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DS-18-828Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit NO. DS-3-18-828 it Type: Driveways/Sidewalks/Slabs Work Classification: New Permit Status: APPROVED Issue Dates 5/16/2018 Expiration: 11/12/2018 Applicant 358 NE 104 Street. Miami Shores, FL 1121360130180 Block: Lot: ALFREDO PADILLA Owner Information Address Phone Cell ALFREDO PADILLA 358 NE 104 ST MIAMI SHORES FL 33138-2018 (305)756-1507 Contractor(s) HOME OWNER Phone Cell Phone Valuation: Total Sq Feet: $ 2,304.68 518 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: CONCRETE SLABS Bond Return : Scanning: 3 Additional Info: CONCRETE SLABS Classification: Residential Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $500.00 $1.80 $2.00 $2.00 $0.60 $5.00 $125.00 $9.00 $2.40 $647.80 I Date Invoice # 05/02/2018 05/16/2018 Bond #: 3761 Pay Type DS-3-18-66983 Check #: 2543 Check #: 2552 Amt Paid Amt Due $ 50.00 $ 597.80 $ 597.80 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Planning Review Planning Review Building Review Building 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 AFFID VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance'with all applicable laws regulating construction a z nin Futhermofe, I authorize the above -named contractor to do the work stated. 4/F Authorized Signature: Owner / Applicant / Contractor / Agent lv0 - PA-v A— • May 16, 2018 Date Building Department Copy May 16, 2018 1 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 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING RECE ED VIM 291.9t9 Master Permit No. VS t&-828 . Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL ['PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP JOB ADDRESS: City: 358 WE ion S71 Miami Shores County: CONTRACTOR DRAWINGS Miami Dade Folio/Parcel#: // _a/3 D/3 - 0/ 8t7 Is the Building Historically ))I Designated://J�Yes Occupancy Type: Load: Construction Type: Flood Zone: /� /BFE: FFE: OWNER: Name (Fee Simple Titleholder): /4/ P E'C IO S • gad/ q Address: 35 8 rg /o S/ Sr" City: 14 //fir» / S h o R e S State: HO f2/ dq Tenant/Lessee Name: Email: P4011l9 3/e �4 yq hoe. • coif, CONTRACTOR: Company D �Oti) ie /e Address: 3 S e Ale d Y SI City: PiSho PPS State: FA, 2/ d q Phone#: Phone#: Zip: 33/3A NO 1 486 -4Q3 -3913 Zip: 33133 Phone#: zip: 33 /3,:fi Qualifier Name: -Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ 2 3 09• 68 Type of Work: Description of Work: Phone#: City: State: Zip: Square/Linear Footage of Work: 5/5 ❑ Addition ❑ Alt ration [e New Coi) cie•ee s'lpbs ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ DBPR $ (Revised02/24/2014) Bonding Company's Name (if applicable)_r' r > Bonding Company's Address City State Zip v~t 4 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 priorto 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. _ 4 "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. SignatureOP/O1P‘141//e't(-' OWNER or AGENT Signature CONTRACTOR The foregoing instrument wasacknowledged before me this The foregoing instrument was acknowledged before'me'this w day of 0 V l �Y \ , 20 by day of , 20 , by Fr 0 P6 D,UPo iis�peersonnallly known to , who is personally known to me or who has produced "f I 1 CSI �as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBL C. NOTARY PUBLIC: Si Print: Seal: APPROVED BY MAHA41A1 K. GON Sign: Print: Seal: ************************************ **************************** Plans Examiner 5 /(1 (1 Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: /2I rRedo cS"- i%dill DATE: 3/7 /aoa ADDRESS: 36-8 tI E /o Si"Al/Aar i Shoees ,cl 33/3/ 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 I 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 building must be for your own use and occupancy: It may not be built for sale or lease. 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 for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be 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. I 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. Initial / 9-514 2. I 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 k 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 and contracts. Initial 4. l 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 nay 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 substantiaHy improved myself is sold or leased within 1 year after the • ""construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial iik R ;5. .I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. :1 .L 1^ ll c: 6. 1 1-understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It, f;is myrresponsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. e ( w%..r�..--.es Initial f1" Initial —7/' 7. I understand that it is frequent practices 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 A vY- 8. I 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. I understand that my failure to follow these may subject to serious financial risk. Initial 14-5!' 9. I 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 regulations. Initial /'f 5-19 10. I 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.html Initial 11. I am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: 3 S8' ME to Sr Initial 14-50 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information 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 2e3 day off-"G Y( k\ 20 / A By 1\, r 1 ` _do pod'\ a who was personally known to me or who has Produced ther 'cense or� OWNER as identification. 3/28/2018 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-2136-013-0180 Property Address: 358 NE 104 ST Miami Shores, FL 33138-2018 Owner ALFREDO S PADILLA &W BEATRIZ Mailing Address 358 NE 104 ST MIAMI SHORES, FL 33138-2018 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2 / 1 / 0 Floors 1 Living Units 1 Actual Area 1,380 Sq.Ft Living Area 1,086 Sq.Ft Adjusted Area 1,232 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1948 Assessment Information Year 2017 2016 2015 Land Value $230,638 $198,007 $163,894 Building Value $85,747 $85,747 $85,747 XF Value $549 $550 $539 Market Value $316,934 $284,304 $250,180 Assessed Value $101,200 $99,119 $98,430 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $215,734 $185,185 $151,750 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values ('.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 5 PB 10-47 LOT 4 & E1/2 LOT 5 BLK 118 LOT SIZE 75.000 X 123 OR 14309-1923 1089 1 Generated On : 3/28/2018 Taxable Value Information 2017 20161 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $51,200 $49,119 $48,430 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $76,200 $74,119 $73,430 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $51,200 $49,119 $48,430 Regional Exemption Value $50,0001 $50,000 $50,000 Taxable Value $51,200 $49,119 $48,430 Sales Information Previous Sale Price OR Book -Page Qualification Description 10/01/1989 $75,000 14309-1923 Sales which are qualified 01/01/1973 $34,000 00000-00000 Sales which are qualified 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 http://www.miamidade.gov/info/disclaimerasp Version: Miami Shores Village Building Department SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant,14/nieb0 S -59-gd ;does hereby attest that (Property owner) The attached survey, performed by (Name of surveyor's company) For address: 3 S NE /a SST• 9-Hi Sg EG 3 3, /g Performed on (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 violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Furor, giant say etlinaught. Property Owner Signature Property Owner Print Name 014 SWORN TO AND SUBSCRIBED before me this A 2,41 day ofGYC.ki . Affiant is personally known to me, produced fl i(.QAM as identification. :tt.oy" MAHARAI K. GONZALEZ R • � �.. MY COMMISSION # GG 044602 I,: ,� ~ = EXPIRES: November 2, ;r = N Notary Public Underwriters 'FO '' BondedTh Revised (6/25/12)Revised on 5/22/2009/ Revised on 6/12/09 Mission: To protect, promote &irgxovethe health of all people in Florida through integrated state, county & oornnnity efforts. i"orid HEALTH Vision: To be the Healthiest State in the Nation Rick Scott Governor Celeste Philip, MD, MPH State Slrgecn Gen rd and Seastary April 30, 2018 Alfredo Padilla 358 NE 104 Street Miami, FL 33138 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1341521 Centrax Permit Number: 13-SC-1842683 358 NE 104 Street Miami, FL 33138 Lot: 4 Block: 118 Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 04/26/2018 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. As requested concrete pad & driveway remodeled will not impact the location of the existing septic system in respect to all setback requirements, a non -objection letter is issued consequently. 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, Fran _•" s Engineerin Departm list II Dade County Florida Daparhmont of Health in Dade County • • , Florida PHONE: (305) 623-3500 www.floddahealfh.yov TWITTER: HealthyFLA FAC E B OO K: F L Depa rtmentofH ea lth YOUTUBE: fldoh F44 ecIMPREIE 2117-`71 N.E. ! tD4+s,. i ! 3 2 Ln✓'C. t: S 7.5j.00 ►b.8' 1 " T`r_ C.'.4. Wig• Uo• 358 O flee ,,I 1C ?5.O- i I p� i CJtJ21 1.1--,-. 17,5 • • • A • ••t • •.'s• • •••• • •• • .1,„ ; • • vs Yews ::•:•••• • •3 ••••t••• ••• •• •• • • • • • • • • • • • T> • • • Q ••- 1 • oicc. I. ,,c) cn- a) Z LII io-ik___ 1 ! in W o Q® �c� • • • • • J • Guvict FURLS nF AFARS= cvcmi wucu cunun,, ace a Tn- ems 2 cn r: rn w cc C < —J < LU U_ —J 1 —J LU if' < cc 2 ▪ 0 I CV Z 11.1 ffl _ < • Z 0 • C o 0 o Z < w Ziar'„oe. • • t\1. E . 14,7 t- I 6.7 Asell• I ° -7Le 21g LO 6,4 34' Of 3.W'v'C. A 10.z' 1°I .0' iNtk‘ ° r V \Oa g• • e: • • • A c.f... • - • • • • • i•Jvic( RECEIVED : S. . Pour •• - • •• co•r• • • • • • •• • a. ..— • • ,• ••• •__ • • • • • • • "'iv.-- • • 1.c-7. • • AL. • ' • • • • • • • • • • MAR 2 9 2018 BASIS OF BEARING SYSTEM WHEN SHOWN REF • • • • • • • • • • • •- • •• • •• • • • • TYPE OF SURVEY; BOUNDARY • • • • • •• • • • • SCALE:1.- -20' • • • • • • 555 • PROPERTY ADDRESS: .7-.-.5 14 E 1 44' 71 . M l A F- i t 5'4-9 ec=� FLOOD ZONE : X SOURCE OF LEGAL DESCRIPTION: �..7 . ,— i ^ 4-2; `. , . _.r �., - LEGAL DESCRIPT1ON _ LOT 4 av,ok-\-1/,e. E�a:s} m�Z. off- _ 9% 5 BLOCK I 1 ?j SUBDIVISION AO MAE-VADF-D RAZ OF SECTION.,! 03.5 OF 1-1!1=4'11 S1;-JCrc ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK ! 9 AT PAGE 4 7 . OF THE PUBLIC RECORDS OF 91-' r COUNTY. FLORIDA. m� E 104 Si- ,„ Q 11 fo 8 -7 is 5 \\ 4` 3 Z { 3A7 a)1Z d.,. (I1 • 2 �° ,, .. .. .. i .. P .. - .. •' Szf s V uS Z rE t~ NE 103r• S7 • :_..:�,c7ir-/0,�' 7"'J. .:.�GSb'aG430= ; .f r✓ ;•!:7..f �G... _ ::::.;,. ,--lT•G i/ciii 'i: G,s-- .r�r A7 V ,c/6 f.:_:' -, /T!_& / cot ur.,A4'4% ,sUSA. - LOCATION SKETCH .- NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL SCALE 1• . 20o WE HEREBY CERTIFY: That the attached boundary surrey of the at,ove described property is true and correct b the best of our iohowledge and beret as recently' surveyed titer our drection. also that (here are no atlovelreall tngoa• unless shown, examination of the abstract of title will have b be rnade•b deteemme: . .. . ... . ... recorded irrseuments, f any, affecting the properly. Locatien,and �denthtea)on:of: utilities on and/or adyacent too the property were not seared as such information was not requested_ Ownership is subject to opinion of title. This survey meets the minimum standards as established by the Florida Board of Pmaofesrional Laub Surveyors • pursuant tochapter 21-HH 6 Florida Admiristrafive Code.: : : :. .. : . . . . . • • c. • • ,� ? J ? ± •�� D SURVEYOR . ..SATE OF FLORIDA Tn; L r •_ --I - ; 2 - t> :- •• • • . NATIONAL SUIR-VEY SERV.I'CE-S,Inc. . . .-• • -• . . . • • • 7805 CORAL WAY W.IT.E 127..... MIAtAI :Ft.p1P5: p.w.3. • . e • .9 . �...PDERNo . FOR. —" • ; - :. CONCRETE PAD 1 29'X7' NOTES: • • • • • •• • ••••QI • . • • • •.•• 29 -0" 11'-0' 4_ 28'-0" 10'-0" 4' 6" CONCRETE PAD 2 11' X 28' 3'-10" 46' 3'4" 5'-0" •..1 • ... • 30 -04 • • • 000 •• •• • • • SEPTIC TANK 1. CONCRETE SLAB TO BE POURED AT A HEIGHT OF 4 IN. • a • •••• • • ••. • • • a • •• • • •• • • •• •••• ••.• • • • • • • • • • • 000000 • • •• • • • • • • • •..•.• •• 000000 • • • • • • . • • ••••• •.1 • • • • • C • • •••••• • • 000000 • • UNLESS OTHERWISE SPECIFIED, DIMENSIONS ME IN INCHES JIX=L0. .AAii t.000. .lUOIX D.000 ANGULAR • I• FMCTIONAL SURFACE FINISH NAME DATE DRAWN ALBEDO PAD UA CHECKED APPROVED DO NOT SCALE DRAWING BREAK ALL SHARP EDGES AND REMOVE BURRS CONCRETE PAD DIMENSIONS PADILLA RESIDENCE DWG NO. 358 NE 104 ST. 4 THIRD ANGLE PROJECTION MATERIAL FINISH W 0075:1 SHEET 1 of 1 2 I 1