DS-14-2015Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-220999
Scheduled Inspection Date: October 30, 2014
Inspector: Rodriguez, Jorge
Owner: PINEIRO, KEVIN
Job Address: 51 NE 99 Street
Miami Shores, FL
Project: <NONE>
Contractor: ORONI INC
Building Department Comments
REPLACE BROKEN SIDEWALK MARKED BY BUILDING
OFFICIAL - 4" THICK 3000 PSI SIDEWALK LIGHT BROOM
FINISH AND CONCRETE APPROACH
r,
Permit Number: DS -9-14-2015
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Final
Work Classification: Repair
Phone Number (305)303-7344
Parcel Number 1132060131280
INSPECTOR COMMENTS False
Phone: (305)685-0412
Inspector Comments
Passed L9 CREATED AS REINSPECTION FOR INSP-219746. Restore sod
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 29, 2014 For Inspections please call: (305)762-4949 Page 20 of 36
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: (30S) 762-4949
BUILDING
PERMIT APPLICATION
UILDING ❑ ELECTRIC ❑ ROOFING
P -r- to 'S 7,323
S
162014
FPC ?()
Master Permit Nci �2- �-a�
Sub Permit No. -p S ! A j -A - 2-0
t
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: .5 217 r
Folio/Parcel#: I/ IZZ O - 0,13 ` 12 L) Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: _ltd BFE�: / FFE: 2 C�
OWNER: Name (Fee Simple Tiitleholder):KgV`f� P e r���� Phone#:'T �5 �'i' � ` 1 7 `
Address:_ �T91 qaT
City: ,ilr—I State: Zip• r d
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: ,/r�Company Name: _
Address: / `/40 PW
City: Mil I State: Zip:
Qualifier Name: (°0+2C.�k��1 �, �.�(�-{��� Phone#: _
State Certification or Registration M C&Ir [ 2 , j Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#: _
Address: City: State: _
Value of Work for this Permit: $ ko 46 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ NewRepair/Replace
Zip:
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ (— Permit Fee $ 'add CCF $
Scanning Fee $ Radon Fee $ b DBPR $
CO/CC $
Notary $
Technology Fee $ A i L,,z2(0 Training/Education Fee $ �j > —1U Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $ 0
TOTAL FEE NOW DUE $ 6('�) • 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
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 ail 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 be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
t
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of. t�"%� 20, by
LELVL Af ir'tI %, r2 e�, who is personally known to
me or who has produced o IIT L67 as
identification and who did take an oath.
NOTARY P,IdBCtIS: _ i
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
REBECA t-. PASTRANA
MY COMMISSION # EB972624
EXPIItFS: Fcbnwy 07, 2017
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
�Z day of S067fJ 20�by
(fZ&ANJ r,k> .► c&U—M JS , who is pe a y mown
me or who has produced _
identification and who did
NOTLY PUBLIC- /
f elM Plans Examiner
Structural Review
TO
1
as
REBECA M.PASTRANA
MY COMMISSION # EES72624
EXPIRES: FabaBIy 07.2017
It Zoning
Clerk
SCALE: 10 =,W
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CI_ = Clear
� = Center Line
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CONC. = Concrete
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ENC. = Encroachment
F.F.EL. = Finish Floor
FOUND Y2"d
Elevation
-IRON PIPE
F.I.P. = Found Iron Pipe
F.I.R. = Found Iron Rod
F.N. = Found Nail
F.NBd). = Found Nail & Disc
I.D. - Identification
L = Length
(M) = Measured
EI
CA = On Line
(P) = Plat
P.C. = Point of Curvature
P.B. = Plot Book
PG. = Page
R - Radius
(R) = Record
U.E. = Utility Easement
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SYMBOLS
AIR CONDITIONER
®WM WATER METER
•WISP WOOD POLE
�XISTING ELEVATION
COVERED AREA
-- -- CHAIN LINK
FENCE (C.L.F.)
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WOOD FENCE (W.F.)
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Miami Shores
illage
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SUBJECT TO COMPLIANCE WITH ALL FEDERAL