DS-16-2940Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. DS -10-16-2940
Perm� Permit Type: Driveways/Sidewalks/Slabs' Work Classification: New
Permit Status: APPROVED
Issue Date: 12/7/2016
Expiration: 06/05/2017
Parcel Number
Applicant
253 NE 101 Street
Miami Shores, FL 33138-2422
1132060134800
Block: Lot:
RICARDO J POL JTRS BERNARI
Owner Information
Address
Phone
Cell
RICARDO J POL JTRS BERNARDO J
253 NE 101 Street
MIAMI SHORES FL 33138-
253 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone
FLORIDA POOL PATIO CORP (305)815-0181
CeII Phone
Valuation:
Total Sq Feet:
$ 1,800.00
600
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: DRIVEWAY PAVER
Bond Return :
Scanning: 3
Additional Info: DRIVEWAY PAVER
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Amount
$1.20
$2.00
$2.00
$0.40
$125.00
$9.00
$1.60
Total: $141.20
Pay Date Pay Type
Invoice # DS -10-16-61820
10/28/2016 Credit Card
12/07/2016 Credit Card
Amt Paid Amt Due
$ 50.00 $ 91.20
$ 91.20 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Planning
Review Building
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 certify that all tf. - ng information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I a tho k 4,4 .ove-named contractor to do the work stated.
a1,
Authorized Signature: Owner
December 07, 2016
licant / Contractor / Agent
Building Department Copy
Date
December 07, 2016
1
\IIb res
L;\13
crictij
BUILDING
PERMIT APPLICATION
j j BUILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
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
❑ ROOFING
❑PUBLIC WORKS
2 5 3 4 /D / -S-31-
Master Permit No.
Sub Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
D
OCT 282016
FBC ioiy
Cis i (0-Zqc-I'O.
❑ EXTENSION ❑ RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
County: Miami Dade Zip: 3/.3cF••'
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Construction Type: Flood Zone: BFE: FFE:
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder): Iy_rele V. O (• Phone#:3(�j -'�� j- P,5a
Address.//'7% /
City: �- _�� State: Zip: a 3 /3 >
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address:/ i c 'f 9 �� 9 9 - ,St
City:
Phone#: 3409.0 / cQ/
State:
/r
Qualifier Name: d -/e/ £_ V /• • Phone#:
State Certification or Registration #: CBC /53171R 12- Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Zip: 3 3,67,6
Address: City: State: Zip:
Value of Work for this Permit: $ /��D, v Square/Linear Footage of Work: 6,0
Type of 1Nork:,.. ❑,Addition _/K Alteration
Description of Work: 7/`/!/e ce%? Cy
❑ New
(pte-e4P-ci
❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
,, .
Permit Fee $
Radon Fee $
Training/Education Fee $
Structural Reviews $ •
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ •
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 noti e, the
inspection not be • pproved and a re i , 'on fee will be charged.
Signature
OWNER or AGENT
Sign
CO ACTOR
The foregoing instrum wa ac The foregoing instrumen was acknowledged before me this
626 day of l , 20 by —25— day of
/ Cltrc, /�� e , who is personally
known to
nowledged before me this
, 20J by
, who is personally known to
me or who has producede/SD /W/4�' deneW-4 as me or who has produced ,erco,z€/ EPIts-4.e7 as
identification and who did take an oath.
NOTARY PUBLIC.
identification and who did take an oath.
NOTARY PUBLIC..
Seal:
*******#*********#***#***s**.***********s***rsssr****#####****..::*****4 rrssss####*#s*ss asss:y�***********
APPROVED BY
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A
Plans Examiner ,, V.— 7i Zoning
Structural Review
(Revised02/24/2014)
Clerk
Drdered By:
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N.E. 101st STREET
Accepted By:
Property Address: 253 N.E. 101 STREET
MIAMI SHORES, FL 33138
NOTES: NO NOTES
SURVEYOR'S CERTIFICATION: I
REPRESENTA' 4LION OF A 5U
TECHNICAL STANDARDS,
SURVEYORS IN CHAPTE
SIGNED
MIGUEL
VALI6VN1'REO(�I ANF
THIS MAP IS NOT VALID IMT
AND MAPPER.
REPARED�'
ET FORTH BY THE 'T
-17. `L9RIDA2,WINIST
THAT THIS 'BOUNDARY SURVEY' ISA TRUE AND CORRECT
R MY DIRECTION. THIS COMPLIES WITH THE MINIMUM
TE OF FLORIDA BOARD OF PROFESSIONAL LAND
I0,TNE CODE PURSUANT TO 472.027, FLORIDA STATUTES.
•
A STATE OF
tomo Qa
ELECTROW
FOR THE FIRM
P.S.M. No. 5101
NATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR
AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR
M.E. Land Services, Inc.
10665 SW 190TH STREET
SUITE 3110
MIAMI, FL 33157
PHONE: (305) 740-3319
FAX: (305) 669-3190
LB#: 6463
Survey:A-48340
Client File #:
Page 1 of 2 Not valid without all pages.
Surve
PROPERTY UNE
or's
/
PLA
-
MONUMENT
URVATURE
CU VATURE
NT
• OINT
AINT.
EASE ENT
Legend ti.
B.R. BEARING REFERENCE TEL. TELEPHONE FACILITIES
A CENTRAL ANGLE OR DELTA U.P. UTIUTY POLE
R RADIUS OR RADIAL E.U.B. ELECTRIC UTIUTY BOX
RAD. RADIAL TIE SEP. SEPTIC TANK
N.R. NON RADIAL D.F. DRAINFIELD i
TYP. TYPICAL A/C AIR CONDITIONER
I.R. IRON ROD S/w SIDEWALK
I.P. IRON PIPE DWY DRIVEWAY
N&D NAIL A. DISK SCR. SCREEN
PK NAIL PARKER–KALON NAIL GAR GARAGE
D.H. DRILL HOLE SNCL. ENCLOSURE
® WELL N.T.S. NOT TO SCALE I
STRUCTURE
FND FOUND IRON PIPE
'a CONC. BLOCK WALL PIN AS NOTED ON
—X—X— CHAIN–LINK FENCE OR WIRE FENCE LB/ LICENSE # – BUSINES
—,'/—//— WOOD FENCE L5/ UCENSE / – SURVEYO
CALC
e o IRON FENCE CALCULATED POINT
— — — — EASEMENT SET SET PIN
— – — CENTER UNE A CONTROL POINT
MONUMENT
VjA WOOD DECK . CONCRETE
BENCHMARK
- CONCRETE ELEV ELEVATION
P.T.
POINT OF TANGENCY
1/////// ASPHALT
P.C. POINT OF CURVATURE
�.4".#4.A!A.!v BRICK / TILE P.R.M. PERMANENT REFERENCE
4: FIRE HYDRANT F.F. FINNISHED FLOOR
go M.H. MANHOLE T.O.B. TOP OF BANK , ,
O.H.L. OVERHEAD UNES E.O.W. EDGE OF WATER 7
3
TX TRANSFORMER E.O.•••I! • ENGE>IOF PAVEMENT
CANCABLE TV RISER • • • •• C.V.Cy CONCRETE VALL><'/ $I$3
W.M. WATER METER e • • B.S.I. • ¶el�'/MG SETB/,CK LINE •
P/E POOL EQUIPMENT • S.T.L. SWRVEY TIE UNE• -
CONC. CONCRETE SLAB • • • • •,pEI&T`R LINE •
ESMT EASEMENT • • 11/w • RIGHTS-OF–WAY• ••••
EASEME •T• • • • • p,U,4,• •FWOLIC UTILITY•Bi.SENiNT
D.E. DRAINAGE •
ESMT. L.B.E. LANDSCAPE BUFFER 'WANT C.M.E.- •OARAL MAINTEI ANCE EAAEMENT
ANCHOR EASEME• • • • • •
L.A.E. UNITED ACCESS E�S�L�� • A.E. NT •
•
P.C.C. POINT OF COMPOUND
WATER
' P.R.C.
POINT OF REVERSE
APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING
/–,-
P.O.C. POINT OF COMMENCEM
�� y� COVERED AREA P.C.P.
PERMANENT CONTROL
Q TREE M FIELD MEASURED
X X POWER POLE P PLATTED MEASUREMEN
1111 CATCH BASIN D DEED
C.U.E. COUNTY UTILITY EASEMENT C CALCULATED
I.E./E.E. INGRESS / EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE
U.E. UTIUTY EASEMENT R.O.E. ROOF OVERHANG
Property Address:
253 N.E. 101 STREET
MIAMI SHORES, FL 33138
•• • • • •
General Notes: •• • • • • •
1. The Legal Description used to perform this sur49 diki Supplied by others.
This survey does not determine or is not to imply ownership.
2. This survey only shows above ground improvements. Underground utilities,
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.
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
abstracted for easement or other recorded encumbrances not shown on the plat.
5. Wall ties are done to the face of the wall.
6. Fence ownership is not determined.
7. Bearings referenced to line noted B.R.
8. Dimensions shown are platted and measured unless otherwise shown.
9. No identification found on property corners unless noted.
10. Not valid unless sealed with the signing surveyors embossed seal.
11. Boundary survey means a drawing and/or graphic representation of the
survey work performed in the field, could be drawn at a shown scale and/or not to
scale.
12. Elevations if shown are based upon NGVD 1929 unless otherwise noted.
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.
Flood Information:
Community Number: 120652
Panel Number: 12086C0302
Suffix: L
Date of Firm Index: 9/11/2009
Flood Zone: X
Base Flood Elevation: N/A
Date of Field Work: 5/1/2014
Date of Completion: 5/2/2014
Legal Description:
LOTS 17 AND 18, BLOCK 35, OF SUBDIVISION AN AME DED PLAT OF MIAMI SHORES SECTION NO. 1„ ACCORDING
TO THE PLAT THEREOF AS RECORDED IN PLAT BOO 4 10, PAGE 70, OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA - - — - —
HINTING INSTRUCTIQNS:
Ce 'fled To: RICARDO J. POL AND BERNARDO J. FAVOLE; MIMO
TI LE SERVICES, LLC; FIRST AMERICAN TITLE INSURANCE
C • MPANY; BANK OF AMERICA, N.A.; . Its'successors and/or assigns
as heir interest may appear.
While viewing the survey in any Acrobat Reader,
select the File Drop-down and select "Print"
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.
Under the "Page Scaling" please make sure you have
selected "None."
Do not check the "AutoRotate and Center" button.
Check the "Choose Paper size by PDF"checkbox.b
Click OK to Print.
ase opy • e ow or • o Icy • reparation • urposes on y:
Thi • policy
An rights,
fol l • ing
o 02/2014
does not insure against loss or damage by reason of the following exceptions:
easements, interests or claims which may exist by reason of, or reflected by, the
facts shown on the survey prepared by MIGUEL ESPINOSA dated
bearing Job # A-48340 :
NO NOTES
c
4
i
M.E. Lan 0 Services, Inc.
10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157
illE__ PHONE:(305) 740-3319 AX #:(305) 669-3190 LB # 6463 Mii__
WWW.MELA DSERVICES.COM
Survey:A-48340
Client File #:
age 2 of 2 Not valid without all pages.