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DS-12-1702Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 181410 Permit Number: DS -9 -12 -1702 Scheduled Inspection Date: November 13, 2012 Inspector: Rodriguez, Jorge Owner: Job Address: 570 NW 113 Street Miami Shores, FL 33168- Project: <NONE> Contractor: RAINBOW CONCRETE S.A. Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 3021360210820 Phone: (305)986 -1861 Building Department Comments NEW STAMP CONCRETE DRIVEWAY Infractio Passed Comments INSPECTOR COMMENTS False Passed 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- 178393. Complete sod in swale. NB November 09, 2012 For Inspections please call: (305)762 -4949 Page 25 of 36 101 1-/ /It— ' 13crNICD G l 1'U BUIL ING TO 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 APPLICATION Permit Type: BUILDING "1�� VrII SEP 1 1 X612 0 J FBC �� 1� Permit No. P\ Master Permit No. ROOFING JOB ADDRESS: 0 0� V T H S D Jz CET T City: "" .�"7/pei hi ; Miami Shores County: Miami Dade Zip: 3 3, C d Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): NO Flood Zone: y .14 Address: !? 0 A f/ 3 ro % Y2 E r City: H (4 I9/ 5 J7 0 1-e-r State: fig L Zip: 33/ 4, Tenant/Lessee Name: Phone #: f' ‘G Email: Phone #: -7.QS 9-7 6631 CONTRACTOR: Company Name: qC,(4404?) e®44 C,;� Phone #:3,qJC lgCl Address: /O %® iv S T City: ) 9 _ State: P C Zip: 33/6/ Qualifi re Name: ���,,� Phone #: State Certification or Registration #: Certificate of Competency #: 1-2g/60 Contact Phone #: 3,) qk(/ i e/ Email Address: /©/ 0 ill Cr l,5? S 1 DESIGNER: Architect/Engineer: Phone #: 3) q ci''6 1 Value of Work for this Permit: $ 0- 1" Type of Work: Addition �'j,� ❑Alteration Description of Work: C�Oe c?icyG Square/Linear Footage of Work: ew URepair/Replace ❑Demolition Color thru tile: ******** * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ /7 CCF $ CO /CC $ Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Structural Review $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ TOTAL FEE NOW DUE $ 19 2 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 &fe'cJ £cyok Owner or Agent The foregoing instrument was acja dgee efor �m,,e�this day of ' '�J��//I !20 XL , by r��✓� ,d x�'i '�` �< , who is personally known to me. o has produced As identificat4inAiidtishiCdiRl,% a(itaTt>la Norys Guzman jjjl s Commission # EE007231 Expires: JULY 08, 2014 BONDED THRU ATLANTIC BONDING CO., INC. NOTARY PUBLIC: Sign: 4I' r/Zaa,. Print: ,r/® /y.:4 My Commission Expires: � . r Signature Contractor The fo - :• oin : ins m n e' was ackn • , led _ - d before me this /e9 day of //�',� %, 2a , by who is per • nally known to me or who has produce %cation and who did take an oath. ARY PUBLIC: APPROVED BY i eO`4r-41.- Plans Examiner Structural Review NO Sign: Print: My (Revised 5 /2/2012)(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) Clerk PERMIT #: Miami Shores V Building Department RECEIPT DATE: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Contractor Owner Architect Pi Address: her) -I-0 -Iakc2-10 5--10 Nti) Jim+ 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. Acknowledged by: CLERK INITIAL: RESUBMITTED DATE: 1 PERMIT CLERK INITIAL: C/ 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:3021360210820 Owner's Name: Job Address: 570 113 Street Miami Shores, FL 33168- Owner's Phone: Total Square Feet: Total Job Valuation: $ 4,000.00 0 Contractor(s) RAINBOW CONCRETE S.A. Phone (305)986 -1861 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: Comments: DRIVEWAYS CAN NOT COVER MORE THAN 20% OF THE REAR 15 FEET OF THE PLOT DRIVEWAYS CAN NOT EXCEED 12 FEET IN WIDTH AT THE PROPERTY LINE. WIDTH OF DRIVEWAYS PLUS SETBACKS AND SEPARATION DISTANCE BETWEEN PROPOSED DERIVEWAYS ADD UP TO MORE THAN WIDTH OF PLOT. SIDEWALK IN SIDE YARD CAN NOT EXCEED 3 FT IN WIDTH. z 0 CD 0) D Legation S eJtQt Meet el 2 Northwest 113th Street PROPERTY ADDRESS: 570 Northwest 113th Street Miami, Florida 33168 SURVEYOR NOTES #1 Lands Shown Hereon were not abstracted for Easement and/or Right of Way Records. The Easement / Right of Way that are shown on survey are as per plat of record unless otherwise noted. #2 Benchmark: Miami -Dade County Public Works Dep. N/A #3 Bearings as Shown hereon are Based upon Northwest 5th Avenue, N00 °00'00 "W #4 Please See Abbreviations #5 Survey is incomplete Without Sheet 2 of 2 #6 Drawn By: A. Torres Date: 09 -06 -2012 #7 Complete Field Survey Date: 09 -05 -2012 #8 Disc No 2012, Station Surveying Scion #9 Last Revised: #10 Legal Description Furnished by client. #11 This Certification is only for the lands as described. It is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEWED. #12 There may be additional Restrictions not shown on this survey that may be found in the Public Records of Miami -Dade County, examination of ABSTRACT OF TITLE will have to be made to determine record instruments, if any affecting this property. #I3 ACCURACY:The expected use of the land, as classified in the Minimum Technical Standard (5J- 17.050), is "Residential ". The Minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. #14 Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. #15 Not valid without one signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to Survey maps or reports by other than the signing party or parties is prohibited without written consent of the signing party or parties. #I6 Contact the appropriate authority prior to any design work on information. #I7 Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. #18 Ownership Subject to OPINION OF TITLE. JOB # 12 -475 DATE 09 -06 -2012 PB 42 -18 Northwest 112th Street ABBREVIATIONS A =ARC DISTANCE AVE =AVENUE ASPH "ASPHALT A/C -AIR CONDITIONER BLDG - BUILDING B.COR =BLOCK CORNER C.B. -CATCH BASIN CLF -CHAIN LINK FENCE CONC. - CONCRETE COL. - COLUMN C.U.P. - CONCRETE UTILITY POLE C.L.P. - CONCRETE LIGHT POLE CBS - CONCRETE BLOCK STRUCTURE C.M.E. -CANAL MAINTENANCE EASEMENT D =DIRECRON D/W - DRIVEWAY D.M.E =DRAINAGE & MAINTENANCE EASEMENT ENC. =ENCROACHMENT E.T.P.-ELECTRIC TRANSFORMER PAD F.P.L. - FLORIDA POWER AND LIGHT F.H. - FIRE HYDRANT F.I.P. -FOUND IRON PIPE F.F. -FINISH FLOOR F.D.H. -FOUND DRILL HOLE F.R. -FOUND REBAR F/D -FOUND DISC FM -FOUND NAIL I/F =IRON FENCE L - LENGTH L.P. -LIGHT POLE MEAS. -MEASURED M.H. -MAN HOLE N.O.V.D =NATIONAL GEODETIC VERTICAL DATUM N.T.S. -NOT TO SCALE O.E. - OVERHEAD ELECTRIC LINE 0/L =ON LINE P.C.P. - PERMANENT CONTROL POINT P.C. -POINT OF CURVATURE R - RADIUS RES - RESIDENCE SDWLK - SIDEWALK T - TANGENT U.E - UTILITY EASEMENT W/F ...WOOD FENCE W.V. -WATER VALVE W.U.P. -WOOD UTILITY POLE -IRON FENCE -CHAIN LINK FENCE -WOOD FENCE -CBS WALL =OVERHEAD ELEC. —•— - CENTER LINE - EASEMENT - DENOTES ELEVATIONS =BUILDING - DISTANCE =CATCH BASIN =WATER METER - W.U.P. -STATE ROAD -US HIGHWAY - INTERSTATE 13333 0 cs O 0 9 - MONITORY WELL ELEVATION INFORMATION National Flood Insurance Program FEMA Elev. Reference to NGVD 1929 Comm Panel 120635 Panel # 0139 Firm Zone: "X" Date of Firm: 09 -11 -2009 Base Flood Elev. N/A F.Floor Elev. 12.58' Garage Elev. N/A Suffix: Elev. Reference to NGVD 1929 CERTIFIED ONLY TO: 570 Duplex LLC LEGAL DESCRIPTION: Lot 3, Block 5 of: "WEST SHORES SUBDIVISION" according to the Plat Thereof as Recorded in Plat Book 42, Page 18 of the Public Records of Miami -Dade County, Florida. Professional Surveyors & Mappers LB 7498 13050 S.W. 133rd Court Miami Florida, 33186 E -mail: afaco @bellsouth.net Ph. # (305) 234 -0588 Fax # (206) 495 -0778 This certifies that the survey of the property described hereon was made under my super- vision & that the survey meets the minimum technical standards set forth by the Florida Board of Professional Land Surveyors & Mappers in Chapter 5J- 17.050 of Florida Administrative Code, pursuant to Section 472.027, Florida Statutes. & That the Sketch hereon is a true and accurate representation thereof to the best of my knowledge and Belief, subject to notes and notat;oris shown hereon. ndo F. Alvarez Professional Surveyor if Mapper #5526 Slate of Florida Not Valid unless Signed & Stamped with Embossed Seal 1 2 3 4 5 6 7 8 9 10 20 19 18 17 16 15 14 13 12 11 PROPERTY ADDRESS: 570 Northwest 113th Street Miami, Florida 33168 SURVEYOR NOTES #1 Lands Shown Hereon were not abstracted for Easement and/or Right of Way Records. The Easement / Right of Way that are shown on survey are as per plat of record unless otherwise noted. #2 Benchmark: Miami -Dade County Public Works Dep. N/A #3 Bearings as Shown hereon are Based upon Northwest 5th Avenue, N00 °00'00 "W #4 Please See Abbreviations #5 Survey is incomplete Without Sheet 2 of 2 #6 Drawn By: A. Torres Date: 09 -06 -2012 #7 Complete Field Survey Date: 09 -05 -2012 #8 Disc No 2012, Station Surveying Scion #9 Last Revised: #10 Legal Description Furnished by client. #11 This Certification is only for the lands as described. It is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEWED. #12 There may be additional Restrictions not shown on this survey that may be found in the Public Records of Miami -Dade County, examination of ABSTRACT OF TITLE will have to be made to determine record instruments, if any affecting this property. #I3 ACCURACY:The expected use of the land, as classified in the Minimum Technical Standard (5J- 17.050), is "Residential ". The Minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. #14 Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. #15 Not valid without one signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to Survey maps or reports by other than the signing party or parties is prohibited without written consent of the signing party or parties. #I6 Contact the appropriate authority prior to any design work on information. #I7 Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. #18 Ownership Subject to OPINION OF TITLE. JOB # 12 -475 DATE 09 -06 -2012 PB 42 -18 Northwest 112th Street ABBREVIATIONS A =ARC DISTANCE AVE =AVENUE ASPH "ASPHALT A/C -AIR CONDITIONER BLDG - BUILDING B.COR =BLOCK CORNER C.B. -CATCH BASIN CLF -CHAIN LINK FENCE CONC. - CONCRETE COL. - COLUMN C.U.P. - CONCRETE UTILITY POLE C.L.P. - CONCRETE LIGHT POLE CBS - CONCRETE BLOCK STRUCTURE C.M.E. -CANAL MAINTENANCE EASEMENT D =DIRECRON D/W - DRIVEWAY D.M.E =DRAINAGE & MAINTENANCE EASEMENT ENC. =ENCROACHMENT E.T.P.-ELECTRIC TRANSFORMER PAD F.P.L. - FLORIDA POWER AND LIGHT F.H. - FIRE HYDRANT F.I.P. -FOUND IRON PIPE F.F. -FINISH FLOOR F.D.H. -FOUND DRILL HOLE F.R. -FOUND REBAR F/D -FOUND DISC FM -FOUND NAIL I/F =IRON FENCE L - LENGTH L.P. -LIGHT POLE MEAS. -MEASURED M.H. -MAN HOLE N.O.V.D =NATIONAL GEODETIC VERTICAL DATUM N.T.S. -NOT TO SCALE O.E. - OVERHEAD ELECTRIC LINE 0/L =ON LINE P.C.P. - PERMANENT CONTROL POINT P.C. -POINT OF CURVATURE R - RADIUS RES - RESIDENCE SDWLK - SIDEWALK T - TANGENT U.E - UTILITY EASEMENT W/F ...WOOD FENCE W.V. -WATER VALVE W.U.P. -WOOD UTILITY POLE -IRON FENCE -CHAIN LINK FENCE -WOOD FENCE -CBS WALL =OVERHEAD ELEC. —•— - CENTER LINE - EASEMENT - DENOTES ELEVATIONS =BUILDING - DISTANCE =CATCH BASIN =WATER METER - W.U.P. -STATE ROAD -US HIGHWAY - INTERSTATE 13333 0 cs O 0 9 - MONITORY WELL ELEVATION INFORMATION National Flood Insurance Program FEMA Elev. Reference to NGVD 1929 Comm Panel 120635 Panel # 0139 Firm Zone: "X" Date of Firm: 09 -11 -2009 Base Flood Elev. N/A F.Floor Elev. 12.58' Garage Elev. N/A Suffix: Elev. Reference to NGVD 1929 CERTIFIED ONLY TO: 570 Duplex LLC LEGAL DESCRIPTION: Lot 3, Block 5 of: "WEST SHORES SUBDIVISION" according to the Plat Thereof as Recorded in Plat Book 42, Page 18 of the Public Records of Miami -Dade County, Florida. Professional Surveyors & Mappers LB 7498 13050 S.W. 133rd Court Miami Florida, 33186 E -mail: afaco @bellsouth.net Ph. # (305) 234 -0588 Fax # (206) 495 -0778 This certifies that the survey of the property described hereon was made under my super- vision & that the survey meets the minimum technical standards set forth by the Florida Board of Professional Land Surveyors & Mappers in Chapter 5J- 17.050 of Florida Administrative Code, pursuant to Section 472.027, Florida Statutes. & That the Sketch hereon is a true and accurate representation thereof to the best of my knowledge and Belief, subject to notes and notat;oris shown hereon. ndo F. Alvarez Professional Surveyor if Mapper #5526 Slate of Florida Not Valid unless Signed & Stamped with Embossed Seal • • Boundary Survey Sheet et 10.70' Parkway . ....... ' ........'S0` ..... a4ed a jW As, f' .. f'$ ............. ode Co; , L • '..'.'.'.'.'.'.'.'.k •'•'• 5800'.:......'.'.'.'.'.P1N.� ..'.'.'.'.'.'.'.'. '.'. ot west: tl 1 V r •'•'•'.i.'..'.'..'.'T:...... 11.10' Parkwa N89°50'08 °E 133.00' Y2FIP No Id ?$' 2'F1P No Id 0.83' CLF 8.01' x 3.58' 13.00' .'•.6feh�fllf•:• :'ply I— — 32.05' ; 4.0' Storage Conc. � ONE STORY CBS rn. o' 4 4.00'• 91 DUPLEX RES. #570 Conc. u• APPROVE Permit 1O.Ar - 1IZ Date: Mimi-Dade County GIp °Fo t4r• 32.05' r 16.03' is co iF 4' CLF �' -Health Dcpai %9---11024; 7 fi r — 5.00' U1 '32'E 58.00' : CC��bINLIANL . WIl 1 A t_ AND COUNTY RULES ANC) REGULATIONS of 18. Block 5 JOB # 12 -475 DATE 09 -06 -2012 PB 42 -18 Surveyor Notes: Survey is Incomplete without sheet 1 of 2 Scale of Drawing 1 " =20' Drawn By: A. Torres Date: 09 -06 -2012 Completed Field Survey Date: 09 -05 -2012 AFA & COMPANY, INC. LB #7498 Professional Land Surveyors and Mappers 13050 SW 133rd CT Miami, Florida 33186 PH: 305- 234 -0588 FX: 206 -495 -0778 AFA Company, Inc Lot 17, Block 5 The sketch hereon is a true and Accurate representation thereof to the best of my knowledge and belief, Subject to notes and Notations shown hereon. Arm F. Alvarez Profession eyar.f Mapper #5526 State ofFlorida Not Valid unless Signed & Stamped with Embossed Seal Y Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General Barbaro Perez 15614 SW 62 Terrace Miami, FL 33193 RE: Contingency Letter Application Document No: AP1085514 Centrax Permit Number: 13 -SC- 1434381 OSTDS Number: 570 NW 113 St Miami, FL 33175 October 19, 2012 Lot:3 Block:5 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 10/10/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Proposed driveway and repaving existing driveway at front, septic system is in the back. From a review of your completed application, it has been determined your existing system is adequate for the proposed use. 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