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DS-11-20-2656, 58 NE 92nd StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 58 NE 92ND ST, Miami Shores, FL 33138 1132060130030 Contacts MIGUEL & MERIDITH AMOR Owner Champion Concrete Applicant 58 NE 92 ST, MIAMI SHORES, FL 331382812 Jaime Basilio 10280 NW 63rd Terrace, Doral, FL 33178 Business: 7864024802 jagomez06l6@gmail.com Mobile: 3059784333 Contractor JAIME BASILIO 10280 NW NW 63 terr 105, DORAL, FL 33178 Business: 3052528055 jaimechampion@yahoo.com Mobile: 7864024802 Home: 3059784333 Other: 7864024802 Ins Description: PAVER DRIVEWAY ND PATIO Valuation: $ 9,820.00 ection Re nests: Total Sq Feet: 1,302.00 , 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 Payments Date Paid Amt Paid Total Fees $210.00 Credit Card 04/23/2021 $160.00 Credit Card 11/18/2020 $50.00 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 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 and zoning. Futhermor I authorize the ab named contractor to do the work stated. Authorized Signature: Owner Contractor / Agent Date April 23, 2021 Page 2 of 2 BUILDING PERMIT APPLICATION 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 RECEIVED BY•_- FBC 20 r '� Master Permit Nol-� Sub Permit No. GILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �e r" L -[ 2- 5 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: % f- 3PG - d (3 1 © 03 () Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)::l 6U(9/ tiyo-Q160) 7N PbQ4: Address: _,�'�-� f I� A) � 02- 2 City: L1VVFaGW�ti► S M,02p S State: Zip: Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: t-%v Vunx 1t Phone#: J 2,:r2 $05r- Address: U- iD vu L03 21a City: e ' State: Zip: Qualifier Name: �xf/►Z`e� .Q$LL%1c% Phone#: 7� Atedz State Certification or Registration #: Certificate of Competency #: q;35 00,9IS DESIGNER: Architect/Engineer: ne#: Address: City: States:- Zip: GG Value of Work for this Permit: $ 7C-f Square/Linear Footage of Work:L Type of Work: ❑ Addition ❑ Alteration ❑ New\ Repair/Replace ❑ Demolition Description of Work: t Specify color of color thru tile: Submittal Fee $ Permit Fee $ CO $ CO/CC $ •F Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ �� D (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 mus a posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature)D#WX.A.,�-�L . OWNER or AGENT The foregoing instrument was acknowledged before me this U2 day of ��� %�% 20 G 0 by 1�i9r17.— who is personally known to me or who has produced .0L. A-56y 5to X U iJZiaw identification and who did take an oath. NOTARY PUBLIC: Sign: Print: - /*41y . ••!;, JAIMEARMIWD08ASILIO Seal: .N ..: MY COMMISSION # GG 227924 �:�`,_= EXPIRES: June 12, 2022 P.',!.`.•"' Bonded Thru Netary Public UrMenerkers CONTRACTOR The foregoing instrument was acknowledged before me this day of t\�nU�M"C��2, 20 2,q by 1erssonally known to me or who has produced 'f (--De4 s identification and who did take an oath. NOTARY PUBLIC: Sign: Print: `c� (t Seal: APPROVED BY Plans Examiner Structural Review .0vrlus(;.. SiNDIA ALkIAREZ ?382 3 Zoning Clerk (Revised02/24/2014) Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795'.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, WSW t)t i lf MOM , does hereby attest that (Property owner) The attached survey, performed by. b4f#J lRAfLR.A '� ArSSUGt Nc7US (Name of surveyor's company) For address: J-8 N� 4 2— 5�F- VRX Performed on (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, Affiant say eth naught. Property Owner Signature A� Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of �o,. b Affiant is personally known to me, produce AL !�6!%S��' 14 identificat'on. Notary Revised on 5/2212009/ Revised on 6/12/09 :'+R ' AIME ARMANDO US1� k .ate,' OOMMlSSlON IE GG 227924 yea op;,• EXPIRES: June 12 2022 ihru Notary Public Dil v iew* )ehva s j p'6T'0 ?d@cesc GIT Ptem t"ir—_ ielll lUit 54 A-lUliNt - 20A5PHALT 1°/IL'C'e5s He wAy he PVMT. As -PL°rL A! LA6 nFNWIe A-11 Ca0411, `i> 710 1041Vec"y .A-AW7 toom of L mjv _ Ln,uru Est; au ,afrivie- 1je ,A6t&--7,'o)v thi"o! s"j, 64"e- Alai 1ILVIL � MAP OF BOUNDARY SURVEY 58 NE 92ND STREET MIAMI SHORES, FLORIDA 33138 (REV.I 8/10/2017) (REV.1 817/2017) NE 92nd STREET 70' TOTAL RICHT-OF-WAY JJA iS c4ij _7AA511 . r V ASRWT PARKM6 !N3�G/l 71eol IU j"AI ) , ; i ASPH.' 13'Pwr IV.WJL// ell A, - e/+ ,o1ai►��r2 >!efy REruRrl1 t: y/ �CJ�ts & 41/ J nIE1!>1TG�'� CONC. L.P. _,—I I -- — `""CONC. 5WK 75.00 S' CONC. _9WK N Q W y Z Z a qa z 'w F V o LOT - 7 N C - cy _0 G I a ' I " _ 77 L f-` 0 _O LL. b 0 m F-LP- I/2' NO CAP IT ' C.Wi n CV. CONC. i o-DRPA:WAY --- -� C.vv. lcW.Il 0.3' CL � 5TEpS B.C. ! F.I.R. 112' - 231.67' NO CAP F.I.P. 112' NO CAP 0/5 0.24' AVe25 i N C.B.W. - - i 11.95 _.. __... C.B.W. L I I.5' E y 20.55' t ' ONE STORY ; N m C.B_W. / � 23 _ s as' R.E5. # 58 CD _G_ .- G.B.W- -. ENCROACHMENT NOTES.CD A- ,NORTH SIDE OF THE FROPERR', ASPHALT RE. -- N ENCROACHING. IrO Th- S. EAsrCR� r PROr:cRTY. � NCR�T=.. IS ES'CRCACH 1v - ':EIC-H80R5 P4Ro Tifrp g� C. SOUTH SIC- -.. � -"■-V�• PROPERTY. t'.AY OFA_ir�. d I( j -C DRI J C.B.W.-\ { 0.3' CL. _ p NO CAP Y" OVERHEAD WIRE 1 21.30 a " Y v STEPS; Or N TILE N 17-W - r LOT-6 AC PAD ! ALUMINUM 4.25 1 1.5G' 41 z E PAV9,5i N i f C.B.W. r REMANOER 25.00' ' - OF LOT-5 BLOCK- !GT-3 winsfiay C.B.W. 89°471 I" .C.ORI WAYf .ONC. RETURN R.- 10 ASPHALT .M. U.P. 75 09 -.. OVERHEAD WIRE � a FVMT- 9'6�15ALLEY(N.A.Pj c LEGAL DESCRIPTION: 0,OS 184R pP Ry LOT 6 AND THE WEST 1/2 OF LOTS, BLOCK 1 AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 ACCORDING TO THE PLAT THEREOF, AS RECORDED IN . Tro o PLAT BOOK 10, PAGE 70 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. CERTIFICATION: b y� %L LA/ MIGUEL AMOR AND MEREDITH AMOR; THE JACOBS LAW GROUP; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; AA CREDIT UNION; ITS SUCCESSORS AND/OR ASSIGNS; AS THEIR INTERESTS MAY APPEAR L8#7806 I I S jIO CAF--- 015 0.32' DRAWN BY: IFS, FIELD DATE: SURVEY NO: SHEET: 1 2 OF 2 • it f •••••• • . •••••• Y • • w . •