DS-16-3062Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-270869
Permit Number: DS -11-16-3062
Scheduled Inspection Date: December 27, 2016
Inspector: Riveron, Alexis
Owner: PEREZ, JUAN HUMBERTO
Job Address: 230 NE 104 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360130350
Building Department Comments
REPLACED OLD WOODEN DECK WHICH A NEW
LARGER PAVER DECK IN ORDER TO MINIMIZE LACK
OF GRASS WHICH DOES NOT GROW DUE TO LARGE
MANGO TREE. ALSO EXTEND A SMALL WALKWAY TO
ALLEY TO AVOID STEPPING IN MUD OR DIRT
TO REPLACE PERMIT DS14-2727
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
nspector Comments
December 27, 2016
For Inspections please call: (305)762-4949
Page 9 of 28
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. DS -11-16-3062
1
erm3Permit Type: Driveways/Sidewalks/Slabs
' Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 12/22/2016 Expiration: 06/20/2017
Parcel Number
Applicant
230 NE 104 Street
Miami Shores, FL 33138-
1121360130350
Block: Lot:
JUAN HUMBERTO PEREZ
Owner Information
Address
Phone
Cell
JUAN HUMBERTO PEREZ
230 NE 104 Street
MIAMI SHORES FL 33138-2016
Contractor(s)
HOME OWNER
Phone
CeII Phone
Valuation:
Total Sq Feet:
$ 1,700.00
683
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work:
Bond Return :
Scanning: 3
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$5.00
$125.00
$9.00
$1.60
$146.20
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS -11-16-62001
12/22/2016 Credit Card $ 146.20 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Building
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.
December 22, 2016
AuthorizSignatpSre: Owner / Applicant / Contractor / Agent
Building`Department Copy
December 22, 2016
Date
1
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
UILDING ❑ ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL El PUBLIC WORKS
JOB ADDRESS: a93o PE 10'! A '
CETV1 D
NOV 0 7 016
BY:
FBC 201`1 S
Master Permit No.11 (P ^ 3C3C:3 2
Sub Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
❑ EXTENSION ❑ RENEWAL
(� CANCELLATION
0 SHOP
DRAWINGS
City: Miami Shores
County:
Miami Dade
Zip:
3 3/3 k
Folio/Parcel#: SecS4t3 /0-41-1 1 T`n► 4 41 IA- 1 Is the Building Historically Designated: Yes NO )0
Occupancy Type: Load: Construction Type:
OWNER: Name (Fee Simple Titleholder): sTu iii t4 . A/72 -z_
Safhc a ve
Address:
City: State: Zip:
Tenant/Lessee Name: ` t Phone#:
Email: ( . k . e-ecc 2 e 'b J't"l�o o 1G . CA
Flood Zone: BFE:
FFE:
Phone#: ,ff3 FufJ�
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 0-00" Square/Linear Footage of Work: bE 3. Sq
Type of Work: ❑ Addition
Description of Work:
7Y`2A� - Z�
Alteration
❑ New
❑ Repair/Replace ❑ Demolition
rep (zcLd 0fd (�9ode - cL_G(2 (.JI ravels in OrcQif 71-N) r�1
l % �- � � eJ 201 1W e
rt
ti
i
�-o c� d Gv car °Go --% o Icr7c. ch on y oe.i
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ r , . CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $ 5
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 1 —1 IQ ..22(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_AltCL�Q[7struction lien law hrochure_wilLbe_deliueredia_the_persori
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.
Signature 1' " Signature
NER or AGENT CONTRACTOR
The foregoing instrument wass acknowledged before me this The foregoing instrument was acknowledged before me this
`�Cc'
1 day of NO , 20 1 , by day of , 20 , by
�C'4'-,4 1Fr, who is personally known to , who is personally known to
me or who has produced g"L-1)a4 t-- 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:
1111/i/o/ /4/0
�:.•• . 9 „�/i
•Y •9l ere.
Sign: ,calf• ��?'e ��r Sign:
Print: "�is 1 ti`s° Print:
=�': w ; 0 tide;
Seal: y•`,, $ °a1°:4z Seal:
j z.
��AI DI 1 1 t��'``R\`
*********************************#*** s*:� #►*..:+e*.**s*:.:**s**s*s***s*:*******s**..***.**:k****...ss**ss*s
APPROVED BY
(Revised02/24/2014)
Plans Examiner Zoning
Structural Review Clerk
RECEPP LA
APR 1 2015
DY.
MAP CHF O LJNDAIR S URV. EY
NE 104T1 -I S rHEt T
NORTH
SCALE: 1 -20'
••
•
• •
•
•
•
•
•
BLOCK
CORNER
75 RAJ(PLAT)
19' ASPHALT PAVEMENT
BOB:N90 00030'W
FIP 1/2'
NO CAP
P1
•
• ••
• ••
••• •
•
• •
•
•• ••
• •
• •
• ••
• •
•
••••
•
••••
••
••••
X190.00'00"W 75.00 `s'..
(50.00') (50.00)
TTeTT
a ^'i
> _1
2
1.95'0
n
•••
• • •
• •
• •
• • •
• • 0 • • •
•1 ••
•••S�r
••••
• •
••••
•••i••
• FN
•
• • •
• •
10.16'
2/0
10.19
13.5
N'
WEST 1/2
OF LOT
9.74'
27.3'
ONE STORY CBS
RES # 230
LOT 9
BLOCK 119
0,
9
1.1e)..0 dgck
• 15' ALLEY(PLAT)
FIP 1/2'
NO CAP
1.39'
LEGEND
ABBREVIATIONS'
• ARC 09110¢
AC . NR 0NIBIONER PAO
MIN - LAMMED COUNTY RECORDS
•D1•_ 0BBULDNO
O 1. . 0E101 MARK
BOB - BASS OF BEARINGS
• CONCRETE BLOM E 570000
Cuau1E0
• ORB E OJDFA
• MAN LM TDIGE
DRANAGE EASEMENT
E • 0U111APE • YAN10IAMGE
• 001£010
010ac
10 BOLI
C. • MMOAUOE E
• EDGE OF PAVEMWATER xi
• EOG, I NATER
Rx _FONDLE
R E1E
NONON PPE (10NO 0) 0)
D MON Rm (NO 0)
0 NAL (N0 0)
CADA AMORME UU015
(0
ER PAD
010110x7
LAR MNNIMANGE EASEMENT
WARRED
Ocox,' ONRECORDS
474i 304.E
CONDO UNE
(P)• Pur
50
PC - PLAT BOM
PC - POPO510 AN NT CONTROL
PO4 -021. EC EMT mNTRR Poor
PE - POR EOIAPYEOT PAD
PC -PAGE
M
N -PONT 40 xRRgcnM
PE - PUNIER
PONTP00 - PONT 04 OMAIN c
POC • PONT OF REVERSE EMENT
CURVATURE PRC - PONT OF REVERSE 001390
PRM - PERMANENT REBORING(
MONUMENT
Pr -PIIS OF WTANGENCY
- PAS DISTANCE
ER) - 900010
RES - 910040. 0
RES - IP 12/6GE
94 _ SSE IgAP.•
023
SMD - SURVEY xYL E 1E u�33
Sn - 94 0E urE
LK
(TSU) _TMC AL
LIB • OWN BOX
LI E. - UIUD' EASEMENT
1170 -Dam FENCE
DF•TAR CF AMMPMA10O F IF0I
Survey Pros, Inc.
8306 MILLS DRIVE SUITE 148. MIAMI. FL 33183
Tel. 305.767 6802
www. survey-pros.com
LOCATION NIAP:
NOT TO SCALE
PROPENE) ADDRESS:
230 NE 104111 STREET. WMM1 SHORES R 33130
LEGAL DESCRIPTION:
EDT 9 Aro ME NEST I/2 OF LOT a MOM 110. OF NAM 910RE5 SEC1011 S.
A00010NC TO ME PU11 MORE". A5 RECOroEO N PUT BOOK 10. PAGE 47. OF
ME PSJC RE00105 OF 012241-0A0E COMM R010DA
FLOOD ZONE INFORMATION:
BASED M ME 8000 NSIRINGE RAZE MAP 04 ME FEDERAL EMERGENCY
MANAGEMENT AOMOY RE.+9a M 09/11/09 AND NG0 MAP REVISED 01 09/II/00
ME 04AP0100111 0Ewc1E0 931000(5) 94004 04 249 MAP OF SURVEY 15 01101
204E L 0430 00000 EiEVA11M B(s FOBu0T1 NAME A N01BER 111e86_0E
111124 4041R04 12111'12 MAP E PANEL NUMBER 12006n102 SU5T10 L
'E-6
SYMBOLS:
CV 07 • tELEPHME LASER LSYMBOLS:
E
�p 3 C)1 Ra9OE • BEK 719' E W � ( _ a L T ArTLF D
FI 'da Health Miani-pa "`G6unty
.S.T.D.S. & WeIIrr"db1r rn
DRE HYDRANT
Appliclation No.: 14 1 ft -DMT PPF
[ATM BA9N
Date: - 23 O 5 ` : Mn PDL,
i
Signature L�J�z1000 HfF7CER
-•- • MAIN UN1IK FENCE
- - • OVERLIE. UTUTY MRE
OS N r2�,
114.05
COVER
SURVEYOR'S NOTES:
1. ELEVATIONS 0001 MOM ROTA TO 1929 NA1101A1 OE00E11C VERTICAL DAMN
(NG10 1028).
2. NO ATIOIPT 095 MAGE 10 LOCATE Fm1NGS/TOUNOAVONS. 04 0)110000)442
U1UTES UEESS 00400020* NOTED.
1 ME LANDS 910w0 MERE04 HAVE NOT BEEN ABSTRACTED N REGARDS M
METIERS BE WORST BY 0511ER PARTES. 9104 AS EASEMENTS. ROBS OF MATS.
RESERVATIONS, ETC. 00.1 PLATTED EA59E0T5 ARE 910101.
4. MR SNREY WAS PREPMED FOR AND MIMEO 10 ME PARTY(E5) NPCAIED
HEREON AND IS NOT TRANSFERABLE 04 AS904ABIE r1N04T MOT101 COMM 0E
IMS FNM.
5. ALL BOUNDARY UNt NOCA10R5 SET ARE STAMPED LB/ 0023.
B. ME BOLNOMEV IRAIS ES4049EED ON 246 SURVEY ARE BASED 04 ME LEGAL
D ESPATCH PROW= BY ME 011011 OR ITS REPRESTOTAn000
7. FEMA 001E19RP I5 NOT DEIENIN0.
L ADO m& CO (C En045 To PLDs 9AVEY MAP 1440/04 REPORT BY 500EME
014)00 MAN TE 90001 POI -RIES) 15 PNO00IIE0 MMO1T MITTEN CONSENT BE
RE 90140 PMT'(O5).
0. BEARINGS MIM 910x0 ARE TO 114 ASSUMED MERMAN. ME CMTERUNE OF NE
IOM STREET NAS ant AS9Mm A aAwN1 04 2001:1000w.
CERTIFIED TO:
JOHN PEREI
UPDATED PAID STRUCTURE 03/17/15 JCR/15030750
HEY I5 TRUE AND cwaCT 10 240 BEST BE RT 4400000E .240 BUS AS
UMOER Mr PRELIM 1,140 MEETS ME 2404204 11011C41 ST410AR05 SET
RD ., .0 MAPPERS N (NAPIER 51.17 11.011 90L•ESIRA11.
7F :.1 • .1
NICOLAS DEL NENTO
PROFESSIONAL SURVEYOR & MAPPER
STATE OF ROMA LIC. / 6945
DAT Cr FIELD 00.
54/,9/14
Jae, 141,0594
DRAM Br NOM
CAD RLE: PEREZ
SHEET 4 OF 1
Mimi Shores Villas
¢1 VE1I OR'S CFRTIFIC,
I
I
Lt
50.00'
( )
BEHVED_
0 GENE
RECOIL.. 93aErm AMD PurN
FORMEME TE.
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BY
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COP1 De
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R 1 ` �1 SEAL
1 1 IIN4 NL [IEE
R i[ to
SJ
SU[3,;I CT TO CO I:PLIA5 CE WITH ALL FEDERAL
`" ATE AND CCLIN FY MA FS AND RFGUI-ATIONS
114.05
COVER
SURVEYOR'S NOTES:
1. ELEVATIONS 0001 MOM ROTA TO 1929 NA1101A1 OE00E11C VERTICAL DAMN
(NG10 1028).
2. NO ATIOIPT 095 MAGE 10 LOCATE Fm1NGS/TOUNOAVONS. 04 0)110000)442
U1UTES UEESS 00400020* NOTED.
1 ME LANDS 910w0 MERE04 HAVE NOT BEEN ABSTRACTED N REGARDS M
METIERS BE WORST BY 0511ER PARTES. 9104 AS EASEMENTS. ROBS OF MATS.
RESERVATIONS, ETC. 00.1 PLATTED EA59E0T5 ARE 910101.
4. MR SNREY WAS PREPMED FOR AND MIMEO 10 ME PARTY(E5) NPCAIED
HEREON AND IS NOT TRANSFERABLE 04 AS904ABIE r1N04T MOT101 COMM 0E
IMS FNM.
5. ALL BOUNDARY UNt NOCA10R5 SET ARE STAMPED LB/ 0023.
B. ME BOLNOMEV IRAIS ES4049EED ON 246 SURVEY ARE BASED 04 ME LEGAL
D ESPATCH PROW= BY ME 011011 OR ITS REPRESTOTAn000
7. FEMA 001E19RP I5 NOT DEIENIN0.
L ADO m& CO (C En045 To PLDs 9AVEY MAP 1440/04 REPORT BY 500EME
014)00 MAN TE 90001 POI -RIES) 15 PNO00IIE0 MMO1T MITTEN CONSENT BE
RE 90140 PMT'(O5).
0. BEARINGS MIM 910x0 ARE TO 114 ASSUMED MERMAN. ME CMTERUNE OF NE
IOM STREET NAS ant AS9Mm A aAwN1 04 2001:1000w.
CERTIFIED TO:
JOHN PEREI
UPDATED PAID STRUCTURE 03/17/15 JCR/15030750
HEY I5 TRUE AND cwaCT 10 240 BEST BE RT 4400000E .240 BUS AS
UMOER Mr PRELIM 1,140 MEETS ME 2404204 11011C41 ST410AR05 SET
RD ., .0 MAPPERS N (NAPIER 51.17 11.011 90L•ESIRA11.
7F :.1 • .1
NICOLAS DEL NENTO
PROFESSIONAL SURVEYOR & MAPPER
STATE OF ROMA LIC. / 6945
DAT Cr FIELD 00.
54/,9/14
Jae, 141,0594
DRAM Br NOM
CAD RLE: PEREZ
SHEET 4 OF 1