DS-14-1404Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-215094 Permit Number: DS -7-14-1404
Scheduled Inspection Date: August 04, 2014 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez, Jorge
Owner: PIERRE, CILOTTE
Job Address: 534 NW 113 Street
Miami Shores, FL 33168-3321
Project: <NONE>
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360210850
Contractor: I E CONTRACTORS Phone: (305)788-5594
comments
PLAIN CONCRETE
INSPECTOR COMMENTS False
Inspector Comments
Passed FRI.,
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 01, 2014 For Inspections please call: (305)762-4949 Page 6 of 19
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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
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
Ii UY W0 2014_„_
FBC 20K)
Master Permit Nop S �L` III C)'---1
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 534 4 u) i 13 s4
City: Miami Shores County: V)3& Miami Dade Zip: 331 ols
Folio/Parcel#: It— 21310-021-- 0850. Is the Building Historically Designated: Yes NO k
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): - T ieKe C %0'*2 • Phone#:
Address: 534 AV) Il3 Si
City: h -La m; S11orts • State: rL Zip: 331165.
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: 1. G . & r4ra etor t, 3n C Phone#: 305 1,88
Address: WOO 50 (03 Tern.
City: I.Qi Omni State: IPL Zip:331`13 •
Qualifier Name: lAeana E scoriza • Phone#: 30$)188.5594•
State Certification or Registration #: CG -0 t50011 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: (also S O PT
Type of Work: ❑ Addition ❑ Alteration /❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: _ T” as C% C=OA .--
Specify color of color thru the:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 500 60j
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 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 be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued in the absence of such 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 N 20 by
who is perpally known to
me or who has produced as
identification and who did take a_n o/h..-
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CONTRACTOR
The foregoing instrument was acknowledged before me this
day of20 by
fljC--a-r`�" who is kglryi
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identification and who did take an oatii. 03106 �g`1c':
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NOTARY PUBLIC:
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Seal: I Seal:
APPROVED BY &-7/q lv" Plans Examiner Zoning
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Structural Review Clerk
(Revised02/24/2014)
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OR 9k 29206 Pss 2829 - 2830; t2Fss)
RECORDED 06/25/2014 13:00:17
HARVEY RiJVIHv C:LERI. OF COURT
Miami
AMI-DADS Village TYr FLORIDA
hores
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) '*'PerrG GLA42, hereinafter referred to as the owner of
the following described property (address): 534 auk 113 St, LA;atni 5i+ores Fl 33166 .
Legal Description W 560" Lot � Block 5• Subdivision @CB4 sh,. s—
Folio # 11— 206— ®21— 08 SO.
Requests permission to install (describe work): L:.yAuC
Within the public right of way of (address) _ N tD It34 4—
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. If 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.
'- OR Bll< 29206 PG 2830
IL. ►., f f 0 AST PAGE t t
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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 . day of 7*& '201
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SIGNED, SEALED, AND DELIVERED in the presence o
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ILEANA ESCORIZA
Notary public - state of Florida
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COmmisslon # EE 201458
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L -RESCAPZ•F&:Lot. 7•'Siock
5 XEST SHORES,according to the Plat thereof as recorded in Plat
Boa-42,Page•j6 of the•i;ublic
Records of Miami-Dade County-,Florida.-
• • • a •s.•
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GENERAL NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING
THIS PROPERTY.
3) (2.22) DENOTES THOSE ELEVATIONS REFERRED TO N/A DATUM.
4) LOCATION AND IDENTIFICATION OF LITILM. ES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
INFORMATION WAS NOT REQUESTED.
5) THIS PROPERTY IS WITHIN THE LIMITS OF THE FLOOD ZONE X
6) NO UNDERGROUND LOCATIONS WERE DONE BY THIS COMPANY.
CERTIFIED'TO: Cilotte Pierre
DATE:
June 04,2014
APPLICABLE ZONING, UNDERGROUND, ZONING AND BUILDING SET BACKS, MUST BE CHECKED BY OWNER,
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY.
1 HEREBY CERTIFY: That the attached Plan of Survey of the above described property is true
and correct to the best of my knowledge, information and belief, as recently surveyed and platted
under my direction, also that there are not above-ground encroachments other than those shown.
UNIT EC
This survey meets the minimum technical standards set forth by the Florida Board of Land Surveyors
pursuant to Chapter 61G17-6; Florida Administrative Code, Section 472-027, Florida Statues.
, WEYING, INC
L.B. NO. 3833
ro D. Alonso
6187 NW.167"" STREET, H5
Pr sstonal Land Surveyor
MIAMI, FLORIDA 33015
Certificate No. 3590
305512-4940
State of Florida
THIS IS A BOUNDARY SURVEY
t NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL
111111111 Hill 111111111111Ililll _ a i
C FN 2014IF$°.648__=
OR Bk 29206 Fss 2829 - 2E301 Upss3
RECORDED 06/25/2014 13=:00.117
HARVEY RU9INY CLERK OF COURT
!9hores
I'II-DARE U TYP FL.ORIDA
Miami i11age
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) ` r erre Gi0A2 hereinafter referred to as the owner of
the following described property (address): 534 auk 113 5+1 &poni Shoes Fl 33168 .
Legal Description 0aT r 60MS Lot I Block 5 - Subdivision urns shores—
Folio # 11— 213(0— 021— 0650.
Requests permission to install (describe work):
Within the public right of way of (address) _40 1154 6- .
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. If 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.
ITEM -03 AGR 01:00:17 PM
FILE:20140453052 BK/PG:029206/2829
RECORDING FEE 18.50
COPIES _ - 2.00
CERTIFICATION 2.00
1 Sub. Total 22.50
M
A
m
.
111111111 Hill 111111111111Ililll _ a i
C FN 2014IF$°.648__=
OR Bk 29206 Fss 2829 - 2E301 Upss3
RECORDED 06/25/2014 13=:00.117
HARVEY RU9INY CLERK OF COURT
!9hores
I'II-DARE U TYP FL.ORIDA
Miami i11age
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) ` r erre Gi0A2 hereinafter referred to as the owner of
the following described property (address): 534 auk 113 5+1 &poni Shoes Fl 33168 .
Legal Description 0aT r 60MS Lot I Block 5 - Subdivision urns shores—
Folio # 11— 213(0— 021— 0650.
Requests permission to install (describe work):
Within the public right of way of (address) _40 1154 6- .
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. If 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.
ITEM -03 AGR 01:00:17 PM
FILE:20140453052 BK/PG:029206/2829
RECORDING FEE 18.50
COPIES _ - 2.00
CERTIFICATION 2.00
1 Sub. Total 22.50
OR iiiK 29204S IF°G 280
a i �
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 Rem(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 thisday of 41-1 '201
w
( wner's Si atureOtte zeee
)
SIGNED, SEALED, AND DELIVERED in the presence o
y4�•., 1LEANA EScOttizA
?+° Notary Public -State 01 1`10rida
i,;, • aF MY Comm. Expires IlAny 28, 2018
FVoP°:� Commissbn # EE 201458
Bonded Through National NOljry AeBn.
S iA fE OF FLURIUA, COUN I Y UF LADE
ot
HEREBY CERTIFY that this is a true copy of the P@1� C CtERN
Jit
'7 IV, iI iR �h'0"'Ce on day of �Ca
N L LU ,RD 26 U
WItNES my hand and Of aat Seal. 3
HARV iU�(IN.�ELERK(✓sf�lcu✓end
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