DS-14-2288Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223138 Permit Number: DS -10-14-2288
Inspection Date: November 18, 2014 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: OBENOUR, JAMES Work Classification: Addition/Alteration
Job Address: 1401 NE 103 Street
Miami Shores, FL Phone Number
Parcel Number 1132050310130
Project: <NONE>
Contractor: CHAMPION CONCRETE Phone: (305)252-8055
Buildina Department Comments
PAVER DRIVEWAY
Infractlo Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
CREATED AS REINSPECTION FOR INSP-221800. Replace sod
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
November 18, 2014 Page 1 of 1
101�2_31iY
—T -N nnn.E
BUILDING
PERMIT APPLICATION
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
ILDING ❑ ELECTRIC ❑ ROOFING
OCT 17 2014
Y:
FBC 201 O
Master Permit No. Dsit-4- Zzw-�-
Sub Permit No
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: / 4/®/ Ale /® -g S-/-
City:
—Com: Miami Shores County: Miami Dade Zip: 331J�41
Folio/Parcel#: //— 3'.q_ 0j --'0j % —a 13 e Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder) Nf_ vL4 � �i -1 Phone#:,!ei-l5,f
Address:: to g ii
Stater Zip:.6'
Tenant/Lessee Name: �"�— Phone#:
Email: 06fAbC1X_ 40/1-C
CONTRACTOR: Company Name:6'�IhW fplu -e Phone#.A5 252— U �
Address: //001 kV CfJl_ Schaff /0
City: Jd/l State: — Zip: :�5iZL
Qualifier Name: ,n,_/4'd Phgne#- f&'(W
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: — Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ �v Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration<ew ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru the:` r`
00
Submittal Fee $ 5 ®' C� Permit Fee $ ` �✓ CCF $ qO CO/CC $
Scanning Fee $ Radon Fee $ ° P� DBPR,$ Notary $
Technology Fee $ Training/Education Fee $ 12-PO Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 44
(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 posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absenceof uch posted notice, the
inspection will not be approved and a reinspection fee will be charged. f
Signature s Signatu
OWNER or AGEN
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
3 day of 20 L4 , by day of ®L� , 20 ��{ , by
who is per all wn to ���` CSL— , who is p rsonally zno 0
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
ajfft Sandra Dee Hart
%T
My Cis
ommsion FF 010844
Enims 0421/2017
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC: `��\\1111111►►►►►���
$'
Sign: Z, 031ORIgn
Print: = r�RYPal
CP
Seal: 73���
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Z
APPROVED BY (® ` Plans Examiner ® Zoning
as
Structural Review Clerk
(Revised02/24/2014)
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, (ownerda_&&e j A
9)&jKL,0�
Al
hereinafter referred to as the owner of
the following described property (address):
422 S7 -`t
,01W ocz -2791:ik,
Legal DescriptiorV //KAai Lot /T Block Subdivisiona5te �� V7
Folio #
Requests permission to install (describe work): &_0 je
Within the public right of way of (address) i�f A P3 P `
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 of QeVe-- 5 C4 , 20141
SIGNED, SEALED, AND DELIVERED in the presence of:
E
State of Florida
Harton FF 010844
/2017
IN
(Ow s Signature)
• � a
AVAS
IG �Patoy 4 �7lJur, j•
SET RB V!IL Cwar.V` 90.00' Al `V INACCESSIBLE
SET IP ^ n gi
, WOOD 112 ,qY Iq SET R8
'm S� ENGE 90.00 P/L aos'
f: POOL
0.3' -6
4 /24.0
oXRAG'
4 jv
cc �loom
14.8'
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I� 1 ;
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L _ 14.8'
OVERHANG
OPEN PORCH.
No. 1401
1.1:933 68.1'
' CA.° PORCH
0 22.8'
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FD
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rpL Shores Vi
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SUBJECT TO COMPLIANCE WITH ALL FEDERAL
It /\ Nn CC)UNTY RULES ANn REGULATIONS
TT
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SUBJECT TO COMPLIANCE WITH ALL FEDERAL
It /\ Nn CC)UNTY RULES ANn REGULATIONS
R
NORTH
LINE OF SEG 5 — 53 — 42
10
T9D-`—
—�—
—.l�—
—gp�—
50'
»100'
14W 171.46
15
16
f7 18
z 0�
19 ^ 20
g 12
13
t 4
ryn. 21
)01
90
»
»
»
f 9
1 90'
87' `30•
,!�
N.E. 103rd STREET
T 115' 110'100 116.
? 11 5 12 13 14
I5' 115' 110' 36. 2'
WATERWAY
LOCATION MV42
` SECTION 5 TWP. 53 S. SCALE: 1'=150
0
20
71'
50
19
15 18
17
16 �(1.
$O
LOCATION MAP
SCALE: 1"= 150'
SCRIP -TIM:
,".K 6, REPLAT OF TRACT "Co MIAMI SHORES BAY
S. ACCORDING TO THE PLAT THEREOF, AS RECORDED
K 64 AT PAGE 97 OF THE PUBLIC RECORDS OF
COUNTY, FLORIDA.
VILLAGE OF MIAMI SHORES.
.'S NOTE«
STABLISHED BY PLAT OF "SECTION NO. 8, MIAMI
;. 14-33, 1925, REVERTS TO ADJACENT OWNER
ORTH UNE OF SECTION 5-53-42, REMAINS
HENT.
LEGEND
AC = AIR COMMONER
C.B. = CATCH MIMI
C.B.S. = CONCREM M= S RUMIRE
CLR. = CLEAR
C.O. = CLEAN our
CONC = CONCRETE
f = CMERIJNE
1 = FIRE HYDRANT
I.P. = IRON PIPE
LB = LAND SURVEYOR BU
P/L = PROPERIY LK
RINFORCM RLS = L� � No.
WM = WATER MEIER
GRAPffiC SCALE:
0' 10' 20' 40'
SCALE: 1 INCH 20 FEET
SKETCH OF BOUNDARY SURVEY
A. R. TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
FLORIDA CERTIFICATE OF AUTHORIZATION No. LB -273
620 N.E. 126 ST. NORTH MIAMI, FLORIDA 313�'161
B 8
PHONE 305-891-7340 FA4 3D93+F-S:
•
SURVEYOR'S CERTIFICATIOht...., •,,;;•
WE HEREBY' CERTIFY THAT THIS B"DARY SURXY
IS TRUE AND CORRECT TO THE BM.OF 010W • e •
KNOWLEDGE AND BELIEF AS RECZ9TIY. SUK :YED.
AND PLATTED UNDER OUR DIREGRON-UD THAT.:
THIS SURVEY COMPLIES WITH THE �MIAIIMUM
TECHNICAL STANDARDS FOR LANA SUAVEYING IN.
THE STATE OF FLORIDA, UNDER �U 5—J -"'P% e..
FLORIDA ADMINISTRATIVE CODE, CTR 472.4If6
FLORIDA STATUTES. 1
••••
A.R. TOUSSAINT & ASSOCIATES, INC.
8Y: PRES. -.
ALBERT R. TOUSSAINT
REGISTERED ENGINEER NO. 8939
REGISTERED LAND SURVEYOR NO. 907
STATE OF FLORIDA
O T 6. 201,E ME 1401 N.E. 103th._STREET'
60' Fs VILLAGE OF MIAMI- SHORES
560 54 MLAMIy-DADE . CO FLORIDA
so oft VVT raw
AT 1 14949 OF I i
OR Bk 29157 €`s 17196; (I.ps )
NOTICE OFCOMMENCEMENT RECORDED 10/21/21014 i_9.05a44
HARVEY I`i!!t INP CLERK BI+ COURT
A RECORDED COPY MUST
BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION MIAMI-DADE COUNTY r FLORIDA
PERMIT NOR51 y - ,. LAST PAGE
TAX FOLIO NO.�� ����r�.�IP���
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE: -
STATE OF FLORIDA, COUNTY OF DADE G e
THE UNDERSIGNED hereby gives notice that imprbidbROA6MI tI A2' AD 2 y of fpe 1?� `�°% nod
property, and in accordance with Chapter 713, FloriF&R. rr—
is provided In this Notice of Commencement. HARVEY RUVIN, CIe irCidlt Sf1d CW* COUftS � �P
Deputy Clerke�
JENNIFER DARIUS #311 kV
Space above reserved for use of recording office
1. Legal description of property and street/address: ,oi // AyA -� / esl5 86 or -f7
2. Description of
3. Owner(s) name and address: -7 e4 .6 VA) r ® � C�� ��3.5� qt r S� /X 4
Interest in property: 40W- �
Name and address of fee simple titleholder:
4. Contractor's name, address and phone numbpr�10�/�P` C50 eey1 Z -Vkiwano
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number.�-
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number.
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Prepared By .+ %, Prepared By
Print Nam � 2? Print Name
Title/Office Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The forecioino Instrument was acknowledoed before me this , day of �"�
LJ dividdally, or 1.1 as for
Personally known, or ❑ produced the following type of identificat' n:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.5226, FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signature(s) of Owner(s or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above:
ZB By
3_01.52 PAGES 8712