DS-16-1860 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, Fl-
Phone:
LPhone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-266490 Permit Number: DS-7-16-1660
Scheduled Inspection Date: September 21,2016 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Mesa, Michel
Inspection Type: Final
Owner: MORAN, NANCY Work Classification: New
Job Address:40 NE 91 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1131010200040
Project: <NONE>
Contractor: MIAMICRETE INC Phone: (305)790-4850
Building Department Comments
CONCRETE DRIVEWAY AND WALKWAY. Infrac o ase ommenfs
INSPECTOR COMMENTS Fall se
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-262500. 1. Plans and permits
missing.
2. Need to replace all sections of damage sidewalk in front of the property.
3. Need to replace damage grass on right of way
Failed
Correction
Needed �®J
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
September 20,2016 For Inspections please call: (305)762-4949 Page 10 of 23
8,610,',..
Miami Shores Village -V"",rYr d �� WBlIks1S)s
� 10050 N.E.2nd Avenue NE �
Miami Shores,FL 33138-0000 � i 'i' aff Nom'
Phone: (305)795-2204 S �
Is Date.8/0",t� 6 . Expiration: 021012017
Project Address Parcel Number Applicant
40 NE 91 Street 1131010200040
Miami Shores, FL 33138- Block: Lot: NANCY MORAN
Owner Information Address Phone Cell
NANCY MORAN 40 NE 91 Street
MIAMI SHORES FL 33138-
40 NE 91 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 5,800.00
MIAMICRETE INC (305)790-4850
_,. Total Scl Feet: 1100
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:CONCRETE DRIVEWAY AND WALKWAY. Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# DS-7-16-60444
CCF $3.60
DBPR Fee $2.25 07/05/2016 Check#:4020 $50.00 $623.10
DCA Fee $2.25 08/05/2016 Check#:4038 $ 123.10 $500.00
Education Surcharge $1.20 08/05/2016 Check*4058 $500.00 $0.00
Permit Fee $150.00 Bond#:3185
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 AV T: I certify!06 all th going information is accurate and that all work will be done in compliance with all applicable laws regulating
constru on a Futh ore,I�u the above-named contractor to do the work stated.
August 05, 2016
Auth zed Signature:Owner / Ap icant / Contractor Agent Date
Building Department opy
August 05, 2016 1
Miami Shores Village
J L U 6 2816
p
1 BuildingDepartment i
i
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B�. _-
1 1 /� Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 �7—
FBC 20 I 4
BUILDING Master Permit No.-Ds ((n`I 806
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Vim_ :5t
City Miami Shores County Miami Dade Zip: ?_V3 z
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BRIE: FFE:
OWNER:Name(Fee Simple Titleholder): IBJ f-yLt::�j �� �ti° `¢ � _Phone#:
Address
City: a �"t �ylC�o � State: Zip;
Tenant/Lessee Name: Phone#:
Email: �I2fL can °e n L1 k oma. 1 C;,A
CONTRACTOR:Company Name:/ ,Q•�iG/C-40AM Phone#:
Address:
City:• /�i1�/L��l�/ State: l - ip:
Qualifier Name: Phone#:
State Certification or Regis ration#: Certificate of Competency#:03135W&
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ . J'L �''"' Square/Linear Footage of Work: �Gl�s•
Type of Work: ❑ Addition ❑ Alteration IX New ❑ R�epair/Reptlaace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee, ® ® • Permit Fee$ C/ ®�CCF$ - ^ C /CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ �'�`�C> Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ CSC
TOTAL FEE NOW DUE$
(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 nybepproved and a reinspection fee will be charged.
N'
Signature Signature
OW ER or AGENT C NTRA OR
The foregoing instrument was acknowledged beforemethis The foregoing instrument was acknowledged before me this
0 day of L.) It 20/( by _0 day of `,cJN e 20Ze t by
rA Q/�.�A✓who is personally known to Ti�/�i>✓ /�UN�Z,who is personal 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 PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print: ""IPJ'
°�` `�P`B�'' RODRIGO ALVAREZ f c'
Seal: �2' Seal: t•� '= MY COMMISSION"i MY COMMISSION#EE884004 `'.. °P'
.�,
of �P'' EXPIRES March 14,2017
`'•'„' r EXPIRES March 14,2017 (407)398-0153 Florid NotaryService.com
(401)398-0153 Floridallot S
sxr** � r7W�
-1
APPROVED BY lans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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SgosEs C:F N 2016RI17338 r 063
h OR BK 30113E Ps 940 (1E'ss)
RECORDED 07/05/2016 12:54:26
HARVEY RUVINt CLERK OF COURT
MIAMI-DADE COUNTY, FLORIDA
CRNA
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) N��v� �� ;e�� 0� �'' hereinafter referred to as the
owner of the following describEld property (address): IaAhlir
Legal Description Lot ZaAl Block !2 Subdivision
Folio# .12ONd .�
Requests permis Ion t�)install (describe work): �it� %OaVC/7 /tom W.6y:�
AA/6, ,Lt/�A0 71
Within the public right of way of(address)
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the
dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County
to make repairs or maintain said items within public right of way i eluding restoration of
street by reason of the Owner's failure to do so, such expense shall be paid by the Owner
or shall constitute a lien against the above described property until aid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade
County harmless from any and all liability, which may rise by virtue of permitting the
installation of these items within the public right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense,
within 60 days notice by the Village to do so. Failure to comply with this notice will result
in the Village causing the item(s) to be removed and a lien being p aced on the property
and/or assessed against the Owner for all costs incurred in the removal and disposal of
the item(s).
4. The undersigned further agrees that these conditions shall be 'deemed a covenant
running with the land and shall remain in full force and effect and be binding on the
undersigned, their heirs and assigns, until such time as this obligations has been
canceled b an affidavit filed in the Public Records of Dade County, Florida by the
Village M rZager of Vhami Shores Village (or his fully authorized representative).
Signature
Owner or Agent
'.T he foregoing instryfinent was acknowledged before me this day of JN2 20�, by
q V-P/1DAli[A�l�'�'I/J�/wh n to me or who has produced
as identification and who did take an oath. J,ATE OF KDRIW OOLWY OF a#" �c�
e4MERYCWIIFY9wV*be al!t�►e
NOTARY PUBLIC: ,at
Sign: A.D.20
Print: ft handaw oftte sw j.
My Commission l MUUMUU:�. . MY COMMISSION#E 004 0 �
pF..... EXPIRES March 14,2017
(407)398-0153 FloddallotarySOMCG com
BOUNDARY SURVEY
SCALE =1.=Z0. 9 or
MIAMI SHORES SEC.1 (P.S.10,PG.70 M.D.C.P.R.)
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