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DS-19-501Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-03-19-501 Permit Type: Driveways/Sidewalks/Slabs Work Closaficat on: Addition/Alteration Permit Status: Approved Issue Date: 03/09/2019 1 Expiration: 09/04/2019 Location Address Parcel Number 10634 NE 11TH AVE, Miami Shores, FL 33138 1122320280650 Contacts ANTONIO REGOJO Owner STAR ISLAND CONCRETE DESIGN CORP Contractor 10634 NE 11 AVE, MIAMI SHORES, FL 33138 MIGUEL CORPAS 1018 nw 47 street, Miami, FL 33127 Business: 3057767916 miguelcorpas22@gmail.com Description: INTERLOCKING BRICK DRIVEWAY, Valuation: $ 1QInspection Requests:000.00 r762-4949_ WALKWAY,PORCH Total Sq Feet: 1,200.00 Fees Amount Application Fee - Other $50.00 CCF $6.00 Concrete/asphalt/pavers, slabs, dways, $100.00 swalks DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $2.00 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $3.75 Total: $210.00 Building Department Copy Payments Date Paid Amt Paid Total Fees $210.00 Check # 1121 03/08/2019 $210.00 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 AFFIDAVMIZ, I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction ahV zoning. Futhermore, I authorize the above named contractor to do the work stated. 31F / Applicant / Contractor / Agent Date March 08, 2019 Page 2 of 2 Miami Shores Village - RECEIVED • Building Department MAR 072019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 - C Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 20 (� BUILDING Master Permit No. D PERMIT APPLICATION Sub Permit No. ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 06 b,jc�_ , � Citv: Miami Shores County: Miami Dade Zio: Folio/Pa Occupancy Type: Load: `fs the Building Historically Designated: Yes NO V Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 6- W-10,1 lij )L-6G-1v1D Phone#: Address: City: LA (AS,641 �b� -� State: Zip: 3'S l 3 9> 7 Tenant/Lessee Name: '—�' Phone#: Email: CONTRACTOR: Company Name: S—i 0,9- I 6nQ cgV_12i Phone#: 77 SU Address: City: 1 - 1 State: - Zip: �� 12� Qualifier Name: LA I cw�_-q .- Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: / City: State: . Zip: Value of Work for this Permit: $ (0,'P.1M, ` uar /Linear Footage of Work: 'ZC Type of Work: ❑ Addition ❑ Alteration ►Q'New ❑ Repair/Replace ❑ Demolition Description of Work: �t'2'1 ��1 '�^n"� . �'�—% , Specify color of color thru Submittal Fee $- W�"""""` C"" "`� Permit'Fee $' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ 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 i/ Signatur OWNER or AGENT NTRACTO The foregoing instrument was acknowledged before me this The foregoing in trument as ackno edged before me this pp�� i �� bi dc�� ay of �Pj(LV �R-�'1 20 k ! by { ' day of � �Il- 20 �n by `�J-Wo J d, who is personal y knn_� M I CJI- Z who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an ath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si Tf.,c. Gitt ' Print: ••...:!" JOSE N. ALFONSO MT UMMI Print: EXPIRES: July 12. 2020 "' :5, JOSE N. ALFONSO Seal: :; Seal: '•,,M,» o? Bonded Thru Notary Public Undervrtiters MY COMMISSION # GG 000984 EXPIRES: July 12. 2020 20, Bonded Thru Notary Public Underwriters APPROVED BY " ` Plans Examiner ( Zoning Structural Review Clerk (Revised02/24/2014) Property Information Folio: 11-2232-028-0650 Property Address: 10634 NE 11 AVE Miami Shores, FL 33138-2121 Owner ANTONIO ENRIQUE REGOJO TUYEN TIEU Mailing Address 10634 NE 11 AVE MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SG 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 Sq.Ft Living Area Sq.Ft Adjusted Area 2,566 Sq.Ft Lot Size 9,750 Sq.Ft Year Built 1951 Assessment Information Year 2018 2017 2016 Land Value $239,085 $239,085 $177,606 Building Value $213,299 $214,902 $216,506 XF Value $2,748 $2,752 $2,755 Market Value $455,132 $456,739 $396,867 Assessed Value $292,016 $286,010 $280,128 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment $163,116 $170,729 Cap Reduction Portability Assessment $116,739 Reduction Homestead Exemption 1 $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 32 52 42 MIAMI SHORES ESTATES PB 47-58 LOT 15 BLK 4 LOT SIZE 75.000 X 130 OR 17127-1181 0396 4 Generated On : 3/7/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $242,016 $236,010 $230,128 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $267,016 $261,010 $255,128 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $242,016 $236,010 $230,128 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $242,016 $236,010 $230,128 Sales Information OR Previous Price Book- Qualification Description Sale Page 03/27/2015 $440,000 29566- Qual by exam of deed 1844 17127- Sales which are disqualified as a result of 03/01/1996 $0 1181 examination of the deed 04/01/1976 $60,000 00000- Sales which are qualified 00000 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: STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, t�kXT Miami Shores Village Building Department SURVEY AFFIDAVIT ►o Q6601 does hereby attest that 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (Property owner) The attached survey, performed by . LD►Jp �-�� �� (Name of surveyor's company) Foraddress: OG-' A-- �R-5 tt bs\jX- t.LNt�N FL, •33(3`d. Performed on o'� -b3, Znmldate 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. Furthe�� ay eth naught. Property Owner Signature A4j-100to v4a;-640-20 Property Owner Print Name SWORN TO AND SUBSCRIBED before me this �o� day of Zo M - Affiant is —personally known -to —me, produced as identification. JOSE N. ALFONSO MY COMMISSION # GG 000984 EXPIRES: July 12.2020 Bonded Thru Notary Public Underwriters Notary Revised (6/25/12)Revised on 5/22/20091 Revised on 6/12/09 rdered By: I ,•BON PERMIT #: �— M.iam� Shcras ilaPg•H/tL�T P� APPROVED I F.1.P. ' 2" DATE ZONING DEPF' ---- —_ BLDDEI'T SUBJ�CO CChIPLiF 10E WITH ALL. ' C STATE AND CC'-JN i { BULLS AND REGULATIONS '�� , 1�� kP 11tiJ�n �•�^ a � n t I1J N t i> � yy, �. IN9h5t h�07ui..... M NE 1971I 1 I ai ,';. . ;0WWM .. Ih�mShcr•e„ �r,:+rJw .dw �''' 5 rU.... rKimJrt St ff U w so al M b-t� �3� �2vPvsr p 1/{CI0-1AAo 65 ,200'' 6,25' 16.05'- T 75.00 ,(, P t M'! )(' } 15' ALLEY 12,90' Kl.f'.112" t� ColtH'1�2JQ' 6.6 o� 0.00 ; PATlO • 23. 00' 0.90 fArIQ • .a a.zs' MAR 0 7 20i9 (—Z-1f+-1 p F- C) ONE STORY M (5 O RESIDENCE v a/c C; m #10631 NO 08JEUTION Florida Heal A' Ma i-Dade County O.S.T.D. . &-411 Program ro I 1-- 1n/ .1 . 12� IAd . � " 10 r.1.P. r/2u / 75.00 P . M 1 Y F16 �� / i �� � � 8' PARKWA Y N.E. 11th AVENUE -rod, 8' ASPHALT PAVEMENT Accepted By: Property Address: 10634•N.E. 11 AVENUE NOTES: NO NOTES MIAMI, FL 33138 C 710N: I Y Y THAT THIS'BOUNDARY SURVEY' IS ATRUE AND CORRECT REPRESENTATION OF A SU REPARED RMY DIRECTION. THIS COMPLIES WITH THE MINIMUM M.E. Land Services, Inc. TECHNICAL STANDARDS, ET FORTH BY THE TE OF FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTE -77. `,ti ID'A"INIST'' TIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. 10665 SW 190TH STREET SUITE 3110 SIGNED FOR THE FIRM MIAMI, FL 33157 MIGUEL S, A STATZ �F PHONE: (305) 740-3319 � a OgA Ft a P.S.M. No. 5101 FAX: (305) 669-3190 NOT VA I �LECTRO NATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR """""" THIS MAP IS NOT VALID IT B;1AIY AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR LB#: 6463 AND MAPPER.+;lg(.,. MUMMURMM., V. Survey:A-56718 Client File #: F15-009 Page 1 of 2 Not valid without all pages. Surveyor's Legend PROPERTY LINE STRUCTURE B.R. BEARING REFERENCE TEL. TELEPHONE FACILITIES FNO FOUND IRON PIPE 1-4 ecrr..:-rrz:rn CONC. BLOCK WALL PIN AS NOTED ON PLAT Z� CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —X—X— CHAIN -LINK FENCE OR WIRE FENCE LB/ LICENSE / - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX —//-1/— WOOD FENCE LS,} LICENSE III - SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK IRON FENCE CALC CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD — — -- EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER — - — CENTER LINE A CONTROL POINT I.R. IRON ROD S1W SIDEWALK CONCRETE MONUMENT I.P. IRON PIPE DWY DRIVEWAY ® WOOD DECK BENCHMARK N&D NAIL & DISK SCR. SCREEN CONCRETE ELEV ELEVATION PK NAIL PARKER-KALON NAIL GAR GARAGE P.T. POINT OF TANGENCY D.H. DRILL HOLE ENCL. ENCLOSURE ® ASPHALT P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE BRICK / TILE P.R.M. PERMANENT REFERENCE MONUMENT ® FIRE HYDRANT F.F. FINNISHED FLOOR WATER P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T.O.B. TOP OF BANK P.R.C. POINT OF REVERSE CURVATURE O.H.L. OVERHEAD LINES E.O.W. EDGE OF WATER APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E,p,p EDGE OF PAVEMENT �..1..._...._...._. - COVERED AREA P.O.C. POINT OF COMMENCEMENT N CACABLE TV RISER C,y,Q, CONCRETE VALLEY CUTTER -'----- -=-- P.C.P. PERMANENT CONTROL POINT W.M. WATER METER B.S.L. BUILDING SETBACK LINE TREE M FIELD MEASURED P/E POOL EQUIPMENT S.T.L SURVEY TIE LINE �i POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB (� CENTER LINE ® CATCH BASIN D DEED ESIAT EASEMENT R/Ty RIGHT-OF-WAY (.'.U.E. COUNTY UTILITY EASEMENT C CALCULATED p,E, DRAINAGE EASEMENT p, U.E. PUBLIC UTILITY EASEMENT I.E./E.E. INGRESS % EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT, LB E LANDSCAPE BUFFER EASEMENT C.M.E. CANAL MAINTENANCE EASEMENT U.E. UTILITY EASEMENT R.C.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EASEMENT A.E. ANCHOR EASEMENT Property Address: General Notes: 1. The Legal Description used to perform this survey was supplied by others. 13. This survey does not determine or is not to. imply ownership. 10634 N.E. 11 AVENUE 2. This survey only shows above ground improvements. Underground utilities, MIAMI, FL 33138 footings, or encroachments are not located on this survey map. If there is a septic tank, well, or drain field on this survey, the location of such items was shown tows by others and the information was not verified. Flood Information: 4. Examination of the abstract of title will have to be made to determine recorde instruments, if any, effect this property. The lands shown herein were not Community Number: 120652 abstracted for easement or other recorded encumbrances not shown on the plat. 5. Wall ties are done to the face of the wall. Panel Number: 12086CO306L 6. Fence ownership is not determined. Suffix: L 7. Bearings referenced to line noted B.R. 8. Dimensions shown are platted and measured unless otherwise shown. Date of Firm Index: 9/11/2009 9. No identification found on property corners unless noted. 10. Not valid unless sealed with the signing surveyors embossed seal. Flood Zone: AE 11. Boundary survey means a drawing and/or graphic representation of the Base Flood Elevation: 8 survey work performed in the field, could be drawn at a shown scale and/or not to scale. Date of Field Work: 3/3/2015 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted. Date of Completion: 3/3/2015 13. This is a BOUNDARY SURVEY unless otherwise noted. 14. This survey is exclusive for the use of the parties to whom it is certified. The certifications do not extend to any unnamed parties. 15. This survey shall not be used for construction/permitting purposes without written consent from Miguel Espinosa. Legal Description: LOT 15, BLOCK 4, OF MIAMI SHORES ESTATES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 47, PAGE 58, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. PRINTING INSTRUCTIONS: While viewing the survey in any Acrobat Reader, select the File Drop -down and select "Print" Select a color printer, if available, or at least one with 8.5" x 14" paper. Select ALL for Print Range, and the # of copies you would like to print out. Under the "Page Scaling" please make sure you have selected "None." Do not check the "AutoRotate and Centel" button. Check the "Choose Paper size by PDF"checkbox. Click OK to Print. Survey:A-56718 Gertltled 10: AN I UNIU RE(3UJU & TUYEN TIEU; BURBUN & ASSOCIATES, P.A.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; BRANCH BANKING AND TRUST COMPANY;. Its'successors and/or assigns as their interest may appear. Please copy nelow for Policy Preparation Purposes only: This policy does not insure against loss or damage by reason of the following exceptions: Any rights, easements, interests or claims which may exist by reason of, or reflected by, the following facts shown on the survey prepared by MIGUEL ESPINOSA dated 0310312015 bearing Job # A-56718 a) NO NOTES b) c) M.E. Land Services, Inc. 10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157 PHONE:(305) 740-3319 FAX #:(305) 669-3190 LB # 6463 WWW.MELAN DSERVICES.COM Client File #: F15-009 Page 2 of 2 Not valid without all pages. Ron DeSantis N"on: (-) Governor To protect, promote & improve the health �OriCa of all people in Florida through integrated state, county & community efforts. HEALTH Vhdon : To be the Healthiest State in the Nation Maria De Bruzos 10634 NE 11 Avenue Miami, FL 33138 RE: Contingency Letter Application Document No: AP1397073 Centrax Permit Number: 13-SC-1922906 OSTDS Number: 10634 NE 11 Ave Miami, FL 33138 Lot:15 Block:4 February 28, 2019 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 02/08/2019 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. NO OBJECTION FOR A NEW DRIVEWAY. 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 PhilizaI , Engineering Specialist II Florida Department of Health www.FloridasHealth.com in DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St, Opa Locka, FL 33056 FACE BOOK: FLDepartmentofHealth PHONE: (305) 623-3500 . FAX: (305) 623-3645 1 YOUTUBE: fldoh