The URL can be used to link to this page

DS-17-2451 D5 I-17-245. 1/3///' 11/1) S7////) Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 101 NW 100 Street Miami Shores, FL 33150- Owner Information NOMADE REALTY LLC Permit NO. DS -1-17-245 p si Permit Type: Driveways/Sidewalks/Slabs M I t Work Classification: Addition/Alteration Pennit Status: APPROVED Issue Date: 5/11/2017 Expiration: 11/07/2017 Address Parcel Number 1131010220300 Block: Lot: 230 NE 107 Street MIAMI SHORES FL 33161- Applicant NOMADE REALTY LLC Contractor(s) Phone TRUE STAMP CONCRETE LLC (305)494-4465 Cell Phone Phone Cell (786)458-7799 (786)251-0138 Valuation: Total Sq Feet: $ 2,400.00 1932 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: REPLACE EXISTING ASPHALT DRIVEWA Bond Return : Scanning: 3 Additional Info: REPLACE EXISTING ASPHALT DRI\' Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.63 $2.63 $0.60 $175.00 $9.00 $2.40 $194.06 Pay Date Pay Type Invoice # DS -1-17-62775 05/11/2017 Credit Card Amt Paid Amt Due $ 194.06 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Planning Review Building Review Building Review Planning Review Planning 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 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. May 11,2017 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date May 11, 2017 1 BUILDING PERMIT APPLICATION 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 RFC:IVED JAN 31 2017 FBC 20111nth Master Permit No. ,US - V l` 2.45 Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ PLUMBING ❑ MECHANICAL gl PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10/ /(,/(�/ (D 0 ,9771..-04- City: 5 - City: Miami Shores Folio/Parcel#: //i3/O / 022- 03o 0 Occupancy Type: Load: County: Miami Dade Zip: 5.3 /.50 NO )C Is the Building Historically Designated: Yes Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): f--//q-SS'1/ 624(7.12/60i✓ Phone#: Address: (o ( A/c,/ (010 7-4-4.74" City: o^-1 `,,.,,,�, j* 5•(4 it State: /C 6 Zip: 3, (Co Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 7DZ c e.. ST 9zec) co -c--c"--e7-¢, Phone#: '305 "9' V*6? Address: iljZO '',/ -5 S c/7— City: /TCity: //I. (7q -t..4 / State: (` Zip: )7- . / C.-"( Qualifier Name: (jam/(6 i9• -1.r 7.-Z- c -I. '9 Phone#: 3as LiFy (1'4,6- State 1'C16State Certification or Registration #: �D 1 (90 1 cry Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City:State: Zip: Value of Work for this Permit: $ 2-,.C.(6' 0 Square/Linear Footage of Work: / ? 3 2 5.42 Type of Work: ❑ Addition ❑ Alteration LJ New ❑ Repair/Replace ❑ Demolition Description of Work: RF�.51 Ze, 4K(S�j... ne4.¢o%lCvt,ur / Del/ /✓U/ / tT LQ w t %i yyi9-,,P) co DL � C/t eatQ, • f co e -c✓ Min, co ,✓ c4e1`2- .✓/ AJCt/ (o o s 7.t..e. 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 $ 12-C TOTAL FEE NOW DUE $ , 'T ` GG :n, 5 L.¢ b fA-TIP/4•✓ (Revised02/24/2014) ter.. 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 Signature ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �,/// 7 day of 5.-/ , 20 /7 , by lg day of c7/9-", , 20 /1 , by /i/f 5 S/fir✓ ,t9e v j?. e6ciAlho is personally known to C✓ %L 6' 72-4J7b 4rr�� , who is personally known to me or who has produced as me or who has produced Z 2s Q as identification and who did take an oath. NOTARY PUBLIC: Sign: ` =rAve.tT Print: Z. Seal: ARANEUS GONZALEZ MY COMMISSION t FF 913306 WJ EXPIRES: September 18, 2019 Bonded Toru Notary Pub& Undenniters ***************************** APPROVED BY (Revised02/24/2014) identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: I • Plans Examiner Structural Review ,0.0 :71% ARANEU5GO� MY COMMISSION tt FF 913306 •%k EXPIRES: September 18, 2019 tP. ,t1•'' Bonded Thru Notary Public Undennite, /► * * * * * * * * * /r "" ?oning Clerk 441E S7 -4,1.4 O z,?7 31116- True 1 True Stamped Concrete LLC. Date: Dl' 7z o(7 State of: /1(0 County of: 041 (A441( L94 -et Before me this day personally appeared 64/ C 7 (Ac?C4 who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: /0 / it/k/ (fop ;7` Sworn to (or affirmed) and subscribe before me this /1 day of 0-'7-4/ , 2017 by: Cvl t <s¢.� 7i2 Lf ,32 Affiant Signature: Personally Known: Or Produced Identification: Type of Identification Produced: "";,,,, ARANEUS GONZALEZ MY COMMISSION 1 FF 913306 ,�,� :J EXPIRES: September 18, 2019 Aa Nd t Bonded Tiro Notary Public Underwriters Print, Type or Stamp Name of N Notice to Owner - Workers' Com p Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ensation 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 was4t acknowledge before me this / day of c7,7-9- / , 20 / 7 By /4/9- 5. /9-A-, e4/,7'g /Lo (/n/ who is personally known me or has produced as identification. Notary: SEAL: :iv. ' Y_ MY COMMISSION S G l�l %.,,1 EXPIRES: September 18, 2019 •:j pp Bonded Tbru Notary Public Undai rders • •... • • • ••. •• •• . • •• . .• .• • • • . • •• •. •• • • • • • • • • •4041A Mil • •• • • • a TAU • • ••• • • • • • • • • • .• • • • ' •• .a1DMM1MNT u 011- 0.11:01.1=11151100e 1. suwdleN • �• srorIswTotl • .. • •• •1w 01.41.004 w swat* • • • • 1, • • ••w •• • • • • •• • • ••• • GRAPHIC MAP OF BOUNDAIY SJRV 1r >r C.) i\ 0la • R.I aE O cd y ry OBJECTION ► r..�;a p-letilth Miami -Dade County s O.S.T,D.S. & ell Program ton 1\19..1 tax :Nl FICAURIMUSIII MK� IMMO/MI If �WRp •• •• • • SCALE •••••••••••••••.. L ----- Sian lPtP __.(R&. `i IRON- O PIPt 2.5' (110104 (5( LOTS (P.B. 21 - 2. N89°5918"E 85.35 (R&M) POUND prrt (NOM) r ... • .law.w a....:.awss.Hw«.w 11.1■ 11111 111111 ■IMS 11 11 ■111112 111111 in ■■111 -■ 1 D*W er aunt - Ms oda atan r`aaa°a.mymlruusw.a.mmn•e+,.e«.c gra MOM ors�cmorq (ralaarle1°i to ntAre°a i mx.F =.•••• e"•"• Ceaoore %MULLLaMl/tr 11:1 epos ...lanae.lna.'wa zi rMie.iraw''1bgata rnonrso ElF6C1IGISITATI AIM tAMLiG .01 C.L.P. ON UNE .7.:1213.6 //%// ONESTORY • ces auhDING ISHR00RELEV.: W.92 WEST; OF Lore 9 (P.B. 21- PG. 56) 1}e 51011411.1114011 SAKI ME= CAM IASI TRI7.101.11,411110. ILIUM= Kg o pima SalTago Mat SAN sMI1w(UT SU➢01 Guam aLar MMdo11 MOP Man 1.pIg1I[MMR119M1 4110111101.0teW =CI tri3U. 0m F Proposed 4" ../0/4 ;) Concrete 3000 Psi W/Fibermesh M/ fC096 /041.T e4/ ONE STORY / CBS. BUILDING 8101 FINISH FLOOR ELEV.:12.38 . ://' • 18.1 /,'f • .�� 14.7// POUND I11:0N 3 fl HPC (NOLO.) AVM*LT PAWN M ami [urG DEPT SUOJECT 'O CCMPL.IWNCE WITH All FEUERL_ STATE ANI,, COUNly tiuum AND RFC I 1:ATI 1=!3 Tn ( )VED ,CN!NG DEPT Proposed 6" ;,1441/41 Concrete 3000 Psi W/Fiber msh, -l'il 546 "1-r*,_,Ad • MINN ��lunv: / botNrz01wWYmda11 woniutrioso Bea.l.ed wellJeiat°aN°Walme.ackC . ' rrx°ww mw�,Heleall M�pea�w� pdM+xaaarydl/IW ato(a°iw h¢°w°em am VWdobwu Wes .aM.af Lrl4ro/WaweH meawtyl°mlaYlaaa! laoa maw ace..ocr°w�° °o%taw. lob um et WagsWandeetoNHq°oHaelatwtiapHI.4w ivyiwady lee poor •Nownsw+emrwsmW,h aNe 1 MOM.apMymaewC�YainpYb Madman cusMrA�e r 1' —' �ryr y1 p R 1� eeeaa "a7R!IREl6WOWI=ocaCdC O1adaa1dYd10DW=Mw,°n nec Mer Iw aaoael 1 noad:'tt°e 9NMan l t Dege Pav ew[•.d VA I rMy1 nN0.MC irti°iIOWONIg1a0•/ ewdwttKa Dearer+ . s4s .vn.771 F; 1~ ea erCil gamer ; tinattr gno, pl<d.'OOret0n. rwndInemilsotemdaah/Welk21a1k•.Ydts. fireighnifilerLes eeremmmtw .oa.e rdotne�� FY^II'aH va.nanaraanwmiieae�iwevne r a1°0IM'�e�w'oil�'. aw � ' °'r141H`7�'°�'�o" �e"a'f'°Medrd'baan"t�lrneaa+er IYase°.aaawwaw p.lw.6 1 1 1 1 1/ b taTap a•bl�wn t.1ann WfiwM1llatr+liOanObslOs% 1 LEINILLEUVENZ I1r e.aaa.a QOM.. a 1. damn. SULVEN m9etrore o•eandarykfHTwmpea.eo 111110 a111.011 a eldMOM o Moless.,dow PEIONLOLEMEL •0'm d.lryaly Y.l•ran�w H laaala tv """nfan�ko re " to ..'4►7 aae.a rv.armr>y".. . . t`o. wt sC: �i+Q.. a1cµMpgl, wm LONGITUDE SURVEYORS MS Win* MIT SUM 320 COW. RCM= vnMra 1+13•0912 sucpags»aca 7tOAIW1C0rdITA72 97AUTIMIZA d1N ID MS .1nl.oema.eeml Qa 1 i E 1M. MOP. a.. -.M OwNlw )a w.wly.. N or w..awraw 16434.0.00 Mission: MA- To protect, promote & irrpme the health of all people in Florida through integrated state, curdy & cony -unity efforts. � 1 l I9oricid HEALTH Vision: To be the Healthiest State in the Nation Rick Scott Gmemor Cohost* Philip, MD, MPH State Surgeon General and Secretary January 26, 2017 True Stamped concrete 101 NW 100 Street Miami, FL 33150 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: API271848 Centrax Permit Number: 13 -SC -1733806 101 NW 100 Street Miami, FL 33150 Lot: 7 Block: 4 Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 01/20/2017 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. No objection to concrete slab and stamped concrete driveway. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincerely, Betsy Olmino •.• ••• • • • • • •• Engineer II • • • Department of Health in Dade County • • • •• ••• •• • • • •• • ••• • • • • • • • ••• • • • • • • • • • . • • • •• • • • • • •• • • Media Dgerbn•rt of He•Mr in Dade County • • , Florida PHONE: (305) 623-3500 ••• ••• ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • • •nn•JNddlbIJO TWITTER:HealthyFLA FAC E BOOK: F LDepa rtmentofHealth YOUTUBE: fldoh Electronic Articles of Organization Florida Limited For Company Article I The name of the Limited Liability Company is: L16000023113 FILED 8:00 AM February 02, 2016 Sec. Of state thampton Article II The street address of the principal office of the Limited Liability Company is: 230 NE 107TH STREET MIAMI SHORES, FL. 33161 The mailing address of the Limited Liability Company is: 230 NE 107TH STREET MIAMI SHORES, FL. 33161 Article III The name and Florida street address of the registered agent is: WA� BENJELLOUN1 230 -NE 107TH STREET MIAMI, FL. 33161 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: HASSAN BENJELLOUN Article IV The name and address of person(s) authorized to manage LLC: Title: AMBR HASSAN BENJELLOUN 230 NE 107TH STREET MIAMI, FL. 33161 L16000023113 FILED 8:00 AM February 02, 2016 Sec. Of State thampton Article V The effective date for this Limited Liability Company shall be: 02/01/2016 Signature of member or an authorized representative Electronic Signature: HASSAN BENJELLOUN I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1st and May 1st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. D 0 CUMENT COVER PAGE ' For those documents not providing the required 3 x 3 in space on the first page, this cover page must be attached. An additional recording fee for this page must be remitted. Document Tide: .,Q,/t-�-' (Mortgage, Deed, Etc.) • Return D ocnm ent To / Prepared By: - 00 y:• 1111111 11111 11111111111111111111 11)1 1111 lilt CFh1 2017R0029186 " OR BK 30387 Pss 986-987 (2Pss) RECORDED 01/18/2017 11:08:56 - HARVEY RUVINr CLERK. OF COURT MIAMI-DADE COUNTY? FLORIDA L (Space above this Line reserved forrecordmg office nse) .• 0 11 0 • . • • • • • • • • Ride 2.520 (d) On all , .. docrn Bente pre red Rwtaicri ae t•o be T.corded intim public records cords of any comiy . a 3 - mch b7 3-inhsaceatthe top ri �t,aTdcorneronthe u-stPage and a1 -3 -inch space atthetop righE ham. oneach subsegnentpageshailbeleftblanlrandreservedfor use by the rlr+ of co,ast CLK/CT 155 Rev. 08/16 • ••• ••• • ••• • • • • • . • • • • • • • • • . • • • • • • • • • • •• •• • •• • • ••• • . ... • • • 0• • • • • • • • • • • • • • •• •• ••• • • • • 000 • • • • • • • ••• • • • • • • • • • • • . • •• •• • ••• • • Clerks web address: www.miaml-dadec OR BK 30387 PG 937 LINS T PAGE Miami Shores V illage Building Department 10050 N.E.2nd Avenue Miarni Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANTOF CONSTRUCTIONiWITHIN RIGHT OF WAY •! Whereas, (owner) '"`S S atA t ;JGtl1 tel( OL) 1� the following described property (address): 0 4 . € 375'0 Legal Description Lot 7 Block / Subdivision 6L)/0 CI_ .QS7` Folio* 1/ -3/ O( Q 7 _ 012 D Requests permission to install (describe work): 0 A/e fi7 . /�� r cc a/ cife ft Air/404g' A A.,oL 0'' P4 iAi Co - t ere iia,e24 6 4 r^' 54.4 /0,4-7 -ate .v Within the public right of way of (address) A, Lt/ / 4 tie (S7 ,,�,Q �) ,4 N6v �o0 57:ze� Ce��y1 J hereinafter referred to as the owner of 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) • r to be removed and a Ilen 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 byan affidavit filed in the Public Records of Dade County, Florida by the Village Manager of Miami Spines yqge Sor hit fully anorized representative). • s • • • • • • • • • • • • • • • • •• ••• •• • • • •• SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this • ••• ••• • • • • • • • • ' • • • • •• •• • ••• • • ••• SIGNED, SEALED, AND DELIVERED in the presence of: �rIi! 201-A-- ••• • • • • • • • • • • • • • • •' • • ••• • • • • • • • • • • • • • • •• •• • • • ••• •• ••• • • • ••• • • to. rasalia.ttsCalles." o`rP'��•f:�MAHARAI K. GONZALEZ , •.• MY COMMISSION # GG 044602 Indf ''" EXPIRES: November 2, 2020 •:;o ��,,;% Bonded Thru Notary Public Underwriters