BPP-12-20-2865, 1181 NE 92nd StBUILDING
PERMIT APPLICATION
Miami Shores Village RECEIVED►
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 3313E BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 ul�
FBC 20 � �
Master Permit No. IZ-20-28W
Sub Permit No.
rYlvILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1181 NE 92nd Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Andrew Beyda Phone#: (786) 897-5803
Address: 1181 NE 92nd Street
City: Miami Shores state: Florida Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: sM CrC,� s�� d v \S Phone#: 3
Address: 5,� �� , t.tJ � J C 7-
City: °'�✓� (��---- State: Zip: J :3 l
Qualifier Name: 0 Crle �� (� A-7��P-Z Phone#: 3yS-- pOCA— 106g--
State Certification or Registration #: C, — O OrGICertificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: V�2V`dLw � City: State: Zip:
`—
Value of Work for this Permit: $ -� quare/Linear Footage of Work:
Type of Work: ❑ Addition ❑ PAlltteration ew Rep 'r/Replace ❑ Demolition
Description of Work: v�
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
CCF $
DBPR $
CO/CC $
Notary
Double Fee $
Bond $ GG
TOTAL FEE NOW DUE $ �J�•
(Revised02/24/2014)
f
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
M.
City State 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 reinpectivfifee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR JV
The foregoing instrument was acknowledged before me this
day of / e '20� C, by
%'1-►r,.,l �-{� w who s perso ally know to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:
'Ay AV����
ELIZABETH RODRIGTIEZ
fro �¢; Notary Public -State of Florid
=* �E
Commission # HH 34889
My Commission Expires
October 19, 2024
APPROVED BY
I
(Revi ed02/24/2014)
as
The f/oregoi�nstru�me^nt wasacknowledgedbefore me this
l0 day of iVVvnM/ �� 203r)6 by
6a _
✓f-�-/�f (.(. � who NersonatyitfTtsavn-t,
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
ipM1Y PUB
a� {;Notary Public -State of Florida
•E Commission # HH 34889
�� My Commission Expires
"0 "�� October 19, 2024
3 1 ?i Zoning
Plans Examiner 1A
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
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT
I (We) acknowledge that new swimming pool, spa or hot tub will be constructed or installed at
f� % tU'-�" Miami Shores, FL, and hereby
affirm that one of the following methods will be used to meet the requirements of Chapter 515,
Florida Statues and the Florida Building Code R4101.17.
Please initial the method(s) to be used:
The pool will be equipped with an approved safety pool cover that complies with ASTM
F1346-91. (Submit Manufacturer's Specifications).
A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code
R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of
attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's
Specifications).
A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry
fence walls, chain link or wood fence, etc.) will protect the pool perimeter. The plans must specify the type
and
�location of all non dwelling walls. Florida Building Code, R4101.17.1
f4? Any combination of protection which incorporates dwelling walls with openings directly into the
pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building
Code, R4101.17.1,9 (Submit Manufacturer's Specifications).
Any combination of protection which incorporates dwelling walls with openings directly into the
pool perimeter and all doors will be equipped with a self -latching device with positive mechanical
latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all
types and location of all perimeter protection. The plans must also show the location and type of all
openings, and the hardware type for each location. (Submit Manufacturer's Specifications).
In accordance with the Code, the pool may not be filled with water without compliance with the
Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be
presumed to be unsafe. I understand that not having one of the above installed will constitute a
violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second
deg r punishable as rovided in Section 775.082 or Section 77Tl�
S . Thi must be signed
by a owner/ en a e prime con acto .
(( Ia ?�
W1kfi7Cf0R'S SIG U AND ATE ATURE AND DATE
CONTRACTOR'S NAME (PLEASE PRINT) OWNER'S NAME (PLEASE PRINT)
o ,��-
ETH RODRIGUEZ NOTARY PUBLIC
n,,Notary Pubhc-State of Florida J``P�YPJ 4 ELIZABETH RODRIGUEZ
Commission # HH 34889
a �'c
Notary Public -state of Florida
My Commission Expires :.
•= Commission # HH 34889
October 19, 2024 My Commission Expires
October 19, 2024
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
Date
Miami Shores Village
Building & Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as
5 , located at �Z/, /
In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting and approved barrier prior to final inspection and use of the
pool.
Legal Owner
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE
KNOW ALL MEN BY THESE PRESENTS:
WHEREAS, the undersigned /7`/76*rr is/are the fee
simple owner(s) of the following described property situa d and being in Miami Shores Village, Florida:
Address: /AW Ly!�: �D'
Whereas, the undersigned owner(s) AIAZ_1ex
desire to utilize said Lot(s) as a single building site, and the un ersigned`owner(s) do(es) hereby declare
and agree as follows:
I. That the property will not be used in violation of any ordinances of Miami Shores Village
or Miami -Dade County now in effect or hereinafter enacted.
II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a
pool where the required enclosure is not on the subject property where the pool is located.
III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if
our/my property shall fail to meet code requirements for pool barriers, we, as owners will
immediately installs a protective enclosure to meet code requirements and will obtain a
permit for such fence.
IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury
that results from not having the enclosure.
V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in
the event that is damaged or removed by any case.
NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that
he/she will not convey or cause to be conveyed the title to the above property without requiring the
successor in title to abide by all terms and conditions set forth herein.
FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a
restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a
covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns
and may onl leased lami Shores Village, or its successors, in accordance of said Village then in
effect.
OWN SIGN & PRINT OWNER SIGN & PRINT
I Hereby Certify that on this day persona ly appeared before me ✓�►'l� �'�' tie �nla
and has produced ID # O-vrr c 4/ as identification and he/she acknowledge that he/she
executed the foregoing, freely and vol ntarily, for purposes there in expressed.
SWORN TO AND SUBSCRIBED before me on this day of ftlr-rn.� , 20 a d
- ELIZABETH RODRIGUEZ /�
���" B`�; Notary Public State of Florid
%a Commission # HH 34889 NOTARY PUBLIC ST OF FLORIDA
(Revised 05/2209 - F �� My Commission Expires
''�°+`� October 19, 2024
Notice to Owner — Workers' Com
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation 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 foregoing was acknowledge before me this.?-3 day of 'tom G V S 20_JJ .
By �(41 �C ) `1 p who is personally known to me or has produced
—r-- U�E�,k�sz as identification.
Notary:
SEAL:
SINDIA ALVAREZ
MY COMMISSION # GG ,
it - oep[emoer 3, 2022
Bonded Thru Notary Public Underwriters
I
Actor,, gftature
to raffirmed) subscribed before me this Zf-� dad f)f 2021
r-
MAP OF BOUNDARY SURVEY
Professional Land Surveyors & Mappers
W WW.IBARRALANDSURVEYORS.COM
777 N.W. 72nd AVENUE 3725 DEL PRADO BLVD. S.
SUITE 3025 SUITE B
MIAMI, FLORIDA 33126 CAPE CORAL, FL 33904
PH: (305)262-0400 PH: (239)540-2660
FAX: (305) 262-0401 FAX: (239) 540-2664
ABBREVIATIONS AND MEANINGS
= AR
NC = AIR CONDITIONER PAD.
A.E.= ANCHOR EASEMENT
NR = ALUMINUM ROOF.
A5 = AIUNANUM SHED,
ASPtI.= ASPHALT.
B.C.= BLOCK GARNER.
BLDG B COUNTY RECORDS
LLD MG.
BLDG-= BUILDING.
BENCH MARK
B.05-5
B.O.B.= B15 Of BEARINGS.
B.5.L. - BUILDING SETBACK LINE
C = CALCULATED
C.5 = CATCH BASIN.
C.B.5 = CONCRETE BLOCK 5TRUCTTURE
CBW - CONCIII BLOCK WAL_
CH. CHORD.
Cn.B.= CHORD BEARING.
CL = CLEAR
C.L.F.= CINA UNK FENCE.
C.M.E.= CANAL MAINTENANCE EA5ENENTS.
GONG= CON
C P.- CONE, PORCH.
C S. CDNCRETF SLAB.
C.U.P.- CONC. UTILITY POLE
C W.= CONCRETE WALK
D.t- D NNACt LAMMENT .
D.M.E.= DRAINAGE MAINTENANCE EASEMENTS
DRIVE = DRIVEWAY
= DEC
E =EAST.
EB ELECmC BOX
E P.= ELECTRIC TRANSFORMER PAG,.
ELEV ELEVATOV
N
F H -FIRE HYDRANT.
F F.= FOUND IRON PIPE.
P.I R_ FOUND IRON ROD.
F F E - FINISHED FLOOR ELEVATION.
FAOO = FOUND NAIL • DISK
FIR FRAME
FT = FEET
FNIP.- FEDERAL NATIONAL INSURANCE
P.N.= FOUND NAIL.
H.- HIGn ONGHI)
I.C.V.= IRRIGATICN CONTROL VALVE
I.F.= IRON FENCE
IN.6'G.- INGRESS AND EGR-55 EASEMENT.
LB. = C-fiWe of A INq A,m L.B.,17806
L.P.= JGIH POLE.
1-EE= LOWEST FLOORElEVATIGH
L.M.E.- N.E MAINTENANCE EASEMENT.
= MIN TES.
M. =MEASURED 015TANCE
MB = MAIL BOX
M.D. C. K.- MIAMI DADE C0� RECORDS
M.E. MAINTENANCE EPSEMEN15
MON MONUMENT LINE
MH MANHOLE,
MA MONUMENT UNE
NAP =NOT A PART OF.
NGVD - NATIONAL GEODETIC VERTICAL DATUM.
N. = NORTH.
N.T.5. = NOT TO SCALE.
t-NO. = NUMBER
O/S = OFFSET.
O.H. - OVERHEAD
O.H.L= OVERHEAD UTILITY LINfS
O.R B. = OFFICIAL RECORDS BOOK
0", = OVERMAN:
PVMT = PAVEMENT.
PL= IANTER.
PA = PROPERTY LINE.
P.L.C. POINT OF COMPOUND CURVE.
P.C= POINT OF CURVE.
PT - POINT OF TANGENCY
FOC =POINT OF COMMENCEMENT.
POB.= POINT OF BEGINNING,
PRE .= POINT OF REVERSE CURVE
P.B.= PLAT BOOK.
PC.- PAGE.
FW. = PARKWAY.
PRM- = PERMANENT REFERENCE MONUMENT,
P L 5- PROFESSIONAL LAND SURVEYOR.
R - RECORDED DISTANCE.
RR= ML ROAD.
RES.= RESIDENCE.
PROP. Cat .= PROPERTY CORNER
WN= RIGHT -OF WAY.
R.P.= RADIU5 POINT.
RGE= RANGE.
5EC SECTION.
;tt STORY.
WK= SIDEWALK.
51 P = SET IRON PIPE LB. 176oG-
s S.F. = SCREENED PORCH
5 = SOUTH.
= SECONDS
T = TANGENT
TB = TELEPHONE BOOTH
T.U.E.= TECHNOLOGY UTIUTY EASEMENT
15B = TRAFFIC SIGNAL BOX
T.5.P. = TRAFFIC SIGNAL POLE
TwP = TOWM5HF.
LML = UTILITY.
OF = UTILITY POLE.
W.M= WATER METER.
W.r= wvoD FENCE.
W.R= WOOD RWF.
W.M.= WATER METER,
W'.P= WOOD FENCE,
W.R.= WOOD ROOF.
W.S.= WOOD SHED.
W = WEST.
= CENTER LINE.
= CENTRAL ANGLE.
LEGEND
= ANGLE.
a I
= OVERHEAD UTILITY LINES
CONCRETE BLOCK WALL
X X X
= CHAIN LINK FENCE
=IRON FENCE
--n, �c19
= WOOD FENCE
—
=BUILDING SETBACK LINE
= UTILITY EASEMENT
= LIMITED ACCESS RAN
�!
= NON -VEHICULAR ACCESS R/W
x 0.00
= EXISTING ELEVATIONS
LOT-3
BLOCK - 2 I o
(TINT O
n -U
F.I.R. 1/2"1 r r /_W.F
U.P.
LOT - 4
o BLOCK - 2
UT
n
r—
C.L.F. _a
N89-22'45"W 75.00'
02.21' CL. N
POOL N w
m COPING - POOL
C.L.F. D" p O0 UNDER CONSTRUCTION
I LOT - 5
I BLOCK - 2
0 N
Z W
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10. I I \o T11 E
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it 21 53'
00
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FCN .E.= 7.0
O
—
10.38'�c
0.20' CL. 5.50'
LOT - 23 6 ONE STORY
BLOCK - 2 5.50' KES. # B 1
ti 13'ELECTRIC BLOCK-2
METER
\
h� Lil
N F.F.E.= 7.10'
10.22'
u' [7 '
N
by C.00 11) .O.o P RC co,1.4,6.
y..1L5TEP={-� _� TILE
0 O
C.O. C.O.
CO
0 -
h \O
4? CONC: SLABS
DRIVBWAY.
3,55.31, o�
P.C. N89-22'45"W 75.00'
F.I.R. 1/2a I.R. 5/3" 0
NO CAP NO CAP W M.
N 1 5.5' PWY NV
RETU N EL
(7
bO
NE 92nd STREET
f NO CAP
4) T 1 .5' CL.
N
N
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18.G9'
I O.OG'
C.L.F.
BAD CONDITION
13.09'
C.L.F
r
A/C
ON RACK
PLASTIC LOT - 21
FENCE BLOCK - 2
AI
ELEV. =8.27'
13' J Ih�`O
ILC.B.W.
ilJ
N
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Cn
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4 1 41
0
1181 NE 92ND STREET
MIAMI SHORES, FLORIDA 33 138
GRAPHIC SCALE
-20 0 10 20
(IN FEET)
1 INCH = 20 FEET
]py
L
F.I.R. 5/3" CERTIFICATION:
NO CAP ANDREW BEYDA
3.M. Ul
D/SX 0
=5.34' LEGAL DESCRIPTION:
ho LOT 2, BLOCK 2, BAY LURE SUBDIVISION,
ACCORDING TO THE PLAT THEREOF, AS RECORDED
IN PLAT BOOK 44, PAGE G3, OF THE PUBLIC
RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
0
h� 2245"W �� ---- ---
50' TOTAL RIGHT-OF-WAY
19' A5PHALT NO ID.
PVMT. 4)P
I
' LOCATION SKETCH
SCALE =N.T.S.
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY:
• THERE MAY BE EA5EMENT5 RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS
SURVEY.
• EXAMINATION5 OF THE AB5TRALT OF TITLE WILL HAVE TO BE MADE TO DETERMINE
RECORDED IN5TRUMENTS. IF ANY, AFFECTING THE PROPERTY.
• TH15 5URVEY 15 SUBJECT TO DEDICATION5, UMITATION5. RESTRICTIONS, RE5ERVATION5 OR
EA5EMENT5 OF RECORD.
• LEGAL DE5CRIPTION5 PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
• BOUNDARY 5URVEY MEANS A DRAVANG AND/ OR A GRAPHIC REPRESENTATION Of THE 5URVEY WORK
PERFORMED IN THE FIELD, COULD BE DRAWN AT A 511OWN SCALE AND/OR NOT TO SCALE: THE WAI.I_5 OR
FENCES MAY BE EXAGGERATED FOR CLARITY PURPOSES.
• EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLE55 DEPICTED OTHERWISE.
• THE TERM 'ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
• ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS, 5ETBACK5 AND WILL BE
RE5PON51BIE FOR SUBMITTING
• PLOT PLAN5 WITH CORRECT INFORMATION FOR'APPROVAL FOR AUTHORIZATION' TO THE
PROPER AUTHOW1155 IN NEW CON5TKUCnON.
• UNLE55 OTH`_RW15E NOTED, TH15 FIRM HA5 NOT ATTEMPTED TO LOCATE FOOTING AND/OR
FOUNDATIONS.
• FENCE OWNERSHIP NOT DETERMINED.
• TH15 PLAID 0- SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES
NAMED HEREON, THE CERTIFICATE
• DOE5 NOT EXTEND TO ANY UNNAMED PAR. .
FLOOD ZONE INFORMATION:
THE NFIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE SITUATED IN:
FLOODZONE.AE"
BASE FLOOD ELEVATION: BFT
COMMUNITY.- 120652
PANEL: 0306
SUFFX L
DAT E OF FIRM: 09111102009
THE SUBJECTPROPERTY DOES LIE INA SPECIAL ROOD HAZARD AREA
SURVEYOR'S NOTES:
I IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DE5CRIPTION OF
THE PROPERTY, IF NOT, BEARINGS ARE THEN REFERRED TO COUNTY, TOM511I1' MAP5.
2. THE CLOSURE IN THE BOUNDARY SURVEY 15 ABOVE 1:7500 FT.
3. CERTIFICATE OF AUTHORIZATION LB F 780G.
4. ALL ELEVATIONS 5r1OWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1925 MIAMI DADE
COUNTY BENCHMARK 8 L- 12.LOCATOR NO. 3251 5 Q NE 84 5T - 200'+- 5OUTH OF CIL IL NE 10 AVE -
20'+- EAST OF C/L. ELEVATION 15 G.99 FEET OF N.G.V.D, OF 1529
SURVEYOR'S CERTIFICATION:
1 HEREBY CERTIFY: -,H15'BOLNDAP.Y 5URVEY OF THE PROPERTYDESCRIBED HEREON, HAS RECENTLY BEEN
5URVEYED AND DRAWN UNDER MY SUPERVISION, AND COMPLIES WITH THE 5TANDARD5 OF PRACTICE
A5 SET FORTH BY THE FLORIDA BOARD OF PROFE5510NAL LAND 5UKVEYOK5 IN CHAPTER 5J-17, FLORIDA
ADMIN15TPATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES.
!' D19ita11y,19ned by JOHN A IBARRA
i cif Da :2021.11.1910A7.0-0Y 0'
Adobe Acrobat ve Ji
2D2,.n0720D99 1110812021
BY.,
JOHN /BARRA (DATE of FIELD WORK)
PROFE551ONAL LAND SURVEYOR NO.: 5204 5TATE OF FLORIDA
REV15ED ON:
REVISED ON:
DRAWN BY: RF
FIELD DATE: 1110812021
SURVEY NO: i 17-002556-4
SHEET: 11 OF 1
°VM 1B^Rti
Lsr78M
Digitally Signed by JOHN A
IBARRA
Date: 2021.11.1910:48:20
-05'00'
Adobe Acrobat version:
2021.007.20099
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1181 NE 92ND ST, Miami Shores, FL 33138 1132050270340
Contacts
ANDREW BEYDA Owner CRR GENERAL CONTRACTORS INC Applicant
1181 NE 92ND ST, Miami Shores, FL 33138 ALEXANDER M RODRIGUEZ
abeyda@gmail.com 18255 SW 68 CT, SOUTHWEST RANCHES, FL 33331
Business: 3057107861 arodriguez@crrgc.com
SUNSET POOL AND SPA Contractor
JORGE ANTONIO GONZALEZ
5355 SW 133 CT, MIAMI, FL 33175
Business: 3058041068 JAGX15G@AOL.COM
Inspection Requests:
Description: NEW POOL & DECK Valuation: $ 14,000.00 305762 4949"
F TotalSq Feet: 450.00
Fees
Amount
Application Fee - Other
$200.00
CCF
$8.40
Cert. of Compl. for Single Fam and Duplx
$50.00
(Manual)
DBPR Fee
$6.30
DCA Fee
$4.20
Education Surcharge
$2.80
Permit Fee
$220.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$45.00
Structural Review ($45)
$45.00
Structural Review ($45)
$45.00
Structural Review ($90)
$90.00
Structural Review ($90)
$90.00
Technology Fee
$10.50
Tota I :
$852.20
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$852.20
Credit Card
09/09/2021 $852.20
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 construction a oning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
September 09, 2021 Page 2 of 2