DS-15-581 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236091 Permit Number: DS-3-15-581
Scheduled Inspection Date: July 17, 2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: ROSS, COLLIN AND TRACY Work Classification: Addition/Alteration
Job Address: 134 NE 100 Street
Miami Shores, FL 33138- Phone Number (305)494-3557
Parcel Number 1132060132150
Project: <NONE>
Contractor: RIES CONSTRUCTION CORP Phone: (305)265-5000
Building Department Comments
CHICAGO BRICK PAVER DRIVEWAY Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed / CREATED AS REINSPECTION FOR INSP-230464. Sod must be restored
for final
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
July 16, 2015 For Inspections please call: (305)762-4949 Page 10 of 35
U111-,11111111111 '01%Izl
45
`SgoaEs r�� Miami Shores Village
\ \ I
10050 N.E.2nd Avenue NE r
asr t 333�� Rl� �
Miami Shores,FL 33138-0000 F
Leh ` Phone: (305)795 2204
1 Expiration: 10/18/2015
"JIMMINka"Y"M.
Project Address Parcel Number Applicant
134 NE 100 Street 1132060132150
Miami Shores, FL 33138- Block: Lot: COLLIN AND TRACY ROSS
Owner Information Address Phone Cell
COLLIN AND TRACY ROSS 134 100 Street (305)494-3557
MIAMI SHORES FL 33138-
134 100 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 6,000.00
RIES CONSTRUCTION CORP (305)265-5000
Total Sq Feet: 998
Approved:In Review Available Inspections:
Comments: Inspection Type.-
Date Approved: : In Review Final
Date Denied: Foundation
Type of Work:CHICAGO BRICK PAVER DRIVEWAY Additional Info: Review Planning
Bond Return: Classification:Residential Review Planning
Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60
DBPR Fee Invoice# DS-3-15-54822
$2.00 04/21/2015 Credit Card $97.60 $50.00
DCA Fee $2.00
Education Surcharge $1.20 03/17/2015 Credit Card $50.00 $0.00
Permit Fee $125.00
Scanning Fee $9.00
Technology Fee $4.80
Total: $147.60
In consideration of the issuance to me of this permit, I agree to erform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, aterrents or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done b ither myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING,MECHANICAL,WINDOWN,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informati s accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-na a ntractor to do the work stated.
April 21, 2015
Authorized Signature:Owner / Applicant / o acUr / Agent Date
Building Department Copy
April 21, 2015 1
M IRECEMlaml Sh res Villa eIv L
Building Department 'AAR
A ,�
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20l':S-
BUILDING Master Permit No. `JS- IBJ"G
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
V/��C CONTRACTOR DRAWINGS
JOB ADDRESS: 13 � / /- : &e/—
City: Miami Shores County: Miami Pade Zi 3 g
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): el�/I /fVSS Phone#:
Address: �,S_���d
City: State: L Zip: Z's /_37
Tenant/Lessee Name: Phone#:
Email: //� / cox'
CONTRACTOR:Company Name: rC C, nS1;'tCT/0 Phone#: 3 /OG�, vv(j
Address: IVW r" Lgn
/
City: X17711 State: )� Zip: TV Z
Qualifier Name: //"vol,*/ is"a bd0 Phone#:
State Certification or Registration#:.':iz /�I U 3 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$lSquare/Linear Footage of Work: nil
Type of Work: ❑ Addition ❑ Alteration ❑Q New PRepair/Replace ❑ Demolition
Description of Work: / Ct O /%GK /�f�� L✓
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ) �S i' `� CCF$ 'L` �"` CO/CC$
cl—
Scanning Fee$ Radon Fee$ DBPR$ Notary$ �
Technology Fee$ �� �—' Training/Education Fee$ 1 L`" Double Fe//e$ [—
Structural Reviews$ Bond$'F=n
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 low 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 pasted 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 b a roved an reinspection fee will be charged.
T�
1)
Signature O� Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument ZIA",
knowledged before me this The foregoing instrument as acknow dged before me this
day/ooff ZO by day of 20 by
who is personally known to /'/N/1L`!� ��LoSeoC�® _-----,whoEperson5ly kno to
me or who has produced � as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: 44V�Q
("A.r
Print: L .L d I� Print: t '(� 0 tl/lti
Seal: Seal:
a;,a�P"'•., MICHELLE MOLINA
O�"''y P"•., MICHELLE MOLtNA
Notary Public Stata of Florida "scc
=? : Notary Public State of Florida
9� My Comm.Expires Sep 19,2017 �� My Comm.Expires Sep 19,2017
sssssssssss it .tassssCaa"s,SlA ��,i'ii4ss ss:sssssss***ssssss sss�i m y �t ¢Qbi 3&**
• 111111
APPROVED BY (� Plans Examiner ?' ! Zoning
Structural Review Clerk
(Revised02/24/2014)
♦gN�REs Gig Miami Shores Village
tlogo o161Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�IORiDA
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) Cels,, X—,,.ez hereinafter referred to as the owner of
the following described property(address): � �� f�!' �S/r�tV-
Legal Description Lot�_Block 1'(-7_Subdivision
Folio# D ,�
Requests permission to install (describe work):
Within the public right of way of(address) /3fl� Ne !M /'e
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.
1
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 thi day of 201
(Owner's Signature)
SIGNED, SEALED, AND DELIVERED in the presence of:
Ic OVIZ Ili �40 INIA
�D
.unn„
c�Pnv P�Be MICHELLE MOLINA
` "°= Notary Public-State of Florida
9�c My Comm,Expires Sep 19,2017
oW Commission#t FF 055738
2
ORPRED BY:
}
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Robert T. Perdigon/ 305.670.3707
rperdigon0perdigontitle.com
One Datran Center Miami Beach Office
PHI Suite 1701 q 1681 Michigan Ave. v
Miami,FL 33156 - Suite 1001
Fax 305.670.3711 Miami Beach,FL 33139
PROPERTY ADDRESS: 134 NE 100 STREET MIAMI SHORES,FLORIDA 33138 SURVEY NUMBER: FL1306.0863
FIELDWORK DATE:6/21/2013 REVISION DATE(S):(REV.0 6/22/2013)
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a GRAPHIC _
IC SCALE (In Feet•'••_.•_
FMLILVALENM 1 inch =; 3Q;•ft. "
LlelrrNt�M2 • • • \ •
•
COPY
Use of This Survey for Purposes other than Intermed,Without written Verification,will beat the User's Sole Risk and without Uabil'ity 1bitt!lurveyor. ••••• •••••
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. '
FLOOD INFORMATION: •• •' " •
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING ••••" ' '•
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE : : • • •••••
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE VILLAGE
OF MIAMI SHORES,COMMUNITY NUMBER 120652,DATED 09/11/09.
lith.qr' •• •
' ' •
CLIENT NUMBER:PP13-212 DATE: 6/22/2013 AFFILIATE� � '
BUYER:COLLIN ROSS AND TRACY ROSS
.:=T MEMBERS
SELLER:SCOT ROY MARKEN AND CHERYL SUSAN MARKEN
CERTIFIED TO:COLLIN ROSS AND TRACY ROSS;PERDIGON TITLE
SERVICES;FIRST AMERICAN TITLE INSURANCE COMPANY;
STONEGATE BANK;ITS SUCCESSORS AND/OR ASSIGNS
www.exactaland.com
Land Surveyors, Inc. P (305668-6169• F(305)668.6325
This is page 1 of 2 and is not valid without all pages. LBu 7337 12220 Towne Lake Drive,Suite 55•Ft.Myers,FL 33913
REPC>�T OF SURVEY FL1306.0863 This is page 2 of 2 and is not valid without all pages.
LEGAL DESCRIPTION:
LOT 10 AND THE EAST 1/2 OF LOT 11,BLOCK 16,AMENDED PLAT OF MIAMI SHORES,SECTION ONE,ACCORDING TO THE PLAT THEREOF,
AS RECORDED IN PLAT BOOK 10,PAGE 70 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA.
JOB SPECIFIC SURVEYOR NOTES:
THE ASSUMED BEARING REFERENCE OF SOUTH 90 DEGREES 00 MINUTES 00 SECONDS EAST IS BASED ON THE SOUTHERLY RIGHT-OF-WAY
LINE OF N.E.100 STREET,LOCATED WITHIN AMENDED PLAT OF MIAMI SHORES,SECTION ONE,ACCORDING TO THE PLAT THEREOF,AS
RECORDED IN PLAT BOOK 10,PAGE 70 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA.
GENERAL SURVEYOR NOTES:
1. The Legal Description used to perform this survey was supplied by others.This survey does not determine or imply ownership.
2. This survey only shows improvements found above ground.Underground footings,utilities and encroachments are not located on this survey map.
3. If there is a septic tank,or drain field shown on this survey,the location is approximate,and was determined by visual above ground inspection only,and cannot be
relied on for accuracy.
4. This survey is exclusively for the use of the parties to whom it is certified.
S. Additions or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing party or parties.
6. Dimensions are in feet and decimals thereof.
7. Due to varying construction standards,house dimensions are approximate.
8. Any FEMA flood zone data contained on this survey is for informational purposes only.Research to obtain such data was performed at www.fema.gov.
9. All corners marked as set are at a minimum a Ih"diameter,l8"iron rebar with a cap stamped LB#7337.
10.If you are reading this survey in an electronic format,the information contained on this document in only valid if this document is electronically signed as specified in
Chapter 5J-17.062(3)of the Florida Administrative Code.The Electronic Signature File related to this document is prominently displayed on the invoice for this survey which is
sent under separate cover.Manually signed and sealed logs of all survey signature files are kept in the office of the performing surveyor.If this document is in paper format,
it is not valid without the signature and original raised seal of a Florida Licensed Surveyor.
11.Unless otherwise noted,an examination of the abstract of title was NOT performed by the signing surveyor to determine which instruments,if any,are affecting this property.
12.The symbols reflected in the legend and on this survey may have been enlarged or reduced for clarity.The symbols have been plotted at the center of the field
location,and may not represent the actual shape or size of the feature.
13.Points of Interest(P01's)are selected above-ground improvements which may be in conflict with boundary,building setback or easement lines,
as defined by the parameters of this survey.There may be additional P01's which are not shown,not called-out as P01's,or which are otherwise
unknown to the surveyor.These P01's may not represent all items of interest to the viewer.
14.Utilities shown on the subject property may or may not indicate the existence of recorded or unrecorded utility easements.
15.The information contained on this survey has been performed exclusively,and is the sole responsibility,of Exacta Surveyors.Additional logo or references to third parry firms are for
informational purposes only.
LEGEND:
SURVEYORS LEGEND
BOUNDARY LINE A/C AIR CONDmONING ID. IDENTIFICATION 5EW. 5EWER
B.R. BEARING REFERENCE INT. INTER5ECTION 5.F. SQUARE FEET
BILK. BLOCK IR IRON ROD 5/DH 5ET DRILL HOLE
B.C. BLOCK CORNER IF IRON PIPE 51RC 5ET IRON ROD 4 CAP
I15TRUCTURE B.R.L. BUILDING RE5TRICnON LINE L LENGTH 5N 5ET NAIL
L�I
55MT. BA5EMENT IB# L10EN5E#-BLI51NE55 5NW 5ET NAIL#D15C
W BAY/BOX WINDOW L5# UCEN5E#-SURVEYOR 5TY. STORY
CONCRETE BLOCK WALL (C) CALCULATED (M) MEASURED 5.T.L. 5URVEYTIE UNE
C CURVE N.R. NON RADIAL 5V SEWER VALVE
CHAIN-UNK or WIRE FENCE CATV CABLE TV.R15ER N.T.5. NOT TO SCALE 5N✓ 51DEWALK
WOOD FENCE C.B. CONCRETE BLOCK O.C.5. ON CONCRETE 5LAB 5.W. 5EAWALL
CHIM. CHIMNEY O.G. ON GROUND TEL. TELEPHONE FACILmES
IRON FENCE C.L.F. CHAIN LINK FENCE O.H.L. OVERHEAD UNE T.O.B. TOP OF BANK
EA5WFN-r C.O. CLEAN OUT O.K.B. OFFICIAL RECORD BOOK TX TRAI 5FORMER
CONIC. CONCRETE OH. OVERHANG TYP. TYPICAL
EOGE OF WATER C.V.G. CONCRETE VALLEY GUTTER O/A OVERALL W/C WITNE55 CORNER
C/L CENTER LINE O/S OFF5ET W/F WATER FILTER
WOOD CONCRETE C5 CONCRETE 5LA13 PKN PARKER-KALON NAIL W.F. WOODEN FENCE
OF COVERED PORCH PSM PROFF55IONAL 5URVEYOR WM WATER METERNALVE BOX
C5'W CONCRETE 51DEWAL.K AND MAPPER NAV WATER VALVE
A5PHALT BRICK or TILE COR. CORNER PL5 PROFE551ONAL LAND SURVEYOR V.F. VINYL FENCE
j (D) DEED (P) PLAT
DN! DRIVEWAY PIE POOL EQUIPMENT
WATER COVERED AREA D.F. DRAIN FIELD PLT PLANTER
EUB ELECTRIC UnLRY BOX PP PINCHED PIPE
SNCL. ENCL05UPE P.B. PLAT BOOK
e BENCH MARK ENT. ENTRANCE P.I. POINT OF INTER5ECTION
E.O.P. EDGE OF PAVEMENT P.O.B. POINT OF BEGINNING
CALCULATED POINT E.O.W. EDGE OF WATER P.O.C. POINT OF COMMENCEMENT
A CENTRAL ANGLE or DELTA F/L FENCE UNE P.T. POINT OF TANGENCY
• CONTROL POINT F/P FENCE P05T P.C. POINT OF CURVATURE
■ CONCRETE MONUMENT (F) FIELD P.C.C. POINT OF COMPOUND CURVATURE
® CATCH BASIN F.F. FINISHED FLOOR P.R.C. POINT OF REVER5E CURVATURE
ELEVATION FFL FLORIDA POWER#LIGHT P.C.P. PERMANENT CONTROL POINT
b' FIRE HYDRANT f7DH FOUND DRILL HOLE P.R.M. PERMANENT REFERENCE MONUMENT
O MANHOLE FIPC FOUND IRON PIPE 4 CAP R RADIU5 or RADIAL
FlRC FOUND IRON ROD 4 CAP (R) RECORD
Is TREE FIR FOUND IRON ROD RES. RE51DENCE
11nLTTY OR LIGHT POLE fir FOUND IRON PIPE RAN RIGHT OF WAY
WiVEtLI PCM FIND.CONCRETE MONUMENT (5) 5URVEY
COMMON OWNER5HIP FN FOUND NAIL 5.151. SETBACK UNE
v FN4D FOUND NAIL 4 DISC 5.C.L 5URVEY CL05URE LINE 0000
FND. FOUND 5CR. 5CREEN • •
GAR. GARAGE 9/DH 5ET DRILL HOLE • • •••• •••••
GM GA5 METER 5EP. 5EPTIC TANK • • 0 •
•
00 00 •00009
ELECTRONIC SIGNATURE: PRINTING INSTRUCTIONS: OFFER VAI,Ip• WI.Y FOR: • • •
5901P 0000••
COLLIN ROS TRACY�ROSS* • •
In order to"Electronically Sign"all of the PDFs sent 1.While viewing the survey in Adobe Reader,select the • • •••••r
by STARS,you must use a hash calculator.A free "Print"button under the"File"tab. •••• • ••i• •
online hash calculator is available at 2.Select a printer with legal sized paper. f �+�" -�•• i- - �{••
3.Under"Print Range",dick select the"All"toggle. I •• •• •• •I••• •
To Electronically Sign any survey PDF: I 000000 '1 • I •
1.Save the PDF onto your computer. 4.Under the"Page Handling"section,select the number p O(� .�E ACE l D I.T I OW""'
2.Use the online tool at of copies that you would like to print I r V t. ••tt
5. Under the"Page Scaling"selection drop down menu, I 0 • • 1••
• ••
to browse for the saved PDF on your computer. select"None." 2 is I • • •
3.Select the Hash Method as SHA. 6. Undteck the"Auto Rotate and Center"'checkbox
4.Click Submit. 7.Check the"Choose Paper size by PDF"checkbox I O O�•
Your PDF is electronically signed if all of the (UP TOb500)
characters in the SHA-1 code submitted by STARS 8. Click OK to print I ANY FUTURE
matches the code which is produced by the hash T0PMi1N8LNX+VA4M I SURVEYING SERVICES I
calculator.If they match exactly,your PDF is 1. In the main print screen,choose"Properties". I ON THIS PROPERTY
electronically signed.If the codes do not match 2. Choose"Quality"from the options. i { y � lAMbdsltk
exactly,your PDF isnot authentic. 3. Change from"Auto Color"or"Full Color"to to
t0
"Gray Scale". _ _ _ _ _ _ _ - _ _ _
Exacta Land Surveyors,Inc. www.exactaland.com
LB#7337 P (305)668-6169• F 305)668.6325
12220 Towne Lake Drive,Suite 55•Ft.Myers,FL 33913
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