaemor .1 My Comm. Expires Sep 23.2015 Commission # EE 128810 pnnded Through Nalinnal Notary Assn PERMIT #: lContractor o Owner o Arch' Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT DATE: L 90 Z From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. 1 Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 12 -996 Job Name: June 7, 2012 Miami Shores Vivage 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 1) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 2) Provide zoning approval. 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 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 Folio Number:1132060140120 Owner's Name: THOMAS FREDRICKS Job Address: 433 91 Street Miami Shores, FL Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 7,000.00 Contractor(s) Phone Primary Contractor PHOENIX CONSTRUCTION SERVICE & PAVER: (954)818 -9625 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: Comments: A LANDSCAPE STRIP OF NOT LESS THAN 5 FEET MUST BE LEFT BETWEEN THE HOUSE AND DRIVEWAY UNLESS THE DRIVEWAY LEADS TO A GARAGE. i B Rick Scott Governor Steven L. Harris, M.D., M.Sc. State Surgeon General April 10, 2012 Michael Sterwart 433 NE 91 St Miami, FL 33138 RE: Contingency Letter Application Document No: AP1068084 Centrax Permit Number: 13-SC- 1403030 OSTDS Number. 433 NE 91 St Miami, FL 33138 Lot:17 18 Block:49 Subdivision: 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 that your existing system is adequate for the proposed use (Swimming pool & Spa Construction). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Jos ` "'� = — ngineer Specialist 11 Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645. http: / /www.MyFloridaEH.com KID SAFE POOL NET SAFETY BARRIER POOL SAFETY COVER TO COMPLY WITH ASTM F4346 -91 AS OUTLINED IN FBC SECTION R4101 OF POOL EL. 9.5' ©() iiituktinp Dept EXISTING 200 S.F. DRAIN FIELD EXISTING 750 GAL. SEPTIC TANK, INSTALL NEW 1,050 GAL TANK PROPOSED 300 S.F. DRAIN FIELD '4; ., ri RECOVED MAlt 2 2�Z [PERMIT #: ofP j2 MIAMI SHORES VILLAG APPROVED ZONING STRUCTURAL ELECTRiCA1. PLUMB N &EC[ iANICAL 3 SUBJECT TO COMPLIANCE WITH ALL F STATE AND COUNTY RULES AND REGU i:5tnrt,;_r3F l'r CC°tir,i-!l` s;i i:t_ H [,Ep RTC of PERM;r is to c go .A ?CFINED JUN 012012 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CO ENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) 0,/,04 5 G't 1 J,rt (t 5 hereinafter referred to as the owner of the following described property (address): 4 33 /t 1 1 reef — m ,,,,ii S7'1/0/T, 3 I pi310 7 � Y.2-101-1V An Legal Description/14i"; A/eh Si2 Lot 17�t "a' Block 'e1 Subdivision /l4 441 I 5( Folio # Requests permission to install (describe work): DT; e IAA/ On 5 Wit le Within the public right of way of (address) 4 3 3 4/ `j 1: 114$9,/y, 331 g IN CONSIDERATION of the approval of this permit by the Village, the owner agreds as follows: 1. To maintain and repair, when necessary, the above - mentioned itbm(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 Signatur 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). /1,,n- Owner or Agent The foregoing instrument was acknowledged before me this )1 day o J f 20 y' who is personally known to me or who has produced '5+® As identification and who did take an oath. NOTARY PUBLIC: • • Sign: Print: My Commission Expires: CLAUDIA V. CUBILLOS 'P�B< NOtary Public - State of Florida My Comm. Expires Sep 23.2015 Commission # EE 128810Assn. Bonded Through National Notary • 4�� w ' �.aw 2 .2O. JUN 012 SUBJECT TO COMPLIANCE WITH ALL F DER4L STATE? AND COUNTY RULES AND REG LATIONS. -t) /19/01 V "tw e 3006f,..0 - deloewLF AI/774 X6, /0 o oher BLOM COQ fir: PERMIT* / roperty • • Tess: 433 N.E. 91 STREET MIAMI SHORES, FL 33138 10ffirfintenntelaM4 MOW_ PROFESS/OBEEL LAM >., :> x CP. 10 4 12 _ _.0 MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 SW 190TH STREET a Rick Scott Governor John H. Armstrong, MD State Surgeon General Thomas Fredricks 433 NE 91 St Miami, FL 33138 RE: Contingency Letter Application Document No: API074717 Centrax Permit Number: 13 -SC- 1415127 OSTDS Number: 433 NE 91 St Miami, FL 33138 June 20, 2012 Lot:17, 18 Block:49 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 06/13/2012 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 driveway with side walk only. No increase in sewage flow. * ******** * ***** **** * * *** * * ** APPROVED ****** * * * * **** ** * ** ** *, * ** * * ** 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.MyFloridaEH.com