DS-06-2485Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -28859 Permit Number: DS -10 -06 -2485
Scheduled Inspection Date: May 10, 2013
Inspector: Bruhn, Norman
Owner: ROSE, CYRENA & ERNEST
Job Address: 30 NE 95 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: CHAMPION CONCRETE
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060130490
Phone: (305)252 -8055
Building Department Comments
PLAIN CONCRETE DRIVEWAY
Passed /'
Failed
Inspector Comments
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 10, 2013
For Inspections please call: (305)762 -4949
Page 21 of 21
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Issue Date: 10/10/2006 Expires: 04/08/2007
Owner's Name: ROSE CYRENA
Permit Type: Driveways /Sidewalks /Slabs
Work Classification: Addition /Alteration
Job Address: 30 95 Street NE
Miami Shores Village, FL
Contractor(s)
CHAMPION CONCRETE
Phone
(305)252 -8055
Primary Contractor
Yes
Additional Information
Type of Work: DRIVEWAY
Bond Retum :
Additional Info:
Classification: Residential
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
Bond Type - Owners Bond $300.00
CCF $2.40
Education Surcharge $0.80
Permit Fee $125.00
Scanning Fee $6.00
Technology Fee $3.13
Total: $437.33
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: DS -10 -06 -2485
Phone:
1132060130490
Lot:
PB:
Total Square Feet: 900
Total Valuation: $ 3,600.00
Re • uired Ins . ections
Final
Foundation
Invoice Number
DS -10 -06 -26313
Total:
Amt Due
$437.33
Amt Paid
OCT 1 1 PAID
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 10/16/2006
Inspector: Grande, Claudio
Owner: CYRENA, ROSE
OCT 18 100E
Job Address: 30 95 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor. CHAMPION CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Foundation
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060130490
Lot:
Phone: (305)252 -8055
Buildin
Department Comments
Friday, October 13, 2006
Page 2 of 2
(00 I. Passed
1&
0
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Friday, October 13, 2006
Page 2 of 2
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
on Nu
Inspection Date: 10/10/2006
Inspector: Grande, Claudio
OCT 1 1 SIS
Owner: CYRENA, ROSE
Job Address: 30 95 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: CHAMPION CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Foundation
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060130490
Lot:
Phone: (305)252 -8055
Building Department Comments
Inspection not ready, job not started. Permit has not been
issued. 10/10/06 CG.
Passed
Inspector Comments
.
� 'gym
Failed
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, October 10, 2006
Page 1 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
0MET ,tip
OCT 0 3 2006
Tel: (305) 795.2204 Fax: (305) 756.8972
BYo
BUlLDINO i011100 Permit Ne '0°°2S5
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type (circle):
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) ¢i `eST L - 2495"C Phone #
Owner's Address 3 0 P C €75 sr
City it Macti Wore) State
Tenant/Lessee Name
Zip 33/3
Phone #
Job Address (where the work is being done) 30 Ne '1'..5 If
City Miami Shores Village County Miami -Dade Zip 33/ 3 1'
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name CI-ipallidtv,i 60,,P�!: ^ Phone # 3 05 2-57-#655
Contractor's Address (533 ) if ) r<r4 t_
City 01,4A./N- State 1C Zip 33 i ' tri
Qualifier Name _I Rill -- 6 As / - c.%
State Certificate or Registration No. Certificate of Competency No. 05 465 OO e®a
Phone #
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ "5 Pvt.,
Square / Linear Footage Of Work: ?e° /
Type of Work: ❑ Adddition ['Alteration - ew ID Repair/Replace ❑ Demolition
Describe Work: 1 A) CO i £ 1/0404-
Submittal Fee $
Notary $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Permit Fee $
Training/Education Fee $
CCF $ CO /CC
Technology Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side -+
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 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 m t be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absenc.J.f such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Owner or Agent eta f2 13ciG O
Signature
Contractor
The foregoing instrument was acknowledged before me this to 2 The foregoing instrument was acknowledged before me this 0 2
day of 0C7chrtt,, 20 06 by E2N iP$7 L 405 , day of Ociart , 200 , by-jiff/Mr 0/35/41 ,
who is personally known to me or who has produced '0 L-. who is personally known to me or who has produced a® L.
As identification and who did take an oath. 6 ? if tf /63/D 'as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print
My Commission Expires: 1 t (l "')) b
APPLICATION APPROVED BY:
(Revised 02/08/06)
My Commission Expires:
6'1 -f 6--
(c)_L�70
.
`STATE OF FLORIDA)
COUNTY OF DADE) n
The undersigned Affiant, EiN9S— ' go5i; , does hereby attest that the
(property owner)
attached survey, per.
erformed by GA-NNe-j d A f // `•
(name of surveyor's company)
performed on q o7 -0 G , is an accurate representation of the existing conditions and
(date of survey)
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 six (6) months 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..
Further, Affi• sayeth naught.
Witness( s r and prin
Affiant/Property owner
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this V Z day of &47442.. .700 G
Affiant is ) personally known to me, produced.4L . t2 z o -7-fl 4t 3 YOC,? identification.
NO'S PURIM:STATE OF FLORIDA
Gisela Basilio
Commission # DD491643
Expires: NOV. 17, 2009
Bonded Thru Adardc Bonding Co., Inc.N
• •
Miami Sh0 wlage
10050 N.E. SECOND AVE.
MIAMI SHORES, FLORIDA 33138.2382
Telephone: (305), 795 -2207
Fax: (3051.756- 8972...
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, em`s - L /2°5'<
(owner)
following described property:
Legal description/folio#:
Lot Block
Tax Folio th
hereinafter referred to as the Owner of the
Subdivision
requests permission to install:
[ sphalt, concrete, brick pavers
Landscaping
(]Other
within the public road right of way of 3O A' qS 5'j j.,,a 5 f
iN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
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.
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 obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 02- day ®G?O%sr 0.� 70b4
SIGNED, SEALED AND DELIVERED in the presence of:
OTARY PUBLIC -STATE OF FLORIDA
Siii°
Commission #DD491643
Expires; NOV 17, 2009
Bonded Thru Atlantic Bonding Co., Inc,
•
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made
r I, �,. � m fry
property, and in accordance with Chapter 713, Florida Statutes, the followinH infj r t
is provided in this Notice of Commencement.
By
STJ
�Sr:rF r_OGFrO.
I F/L "EE "r' Cr_; ; /.
oft,inal filed itt
@Legal description of propert and st et/address:
30 �e �'S� 57- /1/441011'
2. Description of improvement: �2 j1!'L°U>>4 i
111111111111111111111111111111111111111111111
CFN 2006R1076412
OR Bk 24981 Ps 2072; t1as)
RECORDED 10/06/2006 12 :37:07
HARVEY RUVIHv CLERK OF COURT
MIAMI —GAGE COUNTY? FLORIDA
LAST PAGE
",Day, COUNTY nr_ ,4 ;'E
Y thot airsIS- !'.0 °.C' -' oft e
al.
C r .it
cad Count' Coi.'f ;
DC.
3. Owner(s) name and address: e iLIVE'ST L- K o5-e.
3 q 51,- 444 5 f ji f-r 33/3/
Interest in property:
Name and address of fee simple titleholder:
.//9"C/he h A 5ii- 6 C04-,
4. Contractor's name and address: C/i"4l 6)0(} (0/Uai%e-r. .
/ . 3 30 dU /6117rz.t 14A4114• f _ 33/96
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
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 and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differ; -t date is pecified)
(
Signature of Owner
Print Owner's Name g---de % L--' reo., Prepared by - J4 -srz'e 6/4./41.-1 0
Sworn to and subscribed before me this O Lday of 0074111-- , 20 Oil
Notary Public, ..
Print Notary's Name
My commission expires:
123.01 -52 PAGE 4 8/02
Address: (5 3.30 P I lzf Trot.
044A__.44... 33/96
NOTARY PUBLIC.STATE OF FLORIDA
Expires: NOV 17, 2�
Donee T. .0 .. h Bonding Co., Inc.
'DS 06-24eF5
Pair 1_ot2
This property described as:
Lot 9 and the West 1/2 of Lot 8
Block 4, AN AMENDED PLAT OF
MIAMI SHORES SECTION NO. 1,
according to the Plat
thereof, as `recorded in
Plat Book 10, page 70 ,
of the Public Records of
Miami -Dade County, Florida.
APPROVED BY
ZONING DEPT
BLDG DEPT
SUBJECT TO COMPLIA Cr E WITH ALL
STATE AND COUNTY RULES AND REGULATIONS
• •
•••-•••
•
•
•
••••
••••
• •
• •
•••s
• •
•• • •
•• •• •
Rose, Erni, and
PROPERTY OF: Rope, Cyrena, 30 N.E. 95th Street, Miami Shoreq, •Plori
!.SEE VALID u•n nutrr nit: SIGNATURE
AND TItE tlXIGINAt. RAMED SEAL. OF
E1./)RIDA LICENSED Sims -EYOR
AND atA ??*
A BOUNDARY
. SURVEY
I hereby certify that the survey repre-
sented hereon .meets the minimum
technical standards set forth by the Board
of Land Surveyors in chapter 61G17-6
Florida Administrative Code pursuant to
Section 471027. Fla. Statutes. There are no
encroachments, overlaps, easements
appearing on the, Plat_ other than as
shown hereto.
LANNES AND GARCIA, INC.
L,II. #2098 - •
SURVEYORS- MAPPERS -I -AND I)LANNE:itS
- BEALE, SMI.TH;;. #5.238
Office address: .359 Alcazar Avenue, Coral 'Gables. Florida 33134
(305) 666 -7909 (754) 523 -8663
• . FIELD 14-02-04, 1S � "L / DRAWN BY I. plivitio