DS-13-1756Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-219862
Scheduled Inspection Date: September 18, 2014
Inspector: Rodriguez, Jorge
Owner: WEACHTER, WILLIAM AND RUTH
Job Address: 1043 NE 98 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
INSTALLATION OF PAVERS ON THE SIDE OF THE
HOUSE FOR WALKWAY AND OVERLAY TILE ON
EXISTING CONCRETE PATIO
Permit Number: DS -8-13-1756
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)865-7715
Parcel Number 1132050320050
INSPECTOR COMMENTS False
September 17, 2014 For Inspections please call: (305)762-4949 Page 31 of 33
Inspector Comments
Passed 4
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 17, 2014 For Inspections please call: (305)762-4949 Page 31 of 33
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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
BUILDING
PERMIT APPLICATION
14 BUILDING ❑ ELECTRIC ❑ ROOFING
{ sEE 12 2014 i
Y`�
FBC 20 lZ�5
Master Permit NoDS IS , I�
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/ j� CONTRACTOR DRAWINGS
JOB ADDRESS: /� 7 3 / ! t �
l
J c Miami Shores / County: Miami Dade Zip: 3 �2
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER
Address
City:
State: Zip• 3 _3! � 34-V
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
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:
Type of Work: ❑ Addition ❑ Alteration ❑ New , ❑ Repair/Replace r ❑ Demolition
Description of Work: C� 1 d/ S (� X�
Specify color of color thru tile:
Submittal Fee $
Permit Fee $
0z)
1 4D 0
CCF $
Scanning Fee $
Radon Fee $
40
DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(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 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 notbe-Qpproved and a reinspection fee will be charged.
'11110 Signature -
MAW, A�JVARNAF
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of � 20 �y by
Cf"I]lwh o is sonal no to
me or who has produced _ as
identification and who did take an\o��(`i
NOTARY PUBLIC:lea
°' •.
Sign:
The foregoing instrument was acknowledged before me this
day of . 20 , by
, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: %��� ;,��� Print:
Seal: s,�,��iin i i n►���``°���``� Seal:
as
APPROVED BY G Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
ri
AUG 0-5256
BY.- 0000mm00000
�WFBBC-, 120
Permit No.Y/L� I t)_ 15(Q
Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: 1d 7.3 ZP/-* 570-1.
City: Miami Shores County: Miami Dade Zip: —3V
Folio/Parcel*
Is the Building Historically Designated: Yes NO le< Flood Zone: 4
OWNER: Name (Fee Simple Titleholder):/C l j� &&&4e.phone#- 5 r-2�o�1� J�
Address: e�25�3 4, 9 , 15�j? �4 J/–.
City: J:W 9 Ca6�,V State: _zip::3�ZM
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:
PCompany Name: `�Gt✓/ �.�Gf���' �%%� Phone#:�
Address: ZQ 7 3 14, P_ 9W A ,
City: ///"/ �&j?State: � Zip:3_73z_3R
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: OAddition DAlteration ONew *epair/Replace ODemolition
COI.OT thru We:
Submittal Fee $ Permit Fee $ I l' 1 A CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ I I
TTO
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 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 inspect' h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n be app ro ed and a reinspection fee will be charged
Owner or Agent
The foregoing iip trument of as acMLI a LI Ibe re me tAs 5�
day Vb , 20 Y d v�
who ' ersonally known me or who has produced
As identification and who did take an oath.
NOTARY P LIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
Contractor
The foregoing instrument was acknowledged before me this_
day of , 20 _, by
who is personally known to me or who has produced
as identification and who did take an oath.
0 Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
0 Zoning
Clerk
F.LP.4/2-
rO P.C.
1043 P
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SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
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CONCRETE AND CONCRETE WALL ENCROACH
OVER REAR LOT LINE.
KGGUE - ESPINOM LAND SURVEYING, INC.
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1043 ME 98 S7PEE r
MIAMI SHORES, FL 33138
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0306
L
Date of Firm Index
511112=
Flood Zone:
AE
fin aC.1w 5,
8.0
Date of Field VVIodc
12t?1,Z010
-.
12/112010
t�
1�
e
�
i
Community Number. 120M
Panel Number:
0306
Sumx
L
Date of Firm Index
511112=
Flood Zone:
AE
Base Fid Ehwation:
8.0
Date of Field VVIodc
12t?1,Z010
Date of Completion:
12/112010
9. No mon ftmd on property corms unless nim.
111 Nd valid urdess std with the sib surveyors embossed seal.
11. Bwzdwy survey means a drawing a ndlor graphic representation of
Me survey work pedonned m the W amM he drawn ata shoal n ate
andtor not to scale
12 Ekwations # shown we tua upon NGVVD 109 urates otherare
notes.
13. This b a BOUNDARY SURVEY unless otherwiss nom.
14. This survey is eredtwha for the use of the paw to whom It is
certified. The ceriffications do not extend to any unnamed paw.
_74,7545777TW7.74: _E-�y a ti. ;1 o t -'i 2517- o
67, PAGE 78, OF THE PUBUC RECORDS OF NW"ADE COUNTY, FLORIDA
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MIGUEL ESPINOSA LAND SURVEYING, INC.
10665 SW 190TH Sbeet
Suite 3110
MIAMI, FL 33157
PHONE(305) 740-3319