DS-17-705 sm-
Perm�t N D4- -7Q5
Miami Shores Village F�etml u rl�t Vlt 3W i $1 abs
10050 N.E.2nd Avenue NE "
Work`�1ss1�ICStt dlt�otertlal
•••• Miami Shores,FL 33138-0000
Phone: (305)795-22041� €t APPC}VEI
fi At°A �M�' Ex !ration: !1212017
; k r, sstra 3111 6l2tt�' p.
Project Address Parcel Number Applicant
270 N E 100 Street 1132060134450
HEIKO S ELENICE DOBRIKOW
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
HEIKO&ELENICE DOBRIKOW 270 NE 100 Street
MIAMI SHORES FL 33138-2419
Contractor(s) Phone Cell Phone Valuation: $ 3,900.00
MAST GENERAL CONSTRUCTION (305)365-8556 (786)838-7333
Total Sq Feet: 87
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:CHANGE EXISTING SLATE STONE WALK Additional Info:CHANGE EXISTING SLATE STONE Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40 Invoice# DS-3-17-63326
DBPR Fee $2.00 03/16/2017 Credit Card $50.00 $69.40
DCA Fee $2.00
Education Surcharge $0.80 03/16/2017 Credit Card $69.40 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $3.20
Total: $119.40
In consideration of the issuance to me of this pe t, I ree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with t I ,dr ings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume res o r or done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,P ING, CA ,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFF! I a for oing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an zo th above-named contractor to do the work stated.
March 16, 2017
uthorized Signature:Owner / plicant / Contractor / Agent Date
Building Department Copy
March 16,2017 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fac(305)756-8972 C.
INSPECTION UNE PHONE NUMBER:(30S)762-4949 `F---�
FBC 20BB
BUILDING Master Permit No. C((v-�" 1 — q0-0
PERMIT APPLICATION Sub Permit No.Z)S Fz� -=Kp:
QBUILDING []ELECTRIC ❑ ROOFING REVISION ❑EXTENSION [-]RENEWAL
E]PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [:] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 270 NE 100 th St
City: Miami Shores County: Miami Dade Zia:
Foil o/Parcel#:11-3206-013-4450 Is the Building Historically Designated:Yes NO X
Occupancy Type: Res Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Heiko$ Elenice DobrikoW Phone#:(305)758-5335
Address:270 NE 100th St
City. Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR.Company Name: MAST General Construction, LLC Phone#: (305)365-8556
Address: 600 Grapebw Dr 97FN
Cit,. Key Biscayne State: FL Zip: 33149
Qualifier Name: Marco A Telles Phone#: (305)365-8556
State Certification or Registration#: CGC1519723 Certificate of Competency#:
DESIGNER:Architect/Engineer: N/A Phone#:
Address: City State: Zip:
Value of Work for this Permit:$$3,900 Square/Unear Footage of Work: 87 sC)ft
Type of Work: ❑ Addition N Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Woric Change e)dsting slate stone walkway from straight layout to new chic ago brick paver slightly arched shape.
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$
(RevMM7/24/2014)
� i
ti '46 . I
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) N/A
Mortgage Lenders 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. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC....
OWNER'S AFFIDAVR: 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 low brochure will be delivered to the person
whose property is subject to ottachment Also,a cert" of the recorded notice of commencement must be posted at the j ite
for the first inspection which occurs seven (7) d the building permit is issued. In the absence of such posted ;-e, the
inspection will not be approved and a rei 11 be charged.
r
2�5
Signature 1119,4 Signature--7f
OWNER or AGENT J CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
17 day of March -.20 17 ,by 17 day of March .20_17 .by
Marco A Telles ,whq a onally know o Marco A Telles ,who' personally known
me or who has produced i as me or who has produced as
identification and who did tat a h. identification and w i k an oath.
NOTARY PU NRNOT P A RTINEZ
•
4M4d
I%za1a aor 3,2018
Sign: MID Sign: i ff 111111Q0
Print: Print: Bono
Seal: Seal:
##SS##i#########iiiiiSSSiiiiiiii ;7t�71;
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PAVER INSTALLATION AND SUBGRADE PREPARATION
-
Chicago Brick PaversSwimming Po01 Septi
Joint Fine Sand s
BeddingSand ank
- - Plastic edge restraint Miami Shores lIlage
Top soil
Galvanized stake APPROVED (3Y REVISION8:
�
1 ouw,::
'aggresate►m ZONING DEPT
Sloped Compacted
Subgrade BLI03C DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
PFtorear:
'� STATE AND COUNTY R SAND REGULATION
EXTERIOR SCOPE OF WORK
� Ud1ERI0R REMODELING
�o Residence Area
1. Remove existing slate stone from entry door and walkway,
2. Install Chicago bricks, similar to existing, on new walkway and \�� CANNE M'.
entry door exterior foyer(approx. 132 sgft); N ��� Area of Work
.. .. `
;•• •; . Prepare subfloor for paver installation (approx.88 sgft); ® r — — HEaco DOBwKow&ELDUCE A.DOBRIKOW
•.. - -
• •• �Q�� i ar walkway . . . . . ADDRees.
�,�. :R I"near^ �a cJ / t w Chicago bricks
000000 •• •• 270 NE 100th ST
Q)' MIMI SHORES
FL 33138
•• •• • 000.0. �\�rb . . .. •• .�•••••'•••
•••
•••• a .,• • • '.r.�. • �Li` ..l�rr
Existing Lawn(grass)
:•+•
:.... 0:.00••• • . •II�
'..'..•'..•'..••..•
'
SITE•
• •••i.00
to remain as is NOTES0000 •Fdstngwyi •• • • • • SCOPE OF_
SCHEDULES
0• • 0 Slate U e • .i. ••k`:': —
0*0000
••
DEAL-
Ebsbn l Lawn(grass) • Sidewalk
.'.'�'. •'Ebstin Cktica o bricks Pavers
Sidewalk `
E)dsbnn Mimrn bricks Pavers
IL m e 077
FEB-14-2017
•'aMAMA GRASS
RM-11mem oae tows
Existing Plan NE tooth St Proposed Plan Existing Chicago bricks Pavers
Buildin Plan NE 100th St
to remain as is A-Z OF
SCALE: NTS " 03
ro the best o1 my knorledg ssbIwA"Wing em*y vM Fail Cade Camty regale a Find tetter of CompOmKs trap ArdMwL Any deAamt of opprwed dra•bu9 te:sbb)ed to revtsbn by Arddteet/En .Cwtradar or sub amtraator Watl,ratHy Arahtteat prbr m y ebm ge w M Fane an opprmed aa•4hgt