DS-18-594 (4)Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
x�o it
Permit No. DS-3-18-594
Permit Type: Driveways/Sidewalks/Slabs
erlI I Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 3/812018 1 Expiration: 09/04/2018
Project Address Parcel Number Applicant
129 NW 96 Street 1131010250100
Miami Shores, FL 33138- Block: Lot: ERIK SACCOMANI
Owner Information Address Phone Cell
ERIK SACCOMANI 129 NW 96 Street
MIAMI SHORES FL 33150-
129 NW 96 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone
NORTHERN STAR CONSTRUCTION III (786)201-5522
In Review
Date Approved:: In Review
Date Denied:
Type of Work: DRIVEWAY EXTENSION
Bond Return
Scanning: 3
Fees Due
Amount
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Notary Fee
$5.00
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$3.20
Total:
$124.40
Additional Info:
Classification: Residential
Valuation: $ 3,200.00
Total Sq Feet: 360
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS-3-18-66711
03/08/2018 Credit Card $ 74.40 $ 50.00
03/08/2018 Credit Card $ 50.00 $ 0.00
Avanaoie 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 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 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. Futhermore, I authorize the above -named contractor to do the work stated.
March 08. 2018
Authorized Signat re• wner / Applicant / Contractor / Agent
Building Department Copy
March 08, 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
FBC 20�
BUILDING Master Permit No. C / 7 Y,6
PERMIT APPLICATION Sub Permit No. TD'S-e 59 j
� UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
(/) �% CONTRACTOR DRAWINGS
JOB ADDRESS: I L 1 ' `� �� �/o 54
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): f i "-' - Phone#: & _q_1S _ 9/ 3
Address: Z
City: (� ri.. / State: �_ Zip: `55/ .5p
0 S 2018
rn
�Im
Tenant/Lessee Name: Phone#:
Email: if le 1L-. S(ACLt'��Gt�
CONTRACTOR: Company Name: /`' ��"'''C/^ Tom/ .� Phone#:
Address: ( y 5 ✓U F l y 5
City: 114 (r- w- / State:
Qualifier Name: -"%
State Certification or Registration M
n e#:
L 33 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
p: 331 -7C:7
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: 36
Type of Work: ❑ Addition ❑ Alteration I --]New ❑ Repair/Replace ❑ Demolition
Description of Work: A ,(d f 42- Yt(/A5 o-'J
Specify color of color thru tile: Ih�
Submittal Fee $G Permit Fee $ V CCF $ .40 CO/CC $
Scanning Fee $ "1 Radon Fee $ DBPR $ Notary $ 0�3
Technology Fee $ 3 2V
Structural Reviews $ _
Training/Education Fee $ 0 Double Fee $
Bond $ C. -+(63
TOTAL FEE NOW DUE $ •d
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
I- - .- _ . _ _ _ . t„i
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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.
Signature Signature'A;O
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged beforemethis
1' 1
day of UYC+\ ,20 IS by
1(�fi iti SaCCOman who is personally known to
me or who has produced `1 ) ftq e r ViC+pn-If as
*
identification and who did take an oath.
NOTARY P
Sign:_
Print:
Seal: y., YANADY PRhiero
' = MY CON".MISSION # FF 214031
*` EXPIRES: March 25, 2019
Bcnded Thru NotaryPublic UPerwrik
APPROVED BY
The foregoing instrument was acknowledged before me this
- day of I 1r `R'"C k 20 IR by
rb1 ��jolr►+�j �± , who is personally known to
me or who has produced ri �/'P r l I ('� h S e as
identification and who did take
NOTARY PUB 1C:
Sign:
d Print: l
Seal:
!'! Plans Examiner
Structural Review
YANADY PRIETO
MY COMMISSION # FF 214031
EXPIRES: March 25, 2019
Loaded ThruNotary Pub%Underwriters
v
Zoning
Clerk
(Revised02/24/2014)
tESS: 129 N.W. 96th ST., MIAMI SHORES, FL. 33150
FOLIO No.11-3101-02,-0100
r' I
4'
if
9' Asphalt Pavement
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THIS IS PAGE LOF 2, NOT VALID WITHOUT ALL PAGES. I/
•-DESCRIP
tc.o.wr _ -
;. -GF. aESUBDIVISION OF BLOCK 3 BONMAR PARK, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 42 AT
LOT 10, BLOCI4 ,
P;,GE 60, OF THt PUBLIC RE(ZOR-DS IyF MIAMI-DADE COUNTY, FLORIDA .
WE HF�ti�Y CERTIF1r ti{i/rT TiiE ALT.^.CFI SICETCN OF 'BOUNDARY SURVEY* AND THE SURVEY MAP NOT VALID WITHOUT THE SIGNATURE AND RAISED
RZ' !"`!L'G THER`XPO-4 OF � SOW ��� PROPERTY IS A TRUE AND CORRECT SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
;2Fp Zg NTATION OFF A FIELD SURVEY' MADE UNDER MY DIRECTION AND MEETS THE INTENT OF THE
APPUCABLE PROVY&ONS-OF THE ; 6,T:.:UM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE
-6TATE GF FLORID', PL'PSUANT ip R111 E' 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS �O O
2MpUW41 D LAW, CHAPTER 472.Or1-f ES. OF THE FLORIDA STATUTr ..
3'x3') ''' 1 STY. C.B.S.
IV. 0• RESIDENCE
No. 129
3.5' Garage c F.F. Elev. 12.45
Elev. 10.43 I N
av _c" ro
' Porch 1
i
115.00
75.00
:i
i
a
a
EXISTING POOL
1
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f i ••••
15.35' ; i • • .
6.& b% i •s..•.
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c
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N
6.75'/ •••••• .•
_ O • • • • •
1 STY C.B.S. • WATER LINE FROM • • • • •
/ %EXISTING RESIDENCE� •;i WATER METER TO WW . • .
GARAGE No. 129 �' : HOUSE TIE-IN W/' MAIN •. •'.'
CONVERTEE HIGHER F.F.E. 12.45' / N VALVE
INTO LOWER F.F.E. 12.61
LIVING
35
AREA .85' j EXISTING 900 GAL
F.F.E.12.6 EPTIC TANK &
' DRAIN FIELD
i
i
NEW 375 S.F. RAINFIELD
in CbN612E'E • • ,• a' :::: i SING: MPS-9 BUNDLES
- ----- - - 1 12.5 BUNDLES X 30 S.F. = 375 S.F.
• s� ; :: ' 11'. WATER LINE TO BE
LEEVED WITHIN 19 OF
-. -- - - - -. -- CTANK
r 75.00' �5' CONC. SIDEWALK- - . .
' 11' GRASS PARKWAY '
16' ASPHALT PAVEMENT
N.W 96th ST
15' GRASS MEDIAN
*—q--------------rL- 80T5TAL
>ITE PLAN
zc� /v IV 76-1- :S4
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