DS-17-273 Permit NO. DS-2-17-273
.T, r, Miami Shores Village Permit Type:DrivewaystSidewalkstSlabs
a+� 10050 N.E.2nd Avenue NW
Work Classification:New
Miami Shores,FL 33138-0000 rif
Permit Status:APPROVED
Phone: (305)795-2204
�'�oxtoA
issue Date:217/2017 Expiration: 08/06/2017
Project Address Parcel Number Applicant
88 NW 111 Street 1121360030400
Miami Shores, FL 33138- Block: Lot: MARCOS ZOBEL
Owner Information Address Phone Cell
MAR OS ZOBEL 88 NE 111 Street (305)812-8805
MIAMI SHORES FL 33168-
88 NE 111 Street
MIAMI SHORES FL 33168-
Contractor(s) Phone Cell Phone Valuation: $ 8,262.00
1 E CONTRACTORS (305)788-5594
Total Sq Feet: 992
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved: :In Review Final
Date Denied: Foundation
Type of Work:BRICK PAVER DRIVEWAY Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00
Invoice# DS-2-17-62805
CCF $5.40 02/07/2017 Credit Card $50.00 $602.40
DBPR Fee $2.00
DCA Fee $2.00 02/07/2017 Credit Card $ 102.40 $500.00
Education Surcharge $1.80 02/07/2017 Check#: 1984 $500.00 $0.00
Permit Fee $125.00 Bond#:3305
Scanning Fee $9.00
Technology Fee $7.20
Total: $652.40
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 AF FI AV'
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ing.
constructio a zonFuthermore, I authorize the above-named contractor to do the work stated.
February 07, 2017
Aut o i Signature:Owner / Applicant / Contractor / Agent ate
Building epartment Copy
February 07, 2017 1
- � Miami Shores Village T-,-:CE1VED
Building Department FEB 7 2017
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 `
INSPECTION LINE PHONE NUMBER:(305)762-4949 5
FBC 20\u
BUILDING Master Permit No.
PER IT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
,,t 1 ) CONTRACTOR DRAWINGS
�Q
JOB ADDRESS: 00 /`� � Sr
City: Miami Shores County: Miami Dade Zip:
✓
Folio/Parcel#: (� ��iI , b- Cos— X460 Is the Building Historically Designated:Yes NO
Occupancy Type:M110' IL;0 Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): 1"L6I46S �-®D�,l� Phone#: 30
Address: e +!J Li
City: 1�k1 t�i►-k% State: y Zip: -7-;
Tenant/Lessee Name: Phone#:
Email: ,�
CONTRACTOR:Company Name: �G l a��/V �02s;���'i Phone#: �1t -
Address: 1_;5111U SW 632A
City: � .."0'*- State: i Ci Zip: 331 1p
,3
Qualifier Name: J�LEA4 EE5C(7R17,4 Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: x Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 8,242 Square/Linear Footage of Work: 1171b
Type of Work: ❑ Addition ❑ Alteration [ New / ❑ Repair/Replace ❑ Demolition
Description of Work: WIC-4 Nep, DRIycwA-1-- 090x1 /4og'- RK4 btt a6pp_ PA-rib
Specify color of color thru tile: -
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
�r r r
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 notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to at t. Iso,a certified copy of the recorded notic commencement must be posted at the job site
for the first inspe t n whic c rs v (7) days after the building permit is i su d. In the absence of such posted notice, the
inspection will not a ppro a e' ection fee will be charged.
Signature Signature eanw &rizp.
OWNER or ENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instr ent was acknowledged.before me this
I day of l'L 20 1- by day of 120 1 to by
M>1 C'0S -ub l-- who is personally known to 6��ORi ZP� who is personally known to
me or who has produced P uku as me or who has produced t~L)L as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign.
Print: Print:
MICHAEL MORALES „� MICHAEL MORALES
Seal: MY COMMISSION#FF972713 Seal: MY COMMISSION#FF972713
EXPIRES:MAR 20,2020 EXPIRES:MAR 20,2020
Bonded through 1st State Insurance ” Bonded through 1st State Insurance
************************* ************************************** ***********************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
S�ORFs ` ..
Miami shores Village
l.n
Building Department
ti `� 10050 N.E.2nd Avenue
�LORiDp' Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees,including the owner,must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allow o work on your project.In these circumstances,Miami Shores Village does not require verification of
workers' compensati s ce coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BE 111
U ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Own
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day of _"o—
By A 1 -1.06 who is personally known to me or has produced
f—U L_ ^- as identification.
SEAL: ,-CHAEL MORALES MICHAEL MORALES
cky;
1SSION#FF972713 ' My COMMSSION#FN72713
'!RES:MAR 20,2020 BORES:MAR 20,2020
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LE.Contractors,Inc.
15116 SW 63rd Terrace
Miami,Ft 33193 r r t
'sial:305-7884584 Fax:3054N-7269
Date:
State of Ori cel ce -
County of 1-0 Orn i lack
Before me this day personally appeared I`QQWc'�- CSc o v 1't-` 1v 0 WnQdu •sworn,deposes and
says:
That he or she will be the only person wzking on le prop--T located ni s d�
8S ,�u7 +t1
Sworn o( r affirmed)and sub-_:.-ibe 6 re me4+is of .20_0 by
Ij�tori 2A
Personally know
OR Produced Identification
Type of Identification Produced
r
rint,Type or Stamp Name of Notary
MICHAEL MORALES
MY COMMISSION#M=3 10RALES
EXPIRES:MAR 20,2020 '°*c N#FF972713
o Bonded through 1st State Insurance r AR 20,2020
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JOHN. MARRA & ASSOCIATES INC.
Professional Land Surveyors & Mappers
W W W.IBARRALANDSURV EYORS.COM
777 N.W.72nd AVENUE 2804 DEL PRADO BLVD SOUTH
SUITE 3028 SUITE NO.202 UNIT 1
MIAMI,FLORIDA 33126 CAPE CORAL,FL 33904
PH: (305)262-0400 PH: (239)540-2660 -c-
FAX:(305)262-0401
FAX:(239)540-2664
MAP OF BOUNDARY SURVEY
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O NO 5204 ® PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. SCALE: 1"-20'
STATE OF CERT/F/CAT/ON. ,
MARCOS ZOBEL AND IRIS ACOSTA-ZOBEt FIELD DATE. 09/22/20196
�p °tORIDP y� MARKET TITLE,LLC.
FIRST AMERICAN TITLE INSURANCE COMPANY SURVEY NO: 18`004104-1
SEAL PRIMELENDING,A PLAINSCAPITAL COMPANY,
L.B.#7806 ITS SUCCESSORS AND OR ASSIGNS,AS THEIR INTEREST MAYAPPEAR SHEET.' 2 OF 2
R JOHN [BARR,A & ASSO_CGATE __1NC.
Professional Land Surveyors & M1/Mappers
W W W,IBARRA►AN NSU RVEYURS,C.OM
777 N.W. 72nd AVENUE 2804 DEL PII BLVD S0I_n'H
4UITF_3{)25 SUITE NO.202 UNIT t
MIAMI,FLL?RII:TA 33126 (.APF C-ORAI.,FI..33900
PH: (305)262-9400 PH: (239)540-2660
FAX:(3n5)2(32-0401 FAX:(239)640-2.664 '!
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LOCATION SKETCH VIEW OF SU0dW'PR0P9RtY ••••..
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ABBREVIATIONS
A =ARC
AA: =A/RCONDInOVERPAO E.T.P. -ELECMIC 7RANSFORWRFAD ORB. =OFFICW RECORDS BOOK •• • T MNGEAT • •
A.E =ANCHOREASEMENT ELEV. =ELEVATION 0-VH. =OVERHANG 78 IPL ON/EB007H
A.R. =ALL.AII/MAfROOF ENCR. =ENCROACHMENT PVMT: -PAVEMENT T.B.M. RYBENCHMAPo(
A.S. =ALUM/NUMSHED F.H. =F7REHYDRANT PL -PLANTER T.UE.=7ECIW0LOGYU7ILRYE4SSWAfT
ASPH. -ASPHALT F.I.P. -FOUND IRON PIPE' P.L. =PROPERTYLINE TSB =TRAFFIC SIGA64L BOX
B.C. =BLOCKCORNER F.I.R. =FOUND/RONROD P.C.C. =POINT OF COM'POLAYD CURVATURE T.SP. -TRAFHC SIGNAL POLE
BLDG, =BUILDING F.FE =FINISHED FL.00RaEVA 77ON P.C. -PDINTOFCURVAIINRE TNA° -TOWNSHIP
BM =BENCHMARK F.ND. =FOUND NAI.d DISK P.O.T. =POWTOFTANGENCY LTM. -UTILITY
B.C.R. =BROWARDCOUITYRECORD.S FT. -FEET P.O.C. -POINT OFCOMMENCEAEAM U.E. =UTK/TYEASEMENT
B.O.B. =BASISOFSE4RING FNIP. =FEDERAL NA 77ONAL INSURANCEPROGRAM P.O.B. -POINTOFBEG/NN/NG U.P. =UMITYPOE
as.L. -BLALD/NGSEIBACKLWE FN. =FOUNDNAK P.R.C. -Pow OFREVERSECL49VAYEW W.M -W7ERME7FR
(C) =CALCULATED H. =HIGH OR(HEIGH7) PWY =PARKWAY W.F. -WOOD FENCE
CB =CATCHBASIN W.AEG. =WGRESSAND EGRESS EASEMENT P.R.M. -PERWAENTREFERENCEMONUI*NT W.P. =KIDOD PORCH
C.B.S. =CONCRETE BLOCK S7RUfCMAE LC.V =ARM TION CONTROL VAL VE P.L.S -PROFESSPoWAL LAND SURVEYOR WR =WOOD ROOF
CONCRETE BLOCK WA LL I.F. =IRONFENCE P.P. =POWERPOLE W.V. =WATER VAL VE
CH. =CHORD L.B =LICENSED BUSINESS P.P.S. =PO%PUMP SLAB /9 =MONUMENTLINE
CH.B. :CHORD
LP =LIGHTPOLE P.U.E. =PUBLIC U17LITYE4SEMENT =CENTERLINE
CHI. =CHORD LENG7H L.F.E =LOWESTFLOORELE✓ARON (R) =RECOROD/STANCE ,•� =DELTA
CL. =CLEAR LM.E. =LAKE MAWTENANCEEASEMENT R.R. =RAILROAD
C.0. =CLEAN OUT =M/NU7ES RES. =RESIDENCE
CLF. =CHA/NLWKFENCE (Ah =MEASUREDDISTANCE R4V =RIGHT-OFWAY LEGEND
CME =CANAL MANMNANCEEiASEMENT Ma =MAK BOX RAD. =RAMS OR RA&AL
CONC. =CONCRE7E M.D.CR.-MLAMIDADECOONTYRECORDS RGE. =RANGE OVERHEAD AOCE"BLOC WNGLs
C.U.P. =CONCRETE LU7T"7YFOLE M.E. -MAWTENANCEEASEMENT ROE. =ROOF OVERHANG EASEMENT -- =CONCRETEBLOCKWALL
C.P. =CONCRETE PORCH M.H. -MANHOLE SEC. =SECTION =_ �IROWF/NKFENCE
NrF
CS =CONCRETE SLAB N.A.P. =NOTAPARTOF STY -S7ORY
C.W. =CONCRETE WALK NOW =N47IONAL GEODE71C VERRGL DA TUM SMV =SIDEWALK -' '__„ =WOOD FENCE
D.E. =ORAWAGEEASEMEW N.T.S. =NOT TO SCALE SL.P. =SE7WONP/PE ,.,.,„« ..^•- =BULLDINGSE78ACKL/NE
D.M.E =DRA#MGEMANVTENANCEEASFA"r #OR NO. =NUMBER S =SOUTH —--. —'- =UMIrYEASBNENT
ORNVE =DRIVEWAY OS =OFFSET SP. =SCREENED PORCH -«-�- .++--» =L1M1IEDACC,ESSR4V
:DRIVEWAY
O.H. =OVERHEAD SV =SEWER VALVE =NOKVEH/CINARACCESS R4V
E8 =ELECTRICBOX OH.L =OVERHEAD UTKITYLWES =SECONDS .0.00 =EX/S7WG ELEVA TIONS
LEGAL_NOT_ES TO_ACCOMPANYSKETCH_OFSU_R_VE_Y: SURVEYOR'S NOTES:
•7T WANYBEEASEWArM AEOORDEDW TW PUBLIC RECORDS NOT SHOWN ON 771/S SURVEY. 1./FSHO;W BEAR/NGSAREREFERRED 70ANASSWWDMERAD .BYSA/D PLATIN 7W
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•LEGAL DESCRIP770NS PRONDED BYCLIENTORA T7EST7NG TMECOAIPANY.
•BOLWOARYSURVEYMEANSA DRA WING AACVORA GRAPHIC REPRESENTA710NOF 7HE SURVEYWORKFERFORMED/N THE
REM,,COULD BEDRAWNATA SHOWN SCAL EANDORMOT TD SCALE,•THE WALLS ORFENC.ES MAYBEE"GGERWEDFOR
CLAR17YPURPWES SURVEYORS CERTIFICATION.
.EASEMEN7SAS SHOWNAREFERFI'ATBOO!(WESS DEPICIEDOTHERWISE.
•THE TERM ENCROACHMENT MEANSWSIBLEAAVABOVEGROUNDENCROACHMENTS 1AB7EBYCERPFY.•7MS WOUNDARYSURVE'OF THEPRQFERTYDESCRIGEDMEREM,,
.ARCHIIECTSSHALL VERIFYZON/NGREGMA77ONS,RESTRICTIONS,SE7BACKSAND WILL BERESPONSINEFORSUBM/TT/NG HAS RECENRYBEENSURVEYEDANO DRAWN UNDERMYSUPERV ICK,AW COMWLIES
PL07PLAN5 WTTHCORRECrIAFORMA770NFORAPPROVAL FORAUWOR/IA770M TO THEMOVRAUTHOR17YESINAEW WITH ME STANDAROS OFPRAC)CE ASSETFORTHBYMEFLOR/D4B0ARD OF
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•PENCE OWNERSHIP NOT DETERMMYED,
.TMS FLAN OF SURVEY,HAS BEEN PREPARED FOR 7W EXCLUSIVE USE OF THE ENMIES NAMED HEREON,THE CER 77FICA7E
DOES NOT EXTEND TO ANY UNNAMED PARTY.
BY.,
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FLOO_DZONExFORwnoN.• JOHN /BARBA (DATEOFFIELDWORIQ
THE NFIP FLOOD MAPS HAVE DESIGAW 7ED THEHEREIN DESCRIBED LAND TO BE SITUATED/N.
FLOODZONE.• xr
BASEFLOODELEVATION.' N/A. PRWESSDMLLAADSURVEYORN0..5204 srATEOFFLORDA
COMMUNITY.' 120825 (NDTVALV WITHOUT THES/GNATUREAND 7HEORIGWAL RAISED SEAL OFA FLORIDA
PANEL: 0139 "CEASED SURVEYDRAND MAPPER).
SUFFIX., L
DATE OF FIRM.• M112009 REAMDO,µ
THE SUBJECT PROF ERTYDOES NOT UE(NA SPECIAL FLOOD HAZARD AREA.
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