DS-16-827 - ` Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756.8972
Inspection Number: INSP-255711 Permit Number: DS-3-16-827
Scheduled Inspection Date:April 04,2016 Permit Type: Driveways/Sidewalks/Slabs
Inspector. Rodriguez,Jorge Inspection Type: Final
Owner: CARLA GRISONI,CANOR PATO Work Classification: New
Job Address:162 NW 109 Street
Miami Shores,FL 33168-4317 Phone Number
Parcel Number 1121360100220
Project <NONE>
Contractor. ORONI INC Phone: (305)685-0412
Building Department Comments
20 X 20 CONCRETE DRIVEWAY. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed / A
Failed
C
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 01,2016 For Inspections please call: (305)762-4949 Page 18 of 35
Miami Shores Village �z
10050 N.E.2nd Avenue NW
Miami Shores,FL 33138-0000
Phone. (305)795-2204
�� Expiration: 09/25!2016
d
Project Address Parcel Number Applicant
162 NW 109 Street 1121360100220
Miami Shores, FL 33168-4317 Block: Lot: CANOR PATO CARLA GRISONI
Owner Information Address Phone Cell
CANOR PATO CARLA GRISONI 162 NW 109 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 500.00
ORONI INC (305)685-0412
Total Sq Feet: 400
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:20 X 20 CONCRETE DRIVEWAY. Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# DS-3-16-59186
DBPR Fee $2.00 03/29/2016 Credit Card $ 114.60 $0.00
DCA Fee $2.00
Education Surcharge $0.20
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. rmore,I authorize the above-named contractor to do the work stated.
March 29,2016
Authoriz ature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 29,2016 1
Miami Shores Village �
Building Department MR �g2ots
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:
Tel:(305)795-2204 Fax:(305)756-8972 .�I
INSPECTION LINE PHONE NUMBER:(305)762-4949 l
FBC 2014
BUILDING Master Permit No.Kc q
PERMIT APPLICATION Sub Permit No. -1--)S (�— -`
]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
1 J�� CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:I I.?A SC -0 to - Dzw is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:_00 BFE: FFE:
OWNER:Name(Fee Simple Titleholder): CAvij� PM-0 Phone#:30� ( Too
1-1
Address: 2 /Uw /O r
City: C— State: Zip:
Tenant/Lessee Name: to Phone#:
Email:
CONTRACTOR:
Company Name: Phone#:
Address:
City: XState: rt— Zip: 37sl 6 3
Qualifier Name: 61f e4,t� �CTf E"S i AS �l Phone#:
State Certification or Registration#:c//.i���`Z (� ,� "7 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: �p City: State: Zip:
Value of Work for this Permit:$SA-"& r Ott c t''(LSquare/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: 7c>X
Specify color of color thru tile:
Submittal Fee$, Permit Fee$ I O�) - (DO CCF$ ® •rD 6 CO/CC$
Scanning Fee$ GI -CJD Radon Fee$ �al DBPR$j ..C113 Notary$
Technology Fee$ 0 ' Training/Education Fee$ d d Double Fee$
Structural Reviews$ Bond$ 7-0. l S7-�Pgrl:,b
TOTAL FEE NOW DUE$ P I 0
(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 such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur Signaturea�
OWNER or AGEN CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
ZT day of 0-k*9C-W ,201/ by day of tk-A-R-L.1 20 C by
C,u� C -M ��jj.who is personally known to C�lLc d �Oc, c=��{�-�t� who is per y cn wn
me or who has producedbL4= d)N �e-t-:- as me or who has produced as
identification and whok...an oat T identification and who. an oat�,__Y T WSW
NOTARY PUBLIC: sa Commission # M42611 NOTARY PUBLIC: _ • 'p's Commtsion # FM2611
December 9,2019 ;►
r 9,2019
nd�thm Aaron Rlo�uq ''%,,;poi Aaron
Sign: Sign
Print Print
Seal: Seal:
*************************** 7Z/t/�'
APPROVED BY Plans Examiner " Zoning
Structural Review Clerk
(Revised02/24/2014)
" -- VEN00°0002.17 �
37.50' >-----------------
2-1
---m
_ o a
45. CONC.
26.1'
50.T a)
ASPHALT �F�...w w
:. DRIVE ' °' co
p . :::26.1' Z
00
CD
_ G1m
C7
02 — 0 --q C) -fit z _'
�O X ,. 4p 24.7'. v
{}� z
Ll
24.7'
!� S00°00'00"E 122.23' ---37.50' ----�--
: X
o
y. 2 TI
i; ITY
r
�
04 15'
N ALLEY
0
Qi (PLAT) v"
V `
COPY
7T) I 4Ge 2-9 �, .. ..• . . . . . ..
Miami Shores Village .• .� : :•: ••
APPROVED BY DATE Z '� •• ••• •• • •„
ZONING DEPT
lG .•• •;• .• ...
BLDG DEPT
9—
SUBJECT TO COMPLIANCE WITH ALL FEDERAL ••• • • • • 0:4
• •
STATE AND COUNTY RULES AND RFGUI_ATIONS • �•� : •
•••• ••• •• • • • • ••
• • ••• •• •
- n