EL-16-2767 2I2 O EiAIIM1
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8
sa°1 L Miami Shores Village $' �\ fi~ P1 ��lderltlal";3
10050 N.E.2nd Avenue NE 3 Pt1oi � 3
Miami Shores,FL 33138-0000 t
Phone: (305)795-2204
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Ex iration: 5/29/2017
1� 016
Project Address Parcel Number Applicant
1173 NE 103 Street 1122320310070
Miami Shores, FL 33138-2651 Block: Lot: JAMIE&AMY B DEROSA
Owner Information Address Phone Cell
JAMIE&AMY B DEROSA 1173 NE 103 Street (561)699-2428
MIAMI SHORES FL 33138-
1173 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
MESA BROTHERS INC (305)345-1974
Total Sq Feet: 0
Type of Work:ELECTRICAL FOR POOL WORK Available Inspections:
Additional Info:
Inspection Type:
Classification:Residential
Final
Scanning:1
Light Niche
Bonding
Review Electrical
Alarms
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoice# EL-10-16-61625
$4.50 11/30/2016 Check#:13632 $265.20 $50.00
DCA Fee $4.50
Education Surcharge $0.40 10/13/2016 Check#:13512 $50.00 $0.00
Permit Fee-Additions/Alterations $300.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $315.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AF IT: I cert' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construct' a ning. F ore,I authorize the above-named contractor to do the work stated.
November 30,2016
A orized Signat re:Owner / Applicant / Contractor / Agent Date
Bui ding De artment Copy
November30,2019 1
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 OCT 13 2016
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 2
FBC 201 S
BUILDING Permit No. EL
PERMIT APPLICATION Master Permit No.:�22 I6- 2--?C6
Permit Type: Electrical C
JOB ADDRESS: ��3 NG /63,97—
City:
3,TCity: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address:�,1/73 "6- ®
City: /Ofi *019Q State: zip: !�3/38
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Q/rVQ's' � 'I�� -L d Phone#: 3,0.S4,3(o -o2S-gq
Address: LP-) {0-3
City: State: Zip:. �J•� 3
Qualifier Name: �tD Phone#: .30.5 245-19N
State Certification or Registration#: tom''I3W 13 W Certificate of Competency#:
Contact Phone#:30S 480 " a-S4 q Email Address:
DESIGNER:Architect/Engineer: ib C iGS t —1A4C>crcr1 hone#:._
Value of Work for this Permit:$ 2.t Don Square/Linear Footage of Work:
Type of Work: ❑Address ❑�Alteratiio/n �j ❑New ❑Repair/Replace ❑Demolition
Description of Work: S• i 11��-Y 6L)OAZ 1L>'3C)Wk F_(P C L
x�x�x���xx��x�x�����xx�+�xs:mxxxx��x�xx�xFees��x�x�x�w�x��mx�xx���xx�x�x��sx��mx�xxx�xxx��
Submittal Fee$ QsN Permit Fee$ �ear 0G CCF$ 26 CO/CC$
Scanning Fee$ 3- (3�j Radon Fee$ DBPR$ Bond$
Notary$_ F(7) Training/Education Fee$�Technology Fee$ l C5
Double Fee$�� Structural Review$
TOTAL FEE NOW DUE$ 2_ • 20
Bonding Company's Name(if applicable)
Bonding Company's Address
City State zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address k.N ®Dt
City State Zap
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. ce of such posted notice, the
inspection will not pproved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this�_ The foregoing instrument was acknowledged before/tee this
day of ., IC/I\� ,20L(@,by — -A mi e- ]L)e9fbS n day of � ,20/�,by 7 C l-4 ,
who is rsonally known to me-d)who has produced who is personally own to me or who has produced
tification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: .a"P� NANCY"JADA
2p'. e�n MY COMMISSION IFFO84758
EXPIRES:JAN 21,2018
Sign: Sign: G oiled through 1 st State Insurance
Print: 1����c Src Print:
M Commission Expires:
Y P My Commission Ex es:
_ MARCOS A.MARTINEZ
MY C(Di !SSSi1,,N-FF ONP)89
kHaekHsskaaakakHsHsHHskkdaahnbk�p. tknk �?eklNikor7TH17
r�'�'ciak1 �U1f5 `�aFsHsnRNkskNsHsikHaekHiHsia�HsdadaaokNihakIsskHsHag+Hs✓AkHiskrkHiHsAakHaHiF+NtEskikHkkdaHa
APPROVED BY 49®'Gy' plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
r
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iami shores Village
Building Department
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10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
Date J u IN I i , 4ollp
Miami Shores Village
Building&Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as
70caee at'3
_l 1 l3 N JE I Fri- :2>31316
In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting and approved barrier prior to fina " spection and use of the
pool.
•• '•® . . . • . •• Legal Owner
• •• • • • • ••• •
Note:This certification is to be submitted with a swimming pool pe application in duplicate.
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Idiami Shores,, NE 10285r
Country Club '+{cr
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Oc uat.st ' .MLD DWel4014600pL
_ N. E. 104th STREET
�- 18' ASPHALT PAVEMENT
x-X-X-X-X-x-x-x-x
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" 100.00' P M N
F.I.P.1/2F.I.A 1/2"
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4,0' 27.20'
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N X " ONE STORY a 15.70' ,B7'
'\ RESIDENCE 41173
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21' ASPHALT PAVEMENT N h
" N. E. 103rd STREET "
Accepted By:
Property Address: 1173 N.E. 103 STREET NOTES: FENCE ENCROACHES NORTH LOT LINE.
MIAMI SHORES, FL 33138 :ENCROACHES SOUTH LOT LINE.
. .. . . . ... .
SURVEYOR'S CERTIFlCATION:I THAT THIS'BOUNDARY SURVEY'IS A TRUE AND CORRECT
REPRESENTATION OFA SU REPARED R MY DIRECTION.THIS COMPLIES WITH THE MINIMUM M.E. Land Services, Inc.
TECHNICAL STANDARDS, ET FORTH BY THE - TE OF FLORIDA BOARD OF PROFESSIONAL LAND
SURVEYORS IN CHAPTE 17.FL4RIOAdgMINIS THE CODE PURSUANT TO 472.027,FLORIDASTATUI" A 0665 6W 190TI-hB�REET
:StJ ITS 3110
SIGNEDFOR THE FIRM
.IWAA,.FL 3':1:7 :•
PN01E: (3051740 3319
M1GueL S a sTkr4 0 FAX: (305)669-3190
�a g f&E� ELECTRO
o e P.S.M.No.5101
NOT VA O I ELECTRON NATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR Lq#-6
THIS MAP IS NOT VALID NAT ,4+kI� tA�,FANO THE ORIGINAL RAISED SEAL OF A LICENSED 41 VEYOR • W • 463 • •
AND MAPPER. ,.:; .yfi% • • • • • • • •
Survey:A-42729 Client File#: •:• :• Page 1 of 2 Not valid without all pages.
Surveyor's Legend
PROPERTY LINE
STRUCTURE FND FOUND IRON PIPE B.R. BEARING REFERENCE TEL.I TELEPHONE FACILITIES,
/
® CONC. BLOCK WALL PIN AS NOTED ON PLAT A CENTRAL ANGLE OR DELTA U.P. UTILITY POLE
_X_X_ CHAIN-UNK FENCE OR WIRE FENCE LB# LICENSE # - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX
-- /-//- WOOD FENCE LS# LICENSE # - SURVEYOR
RAD. RADIAL TIE SEP. SEPTIC TANK
4-a- IRON FENCE CALC CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD
---- EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER
-- CENTER LINE A CONTROL POINT
I.R. IRON ROD S/W SIDEWALK
® WOOD DECK E CONCRETE MONUMENT 1.P. IRON PIPE DWY DRIVEWAY
BENCHMARK N&D NAIL & DISK SCR. SCREEN
CONCRETE ELEV ELEVATION PK NAIL PARKER-KALON NAIL GAR GARAGE
® ASPHALT P.T. POINT OF TANGENCY D.H. DRILL HOLE ENCL. ENCLOSURE
P.C. POINT OF CURVATURE WELL N.T.S. NOT TO SCALE
BRICK / TILE P.R.M. PERMANENT REFERENCE MONUMENT ® FIRE HYDRANT F.F. FINNISHED FLOOR
WATER P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T.O.B. TOP OF BANK
P.R.C. POINT OF REVERSE CURVATURE O.H.L. OVERHEAD LINES E.O.W. EDGE OF WATER
APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E,O,P EDGE OF PAVEMENT
COVERED AREA P.O.C. POINT OF COMMENCEMENT CAN CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER
P.C.P. PERMANENT CONTROL POINT W.M. WATER METER B.S.L. BUILDING SETBACK LINE
TREE M FIELD MEASURED P/E POOL EQUIPMENT S.T.L. SURVEY TIE LINE
POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB q CENTER LINE
® CATCH BASIN D DEED ESMT EASEMENT RIW RIGHT-OF-WAY
C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE EASEMENTP.U.E. PUBLIC UTILITY EASEMENT
I.E./E.E. INGRESS / EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. L.S.E. LANDSCAPE BUFFER EASEMENTC.M.E. CANAL MAINTENANCE EASEMENT
U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EASEMENTA.E. ANCHOR EASEMENT
Property Address: General Notes:
1. The Legal Description used to perform this survey was supplied by others.
1173 N.E. 103 STREET This survey does not determine or is not to imply ownership.
2. This survey only shows above ground improvements. Underground utilities,
MIAMI SHORES, FL 33138 footings,or encroachments are not located on this survey map.
3. If there is a septic tank,well,or drain field on this survey,the location of such
items was shown to us by others and the information was not verified.
Flood Information: 4. Examination of the abstract of title will have to be made to determine recorded
instruments, if any,effect this property. The lands shown herein were not
Community Number: 120652 abstracted for easement or other recorded encumbrances not shown on the plat.
5. Wall ties are done to the face of the wall.
Panel Number: 12086CO306 6. Fence ownership is not determined.
Suffix: L 7. Bearings referenced to line noted B.R.
8. Dimensions shown are platted and measured unless otherwise shown.
Date of Firm Index: 9/11/2009 9. No identification found on property corners unless noted.
Flood Zone: X 10. Not valid unless sealed with the signing surveyors embossed seal.
11. Boundary survey means a drawing and/or graphic representation of the
Base Flood Elevation: N/A survey work performed in the field,could be drawn at a shown scale and/or not to
scale.
Date of Field Work: 9/19/2013 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted.
Date of Completion: 9/20/2013 13. This is a BOUNDARY SURVEY unless otherwise noted.
14. This survey is exclusive for the use of the parties to whom it is certified.The
certifications do not extend to any unnamed parties.
15. This survey shall not be used for construction/permitting purposes without
written consent from Miguel Espinosa.
Legal Description:
LOT 3, BLOCK 2, OF SUBDIVISION BISCAYNE RIVER HEIGHTS , ACCORDING TO THE PLAT THEREOF AS RECORDED
IN PLAT BOOK 43, PAGE 73, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA
Certified o: , ; ; . is successors and/or assigns
PRINTING INSTRUCTIONS: as their interest may appear.
While viewing the survey in any Acrobat Reader,
select the File Drop-down and select"Print"
Select a cclor printer, if available, or at least one with
8.5"x 14" paper.
Select ALL for Print Range, and the#of copies you
would like to print out. Please Copy below for Policy Preparation Purposes only:
Under the "Page Scaling" please make sure you have This policy does not insure against loss or damage by reason of the following exceptions:
selected "None." Any rights, easements,interests or claims which may exist by reason of,or reflected by,the
following facts shown on the survey prepared by MIGUEL ESPINOSA dated
Do not check the "AutoRotate and Center" button. 09/20/2013 bearing Job# A-42729 .-
Check
Check the "Choose Paper size by PDF"checkbox. a)FENCE ENCROACHES NORTH LOT LINE.DRIVEWAY ENCROACHES SOUTH LOT
Click OK to Print. LINE.
b)•• ••• • • • • • ••
•• ••• •• • • r ••
M.E. La 10 !jervjc�ess;int:
10665 SW 190TH S%qm, 8 L ite 3:.1,0 ;h MT,.h 33157
PHONE:(305) 740-3319 FAX#:(305) 669-3190 LB#6463
WWW.ME1LAFjD�ER%'jj%F,9. 03M
Survey:A-42729 Client File#: ��• •; •�• �;• •; Page 2 of 2 Not valid without all pages.
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