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DS-15-748Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231473 Scheduled Inspection Date: June 05, 2015 Inspector: Rodriguez, Jorge Owner: ESPOSITO, IVANA Job Address: 9035 NE 5 Avenue Miami Shores, FL 33138 - Project: <NONE> Permit Number: DS -4-15-748 Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060400040 Contractor: DECO CONCRETE INC Phone: (305)828-5158 juuaing uepartment comments DRIVEWAY AND PATIO BRICK PAVER. INSPECTOR COMMENTS False June 05, 2015 For Inspections please call: (305)762-4949 Page 6 of 27 Inspector Comments Passed r Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. June 05, 2015 For Inspections please call: (305)762-4949 Page 6 of 27 Project Address Parcel Number Applicant 9035 NE 5 Avenue 1132060400040 IVANA ESPOSITO Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell IVANA ESPOSITO 9035 NE 5 Avenue MIAMI SHORES FL 33138- 9035 NE 5 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone DECO CONCRETE INC (305)828-5158 (305)345-4740 In Review Date Approved:: In Review Date Denied: Type of Work: DRIVEWAY AND PATIO BRICK PAVER. Additional Info: Bond Retum : Classification: Residential Scanning: 3 Fees Due Miami Shores Village 10050 N.E. 2nd Avenue NE Bond Type - Contractors Bond Miami Shores, FL 33138-0000 CCF Phone: (305)795-2204 Project Address Parcel Number Applicant 9035 NE 5 Avenue 1132060400040 IVANA ESPOSITO Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell IVANA ESPOSITO 9035 NE 5 Avenue MIAMI SHORES FL 33138- 9035 NE 5 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone DECO CONCRETE INC (305)828-5158 (305)345-4740 In Review Date Approved:: In Review Date Denied: Type of Work: DRIVEWAY AND PATIO BRICK PAVER. Additional Info: Bond Retum : Classification: Residential Scanning: 3 Fees Due Amount Bond Type - Contractors Bond $500.00 CCF $9.00 DBPR Fee $3.00 DCA Fee $3.00 Education Surcharge $3.00 Permit Fee $200.00 Scanning Fee $9.00 Technology Fee $12.00 Total: $739.00 Valuation: $ 14,500.00 Total Sq Feet: 2000 Pay Date Pay Type Amt Paid Amt Due Invoice # DS -4-15-55030 04/02/2015 Credit Cana $ 50.00 $ 689.00 04/15/2015 Credit Card $ 689.00 $ 0.00 Bond #: 2673 AvanaDre Inspection Type: Final Foundation Review Review In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strictconfo 'the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assum sponsibility Tpr all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, P M ING, MEC NICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I rtify hat he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F e I authorize the above-named contractor to do the work stated. April 15, 2015 Aptft6?ke-dAIgTatre: ner / Applicant / Contractor / Agent Date Build! �e�prt ent Copy April 15,20" 1 C-11AI_k11V C7 PERMIT APPLICATION Miami Shores Village L�2U Building Department A�� CE VE 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 7BY INSPECTION LINE PHONE NUMBER: (305) 7624949 FBC 201_b('�j Master Permit NO.D_g �l ( a Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION 0 EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 9635 ME -5� AA, City: Miami Shorress�� County: Miami Dade Zip: S31 3 Folio/Parcel#: l I ' ���1� �. �Y Is the Building Historically Designated: Yes NO 1� Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Add City: AI1(A S'�MLS, State: zip: 33 Tenant/Lessee Name: Phone#: [d'iF'IIA CONTRACTOR: Company Name: �� � � a Phone#: Address City: 1 Qualifier Name: State Certification or Registration#: Zip: -3 3 ) —7 Phone#: 5 of Competency #: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: State: Zip: Square/Linear Footage of Work: Vd Type of Work: ❑ Addition ❑ Alteration w n ❑ Repair/Replace ❑ Demolition Description of Work: �X i \ tLkY0 o#� tf d � .1 Specify color of calor thru tile: Submittal .fee $ .: ' (,;L) Permit Fee $ ' o : CCF $, ... CO/CC $ Scanning Fee $ Technology Fee $. Structural Reviews $ (ReWsed02/24/2014) Radon Fee $ Training/Educadon Fee $ DBPR $ Notary $ Double Fee $ Bond $ _ TOTAL FEE NOW DUE $ I cu GpjcCO 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 Tien 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. Signature k�� OWNER I AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was ackdowledged before me this day of E �4 , 20 by day of I�IlJL '20 by who is personally known to r who is personably known to me or who has produced A, as me or who has produced a 6 A. as identification and who NOTARY PUBLIC: Sign: Print: vl Seal: APPROVED BY _ (Rev1sed02/24(2014) In identification and whokAeanoNOTARYPUBLIC: Print:(� to W'1I'N'4ha+" 1�tarY Seal: Notary Public Stale of Flomla Jesserli8a My Commolon Expires 04/2001877t �F ' is Pmdo M iBminim EE 181782 �R_�FaIF 1 Plans Examiner Structural Review Zoning Clerk www.DE000ONCRETEINC.com Miami Shores Village Building Department 10050 N.E. 2"d Avenue Miami Shores, FL. 33138 April 1, 2015 Project Address: 9035 N.E. 51h Avenue Miami Shores, FL. 33138 Notice to Owner — Worker's Compensation Insurance Exemption I Jose Monnar acknowledge that I will not use day, labor part-time employees or subcontractors for the project. I will be the only person allowed to work on your project. Jose Monnar State of Florida County.of Miami -Dade The foregoing was acknowledge before me this day of k4LQL]?jQ 20_. `` By �E') Dyt Ytcl ' who is personally knowI�,t a or s produced 1(s(JY uu gg�jas identification. Notary: ti an SEAL PV Jessen" PtaNCO" POW fta nae My CVWM EE 181782 E 04/2912018 P.O. Box 720067, Miami, FL. 33172 Phone: 305.828.5158 Fax: 305.828.7375 ser Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full -tune employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project The contractor has provided an affidavit stating that he or she will be the only person allowed to work an your project In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: PQ4JL-7�� or State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of Ln, 20�. By ,5 S 1 who is personally known to me or has produced as identification. a Notary Public 3� of Florida Notary: :F JbMrda Prado y, ` MY Commission EE 181782 !►1 Expires04/28/2018 9 IMAM; PL 33185. PIM.D LU m i i Md SI0NS INC. MnM612-lB TTP apram 11 Land Surveying Services FAX- PM51a49U BOUNIDARY SURVEY I IVANA ESAUSTTO LIMAL PROP. ADI, 90 N.E. 5th AVENUE, MIAMI SHORES, FL 33138 Lgh 4 WANM 1 PARK MANOR WMES PA66 52 0g MAMI-DAC ceuN Y� M"tW I. tri 4 * ;pah be. �a/8 oma/ C Mf V" of litn�. roe C. ka.Wayj COAC 4e 6a Al"V30% to its ea�nt e i% � �-IrA4 • A 1 I Date: 17.W . ds H�aith M� OS"rD S, ,� to �" 04d® �0- L /®ro am Y Lot 5 dock 1 CtL 5 U.E. _j + w 108.5w I Rrxi/ONE STORY CBS RE89MM EBSM gg • i / • • •• •••� • ! ••• 0000• r • u 18.w ©.. ; 14:41" ^•g q ... .. .0•/• • TOO Y.6 •••••. ••• N• 00.00 • 0000•••t Ff• 00• • • 0 A • • • 0.00•• 0000•• y • • • • • ( • •• i4 • ••• i•""•i �A •00" • MALL IV C.L.F. �. Lot 3 Block 1 0 N.E. 9&h SPE4CWp APR 0 9�YtY+!"S AItlYES: 1.HTHESURWYOFTHE PROPERTY SHIOWNH ONISINACCORD DESCRIPTION FURNISHED BYCUENT.-- 2.}UNLESS ACONIPWSON 15 SN". ALL BEARING, MWS AN DISTANCES ARE THE SAME AS PLAT WUN=S. 3.3T1E LANDS SHOWN HEREON Veff NOT ABSTRACTED FOR eASEW NIS OR OTHER RECORDED SH RRA NOT SH" ON THE PLAT AND THE SAME, P ANYMAY NOT BEE SKETCH. 44UNDERGRALIND PORTIONIS OF FOOTINGS. FUNDATIONS OR OTHER WROWMENT IU DATE 9/11 i (:I I (YOMPI IAN( -F WITH AI -L FEDERAL Mn ' n II? �'!;I IPJ 1 Y I ll 11 FS ANR F�FGUI ATIQf IS IVANA ESPOSITO. UNIVERSAL MORTGAGE & FINANCE, INCw WS SUCCESSORS _ ANDJOR ASSIGNS AS TIER MEREST MAY APPEAR, MASTERS TITLE, INC. FICELITYNA k TTILE I1 RANCE S ANY. swwSlBm*. aM 8d¢el.e.CLF-Chia"Few. �Gone� PHIa P� Cta�er. 811fi Rid ��IM MtIF=10@dad Fetes, RES Raldaaas. P,l� G4at ff� tae Rem. t� Ut9ly 5. FENCESTIESAKE TO THE CENTER LME OF THE SAME. 6. WALL TIES TO THE FACE OF THE SAME. 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