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DS-16-610 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756.8972 Inspection Number: INSP-254171 PermitNumber: DS-3-16-610 Scheduled Inspection Date:April 14,2016 Permit Type: Driveways/SidewalksJSlabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: CONTESSA, MICHELE Work Classification: New Job Address:9220 NE 2 Avenue Miami Shores, FL Phone Number (305)761-5243 Parcel Number 1132060133060 Project <NONE> Contractor: ARTISTIC CONCRETE GROUP INC Phone: (305)888-9095 Building Department Comments CONCRETE PATIO. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 11 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 13,2016 For Inspections please call: (305)762-4949 Page 12 of 29 0 NOTICE OF PREVENTATIVE TREATMENTS FOR TERMITES (AS REQUIRED BY FLORIDA BUILDING CODE (FBC 104 . 2 . 6) E 7 � SPC SERVICES LLC ADDRESS OF TREATMENT OR LOT / BLOCK OF TREATMENT ` tr 9220 NE 2 Avenue,Miami Shores,Florida 33138-2805 5 3/15/2016 8:00 PM Compressor Sprayer Date Time Applicator Termidor Fipronil 10 Product Used Chemical Used(active ingredient) Number of Gallons Applied 0.06 % 100 Percent Concentration Area Treated(square feet) Linear Feet Treated Soil Treatment-Folio# 11-3206-013-3060—SLAB Stage of Treatment (Horizontal,Vertical,Adjoining Slab,Retreat of Disturbed Area) As per 104.2.6—If soil chemical barrier method for termite prevention is used, CORPORATE SEAL final exterior treatment shall be completed prior to final building approval. q The building has received a complete treatment for the protection of subterrane- an termites.Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. If this notice is for final exterior treatment, initial and date line below. State Of Florida 3/15/2016 P223017 is SPC SERVICES LLC-305-505-9113—INFORMATIONeQ SPCSERVICESLLC.COM W Miami Shores Village 10050 N.E.2nd Avenue NE ti z u Miami Shores,FL 33138-0000 Phone: (305)7952204 } Expiration: 0910412016 I` . Project Address Parcel Number Applicant 9220 NE 2 Avenue 1132060133060 MICHELE CONTESSA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MICHELE CONTESSA 9220 NE 2 Avenue (305)761-5243 MIAMI SHORES FL 33138- 9220 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $4,900.00 ARTISTIC CONCRETE GROUP INC (305)888-9095 Total Sq Feet: 500 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:CONCRETE PATIO. Additional Info: Review Planning Bond Retum: Classification:Residential Review Building Scanning:3 Fees Due Am]$4.00 Pay Date Pay Type Amt Paid Amt Due CCF Invoice# DS-3-16-58939 DBPR Fee 03/08/2016 Check#:1531 $121.00 $0.00 DCA Fee Education Surcharge Permit Fee $ Scanning Fee Technology Fee Total: $12 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractorto&Lpp doa work stated. March 08,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 08,2016 1 Miami Shores Village Building Department �cElVEff 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 R 0 8 2016 Tel:(305)795.2204 Fax: (305)756.8972 _ INSPECTION'S PHONE NUMBER:(305)762.4949 B�° C 20111t,4J S BUILDING Permit No. PERMIT APPLICATION Master Permit NoS��—p( Permit Type: BUIL ROOFING JOB ADDRESS: 612 -24 (1g- City: Miami Shores County: Miami Dade Zip: 3 l Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood zone: OWNER:Name(Fee Simple Titleholder): LAtG k4 honet(S Address: q24k) City: L.&#A l State: - zip: TenanVLessee Name: Phone#: Email: eA CONTRACTOR:Company Name: Phone#: Address: Gg AAAJ City: A4 td a4 e State: QualifierName: Phone#• State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer. Phone#: Value of Work for this Permit:$ Pe inear Footage of Work: Type of Work: DAddition OAltera' n DRepair/Replace ODemolition Description of Work: 0. te Color thru tile: Submittal Fee$ Permit Fee$ «- CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Q CC7 `LBond�,$'7— 15 ' Notary$ Training0 /Education Fee$ Technology Fee$ T • 1 Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Iv� Bonding Company's Name(if applicable) ti 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 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 o b roved and a reinspection fee will be charged. Signature a Signature Owner or Agent M_ Contractor hn The foregoing instrument was ac w1 ed fore this�kC,-7 \ The fore o' g instrument was acknowledg before me this day of ,20 L,by d 11 day of 20�,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: sio ` •: , my COMMON M MYC ON 04409 M Co � ES:Aagust 20,8017 EXPIRES:August 20,2017 ,%......q;' Bonded Thru Notal Puft Umieranttm Bonded Thm PuVr Undww tm �TnYis+t�Ydr4nt4e4rdnkdn89rdr4t�r9Fa84a9nSraF �inTr ipa�4 �1r4e9i4edF4nh4rir9r4r�SnlnRrfnTnt3r4r4n4ir9r9r9r4as4des1e9r9rdr4a4nY9n4fnY�Tr4r4n4sY�4�tnY4t4t4t9r�inYsTr4a�YsTr�t�Printrs49i4nirst8nt�t4n89aAr4i&8a APPROVED BY u ' Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012XRevised 3/12/2012)XRevised 06/10/2009)(Revised 3/15/09XRevised 7/10/2007) y a „pFt3GINA ' VIN t ■■■1■■X11■■■■■■■■■■1�'�ll��l � �ll�►� ��'�� ' ENE 1WAN IM■■ild704P!!■■■!o■:IP-!!!■'Ir■1NT"" ff, MENUM ■■■■■■■lid■■■�1■■■■■■■i��■■�■!�■i�■■11 NO;TICE;TO OWNERS :t "I," «71 11 i '.•'• • 14 1:1 Int •• -y � •, , . • , �,, •: 'i1' '1�' �I • '1 XVII: i «•' [ : •'i".^1 1:1•1� 1• t: • •" 1.: • • • it COMPI�NYINOT RESPONSIBLE FOR,DAMAGE TO UNDERGROUND ,PIPES.T,HAT ARE NOh-UP TO CCOUNTY GODEb I- +`� 1 • �OilitF,f. Miami Shores Village ' �so ami Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �lOR1UA Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant,MLlam.ig:6✓t n�! es hereby attest that (Prorty owner) The attached survey,performed byL�"� (Naffp of surveyor's company) For address: q Z 2,0 A.I S -2- Performed on (date of survey)is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such struct s may affect final inspections as applicable to this or other permits. Furth Ithsayeth naught. Properly-Owner Signature �O_ Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of Affiant is----.personally known to me, produced as identification. o AA eA Notary Revised on 5/22/2009/Revised on 6/12109 K aOi! EXPIRES:August A08Z016 • eYi• O + �• •*.pie •eeee ••eee• •.ee1i D • e• •e eee.% Cc4 6 eeee.e ieii seeesi p Dee• ee•ie eeeeee • • •eeeb r,!�IER?i Shr},E'S '/iIIF7g(? e•eei• o ee • • �` •eeeei eeip'e ••Dee APPROVED I BYITEE •••iis ••+ee• t • • • s • D e D • •Desi• 17-0N1l�!G DEPT :00*e• 0•••ee . > —--- . epee �ee•ei RLDG DEFT f Dee• 0 • Cori l if Uf (:T TO C;C�n;ll'I L1^d�;F fVI TH ALl f 1 IAF f3Al_ NOTE:ALL TREES IN TM C ONSTAUMON ARBA An TO REMAIN AND BE PROTECTED VM MBARRHU THMWMDM CONSTRUCTION 3'TALL URMBMY EXOMM BQURMwr S(RI wATER 75.E G FOOD • _ - Fid UND>R MOUND I as NJLTRIC 1 URVICE o 1 1 BJQSI7NtI t�tnow" B WOOD SEPTIC , >3an'QJG S WOOD 1 TSO FENCE 1 1 I 1 1 , TO BB PROVID oN DOORS AM iMWT ACCESS TO Be= 1 1 1 t DRAIN I 1 FIELD "" 1 1 1 E7QS'ftrlG S`CHAII�rEUMM4WxYffCHAWUWGA1M LI»FENCE , M"CL�OIl�t#. S3e, "LATC w M/Vir+1 AIM UX&M 540 rG4'Wx5'I MAN UM GATE" I AWVEBOTTOMOF"'M ATMLOCAM MO ` NYMMOF GATE i I � 1 , 1 1 NO OBJECTION Florida Health Miami-Dade County O.S.T.D.S. &Well Program NJL x AVENUE Application No.: Q I)aa"'+ Sigr,-iture SHEMAN