DS-13-235Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 185382 Permit Number: DS -2 -13 -235
Scheduled Inspection Date: February 11, 2013
Inspector: Bruhn, Norman
Owner: RAMOS, MIGUEL
Job Address: 1482 NE 104 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MG EXCELLENCE SERVICE CORPORATION
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1122320320330
Phone: (786)247 -7067
Building Department Comments
LEGALIZATION OF EXISTING PAVERS 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- 185313. Not ready. Complete
work for inspection. NB
February 08, 2013
For Inspections please call: (305)762 -4949
Page 21 of 30
PERMIT #
CONTRACTOR:
SUBMITTAL DATE:
ADDRESS:
NAME:
yctjf0,14 crioag
6.c)tio
tv-.x in4sl
RESUBMITAL DATES:
PROJECT TYPE:
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
MECHANICAL
NOC
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
BY: m®
FBC 20
Permit No. a-0—AM
Master Permit No.
ROOFING
JOB ADDRESS: I W 0Z, /OE /041 S-f
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #: -I 1 "",D.:Q 3:20-3--.0
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): 4`-r Y 9u.dRamos
Address: ,/ Lb. A) e. 1 0 1-2 s1
City: /114 L AI. i VIA..t`__ State:
Tenant/Lessee Name:
Email:
Phone#:
Zip: 3
Phone #:
Address:
City:
Qualifier Name:
State Certification or Registration #: C. �r
. /r/ Y 9 b ., Certificate of Competency #:
Contact Phone #: Email Address:
Phone #:
11
•
4 II
, , d
ax_f
State:
Phone #:
Ler-
Zip: D /
Phone #:
DESIGNER: Architect/Engineer.
Value of Work for this Permit: $ 5-60 Square/Linear Footage of Work:
Type of Work: °Addition °Alteration New °Repair/Replace ee m^ olition
L e et.Li
Description of Work:
Color thru tile:
* * * * *, * * * * * *** ** * * * * * * * * *** * * * * * * * * ** Fee * *, * * * * * * * * * * * * * * * * * * ** x * ***** * *** ** *** * * * **
as
/ 0 CCF $ CO /CC $
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ / 71 0 Training/Education Fee $
Double Fee $ �� Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
V D
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 Signature
Owner or Agent
The fore instrument was acknowledged before me this ✓) The forego
day of� 20(3, by , day of
by
who is personally known to me or who has produced / has m W o
p y p � R SZC�who is personally known to me or who has produced
541 ' - 3O i _ fl As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
1
My Commissi
* * * * * * * * * * * **
APPROVED BY
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
,.a somry Puwk stets a 6tta My Comma �,', , d (� gbo
� 8
4/ D Weo1 Warn e �®
• < MY Oo�missio^ EE 1!'5011 • N�0%0064 K+ �
d empires 05128(2048 g�P
* tie * ***** r************ **************** ***** r******* ** ***********
Plans Examiner
Structural Review
(Revised 5/2/2012XRevised 3/12/2012) XRevised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007)
Zoning
Clerk
Rick Scott
Governor
John H. Armstrong, MD, FACS
State Surgeon General
Heise/ Alvarez
po box 402222
Miami Beach, FL 33140
RE: Contingency Letter
Application Document No: API096564
Centrax Permit Number: 13 -SC- 1454120
OSTDS Number:
1482 NE 104 St
Miami, FL 33138
February 06, 2013
Lot:12 Block:4 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 02/06/2013 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
property.
Proposed bricks driveway.
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
,147 N.W. 138th. AVE, FLORIDA 33182 BOUNDAR1' SURVEY PH: (788) 342-1581
IAMI, FAX:(305) 207-7191
PROPERTY ADDRESS: 1482 NE 104th STREET, MIAMI SHORES , FLORIDA, 33138
LEGAL DESCRIPTION: LOT 12, BLOCK 4, OF "RIVER BAY PARK ADDN", ACCORDING TO THE PLAT
THEREOF, AS RECORDED IN PLAT BOOK 40, AT PAGE 72, OF THE PUBLIC RECORDS OF MIAMI DADE
COUNTY, FLORIDA
RECORD SURVEY
j- 7.50' WIDE v)
a SCALE 1.'40 20'
• ....
F.N. N90°0'0"E 75.00' M&R F.N.
i
0.30.—
0:(re
00
I.
a
WALLci.
I
CONC.
To-
.
-ji-Ffirrs j–rfl j-1-11.7
pooL
CONC.
CwONC.
•
1
SEPTIC TANK
LOCATION AS
PER OWNER )
ri±Frri irffiff-r_
LOT 12, CONC.
BLOCK
(. :) k
r. sr i
'
1 L _ _I
\ / 3.1/0' ,
/".. y
_
. ,
:'
\/
0. s r
CONC.
Mr 18.9' 8. X\ \
/
#AL RESIDE
X ■ # . X
1482 NCE •
Y
t-ct \ illr / IV 1 / \ /.,
./ \
/ 19.8'
re
08
01-
,
LOT 13, Pi
BLOCK 4 y-
e-
ILI
fp
0
0
0
Z
1
x
1
.51
10'
tll'')16
- LOT 11,
uj BLOCK 4
ilz
0
o
Z
APPROVE»
Permit no, Ale , i b9 6
Date:
01106 /%"1
Miami-Dade Countsy
Health Department
•,..,
,
\>
PORCH
/
.
17.3'
,
0
111 i_j
x
V
To \ Air
r • --......
,
• .'st A -
— -1
LOCATION 1
PER OINNER 1
__ __ __ J
IM11417
—
' -
' • '" c - ' : :- , ,. ,.,)
...
-' . ..
°
,
90°
r I
I DRAINFILL
1 AS
1_
90'E '4,/-
EIRICKS
RIVEWAY
,._ — , , :
■ ,
1 7-,
US
_____.....=scg=4
., .. _ -
IMETER NATF_R
/- B.O.B
4' SIDEV/ALK F.I.P.
N90°010"E 75.00' (M&R) F.I.P.
2 Or
NE 1 04th STREET
. ,
12' PARKWAY
A
BRICKS
Or
), "'"
,
(50' TOTAL R/W) 18' ASPHALT
PAVEMENT
APPROVITte_
RV
nATF
g
THER MAY BE EASEMENTS AND/OR
,c- INSTRUMENTS AFFECTING THIS
'PROTY,RECORDED IN THE PUBLICS
RECORDS NOT SHOWN ON THIS
'SURVY.
7_ °MING DEPT
/
BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COI, INTY RULES AND REGULATIONS
. ' N ) LEGALNOTS
CERTIFICATE TO:
MIGUEL RAMOS
DATE OF FIELD WORK 01-10-2013
REVISED ON
REVISED ON
THIS SURVEY DOES NOT CT 0/‘: '
EXAMINATION OF THE ABITRACT 0 Trfl.E-1tL TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING TI1E ' PR0PERTY k THIS SURVEY IS SUBJECT TO DEDICATIONS,
LWIITATIONS, FtSTRICTIONS, RESERV til. OR EASEMENTS OF RECORDS. LEGAL DESCRIPTION
PROVIDED BY CLIENT. THE, ' ,. LITT' . '''' SURVEY IS umrrED TO THE COST OF THE SURVEY.
UNDERGROUND EXCROACHM • ARE NOT SHOWN FIRM HAS NOT AT1EMPTED TO
LOCATE FOOTING AND/OR • . . , AND/OR UNDERGROUND IMPROVEMENTS OF ANY
NATURE IF SHOWN, BEARINGEiWRE REFERRED TO AN ASSUMED MERIr4AN. IF SHOWN,
ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929.
ORDER No 13-0102
ARTURO R. TOIRAC PIS 3102
NOT YAM WITHOUT THE S AND THE ORFGINAL
RAISED SEAL OF FL SURVEYOR AND
MAPPER.
THIS SURVEY IS NOT COVERED BY
PROFESSIONAL LIAI3IUTY INSURANCE
LEGEND AND ABBREVIATIONS
NC = AIR CONDITIONER PAO. CA. OR t *CENTER UNE FA • FIRE HYDRANT. LEL •10MNO' ROM MUM ICA. • NOT TOSCALL PWY. • PARKWAY. RO.• MAD.
WO • KO= CORNER CONC. •0124CREll. PIP.. FOUND IRON PIP. 111.• UM. OE • OVERHEAD UTILITY LIMB PL • PLANTER OR PUCE RAY RIGHT (*WAY. 83MX..atre lout
O x. BENCH MARX a • MST. , KUL • FOUND IRON ROD. , jr.. Loft pap, OJL =CNFRNAtifk PA. PROPERTY UNE. 8 =SCUM IN* WEST.
BOA • WS OF BEARP408. ELM .. ELLNAMON. FN. • FOLINONAIL (W. MEASURED C0484SEN. OS . OFF SEE P.I.S*PRORMSOPLUMANSMIL fitO • SECTION. WA. *WATER MUM
(0).CALCUIATOOLOONSON. ILTP,ELIMITUO TRANSFORMER Pt " Fixr. PS, PLAT BOOK PL8II•FROFF1310101 IMO WI& • IONNOMP.
• 3(...4e•CMAIN uttiouce. N "QM' VILV,INATER VALVE.
ORIU-1401fi P.C. • POINT C€CURVATURE SFAIERRIUMWEIL ILL • UTILITY EASEWINT.
CB. •CATCM MIK FAIL FOUND
08.8.•001MHE BLOOKSOWIME F.F.e. • MOW= FLOOR EMMEN. 4"6"NgQD "ME- N"" "fir *C°D6M FOP. • PERWMENT WORM POW. R -RADIUS.
5201:1211.C.13.81NALL (R)• RIMMED =MON UP.= =WY POLL
RAO. • RADIAL