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DS-17-1232Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. DS -5-17-1232 P• Permit Type: Driveways/Sidewalks/Slabs irri' Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 5124/2017 Expiration: 11/20/2017 Parcel Number Applicant 1080 NE 93 Street Miami Shores, FL 1132050150110 Block: Lot: DIANE EDE-NICHOLS Owner Information Address 1080 NE 93 Street MIAMI SHORES FL 33138-2939 Phone Cell Contractor(s) ONE STOP PAVING Phone (786)299-1354 Cell Phone Valuation: Total Sq Feet: $ 10,744.00 2176 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: NEW PAVER DRIVEWAY Bond Return : Scanning: 3 Additional Info: NEW PAVER DRIVEWAY Classification: Residential Fees Due Bond Type - Contractors Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $500.00 $6.60 $3.00 $3.00 $2.20 $200.00 $9.00 $8.80 $732.60 Pay Date Invoice # 05/24/2017 05/11/2017 Bond #: 3407 Pay Type DS -5-17-63910 Check* 1716 $ 682.60 $ 50.00 Check #: 1710 $ 50.00 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Final Foundation Review Planning Review Building 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 cethat all th- foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fu)• ermor- : uthorize the above-named contractor to do the work stated. i i May 24, 2017 A - . ignature: •wner / Applicant / Contractor / Agent Building Department Copy Date May 24, 2017 1 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-22C4 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Master Permit No. Sub Permit No. LILDING ❑ ELECTRIC 7 SO. .NG ❑ REVISION PLUMBING ❑ MECHANICAL fPUB11C WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: \O BO t c3 c -- RECEIVED MAY - 411117 CV(0-4 FBc i lo� -I DS - ►232 ❑ EXTENSION ❑ RENEWAL ❑ CANCELLATION n SHOP DRAWINGS City: Miami Shores Folio/Parcel#: (1 32.09 O1S 0110 County: Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: tO Bo L 9 3 City: Tenant/Lessee Name: Email: Construction Type: Dtov'e Miami Dade Zip: 3313 0 Is the Building Historically Designated: Yes NO Flood Zone: BFE: FFE: Phone#: 307 1 jii 1°c14 ^-'knGm< ckei Ore S State: Phone#: Zip: 3 3 y3 S CONTRACTOR: Company Name: Address: ‘.4 (D?> @ City: State:— Zip:3 �) Z Qualifier Name: Co AOCVLt.d S*A Phone#: State Certification or Registration #: CUC- l S \3 1 1 Certificate of Competency #: 'CI2-3 \ 70 c) . DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: v1P S -(or t�Gv;v7� Twp 113 s4 63 - ►_ - Y�iQo c L - Phone#: -76G9 2o)c %35-41- Value 39 Value of Work for this Permit: $ 11A4,vJ Type of Work: ❑ Addition n Alteration Description of Work: Square/Linear Footage of Work: Z k1 (40 New ❑ Repair/Replace n Demolition IJvr Po - t.)5 Specify color of color thru tile: Submittal Fee $ w' Scanning Fee $ q Technology Fee $ 8-'2)0 Permit Fee $ Te� 2C° • Ci CCF $G , (O Radon Fee $ 3' DBPR $ 3, oz) Structural Reviews $ 1 (Revised02/24/2014) Training/Education Fee $ CO/CC $ Notary $ j Double Fee $ Bond $ b30 ' 0�J TOTAL FEE NOW DUE$ (82 60260 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature.4 ia a•C.dt Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 2 day of CONTRACTOR The foregoing instrument was acknowledged before me this , 20 11 , by 2 day of �I , 20 11 , by D CAn e �. e U 4CV1-o\,$, who is personally known to 00 S s. , l who is personally known to as me or who has produced identification and who did take an oath. NOTARY PU C: NOTARY PUBLIC;, I 4 .,_ ,.....,,,,,,„ mmr me or who has produced identification and who did take an oath. Sign: Print: Seal: so' MY COMMISSION # FF 195634 ffl EXPIRES: February 3, 2019 yr Bonded Thru Notary Public Underwriters ***************************** APPROVED BY (Revised02/24/2014) Sign: Print: Seal: ri cr,-'aa eSak) as h 0. soy'Ir'' BARBAR, SOBRINO • A MY COMMISSION It FF 185634 •= EXPIRES: February 3, 2019 Bonded Thru Notary Public Underwriters *,********************************************************************** I �7 Plans Examiner Structural Review J/(Imo] I Zoning Clerk Paving Inc. ac4c/,,1 2cv44/,5�w�7 Cam ds / UL1 so �s hal be c ' / ‘e ✓ 4PDSI ! /j 1 Ce/U- 4/ o-,7 f ke % / /080 1,)_ q3 54- fraileGr � C4le d a 7 S4o„.I L «6 S )'5ce: leJ b14- e a / ec 47 sAIS a' MY COMMISS OI�FF 195634 rte.` EXPIRES: February 3, 2019 V Bonded Thru Notary Public Underwriters 2 J7 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 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 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: _ State of Florida County of Miami -Dade The foregoing was acknowledge before me this Z day of By V i Cttn e . u i r `' _ who is personally known to me or has produced ,20 l`1 as identification. BARBARO SOBRINO MY COMMISSION # FF 195634 EXPIRES: February 3, 2019 Bonded Thru Notny PybGc Underwriters One Paving Inc. Proposal/Contract CGC 1513719 TO: PROJECT: .C:>'%'` 1 NAME: Lg_ '6ibLv+2. . PJ?c114(s NAME: ADDRESS: ADDRESS: .Y:6b 0E %(3 .1 PHONE: m. Sc.O rt- S FAX: DATE: S / 1 // '1 DESCRIPTION / WE PROPOSE PERFORM ALL MATERIALS, LABOR AND EQUIPMENT NECESSARY FOR THE FOLLOWIG SCOPE OF WORK: K 21`?6 s 1.k 1041449 Par 0." -Z1 - rt 402,- 3o/ so.. D•;ve. Ire. i The work and performed by the co may result in a lien being placed on the premises described above, in case the owner or contractor default its in any payment under this contract owner hereby agrees to accept full responsibility for all fences, sidewalks, all underground pipes, wires septic tanks, drain lines, wens, etc. unless stated above. Owner Is liable in full amount of contract in the event owner cancels after work has started. The co shall not be responsible for damage or delays do to strikes, fires, accidents, or the others cause beyond its control, not for inherent defects in the premises on which work to be done. In the event of any default of this contract by owner -owner agrees to pay all cost and reasonable attomey's fees incurred by One Stop Paving, Inc. as a result of said default All materials are guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders and will become an extra charge over and above the estimate. This proposal subject to acceptance within_ days and is void thereafter at the option of the under signed work shall begin within 10 days of this contract being signed by all parties here and retum to the co. On stamp concrete work contractor will not be responsible for variation results on the color select by Owner. TOTAL PROPOSAL SUBMITTED BY: Carlos Aco Acceptance of contract The above prices, specifications and conditions are hereby accepted. You are to do the work as specified payment will be made as o tlined above i/ APPROVED BY: i�% DATE: 5-/ h7 1463 NE 173 ST N. MIAMI BCH FL 33162 PHONE: 786 299 1354 FAX: 305 947 3233 STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant, Dk0-"w fie- ii `ZLd `Sloes hereby attest that (Property owner) II � _ The attached survey, performed by �tn'1seribavl Sov)iCe� d.{- 1a ; (Name of surveyor's company) 11I For address: lOao lei & G,3 s-1---%,--Li'am 5q.,t,' S • , Performed on 0-7/k Z /200 (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further, Affiant say eth naug. Property Owner Signature SWORN TO AND SUBSCRIBED before me this 2_ day of Affiant is peLs,onally known to me, Revised on 5./22120091 Revised on 6112/09 produced X Lam. ►Giy►rr Eck,¢.. -1V Lci ot.s Property Owner Print Name . LOt 1 as identification. „.tip"k, BARBARISM! .r_ MY COMMISSION Y FF f '•--�� A EXPIRES: February 3, 1 Rf kIV Bonded Thru Notary Puble Und Notary or/10/04 10:01 t'A2. 4U&DU %BiJy BALD . !SUIS . rElISIGIUK SLAW; SKETCH OF 1OUNDARY S SCALE: 16 OR 20' 'J It NO REVIEWEQ Florida Health Mia i -Da O.S.T.D.S$� , -II •r Apptidi : Da Signature T/15/04 13;38 FA; 3066850969 !LPIVEL Li j IM T 2�.,�.. SUBDIVISION 9ALAS , EDB . PE'1ER90N &LACE lit 002 _IIIIMMOREPARIC .®.4141 AOOORDING TO THE PLAT THEREOF AS MOORDED IN PLAT BOOK fB OF THE PUBLIC RECORDS OP DIME COL NTY, FLORIDA ..U! 4141 f 4141. •4141 . . • . 1 . .• CERI1 '!D TO: . . 0000 . 00.. 4141. • • .... • . .. • ... • 0041. • • .... (yet i L.....em••••10....~111MON ONNINOMINIMI Of•YeImem oge...,. , nip Tam 4141..,__ PAGE 71 tiAL Ai► Dom, �ALLAA $, A it's�s favlflfiP , ati,oa�, AITOMYIP TIME DiTsurdom pump. WE I4E:RE Y CERTIFY T TNE ATTACHED EiliETCH O E MAMMY SURVEY of Tiff; AIME DEScREIRD PROPERTY ISA Trus AND t OXT REPREEENTAllobi OF A MELD WPM MADE I AIDER MY AMC WETS THE iwin l2l TECHNICAL. sinus, Ab;tu 97 T4E FLORIDA 8w AM 4P PROFIESIONAL IA 1 SURVEYORS AND MAPPERS,Si WAFTER MG 17-s OF TNS FLORIDA ArzwarTRATNE 000E, PtifitituANT To EECTDom 42w, pimoDA DIIiAwrEa. AD>DRE 3+iE. &REET . WEAL FL um JOS NUMBER: I DATE OF FEIN SURVEY: __(j,ji M'iz REVISION DDA7 American Services Of Miami, Corp. Exigineers — hers — Surveyors LB # 6683 2450 SIC 131, Ave., Spite 217, Mogi, Karl&33r75 (30 554-6463 Am 6305) 554-7516 F3am�r.1: Dim tet mix= EXAI kTIM OF 'TH A 1 cT TITLEif WILL Ii+tvE TO BE MADE TO DETERANNE RECORDS) INSTRUMENTS, IF MY AFRSOTING Twos pommy 411110ARd ELEVATIONS ARE BAIRD ON NALV.(! matoputo.uraaraut bAA11, 4 OF MR -LEQAL ©R*ERION WAS PROVIDED EY TM GUE(YT 440 UNDEROROuND memo emo t',TOR RIPI4S WANT* NAVR IMI 1.Qwey, noaPTes t Nor®. THERE ARE Aro mini ii ENCROACKILISNro AT init11•04,1Tt iriCWN- Atmiur O R. was - PROFESSIONAL LAND SUIRYEYt7R AND MAPPERS No. mCS STATE OF PLoPdDA ��liiimsta sem. 1."-...- DRIVEWAY PAVER DETAIL OPTION 1 AQ r MIN. PAVER 0 O 0 2" S� �� X/ „ /\��/ MAX. LEVELING SAND !� \/�//�,, '' • •6" MIN. LIMEROCK r� i i% a:•#:! i��i:'sY• •�''•'i. % •`%i�• i� • • • • • • • • STS+1 �I.. 1:Wit' iit:,'�.+...i. i _ I r_i./0 !� y -i. 0.4:1 �I• • © COfpACTEO �SE i \/���\\//��\//%\/ / //\\/ 0L, "•/J `j\ / s \0///�\�\/\�\/�7\ • • • • ©• 1 #4 !AIN. CO�ITI�IUO�S \\/����C�\\ \/\\\\ \/ C%\//�j/ /\/\�//\/ •> / • j/.7, \�T/j .. /\\ />,1).�\/\%i .•••• •• . • • • • DR' = • ".--•' DETAIL OPTIO • • • AO irMIN. PAVEjt••••• • a AI4X. LEV�i SAID 0 0 O 0 '/` • i \ \</\ • ©• 'sf \/\/\ ,y�,p/j/ "AIN. LIMEFTO& i • r +-• _ =i��::!.^..i is mss• = INT#A _'M /\\ © V51tAPACTED BASE A• ri © 1 U5 MIN. CONTINUOUS �/ / ��\////\\\/ /\//\ /8" // /�\/\ �/j\��/\ F MORTAR SET O END PAVER /\//�%/\\/ / A>., %�\ � \ / \\, \ "\ \/\�\\/\�\��\//\� C�C�\/. //\/�j//>//�///`\//\//i CONCRETE DRIVEWAY DETAIL 6" MIN. CONCRETE4. © COMPACTED BASE i 5 -,.. . .. :�.:. ./ r "' • ./. ... �/ •`/.`� . V\;.f%• ///�Q y/\\/\ iii{,,,��� `/\. / /\ \\ \\/\\ // , ` �. y ,; , i / /\/ Y <// / � /// ///s / \// / \// ���s, \�\ �\\�\\/ K\!i, ,.%\!i\/,cel\",\:.-• NEW ASPHALT DRIVEWAY DETAIL 0 Q1" MIN. ASPHALT © 6" MIN. LIMEROCK © Y/// ..fa//,//////////////////////// J//////// a '. v /////////////..0////// ///////////..../.,Ai.,f��\ j�/��/ • • :. � \� /\\A � ' " �y/\ v v:/ ..>„ COMPACTED BASE ' 4Kir, • �\ / 4/4A/< / \ \/©/ /\ \\/ / / // y;/i,/;ytel,/y,,�y\�/�,yy��'. ASPHALT RESURFACE OVER EXISTING DRIVEWAY A° 1" MIN. ASPHALT ...............,,,,...../....... ,,,,,,,,,,/,,,,,,,/,,,,,,,,,,,,,,/,,,,,,,,/,,,,,,,,,,,,,,,,,,,,,,,,,, 0 0 0 \\ �\�\//\/ ' /' © 1 LAYER HOT MOP \\\\\\\ � xu� kw.\\ /i /�, \\//\� \//\\\ 71rafri'i�•%"!ri•1i I'1�Frf i /+ i Ir'1=•�' 5 \ ��///,//�//\ © EXISTING ASPHALT - NO LOOSE MATERIAL ri•.• -'~1• • A • •'•r0':••r. t• j • •'!Yti!j \ \`C \ \\ \\, D EXISTING LIMEROCK BASE > / / , / `/ // /\ /\ \ / /\/�\ 0 EXISTING COMPACTED BASE �y\ /�\ i\\ / ��%\�\ 111111111111111111111111111111(11111111111111 C FN 20 1780267204 OR BK 30530 Ps 2572 (1F'95 ) RECOR Ju) 1' :,54,:6' HARVEY RUVIN, CLERK OF COURT IlIAttI--DAC)E COUNTY, FLORIDA COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) V C atn,e (412.L) rc� o s hereinafter referred to as the owner of the following described property (address): 1090 L)& .,r kl- c""1: Legal DescriptionE4ikar. Pac\L- Lot 2-7 Block 3 Subdivision Folio # It 3205 Qt) 0110 Requests permission to install (describe work): 'b elac- 7Gv ars 't)n Within the public right of way of (address) lO$O ►-) c't 3 5 k 1.01w1I S4100‘es "FL 33 \38 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 Manager of Miami Shores Village (or his fully authorized representative). Signature ` Owner or Agent .The foregoing instriiment 'was acknowledged before me this Z day of 14°1 , 20 11 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC Sign: Print: My Commission Expires: M*'r,,,,, BARBARO SOBRINO h '_. MY COMMISSION 4 FF 195634 w EXPIRES: February 3, 2019 44,0' Bonded Thru Notary Public Underwriters ER STRINGER #172204 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: 12 --123Z DATE: / L� 1 6 6 ,h3 aosic ttractor ❑ Owner ❑ Architect Picked 2 set s and (other) KS Address: 1080 106 ?.3 vi From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL. RESUBMITTED DATE: 5/413 PERMIT CLERK INITIAL: