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DS-08-1878Project Address 1045 NE 97 Street Miami Shores Village, FL Owner Information ALEXANDER QUINTANA Monday, November 3, 2008 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address PROVED Expiration: 05/02/2009 Parcel Number 1132050170100 Block: Lot Fees Due Bond Type - Owners Bond CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $300.00 $1.20 $0.40 $5.00 $125.00 $6.00 $3.12 $440.72 Building Department Copy MIAMI SHORES FL 33138 Contractor(s) HOME OWNER Phone CeII Phone Authorized Signature: Owner / Applicant / Contractor / Agent Phone Applicant Valuation: Total Sq Feet: Approved: Yes Comments: APPROVAL IS CONDITIONAL Date Approved: 10/27/2008: Yes Date Denied: Type of Work: DRIVEWAY Bond Retum : Additional Info: CONCRETE Classification: Residential ALEXANDER QUINTANA Cell $ 2,000.00 Available Inspections: 0 Foundation Sidewalk Inspection Type: Landscaping Final 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 authorize the above -named contractor to do the work stated November 03, 2008 Date REG 1:07 � r i7r �, - r . - r at-�} 7 -- :, REG 1 i 0 ( t I, i � r� � 1����r 1 ilia I � S-Vi��. l J � (.� t..�(e'ILC 1 10-20-08 Recertified. Certified To: Rapid.Title Services Company, Commonwealth Land Title Insurance Company, Alexander Quintana L A END - 7 17- MY: ORB: FF. E.LEV.: EVATATIS rtflzP (Apoto) • DIM&nwnemR REITOROSOOK LESS ELEVATION PROPERtYM Alexander Quintana 1045 N.E, 97th Street Miami S o ri A SILITYSWESENT mesiumert POINT 4 L Lt at • AELDDATE: LOCATION SKETCH NOT TO SCAL,g LANYKDOMPTWO Lot 10, Block 180, REVISED PLAT OF TRACT 180B, Si OF TRACT 180C, TRACT AND TRACT 181B OF THE REVISED PLAT OF'MIAMI SHORES, SEC. 8, according to the Plat thereof, as recorded in Plat Book 43, Page 51 of the Public Records of Miami-Dade County, : Florida. sammumsownHmumemnmsbumammeowmpa. 2) LEGAL DESCIEPTION PROVIDED E/Y OMR& 3) PROPERTIES SIOINN HEREON WERE NOT ABSTRACTED FOR MEW= OR OTHER RECORDED SVOLSEIRANCSE NOT SHOWN ON TH E PROPERTY PLAT OF ODOM 4) BEARS= SOWN ARE BASED ON PLAT MERIDEW REFERSICE 5) UNDERGROUND MUTES RANDATIONS, OR OTHER IMPROVEMENTS, IF ANY, Ii NOT LOCATED. 6) ELEVATIONS F SHOWN ARE BASED ON NATIONAL GEODETIC %WNW& DATUM 1929. 7) FENCE OWNERSHE NOT DETERMINED UNLESS OTNERMSE NOMA 8) MEASUREMENTS TO WIRE FENCES ARE TO MIER 0 F I%4RE. . 9 ) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF wooa 10) WALL PAEASURBIENTS ARE TQFROM FACE OF WALL. 11) DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERT Y LEES MAY BE 12)01 L_ FOR CLARITY. /4 FL $ mow INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY now MP3OMMON FATE MAPS. PROFESSIONAL IRAWAYING MO MAPPING LANNES & GA Le # 2008 BEALESARIWPSMf 5238 FRAWAMMO,AWAANNO PIM 4767 359 ALUM* Attait* CORAL Mt* FLORIDA 33134 PH (305) 056.1009 FAX (305) 50400 SCALE: r = tr, DRAWN EY: .4 StRe. NO.:210430 2131-443 NEW CONCRETE DRIVEWAY 4X4 SQUARES 4 "6" FALL SLAB ALLEY TO 4 FEET INSIDE DRIVEWAY. 6 X 6 10X10WWFAS PER NB. 1 Passed 14-.20 or Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 11/20/2008 Inspector: Bruhn, Norman Owner: QUINTANA, ALEXANDER Job Address: 1045 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Wednesday, November 19, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132050170100 Lot: Page 1 of 2 NEW CONCRETE DRIVEWAY 4X4 SQUARES 4 "6" FALL SLAB ALLEY TO 4 FEET INSIDE DRIVEWAY. 6 X 6 . 10X10WWFAS PER NB. WAl r 200 Passed Inspector Comments • ' ,, Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 11/12/2008 Inspector: Bruhn, Norman Owner: QUINTANA, ALEXANDER Job Address: 1045 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number Parcel Number 1132050170100 Lot: Wednesday, November 12, 2008 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) o le o N de; ur 14 t � 0 o £9L Phone # Owner's ess / 7 f `YE 9 ? t tv *ea /- City �' : I 0114 state Zip 73/7r Permit No. as 06 161 8 Master Permit lo. .3d S -/F -- - 720 , 0 /0 - - 761 Jfl3 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11-3)- chi 7 -0 / 00 Is Building Historically Designated YE NO Contractor's Company Name „ o ARC V W o Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Describe Work: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: DAddition DAlteration ❑New Repair/Replace 0 Demolition f f r CO CAAP,+c 0,n tAl KU u y S� v.a n.4- S el -, t9 // 5/4b Pro- 4(& v 4 V kit- / sic/0 cht4 i.,a4- & Y.6 / °x /a ((i.) F X25 p.v n)a vP )otry Qgu * * * * ** :** * * * *** ***a: ******* * * * ** x ***** ** F T********** ********** ***** * *** * * ** x****** Submittal Fee $ Permit Fee $ /2 CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side - Bonding Company's Name (if applicable) 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 conunenced 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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. ilso, q rtified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs ' (7) PA after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a -�, , ee will be charged. 1 X�� Signature Signature Owner or Agent The for :oi i trument was acknn 'edged before me 11 The foregoing instrument was acknowledged before me this day of kII, iv 20Y, by /`'C who NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 07/10/07) f Contractor , 20 _, by as produced who is personally known to me or who has produced As identificati d wh+ did take an oath. csit" NOTARY 0 Sign: c �, % �,' A. ,.S� Print: 4 , o� � Print: Co d` �,6 C My Commission Expires: , zo $ ;i, • ...d.1 My Commission Expires: �_ d * > ai` a ; e+ k*. xi k*****+k*************** k*** k*****:k***&******* k******* as identification and who did take an oath. Plans Examiner Engineer Zoning PERMIT " I• +►� -�_ Mia i Shores Villa•e APPROVED I BY WA DA WAN ZONING DEPT BLDG DEPT SUBJECT TO COMkIANCE STATE AND COUNt4 WITH AU.. FEDERAL RULES AND REGULATIONS P / OCT MC MEW 2 3 NO w a O a 8 N e- k EXISTING DRIVEWAY TO 1e_ aceJ w4 b C CKA. . C,K6 -(opo I:1 4, „4 L 75.00' PROPERTY LINE 26' 11' 8' 5' -6” ONE STORY RESIDENCE '0/3 ,&/ ///4/ PROPOSED 10X26' SWIMMING POOL 10' 34'—g" 5' ///////7 249 SQ.FT. RESERVE DRAIN FIELD 435 sq ft BED SYSTEM DRAIN FIELD 4'x8' SEPTIC TANK LOCATION 186 SQ.FT. / RESERVE /DRAIN FIELD 16' -1" x 5' � L , WATER it METER 1' -6" 5' -1 10' J 27' 9' -6" 9 ' HEALTH NOTE: THERE ARE NO PERTINENT FEATURES ON ADJACENT PROPERTIES AND ACROSS THE STREET THAT MAY AFFECT THE SYSTEM INSTALLATION. WATER LINE FROM METER TO HOUSE TO BE SLEEVED DATE: 06/04/08 = PRIMARY SYSTEM BED DRAIN FIELD TOTAL OF 435 SQ.FT. (MIN. REQUIRED IS 428 SQ.FT.) = RESERVE DRAIN FIELD TOTAL OF 435 SQ.FT. (MIN. REQUIRED IS 428 SQ.FT.) REVISED 07/09108: ADDED WATER LINE LOCATION AND HEALTH NOTE PROPOSED LOCATIONS FOR SEPTIC TANK & DRAIN FIELD QUINTANA RESIDENCE 1045 N.E. 97 STREET MIAMI SHORES LEGAL: LOT 10, BLOCK 180 33138 TRACT 180A, 180B, 180C REVISED PLAT OF MIAMI SHORES Fernando "Morales, P.E. 5201 S.W. 182 Place Miami, Florida 33185 788 -380 -9738 License #51441 JOB NO. 50010 (polo) (TYP <cI 10 -20 -08 Recertified. WizAft, ez',4 SPHALr g) le ovoit Certified To: Rapid.Title Services Company, Commonwealth Land Title Insurance Company, Alexander Quintana mmummcCIA ETE 004CATES O a© — �E --�E MIXCATENY00 FENCE —�-- — MOCiiT, S-fi 00 FEW LEGAL DESCRIPTION: Lot 10, Block 180, REVISED PLAT OF --0-- MILVOATESINTYCORMER POBr ININCATES POINT OF WWI= TRACT 180B, Si OF TRACT 180C, TRACT • 181A AND TRACT 181B OF Mat Mak OU FRB: TYP.: RAW ORB: ternitentZVWMESCW4410 NE °` oa nexAMPROpear Low THE REVISED PLAT OF MIAMI SHORES, SEC. 8, according to the NBi1CIl pIDIfAZ1 L TB.f'�IT Plat thereof, as recorded in Plat Book 43, Page 51 of the a AT �►t+ eij UJ VrYEASEtamr .T Public Records of Miami -Dade County, T tT J N ll� + OT1.S: Florida. pm cmas amnia POINT T VALID SIGNATURE IS EMBOSSED I%1771 THE REGISTERED LAND SURVEYORS SERI 2) LEGAL DESORPTION PROVE BY MEW. 4 P R O P L R T I E S S H O W N F E EON WERE NOT ABSTRACTED FOR EASEMENTS OR OTTER RECORDED ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLAT OF REcORL BEARINGS SHINN ARE BASED ON PLATYS 1 - _ 4 UNDERGROUND UU17L I7YES. FOUNDATIONS OR OTHER IMPROVEMENTS IF ANY, WERE NOT LOCATE 6) ELEVATIONS, IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929. 7) FENCE OWNERSHIP NOT DETERMINED IBR.ESS OTHERWISE NOTE 8) MEASUREMENTS TO IMRE FENCES ARE TO CSR OF WIRE . 9) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD. 10) WALL MEASUREMENTS ARE TOFRGV FACE OF WALL. 11) DRAWING DISTANCE BETWEEN WALLS ARDOR FENCES ANDPROPERTY L SE DOWW ED FOR CLAR Y 12) FLOOD ZONE INFORMATION WAS DERIVED FROM FOAL EMERGENCY AGENCY FLOOD INFORMAMIN RATE MAPS. • INDICATESCLiAR mmoillE F c .7 INDICATES MON MO INDCATES °� ^ REIM IN ICAIES INDICll1ES F.F. MOTES ELM: INVICAMIS N.T.S.: MITE_ S B Vitt I mmeATF.S CGNL:: moms .: INMATES 011040MT Y LINE PROPERT YOF Alexander Quintana 1045 N.E. 97th Street Miami Shore Fioria AE pit- pi, (N0 to, • .Y ROM BOOK CROSS FLOOR ELEYATiG toSCALE LOCATION SKETCH NOT TO SCALE PROFESSIONAL SUNG AND MAPPING LANNES & GARCIA, NC 1.4110M60 @SALE SOWN P3 ' 5238 FRAUCISCO P. I AJAR O P80 4767 359 ALGA AR AVEN C I t lA L ES FL.OWL A 33134 PH (3 Q6S -9909 FAX RELD DATE :. 71 SCALE :1 ° .e0 10116. No.: 210430 2 Charlie Crist Govemor Alexander Quintana 1045 NE 97 St MIAMI, FL 33138 JAM Jo . ph , Engineer II. October 17, 2008 RE: Contingency Letter Application Document No: AP899169 Centrax Permit Number: 13 -SG- 958256 OSTDS Number: 1045 NE 97 St MIAMI, FL 33138 Lot: 10 Block: 180 Subdivision: Revised Plat of Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 10/16/2008 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails : " Existing asphalt Driveway to be replaced with concrete " From a review of your completed application, it has been determined that your existing system is adequate for the proposed use : " APPROVED ". If you have any questio his matter ,please call our office at ( 305) 513 -3459 Sincerely, If u have any questions on this matter, please call our office at (305) 513 -3459. Sincerely, Miami -Dade County Health Department 1725 NW 167th St, OPA LOCKA, FL 33056 Phone: (305) 513 -3459 Fax: (305) 513 -3472 irg©MME1 Mt OCT 2 3 2C08 BY: Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General By 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure - ets the minimum code. ri 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial A 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this apex lai,v�+ca Produced there License or OWNER I'1 Initial Initial Initial e Initial who ' as personally known to day ofOdtDe , 20 c7( or who has as identification. NAME: ADDRESS: VILLAGE OF MIAMI SHORES OWNER BU LDER DISCLOSURE STATEMENT ut,� rGi ,, DATE: Please read and initial each paragraph. Initial Initial /6/liar /of f (IN L q) Srv. I1(Co 1, X11101 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. 1. I hold title to the above property and I am planning on doing this construction Myself. �� Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstatement of the permit. 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. • 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138.2382 Telephone: (305) 795 -2207 . .Fax !3451756 - 6972 COVEN T OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, Lel ,hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio#: Q 11-3 - G 5 -01-7 0 0 0 Lot [P 0 Block a YO Subdivision I'' lhm,ShOrtS e_c REV TA) i 1 13-5 - 1 Tax Folio # : requests permission to install: V-- -�— Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of / cJr iv( q7 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 Dade County to make repairs or maintain said items within public right of way including restoration of 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 hereby agree to indemnify and hold Miami Shores. Village or 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 60 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't}ie 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 canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representa; SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this da,sof SIGNED, SEALED AND DELIVERED in the presence of: Permit No: 08 -1878 Job Name: October 28, 2008 1) Zoning approval is required. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 Miami Shores Village Building Department 10050 N.E. 2" Avenue Miami Shores, Fl 33138 Tel: 305- 795 -2204 Fax: 305-756-8972 Building Critique Sheet Page 1 of 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Owner's Name: ALEXANDER QUINTANA Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 10/27/2008 : Yes Comments: APPROVAL IS CONDITIONAL: DRIVEWAY NOT TO EXCEED 18 FEET IN WIDTH Issue Date: Not Issued Per mit DS -10 -08 -1878 Expires: of issued Folio Number:1132O5O17O1O0 Owner's Phone: Job Address: 1045 97 Street NE Total Square Feet: 0 Miami Shores Village, FL Total Job Valuation: $ 2,000.00 Contractor(s) Phone Primary Contractor HOME OWNER Yes JOB ADDRESS: f( tf > ( l / 1 2 7 Aa'PLICANT: APPLICAT�IION: /4 (.fie 1-1,41 y ZONING CRITIOUE SHEET PERMIT # T COMMENTS INITIALS A► 5 S c 5e afl (�' / 5 / d