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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 Ordered B ems, �� °`y Proudly Serving [So I oa NE4e«s� o _ 4 �� q w. the Florida Real e f x ",p z Soptr Markc--( a ME LAND ^�, Estate Community i e ly to Case NtMam hoes 9 °Q DAi Et A�� \ �� �y ��\AAA\ ay '+w as^' for Over 20 Years . WWW.MELANDSERVICES.COM 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 I I LOT 3 PORTION OF LOT F q i PB.51-PG.5 a t o F.LP.i/2 t 60.50r(D) I M 25.b0 R/y� BY I �..-. ...-..--_... _....._.,....— ,..f.. .i/2" PB: -PG 4 (NO ID) 5' U. E. ( ID) POOL • N PL • • • • -- �4' WIRE FENCE • .— • •0. 8'0 • •• N ••••• • • • • • ••1 N • �S I I • ee 0 to �• • • 1 ..... i}. oo .... RECEI EIS I 1 ..l . .... °2 21 I i o ••••� I P� i 11 • i $ i M 0.87' 69*4 1 R • y I ••e�• 1 LOT 6 PB.51-PG. 5 0 I 44.85' F 1 O i 21.85' ewes 1 A ( d a a 1.20Ld a N a ( r� HHHF—/HH to ( UI7 vW ( It � a N 1 a z I 24.25' fA 30.89' i N 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 t Z 13 I w -w w� 1 eo'•• 1.40' c 1.65' 24.90' 63.80' I 1 I I LOT 7 j I PORTION OF LOT E o 1 . 0.10' °�' 0 ( 1 25. 5'IRON FENCE .00' 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