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DS-10-1353Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 149360 Permit Number: DS -7 -10 -1353 Scheduled Inspection Date: March 04, 2013 Inspector. Bruhn, Norman Owner: ORTEGON, VICTOR Job Address: 9950 NE 4 Avenue Road Miami Shores, FL 33138 -2451 Project: <NONE> Contractor: MIAMICRETE INC Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060171160 Phone: (305)847 -1414 Building Department Comments REPLACE ASPHALT DRIVEWAY FOR BRICK DRIVEWAY Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 04, 2013 For Inspections please call: (305)762 -4949 Page 1 of 32 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical �,.Q JOB ADDRESS: 'qi 0 /k)el 4 k v� A et FBC 20 JAN 1 Li cue Y.®_sum Permit No .17 S^ — 10 1 35-3 Master Permit No. City: Miami Shores County: Miami Dade Zip: 138 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): *MAW bk O� Phone#: 641-1 qt 4 Address: 0 N P. "'� itrC AA City: A. 41v re "c State: 1174 Zip: 271 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: City: Qualifier Name: State Certification Contact Pho DESIG,VE R. ` s; ' gineer: w e._ Value of Work' $or this Permit: $ ' Square/Linear Footage of Work: A ; .Cry floc (4) 4t4) 12 Phone #: ";,6 423.G; i State: ry Zip: 3 , . -rp�� N J &An, Phone #: -70C ems! / `t' Certificate of Competency #: ctooeN Email Address: Phone#: Type of Work: Address UAlteration , /� New ❑Repair/Replaci ' / UDemolition Description of Work: /� 4» + 1(/ �C LW nee- �n C�-W *************** ******* *+ x+ x+ r+ x+ x*** *+ x+ x*+ x*** Feess***** **+ x************ *w***** ** **** *** **+x***** Submittal Fee $ Permit Fee $ - 7J CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 en law bro here will be delivered to the person whose properly is subject to attachment. Also, a certified copy of the recorded no /ic comme ement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu¢d. In th absence of such posted notice, the inspection will t be approved a a reinspection fee will be charged. Signature _ / Signature Owner or Agent t� The fore om insttumeitgas acknowledged before me this ! day of , 20 _, by who is rsonally known to me or who has produced As identification and who did take an oath. RY PUBLIC: The fo oing instru day of j hlo ' p rsonal ll kn o wn to me or whcghas pr duced as identification and who did take an oath. Sign: Print: My Commissi APPROVED BY Plans Examiner c\') j Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) �rh Pa JUL 2 7 2010 Pmeicky BLDG DEPT SUBJECT i 0 CC.MPI.IANCE WITH ALL FEDERAL 3- �..n P... i. f f.. • E YY LSD R4: LOTS 1, 2 DM 3, WICK TS, ▪ t i°, acccautec sO'1 R Wei TROMP, ES .,., :,D.:0 MX JIM MOE 13, PRE 14', PIXEIXC CDs or Isom co n, VTAICI A. - - CESTIXTED TO: • ATEDITEd20 VOLT ISSUEANCII Yom, IOC- C Try 1'1� USA p�r1OR SEAL OP t� I iedarld Weeds sel rot Pi tioateold el Plfarildisal Ea* /111SPEE1 Ogg Si Sem SIR n Abram, Mgt Profess 8230 Coro Ik 330.° Miami Shores Village Building Department t JAN o 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: qo N 4 k &#, FBC 20 Permit No. it ` 10 -) 3 Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: 3271 31 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ry t ` 441a4A Csit -t Phone #: )71)1— e4 1 `Pl'Y c1.1 N 4 k-v-ii A City: Ah - State: L-' Zip: '3 3 13 1 Tenant/Lessee Name: Phone #: Address: CONTRACTOR: Company Name: I amilt.Gm tNC. Phone #: Address: ' to ^ ' l 0 CT City: aW1 ( State: ''Z., Zip: 3 3 I d Qualifier Name: ) JM Ev k1 A'e2 State Certification or Registration #: Certificate of Competency #: 035s sS Contact Phone #: Email Address: - DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: °Addition °Alteration G °New ORepair/Replace °Demolition Description of Work: 1 ~4- 't � % K- W Phone #: geAul S(1 Color thru tile: ******** * * * * **** ** * * * * ** * * * * * * * *** * ** ** Fees * ** * * * * * * * * ****** * **** x * * ** * ** ** * * * * * * * * * * ** ®w Submittal Fee $ Permit Fee $ J `> 2 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 Al1'r'lI)AVIT: 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 commenc: ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is is In the 'sence of such posted notice, the inspection will not be approved and re i pection fee will be charged. or Agent, The foregoing instrument was acknowledged before me this' day o At 201 /', by , r"`afrk A GO day of who is nally known to me or who has produced identification and who did take an oath. Y PUBLIC: Signature The foregoing trument gckn edged before me this , 20' by ed who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: c ez Commi.< �,. E 0 piree °=z`tl B. 03, 2015 L AT .V1.:C B'Z;NDING CO., INC. tk9k�k** Ede& ded• 4e& o@ drde4rdr& 4rdaa@& sFak4zs4dFsY�k9roY4edeskaYdedrrk* aYtktYde4r**** �St4esYdetk9i& tk RyT: 4adesY**** 4: tk& �YsYaY4nkdztk4ede &zksY**** *at4esY�Y**** ** ****tYaYA'ie*** APPROVED BY � Plans Examiner Structural Review (Revised 5/212012)(Revised 3/12/2012) XRevised 06 /10 /2009XRevised 3 /15 /09)(Revised 7/10/2007) Zoning Clerk Arienis Silvers From: Sent: To: Subject: ALEX SINK IDS 10 •-• 114SO X353 Enrique (MiamiCrete) [enrique @miamicrete.com] Friday, October 22, 2010 3:28 PM Arienis Silvera Miamicrete licenses MEP FROG Culls R90ceR DEPART STATE FLORIDA SERVICES DWISfON OF WORKER, COMPENSATION * * CMITINCATE OF MECTIEW TO BE NOWT MOM ROMA WIEMERF COIWOMATOM LAW * fn CONSTRUCTION 1WDUSTRY EXEMPTION This certifies that the indivitai listed belawr has elected to he exempt hag Florid Wnrkers' Compensalian laW, OE -20 -2003 EF FECTTYE DATE P+k PEE* 02108/2009 EXPIRATION DATE 0210812011 P8JPEZ ENRIOLM 5711E4003 SUIERMSS NAME AMI ADDRESS: MIA CRETE INC 7E10 S.M. 1a STREET MANS FL M1® SCOPES OF BUSINESS OR TRADE: 1- ATE WORK brraaTNrt P4ala1t 11 MOW 440. 00114 CO, e. .01m M.. ngad. vas .1.4 *4040001 toss 41s 4oDt.r by V1 4 mafiosi ol .90.44 av 4b swan te► t rant 0al1ffa a aiq..aaal alto alp Mow. Rome 4 sawn 44A50$ Osa, fa0111rn of stadia to be .mot- 41ty . only WW1 1 0. sops of O. Walton an stub 1941 w OM gala at goad.. 4 oo asap. ammo to those 14e.011g, F.L, Satan at *bran to N mop 80 s0Nlalal M .alma to 0• mow M 8044* t. 1mCol0e 0, a q 4a. dqr 4. Nle a 4.. skew O• bonen al 4r ealalral.. tat Porn 1941.0 Ie1 .loan a connote ea Imo was 4. 1.pitanas of 4b loan 41 lama g • made.. lye 8940® N0* ran... analyst. al w rto• k Wore of 9• Fro. .w1 al o4 catalog* 4 we 4e aalen44o al mh screw. QOE$i101Ep 166B) 413.1009 Oat -262 C6TIffRCATE OF SECTION TO SE EXEMPT MIMEO 09-08 PLEASE CUT OUT THE CARD ORLON AND ROAM FOR FUTURE REFERS GTAIBOSPFLORIIIth 0 *0FffP WORMERS' CITEPOISAVON COMMOTION INOUSTRY aeancawsoPlitaahONTOBBISIEMPOIWMPLORIDA EFFECTIVE 02 /06/2000 EXPIRATION OATS: 12/06/20191 mum airras10 tom g 5711664003 SUSOIESS NAME AND Ate itOMOOROTO arc ratst Oott 10 ar40T *910* _Pt aarea SCOPE OP BUSINESS OR TRASH 6. ire wela IMPORTANT F Panne! to Chmter OMENS, F.S. an offer of • corpaetion wf» Naas 1xegaitia1 from this abater by Sang a cogitate of election weer Oda eitehat may Not maser benefits or X01 onder take D 9Nem m Chang 4405112), PS, Confines of eNat9oo to ee " eaoogic.. may ady *OW the ewe of e* business 0r trade l ed n E the nonce of gotta to lye wing. E Potsaart sal Omer 44005910. F.S, Whoa of elective so be man am8 cognates of Gleam to be 091040* OM be sob 1 to remeartioN N, at ioP gra after the Mg 0f 0m 40105 or the 940040 a of the cognate, te, tM person monad on dro mks or arefloate to stager motets the reglremener of 0k section for losoonse of a mafiosos. The aserrtmeot reashe a *0r1ric+m es any 19914 for few of Sao omen famed at 0o corefiehe to noes Ito re4Wrements of We aeoalea QUESTIONST iB60} 413-1889 CUT KBE • Carry bottom portion on the Job. keep upper Portion for your records. 0*C -282 CERTIFICATE OP ELECT1i 10 02 BOST REWSEO 09-08 Workers Comp Exemp 1 = e. A '.'.115WWOMP".0.,--- • " Lr$ p;rAsese PAID MM/JkFL PERMITNO,231 Of A 611"L--b°1'010653 ,..1EcopeNIDY°O 113BS ati EC1FIE CPT NO. BuSINESS NAMC MIAMICRETE! 4'.:C NO: Assp T '31-DER TRACT° 7910 SW 14 AsxcRrr /N Municipal Taxes G CONTRACTOR TA LTY su_ LD " DO NOT FORWARD MIAMICRETE INC ENRIQUE NUNEZ PRES 7910 SW 16 ST MIAMI FL 33155 if In 11111fliOVIIIIM1111111111110 CT Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY NUNEZ ENRIQUE certified under the provisions of Chapter 10 of Miami-Dade Count Miamicrete Lic 2012 2 FIRST -CLASS U.S. POSTAGE PAID MIAMI FL PERMIT NO. 231 40 AA6uf_STOHY IOPYNC. LAWS 1, THS ro ■?e Ile NOR DOES T [x[MPT THE I- I1 "HC'J 414Y OTHER PERM tH,'E4$ ?2Oi.Iri en 11'..1111'. TEES t3 1.['.T A HH111,icAflfli OF N L. DEH 1 cHIAL3RCA• r: rsi;hrA GE*VED mleulsA 443. TV TAX rot 137(7 , xt 07/13/2010 60000000133 000475.00 SEE OTHER SIDE Lic Miami Dade 00 NOT FORWARD MIAMICRETE INC ENRIQUE NUNEZ PRES 7910 SW 16 ST MIAMI FL 33155 MIAAI-DADE COUNTY 2010 MUNICIPAL CONTRACTOR'S 21111 TAX COLLECTOR TAX RECEIPT 140 W. FLAOLER ST, MIAMI -DADE COUNTY • STATE OF FLORIDA 141 FLOOR PURSUANT TO COUNTY CODE SEC. 10 -24 MIAA11, -L. 33130 EXPIRES SEP . 30, 2011 THIS iS NOT A FLU , • HOT PAY t1ECEIPT NO. 11- 5378666 CC NO: 03BS00653 BUSINESS NAME ! LOCATION MIAMICRETE INC 7910 SW 16 ST OWNER :MIAMICRETE INC RESTRICTED TO THE CITY OF: MIAMI SHORES Rcce,4t notder must rag i 111 > >r in Into city where work is to be 00013. -14/102/2010 02270005001 000043.75 Licencia M. Shores FIRST - CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 DUPLICATE RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPECIALTY BUILDING CONTRACTOR DO NOT FORWARD MIAMICRETE INC ENRIQUE NUNEZ PRES 7910 SW 16 ST MIAMI FL 33155 ..i! „tl.tl.,.,u >.,,,I111.,„ i i Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address Parcel Number Applicant 9950 NE 4 Avenue Road Miami Shores, FL 33138 -2451 1132060171160 Block: Lot: VICTOR ORTEGON Owner Information Address Phone Cell VICTOR ORTEGON 9950 NE 4 Avenue Road MIAMI SHORES FL 33131- Contractor(s) MIAMICRETE INC Phone CeII Phone (305)847 -1414 Valuation: Total Sq Feet: $ 16,000.00 5000 1 Approved: Yes Comments: 10 FOOT SIDE YARD SETBACK IS REQUIRED. PLEASE NOTE SETBACK ON PLAN. DRIVEWAY Date Approved: 8/18/2010: Yes Date Denied: 7/27/2010 Type of Work: PAVER DRIVEWAY Bond Retum : Scanning: 1 Additional Info: DRIVEWAY Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $9.60 $2.00 $2.00 $3.20 $300.00 $3.00 $12.80 $332.60 Pay Date Pay Type Invoice # DS -7 -10 -38511 07/27/2010 Credit Card 10/22/2010 Check #: 3906 Amt Paid Amt Due $ 50.00 $ 282.60 $ 282.60 $ 0.00 Available Inspections: Inspection Type: Final Sidewalk Landscaping Foundation 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 -named contractor to do the work stated. October 22, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date October 22, 2010 1 *1)V12 II caa �/10_ ��� 16 pis [tx5 BUILDING PERMIT APPLICATION Fsc 20 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 13011IIVEsin JUL 2 7 2010 !l� BY:..� Permit No. OS10 ^ I 63 Master Permit No. Permit Type: BUILDING // rr OWNER Name (Fee Simple Titleholder):a4 tZ /7 Phone#:3 O & Z' g 3�v Address: 9 9J o // 'C fou/ ,444.-"7 /204 ck City: IGii4 i ..(l 4 State: ;2/l d4 Tenant/Lessee Name: zip: 33 /3 S Phone#: Email: JOB ADDRESS: g q N eei e City: Miami Shores County: Folio/Parcel#: Is the Building Historically Designated: Yes Miami Dade NO Zip: 33/ 3o Flood Zone: CONTRACTOR: Company Name: /��' ''L`" C Address: 34i/10 '7 G✓ / ld &7 City: M4 a1( 4 Qualifier Name: State Certification or Registration #: State: P tV 0 Contact Phone#: / Y Y Email Address: DESIGNER Architect/Engineer: Value of Work for this Permit: $ � 62-0-0, O® Square/Linear Footage of Work: Type of Work: UAddress OAlteration ONew OR : • - ' /Rep Certificate of Com 7V4i Phone#: r cr • Zip: 3-3/ ^ / Phone: 31 f '( 31V/ Se cy #: 5g. 00&4°3 i1a44/ac# ei7 . Phone#: Description of Work: ODemolition COLOR THROUGH ROOF TILE LS' REQUIRED acknowledged by: ***************************************F * ****** * ****** qua* * ** * * **********,r********* ** Submittal Fee $ C Scanning Fee $ Permit Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Er)0 °° CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ 'num cc- DC,C 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 EVIPROVEMENTS 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 fait , i,i, o9 of the notice of commencement and construction lien law brochure w be delivered to the person whose property is +jest to ' ' 1. Also, a certified copy of the recorded no . e o smmenc- t be posted at the job site for the first inspection wh• i occurs seven (7) days after the building permit is •sued In the such posted notice, the inspection will not be ovel and a reinspection fee will be charged Signature The fo day of who is Ali .9 __ 1'♦ Owner or Agent ent was acknowledged before me this bY 11 1 Ai -.. 11 e or who has produced cation and who did take an oath. The fore day of n,, bV who is : 'i ... own m , e or who has produced t„ cation : d whq,�tt �:' . �1{11ry NOTARY Sign: Print My Commission ** &* * * &* *** shaft****** * & APPROVED BY * *** *,r**,gar*,r **** r*** rya**** ***,x** ** * *** r **** *** * * *** * *,r,r, ** ***** *** ****,t**** ****** ***** r /��() Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09Xrev6/4/10) Zoning Clerk