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DS-13-0479Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 187140 Permit Number: DS- 3- 13-479 Scheduled Inspection Date: July 31, 2013 Permit Type: Driveways /Sidewalks /Slabs Inspector: —Sc- �� f ti ��, Inspection Type: Final Owner: Work Classification: New Job Address: 289 NE 104 Street Miami Shores, FL 33138- Phone Number Project: <NONE> Contractor: PAUL DAVIS RESTORATION OF GREATER MIAMI INC uepartment comments INSTALLATION OF NEW CONCRETE APPROACH TO EXISTING DRIVEWAY TO BE REMOVED AND REPLACED WITH CONCRETE. RESURFACE EXISTING WALKWAY AND INSTALL NEW PATIO WITH STEPS 04/04/2013 - PENDING NOC. As STOP WORK ORDER POSTED Parcel Number 1121360130610 INSPECTOR COMMENTS False Inspector Comments Passed _041 Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Phone: (305)260 -0034 July 30, 2013 For Inspections please call: (305)762 -4949 Page 3 of 31 �1 Miami Shores Village Buildin g Department artment PLAY 2 A 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 • Tel: (305) 795.2204 Fax: (305) 756.8972& INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 297 U99 A® c/"7/ S_112ee City: Miami Shores County: Miami Dade Zip: -33 /'49 Folio/Parcel #: 11-2-136 —®/ 3" q i�/o Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ©C g sx-0a fl S- %,), 0 56Z-�4/ Address: 2 3 r Si ej oz r¢ City: Am 14-rw/ 15' d C// State: oc�� Zip: 33/c// Tenanta,essee Name: Phone #: Email: ^ c-1 1 e&,rw1W 4_, -P% CONTRACTOR: Company Name: Address: 2622 a.) - city: 4.1 A C-&qq Qualifier Name: �� lL•` L% b�J State Certification or Registration #: C6- C- 0! Contact Phone #: 3Of "72 6" 3 ?iP DESIGNER: Architect/Engineer: l0e Phone #: —State: /92--L Zip: '24 73 o 16 Phone#: 20S° —72-K 12 `,`'® i 7 Certifreate of Competency #: _Email Address: /G�L��d ✓ >'�ti, Phone#: ��S^a, 6 3 %/1P Value of Work for this Permit: $ Pe f' 0c) Square/Linear Footage of Work: 2 31 " Type of Work: ❑Addition UAlteration ONew ORepair/Replace ODemolition Description of Work: +E X-f S}", .4!kw -� Q -1- e N 4 f o b' e4 a u r 0 ® 4. Tt;- e40 �,r �. .b 0 4fr V z.�2.1,:,•�- dl �� �. b ��.r/t'. ev/l`-Y°' �.,'2-� -K e,•,/*t;�� ..�°P `�J' �f mil` �'e'�tC JY�"-�' Colo" thru tile: t.+ Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ r q Bonding Company's Name (if applicable) Bonding Company's Address City State 0 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued.A I the absence of such posted notice, the inspection will not be approved and a r M fee will be charged. Signature Signature 4 Z " Owner or Agent Contractor The foregoi instrument was a os led d rore day of , 20 by who is pers 1 known to me or who has produced .. llJ 19$fftfication and who did NOTARY PIUBLIC: Sign: w t Print: My Commission Expires: this The foregoing instrument was acknowledged before me this K-0 day of , 201, by �,' h 11 ,\ l�� y dJ ho is personally known to me or who has produced 0 %-) o0" d • `e �, ti 1 •SQSSeQ1 � ®� PSSo APPROVED BY J T Plans Exa as identification and who did take an oath. Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) ti� o�o pagm 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: (3055) 762.4949 PERMIT APPLICATION Permit Type: BUILDING ,77 _ 9 �'O ✓ � i � d.9 �� q li J � a --- ----------- _ F_BC Permit No. 1 Master Permit No. ROOFING JOB ADDRESS: V, 9 9 /v l ® y!� S'l City: Miami Shores County: Miami Dade Zip: 33 / 3 69 Folio/Parcel #: / / -- Z / 3 6 ®/ 3 ®,d ®® Is the Building Historically Designated: Yes Iasi Zone: OWNER: Name (Fee Simple Titleholder): le ®C ef C 52 !J /S'.,( 7-1 G'U 1 L- 'cPhone #: 2 o - ° ?� e.4V Address: 2- 3 S 8 2- A-f Sr�e �� City: State: � Zip: 3 TenantUssee Name: Phone #: Email: /OC' U" C & eZ(Sbc__"V d 1-tAmil^ CONTRACTOR: Company Name: ,24 U 6 x v / 1 A? S ;; '64" r '/OWPhone #: '30-37- -7a 6 Address: , 6 57 �? cA3 . 7 % &' 1 /t X --0 // City: Hi A -e A KI State: '0� 4 Zip: 3 3 ®% er Qualifier Name: AL,. 7-e /'C 41 Phone #• State Certification or Registration #: CCrC C->,5 72 V ,S Certificate of Competency #: Contact Phone #: ? ® S--- 722 6°- 3 % c �� � Email Address: .� DESIGNER: Architect/Engineer: oc?e ;r w /t K! z- Phone #: 30 6"-' Value of Work for this Permit: $ � ��9 Square/Linear Footage of Work: 7? 3J Type of Work: LIAddition OAlteration ONew ORepair/Replace ODemolition Description of Work: R JFSd AO -- fC'.,1,V 9 c -X /eS® �✓�M4"u — X44& L_�ewf Color thru tile: Submittal Fee $ Permit Fee $ f CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ 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 br hure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of com mcement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. 4 the absence of such posted notice, the inspection will not be approved and a reins ection fee will be charged. Signature 711��(,==-�--� Signature ZZ Owner or Agent Contractor The foregoing instrument was acknowledged before me this day of�, 20 _'J, by C. cjro- , who is personally known to me or who has produced NOT My identification and who did take an oath. Tt rough National Notary Assn. The foregoing instrument was acknowledged before me this (S *91 day of , 20 L-5, by QW, c I % J n who is personally known to me or who has produced as identification and who did take an oath. APPROVED BY Plans Examiner Zoning Structural Review (Revised 5/2 /2012 )(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007) Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: (3 -'/—?9 DATE: 3/ A13 W tractor er ❑ Architect Picked up 2 sets of plans and (other) Address: 2 '�' ct 111,1�e— 0 V ",/ SlR 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: PERMIT CLERK INITIAL: •ibrer�hf nac� 3 I S� �4 10' PAVEMENT FOUND 12 - GARAGE t900 (V WMU 50' 7 06)" 15' ALLEY LOT 21 WIRE FENCE O / O J 9.90' 22.10 SLIS N U LL o ONE STORY 5.10 RESIDENCE 13 " # 289 F.F.E: 12.65' NGVD. CONCRETE POST 0.18 CLEAR •�r 6 FOUND 3/W IRON PIPE DRIVEWAY PAVEMENT $ 50' t, 75.00' PPW BOUNDARY SURVEY SCALE 1"=20' '—NP-OUND 318' Cl) E 25' X01 �� Lo r 22 a � J 0 LL LL O O U1 U. z J 10.09 C'7 N r 25' 51T," a J LL O FE °0 19.40 °j' 3 00C N ?��' 251 25' O 5' SIDEWALK FOUND p20N ME 15.40' SOD W-W .ryv., sifi � 'c: Y.. ird 1YW ^ ^. ~!yti tuy .•F.tT ^�: ap ai NE 104TH STREET - 18.50' PAVEMENT 76 RIGHT OF WAY O U7 I` C'7 IK 0 J LL O w z J u� 52' LEGAL DESCRIPTION: Lots 21 and the West 1/2 half of Lot 22 in Block 120, MIAMI SHORES SECTION 5, according to the Plat thereof as recorded in Plat Book 10, at Page 47, of the Public Records of Miami Dade County, Florida. PROPERTY ADDRESS: 289 NE 104TH STREET MIAMI SHORE, FLORIDA 33138 GARAGE =10.2T 23.55 10.00' 8 17'90 BE HAVE TO BE MADE TO DETERMINE RECORDED 12.05 INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY 15 3-NO UNDERGROUND IMPROVEMENTS WERE LOCATED w Lu 4- ELEVATIONS ARE IN N.G.V.D.VERTICAL DATUM. z 5 -THERE MAY BE ADDITIONAL RESTRICTIONS NOT w SHOWN IN THIS SURVEY THAT MAY BE FOUND d IN THE PUBLIC RECORDS OF MIAMI DADE •�r 6 FOUND 3/W IRON PIPE DRIVEWAY PAVEMENT $ 50' t, 75.00' PPW BOUNDARY SURVEY SCALE 1"=20' '—NP-OUND 318' Cl) E 25' X01 �� Lo r 22 a � J 0 LL LL O O U1 U. z J 10.09 C'7 N r 25' 51T," a J LL O FE °0 19.40 °j' 3 00C N ?��' 251 25' O 5' SIDEWALK FOUND p20N ME 15.40' SOD W-W .ryv., sifi � 'c: Y.. ird 1YW ^ ^. ~!yti tuy .•F.tT ^�: ap ai NE 104TH STREET - 18.50' PAVEMENT 76 RIGHT OF WAY O U7 I` C'7 IK 0 J LL O w z J u� 52' LEGAL DESCRIPTION: Lots 21 and the West 1/2 half of Lot 22 in Block 120, MIAMI SHORES SECTION 5, according to the Plat thereof as recorded in Plat Book 10, at Page 47, of the Public Records of Miami Dade County, Florida. PROPERTY ADDRESS: 289 NE 104TH STREET MIAMI SHORE, FLORIDA 33138 LOCATION MAP N. T. S. NE 105TH STREET 9 8 7 6 5 4 3 2 1 i9.vA100 =A SURVEYORS NOTES: 1 -OWNERSHIP IS SUBJECT TO OPINION OF TITLE. 120 2- EXAMINATION OF THE ABSTRACT OF TITLE WILL BE HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY 15 3-NO UNDERGROUND IMPROVEMENTS WERE LOCATED w Lu 4- ELEVATIONS ARE IN N.G.V.D.VERTICAL DATUM. z 5 -THERE MAY BE ADDITIONAL RESTRICTIONS NOT w SHOWN IN THIS SURVEY THAT MAY BE FOUND d IN THE PUBLIC RECORDS OF MIAMI DADE COUNTY. M 6 -LEGAL DESCRIPTION PROVIDED BY CLIENT 7- UNLESS OTHERWISE NOTED RECORDED AND LU MEASURED DATA ARE INSUBSTANTIAL AGREEMENTS. 8-BEFORE ANY CONSTRUCTION THE SET BACKS MUST BE CHECKED 9 -FLOOD ZONE °X° PANEL 1208600302 L 10 THIS SURVEY IS INTENDED EXCLUSIVELY FOR THE USE BY THOSE TO WHOM IT IS CERTIFIED. 11- BEARING ARE BASED OF PB 10- 47(PER PLAT) 12 -DATE OF FIELD WORK 12/07/2012 LOCATION MAP N. T. S. NE 105TH STREET 9 8 7 6 5 4 3 2 1 i9.vA100 =A a CERTIFY TO: 1- .Rapid Title Services Company. BLOM 2 -.Old Republic National Title Insurance Company. CORER - 3 -.Roc Acquisitions, LLC. FOUND 39' IRON PIPE 3- .Peter Cura. CARLOS SILVA P. S.M. P.S.M. #3630 JOB:1- 12/07/2012 11010 SW 140TH AVE AIZUff PLA 33186 PH. (305) 388 -4098 PAX. 305 388 -4098 THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. NE 104TH STREET wV =WATER VALVE —{ = UTILITY POLE ANCHOR = CONCRETE —0 = CHAIN, LINK FENCE, 0 = WOOD FENCE LEGEND: A/C =AIR CONDITIONER PAD C.B.S. = CONCRETE BLOCK STRUCTURE DH = DRILLHOLE F.I.P. =FOUND IRON PIPE F.N.D. =FOUND NAIL & DISC F.N. =FOUND NAIL L.P. =LIGHT POLE N/D =NAIL & DISC N. TS. =NOT TO SCALE PPW =POWER POLE WOOD TS = TIN SHED S LP. =SET IRON PIPE LB.# 3630 W.M. = WA TER METER = DENOTES ELEVATIONS. I HEREBY CERTIFY: THAT THE BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AS RECENTLY SURVEYED UNDER MY DIRECTION. IT IS ALSO MY PROFESSIONAL OPINION THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS (DOACS) IN CHAPTER 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 2099 -66 OF THE FLORIDA STATUTES. 12/07/2012 LOS_ PROFESSfONAL LAND SURVEYOR CERTIFICATE No 3630 STATE OF FLORIDA THE SURVEY SHOWN HEREON IS NOT VAUD WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA SURVEYOR AND MAPPER w z w d M w z BLOCK 120 15 16 17 18 19 20 21 2 23 a CERTIFY TO: 1- .Rapid Title Services Company. BLOM 2 -.Old Republic National Title Insurance Company. CORER - 3 -.Roc Acquisitions, LLC. FOUND 39' IRON PIPE 3- .Peter Cura. CARLOS SILVA P. S.M. P.S.M. #3630 JOB:1- 12/07/2012 11010 SW 140TH AVE AIZUff PLA 33186 PH. (305) 388 -4098 PAX. 305 388 -4098 THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. NE 104TH STREET wV =WATER VALVE —{ = UTILITY POLE ANCHOR = CONCRETE —0 = CHAIN, LINK FENCE, 0 = WOOD FENCE LEGEND: A/C =AIR CONDITIONER PAD C.B.S. = CONCRETE BLOCK STRUCTURE DH = DRILLHOLE F.I.P. =FOUND IRON PIPE F.N.D. =FOUND NAIL & DISC F.N. =FOUND NAIL L.P. =LIGHT POLE N/D =NAIL & DISC N. TS. =NOT TO SCALE PPW =POWER POLE WOOD TS = TIN SHED S LP. =SET IRON PIPE LB.# 3630 W.M. = WA TER METER = DENOTES ELEVATIONS. I HEREBY CERTIFY: THAT THE BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AS RECENTLY SURVEYED UNDER MY DIRECTION. IT IS ALSO MY PROFESSIONAL OPINION THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS (DOACS) IN CHAPTER 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 2099 -66 OF THE FLORIDA STATUTES. 12/07/2012 LOS_ PROFESSfONAL LAND SURVEYOR CERTIFICATE No 3630 STATE OF FLORIDA THE SURVEY SHOWN HEREON IS NOT VAUD WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA SURVEYOR AND MAPPER w z w d M w z PATIO SLAB DETAIL 11" REINFORCED CONC. SLAB W/ 6 "x6 "— W1.4xW1.4 W.W.M. Fl �� DOUBLE MESH EXISTING SLAB SECTION KILIDDjIAN 12• 2 —# 5 CONT. 2 —# 5 CONT. /Z s• 9= SECONDARY POUR #5 DOWELS SET IN EPDXY @ 16" 0. C. :;tI GRADE N.T.S. 4 —# 5 CONT. # 3 STIRRUPS @12" O.C. PEM rJrs • PLANNERS D R 0 �/ EWAY RESURFACE FOR r� �uoo�wv. rsn UM-M Wa : M 0093067 CO OBISPO AVENUE 289 N.E. 104TH ST. CORAL GABLES 33134 iE nOK:(305) 726 3748 MAM SHORES, FL (p IV U