DS-04-22-934Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: DS-04-22-934
Permit Type: Driveways/Walkways/Slabs
Work Classification: New
Permit Status: Approved
Issue Date:05/13/2022 I Expiration: 11/14/2022
Location Address Parcel Number
745 NE 96TH 5T, Miami Shores FL 33138 1132060142240
Contacts
FOTOULA BURAN Owner
745
CASTILLA CONCRETE FINISH DESIGN Contractor
CORP
JAVIER M BARRIENTOS
442 NE 103RD ST, Miami Shores, FL 33138
ANG ELICA. M E DRAN 0 @YMAI L. COM
Description: STAMPED CONCRETE DRIVEWAY CIRCULAR Valuation: $ 5,000.00 ins ection Requests:
305-762_4949
Total Sq Feet: 1,600.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
Concrete/asphalt/pavers, slabs, dways,
$125.00
swalks
DBPR Fee
$2.63
DCA Fee
$2.00
Education Surcharge
$1.00
Planning and Zoning Review Fee
$35.00
Technology Fee
$4,38
Total:
$223.01
Building Department Copy
Payments Date Paid Amt Paid
Total Fees $223.01
Check # 2312 05/13/2022 $223.01
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, PLUMBI ANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDA ce gthat h e f egoing etheabp i! \ r named
t accurate all work will be done in compliance with all applicable laws
re ulatin con coon a z n Futhe ore, I rize the ab a named contr ctor to do theI work stated.
4cal.'ltS S �3I22
Autherized-13nnature: OwneN / Appli aht / Contractor / Atfent Date
May 13, 2022 Page 2 of 2
ED
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
BUILDING
PERMIT APPLICATION
UILDING ❑ ELECTRIC ❑ ROOFING
APR 1., OZZ
B'Y:
�FBIC 20 ^7-7� -�/�
Master Permit No.J3-04— -G �34
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
10B ADDRESS:
City: Miami Shores County: Miami Dade Zio: "33137
Follo/Parcel#: 11� A` V ��`a—�-� �D Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder)J:,,_f `Iya lo Lky� Phone#:3 bs
Address: ILA 5 Ktly
6 "1(0 -S Yee
City: �G1.WA'k s t71(e5 State: 15— Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name: 1 )LTV \t J!
State Certification or Registration #:
DESIGNER: Architect/Engineer: _
Value of Work for this Permit: $_ �` 1
Type of Work: ❑ Additionn❑ Alteration
Description of Work: S ay , C
Specify color of color thru
New
3o�g23a-
ip: 33 \ a5
119 LO '. lD (a 50--1-S�
of Competency #:
State:: ^ Zip:
r Footage of Work• 1 W o
❑ Repair/Replace ❑ Demolition
Submittal Fee $ Permit Fee $ CCF $_
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ - 22 .01
(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
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 delivered to the person
whose property Is subject to attachment. Also, a certified copy of the recorded notice of commencement ust be sted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abs ce of such sted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The for going instrumen as ackn wledged bef a this
ay of I 20 by
✓ k-0. 0
v son IyJcnown to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC: _
Print:
Seal:
♦ssssssssrssrrrrrsssssssssssrss
APPROVED BY
The f regoing instrume (ck}n ledged be a this
y of 1 20, by
jh �pe on� ly known to
me or who has produced as
identification and who did take an oath.
Print:
Sea I:
s ssssssrsssssrsssrrrssssss •sssrrs ssssrssrrss sarss.xsa
Plans Examiner J 3 Zv 'Zoning
(Revised02/24/2014)
Structural Review
Clerk
YAM Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Name of Applicant (if utility see below): Duyaq)
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio #;
Address: '1 k 5 NG g to S ��
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone:
State Certification or Registration #:
Email:
State:
Permit#:
910
Certificate of Competency #
CONTRACTOR NAME: Cum 1 `1Q wV1CA(e' ` 4;V-t S" Ce
Address: tDi It) SWlil'SrYe_CX—
City: YVtCWYNt State: ZIP: 3 55
Telephone: L Email: aVY aeVC-a. M ►-,an3 l(IMQL
State Certification or Registration #: Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way:
Type of Work: Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
Registration #: 2 t
Value of Work for this Permit: $ J l Square/Lineal Footage of Work: (J
***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $
Bonding Company's Name (if applicable):
Bonding Company's Address:
City:
State:
ZIP:
Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in
this jurisdiction. I understand that separate permits must be secured for
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be
done in compliance with applicable laws regulating construction and specifically construction in the
right-of-way.
"WARNING TO APPLICANT: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value
exceeding $2,500, 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 the
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 public works permit is issued. In the
absence of such posted notice, the inspection will not be approved and a reinspection will be charged.
Signature
or Authorized Agent
The fon
me this
is personally personally knoufrrto rr�gpr who has produced
has produced
rll���jll��' as
identification.
Signature
ire The foregoi g Instrur
by methisday of
who
is personally personally kr�to or who has produced
who has produced
as
identification.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print
SEAL: Nar►MIc•StlurpMy
m�imlra:�sn P]I
L*! tau 14224
MCOq'Aa
Print:
SEAL: ?
joy�A�s71
ar°+n14211241
Ara
**********************************************
APPROVED BY: Public Works Director, or Designee
2017-04-15
T
BOUNDARYI SURVEY
1
LOT-5
I LOT-6 I BLOCK-69
BLOCK-69
6' WOOD FENCE
fi6WOOD FENCE
1 J' ALLEY 8.9' ASPHALT PAVEMENT d
y
1 1,5 � 1^h 1ti� 100.00
Ni
FIP. 1/2°
No LD.
0.2' 4 ti
< I
v1S LONGRETE '
N DRIVEAY. .. LOT-8
BLOCK-69
1 <�
9> 0
GARAGE
iF.F.E=9.34'
LOT-7 vl:
BLOCK-69 g
0
A/C C
3'x3'
l
m
p
FIR. 1/2"
2,h
m :.
No I.D.
11. 7
LL
N ou — m t
41.8 .
QadN D
yp0 'CONCRETE-
L
3 �
UN
o
to
C �
' O
0.5' CURB.
O V
0 OB
Uri
Ca V M-
E
E _ ro
Nm d
LOT-9
BLOCK-69
�I
I
112'
16.6'
rx
11STORY
RBSj 745
F.FIE=10.22'
w 6.2'
4 m
22.0'
nsPHALTLDwv`r�vAr �
0.,
hY'`O 1
f 01
y;a
,a
.119
• 7' PARKWAY y0 CONCREI
2' CURB & GUTTER
N.E. 96th STREET
21.5' ASPHALT PAVEMENT
80' TOTAL RIGHT—OF—WAY
CURB.
5` SIDEWALK'
h
0�'
- MEDIUM_
N.E. 96th STREET
ASPHALT PAVEMENT
LOT-4
BLOCK-69
RECEIVED
-- - —A�—� 22— —
/ BY:
LOT-10
BLOCK-69
0.7'
r —
a
O
V
PIP' 1/2' 200.00' BLOCK
No I.D. k _CORNER,
FIP. 1/2
No I.D.
G RAP I Ili SCALE
—Existing Devotions
2s 0 12.5 25
50
LEGEND
0 =Catch Be*
_I I
® =Water Meter
an Overhead Wire Line
® =Electric Box
— // Woad Fence
(5) =Smudry Manhole
IN FEET
� —Sprinkler Pump
1 inch = 25 fL.
g - Chain Link Fence
10,=Wood Pale
❑ Iron Fence
1 —Conc. Pole
Monument tine
=Light Pole
LAND E3URVEYDRSx INC.
A —Arc
BRG=Bearing
— Centedine
y =Fire Hydrant
LB # 7282
CH=Chard
A =Water Valve
PHONE: 305-822-6062 ' FAX: 305-827-9669
aDelto
Properly Line
® =Inlet
6175 NW 153rd ST. SUITE 321, MIAMI LAKES FL 33014
L=Length
R=Rodius
F�Jj� C.B.S.
/ / / / / / /
Pc =Florida Power
Job # RP21-1600
T=Tangent
Light Transformer
[M =Cable Tv Box
EMI =Electric Meter Box
This Document is not full and complete without all
Sheets, Containing a total
of (2) Sheets
A/C=Air Conditioner
Conc. =Concrete
C.B.S. =Concrete Block & Stucco
D.E. =Drainage Easement
D.M.E.=Drainage Maintenance
Easement
F.F.E. =Finish near Elevation
F.I.P. =Found Iron Pipe/Pin
F.I.R. =Found Iron Reber
F.N. =Found Nail
F.N&D -Found Nail & Disc
L.M.E. =Lake Maintenance
Easement
(M) =Measured
(P) =Planed
(R) =Record
Res. =Residence
SIP/R =Set Iron Pin/Rebor
U.E =Utility Easement
Sheet 2 of 2
F]
BOUNDARY SURVEY
Property Address:
745 NE 96 STREET MIAMI SHORES, FLORIDA 33138
Folio # 11-3206-014-2240
LEGAL DESCRIPTION:
Lot 8 & 9 Block 69, of "MIAMI SHORES SECTION 3" according to the plat thereof as recorded in
Plat Book 10 at Page 37 of the Public Records of Miami -Dade County, Florida.
SURVEYOR'S NOTES:
1) The Legal Description was provided by the Client from most recent County Records available.
2) This is not a Certification of Title, Zoning, Easements, or Freedom of Encumbrances.
ABSTRACT NOT REVIEWED.
3) There may be additional Restrictions not shown on this survey that may be found in the Public
Records of this County, Examination of ABSTRACT OF TITLE will have to be made to determine
recorded instruments, if any affecting this property.
4) No attempt was made by this firm to locate underground utilities, foundations and/or footings of
buildings, walls or fences except as shown hereon.
5) Underground utilities are not depicted hereon, contact the appropriate authority prior to any design
work or construction on the property herein described. Surveyor shall be notified as to any deviation
from utilities shown hereon.
6) Contact the appropriate authority prior to any design work on the herein -described parcel for
Building and Zoning information.
7) The surveyor does not determine fence and/or wall ownership.
8) Accuracy:
The Horizontal positional accuracy of well-defined improvement on this survey is +/-0.2'.
The Vertical accuracy of elevations of well-defined improvement on this survey is +/-0.1'
9) All measurements shown hereon are made in accordance with the United States Standard Feet.
10) Type of Survey: BOUNDARY SURVEY.
11) North arrow direction and/or Bearings are based on an assumed meridian as shown on the
aforementioned Plat.
12) Elevations shown hereon are relative to National Geodetic Vertical Datum of 1929.
13) Benchmark Used: Miami -Dade County Benchmark #N-603-R. Elevation = +8.11'.
14) Flood Zone Data:
FEMA/Panel # 120652/0306/L Dated: 9/11109 Flood Zone: "X" Base Flood Elevation = N/A
15) This SURVEY has been prepared for the exclusive use of the entities named hereon.
The Certificate does not extend to any unnamed party:
A.) FOTOULA DURAN
B.)
C.)
D.)
SURVEYOR'S CERTIFICATE:
I HEREBY CERTIFY:
That this survey meets the intent of the required Standards of Practice as set forth by the Florida Board
of Professional Surveyors and Mappers in Chapter 5J-17, Florida Administrative Code, pursuant to
Section 472.027. Florida Statutes.
Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or
deletions to this survey by other than the signing party are prohibited without written consent of the signing party.
Field Book: Electronic Files
Field Date: October 26, 2021
Job Number: RP21-1600
FOR THE FIRM: ROYAL OINT LAND SURVEYORS, INC. LB# 7282
JACOB GOMIS, PROFESSIONAL SURVEYOR AND MAPPER LS# 231 STATE OF FLORIDA.
❑ PABLO J. ALFONSO, PROFESSIONAL SURVEYOR AND MAPPER LS# 5880 STATE OF FLORIDA.
Adhk MO`NrA0!%L_ DINT
LAND SURVEYORS, I N C.
6175 NW 1531d STREET, SUITE 321, MIAMI LAKES, FLORIDA 33014
Phone: 305-822-6062 ' Fax: 305-827-9669 ' Email: infoGilrovalDointLS com
This Document is not full and complete without all Sheets, Containing a total of (2) Sheet 1 of 2
P:\BOUNDARY-SURVEY-NOTESV4S NE 96 STREET- MIAMI SHORES - 10-29-2021 - RP2I4600.doc
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation 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: -� J1Owner
-
State of Florida
County of Miami -Dade 1
The foregoing was a ow edge ore me this day o n l 20_
By ,�(-�V ��"who is onal known to me or has produced
�V as idea ' ;te4o�*
SEAL:
CASTILLA CONCRETE FINISH DESIGN CORP.
bmmpea concrete unvewa" * root uem • ream • arc more
6375 SW 41st Street
M1=4 FL 33314
Euoil: beautifuldriveways@gmafl.com
Licenge CC # E2160120
State of Florida
County of Dade
"The drhwKWyou need,
the lowprkeyou want,
the customerservtce
YOU deserve!,
Before me this day appeared personally Javier Barrientos who being duly
sworn deposes and says that he or she will be the only person working on
the project IocatP_d-_
Javier Bard
S n to (or affirmed) and subscribed before me this day of
Personally know
Or produced identification " u
Type of Identification Produced V\.N
7
411
►XM-
Print, Type or Stamp Name of Notary
0