DS-19-405Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
10520 NE 6TH AVE, Miami Shores, FL 33138 1122310140310
Contacts
Alejandro Menendez Owner HOME OWNER Contractor
10520 NE 6 AVE HOME OWNER
........ ..... ...... .. ___.... ._.,__ .___._.._..._ _ _ _____.___.—___
9 Inspection Requests:
Description: NEW WALKWAY Valuation: $ 1,000.00 305 762 4949
Total Sq Feet: 76.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
Concrete/asphalt/pavers, slabs, dways,
$50.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Notary Fee
$5.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$156.30
Payments
Date Paid Amt Paid
Total Fees
$156.30
Credit Card
05/01/2019 $106.30
Credit Card
02/21/2019 $50.00
Amount Due:
$0.00
Building Department Copy
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 Af.F,fbAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulpting coXstruction nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
�LC�NI�'CG ��(tNL�NyCC
Sign ure: Owner / Applicant / Contractor /
Agent
`� /: /.2,--V
May 01, 2019 Page 2 of 2
RECFEIVED
Miami Shores Village F 212019
Building Department -BY:
V 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 7S6-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 Cp
FBC 20F+ t;�y
BUILDING Master Permit NoVS-62-
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
�
JOB ADDRESS:,' O 5.L N C
/
�v kV E
City: Miami Shores
County:
Miami Dade
Zip: 3 1 ale
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type:
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Phone#: �50 —CS ,-:
Address: 1, 52-0 tAe (�✓G
City: M i l\II { oio i2 t
State:
L
Zip: 33130
Tenant/Lessee Name:
Phone#:
Email: LF-� M"t5 ND DOG
- GM11-/t-
eUOd
CONTRACTOR: Company Name: no)t t ?)()1 LP-E (2— Phone#:
Address:
City:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
State:
Phone#:
ertificate of Competency #:
ne#:
a
Address: City: State: Zip:
U �
Value of Work for this Permit: $ jT('2� Square/Linear Footage of Work: 76 L /
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:{
Specify color of color thru tile:
Submittal Fee $ C� Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews S
CCF $
DBPR $
CO/CC $
Notary $ .��
Double Fee $
Bond $ 0
TOTAL FEE NOW DUE $
(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
wa
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 low 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.
at
Signature 7--7,
OWNER or AGENT
The foregoing instrument was acknowledged before me this
e n
�p_��day of y� 1 20 I �'I by
vCh6 is rsona ly known to
me or who has produced t ( ca� as
identification and who did take an oath.
NOTARY PUBLIC:
Y P MAHARAI K. GONZALLL
Print: :z°�P ``• =hAy rnmMISSION#GG044602
EXPIRES: November 2. 2020
Seal: -;'F '` Bonded Thru Notary Public Underwriters
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 , by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
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
OWNER BUILDER DISCLOSURE STATEMENT
NAME: W=Q DADI& t.Ab16V_% DF_Z DATE: JZO
ADDRESS: 1 0,52-0 NI C (a Ail/6-
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 /F
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.
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. 1 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../ O
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial Aa
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 county or municipal ordinance.
Initial PW
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_
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.
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 w
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:/Iwww.myfloridalicense.com/`dbprlpro/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 financially responsible for the proposed construction activity at the following address:
0 2L) ll,� C L A Vim-
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 maybe unable to assist you with any financial
loss that you sustain as a result of contractor maybe 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 maybe 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 I 1 day of f' � b 20
By Y \ )" I who was personally known tome or who has
Produced there(License
as identification
O NER NOTARY
2/19/2019 Property Search Application - Miami -Dade County
OFFICE OF THE PROPERTY APPRAISER
�,.
Summary Report
Property Information
Folio:
Property Address:
11-2231-014-0310
10520 NE 6 AVE
Miami Shores, FL 33138-2050
Owner _
ALEJANDRO MANUEL MENENDEZ
SYLVIA ALEXANDRA ZAKZUK
Mailing Address
10520 NE 6 AVE
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds/Baths/Half
3/3/0
Floors
1
Living Units
1
Actual Area
2,206 Sq.Ft
Living Area
1,773 Sq.Ft
Adjusted Area
1,985 Sq.Ft
Lot Size
9,412.3 Sq.Ft
Year Built 11945
Assessment Information
Year
2018
2017
2016
Land Value
$190,473
$211,637
$177,502
Building Value
$161,643
$144,028
$145,064
XF Value
$0
$0
$0
Market Value
$352,116
$355,665
$322,566
Assessed Value
$352,116
$322,339
$293,036
Benefits Information
Benefit
Type
2018
2017
2016
Non -Homestead Cap
Assessment Reduction
$33,326
$29,530
Homestead
Exemption
$25,000
Second Homestead
Exemption
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
AMD PL MIAMI SHORES SEC 5
PB 10-47
E1/2 LOT 23 & LOT 24 BLK 110
LOT SIZE 77.150 X 122
OR 20490-1279 04 2002 1
Generated On : 2/19/2019
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$0
$0
Taxable Value
$302,116
$322,339
$293,036
School Board
Exemption Value
$25,000
$0
$0
Taxable Value
$327,116
$355,665
$322,566
City
Exemption Value
$50,000
$0
$0
Taxable Value
$3021116
$322,339
$293,036
Regional
Exemption Value
$50,000
$0
$0
Taxable Value
$302,116
$322,339
$293,036
Sales Information
OR
Previous
Sale
Price
Book-
Qualification Description
Page
07/22/2017
$450,000
30649-
Qual by exam of deed
4789
08/01/2007
$0
25890-
Sales which are disqualified as a result of
4274
examination of the deed
m _--------
03/01/2004
$280,000
22187
Sales which are qualified
2176
04/01/2002
$220,000
20490-
Sales which are qualified
1279
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property
Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
75' TO
R/W
23.5' Grassed Parkway
19.5' Asphalt Pavement
.................. .. ..................
N.E. 105th.. ST..
THIS IS PAGE I OF 2, NOT VALID WITHOUT ALL PAGES.
WE HEREBY CERTIFY THAT THIS BOUNDARY AND TOPOGRAPHICAL SURVEY AND THE SURVEY MAP_
DIRECTION AND IS
AND CORRECT TO THE BEST OF MYORMED KNOWLEDGE AND BELIEF AND FURTHUNDER My suPERVISIONrER, THAT SAIID "BOU DARY
AND TOPOGRAPHICAL SURVEY" MEETS THE INTENT OF THE APPLICABLE PROVISIONS OF THE
-STANDARDS OF PRACTICE FOR LAND SURVEYING IN THE STATE OF FLORIDA",LAW,JAPTE PURSUANT TO RULE
SI.17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING LAW, CHAPTER 47LBZ7 FOR
THE FLORIDA STATUTES.
AMERICAN SERVICES OF MIAMI, CORP.
Consulting Engineers . Planners . Surveyors o 'o
9370 S.W. 72nd STREET, SUITE A-102 Plnr
MIAMI, FLORIDA 33173
® PHONE: (305)58-86271 A
FAX;(305)598-8627 �e�0. �
LS 6683 ASOMIAMI.COM DATE
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LEGAL DESCRIPTION:
THE FAST Z OF LOT 23 AND LOT 24, BLOCK 110, OF AN AryEND
PLAT OF SECTION No. 5 OF MIAMI SHORES, ACCORDING TO THE
PLAT THEREOF AS RECORDED IN PLAT BOOK 30 AT PAAGEA4j, OF
THE PUBD
PUBLIC RECORDS OF MIAMI-DADE COUNTY, I"
ORDERED BY:
ELITE LAND TITLE, IN
14335 S.W. 120th St, Suite 101
Miami, FI 33186
Phone: (305) 752-4999
Fax: (305)383-7118
Mission:
To protect;, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
Alejandro Menendez
10520 NE 6 Avenue
Miami, FL 33138
Ron DeSantis
Governor
ICyrltac�
HEALTH
Vision : To be the Healthiest State in the Nation
RE: Contingency Letter
Application Document No: AP1404089
Centrax Permit Number: 13-SC-1933831
OSTDS Number:
10520 NE 6 Ave
Miami, FL 33138
Lot:23 Block:110
Dear Applicant:
March 21, 2019
Subdivision:
This will acknowledge receipt of an application dated 03/20/2019 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
No objection for construction of a new Walk Way as per your site plan. Reviewed by Frantz
Toussaint on 3-21-2019
NO BEDROOM ADDITION.
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 (786) 315-2446.
Sincerely,
Frantz Toussaint,
Florida Department of Health
in DADE COUNTY
1725 NW 167 St, Opa Locka, FL 33056
PHONE: (305) 623-3500 . FAX: (305) 623-3645
ALIST II
www.FloridasHealth.com
TWITTER:HealthyFLA
FACEBOOK: FLDepartmentofHealth
YOUTUBE: fidoh
Alejandro Menendez
•Page two
March 21, 2019
Enclosures
cc: