DS-19-1895Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
465 NE 96 ST, Miami Shores, FL 1132060170120 j"
Contacts
JOSEFINA GEREZ Owner JOSEFINA GEREZ Applicant
465 NE 96 ST, MIAMI SHORES, FL 33138 465 NE 96 ST, MIAMI SHORES, FL 33138
FLORIDA POOL PATIO CORP Contractor
CLAUDIO SEBASTIAN VALERO
4655 SW 71 AVE, MIAMI, FL 33155
Business: 3058150181 nadineflpoolpatio@gmail.com
Description: ADDITIONAL PAVER ON THE SIDE Valuation: $ 1,500.00 Inspection Requests:
S776�-,4949
TotalSq Feet: 510.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
Concrete/asphalt/pavers, slabs, dways,
$75.00
swalks
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
$3.13
Total:
$177.73
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$177.73
Credit Card
12/03/2019 $177.73
Amount Due:
$0.00
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 abRve named contractor to do the work stated.
Authorized Signature: Owner
! Applicant ! Contractor / Agent
Date
December 03, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
OViIIICII 1 11 z)1 1U1 CJ V 111C16C
uF,cEiZTED
Building department AUG 16 2019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY.
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 1-4 0S /'ja '1& 'fT
FBC 20
Master Permit No. Re —C','
Sub Permit No.Ds - 0&
REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: _331585
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: _ Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):G�SE i f �`� ci {=1�e L— Phone#:
Ardrirocc• /- ['s- ^1� �I & J
city: 1 " 1 G ro
State: V 1
Tenant/Lessee Name: Phone#:
Email
13F�,
CONTRACTOR: Company Name: :Fl Q,, 1c +'1 C Y-d I V Phone#: 30S RISC i e l
Address: �� � � -71 A4 ,C--
City: 0 1Yl"1 1 State: I Zip: 3 31
Qualifier Name: nud(c) `` rZ I(I ✓D Phone#:
State Certification or Registration 4: CPC- %i S-0/ L Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 0 Square/Linear Footage of Work: cs /
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ^J�14140(— I '\%R_V-�
Specify color of color thru tile:
Submittal Fee $ �TC)• C73 Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee
Structural Reviews
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUES I74q 3
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 on 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.
tr _
Signature Qre� SignatLff-e
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of G� 20 by
C-Ie--t1=Z , who is personally known to
me or who has produced L i a rr 5c--- as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: IOe
The foregoing instrument was acknowledged before me this
�r yJ,� day of ��(! 20 /� , by
who is personally known to
me or who has produced _ as
identification and who did take an oath.
NOTARY PUBLIC:
rAIJ
Sign:
Print:
�q °ks,� Notary r uL+Ilc SL�te of Fbrlda ip vie
Not:, y-'u�lic grate of Fbrida
Nadine Aguas
Nays nc ,Icuas
RAY m c My missan G!? 090407
fie * � R*d7Q1(JGJ.?0
APPROVED BY ` Plans Examiner kkI Zoning
Structural Review Clerk
Mission:
To protrg promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
Vision: To be the Healthiest State in the Nation
August 27, 2019
(Owner)
465 NE 96 Station
Miami, FL 33138
Request for Additional Information
Application Document No: 1429194
465 NE 96 St
Miami, FL 33138
Lot: Block: Subdivision:
Dear Applicant:
Ron DeSantis
Governor
Scott A. Rivkees, MD
State Surgeon General
This will acknowledge receipt of an application and plans for an onsite sewage treatment and disposal
system construction permit dated August 16, 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:
Provide a site plan with location of the septic system: septic tank, drain f
including all required set back and new work location.
If you have any questions on this matter, please call our office at (786) 315
Sincerely,
Frantz Toussaint, ENGINEERING SPECIALIST II
Florida Department of Health Q
in DADE COUNTY Accredited Health Department
1725 NW 167 St, Opa Locks, FL 33056 Public Health Accreditation Board
PHONE: (305) 623-3500 . FAX: (305) 623-3645
FloridaHealth.gov
Miami shores Village
1
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
PERMIT #: _ ���� I. - `J DATE:
(Flame)
Contractor
Ei Owner
❑ Architect
Picked up 2 sets of plans and (other)
Address:
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Signature:
SIGNATURE)
PERMIT CLERK INITIAL.
RESU
BMITTED DATE: I OI !2, � /
/�'
PERMIT CLERK INITIAL:
LOT - 21
BLOCK - 86
15.
STREET
occ
3LOCK - 86
3
W
Q
F"
M
W
Z
20'
N89'56'08"E
IUO.O,p'
J -FOU DYz IRON PIPE
'OUNDY' DQ BLOCK CORNER PI
RON PIPE
(31
MAP OF BOUNDARY SURVEY
Property Address:
465 N.E. 96th Street, Miami Shores, Florida 33138
Project No. 19936 Page 1 of 1
Additions and deletions to this Survey Map are prohibited. This Survey Map and Report are not
valid without the signature and original raised seal or without the authenticated electronic
signature and seal of the undersigning Florida Licensed Surveyor and Mapper.
0 10 20
SCALE: I" = 20'
LEGAL DESCRIPTION: : ,°.
Lot 17 less the West 15 feet; all of Lot 18, Block 86, AMENDED PLAT OF MIAMI SHORES '
SECTION NO. 4, according to the plat thereof, as recorded in Plat Book 15, Page 14 of the Irtlb C •
Records of Miami -Dade County, Florida. • • • • • •
SURVEYOR'S REPORT AND GENERAL NOTES °.... °
(Not valid without the attached Survey Map) - . •. ° °
1. Legal Description has been furnished by the client. ° • • a • •
2. References to "Deed", "Record" or "Plat" refer to documents and instruments of record as pa rtyf • •
the pertinent information used for this survey work. Measured distances, directions and angles
along boundary lines are in consistency with corresponding values from records, unless otherwise •
shown. • •
3. These lands are subject to additional restrictions of record that were not furnished to *the •
undersigning registered surveyor. A title search has not been performed.
4. North arrow direction is based on an assumed Meridian. Bearings are based on an assumed
meridian on a well -established line, said line is being noted as BR on the Survey Map.
5. Only above ground Improvements are shown herein. Foundations, underground features and
utilities have not been located.
6. Fend ownership has not been determined. Distances from existing fences to boundary lines are
approximate. Fence/walls width and conditions must be considered to determine true location.
Lands located beyond perimeter fences might or might not be being used by adjainers. Adjoining
parcels have not been investigated.
7. This Survey Map is intended to be displayed at the scale shown hereon. Data is expressed in U.S.
Survey Foot.
8. This Survey Map is being prepared for the use of the party/parties that it is certified to and does
not extend to any unnamed individual, entity or assignee.
9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of
Community No. 120652 (Village of Miami Shores), Panel 0302, Suffix L, revised on Sep 09th,
2009, this real property falls in Zone'W'.
10.HORIZONTAL ACCURACY: Accuracy obtained thru measurements and calculations meets and
exceeds the minimum horizontal feature accuracy for a Suburban area being equal to 1 foot in 7,
500 feet.
11.VERTICAL CONTROL AND ACCURACY: The elevations as shown are referred to the National
Geodetic Vertical Datum of 1929 (NGVD 1929). The closure in feet, as computed, meets the
standard of plus or minus 0.05 feet times the squared root of the loop distance in miles. Elevation
are based on a level loop from and to the following official Bench Marks:
Bench Mark # 1: Miami -Dade County Public Works Department Bench Mark N-603-R
Elevation = 8.06 feet
Bench Mark # 2: Miami -Dade County Public Works Department Bench Mark N-802,
Elevation = 8.98 feet
I HEREBY CERTIFY TO:
Cristian Longo; Josefina Gerez
That this Survey conforms to the Standards of Practice as set forth by the Florida Board of
Professional Surveyors and Mappers in applicable provisions of chapter 5J-17, Florida administrative
code pursuant to Section 472.027 Florida Statutes. This Survey is accurate and correct to the best of
Wedge and belief.
Odalys C. Bello-Iznaga
Professional Surveyor and Mapper LS6169. State of Florida
Feld Work Date: 07/19/2019 Revised Survey: 08/02/2019
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LEGEND 6 ABBREVIATIONS
• CONCRETE (CONC.)
• CONC. BLDCR WALL
,:v+s'_ • WOOD DECK
-. aCOVERED AREA
n ASPHALT
CHAIN LINK FENCE (CLF)
--//--/(— • WOOD FENCE (WF)
(RON METAL BARS FENCE (F)
__. 11'!_—a OVERHEAD WIRES
D a WATER VALVE (WV)
CCL, a POWER POLE (PP)
GUY ANCHOR
® a WATER METER (WM)
(T a CONC. LIGHT POLE (LP)
® , WELL
T • STREET SIGN
O a SANITARY MANHOLE
O • DRAINAGE MANHOLE
O v MANHOLE
n FIRE HYDRANT
. a CABLE BOX (CATV)
O a FPL TRANSFORMER
® a CATCH BASIN OR MET
v EXISTING ELEVATION
8 + PERMANENT REFERENCE
MONUMENT(PRM)
• a PROPERTY CORNER
• • PERMANENT CONTROL
POINT (PCP)
P.P • PM P""
P.T. v POINT OF TANGENCY
P.C. v POINT OF CURVATLIRE
P.C.C. n POINT OF COMPOLIND CURVE
P.R.C. • POINT OF REVERSE CURVE
B.M. = BENCH MARK
B.R. =BEARING REFERENCE
T.B.M. a TEMPORARY BENCH MARK
L a PROPERTY LINE
f;H ^ CENTER LINE
L MONUMENT LINE
CALC. = CALCLLATED
MEAS. n FIELD MEASURED
P. = PER PLAT
PSM a PROFESSIONAL SLIRVEYOR AND
MAPPER
A/C = AIR CONDITIONER PAD
ENCR. a ENCROACHEMENT
F.F. ELEV. n FINISHED FLOOR ELEVATION
P. B. a PLAT BOOK
PA, b PAGE
ORB a OFFICIAL RECORD BOO(
CBS a CONCRETE BLOCK STRUCTURE
R/W + RIGHT OF WAY '
ELEV. • ELEVATION
SEC. = SECTION
T -TOWNSHIP
R • RANGE