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DS-12-125411 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 _ t 2- 9(o �- Inspection Number: INSP- 175530 Permit Number: DS -7 -12 -1254 Scheduled Inspection Date: December 11, 2012 Inspector: Bruhn, Norman Owner: Djordjevic, Mildred Johanny Job Address: 10130 N MIAMI Avenue Miami Shores, FL 33150- Project: <NONE> Contractor: HOME OWNER Building Department Comments CEMENT SOME PARTS OF BACKYARD AS DESCRIBED ON THE ATTACHED SURVEY Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 786 271 -7927 1131010210060 December 10, 2012 For Inspections please call: (305)762 -4949 Page 4 of 26 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 10, 2012 For Inspections please call: (305)762 -4949 Page 4 of 26 ° Miami Shores Village 10050 N. E. 2nd Avenue Miami Shores, FL 33138 -0000 ' Phone: (305)795 -2204 Fax: (305)756-8972 Folio Number) 131010210060 Owner's Name: Mildred Johanny Djordjevic Owner's Phone: 786 271 -7927 Job Address: 10130 MIAMI Avenue Total Square Feet: 0 Miami Shores, FL 33150- Total Job Valuation: $ 1,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 5/25/2012 Comments: IDENTIFY LOCATION OF SECOND AWNING ON THE PLAN AND ITS AREA. Miami Shores Village 10050 N.E. 2nd Avenue ai Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number: 1131010210060 Owner's Name: Mildred Johanny Djordjevic Owner's Phone: 786 271 -7927 Job Address: 10130 MIAMI Avenue Total Square Feet: 0 Miami Shores, FL 33150- Total Job Valuation: $ 1,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/18/2012: Yes Comments: IDENTIFY LOCATION OF SECOND AWNING ON THE PLAN AND ITS AREA. 6/18/12 NEW PLAN OK f,. Miami Shores Village Cl Buildin g Department artment �q 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 °mot Tel: (305) 795.2204 Fax: (305) 756.8972 ` INSPECTION'S PHONE NUMBER: (305) 762.4949 C r � _ BUIL ING Permit No. PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: Z I w &' / 4 oP *'. MAY 252012 BY:- 0 A FBC 20 CO Master Permit NoAC_j a — 1 � S ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: .11 Is the Building Historically Designated: Yes OWNER: Name (Fee Simple NO Flood Zone: 3�?1.!r d Address: ZO/ 30 &,Z44 141,4ml AU. v v City: . ®/4M 1 State: I'S/ C, <C `/Q,4- Zip: 3_:�) l So Tenant/Lessee Name: Email: CONTRACTOR: Company Name: ��y` Phone #: Address: City: State: Zip: Qualifier Name: State Certification or Registration #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Certificate of Competency #: Value of Work for this Permit: $ ��. UG Square/Linear Footage of Work• /CJ6�,f Type of Work: DAddition Alteration ONew ORepair/Replace ODemolition Description of Work: 1415°4 16=f/ Color thru tile: d Submittal Fee $ Qb. CYO Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Double Fee $ Q Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 caner or Agent Contractor The foregoing instrument was acknowledged before me this 95 The foregoing instrument was acknowledged before me this day of V1 "-� V , 20 t L by ti I aO S t AV DSCWZ (IN flay of , 20 _, by who is personally known to me or who has produced t Q who is personally known to me or who has produced NOT Sign: Print: My C As identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY / ��� Plans Examiner 4� Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3115/09) NAME: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT DATE: 12. OZ ADDRESS: 351 !;O Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, FS 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. - Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as m n contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible he construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead o wn name. I also understand that the contractor is required by law to be licensed in Florida and to list his or licen nu on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially im ved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or s ally improved it for sale or lease, which violates the exemption. Initial 5. 1 understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. ' Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner- builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor w o is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contac e Florida Construction Industry Licensing Board at 850.487.1395 or htt : //www.m oddalicense.com/db r/ ro /cilbfrndex. Initial 11. 1 am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the informa 'on that I have provided on this disclosure. Initial CAW Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this Z day of OTJ 20_ B JYM V 010d was personally known to me or who has Al Produced there License or r 2 entification. i OWNER ,,.'dv'o'�,•., CLAUDIA V. CUBiLLOS =io` pf�ry Public - State of —1da . My Comm. Expires Sep 23.2016 ��:�° Comarissioa� 12SS1Assn. n..na' Bonded ThroUQh Permit No: 12 -965 Job Name: September 18, 2012 Miami Shores Village Building Department Building Critique Sheet 3rd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1) The plans are designed under the wrong code and wrong wind loads. Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 762 -4859 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 3313 8-0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number) 131010210060 Owner's Name: Mildred Johanny Djordjevic Owner's Phone: 786 271 -7927 Job Address: 10130 MIAMI Avenue Total Square Feet: 0 Miami Shores, FL 33150- Total Job valuation: $ 1,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 9/17/2012: Yes Comments: IDENTIFY LOCATION OF SECOND AWNING ON THE PLAN AND ITS AREA. 6/18/12 NEW PLAN OK 9/17/12 NEW PLAN OK Miami shores Y Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 12 -965 Job Name: June 20, 2012 Page 1 of 1 Building Critique Sheet 1) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 2) The plans are designed under the wrong code. The correct code is the FBC 2010. Stopped review 0 A, 0:5 /1 � 1 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 12 -966 Job Name: August 9, 2012 Page 1 of 1 Building Critique Sheet 2nd 1) The slab permit is required first because this structure is attached to theuexisting Slab". 2) The HRS /DOH approval will be required on the slab permit. Stopped review Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tot: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: AC--k —.l 9(o3, DATE: _ / ca I t2- o 7�ontracto r c'bwner ❑ Architect I A. 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: PERMIT CLERK INITIAL: a0 , RESUBMITTED DATE: PERMIT CLERK INITIAL: � —0 \1 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 FBC 20 W Permit No. D5 9 12 _ 12--5"A Master Permit N Permit Type: BUILDING ROOFING JOB ADDRESS: 0 Q)46 ff City:,, Miami Shores County: Miami Dade Zip: f FoliolParceM-a3Z0102140 Is the Building Historically Designated: Yes Flood Zone: /1 OWNER: Name (Fee Simple Address: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: "" U Phone #: Address: City: State: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 0 Square/Yinear Footage of Work: Type of Work: OAddition DAlterati% ONew ORepair/Replace ODemolitio4-., Description of Work: Color thru tile: � `;LC -A Submittal Fee $ 50, UJ Permit Fee $ Scanning Fee $ Radon Fee $ Notar $ Training/Education Fee $ Gub;Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $_ Technology Fee $ TOTAL FEE NOW DUE $ I dC �1— 2-4 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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. "WARMING 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 The fo day oP who is NOT) Sign: _ Print: My Cc =ntwas er or Agent Contractor tru ackn wledge befo sM� foregoing instrument was acknowledged before me this -120 44v- by 1 v, � f , 20 _, by , known to-we or who has produc o is personally known to me or who has produced �, tification and who did take an oath. as identification and who did take an oath. APPROVED BY 4�� ;&n- Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign. Print: My Commission Expires: Zoning Clerk Miami Shores Village Building Department 10050 N Und Avenue Wrn Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 �� IW NAME: ATE. ADDlESS: ' And I have reads - h - — — - _ hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the "State of Ftgdda, RS 489.103(7). and understood tho.foltowirig disclosure statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new,form states 75,00%.The butiding must be for your own use, and occupancy. It may not! be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete; the'law Wilk presume that�you built for`sale or lease, which is a Ole f on of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by countyor municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.CA and with- holdings tax and provide workers' compensation for that employee, all as prescribed bylaw. Your construction must`comply with all' applicable laws, ordinances, buildings codes and zoning regulations: Please read and Initial each paragraph. 1. 1 understand that state law requires construction to done by a licensed contractor and.have applied for an owner - builder permit under an exemption from the law: The eicem on specifies that 1, as the owner of the prgj Qhy listed, may act as my own contractor with certain restrictions even though I do not have a license. InitiaL,.��J�i~� 2. I understand that building permits arc not required to be signed by a property, owner unless he or she is responsible for the construction and Is not hiring a ticensad ��ntractor to assume responsibility, miff y — 3. 1 understand that,, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial` risk by hiring a licensed contractor and having the' permit filed in his or her name Instead of my own name. I also understah that the contractor is required by taw to be licensed In Florida and to list his or license n C on Perm' and contracts. �M 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also bulldror improve a commercial building N the costs do not exceed $75,000. The building or residence must tiefor my use or occupancy' It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I bull t,orpTfially p which, the exemption. 411"/ improved it for sale or lease, w, ..Initial ' 5. I understand that as the owner- builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal: ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously Implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 1W 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that i must comply with Igo requiring the withholding of federal income tax and social security contributions under the Federal Insurance contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may sub1ect to serious financial risk. Initial 9. 1 agree that, as the party legally and financially responsible for this proposed construction activity,1 will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that l may contact the Florida Construction lndustryl icensing Board at 850.487.1395 or hftp:/AvNw.mvfloridalicanse;oDm/dbor/Dro/Cilbfindex.html Initial - 1: 1 11. 1 am aware of, and consent to an owner- builder building permit applied for in my name and understands that I am thWerty legally and financially responsible for the proposed construction activity at the following address: I(>t3C,) W rAiA M\ Initial —W 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the info*notve have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who do license, the Gonstr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that if an unlicensed contractor or employee of an individual or fine is injured while working on your'property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of l —,20 1 "2- By N1 k l-G IKE D i, J c P. e' who was personally known to me or who has Produced ere License or 1+Irr till as identification. �.�� •tit p i r�; • �°/' /''. o � 03106/ 2016 .d MIAIKIR _ NOTARY PUBLIC ; - TA `��A .� EE 173059 LOW Permit No: 12 -1254 Job Name: August 9, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 2) Provide detail of construction on plans. Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Miami shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: 1 �C� ' DATE: 1. Contractor Owner Ei Architect P'�ed`up 2 sets of plans and they i r ✓�i� �� r I Address: 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: PERMIT CLERK INITIAL: RESUBMITTED DATE: q1 ) 01 ) °' PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: 1) S I ? 12 Q4 DATE: -7 / (o / 2_ • Contractor • Owner • Architect ,/-' Picked Address 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: PERMIT CLERK INITIAL: RESUBMITTED DATE: —i? — —/J— PERMIT CLERK INITIAL: 011-e SURVEY NUMBER: FL1011.1045 7010A Ui e�91 1 1.4' I - r-- I ••• •r /�,,,.'�° •�,,,,' 'R•, i.y 1 5TY. a3 �•• 1 09 �Nr✓r .z. to Rf5#10130 N f g $o. I ✓ — �p - •, 10.4' C m� �,�.•� to �a oO to , 24.5' z 1 � s Cry :� LQ � N o •�i F3 � .. 1 ✓ to it E�11 Il r� w u2 FIR bores Village NO ID W .07'(M) a ID , q p9 t7 p-y gyp P':I- r rl ® N 1 1 12' FIR .J v G, f +y�'/i`•/ NO ID L ZONIN 131-K. COR �d' g 41 SUBJECT SUBJECT 1 " ®G 1�1h'ufv l c V I 'he 6 th this Sketch o eyofthe hereon described r N' i'f �S �� U LA 17101,1 �1 Pro bn, and to the best of my STA ci . b kno a and be re, r a a ccurate representation of survey hi-f. that he 10t5T ?,'vF..(iUF setforth by fhe Florida Board Of Pro al Lin °r�'u'3vey described in Chapter 5J -97 of the o is 30 U Florida A uxv PAUL M.vnalSurwE GRAPHIC SCALE (In Feet) N State of Florida Professional Surveyor and Mapper 3 License No. 4572 1, inch = 30' ft. N y Use of This Survey for Purposes other than Intended, Without written verification, will be at the User's Sole Risk and Without Liability to the Surveyor. Nothing hereon shall be Construed to Give ANY Ri' hts or Benefits to A ne Other than those Certified. .81 11 -0 POINTS OF INTEREST: None Visible k Miami -Dade County'Health Department "125 NW 167. St; {?pa Lock a, EL 33056 . Phone: ('305) 6'23-3500 . pax: (305) 623-3645,-,'ht p: /fwvrw.M, ,'Flori.daERcom