REV-16-2845BUILDING //�
PERMIT APPLICATION Sub Permit No. �r�C,V 10- 1 l7 --zs4 S
❑BUILDING ❑ ELECTRIC ❑ ROOFING ly(REVISION ❑ EXTENSION RENEWAL
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
RECEIVED
OC 19 2016
BY.) JG
FBC 20l
Master Permit No. Rc -?-t-12-
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Lo 5 (0 5 1--.1 L 2 T
City: Miami Shores County: Miami Dade Zip: 3', 13r
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
t(OSC, 5 0 0 2 Cr
City: 1t .((Lt C S L&-1_, State: pl
Tenant/Lessee
Name: Phone#:
OWNER: Name (Fee Simple Titleholder):
Address:
BFE: FFE:
Phone#: S —2 «' 2-9 1 r
Zip:3; A 3?
Email: �^
CONTRACTOR: Company Name: S).i L. (f) t./l.-‘11-1) C (O'1 Phone#: 36S S 2'5-- I :7
Address: 2.5 IA J W i/ L� ,
City:f �CJ�VI C7 1 tate: Zip: 0 6
Qualifier Name: C.-
State Certification or Registration #: ,0 coe G 9 ( Certificate of Competency #:
DESIGNER: Architect/Engineer: iP (�P �t ` Phone#:
Address: City: State:
Value of Work for this Permit: $ -eU1� 1 ®✓t Square/Linear Footage of Work:
New ❑ Repair/Replace(El Demolition
Description of Work: �, e(i ` 10 U C. -0%A- V lc s.1/4'Tev� -1k s - k -/-
t k4.4.4,,,,,c-cc C.-24 „...t)1 M. �c d S
Zip:
Type of Work:
❑ Addition ❑ Alteration
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ R-.5 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ 120 Bond $
TOTAL FEE NOW DUE$ e n-4
(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. 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 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. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
lc) day of Cei-€ , 20 i (0 , by
.111434- Cf(3,, (i.4 cp 1.414 is personally known to
me or who has produced as
identification and who did t•. e an oath.
NOTARY 'Ai BLIC:
Sign:
Print:
Seal:
MY COMMISSION
EXPIRES:Mot 18 2019
gip`°tom
�N
1/J
Signature
CONTRACTOR
The foregoing instrument was acknowledged before meIthis
day of , 20 1 l/ , by
Uf 1.C. t , 8vF is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Z/
L-cuJ L -C4— k7I
******************************************************************
APPROVED BY
(Revised02/24/2014)
�I ' ‘2
Plans Examiner
LAURA FARLEY
MY COMMISSION # FF 188027
EXPIRES: March 16, 2019
* °* Olid>ilanB lUa sermeR*************
Zoning
Structural Review Clerk
(Lc -3--16-- gyZ
KEANE SOIL PRETREAT & COMPACTION, INC.
(954) 462-0607
Notice of Preventative Treatments for Termites
(As required by Florida Building Code (FBC) 109.2.2)
i i D f -S
Io.S/cS `C1
Dte
Prct us -,d
Address of Treatment
,421= 30
aiY\
/' Chemical used
��A plicator
Gallons applied
SO
Percent concentrati& 1 n 4r treated linear feet treated
�0_ R
Stage of treatment
As per 109.2.2 —If soil chemical method for termite prevention is used, final exterior treatment shall be
completed prior to final building approval.
If this notice is for the final exterior treatment, initial and date this line
LC -3-16.8`i2
'Thcp.
KEANE SOIL PRETREAT & COMPACTION, INC.
P.O. BOX 4968
HOLLYWOOD, FL 33083
(954) 462-0607
LIS. & INS. y` ;
BILL TO
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Ji I
C. ,a 1 ,
DATE
a / I''
ADDRESS
P.O. # /
CITY
ST.
ZIP
JOB #
PHONE
JOB ADDRESS
PERMIT #
LOT
BLK.
CITY 's r
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C (!n ,1 j
SIGNED BY
1 0•
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f'�(�) 6t P--'.1,
SUB.
AMT.
JOB DESCRIPTION
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WORK COMPLETION RECEIPT
`Thank `You INVOICE
1
Reorder From NEM C JS I.IV °`printinn service 1-800-800-6327 NEBS. Inc Peterborough. NH 03158 www.nebs.com Ref. No: G 020-800116
ENGINEERING
P'
'
ederal(2,c---16-8(12
& TESTING INC.
250 SW 13th Ave Pompano Beach, FL 33069
Phone 954-784-2941
800-848-1919
Fax 954-784-7875
www.fed-eng.com
Client:
Address:
Project: Proposed Addition
Address: 10565 NE 2nd Court, Miami Shores, FL 33138
Field Density Tests of Compacted Soils Method D-6938
JMEC Construction, LLC Date:
560 NW 39th Avenue, Coconut Creek, FL 33066 Order #:
Permit #:
Tech:
Area Tested: Pad for Addition Compaction Req.:
Material Type: Grayish Brown Sand with Some Rock
Proctor Method:
September 1, 2016
16-2476
SL
95%
ASTM D-1557
Test
#
TEST LOCATION
Probe
Depth
Elev.
Moist
%Density
Dry
PCF
Proctor
Value
PCF
Optimum
Moisture
%
Compaction
Pass
1
At Center of Pad
12"
FL
9.6
115.0
114.5
12.0
100.4%
Yes
2
At NE Comer of Pad
12"
FL
8.2
109.3
114.5
12.0
95.5%
Yes
3
At SE Comer of Pad
12"
FL
10.1
110.1
114.5
12.0
96.2%
Yes
4
At SW Corner of Pad
12"
FL
8.8
109.0
114.5
12.0
95.2%
Yes
5
6
7
8
9
10
11
12
13
14
Remarks: See Reverse Side (Page 2 of 2) for Disclaimer
This Is a Compaction Test only on the top 12" of the pad and is not a verification of Soil Bearing Capacity.
Legend for Elevation:
PR = Proofroll 1,2,3 = 1st, 2nd, 3rd Lift
SL = Springline FL = Final Lift
SG = Subgrade BG = Below Grade
BC = Basecourse BOF = Bottom of Footing
TOP = Top of Pipe FG = Finished Grade
Submitted by:
Keith LeBlanc, P.E.
Federal Engineering & Testing, Inc.
Florida Reg. No. 59394
Certificate of Authorization #5471
9/2.44
As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clientss,,'and authorization for publication of statements,
conclusions or extracts from or regarding our reports is reserved pending our written approval. A density test determines the degree of c ocnpa'Uon of the tested layer of
material only. A density does not replace a soil bearing capacity determination. After laying dormant for a period of 90 days or after heavy rain/storms, retesting must be
performed on this work.
PAGE 1 of 2
Compacted Soils Method D-6938 Disclaimer
Pursuant to your request, Federal Engineering & Testing, Inc. (FET) has performed a compaction test at the referenced
project on the reverse side. The purpose of our test was to determine the degree of compaction of the tested layer of
material only. In no way shall a compaction test replace a soil bearing capacity determination. A soil boring test must be
performed by the client prior to construction to verify subsoil conditions. Our scope of services only included testing the top
12" of added fill material. FET was not contracted to perform supervision of the building pad preparation. This testing of
the added fill material does not include an analysis of the underlying soil materials to determine if they are capable of
supporting the proposed structure without settlement. This density compaction test does not warranty any underlying soil
materials or conditions below the tested top 12 inches of material. If no soil borings have been performed in the location of
the proposed structure, we recommend performing soil borings below all foundation areas of the proposed structure to
verify the underlying soil conditions.
Environmental analysis of the soil materials is not part of the scope of services. If environmental analysis of the soils is
required, we can provide a proposal for performing an environmental analysis of the soil materials. The scope of services is
for determination of the degree of compaction of the tested layer of material only. No other analysis is implied or warranted.
Job project specifications were not available at the time the work was performed. Determination of the pass/fail compaction
results are based on current common industry requirements of 95% of the ASTM D-1557 standard for building foundations
and 98% of the AASHTO T-180 standard for paved areas such as roadways and parking lots. If different specifications are
required, Federal Engineering & Testing, Inc. shall be notified.
Our findings are relative to the date and areas of our site work and should not be relied upon to represent conditions on
other areas or dates. Any subsequent site disturbances due to water erosion, rain waters, construction activities, utility or
footing excavations, overgrown vegetation, traffic and other disturbances will void this test and the site must be re -
compacted and re -tested prior to construction.
As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of our client
and authorization for use, publication of statements, conclusions or extracts from or regarding our reports is reserved
pending our written approval.
It has been a pleasure working with you and we look forward to doing so in the near future.
Page 2 of 2
i
(ZC-3-t6 ®t2
GRAPHIC SCALE
20' 10' 0 10' 1120'
(INFEST)
I INCH = 20 FT.
LEGAL DESCRIPTION:
LOT 12 AND THE NORTH z OF LOT 13, BLOCK 14, OF "FIRST ADDITION
TO PASADENA PARK", ACCORDING TO THE PLAT THEREOF,
AS RECORDED IN PLAT BOOK 0, AT PAGE 82, OF THE PUBLIC
RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
PROPERTY ADDRESS:
FOLIO NO. I I -223 I -0 13-0590
10505 N.E. 2nd COURT,
MIAMI SHORES, FL 33 138
AREA OF PROPERTY: 8,025 SQUARE FEET AND/OR
0. 198 ACRES MORE OR LESS.
CERTIFIED TO:
THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE
EXCLUSIVE USE OF THE ENTITIES NAME HEREON. THE
CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED
PARTIES.
- SAMUEL THOMAS COMERFORD AND YORNET COMERFORD
SURVEYOR'S NOTES:
1 .) THE ABOVE CAPTIONED PROPERTY WAS SURVEYED AND DESCRIBED BASED ON
THE ABOVE LEGAL DESCRIPTION: PROVIDED BY CLIENT.
2.) THIS CERTIFICATION 15 ONLY FOR THE LANDS AS DESCRIBED. IT 15 NOT A
CERTIFICATION OF TITLE, ZONING, EASEMENTS, OR FREEDOM OF ENCUMBRANCES.
ABSTRACT NOT REVIEWED.
3.) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS BOUNDARY
SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF HI5 COUNTY,
EXAMINATION OF ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE
RECORDED INSTRUMENTS, IF ANY AFFECTING THIS PROPERTY.
4.) ACCURACY: THE EXPECTED USE OF THE LAND, AS CLASSIFIED IN FLORIDA
MINIMUM TECHNICAL STANDARDS (5J-17.5 I FAC), 15 °RESIDENTIAL°.THE MINIMUM
RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF BOUNDARY SURVEY 15 1 FOOT
IN 7,500 FEET. THE ACCURACY OBTAINED BY MEASUREMENT AND CALCULATION OF
A CLOSED GEOMETRIC FIGURE WAS FOUND TO EXCEED THIS REQUIREMENT.
5.) FOUNDATIONS AND/OR FOOTINGS THAT MAY CROSS BEYOND THE BOUNDARY
LINES OF THE PARCEL HEREIN DESCRIBED ARE NOT 51-1OWN.
G.) TYPE OF SURVEY: BOUNDARY SURVEY
7.) ELEVATIONS SHOWN HEREON ARE BASED ON TO THE NATIONAL GEODETIC
VERTICAL DATUM OF 1929 (N.G.V.D.29)
8.) ALL MEASUREMENTS ARE IN ACCORDANCE WITH THE UNITED STATES STANDARD
U.S. FOOT
9.) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK ON THE
HEREIN DESCRIBED PARCEL FOR BUILDING AND ZONING INFORMATION.
10.) UNDERGROUND UTILITIES ARE NOT DEPICTED HEREON, CONTACT THE
APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK OR CONSTRUCTION ON THE
PROPERTY HEREIN DESCRIBED. SURVEYOR SHALL BE NOTIFIED AS TO ANY
DEVIATION FROM UTILITIES SHOWN HEREON.
I I.) ENCUMBRANCES NOT SHOWN ON THE PLAT.
12.) THE WRITTEN CONSENT OF LANDMARK SURVEYING $ ASSOCIATES, INC.
UNDERGROUND PORTIONS OF FOOTING, FOUNDATIONS OR OTHER IMPROVEMENTS
WERE NOT LOCATED.
1 3.) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED.
14.) WALL TIES ARE TO THE FACE OF THE WALL.
1 5.) FENCE OWNERSHIP NOT DETERMINED.
I G.) BEARINGS REFERENCED TO LINE NOTED A5 B.R.
17.) BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION OF
THE SURVEY WORK PERFORMED IN THE FIELD.
1 8.) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
19.) THE SOURCES OF DATE USED FOR THE PREPARATION OF THIS BOUNDARY
SURVEY 15 °FIRST ADDITION TO PASADENA PARK° RECORDED IN PLAT BOOK 0,
AT PAGE 82.
20.) THIS MAP OF SURVEY 15 INTENDED TO BE DISPLAYED AT A SCALE OF ONE
INCH EQUALS 20 FEET OR SMALLER.
MAP P O r BOUNDAFCY SJURIVEY
40 DEDICATED PUBLIC RIGHT -OP -WAY
{
20.00'
FOUND z
IRON PIPE
(NO ID.)
LOT 10 AND 11 OF BLOCK 14
(P.B. 6 - PG. B2)
115.00'
LOCATION MAP
SECTION 31 TOWNSHIP 52 SOUTH, RANGE 42 EAST
LYING AND BEING IN MIAMI-DADE COUNTY FLORIDA
(NOT TO SCALE)
-
NE 107TH NT
O --
Otn O
FOUND z°
IRON PIPE
(NO ID.)
O
x
O
;29.70'
x
x -1-- x
O
Ln :90
i Se
BRICK
DRIVEWAY
12' PARKWAY
20.00'
O
0
N
25.00'
FOUND Z°
IRON PIPE
(NO ID.)
0
z
10.50'
25.00'
m ONE STORY
RESIDENCE
No. 10505
47.05'
7.35'
44.50'
FORM BOARD
UNDER CONSTRUCTION
37.15'
O
5-
9.40
x x x
1 1 5.00'
v
0
x
A PORTION OF
LOT 13 OF BLOCK 14
(P.B. 6 - PG. B2)
u
In
In
14.20'—
15.19'
/0.45'
94
N
0
x k x x
FENCE
ON LINE
14.20'
x,
0.50'
WEST
WALL
ON -LINED
0
J
0
L
NN
I- Ca
❑•
a
�tfl
00
a:
IL-
"'
0
0.10'
FOUND 'i°
IRON PIPE
(NO ID.)
-WEST
Z
1-
❑
a
suW IJ ass�r�: 'rte
LB N. 7633
PROFESSIONAL SURVEYORS AND MAPPERS
1470 N.W. 1 07th AVENUE, SUITE °I'
MIAMI, FL 33172
PHONE: (305) 550-4002 FAX: (305) 550-4003
WWW.LMSURVEYING.COM
EMAIL-LANDMARKSURVEYI NG @ HOTMAIL.COM
ABBREVIATIONS ANO LEGEND:
NC
APPR.
ASM.
B.C.
B.M.
C.B.S.
CONC.
L. P
CB
M
L.M.E.
D.E.
D.H.
(R1)
WPP
U.E.
P.B.
PG.
P.C.P.
P.O.B.
TYP.
—„—
x-
-�
O
A
1.111111111111111111
=DENOTES AIR CONDITIONING UNIT
=DENOTES APPROXIMATE
=DENOTES ASPHALT
=DENOTES BLOCK CORNER
=DENOTES BENCH MARK
=DENOTES CONCRETE BLOCK STUCCO
=DENOTES CONCRETE
=DENOTES LIGHT POLE
=DENOTES CATCH BASIN
=DENOTES CENTERLINE
=DENOTES MONUMENT LINE
=DENOTES LAKE 8 MAINTENANCE
EASEMENT
=DENOTES DRAINAGE EASEMENT
=DENOTES DRILL HOLE
=DENOTES MEASURE
=DENOTES RECORD
=DENOTES WOOD POWER POLE
=DENOTES UTILITY EASEMENT
=DENOTES PLAT 500K
=DENOTES PAGE
=DENOTES PERMANENT CONTROL
POINT
=DENOTES POINT OF BEGINNING
=DENOTES TYPICAL
=DENOTES WOOD FENCE
=DENOTES CHAIN LINK FENCE
=DENOTES IRON FENCE
=DENOTES FOUND IRON PIPE (NO ID.)
=DENOTES FOUND NAIL AND DISC
=DENOTES ASPHALT PAVEMENT
=DENOTES BRICK
=DENOTES CONCRETE PAD
ALL BEARINGS AND DISTANCES SHOWN
HEREON ARE RECORD AND MEASURED
UNLESS OTHERWISE NOTED.
SURVEYOR'S
CERTIFICATION: 1 HERESY CERTIFY TO THE BEST OF MY
KNOWLEDGE AND BELIEF THAT THIS °MAP OF BOUNDARY SLRVEY' 15 A TPUE AND
CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THAT IT
MEETS THE STANDARDS OF PRACTICE A5 5 `ORTH BY THE STATE OF FLORIDA BOARD
OF PROFESSIONAL LAND SURVEYORS IN ER 51- 17.050 THROUGH 5J- 17.052 OF
THE FLORIDA ADMINISTRATIVE CODE ' IMPL`_t` - . I' G LAW, PUR5UANT TO
CHAPTER 42.02, FLORIDA STATUTE.
SIGNED ` - FOR THE FIRM
RICARDO RODRIGUEZ, P.S.M. ' 5.5..x. No. - G -STATE OF FLORIDA
NOT VALID WITHOUT THE SIGNATURE AND THE 0 GINPL ' SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER. ADDITIONS 0 1 IONS TO SURVEY MAPS OR
REPORTS BY fT'-5 T"AJ 1i .E SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT
WRITTEN CONSE” OF THE SI,._;NING PARTY OR PARTIES IN A DIGITAL FORMAT NOT
VALID 5q";OUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED
ELE'TRONIC SEAL.
W
0
m
LL0
FLOOD ZONE: X
ELEVATION: N/A
COMMUNITY: 120052
PANEL: 1 208000302
DATE OF FIRM: 09- I I -2009
SUFFIX:
L
ORIGINAL FIELD
WORK SURVEY 04-28-2010
DATE
BENCH MARK:
N/A
ELEVATION:
N/A
DATE
DRAWN BY
SCALE
04-28-2010
E.A 1 °=20'
REVISION / UPDATE OF SURVEY
DATE
DESCRIPTION
09-09-2016
UPDATE
JOB No -
1004 -033
J