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DS-15-2912 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248039 Permit Number: DS-11-15-2912 Scheduled Inspection Date: January 12,2016 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: RABINOVICH, IVAN Work Classification: Addition/Alteration Job Address:10326 NW 1 Avenue Miami Shores, FL 33150-1270 Phone Number (786)436-0329 Parcel Number 1121360131430 Project: <NONE> Contractor: R&G LLC Phone: (786)206-6102 Building Department Comments NEW CONCRETE DRIVEWAY AND EXTENDED Infractio Passed comments APPROVED. INSPECTOR COMMENTS False Inspector Comments Passed ?� Failed C Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 11,2016 For Inspections please call: (305)762-4949 Page 13 of 34 l�r �+' -29 2 va�jO1 s , Miami Shores Village Perth#7jr e D�Vewa�rSlSidew�lll stSlab 10050 N.E.2nd Avenue NWn Z' 1�oC1�' 1aSS `�an Ad�to�Alt�t�tio Miami Shores,FL 33138-0000 � � fit, Phone: (305)795-2204IIP, tuS:AFtPRIF 11l�tf1201� P. � Ex iration: 05/26/2016 su�Ite: Project Address Parcel Number Applicant 10326 NW 1 Avenue 1121360131430 JG 10326 LAND TRUST Miami Shores, FL 33150-1270 Block: Lot: Owner Information Address Phone Cell JG 10326 LAND TRUST 560 NE 103 Street (786)436-0329 MIAMI SHORES FL 33150- 560 NE 103 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 R&G LLC 786 286-8181 Total Sq Feet: 324 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:NEW CONCRETE DRIVEWAY AND EXTEJ\ Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoke# DS-11-15-57802 $2.00 11/30/2015 Credit Card $64.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 11/18/2015 Credit Card $50.00 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 In consideration of the issuance to me of this permit, I agree to perfo the ork covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,s ents specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don eit er If, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDO O S,ROFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing info i i accurat d that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the abo c ctor to do the work stated. November 30, 2015 Authorized Signature:Owner / Applica / Co actor / Agent Date Building Department C py November 30,2015 1 � o Miami Shores Village Building Department rJw 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 FBC 201°a BUILDING Master Permit No. ( �o�G(2" PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP p CONTRACTOR DRAWINGS JOB ADDRESS: 101 Lo I L 0— City: City: Miami Shores County: Miami Dade Zip: 3313% Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: f te& Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): V-04LAA (C_ i �,�� c�� ;L-G Phone#: - 3� —�3�� . Address: S-6c ) I�C� IO3 / City: 1 It `, State: EL zip: 3X13 X Tenant/Lessee Name: Phone#: Email: \ CONTRACTOR:Company Name: �2' Cr Phone#: 7 �0 EL' 1% Address: '�_L o �`o� I®� 6T r City: 1 - PrM State: 1'C— Zip: J�j�-gql Qualifier Name: AQ1 061 Q j Phone#: a16 - -ZZ(. V'91 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$_ oo©O Square/Linear Footage of Work: Type of Work: ❑, Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 0,c,�%__ Cam.) ��: Lz�ZVa. W ACJ OL—d G%-T0x_[xa �dJ$R o rtcc,� Specify color of color thru tile: Submittal Fee$ Permit Fee$ . B (JD ,60 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Tee$ Training/Education Fee$ Double Fee /$ Structural Reviews$ Bond TOTAL FEE NOW DUE$ fO (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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this I} �day of 20 Y,1— , by day of 00\ 20 1 by who is personally known to 64y9 2A,6"uv� C)— • ,who is personally known to me or who has oduced as me or who has pro ed as identification a ho dil identification and h --a9w, VICTOR RATNER '�''s ... .•'�_ •• .. VICTOR pATIVER NOTARY P LICI �• NOTARY PUBLI s .' MY COMMISSION#FF103950 ;•; j• MY COMMISSION#FF103950 �q'i`•......, oy 17, 201:; EXPIRES May 17, 2018 `�=' EXPIMS Y (407)398-0153 Florldallota Service.com " M G4 n, Li Sign: � Sign: (sod 39e.o153 FlorfdeNnt.servicl;. . Print: �� I Print: Seal: Seal: �*�x>x>Kix**�*�x>x****>k****�*x�**�x�x**�**** **x�>«�x*p��*s****>«�x�***a��x**�*�x***�x*�x�x*>k****x��x**�x�x**>k>k*��•**x�>«�**�x****a�* APPROVED BY Plans Examiner —/-1 Zoning Structural Review Clerk (Revised02/24/2014) 103 z(,� I)cs) I � NW 104TH STREET � cc�� •� l v�'u c� H.C.O.R. = 10.95' NGVD P1 S iZ�l�( ��• 1 1.L �A-!�i\l_YL ACACIA SSIS- Dgl2- o NO OTHER TREE IS BEING _. DISTURBED BY THIS JOB THAN 23'PARKWAY X THE REMOVED TREE DUE TO - - _ �® I n TC- THE PROPOSED DRIVEWAY - - IMPROVEMENT. 5•SIDEWALK ` 1 ACACIA OAK X fiLt E PALM PALM C,� — �o „��' ,;��r-•>T,i ? PALM m E E ryo PE ALM PALM 10 PA v A a PALM .I EXIST. 6'FENCE 6.-6 PROPOS D GARAGE/CARPORT,` / 4N ' ENCLOSURE & PORCH EXT. !i s PR OSED, r r i �t918x18FT a PROPOSED ® c'O 20'-2" ` �i '� EXTENDED - APPROACH Z may < -. :..z. z LL. O E E 14'-x" U E FRUIT TREE TO ;j + 1 N � PALM BE REMOVED � • m EXIST. 900 GAL. EXISTING PALM I cid LL1 0 PALM SEPTIC TANKO ONE STORY PALM I— S.F.R. �__` E N _ E > PALM E(� L—Js-o" F.F.L. + 10.58' NGVDP cd > I N i r- W _cUj 1 r;: PALM ami N i; ;a PANEL MEP E PALM Cc) z200 AM 25 cmm w '_3• PALM � uj CO1 I EXIST.DRAIN I MAIN DISC. .r: 1FIELD 200 S F.1 I u: PA Um F 1* O67 C r Q. ✓ a E a LL a c� Q ® �'�'""��' /O� la • • i ••�• 0000•• o �XISr. RESERVEI /�� • • • • I IAREA 120 S.F.1 •/ I A •• • • • • o I 1 /t' N m 0000 • NI M n < >S •0•0 0 •• ••• • .0.00.0.•• ••0000••IT - 1 •0.00• F .00 • • C3 cli D 1 99•06 ' FRUIT TREE I, • • ip FRUIT TREE! ••• �v • ATER METER I F 000 0•0 • • MANGO TREE MANGO TREE 13 • • :.00% • ••••0 • • • ______________ __________ • •••• 0 • WATER SUPPLY LINE FROM W/M EXIST.6'FENCE • • • •••••• 00 • 000 • • - - - 80.35" •..' SITE PLAN NOV 18 15 9cI 3/32' V-0' A2 CONSTRUCTION TYPE II APPLICABLE CODE: