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DS-07-23-1758Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-07-23-1758 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit Status: Approved' issue Date:10/06/2023 Expiration: 04/08/2024 Location Address Parcel Number 9800 NE 13TH AVE, Miami Shores, FL 33138 1132050090280 Contacts STUART LILLY Owner 9800 NE 13 AVE, MIAMI SHORES, FL 331382504 CHAMPION CONCRETE JAIME BASILIO 10280 NW 63 TER 105, DORAL, FL 33178 Business: 3052528055 Mobile: 7864024802 Home: 3059784333 Other:7864024802 Contractor jaimechampion@yahoo.com Inspection Requests: Description: CONCRETE PAD DRIVEWAY Valuation: $ 27,400.00; Total Sq Feet: 2 640.00 ffzfta'"'�"i� s _yam-,r�'iii 4 �rJa Fees Amount Application Fee - Other $50.00 CCF $16.80 Concrete/asphalt/pavers, slabs, dways, $175.00 swalks DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $8.40 Planning and Zoning Review Fee $70.00 Scanning Fee (Manual) $9.00 Technology Fee $22.50 Total: $357.33 Payments Date Paid Amt Paid Total Fees $357.33 Credit Card 10/06/2023 $307.33 Credit Card 07/17/2023 $50.00 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 forec regulating construction and zoning. Futhermore, I a g information is accurate and that all work will be done in compliance with all applicable laws ize the above name contractor to do the work stated. Authorized Signature: Owner / Appkant / / Contractor / Agent Date October 06, 2023 Page 2 of 2 BUILDING PERMIT APPLICATION �191LDING ❑ ELECTRIC Miami Shores Village Building Department JOL 17 2023 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 By 40't INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 202D Tf''` Master Permit No.1s�'01-23' ('792) Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 4ky r' O City: Miami Shores County: Miami Dade Zip: 331M Folio/Parcel#: .11— 3z 6 0 0 rs�! po Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): 5'7U/�& 1 Liu)' % j4pe-T-LI LLj' Phone#: �y e 1 z , I// � Address: `�K ! 0 " �/ 1/ 16 City: State: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: r /i��iN ���� Phone#: �V_7 Address: jjM Email:{ Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Certificate of Competency #: Address: City: State: Zip: Value of Work for this Permit: $ `z zq oy Square/Linear Footage of Work: 71�4 u Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ �•� Permit Fee $ (I � CID CCF $ ((P %V CO/CC' Scanning Fee $ DCA Fee $ Q- VS D B P R $ ';d�9OZ Notary Technology Fee $ 1,2• Training/Education Fee $ �G •+y Double Fee $ Structural Reviews $_� P&Z Review $ ��-� Bond $ nab TOTAL FEE NOW DUE $ (Revised04/05/2022) W7• -3�) 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 absence f such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or GENT ONTRACTOR The foregoing instrument was acknowledged before me this �7 day of L&WI, ' 20 by who its personally known to me or who has producedbgoo--713--6z 3Lffb73-'Z 32�b as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this day of 20 c- by who is personally known to me or who has producedas d���j�/�0�%/% identification and who did take an oath. NOTARY PUBLIC: Sign: Sign:_ Print: Print: Seal: Seal: MAGALYLLAPUR *: *' MY COMMISSION # HH 371080 APPROVED BY Plans Examiner MAGALY LLAPUR MY COMMISSION # HH 371080 EXPIRES: March 25, 2027 ######################################### 700, Zoning 0X1�1 (Revised04/05/2022) Structural Review Clerk EARLETON SHORES EARLETON SHORES LOT 2 BLK 2 EXIST. 5.0' UTILITY EASEMENT LOT I BLK 2 PB 43-80 PB 43-80 (NOT A PART) _EXIST. C_ONC SLAB (NOT A PART) EXIST, UTILITY POLE 4.0' `O - — — — — — — — — — — — — 70.4' EXIST. PALM TREE (TYPJ dry lr EXIST. POOL i i i LQ' G� WCV �CC<co a ( EXIST. BRICK SLAB � I 1 L EXIST. ASPHALT DRIVEWAY TO BE REPLACED WITH W. Y 6 THICK CONCRETE PADS DRIVEWAY AS PER PLAN (TYPJ EXIST, ONE STORY SM. 9800 NE 13 AVE r WAMI SHORES, FL 33138 / \\ FOLIO II-3205-009-0280 \ EARLETON SHORES \ LOT 18 E EI/2 LOT 17 BLK 2 \ PB 43-80 10'XIO' VISIBILITY - TRIANGLE AT BOTH SIDES (TYP) EXIST, WALKWAY TO BE REPLACED WITH 4' THICK CONCRETE WALKWAY AS PE12 DETAIL y \ O o EXIST. SWALE 7' 7,0_1 `Y,�''•',1i o I EXIST. FIRE HYDRANT 0 u) —EXIST. CONC SLAB N\\ �Q PROP. TREE ROOT---,4 P�D,OPOSED D�ZINEVV4Y PLAN { SAW CUT EXIST. ASPHALT PRIOR ' TO INSTALLATION OF PROP, CONCRETE PADS ' APPROACH, TO BE FLUSH WITH EXIST. ASPHALT PAVEMENT (TYPJ FENCINGTI` YPJ WALKWAYAY TO (T+` x� EXIST. EXIST. TREE (TYR) T REMAIN 113.83� - - — RIP - - - — - - — R(W 90°21'36' / T=25.16 • • A=39.43' / EXIST, SWALE EXIST. SWALE o i EXIST. CATCH Cq BASIN —EOP-------------EOP-----------EOP--- mi n IO CWM - 7MVERTME - PAVM 10280 NW 63rd Terrace # 105 Doral, Florida 33178 Office: 305.252.8055 Mobile: 305.978.4333 www.championconcreteandpavers.com --NE 98.8T ------ D SCALE 1 inch = 20 feet. 0 10 20 40 GRAPHIC SCALE (IN FEET) LOT SIZE I I12,189 SOFT. i i TOTAL AREA IZ189 SO. FT. 3. 4. 98001E 13 AVE AUG U 2023 6. MIAMI SNORES, FL 33138 Bpi'._ . , 7. 8. OWNER: STUART LILLY & W JANET 9 FOLIO: I I-3205-009-0280 SCALE: 1 "=20' 1 DATE: 08/09/23 1 PROJECT # 23-148 1 SHEET 1 OF 1 6'OR4' (AS INDICATED) --I4.514 6" OR 4" (AS INDICATED ON PLANS) CONCRETE PAD (3,500 PSI MAX.) WITH FIBER MESH ASTRO TURF CONCRETE PADS DETAIL NTS 50% TOTAL LANDSCAPE MIN. 12,189 X 50% - 6,095 MINIMUM REQUIRED 6,100 SQFT PROP. GREEN AREA (TOTAL) V WELL COMPACTED BASE i I o� � Tli L L _ _ _L R=25' A=9002I'36' 50% OF THE FIRST 25' FRONT YARD T=25.16 2,578 SOFT ON FRONT YARD A=39.43' (1,289 MINI" REQUIRED) OPEN LANDSCAPE CALCULATION NTS SCOPE OF WORK,4F. EXISTING ASPHALT DRIVEWAY, APPROACH AND WALKWAY TO BE REMOVED A �NJO REPLACED WITH PROPOSED CONCRETE PADS. POUR 6' CONCRETE (3,500 PSI MA)0 ON DRIVEWAY AND APPROACH AS SHOWN ON PLAN PER DETAIL POLP 4' CONCRETE (3,500 PSI MA)0 ON WALKWAY AS SHOWN ON PLAN PER DETAIL TRIANGLE OF VISIBILITY SHAM BE KEPT CLEAR OF VISUAL OBSTRUCTION BETWEEN A HEIGHT OF TWO AND HALF (2.5) FEET AND EIGHT (8.0) FEET ABOVE THE ESTABLISHED GRADE 50% OR GREATER OF GREEN AREA WILL BE MAINTAINED ON THIS PROPERTY, NO TREES BEING REMOVED FOR PROPOSED DRIVEWAY. ALL WATER WILL BE RETAINED WITHIN PRIVATE PROPERTY. ALL IMPROVEMENTS ON THE RIGHT OF WAY AREA DAMAGED DURING CONSTRUCTION TO BE RESTORED TO ORIGINAL OR BETTER CONDITIONS. REMOVE ALL CONSTRUCTION DEBRIS. Miami Shores Village Building Department Zoning Dept. A %1 Date (1 Building Deni.- Date Subject to a:m-�plia e with all F de I, State acid County rules and reg lations. �-•67-2-3 •I-1 P\,V-07-Z3-•17E,:i Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, �Jufi f'i 1 L (LL ! does hereby attest that (Property owner) The attached survey, performed by i ,410W 5 A9 �- Mw , /,,/ C p (Name of surveyor's company) For address: Performed on 47- 8% (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further, Affia h nauy�' Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this //2day of��?��%��—� ���o?�� Affiant is personally known to me, —prod ucedOL- %�%�� �� ?Q46enti if cation. Revised on 5/22/2009/ Revised on 6/12/09 Nota MAOALY LtMUR .; += MY COMMISSION NH 371080 •�rF OF F ��C: EXPIRES: March 25, 2027 i e i } H16� -�;7 N W i S L L 95'9L Lll 7 7- 1s �18� Sly <j �d 4 � V w� ,QS'LS 4 S � tu If V1 Y 1tY't�7� /,1t71117, S � i $9'SS i os z� �L' v I I c'O'S 6 �Q i _LA s 1 1 LO r3 J ca- 4- O O 0- CO O ry a� U U ^ 7D V 1 I h� `.-,rM flW 7_ • N 1 ��t•r42 p �d��0 1 -11- 4p-fl'0 l v � °)I'SZ _-L a�,IZo06 =� IVL•d(j _9n?Jn ) It 1 ZU' _ > < J .-C 2 L > Q O U } ro V N -4 :D Z R v q . Z °� O II e `� (n W J Q = U i`I 3E v Z Z w� c < Z r �o �•i c � •r-i Z� -C 0) 0 rn ��j w w o v U 0 V1 T-C • ` N >��Qyva`+�� c� �`L•i �L „��z Z 0)0 L I~ 0 � � Q N LL C A `1 H W ro m 4-4 v _u U O a) O o V) O� y � I c >. I - _ In Z �3 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: PW-07-23-1781 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Issue Date:10/06/2023 F Expiration: 04/08/2024 Location Address Parcel Number 9800 NE 13TH AVE, Miami Shores, FL 33138 1132050090280 Contacts STUART LILLY Owner 9800 NE 13 AVE, MIAMI SHORES, FL 331382504 Contractor JAIME BASILIO 10280 NW 63 TER 105, DORAL, FL 33178 Business: 3052528055 jaimechampion@yahoo.com Mobile: 7864024802 Home: 3059784333 Other:7864024802 Description: CONCRETE PAD DRIVEWAY Valuation: $ 27,400.00Inspection Requests:— Total Sq Feet: 2,640.00 Fees Amount Education Surcharge $8.40 Public Works Permit Fee $100.00 Technology Fee $10.00 Total: $118.40 Payments Date Paid Amt Paid Total Fees $118.40 Credit Card 10/06/2023 $118.40 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I ?thorize the above named contractor,tgrdo the work stated. Authorized Signature: Owner / Contractor / Agent Date October 06, 2023 Page 2 of 2 _" k_ J=.0 rt v awl ✓ Miami Shores Village ,JUG_ jl (� 2023 Public Works Department (305)795-2210 BY: i �I 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#: rs'n--x?� A79b ` pW—c0-1 23--II Name of Applicant (if utility see below): Owner off the following described property: Legal Description: Lot le Block Subdivision 1� tj0k/ y9(9116 Folio #; 20 Cq_ 0 Wd Address: tT ?,U f ,di/ , UTILITY NAME: Qualifier/Authorized Agent: Address: City: State: ZIP: Telephone: Email: State Certification or Registration #: Certificate of Competency # CONTRACTOR NAME: Qua lifier/Authori ecl Agent: n Address: City: State: ZIP: Telephone: 7i ?/ Email: State Certification or Registration #: Certificate of Competency Requests permission7,i install (describeork, attach separate page if necessary) in the adjoining right of way: �/�%�1 l `f', rf "5 , Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna DESIGNER: Architect/Engineer: Address: City: State: Telephone: Email: Registration #: ❑ Other: ZIP: Value of Work for this Permit: $ (/ Square/Lineal Footage of Work: ***** 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 i issued. In the absence of such posted notice, the inspection will not be approved and a reinspectio1will be charged. Signature Applicant or AutholVed Agent The foregoing instrument was acknowledged before me this day of 20,;t?. by who is personallyknownto me r who has pro uced / 6 ! -%?- �o�- - � _ a s identification. NOTARY PUBLIC: Sign: Print: SEAL: Signature Company/Utility Agent The foregoing instrume*was acknowledged before me this 17 day - o 20 „ by me, -A • On& ;,- ` who is perso ally known to me or who has produced pl�l II- o as irlantifirntinn N OTC �`gJz Sign: Print Y LLAPUR SEAL; MY COMMISSION* HH 371080 EXPIRES: March 25, 2027 •.. %f,�,.,?�?",•. �`• "�•: HEBERT MARTINEZ MY COMMISSION 6 HH 323276 EXPIRES: October 18, 2026 APPROVED BY: Q \ Public Works Director, or Designee 2017-04-15 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 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY OR F`,Fi. :' Whereas, (hereby referred to as the owner) ST-UART M` (_Lul Of the following described operty:-7111 (�'r/t�j✓>? f l Legal Description: Lot Block Subdivision `; Folio #; I / r� Address: Z/ Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: IN CONSIDERATION of the approval of this permdby 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 Village Manager of Miami Shores Village (or his fully authorized �repres , tative). Signature ii / �/ V� L&x Owner or Authorized ent State of r-L County of,/�l! The foregoing instrument was acknowledged before me this l) day of 20Q!�, by �(/// who is personally known to me or who has produced as identification. /9 / - Wr - 1-),5�_o, NOTAR PUBL C: Sign: Print: �����SEAL: MAGALY LIAPUR * *= MYGOMMISSION#HH371080 Documents are recorded at the Clerk '�. t,P: EXPIRES: March25,2021 MIAMI-DADE COUNTY RECORDER, CC f,F,. 22 N.W. First Street, 1st Floor, Miami, 2017-04-11 OR P K "k_3 79 PG emu-1_I26 STATE OF FLORIDA COUNTY OF MIAIMI- DADE I HEREBY C RTIFY, that on this day of A.D. 200, before me personally appeared,A to me known to be the person described in and who executed the foregoing Covenant to the Town of Miami Lakes, a body Corporate, and a political subdivision of the State of Florida, and acknowledged to me the execution thereof to be free act and deed for the uses and purposes therein mentioned. WITNESS my signature and officials seal at in the County and State aforesaid, the day and year last aforesaid. Commission expires: (ACK LEDGEMENT - CORPORATION) STATE OF FLORI ) COUNTY OF MIAMI-DAD BEFORE ME, the undersigned out ty both being to me r and Sec Notary Public, State of'��G�ti"` t/ 4 �' ;•; MAGALY UAPUR MY COMMISSION 1f HH 371060 � �'`.•` EXPIRES, March 25, 2027 'bf OF P�, `, , this day personally appeared ISQ'Inown and by me to be the retary,of the _ and President a Corporation under the laws of the State o and which said Corporation is known by me to be the person desc . d in and which executed the foregoing. Covenant, the said officers of the said Corporation bein ewise known by me to be the officers thereof who, in their official capacities as such officers of sai orporation executed, signed and delivered the said Covenant as the act and deed of said Corp Lion, and the said officers of said Corporation then and there severally acknowledged to and be e me that they executed the said Covenant, acting in their said official capacities, for and as the a and. deed of the said Corporation and in its name, and impresses thereon it Corporate Seal, fo the uses and the purposes therein mentioned, and after being thereunto by the said Corporation ly authorized and directed. WITNEESS my hand and official Seal at in the Coun nd State aforesaid, on this, the day of A.D. 20_. Notary Public, State of My Commission expires: STATE OF FLORIDA, COUNTY OF MIAMI•DADE I HEREBY CERTIFY that this is a true copy of the r !`r c� t1' SNPn day of x OL1e l ` ' I ULJ t1� A� AD 20 _.+- --- �� ( imrunty CoutsD.C.2� aeaK ci9.�. . i sl c +F r.ntP .