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DS-13-571
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 187886 Permit Number: DS -3 -13 -571 Scheduled Inspection Date: June 20, 2013 Inspector: Rodriguez, Jorge Owner: QUINN, JESSIE Job Address: 2 NE 91 Street Miami Shores, FL 33138- Project: <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)751 -6607 Parcel Number 1131010200080 Phone: (305)252 -8055 Building Department Comments CONCRETE DRIVEWAY Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed �+2 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 20, 2013 For Inspections please call: (305)762 -4949 Page 5 of 40 STATE OF FLORIDA, COUNTY OF LADE 1 HEREBY CCRTVY Sof ie sins wet the original in three DO tly of AD2© WITNESS rilif Ion' end cal Sad HARVEY RUVIN, CLERK >; �. �u Gaut 8g r' I"t 1111111 11111 11111 11111 1111111111 11111 1111 i111 CFN 2013R0266126 OR Bk 28568 Ps 1568; (1Ps) RECORDED 04/08/2013 12 10 =►:►0 HARVEY R:UV'INr CLERK. OF COURT MIAMI -DACDE COUNTYY FLORIDA LAST" PAGE NOTICE OF COMMENCEMENT NOTICE OF COMMENCEMENT MUST BE FILED IF THE JOB VALUATION OF $ 2,500.00 AND /OR MORE IN LABOR AND MATERIAL. PLEASE FILE AT 22 NW 1ST STREET, 1ST FLOOR, MIAMI, FLORIDA (305) 275 -1155 (A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION) Permit Number 3 -5- Tax Folio Number. State of Florida County of Dade THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statute, the- following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 2— N( 9 2f 5 % /3/S 2. Description of improvement: (o4"'7. &Aki -7 LV,B-/ 3.Owner(s) name and address: J e ' )e Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor) Name and address: Amount of Borid: $ 6. Lender's name and address: 7. Persons with the State of Florida designed by Owner upon whom notices or other documents may be served as provided by Section 713.13(1) (a) 7, Florida Statute: Name and address: 8. In addition to himself/herself, Owner designates the following permits) to receive a copy of a Lienor's Notice as provided in Section 713.13(1) (b), Florida Statute: Name and address: 9. Expiration date of Notice of Commencement: the expirations date is one (1) year from the date of recording unless a dill nt date is peci#ied) ' - ou►puri ►S' nature of Owner) Tint Owner's Name: —51E3 Si (L. .Jf 3/4 "*%, Swam to and subscribed before me ttlis • °` .� ' X° ' `f'' Prepared by. d . . `' 4 ` it4 Day of \ LC�t- i , 20# !lqq '�' N - Address: �0 .`v' Personally Know,. _; q %/ `,off s' = Notary Public: Produced nt' ` �o y �,'.`�e /,, 42 �! /C:: Print Notary's Name: Oath taken ' ®nth 4Btl aKen Commission Expires: art►nn110 PERMIT # 1 CONTRACTOR: CA Pt M42 r C.A v C SUBMITTAL DATE: 4 69 I ADDRESS: • Q0 t RESUBMITAL DATES: PROJECT TYPE: wiAmmtai FIRE . ,2 -1- r 0 ZONING • STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC MECHANICAL BLDG 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 JOB ADDRESS: OE 1/ FBC 2010 Permit No. Master Permit No.05 t ?— 1 t ROOFING City: Miami Shores County: Miami Dade Zip: ”7 3) Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): e5,1 .. 1/ 6 /1✓ Phone#✓ '75 I `�' 0-7 Address: C� j 5-1- c City: 694 State: Zip: / Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: G Mtpl AJ (. /va fre ? Address: /100 / A/ (( (r3 T' S"C_ / i93 City: CMAIL State: Zip: 331 ° Qualifier Name: JA-ftte_ // /-/t Phone #: ga5 11 State Certification or Registration #: ®� g, Certificate of Competency #: cr_r_ &3 00 a'l�' Contact Phone #: -7j6 '®l C? Email Address] /'y DESIGNER: Architect/Engineer: Phone #: Phone #: 30' 752 �O 3 ye-too. ct Value of Work for this Permit: $ 5/..c Square/Linear Footage of Work: Type of Work: UAddition UAlteration UNew DRepair/Replace Description of Work: 24/ °`e■ eita/ Demolition Color thru tile: 9 ,r.,, ��o ******** * * *** * * * * * *** * * * * * * * * * ** * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /J 0 Clef CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ c 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 b delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement m st : e posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absenc< o such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur:° ,�Gv Owner or Agent The foregoing instrument was acknowledged before me this day of h'\ 1, 20 t 3, by S Go' n1Q , who is personally known to me or who has produced ( C) As identification anc «? n oath. NOTARY PUBLIC: 1 _ sign: ..a : o04, al/ ®` Print: t54 FF�130, f My Commission Expires: >®,a ORlD ee B�%AAi®01 @tt►e0dd`e APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this 2 2 day of hliArl■-e—R"t, 20 (3, by 5t f'►>Z S 1Lu� who is p sonally known to me who has produced as identific ation and who did take an oath. Plans Examiner Structural Review NOTARY PUBLIC: Sign: Print: My Commission Expires: 0001111 0110,/, (Revised 5/2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) 3 /rte"/ /J Zoning Clerk STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant, j t'• Yu I /t% /does hereby attest that (Property owner) The attached survey, performed by 7i-to �y(Name of surveyor's company) For address: 7— Aa q,� 5-r /7 5®e" ? "1 Performed on 2,419-0 (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Furt , iant say eth ught. P operty Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of I0-6 1 owl III II/14/, Affiant is personally known to me, produced d as identification. \\�J`` Arier %,„� Notary :���as ���. Revised on 5/22/2009/ Revised on 6/12/09 /U I1JI#L n/ yr NW COR. NW 1 SE 1/4—SE Y4 SEC. 3--41 NE 91ST ST I-90°04100"M 1 2iiiirif F12 li t•3 (01 03 IV 23 A ). -I P cl?, PI (Da ;Ji tO N3 al 0 04 0 i ?..• 1 Z 1 0.20' CL. 125.06' 18.0' ASPH. PAV. 7.0' ASPH. PARKING 8.0' PKWY 'AVd 'HdSV .0'95 5.0' SWK. S.21 15.20' -,4014)3 "hrAl -143111; -a,v-I0V07 goo .P1 r _F/*, F10 -aelo14,11 Arrypti .17 cs• e9 al/Ivies 4. 13.70' LOT 12 BLK. 0.25' 35.00' 0'1 TOTAL R/W ENC. 15.30' 6.6' 6')(0.7' C.B.S. WALL 0 25.00 r 4x0.7' C.B.S. WALL 90.00'(R) 89.86'(C) LOT 14 BLK. 9 tcji 90°08'10"(M)