FW-19-6654e-
,
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Contacts
Issue Date: 06/04/2019
Parcel Number
1132060133940
Permit NO.: FW-03-1
Permit Type: Fence/Wall
Work Classification: Wire Fence
Permit Status: Approved
Expiration: 12/02/ 2019
MTNEZ INVESTMENT GROUP II LLC Owner PRO DESIGN BUILDERS LLC Contractor
4500 NW 37 AVE, MIAMI, FL 33142 ROBEISY MARTINEZ
4500 NW 37 AVE, MIAMI, FL 33142
i
Home: 7863952379
Inspection Requests:
I Description: TEMPORARY FENCE Valuation: $ 1,200.00
305-762-4949
Total Sq Feet: 2,500.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$5.78
DCA Fee
$3.85
Education Surcharge
$0.40
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$9.63
Wire and Wood Fence Fee
$335.00
Tota I :
$449.86
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$449.86
Credit Card
06/04/2019 $449.86
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
regulatin construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
OC\may
Authorized Signature: Owner / Applicant / Contractor / Agent Date
June 04, 2019 Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
>� BUILDING ❑ ELECTRIC ❑ ROOFING
F`U G
AR 2 0 209
RIN
FBC 20
Master Permit No.
Sub Permit No.
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): �,(�}�) I a �)G(25tr nt aPhone#: —+U `833 —912�
Address: c-4 j60 "oj b� r I l/SL
City: Ml a 1'Yl I State: VC Zip:
Tenant/Lessee Name:
Email
ne#:
COI, TRACTOR: Company Name: Ro b2 r) l)l l(1Q (S Phone#:—f61C7
Addr..ss: (� rso() ', l ) 1%)
Van / n _ ) � f�
City: 1 + rI CX rrI l �/y� State: 1. Zip: ! 55 z �j
Qualifier Name: j --)) IS(a r i 1Cl j� Ike �, Phone#: 1��� O qS -cJ� J7 1
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
one#:
Address: City: State: Zip:
Value of Work for this Permit: $ a np Square/Linear Footage of Work: E? k 5,
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
011
Specify color of color thru tile:
Submittal Fee $ 7 . - Permit Fee $ CCF $ -GO/GC $„ L
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $ Notary $
Double Fee $
Bond $
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
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
OWNER or AGENT
The foregoing ��7
instrument was acknowledged before
me this
5 day6f HA 20 20 —/ by
�D��S�/���/%//✓�Ti ho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:M�K
Print: �` �K �� YXy/%`,A S
0
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
s day of/ /�7fi�� 20 /� by
�/ t4 fiA ei who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: ,s—
Print:
Seal: a':�"UM. SALINAS ea: . ELIUT M. SAUNAS i
MY COMMISSION # GG 239916 s( MY COMMISSION # GG 239916
pa ` EXPIRES: July 18, 2022 �I :;> EXPIRES: July 18, 2022
vi�lk ded Thu Notary Pubk erwiters .: Bonded Thu Notary Publk UrWerwriters
APPROVED BY aklil Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
13217 S.W. 46th Lane. VIZCAYA SURVEYING AND MAPPING, INC. Ph (305) 223-6060
Miami, Florida 33175 LAND SURVEYOR & PLANNER LB# 8000 email:rvizcaya.13@gmail.com
FOLIO # : 11-3206-013-3940
Legal Description: Lot 19, Block 29 of " AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1 ", according to the Plat
thereof, recorded in Plat Book 10, at Page 70, of the public records of Miami -Dade County, Florida.
------------------------------------------------------
"--15ALLEY
9' ASPHALT PAVEMENT WOOD
--- OT-- F.1/2" IP 0.
NO ID 0
s0:
E �EU
SKETCH SURVEY
20 9
(BOUNDARY SURVEY)
SCALE 1"=20'
qR 2
,
yw,
�^
HE16HT•' 30'
BY:
CAN"I•r= 40'
0=2.1U•••
4x�
1\.
ry fl _ iV�t�
� y �
a
HEIGHTS%tO 0
CANOPY-*g•
• • a
iHEIGI.ii=•
I7-i.5'•
LOT 18
4
LOT 19 CANt.YG'
•?1a; a
BLOCK 29
BLOCK 29 0= 2.o'
GHT HEI= 30. a
VACANT LOT CANOP"(,FA' ;
fy
0= 4.80' — — a
HEIGHT= 30'ITY
"
I"
CANOPY= 30'
_
5
I
I -01%O
0=3.00'
a
I .
P�
L0
HEIGHT= 30'
I
I
a N
CANOPY= 25'
W
0= 3.00'
HEIGHT= 25 a
I
CANOPY= 20'
I
t
cbl�
0= 1.50'
..''
I
HEIGHT= 25'
W
j
CANOPY= 20'
z
I
1
3la 7
W
aV
'
I
l(1 1
a
0= 4.00'
HEIGHT= 40'
I
CANOPY= 30'
=
I
N
I
.
W
295.00'
01
a 'HIE IGHT= 30'
F.N&D
CANOPY= 40' `s .
9A 5' CONC SIDEWALK
F.1/2" IP 1 I
NO ID 1 /
(P.1)
50.00'
BLOCK
— OUL — DUL OUL
WOOD
OUL — OUL — DUL — OUL — OUL
CORNER
POLE Oo
17' PARKWAY o
o
v
�
`t'
NOTES:
- No platted Easements in this lot.
- No visible encroachments.
This Sunny does not reflect or determine ownership; Examination of the Abstract of 77tie will
have to be made to determine Recorded Instruments, if any, affecting the property. This
Survey Is subject to dedications limitations, restrictions, reservations or easements of rec.;
Legal Description provided by client; The Liability of this Survey Is limited to the cost of the
Survey, Underground Encroachments if any, are not shown; This Firm has not attempted to
locate footing and/or foundations and/or underground Improvements of any nature; If shown,
Bearings are referred to an Assumed Alerddlan; If shown, Elevatfons are referred to National
Geodetic Vertical Datum of 1929 (NGW 1929)
O
NO ID j
O
W
U
LU •
.8 •
• •
•
LOT;13
BLOC44
2B:.
F.1/2" IP
NO ID
-------------
9-
OUL — OUL
28' ASPHALT PAVEMENT p
80' TOTAL R/W p
N.E. 95th STREET
FOR: Date of Field Work 002-16-2018
MTNEZ INVESTMENT GROUP II, LLC. �C/%G
`%` 6
Arturo R. Toirac PLSM 3102
and the original raised seal
of a Florida licensed surveyor
and mapper(LB/ 8000)
Order No. 18098
A=Arc Length; AC=Air Conditioner; BC=Block Corner; BM=Bench Mark; BOB=Basis Of Bearings; CB=Catch Basin; CI=Clear;Conc=Concrete; Dr=Drive;
E=East; Elev=Elevation; FDH=Found Drill Hole; FIR=Found Iron Rod; FFE=Finished Floor Elevation;FH=Fire Hydrant; FIP=Found Iron Pipe; FN=Found
Nail; FT=Feet; LB=Licensed Business; LFE=Lowest Floor Elevation; LP=Light Pole; N=North; NGVD 1929=National Geodetic Vertical Datum of 1929;
NTS=Not To Scale;OE=Overhead Cables; OH=Over Hang; Pb=Plat Book;PC=Point of Curvature; PCP=Permanent Control Point; PL=Planter or Property
Line; PLS=Professional Land Surveyor; PLSM=Professional Land Surveyor and Mapper; POB=Point Of Beginning;PRM=Permanent Reference Monument;
R=Radius; (R)=Recorded Dimension; R/R=Rail Rood; R/W=Right OfWay; Sec=Section; T=Tangent; S=SOUth;SIP=Set Iron Pipe With Cap Stamped PLS
3102; UE=Utility Easement; UP=Utility Pole; UTY=Utility;W=West; WF=Wood Fence; WM=Water Meter; WV=Water Valve; Centerline; —x—=Chain Link;
® = Concrete Wall; ' =Degrees; A=Central Angle; O=Diameter; ' =Minutes; " =Seconds; 5' t'= Wood Fence ---OVERHEAD UTILITY LINE
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
-"�•�+ �� +ry••c� rrVIRCI, %.urnpensation insurance Exemption
Florida Law 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-time
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:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. 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 she will not use
day labor, part-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 not 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 READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature
Owner
State of Florida
County of Miami -Dade
The
was acknowledge before me this day of A'%CN
By y ✓�,<
, 201q .
is personally known to m4r has produced
/ as identification.
Notary �v���l /• �����
ELIUT M. SALINAS
SEAL: :';e•• "� ;
t, MY COMMISSION M GG 239916
EXPIRES: July 18, 2022
Pro Design Builders LLC.
4500 NW 37th Ave
Miami FL 33142
Dater
State off
County of
Before me this day personally appeared l9ff IA 44�vho,g Y bein dul sworn
deposes and says:
That he or she will be the only person working on the project located at:
C CIS, S
Contractor Signature
Sworn to (or affirmed) and subscribed before me this
25 day of%Oq . 20 /4 by
Personally know
OR Produced Identification
Type of Identification Produced
Print,Type or Stap Name of Notary
mSUUT M. SAUNAS
�,. MY COMMISSION # GG 239916
rt1;� EXPIRES: July 18, 2022
Bandod Thru Notary Public underwriters