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DS-11-23-2912s M e lee: e� �.N7'ES 4N sow toils) ` Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: DS-11- 23'291 Permit T YPe: Driveways/Walkways/Slab Work C/assificotion: Addition/Alteratioi Per Location Address Issue Date; mit.Stotus: Approver 03J2g/2024 9190 NW 1ST AVE, Expiration: 09/19 /2024 Miami Shores, FL 33150 Parcel Number —__ Contacts `° 113101 10 60030� Adam Mueller 9190 NW 1 AVE Owner." ...... _- - ORIGIN CONSTRUCTION, LLC JOHN WOOD 7430 NE 4th CT, Contractor __ MIAMI, FL 33138 -- -- .__ - Business: 3055738030 Description: REMOVE NEW EXISTING PAVERS _ info GREY BRICK PAVERS AND REPLACE 12"X24"X2„WITH H ---.-•..--,...._.M �..-..._.. @origingc.corn ��ia`�� 1.( � Valuation: $ 4,000.00 Inspection Requests: Fees TotalSq Feet: 445.00 305-762-4949 APPlication Fee - Other Amount CCF $50.00 Concrete/asphalt/pavers, slabs, $2.40 Payments Total Fees Date Paid Amt Paid swalks dways, $50.00 Contractor Registration Fee Credit Card Credit Card 03/19/2024 $246.60 -First Time DBPR Fee $50.00 11 17 Credit Card /2023 $146.60 � DCA Fee $2.00 11/17/2023 Education Surcharge $2.0o Amount Due: $50.00 Planning and Zoning Review Fee $1.20 Scanning Fee $0.00 $70.00 Technology Fee $9.00 Total: $10.00 $246.60 Building Department C In consideration of the issuance to Copy pertaining thereto and in strict conformity this permit I Village. In accepting Y with the agree to perform the work covered hereunder in compliance Permits are re ptmg this permit I assume responsibility plans, drawings statements or required for ELECTRICAL PLUMBING for all work done b specifications sub tohewith all ordinances and re LUMBING MECHANICAL, allwork y either myself, rn servants, to the proper authorities regulations OWNERS AFFIDAVIT- WINDOWS, DOORS, y agent, servants, of Miami S I certi ROOFING and SWIM or employes. I understand that i hor e egul ER construction certify that all the fore SWIMMING P nd zoning. Futhermore I going information is POOL work. authorize the above named co and that all work will be med contractor to do the work stated. ne in compliance with all nat r : Q �applicable laws caner / Applicant / Contractor arch 0, 2024 / Agent ti Z� Date Page 2 of 7 ■wn"Al l ll JI IVI CJ V illidge 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 NOV 1 7 2023 FBC 20Z0 - 1 Master Permit No. - II - Z3 - 2-`j 1 Z- Sub Permit No. �� - l I — 2 3 , 2-4 ► 3 ® REVISION ® EXTENSION ®RENEWAL []PLUMBING C3 MECHANICAL [] CHANGE OF C3 CANCELLATION 13SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9190 NW 1 Ave 11-3101-016-0030 �UUni Miami Dade 33150 Folio/Parcel#: Zi Occupancy Type: Load: Is the Building Historically Designated: Yes NO X Construction Type: Vp Adam Mueller Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 786-402-0330 Address:9190 NW 1 Ave City: Miami Shores Tenant/Lessee Name: Email: mueller00@gmail.com Phon State: FL ip:33150 Z_ Phone#: 786-402-0330 vniully construction, LLC CONTRACTOR: Company Name: 305-573-8030 Address: 7430 NE 4th Court, Miami, FL 33138 Phone#: Email: info@origingc.com Qualifier Name John Wood Phone#: 305-573-8030 State Certification or Registration #CGC1626128 DESIGNER: Architect/Engineer: Address: Phone#: Value of Work for this Permit: $ 4 000 City. State: Zip: Square/Linear Footage of Work: 445 Type of Work: E3Addition Alteration ® New ® Repair/Replace ®Demolition Description of work: Remove existing pavers and replace with new grey brick pavers 12" x 24" x 2" Specify color of color thru tile: grey Submittal Fee $ • LA) Permit Fee $ "b • CL) CCF $ 2 CO/CC $ Scanning Fee $ 20 DCA Fee $ ;-7 . 00 DBPR $ 2— Notary $ Technology Fee $ IL) • Cc Training/Education Fee $ I Double Fee $ Structural Reviews $ -- P&Z Review $ 70 .Civ Bond $ (Revised04/05/2022) TOTAL FEE NOW DUE $ 1 L") Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Chase Mortgage Lender's Address Mail Code LA4-6911 Monroe City State 700 Kansas Lane LA Zip Zip 71203-4774 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 approved and a reinspection fee will be charged. Signature Siiaure O ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 17 day of November 20 23 by 17 day of November , 20 23 by Adam Mueller who i onal kno to John Wood wh ' personally kno o me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. w NOTARY PUBLIC: t=,,,,,,,::,�, (j1 Ric �•,. NOTARY PUBLIC... �E I'.....� RR, ,. ��� •. • �Pgy plik/ ,� Sign: - Sign: Print:pit iMY COMMISo G ,;, E� r, (� MY COMMISSION Print: 4;� f i, AA0 Seal. sCG acre pQ.°�` Seal: Cb QNjNi)A�tdo```, • ''%;ONN1JNi�F`„ � ``` s� (tom APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revi sed04/05/2022 ) p ORM, n N a Oqq p r mission: To Protect, Promote & inprove the health of all People in Ronda through int ra oeunty & cOn uni t� state, ty efforts. Priority Permit Expeditors 1401 NE 159 Street Miami, FL 33167 Florida i - Vision: To be the Healthiest State in the fv b n November 30, 2023 RE: Modification to a Single Family Residence - No Bedroom Addition 9190 NW 1 Avenue 13-SC-2825635 Miami, FL 33150 Lot: 3 Block: Subdivision: Dear Applicant, Ron DeSantis Governor Joaoph w, L.-dapo, MD, PhD State Surgeon General DEC 1 5 20�3 13Y. 00 This will acknowledge receipt of a floor onsite sewage treatment and disposal splan and site plan on 11/20/2023 for the use of OBJECTION FOR NEW P ystem located on the NO FLOW INC AVERS DRIVEWAY above referenced the existing INCREASE, NO BEDROOMS AY AS PER SITE PLAN. Property. NO MS ADDED. This office has reviewed remodeling and verified the floor plan and site g addition or modification to plan you Submitted, for the bedroom Y home. Based on the information i n Proposed ad and that it does not a proposed remodeling addition e You provided, y part of the existing modification is not adding a re modification, replacement, No existingg system or encroach ss the p ment, or upgrade authorization system e inspection or evaluation and Because an ins quired, assessment, inspection or evaluation of the existing cannot attest to the existing valuationStem-s current condition, tic septic system was not conducted, the De You may request a voluntary ins contractor or pection and assessment of or adequacy to serve the Department Plumber, or a person certified under section of You system ste proposed use. Y m from a licensed septic tank If you have an ,Florida Statutes. Y questions, please call our office at (305) 623-3500• FlOrlda Dopatb"nt o/ Xealth in Dade County - • , Florida PHONE: (305) 623-3500 Sincerely, Gabriel Toledo Engineering Specialist II Department of Health in Dade County E_a_� W-W.tlormahykh.yov TWITTER:HealthyFLA FACEBOO K: l-Departmen tofHealth YOUTUBE: fidoh P--F,CFIVEL DEC 1 5 2D23 STATE OF L L_ORI©A Ry DEPARTMENT OF ENVIRONMENTAL PROTECTION APPLICATION FOR CONSTRUCTION PERMIT Permit Application Number ------------- --PART II-SITEPLAN-------__-__ N.W. 92ND STREET ASPHALT P vEMENT (75' TOTAL R/W) 9' 6 3%4- R=25 ©_Q J J GRASS PARKWAY CRASS PARKWAY rn L=39.16 Tan=24.89 FOUND mQ FOUND—� FOUND A=89°44'16' NO OBJECTIM PIN IRON PIN \� IRON PIN Florida Health Miami -Dade County S87° 6' 9"W 61.51' 30' O.S.T.D.S. &Wall.igro ram — — — — — Application fyo}��r 4-E — — - ��34 jr Date: % ��� I FOU D Signature — - i IRON IN Q•� - TE 17 1'%I 23.0N 9.3' Sm 3% D"MGE FIELD(MEe EMiE PEMU,) 1. 2 6 2.5 4.E' _] O NEW ADDITION I IF_ L-1L__—J A/<� � � V JQ 00 �, � �a 3 z W N oa 1 d u� o ��'. 7.4- CO W CN NLLJ O ly V) cr o .} Lo 8 4 = rn c}a m rn W in o� (� IJ n Y J=O o r�z eo 0 1 g m �' W 4.3' 7. � a u} Q T' lI o a o M 25.7' « cv 1. 3' a- m 14. 4' w a_ rn Notes: OFAwa Ck.Q tG 13.3' , 11.5 I �a i�� Cn q� u) In a z -- �c3AMF_ L-GCA'r1ot 4� 4 rr 1 z� \ o vi F=- U W \ Ln LL. tJ 0 vi `r Of U w Vi w Z J Q I— O (Q v Site Plan submitted by: tl. Plan ApprovedNot Approved l Date t3y County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DEP apt S, 06-21-2022 (Obsoletes previous editions which may not be used) Incorporated: 62-6.004,F.A.C. Page 2 of 4 IPJIrN -AIN 9-SU'R� EJY JAIL 12 2024 © LEGEND & ABBREVIATIONS: ® CLEANOUT oe MAIL BOX ,L C 1 SCALE 1"40 ® CATCH BASIN Aye Ns❑ NEWS PAPERS AND MAGAZINE STAND SPOT ELEVATION CHAIN LINK FENCE I G 0 10 20 Gppp CONCRETE POWER a SIGN POLE oP WOOD POLE WITH SIGN —.. —..— WOOD FENCE cre GUARD RAIL sc TRANSFORMER A/C AIR CONDITIONING PAD ® ® GREASE TRAP 0 SANITARY SEWER MANHOLE E— GUY WIRE BLDG. BUILDING tw GAS VALVE O STORM SEWER MANHOLE STREET LIGHT CLF CHAIN LINK FENCE & HANDICAP SIGN OT TELEPHONE MANHOLE TSB TRAFFIC SIGNAL BOX PTBO PUBLIC TELEPHONE BOOTH CBS (C) CONCRETE BLOCK STRUCTURE CALCULATED o LIGHT POLE Oo UNKNOWN MANHOLE jV TcPp TRAFFIC CONTROL PANEL LAWN SPOT LIGHT CB CH. CATCH BASIN CHORD DISTANCE US LIGHT BOLLARD IM DETECTABLE SURFACING pSpO PEDESTRIAN SIGNAL POLE CE CENTER LINE E.8 ELECTRIC BOX ® SEWER VALVE w LIGHT POLE CONC. CONCRETE (D ELECTRIC MANHOLE OUR UTILITY BOX Teo TELEPHONE BOX E DELTA EAST kK FIRE HYDRANT qp WATER VALVE ® GAS METER ENC. ENCROACHMENT TOY IRRIGATION CONTROL VALVE ® WATER METER PTBG PUBLIC TELEPHONE BOX F.I.P. FOUND IRON PIPE B ® METAL BUS STOP BENCH WPo WOOD POLE F.I.R. FOUND REBAR ® MONITORING WELL CONCRETE POLE W/F WOOD FENCE N.W. 92ND STREET — — — (75' TOTAL R/W) ASPHALT PAVDE6 E/ T b R=25. I a CA CA J L=39.16 J GRASS PARKWAYOf m GRASS PARKWAY (IT - Tan=24.89 Ld roa FOUND FOUND A=89`44'16'CL z FOUND w IRON PIN IRON PIN IRON PIN 61.51' 30' —-------- , �o 1 -3;4- v FOU D v 1 --- - -- - IRON I IN I W ti FIELD (UNDER Nj N-) EW RATE 0.2' PERMIT) GATE n 23.0, 9.3' RATE PERMIT) O 1.2' 2.5' a.s' N 13.4' � NEW ADDITION 00 O A/C ©C. 26.1' 0� 0 O W I vi t7 969GAL ❑❑❑ ❑❑ sEPnc W UJ Zn K ! OZ TANK Lo 3 �� cW.O Z Q 0- �a Y = 0 7.4' ❑❑ Qfl w W N N ITS a to a' z ❑❑❑ rn a a / �. H�� OOY o m��- iO rz ro J O t` o to O m 4.3' 7. tail U j O z -4 a I 3 O w S a 25.7' a CD � r7 o, 14.4' � r � To z 7 OT _ 13.3 to In a Of N TILE POOL 0 CID M (n EQUIP. 28.T i g. O POOL N I w Z FOUND 0 o GRASS IN IRON PIN „�Z,,--GATE IU 6' WOOD FENCES tTCYL�ASPHALT --------------87°36'58"E 86.40 PAVEMENT 15' ALLEY — — — — — — ----- I LOT 6 LOT 5 MIAMI SHORES MANOR MIAMI SHORES MANOR I PLAT BOOK 45, PAGE 13 PLAT BOOK 45, PAGE 13 I I LB7799 *31CI PROFESSIONAL LAND SURVEYORS AND MAPPERS 12211 SW 129th CT. MIAMI FL 33186 tel: 305-316-8474 fax: 305-378-1662 www.3tci.com `— FOUND IRON PIN 1 I I F.F.E. FINISH FLOOR ELEVAT10N F.N. FOUND NAIL GV GAS VALVE L LENGTH N NORTH N.G.V.D. NATIONAL GEODETIC VERTICAL DATUM O.E. OVERHEAD ELECTRIC LINE CA ON LINE (O.R.B.) OFFICIAL RECORD BOOK (MEAS.) MEASURED P.R.M. POINT REFERENCE MONUMENT (REC.) RECORD R RADIUS R/W RIGHT—OF—WAY S SOUTH SEC. SECTION T TANGENT W WEST CITY COPY e Building DePartment 1 Shores V111a9 Date Miam Dept Date I tare Zoning Deft 11 Fede Building (lance with a - Subject to come and regulations• and County rules Permit# SURVEYOR'S N I- DATE OF COMPLETION: 01-30-2020 II- LEGAL DESCRIPTION AND ADDRESS: 9190 N.W. 1ST AVENUE MIAMI SHORES, FL 33150 Lot 3, of MIAMI SHORES MANOR, according to the Plat thereof, as recorded in Plat Book 45, Page 13, of the Public records of Miami -Dade County, Florida. PARCEL NO. 11-3101-016.0030 III- ACCURACY: THIS SURVEY WAS PREDICATED ON THE EXPECTED USE OF LAND. AS CLASSIFIED IN THE STANDARDS OF PRACTICE FOR LAND SURVEYLNG IN THE STATE OF FLORIDA.' PURSUANT TO RULE 5J. P OF THE FLORIDA ADNIINISTRAI'IVE CODE IS'RESIDENTI.AL"THE MINIMUM RFLA"I WE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7,500 FEET. THE ACCURACY OBTAINED BY NEASURE\1ENT AND CALCUL\"r10N OF CLOSED GEOAIFI'RIC FIGURES WAS FOUND TO EXCEED THIS REQUIRE WENT. IV- SOURCES OF DATA: NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. BEARINGS AS SHOWN HEREON .ARE BASED UPON THE CENTER LINE OF N.W. la AVENUE WITH AN ASSUMED BEARING OF N0239'25"W. SAID LINE TO BE CONSIDERED A WELL MONUMENTED LINE. THIS PROPERTY IS LOCATED IN FLOOD 70NE"X" ..AS PER FEDERAL EMERGENCY NIANAGENIEN I AGENCY (FEMA) COMMUNITY NAME VILLAGE OF MIAMI SHORES: 120652, MAP: 12036C. PANEL: 0302, SUFFIX L. EFFECT WE DATE: SEPPEMBER 11. 2009. VERTICAL CONTROL: ELEVATIONS ARE BASED UPON THE NATIONAL GEODETIC VERTICAL DATUM 1929 AS PER MIAMI. DADE PUBLIC WORKS DEPARTMENT BENCHMARK NO.N.568, SAID BENCHMARK HAS AN ELEVATION OF 9.65 FEET (N.G.V.O.-29) SUBSURFACE SOIL CONDITIONS WERE NOT DETERMINED. AS THIS FALLS OUTSIDE THE PURVIEW OF THIS SURVEY. THESE CONDITIONS MAY INCLUDE THE DE I ERMINATION OF WETLANDS. FILLED -IN AREAS. GEOLOGICAL CONDITIONS OR POSSIDL.F. CONTAMINATION BY HAZARDOUS LIQUID OR SOLID WASTE TITAT MAY OCCUR WITHIN. UPON, ACROSS. ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY. WELL -IDENTIFIED FEATURES .AS DEPICTED ON THE SURVEY MAP WERE MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1/10 FOOT. SKETCH OF SURVEY OF 9190 N.W. 1 ST AVENUE MIAMI SHORES, FL 33150 NW 94TH ST U Q Z F-M (U 3 Z NW 93RD ST Q F Q 0 cQzu NW =11NI ST z 3 z L C TI N NW 91ST ST LOCATION MAP NOT TO SCALE SECTION 1, TOWNSHIP 53 S., RANGE 41 E. V- EASEMENTS AND ENCUMBRANCES: No information was provided as to the existence of any easements or encumbrances. This Boundary Survey was prepared as per information given by client and no title search has been performed prior to the execution of this survey. VI- CLIENT INFORMATION: This Boundary Survey was prepared at the insistence of and certified to: ADAM MUELLER ALAYNA MUELLER VII- SURVEYOR'S CERTIFICATE: I hereby certify: That this "BOUNDARY SURVEY" and the Survey Map resulting therefrom was performed under my direction and is true and correct to the best of my knowledge mid belief and further, that said "BOUNDARY SURVEY" meets the intent of the applicable provisions of the Standards of practice for Land Surveying in the State of Florida", pursuant to Rule (5.117.050 through 5J-17.052) of the Florida Administrative Code and its implementing law, Chapter 472.027 of the Florida Statutes. sSuq,,, Floridaration da Certificate of Au hNumber LB7799 �FJ`p lFl`9Re? ' _A N0. 7235 B N STA E ac Felix E. Suarez Jr. Registered Surveyor and Mapper LS7235 I'll JUM" s State of Florida NOTICE: Not valid without the signature and original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to Survey Maps by other than the signing party are prohibited without the written consent of the signing party. DRrFnER: I CHECKED: I FIELD'BOOK: I JOB^NUMBER: SCALE: SHEET; © LEGEND & ABBREVIATIONS: o CLEANOUT Qe MAIL BOX y'S SPOT ELEVATION CHAIN LINK FENCE SCALE I"=20' CATCH BASIN Nsp NEWS PAPERS AND MAGAZINE STAND O 10 20 CPpD CONCRETE POWER POLE a SIGN WOOD POLE WITH -•• WOOD FENCE ® r+e GUARD RAIL sc SIGN TRANSFORMER A/C AIR CONDITIONING PAD (D SANITARY SEWER MANHOLE E— GUY WIRE ® CREASE TRAP BLDG. BUILDING STORM SEWER MANHOLE �D STREET LIGHT tat GAS VALVE (1) STORM CHAIN LINK FENCE ® TELEPHONE MANHOLE rseD TRAFFIC SIGNAL BOX CBS CONCRETE BLOCK STRUCTURE & HANDICAP SIGN P-- PUBLIC TELEPHONE BOOTH 0 UNKNOWN MANHOLE (C) CALCULATED UP LIGHT POLE ty LAWN SPOT LIGHT TcPo TRAFFIC CONTROL PANEL CB CATCH BASIN CH. CHORD DISTANCE to LIGHT BOLLARD � DETECTABLE SURFACING PSPQ PEDESTRIAN SIGNAL POLE CL CENTER LINE ® ELECTRIC BOX OD SEWER VALVE ® ELECTRIC MANHOLE IPo LIGHT POLE CONC. CONCRETE OUR UTILITY BOX Teo TELEPHONE BOX A DELTA ivs FIRE HYDRANT TVA WATER VALVE E EAST INGAS METER 1oY IRRIGATION CONTROL VALVE M WATER METER ENC. ENCROACHMENT e ED METAL BUS STOP BENCH o WOOD POLE PraD PUBLIC TELEPHONE BOX F.I.P. FOUND IRON PIPE D ® MONITORING WELL W/F WOOD FENCE CONCRETE POLE F.I.R. FOUND REBAR/ N.W. 92ND STREET (75' TOTAL R/W) ASPHALT PAVEMENT 9'.6 314" - - h I R=25. C' C + TY L=39.16 C4 GRASS PARKWAY ,� � cn n GRASS PARKWAY U, o Tan=24.89 I , W a N FOUND FOUND A 89'44'16' Z tto ,%OP FOUND IRON PIN p IRON PIN IRON PIN 30 -1 S87' 6' 9"W 61.51' _ - --------- ._ - - - - - - - 17'-3/4' .= j FOU D O ( IRON IN a UJ Hj M EVI1BSFDRANAGEFIELD,UNDER I 0.2' r TE -� 23.0' 9 3' PERM PEOIH LI.. O 0 2.5' 4.8' On d NEW ADDITION. 4 t 1 A/C Li 0 26.1' D ❑� O 'i SHORE.�. �..:,.\ t µKK �� ❑❑� ❑❑ I Z to �� 3 �� (''� -� sg,�� �a I EV`I z w z z �y y C `�( �� 7.4 G9 =3 f L Da On On w = - ❑❑ of > Ill rIE3113 0) y a _ 00 0 � I t�t J 2,2 J O J w M = F Q GO c) w 4.3' 7. Q U) O Jio zo zo � r.- o a w g 25.7' it Lo Q N 1 .3 Ni 14.4' Q) I 13.3 �o _ 11.8 iD On On I Of N TILE POOL 0) - EQUIP. �---� M B. 28.7' w N POOL n1 I w O Z LL o FOUND o GRASS — l� IRON PIN GATE 7 6' WOOD FENCE -- — — — — — — — — — — — — — N87°36 58"E ASPHALT PAVEMENT 15' ALLEY86.40 FOUND U L" IRON PIN ----—————— — — — — —— --1 ---------------- I LOT 6 LOT 5 MIAMI SHORES MANOR MIAMI SHORES MANOR I PLAT BOOK 45, PAGE 13 PLAT BOOK 45, PAGE 13 I I I 3TC I � I " C _ LB7799 *3TCi PROFESSIONAL LAND SURVEYORS AND MAPPERS 12211 SW 129th CT. MIAMI FL 33186 tel: 305-316-8474 fax: 305-378-1662 www.3tcl.com F.F.E. FINISH FLOOR ELEVATION F.N. FOUND NAIL GV GAS VALVE L LENGTH N NORTH N.G.V.D. NATIONAL GEODETIC VERTICAL DATUM O.E. OVERHEAD ELECTRIC LINE O/L ON LINE (O.R.B.) OFFICIAL RECORD BOOK (MEAS.) MEASURED P.R.M. POINT REFERENCE MONUMENT (REC.) RECORD R RADIUS R/W RIGHT-OF-WAY S SOUTH SEC. SECTION T TANGENT W WEST Miami Shores Village Building Department Zoning Dept. Date Building Dept. Date Subject to compliance with all Federal, State and County rules and regulations. Permit# hS - t 1-Z3 - zg► z Pw - 11 - 2-3 - ZR (3 SURVEYOR'S NOTES I- DATE OF COMPLETION: 01-30-2020 H- LEGAL DESCRIPTION AND ADDRESS: 9190 N.W. 1ST AVENUE MIAMI SHORES, FL 33150 Lot 3, of MIAMI SHORES MANOR, according to the Plat thereof, as recorded in Plat Book 45, Page 13, of the Public records of Miami -Dade County, Florida. PARCEL NO. 11-3101.016.0030 11I- ACCURACY ILLU er. F NW 94TH ST U F7 Z (U 3 Z NW 93RD ST -III{- III III�III IIJ % a -HR z NW 92ND ST z (U 3 Z L C TI N NW 91ST ST J 17 r, THIS SURVEY WAS PREDICATED ON THE EXPECTED USE OF LAND. AS CLASSIFIED IN THE STANDARDS OF PRACTICE FOR LAND SURVEYING IN THE STATE OF FLORIDA' PURSUANT TO RULE i).1701 THE FLORIDA ADMINISTRATIVE CODE IS "RESIDENTIAL. -THE MINRIUNI RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7,500 FEET. THE ACCURACY OBTAINED BY I,IEASUaaaE AND CALCULATION OF CLOSED GEOMETRIC FIGURES WAS FOUND TO EXCEED THIS REQUIREMENT. IV -SOURCES OF DATA: NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. BEARINGS AS SHOWN HEREON ARE BASED UPON THE CENTER LINE OF N.W. Is, AVENUE WITH AN ASSUMED BEARING OF N0239'25"W. SAID LINE TO BE CONSIDERED A WELL MONUMENTED LINE. THIS PROPERTY IS LOCATED IN FLOOD ZONE. X-. AS PER FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) COMMUNITY NAME VEL AGE OF MIAMI SHORES: 120652. MAP: ]2086C. PANEL: 0302, SUFFIX L EFFECTIVE DATE: SEPTEM13ER 11. 2009. VERTICAL CONTROL: ELEVATIONS ARE BASED UPON THE NATIONAL GEODETIC VERTICAL DATUM 1929 AS PER MIAMF OADE PUBLIC WORKS DEPARTMENT BENCHMARK NO-N.M. SAID BENCHMARK HAS AN ELEVATION OF 9.65 FEET (N.G.V.0.29) SUBSURFACE NOTE, CONDMONS WERE NOT DETERMINED, AS THIS FALLS OUTSIDE TITS PURVIEW OF THIS SURVEY. THESE CONDITIONS MAY INCLUDE THE DETFRMINATION OF WETLANDS. FILLED.IN AREAS. GEOLOGICAL CONDITIONS OR POSSIBLE CONTAMINATION BY HAZARDOUS LIQUID OR SOLID WASTE THAT MAY OCCUR WIT ER UPO, 1. ACROSS. ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY. WELL -IDENTIFIED FEATURES AS DEPICTED ON THE SURVEY MAP WERE MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1/10 FOOT. SKETCH OF SURVEY OF 9190 N.W. 1 ST AVENUE MIAMI SHORES, FL 33150 LOCATION MAP NOT TO SCALE SECTION 1, TOWNSHIP 53 S., RANGE 41 E V- EASEMENTS AND ENCUMBRANCES: No information was provided as to the existence of any easements or encumbrances. This Boundary Survey was prepared as per information given by client and no title search has been performed prior to the execution of this survey. VI- CLIENT INFORMATION: This Boundary Survey was prepared at the insistence of and certified to: ADAM MUELLER ALAYNA MUELLER VII- SURVEYOR'S CERTIFICATE: I hereby certify: That this "BOUNDARY SURVEY" and the Survey Map resulting therefrom was performed under my direction and is true and correct to the best of my knowledge and belief and further, that said "BOUNDARY SURVEY" meets the intent of the applicable provisions of the Standards of practice for Land Surveying in the State of Florida", pursuant to Rule (5J17.050 through 5J-17.052) of the Florida Administrative Code and its implementing law, Chapter 472.027 of the Florida Statutes. „1HIIN11117 orida Florida Certificate ate of Authoration Number LB7799 4 �b� rr c, 7236 , � _ By: s Felix E. Suarez Jr. O`49RIOP N Registered Surveyor and Mapper LS7235 °%%•s1111rr"` State of Florida NOTICE: Not valid without the signature and original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to Survey Maps by other than the signing party are prohibited without the written consent of the signing ply. DRAFTER: CHECKED: I FIELD BOOK: JOB NUMBER: SCALE: SHEET: FES RO 2017-2.48 19-1866 1 "=20' 1 OF 1 V1 It i7 0 (D �A O In —I- Q 3 I?JECEIVED STATE OF FLORIDA DEPARTMENT OF HEALTH NOV 17 2023 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM By. CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: (ADAM MUELLER) PROPERTY ADDRESS: 9190 NW 1 Ave Miami, FL 33150 LOT: 3 BLOCK: SUBDIVISION: PROPERTY ID #: 11-3101-016-0030 APPLICATION # : AP2002668 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR2002033 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUl48ER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD EXISTING TANK TO REMAIN CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 300 ] SQUARE FEET R [ 0 ] SQUARE FEET A TYPE SYSTEM: [XI I CONFIGURATION: [ ] N NEW DRAINFIELD BED C SYSTEM STANDARD TRENCH [ ] FILLED [x] BED SYSTEM [ l MOUND [ ] l F LOCATION OF BENCHMARK: COR OF NW 1 AVE INLINE WITH FRONT DOOR 11.1' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][INCHES FT ][ BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 44.0411 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E 0 T H E R ILL REQUIRED: [ U.UU] INCHES EXCAVATION REQUIRED: t Dz.uuj Lncn&b 1.- Invert elevation and Bottom of drainfield to be no less than 7.93' & 7.43' NGVD respectively. 2.- EXISTING 900 gal. septic tank with an approved filter certified by (Septic or Plumbing Company Name) on (Date), TO REMAIN. 3.- Install 300 sf. of drainfield in BED configuration. (Comments Continued on Page 2.) SPECIFICATIONS BY: TTRICK TITLE: APPROVED BY TITLE: OPS Environmental Specialist II Gabriel K Toledo DATE ISSUED: 10/0412023 DEP 4015, 06-21-2022 (Obsoletes previous editions which may not be used) Incorporated 62-6.004, FAC Dade CHD EXPIRATION DATE: 01/02/2024 Page 1 of 3 DOCUMEM #: PR2002033 4.- Install 12" of slightly limited soil at the bottom of the drainfield. THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS. The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400 gpd. Required drainfield area based on Rule 62-6.015(6)(c)2., F.A.C. Install a new drainfield to achieve Drainfield size requirement. REC uvEr. NOV 1 7 2073 BY: NOTICE OF RIGHTS NOV 1 7 2023 A party whose substantial interest is affected by this order may petition for an; administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the agency clerk is 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399- 3000. The Agency Clerk's email is agency_clerk@FloridaDEP.gov. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Environmental Protection and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION APPLICATION FOR CONSTRUCTION PERMIT BY: Permit Application Number tsh" sot, T . nM,4A1,S NOV a 7 2023 124.51DD GPASS = I woeo DECK wood DECK o __- --- — ➢ I ^� 64.4 0.5' I cD BRICK ! PAYERS !l L 3 9' 3 BR L tl Z c➢ oa 12.8' SFR ?jt n n n r�4.2' 14.T 41 0 � m fl o l 18. s' a �., D D Z J n c PORCH 5.4' ^c' -- - -- r - Z O C 70z co z 19.3 �1 tr _ Ex:� 6' WOOD FENCE -Cf i� GRASS J LJ❑n m �` ❑� 99.64 GRASS PARKWAY Z O C ASPHALT PAVEMENT (l.( _ N.W. 1 ST AV -NUS — - -- --�- There are no pertinent features on adjacent properties and or across the street that may affect the New Septic System installation Notes: t ( 6�0 No ( A �t G.• wt 1 k 5+1 L, WM Site Plan submitted by: IA4yc, � Plan Approved By M Not Approved Date -t 2 County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DEP 4015, 06-21-2022 (Obsoletes previous editions which may not be used) Incorporated: 62-6.004, F.A.C. Page 2 of 4 Running Bond BHck4x1l Tremron Jacksonville 2885 St. Clair Street Jacksonville, FL 32254 (866) 358-5900 (904)359-5900 Fax (904)359-5901 Tremron Miami 11321 NW 112th Court Medley, FL 33178 (800)567-1480 (305)825-9000 Fax (305) 823-6614 NOV 1 7 2023 tremron rAV • _ GROUP we mare it easy Tremron Arcadia 3144 Highway 17 MF Arcadia, FL 34266 (863) 491-0990 (877)490-0990 Fax(863) 491-8990 tremrongroup, com Location Address „ 1101111 411I lea "illpsic Permit Type: Public Wor 10050 NE 2 Ave Miami Shores FL 33138 �,,,,, ,, , , ,,, ,,; Work Classification: Public Wor 305-795-2204 Permit Status: Approw Issue Date-03/19/2024 Expiration:09/19/2024 Parcel Number 9190 NW 1ST AVE, Miami Shores, FL 33150 1131010160030 v Contacts Adam Mueller _ Owner ORIGIN CONSTRUCTION, LLC Contractor 9190 NW 1 AVE JOHN WOOD 7430 NE 4th CT, MIAMI, FL 33138 Business: 3055738030 info@origingc.com Description: REMOVE EXISTING PAVERS AND REPLACE WITH Valuation: $ 4,000.00 Inspection Requests: NEW GREY BRICK PAVERS 12"X24"X2": Total Sq Feet: 445.00 Fees Amount Education Surcharge $1.20 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $10.00 Total: $114.20 Building Department Copy Payments Date Paid Amt Paid Total Fees $114.20 Credit Card 03/19/2024 $114.20 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 information is accurate and that all work will be done in compliance with all applicable laws regulating gonstnition and zoning. Futhermore, I authorize the above named contractor to do the work stated. sj r7jure: Owner / Applicant / Contractor / Agent March 19, 2024 Page 2 of 2 -,�..Miami ores Village ' "' ` j LUC.J Public Works Department (305)795-2210 BY: �--�—C 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 Permit#:� �t 1 ��� `1 12. VJ- U-Z3 - 2-q Name of Applicant (if utility see below): Adam Mueller Owner off the following described property: Legal Description: Lot 3 Block Subdivision Miami Shores Manor Folio #; 11-3101-016-0030 Address: 9190 NW 1 Ave, Miami Shores, FL 33150 UTILITY NAME: Qualifier/Authorized Agent: Address: Citv: Telephone: State Certification or Registration #: Email: CONTRACTOR NAME: ORIGIN Construction, LLC Qualifier/Authorized Agent: John Wood Address: 7430 NE 4th Court State: ZIP: Certificate of Competency # City: Miami State: FL Zip: 33138 Telephone: 305-573-8030 Email: info@origingc.com State Certification or Registration #:CGC1525128 Certificate of Competency #: Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: replace old brick pavers with new grey brick pavers 12" x 24" x 2" Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna 0 Other: Driveway Brick Pavers DESIGNER: Architect/Engineer: Address: City: Telephone: Registration #: State: Email: Value of Work for this Permit: $4,000 Permit Fee $ 100.00 Notary $ Bond $ ZIP: Square/Lineal Footage of Work: 445 ***** Fees***** _Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ (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. 1 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 uIll I-Aca or Authorized Agent The foregoing i t me as acknowledged before me this 17 day of November 2023 by Adam Mueller who ers no me or who has produced as identification. NOTARY PUBLIC: Sign: Print: SEAL: 2 2 CxQlR�S �' APPROVED BY: 2017-04-15 Signature tility Agent The foregoing instrument was acknowledged before me this 17 day of November 2023 by John Wood who e a y now me or who has produced as identification. NOTARY PUBLIC: Sign: Print:. SEAL: ********************************* EXPIRES 7-7-2026 OF FV frrr.rmm�cr:us++ Public Works Director, or Designee Miami Shores Village 11111111111111111111 Public Works Department (305)795-2210 -Fi`t 2023R OR BI( 33964 Fs 42 RECORDED jI/i Public works forms are avail .rf6N FERNANDE L• RN, OF THE from the building departmeTfj(1l.i1_0ADE CO 10050 NE 2"d Ave., Miami Shores, FL 33138 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY `023 BfARiU T to URT « COMPTROLLER TYi Fl_ Whereas, (hereby referred to as the owner) AWA A t4L4eu,5iL Of the following described property: µlb, S14.6,Z3 Legal Description: Lot 3 Block Subdivision 0 AOlt? Folio #; 11 -31ZA -01 to --003D Address:9190 ►A0 157 A%IV— 4 MIAI✓II 5• Wa*S tV-L 3a16p Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: ��611E 0_41T ow _AQ%C1rC PAJS25 �oXe � . 6�i x �. � IN CONSIDERATION of the approval of this permit by the village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above -mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Miami -Dade County to make repairs or maintain said items within the public right of way including restoration of the street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid, 2. The owner does herby agree to indemnify and hold Miami Shores Village or Miami -Dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 14 days' notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns until such time as this obligation has been cancelled by an affidavit filed in the Public Records of Miami -Dade County, Florida by the Villagge Manager of Miami Shores Village (or his fully authorized representative). 6TATE OF FLORIDA, COUNTY OF MIAMI•DAD-E /a+� C0U.r, . I HEREBY CERTIFY that this is a true copy of the ` �° ^.1ERH ��((i�} fil i thi on day of I V � �� A 0 , SignaturSS my hand a d Official at. o` i er+otholrited Agent p? m '""Y,ETR.. T o� CI k of C' uit o y Courts State ofWQ10a By _D.C. County of µ%AµA-DADS The foregoing instrument was acknowledged before me this � day of A04fAef2. , 20_Z5_, by ARAM V4JA Jt who is ersrt�nallll 'nrn�m- r br who has produced NOTARY PUBLIC: Sign: Prin a,,,,unn°uur pa ; o V. MY COMMISSION EXPIRES 7-7-2026 20R, � OF F�d4 '% .... ' �N NUMB'����`• as identification. MY COMMISSION EXPIRES 7-7-202z. 0 ',c'O � TFOFFV V Documents are recorded at the Clerk of the Courts, MIAMI-DADE COUNTY RECORDER, COURTHOURSE EAST, 22 N.W. First Street, 1st Floor, Miami, FL 33128.