DS-18-520 r
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Inspection Worksheet.
MiamiShores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204.Fax: (305)7564972-
Inspection
309)756 4972inspection Number: INSP-298347 Permit Number: DS-34"20
Scheduled Inspection Date:March 05,2018 Permit Type: Driveway"idewalks/Siabs
Inspector: Riveron,Alexis Inspection Type:final
Owner: EMILIO ORDONEZ JTRS,MARIO Work Classification: AdditioniAlteration
C' , X ,�0
Job Address:S46 NE 92'Street
Mia!ni Shores,FL 33138- Phone.Number 3051499-9633
Parc;!Number 11320801411io
Project: <NOM >
Contractor WILCON'CO Phone-(786)39 S
Building Department Comments
EXTENDING THE PAVERS ON POOL PATIO ON A A intrac Pass cammants
SAND EASE INSC TOR COMMENTS False
Inspottor Comments
Passed E:
Failed
Correction
Needed
Re-InsPectibn
tLL
Fee
No Addition►inspections can be scheduled until
re-inspecdon tae is paid
MarCh ,2018 For inspections please calf;(305)762-4949 P at 40
Permif lvo. DS-3-18-520
�sw°REs y� Miami Shores VillageMum Permit Type.,Dt`lilewaySISidewalksl3labs
10050 N.E.2nd Avenue NE P�' ' lM
; Work Classification:lAddition/Alt�fation
Miami Shores,FL 33138-0000 Permit.status:APPROVED
Phone: (305)795-2204
�on�oA Expiration:Ex i
Issue.Date:3/1/2018
Project Address Parcel Number Applicant
546 NE-92 Street 1132060141170
MARIO E FLOTA JTRS EMILIO C
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
MARIO E FLOTA JTRS EMILIO 546 NE 92 Street 305/499-9633
---- -- --- MIAMI SHORES FL 33138
546 NE 92 Street
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 4,000.00
WILCON CO (786)399-8855
Total Sq Feet: 760
Approved:In Review _ Available Inspections:
Comments: Inspection,Type:
Date Approved:: In Review Final
Date Denied: Foundation
Type of Work:EXTENDING THE PAVERS ON POOL PAT Additional Info: EXTENDING THE PAVERS ON POO Review Building
Bond Return: Classification:Residential Review Planning
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00 Invoice# DS-3-18-66613
CCF
DBPR Fee $2.00 03/01/2018 Check#:2098 $500.00 $144.40
DCA Fee $2.00 03/01/2018 Cash $94.40 $50.00
Education Surcharge $0.80 03/01/2018 Cash $50.00 $0.00
Permit Fee $125.00 Bond#:3676
Scanning Fee $9.00
Technology Fee $3.20
Total: $644.40
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 zonin . Futhermore, I authorize the above-named contractor to do the work stated.
' March 01, 2018
A 'ignature:Owner r / Applicant / Contractor / Agent Date r
Building Department Copy
March 01,2018 1
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Miami Shores Village
RECEIVED
Building Department MAR
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 0 12018
Tel:(305)795-2204 Fax:(305f756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 -�
- FBC 201
BUILDING MasterPermit No:I)S 1I(9S-ZO
PERMIT APPLICATION Sub Permit No.
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2tUILDING F-1 ELECTRIC F-1 ROOFING ❑ REVISION 0 EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑'SHOP
CONTRACTOR DRAWINGS
JOB-ADDRESS: 34&NJ(F 192 Sf
i City: Miami Shores County: Miami Dade Zip: 33j,3�
Folio/Parcel#: 0-3206-0/9- f Is the Building Historically Designated:Yes N`O
Occupancy Type: 5!^ H Load: Construction Type: Flood Zone: BFE: FFE:
r
z OWNER: Name(Fee Simple Titleholder):_ ]�l�VKU 1 LOTA Phone#: 2(9JS6071 ^`. t'�67
Address:
! ,
City: ;Xl��'ll Sii.�oYL�:� State: F Zip: ,33 •�
Tenant/Lessee Name: Phone#:
I Email:
I
CONTRACTOR-Company Name: ���f �1�4�*w Phone#:
rr,
Address:
City: 4 State: 4 Zip:
1 Qualifier Name:_1///��/�' � VL-= y Phone#: / �J
y
State Certification or Registration#: { Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �id04, Square/Linear Footage of Work: :Ao .50/ j.
Type of Work: O�Addition ,
yp ❑ Alteration I New ❑ Repair/Replace ❑ Demolition
Description of Work: O X T6,4/0 al��E.' PAV6yZS 0JV POOL Ph-rO O,/✓
s
Spewcolor of co/or'tliru
,�t,..,..,..-- -'°" �� :M.�,,..aK.++.`w. ..uw t•.r`.w...,...,w"r.,;c,.�wc. ...e.«wsm:.a
Submittal, ee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ 'Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$ i
h Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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Bonding Company's Name(if applicable)
Bonding Company's'Address-
City
Address City State Zip �--
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
9
City, "'""'" State Zip �—
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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 iPROPERfiIf:�1F YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF..COMMENCEMENT." t I
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 to attachme Iso,a certi ped co o the recorded notice o comm`encerh" e 'bit posted of the job site
P P Y J f PY f f P 1
for the first inspection"which occurs ven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved an rl inspection fee will be charged.
Signature Signature a
0 ER or AGENT CONTRACTOR
The foregoing iristrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 / by day of ff�' 1 20`4 by
M A
YL►�2 Lo-f A, who is personally known to Vtl A44r AA4 G PL Z who is personally known to
me or who has produced as m'e or who,has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:'
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Print: Print: rve
s�St`MY 'Fbss SHANTELL RUTHIELY LO S CM1110 `,� SNANtM RUTNIELY LOpES
Seal ,,. .- MY COMMISSION ItFF814524 Seal: MYCOMApSSlONW914524
EXPIRES:November 15,2019 EXPIRES:November 15,2019
1P t�••' Banded Tbru NoWy Pubic Undmwbm >i Bonded TMu Namy Pubec
APPROVED BY > I Plans Examiner v / Zoning
r
11 Structural Review Clerk
(Revised02/24/2014)
Property Seargh Application - Miami-Dade County Page 1 of 1
no J1!11111111 Am
�RUE a THE PROPERTY` 'A' PPRA ISER
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Summary Report
Generated On:2/27/2018
Property Information,
Folio: 11-3206-014-1170
546 NE 92 ST
Property Address:
Miami Shores,FL 33138-3157 ~
Owner MARIO FLOTA JTRS '!P^'91'•"r?^�'
EMILIO ORDONEZ JTRS
Mailing 546 NE 92 ST
Address MIAMI SHORES, FL 33138 USA
PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ SY!
s
0101 RESIDENTIAL-SINGLE cf }b
Primary Land Use FAMILY: 1 UNIT
Beds/Baths I Half 2/2/0
Floors 1
Living Units 1
e
Y x
Actual Area Sq.Ft
Living Area Sq.Ft
Adjusted Area 1,747 Sq.Ft Taxable Value Information
Lot Size 12,522.2 Sq.Ft 2017 2016 2015
Year Built 1950 County
Exemption Value $50,000 $50,000 $50,000
Assessment Information Taxable Value 1 $291,128 $284,112 $281,790
Year 2017 2016 2015 School Board
Land Value $375,488 $313,072 $300,192 Exemption Value 1 $25,000 $25,000 $25,000
Building Value $122,177 $122,236 $122,295 Taxable Value $316,128 $309,112 $306,790
XF Value $29,945 $30,294 $20,053 City
Market Value $527,610 $465,602 $442,540 Exemption Value $50,000 $50,000 $50,000
Assessed Value $341,128 $334,112 $331,790 Taxable Value $291,128 $284,112 $281,790
Regional
Benefits Information Exemption Value 1 $50,000 $50,000 $50,000
Benefit Type 2017 2016 2015 Taxable Value $291,1281 $284,1121 $281,790
Save Our Homes Assessment
Cap Reduction $186,482 $131,490 $110,750 Sales Information r
Homestead Exemption 1 $25,000 $25,000 $25,000 Previous OR Book-
Second Sale Price Page Qualification Description
Exemption $25,000 $25,000 $25,000
Homestead Corrective,'tax or QCD;min
04/16/2014 $32,500 29117-4959 consideration
Note:Not all benefits are applicable to all Taxable Values(i.e.County,
School Board,City,Regional). 06/09/2010 $100 27380-1116 Corrective,tax or QCD;min
consideration
Short Legal Description 02/01/2002 $260,000 20232-0455 Sales which are qualified
MIAMI SHORES SEC 2 PB 10-37 04/01/1994 $87,400 16376-2078 Sales which are qualified
LOT 1 BILK 58
LOT SIZE 98.600 X 127
OR 20232-045502 2002 1
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 2/27/2018
wIs.coH co.
GENERAL CONTRACTOR
CON TpUanoo LICENSED &1114SUREOENT
C6c# 1512642
WILLIAM CRUZ DESIGN-SUIL0
9636 HE STM Avr RO• CELL 766-399-8535
MIAMI 614ORrA FL, 33138 0mcm 905-486-9962
Date: 2-4 l f r 312P //� WCRuz23(RHOTMAIL.CO; {
L
State of r
County of Dade
Before me tlf day personally appeared Ll Ilii who, being-duly sworn, deposes and says:
That he or she will be the only person W011cing on the project at
Swornto(oraffirmed)and subscribed before me this 27 day of 2011, by
Personally Know
or produced kleri fmation
TYPO of Idevulcn produced_
SHRTELL RUTHIEl1 LOPES COROEIRO
;t .s MY COMMISSION#FF 914524
EXPIRES:November 15,2019
Rin:, type or stamp of�#otary � . 1h
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s� Miami shores Village
"es
9 p Building Department
artment
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10050 N.E.2nd Avenue
ORIiJp' Miami Shores; Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner—Workers' Compensation Insurance Exem tion
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: r
1
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: t
I. 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. J.
a
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.
i
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 sub actors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to wor your project.In these circumstances,Miami Shores Village does not require verification of
workers'compensation insuranc overage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YO CKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: t
Owner
State of Florida
County of Miami-Dade j
The foregoing was acknowledge before me this 2 day of h t O rtUA`1� ,20 .
By 1 A)aZ 0 P-1710-rA who is personally known to me or has produced
4
as identification.
Notary: f
• i � h
SEAL: +: ,,•',= FF 4
November 15,2D9
Pub6olhwmbK
F
OR
♦S�C.I Gr
<< Miami shores Village
Building Department
10050 N.E.2nd Avenue
rag Miami Shores, Florida 33138
�XOR tDA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF (DADE)
The undersigned Affiant, ftKiD •PLOTA does hereby attest that
(Property owner)
r The attached survey, performed by
(Name of surveyor's company)
For address: .5'y& NC 2 if
Performed on L (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 violafzoningilding code regulations. The Affiant further understands that the existence of any such
structuresinspections as applicable to this or other permits.
Further,Aught.
M i2cd 4 0 .
Property . .er-Signature. Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this _day of 'z°✓1 — 2�1�
.Affiant is personally known to me, produced as identification.
,
It
SHANTELL RUTHIELY LOPES CORDEIRO
MY COMMISSION#FF 914524
EXPIRES:November 15,2019
Revised(6/25/12)Revised on 5/22/2009/Revised on 6/12/09 ~� � '� BondedThmNotaryPubrFU�erwriteR
2067
Rick Scott
Mission: r r=te i
„ ,
Go rton
To prated,pronate&inproae the health
of all people in Flaida ha*integrated �'7777
state,om ity&=nnu ityeffao�.
ts. da Celeste Philip,MD,MPH
HEALTHState mon Gffwd and Secretary
Vision:To be the FleaUhiest State in the Nation
February 09, 2018
Wilcon Const&Rolando Arrieta
19341 Sterling Drive
Miami, FL 33157
RE: Modification to a Single Family Residence-No Bedroom Addition
Application Document Number: AP1327487
Centrax Permit Number: 13-SC-1821335
546 NE-92 Street
Miami, FL 33138
Lot: 1 Block: 58 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 02/07/2018 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. As per
architected plan and existing system application the scope of work describe: Travertine pavers on a
sand base on pool patio, respect the existing system set back and will not impact the location of the
drainfteld and septic tank.
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.
T 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 381.010 1, Florida Statutes.
If you have any questions, please call our office at(305)623-3500.
t
Sincerely,
r
Frank
Engi alist II
Dep e h in Dade County
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Fled"Dq had t of N"M www.11eA�ah�dtl.pv
in Dade County• •,Florida TWITTER:HealthyFLA
PHONE: (305)623-3500 FACE BOOK:FLDepartmentofHealth
YOUTUBE:fldoh
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— SAND SURVEYORS SHEET NO,
E30UNDAR T SURVEY Scare 1- :3 t,Miami Shores Village
R E C E I V! S APPROVED BY DATE
MAR O 1 2016 F;tori ® OBJEr% f ION ZONI G DEPT 3
da Hel�lth Miami-Dade County ��� "' "
O.S.T.D.S. & WL,11 Program I a DEPT
�lppiication No.: ���'`}fiSECT TO COMP IANCE WITH ALL FEDERAL
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RECE�`�E , Date: �2
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