DS-15-2534 s'
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-245005 Permit Number: DS-10-15-2534
Scheduled Inspection Date: March 22,2016 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: PIMIENTA,ERIC&ALEJANDRA ROCHA Work Classification: Addition/Alteration
Job Address:6 NE 106 Street
Miami Shores,FL 33138-2035
Phone Number (786)280-3974
Parcel Number 1121360060080
Project: <NONE>
Contractor: CHAMPION CONCRETE Phone: (305)252-8055
Building Department Comments
PAVERS DRIVEWAY Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
March 21,2016 For Inspections please call: (305)762-4949 Page 6 of 36
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Miami Shores Village \
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 n
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Phone: (305)795-2204 "y
y3., Exp iration: 04/2 2016
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Project Address Parcel Number Applicant
6 NE 106 Street 1121360060080 ERIC&ALEJANDRA ROCHA PIP
Miami Shores, FL 33138-2035 Block: Lot:
Owner Information Address Phone Cell
ERIC&ALEJANDRA ROCHA PIMIENTA 6 NE 106 Street (786)280-3874
MIAMI SHORES FL 33138-2035
6 NE 106 Street
MIAMI SHORES FL 33138-2035
Contractor(s) Phone Cell Phone Valuation: $ 6,800.00
CHAMPION CONCRETE (305)252-8055 (786)402-4802
.:::... Total Sq Feet: 1000
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:PAVERS DRIVEWAY Additional Info: Review Planning
Bond Retum: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00
CCF $4.20
Invoice# DS-10-15-57326
DBPR Fee $2.25 10/27/2015 Check#:2033 $ 124.70 $650.00
DCA Fee $2.25 10/06/2015 Credit Card $50.00 $500.00
Education Surcharge $1.40 10/27/2015 Check#:0952 $500.00 $0.00
Permit Fee $150.00 Bond#:2896
Scanning Fee $9.00
Technology Fee $5.60
Total: $674.70
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 mys f, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS OFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information i accu and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-name nt or to do the work stated.
October 27,2015
Authorized Signature:Owner / Applicant 06niftfor / Agent Date
Building Department Copy
October 27,2015 1
Miami Shores Village CPT'T 7- ----
Building Department OCT ® s Z 15
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 20
BUILDING Master Permit No. DS- IS7-25_3
PERMIT APPLICATION Sub Permit No.
ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: F� NE !OG �Fc
City: Miami Shores County: Miami Dade Zip: 33/3 r•
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: ,Construction Type: Flood Zone: BFE:,�/ FFE:
OWNER:Name(Fee Simple Titleholder): &%ye, Y�/M f - Phone#:j`7 zr2 x
Address:
City: hum'dc.7T/.iJ, State: Zip: 3 ,
Tenant/Lessee Name: Phone#:
Email: V f"e orl.'! `" Y4"
CONTRACTOR:Company Name- ���J�1 L. Phone#:Z?
Address: ���� A* 0,15 5 r�
City: —State: Zip:
,p
Qualifier Name: Phone#: /Z7
State Certification or Registration M Certificate of Competency#4�*0�r_
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ G,w'yo Square/Linear Footage of Work: 4000.5;,.
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: JA VAS &AA&W
Specify color of color thru tile:
Submittal Fee$ Jam' pd Permit Fee$ �w `� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Feet,$
Structural Reviews$ Bond$ JAM
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 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 m e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the 7b sen a such posted notice, the
inspection will not be approve nd a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrumentwasacknowledged before me this The foregoing instrument was acknowledged before me this
--�44� day of Cil � 20 IS by day of ak ,20 1 S ,by
Y1C, ,/who is personally known to ao�ft, e &i k [LO �/' ,who is personally known to
me or who has produced � 0y ko Q,!(..S L L- as me or who has produced 4- 011.10ty'S LAC as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
— e�lo
Sign _ Sign "�
Print, Print:
Seal:
". �BARAA.ESTEP Seal: "" i ,,, BARBARAAESTEP
W COMMISSION it FF 073975 ,,: MY OMSSION#FF 073975
EXPIRES:March 29,2018 EXPIRES:March 29,2018
Tlw NWw Pure Und=Kbrs G Med T1w Nfty Fogle UrWffMdera
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
( S-- 2S_3�
Miami Shores Village
Building Department
OCT 0 0 2015 10050 N.E.2nd Avenue
! Miami Shores, Florida 33138
- Tel: 305 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) iOWe—Amrn*y' hereinafter referred to as the
owner of the following described property (address): *'
Legal Description Lot Block Subdivision
Folio #
Requests permission to install (describe work):
�P ! �al� �
Within the public right of way of(address)
�r- /a& �;s` &AWi A A)VY"
IN CONSIDERATION of the approval of this permit by 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 notigQ.Vdlj result
in the Village causing the item(s) to be removed and a lien being A4040 on fhe propertj--:-
and/or assessed against the Owner for all costs incurred in the removal ancfdgposal o•f•;:.
the item(s). 0.0.00 . .
4. The undersigned further agrees that these conditions shall be-*dS&med .a0t%vena f 6*:
running with the land and shall remain in full force and effect a;d.le bin4i*0c on MU".
undersigned, their heirs and assigns, until such time as this -@Nigationt..har, be*nf0•�
canceled b n affidavit filed in the Public Records of Dade Cbtt�tly, Florida by the.•
Villa na r of Mia i Shores Village (or his fully authorized r pregentatiLa�:. ••••°•
Signature
Owner or Agent
The fore oing iy
ument was acknowledged before me this-�day of , 20 IS , by
FYI L i w�ie who is personally known to me or who has produced FC, c txv's W .
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
&VW4 �n COMMLc a�75
EXPIRES:March 29,2018
'Fhru Nay put6a lktdene
Property Search Application - Miami-Dade County Page 1 of 8
PE RO AR I
MIAMI DA ' PROPERTY APPRAISER
Address Owner Name Folio
SEARCH:
6 NE 106 ST Suite r CL
PROPERTY INFORMATION
Folio: 11-2136-006-0080
Sub-Division:
DUNNINGS MIAMI SHORES EXT NO 2
Property Address
6NE106ST
Miami Shores , FL 33138-2035
Owner
ERIC PIMIENTA
ALEJANDRA ROCHA PIMIENTA
Mailing Address
6NE106ST
MIAMI SHORES, FL 33138
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/ 10/6/2015
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APPROVED 9Y •• ••• DATA
•
70NING DEPT
BLDG DEPT
p `.,l JRJFCT TO COMPLIANCE WITH ALL FEDERAL
Accepted By: \ - - T p;S
Property Address: 6 N.E. 106 STREET ti NOTES: NO NZSTES
MIAMI SHORES; FL 33138
REPRESENTATION OF A SURV E�ARE RMY DIRECTION.THIS COMPUES WITH THE MINIMUM MIGUEL ESPINOSA LAND SURVEYING, INC.
TECHNICAL STANDARDS, FORTH BY THE TE OF FLORIDA BOARD OF PROFESSIONAL LAND
'r SURVEYORS IN CHAPTEflr(A
�a7-64��QADMI TIVE CODE PURSUANT TO 472-027.FLORIDA STATUTES. 10665 SW 190TH Street
Suite 3110
SIGNEDFOR THE FIRM MIAMI, FL 33157
4 PHONE:(305)740-3319
MIGUEL SA SIAM. P.S.M.NO.5101 FAX#:(305)669-3190
STATE OFF IDA 2- r
NOT VAUD wrTHOUTAN A ELEC GNATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR LB#6463
THIS MAP IS NOT VAUD WITH AND THE ORIGINAL RAISED SEAL OF A UCENSED SURVEYOR
AND MAPPER.
Survey: A-35950 Client File#: 12-071 Page 1 of 2 Not valid without all pages.