DS-18-3654Miami Shores Village RECEIVED
Building Department DEC 112018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Q ,/
Tel: (305) 795-2204 Fax: (305) 756-8972 `�i-�I
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2O'1�
BUILDING Master Permit No. 'DS l L� S�`�
PERMIT APPLICATION Sub Permit No.
®BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
JOB ADDRESS: 4 5 /i E QS ST
CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 3313 b
Folio/Parcel#: (( O 13 t %3 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): '.d - d' Phone#:30 3 I b (0T3 5
Address: _ 4 _ _ _A) a 6 51T
State' T= ( Zip: '331.3 6
Tenant/Lessee Name: Phone#:
Email: I "i Q SuJCLrM*tA G - COM
CONTRACTOR: Company Name: 0he-6h Pao ►f1c, DG Phone#: PaQi`� 13i
Address: P C 05 Gr
City: 11rhm &A-U`► State: 1'1 zip:
Qualifier Name: 0-orO S Q Cow Fq Phone#: -4OCp 3g`� 1354
State Certification or Registration #: 66(f (SI 3 9 1 -) Certificate of Competency #: � a -6I S-0 O
DESIGNER: Architect/Engineer: Phone#:
City: State: Zip:
Value of Work for this Permit: $ Io, 9--,OV • O o Square/Linear Footage of Work: l qds
Type of Work: ❑ Addition ❑ Alteration iJ' New ❑ Repair/Replace ❑ Demolition
Description of Work: II
GtA GOhGre e. 5gUEcrG cleatC�tH p��t12 1a�-{
Ct,,.,. �
Specify color of color thru tile:
i
Submittal Fee 1k Permit Fee $ 1 ' CCF $_
Scanning Fee $ 9 DBPR $
Radon Fee $ `� _
- 38 Training/Education Ed 2 20
Technology Fee $ g/ ucation Fee $
Bond $ o
TOTAL FEE NOW DUE $ S • (l
-13b-'I
Structural Reviews
(Revised02/24/2014)
•IOU CO/CC $
Z . b Z7 Notary
Double Fee $ .
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.
sianatu Signature 1774
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of AFOU , 20 « , by
3 Ufief 2aq o, S who is personally known to
me or who has pro uced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
:.
s*ss****sssss****ss
APPROVED BY
BARBARO SOBRINO
MY COMMISSION N FF I 634
EXPIRES: February 3, 2019
ew*d Thm Notuy Pdk Undw*m
11
0 day of 'v 20 ( b by
0-C;t it O S (,OS who is personally known to
Icc—
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print: barHA ✓D `�d�dIY1c7
Seal:SARBAROS08RINO
• MY COMMISSION N FF IVAS4
• EXPIRES: February 3, 2019
4 ' f9 RW Thtu NKW Puck VPdffW M
ssssssssssssss**s*sssss*************sss**s�
Plans Examiner (i O/ O J- tA,
as
(Revised02/24/2014)
Structural Review
Clerk
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
Property Address:
11-3206-013-1130
45 NE 98 ST
Miami Shores, FL 33138-2334
Owner
Mailing Address
JAVIER J ZAYAS
KARINA ZAYAS
45 NE 98 ST
MIAMI, FL 33138 USA
1000 SGL FAMILY - 2101-2300 SQ
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
PA Primary Zone
Primary Land Use
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
1,696 Sq.Ft
Living Area
1,294 Sq.Ft
Adjusted Area
1,495 Sq.Ft
Lot Size
8,625 Sq.Ft
Year Built
1939
Assessment Information
Year
2018
2017
2016
Land Value
$215,711
$215,711
$215,711
Building Value
$104,052
$104,052
$104,052
XF Value
$1,430
$1,430
$1,430
Market Value
$321,193
$321,193
$321,193
Assessed Value
$321,193
$321,193
$110,518
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes Cap
Assessment Reduction
$210,675
Homestead
Exemption
$25,000
Second Homestead Exemption $25,000
Note: Not all benefds are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
1 534165342
MIAMI SHORES SEC 1 AMD PB 10-70
E1/2 OF LOT 16 & ALL LOT 17 BLK 8
LOT SIZE 75.000 X 115
OR 14340-3277 1189 1
Generated On : 11/26/2018
Taxable Value Information
2018
2017
2016
--....- -
County
Exemption Value
$0
$0
$50,000
Taxable Value
1 $321,1931
$321,1931
$60,518
School Board
Exemption Value
$0
$0
$25,000
Taxable Value
$321,193
$321,193
$85,518
City
Exemption Value
$0
$0
$50,000
Taxable Value
1 $321,193
$321,193
$60,518
Regional
Exemption Value
$0
$0
$50,000
Taxable Value
$321,193
$321,193
$60,518
Sales Information
Previous OR Book -
Price
Qualification Description
Sale Page
Financial inst or 9n Lieu of
01/31/2017
$397,000
30408-2524
Forclosure" stated
Financial inst or "in Lieu of
09/09/2016
$0
30230-1887
Forclosure" stated
11/01/1989
$85,000
14340-3277
Sales which are qualified
07/01/1982
$87,900
11513-1892
Other disqualified
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:/twww.miamidade.gov/info/disclaimer.asp
Version:
Miami Shores Village
Building Department
SURVEY AFFIDAVIT
STATE OF (FLORIDA)
COUNTY OF (DADE)
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant, :?o !JOL S does hereby attest that
(Property owner)
The attached survey, performed by TO ✓ -e S,,, V'A `1 ; `^``1 L L C
(Name of surveyor's company)
For address: 4 S N t; C� Q s t VAA-x vr• 8*T,-L 3 3 t 3 s
Performed on lilt) 1201-7 (date of survey) is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures may affect final inspections as applicable to this or other permits.
Further, au ht.
Property er Signature Property Owner Print Name
+
SWORN TO AND SUBSCRIBED before me this `ZG day of N1 0
Affiant is -----personally to me, _produced as identification.
t' BAriBARO SOBRINO _--
g'+�� MY COMMISSION N FF 195634
f g= EXPIRES: February 3.2019 Notary
Revised on 5I22I2009/ Revised on 6I72A9 R ;y ` Bonded Thm Notary P
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shdres, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
r4ouce to VWner — WorKers- compensation 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 Iabor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: _
State of Florida
County of Miami -Dade
O
The foregoing was acknowledge'before me this ` -(0 day of � , 20 ( O.
By �(,t v i P `t; a a S who is personally known to me or has produced
/1 n as identification.
Notary:,
SEAL:
. BARI MRi SOBRINO
My COMMISSION Y FF 195634
EXPIRES: February 3, 2019
80ndad TMu Notary Pubic Undeiwbrs
One
e APaving Inc.
TO: b��a1m� S�/lc�,/'eS �/+ 1�0-c0o- PROJECT:
NAME: NAME:
ADDRESS: ADDRESS:
PHONE: _
FAX: DATE
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CA �tPE[Z DATE. ,
11� I11 �% B/1r1UIf1Q �111RJ1
MY COMMISSION t FF 195634
V.04L4
EXPIRES: February 3, 2019
Boeded ilMu Noxy Puw LWw*i*m
G+?� G vyl 7P y
Paving Inc.
CGC 1513719
Proposal/Contract
TO: PROJECT: L`7%, ••2e.v�-� ��-� U
NAME: Y. (J'Oy S NAME:
ADDRESS: ADDRESS:
PHONE: ►.! - S .c S
FAX: DATE
EMAIL
DESCRIPTION
WE PROPOSE PERFORM ALL MATERIALS, LABOR AND EQUIPMENT NECESSARY FOR THE FOLLOWIG SCOPE OF
WORK: _I
�. OSs�'J S. 3c�O0 rC-0-
The work and performed by the co may result in a lien being placed on the premises described above, in case the owner or contractor default its in any
payment under this contract owner hereby agrees to accept full responsibility for all fences, sidewalks, all underground pipes, wires septic tanks, drain lines,
wells, etc. unless stated above. Owner is liable in full amount of contract in the event owner cancels after work has started. The co shall not be responsible
for damage or delays do to strikes, fires, accidents, or the others cause beyond its control, not for inherent defects in the premises on which work to be done.
In the event of any default of this contract by owner -owner agrees to pay all cost and reasonable attorneys fees incurred by One Stop Paving, Inc. as a result
of said default. All materials are guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any
alteration or deviation from above specifications involving extra cost will be executed only upon written orders and will become an extra charge over and
above the estimate. This proposal subject to acceptance within_ days and is void thereafter at the option of the under signed work shall begin within 10
days of this contract being signed by all parties here and return to the co. On stamp concrete work contractor will not be responsible for variation results on
the color select by Owner.
TOTAL PROPOSAL S
SUBMITTED BY
The above prices,
specified payment
APPROVED
Carlos Acosta, P siden .
I(2)26.C'U
Acceptance of contract
and conditions are hereby accepted. You are to do the work as
DATE:_
1463 NE 173 ST N. MIAMI BCH FL 33162 PHONE: 786 299 1354 FAX: 305 947 3233
LOT 8
BLOCK 8
► v I V Li >: 1r f V.&T if 1
• .•• • •
LOT 7
• • •8L •
• .. •• ..
.20N ••: '• .• •
' 0" : Q.1'ON z �Gc ati.
S � o SET 1IY
ROD
o IRON ROD
.�i1�G�i 93 � o LB 97893
s 6b
?�1ih
PO TION OF
LOT 16
BLOCK 8 �
CLUDED wr i lair v�p s
(Il`T t _ .
a .
RENiATNDER OF ' • t s. -
"' LOT 18
LOT 16 —
BLOCK 8 •: tt ' fat; BLO
No a a I ej
(NOT CLUDED) i ' • `
LOT 17 D Epp fiI ��r�
3.o BLOCK$ ...' FaZoou
U- 3 N
�45
( allILDING -
U- M • 2 CROSSING INTO RM(
o
4" T` ^ tnC o ON SOUTHERLY SIDE OF LOT.
HOC l 20.4'
(20vtC. Wckoj"
� •N w S�U6rc�.
3OOa �•
• FOUND
IRO D 1/2 FOUND ' f IRON ROD
NO I.D. DRILL HO NO I.D.
-76.09 WALK
6" Cav►c _ •� C) j e
CbvNc,
11 so� (vio,4urj
w f -� v a
0-et S ✓1 p G. �c t, \\
�WR/W (lMPRD
— S l Q_q7 I- �^ village
Florida Health 41a(nl- aWOOn j i7� r
1�Program
e • llCat101i No.:- c ZONING DEPT
At 1t l f c O•
Rs 2, 0/9 E3LDG
re IFE.9EB1fGFRTf K f,s f
�efaa! �tLEMOM
r; iMl'16 -I'J T f0 71NIW /t� OM STATE. r3VLcS AT1D �EMONS
•\ ATE OF .� �aen�usEOEuaossEoseueNosweunraE SERVING-FL-ORI ST
s ► • i
6m N. MILITARY TRAIL. SUITE 102
a - VpHONE BEAC61) H,
FU 7 '
STATEWIDE PHONE (SCM MW
STATEWIDE FACSpl U (800) 7414WS
(Stamm)
!WKENNETHJOSuaBBORNF PPFxrans fx1YL04tiP12TEWtTffDUTI�riGEU WEMMhWJAar4etwf+reyW9M
1195t0 f ._____-. ._.._._-z---- ---•- - j -
LEGAL DESCRIM0�1� D*CIRTIFICATION
'HE EAST 112 OF LOT 18 AND ALL OF LOT 17, IN BLOCK 8, OF MIAMI SHORES SECTION ONE AMENDED, ACCORDING TO THE PLAT
HEREOF, AS RECORDED IN PLAT BOOK 10, AT PAGE 70, OETHE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
:ommunity Number. 120650 Panel: 0302 Suffix: L Flood Zone: )7ie1d�V1b;r v10417 • •
000 •.• ' • • . •
... ... ... .
rerti6ed To:
JAVIER ZAYAS AND KARINA ZAYAS; TITLE & ABSTRACTAGEN�Y OF AMERICA, INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE
. .
COMPANY, STONEGATE MORTGAGE CORP, its successors arN�or ass . ign► : ; • • • •
Property Address: ' • • • • • • • . • ..'
45 NORTHEAST 98TH STREET
MIAMI, FL 33138
Survey Number 278451
Client File Number. 16-303063
ABBREVIATION DESCRIPTION:
A.E.
ANCHOR EASEMENT
A C
AIR CONDITIONER
V4
BENCH MARK
BR
BEARING REFERENCE
(C)
CALCULATED
A
CENTRAL I DELTA ANGLE
CH
CNCRD
ID
� DEEDIDESCRIP ION
D DRAINAGE EASEMENT
OR DRILL HOLE
DIN DRIVEWAY
E.O.W. EDGE OF WATER
RQU FWD CONCRETE MONUMENT
F.F. EL FINISH FLOOR ELEVATION
F.I.P. FOUND IRON PIPE
F.I.R. FOUND IRON ROD
FPJC FOUND PARKERAALON NAIL
(L) LENGTH
LIE. LIMITED ACCESS EASEMENT
L.M.E. LAKE MAINTENANCE EASEMENT
DA)
MEASURED I FIELD VERIFIED
M H
MANHOLE
NO
NAIL ADISK
N.R.
NOT RADIAL
NLTA
NOTTOSCALE
ORL
OVERHEAD UTILITY LINES
ORB. OFFICIAL RECORDS BOOK
PLAT
PLAT BOOK
P.C. POINT OF CURVATURE
P.C.C. PONT OFCOMPOUND CUM
P.O.B. POINT OF BEGM114G
P.O.C., POINT OF COMMENCEMENT
PRC. POINT OF REVERSE CURVE
P.T. POINT OF TANGENCY
RAN RIGHT-OFdVAY
(RI RADIALIRADIUS
S.LLR. SET IRON ROD
T.O.B. TOP OF BANK
SYMBOL DESCRIPTIONS:
® • CATCH BASIN
-- —.: -. MISC- FENCE
Ck • CENTERLINE ROAD
0
• PROPERTY CORNER
® • COVERED AREA
. UTL ITY Box
+�X)LO • EXISTING ELEVATION �p
• UTILITY POLE
' • HYDRANT
• WATER METER
® • MANHOLE
Q
• WELL
- > - - • METAL FENCE
: ----
• WOOD FENCE
PAGE I OF 2 PAGES"
OOrrCOMnZM WMf= MGl S! ,1r•�,
GENERAL NOTES:
�j
TA R T
LEGAL DESCRIPTION PROVIDED BY OTHERS
THE LANDS N HEREON RECCROED ENCUMBRANCES NOT SHOWNNOONN TINE FOR EASEMENTS OR OTHER
PLAT.
OR OTHER IMPROVEMENTS;
E s -'
5 ��' ��
r
]) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS
4) WALL TIES ARNOT E TTO E FACE OF THE WALLAND ARE NOT TO BE USED TO RECONSTRUCT'
LB #7893
sl Caw NOARELEEYCAOACHMEMSLAOATED.
SERVING FLORIDA
8 DUAENSIONS SHOWN ARE PLAT AD MEASURED UNLESS OTHERWISE SHOWN.
fElICE O/rttER5H1P NOT DE�ERMWE0.
8250 N. MILITARY TRAIL SURE 102
! FIE MTIQ4S I101CATED HEM ARE IN FEET AD OECIMi1S REFRENCEO TO N O.V 0 192+
WEST PALM BEACH, FL 1T40T
W SCi1E INSIAICS. GRPPHIC R£pRESErRATKINS HAVE BEEN EXAGGERATED TO MORE
CLF1r�LYILLUSTRATEREIATKxISHPSBETWEENPHYSICALIMPROVEMENTSAl010RLOTLWES.
PHONE (561) 640.48M
STATEWIDE PHONE (300)7l 4W?
III ALL CASES DWErN'Va SHAH CONTROL THE LOCATION OF THE IMPROVEAIENT9 OVER
STATEWIDE FACSIMILE (8W) 7414571
SCAiEDPO:tTIGNS
WEBSITE: hBpittaiptsumv tp,nal
>•wr.<.mrev.::ww=»a�.awu..a... M'�►�+....ne.:..n«.....,..e«+as.;irar..»wa:.;x.:�,.rx.,.�,am.: r.y..w.�
aw.w.«a<a.,,....;.,.««�PmFw�M4mn�":
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: DS-12-18-3664
j . Permit Type: Driveways/Sidewalks/Slabs
Work Classification: Addition/Akeration
Issue Date: 03/18/2019
Parcel Number
45 NE 98TH ST, Miami Shores, FL 33138 1132060131130
Contacts
Permit Status: Approved
Expiration: 09/ 16/ 2019
JAVIER ZAYAS Owner ONE STOP PAVING Contractor
45 NE 98 ST, MIAMI SHORES, FL 33138 CARLOS M ACOSTA
Mobile: 3053186738 1463 NE 173 ST, N MIAMI BEACH, FL 33162
Business: 7862991354 carlosmarcia@yahoo.com
Description: PLAIN CONCRETE SQUARE DESIGN DRIVEWAY Valuation: $ 10,800.00 Inspection Requests:
AND PATIO 305-762-4
00
Total Sq Feet: 1,505.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$6.60
Concrete/asphalt/pavers, slabs, dways,
$125.00
swalks
DBPR Fee
$2.63
DCA Fee
$2.00
Education Surcharge
$2.20
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$4.38
Total:
$236.81
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$236.81
Check # 2377
03/18/2019 $236.81
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 construct pn and fling. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Sionatbre:
/ Applicant / Contractor / Agent
Date
March 18, 2019 Page 2 of 2