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DS-14-1072Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-213029 Permit Number: DS -5-14-1072 Scheduled Inspection Date: July 16, 2014 Inspector: Rodriguez, Jorge Owner: JUAN CARLOS GUTIERREZ, RAYMOND ern -r r Job Address: 11 NW 97 Street Miami Shores, FL 33150 - Project: <NONE> Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1131010330290 Contractor: CHAMPION CONCRETE Phone: (305)252-8055 13ulilcling department Comments DRIVEWAY PAVERS INSPECTOR COMMENTS False July 15, 2014 For Inspections please call: (305)762-4949 Page 5 of 21 Inspector Comments Passed' Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 15, 2014 For Inspections please call: (305)762-4949 Page 5 of 21 Miami Shores Village Building Department 70050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tet: (305) 795.2204 Fag: (303) 756.8972 INSPECTION'S PHONE NUMBER; (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: MAY 2 2 014 BY; l FBC 20 lb Permit No. Mader Permit No. ROOFING JOB ADDRESS: i t N `v 'K 1 1�11 aty= Mismi Sly county: x1b"nnaae zip: 3 3 11 k F0110fiWTel#: Is the Badding MstorlcaIIy Dated: Yes NO Jqood Zoe: OWNER: Name (ire Simple Ti@eholder): kA41K+OlUaQ M . ScO „ti_ _ Phone#: Add=:_1 f NV J q 7 Sg— City: state: TenwWlA ssee Name: Phone#: Email: 3 CONTRACTOR: Company Now. C H&W) ally CO 6hgk- 7 Phone#: 3DS 2 52 'L71 0*0 State Certification or Regist wim #: Certificate of Competency#: C.005 -4s Otf l ContactPiane#:.3u5 C11!? H332. Email Address: _J 14411 lCe'f�� Q VO 0©.C� DESIGNER: ArchhecNEngineer: Phone* Vai®e of Work far its Ponmdt: $ 6" _Sq=WUnaw Foote of Work ,T 60 . Type of Wodfn GlAddition OAltuation al ew ORepakAWlaoe ODemolitioa D=#&n of Work: &A14WAV for thm tile: ss«ssa wss*sssg�sssss sssta+�ss•ssss� Submittal Fee $ Permit Fee $ CCF $ CO/CC $ S=MftFfts Radon Fee $ DBPR $ Bow $_ Notary $ Fee $ Tedmotogy Fee $ Doable Fee $ Review $ TOTAL FEE NOW DUE $ e Bon ft Company's Nates (if applicable) Bonding Company's Address city State ZIP Mortgage Leader's Name Of applicable) Mortgage Lender's Address city Staw Zip Application is hereby made to obtain a permit to do the work and installadons as indicated. I certify that no work or installation has commenced prior to the Issuance of a permit and that all work will be permed to meet the standards of all laws regulating construction in this ju risdictim I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WBLIS, POOLS, FURNACES, BOMERS, HEATERS, TANKS and AIR COMMONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing in m ustion is accurate and dint all work will be done in compliance with all applicable laws regulating constrncdon and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIV ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EU PROMAENTS 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 Lrsuance of a building permit with an estimated value exceeding $25110 the applicant must promise in good faith that a copy of die notice of commencement and construction lien law brochure wilt be to the person whose property is subject to aaachmeru Also, a cert&d copy of the recorded notice of commencement must be sled at the job site for the,ftrst btspection which occurs seven (7) days QWr the bu IMS permit is issued In the ance of posted notice, the buspecdon will not be approved and a reinspection fee will be charged 1 Signature - Owner or Agent The foregoing instrument was acknowledged before me this day of by personally known to or who has produced As idend8aadon and who did take an oath. n 7 �. �T411i:j7 Contractor The foregoia t was ceknow before me ddi day of `�ao� t by A( r*%( wbo is perBP �Yas to me or who bas produce �entiScadon and who _di�,p oath. NOTARY PUBLIC: � ao� s sign: K 5lY COIIglSSM I;:F 219299 Print: EXPIRES: November 25, 2016 My Commission Bxpires: k1dedTt�Y W WW Savkse r Plans Examiner Zoning Stru canal Review Clerk Mayiea Y=12XRwAwt 07AM) twAsed o&norAMX Rwfswu Y150) Miami Shores Village 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, lower) &J&&.0. aw hereinafter referred to as the owner of the following described property (addrew): I Al OV 97 Sy" t!`7i *),j skto-fr 0, 3:?13'r Legal Description Lot Block Subdivision Folio # 11— 3 10 — O Y3, O'ZG D Requests permission to install (describe wok): eft'm4 Within the public right of way of (addren) (1 hW '0( -7 5 r b j ip' 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 Ilan 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. 3. The Owner does hereby agree to remove or relocate their facilities at their own expanse, within 60 days notice by the Village to do so. Failure to comply with this nodce will result in the Village causing the Item(s) to be removed and a lien being placed on the property andfor 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 MOOG& 201 If (Owner's Signature) SIG D, EALED, D DE REQ in the presence of: 1 a°"`��;� ROi�ISNYDEIf * WCOr;B N N#EE219299 EXPIRES: November 25, 2018 2 o. p z a , / r w"� 15 ALLEY K an p 15' ib ON PL i Co 6' W/F 1 «; W6 LOT 22 ° E®As BLOCK 129 L� n6PUM0 �a I j .. 37.00' a NK RI T®FINAL •° G ` .50' .I 21.1 21.1 I' aa. OOL Pool- 0 (. �+ 30' ..• "• N cr �, POOL 19 : 26.7 n PUMP �c 18.80' C ONE STORY RESIDEPICE AIC L `e`er S 11 N -r7� I I ON PL .10' a 22,1 ' 16.27 I PL t 20.15' 8.0' STEPS 13' ,apo w 100.000 IR& 5' CONC. SWK ' ° _ • a F.I.P. I/2" q (NO ID.) W v z c LULL a �, J LLj d O = c ro ZQ �] CwJ w z � r ® CL ° c � > W c ® 23 L M a MAY ago4 a�� C F.I.P. 1/2" 145W F.I.P. 1/2" (NOID.) R&•M (VOID.) � ,. 0 t • I 23' PARKWAY 4,0 Hv Z;t :. y .tet,. 18.50' ASPHALT 'PAV MENT's' ': p�i.:'•:•� U}°L:%%:; ;�• : •': (75' TOTAL R/W) • . PER PLAT) 6; m m �� 00 UT Q'z�W ° ��-�Wy-y z m WF0_ '3 t'9 001§°91 �O. 0 � ��aozo cpi0 0 cCau� T 'O LL >WR`l`Ia � W z 0C2�W O QJ Ncnuj OW W W �Fo J ;z§�� Fog� wm m °H 0 'r WNZO=rjp O c�It 4�z, z �O�IL g en Sul 174- cq OO LOL �LL 4 OOpJ1 0�� Uoi� dU)°�'0° o fi >: 0 tn z .9 tLi QLL m p • ig Q�ir o• • • E++� • we� C• • �W� O so: • 0 V Goose 0!Y1 #900,