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DS-18-725Miami Shores Village 10050 N.E. 2nd Avenue N Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address mi' Parcel Number Permit NO. DS-3-18-725 Permit Type: Driveways/Sidewalks/Slabs Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date. 81 /2018 Expiration: 02/27/2019 Applicant 9509 N MIAMI Avenue Miami Shores, FL 33150- 1132060130670 Block: Lot: BARBARA WINBARG Owner Information Address Phone CeII BARBARA WINBARG 9509 N MIAMI Avenue MIAMI SHORES FL 33150- 9509 N MIAMI Avenue MIAMI SHORES FL 33150- Contractor(s) HOME OWNER Phone Cell Phone Valuation: Total Sq Feet: $ 1,500.00 1100 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: TRAVERTINE PAVER DRIVEWAY 6X12 PA Bond Return : Scanning: 3 Additional Info: TRAVERTINE PAVER DRIVEWAY 6Y 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 $1.20 $2.25 $2.00 $0.40 $5.00 $150.00 $9.00 $1.60 $671.45 Pay Date Invoice # 08/31/2018 03/21/2018 Bond #: 3877 Pay Type DS-3-18-66861 Cash Credit Card Amt Paid Amt Due $ 621.45 $ 50.00 $ 50.00 $ 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 ELECT ICAL, PLUMBING, j CHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AF ce' fy " at III foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a , �y j Fut r . re - horizel th above contract to do the work stated. L t0August 31, 2018 Authbrize• Signature: Owher / Applicant / Contractor / Agent Date Building it epartment Copy August 31, 2018 1 gsog N r-u,T C'tr prli& CONTRACTOR: Company Name: V 4\(6‘‘ BUILDING PERMIT APPLICATION BUILDING 0 ELECTRIC 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 REcr MARE 2018 BY: FBC 2011 Gr" Master Permit No. 1 ig -71 2-g. Sub Permit No. ❑ ROOFING ❑ REVISION 0 EXTENSION ❑ RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 33 1 SO Folio/Parcel#: %1 -.320b -0t3 - Dip, 0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: ❑ CANCELLATION ❑ SHOP DRAWINGS OWNER: Name (Fee Simple Titleholder): { W i'ro13/al0 © Address: —iSOC31 - Rt P 1 1 ?NAM —kW E. City: ri1 Pr1"11 s+}oS State: FL, Tenant/Lessee Name: Email: W )m6€ am/mt. co 4o --r 0Wm'r Phone#: oS30'e 8461 Zip: 33??1So Phone#: 3os 3ci-�is4-61 Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Type of Work: MOO Square/Linear Footage of Work: \( 1 S New Description of Work: 1.12•MI2IPPAv Dp-16 ye-kovA (nX % 2 P weaS tr." l vo42-.y ❑ Addition ❑ Alteration ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ -j�jd Permit Fee $ OCCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ .J< Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ .�10 TOTAL FEE NOW DUE $ Z ' 1V'og- (Revised02/24/2014) Bonding Company's Name (if applicable) u. 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. 7rX / ., e ; 'f.� r '' 4,c-'` "WARNING TO'OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT. IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR"PI(OPERTI(4-IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.".)„,--:,... , . ,, ,� ���\p, .,�. 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,deIivered tosthe, 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 reinspec rn fee will be charged.. . zN n ( .* 'CI f * e 4 < y .•w ` '' = r ' .. a y t. ?• '..�Y�',sr' r z ./e•� -`rI" ", , "'�.. Signature NER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2 ( day oft1 1M �► r Ch 20 IS by�- day of , 20 , by pp,� �,iltaj G\ iY �N O t \ , who is personally known to , who is personally known to me or who has produced � Aver (1CtQ,1'1SP as me or who has produced_ as identification and who did t..,.:ru.+ath. NOTARY P Sign: Print: Seal: YAN D'PRIETO Y COMM! ION* FF214031 EXPIRES: March 25, 2019 ........ '' Bonded Thru Notary Public Unde *********** identification and who.did take an oath. NOTARY PUBLIC: • Print: Seal: W ***************************** * ********** ** ***** *********** APPROVED BY 'Plans Examiner 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: gP —r% W iN DATE: Ei1494 1201e ADDRESS:'Q50c1 N, h-li rE kJE (T''IAnVS4402Es PL 3315'O 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 ui 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 e W 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. I 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 my 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 substantially 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 BUJ 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial ..-..a� 6. I 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 is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial Produced there License or 1 MAI W� ��ER ���tori2A krk6DAZG 7. 1 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 Vk/V 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 if/J.) 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 BUJ 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.mvfloridalicense.com/dbpr/pro/cilb/index.html Initial BW 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: <As09 N. l•-t1 - ' Ar E ru(-Lk s '-E-s. 33 i so 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of t information that I have provided on this disclosure. Initial Initial etk, 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 day of h Z0t't , 20 18 By 2A— W I 11/4-g42-G who was personally known to me or who has as identification. NOTARY YANADY PRIETO MY COMMISSION # FF214031 Cj as EXPIRES: March 25, 2019 8orded Thru Notary public Underwriters Page 1 of 1 Property Search Application - Miami -Dade County 1 Summary Report Property Information Folio: 11-3206-013-0670 Property Address: 9509 N MIAMI AVE Miami Shores, FL 33150-1716 Owner NIKOLAUS BENIGN! BARBARA WINBARG Mailing Address 9509 N MIAMI AVE MIAMI SHORES, FL 33150 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2 / 1 / 0 Floors 1 Living Units 1 Actual Area 1,375 Sq.Ft Living Area 1,001 Sq.Ft Adjusted Area 1,190 Sq.Ft Lot Size 13,000 Sq.Ft Year Built 1939 Assessment Information Year 2017 2016 2015 Land Value $292,367 $292,367 $222,235 Building Value $82,824 $82,824 $82,824 XF Value $0 $0 $0 Market Value $375,191 $375,191 $305,059 Assessed Value $375,191 $289,008 $262,735 Benefits Information Benefit Type 20171 2016 2015 Non -Homestead Cap Assessment Reduction f $86,1831 $42,324 Values (i.e. County, Note: Not all benefits are applicable to all Taxable School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 12 & 13 BLK 5 LOT SIZE 100.000 X 130 COC 22915-3903 25749-4069 1204 1 Generated On : 3/21/ Taxable Value Information County 2017 2016 2 Exemption Value $0 $0 Taxable Value j $375,191 $289,008 $262. School Board Exemption Value $0 $0 Taxable Value $375,191 $375,191 $305. City Exemption Value I $0 $0 Taxable Value 1 $375,191 $289,008 $262 Regional Exemption Value $0 $0 Taxable Value $375,191 $289,008 $262 Sales Information Previous Sale Price OR Book - Pa 9a Qualification Description 04/26/2017 $350,000 30571-2252 Qual by exam of deed 07/15/2016 $143,000 30154-3316 Corrective, tax or QCD; min consideration 01/23/2013 $281,000 29008-0728 Financial inst or "In Lieu of Forclosure" stated 12/07/2012 $120,100 28412-3395 Financial inst or "In Lieu of Forclosure" stated 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 http://www.miamidade.gov/propertysearch/ 3/21/2018 Mission: To protect, pant e & irrproe a the health of all people in Ronda through ir�hyatecJ state, county 8 oormurity efforts. orida HEALTH Vision: To be the Healthiest State in the Nation Rick Scott Celeste Philip, MD, MPH State &rgeon General and Spry April 12, 2018 A American Septic Plumbing INC 12555 Biscayne Boulevard Miami, FL 33181 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: Centrax Permit Number: 9509 N Miami Avenue Miami, FL 33150 Lot: 12 13 Block: 5 Subdivision: Dear Applicant, API337987 13-SC-1837317 This will acknowledge receipt of a floor plan and site plan on 04/09/2018 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. Proposed a new driveway. No objection letter was issued by C. Icaza on 04/12/18. 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, Carlos Icaza Engineer III Department of Health in Dade County Flold. D.p.rim.M of Ho&lh in Dade County • • , Florida PHONE: (305) 623-3500 www.fl.AYMYtlyw TW ITTER:HealthyFLA FACEBOOK: FLDepartmentofHealth YOUTUBE: fldoh 1150 E. ATLANTIC BLVD. ACCURATE LAND SURVEYORS, INC. TEL. (954) 782-1441 POMPANO BEACH FLORIDA 33060 L.B. #3635 • FAX- (954) 782-1442 I SHEET 2 OF 2 SNOL IA71 10, ti CIJV 5=-Y1s-') ' NW- 7:� ON 7 N 1V8E flj "-Iv I -Li IAA DDN.yf 1 ' )— 01 J .. _ NW //ii 1.--/...._____- s' “7_ 1d-�� i Ci -.' L. :.:-. : , ',.. , ... g r • erril, SWii SE 1VG —� ..___J,g G_y'V j ts, I,I;\ sGI:nNcs a. `-_._ -__— I 52 LSt SQ: I "_ I','•..,..::.. ...'::'''.: • ItF , : • a • • . 1 4 I,+ FOUND 1/2' IRON ROD I d NO I.D. 1ROO LOT 11 BLOCK 5 � ` - 130.00' SET 1/2' R k CAP LB 3635 FOUND 1/2' IRON ROD NO I.D. 0/9 0.72'-W ON LINE .. I. ( 4p.ao'. ... .. ,'' ... ` _ ... �'. :.. .; .' ...''.:... F' '.... :...., '...:.; . a,v • • • • .' .' 4, �D ,,?• .9 1 1 3 n 5' CHAIN N FEN l ..,•a CORNE: FENCER 9O 0.35'-N 0.71'-W LOT 12 BLOCK 5 J FENCE t '. u. > -'' ..:. • iIZrl ,. p •', A C• !!! O r -+ .15' ALLEv RjW t i STORY bIIILUIN4.'..:.':.':. ,t.. f . a . • ' LLL LLLL, LLLE :::::::: ::':::::::::::::::':: w..:::.':'::. �.::::::.::_.:.::::.SAC • LOT 13 • BLOCK 5 b 4 59,45' ;. -4 • i 4 �, te r S ` d 5.51 POTHER 1 ', • • • • • •; . •• •. • • • • • • • •• •• • ♦1A • • • • . FOUND I/2' IRON Roo 130.00' NO 1.0. SET I. LOT 14 IRON aoq, CAR BLOCK 5 `, LEI 39 `>, ilk4. vvvsss ' ('+ 1 { ' .... 1C20 • • � 0 lOy; 2O M.. • — •• •• • • • GRAPHIC SCALE • • • • • 1"-20' • Mr'This .urveyivas made for mortgage and title purposes only and is not valid for design or construction purposes. �I��.�.rw• • 1. UNLESS E1AFAIMSE NOTED FIELD MEASUREMENTS ARE IN AGREEMENT YAM RECORD• MEASUREMENTS. 2. BEARINGS SHOWN HEREON ARE BASED ON A BEARING OF N/A 3 THE LANDS SHOWN HEREON HERE NOT ABSTRACTED FOR OWNERSHIP. RIGHTS -OF -WAY, EASEMENTS, OR OTHER MATTERS OF RECORDS BY ACCURATE LAND SURVEYORS. INC. 4. OWNERSHIP OF FENCES AND WALLS W ANY NOT DETERMINED. 5. THIS DRAWING IS THE PROPERTY OF ACCURATE LAND SURVEYORS, INC. AND SHALL NOT BE USED OR REPR000CTED IN %HOLE 0R IN PART WITHOUT WRITTEN AUTHORIZATION. 8. THIS SURVEY CONSISTS OF A MAP AND TEXT REPORT. ONE IS NOT VAUD YAIHOUT THE OTHER. 7. T85 SURVEY IS MADE FOR DIE EXCLUSIVE USE OF THE CERTIFIED HEREON, TO BE VALID ONE YEAR FROM THE DATE OF SURVEY AS SHOWN. 8. THIS SURVEY WAS MADE FOR MORTGAGE AND TILE PURPOSES ONLY ANO SHOULD NOT BE USED FOR DESIGN OR CONSTRUCTION PURPOSES. CERTIFICATION: THIS 15 TO CERTIFY MAT THIS ABOVE GROUND SKETCH OF .BOUNDARY SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE AND 15 ACCURATE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I FURTHER CERTIFY THAT THIS SKETCH MEETS THE CURRENT STANDARDS OF PRACTICE, ESTABLISHED BY THE BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS, CHAPTER SJ-17, FLORIDA ADWIS1RATIVE CODES, PURSUANT TO SECTION 472,027, FLORIDA STATUTES. -' '"" �S � A C, ; NOT VAUD WITHOUT \ ;THE SIGNATURE AND i 50 d00 4 FLORIDARA15E0 4 SEAL of A � _ ` UC AND SURVEYOR �/ 3-0 5Y /`� AND MAPPER. 4! { REVISIONS DATE BY \- • ROBERT L. THOMPSON (PRESIDENT) PROFESSIONAL SURVEYOR AND MAPPER No.3869 - 5TA1E OF RORDA DAZE OF SURVEY 03-21-17 DRAM BY AL CHECKED BY RIT FIELD 800K "=20' I ,AA•EyRSU-17-0928 17-0928 I SCALE 1� a