DS-12-1467Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. l EH 4W-7
Master Permit No.
BUI D G 4-
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): $E rE BE /en-
Address: I 2q 5 pc- 9 3 • •
City: MiAMi 5iiateS
Tenant/Lessee Name:
Email:
Phone #: 9.51/. 5Y . 3357
State:
Zip: 33) 38
Phone #: —
JOB ADDRESS: 265 IJ E 5-f '
City: Miami Shores
County:
Miami Dade
Zip: "3/ 3/
Folio/Parcel #:
Is the Building Historically Designated: Yes O Flood Zone: 0
CONTRACTOR: Company Name: 'Q1C J 2.5 ar1°cKs Phone #: 905 . g 9 r (11 71
Address: Sri" /V W !. 6, if
City: 44 ! 444 ► 1! L. State: — PL- Zip: 33/49
Qualifier Name: Ij4U Z. D. FA6 c/AIDts Z Phone #: .38 6614 3 ?10 ?
State Certification or Registration #: C76' aS a76 770 Certificate of Competency #:
or
Contact Phone #: C' .4g6 4y 3110-4 Email Address:
DESIGNER: Architect/Engineer: -Th''-- Phone #: - ---
Value of Work for this Permit: $ 25, coo, - Square/Linear Footage of Work: 141600-
Type of Work: ❑Addition UAlteration C idew`crair/Replace ODemolition
Description of Work: ,ru E W FOOL PA-00 M' i 4 k 2 q X 2 4" x. 2" K E f S TQN L
•66. Pi . roe i 7 il Poo L. fArio /Snick 4o bl7' 12' KgD vl,��11. keys Fiver
500 r d N VV E -s eN°riO4, OF I Ht 1900C per r i o 1 14k Pe STOAd . OA/ t}
Zfyv' 3Ase' 01 s�
* ** * * * * * * * * * **** **** * *** * * *** * * *** * * ** Fees * * ** * **** * * * * * * * * * * * * * * * * * * ** *err *** * * *** * * **
Submittal Fee $ Permit Fee $ ,/Q CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ f ` `56
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for 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. 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 apsrov;d and a reinspection fee will be charged.
Signature
The foregoing instrument ' as acknow ,e ri ged before me this 24
day of l , 2o12. , by
E
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: <VI art
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this 2-
day of I' Z. , 20 Z , by RAUL D. FACUAI
who is personally known m_ me or who has produced
as identificatio ' .and who did take an oath.
T_AA;ely I • c.( e_,l (0 ioc 4#144'."14. * SIGN #EE1
ber15,2015
BordeaThe MOM Swiss
APPROVED BY
(Revised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09)
NOTARY PUBLIC•
Sign:
Print: 641x» 1, � r Po
•
My Commission Expires
NITRO
* My COMMISSION #EEt35305
EAVES: November 15,2015
ea
'06 d(37/L
Zoning
Structural Review Clerk
1
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax (305)756 -8972
Permit NO. DS -8 -12 -1467
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1132050270090
Owner's Name: JEFFREY MAYER
Job Address: 1255 93 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet:
Total Job Valuation:
(954)547 -3357
0
$ 5,000.00
Contractor(s)
PAVERS AND BRICKS SERVICES CORP
Phone
(305)986 -2544
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 8/3/2012 : Yes
Comments:
Permit No: 12 -1467
Job Name:
August 6, 2012
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Building Critique Sheet
1) Provide approval from Miami Dade County Health Dept. (DOH /HRS)
Page 1 of 1
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
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 - 762 -4859
NOTICE OF COMMENCEMENT
A RECORDED COPY MbT BE POSTED ON THE JOB SITE AT TIME OF (MST NE E TEN
PERMFf NO1,� 2" l9 (01-TAX FOLIO NO. Jf 32o,� O
STATE OF FLORIDA
COUNTY CF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements 1,4411 be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1 111111 11111 11111 11111 1111111111 1 1 1111111 1111
CFN 2012R060681-5
OR e k 28246 Ps 1207 P (1)
RECORDED 08/28/2012 15:28:43
HARVEY RUVIN, CLERK. OF COURT
MIAMI -DADE COUNTYo FLORIDA
LAST PAGE
1. Legal description of property and street /address: /Of 1 w Z5 F et'7
»Kott65
2. Description of improvement:
nvi:AL k___8rzch\.
fi v 9 13As
3. Owner(s) name and address:
Z. X31
Interest in property: nalrASite kL
:vT
Z 55 ivE '", i (Ha/2c•
Name and address of fee simple titleholder:
4. Contractor's name and address: i4l#641- S ArrsC145 c S 13 AII,✓ X54 S
PL 3141 •
5. Surety: (Payment bond required
Name and address:
Amount of bond $
6. Lender's name and address:
by owner from contractor, if any)
E OF FLORIDA, COUNTY OF DAD
! HEREBY CERTIFY that this is a true copy a
ong/na!
No :o
7. Persons within the state of Florida designated by Owner upon whom notices or other documen
provided by Section 713.13(i)(a)7., Florida Statutes,
Name and address:
tyCourts
D.C.
e served as
ay .
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713,13(1)(b), Florida Statutes.
Name and address:.
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differe ecified)
Signature of Owner
Print Owner's Name �(' �1.zC j2 Prepared by Ali
Sworn to and subscribed b; "ore a this o) t- day of I%6(J S 4- • , 20 O.
Notary Public
Print Notary's Name
My commission expires.
113_01 -39 8/04 PAGE3
Address:
itipti 15'6 51
9
EXPIRES: November 15,2015
ibu
r.,.i.. :411
EE135305
Rick Scott
Governor
John H. Armstrong, MD
State Surgeon General
August 22, 2012
Paulo Ramos (Pavers Brick Services)
99 NW 156 Street
Miami, FL 33169
RE: Contingency Letter
Application Document No:AP1080652
Centrax Permit Number: 13 -SC- 1425769
OSTDS Number:
1255 NE 93 St
Miami, FL 33138
Lot:7 -8 Block: 1 Subdivision: Bay Lure
Dear Applicant:
This will acknowledge receipt of an application dated 08/16/2012 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
property.
From a review of your completed application, it has been determined that your existing system
is adequate for the proposed use (construction of new patio with brick pavers).
If you have any questions on this matter, please call our office at (305) 623 -3500.
Enclosures
cc:
Sincerely,
Joseph' P' ger, ' n•', - = ist II
Miami -Dade County Health Department
1725 NW 167 St, Opa Locka, FL 33056
Phone: (305) 623 -3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaEH.com
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: I ti( DATE: 1-u<2
1, ./A4 67/A.;- c))5 /-wr -ce-
ontractor
❑ wner
❑ Architect
Picked up 2 sets of plans and (other)
Address: l ci c
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by: �-
PERMIT CLERK INITIAL:
RESUBMITTED DATE: % e �J 1
PERMIT CLERK INITIAL: C-6-----
r(A) . = LOT 7 BLOCK 1 LESS THE WEST 25.00' THEREOF (INCLUDED)
(B) = LOT 8 BLOCK 1 LESS THE EAST 25.00' THEREOF (INCLUDED)
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MIAMI SHORES BAY VIEW
P.B. 40, PAGE 16
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PAGE 2 OF 2 PAGES
BOUNDARY SURVEY LB #6135
(SIGNED)
CERTIFY THAT THIS BOUNDARY SURVEY
AND CORRECT REPRESENTA77ON OFA
EPARED UNDER MY DIRECTION.
WITHOUT ANAUTHENT1CATED ELECTRONIC
SIGNA RE AND AUTHENTICATED ELECTRONIC SEAL,
OR A RAISED EMBOSSED SEAL AND SIGNATURE.
CLYDE O. McNEAL, PROFESSIONAL SURVEYOR AND MAPPER #2883
TARGET
SURVEYING, INC.
SERVING ALL FLORIDA CQUNTIES
5601 CORPORATE WAY SUITE 210
WEST PALM BEACH, FL 33407
PHONE (561) 640 -4800
FACSIMILE (561) 640-0576
STATEWIDE PHONE (800) 228 -4807
STATEWIDE FACSIMILE (800) 741 -0576
•
•
1
Lot Z LESS the W/esteriy 25 feet thereof, and Lot 8, LESS the Easterly 25 feet thereof, Block 1, BAY LURE according to the Plat thereof, as recorded in Plat Book
44, Page 63, of the Public Records of MIAMI -DADE County, Florida.
Community Number: 120652 Panel: 0093 Suffix: J F.I.R.M. Date: 3/2/1994 Flood Zone: AE Field Work.. 5/13/2009
Certified To:
JEFFREYMAYER ;; LAW OFFICE OFDAVID STERN, P.A.; FIRST AMERICAN TITLE INSURANCE CO.; ATLANTIC COAST MORTGAGE GROUP, INC.
Property Address
1255 NE 93RD STREET
MIAMI, FL 33188
Survey Number: 149637
LEGEND:
NC AR COONS?
BR BEARING REFERENCE
ant BENCH MARY
(C) CALCLBATED
CAN CARE RISER
C.8 CATCH BMW
CH DRILL HOLE
D.E DRIOVAGE E 48 1T
DRY VPJVEWAY
A CEN7R4LANGLEIDELTA
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D. DEED BOOK
D. DESORPTION OR DEED
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P.C. PORT OFCURVATURE
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• PROPERTY CORNER
ROE ROOF OVIRHANG EASEAENT
R RADAR (RADIAL)
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SET RON ROD ACAP
POWER POLE
TOP OFBANC
WATER METER
PAGE
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ANCHOR EASEVENT
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PROPERTY WE
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PAGE 1 OF 2 PAGES
GENERAL NOTES• LEGAL DESCRIPTION AND CERTIFICATION
LB #6135
LEG4LDEXRIPTION PROVIDEDBYO7I RS
T l E I A M TS S H O W N HEREON WERENOTABSWWCTEa1ORE$E IPSO,ROTTER
ENGUMBRAACESNDTSHOVW ON THE RAT:
WCEI OIBMPORTIONSOFf'OO7AV FOUNDATIONS OR OTHER WPROV6W SWERE
KW LOCATED.
WALL TES ARE TO TIE FACEtJFTIIEWALLAlW7 ARE NOT TO BE USED TO RECONSTRUCT
BOIRIIDARYL£
aktY WSNLE aCROACINENT SLOCATED
DONS SHOWN ARFPLATAn)/EMBED MESS OTI SHOWN
MICEO NOT
REVATICIAB INDIC17ID H ARE I v FEET AND DECAA LSREFRENCEDTOMGVD.1929
Iv SOME 5VSTAA Sy GR4PHIC REPRESENTATIONS HAW HER EVAGGBRATED IPMORE
CLEARYHLUSTRATE RELATIONSHIPS BE»WEBVPH AL IMPROVEMEN1SANDIOR LOT LAVES
NAIL CASE$ DAEMONSSJMALL CONTROL TN< LOCATION OF THE VPROVBIEWSOVER
SCALED POSITIONS.
TARGET
SURVEYING, INC.
SERVING MOST FLORIDA COUNTIES
5601 CORPORATE WAY SUITE 210
WEST PALM BEACH, FL 33407
PHONE (561)640.4800
FACSIMILE (581)840.0576
STATEWIDE PHONE (800) 2264807
STATEWIDE FACSIMILE (800)741-0576
PERMIT # UJ 1 L- -14(g1
CONTRACTOR: 12(4JS 1 15f I CI lc✓I vLCAS
SUBMITTAL DATE:
1 }
ADDRESS: 15
ary o i v4
NAME:
RESUBMITAL DATES:
PROJECT TYPE:
-FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
NOC
MECHANICAL
BLD •�