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DS-16-445 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)796-2204 Fax: (305)7563-8972 Inspection Number: INSP-253171 Permit Number: DS-2-16445 Scheduled Inspection Date:April 14 2016 P P Permit Type: Driveways/SidewalksJSlabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: KNUTT,JAMES Work Classification: Addition/Alteration Job Address:321 NE 100 Street Miami Shores,FL Phone Number Parcel Number 1132060135350 Project <NONE> Contractor: CHAMPION CONCRETE Phone: (305)252-8055 Building Department Comments PAVER DRIVEWAY Infractio Passed Comments INSPECTOR COMMENTS False I I Inspector Comments Passed i Failed Correction a Needed Re-Inspection it Fee I No Additional Inspections can be scheduled until re-inspection fee is paid I For Inspections please call: (305)762-4949 April 13,2016 Page 10 of 29 Miami Shores Village ;: 10050 N.E.2nd Avenue NE • Miami Shores,FL 33138-0000 F\ " �' F E. � ?^ '' fin,• z 3 � 4. Phone: (305)795-2204 ' Expiration: 09104i2016 Project Address Parcel Number Applicant 321 N E 100 Street 1132060135350 JAMES KNUTT Miami Shores, FL Block: Lot: Owner Information Address Phone Cell JAMES KNUTT 321 NE 100 Street MIAMI SHORES FL 33138-2420 Contractor(s) Phone Cell Phone Valuation: $ 5,800.00 CHAMPION CONCRETE (305)252-8055 (786)402-4802 Total Sq Feet: 800 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:PAVER DRIVEWAY Additional Info: Review Building Bond Retum: Classification:Residential Review Building Scanning:3 Review Planning Review Planning Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# DS-2-16-58730 CCF $3.60 03/08/2016 Check#:6276 $500.00 $147.60 DBPR Fee $2.00 DCA Fee $2,00 02/18/2016 Credit Card $50.00 $97.60 Education Surcharge $1.20 03/08/2016 Credit Card $97.60 $0.00 Permit Fee $125.00 Bond#:3004 Scanning Fee $9.00 Technology Fee $4.80 Total: $647.60 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, OORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information i accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-nam contractor to do the work stated, 11 March 08,2016 Authorized Signature:Owner / Applicant / Co tractor / Agent Date Building Department Copy March 08,2016 1 Miami Shores Village Building Department artt =81. 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. -51 6— LA%i 5 PERMIT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9V 919TId� 1T City: Miami Shores County: Miami Dade Zip: 013 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 1fAIf4 L KNV7f Phone#: Address: ;U er Iko ',Ff City:_- h{AAM SH0010 State: Zip:_33/3 a. Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: /Jv 60 Phone#: Address,. 1. 0" 3 Q A;W "71-A 'Mr -.X(O City: $� State: Zip: 3;%7f Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: e Value of Work for this Permit:$ Square/Linear Footage of Work: d'd 0 Sy. Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:. PA Specify color of color thru the Submittal Fee$ Permit Fee$ 0 5 -03 CCF$ 3, 60 CO/CC$ (53 Scanning Fee$�! - Radon Fee$ . o6 DBPR$ Notary$ lEl Technology Fee$ y Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ , C TOTAL FEE NOW DUE$ l (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 s h posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or XGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 5— day of 20 / 0 ,by _ day of ash 20 f� ,by ho is personally kknow/n►to ��76�0 / I who is perso ally known to me or who has produced � K-0 P-1�`l ash me or who has produced n''�"� as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: g Si Si gn: n• , Print: .... Print: a 1 Seal: =�• MYCOMMISSION#FF 172019 t+.� RmlF EXPIRES:dsnuary 18,2019 Seal: �•; ; gycowlsslay 0 FF 172019 BowM Tnru Pubfx u�ae��aers �; 80 u ='"a ry 18,2019 Pa*Urdenw4ft APPROVED BY Plans Examiner Zoning s. Structural Review Clerk (Revised02/24/2014) I � ► Miami Shores Village g� p� Building Department CFH 201 6RO 1 4ea2 40 10050 N.E.2nd Avenue OR Br. 29990 Ps 699 (1Pss) RECORDED 03/08/2016 10:49:56 ��RIDp. Miami Shores, Florida 33138 HARVEY PUVINt CLERK OF COURT Tel: (305) 795.2204 MIAMI-DADS COUNTY, FLORIDA Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) of hereinafter referred to as the owner of the following described property (address): a( N6 100 5;T_ Legal Description: Lo �" Block ,-3q _Subdivision Folio# - - - Requests permission to instal (describe work): b wavey- b,r Within the public right of way of(address) 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 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 Coun Florida by the Village Manager of Miami Shores Village (or his fully a rized represe a ' e . IDA couNnr of►.ate yW�$coa�yly I ERYCER $ ��t� �` ;d6 RK ofional hw iii this office an r of Signature ADV1 amy 11com W ; NaaRV RUVIN,CLERK,of C 0"% Own or Agent D C gy .� State of Florida j''/U U"iT County of Miami Dade I CON#76047 The foregoing instrument was acknowledged before me this / day of , 20 , by who is personally known to me or who has produced a identification. NOT UB C: Sign: Print: ` N_ SEAL: WCOMIAN00f 17M EXPIRES:An" tate f.�,�' a riw�mnr wd�c tb�m�eB FEB pp +QQ 6. c • . ff .•f ••- R • fff �. OIU PORTIO�F� &Ama: � �, }�p`]�{� p m ,*7� T � .=� rad z SHEET,2 OF Z 7 ,BADE ilVl�•G 1 ltJf1["L7 NOr VHLW K� i MHATW _ Wit.Of TIM FLORIDA LICENSED SURVEYOR • t w FOLIM AT THE END OF REPORT"FrER . ER: 03-10-114 tAP.AND;RpgRT THE OTHER. • •f• sash* �► • f� - D C N m C) Z r 7 E'GFPyC7r1If= J?/ATER U.VE S rn m ICA• •f., . f + a ♦• vl L L E f•f i 4•a s.49�A5/J!/AIL7^ �i�ND • Nj/7 n ® PCYi Imo► 3 f!J 440 p v. D CD z i N 414 D I%j ` ti Qp 42 fv 'c optm7ew, 64YN CL v - ►mak't�^"�9 .- -- Q JA5 P%!5,v-A-e7 4. vie , forid@ H Ith Miami-lade WrOgr@h�� aim* a � Dy D40" 12- �� a 4OAf _ Wr +• _ E A [ K .00