DS-13-2293Inspection Worksheet a
Miami Shores Village ° o'
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207570 Permit Number: DS -10 -13 -2293
Scheduled Inspection Date: April 15, 2014 Permit Type: Driveways /Sidewalks/Slabs
Inspector: Rodriguez, Jorge
Owner: CADENAS, JUAN
Job Address: 84 NW 94 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
comments
DRIVEWAY USING INTERLOCK PAVERS WITH THE
FIRST 6" OF LIME ROCK THEN 2" OF SAND AND LAST 2"
OF INTERLOCK PAVERS WALKWAY CONCRETE OF 4"
HBY BY 28 "'L CONECTION FROM THE PORCH TO THE
SIDEWALK 35" SIDE WALK TO BE REPAIR
Passed
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Type. Foundation
Work Classification: Addition /Alteration
Phone Number (305)725 -1906
Parcel Number 1131010340220
INSPECTOR COMMENTS False
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 207510. CREATED AS
REINSPECTION FOR INSP- 200797. NEED TO REPLACE ALL SECTIONS
OF DAMAGE DRIVEWAY. (EAST, CENTER AND WEST)
Driveway already finished without inspection
April 14, 2014 For Inspections please call: (305)762 -4949 Page 5 of 23
April Wk 2014
Miami Shores Village
Building Department
10050 NE 2nd Avenue
Miami Shores, FL
REF: Permit # DS -10 -13 -2293
Dear Sir or Madam,
Regarding the Addition /Alteration of the Driveway and Sidewalk
at the property located on 84 NW Wk Street, Miami Shores, FL
33150, I have performed the following task:
On March 30t, 2014 I have inspected the foundations of the new
portion of the sidewalk (portions East, Center and West) and the
foundation of the new driveway.
I found that the mentioned foundations were constructed as per
the requirements of the Authority Having Jurisdiction, the city of
Miami Shores Village.
Sincerely, 11
LuisW. beta, AIA
\'- Registered Architect
AR96765
Luis M. Seta, AIA
Registered Architect
AR96765
1789 NE Miami Gardens Dr.
#504
Miami, FL 33179
727.686.8716
Luis.Seta.ArchRectftmafl.com
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 200796 Permit Number: DS -10 -13 -2293
Scheduled Inspection Date: April 16, 2014 Permit Type: Driveways /Sidewalks /Slabs
Inspector: Rodriguez, Jorge
Owner: CADENAS, JUAN
Job Address: 84 NW 94 Street
Miami Shores, FL 33150-
Project <NONE>
Contractor: HOME OWNER
Building Department Comments
DRIVEWAY USING INTERLOCK PAVERS WITH THE
FIRST 6" OF LIME ROCK THEN 2" OF SAND AND LAST 2"
OF INTERLOCK PAVERS WALKWAY CONCRETE OF 4"
HBY BY 28 "'L CONECTION FROM THE PORCH TO THE
SIDEWALK 35" SIDE WALK TO BE REPAIR
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)725 -1906
Parcel Number 1131010340220
INSPECTOR COMMENTS False
April 15, 2014 For Inspections please call: (305)762 -4949 Page 4 of 32
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 15, 2014 For Inspections please call: (305)762 -4949 Page 4 of 32
nI
BUILDING
Miami Shores Village
Building Department OCT 0 8 2013
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY.
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
PERMIT APPLICATION
FBC 20
Permit No.
Master Permit No.Q S G ° pW
Permit Type: BUILDING ROOFING
JOB ADDRESS: S LA 0 W Ci Li �Qrr- �j
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNED: Name (Fee Simple Titleholder): J 0.40 C.AMQ66 Phone #: 17—S 190(0
Address: 1S Li WW 9 4 Sr.
City: "iArm l 5 �%O V� State: 1 1_
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: C5 Lo N��. Phone#:
Address:
City: -State: Zip:
Qualifier Name:
State Certification or Registration #:
Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ `�,�� > ! Square/Linear Footage of Work: i9 G 6l*r
Type of Work: ❑Addition ❑Alteration �Wew ❑Repair/Replace ❑Demolition
Description of Work: 06iW_-, 1PT—E Clef • -ryE :etf2.
�AIJ;.c13 �a� Gz*r-9.Z'r 0t- 411 l -Vq 4' -W S`( Z& L, C.oeJar�Ti c70 -fo�M 'Cafes QWZ k lb TAZ
Color thru d1e:
Submittal Fee $ ° ' _ Permit Fee $ CCF $ . CO /CC $
Scanning Feee $ Radon Fee $ �� �DBPR $ Bond $P a
Notary $�5 ®() Training/Education Fee $ a L) Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ '06
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: 1 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 o attachment. Al a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspeco ich oc rs (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not ove an d a i spection fee will be charged.
Signature,
The fog /going instrument was acknowledged before me this
day of QC G✓ , 20 J , by GVah CA eK gp.)
who is personally known to me or who has produced FL
NWd'S Q tCh3-'1- As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
BARBARA A. ESTEP
W C MM*S10N # DD 955300
EXPIRES: March 29, 2014
ndW Thru Noy PU* UmWv d ws
Signature,
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to me or who has produced
as identification and who did take an oath.
J/t J/i -Plans Examiner
Structural Review
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06 /10/2009 )(Revised 3 /15 /09)(Revised 7/10/2007)
Zoning
Clerk
Scope of Work:
Landing of our house:
Driveway
We are using interlock pavers with the first 6" of lime rock, then 2" of sand and last 2"
of the interlocked pavers, concrete footing on the sides to keep the pavers on place.
656 S/f in total.
Walkway:
Foundation of concrete of 4 "H by 4' W by 28' L, connection from the porch to the
sidewalk. 140 S/F in total. 4 F'A.t 2
®Lr. Tz.
PERMIT # !-Z3-
CONTRACTOR: Q
SUBMITTAL DATE: —
ADDRESS: YA J `
NAME:
RESUBMITAL DATES:
PROJECT TYPE:: i Via W
E
FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
NOC
MECHANICAL
wt
6LDG-
Miami Shores Village
BUIN hg Department
10,O N,E.2nd.Avenue
Miami Shor6s, Florida 33138
Tel: (305) 795.2204
Fax: (305) 7 ,56.8972
MER BUILDER DISCLOSURE STATEMENT
NAME: J ��N G.x:;P�rA,1 DATE: 10 — oe-240 i�
ADDRESS:8 li 't-l'�X) 9 WST, H AH ,�R— �5 3 l 15Q
Do hereby petdorl the Vtgage of Aliami Shores to act a$ my own �ntrac.ID pursuant to the taws of the Stets of Florida, FS 4&9.103(7).
And I have read and unde*ood the, fo mOV dlacfosurg statement, which erhtitle$ 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-famNy residence. You may also build or Improve a
commm cW budding at a cost of $25;000.00 or less (:The, now form states 75,000). The builftmustbe for' yourown use and
occupancy, it may riot tie butt for sale or lease: H youfsell' or leer a building you' have built yourSOlf within oheyear after the
construction Lion lo °co far tf l w paesurtre that!jfoL IUK for," of Vie; which. 10"a vkdaftch bf, thWdkbion. You may not hire
ure th
an unlicensed person as a contractor. It is your responsibility to make se people employed by you have licenses required by state
law and by county Or Munich* licensing ordinances. Any Person working on your building who is not licence must work under your
supervlofon and must be employed by you, which means that you must deduct FICA and with - holdings tax and provide workers'
compensation forth"'at employee, alias pif. ibed bylaw. Your tonstiuction must comply with ati applfc a laws, "ordinances,
buildings codes and zoning regulations.
Please read and initial each paragraph.
1. t understand that state law requires co*ucthn b be done by a licensed contractor and hays.appDe for an owner- builder
permit under an exemption from the law. The exemption sperms that I, as the owner of the property .Oft, may act as my own
contractor with certain restrictions even trough I do not have a license.
Initial J G
2. 1 understand that building permiw are rot required to be signed by a Property owner unless he or she Is resporsible for the
consti'ucioq and is not hiring a licensed contractor to Fume respan Vity.
dnitis
3. 1 understand that as an carer builds, I am the resemble party of record on a permit. I understand that I may protect myself
trim PAW" financial dsk _by hiring a gored contractor and having the permit fled in his ar her name instead of my own
name. t also understand tat the Ontraft Is required by law to be Weed In Flo to and to list his or bares numbers on
permits lid corhtreft C
Initial_
4. 1 underslehd that I may build or Improve a one family or hoo4atnihr residence or a tarn mdoft. I may also build, or improve
a commercial building if the coals do not excel $7'5, 000. The building or residence must be for my use at oocupanccy. it may
not be butt or subslsntally improved for sale or Imo. 9 a building or residence that I have built or substantially Improved
myself Is sold or leased within 1 year after the corstrur.Imn is complete, the law will presume that I built or substantially
Improved It for sale or left which violates" exemption.
InW J G
5. t understand that as the owner4Ader, I must provide dam, onsfte supervision of the wm*ucdiCm.
hdtal
I 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 BMW requIred by law and by county or
muMdpal oMndrse.
Initial J c1
I understand ttsrt it is frequent prectioss of unlicensed persons to have the property owner obtain an owner builder pemdt that
-erronadtiaty Implied that is property owner is providing his or her own labor and materials. I, as an aarr r- butlrleKr
liable and sub* to serious financial risk for any injuries sustained by an unlicensed person or his
or erripl�
working on my properly. My homeowner's insurance may not provide coverage for twse Injuries. I am witfuayaiding as in
owneNiulider and am aware of the limb of my insurer= coverage for injuries to workers on my property.
Inited_.,.. �C
I understand that I may riot delegate the responsibility for supervishrg work to be a Aoansed contractor who Is not licenses to
perform the wodcbeing-done. Ahty P a working on my bt a±tro is rhos; must work under my direct supervskm
and must be emj tlo by me, whiftnp that 1 nUM oomph with laws *jIWthe wfthholding of federal income taut and
social sem* contributions under firs Federal Insurance Contributors Act (FICA) and must provide workers s compensation for
the employee. I understand that my failure to follow frese may subject to serious finenclal risk. 1
Inite�v
I agree that, as Ire party Laity and fnwd* msporwlble for this proposed Construction activity, I will abide by all applicable
Jews and *uiremert th& govern diner -bdders as well as empibyars. I also uoderetand fhat`fle
Corstructich must comply whh ag applicable laws, ordine►tM bt;tding codes, 'W zoning reguletibns.
lhitial .��
10. 1 understand that I may obtain more brfomhallon regarding my obligations as an employer from the Internal Reventla Service, the
unite States Small Business Adminlstrolion, and the Fkurlde DepaM>wht of Revenues. I also urnderstandtnat-I may contact the
Florida Constructor Industry Um sirng Board at 850.4117.1395 or htrid
in(fai,...,..,.,�„__
11. 1 sn aware of, and consent to; an owner- builder building permit applied for In my name stmt understands #* I am the party
lgdy and #hen telly responsible for the proposed contrition activity at the W w" address:
12. [agree to notffy Miami Shores Vgiag• hmedialely of an y additions, deletions, or dwjes to any offt W n tfIet I
have provided on fhb disclosure
Licensed oontrados are regulated by laws designed to protect the public. t you cordrect with a person *w does not have a
license, the CorsfOuction Industry licensing Board and Department of Business and Professional Reghdaton may be unable to
assist you with any ftnctai loss fiat you sustain as a result of eontioctor may be In hull taunt. h k; also Important for you to
understand that, t an unlicensed contractor or employee of'an individual or Ift Is k0fad while work% iSiryonir property, you may
be held liable for damages. If you obtain an owner - builder permit and wish h to hire a licensed corftclor, you will be responsible for
venfft whetherthe contractor is properly licensed and the states of the contractor's workers crompersatiorh coverage.
Before a building permit can be issued, fhb dbciosure staterrnent Wrist be cromp'lefed and signed by the property mnrer and
retumed to ft laced pemdft agency responsft for faking the pernit A copy of the properly owner's "driimr lierse, the
notarized stnature of tie property owner, or oft type of verftlion acceptable to ft local pernriitBng agency is required when
Ire permit is Issued.
was aCkno @ ��day of �_ � 20 t�
r�voh i4+1 ��,s v, Ire 8y who was personally known to me or who has
identiflcaflon.
wxlz
•
BARBARA A. ESIV
s MY COMMISSION # DD 955M
EXPIRES: March 29,2014
".� �hk Bonded Thru Notmy pw%o undewrih n
Scope of Work:
Landing of our house:
Driveway
We are using interlock pavers with the first 6" of lime rock, then 2" of sand and last 2"
of the interlocked pavers, concrete footing on the sides to keep the pavers on place.
656 S/f in total.
Walkway:
Foundation of concrete of 4 "H by 4' W by 28' L, connection from the porch to the
sidewalk. 140 S/F in total. -'Pp.•t 2
o
W &UR- `�
721n SW 126th court, Aniano J. • Garcia, PLSM Ph (305) 856 -4566 Property Address:
Miadili, Florida 33183 Fax (305) 595 -1454 84 NW 94th Street,
Land Surveyor i Planner Miami Shores, Florida 33150
Record Survey Legal Description:
Lot 12 and the East 30 feet of Lot 13,
— — — — — — — — — — Scale V= 20' - - - -- - - - - -- Block 168, "SECTION 6-A OF MIAMI
SHORES ", according to the Plat
89'53'02" 15' Wide Alley ;o thereof, as recorded in Plat Book 12,
FIP at Page 54, of the Public Records of
9' Asphalt Pavement Conc FIP MIAMI -DADE County, Florida.
S 89 °53'02" E 80.00' -
- — I S89'S3'02°E 20'
0.25' Vq
p - o_
I c y0 0.25' I ' _�_
4' Plastic I DOro cl
( 9 I �I
��� I I OCT 0 s 290
�� I 30 1 (�
Lot • 1 Block 168
Lot 12, �L.ot Una I
Block 168 The E 30' Remainder °w
of Lot 13, of Lot 13, 2
Ot-
50 Block 16
I Block 168
o I I
�
�Conc Trellis �
00 N "c t-
N
.- V_
O "0 CD o bl Conc L,—PL
--1 0 C 0.10'
CO o 13.05' 17.1 I 1 .5 6. Ct
C> I 8
z "` Residence I g SI
# 84 I °
° I SNO Vo1038 0144 SFIrly J.!.Nrl30 (IMd 31v'1S
N AC I
0.10' 25.5' I 7v%ii jCfftj -rro HIM 3Tvndi'400 O.! 1c3rans
CI ^ arch I a 1430 SCI-19
Steps >
12.95' ( 1d3a JNINOZ Q
II 44
Ci3,AOl� ddb 'sl fn
o C I a6slll/1 say uS W31IN I r-
a
0
FIP p6y I B Ste., 8 Z
g� I O I BOB% of
4 'P° SW53.02_E 20'� — — — — 1 — W
5' Sidewalk S 89053'02" E 80.00' FIP S89.53'02"E 76.43' v FIP
o" of
BC
There may be easements and /or
other instruments affecting this
'ion 23.5 Parkway property, recorded in the Public
M M Records not shown on this survey.
Edge of Pavement The purpose of this survey is for use
in obtaining title insurance and
18.5 Asphalt Pavement financing and should not be used for
NW 94th_ Street construction purposes or plans.
(75' Total R/W)
Argelia Guaitero & Juan Azul
Cardenas; Venetian Tittle
Visual Encroachments Noted: Nonne ervices, Inc.; Fidelity
LEGAL OTES Dat of Helm Work 05 _ ational Title Insurance
Tfitis survey does act reflect or delenriae aitrrlerslitp; of the Atetd of ae rM Company; Branch Banking
have to be made to ddem*'e Recorded ketrurrmts, if vn• d�g the pry This and Trust Company and /or
' a subd to deoes, Bra Aniano J. PLSIVI 5105 Secretary of Housing and
� prron pmvWW by The Ley of this Sw" is rued to tt�e cost of
Swwgr; lfndergrouad Ertwoachmenta, if any, we not dmq This firm Ims riot attarlpted to Not valid Witho t the signature Urban Development, their
too* WW/" fatmdaffm and /or ardewmid kwovemerb of any nature; If ud101m, nd the origins raised seal Successors on /or Assigns
Beariitgs are referred to an Awanei Mer�arr, If �'n, tw,atiaus am refer to Natiaital o ensed surveyor
(odelic Vefoal DaWm of 1929 OM 1929) and mapper Order No 13 -0173
A = Arc Length; AC = Air Conditioner; AE = Anchor Easement; SC - Stock Corner: BM = Benin Mark: 809 - Bassi Of Bearings; (c) - Calculated Dlmenekwc c8
- catch Basin; CBS - Concrete Block Structure: CFW - Concrete Fence Watt: CH = Chord Length; CHO - Chord Bearing; Cl - Cesar; CML - Cily Monument Line:
Z O CME ®Canal Maintenance Easement; Conc — Concrete; DE = Drainage Easement: DME = Drainage & Maintenance Easement: Dr - Drive; E - East; Elev -
Elevation: ENCR - Encroached; ETP - Electric Tmnsform�; FDH - Found Drill Hole. FIR = Found Iron Rod: FFE - Firdsfred Fkmr Elevation: FN - Fire Hydror� Flp
- Found Iron ape; FN - Found Nail. Fr - Feet: LME - Lake Maintenance Easement; LB - Ucensed Business; LFE — Lowest Fk>ar Elevation: LP -Light Pole; (M)
Measures Mme ME - Matntenartce Easement; MON - Monument; N =North: NGW 1928 =National Geodetic Vertical Datum of 1928: NTS - Not To Scale;
OE - Overhead Cables: OH - Over Hang; ORB = official Record Book; 0/S - Off Set Pb - Piet Boat- PC - Point of Curvature: PCC - Point Of
W Curvature; PCOR - Property Comer; PCP - Permanent Control Point Pg = Page; PL = Planter or Properly Lire; PLS - professional Land Surveyor;
O W_ Professional Land Surveyor and Mapper; P0a = Point Of Beginning: POC a Point Of Commencement PRC = Point Of Reverse Curve: PRM = Permanent Rcterence
W CD Monument; PT - Point Of Tangency: R - Radius; (R) - Recorded Dime; RLS - Repgared Lard
—r m Way; Sec = Section: T = T Surveyor and Mapper, R/R - Roil Road; R/W - Right Of
Q Tangent S - South: SIP - Set Iron Pipe With Cap Stamped 51(15; UE Utility Easement up = Ut ty Pole: UlY - utw.
W m West WF - Wood Fence: WM - Water Meter, WV - Water Valves q = Centerline; —x-- - Chain Link Fence: ® - Concrete Wag; ' - Degrees; 4 = Central
Angle: d - Diameter, f - Existing Elevation; ' - Minutes; ' - Seconds; —n— - Wood Farce I
a I
Residence i I
# 84 I
Ito J5, E3 f+
1044 1JA
! 94 ,
p A�n1
c
18'
6'STEP I i s 1 -fix 34 I
M
" 14'8" W"
FIP--
.. py
S t1.i a' FP SaV53 "1D2"C 7.6.43. �r
ulr,�y,T R, ° ,A There nW be easements ano
" \ aT trot y} o thor instraments aff60 no hi
23 Par
pmperty, recorfto In too Pu of
Records not s'a Iow M or, this au
qe rant
The purpose of this survey
n , in Mining tie nurence kar
fimancing and should not be u:
NW 94th Street
nstmction purposes or plan
✓