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DS-14-75Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205785 Permit Number DS- 1 -14 -75 Scheduled Inspection Date: May 29, 2014 Inspector: Rodriguez, Jorge Owner: PARKER, JEFFREY Job Address: 675 GRAND CONCOURSE Miami Shores, FL 33138 -2473 Project: <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060172170 Phone: (305)252 -8055 Building Department Comments POOL DECK CONCRETE SLAB AND PAVERS Infractio Passed Comnhents INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 28, 2014 For Inspections please call: (305)762 -4949 Page 5 of 32 'ERMIT # =ONTRACTOR: SUBMITTAL DATE: I k S I I9 ADDRESS: (67'S CC3rvC"d, (14 NAME: Pa- l -ye(rk RESUBMITAL DATES: Miami Shores Village L\ Building Department 3 J 50 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 9, S ECTION'S PHONE NUMBER (305) 762.4949 BUIL ING -3i (-11 / 6 : Permit No. PERMIT APPLICATION �% `ter Permit No S tt,\\ jtV#1(ii.;(- int(- JAN 1 5 2013 El f°. —m«� FBC 20 IAD Permit Type: JOB ADDRESS: 6/5- 6 t-44. C ) City: ROOFING Miami Shores County: Miami Dade zip: 311 7? Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): J E T.../t7tY lC., 4I_ Phone #: Address: 67 s 60g4Nia 6s pe0t)t City: i W V"it S State: Zip: 4' 3 (74. Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: ' Address: 1(001 J U 1- 6*Ve7+C- City: "OD /U t State: 14" Zip: 515 j ' Qualifier Name: 'J #44e- b X3144° Phone #: 3 As q-7 eat 37/ State Certification or Registration #: Certificate of Competency #: er. -0,00 Contact Phone #: Email Address: J %PY� M�+/ �- C - . DESIGNER: Architect/Engineer.. Phone #: Value of Work for this Permit: $ /t 420. GY Square/Linear Footage of Work: b2'0 AM'S Phone #: 3 05 2-5Z- ?Ors- Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace Description of Work: ,p OOH I 404 r COM �rG, f 6'V'ee_ UDemolition Color Lhru tile: ******** *** *** * * * * * * * * * * * * * * * * * * * * * * * ** Fees************** ** * * * * * * * * * * *w * * * * * * *Ia * * * * * * ** 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 NO • JE $ I 76 I > I 0 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must b osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the ab ence of . ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of QetN& , 20 13 , by who iv:milt-rally known tiTat or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: "o‘-eP---dE;';': Print: ..N My Commiss BRADLEY RPBINSON :,r MY COMMISSION # EE 100324 EXPIRES: June 12, 2015 14;4„ x,'' Bonded Tfuu Notary Public Under waters e ******* *** **** ********* Y***** APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this I day of IA , 20 1` t, by 313t I n Q - •CiA S') Lci2$, who is personally known to me or who has produced P L - I J ) as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: tllle us' ///1/i \d IS : % o.. t p rn My Commission Expires: o; $a.• *****/0, **** Y**** Y* Y********** k************* ***********ph****************** Plans Examiner Structural Review (Revised 5/2/20 12XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) ©/6//7 Zoning Clerk ,y,rM " J' OUL F.I.P. .pow :fife coNmei, z 05 L te. oUG 4" PfiA) ti4 Po 04_ r C�1�0�. lc �e� � *SURVEYOR'S Alt SEPTIC TANK AND DRAT OF AN APPROXIMATE Lc REFLECTED LOCATION HEALTH APPLICATION G m -c NO 0.90' OUL 1289' .0 0 0 M 1250' LOT - 19' BLOCK - /03 BLOCK CORNER F.I.P 1/2' 40179' NO ID. 401.83' O M OWL F.l. P. %z' NO ID. 109.99'(R4Mi PC C2 R= 2079.79' L= 106.68' d =2 °56'20" T= 53.35' CH= 106.67' O CHB =N83 °42'04 •E 0 w %z ° NO ID. / NO ID. 66' ASPHALT Cl R= 1949.79' L= 100.01' d =2 °56'20" T= 50.02' CH= 100.00' CHB =S83 °42'04 "W .O L C> 0' w� CO 0 z tig O tL GRAND cQNc®URSE C PY JAN 16 013 BY: 7OMING DEPT PLDG DEPT ! !_!1 ;IFCT TO COMPLIANCE WITH ALL FEDERAL ^!i1 COt1NTY Rt11 FS AND REGULATIONS FLOOD ZONE: X MAP & PANEL= 12086C0306 COMMUNITY No.: 120652 SUFFIX: L DATE OF FIRM: 09 -11 -12009 BASE ELEV.= N/A PROPERTY OF: JEFFREY K. PARKER 675 GRAND CONCOURSE, MIAMI SHORES, FLORIDA 33138 L.F. ELEV. = 11.68 !'TOTES LOWEST HABITABLE FLOOR ELEVATION. ELEVATIONS SHOWN EFER TO N.G.V.D. 1929. LOWEST ADJACENT GRADE = 9.5 B.M. # N -802 ELEV. fi 8.98 (MIAMI -DADE COUNTY) GARAGE ELEV.= 10.361 E.R.P.= 8.85 NOT VALID WITHOUT THE SIGNATURE ORIGINAL RAISED SEAL OF A FLORIDA SURVEYOR AND MAPPER. 1 'J- .i7�ii11 '2 .'Ti'T?TTwTWfl 'PA 3TTTTl 1 TTVVIDC ATAMl' PFSTTCF.II A RECORDED COPY SCE POSTED COMMENCEMENT INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: TAX FOUO NO • • TI HE UNDERSIGNED hereby gives notice that improvements will property, and In atcordance with Chapter 713, Florida Statutes, is provided In this Notice of Commencement. eV 1111111 11111 Mill 111111111111111 11111111 CFN 21'3 1.•4-'R.006T:51 70 'TATE OF FLORIDA,. ' REBYgCERTII�FYgthat (hi ` is a true copy of the Nt'iCtl7 t L� I4ce . ' ---- ay of sA OR Bk 291404 .9 46331 (1p9) RECORDED 0 . /2?/2014 13:31:4.7 RVE 3' ."•t'LlV Par CLERK OF .our,:-` MIAMI -LADE COUNTY!, FLORIDA LAST PAGE NTY OF DADE , AD 20 rat Seal. c rts Space eve ed for use of recording office 1. Legal description of property and street/address: G f 6140A0 kov `~ 2. Description of improvement 3. Owner(s) name and address: I K. kt 6 75' 64 41 %iu 1.' 1:f interest in property: ' , Lis Name and address of fee simple titleholder �r� • .1'_ 4. Contractor's name, address _ • phone num .A11, Ali 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be Served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following persons) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COIiiiMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Prepared By Print Name • • i or • s)' Authorized Of Icer/Director/Partner/Manager • LE - (..-- Prepared By j4f -6°,14.4e2 111///1/11P/fIIM: Print Name Title/Office Title/Office OW Nei- STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoin instrument ac BY _ c3 Individually, or U as for Personally known, or CD produced the following type of. identification: ed■before me this day of iiaz-c'ce,44- ,^ ZcL / Signature of Notary Public: .. Print Name: (SEAL) VERIFICATION PUR$ j TO SCECTlI N D2.528. F ORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01 -52 PAGE3 3H0 EXPIRES: June 12, 205 ;N gb` Bonded Ttw Notary Public Und miters Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01 -52 PAGE3 3H0