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DS-18-2342
Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. DS-8-18-242 Permit Type: Driveways/Sidewalks/Slabs Work Classification: Addition/Alteration Permit Status: APPROVED [SageDate: 9110/2018 Expiration: 03/09/2019 Parcel Number Applicant 190 NE 91 Street Miami Shores, FL 33138- 1131010190080 Block: Lot: VILBRUN LALANNE Owner Information Address Phone Cell VILBRUN LALANNE 190 NE 91 Street MIAMI SHORES FL 33138-2810 (305)757-8841 Contractor(s) ESPINOSA CONCRETE Phone (786)346-5579 CeII Phone Valuation: Total Sq Feet: $ 2,400.00 240 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: STAMP CONCRETE DRIVEWAY REPAIR Bond Return : Scanning: 3 Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge P&Z Review Fee Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.00 $2.00 $0.60 $35.00 $100.00 $9.00 $2.40 $152.80 Pay Date Pay Type Invoice # DS-8-18-68754 08/30/2018 Credit Card 09/10/2018 Credit Card Amt Paid Amt Due $ 50.00 $ 102.80 $ 102.80 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Building Review Planning 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 assu; -`':sponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, ' :ING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin. I ore, I authorize the above -named contractor to do the work stated. Authorized ' • /ice, e: Owner / Applicant / Contractor / Agent September 10, 2018 Date Building D ment Copy September 10, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-000574-2018 Permit Number: DS-8-18-2342 Scheduled Inspection Date: October 15, 2018 Inspector: Riveron, Alexis Owner. VILBRUN LALANNE Address: 190 NE 91 ST Miami Shores , FL 33138 Project: <NONE> Contractor. ESPINOSA CONCRETE YLIN ESPINOSA Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Building Final Work Classification: Addition/Alteration Phone Number. 3057578841 Parcel Number: 1131010190080 Phone Number: 7863466579 Building Department Comments STAMP CONCRETE DRIVEWAY REPAIR Checklist Item General Comments Passed False Comments Passed 2/' Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments October 15, 2018 For inspections please call: 305-762-4949 Page 1 of 18 BUILDING PERMIT APPLICATION NBUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL Miami Shores Village Budding 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 ❑ ROOFING IIII$UBLIC WORKS JOB ADDRESS: /q o NF 115T City: Miami Shores County: Folio/Parcel#: Is the Buildi Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood -Zone: ❑ REVISION ❑ CHANGE OF CONTRACTOR FBC 20V1 Master Permit No.DS (v 23HI Sub Permit No. ❑ EXTENSION El RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Miami Dade OWNER: Name (Fee Simple Titleholder): Y i L PitoI C,9CA41b' Address: 140 �G g i s T City: I.14» M/ J 5r/ije' vState: Pi Zip: 3,3 l3 NO BFE: FFE: Phone#: 3o -333 - 203v Zip: 33 /3e Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Es IA/O5» 4t/GiteTe mie Address: / Sy K / S u/ MO 5 / Phone#:'�80 City: /%-U / State: kI Zip: 3,310 Qualifier Name: W, £5 f fit/01iA. State Certification or Registration #: Certificate of Competency #: OS85 0 0 LP/8 DESIGNER: Architect/Engineer: Phone#: Address: Phone#90-3'I6-s739 City: State: Zip: Value of Work for this Permit: $ 2 YIO 1212. Type of Work: ❑ Addition ❑ Alteration ❑ New epair/RRee_place ' ❑ Demolition Description of Work: /f e ,AGO VP/L C01{/G 4C ID Pf6tMi'O '/ POD 7frit t0 DI/e L wi/cAteTo peieio esTAckt ./l.Go i//74-it, T®Do of Ofitve w4 Los ,Dos A MvGEI s T44Lea l /Pc,1e79 Prt:t.Ve-°Iy. A ..1er r9,1 n b ^� Specify color` color thru the ;'' Square/Linear Footage of Work: 2 q0 Submittal Fee $,U .:t:..M,, ScanningFee �` . i-<A•t.r-,' '.;• r ado $ 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 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. i' - 'y`= ' "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 Signature - ,OWNER or AGENT4. The foregoing instrument was acknowledged before me this day!of OP , 20 // , by brU i1' `LAM , who is personally known to me or who has produced as identification and who did take an oath. • ' r: 4 NOTARY PUBLIC:' 111) TRACTOR The foregoing instrument was acknowledged before me this vF V.i ��N ni w•• p /r day of 0 , 20 /i , by in Es04,0)4 , who is personally known to me or who has produced identification and who did.take an oath. NOTARY PUBLIC: as Sign: - t'� *.. .40 4 • Print: \ r•\ 's\%\ 1 (" ; lam. AA' J Seal:` APPROVED BY Art Notary Public State of F ' Lisney Abin ►da M nli Plans Examiner ` \ \j'% `11 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 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 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. 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. Signature: 464\-- Owner State of Florida County of Miami -Dade The fore i g was acknowled a before me this / day of ©J' , 20 44 . By "' ` LA-L-4 who is personallyknown to me or has produced Notary: SEAL: sC�PRY P(� Notary Public State of Florida Cisney Abin 3 Q ...M . Commission FF 968382 nr ac' Expires 04/12l2020 as identification. E3E'/N $4 CoA/c'te?e IN(' Date: e- q- "Loi State of P(0it/Di County of N.M.4 ( PA-D e Before me this day personally appeared Z LJA/ E5P/,(/OS,4 Who bethg duly sworn, deposes and says: That he or she will be the only person working ON The PptO Te&T LocATed AT MONE 1137 P 133 J3 S 1 Contractor Si : - e' ure wor(it goo a rand subSCr(bed be f o/te me �C L5 Ogy of ` 0�. i2.01 % by 4n Personally know OR Produced Identification Type of Identification Produced Print, Type or Stamp Name of Notary gad" pry Notary Public State of Florida Lisney Abin My Commission FF 968382 �� n. o Expires 04/12/2020 • • •• • • • • • • •• • •• •••• • •••• •• •• • • • • • • • •• •• • • • •• a co h.LP. 1/2 (NO 1.D.) 3.50' , N.E. Vat STREET 70' RIGHT--OF—WAY (BY PLAT) 20 f ASPHALT PAVEMENT 8'± ASPHALT PAVEMENT 5' CONC.SIDErVALK 135•00' (R&M) ASPHALT ASPHAL T cflO �o- •• :I F.I.P.` 1/2" Yap' ) •• •• •, • •••• • • •••• • • •• • • 9t NOT VALID UNLEWEIVIBOSSED WITH SURVEYOR'S SEAL REVISED: 1/19/09 FOR ELEVATIONS ONLY::';'. ASPHALT PLANTER CBS ONE STORY RESIDENCE # 190 F.F.ELEV.=11.05' to 29.4o' c��1 135.00' (R&M) REMAINDER OF LOT 11 BLOCK 7 F.NAIL , =89'39'3i R=25.00' A=39.12' 38.90' 35.00' ;; ABBREVIATIONS: SN4<=SIDEVALK, CBS=CONCRETE BLOCK STRUCTURE, CLF=CHAIN LINK FENCE. PL=PROPERTY LINE. DUE=DRAINAGE UTILITY EASEMENT, IP=IRON F! F=FOUND, A/C=AIR CONDITIONER PAD. P/C=PROPERTY CORNER. DM=DRILLED HOLE, V,4F=1AOODEN FENCE. RES=RESIDENCE, CL-CLEAR. RB=REB UE=UTILITY EASEMENT. CONC=CONCRETE SLAB, RMWRIGHT OF WAY, DE=DRAINAGE EASEMENT, C/L=CENTER LINE, 0=DIAMTER, TYP=TYPIC M=MEASURED. R=RECOP.DED, ENCP,=ENCROACHMENT, COMP=COMPUTER, ASH=ASPHALT. N/D=NAIL & DISC, S=SET. FEE=FINISH FLOOR ELEVATU 0/S=OFFSET P/P=POWER POLE. OHP=OVERHEAD POWERLINE. VUN=W,TER METER - FENCE - MASONRY \NALL-1 1 1 1 1 1 1 1 II ELEVATION BASED ON LOC. # 3101 CONCRETE= DCBM# GS-3—R ELV. 8.68' MAINTENANCE & DRAINAGE EASEMENT= M & D.E. TYPE OF SURVEY: BOUNDAF SURVEYOR'S NOTES; 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATUF AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS Ni COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON i'iATiONAL GEODE VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITION/` RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY.. CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZON11- INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDE INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE I FNAIL SURVEY SCALE: 1 "=20' 1/2" D.) O 03 35.00' RI DATE L APROVF_D 1r/(14/ SUBJECT TO COMPLIANCE WI FH ALL FEDERAL - 1T3 1 OR:g+7713 TFk D RE �LATIONSJ� " U /`I 33138._-- • . • • • •• • • •••• • • •••• • • •• •• • • • • • 190 N.E. 91SS•ST.., ?i Al141158.ES, Et. •• •- N.E. end AVENUE • • • • • • •••• •• • • • • • • • • • • • • • • ••• •• •••• • • •••• • •• • LEGAL DESCRIPTION: LOT 10 AND -THE NORTH 33 FEET OF LOT 11 BLOCK 7 OF EL PORTAL SECTION 2 LOCATION SKETCH SCALE: NTS N.F.31et STREET 1 2 3 4 5 6 7 8 20' ALLEY 23 22 21 20 19 18 17 16 15 w PLRMIT #: M:ami Shores Village 3LDG DEPT BY SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 9 AT PAGE 115 OF THE PUBLIC RECORDS MIAMI-DADE COUNTY, FLORIDA i HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 • SINCE 1987 BLANCO SURVEYORS. INC. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE • MIAMI BEACH, FL 33141 (305) 865-1200 Email: blancosurveyorslnc@yahoo.com Fax: (305) 865-7810 FLOOD ZONE: PANEL: 0093 DATE: SCALE: 4/2/07 1". 20' SUFFIX: j DATE: 7 / 17/ 95 BASE: N/A COMMUNITY # 120652 DWN. BY: JOB No. F. Blanco 07- 463 •••• • •••• • •••• • •••• • •••• •••• • •••• • • • • • ;• •