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DS-11-1788Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 164943 Permit Number: DS -9 -11 -1788 Scheduled Inspection Date: December 05, 2012 Inspector: Bruhn, Norman Owner: PENKWITT, PATRIK Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Project: <NONE> Contractor: JOSEPH S. ROBBIO INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060171430 Phone: (954)663 -6743 Building Department Comments EXTERIOR ALTERATIONS - REMOVE REPALCE POOL DECK, INSTALL SLAB IN FRONT. INSTALL TRASH BIN WITH STEPPING STONES Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 04, 2012 For Inspections please call: (305)762 -4949 Page 1 of 37 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 FBC 20 SEP 'Ls.) 12 �U eY: Permit No. 0311H11SCg Master Permit No. RC -11 -1500 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): Patrick Penkwitt Phone#: Address: 500 Grand Concourse City: Miami Shores State: Florida Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 520 Grand Concourse City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Joseph S. Robbio, Inc Phone#: 954-663 -6743 Address: 9400 S. Meadows Circle City: Miramar state: Florida Zip: 33025 Qualifier Name: Joseph S. Robbio Phone#: 954-663 -6743 State Certification or Registration #: CBC 059462 Certificate of Competency # Contact Phone#: 954 663 -6743 Email Address: iosephsrobbioinc@aol.com DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 2,500 Square/Linear Footage of Work: 200 sq. ft. Type of Work: Addition ❑Alteration ❑New aRepair/Replace ❑Demolition Description of Work: Revision to plan for addtional concrete work on pool deck and driveway ***************************************F *** **** * ** *** *** * *** ********** *s.+x**** ****** Submittal Fee $ Permit Fee $ 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 FT ECTRICAL 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 properly 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 aspgc ' ,i f ;; ill be charged. Signature Owner or Agent The fo nt was ac - o Pled day o � ,f�11�i11 � , 20U by who is pe onally known to m Signature The fo = oin ay of of NOTARY PUBLIC: Print: My Commission Expires: Contractor men was ackn. 1.s b e or who has produced ed fore as identification and who did take an oath. NOT Y PUBLIC: - Sign: Print: My Commissi **** *****+ xm+ x+ xx.******** ** *********+ n*********** **********+x+xm+x***+x+x*** ***+ * ** APPROVED BY Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) 2 H'P�H'4,i Notary �Expires Sep 28810 MY Comm. mission # EE 128B10 •. ri 's C0 h National Notary =s'9, �.• oPC Bonded Throug * *** * ** * ** ning Clerk 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1132060171430 Owner's Name: PATRIK PENKWITT Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 825 Total Job Valuation: $ 10,000.00 Contractor(s) JOSEPH S. ROBBIO INC Phone Primary Contractor (954)663 -6743 Yes Planning and Zoning Criteria and Comments Approved: No Comments: 1/4/12 PLEASE NOTE ON PLAN POOL EQ TO BE LOCATED NOT LESS THAN 10 FT FROM SIDE LOT LINE AND 5 FEET FROM REAR LOT LINE. Date Denied: 1/4/2012 9/12/122 SAME AS ABOVE f1- ttfdD I PERMIT APPLICATION FsC zo 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 RECEIVED SEP 2 2011 BY: Permit No t 5 I I— O W Master Permit No. Permit Type: BUILDING ROOFING (` ` Z���C1 p OWNER: Name (Fee Simple Titleholder):_ ((64— (21A /e (,Phone#: 3 ( Address: ��t evelivn O3 iZ e City: CY I 1 State Zip: 3 r Tenant/lessee Name: Phone #: Email: JOB ADDRESS: ..5-2._ ® ' ( vG City: Miami Shores County: Miami Dade Zip: E3 t3,r Folio/Parcel #: 11 '-- (16 011 — I4-Zp Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ( O S, 4 Phone#: ti i'-' 443-6-7'13 Address: 9� eh ®a ,..as n/P•eile ' , City: i44M97 U // State: M-- . Zip: Lii Dar Qualifier Name: ( ilS%04 J J. /Q"a8i im Phone #: ?�'9— 64.3- tta'7q s State Certification or Registration #: Ca C 0 c, y(p 2— Certificate of Competency #: Contact Phone #: y GG3� /a %'�,� Email Address: �?�S6p4 ' %p.i3L /o / /il��, rt(_. t2 M DESIGNER: Architect/Engineeri y ,64:1r CEA/A , e t s .d I go.); /q/ Phone#: ".0-A -Z - 444 4 Value of Work for this Permit: $ ./ . 6.6-o Square/Linear Footage of Work: $oZS..S AC—. ❑New Type of Work: ❑Addition C Alteration ❑Repair/ReplaceA ❑Demolition Desc �f Work: r&/ JOA. Al -1'e-re i17o s /�, ,itoJ& ,p Ra - 1 ,D4c /e 1 1 ****** **** *************a+ *+x*+x>k********* Fees***** ************** ****** *********+x**+x** **** Submittal Fee $ Permit Fee $ 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 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. Signature wner or A nt Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of J( , 20 /1 , by o(_. PreAlzkurn, day of g , 20 1 ', by CI Ph a -z-oB t' -D who is personally known to me or who has produced rt 0 who is personally known to me or who has produced i As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ��``i�VE'�� '� %,�� lip Sign: _. .X �' % Sign: ■ 4 Print: i ° iarioi, 6/?Og? • ? Print: \ °• "f P 7,.. pp� sio' '' ' rf ., �F' .. f9p1 iiiotillitoo APPROVED BY Plans Examiner NOTARY PUBLIC: My Commission Expires: My Commission Expires: �••.,.....• cam\,\. I/ Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06110 /2009)(Revised 3/15/09) Rick Scott Govemor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General September 26, 2011 Joseph Robbio 9400 S Meadows Cir Hollywood, FL 33025 RE: Contingency Letter Application Document No: AP1047533 Centrax Permit Number: 13 -SC- 1369737 OSTDS Number: 520 Grand Concourse Miami, FL 33138 Lot:9 10 Block: 97 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 09/19/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced From a review of your completed application, it has been determined that your existing system is adequate for the proposed use. If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Jose ecialist I I Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaEH.com Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Expires:Not Issued Owner's Name: PATRIK PENKWITT Folio Number:1132060171430 Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 0 Total Job Valuation: $ 10,000.00 Contractor(s) JOSEPH S. ROBBIO INC Phone Primary Contractor (954)663 -6743 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 9/29/2011: Yes Comments: r • t Miami Shores Village �g Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138Y:.. ° ° ° ° ° • °° ° "° Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No. DS11 -1788 Master Permit No. DS11 -1788 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): Patrick Penkwitt Phone#. Address: 500 Grand Concourse City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 520 Grand Concourse City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 1132060171430 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: Joseph S. Robbio, Inc. Phone#: ( 954) 663 -6743 Address: 9400 S. Meadows Circle City: Miramar State: Florida Zip: 33025 Queer Name: Joseph S. Robbio State Certification or Registration #: CBC 059462 Certificate of Competency #: Contact Phone#: (954) 663 -6743 Finail Address: josephsrobbioinc @aol.com Phone#: (954) 663 -6743 DESIGNER: Architect/Engineer: Twenty First Century Design & Build Pho : (954) 522 -6446 Value of Work for this Permit: $ 5,000 Square/Linear Footage of Work: Type of Work: DAddition DAlteration DNew ORepair/Replace ODemolition Description of Work: Revision to existing plan. Add 3' to newpo I de lqceToncrete runners in driveway. Re- locate pool equipment ( pool equtpmefl is itcIu erg + {pe !t )1 *********awes** **a *ate ******e**s *a *say F six *ate * ** e* ** *say** Submittal Fee $ Permit Fee $ .?s ° CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 41490 • 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 MR 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 rust 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 reins ction fee will be charged Signature r/e/611—.C1- 1 Owner or Agent The foregoing instrument was acknowledged before me this aK The fo day of Dec , 20 II___, by *P(1+6 i who • or who has produced As identification and who did take an oath. � NOTA��Y Pt'BZ.rc -STATE OF,�pA Ratb,,:m t ( Ann Colmission # Blakeman Sign: dr..S.A9.‘,A. >V ti , 2013 Print: IANG huh t \�1N, CO., INC. My Commission Expires: to / o fr Signature ;y NOTARY PUBLIC: APPROVED BY /-e-44 Contractor 411 mg instrument was acknowledged before me this PV day of I2 , 20 IL, by who is personally known to me or who has produced A"'() as identification and who did take an oath. Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /102009)(Revised 3/15109) Print: My Commission Expires: Zoning Clerk Permit No: 11 -1788 Job Name: January 6, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 2) Identify the changes on the plans by clouding and dating. Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: 10/6/ Permit NO. DS -9 -11 -1788 2011 Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Explres:1 0/6/2011 im Folio Number:1132060171430 Owner's Name: PATRIK PENKWITT Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 825 Total Job Valuation: $ 10,000.00 Contractor(s) JOSEPH S. ROBBIO INC Phone (954)663 -6743 Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: No Comments: 1/4/12 PLEASE NOTE ON PLAN POOL EQ TO BE LOCATED NOT LESS THAN 10 FT FROM SIDE LOT LINE AND 5 FEET FROM REAR LOT LINE. Date Denied: 1/4/2012 Miami Shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: ti 11 DATE: ()an Contractor ❑ Owner ❑ Architect P' e . p 2 sets of plans and o Address: Iv t'ttin 1-lec �zo GreAkcf Ci&cwlec From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: 1 1 1 1 IQ PERMIT CLERK INITIAL: ,e___,A., gr)Rick Scott FLORIDA DEP [ Governor HEALT H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General Joseph Robbio 9400 S Meadows Cir Hollywood, FL 33025 RE: Contingency Lette r Application Document No: API 047533 Centrax Permit Number: 13-SC- 1369737 OSTDS Number: 520 Grand Concourse! Miami, FL 33138 January 11, 2012 Lot:9 10 Block: 97 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 09/19/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your :;ompieted application, it has been determined that your existing system is adequate for the proposed use (changing the rear of the pool deck into a 72" concrete pool deck; no concrete on top of drainfield). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Joseph erg E - = pecialist II Miami -Dade County Health Department 1725 NW 167 St, Opa Locke, FL 33056 P:•tone: (305) 62.3-3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaEH,com