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DS-14-1073Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-213039 Permit Number: DS -5-14-1073 Scheduled Inspection Date: September 12, 2014 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez, Jorge Inspection Type: Final Owner: CASTANEDA, DAVID & KARA Work Classification: Addition/Alteration Job Address: 9525 NW 1 Court Miami Shores, FL Phone Number (786)281-1825 Parcel Number 1131010240300 Project: <NONE> Contractor: CHAMPION CONCRETE Phone: (305)252-8055 sunamg uepartment comments DRIVEWAY PAVERS INSPECTOR COMMENTS False September 11, 2014 For Inspections please call: (305)762-4949 Page 10 of 35 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 11, 2014 For Inspections please call: (305)762-4949 Page 10 of 35 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: +mm+''44 2J/�0�/�f1 (AA� f ,.IR� � � 60 1 i A FBC 201 0 Permit No. l Master Permit No ) �l ROOFING I City: Miami Shores County: Miami Dade Zip: -3 Folio/Parcel#: '3 1 C7/ — 0Zq— 0300 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): D M 9� a `A:5-(A' Address: 4_52_.</V AJ /CT City: h .5yolw5 State: Tenant/Lessee Name: Email: CONTR Address: City: Q Qualifier 35150 State Certification or Registration #: Certificate of Competency #: CC Contact Phone#: i rb1-k 0Z - L/A Email Address: t7 Z—' Y 00.- . DESIGNER: Architect/$ngipeer: Phone#: Value of Work for this Permit: $�_ � Square/Linear Footage of Work 147 [ I'1z Type of Work: ❑Addition DAlteration ONew ORepair/Replace ODemolition Description of Work: . Color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ W CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ i 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 wgrk will be done in compliance with all applicable laws regulating construction and zoning. .L, "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 ust be posted at the job site for the first i ction which occurs seven (7) days after the building permit is issued. In the abs of such posted notice, the inspection will no * approved anA4 a reinspection fee will be charged. uvvfer or � nt The fo oing i ment was ackno 1 g� day of '20 by v who is personally known to me or who has Contractor me this 30 The foregping instrument wasacknowledged bgfore me this& bd20 ,y C ?mo ay of IV T who ide'rsonallykC �i me or who has produced (2,1 JA6I =7k' 3;D-0 As identification and who did take an oath. NOTARY PUBLIC: a°t�'•:;Bvn AILYN RAYELO # * MY COMMISSION # EE 055604 EXPIRES: January 18, 2015 �, `gq OFtt�A�OP ftidW Thru B Notary Senfi� S' n: Print: l/ My Commission Expires: / --/,0_a?®%s, APPROVED BY Plans Examiner identification and who did take an oath. NOTARY PUBLIC: AILYN RAVELO MY COMMISSION # EE 055604 * * EXPIRES: January 18, 2015 9 pP��P SomW TNru SU pt Notary S91m S' Print: AM My Commission Expires: �• 'r ,/ Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department SURVEY AFFIDAVIT The undersigned Affiant, -h , does hereby attest that (Property owner The attached survey, performed by (Name of surveyor's company) For address: I _5m- r- 4 4 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Performed on 3—U-1(date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such may affect final inspections as applicable to this or other permits. crop19 uwnerpign a Property Owner Print Name SWO TO AND SUITRIBED before me this day of Affiant is personally known to me, produced j4Cge j&,e_ as identification. ter vue�. AILYN RAVELO MY COMMISSION # EE 055604 * EXPIRES: January 18, 2015 �9 OF�oPov BoWThruBW90NOWrSWI" Notary Revised on 5122/2009/ Revised on 6/12/09 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, (owner) _ hereinafter referred to as the owner of the following described property (address): #V e -44i" rC4w__ -3 3 ts-d - Legal Description Lot Block Subdivision Folio # Requests permission to install (descr be work): Within the public right of way of (address) j�5 A/P1 1,!5j 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. 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 items) :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 or SIGN , SE D, A E V ED in the presence of: , PUgI� AILYN RAVELO ��y�' c* MY COMMISSION 4 EE 055604 EXPIRES: January 18, 2015 `%.r���oc•�O� Bonar TMu 8udg� NAY Services 2 Mission: " To protect; promote & Improve the health of all people in Florida through integrated state, county & community efforts. Jaime Basilio 9525 NW 1 Court Miami, FL 33175 Vision: To be the Healthiest State in the Nation July 07, 2014 Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General & Secretary RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: API 150470 Centrax Permit Number: 13 -SC -1544491 9525 NW 1 Court Miami, FL 33175 Lot: 11 12 Block: 5 Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 06/16/2014 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. No Objection issued by Y. Martin and B. Olmino on 7/7/2014 for a driveway. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincere[ , Betsy Olmino Engineering Specialist II Department of Health in Dade County Florida Department of Health www.FloridasHealth.com in Dade County • • , Florida i ' TWITTER:HeaithyFLA PHONE: (305) 623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE: fldoh 5582 N.W. 7th ST fiEET §UIT f, 202 .a. -. M1AM1 FI ORIDA 26 • • • w • • • • 000 ;ELEPHONE: (304 294,�66a � • � � � � �° L6 � � � � � �� ,.:J � � . FAX: (3r5) 264-0229 • + • • w • • • • s • L DRAWA! BY: AL. AND SURVEYORS SURVEY No. 14-0000420-1 SHEET No. 2 OF 2 �• • " : •' • : • BOUND RY SURVEY + • • • • w s • • E =1'= ' ' "' ' "' 20' ' SNoavinu:w GNV S3-inu KLNI100 (INV 31d1S SURVEY ENCROACHMENT NOTES: , A) Northeast side of p7 pp" AsvAhaltA:iveglgy+encrpgching on 'l U303-4 MV HIIM 3ONVI-IdW03 01103rgns B) Northwest side &,proftf. ((�a: V:er g end?Wching onto s rt > C) North side of grope? y�Ov,, Aral uT tj Ii;e encroaching onto `+Q7 ] J.d3 d 913-19 I? % f Id3® ONINOZ 3l �T 12' PWY 100.00' N .. Peds ►�" L-13 PL. U BLt CK - 5 p � j rn 18.50' `t c 12' PWY 100.00' .. 1C.B.W. i.63' PL. C.P o o 10.99' p � j rn 18.50' `t c 0 0 ONE TORY M 9525 0 4' C.L.F LOT -12 I LOT- 11 °D C.B.W. 5' CONC. SWK O 30.43' 14.70' v . I • . CA: S cl SAS A-V eiL ,7' oi?v'7M -e-r%- I M co e— I 4' C.L.F. I a LOT - 4 SURVEYOR'SI OT, There m be Ease ahr qv* 25.70' NO CAP 122.50' 0.10 ENCR. F,I.P 3/4 $ NO CAP 0 m m . 11.17' 12.0 0 M r N LOT -10 BLOCK -5 4' C.L.F. .. 1C.B.W. i.63' PL. C.P o 1 25.72' 10.99' p ra j 18.50' `t c 0 0 ONE TORY 1.50 9525 0 t!J LOT -12 I LOT- 11 °D BLOCK -5 BLOCK -5 a ❑ a 18.00' AIC N r , A O 30.43' 14.70' v . I • . CA: S cl SAS A-V eiL ,7' oi?v'7M -e-r%- I M co e— I 4' C.L.F. I a LOT - 4 SURVEYOR'SI OT, There m be Ease ahr qv* 25.70' NO CAP 122.50' 0.10 ENCR. F,I.P 3/4 $ NO CAP 0 m m . 11.17' 12.0 0 M r N LOT -10 BLOCK -5 4' C.L.F. LOT -8 BLOCK -5 4' C.L.F.. N 0.10'CL. g' PF.I.P 3/4" NO CAP LOT -3 BLOCK -5 • The purpose of thi+ for use in obtaining Title Insura� shuuid not be used for Construction purposes. 10.99' p U- C�-va a Q 0 t!J LOT -8 BLOCK -5 4' C.L.F.. N 0.10'CL. g' PF.I.P 3/4" NO CAP LOT -3 BLOCK -5 • The purpose of thi+ for use in obtaining Title Insura� shuuid not be used for Construction purposes.