DS-12-2096Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 181243
Permit Number: DS -11 -12 -2096
Scheduled Inspection Date: May 24, 2013
Inspector: Bruhn, Norman
Owner: UNSTEAD, CHRISTOPHER
Job Address: 69 NW 104 Street
Miami Shores, FL 33150 -1237
Project: <NONE>
Contractor: ESR FLORIDA CONSTRUCTION INC
Permit Type: Driveways /Sidewalks /Slabs
Inspection TyperiraWn
Work Classification: Addition /Alteration
f;rl
Phone Number
Parcel Number 1121360131240
Phone: (305)812 -2716
Building Department Comments
EXTEND EXISTING BACK PATIO EXISTING REAR PATIO
AND EXTENSION TO BE 2'X4'X8' BRICK PAVERS.
COMPLETED SOIL & SANDED
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
"ids r lam'
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 24, 2013
For Inspections please call: (305)762 -4949
Page 2 of 19
PERMIT # I1 \ L 2-Cflo
CONTRACTOR: 'S
RESUBMITAL DATES:
PROJECT TYPE:
ii 4147(1-
ZONING FIRE
STRUCTURAL IMPACT FEES
ELECTRICAL HRS/DERM
PLUMBING NOC
MECHANICAL BLDt '
x
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
lBi1LDl
PERMIT APPLICATION
Permit Type: BUILDING
NOV 0
��, mamome~vomemosvms.��
FBC 20
Permit No. 1� � 9Lp
Master Permit No.
ROOFING
JOB ADDRESS: �� �di ilk , 4'8 S'c ? i3 lb -in 7- to 1 17 ��' �►�`3% 1 —a
City: Miami Shores r l 2L K- C i 4: Lo r 11am Nci e '7-2- 9 Gip: Yli?i,r--
Foho/Parcel #: d " O 2 ��
Is the Building Historically Designated: Yes NO ✓ � Flood Zone: Nit
OWNER: Naamee}(Fee Simple Titleholder): C '(' ■ S �.VIS reS. Phone#: 6 P g .3 K -66:3
Addres : G ( 63 In �`-- . ���-!
City: \ L w! ■ �MCrV W State: `�
Tenant/Lessee Name:
Phone #:
Email: C� X \ STS CO -if- 0./031 C ee
CONTRA
Address:
Zip: 331 S o
: Compan Name: g i.. L C9,15.— G.. Phone
) -a7-/b,
City: • State: r;".4... GrL4 0 f "'
Qualifier Name: ,4It't.4 M *I, S 4tf� /.�S
State Certification or Registration #: et-v.630 s d`,7' Certificate of Competency #:
Contact Phone 5O o.] O' 0 e2.7'f Email Ad
ngineer:
Zip: A3 C7 i 'r--
Phor a,0S)27! -L
BT/T-6411
DESIGNER:
Value of Work for this Permit: $
Type of Work: °Addition
Description of Work:
724
°Alteration UNew
65"Cl&N r
f Work:
epair/Replace
o2 zL" X fie
:nut?
°Demolition
Color thru tile:
7M 10JT4
Ol L . StmoEA.
a: ******** ******: x************ *+x+x********F **+z******** *****+x***** * *********** * ******
Submittal Fee $ Permit Fee $ i i' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 119
Bonding Company's Name (if applicable)
Bonding Company's Address
City State 1 Zip
1It
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 instaYlations 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, BOIT.RRS, 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 w ch occurs seven (7 ays after the building permit is issued. In the absence of such posted notice, the
inspection will not be roved a n fee will be charged.
i< Signature
Owner or Agent
The foregoing instrument was acknowledged before me this ` 23
day of Off 2Q `?by
who is personally known to me or who has produced
�` r "-I--J' /, -1— e- As,identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
‘001%1111111140 t
Pu
�-�f /r% y 26,3 ��'d,, ....... o 6p°� My Commission Expires:
((( p41912p
Signature
ohtractor
The foregoing instrument . s acknowledged before me this 0�
day of N 0 , 20 ILL-by lM.. \eJDr �\Voh,
who is personally kno o i 1 . who has > �` _ •®
NOTARY P
•
n andho fci tPr� • • c
•
w.1 1
- � Zoning
........
� -II/,E I F1 F` \���.
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIOT1O.1 j ° L6 3(O - 013- 1240
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
11111111111111111111111111111111 111111111 1111
CFN 2O13RO133156
OR Bk 28495 F's 18806 (1P0
}
RECORDED f 2/19/2013 130!1 =22
HARVEY MIN, CLERK OF COURT
MIAl1I —DADE C:OUNTi e FLORIDA
LAST PAGE
THE UNDERSIGNED hereby gives notice that improvements will be macreits ti n
property, and in accordance with Chapter 713, Florida Statutes, the foll6Wirit Ltrlfibt4l't
is provided in this Notice of Commencement. ,
Space above reserved for use of recording office
1. Legal description of proper and street/address: lc ? 1l
C, cat �b ‘7..r Lo-r $t Zc.. i S ' C (Z.:2-- A G9 JU) \O kt 9cua,a r ye l
2. Description of improvement: '170 1
/3. Owner(s) name and address: 41E M d , ; llij jl MET , yet .r, ;
Interest in property: L. ` ' ■C)
Name and address of fee simple titleholder:
4. Contractor's name, adss and phone number: „
5. Surety: (Payment bond required by owner from contract if any)
Name, address and phone number:
Amount of bond $
6. Lender's name and address:
y
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, address and phone number:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
N. •Tess - • ;,. one number-
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBT IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF . e Vii. `CEMENT.
Signature(s) of Ow
Prepared By
Print Name CAMMS
Title /Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The foregoin. ins rument wa
By
horized Officer /Director/Partner /Manager
Prepared By
Print Name
Title /Office
ackn edged before me this 2 day of 004 v"` 0
('// %I-5 //A /4TEf j
_r , (/(75
.r o 445W
❑ Individually, or ❑ as for
❑ Personally known, or.roduced the following type of identifi
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, I declare that I ,ave read the foregoing and
that the facts stated in it ar fir e, to,;, • est of my knowledge and belief.
Signature(s)
By
123.01-52 PAGE 3 3/10
041191
ComitISS1011 �
' .;DD881482 : `Q `�,c
Authorized Officer /Director /Partner /Mans i tcgiei ivO•
/�i''f��f U
By
.
nFi n�4 +��`�
rdered By.
KASS SHULER
75.00TP)(11/)
NORTH
SCALE 1/20
6.8D`
F.I.P4/2"
NO ID
Block Corner .
• ..1/ .
80.2703X4)::"'
Edge of Pavernen
104 STREET
18' ASPHALT PAVEMENT
Property Address: 69 N.W. 104 STREET
MIAMI SHORES, FL 33150
REPRESENTATION OF A SUR R MY DIRECTION. THIS COMPLIES WITH THE MINIMUI4
CHNICAL STANDARDS, AO FORTH BY THE TE OF FLORIDA BOARD OF PROFESSIONAL LAND '
SURVEYORS IN CHAPTER 17-6. FLRMA ADMIN RATIVE CODE PURSUANT TO 472.027, FLORIDA STATU
SIGNED r.
MIGUEL
STATE OF
NOT VALID WITHOUT AN AU
THIS MAP IS NOT VALID WITH
ND MAPPER.
SA
DA 3.
SjC.ELEC]B
Survey: A-19852
FOR THE FIRM
NOSA LAND SURVEYING, INC.
10665 SW 1 TH Street
uie3
57
HONE:(3 740-3319
AX #:(305) 669-3190
LB # 6463
P.S.M. No 5101
;GNATURE AND AUTHENTICATED ELECTRONIC SEAL ANDOR
AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR
Client File #: REO-100386 Page 1 of 2 Not valid without all pages.
=Z
Z
RAM Mi
KS
PROPERTY toe
STRUCTURE
CONC. BLOCK WAU.
CHAIN -LINK FENCE OR WIRE FENCE
WOOD FENCE
IRON FENCE
EASEMENT
CENTER LINE
WOOD DECK
CONCRETE
ASPHALT
BRICK / TILE
WATER
APPROXIMATE EDGE OF WATER
COVERED AREA
TREE
POWER POLE
CATCH BASIN
COUNTY UTILITY EASEMENT
INGRESS / EGRESS EASEMENT
UTILITY EASEMENT
END
LB#
LS#
CALL
SET
•
■
ELEV
P.T.
P.C.
P.R.M.
P.C.C.
P.R.C.
P.O.B.
P.O.C.
P.C.P.
M
P
0
C
L.M.E.
R,O.E.
Surveyor's Legend
FOUND IRON PIPE /
PIN AS NOTED ON PLAT
LICENSE ti - BUSINESS
LICENSE # - SURVEYOR
CALCULATED POINT
SET PIN
CONTROL POINT
CONCRETE MONUMENT
BENCHMARK
ELEVATION
POINT OF TANGENCY
POINT OF CURVATURE
PERMANENT REFERENCE MONUMENT
POINT
POINT
POINT
POINT
OF COMPOUND CURVATURE
OF REVERSE CURVATURE
OF BEGINNING
OF COMMENCEMENT
PERMANENT CONTROL POINT
FIELD MEASURED
PLATTED MEASUREMENT
DEED
CALCULATED
LAKE OR LANDSCAPE MAINT. ESMT.
ROOF OVERHANG EASEMENT
Property Address:
69 N.W. 104 STREET
MIAMI SHORES, FL 33150
Flood Information:
Community Number: MIAMI SHORES/ 120652
Panel Number: 0302
Suffix: L
Date of Firm Index: 9/11/2009
Flood Zone: X
Base Flood Elevation: N/A
Date of Field Work: 1/14/2011
Date of Completion: 1/17/2011
B.R.
R
RAD.
N.R.
TYP.
I.R.
I.P.
N &D
PK NAIL
D.H.
M.W.
0.H.L.
TX
CATV
W.N.
P/E
CONC.
ESMT
D.E.
L B.E.
L.A.E.
BEARING REFERENCE
CENTRAL ANGLE OR DELTA
RADIUS OR RADIAL
RADIAL TIE
NON RADIAL
TYPICAL
IRON ROD
IRON PIPE
NAIL & DISK
PARKER -KALON NAIL
DRILL HOLE
WELL
FIRE HYDRANT
MANHOLE
OVERHEAD LINES
TRANSFORMER
CABLE TV RISER
WATER METER
POOL EQUIPMENT
CONCRETE SLAB
EASEMENT
DRAINAGE EASEMENT
LANDSCAPE BUFFER EASEMENT
UMITEO ACCESS EASEMENT
TEL.
U.P.
E.U.B.
SEP.
D.F.
A/C
S/W
DWY
SCR.
GAR
ENCL.
N.T.S.
F.F.
T.O.B.
E.O.W.
E.O.P
C.Y.G.
B.S.L.
S.T.L
R/W
P.0 E.
C.M.E,
A.E.
TELEPHONE FACILITIES
UTIUTY POLE
ELECTRIC UTILITY BOX
SEPTIC TANK
DRAINnELD
AIR CONDITIONER
SIDEWALK
DRIVEWAY
SCREEN
GARAGE
ENCLOSURE
NOT TO SCALE
FINNISHED FLOOR
TOP OF BANK
EDGE OF WATER
EDGE OF PAVEMENT
CONCRETE VALLEY GUTTER
BUILDING SETBACK LINE
SURVEY TIE UNE
CENTER UNE
RIGHT -OF -WAY
PUBLIC UTILITY EASEMENT
CANAL MAINTENANCE EASEMENT
ANCHOR EASEMENT
General Notes:
1. The Legal Description used to perform this survey was supplied by others.
This survey does not determine or is not to imply ownership.
2. This survey only shows above ground improvements. Underground
utilities, footings, or encroachments are not located on this survey map.
3. If there is a septic tank, well, or drain field on this survey, the location of
such items was shown to us by others and the information was not verified.
4. Examination of the abstract of title will have to be made to determine
recorded instruments, if any, effect this property. The lands shown herein
were not abstracted for easement or other recorded encumbrances not shown
on the plat.
5. Wall ties are done to the face of the wall.
6. Fence ownership is not determined.
7. Bearings referenced to line noted B.R.
8. Dimensions shown are platted and measured unless otherwise shown.
9. No identification found on property comers unless noted.
10. Not valid unless sealed with the signing surveyors embossed seal.
11. Boundary survey means a drawing and /or graphic representation of the
survey work performed in the field, could be drawn at a shown scale and /or
not to scale.
12. Elevations if shown are based upon NGVD 1929 unless otherwise noted.
13. This is a BOUNDARY SURVEY unless otherwise noted.
14. This survey is exclusive for the use of the parties to whom it is certified.
The certifications do not extend to any unnamed parties.
Legal Description:
LOT 17 AND THE EAST 1/2 OF LOT 16, BLOCK 125, OF SUBDIVISION AN AMENDED PLAT OF SECTION NO. 5 MIAMI
SHORES, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 47, OF THE PUBLIC
RECORDS OF MIAMI -DADE COUNTY, FLORIDA
PRINTING INSTRUCTIONS:
While viewing the survey in any Acrobat Reader, select the
File Drop -down and select "Print"
Select a color printer, if available, or at least one with 8.5" x
14" paper.
Select ALL for Print Range, and the # of copies you would like
to print out.
Under the "Page Scaling" please make sure you have
selected "None."
Do not check the "AutoRotate and Center" button.
Check the "Choose Paper size by PDF "checkbox.
Click OK to Print.
erti le• o: • >r'�. . I ; E
L; ATTORNEY'S TITLE FUND SERVICES, LLC; PRIMARY
RESIDENTIAL. MORTGAGE, INC.; . Its'successors and /or
assigns as their interest may appear.
orida Land
Title Associati
on
AFFILIATE
MEMBERS
M.E. LAND SURVEYING, INC.
10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157
PHONE:(305) 740 -3319 FAX #:(305) 669 -3190 LB # 6463
.MELANDSERVICES.COM
Survey: A -19852
Client File #: REO- 100386
Page 2 of 2 Not valid without all pages.
ASCOOE OF WORK
NEW BRICK PAVERS
LEGAL DESCRIPTION
MIAMI SHORES SEC 5 PS 10-47 LOT 17 &
EY2 LOT 15 BLK 125
FOLIO# 11-2135-0134240
OCCUPANCY GROUP
A -1
TYPE OF CONSTRUCTION
TYPE V B
FBC 2010
SITE DATA
ZONING CLASSIFICATION R -1
LOT AREA PROVIDED
9181.5SQFT.
SETBACKS ALLOWED PROVIDED
FRONT 25' 25'
REAR 25' 51'
SIDES 7.5' 9'
5' BUFFER
BUILDING AREA
BLDG HEIGHT 30'
EXISTING BLDG.
BRICK PAVERS
15'
1396 SQFT.
341 SQFT.
RAINWATER SHALL BE RETAINED
WITHIN
PROPERTY LINE (OR ON SITE)
FLOOR PLAN
1/16'=1'-0'
122.42'
75'
CONC. 5
BE RE
BY: ®o -m,° ®-®
18'-5"
I I
I I
EXISTING
DRAINFIELD
I I
I— —!EXISTING
{SEPTIC
L _jTANCK
CHARLES MITCHELL
924 N. FEDERAL HWY
HOLLYWOOD, FL. 33020
305.336.5069
PROJECT:
REST R I
BRIE •' I
OPQ�ED ..
EXISTING 1 STORY
RESIDENCE
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APPROVED
ZONING DEPT
122A2' DEMOLITION PLAN
1116'1'-0"
BLDG DEPT
18' -5"
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
EXISTING 1 STORY
RESIDENCE
DD AR 10-.12
DRAWN BY: 28 JB
APPROVED BY: CM
REVISIONS:
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NEW BRICK PAVERS
ON FACADE
EL ATION 1
114° =1''
N.W. 104TH ST.'
8
SHEET NO
A -1