DS-16-1211 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-258211 PermitNumber: DS-5-16-1211
Scheduled Inspection Date:July 18,2016 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Mesa,Michel Inspection Type: Final
Owner. VALDES,NANCY Work Classification: Addition/Alteration
Job Address:1144 NEI 01 Street
Miami Shores,FL 33138- Phone Number (30$)832.8515
Parcel Number 1132050190260
Project <NONE>
Contractor: ARTISTIC CONCRETE GROUP INC Phone:(305)888-9095
Building Department Comments
REMOVE AND REPLACE DRIVEWAY,WALKWAY AND Infrectio Passed Comments
APPROACH PLAIN CONCRETE INSPECTOR COMMENTS False
Inspector Comments
Passed
C
Failed
Correction
Needed
Jae-Inspection
Fee
No Additional Inspections can be scheduled until
re-Inspection fee is paid.
it
July 15,2016 For Inspections please calk(305)762-4949 Page 11 of 44
Miami Shores Village
10050 N.E.2nd Avenue NE
�_g Miami Shores,FL 33138-0000
i37��" Phone: (305)795-2204 .
Expiration: 1 2016
Project Address Parcel Number Applicant
1144 NE 101 Street 1132050190260 NANCY VALDES
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone cell
NANCY VALDES 1144 NE 101 Street (305)632-8515
MIAMI SHORES FL 33138-2607
Contractor(s) Phone Cell Phone Valuation: $ 5,500.00
ARTISTIC CONCRETE GROUP INC (305)888-9095
Total Sq Feet: 1050
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:REMOVE AND REPLACE DRIVEWAY,WA Additional Info: Review Building
Bond Return: Classification:Residential Review Building
Scanning:3 Review Planning
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# DS-5-16-59651
CCF $3.60 05/12!2016 Check#:1734 $673.10 $0.00
DBPR Fee $2.25
DCA Fee $2.25 Bond#:3085
Education Surcharge $1.20
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $4.80
Total: $673.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize thevena tractor to do the work stated.
May 12,2016
Authorized Signature:Owner pplicant Contractor / Agent Date
Building Department Copy
May 12,2016 1
Miami Shores Village
Building Department
MAY ® s Zola
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 2014 �
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: l vel /t,
City: Miami Shores County: Miami Dade Zip: 3
Folio/Parcel#: It -3:OS -014-02W
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): ��av 4kllotS Phone#:JqAr" W/
Address: �/ /t4D e��
City: /G� State: Zi
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: rg /C_I e- �@ �/-� Phone#: _ rT-��c�°�'—�D✓cl
Address:_6?914" &-
.-, Zip: .
City: �%L
C44l State:
Qualifier Name: r Phone#:
State Certification or Registration#: C tate of Competency#:
Contact Phone#: �' f�r�� Email Address:��� &kovr
DESIGNER:Architect/Engineer Phone#:
Value of Work for this Permit:$ S 5700
l Square/I.inear Footage of Work: (,Osa
Type of Work: DAddition Grkteration ONew ORepair/Replace ODemolition
Description of Work:_ fkew� a n.a ('4i�IACe 7 i\fowl„
Color thru tile:
Submittal Fee$0 Permit Fee$ ( �o • CCF$ CO/CC$
Scanning Fee$ '�_7 20 Radon Fee$ 25 DBPR$ Bond$ �(7
Notary$ Training/Education Fee$1 `2 Technology Fee$_ 0
Double Fee$ Structural Review$-T
TOTAL FEE NOW DUE$�
6_38 • r
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 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 approved and a reinspection fee will be charged.
Signatur Signature
er or Contracto
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20�,( ,by I h MU \10, c&5 day of Aw s� 20 C,by f�}o t 1Z�yet o-
who is personally known to me or who has produced'F L-- who' ersonally known 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: J;�AQI` Jd^ Rowes Print:
NOTARYPUBLIC
My Commission Expires: STATE OP FLORIDA My Commission Exp' Roqums
Comm#FF948106PUBLIC
Expires 4117/2020 STATE OF FLORIQA
• C mo FF948105
APPROVED BY "� t Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012XRevised 3/12/2012)XRevised 06/10/2009XRevised 3/15/09)(Rmised 7/10/2007)
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rvliami Shores Village
1-1711YIED DY D TE
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;i n ui CT TO COMPLIANCE WITH ALL FEDERAL
A f I ANS CO(INTY RULES AND REGULATIONS
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--- �� Building Department
�`�AR ► 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tell: (305)795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT#:. DATE:
I,
/Contractor
❑owner
❑Architect
Picked up 2 sets of plans an
d(other) 71 1
Address: I I � I -Vl kS+
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Dep en tinue permitting process.
Signature:
IGNATURE)
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL: �`