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PW-17-843
Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Issue Date: 5/2612017 Permit NO. PW-3-1 7-843 Permit Type: Public Works Work Classification: Public Works Permit Status: APPROVED Expiration: 08/24/2017 Parcel Number Applicant 690 NE 93 Street Miami Shores, FL 1132060141490 Block: Lot: HUGO MIRABAL CLAUDIA GRAI Owner Information Address Phone Cell HUGO MIRABAL CLAUDIA GRANDAS 690 NE 93 Street MIAMI SHORES FL 33138-2907 690 NE 93 Street MIAMI SHORES FL 33138-2907 Contractor(s) Phone MATSA CONSTRUCTION CO INC (305)525-1975 Cell Phone Valuation: Total Sq Feet: $ 6,500.00 1000 Scanning: 1 Fees Due CCF DBPR Fee DBPR Fee DCA Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.00 $0.00 $0.00 $0.00 $0.00 $0.20 $100.00 $9.00 $0.80 $110.00 Pay Date Pay Type Invoice # DS-3-17-63472 05/26/2017 Credit Card 03/28/2017 Cash Amt Paid Amt Due $ 60.00 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Building Review Planning Review Planning Review Public Works Review Public Works Review Public Works 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, I?OQRS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informati construction and zoning. Futhermore, I authorize the above-na e and that all work will be done in compliance with all applicable laws regulating or to do the work stated. May 26, 2017 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date May 26, 2017 1 JOB ADDRESS: 6 90 NE 9.3 s1 N c\\)-° .1a 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 S#h FBC 20 \ 4 BUILDING Master Permit No. A) 1 — 843 PERMIT APPLICATION Sub Permit No. 170-47.CEIVED MAR-2cS 2017 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION . ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores (/ County:,�+`MiamilDade Zip: 3 3 /.36 Folio/Parcel#:I 3Z0� V / j fl� aalloi A' Is the Building orically Designated: Yes NO if Occupancy Type: Load:. Construction xp ; ood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address: &4%O �� -S Phone#: City: /` e '?2/� //� / State:Zip: 3 37341 Tenant/Lessee Name: Phone#: Email: � ` w� CONTRACTOR: Company a e: �7 ;ii►jr` �✓ //+%.�.,v / s Phone#: ? Q� SZ�'9Tf Address: %5//67 - A r" r ! l .�'f ''p!d � City: State: . / °�,'� f��' ,��'"• Zip: .� 318C' Qualifier Name:" •• 7r rNc/ .. / , /11 "7 /'Phone#: 3 0 r �T/9T.r `L. f'642 7v State Certification or Registr. Jr Certificate of Co petency #: DESIGNER: Architect/Engineer: // FL ./ P f Phone#: Address: Value of Work for this Permit: $ Type of Work: ❑t 'Addition^ Description of Work: Alteration ❑ New City: f / State: Zip: Square/Linear Footage of Work: / " it/Replace ❑ Demolition 'I a M Specify color of color thru tile: ` " `"" _Y- "'`'+ Submittal Fee $ V hpaid 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) Bonding Company's Name (if.applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City & 1 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 FO . M,PROVEMENTS TO YOUR. PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITH Y?' UR 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 $2500, the applicant must promise in good faith that a copy of the noticeVidifirriVinrerriVeZandUnstriktliin..11ien law brochure will be delivered to the, person whose property is subject to attachment. Also, a certified copy of the recorded notice -of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued n the absenceiof such posted notice, the inspection will not be apir'vand a reinspectionwill b ee e.tharsged. Signature ER or AGENT ONTRACTOR The foregoing instrument was acknowledged efore me this YThe foregoing in,trument was acknowledged before me this day of / rt cl'ea r -i I ✓& / , who is personally known.to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 2, Seal: 20.7 by Z Z. day of i 20 ! 2 , by ,,DQ ` I t ""i� p Ski c..'e v , who is personally known to k.3 — as me or who has prod)4ed identification and who did take an oath. ZOE SALGUEIRO - a e o orida Ion # FF 245464 y Comm. Expires Jun 30, 2019 "••• Bonded through National Notary Assn NOTARY PUBLI : Sign: Print: Seal: OE SALGUEIRO y ublic - State of Florida Commission # FF 245464 o My1,o as h National Notary Assn. *************************** *******************************s*'ss*s**r***********ssrrs*******:******s*s*ss*ss APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138 PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Permit#: PNNI. l 1— �N 3 , Name of,Applicant-(if,utility see below): HOOVO i' (f4 Owner off the following described property: Legal Description: Lot Block CO Subdivision f-t Cafvi 6Azia-$ 3 Folio #; //,,0 �0/ p 3� Address: 00 E /�GQi�L/, %ti%s � UTILITY NAME: Qualifier/Authorized Agent: Address: 1'j'0 ,C)g City:.�in' �djP /GS State: ZIP:33 Telephone: Email: State Certification or Registration #: Certificate of Competency # CONTRACTOR NAME: /((i' Qualifier/Authorized Agent: ,-( 165,e icGle...- Address: /V & 3GO /f1,3 City: ' t"( '7- ,' State: 0 ZIP: 3,714 Telephone: ']D — Z l%7S Email: State Certification or Registration #:C6 Z.3Z 7f,V Certificate of Competency #: Requests permission to ins II (describe work, attach separate page if necessary) in the adjoining right of way: aj//%7 Type of Work: ® Paving ❑ Utility ❑ Sidewalk 0 Electric 0 Irrigation ❑ Landsca5!µ©J ntenna ❑ Other: n a.s.6"1 DESIGNER:'Architect/Engineer: Address: f.^ e, rrn; City: State: ,ZIP.' ' "° "'' ` '' Telephone: Email: Registration #: 1 Value of Work for this Permit: $ 'Si 250 • v‘ Square/Lineal Footage of Work: afrO ***** Fees***** Permit Fee $ 100.00 Notary $ je Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ - CA3 Bond $ (if required) Total Fee Now Due $ t,O • 005 Sign: Bonding Company's Name (if applicable): Bonding Company's Address: City: State: ZIP: Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in this jurisdiction. I understand that separate permits must be secured for APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with applicable laws regulating construction and specifically construction in the right-of-way. "WARNING TO APPLICANT: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value exceeding $2,500, 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 the 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 public works permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection will be charged. Signature plicant or Authorized Agent The foregoing instrument was acknowledged before me this day of ( 20 fl , by 1401-Q(y2 who is pers ally known to me or who has produced as identification. , ZOE SALGUEIRO NOTARY PU : IJa;+'� otary Public - State of Hon. Commission # FF 245464 y Comm. Expires Jun 30, 20' Print: , e SEAL: Signature The foregoing i met 's s pany/Utility Agent trument was acknowledged before day of , 20 �� , by eOre� who is personally known to me or who has produced as identification. NOTARY PUBL Sign: Print g SEAL: ZOE SALGUEIRO Notary Public - State of Florida Corn • My Carnal Exprres Jim 30, 2019 **£:************************************ APPROVED BY: f'i.r '� , Public Works Director, or Designee 2017-04-15 • .94 €'9 XJ078 ZZ 107 F9 X.3078 I 107 49 X0- £t 107 1Yd 17Y, mu) aoo-st a . ,a Z.lf 'gird [ o OMP-044 96 I. eoii s -out ">'pioia to PPP'S AYXiXWWYd..artz 3000 p SLY? gjQk_ .sa Llt .95tt 1M31tY- 17YF&ISY ;,OX ark( A APPRO\'EO ZONING DEPT LRG DEPT SUBJECT IO CU ' .Z1r d-rj .Ara QED Sti^11. NO SIN3r4b< 087.) l3 378iStA 01+ :0., • • • • •• • •••••• . •••••• •.•• • • •••.•• • • ••. •• •••••• • • • • • • • • • • £9 XOp78• • • 6 107 _40 L30NIY/Y32I .Ift d7d ti AZ-SfZ I RECEIVED MAX 2.2 /0V .4/6 Id Id 771 8 • • • • • • • • • • • • • • • • • •• • • •• • • • • • •• •• • • • • . •• • • • •••••• • • • • • • WI - ALL FE D5.ER •• • • • • . • . ••••• • • • • •••••• • • 'U!i elgwmo3 Paocuo STATE AN CCIjN, 1 riUL._S AND REGULATIONS i • Ordered By: Columbia Title of Florida, Inc. Since 1962 0' 15' 30' 1 inch = 30' ft. 013.0' LP 0 • 2t' � ac F.LP. 1/2• 2p11 PAT F.I.P. 1/2" REMAINDER OF LOT 9 BLOCK 63 4 1.60▪ ' in IN F.I.P. 1/2" :::N E. 93rd STREET '75' RIGHT-OF-WAY (BY PLAT) 20'± ASPHALT PAVEMENT 24.0' O N 15.0' I 10.0' 22.0' \.8.0' 16.40' 2{ C 3'C O 0 N N C C 75.00' SR&M 18.60' C 0 N C 0.70 , 10.0' \ STEPS 7.0' 1180 1-4 8.0' 'in6.0' ,o ~ 13.55' TILE • 25.15' C 11,80' 12.70' in *3.75' 14.00' o d 2 10.85' 24.40' PARKWAY 5' CSW • • • •• • 6 • o F.LP. 172' • • • • • • • b • • • • • 9.75' 14.75' '0 ONE STORY CBS RESIDENCE # 690 n 23.00' WOOD DECK 34.40' 75.00' (R&M Di // 0.75' 4 9.75' 0.25'ad Xn I - •:-10'' ASPHALT PAVEMENT.•„ LOT 20 BLOCK 63 LOT 21 BLOCK 63 • • •• •• • • • • • • • • •• • LOT 7 BLOCK 63 q— ` t FLP. 1/2" ALLEY 8 LOT 22 BLOCK 63 • • • • • • • • • • • • • • • •• •• • • • • • • •• • • • • • • • •• •• • • • • •• • • • • • • • • • • •• • • • •• • • • • cr - o LLI F- n LLI LL 04 - ul z o W n U Z • Z (� O -k C CO Notes: VO VISIBLE ENCROACHMENTVON IS PROPERTY. MAP OF BOUNDARY SURVEY Property /Waress; 690 NE 93 STREET MIAMI SHORES, FL 33138 nlineland SURVEYORS, INC. 15271 NW 60 AVE, Suite 208 Miami Lakes, FL 33014 www.OnlineLandSurveyors.Com SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY IS A TRUE AND CORRECT REPRESENTATION OF ft SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS, AS SET FORTH BY THE STATE OF c. 1La [.✓I .:�..V C.; i'i iv tli Ji/—$,(—LVRI✓.`1 ADMINISTRATIVE CODE SU S N'N UZ 7 ,FLORIDA STATUES. 7,0 No 525_2 , - n STATE OF -- FLORIDA ••• �. SIGNED ; v0 FERNANDO V. GOMEZuRv° \``� STATE OF FLORIDA ` " "' 11 FOR THE FIRM P.S.M. No. 5259 NOT VALID WITHOUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, AND/OR THE SIGNATURE AND/OR THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER. THE SEAL APPEARING ON THIS DOCUMENT WAS AUTHORIZED BY FERNANDO V. GOMEZ, P.S.M. NO. 5259 ON THE SURVEY DATE NOTED HEREON. Survey Date:9/23/2014 Survey Code:O-13307 Page 1 of 2 Not valid without all pages.