DS-08-1588Project Address
541 NE 102 Street
Miami Shores Village, FL
Owner Information
JOEL & LOLITA ILETO
MiarfriShores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$100.00
$6.00
$2.50
$114.30
Parcel Number
1132060170960
Block: Lot:
541 NE 102 ST
MIAMI SHORES FL 33138 -2454
Approved: Yes
Comments:
Date Approved: 8/27/2008: Yes
Date Denied:
Type of Work: PAVERS
Bond Retum :
Additional Info: GARDEN SET
Classification: Residential
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
Authorized Signature: Owner / Applicant / Contractor 7 Agent
Building Department Copy
412
8
Sidewalks!Slabs
Or: New
PROVED
Expiration: 03/03/2009
Phone
Applicant
Valuation:
Total Sq Feet:
Total I Amt Paid I Amt Due
$ 0.00
Payment Type:
$ 0.0
VISO C,Q1 MA 5 PAID
JOEL & LOLITA ILETO.
Available Inspections:
Inspection Type:
Landscaping
Sidewalk
Foundation
Final
September 04, 2008
Date
Cell
Thursday, September 4, 2008 1
9 Kl ig s' Ate
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
Owner's Name (Fee Simple i e older)
1 A)
Owner's Address
City State
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # - o — -
Is Building Historically Designated YES NO
Contractor's Company Name
Value of Work For this Permit $
Notary $
Scanning $
Bond $
Type of Work: ['Addition
Describe Work: 1. (uW ti ,
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
j 0 d T V I Phone # '1 �
lad )4 /A
Zip -2.
Contractor's Address •
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
fep °
['Alteration
***************************************F
U
Submittal Fee $ Permit Fee $ `
Structural Review. $
1 RCCEME
Ay 2s 20
Roofing
S- A) E / f 3-ji
Zip 7 7/ 7 2.V
Square / Linear Footage Of Work:
Permit No. D5 Ot -151(
aster Permit No.
Phone #
j43 IV
ew ❑ Repair/Replace ❑ Demolition
S ow Oii,,
************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ CO /CC
Training/Education Fee $ Technology Fee $
Radon $ DPBR $ Zoning $
Code Enforcement $ Double Fee $
Total Fee Now Due $
See Reverse side -4
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
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 FI.FCTRICAL 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
. Signature Signature
ent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 0a, by iue vtlIatovTe 1t5 , day of , 20 _, by
who is personally known to me or who has produced r /$livwho is personally known to me or who has produced
C4 0170 As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 07 /10/07)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
BOUNDARY SURVEY _ • o : :io :•::a* : : jJ urveyor's Map: Page 2 of 2�
- - ORAPPIC•SCALE 1N FE:T
"This survey is only intended for Its original contracted use. Any other use invalidates this survey. This survey may not be modified without written permission
by this office.Any modifications to this survey without permission constitutes a violation of FAC 61G17- 6.003(2)(g) and may be prosecuted to the fullest extent
of the low."
METAL SHED
WOOD DECK
ASPHALT
PERMIT
CHAIN
LINK FENCE
BRICK
CONCRETE WALK
N89 °42'18 "W 75.00
APPROVED
LB# 7195
FOR THE
FIRM, Br
FOUND 3/4" IP
NO I.D.
LOT 10
BLOCK 93
(PER PLAT)
LOT 15 W
BLOCK 93
(PER PLAT) o
0
0
•
0
0
0.1' CLEAR
C.B.S. WALL
FOUND 1" IRON
PIPE NO I.D.
150.00'
C FOUND 1/2" IRON
PIPE NO I.D.
IQ
N .
r)
RI CH D A. EDRAZA
PROFESSIONAL SURVEYOR & MAPPER
Fl ORI DA I ICFNSF NO. 6:100
• • • ••• • •
• • • • • • • • • • •
• • • • • �-.• • • •
• • • • • i•
• :•. : EC it
•
•• • • •
DRM$M 02 -27 -08 D.JL.
PRO,IFCT N0. 0R -40
• • • LOT•
• :
°• °(F'ER °PLAT
2 ?
•• ••
ASPHALT PAVING
N.E. 102nd S
75' R/W (PER PLAT)
THIS MAP IS NOT VALID WITHOUT ACCOMPANYING SURVEYORS REPORT
NO1E: PER PLAT" REFERS TO THE PLAT OF
"MIAMI SHORES SECTION 4"
PLAT BOOK 15, PAGE 14, DADE COUNTY, FLORIDA.
FIELD: ROBBIE
DA7E OF SURVEY 02 -27 -08
LOT 8
BLOCK 93
(PER PLAT)
FOUND 3/4" IP
NO I.D.
o EAST 1/2
LOT 17
ccv BLOCK 93
(SHOWN ON PLAT)
C.B.S. WALL
FOUND 1" IRON
PIPE NO I.D.
SUBJECT 70 COMPi.VANC
STATE AND COUNTY RULES AND REGULATIONS
PRiSM SURVEYING, INC.
SURVEYORS - ENGINEERS - CONSULTANTS
17721 62ND ROAD N
LOXAHATCHEE, FL 33470
561 - 204-1035 — FAX 561- 793 -3574
PRISM SURVEYING, INC.
LICENSED BUSINESS #7195 (LB.)
17721 62 ROAD N. LOXAHATCHEE, FLORIDA 33470 (561) 204 -1035
BOUNDARY SURVEY FOR THE BENEFIT OF: JOEL ILETOAND LOLITA ILETO
CITI MORTGAGE, INC. its successors and or assigns as their interest may appear
MARK L. RIVLIN, P.A.
ATTORNEYS' TITLE INSURANCE FUND, INC.
DATE OF SURVEY: 2/27/08
REVISIONS:
REVISIONS:
DRAWN BY DJM 2/27/08
REVISIONS:
APPROVED BY RAP
FIELD BOOK 33 PAGE 001 PAPER NOTES
REVISIONS:
PROJECT NUMBER: 08-40
1) The land description shown herein is as furnished by client.
2) The surveyor has made no search of the public records. ... •• • • • ..
3) The property shown herein is subject to easements, reetrictioeis ;reeeiva�ione sndtights -of -way of record, if any.
4) Underground utilities and foundations, if any, have nit beloeatied. '
5) There are no above ground encroachments other than th shown herein.
6) This survey is not valid without the signature and original raised seal of a licensed Florida Surveyor and Mapper.
7) This is a boundary survey per 61G17- 6.002 (8b), Florida Administrative Code.
8) Surveyor's report not valid without accompanying survey map.
9) Bearing Base: The North line of Lot 16 assumes to bear N 90 °00'00" E and all bearings shown hereon are relative thereto.
10) Subject property falls within Zone "X/D ", BFE N /A, according to the National Flood Insurance Program (NFIP) Flood
Insurance Rate Map (FIRM), identified as Community Panel Number 120652 - 0093J, effective date: March 2, 1994
11) This survey is null and void if corresponding financial obligation to Prism Surveying, Inca is not satisfied within 90 days of
survey date.
12) The surveyor has made no search of the public records and prepared this survey without the benefit of title.
Land Description
LOT 16 AND THE WEST' /: OF LOT 17, BLOCK 93, PLAT OF "AMENDED PLAT OF MIAMI SHORES SECTION NO.
4 ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 15, PAGE 14, OF THE PUBLIC
RECORDS MIAMI -DADE COUNTY, FLORIDA.
Containing: 9,225 square feet, more or less.
08- 40.doc
Surveyor's Notes:
A Arc Length
A/C Air Conditioner
ASPH Asphalt
CALC Calculated
CL Centerline
CONC Concrete
COV Covered
D/W Driveway
ENCL Enclosed
ENCR Encroachment
EOA Edge of Asphalt
ESMT Easement
EL Elevation
RES Residence
CBS Concrete Building Structure
IP Iron Pipe
F
FF
FH
GAR
IR
LP
MEAS
MH
ODE
N/D
N/T
NTS
ORB
ID
BOUND Y •
541 NE 102 S1ckEkT,1yI14M1;F1 331:38
Surveyor's Report: Page 1 of 2
Letiend of Survey Abbreviations
Found
Finished Floor
Fire Hydrant
Garage
Iron Rod
Light Pole
Measured
Manhole
Drainage Easement
Nail with Disk
Nail with Tin Tab
Not to Scale
Official Record Book
Identification
• • .• •
•
• • • • • •
• ... • • • •
•••. • •
• • • • • •
• •••
PC
PCP
POB
POC
PRM
R
RNG
R/W
SCN
SEC
SIRC
STY
TWP
FAC
•
•.
•
.•
• •
•
•
• •
• •
• •
• •
•
Point of Curvature
Permanent Control Point
Point of Beginning
Point of Commencement
Permanent Reference Monument
Radial/Radius
Range
Right -of -Way
Screen
Section
Set 1/2" Iron Rod & Plastic Cap "PRISM LB 7195"
Story
Township
Florida Administrative Code
TYP Typical
UGD Underground
UTL Utilities
WM Water Meter
A or D Central Angle
UE Utility Easement
UPC Concrete Utility Pad
CMON Concrete Monument
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Owners Phone:
:.•
Job Address: 541 102 Street NE Total Square Feet: 143
Miami Shores Village, FL
Total Job Valuation: $ 1,000.00
Owners Name: DAVID/MARYELLEN KELLY
Contractor(s) Phone Primary Contractor ....
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 8/27/2008 : Yes
Comments:
Pe rmit NO. DS-8-08-1588
ct New
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1132060170960
RECE1 kiE
Au 9 x.009
OWNER BUILDER DISCLOSURE STATE i ►NT _
NAME: J 1 ktl) DATE: g i I D�
ADDRESS: I D5 102' a VI IA .c� -u-
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.
Please read and initial each paragraph.
VILLAGE OF MIAMI SHORES
1. I hold title to the above property and I am planning on doing this construction
Myself.
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 rein statement of the
permit.
Initial
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.
Initial t).•
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 meets the
minimum code.
Initial
Initial
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.
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.
Initial
Was acknowledged before me this P..T day of 7 O UTT , 20 C)
By gbal VtllaCovT& I14Tb who was personally known to me or who has
Produced there License or f L P» r¢+'S L..1G C bet as identification.
;qty Y, Py°4- MONICA LISSETN DIAZ
..: MY COMMISSION # DD 483995
t
-��: EXPIRES: October 20, 2009
7 „rig Bonded Thru Notary Pubis Underwriters
F .
pavers for garden at back yard
Passed
Inspector Comments
l‘ —0 ?
1
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid
until
Inspection Date: 09/16/2008
Inspector: Rodriguez, Jorge
Owner: ILETO, JOEL & LOLITA
Job Address: 541 102 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: HOME OWNER
Building Department Comments
Monday, September 15, 2008
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number
Lot:
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Parcel Number 1132060170960
Page 2 of 2
As
Type of inspection missed
e Contractor -qua
State of Florida
County of Dade:
Notary Public, Sate of Florida at Large
Maffei Senes Vitiale
ad9Vontateige
10050 NE 2nd Ave
Miami Shores, Fl 33138
Phone 305-795-2204; Fax 305-756-8972
www.miamishoresvillage.com
HOLD HARMLESS
PROPERTY LOCATED AT: 541 Nted !O2 t
OAN/r
Permit number VJ Q
Issued to I \
Sworn to and subscribed before me this day of
(Print Name)
DATE: 011051015
license contractor of subject property,
I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from
any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee)
resulting from missed inspection of the above mention permit. I furthermore assume responsibility for the
correction, if required, of work performed under the above permit.
-CSi2a_. 1LTD
The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above
property mentioned.
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