DS-9-2225 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-248645 Permit Number: DS-9-15-2225
Scheduled Inspection Date: February 09,2016 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: ROJAS, MIRYAM Work Classification: Addition/Alteration
Job Address:534 NE 95 Street
Miami Shores, FL Phone Number (305)498-1227
Parcel Number 1132060140820
Project: <NONE>
Contractor: ARTISTIC CONCRETE GROUP INC Phone: (305)888-9095
Building Department Comments
PAVER PATIO AND DRIVEWAY Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-242620. HILARY CALLED TO
CANCELLED IT(ARTISTIC CONCRETE)
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
February 08,2016 For Inspections please call: (305)762-4949 Page 9 of 31
Miami Shores Village
6
Building Department SEP
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 X - ���
Tel: (305)795.2204 Fax: (305)756.8972 By=
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 201 q
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.*-DS Q - r 5 - 22'
Permit Type: BUILDING ROOFING
JOB ADDRESS: 5 3`Y li�_ Ct 5
City: Miami Shores County: Miami Dade Zip: 33 36
Folio/Parcel#: II -3206 - 011- 05LO
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder)• 1r ePhone#: 305 —77a —GOO
Address: % .#E ,s(d S
City: _M I cy','a V1a m State: TL. Zip; 37134
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name xiz' vt Phone#: 305_%1%9— lld
S
Address: 61q,7 d
City: 1 N►i State: fL. Zip: 3718 6
Qualifier Name: r J ty'A Phone#:
State Certification qr Registration#: E010cr. C Certificate of Competency
Contact Phone#: ROketA. 1 goo-3 9' 3 mai Address: ,S
DESIGNER:Architect/Engineer: Phone#:
_QA_
Value of Work for this Permit: $ 000 Square/Linear Footage of Work: S
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: Vt iz zr,%
Color thru tile:
Submittal Fee$ Permit Fee$ I CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$j
Bonding Company's Name(if applicable)
Bonding Company's Address
City State zip
i I
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 ELECTRICAL WORK,PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 a roved and a reinspection fee will be charged.
Signature Signature
Owner r AgeV Contractor
The foreg ing instrument was acknowledged before me this A_�The fore oing instrument was acknowledged efore e this&es
day of ,20(';,by day of ,20 f 5,by
—I& ewr=
who is personall known to me or who has produced who is personally known to me or who has produced
did take an oath. eng tion d ho did take an oath.
N 77 MARIA DE BRUZOS
COMMISSION FF 044099 MARIA DE BRUZOS
NOTARY PUB'L
NOTARY) M COMMISSION FF 044099
IBES:August 20,2017 E RES:Aug 0,E017
Bon Thru No lic Underwriters a
Bond ru Notary ND ndewfts
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
Property Search Application- Miami-Dade County Page 1 of 8
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SEARCH:
534 NE 95 ST MIAMI SHORES FL 33136 Suite I Q
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PROPERTY INFORMATION
Folio: 11-3206-014-0820
Sub-Division:
MIAMI SHORES SEC 2
Property Address
534 NE 95 ST
Miami Shores, FL 33138-2732
Owner
MIRYAM ROJAS
Mailing Address
54 NW 105 ST
MIAMI SHORES, FL 33150
Primary Zone
1000 SGL FAMILY-2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT
Beds/Baths/Half 3/2/0
Floors 1
Living Units 1
http://www.miamidade.gov/propertysearch/ 9/1/2015
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TELEPNONi-(305)SB4- 2m ° U :d Ltr�V� !J .a!♦4 •
FAX:(305)254-0229
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A)Asphalt Drive Encroachingomo Right-of-way on the NorthwestsideofPropery 0. ® Q
B)Overhead My Lhw Encroaching onto Subject Properly on the South side op o B 0 ® U)
SURVEYOR SNOTM
There may be Raseants recorded in the Public Records not shown on this Survey.
The purpose of thio Survey Is for use in obtaining Title 7asurance and Fbasnoing and should not he used for Constraadon purposes.
Municipal Contractor's Tax Receipt
Miami—Dade County, State of Florida
—THIS IS NOT A BILL—DO NOT PAY
CC NO: E0900064
BUSINESS NAME&OCATION RECEIPT NO. EXPIRES
ARTISTIC CONCRETE GROUP INC
6945 NW 53 TERR 7473522 SEPTEMBER 30, 2016
MIAMI,FL 33166
Pursuant to County Code
Sec 10-24
OWNER TYPE OF BUSINESS
ARTISTIC CONCRETE GROUP INC GENERAL ENGINEERING PAYMENT RECEIVED
CONTRACTOR BY TAX COLLECTOR
300.00 10/02/2015
0200-16-000010
This receipt is not valid in the following Municipalities:Avemura,Doral,Hialeah,Key Biscayne,
Miami Gardens,Miami Lakes,Palmetto Bay,Pinecrest,Sunny Isles Beach,Town of Cutler Bay.
MI S For more information,visit www miamidade govha*collector
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