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REV-20-506
RECEIVED �3 � ?'0 \ '-),oa-0 BUILDING PERMIT APPLICATION 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 ❑BUILDING ❑ ELECTRIC ❑ ROOFING MAR 6 2020 BY: L A: � �_ �P7-� FF BnC_ 20 G[ Master Permit No. F-� -3 Sub Permit No.�,� REVISION ❑ EXTENSION ORENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / s CONTRACTOR DRAWINGS G� JOB ADDRESS: L6 3 � � " E ✓ zx ke QV C/4 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: r��n/' Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Wo(��J"�`'�"9 Phone#: Address: Io'3 i ae ice' fit t City: 1(' dtd �Hd r State: 1-11 Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: ne#: City: State: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: ip: Address: City: State: Zip: op ? Value of Work for this Permit: $ Cw Square/Linear Footage of Work: ?F1_ Type of Work: ElAddition Alteratio New ❑ Repair/Replace ElDemolition .r IV,, of Work.1a� War �62 EQN.v�d 6 al c �eT ?U(j C 1 Ch-& 64 e C 114 UwR Ik C to Specify color of color thru tile: Submittal Fee $ / Permit Fee $ CCF $ - _CO/CC $" Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $. Double Fee $ Bond $ TOTAL FEE NOW DUE $ `3 ( . (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Le4er'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. "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 awroved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 6 � / day of ! of UVCJ4 , 20 J0 by 4"yI AI C� , who is personally known to me or who has produced as identification and who did take an oath. NOTJPUSign:Print:NbIA3=pQ.>� 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: as i�^/P SINDIA ALVAREZ Seal: o ` -. Seal: MY COMMISSION k GG 233273 EXPIRES: September 3, 2022 '••;oc F`;°•� Bonded Thru Notary Public Undervilers ******************************* *************************************************************** APPROVED BY l y lJ Plans Examiner 3440 Zoning Structural Review Clerk (Revised02/24/2014) PREPARED BY: '6?2 Noh�eOn 4n Avani�e I K s _.. ..+ ..1 C l V C.. .... Y' . WWWexd(td1J0d.i0111 I office: 866,735.19161 fax: hou /44 2882 LPROPERTY ADDRESS: 9632 NE 5TH AVE STREET, MIAMI SHORES, FLORIDA 33138 FIELD WORK DATE: 11/27/2019 REVISION DATE(S): (REVO 11/27/2019) 17121827-02 FINAL SURVEY MIAMI-DADE COUNTY LOOP, ELEVATIONS: AIN FLOOR = 10.9 PPEP, FLOOR = 20.9 IDDLE ROOM = 9.45 4 ACK ROOM = 9.2 / LOT 2 / BLK 86 SURVEY NUMBER: 1712.1827-02 TABLE: RECEIVED LI 5 44°49'42- W 31.99' (M) L2 5 0°29'23' W 22.58' (M) MA 0 6 2020 PY: 1' / NOID 01 LOT 22 BLK 86 2 STY. RES #9632 lb NO ID NO ID @ANGLE POINT �!r;��•::. �: ���'��'�r'' Ln @STONE PAIN1 t ...1: �.... / .. /.- 1 _. i... it Mi_ r ��a.e �+.. , , . 205.90' (P) —7 @ PWW LINE NOTES N 89°31143' W 204.3& (M) A — !J 61 : eC — 3 LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER l J FENCE AND WALL OWNERSHIP NOT DETERMINED THE ELEVATIONS SHOWN HEREON WERE OBTAINED USING GP5 IN CONJUNCTION WITH REAL TIME NETWORK L-NET NAVD 88 DATUM AND CONVERTED TO NGVD 1 929 DATUM WITH A CONVERSION FACTOR OF + 1 ,54' ' \QLNOTE5 EXISTING ELEVATION IN NGVD 1 929 DATUM All nA TF l hereby certify Ft hereon describe my direction, antFand belief, it isacof a survey tho1set forth by thedSurveyors & MatFlorida Administr Survey of the made under ly know/edge `e representation ds of Practice 'rofessional —17 of the RONALD W. WALLING State of Florida Professional Surveyor and Mapper License No. 6473 C bf f D I' FIP NO ID @ P.C. co Z r,E Wr1H ALL FEDERAL ao 0 20 ao GRAPHIC SCALE (In Feet) 1 inch = 40' ft. Use ofThis Survey for Purposes other than Intended, Without Written Verification, will beat the User's Sole Risk and Without Liability to the Surveyor. w•••• • Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. • • 0090 0000 : • • FLOOD INFORMATION: POINTS OF INTEREST w • • • • • • • • • • • • • • • BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING NONE VISIBLE • MUNICIPALITY OR WWW.FEMA.GOV, THE PROPERTY APPEARS TO BE 000090 • : • • • • • LOCATED IN ZONE X. THIS PROPERTY WAS FOUND IN THE VILLAGE • • OF MIAMI SHORES, COMMUNITY NUMBER 120652, DATED 09/11/09. • •• • r•+• • •• • ••••• -1 A•�1LId'' CLIENT NUMBER: DATE: 11/27/19 0 t - 1 wwAA C • BUYER: DAVID HALABU IF it • • Mf, M B E)I�• • • 4 00 SELLER: DAVID HALABU ._. • • • • CERTIFIED TO: DAVID HALABU iEXACTA LAND SURVEYORS, LLC. Drive11940 Fairway Lakes This is page 1 of 2 and is not valid without all pages. REPORT OF SURVEY 1712.1827-02 This is page 2 of 2 and is not valid without all pages. LEGAL DESCRIPTION: LOT 21, BLOCK 86, AMENDED PLAT OF MIAMI SHORES SECTION 4, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 15, PAGE 14, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. .JOB SPECIFIC SURVEYOR NOTES: THE BEARING REFERENCE OF SOUTH 45 DEGREES 00' 00" W IS BASED ON THE NORTHWESTERLY RIGHT-OF-WAY LINE OF NE 5TH AVENUE EAST LOCATED IN AMENDED PLAT OF MIAMI SHORES SECTION 4, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 15, PAGE 14, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. GENERAL SURVEYOR NOTES: 1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or imply ownership. 2. This survey only shows improvements found above ground. Underground footings, utilities and encroachments are not located on this survey map. 3. If there is a septic tank, or drain field shown on this survey, the location is approximate as the location was either shown to Exacta Land Surveyors, LLC. by a third party or it was estimated by metal detection, probing rods, and visual above ground Inspection only. No excavation was performed in order to determine the exact and accurate location. 4 This survey is exclusively for the use of the parties to whom it is certified. 5. Additions or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing party or parties. 6. Dimensions are In feet and decimals thereof. 7. Due to varying construction standards, house dimensions are approximate. 8. Any FEMA flood zone data contained on this survey is for informational purposes only. Research to obtain such data was performed at www.fema.gov- 9. All corners marked as set are at a minimum a %"diameter, 18" iron rebar with a cap stamped LB# 8291. 10. If you are reading this survey in an electronic format, the information contained on this document is only valid if this document Is electronically signed as specified in Chapter 5J- 17.062 (3) of the Florida Administrative Code and Florida Statute 472.025. The Electronic Signature File related to this document Is prominently displayed on the invoice for this survey which is sent under separate cover. Manually signed and sealed logs of all survey signature files are kept in the office of the performing surveyor. If this document is in paper format, it is not valid without the signature and original raised seal of a Florida Licensed Surveyor. 11. Unless otherwise noted, an examination of the abstract of title was NOT performed by the signing surveyor to determine which Instruments, if any, are affecting this property. 12. The symbols reflected in the legend and on this survey may have been enlarged or reduced for clarity. The symbols have been plotted at the center of the field location, and may not represent the actual shape or size of the feature. 13. Points of Interest (POI's) are selected above -ground Improvements which may be In conflict with boundary, building setback or easement lines, as defined by the parameters of this survey. There may be additional POI's which are not shown, not called -out as POI's, or which are otherwise unknown to the surveyor. These POI's may not represent all items of interest to the viewer. 14. Utilities shown on the subject property may or may not Indicate the existence of recorded or unrecorded utility easements. 15, The information contained on this survey has been performed exclusively, and Is the sole responsibility, of Exacta Land Surveyors, LLC.. Additional logo or references to third party firms are for informational purposes only. 16. Pursuant to F.S. 558.0035, an Individual employee or agent may not be held individually liable for negligence. 17. House measurements should not be used for new construction or planning. Measurements should be verified prior to such activity. LEGEND: SURVEYORIS LEGEND UNETYPe5: , "tea mr,r..,sr - BOUNDARY LINE IRON FENCE 5YMBOL5:,unroonmax- 5URFACE TYPM: I,.w,cs onmarnx roan, ® 5EN01 MARK t7 RRE HYDRANT MONUMr BTWIGTURE O [ CENTCRUNE • rWO OR MONUMENT nRli `UN `_ (''� SURV[1'TI[UN[ ASPHALT MCKor TILL l I e GUWARE OR ANCHOR CEN1EtUNE CENTRAL ANGLE or DATA _ CHAIN-UNK or WIRE PENCE WALL OR PARTY WALL ETC �D �J COMMON ONMERSHIP is RMANHOLE A CONTROL PONT EABEAMr WOOD FENCE WATL9L ® WOOp I ■ CONCRLIC MONUMENT © UnUTY ORGHT UPOLL ®f.E OF WA=R VINYL "NICE' CATCH WIN WELLELEVATION (C) CALCULATED E.O.W. EDGE OF WATER N.T.S. NOTTO SCALE R.P. RADIUS POINT A.E. ACCESS EASEMENT (D) DEED ELEV. ELEVATION NAVD88 NORTH AMERICAN VERTICAL R/W RIGHT OF WAY AN.E, ANCHOR EASEMENT (F) FIELD EM ELECTRIC METER DATUM OF 1998 RES, RESIDENCE C.M.E. CANAL MAINTENANCE ESMT. (M) MEASURED ENCL ENCLOSURE NGVD29 NATIONAL GEODETIC RGE. RANGE C.U.E. COUNTY UTILITY ESMT. (P) PLAT ENT. ENTRANCE VERTICAL DATUM OF 1929 S.B.L. SET BACK UNE D.E. DRAINAGE EASEMENT (R) RECORD EUB ELECTRIC UTILITY BOX O.C.S. ON CONCRETE SLAB S.C.L. SURVEY CLOSURE LINE D.U.E. DRAINAGE AND UTILITY ESMT. (5) SURVEY F.F. FINISHED FLOOR O.G. ON GROUND S.T.L SURVEY TIE LINE ESMT. EASEMENT A.S.B.L ACCESSORY SETBACK LINE F.O.P. EDGE OF PAVEMENT ORB OFFICIAL RECORD BOOK S.W. SEAWALL I.E./E.E. INGRESS/EGRESS ESMT A/C AIR CONDITIONING F/DH FOUND DRILL HOLE O.R.V. OFFICIAL RECORD VOLUME 5/GD SETGLUEDISC IRR.E. IRRIGATION EASEMENT B.C. BLOCK CORNER FCM FIND. CONCRETE MONUMENT O/A OVERALL S/W SIDEWALK L.A.E. LIMITED ACCESS ESMT. B.F.P. BACKFLOW PREVENTOR FP FOUND IRON PIPE 0/5 OFFSET SCR. SCREEN L.B.E. LANDSCAPE BUFFER ESMT. B.R. BEARING REFERENCE FIPC FOUND IRON PIPE & CAP OFF OUTSIDE OF SUBJECT PARCEL SEC. SECTION L.E. LANDSCAPE ESMT. B.R.L. BUILDING RESTRICTION LINE FIR FOUND IRON ROD OH. OVERHANG SEP. SEPTICTANK L.M.E. LAKE OR LANDSCAPE B/W BAY/BOX WINDOW FIRC FOUND IRON ROD &CAP OHL OVERHEAD LINES SEW. SEWER MAINTENANCE EASEMENT BLDG. BUILDING FN FOUND NAIL ON INSIDE OF SUBJECT PARCEL SIRC SET IRON ROD &CAP M.E. MAINTENANCE EASEMENT BLK. BLOCK FN&D FOUND NAIL AND DISC P.B. PLAT BOOK SN&D SET NAIL & DISC PU.E. PUBLIC UTILITY EASEMENT BM BENCHMARK FND. FOUND P.C. POINT OF CURVATURE SQ.FT. SQUARE FEET R.O.E. ROOF OVERHANG ESMT. ESMT. BASEMENT FPKN FOUND PARKER-KALON NAIL P.C.C. POINT OF COMPOUND STY. STORY S.W.E. SIDEWALK EASEMENT C CURVE FPKN&D FOUND PK NAIL &DISC P.C.P. CURVATURE SV SEWER VALVE SwM.E. STORM WATER MANAGEMENT C.B. CONCRETE BLOCK FRRSPK FOUND RAILROAD SPIKE PERMANENT CONTROL POINT T.O.B. TOPOFBANK EASEMENT C.L.F. CHAIN LINK FENCE GAR. GARAGE P.I. POINT OF INTERSECTION TBM TEMPORARY BENCHMARK T.U.E. TECHNOLOGICAL UTILITY ESMT. C.O. CLEAN OUT GM GAS METER P.O.B. POINT OF BEGINNING TEL. TELEPHONE FACILITIES U.E. UTILITY EASEMENT C.V.G. CONCRETE VALLEY GUTTER ID. IDENTIFICATION P.O.C. POINT OF COMMENCEMENT TWP. TOWNSHIP CA CENTERLINE ILL ILLEGIBLE P.P. PINCHED PIPE TX TRANSFORMER C/P COVERED PORCH INST INSTRUMENT P.R.C. POINT OF REVERSE CURVATURE TYP. TYPICAL cis CONCRETE SLAB INT. INTERSECTION P.R.M. PERMANENT REFERENCE U.R. UTILITY RISER CAN CABLE TV RISER L LENGTH MONUMENT UG UNDERGROUND CH CHORD BEARING LBR LICENSE Y-BUSINESS P.T. POINTOFTANGENCY UP UTILITY RISER CHIM. CHIMNEY LSN LICENSE M-SURVEYOR PIE POOL EQUIPMENT V.F. VINYL FENCE CONC. CONCRETE M.B. MAP BOOK PG. PAGE W.F. WOODEN FENCE COR CORNER M.E.S. MITERED END SECTION PLS PROFESSIONAL LAND SURVEYOR W/C WETNESS CORNER CS/W CONCRETE SIDEWALK M.F. METAL FENCE PLT PLANTER W/F WATER FILTER D.F. DRAIN FIELD MES MITERED END SECTION PSM PROFESSIONAL SURVEYOR AND WM WATER METER/VALVE BOX D.H. DRILL HOLE MH MANHOLE MAPPER WV WATERVALVE D/W DRIVEWAY N.R. NON RADIAL R RADIUS or RADIAL ELECTRONIC SIGNATURE: PRINTING INSTRUCTIONS: OFFER VALID ONLY FOR: �DAVID HALABU . complete accordance with Florida Statute 472025 and Forsuant to 1. While viewing the survey in Adobe Reader, select the the Electronic Signattillic•4•t Of 1996 or Florida Statute TITLE XXXIX, "Print" button Under the "File" tab. • •''L 668, if [histocument %as received electronically via PDF, • then rt has been lawfuly1lIcl♦onically Signed•Therefort this survey 2. Select a printer with legal sized paper. r - - 6DF, If authentic, is confletely?fflicial and InsiaablP In ordlr to validate • the -Electronic Sign awre of �F s;veys sent via wwwZtlweystars.com, 3. Under "Print Range", click select the "All" toggle. '9 • Sod ALAI use a hash r•I•datorNP free hashfaki-JaFbjWvailable for downlogad at: • 4. Under the "Page Handling" section, select the number • ��w.soiPpeeia.<om/get/Syem/File-Managemer•'1•sVr■Irl�or-Kinll.shrml ■rd of copies that you would like to print. 5. Under the "Page Scaling" selection drop down menu, f In wwws•to veystodate orill, lectr�0 Signature o(inYsyr yPDF sent via su�rveysrars.con• • • • • 1.Jownload [he Hash C•al�lator bailable at "None." r � 0 OFF � W. o�dia com/ ct stem/l ile-Mann emcn Vllash-c al�ulato�-Kirlllshtml select 6. Uncheck the "Auto Rotate and Center" checkbox. ••••• 2. Save the Survey RDF c•to yoq computer m w)bw.surveystarscom • • �ArSirrthe email sent4onA.•tw zurveystars.co•V • • • 7. Check the"Choose Paper size by PDF"checkbox. OF FUTURE SURVEYING SERVICES 43. Click the square Brow button in the up r In ht hand corner of the • Hash Calculator to find and select the savedSu�r P F�r�hent,andclick 8. Click OK print. •tll:C"PUTE button i the lo•e•right hand r*rner of the Bash Calculator i ON THIS PROPERTY, 4. Cor"Ware the 40 c1gYsyirt of characters in the SHA-1 line to the 40 digit 7O PWNT IN BL4C�K+vHrts: i •S"Idharaaersfor the survey ir1hejob file lrLw �surveyllars.comwhich 1. In the main print screen, choose "Properties". 'Offer valid for fence stakeouts and additions to the is alsolrinted on the Drier that survey. • • • • existing structures only. Valid only for the buyer as 5.Ifthe40d'gltstrinTjof SHA-1 charactemareexacdythesameontheinwice 2. Choose"Quality" from the options. listed on the first page of this surveyforuptoone (or in the survey file atAAA?ystarscom)astheyareIntheHashCalculator, 3. Change from"Auto Color" or "Full Color" to lyear after survey issuance date. Total discount not to then this PDF is authentic. If the 40 digit string of characters does not match exceed $500. exactly, [hen this PDF has been tampered with and it is not authentic. "Gray Scale". - - - - - - - - - - - - - nd? Cl.lc2y/F_vnR FXA(-,TA 1 AND =