DS-15-2731 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246657 Permit Number: DS-10-15-2731
Scheduled Inspection Date: November 09, 2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: SANCHEZ,VAL Work Classification: Repair
Job Address: 101 NW 102 Street
Miami Shores, FL 33150- Phone Number (305)962-9175
Parcel Number 1131010220050
Project: <NONE>
Contractor: VAL SANCHEZ, LLC Phone: (305)962-9175
Building Department Comments
REPLACE DAMAGED SIDEWALKS LOCATED ON Infractio Passed Comments
PROPERTY INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 06,2015 For Inspections please call: (305)762-4949 Page 24 of 42
Permit tvo. DS-10-15-2731
Miami Shores Village AL Permit e; Drlvewaysf$ldewalks1S1abs
10050 N.E.2nd Avenue NW
Work Classrfiattorr:Repair
Miami Shores,FL 33138-0000 Per'
rye,"-' �� Phone: (305)795-2204 Permft Status'APPROVED
LOR►oA
Issue Date; 10/27/2016 Expiration: 04/24/201
Project Address Parcel Number Applicant
101 NW 102 Street 1131010220050
VAL SANCHEZ, LLC
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
VAL SANCHEZ, LLC 3125 SW 80 Avenue (305)962-9175 }
MIAMI FL 33150-
-_
3125 SW 80 Avenue
MIAMI FL 33150-
Contractor(s) Phone Cell Phone
Valuation: $ 1,100.00
VAL SANCHEZ, LLC
(305)962-9175
Total Sq Feet: 250
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:REPLACE DAMAGED SIDEWALKS LOCAT Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoke# DS-10-15-57564
$2.00 10/27/2015 Credit Card $ 116.20 $0.00
DCA Fee $2.00
Education Surcharge $0.40
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
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 wormy tior is-ac rat an that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authoriz_etwtea5ov a `d contractorjado the work stated.
`may October 27, 2015
Authorized Signature:Owner / Applica t / Con / Agent Date
Building Department Copy
October 27,2015 1
Miami Shores Village
Building Department OCT 2015
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 }
ff!1014ee A � FBC201�� �
BUILDING Sr r, 0j- j4 Master Permit No.--E;k
PERMIT APPLICATION Sub Permit No.
R/UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: IC'l AJ Ly 10 -,? Y-1-
City: Miami Shores County: Miami Dade Zip: 33/�S�®
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type* Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: 30's <
Cit State: Zi
Y•- �"/ p: 33
!�� ! <
Tena nt/Lessee yNa�me: Phone#:
Email: C25. ,yCGt_
CONTRACTOR:Company ame: td 1 �� Phone#: 962
Address:
City: State:/ State: / Zip: 3
Qualifier Name: 1,/J ( /y�i���Z��_ Phone#: -3
State Certification or Registration#: �c-� Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work: C2� se-
Type of Work: ❑ Addition ❑ Alteration ❑ New epair/Replace / ❑ Demolition
Description of Work: �� AI'L_x t6l e
�no Aj n eoe&
Specify color of color thru tile:
Submittal Fee$ Permit Fee$100 ' CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ / (�
TOTAL FEE NOW DUE$ 2()
(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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abspnee
IT suc sted notice, the
inspection will not be approved a a rei spec ' will be charged.
r
Signature Signature
OWNER or AGENT CONTR OR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 �`J , by 1 /a� day of� 20 by
who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Seal: ,,.�Y ON, Notary Public State of Florida Seal: og00°Ue Notary Public State of Florida
S' di Alvarez a Sindia Alvarez
y c_ e� My Commission FF 156750 o< My Commission FF 156750
4$OFpto@ Expires 09103!2018 ®Fatot� Expires 09.03/2018
APPROVED BY 7 N Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PROPERTY ADDRESS: BENCH MARK USED X
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REMAINDER 0 W�5�1,9:
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exclusive use of the entities named herein and zoom�
purposes.Surveyor not responsible for third party
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NO I.D. SURVEYING IN THE STATE OF FLORIDA-,PURSUANT Z d C3 0 0 0
TO RULE 5.117 OF THE FLORIDA ADMINISTRATIVE
CODE AND ITS IMPLEMENTING RULE,CHAPTER Survey is not covered by
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�N�IGHT-OF-WAY LINE CONC. 472.027 OF THE FLORIDA STATUTES. Proffesional Liability
RAMP Insurance.
0 PARKWAY ORIGINAL 08-15-2015
W FIELD DATE
EDGE OF PAVEMENT N
REMSIONS:
08-15 2015
N. W. 102nd ST. N
GARY B.CASTEL
16'ASPHALT PAVEMENT AERIAL MAP (NOT TO SCALE) PROFESSIONAL LAND SURVEYOR No.4129 DRAWN J.V.D.
—
50'PUBLIC GH -OF-WAY STATE OF FLORIDA SHEET No. 1/1
FLOOD ZONE INFORMATION:
Community No. 120652 JOB No.:
A
Panel No. 0302 Land Surveyors &.Mapper
Suffix: L 8567 Coral
Way,Miami,FLORIDA 33155
FIRM Date: 09-11-2009 Telephone:786-290-4184 08-407-15
Flood Zone: X