REV-17-15671
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida i 138
661VN-51`..-11:1!" 414.�
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
ECF IVE 1
JUN 14 2017
BY`
49 s ' I
FBC 20 IL(
Master Permit No.12.0 `SSSS
Sub Permit No.P.��(
REVISION ❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF
ih � CONTRACTOR
JOB ADDRESS: A)Ltf /CG _Jviee1
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: 1111 gb 0 06024 D Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction�Type: Flood Zone: BFE: FFE:
ZOWNER: Name (Fee Simple Titleholder): 5 i6� 0, // i ! / Phone#: (� D 6 / ^ c14/? -C 8 /2
Address: 5 Vt.() /06 tt Some-(
City: frii414.4j Sh O/'PS State: /T Z-- Zip: '3 -- f 5 0
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: I pluck- CcAsirucktcn Phone#:
Address: 6-'t N1- Stc.k QZ., `1
City: Cac. t (r'Q c. State: Ei Zip: 33v�3
Qualifier Name: MicinaQI LF Imc. Phone#:
f
State Certification or Registration #: CA; 1409 % , , Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:// Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: (9
Type of Work: ❑ Addition ❑ Alteration n New ❑ Repair%Replace ❑ D molition
`o,A
Description of Work: -* � -� (-�i�/ 6 IV?1 v e (�l% 4 %.72 SI � � � p� ��
q
Sple%;4•,1),),1
ijj 6Ior of color *J" :• 1
Sub'mittahFee $------ ---------- _,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
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
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
' - l day of — , 20 _-7 by F q day of Ma , 20 (- , by
IL -75—(({011-1 S�A'\A ho is per a ly kn� o t e1 , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: _ _
Print: =0 23 �, . - m• y
;'r .3 • m.
Seal:
;o.. 1 t o`er-• co
)>..9611,)3%0'40
�
***************************gyp******v*i.1i'********************************
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
APPROVED BY
I' J�11- Plans Examiner
* * *
KYLE C HAMBRICK
MY COMMISSION # GG066511
EXPIRES January 26, 2021
*************************
//Zoning
Structural Review Clerk
(Revised02/24/2014)
PROJECT SITE
PROPERTY ADDRESS:
5 NW 106th Street
Miami Shores, Florida 33150
LEGAL DESCRIPTION:
Lot 16, Block 206, of "DUNNING'S MIAMI SHORES EXTENSION NO. 2",
according to the Plat thereof as recorded in Plat Book 41, Page 78, of the
Public Records of Miami -Dade County, Florida.
SURVEYOR'S NOTES:
Subject property lies within Zone "X".
Elevations shown hereon are referred to N.G.V. Datum (1929). Elevations are
based upon a Miami -Dade County Bench Mark name N-567 located at the SW
comer of the Intersection of North Miami Avenue and NW 104th Street. Elevation 10.54 feet.
Setback requirements very within the Use District based on but not limited to its use,
height of the structure and special use as defined under the Section of the Zoning Code.
Verify with the appropriate building official for specific requirements.
Contact the City of Miami Shores and/or Miami -Dade County for setbacks requirements
as setbacks may vary depending on proposed construction, addition, or variances.
CERTIFIED TO:
Esteban Matias.Stavile
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QENERikL SUINEYOF 'S NOTF.A• • •
LOCATION MAP
SCALE: (N.T.S)
Volottlelimey was conducted toyh� purpose of a "Boundary Survey" only and is not intended to delineate the regulatory jurisdiction of any federal, state,
reional or locaT agency, board commission or other entity.
�): i ne accuracy obtaIr%ed by measurements and calculations on this survey, meets and exceeds the Minimum Technical Standards requirements for a
'suburban areref coot in 7,S0afbgt4 as specified In Chapter 5J-17, Florida Administrative Code.
3}'1,11SSurvey Q0derrbj reflect df determine ownership.
4) -Legal Descriptotrsubject to any dedications, limitations, retractions reservations or easements of record.
5) -Examination of the Abstract of Title will have to be made to determine recorded instruments, if any affecting the property; search of Public Records not
performed by this office.
6) -No effort was made by this office to locate any underground utilities and/or structures within or abutting the subject property.
7) -This Survey has been prepared for the exclusive use the entities named hereon only and certifications hereon do not extend to any unnamed parties.
8) -This Survey was prepared for a Mortgage Transaction only; not to be used for design and/or construction purposes without the consent of this office.
9) -Utility facilities within Utility Easements not noted as violations.
10) -Driveways or portions thereof within Roadways not noted as violations or encroachments.
11 }Foundations and/or footings undemeath the ground surface that may cross beyond the boundary lines of the herein described parcel are not shown.
12) -Fence ownership determines by visual means only (if any); Legal ownership not determined.
13) -No search records was made by this firm beside the record plat; therefore we do not imply or accept responsibility for any Easement, Dedication or
Limitation for which information was not furnished.
14) -Contact the appropriate authorities prior to any design work on the hereon -described parcel for Building and Zoning information.
15) -In some instances graphic representations have been exaggerated to more clearly Illustrate the relationship between physical improvements and/or
lot lines. In all cases dimensions shall control the location of the improvements over scaled positions.
16) -The dimensions and directions shown hereon are in substantial agreement with record and calculated values unless otherwise noted.
17)- Obstructed corners are witnessed by improvements
JORGE L. CABRERA
PROFESSIONAL SURVEYOR & MAPPER
2852 S.W. 149th Place, Miami, Florida 33185
This is to certify to the above named firm and or persons that the 'SKETCH OF BOUNDARY SURVEY" of the herein described property is true and correct to
the best of my knowledge and belief as recently surveyed under my direction, also there are no visible encroachments other than those shown. Owner or his
representative furnished the legal description contained herein. Other recorded Instruments may affect this property. Surveyor has not examined the
abstract of title. Locations of utilities on or adjacent to the property were not secured unless specifically requested by owner. I further certify that this map or
plat meets the Minimum Technical Standard Requirements, adopted by the Board of Professional Surveyors and Mappers, pursuant to Chapter 472.027
Florida Statutes, as set forth in Chapter 5J-17, Florida Administrative Code, under Sections 5J-17.051 and 5J-17.052 and is a "BOUNDARY SURVEY" as
defined in Section 5J-17.050. JORGE L. CABRERA
Phone: 305-302-2522
Fax: 305-207-9537
Date of Field Work: 03/24/2014 Job # 14-2393
2/23/2015 - REVISED TO UPDATE
Sketch # 3137
This Crewing Is the property of Jorge L. Cabrera Professional Surveyor & Mapper Reproductions of dds drawing are not valid unless Signed and embossed wbh the surveyor's seal.
Professional Surveyor & Mapper, # 6487
State of Florida
L£t£ oN 431045
1 inch = 20 ft.
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LEGEND
(C) = Calculated
CL. = Clear
= Center Line
CONC. = Concrete
A = Delta
ENC. = Encroachment
F.F.EL. = Finish Floor Elevation
F.I.P. = Found Iron Pipe
F.I.R. = Found Iron Rod
F.D.H. = Found Drill Hole
F.N. = Found Nail
F.N&D. = Found Nail & Disc
I.D. = Identification
L = Length
(M) = Measured
O/L = On Line
(P) = Plat
P.C. = Point of Curvature
P.8. = Plot Book
PG. = Page
R = Radius
(R) = Record
U.E. = Utility Easement
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0:\JLC-JDPWVA-2393-5 NW 106 51.0.9 3/25/2014 4:}9:35 PO EDT
40
F.I.P. 1/2"
No I.D.
G
SKETCH OF BOUNDARY SURVEY
SCALE: 1" = 20'
..............
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0000 1�•
..
15' ALLEY
5' W.F.
122.81' (M)(R)
1/
/1
F.I.P. 3/4'
No I.D.
NO REVIEW REQUIREDLOCK 206
Florida Health Miami -Dade County
O.S.T.D.S. & W -II Pr. 'ram I
Application No.: I. 1 i i t' D1i`�
Date:
Signature
F.I.P. 3/4"-
No I.D.
,0
37.50'
1 JUN 14 2017
X
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8 0g roirlat
9
SYMBOLS
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AIR CONDI110NER
POOL PUMP
WATER HEATER
CABLE TV
CATCH BASIN
WATER METER
CONCRETE POLE
WOOD POLE
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suBJECT ro ccrolLre;I Wirth All F le f
STATE ANL) cr IjN i -f ril,L=S ANO REGULATIONS
iami Shcres Villas
APPROVED
ZONING DEPT
BLDG DEPT 1
S'SS—SI
(0.3
—
X ---
:
EXISTING ELEVATION •
UTILITY POLE
MANHOLE
ELECTRIC BOX
COVERED AREA
CHAIN UNK FENCE (C.L.F.)
O METAL FENCE (M.F.)
OVERHEAD ONES
PLASTIC FENCE (P.F.)
WOOD FENCE (W.F.)
—< WIRE FENCE (WR.F.)
- OH -
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