DS-12-1520Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 177224
Permit Number: DS -8 -12 -1520
Scheduled Inspection Date: October 22, 2012
Inspector: Bruhn, Norman
Owner: NUTA, PABLO
Job Address: 9418 N MIAMI Avenue
Miami Shores, FL 33150-
Project <NONE>
Contractor: ESPINOSA CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1131010340020
Phone: (786)346 -5579
Building Department Comments
PLAIN CONCRETE DRIVEWAY
Inspector Comments
Passe
Failed
.i/0/6-22?..)
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 19, 2012
For Inspections please call: (305)762 -4949
Page 17 of 45
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B L Z ING
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
ittEoVED
AUG 09 t
FBC 20 c
Permit No. DS l IS 20
Master Permit No.
Permit Type: BUILDING ROOFING
639 10 A/ D,th /41,4 /t 1 /We
JOB ADDRESS:
City: Miami Shores County: Miami Dade
zip: F(. 3 31,5k0
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): 19 A-J> to /0 j ) Phone #: 96 ti% /Z— ‘3 36
Address: 4 VW'.T14 14 YAM t mie
City: t13-1(4 1, 500/ S State: L Zip: 33150
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company L any Name: 3,% , ® 5 A
Address: / S- r /
) 5 C't/ 16 0 5
City: Oil, -M.1 State:
Qualifier Name: l LI & 1E5 p `I/®8 A
State Certification or Registration #:
Contact Phone #: V -3 q6— — ST i Email Ad
DESIGNER: Architect/Engineer:
)/1/CA, -e Te
Phone #:
PC
06 -3-16 —SSA
Zip: 3 3 / )
Phone #: 6 - 3 16� �S3
Certificate of Competency #: 03-13S 0 i� `7 `7/
dress: esjid/DSA • Cm/UC -eTe yAbleo P CPA!
Phone #:
3 00
Value of Work for this Permit: $ 3 SD 0 Square/Linear Footage of Work: 1 00
Type. of Work:. ❑Addiction OAlteration
Description of Work:
New ❑Repair/Replace
e
UDemolition
Color thru tle :"
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *3e f.� ********** * * * * ** * * * * * * * * * * * * * * * * * * ** * * * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE$ i1(e
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is ubject to attachment. Also, a c rtified copy of the recorded notice of commencement must be posted at the job site
for the first inspr ion which occurs seven days after the building permit is issued. In the abse such posted notice, the
inspection will n . e approved and a re i . ection fee will be charged,
R �/
Signature' �' 1' Signature
!V4ctor
e
ing II �� went was ackno�,v-1� ged before me this
, 20 f , by /i/lc 6 �e c�—� .
wner or Agent
The foregoing
of
who is pers$nally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
. Limey Abin
s'opiLeP Expires 04/12/2016
The forego' g ins ment wa• ac'... wl - d ed before s+ e this 4
day of 1) , 20 id-, by
who is personally known to me or w s . has produced
Plans Examiner
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
03/0—'
Zoning
Structural Review Clerk
(Revised 5 /2 /2012XRevised 3 /12 /2012XRevised 07 /10 /07XRevised 06 /10 /2009XRevised 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
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) PM-b ICJ 4/ (/) 4 hereinafter referred to as the owner of
the following described property (address):
MO tio27W M(A --Mi ike€
it)-L'c1 i�2es PL 35150
Legal Description Lot 2,-3-Lf Block 16 * Subdivision
Folio # 7-
Requests permission to install (describe work): p C OVA/ /I/G/Z -e J 'e. DA-i (ie ( /4 y
Within the public right of way of (address) q l / to 4/ i/-T% } 'A/1 e
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,
Signature
Flori • by the Village Manager of Miami Shores Village (or his fully authorized representative).
wner or Agent
The foregoing instrument was acknowledged before me this 4 day of
, 20 0—by R‘ 4-74
who is personally known to me or who has produced As identification and who did take
an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission E
2
Owner's Name: PABLO NUTA Owner's Phone:
Job Address: 9418 MIAMI Avenue Total Square Feet: 1100
Miami Shores, FL 33150- Total Job Valuation: $ 3,500.00
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
Permit NO. DS -8 -12 -1520
yslSid+
Issue Date: Not Issued
Explres:Not Issued
Folio Number:1131010340020
Contractor(s)
ESPINOSA CONCRETE
Phone
(786)346 -5579
Primary Contractor
Yes
1
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 8/10/2012
Comments: SECURE MIAMI DADE APPROVAL FOR THE DRIVEWAY LOCATIONS PRIOR TO VILLAGE APPROVAL
RIBBON DRIVEWAY MUST BE CUT BACK 5 FEET FROM ALL POINTS ON THE HOUSE
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: DATE: 41, (P 1 19—)
I, l ill t s f� //t/ o3 ,4
Na Contractor
Owner
Architect
Icked up
Address:
is of plans an (other)
144 g.
P4
a.te� l'
mA
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 Dep �' t to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL: „(2_,...,,c&
NOTICE OF COMMENCEMENT
A RECORDED COPY MST- BE POSTED ON THE JOB SITE AT TIME OF FIRST WIDEN
JtN
PERMIT NO. TAX FOUO NO.
STATE CF FLORIDA
COUNTY CF 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.
t�lll�ll �l�ilf�(111
til 1
C F14 2012R0602737
DR Bk 28243 Ps 4016; OW
RECORDED 08/24/2012 14:15:40
HARVEY RUM, CLERK OF COURT
MIAMII -DADE COUNTY? FLORIDA
LAST PAGE
1. Legal description of property and street /address:
7`74 t-C C J /T14- U /Ml 4-6/e
, t 5/ e,-5 p. 33150
2. Description of improvement: 'J ./
3. Owner(s) name and address:
Interest in property:
e
41
Name and address of fee simple titleholder:
'4. Contractor's name and address: $ a /ki®S A GEM",
15-6i tit) `60s 3 l
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address: 6-5 pI/I/Jt1 G,,�/C/Z.eTeo /,4'O 145V11 s , M6® Jr
144/P A/, 3 31 g,}
• Amount of bond $ 3 5'O0 Pe-
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be s,
provided by Section 71113(1)(a)7., Florida Statutes, STATE OF E L ICA, COUNTY OF DAD
Name and address:
I HEREBY CE' that this is a true copy of the
8. In addition to himself, Owners designates the following
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Ex .i tion date of this Notic .f Commencement: (the expiration date is 1 year from the date of recording unless a
di
di nt date i spe
Signa
ure of •wner
wner's Name C166 I\C-diAlt:1 Prepared by
Sworn to and subscribed b- ore me this 4'. day of r) , 2013": -
AfAddress.
Notary Public
Print Notary's N • .., •• • - . >a, - A.,. 1.
,rd!` • ■C .1. n e, _.,ate
My commission x -/ MYCommknionEE188977
op a Expires 04/1212016
.113_01 -39 8/04 PAGE3
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DATE
7:0T i:� :.CNIPIJANCE Wlfri ALL FEr:E ;AL
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THOMAS J. KELLY , INC.
LB # 6486
SURVEYORS- MAPPERS -LAND PLANNERS
25 SW 120 STREET PINECREST, FLORIDA 33156
(786) 242 -7692 DADE (954) 779 -3288 BRWD
86) 242 -6494 DADE FAX (954)779 -3260 BRWD FAX
-DATE FIELD WORK
07 -09 -11
SCALE ,
r= 20
SURVEY NO.
11 -0984
M r
Miami -Dade County Public Works and Waste Management Department
PernAt4PDADE
DaCOUNT�Y .
•
miamidade.gov
Date of Expiration:
Extended To:
PW #:
Work Order #:
Permit Status:
2012003823
08/17/2012
08/17/2013
Open
Comments and Conditions:
ONE STOP PAVING INC
1463 NE 173 ST
NORTH MIAMI BEACH /FL./33162
Qualifier #E231500
Address / B &Z Process No.
•
CARLOS ACOSTA
786 - 299 -1354
CARLOSMARCIA@YAHOO.CO
M
r9418 N MIAMI AVE
TYPE OF WORK
NON - REFUNDABLE FEE FOR PLANS AND SPECIFICATIONS
CONCRETE APPROACH ONLY
ONE STOP PAVING INC
Acknowledges the sum of
$130.00
UNIT QUANTITY COST
EA 1 $30.00
APR 1 $100.00
TOTAL $130.00
dollars in payment of this permit, and it is understood and agreed
that all work to be done hereunder will be in accordance with the requirements of this department. The work
herein described and permitted is to be commenced and completed within the above reference time frame.
24 hour notification shall be made to Miami Dade County Public Works and Waste Management Department, phone 305-
375 -2135 when work for which this permit is granted is ready for construction. This permit is issued subject to
actual work being done by a contractor properly certified by the CONSTRUCTION TRADES.QUALIFYING BOARD. In
accepting this permit, the permitee agrees. to hold thereof harmless from payment.of any compensation or damages,
resulting from his exercise of the privileges granted under this permit. Construction must be in accordance with
the approved plan, and /or to recorded portions of the Public Works Manual.
All required Traffic Control devices must be installed prior to placement of asphalt surface.
Inspection can be requested online at www.miamidade.gov /publicworks/
There shall be no interruption of traffic permitted Monday- Friday 7 to 9 AM and 4 to 6 PM. There shall be no
interruption of pedestrian, bicycle or vehicular traffic on roadways surrounding schools during school
arrival /dismissal hours. Any variations from these requirements will require expressed written permission from
the Public Works and Waste Management Director.
Inspection Date
Passed Failed Comments
CITY
COPY
THIS PERMIT ALONG WITH APPROVED PLANS AND DOCUMENTS MUST BE POSTED IN A VISIBLE AND ACCESSIBLE AREA
ON THE JOB SITE FOR THE INSPECTOR AT ALL TIMES
pertb_permit Issued by: CHILDERS, NELIDA
Contractor Copy