DS-14-114Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 206051
Permit Number: DS -1 -14 -114
Scheduled Inspection Date: February 07, 2014
Permit Type: Driveways /Sidewalks/Siabs
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: GITTNER, CORY & LISA
Work Classification: Addition /Alteration
Job Address: 551 NE 102 Street
Fee
Miami Shores, FL 33138 -2454
Phone Number
Parcel Number 1132060170980
Project: <NONE>
Contractor: CHAMPION CONCRETE
Phone: (305)252 -8055
Building Department Comments
PAVER WALK WAY
INSPECTOR COMMENTS False
February 06, 2014 For Inspections please call: (305)762 -4949 Page 17 of 36
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 06, 2014 For Inspections please call: (305)762 -4949 Page 17 of 36
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
Permit Type: BUILDING
JOB ADDRESS: S S! �J E (L9 2— S—)
Permit No.
FBC MD
Master Permit No._L s 14 — I 19
ROOFING
City: Miami Shores County: Miami Dade Zip: 3 3) 3 �X-
Folio/Parcel #: /1 2
706. ®(% ° ®qcr®
J
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
S51 A) C 1()2 s
City: / i A wy%n S + Contn State:
QI
NO Flood Zone:
Tenant/Lessee Name: Phone #:
Email:
33)5
CONTRACTOR: Company Name: - 6g Wi ®Ay Cj) /V j�- Phone #: %dPG° kL 2` til96V .
Address: 11001 m LL) e,3 13.r
City: A 0 Mr t— State: Zip: 3 1
Qualifier Name: i LA 61 Phone #:
State Certification or Registration #: Certificate of Competency #: CL-C-6 &S "Wir
Contact Phone#: 3 05 2-5-2- e035- ! Email Address: -JA- i/y> i 6 R Y ua C4* .
DESIGNER: Architect/Engineer.. Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work: ':Et,
Type of Work: DAddition ❑Alteration ONew ORepair/Replace ODemolition
Description of Work: A
Color thru tile:
Submittal Fee $ Permit Fee $ 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 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 permit is issued. In the ab ;ence of ch posted notice, the
inspection will none approp and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The forego' instrument was acknowledged before me this �i The foregoing instrument was acknowledged before me this,'
day of , 20 �, by l 1 � 2 l� day of �� , 201 , by "�r�'�fi t- ,
who is personally known to me or who has produced � l who is personally known to me or who has produced -e t
NOT
Sign:
41,797;
My C
As identification and who did take an oath.
APPROVED BY
//
as identification and who did take an oath.
NOTARY
fPlans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
am
o
Zoning
Clerk
.q
•.
SEE THE REPORT OF BOUNDARY SURVEY, LANDS DESCRIBED IN PLAT BOOK • *l 5 JT: : : : : •; .'
PAGE 14, ML41vff DADE COUNTY, FLORIDA. THIS SURVEY MAP IS NOT VALIb WITI -MU ::
THE SIGNATURE AND ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED MRWYMR" • • • • •
AND MAPPER. THE SIGNATURE AND SEAL CAN BE FOUND AT THE END OF REPORT.
THE MAP AND REPORT ARE NOT COMPLETE WITHOUT THE OTHER.
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LEGEND
A SY114BOLS I
A- ARCJi[LENG7Ti
BM - BENCH MARK j
PWRTRAN - POWER TRANSFORMER
T - LADIUST
WV - wATER VALVE I
» CHORD
W M -WATER METER
- DELMUCENTRAL kNGLEI
P &T - POWER&TELEPHONE LP +ES
MEAS - MEASURED
SSH - MANHOLE LSD
CAS C - CALCL•LATED
CB - CATCH BASIN
PCP -• PER.MANEN7 CONTROL
CO - CLEAN -0LTCOVER
EAN
POINT
CL » CEYIEALLYE
PRyt - PERMANENT REFERENCE
CBS - CONCRETE BLOCK STRL:C:L'RE
MONUMENT
MONOF
,
-Lp - CONCRETE L.'TE POLE
PC - P CL'T E
- CONCRETE
R!W - RIGHT OF WAY
FPL »FLORIDA POWERdtL1GHT
FPL
BM - BENCH MARK
EL - ELEVATION BASED ON 1929 NG%M
FND IP - FOLND IRON PIPE
FND Ilk - FOWD IRON ROD
CLR - CLEAR
ENCRO - ENCROACH_NIEtiT
C L F - CHAIN LINK FENCE
,NMF - WIRE MESH FENCE
TYP - TYPICAL (FOR SEVER 1L)
»
DH L HOLE
NIA - NOT APPLICABLE
N' 0 - XAI NAIL Sc D[SC
P.08. - POINT OP BEGNNING
C1 ON - 'OLNTY MONLA1ENT
P. O.C. -PONY OF COMMENCEMENT
SP G SPACE
C M - CONCRETE MONUMENT
HIM RANT
E HIM
H - [RE
HY
SAN SWR - SANITARY SEWER
c ' - A
_.MEN"r KI \G
W :M - WATER MAN
T LASS
L' E -- :i1LI7Y _aSEME*T
L; E
lVF - 'FOOD FENCE
LOCATED IN:
VILLAGE OF MIAMI SHORE
MIAMI -DADE COUNTY. FLORIDA
RUT
Lv
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LOCATION SKETCH LOT DETAILS
SCALE: 1 INCH = 150 FEET SCALE: 1 INCH = 20 FEET
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SHEET 2 OF
SURVEY NU-NIBER:04 -06 -009
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