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DS-16-1211 (2) 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur Signature er or Contracto The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20�,( ,by I h MU \10, c&5 day of Aw s� 20 C,by f�}o t 1Z�yet o- who is personally known to me or who has produced'F L-- who' ersonally known me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign Print: J;�AQI` Jd^ Rowes Print: NOTARYPUBLIC My Commission Expires: STATE OP FLORIDA My Commission Exp' Roqums Comm#FF948106PUBLIC Expires 4117/2020 STATE OF FLORIQA • C mo FF948105 APPROVED BY "� t Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012XRevised 3/12/2012)XRevised 06/10/2009XRevised 3/15/09)(Rmised 7/10/2007) � ( -- 12c � rvliami Shores Village 1-1711YIED DY D TE '�T'11G 0.7713T ~}r. '..�DF DEPTcn + � ;i n ui CT TO COMPLIANCE WITH ALL FEDERAL A f I ANS CO(INTY RULES AND REGULATIONS 11/ll$ 78 o I jS2', LU ,0' jo W : Y�My. • Z cc m � o c ® C ig 0 — �� ;r30 �7 3 � n 0 A � Isis Miami shores Village --- �� 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: �`