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DS-17-867 r' - ` Miami Shores Village # yp rw#w S � & 10050 N.E.2nd Avenue NW 'IMMIL V0 �; '8. 1# � 3a �t9ffAF+6Tii + lft Miami Shores,FL 33138-0000 1Q, Phone: (305)795-2204 �. issueDat . 110120, EES Expiration: 0 /26/2017 Project Address Parcel Number Applicant 43 NW 102 Street 1131010180100 DAVID A SCHAFIR Miami Shores, FL Block: Lot: Owner Information Address Phone Cell DAVID A SCHAFIR 43 NW 102 Street (954)989-7794 MIAMI SHORES FL 33150- 43 NW 102 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 8,761.25 PREMIER CONSTRUCTION AND PAVE (954)441-4224 Total Sq Feet: 1075 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:NEW PAVER DRIVEWAY. Additional Info:NEW PAVER DRIVEWAY. 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-3-17-63500 CCF $5.40 03/30/2017 Credit Card $ 177.90 $500.00 DBPR Fee $2.25 DCA Fee $2.25 03/30/2017 Check*191 $500.00 $0.00 Education Surcharge $1.80 Bond*3354 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $7.20 Total: $677.90 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. Futh r ore,I thorize th above-named contractor to do the work stated. March 30,2017 Auth S turs:Owner / Applicant / Contractor / Agent Date Building Department Copy March 30,2017 1 Miami Shores Village - ;a '"i1r Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 T­4 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 !�1 BUILDING Master Permit No—rjc-- o, PERMIT APPLICATION Sub Permit No. M BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP 2 CONTRACTOR DRAWINGS JOB ADDRESS: 4 3 (l�w. I D� ,�1 City: Miami Shores County: Miami Dade Zip: c�M v Folio/Parcel#: (I 3 i®I- Q 1 - 1 ® ID Is the Building Historically Designated:Yes NO s� Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 4&0Phone#: Address: L�5 WW C.'r City: KAAA 1 S1'Lb State: Zip: Tenant/Lessee Name: Phony Email: �)RV l 17. C-'C+t/>rf-1(1- CO— aNl ftA L • co M CONTRACTOR:Company Name:1 0"an,ar1.r0'n4ry 4yf1s s ��ile-'r-S Phone#:gSq-yq l -q54 q Address (45 L 5 n Iro-nAy, Drive City: �DP-ij)14b )_r� State: ��• zip:�3��� 0 L Qualifier Name:M I Gyle' le, Lymolf) Phone#: 15"7L/ qq/- 7 paq State Certification or Registration#: Certificate of Competency M cffl( 011� GOO DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: /0'717 Type of Work: ❑ Addition El Alteration New ❑ Repair/Replace 1:1 Demolition �I Description of Work: 9 eAN Rdw eyr [(k P V*Vj r1'jq=\/ 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) 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..... N IRSAFRDAMT: 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. "E 1MING TO Ea OUR FAILURE TO REORD A N0110E OF COMMBVamENT 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 NOTI CE OF COM M ENIMM MT:" 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 m days after the building permit is issued. In the absence of such posted notice, the inspection will not beproved and a reinspecti fee will be charged. g Si nature °�udl"JSi nature g OWNER o AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ti -t loday of 120 1-7 ,by day of tTN a1'd- 20 1`1 by k4..4cis who is personally known to LPubAa- ,who is personally known to me or who has produced pt,vQr) as me or who has produced �t.w.^� e- �� tis as identification and who d tu,oath. QUS pigdentification and who did take an oath. •'a°` �°` Notary Public-State of Flo NOTARY PUBLIC: . Commhlslon#FF 91766LIdd OTARY PUBLIC: y Comm.Expires Nov 26,M''����n°�++ BorideditoughMftaalNotary Sign• ign• C&CJ Print: G u s 0�e�/�s Print: u e. Q =r •°i No Public-State of Florida ••; Commission#FF 917668 Seal: Seal: '+ c�o°:�;; My Comm.Expires Nov 26,2019 „���",•+ Bonded through National Notary Assn. �s�x�x�*��*��*�a��s*�xx�*xis*t�*w+x��*x�+� ****���x�wwa� ��***•����x�r��*�xa�x�aa�+x*��a�a��x�*�xsse�x����s�x��x��***x�x�a�**�x�***� APPROVED BY 1 / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ;f ® COMMERCIAL Date: APKEMI 130M ® RESIDENTIAL CONSTRUCTION AND PAVERSq INC. Ll State of r b f B L County of D 0'J P, Before me this day personally appeared [i►e-`7f;1(0- Ly V'a who,being duly sworn,deposes and says: That he or she will be the only person working on the project located at: i ori 13 IS Sworn to(or affirmed)and subscribed before me this�day of I'�0�.( I y .20J,by Personally know Or Produced Identification ° Type of identification produced I up,13 Sp e, °�pa'P�•,,, GUS REYES - 'g; Notary Public-State of Florida •' o; Commission•FF 917888 1Y� My Comm.Expires Nov 28,2019 ` Sowed throuP Nalional Not Assn. Print,Type or Stamp Name of Notary Office 954.441-4224 Fax 954-693-4703 Email: premierenterprisegroup@yahoo.com Premier Enterprise Group of South Florida Inc g Building Contractor . Licensed& Insured CBC 1256001 Miami Shores Village Building Department 10050 N.E.2nd Avenue 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 fall-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 allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: t/� Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 1 day of D)uJ� ,20__t7 . Bye,wd,!5ck,-1cr/Rw J:8 p- &c rr jI,z who is personally known to me or has produced O r 015 as identification. Notary: SEAL: GUS RE1fES Nary►Public-State of Florida _• Commission#FF 817888 .�.° My Comm.Explm Nov 28,2018 �''`•` t`r`'� 8pbedttroolig Will taryAson. e Miami Shores Village Building Department - �0 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, owner P+V L D SC4�lA-EI � tj�I he (owner) hereinafter referred to as the owner of the following described property(Address): 4F3 Nyy l oz s,- tMpv" 5,Fl;3314b Legal Description Lot 0-fl Block A- Subdivision Ag, ��r�-� Folio # ll- ,Sl01 - ® lX - ® I ® a Requests permission to install (describe work):___n Q.,,/ pe,,,.$r- Within the public right of way of(address) �{, �1, a,✓. 1 0 2 5-t- pn; ; k _ iFI • ?3751R� IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Florida by the Village ager of Muni Shores illage (or his fully authorized representative). s Signature �. y. O er oTAn.The fore oing instrument was ledged before me this �6 day of ('(1 20 t'7, by who is personally known tome or who has produceds;,,�r� ;e � as identification and who did take an oath. NOTARY PUBL Sign: Print: My Commission xpires: {.,, •..,, sus R�rEs Notary Putrl�-State of Commission#F FF 917888 My Comm.Eapkes Nov Florida28,2019 • n ° 8011dedtIR0U1 Natbmt Notary Assn iI - 1W„WhSt salaams NAfe Pj#--c,,.d� to take �I llvr form s re l o;m s opportunity 66 cad,, nm,asma, OS 51bte to thank our ��' > dF urn,oa 'Ltttw( �rol nvlrams nvr 104ll�s z $ amazing clients cn >m ,emnsti7�t Nl 4-R 9Y �I I ! � rmi ln7b sl 0 33, � ���their support... - I . i M710r:151 6 n t11,J�1 st:a 3 m I %V 1011th lora.>. 9 rlF lo(nn4e Hvnaom•a u 44n5,; Than You!! ! IM gam 51 rh 941t$I Yep�•1014 REMAINDER OF LOT 20 ' REKNIMVE.R, OF ►,��' �1 O)v° BLOCK 1 � �- 0 75.00LP) (M F I.P.112- -.T-0.301 r�z� 0.30' 070'0 •••••s• C, •*�•0•0.'0�•0 •• ® 0 e• • /Q. :00 iaO O� ro CONC. •• ••' •ssgsi ••�.• 6.60' ooeg ••••• �( V� AIC •• ••• • �� ,3X3' v •• ••• goes ••••� �QQ 00 30.25 1.8' •• .• e.•g g•.e 7— :..'.• 0.08' CV ••••• CIO 1.70' `'ah 1.70 � e • • ; •••• • r \. a• • Y X e 22.85' 0. Y w 0 ONE STORY o p U D o J J ;., RESIDENCE O W 0 m p s.B M #43 M 07'p z m A M ' m 28.70 o LLI 0 10. 10' 24.33' vi It m �j� "�• 14. 5.0 N .� _ __�_ 1:50 � �l�(�e✓S �� 0 L"Cute©y�' 8 •0F.I.P.1/2n 12.80' �� i.1.A112 - - ,_24.00 q - �� 75.0 (P)(M)" y ►� , 15.5' RK Y T . I N.W. � 102nd STREET 19' ASPHALT PAVEMENT i Accepted By: roperty Address: 43 N.W. 102 STREET NOTES: NO NOTES MIAMI SHORES, FL 33150 SN ..N'1 ...I THAT THIS'SOUNDARY SURVEY'IS A TRUE AND CORRECT REPRESENTATION OF A 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 CHA -17.FL�{fRIDAO MINIS TIVE CODE PURSUANT TO 472.027.FLORIDA STATUTES. 10665 SW 190TH STREET SUITE 3110 SIGNED FOR THE FIRM MIAMI, FL 33157 MIG 11M S q STATE OF a PHONE: (305)740-3319 Fr� QQ� P.S.M.No.5101 FAX: (305)669-3190 NOT VA A ELECTRO NATURE AND AUTHENTICATED ELECTRONIC SEAL ANWOR LB#:6463 y � THIS MAP IS NOT VALID AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER. Survey:A-52094 Client File#: 14-0189 Page 1 of 2 Not valid without all pages. Surveyor's Legend PROPERTY UNE STRUCTURE B.R. BEARING REFERENCE TEL. TELEPHONE FACILITIES FND FOUND IRON PIPE / ® CONC. BLOCK WALL PIN AS NOTED ON PLAT D CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —X—X— CHAIN-LINK FENCE OR WIRE FENCE LB# LICENSE B - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX WOOD FENCE LSp LICENSE ® - SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK IRON FENCE CALC CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD ---- EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER —-— CENTER LINE CONTROL POINT I.R. IRON ROD S/W SIDEWALK ® WOOD DECK CONCRETE MONUMENT I.P. IRON PIPE DWY DRIVEWAY BENCHMARK N&D NAIL & DISK SCR. SCREEN OCONCRETE 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 P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T,O,B, TOP OF BANK _. WATER P.R.C. POINT OF REVERSE CURVATUREEDGE OF WATER O.H.L OVERHEAD LINES E.O.W. APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E.O.P EDGE OF PAVEMENT P.O.C. POINT OF COMMENCEMENT CATV CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER COVERED AREA P.C.P. PERMANENT CONTROL POINTW.M. WATER METER B.S.L. BUILDING SETBACK LINE Q TREE M FIELD MEASURED p/E POOL EQUIPMENT S.T.L. SURVEY TIE UNE •••• ••• '�• •POWER SLE p PLATTED MEASUREMENT CONC. CONCRETE SLAB CENTER UNE •a ® • CATCH BASIN ••••• D DEED ESMT EASEMENT 'R/W RIGHT-OF-WAY •C�J�. ::QJ`:•JTIUTY EASEMEA? C CALCULATED D.E. DRAINAGE EASEMENT PUBLIC UTILITY EASEMENT •a•• P.U.E. 09000 • I.E.:E.E. IN�RESS / EGRES:604660 U. L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. L.B.E. LANDSCAPE BUFFER EASEMENT C.M.E. CANAL MAINTENANCE EASEMENT - U,E• • UTILITJ EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EASEMENT A.E. ANCHOR EASEMENT • • •••• •••• General Notes: •Property Address: :";" • ••• •• •• 1. The Legal Description used to perform this survey was supplied by others. ' • •a 0••• This survey does not determine or is not to imply ownership. •jA&W.W. 10a STREET• • • 2. This survey only shows above ground improvements. Underground utilities, MIAMI SRO", FL A150 ' 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: 12086CO302 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 comers 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: 9/11/2014 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted. Date Of Completion: 9/12/2014 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: THE SOUTH 100 FEET OF THE WEST 25 FEET OF LOT 21,AND THE SOUTH 100 FEET OF LOT 20, BLOCK 1, OF NAVARRO,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 12, PAGE 59, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. . Certifi�To: DAVICS-S�AF�IFt AND N�DIR�C�ARRETO�LO�tfD PRINTING INSTRUCTIONS: TITLE&TRUST, LLC; NORTH AMERICAN TITLE INSURANCE While viewing the survey in any Acrobat Reader, COMPANY; STONEGATE MORTGAGE CORPORATION; . select the File Drop-down and select"Print" Its successors and/or assigns as their interest may appear. Select a color 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 foto Policy Preparation Purposes on y: Under the"Page Scaling" please make sure you have This policy does not insure against loss or damage by reason of the following exceptions: Any rights,easements,interests or claims which may exist by reason of,or reflected by,the selected"None." following facts shown on the survey prepared by MIGUEL ESPINOSA dated Do not check the"AutoRotate and Center"button. 09/122014 bearing Job# A-52094 Check the"Choose Paper size by PDF"checkbox. a)NO NOTES Click OK to Print. a) M.E. Land Services, Inc. 10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157 PHONE:(305) 740-3319 FAX#:(305) 669-3190 LB#6463 Tbw WWW"MELAN®SERVICES.COM Survey:A-52094 Client File#: 14-0189 Page 2 of 2 Not valid without all pages.