PW-14-2790 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 _9L_ IY— 3
Inspection Number: INSP-226563 Permit Number: PW-12-14-2790
Scheduled Inspection Date: February 18,2015 Permit Type: Public Works
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: PALMISANO,INGRID&ERIC Work Classification: Public Works
Job Address:1035 NE 96 Street
Miami Shores, FL Phone Number
Parcel Number 1132060143730
Project: <NONE>
Contractor: PARSONS GENERAL CONTRACTORS,INC. Phone: (305)281-3480
Building Department Comments
CHANGE FPL POWER LINE FROM OVERHEAD TO Infractio Passed Comments
UNDERGROUND GOES THROUGH ALLEY INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-225683. Need to provide
compaction test for the trench and replace the damage asphalt on the alley.
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
February 18,2015 For Inspections please call: (305)762-4949 Page 21 of 52 -
� 4
Cardno ATC
9955 N.W.116 Way Suite 1 Miami,Fl.33178
ATCTELEPHONE(305)882-8200,FACSIMILE(305)882-1200
illg file r�una
Field Density Report
Project ID: 31.39044.0004 Test Date: 12/5/2014
Project Name: Miami Shores Residence Technician Camille Lundi
TestMethod: Nuclear
Client Name: Parson's General Contractors, Inc. Lab Number: D-15258
Project Address 1035 NE 96 St Miami FL
General Location: FPL Duct Bank Backfill at the Alley Base Rock
Proctor Soil Description Optimum Moisture Maximum Dry Density
15237 Light Brown Sand with Fragmented Limestone 9.5 117.8
Test Results: Measured %of Maximum
Proctor Test No Location NO %Moisture D Dens Dens %Reguired Results
15237 01 FPL duct bank backfill base rod-alley 8 8.6 114.6 97.3 98 FAIL
15237 02 Retest of#1 8 8 117 99.3 98 PASS
**All dimensions and directions are approximate
Rss{to�'i61�rStiltDd ,�""&p
Checked By: William Martin Project Manager.
,SgTp�TE,dF
SollDensttyRepautDlsctaTmer-'ThesetestresuNSsfwuldberagardedaslraUcatasoftfredepreeofcompactlonaltaInedatihesespotbcadonsand s wyWp�
dep6is only.The degree of oompadon at greater deptits in the fill and atoW locations as well as ere condition of the underlying soft has not been Maids r:9 '
detorndned by this fte.• Fk"Rsrgl" 4 62519
As a mutual protection to our client,the public and ourselves,of reports are submfted as the confidential property of clients.AuOwizafon for pul fcafon of tfaten ens,conciusmis,vixtrects trorn our reports is rest pendmgwntten approval
Our reports applyonlyto the stenos ofthe testsperlatens and not tothe In-situ sbengfrsofthe members bdentitied In the'LocdW bdormation.
Cardno ATC
9955 N.W.116 Way Suite 1 Miami,Fl.33178
ATC TELEPHONE(305)882-8200,FACSIMILE(305)882-1200
Shaping the Future
Field Density Report
Project ID: 31.39044.0004 Test Date: 12/4/2014
Project Name: Miami Shores Residence Technician Camille Lundi
TestMethod: Nuclear
Client Name: Parson's General Contractors, Inc. Lab Number: D-15257
Project Address 1035 NE 96 St Miami FL
General Location: FPL Duct Bank Crossing Alley
Proctor Soil Description Optimum Moisture Maximum Dry Densh
14860 Cyclone Sand 18.1 98.9
Test Results: Measured %of Maximum
Proctor Test No Location Depth Moi re Diy Density Dens %Required Results
14860 01 FPL Duct bank crossing the alley 1st Lift 12 13.2 96.7 97.8 95 PASS
14860 02 FPL Duct bank crossing the alley 2nd Lift 12 13.8 97.9 99.0 95 PASS
*`All dimensions and directions are approximate
su>m_nnr,�
Checked By: William Martin Project Managerw�� � F
STisEOF
Sop Density ReportDisclaTner-'These test results should be regarded as Impratas of the degree of compaction attained atUhese spot locallons and
ddeft onl by this degree
ofcompactlon at greater depths in the E and at other locations as well as fire condition of the underlying sops has not bean F R 102.
egi*Qdm Atm 62519
As a mutual protection to our cllend the public and ourselves,all repels are submited as the confidential property of dents.AuWdzaton for pubikaton or scuer;WU conclusion,or extraMva»our reports a;reserved pendmgwraen approval.
Our repot apply only to the strengths of the lestspecbhrens and not to the in-sb strengths of the rrwbers indentped in the location'information.
Cardno ATC
ATC
9955 N.W.116 Way Suite 1 Miami,Fl.33178
TELEPHONE(305)882-8200,FACSIMILE(305)882-1200
Shaping the Future
Moisture and Density Relationship Report
Project ID: 31.39044.0004 Proctor Number: 15237
Project Name: Miami Shores Residence Test Method: ASTM D-1557
Correction Method:
Address: 1035 NE 96 St
Date Obtained: 12/4/2014 Tested By: Romulo Pineda
Obtained By: Camille Lundi Date Tested: 12/5/2014
Soil Description:
Light Brown Sand with Fragmented Limestone
Sample Location:
Imported Material
Optimum Moisture: Maximum Dry Density:
9.5 117.8
Moisture Density Relationship Curve-
119 -
118 -
114 -
110
urve119118114110
109
108 ----
107 ----
106
08107106
105
104
0 1 2 3 4 5 6 7 8 910111213141516171819202122232425
Moisture Content(%)
"*All dimensions and directions are approximate
Checked By: William Martin Project Manager �` �°lj� °A iYainaa �P
As a mutual protedon to our client the public ami ourselves,all reports are submided as*a
OFcordidedel prop"of clients.Autork don for publicatlon of statemts,condusione,or exhads
from our rWorts is reserved pemdngwrillen approval.our reports apply only to the strengdrs of the
teat spedmans and not to the in-sibr strengths of the members indendded in the"Locedoe Aid*lafam PX - �
info n. Fdxfda Ala 42514
�•. • 2D --
Miami Shores Village `bEC It 2014
Building Department _
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 2010
BUILDING Master Permit No. iizc,.aJy 34i�
PERMIT APPLICATION Sub Permit Nc�m ji(__0F0
BUILDING r__j ELECTRIC ROOFING REVISION EXTENSION Ej RENEWAL
❑PLUMBING ❑ MECHANICAL JBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ) 3 S k�_ _11 'V
City: Miami Shores County: Miami Dade Zip: 33):51
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1 N�ztb ?'41'M)SA-j0 Phone#: 3o!57
Address: /®3 AJL �4 61
City: m of 4i/ 31fPjS`-4'
State: i-' Zip: 33 J 35
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Phone#: 3 —�/ 33'�;.®
Address: �6�1S-O 5uJ 10
City: INS L&L State: .2 Zip: 3>31 �SI 7
Qualifier Name: '+'Kff f 4y 5" 4! z"So✓d Phone#:
State Certification or Registration#: Gf}ri Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$A:o,� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration &New ❑ Repair/Re lace ❑ Demolition
Description of Work.
_G fffR/G F'L fi'vwji 9-L lIJ r& OV&S 4 4 T,�, C/A/I�
Tf4"6t4
Specify color of color thru tile:
Submittal Fee$ PerFee$ ' 0K) CCF$ CO/CC$
mit
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 6
(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 a such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature 0;1— t(Uzi Signature
WNERorAGENT 0 CO RACTOR
The foregoing instrument was acknowledged before,me this The foregoing instrument was acknowledged before me this
day of U64"96L 20 1`� ,by day of 3:4,& iX- ,20 by
/.✓6211 /4(S who is personally known to t41� �!. �'UP^6 who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBUC: NOTARY PUBLIC:
r
Sign: Sign:
Print: ^6'-� Print:
Seal: Seal:
Nota P. (votary7W.,y
N otic State of FloraRoZ
. Robe"Murphy �#y_
MY Commission EE 201086 S? r MY Com •ssicn EE 26 1i>>�
APPROVED BY `Z z3 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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