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DS-15-3070 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-249180 PermitNumber: DS-12-15-3070 Scheduled Inspection Date: January 07,2016 Permit Type: Driveways/SidewalkstSiabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: JONES,WILLIAM Work Classification: New Job Address:379 NE 94 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060136130 Project: <NONE> Contractor: CHAMPION CONCRETE Phone: (305)252-8055 Building Department Comments CONCRETE DRIVEWAY REPLACE AND BROKEN SIDE Infractio Passed Comments WALKS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 06,2016 For Inspections please call: (305)762-4949 Page 11 of 34 s- po~ wt , DS-1 ' x,070 1y�jOs y� Miami Shores Village erm �Ype © iveway�Sideuirala 10050 N.E.2nd Avenue NE �3 .... � 1 1rV137kClessl;1'Gat7an,Near e Miami Shores,FL 33138-0000 Pennitj, ,APPF0 ED `tion Phone: (305)795-2204 lasua nate.12M5120i , Expiration: 1 Project Address Parcel Number Applicant 379 NE 94 Street 1132060136130 WILLIAM JONES Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Celt WILLIAM JONES 379 NE 94 Street MIAMI SHORES FL 33138-2842 Contractor(s) Phone Cell Phone Valuation: $ 2,450.00 CHAMPION CONCRETE (305)252-8055 (786)402-4802 Total Sq Feet: 600 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final :::::::L Date Denied: Foundation Type of Work:CONCRETE DRIVEWAY REPLACE AND B Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# DS-12-15-58022 DBPR Fee $2.00 12/15/2015 Credit Card $97.80 $50.00 DCA Fee $2.00 Education Surcharge $0.60 12/11/2015 Credit Card $50.00 $0.00 Notary Fee $5.00 Permit Fee $125.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $147.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements r specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either my elf, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOOR ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is ccu a and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named ntr r to do the work stated. December 15, 2015 Authorized Signature:Owner / Applica Cpfr-a'cwj7 Agent Date Building Department Copy December 15,2015 1 Miami Shores Village - _ ED Building Department artment DEC 1112015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ry FBC 20tq BUILDING Master Permit No. tS- PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP � �,� CONTRACTOR DRAWINGS JOB ADDRESS:—�2a City: Miami Shores County: Miami Dade zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: /Flood Zone: BFE: FIFE: OWNER:Name(Fee Simple Titleholder): �1A d��� 'D Phone#: Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#:6�"7 � � Address: f City: p State: Zip• X17'{/ Qualifier Name: 1DL ujf- Ike Lo Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: �y City: State: Zip: Value of Work for this Permit:$ � (� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace LJ demolition Description of Work: Specify color of color thru tile: Submittal Fee$ �tt' -Permit Fee$ CCF$ 1, gb CO/CC$ o Scanning Fee$_ q ob Radon Fee$ ,C,� DBPR$ , Notary$ ao Technology Fee$ 2 AD Training/Education Fee$ 0. 6-0 Double Fee$ Structural Reviews$ Q Bond$ 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 on estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abs nce of h posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 'r Signature OWNER CrAW COl#4ACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this CA day of 20 IG by 0-) day of_PF—OAF— 20 ! by who is personally known to Nmjqf . A g�®,who is personally known to rA— me or who has produced u� as me or who has produced l bel�� � Ns identification and who did take an oath. identification and who did take an oath. NOTARY PUBL NOTARY PUB Sign:—;$ Sign Print: Print: gpav a e� Notary Public State of Florida Seal: " Seal: ;� Sindia Alvarez rkeo v y Notary Public State of Florida ea My Commission FF 156750 Sindia Alvarez ®fExpires 09!03!2018 oQ My Commission FF 156750s>�**>iW"%%9#"310*€ * ** * ** / ********** APPROVED BY �� t�Plans Examiner . �ing Structural Review Clerk (Revised02/24/2014) SKETCH OF B SCALE: 1 = 25 20.38' ALLEY-----'* ,, 1 .. ::: :.:........x -:10' n-------- ----------------------- As $ P) S88'52 43"W 150.00 :::: :: . 4'0 _.. - 3 C a Fo °Conc. 23.15' 'a Planter90' �` 35.00 . Elev.11.00 ] .0 16.10 N 6.0vwv.vv ., 018.40 I• "i `„ P00 vv 3 Iv 0.7'cl O 2.0 m l to N L v v a •' 1STY CBS m rn v v v c V)`-RESIDENCE o 0 04.7' c:�N b v v v a ' F.F.EIev.11.10 -' -' o av ,�� vim Ln,• 4.15' 19.25' 5.10' I 10.0 ' ,y 2 ^ 7 '?v v ane cc;. 'dy'!vvv,vvimvv . Ivv�y o 43 6.vvs ` 95, vvv o 000 .4 _x \/9 y9.2x vedJoCu22i1 jileiiw TLopaalPh 4' C.B.S. rn �.3pd Wali m Z Y N `T,s.vb ��:v�'vi o 25.15' I '� Q ma , Planter oi;�••� ap l3. p g 1 15.70 0 5.0 � " 14.5'- 0a AC Pd 014.60 16.50 I Planter o a ( 'x2I 0 .50' IL 21.40' a EI v.1 V & w J u ►� ( 9.0 o_ cram C.B.S. 2 STY CBS 3.M LB N 15.55 a 1 60' Addition RESIDENCE6.00' 6°` a N 15.0' M F.F.Sev. 11.00 No.379 I u • A/C Pod I F.F.EIev. 11.15 \ / _ 00 4 D rc O (3'x3') Fo 0 24.00' N Carport of Z EIev.10.70 4' I Z 0.6'cl N in I w� Porch 0 M i' U C/o 17.20' ;,0.40 I P Lu -_ I P. P 2 5 "' 25.20 d3. 0' a Planter I �- �� m U) U) o �m a ao /40 09'y N N no cap8. 1 11I 90' . .5' Sidewalk -S88'52'43"W 150.00'( MR)' e` F.I.P. �+ o (no cop) 0 It '40'e��2' Gras ed Parkway " " 9 " 13A =�b ••----.... .......... .. 21' Asphalt Pavement.: ::::::: :_ : :::F_�.:^.�. .. : . _ ::.._.. _::.... ::::: :................. :.�!... ... a:- ............ 75 TOTAL':.:::::::::':::::.:: A �+ : :::: .:.:_.::. : :: :: -. • . .. ..... . ......fir ...._.: PUBLIC R/W............: . N.E. 94th ST T _ 0 - _ �: :' � .... AW,F-IfATMN(IF ANYAPMM) p� A.CONY P/■•PAIDiYT sA WEYORS LEGM(W ANYfYfYpf) �A9P■At�TT um vaa.vmFr a amemo ex ��FFA PLC_P v nmv■.m�T m/mn_eFaaT vi.vmn®da"Mm LM ® GiFOI Ffl�l • ••• ••• ••• ••• ••• vi.vmrr®aTa®srnm • • • vr.-=o T v■s SMLXI tE 1IAPODIE • •• • • ae.sSia u. cCONCRETE moot SIFWCAmE PA...wru�r PEvameor C10ifREJE HAQHBILL O.E. dMHBffAD HB.T. •• • • • "Kt.L, am.-v�"m.t� ' F¢TAL FERE a9% FOW8tFW ••i •• a • • •• •ou.ETm aae M-Fmvomfp YNDDOHV FENCE ¢ LMff F(I.E • • • elmT EAar w ats FYI 1CWM LMFEN E ncT-FUTA�, w■-.arc..AT MIMMS M SITE ADDRESS: 379 N.E.94th STREET,MIAK SIMMS,FL.33138 14A.•-Fbttm=L ku ffL-gy�W FA_FINE HvDRA.T snM-stT■tu.FFotc ®IFmOD OEflWDat s./v-m Fut,av D Ec 90BNUhBHi:• P4-�7r r • vlT/o- xo NNN AND ow sa _sT maF vvE 0. LL7® S t'f FFAF@Kr1PSiAae •• is•: FOUND SW sir.TT"' ® - -ri{�BiI'lIIff • • • • • lopmew ®e�®tpMEs M VWM%%M :�� O. MAI 17,F /OVEN 02,2D15 wDow �Y €:�� ® V Fit .: b N6> k;• ul� •'g-•W� ®WA7Ht(F '�OR►�0 v■ CUMNOUr a _ � Miami Shores Village MUNI c� - Building Department � .� DEC 1 1.20b 10050 N.E.2nd Avenue Miami Shores, Florida 33138 � y: Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) k 1`AI,' `ohm hereinafter referred to as the owner of the following described property (address): Legal Description Lot Block Subdivision Folio # Requests permission to install (describe work): �G Within the public right of way of(address) / IN CONSIDERATION of the approval of Ithis permit Ify 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. 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). 6 Signature Owner g The foregoing instrument was acknowledged before me this day of4Z��140ZP, 20 \S; W&jq-d_NJ Lon-- -,)V— who is personally known to me or who ha§'pPddLM4d. M• as identification and who did take an oath. e •• ••• • .. ... .. . . . .. NOTARY BLIC: . ... *so see see ••• Sign: Print: 1NRIJIF "� • •• .. . . .. My Commission Expires: S,�rRVB`� Notary U . $ , Sindia Alvarez a My Commission FF 156750 vgaf�o@` Expires 0 910 31201 8 • • • ••• • • • • • • • • • • • • • • • • • • • •• •• • • • •• ••