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DS-13-1955Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 198126 Permit Number: DS -8 -13 -1955 Scheduled Inspection Date: October 08, 2013 Inspector: Rodriguez, Jorge Owner: DAILEY, RICHARD Job Address: 10402 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: CHAMPION CONCRETE Building Department Comments CONCRETE DRIVEWAY Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)395 -3369 Parcel Number 1121360130650 INSPECTOR COMMENTS False Phone: (305)252 -8055 October 07, 2013 For Inspections please call: (305)762 -4949 Page 11 of 34 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 07, 2013 For Inspections please call: (305)762 -4949 Page 11 of 34 �e Miami Shores ;Village REC . Building De artrnent AUG 2 206 10050 W2'nd Avenue, Wumi Shores, Florida 33138 BY: Ted: (305) 7952204 Fax: (303) 756.8972 INSPECTION'S PHONE NUMMR: (305) 76U949 BUILDING PERMIT APPLICATION Permit 7�pe: 1013 ADDRESS: BUILDING e FBC ZO t Permit No. Master Permit No.�`JI 3 —1 ci55 ROOFING City: Miami Shorn County: MAIM Dada NO R the Baring Hisbtirla�j meted: Yes k flobd Zone: OWNER: Name (Fee Simple riddoldd) jr d [i l P(4 "• eFS State: 3 c TenanUie�e Name: fto� Email: CONTRACTOR: Company Nate! � AIM= Phi; 3 r� Address: ®i �3 City: ogvc State: jj Qaati erName• JeA-frye— -6A 51 t (� State Certification or Registration #: Cxatificate of Compaloncy ContactPfiione9: - `/ Email Address: °td4n c,4/yp'®yt/ ®� l4 DW6NE>i;: keNtectftSineer. Phon*. Value of Work for this Permft: S4uueJUnear.)a'00t4ge of Work: Type of Work: DAddition OAltetation OONew ORepahAtepiace ODettmjition ern of Work: — C-AV417 Sabud W Fee $ 5 0 c Permit Fee $ + CCF $ CO/CC $ saftftfee$ ,__-Radon Fee $ e;DBPS $ ---- ___,_Bond $ Notm $, Trah&WEdacmtion Fee $ Technology Fee $ Doable Fee $ StructwW Review $ -'-----. TOTAL FEE NOW DUES Bonding Company's Name (if applicable) Bonding Company's Address City State zip Mortgage Lender's Name (if applicable) Mortgage LAmder's Address City State 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 cc* that all the foregoing information is accurate and that all work will be done in compliance with an 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 IN`'RND 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 mist 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 posted at the job site for the first inspection which occurs seven (7) days after the building pennit is issued. IIthle se nce o such posted notice, the inspection will not be approved and a rek7ection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged befc m me this day of 20 I by tL2�_°-( day of 20 by who is personally known to me or wfio has produced ((:—'—� who is peasomlly known to me or who ba reduced '(-,t P As identification and who did take an oath. NOTARY PUBLIC: Sher67,•,f A Sign: Print: My Commission Expires. APPROVED BY TES io" \r�� Plans Examiw: Structural Review (Revised 3/1212012)(Revised 07/10/07)(RevhW 06n0/ )(JtevhW 3/15/09) as identification and who did take an . NOTARY PVBLI\Ct-\\\\11 "\ very ��•,,. 1 Sign: Print: My C aerk 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, "cMA1_0 - dA11YJ , does hereby attest that (Property owner) The attached survey, performed by (Name of surveyor's company) For address: Q i-I Q J . Performed on S`', 3--/ 1 (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. F oher, fflant say naught. Property Owner Signature Property Owner Print Nam SWORN TO AND SUBSCRIBED before me this day of ,vim %`5 ��unrrrrrri Affiant is personally known to me, � roduced N as identificaticM� ra y�•'0 Y�o� �= Notary '• �� ,��5 ®�°': •.'� off@'` ; � `c�"� Revised on 512212009/ Revised on 6/12109 % �T r PERMIT # CONTRACTOR: SUBMITTAL DATE: ADDRESS: � Ae NAME: RESUBMITAL DATES: PROJECT TYPE: O- re (?— i _ Z NINA,,, FIRE 'TRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC f MECHANICAL � nq smtemve • rum s • v ua a Yee ABBREVIATIONS AND LEGEND f -AIR 001MOR ® U9{f t -miss m BOX =HANOW G@ DAILEY -am m am # -4W PALE -=MM WE BOX oAgM UW p= , ® -am= BOX (§} - SWTARY HOME METER ® r - °�� - aEC'IAgc sax ® i; A - =E%IBI91a ElEVATxxS TER VMYE R1r dd¢ HYDRANT �V y r4' HIGH piAIN -LING- FENCE 1 ; s': oyrR Tr aAt�c<a1 0 Q :(ftgtM 7 N! CONC POLE 231 PARKWAY APPROVED BY DATE ZONING DEFT BLDG DEPT SUBJECT .t "O CCIbIPLJFDJCE WrTSi ALL �D STATE ANL) C G'IJNI f RULES MID REGULATIONS or 1 v - N Q 0E e0 QL tiv 20' CERTIFIED T0: F71 A) RICHARD DAILEY B) J.P.MORGAN CHASE BANK, NA aZ C) SAN CARLOS TITLE SERVICES, INC =11 D) 0 UBUC NATIONAL TITLE INS. CO O SETS 11 -2 01 650 o "W GATE bad j _- - e.P • .. . S n 6.50 U TION MAP lox„s RECORD OF REVISION This property appears to be located in Flood Zone X Bose Flood Elavalke N/A as per Federal Emergency Mamagemed Agency (FENA) Commumly -Pond Number 12086, Nap No. 0302, SuN& 4 Effective Data: September 11, 2009 The South 1/2 of Lot 4 and all of Lot 5, Block 121, of 'AMENDED PLAT SECTION 5 MIAMI SHORES" according to the Plat thereof, as recorded in Plat Book 10 at Page 47, of the public records of Miami -Dade County, FLORIDA. SURVEYOR'S NOTES: 1) The above captioned property was surveyed and based on the above legal description. 2) Foundations and /or footings that may cross the boundary line of the parcel herein described are not shown. Undergound utilities are not depicted hereon. 3) The lands shown hereon were not adstrocted for easement or other recorded encumbrances not shown on the plat and the same if any may not be shown on this I section _ 14) Wall Use are to face to the wall 5) Ownership subject to opinion of the Title. 6) Additions or deletions to survey maps or reports by j other than the signing party or parties is prohibited without written consent of the signing party or parties. 7) Elevations shown hereon are based on a closed level loop using third order procedures and are relative to the j National Geodetic Vertical Datum 1929. 18) Survey map and report copies thereof are not valid without the signature and raised seal of the Florida Licensed Surveyor. 9) Ownership of fences are unknown. 10) This survey has been prepared for the exclusive use of entities named hereon this Certification does not axtend to any unnamed party or parties. SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESMSM PROPERTY IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED UNDER MY DIRECDON, ALSO THAT THERE ARE NO WS11101i. ENCROACH0417S UNLESS SHOWN, AND THIS SURVEY NESTS Ed@79dG91 7ECFIrffCAISTANDARDS SET BY THE FLORIDA BOARD OF LAM SURYEYORS, AS SET TORTH IN CHAPTER 472.027 (FS) AND CHAPTER 5,I -17'01` THE Ft.LT". ADMIMSINATME CODE THIS SURVEY DOES NQ`T PUCT OR M- TERMWE OWNERSHIP. NMNOT YAW WUM STATE OF FLORIDA m saNm AND SEA1.0 NO. 2804 8181 lox„s RECORD OF REVISION This property appears to be located in Flood Zone X Bose Flood Elavalke N/A as per Federal Emergency Mamagemed Agency (FENA) Commumly -Pond Number 12086, Nap No. 0302, SuN& 4 Effective Data: September 11, 2009 The South 1/2 of Lot 4 and all of Lot 5, Block 121, of 'AMENDED PLAT SECTION 5 MIAMI SHORES" according to the Plat thereof, as recorded in Plat Book 10 at Page 47, of the public records of Miami -Dade County, FLORIDA. SURVEYOR'S NOTES: 1) The above captioned property was surveyed and based on the above legal description. 2) Foundations and /or footings that may cross the boundary line of the parcel herein described are not shown. Undergound utilities are not depicted hereon. 3) The lands shown hereon were not adstrocted for easement or other recorded encumbrances not shown on the plat and the same if any may not be shown on this I section _ 14) Wall Use are to face to the wall 5) Ownership subject to opinion of the Title. 6) Additions or deletions to survey maps or reports by j other than the signing party or parties is prohibited without written consent of the signing party or parties. 7) Elevations shown hereon are based on a closed level loop using third order procedures and are relative to the j National Geodetic Vertical Datum 1929. 18) Survey map and report copies thereof are not valid without the signature and raised seal of the Florida Licensed Surveyor. 9) Ownership of fences are unknown. 10) This survey has been prepared for the exclusive use of entities named hereon this Certification does not axtend to any unnamed party or parties. SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESMSM PROPERTY IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED UNDER MY DIRECDON, ALSO THAT THERE ARE NO WS11101i. ENCROACH0417S UNLESS SHOWN, AND THIS SURVEY NESTS Ed@79dG91 7ECFIrffCAISTANDARDS SET BY THE FLORIDA BOARD OF LAM SURYEYORS, AS SET TORTH IN CHAPTER 472.027 (FS) AND CHAPTER 5,I -17'01` THE Ft.LT". ADMIMSINATME CODE THIS SURVEY DOES NQ`T PUCT OR M- TERMWE OWNERSHIP. NMNOT YAW WUM STATE OF FLORIDA m saNm AND SEA1.0 NO. 2804