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DS-17-334 Permlt/U0. 135-2-17-334 Miami Shores Village Permit Type:DriVeW,ays(Sld8WaJk$/S(abs 10050 N.E.2nd Avenue NE Per I Work Classification:Addition/Alteration Miami Shores,FL 33138-0000 PermitStatus:,APPROVED Phone: (305)795-2204 FLORiDP Issue Date:2/9/2017 Expiration,: 08/08/2017 Project Address Parcel Number Applicant 1055 NE 96 Street 1132060143710 Miami Shores, FL Block: Lot: PATRICE ROBINET Owner Information Address Phone Cell PATRICE ROBINET 1055 NE 96 Street MIAMI SHORES FL 33138-2551 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 HOME OWNER Total Sq Feet: 257 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:DRIVEWAY ACCESSING ALLEYWAY Additional Info:DRIVEWAY ACCESSING ALLEYWAI Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# DS-2-17-62887 $2.00 02/09/2017 Credit Card $ 119.60 $0.00 DCA Fee $2.00 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $119.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAV( : I that all the foregoing informatio is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo n . Fu ermore, I authorize the ov -na d contractor to do the work stated. —� February 09, 2017 Auth ate I Building Department opy February 09,2017 1 Miami Shores Village Building Department ; FEB 17 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 !-'1 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO r Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �iv 1�c 1GC , �•1 R11j 1 Phone#: Address: tje City: 091AM) sH®R.eS State: Zip: Tenant/Lessee Name: Phone#: i Email: CONTRACTOR:Company Name: ©W u&e_/KU1LD1z Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: RIUe(A)ALI ,���_t3z J Nb �I S?.iA34i,Jsl,J::A.S-'.rw.sr.�' iYp of 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$ TOTAL FEE NOW DUE$ (Revised02/24/2014) I Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City r . 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 XW<) Signature ` OWNER or A CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of20 by day of 20 by ��- 2'/ 6 D l P-,J io/!is��personally known to who is personally known to me or who has produced 53�ll� ' ^3ag sme or who has produced as flortdc�df identification and who did take an oa h. IV CYS identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ` Sign: s .":::': Print: MY COMMISSION#GG 044602 Print: �,Fp��;cP EXPIRES.November 2,2020 Bonded Thru Notary Public Underwriters Seal: Seal: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) w O tv mss Miami Shores Village v,,, Building Department 10050 NE.2nd Avenue Rtli� Miami Shores,'Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT / NAME: 1 (�1 1 LOCI 1 1JG�� DATE: nC ADDRESS: NO�X '0 t( � 1 , \'1 LA I 'CPCQOrS Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).And I have read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that 1 as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a cost of$25,000.00 or less(The new form states 75,000) The 6uildirig must be-for your own use and occupancy:It'ffi "notti'e' -' for sale or'` leaie.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built 1 for sale or lease,which is a violation of this exemption:You.'may',not hire an'uiilicensed person asra cont"rector.If is your`responsitiility to,make. sure"the'people employed by you fiave licenses required by's"tate law and by,county or municipal licensing ordinances:Any person working on your building who is not licensed must work under your supervision and muss lie employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances,buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. J Initial✓" i 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. I understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name.I also understand that the contractor'is required by law to be licensed in Florida and to list his or license numbers on permits an t t cts. Initial i 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may not be built or substantially improved for sale or lease.If a building or residence that I have built or substantially improved myself is soldor leased within 1 year after the construction is complete,the law will presume that I built or substantially improved it for sale or lease,whi violates the exemption. Initial S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initi1 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on rimy building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial �- r I 1 7. 1 understand that it is frequent pfactices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am�aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done.Any person working on my building who is not licensed must work under my direct supervision and must be"employed by me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee. understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulation *,,_, Initial J 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,"the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/­pro/cilb/index.htmi Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for 1n my name and understands that 1 am the party legally andfinancially responsible for the proposed construction activity at the following address: �aS S Ne 4� Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions;or changes to any of t e' o motion that I have provided on this disclosure." Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of 20 BY P-0101 V\ Q Who was personally known tome or who has Produced th a icense r I� 1`S 3'����p S— ��"fig` 4S identification. r's�"�• MAHARAI K GONZALEZ LA -ts MY COMMISSION#GG 044602 NOT F 'EXPIRES:November 2,2020 %Fp►F;'P Bonded Thru Notary Public Underwriters i 1 !` 2 YY ? MARTINEZ & MARTINEZ ENTERPRISES , INC . Business License # 7702 7179 W . 13 Avenue , Hialeah , Florida 33014 Email : plspsm@yahoo . com Cel: 786 -277-4851 Website : martinezandmartinez. com Property Address: ...... . .. ...... 1055 NE. 96 STREET, MIAMI SHORES, FL. •••'•• :....: .... .... . . LEGAL DESCRIPTION: ...... . .. ..... Lots 12 and 13, in Block 82, of" MIAMI SHORES SECTION NO. •3%WCcordi+t6 the pint:- thereof as recorded in Plat Book 10 at Page 37 of the Public Records (rfAmni-Daddt Countyi:• Florida. :...•• SURVEYOR'S NOTES: 1) The above captioned Property was surveyed and described based on the above Legal Description: Provided by Client. 2) This Certification is only for the lands as described. It is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEWED. 3) There may be additional Restrictions not shown on this survey that may be found in the Public Records of this County, Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4) Accuracy: The expected use of the land, as classified in the Minimum Technical Standards , is "Residential High Risk". The minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000-feet. The.accuracy obtained-key measurement and calculation of a closed geometric figure ` was found to exceed this requirement. 5) Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. 6) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to survey maps or reports by other than the signing party or parties are prohibited without written consent of the signing party or parties. 7) Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. 8) The surveyor does not determine fence and/or wall ownership. 9) Ownership subject to OPINION OF TITLE. 10) Type of Survey: BOUNDARY SURVEY. 11) If shown, elevations are based on the National Geodetic Vertical Datum of 1929. 12) Flood Zone: X Base Flood Elev.: NA as per map 120652, Suffix L , Panel 0306 Date of Panel 9-11-09 13) A complete list of abbreviations used in this survey are shown on the back of this sheet. 14) Survey# 13-79D 15) This PLAN OF SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed party: A.) PATRICE ROBINET Field Date: 05-24-2013 Up-date: 6-18-2013 For the firm: , Up-date: 10-26-2015 Pedro Luis IMartlnez P. S.M. Up-date: 9-07-2016 Pro sional Surveyor-& Mapper S to Florida Reg No.5443 Page 1 of 2 Legend of Survey Abbreviations A Arc Length FIP Found Iron Pipe/Pln RNG Range AC Air Conditioner FL Flowline RP Radius Point ADON Addition FN Found Nail RR Railroad ALUM Aluminum FT Feet or Foot RD Road APPROX Approximate FE Flowage Easement R/W Right-of-Nay ASPH Asphalt GAR Garage S South AVE Avenue GR Guard Rall SAN Sanitary Be Broward County GO Grade SCM Set Concrete Monument BL Base Line GNO Ground SCN Screen •%DG•� B8ION•i• ••• : GPST Global,ent Positioning System SEC Section BIS 81 ocic • �Q Bonlever� " GM Guy Mire SEM Sewer • BM Bench Mask ":"' HORIZ Horizontal SIP Set Iron Pipe/Pin + %BY: Bougivy ' HP High Point SN Set Nall Bottq%.0 •••• HT Height SP Screen Porch '.ice.. Canal Maintenance Easement HW Head Wali SPEC Specification ;J/ jLc Cal gghied HML High Water Line SO FT Square Foot T9 Catcp Basin ••••�• IP Iron Pipe or SF �.. ,•• Chord Oistancq • : IV Invert SR Stale Road I . C;1B . Mdeao ring . LME Lake Maintenance Easement ST Street ° C ncr$ BI ocr •• L Length, STD Standard cis C&b'S Gutter LP Light Pole STA Station CL Center Line LT Left STN Storn I CLF Chain Link Fence MAINT Maintenance STRUC Structure CM Concrete Monumenttag Masonry - STY Story "RP Corrugated Metal Pipe MAX Maximus.: SUB Subdivlslor CO Cleanout MH Man Hole SM Southwest ` COL Colun■ M Field Measured SWK Sidewalk CONC Concrete 1MIN Mlnlnu■ ' T Tangent CONST Construction WR Marker TBW Temporary Bend� Mark COORD Coordinate NN Mean _ TEL Telephone i COR Corner MON Monument TEMP Temporary COY Covered MSL Mean Sea Level TOB Top of CR County Road N North TOP Top of PIS',,4 CS Concrete Slab TR Tractl r;all NrrD Nail 6 Disk s CT Court NAD,83 North American TRANS Transforaer CULV CulvertDaTWP Township NE Northeast , D Deed tum of 1983 TYP Typical Db Deed Book NO Number UE Utility Easement OC Dade County N. Rad Not Radial UGD Underground 4 DCR Dade County Record -NTS Not to'Scale USGS. US Geolor,Ical Survey DEFI. Deflect or Deflection NGVD National Geodetic UTIL Utilities I DIA Diameter Vertical Datum U3 Utilities Box DIST Distance :NW Northwest V Vertical I D Drive NFIP National Flood VAR Varies LRA Drainage Retention Area Insurance Program VC Vertical Curve C OE Drainage Easement OHC.. Overhead Cable VOL Volume DWG Drawing ORB Official Record Book N West DOY Driveway WD Wood ° E East P° Plat WN water Meter a ENC Encroach PAT -Patio PAR Parcel WMN Water Main ELECT Electrical PAV Pavement WT nater Table EL Elevation WV Water Valve ENOL Enclosure PB Plat Book ESN'T Easeeent PC Point of Curvature SYMBOLS EOW Edya of Water PCP Permanent Control Point A Delta PED Pedestal Angle s EXIST Existing _ - - 0 Degrees Y I FCM Found Concrete Monument PG Page- -,PI Point of Intersection Do Minutes FNO Found ' PK Parker Kalon.Nail 0 Seconds � FEMA Federal Emergency PL Property Line Feet When Used !n Dlstancte. �;anage®ent Agency PLTR Planter Inches When Used In Distance F!RN National Flood PUB Point of Beginning 10.0 Existing Elevation insurance Program PP Power Pole x10.0 Proposed Elevation i FF Finish Floor pRN Permanent Reference Monument Proposed Surface Flow FFE Finish Floor Elevation PROJ ProjectSet Iron Pl�e or FH Fire Hydrant R Record by 'Plat/Deed 0� Pin:with Cap •5443, IRAD Radial/Radius ;a Unless othera!,.se 2,hovR i .REF Ref6"nce. .. +/ More or Less RES Res Iunce Dl.stan�e Not Supported RET Retention/Retaining _ -r Y :bV Fleld;Measuresent SKETCH OF SURVEY SCALE: 1" = 20' UP , 0000 LIMITS OF PLAT • • • • 0000 • 000000 • • • • • • •000•• •0 00•••• / — — 15' ALLEY ASPH. PAVEMENT •••1•• • • • FIP. 1/2" — — — — — — FIP. 1/2'* •••••• No I.D. 0••••0 • No I� i••• 0000••' • • • •10v•• - -•• •• • •• 000 6900.• o° • Di. 0000•• �� 9, n u Yi—u • • •I • 100.00 32.0 •Z . • 0000•• 0000•. CONC. 23.7,x, POOL : 126•., 0000 �.••.� •• WALL 32.0 i GARAGE 10.0' I 1.2 9.5 I 13.0 I o CONC. r- CONC. CONC. I �`� (T LOT-14 . � �s I N LOT-11 BLOCK-8226.9 9 '�o w 23.4 I BLOCK-82 I I 2-STORY CONC. 00. RESIDENCE #1055 j M FFE=11.07' M LO 0 30.8 U LU 0.8 12.1' 9.1 �� p ', 14.1 Q 0 N L CONC. QLUcr 0 0 M O m 3 J Cr z � F.DH. � 100.00' 0 F.D . w a o :D 5' CONC. SIDEWALK p Lou - a Z c� 0 7.5' PARKWAY d Z w Q O C:) 4.50' CURB NE. 96 STREET ti ASPH. PAVEMENT (80' TOTAL R/W.) THIS EY MAP OR THE COPIES THEREOF,"ARt`` LEGEND o° NOT AL WITHOUT THE SIGNATURE ; I �'. t +� =Existing Elevations =Light Pole AN TH ORIGINAL RAISED SE�,L`UF. `a. ; t 0 --OH—Overhead Wire Line ®=Water Meter F.DH. =Found Drill Hole —Wood Fence =Catch Basin F.N&D. =Found Nail &Disc. Sheet 2 Of 2 M A LO DA LICENSED SURVEYOR MAPPER., —X_Chainlink Fence �=Power Pole FIR. =Found Iron Rebar r, I ALLEY - y W I NEW I - W � I EXISTING FPOOL AA26MI388 I VICTOR J.BRUCE EXISTING AR-W17103 GARAGE Mia S 530019 Miami Shores,RaWa 33153 tet 305.310.5030 .• vb®b2-dcom w go • • •• •••••• • f • • • •••••• • ••••• • • • • • •••••• ••• • • { I SEAL t I PON& M-00-17 Yw � Dab PERTY IN ReGagnon i Residdenden ce New Driveway ID WA K 1055 NE 96th Sheet PARKWAY 0340-robMet-gagnon CONCRETE GUTTER New Driveway NE 96th STREET I SITE PLAN SCALE: 1/16'=1'-0' A-1 r' I 06 I AAM1368 r VICTOR J.BRUCE AR-0017103 P.O.Box 530019 Mkrd Shaer,Rodda 33153 1ek 305,110.5030 •••• smt vb®b2-alcom I � • 64 ALLEY • •.•• .•.•• ••.•.• • • • W PROPERTY LINE ••• . . . .0000. . .. . •.• I Y: • I 's 6'CONC.SLAB W1 128b SQFT 128A SOFT. ;,t 6x6-W2.9xW29 ►- W1UF.ON WELL A COMPACTED FILL a I r sm L I r�� I Robinet-Gagnon Residence New Driveway I 1055 HE 96th Sheet Mimi Shores rraide 33138 0310-roWet- gnon DRIVEWAY PLAN New Driveway 51"ROOM A-2