The URL can be used to link to this page

DS-15-1359 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236121 Permit Number: DS-6-15-1359 Scheduled Inspection Date:August 31, 2015 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: RESTANI, MERCEDES Work Classification: Addition/Alteration Job Address: 102 NW 97 Street Miami Shores, FL 33150- Phone Number (305)785-6195 Parcel Number 1131010250080 Project: <NONE> Contractor: CHAMPION CONCRETE Phone: (305)252-8055 Building Department Comments DRIVEWAY PAVERS Infractio Passed Comments INSPECTOR COMMENTS False I Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 28,2015 For Inspections please call: (305)762-4949 Page 3 of 26 a p� 3 t dL( f 3 da Miami Shores Village �, E I' ld icyE 10050 N.E.2nd Avenue NW ' Miami Shores,FL 3313&0000 f �Ca R.'1Q4 4'�0 3 3E'�.^��E Phone: (305)795-2204 r � �A� j� Expiration: 12/21/2016 in ` Project Address Parcel Number Applicant 102 NW 97 Street 1131010250080 MERCEDES RESTANI Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell MERCEDES RESTANI 102 97 Street (305)785-6195 MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $4,820.00 CHAMPION CONCRETE (305)252-8055 (786)402-4802 Total Sq Feet: 705 i Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:DRIVEWAY PAVERS Additional Info: Review Planning Bond Retum: Classification:Residential Review Building Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# DS-6-15-65836 CCF $3.00 DBPR Fee $2.00 06/04/2015 Check#:1926 $50.00 $590.00 DCA Fee $2,00 06/24/2015 Check#:103 $590.00 $0.00 Education Surcharge $1.00 Bond#:2762 Permit Fee $125.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $640.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and Hing. Futhermauth rite the above-named contractor to do the work stated. n 10 19.6 _f 41 June 24, 2015 A rized(?1pUp49�89A/W / Applicant / Contractor / Agent ate Building Department Copy June 24,2015 1 Miami Shores Village Y 1. � JUN 042915 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC20 � � BUILDING Master Permit No.7D 5 PERMIT APPLICATION sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ��, 2. 1VU f,-i City: Miami Shores County: Miami Dade Zip: 5-3/50< Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ye:a&14 .=ft2d Phone#: Address: 6" City: 1,6114A State: ® Zip: .331.50, Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: VAfi-'j, IN- Address: N-Address: V City: c;' State: Zip: Qualifier Name: Io'S' t� Phone#• State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ "'I�P� a Square/Linear Footage of Work: '705731Z Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: � ��,�,im L., Iw ens, 4. V Specify color of color thru tile: Q Submittal Fee$ Permit Fee$ CCF$ CO/CC$, Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ S001 - TOTAL FEE NOW DUE$ go •W (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 law brochure will be del' a ed to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be 0 ted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the obs nce of s c posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatures�' � Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 ' 1 ,by day of 20 l by who is personally known to � "''t�— �8r � ,wh ersonally know to me or who has produced me or who has produced ®�r'• Toas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: ��` Sign !) Sign Print: -� a oto Print: v � Seal: _ �-� .. Seal: — a,,�,4 � o` ••• APFUL P.141CC AI M * o* W COWISSION#FF 059159 �''o ® "i...' c EXPIRES: t7,2017 '%, i `' °�� *�xx��x��x��xwx��x�xa�" `�• APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 'ami Shores Village l { i ding Department I AUG Zo1S 10 .E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 -L----7== - __ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 b G Master Permit No. DS— 4—PS E MIT APPLICATION b Permit No. ])S —(o —I BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORK C OF ❑CANCELLATION r-1 SHOP rr�� CONTRACTOR DRAWINGS JOB ADDRESS: I l J k City: Miami Shores County: Miami Dade Zip: 73 3 l S' 0 Folio/Parcel#: f 131 O 10 clS©0 sal't) Is the Building Historically Designated:Yes NO V Occupancy Type: Load: - aConstruction Type: R-e�n #13k Flood Zone: BFE:9c —FFFE: OWNER:Name(Fee Simple Titleholder): 1"l'e�.F�eS Phone#: J 0J " 5—6 !�' Address:_ City: IAL�l%�amS"9=3. State Zip: 33/S-0 Tenant/Lessee�Name:: hone#: Email: CONTRACTOR:Company Name: a r. -�5one#: 05' a Address: City: State: ---_ Zip: 7Y ' / Qualifier Name: �w r% Phone#:?yb YOZ if pr�— State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: n T Address: City: State Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace / ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) (vioZ/vZ/Zopasjnaa) �aal� malnaa Ie.inj3nj;S BuluoZ / aaulwex3 sueld A8 a3A0addV fY11l s�ewnwepu� n ti —�—�� LIOZ Ll��IW�O�33HIdlf3 6'1oa'ettienu '"n"�`°��'°e 691650 O NOISSIY6 AW '� �` �r:s3aldx3 s�OM Ad misslwWO�AW :leas i'd't ldV ''��d A11,,°� :leas VYds , :;ulad :USIS ,� :Uols ��S�la� A�l1P�P�A °�a°�ado�fb :Dno 1d AMON LIOZ'Ll�p:S31:11M . *n9nd AHVION 69169033#NOISSIN100 M •y;eo ue aMe;PIP oym pue uopeolpluap! N1►TI31=AIWO uB,' oym pue uol;e3IAUapl se r,0, . paonpoid sey oym Jo aw se pa:)npo id sey oym ao aw o;umoul Alleuosiad sI oym Q�/ S#gl a �� ol umou�I Aljeuo ad sIo m Aq , OZ �S r9f> }o Aep Q� AqS OZ 10 Aep sly;aw ajolaq paSpalmoupe sem;uawnilsul 8uloSa.io}ayl sly;aw a.iolaq paSpalmoupe sem;uawni;sul gulogajoj ayl V0.0VUIN03 1N3JV JO H3NMO a.in;eugIS ain;euSIS •pa6wy3 aq lym aaf uoipadsufaa o puo panoiddn aq jou flim uo►padsui aq4 'a3pou pagod p fo a3uasgo ayj of •panssi si ;►wjad 6urppq aye ja4o stop (L) uanas vnoio yjiym uojivadnq .sill ay; .iof a.�fs qof aq4 4o pa4sod q;sniu;uawaouawwo:) o a3i;ou papio3aa ay;fo�(doi pa�4ja3 o'osiy •;uawg3ouo o;.�afgns si Auadoid asoym uosiad ay; o4 paaaAtl p aq prm aanyoouq moi uarf uo►4:)nj4suo3 puo pawamawumfo a3pou aq4 fo Ado3 o;oy4 y;iof pooh ui astword 4snw 4uojffddo ay; 100SZ$6ufpaa3xa anion pa;owl;sa un g41m jjwjad 6uipj1nq oIo aouonss►aq4 o4 uofvpuoo o SV :4uoaijddy o;aoi;oN ,;1N3W3:)N3WW0:) dO 33110N 11nOA Wam)3113110338 A3N11011d Nd 21011 ml unOA H11M 11nSN0J `9NDNVN13 NIb180 Ol aN31N1 n0A dl 'A1113d011d 11n0A Ol S1N3W3AOHdW1 110d 33IM1 9NIAbd 11nOA NI 11nS311 AVW 1N3W3JN3WW0:) 10 33110N d amOMH Ol 311n11d3 11nOA :H3NMO Ol DNINHVM„ -guluoz pue uol:pna;suo:)9ul;einga.i smel alge:)Ildde Ile y;Im a:)uelldwoo uI auop aq II!m M.iom Ile ;ey; pue a;eimme sI uol;ewao;ul Sui Sago}ay; Ile ;ey;A}I�a� I :11AV0133V S,b3NM0 "':)13'SM3NOIlI(INO:)211V'SNNVl'SM31V3H`5831109'S3JVN2Ifl3 'S100d `SN91S '9NI9Wflld ':MI13313 JOI pajn:)as aq ;snw ;Iw.iad a;ejedas a ;ey; pue;siapun 1 •uol:pIpslanf sly; uI uol:pna;suo:) Sul;einga.i smel Ile jo sp.iepue;s ay; ;aaw o; pawao}iad aq IIIm Mie. Ile ;eq; pue ;Iw,iad a }o aauenssl ay; o; aol.id paaa uawwo sey uol;elle;sul ao Tom ou;ey;4!:P@:)1 •pa;e:Ipul se suol;elle;sul �iue Tom ay;op o;;Iwaad a ule;go o;apew Agaaay sI uol;eallddV d!z a;e;S Ag) ssaippV s,japual ases:wovy (alge:)Ildde}J aweN s,Japual aBE21JOVY dIZ a;e;S A110 ssa.ippV s,Auedwo:)Sulpuos (algealldde;I)aweN s,Auedwo:)gulpuog AC "Rf3� (MM/DD/YYYY)--� -i CERTIFICATE OF LIABILITY INSURANCE I DATE 0MMfDD5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(fes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lucia Estrella NAME: Accurate PHONE (305)226-8727 F 305 226-8767 AA[C,_ o,Ext): (AIC,No): ( ) _ 8300 West Flagler Suite 114DnRess: luciaestrella@bellsouth.net Miami,FL 33144 _ INSURER(S)AFFORDING COVERAGE NAIC# Phone (305)226-8727 Fax (305)226-8767 INSURER A: Granada Insurance Company INSURED INSURER 8: SUA Jamie Basilio Corp dba Champion Concrete INSURER C: 11001 NW 83 Street Suite 103 INSURER D: Doral,FL 33178- (305)252-8055 INSURER E: INSURER F: COVERAGES_ __ _ CERTIFICATE NUMBER: _ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD 'SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER _ MM/DD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 0 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence)_! $ 100,000.00 A -1 ❑ CLAIMS-MADE OCCUR 0185FL00055712 MED EXP(Any ane person) $ 5,000.00 ❑ 01/28/2015 01/28/2016 PERSONAL&ADV INJURY : $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: • PRODUCTS-COMP/OP AGG i $ 1,000,000.00 POLICY ❑ PRO- —❑ LOC —J _ $ i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED SCHEDULED BODILY INJURY AUTOS ❑ AUTOS (Per accident $ ❑ HIRED AUTOS ❑ AUUTOSWNED PROPERTY DAMAGE $ ❑ ❑ Per accident _ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE -- -- — —� AGGREGATE $ �❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION j WC STATU- DTH- AND EMPLOYERS'LIABILITY Y/N 0 ITS ❑ ER ANY PROPRIETOR/PARTNER/EXECUTIVE SUA078748780 E.L.EACH ACCIDENT B OFFICER/MEMBER EXCLUDED? �; 01/2016 — ( $ 100,000.00 (Mandatory in NH) `Y j E.L.DISEASE-EA EMPLOYE$ 100,000.00 If as,describe under — DESCRIPTION OF OPERATIONS below JI 1i E.L.DISEASE-POLICY LIMIT i $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Concrete&Pavers Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE !i Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATiV T� J 305-756-8972 _ Lucia Estrella ©1988-2010 ACOR CORPORATION. All rights reserved: ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD L_ ,�t10REs G Miami Shores Village rr Building Department eggs „ pi a��M 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 OIRIDA Fax: (305)756.8972 August 13, 2015 Permit No: 15-1359 Buildinq Critique, . 08-14-15 Pending Health Department approval Ismael Naranjo Building Oficial Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. SNORES Miami Shores Village yr Building Department ,,, p... 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 �t�-ORIDp► Fax: (305)756.8972 Au9 ust 13, 2015 Permit No: 15-1359 Building Critique 08-14-15 Pending Health Department approval Ismael Naranjo Building Official Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. AVM-W OJA XV dl1=9 XRT! DAW V(l) �N9 � 2015 JUN D ol AoNda oll 06Z=1 !0 •.•_9 d7Y*v..„.� /�-•• . .: yah O _ tQ,�•R• �-� �'9,. t :Iy.Y.,•/~.C7.•Y� ,• •. �f }, t t8 ��!}.61 L .r1i dri lirW 1146 :.. 5` Ln CA CA .00'616 00'6 .6 .�r9w .szi 1 w •�_ cn v µa' 901'ON MY AMS 3W v z J.07 -47HOr art, aOA- aAxwte "Id NO- 3S'o � �e�Up, .02 aoftOaAM ,OZ'18 f 8 „.•A�/J 7N1cu ,09 ------------- • �-� �