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DS-19-474Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: DS-03-19-474 Permit Type: Driveways/Sidewalks/Slabs Work Classification: Addition/Akeration Permit Status: Approved Issue Date:05/30/2019 1 Expiration: 11/26/2019 Parcel Number 78 NW 99TH ST, Miami Shores, FL 33150 1131010330070 Contacts OSVALDO GOMEZ Owner 78 NW 99 ST, MIAMI SHORES, FL 33150 Home: 7862620901 OZZI E 1633 @COMCAST. N ET HOME OWNER Contractor HOME OWNER Description: REMOVE AND REPLACE CONCRETE STRIPS. REMOVE WALKWAY, REPLACE 15 FT OF CRACKED SIDEWALKS, INSTALL TRAVERTINE DRIVEWAY AND WALKWAY ON WEST SIDE OF HOME, INSTALL MATCHING TRAVERTINE PORCH FLOOR TRAVERTINE 6X12 X 3CM COUNTRY CLASSIC Fees Amount Application Fee - Other $50.00 CCF $1.80 Concrete/asphalt/pavers, slabs, dways, $100.00 swalks DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $0.60 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $3.75 Total $204.40 Valuation: $ 2,300.00 Inspection Requests: 305-762-4949 Total Sq Feet: 1,200.00 Payments Date Paid Amt Paid Total Fees $204.40 Credit Card 05/30/2019 $204.40 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 anhis 'ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptinrmit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are requiredCTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFF I . I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con r n and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized / Applicant / Contractor / Agent Date May 30, 2019 Page 2 of 2 Miami Shores Village C EIVED Building Department MVRO2019 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 FBC 20 i-7 BUILDING Master Permit No._I"�__ - I Q PERMIT APPLICATION Sub Permit No. %fBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS "� / JOB ADDRESS: 8 N W q q J`T� FC� City: Miami Shores County: Miami Dade Zip: 3 / 570 Folio/Parcel#: / / /b / D 33 OCR �10 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): /� �S VA- L AO I2 ` G-9 'V_LZ Phone#: � ' - 2- dqo/ Address: ill uj City: l fi yl 1 I 1.4 o 2 S State: r C- Zip: 3 Tenant/Lessee Name: Phone#: Email: OlL2 /f✓ !(0 33 @ GO�N&+67", NE! CONTRACTOR: Company Name: �y111tQ �W1��Y 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: $ 2 3 w Square/Linear Footage of Work: / _-� b 0 S F Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Otm0yE A+ak-ING, 00AJC:+e6-�i_S7-RIi�S, QENL)Ve wALKio/-V /3 AID w A-L IC G a!i n Al WE;S T 5 / O F 1 f'm Ei ZNSyra LL /►il A 7-GN /NCj T�� Specify color color of color thru tile: TP AV��'r/A1,9 (a X I Z Y- 3 0IM eoyN+ tt1 C L-A-ss/c. Submittal Fee $ Permit Fee $ CCF $_ _ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $. Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ -160 TOTAL FEE NOW DUE $ (Revised02/24/2014) ­701.40 P1712-►Ud 0-002 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 oc fur seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved nd a einspection fee will be charged. Signature WNER or T The foregoing instrument was qcknowledged before me this TA S d y of QYC 20 l -1 . by S who is personally known to me or who has produc Y,V�V lkgrff `fas identificati n an who id take an ath. NOTARY P BLIC: Print: Seal: P ' •. \-J YmADY PRIETO MY COMMISSION # FF 214031 EXPIRES: March 25. 2019 APPROVED BY (Revised02/24/2014) 9 Signature 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: Seal: as Plans Examiner 7 Zoning Structural Review Clerk 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: AVA-(,-6 0 (_-T70-DATE: ADDRESS: 7 !� A) "E T2'&7_-T 11 1A 1111n I S fy�u5, F-1- 3315-0 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 ortwo-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 safe 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 m own contractor with certain restrictions even though i do not have alicense. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is r sponsibie 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 c tracts. Initial 4. 1 understand that 1 may build or improve a one family or two-family residence or a farm outbuilding. I ma 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 i Id or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or leas h ch violates the exemption. Initial 5. 1 understand; that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that i may not hire an unlicensed person to act as my contractor or to supervise persons king 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 co my or municipal ordinance. Initial I 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. 1, 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 a ware of the limits of my insurance coverage for injuries to workers on my property. A Initial vl� 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 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 n erstand that my failure to follow these may subject to serious financial risk. Initial (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 cont t the Florida Construction Industry Licensing Board at 850.487,1395 or http://www.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: $ NGU S rk4E� Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of tTt ation 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 b�day of Are zo 1 By 1 1QA Corr)tz_ who was personally known to me or who has 1 I Produced them is nse or r� v�Q r �1(`-e�as identification. ER NOTARY YpNADY PRIET� ��t COMMISSION it F1 EXPIRES;Mz►� j4 SKETCH OF SURVEY sc LE r - 2o, ' �// �J LEGEND NORTH '' —OAd -CENTER LINE Aa% ft WPP - WOOD POWER POLE d �D , PLANTER PLANTER'l 9,95 12.4'0 �\ 31.2' 21,45' oo j �� —a N / ONE STORY i A � 10 U � /�� RES. No.: 78' /ic`n•, a2j Eu " 'n' a /9.2 `r' W m LYa 3. 3' , 17. 3' I x— 21.5 5' x `, p A/C G ( 0.8'CL N ..�, Nf<-13.7' I cx1sTINU toIs 9 . •..• . • _ •..�.i • • • • • I . ih PAVERS j x 0.7'ENC • I :00 SLAB E x OVED:::4**lERHEAD WE T X2 CHAIN AMI. c� CAMTY H[h1•ffi'UEPARTPi1Ca'M?TY LINE 20.0� OF L T 10 I LINK RMI *;• I P•- k'4(Z0G-q--e... :00:00• A~ LOT 11, LO K 128' FENCE I 1 �. ..:... Q$ 0. BLOCK 128 j • .... FWNQ A"o 3.0' .:.... .... IRQN PIPE I i TENT ON I �� r' 1.0'ENC • sees • • •' 0.4'CL CONC. TILES j C �(1x�x x-x- ------. TILES — 1.5'CL : fig WPP J 75. O'(R&Meas) J WPP in 6lOZ 4 t 8 d `� � ALLEY CLNIK o FOUND -a"0 FENCE IRON PIPE -------------------- ------------------ ClaAllaDaZl 2022 W. Atlantic Blvd. Pompano Beach, Florida 33069 Tel: 954-977-4876 Fax:954-977-4849 HUROK MARBLE LLC TUMBLED TRAVERTINE 3cm PAVER IVORY - NOCE - WALNUT - GOLD - SCABOSS - SILVER - PHILADELPHIA - LEONARDO - DAVINCI - TOSCANA - ANTIQUE BLEND - PEACH BLEND - COUNTRY CLASSIC - ROMA CLASSIC - SUPER WHITE Compressive Strength to ASTM-C 170 Item # Load - Lbs Stress - Lbs/In2 WET 1 2400 2,713 TRANSVERSE 2 4000 4,711 3 3000 3,263 4 2800 3,535 5 2400 2,437 Stress Average 3,332 Item # Load - Lbs Stress- Lbs/In2 WET LONG .... 6 3400 3,644 ���••� •• ;7.••. 2000 2,402 ...... • � � • • � � 1600 2,045 9:..: 4300 4,839 •••••• •••• 1e696• 5000 6,453 ..... ... . ...... • •„4tress Average 3,877 . . .... .... Item.-..Loid - Lbs Stress - Lbs/In2 ...... .. .. .. DitY : ' 11 .. 4500 5,183 •TRAMSVERSf•••„ 12 6000 6,524 •••• 13 6700 7,116 14 4500 4,722 15 4400 5,145 Stress Average 5,738 Item # Load - Lbs Stress- Lbs/In2 DRY LONG 16 4900 5,937 17 3700 4,170 18 4500 4,835 19 3800 4,252 20 7500 7,816 Stress Average 5,402 Water Absorption & Density to ASTM-C 97 Water Absorption, % 2.979 Bulk Density 2.37 Freeze & Thaw to ASTM-C 666 Notes No cracks or deformation noted. Results PASS Dynamic Co -Efficient of Friction Analysis Results per ANSI A137.1 **Dry Result 0.67 **Wet Result 0.68 Avg. Min. Max. Dry 1 0.59 0.50 0.70 Dry 2 0.64 0.56 0.72 Dry 3 0.72 0.66 0.83 Dry 4 0.74 0.63 0.82 Wet 1 0.65 0.59 0.70 Wet 2 0.72 0.69 0.74 Wet 3 0.70 0.58 0.76 Wet 4 0.65 0.59 0.76 Spec: 42 minimum average Acceptable per ANSI A137.1 ATSS/TS/Admin REV.5/11/2017 Ron DeSantis Mlsdon: I (4) Governor To protect, promote & improve the health of all people in Florida through integrated o-ria state, county & community efforts. HEALTH Vhbon : To be the Healthiest State in the Nation May 07, 2019 (Owner) 78 NW 99 Street Miami, FL 33150 RE: Contingency Letter Application Document No:AP1410369 Centrax Permit Number: 13-SC-1943553 OSTDS Number: 78 NW 99 St Miami, FL 33150 Lot: Block: Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 04/23/2019 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Review on 5/07/2019 by Gerard Philizaire. NO OBJECTION letter issued for 2 single driveway installation. No impact over the existing septic system. 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. Sincerely, Gerard Phil' afire, Environmental Manager 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