DS-16-612 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-267222 Permit Number: DS-3-16-612
Scheduled Inspection Date: October 31,2016 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Mesa, Michel Inspection Type• Final
Owner: UKAZIM, UCHENNA Work Classification: New
Job Address:960 NE 97 Street
Miami Shores, FL 33138- Phone Number (561)901-3471
Parcel Number 1132060143160
Project: <NONE>
Contractor: ARTISTIC CONCRETE GROUP INC Phone: (305)888-9095
Building Department Comments
CONCRETE PAVERS. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-261716. CREATED AS
E�[ REINSPECTION FOR INSP-254191. 6-23-16
NEED TO REPLACE SECTION OF BROKEN SIDEWALK, NEED TO
REMOVE ALL TRASH FROM SWALE.
Failed ❑ 9-13-16
no plans, no permit on site.
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
October 28,2016 For Inspections please call: (305)762-4949 Page 14 of 31
12
Miami Shores Village M � gyp, rIveviaYw
10050 N.E.2nd Avenue NE oft
'•" Miami Shores,FL 33138-0000 �
Phone: (305)795-2204 ,,. A
.,.
tsuatlat� _ 120'16 Expiration: 09/04!2016
Project Address Parcel Number Applicant
960 NE 97 Street 1132060143160
Miami Shores, FL 33138- Block: Lot: UCHENNA UKAZIM
Owner Information Address Phone Cell
UCHENNA UKAZIM 960 NE 97 Street (561)901-3471
MIAMI SHORES FL 33138-
960 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 8,600.00
ARTISTIC CONCRETE GROUP INC (305)888-9095
_..... _x,_..._ __.,. ..... . _. _._»....___ Total Sq Feet: 1100
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:CONCRETE PAVERS. 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-3-16-58941
CCF $5.40 03/08/2016 Check#:1530 $677.90 $0.00
DBPR Fee $2.25
DCA Fee $2.26 Bond#:3005
Education Surcharge $1.80
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $7.20
Total: $677.90
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-name¢contra r t o the work stated.
March 08, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 08,2016 1
Miami Shores Village ��, .,_,-
' Building Department R-0 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I
Tel:(305)795.2204 Fax: (305)756.8972 JBIY:
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING FBC 201 q
Permit No.
PERMIT APPLICATION Master Permit No. S f —
Permit Type: BUILDING ROOFING
JOB ADDRESS: 60 c _f 3
City: Miami Shores County: Miami Dade Zip: 333$
Foho/Parcel#: 11- 320 - o
Is the Building Historically Designated:Yes NO
Flood Zone:
OWNER:Name(Fee imple Titleholder): z�
Addres q
{{�� Phone#:
:
City. IuW'' S State: —Fl-
Zip: '33133'
Tenan ssee Name:
Ph
Email: one#•
CONTRACTOR:Company Name:A+,q:
sAIt NCrPhone#:
ddress: S W
City: —State: - Zip: 371
Quali er Name:
Phone#:
State Certification Registration#:
Certificate of Competency#:
Contact Phone#: "Address:
DESIGNER:Architect/Engineer:
Phone#:
Value of Work for this Permit: $ f SQG Square/Linear Footage of Work:
Type of Work: DAddition Alteration ONew OR au/R lace
Description of Work: C14 r
ep ODemolition
Color thru tile:
fA
Submittal Fee$ Permit Fee$ `��(� CCF$ 5 . ��
CO/CC$
Scanning Fee$ Radon Fee$ 2S DBPR Bond$
Notary$_ Training/Education Fee$ ` ` Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE
,�;-�-� ,�0-
Bonding Company's Name(if applicable)
Bonding Company's Address f
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 ap rove a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The forrg,_:g;,n_,
trument was acknowledged before me this l a The foreo' gin ent was acknowledg before e this s
dayof20 b C� day of ,20by IL Kwy-L
Y
who is personally known to me or who has produced who is personally known to 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' hAA
MY I
Print: U Print: r'
r
¢' h9Y COh4 I S Bonded Thru Notary Public Undervmters
My Coss @s: EXPIRES:August 20,2017 My Co --
' o.•;< BondedThruNotary FuNicUnder+raers
4c�YsYoYd:�tc3z�Ya4str�9e9e9e4c�k4r9r:Y�9eaYsk9r3esF4r4nY4r9c�Y&�r9e�ks�e9e&9e3e&k�YzYaF�tr4r4e�t9e3e3:�Y�Y4rFr�trir9e3rdr3e�YoY9c�Y9ek3e9r4e�9eir�trsY3:>F4rszti4e4rs@��tdc3eAc9edrdedz9rsYrkFr�Fr4r�Yszti�Ydrx1:aYaYa�
APPROVED BY Plans Examiner zoning
Structural Review Clerk
(Revised 5/2/2012XRevised 3/12/2012)XRevised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
y
Miami shores Village
Building Department
10050 N.E.2nd Avenue
*r"10 ' Miami Shores, Florida 33138
IORiDA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, c�lv`v.c� U�nZIM • ,does hereby attest that
Prope y owner)
The attached survey,performed by s Sv �N
(Nar,`ne of surveyor's company)
Foraddress: 9CG N6_ ��� 5I--
Performed on G !I — '' (date of survey)is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures may affect inspections as applicable to this or other permits.
Furth ffi say e a ght.
Pro rty Owner Sig ature Property Owner Pnnt Name
SWORN TO AND SUBSCRIBED before me this day of 0,'�
-�
Affiant is personally known to me, produced as identification.
MARIA DE BRUZOS Notary
MY COMMISSION#FF 044099
Revised on 5/22/2009/Revised on c EXPIRES:August 20,2017
,qn;4 Bonded ThruNotary Public Undenvriters
• " I���III Illll 11l�1�!�!1 Ifl�l��l1L�� 1�� 1���.�
CFN 2016R0131771
OR BK 29985 F'ss 54-55 QFss)
DO.CU ENT COVER PAGE RECORDED'03/03/2016 11:45.''19
HARVEY RUVINP *CLERK OF COURT
MIAMI-DADE C:OUNTyr FLORIDA
For those documents not providing the r 3 x 3 inch
equired _
space on the first page,this cover page must be attached..
It must describe the document.in sufficient detail-to -
prbhibit its transference to another document.
An additional recording fee for this page must be remitted.
-------------------------------------
(Spac
-----------------------------------
(Space above this line reservedfor recordingOffice vse)
Document Title. `S 1
(Mortgage,Deed, Construction Lien- Etc.)
Executing"Party:
Legal Description:
(If Applicable)
As more fully described in above described document.
Return Document To/Prepared By:
(Relevant eXcerpts)
Rule 2.520(d)On all..documents prepared......which are to be recorded in the public records of any
county...a 3-inchby 3-inch space at the top right--hand comer onthe frstpage and dal-in iuchby3-
inchspaceatthetopZLght handcomeroneachsubsequentpageshallbeleftblmkandreseivedfor
use by the clerk of const.
F.S.695.26 Requirements forrecordinginsfrnments affectmgrealproperty—
(1)No strument by wbich the title to teal propetty or any interest therein is .conveyed.,sssid°ned,
;n
earu**+bered,or ofl=wis a disposed of shall be recorded by the deck of the circuit const unless:
V coupirk
(e)A 3-inch by 34nch space at the top right-hand comer on the first page and a 1-inch by 3-'' cLERK c0
space at the top rjot hand comer on each subsequent page are reserved for use by the clerk p�
ar �
court...
n
• �aso'D� c'�
CLK r-T 155 Rev.04/15. Clerl�s web address:www.M1 k W.
OR BK 24??85 PG 55
!_ASS" PAGE
} e Miami Shores Village
'"' ° in Building Department
•,e 10050 N.E.2nd Avenue
mA Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) ( )(loLv\_ V-\04 VY-) h rejLafter referrA d to as the
owner of the following described property(address):
Legal Description Lot Block ubdivisi n
Folio#
Requests permission to install (describe work): o-40 R° ox jytar��
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 including 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 paid.
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 placed 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 by an affidavit filed in the Public Records of Dade County, Florida by the
Village Ma Miami Shores Village (or his fully authorized representative).
Signature
Ow r Agent
ot0nregoinngg ins men as acknowledged before me this 3 day of C4�,�20 ,
is personally known to me or who has produced
as identification :;nd who did take an oath.
NOTARY,PUBLIC:
Sign:
Print: O� q
My Commission Expires: s"W30couerr of 4
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Application No.: ---
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