DS-19-1179Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permitil.: DS -05-19-1179
ftmt�Permit Type: Driveways/Sidewalks/Slabs
Work Classification: Addition/AFteration
Permit Status: Approved
Issue Date: 09/07/2019 F Expiration: 02/03/2020
Location Address Parcel Number
150 NE 94TH ST, Miami Shores, FL 33138 1132060132970
Contacts
STEFANO CARNIATO Owner HOME OWNER Contractor
150 NE 94 ST, MIAMI SHORES, FL 33138 HOME OWNER
Mobile: 7862100789
Description: WALKWAY CONCRETE TILE WEST SIDE Valuation: $ 2,000.00 Inspection Re uests:
305-762-4949
Total Sq Feet: 200.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
Concrete/asphalt/pavers, slabs, dways,
$50.00
swalks
$0.00
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$152.10
Payments
Date Paid Amt Paid
Total Fees
$152.10
Credit Card
05/23/2019 $50.00
Credit Card
08/07/2019 $102.10
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
Vil gage. 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.
VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
Jon and zoni _ uthermore, I authorize the above named contractor to do the work stated.
nature: Owner % 'Applicant / Contractor / Agent
Date
August 07, 2019 Page 2 of 2
BUILDING
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
PE IT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
MAA 2 3 2,019
_■ Iym
FBC 20_
Master Permit No. S- U S--.
11 —111q
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
T�(
A
CONTRACTOR DRAWINGS
A
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JOB ADDRESS:
/
City: Miami Shores
County: Miami Dade Zip: (�
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Title Ider): -
Phone#: ®o
Address:
City:
State: Zip:���i'�.
Tenant/Lessee Name:
Phone#:
Email:
�w��°
CONTRACTOR: Company Name:
Phone#:
Address:
City:
State: Zip:
Qualifier Name:
Phone#:
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: m".,:. State: Zip -
Value of Work for this Permit: $ J
Square/Cinear Footage!of•Work:
Type of Work: ❑ Addition Alteration ❑ New 4 ❑ Repair/Repl4ce ❑ Demolition
Description of Work:
CA.)
-
Specify color of color th u. tile:
'"''rr;;i'•',;;::+•'�''
Submittal Fee $_ V GI Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $ Ic�2
(Revised02/24/2014)
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
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 i subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first insp ct'on��which occurs se en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no b roved and a rel pection fee will be charged.
IIII �� �l It
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
23�c1 dNVAI,41—n
f �� 20 by
S}-4 dvlowhois personally known to
me or who s oduced atV1Qy 1 + CgV1 RQ as
tdentand o did take an oat INN pR� //
L C:-�*• �•� :*
Print: .Ah►l01 t`e -- •�4 �•
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
i� wwc uoo" 0��,``���� Seal:
as
:***********ss************� *** ** ss**•*••s*ss**sss*s*********��***•**** *****:*s**: ***: **s*********
i
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Mission:
To protect, promote & i4iprove the health
of all people in Florida through integrated
state, county & community efforts.
Julian Solis
150 NE 94 Street
Miami, FL 33138
1 f 1
HEALTH
Vision: To be the Healthiest State in the Nation
RE: Contingency Letter
Application Document No: AP1417743
Centrax Permit Number: 13 -SC -1964996
OSTDS Number:
150 NE 94 St
Miami, FL 33138
Lot:8 & 9 Block: 10
July 31, 2019
Subdivision:
Ron DeSantis
Governor
Scott A. Rivkees, MD
State Surgeon General
Dear Applicant:
This will acknowledge receipt of an application dated 06/06/2019 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property..
- No objection for construction of a new Concrete Tile floor as per your site plan. Reviewed by
Frantz Toussaint on 7-31-2019 - NO BEDROOM ADDITION
From a review of your completed application, it has been determined that your existing system
appears to meet the minimum standards of F.A.C. 64E-6 for the proposed use. It is approved for
use with the plans submitted to this office. If this system should fail, causing an unsanitary
condition to exist, steps must be taken to bring the system into compliance immediately.
Department approval of the system does not guarantee satisfactory performance for any specific
period of time. Any change in material facts which served as a basis for issuance of this approval
requires the applicant to modify the permit application. Such modification may result in this
approval being made null and void. Issuance of this approval does not exempt the applicant from
compliance with other Federal, State, or Local Permitting required for development of this
property.
If you have any questions on this matter, please call our office at (786) 315-2446.
Sincerely,
Frantz Toussaint, ENGINEERING SPECIALIST II
Florida Department of Health www.FloridaHealth.gov
in DADE COUNTY TWITTER:HealthyFLA
1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth
PHONE: (305) 623-3500 FAX: (305) 623-3645 1 YOUTUBE: fldoh
Julian"Solis
Page two
July 31, 2019
Enclosures
cc:
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
�Q� 1
HEALTH
Vision: To be the Healthiest State in the Nation
June 18, 2019
Julian Solis
150 NE 94 Street
Miami, FL 33138
Request for Additional Information
Application Document No: 1417743
150 NE 94 St
Miami, FL 33138
Lot: 8 & 9 Block: 10 Subdivision:
Dear Applicant:
Ron DeSantis
Governor
This will acknowledge receipt of an application and plans for an onsite sewage treatment and disposal
system construction permit dated June 06, 2019 for a proposed system to be constructed on the above
referenced property.
In response, we are requesting that you provide the following additional information, clarification or
corrections:
Reason 1:Review on 6/18/2019 by Gerard Philizaire
Please provide on site plan the location, dimensions and all required set backs of the oxisting drain
field.
If you have any questions on this matter, please call our office at (305) 623-3500.
Sincerely,
Gerard Philizaire, Environmental Manager
Florida Department of Health
in DADE COUNTY Accredited Health Department
1725 NW 167 St, Opa Locka, FL 33056 ' i Public Health. Accreditation Board
PHONE: (305) 623-3500. FAX: (305) 623-3645
FloridaHealth.yov
B
NAME:
ADDRESS:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE:
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. 1 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,t`as my own contractor with certain
restrictions even though I do not have a license.
2. 1 understand that building permits are not required to be signed by a property owner unk
is not hiring a licensed contractor to assume responsibility.
isible for the construction and
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I unders that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name inste o m 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 per its a d c ntra.
Initia
4. 1 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 occu cy. It may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved my If is old or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or I wh ch violates the exemption.
:,'S eliunderstand that, as the owner -builder, I must provide direct,.onsite supervision of the constrtn
Rt, . '.r is J�',•r.. Initi
6._. , .I..understand that I may not hire an unlicensed person to act as my contractor or to superviseon my building or residence. It
- ;:��y is my respQn spility to ensure that the persons whom I employ have the license required by lawr municipal ordinance.
�'i �'� Initi
Af is r` �a^I
'fr�•rf:. tS�i.i,•
�i:tit
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. 1, 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 wh' orking on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -buil r �n m aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial.
NV(v
8. 1 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 an ial security contributions under the
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the empl e. nderstand that my failure to follow
these may subject to serious financial risk.
i
Initial
9. 1 agree that, as the party legally and financially responsible for this proposed Construction activit ill 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 regul ion V
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Inte al Revenue Service, the United States
Small Business Administration, and the Florida Department of Revenues. I also understand that I 4atttha, e Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html
Initial
11. 1 am aware of, and consent to an owner -builder building permit applied for in my name and undeI the party
legally and ffinaanncially resp n ibl or th opo construction a t ity at the following address: 1-:&:_. n�ko
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes ti
this disclosure.
that I have provided on
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 ackn ealged before me this day of ` , 20
By who was personally known to me or who has
Produced there License or If as identification.
a,ffol no (�Vvl'f � c*�
OWNER OTARY
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LOT 15 LOT 14 Z - L "� V% 1 •t
LOT 16 `: ,
LOT 13 201
LOT 17 LOT 1z
O. v! FENCE UNDER t �#
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LOT 1 OT 11 ai 127.50. (P4m)
LOT 19 LOT 10
LOT 20 LOT 9 1 2.. 40' I T t 1
LOT 21 LOT 8 m
24, 00' = _ 42.80' _
LOT 22 - LOT 7 ' `'�..� + N
LOT 23 LOT 6 v�
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PROPERTY ADDRESS: 150 NE 94 ST., MIAMI SHORES, FL. 33138f. 50
' 8956"15"
LEGAL DESCRIPTION: LOTS 8 AND 9, BLOCK 22, AMENDED PLAT OF MIAMI SHORES SECTION NO. 1,
F ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 70, PUBLIC RECORDS OF
MIAMI-DADE COUNTY, FLORIDA. Pa 0 127.50i (P$M) o
0
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ABBREVIATIONS: ` N;
M1
SYNC=SIDEW4Li(CBS=CONCREfEBLOCK STRUCTURE. CLF=CHAINLiNKFENCE:PL=PROPERTYLINE, DUE=DRAS `IAGEUTILIYEASEMENI,Ir=:rw...• O
F=FDUND, A1C=AIR CONDITIONER PAD, P/C=PROPERTY CORNER, DIH=DRILLED HOLE, VIFF=VAOODEN FENCE, RES=RESIDENCE, CL -CLEAR• RH=REBAR. V O
ti
UE=UTILfTY EASEMENT, CONC=CONCRETE SLAB. R/V+✓=RIGHT OF W4Y, DE=DRAINAGE EASEMENT, C/L=CENTER LINE; 0=DL4MTER, TYF=TYPICAL. - -
M=MEASURED. R=RECORDED, ENCR=ENCROACHMENT, COMP -COMPUTER. ASH=ASPHALT, N/D=NAIL a DISC. S=SET, FEE=FINISH FLOOR ELEVATION,
01S=OFFS ET, P/P=POIAER POLE, OHP=OVERHEAD P DVAERLINE. WA=W4 TER METER
MASONRY VI0.RL1;= ELEVATION BASED ON LOC. # 3100 _
NOT VA LID UNLESS EMBOSSED WITH coNCRErE=. ..:•:•.: ,..:•:::;: •,::. •, -. •:,:.-:.:•. CBM#
- MAINTENANCE VDRAINAGEEASEMENT=MBD-E N-568 ELV.9.65' TYPE OF SURVEY: BOUNDARY SURVEY
--SURVEYOR'S :SEAL -- i HEREBY CERTIFY That the survey.represented
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE theteon meets the minimum technical requirements
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT adopted by the STATE OF FLORIDA Board of Land
'�-- COVERED+BY PROFESSIONAL LIABILITY INSURANCE-. 4)LEGAL DESCRIPTION PROVIDED BY CLIENT. .5). Surveyors pursuant to Section 472.027 Florida
UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC Statutes.
VERTICAL!DATUM OF 1929_ Z) OWNERSHIP OF FENCES ARE UNKNOWN- 8) THERE MAY BE ADDITIONAL There are no encroachments, overlaps, easements
RESTRICTIONS NOT SHOWN ON THIS SURVEYTHAT MAYBE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) appearing on the plat or visible easements otherthan
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING as shown hereon.
INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
REVISED: INSTRUMENTS, IFANY,AFFECTING THIS PROPERTY
z
Additidns or deletions to survey maps or reports by other than the signing party or parties is prohibited'
_!�/ithout written consent of the sighing party or parties. p ADIS N. NUNEZ.
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE -OF SAiG r9B" REGISTERED LAND SURVEYOR
—_PAGE STATE OF FLORIDA #5924
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SINCE 1987 .
BL.ANCO SURVEYORS INC.
Engineers • Land Surveyor; • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
(305)865-:1200 Email: blancosurveyorsinc@yahoo.com Fax: (305) 865-7810
FLOOD ZONE: X SUFFIX: L DATE= 9/11/09 BASE: N/A
PANEL: 0302 ICOMMUNITY# 120652
DATE: SCALE: OWN. BY: JOB No
1 16 18 1 1"= 20 IF. Blanco 18-118
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SINCE 1987 .
BL.ANCO SURVEYORS INC.
Engineers • Land Surveyor; • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
(305)865-:1200 Email: blancosurveyorsinc@yahoo.com Fax: (305) 865-7810
FLOOD ZONE: X SUFFIX: L DATE= 9/11/09 BASE: N/A
PANEL: 0302 ICOMMUNITY# 120652
DATE: SCALE: OWN. BY: JOB No
1 16 18 1 1"= 20 IF. Blanco 18-118
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