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RC-17-116AW mot.:;. _ ,:. iP'� /"i �•p'f �} ��, _ ..—. � • .,. ....... i��. _ ���ti_�.. •— .�...r. M ..w.N w-�.u�1��I..� +..� ,. •'-wZr�.. .+..... �. �'TTi ...V s.. .:I � ,.j Certificate of Completion Miami Shores Village „►� �, `s S S 1 10050 N.E. 2nd Ave, Miami Shores, Florida 33138; Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department+ w Description: INTERIOR RENOVATION, REMODEL OF THREE BEDROOMS AND ONCE BATHROOM TO TWO LARGER LARGER V. BEDROOM AND ONE LARGER BATHROOM ADDING A WASHER AND DRYER, CLOSET AND A /C CLOSET JA T r � }.. i Permit Type Building (Residential) Bldg. Permit No. RC-1-17-116 s Owner DAINEL OCARIZ Contractor RETOS SERVICE PLUS LLC Subdivision/Project Date Issued � 10/01/2019 { a T r , Construction Type V-B Occupancy Single Family Type S? Square Footage 1,672.00 Flood Zone AE-9 Location If the building is located in a special flood hazard area documentation of the as -built lowest floor 1240 NE 91 TER elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores, FL 33138 Miami Shores Village. "` • '' 9 This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the �RFS time of issuance this structure was in compliance with the vari us ordinances of the jurisdiction t �' ,� ct► - � regulating building construction or use. •, Building Officials Approval Not Transferable POST IN A CONSPICUOUS PLACE `f�';t' r- ' 4 s � J '•-�~ pb _ C ,�y r— � ti1 c �' , .A`'_lil:;a.�,1 .._..S .. .•L4t.,•µ�� •. j,'��,.i .:L't1s (%�.�YV w=".si Ismael Naranjo, CBO f U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: DANIEL OCARIZ A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1240 NE 91 TER City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Folio #:11-3205-001-0540 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 25°51'34.08" Long. W 80°10'20.49" Horizontal Datum: ❑NAD 1927 n NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes LXj No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State VILLAGE OF MIAMI SHORES 120652 MIAMI-DADE COUNTY FLORIDA B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number ; Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086CO306L I L 9/11/2009 9/11/2009 AE 9.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile [?q FIRM ❑ Community Determined ❑ Other/Source: N/A B11. Indicate elevation datum used for BFE in Item B9: Pq NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1240 NE 91 TER City State ZIP Code Company NAIC Number MIAMI SHORES, FL 33138 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* K] Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: B-62 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. j5C] NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: N/A Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.16 �(1 feet ❑ meters b) Top of the next higher floor N/A . �C feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ® feet ❑ meters d) Attached garage (top of slab) N/A] feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.65j feet ❑ meters (Describe type of equipment and location in Comments) 5.33 f) Lowest adjacent (finished) grade next to building (LAG) ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.55 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A feet ❑ meters structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Yes ❑ No ® Check here if attachments. Certifier's Name License Number Miguel Espinosa 5101 o�,10I rI c F Title PROFESSIONAL SURVEYOR & MAPPER Company Name Online Land Surveyors Inc. s�x�lo1 Address 15271 NW 60 AVE �Ca` FCORI0- R SURVEYOR City State ZIP Coded Miami Lakes FL 33014 Signature Date Telephone 8/29/2019 (305) 910-0123 Kvationrtificate Copy all pages of this El and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) LATITUDE LONGTITUDE PER GOOGLE, ATTACHMENTS = BUILDING PICTURES C2(E) DENOTES TO AIR CONDITIONER PAD BM: B-62; LOCATOR: 3250 S; ELEVATION 8.65 NOTE: THIS ELEVATION CERTIFICATE IS ONLY VALID FOR THE PERSON OR PERSONS NAMED ON THIS CERTIFICATE, THIS CERTIFICATE IS FOR FLOOD INSURANCE PURPOSES ONLY. THE INFORMATION ON THIS CERTIFICATE SHOULD NOT TO BE USED FOR CONSTRUCTION OR PLANNING. FEMA Form 086-0-33 (7/15) Replaces all previous editions. corm rage z or 0 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1240 NE 91 TER City State ZIP Code Company NAIC Number MIAMI SHORES, FL 33138 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Checkthe measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ® feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is &I feet ❑ meters ❑ above or []below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ® feet ❑ meters ❑ above or []below the HAG. E3. Attached garage (top of slab) is ® feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is R] feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No P(I Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1240 NE 91 TER City State ZIP Code Company NAIC Number MIAMI SHORES, FL 33138 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ® feet ❑ meters Datum of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: ® feet ❑ meters Datum G10. Community's design flood elevation: K] feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite; and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 1240 NE 91 TER City State ZIP Code Company NAIC Number MIAMI SHORES, FL 33138 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View", and, if required. 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents; as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Caption Front View Pho -tn T,qu Photo Two Caption - Rear View FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date November 30 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt Unit Suite and/or Bldg No) or P O Route and Box No Policy Number 1240 NE 91 TER Crty State ZIP Code Company NAIC Number MIAMI SHORES, FL 33138 If submitting more photographs than will fit on the preceding page. affix the additional photographs below Identify all photographs voth date taken "Front View" and "Rear View" and if required "Right Side VieW' and "Left Side View" When applicable photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8 Photo One Caption Left View Photo Two Caption FEMA Form 086-0-33 (7/15) Replaces all previous editions corm rage o or o Date Notice of Preventative Treatment for Termites (As required be Florida Building Code (FBC) 104.2.6) Super Pest Control 305-264-7070 1240 NE 91 TERRACE MIAMI SHORES, FL 33138 Address of Treatment or Lot/Block of Treatment 07/20/2018 1:OOPM Cyper TC Product Used 0.50% Percent of Concentration Time Cypermethrin Chemical used (active ingredient) APPROX 94 SQ FT Area treated (square feet) HORIZONTAL SLAB Stage of treatment (Horizontal, Vertical, Adjoining Slab, retreat of disturbed areas) DANWV0DR;T-•• IGV ••••0 0 ...... Applicator... • • 0 0 0: 0000 • . . . :::0: ..... ...... _ •....• Numbeta'garons applied 0 0 0 0 0 • • • 0000 Linear feet Treated As per 104.2.6- If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment, initial and date this line Certificate of Compliance for Termite Protection As required by Florida Building Code (FBC) 1816.7) Super Pest Control 305-264-7070 1240 NE 91 TERRACE MIAMI SHORES, FL 33138 Address of treatment or Lot/Blk# of treatment SOIL BARRIER ' Method of termite treatment - soil barrier, wood treatment, bait system, other. • • • , , • , • The building has received a complete treatment for the of subtE?rrdrtean terrnlles.. prevention „� , • Treatment is in accordance with rules and laws established by the Floridii t rEMment . • Agriculture and Consumer Services. ;�•�;y •..,:. vV�J Authorized Signature Fernando Marquez, PE No. Reg. 73987 12095 NW 44 Street Sunrise, Florida, 33323 Tel: 754-245-1623 September 05, 2019 To City of Miami Shores Village - Building Department Project address: 1240 NE 91 St. Ter. Miami Shores, FL. 33128 Permit # RC-H7-116 . . .... ...... To whom it may concern: • ...... .... ...... The purpose of this letter is to inform you that the door's opening, and window's opening c14Surrr, has been' .... . ..... done, to the best of our knowledge, according to the Florida Building Code and the.approved O r+s frorn't;rL-0 .. .. . ...... City of Miami Shores Building Department. We have supervised and inspected the work mention.ed a.bove. Thy' report pertains only two exterior wall work (front elevation and left side elevations We took Uvetal pict'ure's that show the different levels of construction done. As a routine matter, in'";Er to -a void possible • misunderstanding, nothing in this report should be construed directly or indirectly as a guarantee for any portion of the existing structure. Should you have any additional questions or need additional information, please do not hesitate to contact us at your early convenience. Sincerely, Engineerog & Planning, LLC qE7 qo8a, E � � t. :i': �v �� � � # ,, `t. -,; �: �, . r, , � � $ � . r +`� . i 3 1 i ���� t � 4 �, x � �� a \� .. ' .. _ � '� <c � t �i*� 1 •••• • • • a : � R, • • •• • • •♦ •••••• • � • • • ��.. • • a i i • ` • � ?� • i �, �; e • • • • ••••• •••• •••••• • • •••••• • • • • • • •••• •••••• ••••s• • • • • •••••• •••• •••••• • • • • • •• s • •• • • • • • • •••• sees•• •s4�`w • sees•• • •• sees• sees •see• • • • • 000 • • • • • • • • • • • • •e s • • 0 0000 .sees•• sees•• sees • sees sees•• • sees•• • •• • • f wM +.ii✓r ' w'^Yrf6�[y}n..rW.0 LOCATION MAP N.T.S. PROPERTY FRONT VIEW CERTIFIED TO: FLOOD INFORMATION: DANIEL OCARIZ Community Number: VILLAGE OF MIAMI SHORES ITS'SUCCESSORS AND/OR ASSIGNS AS THEIR 120652 INTEREST MAY APPEAR. Panel Number: 12086CO306L Suffix: L Date of Firm Index: 9/11/2009 Flood Zone: AE Base Flood Elevation: 9.0 Date of Survey: 8/29/2019 LEGAL DESCRIPTION: THE EAST 20 FEET OF LOT 29 AND LOT 30 LESS EASTERLY 5 FEET, BLOCK 2, OF WATERSEDGE ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 9,PAGE 141, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. Surveyor's Legend .—�.. PROPERTY LINE jF STRUCTURE cc�� TREE L.M.E. LAKE or LANDSCAPE MAINT. ESMT. ESMT. EASEMENT ® GONG. BLOCK WALL J R.O.E. ROOF OVERHANG EASEMENT D.E. DRAINAGE EASEMENT x CHAIN -LINK or WIRE FENCE ZJ P.P. POWER POLE P.P. POOL PUMP L.B.E. LANDSCAPE BUFFER ESMT. WOOD FENCE ®C.B. CATCH BASIN PL PLANTER OR PROPERTY LINE L.A.E. LIMITED ACCESS EASEMENT C.U.E. COUNTY UTILITY ESMT. I.D. IDENTIFICATION TEL. TELEPHONE FACILITIES IRON FENCE I.E./E.E- INGRESS/ EGRESS ESMT. B.C. BLOCK CORNER U.P- UTILITY POLE ._ASEU_*.;- U.E. UTILITY EASEMENT FND. OR F FOUND IRON PIPE/ B.R. BEARING REFERENCE E.U.B. ELECTRIC UTIUTY BOX CENTER LINE PIN AS NOTED ON PLAT SEP. SEPTIC TANK R CENTRAL ANGLE or DELTA D.F. DRAIN FIELD R RECORD OR RADIUS LB LICENSE BUSINESS RAD. RADIAL AC AIR CONDITIONER LSD LICENSE -SURVEYOR WOOD DECK N.R. NON RADIAL CSW GONG SIDEWALK T CALCULATED POINT TR. TYPICAL DWY DRIVEWAY SET SET MONUMENT SET LR. IRON ROD SCR. SCREEN CONCRETE A CONTROL POINT I.P. IRON PIPE GAR. GARAGE ■ CONCRETE MONUMENT N&D NAIL & DISK ENCL. ENCLOSURE ELEV ELEVATION ASPHALT P.T. POINT OF TANGENCY PK NAIL PARKER-KALON NAIL N.T.S. NOT TO SCALE F.F. FINISHED FLOOR P.C. POINT OF CURVATURE D.H. DRILL HOLE *C WELL T.O.B. TOP OF BANK BRICK/TILE P.R.M. PERMANENT REFERENCE MONUMENT *Cr FIRE HYDRANT E.O.W. EDGE OF WATER P.C.C. POINT OF COMPOUND CURVATURE OM.H. MAN HOLE E/P OR E.O.P. EDGE OF PAVEMENT P.R.C. POINT OF REVERSE CURVATURE / / WATER O.H.L. OVERHEAD LINES C.V.G. CONCRETE VALLEY GUTTER • • • • P.O.B. POINT OF BEGINNING TX TRANSFORMER B.S.L. BUILDING SETBACK LINE • • P.O.C. POINT OF COMMENCEMENT CAN CABLE TV. RISER S.T.L. SURVEY TIE LINE 000000 • • • • • • •�—� APPROXIMATE EDG5 OF•WATBR P.C.P. PERMANENT CONTROL POINT W.M. WATER METER CENTER LINE • • • • . • • M FIELD MEASURED P/E POOL EQUIPMENT R/W RIGHT OF WAY • • • P PLATTED MEASURMENT CONC CONCRETE SLAB R.O.E. PUBLIC UTILITY EASEMENT • • • • • • • D DEED LI&A"D AREA C.M.E. CANAL MAINTENANCE EASEMENT • C CALCULATED • • • • • • • • • A.E. ANCHOR EASEMENT GENOCNOTES: '000 ••••• •••• •••••• + , 1) L��E��;A.44 gqESCRIPPT/ON PAIOVIDELYBY OTHERS. 2) 'E AMIIIATION CIF THVABSTRACT'CIF 117kE WILL HAVE TO BE MADE TO • ' • DE•rERMINE RECORDED INSTRLK*3r 9,4F ANY, AFFECTING PROPERTY. 3) •11-I,-d4pIDS SHOWN HEIJEON WF:RE'NOtABSTRACTED FOR EASEMENT OR ��� OTHER RECORDFODW43UMBERANCES NOT SHOWN ON THE PLAT. Affiliate MemW 4) :Ta"j?POSE OF THIS SURVEY•IS 6-ORIISE IN OBTAINING TITLE INSURANCE Page HanBrg *AND F14ANCING *)AD S14OULD NOT BF1/SED FOR CONSTRUCTION, PERMITTING DESIGN, OR ANY eTPIF�/t PURPOSE WITHOUT THE WRITTEN CONSENT OF Printing to Scale: -- - — r..s, I ONLINE LAND SUR'V�YORS INC. 5) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER 1. Select "None" from Page Scaling _ Paws' Q"�e IMPROVEMENTS WERE NOT LOCATED. 2. Deselect "Auto -Rotate and Center" (gY. ' Aoto-Rotate and cater 6) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED. 3. Select "Choose paper source by 7) FENCE OWNERSHIP NOT DETERMINED. ��Ch—e paper's ce by PDF page w?e 8) WALL TIES ARE TO THE FACE OF THE WALL. PDF page size" 9) BEARINGS ARE BASE ON AN ASSUMED MERIDIAN. 10) BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A IELD WORK: 8/28/2019 SHOWN SCALE AND/OR NOT TO SCALE. DRAWN BY: B.N. 11) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED 12) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED OR Rtt FI C NECKED BY: M.E. ELECTRONIC SEAL. c� F 13) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 14) ELEVATIONS IF SHOWN ARE BASED UPON N.G. V.D. 1929 UNLESS OTHERWISE NOTED. cINAL REVISION: 0812912019 15) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 16 THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF No. sloe ' STATE 0 P Q` OMPLETED: 8/29/2019 THE ENTITIES NAMED HEREON, THE CERTIFICATIONS DO NOT EXTEND TO ANY "'LORI DP 2Q SCALE: 1 rr = 20' UNNAMED PARTIES. Nq oP � SURVEY 904 PURVEY CODE: 0-54771 15271 NW 60 AVE, Suite 206 n l i n e La n d33014 91 Miami Lakes, -0123 Phone: (305) 910-0123 SURVEYORS,INC. Fax: (305) 675-0999 www.OnlineLandSurveyors.Com ------------ Survey Date:8/29/2019 Survey Code:0-54771 Page 2 of 2 Not valid without all pages. _,. b.°ko N.E. 91st T RACE, .. (BAYRIDGE A E BY PLAT) - 50' RIGHT-OF-WAY (BY PLAT) 18 f ASPHAL T PA VEMENT 0 20.0' 23.0' 17.0' o 0 0 `LSTAMPED 16'f PARKWAY STAMPED N CONC o CONC F.l.P. 1/2 65.00'N(R&M) F.I.P. 1/2" M w Q) Qi O. Sg'7.44' --I{ 7n 1` 1.55' STEPPING STONE b T M O N �i '?0• STAMPED CONC o DRIVE o 0 9.70' I CONC 36.15' NESTORY f�ESIDENCE # 1240 F. F. E : 6.16 .12.30' REMAINDER OF .07' 11.30',r; -" LOT 29 _ BLOCK 2 0.43 1'S HE O � N � CONIC Ui N 23.6Q 0 14.60' 0 1TTAHOOCHEEN co 14.60' �� 10 50' VCONC 7.41' 00 i 155.00' B. C. (BASIS OF BEARING F.I.P. 1/2" ASSUMED) VIL �X I ' 13.95' 00 N d 7.1 6.85' Cin 0. 4 2.8' 3.0 LOT 31 BLOCK 2 NOTE : in s z m L 0B B.M.# USED B-62 c - ELEVATION 8.65 THE EAST 20 OF THE WEST 45 OF _ (N.G.V.D. 29) LOT 29 LOT 30 VERTICAL DATUM USED BLOCK 2 ( BLOCK 2 j ro (N.G.V.D. 29) I I C- , •I f• :m F.I.P. 1/2" X x x > F.L�!'.„',r- D 4' n N 65.00' (R&M) z ••t o�- • ....... ;....:.15f ASPHALT PAVEMENT- ... ...... '... Ls.•..... .... .................... .................... ............ ;..... _ ; . ...:. . . . ...:. .; N. E. 91s t STREET :: .....................................'.......'.'.I.'.' '..'.'.'..'.....I.... '. .....'......'.'.:,.... . DRIVEWAY AND FENCES CROSS LOT LINES. MAP OF BOUNDARY SURVEY Property Address: 1240 NE 91 TER MIAMI SHORES, FL 33138 nlineLand SURVEYORS,INC. 15271 NW 60 AVE, Suite 206 Miami Lakes, FL 33014 www.OnlineLandSurveyors.Com �M IN SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS "BOUNDARY SURVEY" IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH THE MI�,SUANT� STANDARDS, AS SETFORTH BY THE STATE OF FLORIDA BOARD OF PR.QS/ONAL SU RSANDMAPPER IN CHAPTER 5J-17.051, FLORIDA ADMINISTRATIVE COSEC472027,FLORIDA STATUTES1FIf Nu. 5,::, STATE O p4` FI.ORI OP QQ`• SIGNED fss, _ ,, FOR THE FIRM MIGUEL ESPIN05 It SURVE P.S.M. No. 5101 STATE OF FLORIDA NOT VALID WITHOUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR THIS MAP IS NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A LICENSE SURVEYOR AND MAPPER. Survey Date:8/29/2019 Survey Code:0-54771 Page 1 of 2 Not valid without all pages. INSPECTION RECORD Miami Shores Village 10050 N E. 2nd Avenue Miami Shores, FL 33138-0000 Phone (305)795-2204 Fax: (305)756-8972 Permit NO. R C-1-17-116 1. Issue Date: 8/10/2017 I Expires: 05/29/2018 INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction l$ .9 In-l"VIT Ar ON Parcel #:1132050010540 I Owner's Name: DAINEL OCARIZ Owner's Phone: Job Address: 1240 NE 91 Terrace 11H A Total Square Feet: 825 Miami Shores- FL 331. E- OF Bond Number: 3480 Total Job Valuation: $ 29,305.00 ipk'�T�Yi�-'s1Fi Contractor(s) Phone Primary Contractor RETOS SERVICE PLUS LLC (954)588-8468 Yes WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:00AM - 7:OOPM. SATURDAY 8:OOAM - 6:0013M. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF ' COMMENCEMENT. /A� Aer""ICE"ECTION RECORD PLUMBING STRUCTURAL WINDOWS & DOORS c INSPECTION DATE INSPPUBLIC WORKS INSPECTION DATE INSP Final Sprinkler Final Alarm Columns (2nd Lift) Tie Beam Roof Sheathing Bucks Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Tin Cap Rails and Guardrails Reinf Unit Mas Cert Insulation Certificate INSPECTION DATE INSP Attachment INSPECTION DATE INSP `,SNORES Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 ` Phone: (305)795-2204 Permit No. RC-1-17-116 Permit Type: Residential Construction Pen m i't Work Classification: Add itionlAlteration Permit Status: APPROVED Issue Date: 8/10/2017 ( Expiration: 02106/2018 Project Address Parcel Number Applicant 1240 NE 91 Terrace 1132050010540 Miami Shores, FL 33138- Block: Lot: DAINEL OCARIZ Owner Information Address Phone Cell DAINEL OCARIZ 1240 NE 91 Terrace (305)487-3535 MIAMI SHORES FL 33138- 1240 NE 91 Terrace MIAMI SHORES FL 33138- Contractors) Phone Cell Phone RO-C BUILD GROUP, LLC (305)741-4220 (305)970-3784 In Review Valuation: $ 29,305.00 Total Sq Feet: 825 Comments: Date Approved:: In Review Date Denied: Type of Construction: INTERIOR RENOVATION, REMODE Occupancy: Single Family Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Yes Certificate Status: Certificate Date: Additional Info: INTERIOR RENOVATION, REMODE Fees Due Amount Bond Type - Owners Bond $500.00 CCF $18.00 CO/CC Fee $50.00 DBPR Fee $13.19 DCA Fee $13.19 Education Surcharge $6.00 Miscellaneous Fee $200.00 Permit Fee $879.15 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $160.00 Scanning Fee $24.00 Technology Fee $24.00 Total: $2,007.53 Classification: Residential Pay Date Pay Type Amt Paid Amt Due Invoice # RC-1-17-62628 08/10/2017 Credit Card $ 1,647.53 $ 360.00 01/17/2017 Credit Card $ 360.00 $ 0.00 Bond #: 3480 Avaname Inspection Type: Final PE Certification Drywall Door Final Framing Insulation Truss Insp Columns Foundation Window and Door Buck Wire Lathe Review Electrical Review Electrical Review Mechanical Review Plumbing Review Building Review Building Review Building F. Termite Letter F. Elevation Certifi, Review Planning Review Structural Declaration of Use 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. ther I authorize the above -named cont act to do the work stated. ©or'�Q,Y'.- �Ayl Coy tq, 3D� =� � August 10, 2017 w ant / Contractor / Agent Date Building Department Copy August 10, 2017 1 \hy—shy f[ Rjp* 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORDA 33138-2382 -- TELEPHONE: (305) 795-2207 TRAVIS HENOALL FAX (305) 756-8972 Planning 6 Zoning Director DEVELOPMENT ORDER File Number: PZ-5-24-18-44 Property Address: 1240 NE 91" Terrace, Miami Shores FL 33138 Owner/Applicant: Daniel Ocariz Address: 1240 NE 91" Terrace, Miami Shores FL 33138 Whereas, the applicant Daniel Ocariz (Owner), has filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Pursuant to Articles IV, V and VI of Appendix A Zoning, Sec. 400 Schedule of Regulations and Sec. 600. Site plan review and approval for an exterior renovation. Whereas, a public hearing was held on May 24, 2018 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: l . The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Approval is granted as shown on the plans submitted and made a part of this approval. 2) Applicant to apply for and obtain all required building permits from the Building Department before beginning work. 3) Applicant to apply for and obtain all necessary permits and approvals from outside agencies. Page 1 of 2 DO-PZ-5-24-18-44_Ocariz_Exterior Reno VISIT US I www.miamishoresvillage.com 4) Applicant to obtain all required permits and approvals from the Miami -Dade Department of Regulatory and Economic Resources, Environmental Plan Review Division (DRER, EPRD) and the Miami -Dade Department of Health (DOH/HRS) as required. 5) Applicant to meet all applicable code provisions at the time of permitting. 6) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. The application with conditions was passed and adopted this 241h day of May, 2018 by the Planning and Zoning Board as follows: Motion to approve subject to Staff s recommendations by Mr. Bergman, seconded by Ms. Hegedus and the vote was unanimous in favor of the Motion. Mr. Snow Yes Mr. Bergman Yes Mr. Hegedus Yes Mr. Brady Yes Chairman Busta Yes Date John Busta Chair, Planning Board Page 2 of 2 DO-PZ-5-24-1844 Ocariz Exterior Reno Miami Shores Village Cp 4 o 0 \� v BUILDING PERMIT APPLICATION Building Department �u i 0�7 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (30S) 762-4949 l FBC 20 (,4 Master Permit No.�� ` l Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 3-z -I 0 City_ Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3705--001-os-- a Is the Building Historically Designated: Yes NO �t— Occupancy Type: Load: Construction Type:yJS Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Lean i f, ( 6('C((' 4 Phone#: 36r- L4 9-7-MC- Address: 12-4) 3 L,F- q I sr Ve r&O City: 1 h urn, �(�° S State: Zi �1 d nit p: J-�� 3 G� Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: I10 "C I' 1d 011'OU.D Phone#: Address:��D1 c5W -74.3r• SIALY1 2-6$ City: "R4MX T°l i tam state: FI d ri q zip: 33 It 3 Qualifier Name: _Ww ro kamuo CGS -+GO U noS Phone#: 30S - 7y 1 ''1220 State Certification or Registration /� USCiiAI#: CCU C 152-g908 Certificate of Competency #: DESIGNER: Architect/Engineer: - hu l o Phone#:30S- 5-.s�r1 f-119f Address: ?i3' SO 1215-1'- City:mi aryi, State: -F-1. Zip: 3 3I7 Value of Work for this Permit: $ � 2 `36� — �,( Square/Linear Footage of Work: 1� 51.44 - Type of Work: ❑ Addition I,VJ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: I ftyc(1w yty1 r ((+Uh Specify color of color thru tile: Submittal Fee $ 2—CID - Q Permit Fee $ (S Scanning Fee $ 2-7( . C70 Radon Fee $ (� ' ( 9 Technology Fee $ 2 �E, 0Cb Training/Education Fee $ 6 Structural Reviews $ (60 -CA;� t20 - W •i � CCF $ I S - (03 CO/CC $ P--rj • 0b DBPR $ t 3 • f9 Notary $ AZF iZ Double Fee $ Bond $• 0) TOTAL FEE NOW DUE $ I ] -53 (Revised02/24/2014) li/Gq�.53 , 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 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 ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 1 � Signatur Signature OWNER or AGENT The foregoing instrument was acknowledged before me this die foregoing instrument was acknowledged before me this day of 0" 20 I by �_ day of 20 by 0o is personally known to who is personally known to UYi V rev Cv s V exh U_k me or who has produced O sfea. • J(A • Vi, • i Y 9 • C) as me or who has produced CZ1�310''� 1-v�s'ci as identification and who did take an oath. identification and who did take an oath. NOTARY P41��ti5ii� NOTARY PUBLIC: Sign: Sign: Point: Print: R 77 W144366 • o ,N S6al:, ;s.: a Seal: ; < •. ; o Z ############################################################### APPROVED BY Plans Examiner 398-0153 MEGAN M BARAFE5 MY COMMISSION #FF152041 EXPIRES August 18, 2018 ############################# Zoning Structural Review (Revised02/24/2014) Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. ✓ COPY OF QUALIFIER'S STATE LICENCES B. +/COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. ✓ COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ■■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr BUSINESS NAME: IZO'C BUILD G'Izout BUSINESS ADDRESS: .5'70 ( Sw %L/' 5T .SVIT ZvgCITY 500-114 MIDdy1I STATE_ ZIP 331 BUSINESS PHONE: 3( O5 ) 7LI1 - 1-/220 FAX NUMBER ( CELL PHONE f 3D5 c190 -37 $`1 QUALIFIER'S NAME: LAZ4tZd 1ZA,MO&) a5y-L4► 05 QUALIFIER'S LIC NUMBER: CGtG 152,�909 RICK SCOTT, GOVERNOR- --- -- -_ - �`— KEN-LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENsiNr. RneRn Y CGC1524808 f i - WvIN I Iv1V I V11 _ p1 Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 rJ CASTELLANOS, LAZARO RAMOI`4 - , �- RO-C BUILD GROUP, LLC- 5901 SW 74TH STREET SUITE 208. MIAMI- FL33143, ISSUED: 11120/2016- 'DISPLAY AS RE6UIRED BYLAW' 1"" r SEQ #� L1611200000602 .'L Local Business Tax Recei pt Miami -Dade County, State of Florida THIS IS NOT A BILL DO NOT PAY 7226174 llos'h ESS NA M EILCICA TI<)IV RO-C BUILD GROUP LLC 5901 SW 74 ST STE 208 MIAMI, FL 33143 -WAL R RO-C BUILD GROUP LLC CIO LAZARO RAMON CASTELL.ANOS ni IAI IFIFR Woiker(s) 2 IF�_ 0_1 lij, REC'Ewr No EXPIRES NEW BUSINESS SEPTEMBER 30, 2017 7510993 Must be displayed at place of ousiness Pursuant to County Code Chapter 8A Art 9 & 10 SE ',YPE OF BUSINESS PAY ENT RECEIVED 196 GENERAL BUILDING BY TAX COLLECTOR CONTRACTOR 45.00 06/13/2017 CGC1524808 0202-17-004181 This Local Business Tax Racei pt onl y con"nTa paynwnt d the Local Business Tax. The FbCei pt i s not a license, perm t, or a cent "can on d the holder's aual i "cations, to do tb si ness. Holder crust cony y w i th any governmental or nongovernmental regulatory I aw s and requi rer ants which apply to the business The F;EMPT NO. above must be displayed on all conywcial vehicles - Miami -Dade Code Sec 8e-27ra M IAM4 For more i rdorn-ation, vi si t www.:Fn.art 1_dai ggq gZ/taxcdl eGtQr STATE OF FLORIDA I DEPARTMENT OF FINANCIAL SERVICES OIWSION OF WORKERS' COMPENSATION f CONSTRUCTION INDUSTRY ®CEMPTION f CERTIFICATE OF ELECTION To BE EXEMPT FROM FLORIDA I WORKERS' COMPENSATION LAW 40 f f EFFECTIVE DATE; 2P2 017 EXPIRATION DATE: 2l2 M19 I PERSON: CASTELLANOS LAZARO R .. FEIM- 81=1887 BUSINESS NAME AND ADDRESS: RO-C BUILD GROUP, LLC f f 6901 SW 74 STREET STE 2D8 MIAMI FL 33143 f SCOPE OF BUSINESS OR TRADE: LWraw awwal Cmftda .ROQC] BUILD GROUP 5901 SW 74'" STREET SUITE 208 MIAMI, FLORIDA 33143 PHONE' 305.741.4223 Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FL 33138 Reference: Ocariz Residence 1240 NE 91 Terr Miami Shores, FL 33138 To Whom It May Concern: I, Lazaro R. Lazaro R. Catellanos RO[C] BUILD GROUP May 121h, 2017 the only person from RO[C] Build Group that will be working on the Ocariz project. State of 6,A- &. County of AA ty4 ; Sworn to (or affirmed) and subscribed before me on By Name of lzo% Da e� C z 3r`(-53 n=)I roS�-o Identification Produced MEGAN M BARNES My COMMISSION #FF152041 EXPIRES August 18. 2018 (407) 3980153 Fln.i.�su...__ .. Notice to Owner — Workers' Corn Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax: (305) 756.8972 nsation Insurance Exemption Florida requires Workers' Compensation insurance coverage under Chapter 440 of the Florida. Statutes. Fla. Stat, § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full -tine employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if. I, 1'he officer owns at least 10 percent of' the stock of the corporation, or in the case of an I_LC, a statement attesting to the minimum 10 percent ownership; 3. The officer is listed as an officer of the corporation in the records of the Florida Department of'State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are. allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or site will not use day labor, pan -time employees or subcontractors for ,your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does riot require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE.' THAT YOU HAVE REAL) THIS NOTICE AND IINDF.RSTANLD ITS CONTENTS. Signatur Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this-1 day of ��1rv� ?0 l7 By 11IiO Z who is personally known to rue or has produced as identification. NtatarT._............__.__.....__.._......__._ .. -o __.j ___ ____ SEAL: riy NEWALRODRIG IEZ .= My COMMISSION 0 FF 044957 :'a EXPIRES: December 13, 2017 c V" Miami Shores Village AR 2 6 201 Building Department BY: 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 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ®'EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP q CONTRACTOR DRAWINGS JOB ADDRESS: 17,q() 1'�ja City: Miami Shores County: Miami Dade Zip 131 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): _ bftt-, I O t w�� Phone#: 1910^ NO — %0% 1 Address: 11AD WC '1L Tf.4 MU City: KY tQy%� S l vlrts State: Ft— zip: 33 13� Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: kulys 5XV to f" LL, C Phone#: 93-4 scl 0 Ll (Pt - Address: 101) W 57kk JU 8N & zaL4 City: 3(jAnjC. --dP&— State: Zip: 3532L _ Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace [I Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Radon Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Structural Reviews $ Bond $ Training/Education Fee $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 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 .4approvand a reinspection fee will be charged. Signatur \Sig nature j OWNER or AGENT ONTRACTOR The foregoing instru ent was qcknowledged before me this The foregoing instrument was acknowledged before me this da of 41{ L 20 ] 1 by 2-5dayof '-1 a.-C'k 120 19 by Cl i�, 1 who is personally known to � i (n(q LZ 0-1 b i who is personally known to me or who has produced ) \A" 1 Idens I as me or who has produced _ lJ r fver I i'Cc n 5 e as idAioandtake an oath. IVR. 0�;�1111111j�identification and who did take an oath. Ny�•,NOTARY PUBLIC: '1�•�. a 'Si; Sign: PrnO�Q • J ��Print:Se•�•••' •� ' Commission N GG OOBQ�,r/ /I��I��y._ ...• Seal: :s. /� Cyr^,, G y� OF iI ���, My V�A:..LM•^� Vbt ZJr 20AD ########################################################################################################### APPROVED BY Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk rI L T , r b`ctRIC"� E)Curc� ) iN0du bk, an F.1�1� �)r?�r '� ma5%' Arenrnl - Nv- frior&Ia j reSS pAD Terrw-t 3313 8 Oci{e 3 SOP i 5 rcq vire� d� �- ek-knoet �vl� r N C g�C ke/ 0 ,p f1,,3 S.� QGvi � 1'ef �� �ef, I � \` U, , h'oh c.[o5c.d m fog, A tl�f �or) f� 45e Oovlk �ar1 �- o� �r �� �' �.o ��s,4•-p ha►n . 1 � you 1�� "i �i 1 � y _ v-,k m4- d(vo --&) 11, I ED 1 MAR 6 2.19 MUrc�, 2b ,Zoj � � , BY: 2. c Oak e. curt RO[C] BUILD GROUP.-. PROJECT Number ROC-170102 Client Daniel Ocariz Address 1240 NE 91 Terrace, Miami Shores, FL 33138 SgFt 750 Projected Duration M 3 Overhead Cost Per Month Percentage of Profit Mobilization OH per Month OH Projected Total Projected OH + Mobil Bathrooms $ 120.00 $ 1,200.00 $_ 1,370.00_$ 4,110.00_$ 5,310.00 Superintendent $ - Staff $ 800.00 Garbage $ 300.00 10% Insurance $ 150.00 Total $ 1,370.00 $ 1,200.00 SOFT COSTS Vendor Raw Cost Selected Vendor (Raw) Project Fee% Sub -Total Selected Vendor .1, By Owner S ' i eStingBy Owner M G try �pd. NA ,dl w. f e :NA . p b, echanJol Syttems R 402.41 "t' By Owner k9^.k mpaction Test ' BY Owner. HA "$ ya �� a pedal lnspecti _: , `; BY Owner `"� r.3 R.-r.,:_. .. .. 'SUB TOTAL - =-:, m :;:;--�.e.,,.. $... ,,,;.,,���+o-:�� HARD COSTS Vendor Raw Cost Selected Vender (Raw) Project Fee % Sub -Total Selected Vendor Mechanical Premier Air Conditioning $ 7,290.00 $ 7,290.00 10% $ 8,019.00 Includes Air Handler, Stand, Condensing Unit and Concrete Pad Electrical L&D Electrical Consulting $ 4,500.00 $ 4,500.00 10% $ 4,950.00 Includes Lighting Fixtures Plumbing Riverflow $ 3,600.00 $ 3,600.D0 ID% $ 3,960.00 Includes Fixtures and Appliances Saw Cut Ortiz Installation Corp. $ 1,500.00 $ 1,500.D0 0% $ 1,500.00 For 6" Concrete Slab with No. 5 Rebar 16" O.C. Exclude Finish Floor at Laundry Gas Emergency Plumbing $ 1,800.00 $ 1,SD0.00 0% $ 1,800.00 Includes Gas Lines, Equipment and Instalation Painting - (1 coat of primer & 2 coats of white paint) Ortiz Installation Corp. $ 2,000.00 $ 2,000.00 10% $ 2,200.00 Interior- 2 Bedrooms, 1 Bathroom, Laundry, Corridor and A/C closet Paint (To be selected by GC) Finish Floor ( To remain as existing terrazo) NA NA 10% $ - 2 Bedrooms, Laundry, A/C and Corridor Wood Baseboards (Material and Installation) Ortiz Installation Corp. S 1,400.00 $ 1,400.00 10% $ 1,540.D0 2 Bed Rooms and closets, 1 Bathroom, Laundry, A/C & Corridor Interior Doom (Material and Installation) Ortiz Installation Corp. $ 1,550.00 $ 1,550.00 1D% $ 1,705.D0 FPG Quote p 1240NE & as per schedule on plans Remove and re-install3 existing 3 doors Shell Ortiz Installation Corp. $ 1,800.00 $ 1,800.00 10% $ 1,980.D0 Enclose 4 existing window openings Enclose 3 existing AC wall units Drywall, Framing and Plastering Finish Ortiz Installation Corp. $ 8,500.00 $ 8,500.00 10% $ 9,350.D0 2 Bed Rooms and closets, 1 Bathroom, Laundry, A/C & Corridor (1) Bathroom Tile Installation Ortiz Installation Corp. $ 2,100.00 $ 2,100.00 10% $ 2,310.00 Shower wall Shower floor Bathroom Floor Demolition ! Ortiz Installation Corp. $ 2,100.00 $ 2,100.00 10% $ 2,310.00 Remove metal frame as per plans (Sheet A-2) Remove drywall from ceiling and walls from 2 Bed Rooms and closets, 1 Bathroom, i Laundry, A/C & Corridor Roofing !S AI Roofing $ 500.00 $ 500.00 0% $ 500.00 Includes Roof Penetrations, Vent Caps and Roof Patching Miscellaneous ROIC] $ 1,000.00 $ 1,000.D0 10% $ 1,100.00 > .w Mobilization $ 1,200.00 $ 5,310.00 Overhead $ 4,110.00 $ 48,534.00 Raw Cost (Hard -Soft) $ 39,640.00 $ 43,224.00 Fee $ 3,584.00 ency $ - $ Contingency 0% $ Monthly $ V 1240 NE 91 Terrace Interior Finish Schedule Master Bathroom Floor Shower Walls Vanity Shower Glass Sinks (2) - V170 White Faucet (2) - 718-C Shower Head - 750-C (3 Piece) Kohler Wellworth Classic Toilet Lithonia Lights (3) - LK4SQ MW M6 Hampton Bay Wall Light (2) - X124501 Electrical/Lighting Remainder of House Lithonia Lights (12) - LK4SQ MW M6 Flooring - Remainer of House A/C Unit - R-410A Rheem Model RTG-95XLN Size Total Material Supplier 11 Ft x 9 ft 99 sq ft. Pigon Marble (24 x 36) Stonica 4'2" x 8'; 4'8" x 8' 72 sq ft. Pigon Marble (6x12) Stonica 72" wide Wood Draftwood Designs Category 2 Safety Glass 15 3/4" x 15 3/4" Porcelain Mr. Direct Sinks and Faucets 13 3/8" H x 2" D x 4 3/4" W Chrome Mr. Direct Sinks and Faucets Chrome Mr. Direct Sinks and Faucets Standard Porcelain Home Depot 4" Recessed GU10 White Square Housing Home Depot 8" x 5" Chrome Home Depot Size Total Material Supplier 4" Recessed GU10 White Square Housing Home Depot Existing Flooring to Remain 3 Ton Unit A/C Unit Carrier - Miami 9.5 G/Min Water Heater Rheem Online l ■ Gjmplete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on thereverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 124o Nv 1—11--7P7--^t1 7�- 33«� � A. Signature X ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. SeryjcaType Certified Mail® I ❑Piority Mail Express" � ❑ Registered El Return Receipt fo6lWa clwackw ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes - 7018 0360 0001 1583 5792 PS Form 3811, July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees, Paid USPS Permit No. G-101 -box" Miami Shores Village Building Department 4 10050 NE 2 AVE Miami Shores, FL 33138 Number# '-OCi--� - ` K, 2 'OOSO N E. 2NO AVENUE /Zew�Q►• F L O R 1 D A 33138 J PLACE STICKER AT TOP OF ENVELOPE TO THE RIGHT OF THE RETURN ADDRESS. FOLD AT DOTTED LINE - -----.------------------------------ CERTIFIED MAIL® ti a US POSTAGE s $ 06.679 E Flrst-Class Malted From 33138 01 /23/2019 032A 0061803107 DANIEL OCARIZ 1240 NE 91 TER Miami Shores, FL 33138-3406 - NIXIE 331 CE 1 220R/12I19 u�-rtou n- rc�r.cr{ u iNASLE ""0 FORWARD _. 9400921787071231 _ UNC_ SC: 33138238299 *0806-07511-23-42 il1iitttittijiIli iligimiliit,t, Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2207 Fax: (305) 756.8972 Substantial Improvement Determination January 23, 2019 Daniel Ocariz 1240 NE 91 Terrace Miami Shores, Florida 33138-3406 Permit No. RC-1-17-116 Dear Mr. Ocariz, We have reviewed your recent application and plans produce by Fernando Marquez, P.E for a permit to remodel the interior and exterior of the residence. The existing home is located in a mapped Special Flood Hazard Area. As required by our flood plain management regulations and the 2014 Florida Building Code, we have determined that the additional work plus the original proposed work constitutes a substantial improvement of the building. The determination is based on a comparison of the cost estimate of the proposed work to the market value of the building (excluding land value). When the cost equals or exceeds 50 percent of the market value of the building, the work is a substantial improvement. As a result of this determination, the certificate of occupancy for this property is suspended, you are required to bring the building into compliance with the flood damage- resistant provisions of the regulation and code as required under the flood ordinance for Miami Shores Village and section R322 of the 2017 Florida Building Code -Residential. We would be please to meet with you, your designed professional and builder to discuss how to bring your home into compliance. Several aspects that must be address to achieve compliance. The most must be two feet above base flood elevation as required under Section 6-12 of the Code of ordinance of Miami Shores Village. Please submit your permit application along with plans and specifications that incorporate compliance measures. Due to the above determination, the permit and sub -permits under permit number RC-1-17- 116 are here by suspended. Construction activities that are undertaken without proper permit are in violations and may result in citations, fines, or other legal action. Sincerely, Ismael Naranjo, BO, CFM Building Director BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Miami Shores Village RECEIVED Building Department NOV 30?!)?, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 134, FBC 20M Master Permit No.0 J �— fo Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS 2"CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1240 NE 91 st Terrace City: Miami Shores County: Miami Dade Zip: 3313 tr Folio/Parcel#: Jl-305-6y1 - O6�O Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type OWNER: Name (Fee Simple Titleholder): Daniel Ocariz Address: 1240 NE 91st Terrace City: Miami Shores State: FL Tenant/Lessee Name: Email: dhocariz@gmail.com Flood Zone: BFE: FIFE: Phone#: 305-487-3535 hone#: 33138 CONTRACTOR: Company Name: ��� S S—fz ioc— Y -"`S Phone#: g514 Sgpy Teo Address: [3ci70 4'0 Sr Ce I!iq --ff7Y4 City: _570n r7&e State: Zip: Qualifier Name: mtdd - G'�6J Phone#: en(l 7� State Certification or Registration #: 6(5C J� Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Additiondo Alteration /� ❑ New ❑ Repair/Replace ❑1 Demolition Y Description of Work: nu � 'C9hyr— Co 1 f 1 Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $D5 ' `A (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 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 approv�rnd a reinspection fee will be charged. I-, Signatur OWNER or AGENT he foregoing instrument was acknowledged before me this day of OGfoker 20 / • 7 by -bGIN%L° 1 OC.4rj Z , who is personally known to Signature CONTRACTOR The foregoing instrument was acknowledged before me this -20 day of 20 /7 by 1-bl 4f who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. 11 NOTARY PUBLIC: NOTARY PU IC: Sign: e• ign: Print: J Print: ......" °'�''t. MY COMMISSION #FF189443 +�`..,. Seal: Y SHERRY M.GORSKI ..R : _; �= Notary State Seal: • CommisslonNGG07T382 '�oFP; EXPIRES January 13, 2019 My Comm. Expires Apr7,2021 ', of F;'• •• Bonded through National Notary Assn. (407)sse•ots; Florida Notary S,��jice.com �•��—•--�^•-- APPROVED BY a 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 CHANGE OF CONTRACTOR / ARCHITECT Permit N. RC-1-17-116 Owners Name (Fee Simple Title Holder): Daniel Ocariz Phone #: 305-487-3535 Owner's Address: 1240 NE 91 Terrace City: Miami Shores State : FL Zip Code: 33138 fob Address (Of where work is being done): 1240 NE 91 Terrace City: Miami Shores State: Florida Zip Code- 33138 Contractor's Company Name: IZZ BUILD (WoOP Phone #: Address: 5`%01 5W '12y }" 51- S01'CE209 City: MIAMI State: FL Zip Code: 33WLC3 Qualifier's Name: LATA- r01- 1 gkkao�, Lic. Number: Architect/ Engineer of Record Name: Address: City: Describe Work: State: ;,-Wrn a4 & �iG . . Phone #: Zip Code: hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. 1 hold the Bull ing Official and the mi Shores harmless of all legal invo ent. Signature Signature' ,r4-.4'G 0V For� ner or Agent ontracto Itect vN T he foregoing instrument was aknowledged before me a foregoing instrument was aknowledged before me this 2`1 day of D4bG',2017,by 1ikNi t 1. 0 C&r I z this (e day of , 2101� by ((&Z r Who is personally known to me or who has produced as indentification. Notary blic: Sign: Seal: JhCr r�L rA . rS )Cl' ••AIiv'n SHERRY M. GORSKI y� •.; Notary Public - State of Florida Commission # GG 071382 %77 My Comm. Expires Apr 7, 2021 'OFF� Bonded through National Notary Assn. who is personally known to me or who has produced r. 789-6a,-r)I-6 as indent cation. Notary Public: Sign: Seal: _4 .4 r° % MEGAN M BARNES 'ZI'aQ MY COMMISSION #FF15?041 EXPIRES August 18. 2018 (407) 398-0153 FloridallotaryService.coln ` Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 •' Tel: (30S) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION BUILDING FBC 201 y Master Permit No.-12 C 17��— Sub Permit No. ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR/ DRAWINGS 4r, l JOB ADDRESS: I2 u 1J �Ttrnnej i d City: Miami Shores County: Miami Dade ./ Zip: 33[ 3 Folio/Parce the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 5 Phone#: OWNER: Name (Fee Simple Titleholder): UV't "t (Jr� cc Y� 3 Address: rzoo N t Q7 SY TFerrce'p City: mR%Ki sk.'r-c. 9 State: V L zip: 331 3k Tenant/Lessee Name: Email Phon CONTRACTOR: Company Name: '�e_i''Vt #?1V 5 Phone#: Cz Address: 1 s I70 rd 5q A Z qU city: 5uhnj? State: �L Zip: 33 3'? Qualifier Name: 1 W6, 6; Phone#: State Certification or Registration #: C ��( � Certificate of Competency M c^u DESIGNER: rchitect ngineer: rtCn_Q.i16& � Phone#: � J 7 — Z �'^& `l/3 Address: L20 S City: -5v nrt' State: f — zip: 33 3 7— Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ElNew Repair/Replace ElDemolition Description of Work: ekyL 2-C �" 'k_C+ Specify color of color thru tile: Submittal Fee Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Notary Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 6 Gp (Revised02/24/2014) 1 � r Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender'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 constructiop 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 -Dccurs seven (7) days after the building permit is issued. In the Asence of such posted notice, the inspection will not be oppro d and a reinspection fee will be charged. 1 p Si gnatu ' Signature �L�4 OWNER or AGENT / CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this (G� day of _ POLO— 20 18 by ,�//7 day of G �- 20 J� by UA11k{..� OC a YI�Z who is personally known to lb ,13A-- e who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ;� Sign: ... `j Print: 'We I�C�v- �, ��1J1'IC�7i siaumapun ?IQnd A+etw NV! Popu09 IiOVEI 18gW8O8WS21bld)(3 81£1'£l of # NOISSIWW00 AW Z3nolaaoa*ivaN3ae APPROVED BY NOTARY PUBLIC: Print: ONIO MARIA-RODRIGUEZ MY COMMISSION #FF189443 Seal: rl07) EXPIRES January 13, 2019 398-0153 Floridallota yService.com 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 CHANGE OF CONTRACTOR / ARCHITECT Permit N. Owner's Name (Fee Simple Title Holder): DanA 0(ar►-,1- Phone #: 3a—gt 1 3r3�_ Owner's Address: IlAb Tte"tt City: Mia," Skorty State : fit— Zip Code: 3.313k fob Address (Of where work is being done): 1 2 y o /V E �'� City: Miami Shores r/ State: —Florida ✓ Zip Code: '33 1 Contractor's Company Name: Address: City: Qualifier's Name: Phone #: State: Zip Code: Lic. Number: Architect/ Engineer of Record Name:C/'1-lUl�h�UO 1-fA2t9uc,� Phone #: 2�y' Zl/S"-1% 23 Address: 1 Z.0'? ryw C1ti ST City: SU h) (U Sc= State: FL Zip Code: 333 2'3 Describe Work: / /J hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hor he Building Official and the iami Shores harmless of all le nva ent. Signature Signature Owner o ont ctor or Architect The foregoing instrument was aknowledged before me The foregoing in ru ent was aknowledged before me this (o'1'day of V CL"t- ,20 ►9,by �►t�� •OCR(%z this 7 day of 03 , 20 by A Who is personally known to me or who has produced who is onally mown to me or who has produced as indentification. _ 'as indentification. Notary ublic• ota Sign: ign: Seal: Sea MY COMMISSION #FF189443 P EXPIRES January 13, 2019 BRENDA L. RODRIGUEZ ''.!FOF Fo? .... MY COMMISSION # GG 134318 1 (407) 398-0153 FloridallotaryService.com EXPIRES. December 13, 2021 �'i TOM Bonded Thru Notary Public UrldBrlMrl m r October 3, 2017 Certified Mail, Return Receipt Mr. Oscar Posada 9231 SW 12 Street Miami, FL 33174 305-554-1195 RE: Permit # RC-1-17-116 Address: 1240 NE 91 Terrace, Miami Shores, FL 33138 Dear Mr. Posada, Pursuant to the requirements of the City of Miami Shores, and as the legal owner of subject property, please accept this letter as formal notice that your services are hereby terminated from the above - referenced project/permit. I have tried to contact you numerous times. You have not responded to my calls or emails. Accordingly, I am herby terminating your service for the following reasons: 1. Oscar Posada, as the architect, has failed to respond to several phones and e-mails regarding the project at my home and the above -referenced permit. 2. Oscar Posada, as the architect, has failed to make himself available to effect necessary changes to the house plans. 3. Due to his unavailability and lack of responsiveness, Oscar Posada, as the architect, has abandoned the project and caused delays in the completion of the remodeling at my home. You are no longer authorized to proceed with any work covered by this permit. Also, you are hereby informed that I intend to apply for a change of architect, to take over the permit and complete any designs necessary under said permit. As the owner of the above property, I agree to hold Miami Shores, its agents and authorized personnel, harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (i c /luding attorney's fees) resulting from the change of architect on the existing permit. �O er-5igFia t u r e Date Print Name State of Florida ) County of Miami Dade ) Before me on this 3 r day of 0GrJV&61^, 2017, appeared the person, ose signature is above, who deposes that he is the legal owner of subject property, and who is personally known to me or who ❑ produced the followi2g identification: o;�Par'P��;• SHERRY M.GORSKI y �„ _ Notar Public - State or Florida Signature of Notary Public • Se • : ` Commission k GG 071362 ( 21 A er•� `ors Lr' :", e� MyComoughNm. iresANotary Assn. V d�. :OFF Bonded through National Notary Assn. r � , Ln -r Certified Mail Fee r =Iru $ Extra Services & Fees (check box, add fe O ❑ Return Receipt(hardcopy) $ _ Q ❑ Return Receipt (electronic) $ _ (:3 ❑ Certified Mail Restricted Delivery $ _ C3 ❑ Adult Signature Required $ _ ❑Adult Signature Restricted Delivery $ _ 0 Postage m� m Total Postage and Fees M Postmark Here Ln ----- Sent To _ MR. OSCAR POSADA SfieefandApL No:,-o�Poi3oXnio: 9231 SW 12 STREET i-------------------` MIAMI, FL 3-- ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: MR. OSCAR POSADA 923-1 SW 12 STREET MIAMI, FL 33174 3 701= 3430 0000 2141 =981 VECTOR GROUP 4TO. A. Signat e� / X ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery 10,E /% D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type 111 .1 ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered Mail"' ❑ uIt Signature Restricted Delivery ❑ Registered Mail Restricted $Certified Mail® DD 1ivery 9590 9 01 0012 520g 790 7 ❑CertifiedMail Restricted Delivery _1 eturnReceiptfor ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service labat) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation- 0 Insured Mail ❑ Signature Confirmation 7 015 3430 0000 2141 5981 ❑Insured Mail Restricted Delivery Restricted Delivery -- _ _— — r (over $500) PS Form 3811, April 2015 PSN 7530-02-000-9053 D� mestic Return Receipt MR. OSCAR POSADA 9231 SW 12 STREET MIAMI, FL 33174 Haslel- 10/03/2017 $006.59" 71? =313r C i 1 E1 08?2591