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DS-19-148Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-01-19-148 [� �. � {�'�"� �► Permit type: Driveways/Sidewalks/Slabs War* Classification: Addition/Alteration Permit Status: Approved Issue Date:03/27/2019 1 Expiration: 09/23/2019 Location Address Parcel Number 148 NW 96TH ST, Miami Shores, FL 33150 1131010240290 Contacts JOSE CABANILLAS RODRIGUEZ Owner HOME OWNER Contractor 600 NE 36 ST APT 1917, MIAMI, FL 33187 HOME OWNER Home: 7867478191 CABASCASITA@GMAIL.COM Description: ADD DRIVEWAY Valuation: $ 1,800.00 Inspection Requests: TotalSq Feet: 150.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 Concrete/asphalt/pavers, slabs, dways, $50.00 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 $2.50 Total: $152.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $152.10 Credit Card 03/27/2019 $152.10 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 above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date March 27, 2019 Page 2 of 2 r " RECEIVED Miami Shores Village Building Department JA 2 2 2019 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 / l ff FBC 20 �!J BUILDING Master Permit No.as i q 448 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS `' 1 JOBADDRESS 1`1R UPI �� 4q eE� City: Miami Shores Miami Dade Zip: 331i Folio/Parcel#: i 1- 3 ( ©t --bay (►County: , ©1e Q Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE:�r FFE: OWNER: Name (Fee Simple Titleholder): Z- Address: City: MiflAAW State: Zip: Tenant/Lessee Name: Phone#: Email: %*'eO JV^ CONTRACTOR: Company Name: hD�V, D W QA Phone#: Address: 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: $�06 Square/Linear Footage of Work: 1 S0 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Rep ace ❑ Demolition Description of Work: 03A 6,, &I" oMaN.1 , Qgj\ \Q Specify color of color thru tile: Submittal Fee $ 115b Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee Bond $ 0o ' TOTAL FEE NOW DUE $ ' J Z .10 (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 approved and a reinspection fee will be charged. Signature Sign s OWNER or AGENT The foregoing instrument was acknowledged before me this L2, day of20 J 9 by o is a sonaf� known to � p Y � �(_� me or who has produced �� V�� `��'- "� was identification and who did take an oath. NOTARY BLIC: Sign: Print: CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: i�1 Seal: Seal: SINDIA ALVAREZ MY COMMISSION # GG 2388273 ••.!dJn�•� Bonded Thfu Notary Publit Underwriters�;J / r APPROVED BY Plans Examiner �� [ `Zoning Structural Review Clerk (Revised02/24/2014) / CFN. 20190016033 BOOK 31283 PAGE 2423 DATE:01/09/2019 08:22:27 AM DEED DOC 2,745.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY TIJI ; I' PRIA1 Rfl)11Y AND REA t IRN TO. II 1-1.2f ena, LJ '1 isle lkrvicvt . llk.. 4415!,1W 72 NvlarttI`+ ?t1Ah41, 11'.'i.,166 1'mx t-ny Apprtsism I'mcei ldzrtiticMiPil 0'01 n) `(11-1 vr;t: i t-31 01-024-0290 %t+mj A614t)'l9 "I HiN I.IE.L H,,R REO It'DiN,.1 D-VI +. WA RJUNTY DE ED )IIS WARRANT)' DEAA), inattde the €�_ clad nt' �� , 2udti 1►y !)CA Corp,, it florldn Corporation, a5 of 32b Florida 1-11►11 '1 rust Oated .I1111e 19, 1011, "ith liower to pruleet, t:(iraserve in d to sell or Inist' :Still etiCtt111bes. (ir f,jiltenvisr to 111all:age :114+1 dispow of mtbJert read a t:ltc, ltc.l'i:!11 catlh.d the gri'mierr, tt)jtI F: <.rltiaaillll a rlaltrrkil nine. )Ajow poi ,1 rai'11 v atlldresi +s 148 iNW 4 ST, N iami 8ho1 cs, V 1a :?t31 S(I. hmr llailo, called the fia'.into . 01).:;zriv Mse.,' herlair the :O'tt,;, 74fevww ' ark/ kxL:r.'ac" i:r.lrula ull the ca illai to t?'14 inslrujltrrtt art:f rhi ;xtr , /crpd /'O[t:'i',1'Cfr!(HF1Y!S MP1I tir,ffrnC i��/t7. (lS7t�t#11;', enrt? N.:• tiar�'t'�lurr. +n;:?xk , it'l:i' t'✓At'.rt'kefit:;Untl W I '1" N E 4 S h `I" 11: Plant the gat or. for ano in cimsioo-all€1ts of tllt- suatl 0fTr.N A IND 00100S {SIdl,ta()) Dollint and (111er valutilde "vilervol' is licrchy grmin , laal°a ain5, ;ell;, ulieiv;, remises, reltw% s, cotivrYs talarl (:lilt, tlae vrafWt e rill thct c-attain Ican<I sitna►tc in NIIAMI-l7:' DL County, Stale o 1'irrlda. vil,: "t"fle West'/- of Lot 9 and all of Lot IQ, Block 5, BONMAR PARK, according to the flat thereof, recorded In Flat Book IT Page(s) 11, of the Public Records of Miami -fade County, Florida. AlKiA 148 NW 96 S'1', Miami Shoies, r:L u3150 subject toe:+aeafrnLl, restrictions ilntd resenations of record alid doses for the vear 2019 and thertafier, 't`O(;t. i11F:k, ��"ilia .►tl ltau tc�rta'r�lcntx, h�r,�tift;uttMut�.�rnd tlplatlrteattuats� llaact<a la�.ttaa�itl>.* a�- ita 4 ta)s+"i�>~r11i1atrt;�i13it1�,. 't'() it iti`E *`U Tt) 1tO1,1), tilt wilat in lee iiinple fi)rcc'rr. AND, the q.r.mtky hr-rcby %%11h Said 6raulu"c• that Ille lruntor N la%%fully stixl:d of :aid la ild in 11 �e simpiv, thin the rariMr has rtancd ri+gill ,nail I;.+icdill atithurit), to sell wid wnvey said hued, wid ht:rcl:ty viorrltils the tilde Ili .staill I sld ami Will dt'tend tho, !latnle 'dot;aids( the lowl111 c'litinot. of all p:'r3i"I►is 4%homsoovcr,_ unCd that± said Enid It Ifev. tit' all i u,ta;vadNaliaGc ff l t �ptt t`,'ix4w i!i'l:rtaalt ;.a3tt,4.41% ill to 17, 1,*lta, t tl, Vile N.O.a 18-2589 CFN: 20190016033 BOOK 31283 PAGE 2424 I't kvl*f Nrss %NIIEl EOF,111c 4aW erc:ntnr Iira sign-Ni nixt -r:t3ud th«e prewnfe tlic da} and) -car first ditme witlmi. Si.pw . scaled ;end detive reed in flat. iar,:,cucc of, OCA Corp , a Florida Corporation, a.s Trustee+, of'320 Florida Land ,rrust Dated jutie 19, 20:10, with power to protect, cotisomt ami t0 sell or k)aae and coca fiber or cithei-who,. ho,. to ivataage ,end eiis . t ref snhjc:rt rt:�it ettaitL 1�Y, 3akinae iva id, President of O(A t.:oq) as Florida Corpcie atioei, as Trustees of the 326 Florida laud Trust dated jttree 19, 2018 (175 1larbnr Dr. Rfn,` f0sc,yne, 1 1. 311,19 STA TF OF FLORIDA C COLA' OF MIAM1-D-WE: The inrul;Eiirfl'; ins(ral,n,,w, w s,iC4 ltaitt'ie eif;r:d iitfuruo nor tires it- ei,zy of 2MFi by Salina livani, Presldent tit' OCA Corp., i Nerdda Corporadmas'f r ustee; of tiee: 326 Florida Laud'Trust started June 19, 201.8, lie i, Personally ke.)OW11 to we or is o, pi riajei,:tKl . �E.R ... as icls:t:tif7('hiiCylk. � SFIA€., K ELENIA M U ERENA �4 i~4rifmil"100N GGt0MS v�p/ �Qi� �ddMi 11YS18.Rf,1MaVOt�YfpleFp i1icr No.: 18-25149 catcd aoitaj Silyitmure Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER 'BUILDER I DISCLOSURE STATEMENT NAME: SP L . C`e�11�5 DATE: ADDRESS: tvw 3�S Do hereby petition the village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may 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 and contracts. 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 :� \ S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6.. 1 understand that l 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 county or municipal ordinance. 1 , - �, Initial_ 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 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 _ B. I 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 1 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, Initial— _:!�q 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/oro/cilb/index.html Initial c� 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 financially responsible for the proposed construction activity at the following address: Initial<- 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial - Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, If an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. if you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of UrM, , 20 BySo ``s �' o personally known to me or who has Produced there License or as identification. SINDIA ALVAREZ .= MY COMMISSION # GG 238273 i OWNER NOTARY :;;o EXPIRES: September3,2022 ;a OF fV,!' Bonded Thru Notary Public Underwriters i _ 1 "7 Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Jose E Cabanillas 148 NW 96 Street Miami, FL 33150 r r i �orida HEALTH Vision: To be the Healthiest State in the Nation RE: Contingency Letter Application Document No: AP1398260 Centrax Permit Number: 13-SC-1924753 OSTDS Number: 148 NW 96 St Miami, FL 33150 Lot:11 Block:5 March 13, 2019 Subdivision: Bonmar Park Dear Applicant: This will acknowledge receipt of an application dated 02/14/2019 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. NO OBJECTION LETTER ISSUED BY GERARD PHILIZAIRE. BASED ON CONTRACTOR DRAWING PAGE 2 OF 3 NO IMPACT OF THE NEW DRIVE WAY OVER THE DRAINFIELD From a review of your completed application, it has been determined that your existing system appears to meet the minimum standards of F.A.C. 64E-6 for the proposed use. It is approved for use with the plans submitted to this office. If this system should fail, causing an unsanitary condition to exist, steps must be taken to bring the system into compliance immediately. Department approval of the system does not guarantee satisfactory performance for any specific period of time. Any change in material facts which served as a basis for issuance of this approval requires the applicant to modify the permit application. Such modification may result in this approval being made null and void. Issuance of this approval does not exempt the applicant from compliance with other Federal, State, or Local Permitting required for development of this property. If you have any questions on this matter, please call our office at (305) 623-3500. Ron DeSantis Governor Sincerely, Gerard Phi zaire, Engineering Specialist II Florida Department of Health www.FloridasHealth.com in DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth PHONE: (305) 623-3500 . FAX: (305) 623-3645 1 YOUTUBE: fldoh SCM.ETw H 0 0 (V Z 148 NW 96TH STREET, MIAMI SHORES, FL 33150 i POINT OF _ _ t INTERSECTION t FOUND 1/2" IRON PIPE 25. �I .. C) t F1 F. Q 0 M C 4= it 1 0 �I m t C U � I o o b 16 ASPHALT ROADWAY ►HORELAND BOULEVARD I w r zi LOT 10 o BLOCKS NW 96TH STREET (F) 16' ASPHALT ROADWAY 80' RIGHT-OF-WAY 3 WALL 25.3' VERED ' >- o o w z ma NN w c 20.3' O vjI ,��a-2-3�1 �21.0'LdI\ i UTILITY E I POOL } f I gn nnl ABIIII RVIDI RAPN POT -TOW 5' SIDEWALKS _ _ _ BLOCK o OUND 1/2" 75.00' (P) EST „2P IRON PIPE , CORNER OF o I AT LOT 8 L.OT g j BLOCK 5 FENCE LOCKS ; 0.7 W I CLUQED) i BASIS OF I BEARING E I CBS W b L I N I Go t-cYi O O 0'_ m -I I' —FENCE j 0.1' W I REMAINDERI OF LOT 9 i BLOCK 5 JOT INCLUDED) i I I FENCE I 0._11W ....._...____..____ CURVE TABLE LENGT RADIUS DELTA Cl 39.39' 25.00' I 90°1T00' FOUND 1/2" 75.00' (D) POOL LFOUND 1/2" I IRON PIPE LOT 11 PUMP IRON PIPE I BLOCK 5 L z z� - ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED N 1 �E�J SURVEYING, LLC. PHONE: 561.508.6272 THI FAX: 561.508.6309 C LB 8111 5601 CORPORATE WAY, SUITE 103 WEST PALM BEACH, FL 33407 NexgenSurveying.com 148 NW 96TH STREET, MIAMI SHORES, FL, 33150 LEGAL DESCRIPTION: THE WEST 1/2 OF LOT 9 AND ALL OF LOT 10, BLOCKS, BONMAR PARK, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 17, PAGE(S) 11, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. CERTIFIED TO: JOSE E. CABANILLAS FIRST INTERNATIONAL TITLE, INC. CITIZENS BANK, N.A., ITS SUCCESSORS AND/OR ASSIGNS FIDELITY NATIONAL TITLE INSURANCE COMPANY FLOOD ZONE: 12086CO302L ZONE: X EFF: 9/11 /2009 SURVEY NOTES: - This survey is for conveyance purposes only and not intended for construction purposes without permission of this sj: rjyor NO NOTABLE CONDITIONS FOUND LEGEND. AIC •AIRCON0177ONER PS, -PLATBOOK -FENCE l6 -WATER AL •ARCLENGTH P.G- -PAGE k -NUMBER -CENTERLINE ! •CENTERLINE tC1 -CALCULATED PUX. -PUBLICURLITYEASEMENT 0R'ASPHALT � •CATCH8AS7N D.E. -DRAINAGE EASEMENT -RADIUS ® -CONCRETE -FIRE HYDRANT (M) -MEASURED (R) -RECORD IN -PAVER/BRK'K PQ8. -POdNTOF8EGINNING U.IT -UTILITY EASEMENT 0 -wow `0 ., •POLE MANHOLE P.Q.C. -POINTOFCOMMENCING WM -WATER METER *-L1GHTPOLE -TOAOGRAPM10ELfi/AT10N 49 -WELL ��...