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DS-14-1858Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 inspection Number: INSP-218490 Permit Number: DS -8-14-1858 Inspection Date: October 07, 2014 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez, Jorge Owner: WAKIM, JOSEPH & NUHA Job Address: 10642 NE 11 Avenue Miami Shores, FL 33138 - Project: <NONE> Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1122320280660 Contractor: CHAMPION CONCRETE Phone: (305)252-8055 Buildina Department Comments DRIVEWAY PAVERS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed El Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. For Inspections please call: (305)762-4949 October 06, 2014 Page 1 of 1 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 7ACEIV 11- UG 2 552014 FBC 20 LO BUILDING Master Permit NoT e'357'a�'- PER IT APPLICATION Sub Permit No. ETBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 106112- 0 0 11 AV, City: Miami Shores County: Miami Dade Zip: ,�? Folio/Parcel#: 11— 223 `% `�a ®6c, d Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):--70s-e'PH u.d +'Oi:-1 !z Phone#: Address: 106142— 0 21?7 u AO City: 5 State: Zip Tenant/Lessee Name: Email: hone#• 3--7 17or CONTRACTOR: Company Name: c G �l "/sI 1 W'Ajge e Phone#: 305 Q-7� V Address: )100( /Uld) i3 fi— IL) -3 City: '_6 o / {, State: Zip: 3,31 Qualifier Name: ,41&e- 5'7/14z) Phone#: 74?6'g4D State Certification or Registration #: Certificate of Competency #: S ®® yl� DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ '719001 ®t) Square/Linear Footage of Work: 720 !Y= Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ 5O . C3 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $, Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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 must beposted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of h posted notice, the inspection will not be app ed and a re spun fep fill be charged. The foregoing instrument was acknowledged before me this day of QL44J �0-1 , 20 14 , by O51LL -A J 1'✓1 , who is personally known to me or who has produced R -,t D(2— as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Signatu CONTRACTOR The foregoing instrument was acknowledged before me this e"11 C, day of A A00'1 , 20 14 by SO5rL '�4 S (L -o S , who is personally known to me or who has produced � �2 ° as identification and who did take an oath. NOTARY PUBLIC: '�:ca� LL- = Print: OVA vm,..'Mol Seal: Seal: iii �,+ � Cs • • • �� `\\� 0 III LI 1111 S0\ 1\\\\`e\ *�**�ksk�k�k�k�k**+k�kM�k#�k�k�k+k*�kak�k�kak�Ie�k�kakakskak�k�k*�k+k�kffi�k�k*ffi�k�k�k�k�k�k�k�k�k+k�k�k�k�k�k�k�k&�k�k�k�k�k�k�k�k�k�k�k** F' APPROVED BY Plans Examiner Structural Review (Revised02/24/2014) LIJ isd •� 4� �o �t��o� � `o kik �k �kZ1j+4 �E�k /11111146 1101 O�y 11114 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) QST dJAXiel hereinafter referred to as the owner of the following described property (address): ((7(-/-F Z A) tZ'_ d A- a Legal Description //Lot Block Subdivision Folio #I I- Zz �� _ ©a_D66b Requests permission to install (describe work): Within the public right of way of (address) 106 42, A)0_ 17 A V 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 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 SIGNED, SEALED, AND DELIVERED in the presence of: 2 201 L4 "PS 1 L� - i y v f�b I (4 t/ Mlami Shores Village r ryry i q �ry� �# 5y APPROVED DY DATE SEP 10 2014 fliVING DEPT t � BLDG DEPT .9 SUBJECT TO COMPLIANCE WITH ALL F ERAL to STATE AND COUNTY RULES AN DPri aUI TIONS i .® z 1 'Dvw\f '44ftX1 4-5 p h& -T PO +A &" -1,1 --POU, cO•P' 1 ' tn tn l � k ti 0 K13 al k -ev-p. L F A x �i aux. • 4� �. a aA