PW-16-181FBC20t-(6444
BUILDING Master Permit No. ? 1/ll 16 - 1 0 1
PERMIT APPLICATION Sub Permit No.
BUILDING 0 ELECTRIC 0 ROOFING 0 REVISION 0 EXTENSION 0 RENEWAL
PLUMBING 0 MECHANICAL j PUBLIC WORKS CHANGE OF 0 CANCELLATION SHOP
[� �1'/"� CONTRACTOR DRAWINGS
JOB ADDRESS: // d 0 7 4. d`— "' C
City: Miami Shores County: Miami Dade
Zip:
Folio/Parcel#//-a/3‘ p09 ooL Via Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: ,y / FFE:
OWNER: Name (Fee Simple Titleholder): G S ' AO/17( GG C Phone#: /`�/�
Address: 'f55 4 A/ a /D C 7 �/d " ane-63,1
City: _ //Pf /' State: !� Zip: 3_/7
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: /%/eitini • Pn'/_ C a)itg't • S T1( hone#: ? ,/6 d" "57,7
3' ?/ S " 39 I/C /
City: r State: Zip:31/,,�
Qualifier Name: Z,547 j'li //rJ40,e,/ ef! t! L Phone#28( d-c8' tl_�
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: / 2 City: State: Zip:
Value of Work for this Permit: $ // v _I9 a . Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work: fr.494./ l /2 /47,/71/ ? ,�—Xt ' %/i G
/
/ '/ itt.ptit G//r-7Lrc s c.EV/ r ' 1' 1 , f2E 71 C A
IT k,,,S -Z`.vC- S f /t (4(-0_ E. -/)-(ief"G i�' //a2 a/e.i2
Specify color of color thru tile:
Submittal Fee $ 9) Permit Fee $ O. . CCF $ ) ' W CO/CC $ 0
Scanning Fee $ 03 Radon Fee $ 2 ` J DBPR $ 2 ' 00 Notary $ P
Technology Fee $ I ; .ICJ Training/Education Fee $ t) •' 0 Double Fee $ 0
Structural Reviews $ (-���D Bond $ 0 % TOTAL FEE NOW DUE $ I I `� . 2 0
Address:
b
jl rl�D�� 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
d
(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 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.
OWNER or AGENT
The foregoing instr ent was acknowledged beforj/mme this
day of 20 K/ , by
ersonally known to
CONTRACTOR
The fore oing instr ment was acknowledged before me this
day of �l , 1 20 4,0 , by
s personally known to
me or who has produced U as me�who has produced ' as
identification and who did take an oath.
NOTARY PUB C:
Sign:
Print:
Seal:
•: My Com Expires Feb 24, 2018
„0, Commission # FF 95324
Bonded Through National Notary Assn.
*********************************
APPROVED BY
identification and who did take an oath.
NOTARY P LIC:
Sign
Print: /
Seal:
****************************** **
MP
Plans Examiner
•
'• 'r.RUBALGABA
Notary Pubbc - Stale of Florida
My Comm. Expires Feb 24, 2018
Commission # FF 95324
Bonded Through National Notary Assn.
Zoning
(Revised02/24/2014)
Structural Review Clerk
M I A M I•DADE
COUNTY
miamidade.gov
January 21, 2016
Miami Shores Village
Building Department
C/o Mr. Ismael Naranjo
Building Official Directors_
10050 NE 2 Ave JAN 2 2 2016
Miami Shores, Fl 33138
BY:,0 ra. O\
y
Re: Water Service Installation and Retirement for:
11004 NW 2 AVE rr
AFA-129 ER-16956 I b
AFA-112 ER-16
Dear Mr. Naranjo:
Water and Sewer
PO Box 330316.3575 S. Lejeune Road
Miami, Florida 33233-0316
T 305-665-7471
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_1
ILDING REVIEW
APPROVED DATIE
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Transmitted herewith for your approval and permit are one (1) copies of the water service
installation and retirement for the above referenced project. Upon approval and issuance of
the permit, it is requested that you return to us one copy of the approved sketch and the
original permit.
If your approval and issuance of the permit has special restoration requirements, we will need
to notify the customer of the additional charges involved with the installation. Please inform
us if there will be special restoration requirements for this permit request.
Should you have any questions regarding this matter, please advice.
Sincerely,
Isabel Rodriguez
New Business Representative
New Customer Division.
(786) 268-5134
AYA@miamidade.gov
7,( r Excell t. ce
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VILLAGE OF MIAMI SHORES
MIAMI-DADE COUNTY
SEC. 36-52-41
DETOUR
20'
EXISTING 4" C.I.
WATER MAIN
END
DETOUR
F35'-
35'-
STREET CLOSED
LOCAL TRAFFIC
ONLY
NW 111
AFA-112 ER-16967
RETIRE EXISTING 3/4"
- SERVICE LOCATED AT
NORTH PROPERTY
LINE
NW
AFA-129 ER-16956
NEW 1" SINGLE SERVICE
SET BOX AND SPACER
LOCATE AS MARKED OR
STAKED AT NORTH
PROPERTY LINE
N
SIT�QC.T •.• ••..S.
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DETOUR
110 STREET
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Z
\ I /
GENERAL NOTES
1. LANE CLOSURES PER F.D.O.T. DESIGN STD. INDEX # AS SHO
2. PAVEMENT RESTORATION PER M.D.C.P.W.M. R-21.1.
3. SIDEWALK RESTORATION PER M.D.C.P.W.M. R-13.1.
4. MAINTAIN MIN. 30" COVER ON ALL SERVICE LINES.
5. DO NOT SET METER(S) AT THIS TIME.
6. 48 HOURS BEFORE DIGGING CALL SUNSHINE STATE ONE
CALL AT 1-800-432-4770TICKET #. 015606733
❑ FL. CITY GAS
ig PEOPLES GAS
F.P.L.
L7I M.D. PUBLIC WORKS
A.T.T.
0 M.D. ENT. COMM.
& 660
COMCAST
O ATLANTIC COMM.
O CLEAR
NEW WATER SERVICE AND
EXISTING SERVICE
RETIREMENT AT
11004 NW 2nd. AVENUE
AFA-129 ER-16956
AFA-112 ER-16967
DRAWN: H.B.
DATE: .1 /15/2016
CKD:
I.R.
MIAMI - DADEvAT-ER AND SEWER DEPARTMENT
2
Miami -Dade County - Application Title
1. Does excavation fall within the swale and/or
sidewalk area ?
2. Give dimensions from edge of pavement to
Work Zone in swale area.
3. Will work damage existing sidewalk, curbs
and/or gutters ?
4. Will work obstruct pedestrian access to
sidewalk ?
5. Will work obstruct pedestrian crosswalk or
ramp ?
6. Will work obstruct bike path ?
Type of Installation
Method of Installation:
Location of Installation:
Will work commence
within 15 days of permit
issuance ?
Estimated Start Date:
t'New Installation Q Repair/Maintenande Q Both
Q Bore (Excavation 0 Both
Within Right Of Way 0 Public Utility Easement 0 Both
0Yes 1�No
30 DAYS
.•.
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• ••••
•. . •.
Canals maintained by Miami Dade County will require DERM approval. ...... . ""'
•
Ca Is NOT maintained by Miami Dade County will require a permit from South Florida Water Management Distrigt
IYIAcknowledged •••• • • •
• • . .
Pedestrian Information
•••••. •• •
.• . .
Yes Q No
FT
1
6/Yes Q No
VVYes Q No
Q Yes �No
Q Yes jNo
.• •.
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••••••
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Pedestrians, including persons with disabilities will be provided with a reasonably safe, convenient, and accessible path
that plicates as much as practical the desirable characteristics of the existing pedestrian facilities.
UAcknowledged
Roadway Information (Are removing asphalt on a paved roadway)
7. Does the excavation fall on the asphalt of a
paved roadway?
8. Does excavation fall within a Signalized
Intersection?
9. Does excavation fall within a Mid -Block
Signal?
10. Does excavation damage any traffic loops?
11. Have the roads, which are impacted by the
proposed work recently been paved or
resurfaced?
Traffic Control Plan
12. Will work require a lane(s) closure for
Vehicular Traffic?
13. Give dimensions from edge of pavement to
trench of pole:
14. Provide number of lanes and direction that North:
will be affected.
15. Please provide an estimate of construction
time for which traffic flow will be affected
16. Functional classification of Roadway
affected by work.
17. Does workzone fall within Section Line or
Half Section line roadway?
18. Posted Speed Limit within work zone.
(Yes Q No
Q Yes (INo
QYes 6Ho
Q Yes 6/No
Q Yes (1No
VYes Q No
1
1
FT
South: 1 East: West:
DAYS
❑ Arterial ❑ Collector Local
Q Yes �No
MPH
At -grade Appurtenance (If you are placing a cabinet, or some other type of equipment on the ground. Do not use
• •
•.•.••
• •
3/4/2014
Miami -Dade County - Application Title
Drainage Information
23. Do the proposed construction plans alter or modify not applicable V/
existing drainage system?
24. Does the proposed installation interfere with existing drainage not applicable me
facilities ?
Miami Dade County Water and Sewer Departments customer division proposes to perform the fallowing,
work within your right-of-way • '. • ..•
Total length of underground installation or • • • • : .
repair
Water service connection:
Sewer service connection:
Quantity
15
Construction or Replacement of
Quantity
Sidewalk
Curb & Gutter
Valley Gutter
5
LF
LF
LF
LF
LF
Save
Resurfacing
In Public Right
Of Way
On private
property
Proceed
Quantity
SQF
SQF
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SYMBOLS
® Work Area
■ Channelizing Device (See Index 600)
Work Zone Sign
CR Required Locations For Either Temporary
Or Permanent Curb Ramps.
b Lane Identification + Direction of Traffic
Pedestrian Longitudinal Channelizing Device (LCD)
with Mounted Work Zone Sign
H Pedestrian Longitudinal Channelizing Device (LCD)
DETOUR
t
rn
l
f
3i156 SSONO
t OV35
035010 M1VM30(S
03SO10
H1VM301S
a
lye
GENERAL NOTES
1. Route pedestrian traffic around work areas when construction
activities encroach on the sidewalk for more than 60 minutes
using the devices and remedies shown on this Index. Use project
specific designs for scenarios not included on this Index.
2. For spacing of traffic control devices and general TCZ
requirements refer to Index 600. The maximum spacing between
barricades, vertical panels, drums or tubular markers is 25'.
3. Use delineators on longitudinal channelizing devices separating
the work area from vehicular traffic.
4. Cover or deactivate pedestrian traffic signal
display(s) controlling closed crosswalks.
5. Post mounted signs located near or adjacent to a sidewalk must
have a 7' minimum clearance from the bottom of sign to the
surface of the sidewalk.
6. When construction activities involve sidewalks on both sides of
the street, stage the construction so that one sidewalk is in
service at all times. If this is not feasible and both sidewalks
must be closed, as determined by the Engineer, provide a detour
to guide pedestrians around the construction zone.
b
LAST
REVISION
07/01/15
N
W
DESCRIPTION:
b4
SIDEWALK CLOSED'
USE OTHER SIDE v
d4
CROSSWALK CLOSURE AND
PESESTRIAN DETOUR
O� 2016
FD
ter— DESIGN STANDARDS
7. Provide a 5' wide temporary, walkway, except where space restrictions warrant
a minimum width of 4'. Provide a 5' x 5' passing space for temporary walkways
Tess than 5' in width at intervals not to exceed 200'.
8. Provide a cross -slope with a maximum value of 0.02 for all temporary
walkways.
9. Temporary walkway surfaces and ramps must be stable, firm, slip resistant, and
kept free of any obstructions and hazards such as holes, debris, mud,
construction equipment and stored materials.
10. Remove temporary walkways immediately after reopening of the sidewalk, unless
otherwise noted in the plans.
11. Meet the requirements of Index 304 for temporary curb ramps.
12. Place pedestrian longitudinal channelizing device(s) across the full width of the
closed sidewalk. For temporary walkways. similar to the Sidewalk Diversion,
place LCD's to delineate both sides of the temporary walkway.
an0,L30
• 4D•
;WAWC DETOU4 • • •
• • ••
•• • • . •
• •• • •• ••
- - •• • •
PEDESTRIAN CONTROL FOR CLOSURE OF' SIIDEWALKS
•
• • • •SIDEWALK DIVERSION
• • •
• • •
•
INDEX
NO.
660
1 AVMNNM
NVINLS303d
R PEDESTRIAN
` WALKWAY
SHEET
NO.
1 of 1
• • • • • •
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•
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Page 1 of 1
Property Search Application - Miami -Dade County
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-2136-002-0240
Property Address:
11004 NW 2 AVE
Miami Shores, FL 33168-4304
Owner
LSP HOMES LLC
Mailing Address
455 NE 210 CIR TER #18-202
MIAMI, FL 33179 USA
Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0081 VACANT RESIDENTIAL :
VACANT LAND
Beds / Baths / Half
0/0/0
Floors
0
Living Units
0
Actual Area
0 Sq.Ft
Living Area
0 Sq.Ft
Adjusted Area
0 Sq.Ft
Lot Size
11,875 Sq.Ft
Year Built
0
Assessment Information
Year
2015
2014
2013
Land Value
$213,750
$127,300
$58,900
Building Value
$85,121
$82,919
$82,919
XF Value
$0
$0
$0
Market Value
$298,871
$210,219
$141,819
Assessed Value
$298,871
$156,000
$141,819
Benefits Information
Benefit
Type
2015
2014
2013
Non -Homestead Cap
Assessment Reduction
$54,219
Note: Not all benefits are applicable to all Taxable Values i.e. County,
School Board, City, Regional).
Short Legal Description
36 52 41
SHORELAND HGTS PB 43-85
LOT 21 & N25FT OF TH PT NW 110 ST
BET LOTS 20 & 21
LOT SIZE 95.000 X 125
Generated On : 1/22/
Taxable Value Information
2015
2014
2
County
Exemption Value
$0
$0
Taxable Value
$298,871
$156,000
$141
School Board
Exemption Value
$0
$0
Taxable Value
$298,871
$210,219
$141.
City
Exemption Value
$0
$0
Taxable Value
$298,871
$156,000
$141.
Regional
Exemption Value
$0
$0
Taxable Value
$298,871
$156,000
$141
Sales Information
Previous
Sale
Price
OR Book -
Pa a
9
Qualification Description
05/28/2014
$127,800
29200-
3495
Financial inst or "In Lieu of Forclosun
stated
09/01/1997
$0
17829-
4143
Sales which are disqualified as a res'
of examination of the deed
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 Appra
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/
1/22/2016
Property Search Application - Miami -Dade County
41,»-i
OFFICE OF THE pRopERTy APPRAISER
it
Summary Report
Property Information
Folio:
11-2136-002-0240
Property Address:
11004 NW 2 AVE
Miami Shores, FL 33168-4304
Owner
LSP HOMES LLC
Mailing Address
455 NE 210 CIR TER #18-202
MIAMI, FL 33179 USA
Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0081 VACANT RESIDENTIAL :
VACANT LAND
Beds / Baths / Half
0/0/0
Floors
0
Living Units
0
Actual Area
0 Sq.Ft
Living Area
0 Sq.Ft
Adjusted Area
0 Sq.Ft
Lot Size
11,875 Sq.Ft
Year Built
0
Assessment Information
Year
2015
2014
2013
Land Value
$213,750
$127,300
$58,900
Building Value
$85,121
$82,919
$82,919
XF Value
$0
$0
$0
Market Value
$298,871
$210,219
$141,819
Assessed Value
$298,871
$156,000
$141,819
Benefits Information
Benefit
Type
2015
2014
2013
Non -Homestead Cap
Assessment Reduction
$54,219
Note: Not all benefits are applicable to all Taxable Values i.e. County,
School Board, City, Regional).
Short Legal Description
36 52 41
SHORELAND HGTS PB 43-85
LOT 21 & N25FT OF TH PT NW 110 ST
BET LOTS 20 & 21
LOT SIZE 95.000 X 125
Page 1 of 1
Generated On : 1/22/
Taxable Value Information
2015
2014
2
County
Exemption Value
$0
$0
Taxable Value
$298,871
$156,000
$141.
School Board
Exemption Value
$0
$0
Taxable Value
$298,871
$210,219
$141.
City
Exemption Value
$0
$0
Taxable Value
$298,871
$156,000
$141
Regional
Exemption Value
$0
$0
Taxable Value
$298,871
$156,000
$141.
Sales Information
Previous
Sale
Price
OR Book -
Pa a
9
Qualification Description
05/28/2014
$127,800
29200-
3495
Financial inst or "In Lieu of Forclosun
stated
09/01/1997
$0
17829-
4143
Sales which are disqualified as a rest
of examination of the deed
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 Appra
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/
1/22/2016