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DS-10-20-2357Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 70 NE 92ND ST, Miami Shores, FL 33138 1132060130020 Contacts Jeffrey Newbauer Owner 7092 CHAMPION CONCRETE Contractor JAIME BASILIO 10280 NW NW 63 terr 105, DORAL, FL 33178 Business: 3052528055 jaimechampion@yahoo.com Mobile: 7864024802 Home: 3059784333 Other:7864024802 ._....._....... .m ._ _._..._...._._.m._ _. — ....._... ,,. _,,,,, __®_....�..__... ®.. ,...... m i Inspection Requests: Description: CONCRETE SLAB i Valuation: $ 2,400.00 305-76 4949 TotalSq Feet: 270.00 �o��eMENNOM Fees Amount Application Fee - Other $50.00 CCF $1.80 Concrete/asphalt/pavers, slabs, dways, $50.00 swalks DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $2.50 Total $152.90 Payments Date Paid Amt Paid Total Fees $152.90 Credit Card 10/16/2020 $50.00 Check # 3437 01/05/2021 $102.90 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing inf mation i accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorizejhe abov{named contractor to do the work stated. Authorized Signature: Owner / Applicant / C� tractor / Agent Date January 05, 2021 Page 2 of 2 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 70 NE 92ND ST, Miami Shores, FL 33138 1132060130020 Contacts Jeffrey Newbauer Owner 7092 CHAMPION CONCRETE Contractor JAIME BASILIO 10280 NW NW 63 terr 105, DORAL, FL 33178 Business: 3052528055 jaimechampion@yahoo.com Mobile: 7864024802 Home: 3059784333 Other:7864024802 Description: CONCRETE SLAB Valuation:$ 2,400.00 Inspection Requests: 3€i5�762-4949 Total Sq Feet: 270.00 31, Fees Amount Application Fee - Other $50.00 CCF $1.80 Concrete/asphalt/pavers, slabs, dways, $50.00 swalks DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $2.50 Tota I : $152.90 Applicant Copy Payments Date Paid Amt Paid Total Fees $152.90 Credit Card 10/16/2020 $50.00 Check # 3437 01/05/2021 $102.90 Amount Due: $0.00 For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. January 05, 2021 Page 1 of 2 Miami Shores Village FuEeFUVED �-►.P" Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 (\�Ly Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No DS--f o - 20" 2'�5� PERMIT APPLICATION Sub Permit No. �UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ,{/ 7 CONTRACTOR DRAWINGS JOB ADDRESS: � e) /�/ � z- Z y City: Miami Shores County: Miami Dade Zip: ✓ �/� A Folio/Parcel#: ;2 0('�' `�13 —ooz ri Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: / , /Flood Zone: BFE: FIFE:/C,P OWNER: Name (Fee Simple Titleholder): � -1� yILXJPhone#: Address: 70 `7 �7^ City: p%s State: _ Zip: Tenant/Lessee Name: Phone#: Email: Q �))��— CONTRACTOR: Company Name: !/ j�lr� 1 �� Phone#:'3L5252?4 � Address: /`�/eb X'` ZI b-3 City: 6 State: Zip: Qualifier Name: d l / ✓`� �'4_5 Phone#: State Certification or Registration #: Certificate of Competency #: GAS G �� DESIGNER: Architect/Engineer: hone#: Address: City: State: Zip: Value of Work for this Permit: $ Zyoo Square/Linear Footage of Work: 00 S F Type of Work: ❑ Addition /❑ Alteration El New /� ❑ Repair/Replace ❑ Demolition (_ Description of Work: �Xyyye e ��Mh Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the obsen e of such posted notice, the inspection will not be q0ploved and eins i... fee will be charged. Signature_ 1 ignature OWNER or AGENT The foregoing instrument was acknowledged before me this day of {� 2011JJ by l�ho is personally known to me or who has produced as identification and who did to n oath. NOTARY PUBLIC: Sign:_ Print: a - �IAIMI ARMANDO WI JO seal: MY0"188ION8GG22M _ LV t & June 12.2022 CONTRACTOR The foregoing instrument was acknowledged before me this day of .20 SO by A�}i`—�� , o is personally known to Cie - me or who has produced C L' a I � LA as identification and who did take an oath. NOTARY LIC: Sign: Print: Seal: ,It, OA A VV _Z z E `' APPROVED BY � Plans Examiner Structural Review lZ� /l/'2$ Zoning Clerk (Revised02/24/2014) - . • N. E. 92ND STREET-.."..,..,. I :• : 'y , _ _. , C75' RIGHT-OF-WAY), :.;. :,, �' �� ? . '20' ASPHALT PAVEMENT ' � ' ,:ASPHALT PAVEMENT rni 21.0' nl 1 r' N I FOUND 1/2' I I I IRON PIPE . ':8:3': 75.00st (C) i I '•I' ''.. '' '+. 5CONC WAL�w ' �.'; '��',t' '! • :l'.�.a,� ti. 25.00'(C) 25.0('l C 50.00'(P) ; N 190. WALL r'J o 4 W 2' CONC. n ALK 3.5' CONC N M (TYP.) WALK M � s .. 7.35' • ' 17.60' 9.93'--- 0.7'E 10 .12.30' TILL OR in �.� 9.92' I n COVERED ENTRY in C.B.S. 8.5'X4' 25.05' WALL (�) .: B.S. STORAGE _ a I1 STORY C.B.S. N o v , 4:5 C. RESIDENCE 70 O � u : " SHED m_J N �' n COVERED Z � ' I TERRACE Lv z N :•. �: a.so' o/ � s a3 1o.os'— X I O Y� : 3� tr !- 16.10'/ rq • tp O1 RIC P VFR..x I9.91' 'S•9 1 .42'/ x 1' ALUMINUM ��G✓ 1I, NNOP ON TOP � � I �- 1/ / OF WALL Y \ V Y I—0 OVERHEAD t I _ UTILITY 0 J 5' CHAIN�xI WIRES in, LINK (CE T1P.) x WALL \ , A; 2' CHAIN I I WOOD NK FENCE - FP.P. 0 P I>. re,0.8'E OF 1 0.9'W- 4 /FOUND:•. �.J_Z ---- ♦-•ice:• W IRON PIPE" 410.5 A$ T PAVEMENT o/s E :> a'(s 15' ALLEY` _ °jzt- 156.67' FOUND 1/2' IRON PIPE o/s 0.04'(S) 0.09'(W) FOUND 1/2' IRON PIPE o/s 0.11'(S) _ 0.11'(E) BLOCK CORNER FOUND 1/2' IRON PIPE DECEIVED NO OBJECTIOI Florida Health Miami -Dade Co O.S.T.D.S. & Well Program C�t�./I, !.; pkation No.: eXtQ W D z a W z SCALE: 1" = 20' SKETCH NO.: 13-0214 DRAWN BY: Q.D.I. SIDE 2 OF 2