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DGT-17-2901 Perm t No. DGT 1,24 7-2901 �yNO1s o,� Miami Shores Village . Permit Type:deckslGazebos/Trellises 3� 10050 N.E.2nd Avenue NEWo*Classification:Pergola Miami Shores,FL 33138 0000 ' Phone: (305)795-2204 Permit Status:APPROVED C0FRk Issue Date:212812018 Expiration: 08/27/2018 Project Address Parcel Number Applicant 844 NE 98 Street 1132060142560 Miami Shores, FL 33138- Block: Lot: MICHAEL LONGMAN, Owner Information Address Phone Cell MICHAEL LONGMAN 844 NE 98 Street (305)757-9790 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,750.00 FLORIDA PERGOLA LLC (305)400-0200 (305)213-4141 Total Scl Feet: 450 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved:: In Review Slab Date Denied: Final Type Const:,Pergolas Additional Info: BUILD PERGOLA IN REAR OF HOU,': Framing Classification:Residential Scanning: 1 Footing Scanning: 1_ Review Structural Review Building Review Planning Fees Due Amount Pay Date Pay Type Amt Paid Amt Due 4 CCF $4.20 DBPR Fee Invoice# DGT-12-17-65863 $5.06 DCA Fee $3.38 12/11/2017 Credit Card $200.00 $246.14 Education Surcharge $1.40 02/28/2018 Credit Card $246.14 $0.00 Permit Fee-Gazebolrrellise/Pergola $337.50 Plan Review Fee(Engineer) $80.00 Scanning Fee $9.00 Technology Fee $5.50 Total: $446.14 r 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. Futhe or I thor i4e the above-named contractor to do the work stated. February 28, 2018 Authorized Signatur�ment Ow en / Applicant / Contractor / Agent Date Building Dep a Copy February 28, 2018 1 Miami Shores Village �cv D ��r11 2017Buildin Department DEC 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 _ t � r Tel:(305)795-2204 Fax:(305)756-8972 BY. INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 soh BUILDING Master Permit No. 1� GT I�" 2-c10I PERMIT APPLICATION sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 1 CONTRACTOR DRAWINGS ST JOB ADDRESS: l 1 Iv `� q9 ' City: Miami Shores County: Miami Dade Zip: olio ar IM i ' J��b a( 2—n'0 0 Is the Building Historically Designated:Yes NO x ccupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): A&j Gh R c L-0/1 c gA Phone#: Address: / City: ai! 0-2k b Lc-5 State: r Zip: 3 3 r Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: -F(a'2--oA ?46,'0 Iq Phone#-C- 0)�) 4C7b 02,W Address: /ZZ5�f SW 12'b S(f2e f ,4;� L-{ 0 lO r City: N(r 6"-",6"-", State: -F Zip: 3?/BG Qualifier Name: Phone#: (�65-� �? State Certification or Registration#: CC-IU S(-q%I'1 Certificate of Competency#: DESIGNER:Architect/Engineer: Wa-�n� n�-�4 Phone#:Cgy-L Address: �br f`C. 2a1 to w , �t-� O q Ci �F�V d �. 3S4q ty. State: F( Zip: t Value of Work for this Permit:$ b1� ©6 Square/Linear Footage of Work: Y�d ��)FF Type of Work: ❑ Addition ❑ Alteration u New ❑ Repair/Replace ❑ Demolition r Description of Work: OK �cra i C t specify co gr of color thru tile: Submittal Fee q�^� Permit Fee$ CCF$ ��-11 CO/CC$ Scanning Fee$ Radon Fee$ .3- 3 0 DBPR$ y 0 _ Notary$ F Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ /� TOTAL FEE NOW DUE$ Z L�Tro • ' `� (Revised02/24/2014) i Bonding Company's Name(if applicable) 01A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip r 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. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged beforemethis The foregoing instrument was acknowledgedbefore me this day of 20_ / by U day of D l,,,�� -- .200 by n ho is personally known to � � tO ,{�-�! Who is personally known to ee or who has produced as me or who has produced as identification and who did take an oath. identification and who cliq take an oath. I a?pIUNN�ri NOTARY PUBLIC: NOTARY PUBLIC: ������;d 0178nd % Sign: g Sign: Print: /V/ e�Flor�ta Print: �' yam'�' a michelle Perez Seal: a Fo msa�GGo84089 Seal: �� ;4e��, ��Inlnu�a APPROVED BY Plans Examiner ``s i Zoning Structural Review Clerk (Revised02/24/2014) i P Local Business Tax Pecei pt Miami-Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY LBT ; 7068943 BUSINESS NAM E/LOCATION RECEIPT NO. EXPIRES FLORIDA PERGOLA INC RENEWAL SEPTEMBER 30, 2018 12255 SW 128 ST 406 6979513 MIAMI, FL 33186 Must be displayed at place of business Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED FLORIDA PERGOLA INC 196 GENERAL BUILDING BY TAX COLLECTOR MATTHEW C BOVELL,QUALIFIER CONTRACTOR - 82.50 10/03/2017 Worker(s) 1 CGC1518817 0237-18-000055 This Local Business Tax Fbceipt only con"rms payment of the Local Business Tax.The Paceipt is not a license, permit,or a certi"cation of the holder's quali"cations,to do busi ness.Holder mist comply with any governmental or norgovernmental regulatory laws and requirements which apply to the business, The FEMpTNQabove must bedisplayedonall commercial vehicles-Miami-DadeODde Sec Ba-276, MIAMr n For more irlfoffnabon,visit www.miamidade.gwftccdlectar t dE�"E J JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW .CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 11/15/2017 EXPIRATION DATE: 11/15/2019 PERSON: BOVELL MATTHEW FEIN: 461250984 BUSINESS NAME AND ADDRESS: FLORIDA PERGOLA INC 4234 SW 152 AVENUE,#154 , MIAMI . FL 33185 .SCOPE OF BUSINESS OR TRADE: Licensed General Contractor Carpentry 0 NOC IMPORTANT:Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 t ♦ RFs Lr � Miami Shores Village sell Building Department b ,es to � 10050 N.E.2nd Avenue ORNp' Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation 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 1 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. t 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. I,;.., Iii, Signature: � i O aer State of Florida County of Miami-Dade The foregoing was acknowledge before me this 2-FJ day of209 By l(1A-( — who is personally known to me or has produced rt'L 1Jm2 CJS CfuSE' as identification. Notary: ospo Pys, Notary Public State of Florida ? Sindia Alvarez SEAL: -r < My Commission FF 156750 :y OFExpires 09103)2018 SKETCH OF BOUNDARY SURVEY DESCRIPTION: NE 98TH STREET The West 15 feet of Lot 7, Lot 8 and the East 25 feet of Lot 9, Block 73, MIAMI SHORES SECTION N0. 3, according to the plat thereof, as recorded in Plat Book 10, Page 37, of the LU 12 it l0 6 5 Public Records of Dade County, Florida w SURVEYORS REPORT/NOTES: a = ALLEY ( i) property address: 844 NE 98th Street, Miami Shores Village co J N (2) Flood Zone Shaded X; per Flood Insurance Rate Map 120652 Z 13 14 15 16 17 18 19 20 0093 J, map index dated 3/2/94. 7-1 (3) Benchmark: Miami-Dade County Survey Section Vertical Control , Point #N-800; elevation +9. 33' National Geodetic Vertical NE 97TH STREET ••• :'•••• Datum 1929. .• *a**:* (4) Unless stated otherwise hereon, this survey was prepared •„• without the benefit of an abstract of title. No I i ab i I i tyLOCATION MAP •••... , + is assumed by the undersigned for loss relating to any ...,.; matter that might be discovered by an abstract of title NOT TO SCALE • ..... of the property. ••�•„ � , (5) No underground foundations, buried utilities, setbacks, •••••• '""• uses or visible easements are located hereon. No liability is assumed by the undersigned for any loss that may be '. • • ansa.• associated with the existence of any of the above stated. •••••• • LEGEND: Q centerline + elevation ` A/C air conditioner CLF chain link fence FIP found iron pipe no identification LCF louvred concrete fence NE 98TH STREET M measured at block corner MET metal _+9'75' P plat CROWN — � — CROWN PP power pole !8'PAVENENT SC stamped concrete (TYP) typical W/F wood fence Q 23.5'PARKWAY ^� CJ 90.00' 5'WALK FIP 1 1/2' 175.00'P6M FIP !/2' LCF �. FIP 1/2' BLOCK e 2'S y, 0.!'N ��� 0.4'S ♦ 0. CORNER `d 0.1'E �J� 0.3W% 0.!'E y J o o ♦�a yU; Ln ¢34 W y CM Q 25.4' LCF y STEPS 14.7' J f 0.3'E 'TL6'W/F o 4'CLF 1.!.2'N 9.7' 12.4' a A/C 1.5'N 27.8' 0 2 STORY RESIDENCE m N m M MAIN FLOOR +11.79' % 111 3 2ND FLOOR +23.46' N GARAGE+9.90' C%1 ~ 9.3' 40.2' !0.!' 25.8' NET (TPS25.4' 6 lO.T m STEPS COLUMNS o, N N STEPS ♦� STONE 30.0' 6'W/F 05 PAVERS 9• l0.8' 0.7'N STEPS A/C 1.2'W ♦� METOi 4'CLF FIP 1' 01� " RAIL 0.4'N 0.2'S Cd m !.5'N 0.!'E 4'CLF FIP 1' 0.2'N PP 0.i'E I CROWN 15'ALLEY 90.00' 9'PAVEMENT 8.971 p CROWN FOR: LONGMAN ¢p 41r, w'. fA r DATE: 1-08-08 ��• a ♦���� �;• , ORDER NO.. OBO i O28 FIELD BOOK: 247-72 & FILE 1 DATE REVISION ORDER NO. Rog J ; k Z•L.' not vdtrd;without the signature 3-!l-09 FINAL ON ADDITION 0903016 P. S. No'. ( 1'1 1 ( y''Ot�`an`d:3A5Roriglnal ralaed seal of a' Im^,Ida.lIcensed surveyor and Stat O f F �^ vt1'a •�aPR4 for #LB454 t� yNr DIE 0 I ETZ LAND SURVEYORS, INC. 1002 NE '35th Street, Oakland Park, Florida 33334 ( 954) 327-0988 DATA FILE: MS3-7-8