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DS-18-2150R£„S Miami Shores Village `Sµ g��" 10050 N.E. 2nd Avenue NE �. ..... Miami Shores, FL 33138-0000 FLORIDp' Phone: (305)795-2204 Permit NO. DS-8-18-2150 Permit Type: Driveways/Sidewalks/Slabs Per[ ' Work Classification: New Permit Status: APPROVED Issue Date: 9/18/2018 1 Expiration: 03/17/2019 Project Address Parcel Number Applicant 130 NE 98 Street 1132060132400 MARIA GROSSO Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell MARIA GROSSO 130 NE 98 ST MIAMI SHORES FL 33138-2337 Contractor(s) Phone Cell Phone HOME OWNER In Review mments: to Approved:: In Review to Denied: )e of Work: NEW CONCRETE SLAB nd Return anning: 3 Fees Due Amount Bond Type - Owners Bond $500.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 P&Z Review Fee $35.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $649.60 Additional Info: NEW CONCRETE SLAB Classification: Residential Valuation: $ 700.00 Total Sq Feet: 300 Pay Date Pay Type Amt Paid Amt Due Invoice # DS-8-18-68528 08/13/2018 Credit Card $ 50.00 $ 599.60 09/18/2018 Credit Card $ 599.60 $ 0.00 Bond #: 3895 Available Inspections: Inspection Type: Final Foundation Review Building Review Planning Review Plannino 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 an .in ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this per t I ass responsibility for aNrwork done by either myself, my agent, servants, or employes. I understand that separate permits are required fof ELECT ICAL, LU BING, MECHAMCAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDA IT: c rti ha�all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and z in Fih ore, I authorize the above -named contractor to do the work stated. September 18, 2018 Author' ature:Owner / Applicant / Contractor / Agent Buildin partment Copy BUILDING PERMIT APPLICATION Miami Shores Village Building Department " u 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 �: Master Permit No. T)S i G — 21 S�) Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 130 NE 98TH ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 -3206-013-2400 Is the Building Historically Designated: Yes NO X Occupancy Type: RES Load: Construction Type: CBS Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): MARIA T. GROSSO Phone#: (786) g94-0 Address: 130 NE 98TH ST _SUA O — _.5kr -Zq 0 -- 05 (PS City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: N/A Phone#: Email: MARIAGROSSO@HIGHTOWERMGR.COM CONTRACTOR: Company Name: BY OWNER Address: ne#: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip:, Value of Work for this Permit: $`P� �y Oy Square/Linear Footage of Work: z(,f_J/ Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition Description of Work:r / Specify color of color thru tile: Submittal Fee $ �0 ' W Permit Fee $ 1 �' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ SM .CK3 TOTAL FEE NOW DUE $ • Y O (Revised02/24/2014)Ts—cmI —tl 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 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. /)1 Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrum"nt,as acknowledged beforemethis day- 20 b by 5 o is personally known to Cl—;;)or who has prodiced as identification and who did take an oath. NOTARY PUBLIC: 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: as V' Sign: Sig6:V'' AVV' Print: N1aVvi' VIAPrint: ARVA LYNN N Seal: �";; ION ri FF233170 Seal: SS My COMMEXPiR EXPIRES May 26.2�19 a�;•� fWd U4n'a,3grVK► com 96.U'�J APPROVED BY �{ ) Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NAME: ADDRESS:: J V NF— 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 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial�� 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my 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 permits anA contracts. Initial 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 occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease which violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial -" 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by jounty or municipal ordinance. Initial I 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. I, 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 while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial - 4�7 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 and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. 46_ Initial 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will 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 regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the 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 understands that I am the party legally and financjdily responsible for the proposed construction activity at the followi address: gee C C / Initial 7 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the i f9rmation that I have provided on this disclosure. / Initial C• 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 worker's 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 acknowledged before me this 13 day of t0GQS_k 20 I e gy t,QjcSA C ukQ5b who was personally known to me or who has Produced there License or T-U uLE-Ns-V- as identification. ONE , "00, 1 • NOTARY +} 00 ve, Notary Public State of Florida r° Sindia Alvarez My Commission FF 156750 }orcv�` Expires0910312018 Mission: To protea prorrote & irrprme the heath of all people in Florida throtgh integrated state, a xrtty & aaminity efforts. Julio Martinez 130 NE 98 Street Miami, FL 33138 lore a HEALTH Vision: To be the Healthiest StaW in the Nation RECEIVE,) Rick Scott AW21am Q5Celeste Philip, MD, MPH State &Mm Gerrard and Secretary August 31, 2018 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1359967 Centrax Permit Number: 13-SC-1870606 130 NE 98 Street Miami, FL 33138 Lot: 1011 Block: 18 Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 08/15/2018 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. NO OBJECTION Concrete slabs as shown on Site Plan AE. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincer strid V. Edwards Engineering Supervisor III Department of Health in Dade County Flodit Dgarba"t of K"Kh www.fhwWak@0 M.pv in Dade County • • , Florida TWITTER:HealthyFLA PHONE: (305) 623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE:fldoh c G 0 M 55.9E FIP 1/2" FIP 1/2" Lot 12 Block 18 0 W m slllqi� I-DIOUNDARY SURVEY NE 98 h STREET d � 20' Pavement Total Right of Way = 70' j I , .5' Parkway 0 M N 890 1 ) 5' Sidewalk b _ 0 11 d „ ote �� O ° N 48.80' 15.00' 46.20' d G•. � 121 N One Story # 130 v 10.00, 0 38.80' 56.20' 15.00' N , 50.00' M� ' 12.2'186'�' 90° 17.0'`�' o One story •rd, Pbs 3.4 10.15'0.024.2' V15.60 15'Alley S 89°41' 14" E rn 110.00' (M) T Asphalt o rI N 4' Grass Grass V Community number: 120652 Village of Miami Shores Panel: 12086 C 0302 Suffix: L F.I.R.M. Date: 09-11-2009 Date Revised: 09-11-2009 Date of field work: 06-09-2015 Completion date: 06-18-2015 Flood zone: X Base flood elevation:N/A Diagram: 8 Finished floor elevation: 12.62' Lowest adjacent grade: 9.76' Highest adjacent grade: 9.92' FIP 1/2" Crown of road: 9.65' A/C Pad: 9.92' Latitude: 25051'54" N Longitude: 80'1 F41" W Lot 9 Block 18 Property Address: 130 NE 98 STREET ^ Miami FL 33138 Folio No.: 11-3206-013-2400 0 O tr; Certify to: MARIA T GROSSO Legal Description: Lots 10 & 11 & West 10 Feet of Lot 9, Block 18, MIAMI SHORES SECTION 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Miami -Dade County, Florida. O GRAPHIC SCALE OO 20 0 10 20 40 ( IN FEET ) 1 inch = 20 ft. , FIP 1/2" . '..__, 4 _ .-- zo tii NOT TO SCALE i •o `y F S4 (7) I �SVI i'� p�,a•;rr ',7 C F I SURVEY NOTES 1 Bearings and coordinates refer to recorded Plat or NAD83. 2 Legal Description providetl'Hy . others. : .0. 0000 • 3 The lan0show►t hereon Mr;•gpt abstracttffMementmbftr • encumbr "iffot shown ortplat. 4 Undergrpdpoons of fcpt W, • LEGENDere foundatiem" other improvements + FN&D Found Nail and Disk 5 Ele ar onlflatioml • 0 Concrete Geodetie�deal Datum 1939. 6 Fence ownershie not determined. + Asphalt 7 Wall ties are to the faceoi' the wall. 0 Property Comer 8 Not vah'd Ies1ealed with as R Recorded embossed surveyor's seal• • • • • 9 No identification found on (M) Field Measured property corners unless noted. Centerline 10 Only visible encroachments �� FIP 1/2 Found Iron Pipe located 11 The survey depicted here is not Y2„ diameter covered by professional liability ® Covered Area 'ice' liability limited to the cost of the survey. -a, Utility Pole 12 This survey is intended for the use Fire Hydrant by those to whom it is certified ® Catch Basin and for one building permit or real estate closing only. ® Water Meter 13The attached survey materials are the `— Wood Fence original work product of the surveyor and are subject to the copyright laws —X— Chain Link Fence of the USA. Infringement occurs if - - - - Overhang Electric this same survey is re -used in a later — o— Metal Fence closing or building permit Infringement occurs if a government body sell or Elevation NGVD29 distribute it in any form.