DEMO-15-228Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227971 Permit Number: DEMO -2-15-228
Scheduled Inspection Date: February 11, 2015 Permit Type: Demolition
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: RIVERA, FRANZ AND JASMIN
Job Address: 10255 BISCAYNE Boulevard
Miami Shores, FL 33138-2648
Project: <NONE>
Work Classification: Building
Phone Number (305)799-0935
Parcel Number 1132050190070
Contractor: ANATOLIA CONSTRUCTION Phone: (305)304-8556
Building Department Comments
SHED DEMOLITION
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-227540. No permit on site
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 10, 2015 For Inspections please call: (305)762-4949 Page 26 of 29
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 L6
BUILDING Master Permit NO.-DQM Q - 11-5-
PER IT APPLICATION Sub Permit No.
PE
❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
JOB ADDRESS: 10255 BISCAYNE BLVD
DRAWINGS
Folio/Pamel#:l^ 3��oS`S�^di�.nts� Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): t5g14M4- i2d-Je A• d -MhMw WNNM& hone#:
Address: t02 IxIW.'ftNi-- 13wn
City: MAAA1 th.'XWs State: 'PL Zip: 'S13'8
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: AWAIMU* ca-MoTU tt3ayd LLt Phone#:
Address: 601f C.a4Unu AWE 9,1716
City: IMIOM( 'Deyw--4 State: '- Zip: 33%/
Qualifier Name: (1�IO.�l Q23MrO Q Phone#: 3ai=s0y-1TSTb
State Certification or Registration #: Gt,G.1 V rif Certificate of Competency #:
DESIGNER: Architect/Engineer: ��'tj/ ,4W.,(IEQ Phone#.
Address: &663'6 GmLLINS &4E 4�171s City: IMLAMl 1;rUL. State:_ Zip: 13191
I
Value of Work for this Permit: $ e Square/Linear Footage of Work: xy LQMG
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 2Demolition
Description of Work: .6"tn v I =A: -r n) A=-dV1p
Specify color of color thru tile:
Submittal Fee $ S (iCl Permit Fee $ CCF
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Rev1sed02/24/2014)
DBPR $
CO/CC $
Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $ s
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 COMMtNCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT NQ
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. % n
"**-)Signature
' OWNERorAGENT
The foregoing instru ent was acknowledged before me this
—2 day of _ r:eW mist . 20 by
W-wy k . who is nally known o
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
2 day of ?VS e4AA4 " , 20 by
U� , who' pe nally k n to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign � p�(,a,� Sign -
Or
Print:_COS^ pMAIM i..
Seal:
Putt SM of Flaw
(Revised02/24/2014)
Print: 611,ZA-
Seal:
Plans Examiner
Structural Review
14 my pwft Side of Flaw
Elsa Alvarez
Zoning
Clerk
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LEGAL DESCRIPTION:Lot 5,less the East 55 feet and all of lots 6 and 7,Block 175,
t REMISED PLAT OF MI!!NI SHORES SECTION 8,according to the Plat thereof as recorded
in Plat Book 43,Page 67 of the Public Records of Miami -Dade County,Florida.-
GENERAL NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING
THIS PROPERTY.
3) (2.22) DENOTES THOSE ELEVATIONS REFERRED TO NIA DATUM.
4) LOCATION AND IDENTIFICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
INFORMATION WAS NOT REQUESTED.
S) THIS PROPERTY IS WITHIN THE LIMITS OF THE FLOOD ZONE AE
6) NO UNDERGROUND LOCATIONS WERE DONE BY THIS COMPANY. Revised on October 15 2013
CERTIFIED TO: Franz E. Rivera DATE:
February 12,2013
APPLICABLE ZONING, UNDERGROUND, ZONING -AND BUILDING SET BACKS, MUST BE CHECKED BY OWNER,
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY.
1 HEREBY CERTIFY: That the attached Plan of Survey at the above described property Is true •
and carred to the bast of my knowledge, Inion. on and belief; as recently surveyed and platted
under my direction, also that there are not above -ground encroachments other than those shown.
UNme This survey meets the minimum technical standards set forth by the Florida Board of Land Surveyors
pursuant to Chapter 61 G17-6, Florida Admirikdrativa Code, Section 472-027, Florida Statues.
SURVEYING, INC
LB. NO. 3333
ro D. Alonso
TH Pr Tonal Land Surveyor
6187 NW 167 STREET, tis
Certificate No. 3590
MIAMI, FLORIDA 33415
State of Florida
305!512-4941)
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