DS-14-1255Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 214195 Permit Number: DS -6 -14 -1255
Scheduled Inspection Date: July 08, 2014
Inspector: Rodriguez, Jorge
OC wner: KUYPER, NICOLAAS C
J Address: 878 NE 91 Terrace
Miami Shores, FL
Project: <NONE>
Contractor: CHAMPION CONCRETE
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060050320
Phone: (305)252 -8055
Building Department Comments
DRIVEWAY PAVERS
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
J
ly 07, 2014
For Inspections please call: (305)762 -4949
Page 19 of 43
BUILDING
PERMIT APP
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795 -2204 Fax: (305) 756 -8972
INSPECTION LINE PHONE NUMBER: (305) 762 -4949
LICATION
ILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: R s t.9 E: c\ s T E FZ
RFC TV-RD
I JUN 1 6 2014
FBC 2010
Master Permit No.f)
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 3'1 \ 3 S
Follo /Parcel #: /1-706 -00. 3 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Silmple Titleholder): N ■ CO A A S C- . KU.Y Pa k
Address: crl- Fg 1.3 E °\\ .4 TE1 K.
City: Ih 4 \ A M\ %‘-‘ o itES State:
Tenant /Lessee Name: Nib!
Email: V . 3 ∎ E LS @ \ CI- P 1 L .. e ®t-1
BFE: FFE:
Phone#: 32.\ B63 66 6
Phone#:
Zip: 33 \ 3
CONTRACTOR: Company Name: th0/ 071) 64147/177K Phone#: Z3 V v
Address: //0 01 AAV 8' j "
City: COX, State: Zip: .21_.&
Qualifier Name: .J*/7"(-- 645/141)
State Certification or Registration #:
DESIGNER:Architect /Engineer: Phone#:
Address: City: State: Zip:
Phone#: 7f6
Certificate of Competency #: (-c5 65 00476
Value of Work for this Permit: $ 3 ® 0
Type of Work: ❑ Addition ❑ Alteration
Description of Work: J
Square /Linear Footage of Work: .320 .y• ,'
❑ New El Repair /Replace ❑ Demolition
ph/-#9,0
Specify color of color thru tile
Q
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02 /24/2014)
Permit fee ,$.,
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
.,y
ktiout% vow
• rR
Notary $
Double Fee $
Bond $ � � HO
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) P/ Ar
Bonding Company's Address N /A
City State
Zip --
Mortgage Lender's Name (if applicable) %J /t&
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 b- •sted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of h posted notice, the
inspection will not be approved and a reinspection fee will be charged.
The foregoing instrument was acknowledged before me this
,, day of ��re , 20 / Y , by
AA AJ ;Cd(1,ci kv.11 , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
� I
4
11
SETH HERMAN
Notary Pty - State at Fkorlda
My Comm. Expires Mar 3, 2015
Cemmiaro # EE
*
APPROVED BY
(Revised02/24 /2014)
Signature
CONTRACTO
The foregoing instrument was acknowledged before me this
day of 3-c )r- ,20 19 ,by
jets nti e. bos (t 6 , who is personally known to
me or who has produced B 99011 eS1 l b Iona) as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
S
Plans Examiner
ra Notary Public State of Florida
Joanna M Feliciano
411 My Commission FF 082753
Structural Review
Zoning
Clerk
(hoer/ www.mlamldade.gtwlpeit dy- sew- forv.asn) (
Address Owner Name Sub Division Fobs
CH: niooh<as kuyper
OPERTY INFORMATION
Ile: 11 -3208- 005-0320
GOLDEN GATE PARKADON
Address
878 NE 91 TER
Wand Shores , FL 33138 -3218
SETH OUVER HERMAN JTRS
NIOOLAAS CORNELIS KUYPER JTRS
hig Address
878 NE 91 TERR
MIAMI SHORES , FL 33138
Zone
0300 SOIL FAMILY -1901 -2100 SO
Land Use
0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT
I Baths I Half
LNhrg Units
Actu l Area
Living Area
Adjusted Area
Lot Size
Year Stilt
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dritp ksrw .esp) (htipl/wwwirderrildade.gov/panes_estinudeettan advMOrrenJrop_ rp.asp?
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View Taxes (ht sesemmIaiddadebonty-
1 1)
3/1/0
1
1
1,451 Sq.Ft
1,151 Sq.R
1,297 Sq.Ft
10,500 Sq.Ft
1947
(hitpm .cornaltamlDadePA)
Q
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( http• 1Mrw.mIarnldaie.9ovIPAPataUTexes/ garfrAPambYTama/T
foho=11 )
ASSESSMENT INFORMATION
2014 IMPORTANT NOTICE The assessment and exernp9on values amarey shown we
preliminary and am sab)ee to change with they are armed an Judy 1.
Year 2014 2013
Lard Value
Building Value
Enos Feature Value
Market Who
$148,711
$98,100
$0
$244,907
$92,374
$87,937
$0
$180,311
2012
$84883
588,733
$0
$181,816
TRW Noe
Fadaa11)
BENEFITS INFORMATION
Benefit
Non-lkonestead Cap
_sahra_eP)
Type 2014 2013 2012
Agent $8.047
Reduction
Homed Exetnptan $28,000
Second Homestead Exemption $25,000
rro )
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) 10 Ica (eta S C • 4�iy a hereinafter referred to as the owner of
the following described property (address): S ± p
9 p l�rty( ) a� 9 ��
IliAA44/r if-. „73 f'
Legal Description Lot Block Subdivision
Folio # 1 1 H32 0 &— 005-0300'
Requests permission to install (describe work): 9131/C45
Within the public right of way of (address) S-767
/ 8 Ng- 117 4'2..
,144 A4 51catio /(-- 3313i
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of
way. !f it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any
and all liability, which may rise by virtue of permitting the installation of these items within the public right of way.
1
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s)
to be removed and a lien being placed on the property and/or assessed against the Owner for all costs
incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land
and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until
such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County,
Florida by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this It(
SIGNED, SEALED, AND DELIVERED in the presence of:
2
day of
, 201
E. 9 t st TERRAa
tubliciY0edicted Per Plat)
*ASPHALT PAVEMENT
FM. 1/2" LP.
(No UM)
025' 0/5 West
5' W.F.
120' Erx.
.rit*
4111'' f1 t
91144A 1
. at
v. -. the �Ati
ewes;
9.555,
O
13.05
15' PARKWAY
W.M.
75.00' jP
75.25' (M)
-?434141 (41-01
End. 1/2' LP.
(NO I.D.}
ttOZ 91 H r
=—
N.E. 91st TERRACE
Ij
End. 1/2' LP.
.
No LD.)•
C frcrtcolt
! 0 1
n�,� , LEGAL DESCRIPTION:
‘f7.'
f7 G ''^1 (� 9 " Lot 3 and the West 1/2 of Lot 2, Block 3, GOLDEN GATE PARK ADDi11ON, according to
-2.11#(1.7 j okt the Plat thereof, as recorded In Plat Book 6, Page 130, of the Public Records of
V� " v� MlA DADS County, Florida.
xCONC.
f5' W.F.
_ 1m — w v CERTIFIED TO: Seth Oliver Herman & Nicolaas Cornelis Kuyper, First American Title
- - -0.90' a4 V
W. n aSSig
,0E 2 i® 11 PREPARED FOR: Seth Oliver Herman & Nicolaas Cornelis Kuyper,
of n 878 N.E. 91 Terrace, Miami Shores, FL 33138
c40-0, l l , .
One Story
Residence
No. 878
insurance Company; Mark L Riviin, PA; JP Morgan Chase Bank, its successors and/or
28.75'
—20.40'
•
AWACENT
5' CLF�
1.70' 0.
P.P.
End. 1/2' I.P. (No LD.1 4
Encroachments:
1. Overhead utility lines.
2. Portion of the concrete drive and portion of the concrete walk are encroaching into
the street Right -of -Way (N.E. 91st Terrace).
3. Portion of the adjacent 5 foot high chain link fence is encroaching over the West
boundary line.
• Atldeararmes ardor encroacienents shown hereon are of apparent nature. Fence ownership by visual means.
Legal ownership of fences not 3 �
artnid
•
• Underground structures, Wary, not located.
• Bearings, If shams, are based on assumed meridian or Plat of Record
• Lands shown hereon were not abstracted for easements and/or right-of ways of rem.
• Legal description • Certification is described. It Is not a certification of title, zoning, easements, or freedom from
encumbrances. ABSTRACT NOT REVIEWED.
• There may be additional restrictions not shown on this survey that may be found In the public records of VW
county. ABSTRACT NOT REVIEWED.
• This BOUNDARY SURVEY has been prepared for the exclusive use of the entitles named hereon. The Certlicate
does not extend to any unnamed party.
• T the pas baseden the consent tu�ron the field. No cwlstructlon In any manner should be made
15 O.
R
AWACEN'r
6' W.F.
75.00'
PLAT LIMIT
Fri. 1/2' LP.
(No I.D.
SURVEYOR'S SEAL
Unless It bears the signature
and the original raised seal of
a Florida licensed surveyor and
mapper, this map /report Is for
informational purposes only
and Is not valid
REVISED: 02 -04-14
BOUNDARY SURVEY
MOJARENA &
Certlfic
NELSON MO
Registered Surveyor & Mapper Na 5504
State of Florida
LEGEND
A - Central Pat&
A -Arc
NC Air Conditioner
ASPH - Asphal Barbecue
BBO -
C -Calmed
ca - Catch Basin
CBS -C �
Concrete CkSt uctwe
C1 Une
CIF - Chain Link Fence
n -sear
Canc Concrete
D -Deed
0 _
- Ora Hole
Drainage & Maintenance Easm't Easement
- Encroachment
-
- Fire Hydrant
.
Found 1/29kdn Pipe
- Found 1/2' Iron Reber
- Florida Power & Light
- Identification
- Iron Pipe
- Licensed Business
- Lake Maintenance Easmen
-Ught Pole
- Mired
▪ Maintenance
- Maintenance Easement
▪ Monument Line
Monument
-Not
- Nail & Disc
- Number
- Not to Scale
Ofitet
- Overhead Utility Lines
-Pat
- Plat Book
Potreo?Curvaase
- Permanent Control Poke
- Page
Point orison
Parkway
Property Late
Ranter
- Professional Land Surveyor
- Paint of Beginning
-Poi nto?Commencement
- Power P le
-Point of Reverse Curvature
- Point of Reference Monument
-Pair of Tangency Radius
-
-
- Registered Land Surveyor
Range
Registered -
S eyo &Mapper
- Register. Sidewalk
Township
Utility Easement
• Fence
- Water Meter
Wall Maintenance Easement
OH
DME
Easm't
Fm.
F.H.
FIP
FIR
FPL
ID
LP.
LB
tlu�
LP
M
MAW.
ME
Mon.
N/A
NTS
O
O.U.L
P
Pa
PC
PCP
PG
P1
PKWY
F
PL
PLS
P.O.B.
P.O.C.
P.P.
PRC
PRM
Pr
R
Res.
REM
R.iS.
RNG
R/R
Sdwk
Sec
T
TWP
U.E
W.F. MIL
W.M.
WYE
ASSOCIATES, INC.
ui Surveyors & Mappers
to of Authorization No. 6698
P.O. Box 56-0126
33256-0126 1305) 278 -2494
Miami, FL
FLOOD ZONE: X
DATE I SCALE
05 -13-13 I i* 20'
BASE: N/A
OWN. BY j JOB NO.
N.M. 11 13-0097