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DS-14-1602Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216539 Permit Number: DS -7-14-1602 Scheduled Inspection Date: September 26, 2014 Inspector: Rodriguez, Jorge Owner: SILVERMAN, SCOTT Job Address: 1321 NE 103 Street Miami Shores, FL Project: <NONE> Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132050300120 Contractor: CHAMPION CONCRETE Phone: (305)252-8055 Isunamg uepartment comments DRIVEWAY PAVER INSPECTOR COMMENTS False September 25, 2014 For Inspections please call: (305)762-4949 Page 3 of 24 Inspector Comments Passed im Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid September 25, 2014 For Inspections please call: (305)762-4949 Page 3 of 24 Miami Shores Village PE Building Department SR 2014 r` 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _ I Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 l C0 BUILDING Master Permit No.T_(;� ► — I�- PER IT APPLICATION ,` Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING Eja4EVISION ❑ EXTENSION ❑RENEWAL r-1 PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWIffd JOB ADDRESS: pt�'_ 103 City: Miami Shores County: Miami Dade Zip: _3 31 ft Folio/Parcel#: Is the Building Historically Designated: Yes NO/ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): -56(27f �� " �V Phone#:QQl 3 Sk2Q 1Q® City: tluw' State: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: City: Quall 3/& ne#: 3o; ZSzdW_� ne#: State Certification or Registration #: Certificate of Competency #: ������ DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: E04 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: hAVr&5 w -A l . Specify color of color thru We; Submittal Fee $ Permit Fee $ Scanning Fee $ ml ^ olz� Radon Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ C5 > Lo Double Fee $ Bond $ TOTAL FEE NOW DUE $ 4q ICY) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 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 musl be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence such posted notice, the inspection will not be approved pn%I a reinspection fee will be charged. ER or AGENT The foregointinstrument was acknowledged before me this day of NX 20 1� , by 503 f t --LV who is personally known to me or who has produced G (--+°� as identification and who did take an oath. NOTARY PUBLIC: Sign: u Print: Seal:SWARA A. M, COMMISSION#FF 073976 EXPIRES: March Bonded Thm Notary Public U1 APPROVED BY (Revised02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this �( ,VL day of `' 20 �( , by )1 "Lo , who is personally known to me or who has produced D2 i v&, --- as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: .� •. A % ��� ' ...... 5 Plans Examiner Structural Review Zoning Clerk �a Mission: Rick Scott Governor To protect, promote & improve the health of all people in Florida through integrated John H. Armstron MD FACS HEALTH state, county & community efforts. i v g' ' State Surgeon General & Secretary Vision: To be the Healthiest State in the Nation September 09, 2014 Glasshammer Engineering 19341 Sterling Drive Miami, FL 33157 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1158106 Centrax Permit Number: 13 -SC -1557210 1321 NE 103 Street Miami, FL 33138 Lot:3 Block:6 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. Existing asphalt driveway to be replace with concrete pavers in the same area. Reviewed by Y.Martin on 9/9/2014. 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 )46OVrovided, the Health Department concludes that the proposed remodeling addition or modifcaliion is o1;q*dding a •;�• bedroom and that it does not appear to cover any part of the existing system or eggrgach ctrlSgr required setback or unobstructed area. No existing system inspection or evaluat!QO and assessment,. or modification, replacement, or upgrade authorization is required. •••• • Because an inspection or evaluation of the existing septic system was not condoudd;the I56pahment•••0• cannot attest to the existingsystem's current condition, size, or adequacy to serve ro os •d use. **0::* Y q Y •..�;g p p e You may request a voluntary inspection and assessment of your system from a�icen$ed 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- 0009 Sinc re , Yu a Engineer) g Specialist II Department of Health in Dade County Florida Department of Health www.FloridasHealth.com In Dade County • • , Florida TWITfER:HealthyFLA PHONE: (305) 623-3500 FACEBOOK:FLDepartrnentofHealth YOUTUBE: fldoh Proudly Serving the Florida Real _ Estate Community for Over 20 Years WWWA E _ANDSERVICES.COM d FW- � 0.32' F 1 7 N _j00 _j 5.00' 52.00' o m -• S D 0 �O ••�•. 10.13' 18.05' o ENCLosu - 0 0 „O x—�° Uj w o oo OC 0. Q � N o M J 0.32' RESIDENCE N: _j00 _j 5.00' 52.00' Q -• S D 0 �O ••�•. 10.13' 18.05' o ENCLosu - 0 0 „O x—�° Oj 0 L of o oo Vi•Q 9.99 .80'ws 3.20' ©� 30.20' t 31.20' N c, o •• Ell ~ N 9999 9999 • 9999•• 46.80' R� � O o Q3' Q pC �Y i••ssi 3' N ONE STORY J RESIDENCE w _j00 _j m (0#1321 0 �O ••�•. „O x—�° moo, oo Vi•Q 9.99 s••9• 31.20' N c, • a •sss •• Ell � 9999 9999 • 9999•• 0 ,,, ^ i••ssi � 21.40' ,0 1545' ss•••• **:see 10.1 14.:b.o�. .9 •9 • 9090. 00 a 00 0000 • oN •• 99.9 • •ASPHALT � :: •ss•• i©R/VEWAY •9999 • so • F.1.P.1/2 16.00' 16.00' F.1.P.1 2" • 112.35(M) VF.1L.1/2"OCK S89" p N "W 90.0 '(P)( CORNER p p N N 20' A S P H A L T PAVEMENT I -�g - N. E. 103rd S T R E OBJECTION Florida Health Miami -Dade County O.S.T.D.S. & Well Program Accepted By: Application No.: Af, 11 YID roperty Address: 1321 N.E. 103 STREET NOTES CES ENCRd 4M4VIYt NORTH LOT LINE. (MIAMI SHORES, FL 33138 Signature - —/4 9 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: V L4 ME- 103 -5 C FIVE L 2 b 2014 FBC 20 11-2 Permit No. Master Permit No.�U2-- ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 9C61 61 si LV 6LLgw Phone#: Addrew L3 2 i k) Z M -5 r City: U'A 5 qW6 State: Zip: T Tenant/Ussee Name: Phone#: Email: CONTRACTOR: Company Name: C jj.A 1-u W/U Phone#: 30S 2<7L Y Off Address: —ruvk' U) 3 City: 2,0 State: Zip: 3 1-Y Qualifier Name: B1 ,% X11.'` Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone#:.3L-6 T1q,3_9'7 Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 7f Y -0 Square/Linear Footage of Work: %®� -0. Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: J:LA& Color thru tele: Submittal Fee $� Permit Fee $ 4� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ ��yy TOTAL FEE NOW DUE $��_ 2—� �./ � 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. Ir 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 dflivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the a7ence o uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �Signature _--- Owner or Agent - --- Contractor The foregoing instrument was acknowledged before me this CZ The foregoing instrument was acknowledged before me this day of 120 , by -S WTI S 1 L --i day of U\Jl , 20 L� , by 341,n C, lLq)s who is personally known to me or who has produced r--�t�V-°Lwho is ersonall o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Plans Examiner Structural Review as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: (Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) um Zoning Clerk 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) SG® 1( Sl L MNAW hereinafter referred to as the owner of the following described property (address): ?-I HIA- Legal Description Lot _ Block Subdivision Folio # 1 I ^2ZO.5"- 030 -0 t ZD Requests permission to install (describe work): �$1►`� Within the public right of way of (address) 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 Item(s) to be removed and alien being placed on the property and/or assessed against the Ownerfor,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 dav of , 201 Y (Owner's Signature) SIGN SEALED, ANJ DELIVERED i�n,1����'Nbe,9f: \Z. i� ,mss �� Ca� :� � • \� 2 r ■+aur �:a�a Proudly Serving o y the Florida Real Estate Community' r,z for Over 20 Years'AEF s LANDSERVICES.COM JUL 2 5 2014 t Uor-TVk LIVIF- 0 1 SEC. 5-53-42 N ; l— w y N89046'39"E 90.00P)(M) N' -jz F.L P.1/2" x x x x x x x F.1.PPZ20 X C7- w 0.33' wn ;n h Io 0.32' u LL J W Q <tz c � < 10.13' 18.0, U L�j 1711 LLJ 0 rn to 3.20' -1 5URE 0 L 0 30.20' c0 46.80'14i Uj 0 - to y C 9 LLJ ccY Q 3 \ to Y s C7 w L- O O 3 to ONE STORY �' w 00 p M I M RESIDENCE 0 CID �-; t m o # 1321 � Q) CO .s O) 31.20'Q),ot2FV 'yt iWVt !11//Rr Y Z21,40' - .0 - 15,45' JJ 10.13' t4.60 ASPHALT o ' H W *;elki.omf AcItO . vi DRIVEWAY NjJ�`C'11 Aveio F.l.P.1/2" 16.00' 16.00' J 112.3s'(M) S89 -6654"W 90.0 '(P)( WiL LoNck e e- -4 1— F.I.P.112„ BLOCK TeiAl -e ` it -e V &C, CORNER �. ,lci N rw P H A L T P AsV E N Ttw �-�f7ti� 1 1 U N. E. 103rd STREET By: Address: 1321 N.E. 103 STREET NOTES: FENCES ENCROACH OVER NORTH LOT LINE. MIAMI SHORES, FL 33138 EPRESENTATION OF A SU �RREPARED UNDER MY DIRECTION. THIS COMPLIES WITH THE MINIMUM MIGUEL ESPINOSA LAND SURVEYING, INC. ECHNICAL STANDARDS, FORTH BY THE M TE OF FLORIDA BOARD OF PROFESSIONAL LAND URVEYORS IN CHAPTER 17-6..5QRIP�%ADMINIS7RATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. 10665 SW 190TH Street Suite 3110 SIGNED �EL&�IIONIQi��ATURE FOR THE FIRM MIAMI, FL 33157 MIGUEL S PHONE:(305) 740-3319 OT VAL&i WlQ ANDAUHENNTICAo. 1DELECTRONIC SEAL AND/OR FAX #:(305) 669-3190 HIS MAP IS NOT VALID WIT' q'F $IGI d1 THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR LB #6463 NO MAPPER. Survey:A-39119 Client File #: 13-0074-A Page 1 of 2 Not valid without all pages.