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DS-16-93 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-267769 Permit Number: DS-1-16-93 Inspection Date: October 13, 2016 Permit Type: Driveways/Sidewalks/Slabs Inspector: Mesa, Michel Inspection Type: Final Owner: KLEIN, NELSON Work Classification: Addition/Alteration Job Address:9310 BISCAYNE Boulevard Miami Shores, FL 33138- Phone Number (786)344-2378 Parcel Number 1132060141610 Project: <NONE> Contractor: AP WELDING AND STEEL MANUFACTURER CORP Phone: (305)825-4511 Building Department Comments DRIVEWAY REPLACEMENT WITH CONCRETE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-250832. 9-21-16 not as per plans, exceeds size on plans. Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 October 13,2016 Page 1 of 1 4D` F U 4-;' = Y C' yet Yr Miami Shores Village 10050 N.E.2nd Avenue Cta iyvn ` OWA +lan y- "" Miami Shores,FL 33138-0000 h Phone: (305)795-2204 fE3d7t7 Op Expiration: 01/ 82017 Project Address Parcel Number Applicant 9310 BISCAYNE Boulevard 1132060141610 KLEIN&SALOME INVESTMENT Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell KLEIN&SALOME INVESTMENTS LLC 9310 BISCAYNE Boulevard (786)344-2378 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 AP WELDING AND STEEL MANUFACI (305)825-4511 Total Sq Feet: 2024 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:DRIVEWAY REPLACEMENT WITH CONCF Additional Info: Review Planning Bond Return: Classification:Residential Review Planning Scanning:3 Review Building Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# DS-1-16-58320 DBPR Fee $3.00 07/13/2016 Credit Card $ 174.60 $50.00 DCA Fee $3.00 Education Surcharge $1.20 01/12/2016 Credit Card $50.00 $0.00 Permit Fee $200.00 Scanning Fee $9.00 Technology Fee $4.80 Total: $224.60 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 a the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fu the o thorize the above-named contractor to do the work stated. July 13, 2016 Authorized Sign&&:Owner / Applicant / Contractor / Agent Date Building Department Copy July 13,2016 1 Miami Shores Village Building Department JAN 12 2095 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 201LI 5411 BUILDING Master Permit No. ID5 i6-9� PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: L3 '3 i -Dl S C A y Air,- L-J D City Miami Shores County Miami Dade Zia: Folio/Parcel#• i ( 3-2 0(0 ` ® 1 J 1(o 10 Is the Building Historically Designated:Yes NO Occupancy Type:OtY VOL Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): KG601 AN'b 54601" !°/U6Z�''f M 9-A/7S CPhone#: `f � Address: 8,50 IJ ig 162 ND T-E 12- City: 2City: (y, //1' State• L Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: A"7 WaD by& 44n) ST MA-NUE-4-c t UA c Phone#: 306- 44,90-1( Address: 1 ,50 La t/r� City: 141 A L 6,4 C"I State: Zip: Qualifier Name: A L 0'j 5 ® z© 5 i�'* r&Li Phone#: State Certification or Registration#: C,(9 G 15169-255 _Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ (o t Sgttap�/L�►rea ftaa `°c ®'1`f SQ 8= u . �. Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: ! U tA✓4-Y p ?4►4 G a vt 6'.N t " CC�a�cC�(?��.•Zr` Specify color of color thru tile: Submittal Fee$ y (3) Permit Fee$200' CCF$ CO/CC$ Scanning Fee$ �-1CA-) Radon Fee$ J' DDB/PlR$ Notary$ e1 • Technology Fee$ 9-0Training/Education Fee$ 2V Double Fee$ t Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I (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. 1 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 not be approved and a reinspection fee will be charged. i Signature Signature t' OWNER or AGENT CONTRACTOR VI I Thet foregoing in rument was acknowledged before me this The foregoing instrument w s acknowledged beforemethis l� day of -Nt*-J 20 157 by _ ay of ZQ by yI.SO �l,Ift,l N w�hho,is personally known to�� who is personally known to me or who has produced A`, /J Ste`— �� as me or who has produce �—/�' � as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: �� ,11111r1r77r77�i//// NOTARY PUBLIC Sign• _ "' `q :i-e_ Sign. Print = °�' ?"�; "hp, : '-" Print CARMEN 'I ^� moo•, �. Seal g c� •: q� ` Seal My W'Vi;s 014 o FF 053663 •'P�� , 4# PXPIRES:Septembo122,2017 "'s:ca�.oe�° Bnx12°TMUErd,�e'N6bn,,Sfnims v APPROVED BY IV 1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) I JUL 122016 bpi / S 3 "-C4 � � `,,`E, meq,/jF.{a r�.,�'•rYf +�. ., .t, 'Za- `. —� �r�` p' f� t� � �� '`<'�� '" ti,� � ;"., i.' ' • •.0.0.0.0 ..� `• ,"'Un.r" f. � ..r `kms . ii ,' '.0000•• ••• • ••••• 0 age 00 000,00 3000 PSI fiber mesh ' » ' �� V` • 4" concrete slab y� ••• •••.. �X 1ST/NG FkI W��' ` ,` �f'�X.s1 41 NO OBJECTION New Jho -"1 fCounty f O.S.T.D Floridalorida Health Miami-Dade C my Y r ! .S. & Well Program �t�12 Application No.: r�yy !; Date: '7 7 Signature _ �k`'arni shr_res Village 6 BY DATE -3 1 � -= L'..Z CT 10 CCkIP1_1PNCE WITH ALL.FEDERAL z _a,"F AN,��C.I�Ni°f�{LL.=S APJD REGULATIONS