DS-12-20-2876, 9301 NE 9th PlMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9301 NE 9TH PL, Miami Shores, FL 33138 1132050070060
:ontacts
DANIEL FEINBERG Owner VAZQUEZ & ASSOCIATES INC Contractor
9301 NE 9 PL CURTIS JOHN SOASH
8649 NW 57 CT, CORAL SPRINGS, FL 33067
Business: 9545758590 csoash@yahoo.com
Mobile: 9545758590
Inspection Requests:
Description: concrete driveway overlay 0 Valuation: $ 10,000.00
Total Sq Feet: 600.00 �u
�,..
Fees
Amount
Application Fee - Other
$50.00
CCF
$6.00
Concrete/asphalt/pavers, slabs, dways,
$75.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$2.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$3.13
Total:
$184.13
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$184.13
Credit Card
04/06/2021 $50.00
Credit Card
05/14/2021 $134.13
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 forma ' accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authori eVh ab a named contractor to do the work stated.
Authorized Signature: Owner ! Applicant /
/ Agent
Date
May 14, 2021 Page 2 of 2
Miami Shores Village
P. ECEIVED
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-220.4 Fax: (305) 756-8972.
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
DEC 14 2020
BY:—(:5)—
FBC 201:1
Master Permit No. S 12-'60 "2 B T(.f
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:.9301 NE 9th PL
City: Miami Shores County: Miami Dade Zip: 9.t39
Folio/Parcel#: 32.01�; b 6-1 MUD Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Feef� qSimple Titlehold r): !/6kV1 ! Q re I -\ � e. V Phone#: -79 '" ���- f0_5Y
Address: 93D / E L
City: / -1 :ct "" ' �N 0v-a State: L Zip: 5 ��`
Lot —
CONTRACTOR: Company Name: Vazquez & Assoc Phone#: 954-605-1225
Address: 5741 NW 66th Way
City. Parkland State: FL Zip: 33067
Qualifier Name: Curtis SOash Phone#: 954-605-1225
State Certification or Registration #: CGC1515191 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip: �l
Value of Work for this Permit: $ ®i0� Square/Linear Footage of Work: "\^ �' ` w 5 C14 -
Type of Work: 0 Addition ❑ Alteration [--]-New
Description of Work: Concrete driveway overlay
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
QRepair/Replace ❑ Demolition
CCF $ MCC $
DBPR $
Notary $
Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $ _
TOTAL FEE NOW DUE $ I
Lj
BondingCompany's Name (if applicable)
10
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
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 annroved and a reinsoection fee will be charaed.
Signature' —
OWN ENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of DQ,c�j
ter. � O- V- 20 by 8 day of December 2020 by
lKty� a Fp ` ` 1 b @f S who is personally known to Curtis Soash who ' personally known o
me or who has produced �' �' ' `"5 L(C� S� as me or who has produced as
identification and who did take an oath.
Print: '
Seal: 1
'••Fos s�
*********
APPROVED BY
(Revised02/24/2014)
NOTARY PUBLIC:
Sign: (�?`
Print: Ja posa
Seal ?otrR„? JAMES9POS4
SEATRIZ TORMES * *OAT My CAN" # GG 091841
MY COMMISSION # HH 01ol11 104 c� EXPIRES: August 5, Zo21
EXPIRES: June 14, 2024 Fav woe
Plans Examiner (2 ning
Structural Review
Clerk
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This survey shall not be used for construction/permitting purposes without written consent from the land surveyor who has signed and sealed this survey.
a I I
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3'P. a U 10.70' At0044.65' pj N PLa..: U') C.B.S. 3.00' �'..�'ITWO STORY inN b p�Caer RESIDENCENo. 9301 °0 1
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I LOT 7
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F.L.P:-----
(N0 1D)^ "r 10't ASPHALT..PAVEMENT ;n (NO ID))
N.E. 93rd STREET 160.50 (D) A
Accepted By:
Property Address: Notes: NO NOTES
9301 N.E. 9 Place
Miami Shores, FLORIDA 33138
SURVEYOR'S CERTIFICATION: I HERBY Y THAT THIS BOUNDARY SURVEY IS A TRUE AND
THIS COMPLIES
M.E. Land Surveying, Inc.
CORRECT REPRESENTATION OF
WITH THE MINIMUM TECHNICA
A ED UNDER MY DIRECTION.
NDARDS, AS FORTH BY THE STATE OF FLORIDA BOARD OF
C p '
10665 SW 1 90th Street
PROFESSIONAL LAND SURVEY
ADMINISTRATIVE CODE PU RS
S IN S',h1 i .R 5J-1 THROUGH 5J-17-052, FLORIDA
NTTT,4 �027�fLORI TATUES.
��
V
Suite 3110
SIGNED
FOR THE FIRM
Miami, FL 33157�INAN
JOSE ROCHE
STATE OF FL
STA,of
iF�1°102 P.S.M. No. 5935
305 '
Phone: ( � 740-3319 �V'
Fax. (305) 669-3190 `v
NOT VAUD WITHOUT AND AUTHEN
ELECTRONIC SEAL AND/OR THIS
RAISED SEAL OF A LICENSED SURVEYOR
C SIGNATURE AND AUTHENTICATED
MAP IS VALID WITHOUT THE SIGNATURE AND THE ORIGINAL
AND MAPPER
LB#: 7989
Survey#:B-63834 Client File #: 192276MK Page 1 of 2 Not valid without all pages
Miami Shores Village
r 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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
BY �—
�T�
FBC 201_-1 `-"
Master Permit No. DS-12-20-2876
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
[]PLUMBING M MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF M CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9301 NE 9th Place
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11 -3205-007-0060 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): Daniel Feinberg
AAA-'. 9301 NE 9th Place
City: Miami Shores
State: FL
BFE: FFE:
..7864495055
Tenant/Lessee Name: Phone#:
Email: dfeinberg@ortho-rad.com
33138
CONTRACTOR: Company Name: Vazquez & Associates Phone#: 9543309951
Address: 5741 NW 66th Way
City: Parkland State: FL Zip: 33067
Qualifier Name: Curtis Soash Phone#:
State Certification or Registration M CGC1515191 Certificate of Competency M
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Driveway Alteration
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $1 Go
(Revised02/24/2014)4 ,�
Bonding Company's Name (if applicable)
Bo
,nding 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 a absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature 1 / Signature `
KWNER NT CONTRA R
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1 S day of /q -rJ., , 20 1-1 by I & day of _ g1-1G� 20 Z ( by
o-nre �� a r\Se�S who is personally known to
me or who has produced as
5 o—S\ who is personally known to
me or who has produced
identification and who did take an oath. identification and who did take an oath.
as
NOTARY PUBLIC:
NOTARY PURL
Sign:
Sign:
Print: ,tent S
Print: �c.MeS as
Seal: s�''�%�%
a . QIIfOG011M1
Seal:k+ ,WWESSr'06A
. .WCOAMIS"/00001i41
�44 EXPIRES: kqd k 221
` e EXflRES: August $ 1
'$`o►
®� Boded Thu �udge(Nclay grytpli
i\_V. Banded Thru Budget NaWy SenloM
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
CANCELLATION OF PERMIT BY OWNER
Date: 3/2/21 Permit # DS-12-20-2876
Permit Holder:
Name: Daniel Feinberg
Address: City: NE 9th Place City:Miami Shores State: FL Zip33138
Phone #7864495055 Cell#
Reason(s) for Cancellation of Permit:
I will no longer be moving forward with the project. No work was performed.
Signature of Applicant Date:
Before me has personally appeared w personally known to me or has presented
, as identification and
acknowledged he/she executed this instrument for the purpose(s) indicated
Sworn and Subscribed before me -% 6 _day of e., , 20 z
ZI ,
My Commission expires Not licS 6teoWda
�v ru, ,WOES 9POSA
c: E�IM hq* 6, 20M
°r�ovnow UrdedTin U0W"W*W