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DS-19-761Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit1VO.: DS -W19-761 "' Ll Permit Type: Driveways/Sidewalks/Slams Work C1aSsiftcaLiun: New Permit Status: Approved'' issue Location Address Parcel Number 150 NW 99TH ST, Miami Shores, FL 33150 1131010240031 Contacts Expiration: 10/07/2019 Building Department Copy 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 re ati co struction an zoning. Futhermore, I authorize the above named contractor to do the work stated. Authoriz Signature: Owner / Applicant / Contractor / Agent Date April 08, 2019 Page 2 of 2 VICTOR M. DE JESUS MELENDEZ Owner 150 NW 99 ST, MIAMI SHORES, FL 33150 Other: 7862363548 CAIBAI CONSTRUCTION LLC Contractor JOSE LOSA Business: 7862292770 Other: 7864704207 Inspection Requests: Description: DRIVEWAY PAVERS TO REPLACE PERMIT Valuation: Building Department Copy 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 re ati co struction an zoning. Futhermore, I authorize the above named contractor to do the work stated. Authoriz Signature: Owner / Applicant / Contractor / Agent Date April 08, 2019 Page 2 of 2 Inspection Requests: Description: DRIVEWAY PAVERS TO REPLACE PERMIT Valuation: $ 1,000.00 3{>5-i* i -4949 DS -1-18-194 Total Sq Feet: 1,000.00 Amt Paid Fees Amount Payments Date Paid 100% Permit Renewal Fee $150.00 Total Fees $150.00 Total: $150.00 Credit Card 04/08/2019 $150.00 Amount Due: $0.00 Building Department Copy 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 re ati co struction an zoning. Futhermore, I authorize the above named contractor to do the work stated. Authoriz Signature: Owner / Applicant / Contractor / Agent Date April 08, 2019 Page 2 of 2 PERMIT APPLICATION Miami Shores Village RrCEIVE® Building Department APR 021019 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 n Master Permit No. !�C Sub Permit No.1)5 —DQ—'�'' F-] BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION i�RENEWAL ❑PLUMBING F] MECHANICAL E]PUBLICWORKS 0 CHANGE OF F] CANCELLATION Ej SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9 o /4 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:/3lGlOZ`/ dp j ( Is the Building Historically Designated: Yes NO '4. - Occupancy Type: ti,5— Load: Construction Type: Flood Zone: K— BFE: FFE: OWNER: Name (Fee Simple Titleholder): /9 ��' �' - S Phone#: -43C-3 Id° Address: /-�D J�7f, City: 0 //� 1XWV State: %�L Zip: Tenant/LesseeName: Phone#: Email: CONTRACTOR: Company Name: 0 A ( 0, I Go `S ' Phone#: Z 1 2�Zq 27'7 0 Address: 10 ?) 1 b V 2 -t -f City: tq ( r -t I State: Zip: 3S 16T Qualifier Name: TLJ, 'i 'D'S'.' Phone#: -7 277 0 State Certification or Registration #: CCi C- C) �O 6 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Add Value of Work for this Permit: $ Type of Work: ❑ Addition Description of Work: City: Zip: GDo . 17-`1 Square/Linear Footage of Work: 4 or'USr ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: t,., Submittal Fee $permit Fee $' Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) N CCF $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ I TOTAL FEE NOW DUE $ {�6. Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi 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 such posted notice, the inspection will not be ap roved and a reinspection fee will be charged. Signature Signature NER or AGENT CON ACTO The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �— 20 by �G day of .r c 20 �� by �C��1 12 n,) n wh• is perss pnally known t• known �SI�. why is personally •w to me or who has produced R— \l - l`' l� as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign:.: Si n: Print: .moo,. �' mq•m ='' •z N ��-. �= g Print: Seal: o`n '�,siyO'PW • Q ` Seal: .........4r6,,&% °� Awft& Notary Pubk State of Florida • Ana M Rarnob My CommbMon GG 101009 p E*kn 05/09/2021 ******************************* ***** ***S************************* * * * * ********* APPROVED BY t ! Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) r BOUNDARY SURVEY j LEGAL DESCRIPTION: LOT 12 AND THE EAST 25 FEET OF LOT 11, BLOCK 1 SONMAR PARK ACCORDING TO THE PLAT 7 j THEREOF. AS RECORDED IN PLAT BOOK 17, PAGE 11 OF THE PUBLIC RECORDS OF MIAMI. �' IJt%� Gytfi'`t �: DADE COUNTY, FLORIDA. W 3> 150 N99th St FLOOD INFORMATION: ! 6Y FERFORMiN(, A SEARCH WITH THE LOCAL GOVERNING MUNICIPALITY OR w•,MN.FEM.A.GOJ, WC: TIME PROPERTY APPEARS To BE LOCATED IN ZONE X. THIS PROPERTY WAS FOUND IN viuAGE y(rYr�h OF t1IAMI SHORES. COMMUNITY' NUMBER 120652. DATED 9/11/2004. D7 �. Page 2 of 2ii U This survey is not full and complete without the attached survey report, Page 1 of 2. i5:1gyn1AYFST9vfN a:f.Etr vuw S t[( 1 _07 2CFE. l _N.W. 99th. Street _ _ LU �Va Platted Public Right -of -Way) of work: (Asphalt Road) 0 3" Rc ad base material compacted Edge of sphalt Poly(h lene Weed Barrier • ' ^ 5 w 721 o Z N ; Lad cape Fabric trete Paver Sand base 4 ' I o1 ULP" ay- 44'-0"L x20' -0"W ' EZ' I ewalk: (2) 32'-0"Lx4'-0"W Gem Paver 12"x12"x2 344" Fnd M`wbar - ' Fnd. Ss" Rsbar3 Concrete Pavers at drivewaytNo taetaw"ian) .00'(D) 75.0 ' (No 100""rdaUOn) and sidew'9TW. -"" —253'( b; 0 a� e 8"x8"x2 3/4" Perimeter paver. �1 Q f ::r ,tip Z LLcz CM Color: Sand color with Grey SIO.wa app 'N perimeter ! A 1 (h ' New Paver Driveway I o � 5.- 2 - 0 L � Planter area • ._. �..__.,m. C IIU C31� � - N .:r.T> > > -9Entry _ fT1 k a r i & ...."' Or% Story Concrete : ::.::" :: c or paw .n 0 rT 17 e Mock Residence :....::.:...:::::' � 9 150:: w . r pCo j - ll / r: �1 J L 3 �' r — kif, I 2 y. T1 cn 7.. , fJt BI—k 1 I o m 1�1�`11 .'yC > I 1 ,;I 't''�' z -, In _ { cou.r Lot 12 p = I Block 1 > -- _ _ c T _ M -- •ro • T Lot 11 V4( > O • • Conaek 1 _t Tl • •aN • 0 • • I 3 Block 1 p O .• re $ I z > > > • r taa • —' I"! S >IMUNNaQ P�ra■■le.{ �: ■ N" =boom R..aaKNd b' flap.. M MOa M!M NWua• aau*d to anY firyermend e'a'r A60190V4 at ruwa 001 I Fnd. W RebarI aaanieQ a.ak ■MM/n Mr M. Is AYtumW ana eswa yon IM LA F %* Reba hMiaANp TW4.n a,�T to N""ww-,"Wa prm"Lhm. 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I.f) a,• IoklNeliaaM.a /aY■ P.O.L.- w l.■M d■WJ.arr. hFana parahb lt�Ir �r■ N • Naar P"MW hRM(OvarruMt. UR rQraYld taMtlat ■tiab Fp■Ia1a Ma— . / Ra4■M.m Nan NnMN yNl.Fab ■INrMaa nRlaa. NMN y are ■apma/tu• and MUST >N /t • Iu1Y of TOW4141' Loca m ■ bta WWy LscaemaC�av4pu�a►Ns• �d by Pprtip Rae RRta a Cp ••Rw+ea YWT�11aea NanPAG a M aNac +aa■ q�,mAfgeha 01.4C'rN Oalrayr aauhms ANY IQIdaO _ ll•au 'd & ASS06ateS Survq�% 17U 1301 S. International Parkway Supe 2001 Lake Mary, Florlds 3274E www.lmtandsuw#ying.com -407.678.3366 Fax407.320.8165