DS-14-1282Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-219940
Scheduled Inspection Date: September 25, 2014
Inspector: Rodriguez, Jorge
Owner: LAGOMASINO, JUAN
Job Address: 1021 NE 93 Street
Miami Shores, FL
Project: <NONE>
Contractor:
CHAMPION CONCRETE
Iswiaing uepartment comments
PATIO CONCRETE PADS
Permit Number: DS -6-14-1282
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Foundation
Work Classification: Addition/Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
1132050150070
Phone: (305)252-8055
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-214357. Need termite treatment
2' next to house
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 24, 2014 For Inspections please call: (305)762-4949 Page 19 of 34
I%
Notice of Preventative Treatments for Termites
(as required by Florida Building Code (FBC)104.2.6)
Guarantee Floridian
658 NW 99 Street, Miami, Ft 33150
305-758-1811
1021 NE 93 Street, Miami Shores, R. 33138
Address of Treatment or Lot/Block of Treatment
_09/24/14_
Date Time Applicator: Matthew Philpot
I -max _ Imidacloprid 5
Product Used Chemical used (active ingredient) Number of gallons applied
0.05 %
Percent Concentration
Area treated (square feet)
15
Linear feet treated
Stage of treatment : �o'�J O °L /� J6
(Horizontal, Vertical, Adjoining Slab, retreat of disturbed area)
As per 104.2.6 — If soil chemical barrier method for termite prevention is used, final exterior treatment
shall be completed prior to rmal building approval. C�
If this notice is for the final exterior treatment, initial and date this line
OUR ONLY GOAL IS TO EXCEED YOUR EXPECTATIONS
Thank you for giving us the oopertunity to serve you! We appreciate your business and confidence you have placed in us.
We look forward to providing you the best possible service for years to come!
uaran ei
Floridian
PEST CUNTROL
\ SINO M6i
ej
Kendall
12540 SW 130 ST
Miami, FL 33186
305.238.7447
F: 305.238.5661
Palm Beach County
2115 Lake Worth Rd.
Lake Worth, FL 33461
cr_� coo 0000
Miami
658 NW 99th ST
Miami, FL 33150
305.758.1811
F: 305.751.3809
Broward County
6550 NW 20th ST
Sunrise, FL 33313
954.376.5845
F: 954.376.5846
INSPECTION REPORT
AREA INSPECTED
INSPECTION FINDINGS
CRAWL ❑ATTIC
ONO ACTIVE TERMITE INFESTATIONS
INTERIOR ❑EXTERIOR
❑ACTIVE INFESTATION
DWT[] SUB[] OTHER
OTHER:
EVIDENCE EXPLAIN:
TREATMENT NECESSARY
❑ EXCESSIVE MOISTURE CONDITION
TYPE: DATE:
OTHER EXPLAIN:
TREATMENT REPORT
AREA TREATED
CRAWL ATTIC
INTERIOR EXTERIOR
OTHER
TERMITES TREATED
EIDWT SUB STATIONS
CHEMICAL USED:
CONCENTRATION:
AMOUNT CHEM USED:
Warning: Pesticides can be harmful. Keep children and pets away from
pesticide applications until dry, dissipated or aerated.
For more information contact Guarantee Floridian
COMMENTS: 1, r' Customer Signature Date
Employee Signature': ID #
OTHER SERVICES RECOMMENDED: PRICE $ Time in: 10 Time out:
Terms : 9/22/2014 - $0.00
Service at
1021 NE 93 St
Tax
Total
Guarantee Floridian Pest Control
Miami Shore, FL 33138
Adj Total $200.00 $0.00
$200.00
PO BOX 680306 - 0306
Miami, FL 33168
Lic#: Acct #311097 INV # 469622
Prepay ($0.00)
305.758.1811
PO #:
Amount Due This INV
$200.00
Total Due This Site
$200.00
Acct #311097 INV # 469622
JUAN LAGOMASINO
OICE
PLEMIT TOTAL DUE
Comments
Form WEB20
Service at: 1021 NE 93 St Miami Shore, FL 33138
Check#
Card#
Type
Signature..._ _..........
5
Exp
Please return Lower portion
NEW CONSTRU PRETREAT $200.00
Tax Total
Adj Total $200.00 $0.00 $200.00
Prepay ($0.00)
Amount Due $200.00
Total Due This Site $200.00
BUILDING
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
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
Master Permit No.
Sub Permit No.
F_'C-1R'-1VF_
!
JUN. 18 2014
ff
FBC 20 1,
❑ REVISION ❑ EXTENSION ❑ RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
i CONTRACTOR DRAWINGS
JOB ADDRESS: AAF q_?r �jr
City: Miami Shores Countv: Miami Dade Zip: 313 JC
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: i Construction Type: Flood Zone: BFE:r� FFE: /
OWNER: Name (Fee Simple Titleholder):_ jy gy t% Llt-6®it,4.s]A)Q Phone#: 3 I 6
.- .0%of
City: itZ vy-A S' � �1 State:
Tenant/Lessee Name: Phone#:
Email:
p:.3317
CONTRACTOR: Company Name: irtzot /'W &A4Phone#: 3K ?4'2_
Address:
City: Adte State: p/f1 Zip: 330400'
Qualifier Name: //%qy*e_ *As/L* Phone#:
State Certification or Registration #: Certificate of Competency #:6C
DESIGNER: Architect/Engineer: Phone#:
Address: City: —State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: _'-Vo !V=
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of co�Y.lo--rthru tile: ��rr��.
Submittal Fee $SQ w Permit Fee $ � � ) ° °� CCF $ __-S • 03 CO/CC $
Scanning Fee $ • C Radon Fee $ a ®® DBPR $ 2— Cb Notary $
Technology Fee $ ` 0c) Training/Education Fee $ ` , Double Fee $ �rr1�roo %
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ a ®�
(Revised02/24/2014)
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 b osted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abnce of u h 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 �\ 41 _____,20 1 t- by
ho is personally known to
me or who has produced
4qL�2Vr-1 23 as
identification and who did take an oath.
NOTARY PUBLIC:
` \vt?r
V1111 o
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
NTRACTOR
The foregoing instrument was acknowledged before me this
1 day of '' 20 i by
lt`J, ,who is pepsqn9VTknvo4,to
me or who has produced as
identification and who did take an oath.
G� Plans Examiner / Zoning
Structural Review
Clerk
NOTARY PUBLIC:
\�\�U�11111 l/rrr..
�5 Shev
:rte—==—
sign _
.�
-
_ � • ���..,� .
Print:
Seal:
rllli!!11' 1\�
G� Plans Examiner / Zoning
Structural Review
Clerk
Mission: Rick Scott
To protect, promote & improve the health Gov>3mo�r
R11 people in Florida through integrated'
;oynty & community efforts. <` s John H. Armstrong, MD, FACS
HEALTHState Surgeon General & Secretary
Vision: To be the Healthiest State in the Nation
September 10, 2014
Glasshammer Engineering
19341 Sterling Drive
Miami, FL 33157
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1158108
Centrax Permit Number: 13 -SC -1557213
1021 NE 93 Street
Miami, FL 33138
Lot: 11 12 Block: 2 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 08/27/2014 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. no objection
issued by B. Olmino on 9/10/2014 for a wood deck.
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.
Sincerely,
Be o
Engineering Specialist II
Department of Health in Dade County
Florida Department of Health www.FloridasHealth.com
in Dade County - • , Florida TWITTER:HealthyFlA
PHONE: (305) 623-3500 FACEBOOK:FLDepartmentofHealth
YOUTUBE: fldoh
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100.00' (M)
112r
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Lot
Lot 11
Block 2
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22.6'
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Lot 13
Block 2
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Onetory
CBS 1021
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22.31' N c`y ni
7.3'
13.5'
0 OBJECT[
ar d Health Miami-Dac
1S.T.D.S. & Well Pr(
it tippn No.:
IGS 1 c ti i to
21.60' I kn
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21.60'
Community numbs
Village of Miami 04
County Panel: 12086 C 03
n . , FIP 1/2" 5' Sidewalk 100.0
FIP 1/24-
10' Parkway N
'F . ..... ............................ 20' Pavement
y. :_NE_93rd STREET:
�:...: Total Right of Way = 50'; :
C ¢,::.:,:.:
UJ
N
10' Parkway
5' Sidewalk
C
' a qi I"FHC SCALE
Ca w 0 10 20
( IN FEET )
1 inch = 20 ft.
Suffix: L
F.I.R.M. Date: 09 -
Date Revised: 09-1
Date of field work:
Completion date: C
Flood zone: X
Base flood elevatic
Diagram: IA
Finished floor elev
Lowest adjacent gr
Highest adjacent gi
Crown of road: 8.5
Garage: 8.69'
A/C Pad: 9.03'
Latitude: 25° 51'4
Longitude: 80° 10'
40 Property Address: 1021 NE 93rd Street Certify to.
J Miami Shores FL 33138 JAN M. LAGOI
Folio No.: 11-3205-015-0070 NADIA M. PALL
-9AL EYANDRIA �0: ST�s3s:
` 0C .ff D N SKETCH
-- O6a0
N
THIS SURVEY
=25+� SURVEY NOTES
,0652
:s
l09 Legal Description:
09 Lots 11 and 12, Block 2, BELVIDERE
14-2014 PARK, according to the Plat thereof, as
-2014 recorded in plat Book 16, Page 71 of the
�� Public Records of Miami -Dade County,
Florida.
:9.13'
8.36'
8.62'
Survey number:
I HEREBY CERTIFY THAT
STANDARDS AS SET FOR
SURVEYORS AND MAPPEF
IMO III PURSUANT TO SECTION 4
GIaum
gLBERTO T. GAVARRETt
REGISTERED SURVEYOR
STATE OF FLORIDA.
NOT TO SCALE
I Bearings and coordinates refer to
recorded Plat or NAD83.
21ftt Description provided by
Others.
3 The lands shown hereon, were not
abstracted for easement or other
encumbrances not shown on plat,
4 Underground portions of footings,
foundations or other improvements
were not located.
FN&D
o
Concrete
Geodetic vertical Datum 1929.
Asphalt
6 Fence ownership not determined.
7 Wall ties are to the face of the wall.
0
Property Corner
8 Not valid unless sealed with an
Recorded
embossed surveyor's seal'
(M)
Field Measured
9 No identification found on
property comers unless noted.
Centerline
10 encroachments
encroachme
FIP l/2"
Found Iron Pipe
1 I The sway depicted here is not
4
3
covered by professional liability
®
Covered Area
insurance, liability limited to the
c0.,
Utility Pole
wd of the t
1211 mmW is Winded for the use
Fire Hydrant
Z! w
®
Catch Basin
and for ono building permit or real
mate closing only.
M
Water Meter
13The attached survey materials are the
wood Fence
original work product of the surveyor
—"""—
Chain Link Fence
and are subject to the copyright laws
of the USA. bftgement occurs if
9.
.. ..
,0652
:s
l09 Legal Description:
09 Lots 11 and 12, Block 2, BELVIDERE
14-2014 PARK, according to the Plat thereof, as
-2014 recorded in plat Book 16, Page 71 of the
�� Public Records of Miami -Dade County,
Florida.
:9.13'
8.36'
8.62'
Survey number:
I HEREBY CERTIFY THAT
STANDARDS AS SET FOR
SURVEYORS AND MAPPEF
IMO III PURSUANT TO SECTION 4
GIaum
gLBERTO T. GAVARRETt
REGISTERED SURVEYOR
STATE OF FLORIDA.
NOT TO SCALE
I Bearings and coordinates refer to
recorded Plat or NAD83.
21ftt Description provided by
Others.
3 The lands shown hereon, were not
abstracted for easement or other
encumbrances not shown on plat,
4 Underground portions of footings,
— - Overhang Electric this same survey is re -used in a later
--
- �— Metal Fence closing or building permit laftingement
occurs if a government body sell or
Elevation NGVD29 distribaw it in any form.
INOARY SUA6 kits THE MOIMUM.. *"ICAL
11 FLORIDA BOARD OF PROFMON& IA' D
't IER 5J-17 FLORIDA ADMINIS;RA3IVE: CODE,
MIAMI ENGINEERING CORP.
CONSULTING ENGINEERS,
LAND SURVEYORS, SOILS
AND MATERIAL TESTING
10465 SW 46th STREET
MIAMI FL 33165
PHONE: 786-252-1440
gtgavanete@aol.com
foundations or other improvements
were not located.
FN&D
Found Nail and Disk 5 Elevations are based on National
Concrete
Geodetic vertical Datum 1929.
Asphalt
6 Fence ownership not determined.
7 Wall ties are to the face of the wall.
0
Property Corner
8 Not valid unless sealed with an
Recorded
embossed surveyor's seal'
(M)
Field Measured
9 No identification found on
property comers unless noted.
Centerline
10 encroachments
encroachme
FIP l/2"
Found Iron Pipe
1 I The sway depicted here is not
Y2 it diameter
covered by professional liability
®
Covered Area
insurance, liability limited to the
c0.,
Utility Pole
wd of the t
1211 mmW is Winded for the use
Fire Hydrant
by those to whom ti's certified
®
Catch Basin
and for ono building permit or real
mate closing only.
M
Water Meter
13The attached survey materials are the
wood Fence
original work product of the surveyor
—"""—
Chain Link Fence
and are subject to the copyright laws
of the USA. bftgement occurs if
— - Overhang Electric this same survey is re -used in a later
--
- �— Metal Fence closing or building permit laftingement
occurs if a government body sell or
Elevation NGVD29 distribaw it in any form.
INOARY SUA6 kits THE MOIMUM.. *"ICAL
11 FLORIDA BOARD OF PROFMON& IA' D
't IER 5J-17 FLORIDA ADMINIS;RA3IVE: CODE,
MIAMI ENGINEERING CORP.
CONSULTING ENGINEERS,
LAND SURVEYORS, SOILS
AND MATERIAL TESTING
10465 SW 46th STREET
MIAMI FL 33165
PHONE: 786-252-1440
gtgavanete@aol.com