Loading...
DS-13-185Miami Shores Village nya any ' � Building Departments JAS _ -- 10050 N:E.2nd Avenue, Miami Shores, Florida 33138 • Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 4� -� m4Z- -,341 i� FBC 20 '7� BUIL ING I Permit No. 10� Od PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: Zq No q e '-s1— City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): b <) PJ IYLA PT CGOL4 4V 0IOAO�-r, Phone#: Address: 2-1 fja q,(f Sy City: ShD4f!,, State: Zip: 3?) -36 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:rP-zd'e 4a'1'j 6 Phone#: Address: t j 001 ",kJ C3 City: '0 o 44-L State: 44Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone#:.91-'5 Email Address: Q y'Irn'-'eq, DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 347S -0 Square/Linear Footage of Work: 4 00 Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: ✓ 4 Vim- � P i1 a, Color thru dle. e4 d Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE _ _ 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 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 posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence uch posted notice, the inspection will not be approved and a reinspection fee will be charged. R!lzSignature Signature Owner or Agent Contractor The for oing instrument as ac wledge efo me this The for oing instrument ckn ledged befo a thi day of � 20 _L)by 0 20� b ! who personall own to me or who has producedj�l who 's p onally kn wn tome or who has produced7il 1 I� w� OL identification and who did take an oath. •2 identification and who did take an oath. NO�ARY PUBLIC: • • N TARY PUBLIC: , Sign:IrffSign: ILL S Print. CLAUDIA V GUBFLLOS a ary Public. State of Florida Notary P Print: _My Cumm FXP My Comm. Expires Sep 23, 20159• •°� Commission # EE 128810 My Commission Ex Commission # EE 128810 My Co 351Q�* 1reKnded Through National Notary Assn. Bonded Through National Notary Assn. APPROVED BY Plans Examiner 2A/1 Zoning Structural Review Clerk (Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JD8 SITE AT TIME OF RBST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby.gtves notes that_improyements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following information Is provided In this Nodce-of Commencement. OR 8k 28492 Ps 17678 ilea} RECORDED 02/15/2013 14:40:22 HARVEY RUVINY CLERK OF COURT MANI-DADS COUNTYP FLORIDA LAST PAGE Space above reserved for use of recording office 1. legal description of property and strest/address: 2. Description of improvement jP4 V 0 JF °0A Interest In property: Name and address 4. Contractor's name, address and phone 5. Surety: (Payment bond required by owner from contractor, If any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: tft expiration date is 1 year from the date of recording wiles a different date is specdftecii WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LER AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. _ Signature(s) of Owner(s) or Owner(s)' Authorized Offlcer/Director/Partner/Manag �d fd Prepared By Prepared By Print Name Print Name Tide/Office TMe/Office STATE OF FLORIDA COUNTY OF MI-DADE Th o s qw( re this day of By w ❑ Individually, or as for ❑ Personally known, or ❑ produced the Tollowing type of identificatio Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION UPAS -FLORIDA STATUTES Under penalties of perjury, I declare drat I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Slg'7 f s)'s Authorized Officer/Director/Partner/1VBy By &A 123.01-82 PAGES 3H0 who signed above: Notary Yuouc - -• - _ fdy +;amm. Expltes Sep 23. 2015 Commission # EE 128810 Bonded Through National Notary Assn. MlsNon: To protect, promote & Improve the health of all people In Florida through Integrated state, county & community efforts. Donald McCorquodale 29 NE 98 Street Miami, FL 33138 w HEALTH Vision: To be the Healthiest state in the Nation RE: Contingency Letter Application Document No: AP 1097551 Centrax Permit Number. 13 -SC -1455802 OSTDS Number: 29 NE 98 St Miami, FL 33138 Lot:15, 16 Block:8 Dear Applicant: March 12, 2013 Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General & Secretary Subdivision: Miami Shores Section # 1 This will acknowledge receipt of an application dated 02/14/2013 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 your existing system is adequate for the proposed use. This permit is granted for the construction of the backyard paver patio. There will be no increase in sewage flow or characteristics and no impact on the unobstructed area. APPROVED If you have any questions on this matter, please call our office at (786) 315-4444. Sincerely, Erlande Omisca Enclosures cc: Florida Department of Health www.FloridasHenith.com In DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St, Opa Locks, FL 33056 FACEBOOK:FLDepartmentofHealth PHONE: (305) 623-3500. FAX: (305) 623-3645 1 YOUTUBE: fldoh 5d -QQ vED _f e-4 FkP d q) M�gMt-DAL?E CO ITY HEALTH tiEPARTMENit. z � _ PEiiMli'Ilk.0 wo mmuw rl ' n r. u 50 �iVo / n7� 99k9 si .2350 \a� � ® . 0.C ;= /J McCorq�odale, Donald S. and PROPERTY OF: Beve.rl 8.., 29 N.E. 98th Street, Miami Shores, Florida 33138 NOT YAI,ID WITHOUT THE 8HHVNTURt' AND THE ORIDINALRIUstiDSEAt.oFFLowDR LICENSEDo SURVEYOR AND MAPPER A Bnl NDARY SURVEY AND GARCIA INC. I hereby certify that the survey represented .CANNES t hereon meets the m]nimum technical standards set forth by the Board of Land L.B. #209$ Q ' Surveyors-Mappers-Land Planners 472.027 Fla. statutes. There are no encroach $�F; SMITH, PSM # 5238 mems, overlaps, easements appearing on the Ptat,other than asshown hereto FRANCISCO F. FAJARDO 4F'4767 •- � 1� AOa Office Address: 359 Alcazar Aver Coral Gables, FL 33134 (305) 666-7909 (954) 523-8663 � FIELD D ATE SCALE 17 /8 le 20 , � 29 01� t4r 'o 147662 5-27-09 Recertified, Certified o an aures lRevised. s> 215113 /45 Com) 44�f�/�s7 j U/OOo-P, poC� b 0 A14/L �1V0 D 5d -QQ vED _f e-4 FkP d q) M�gMt-DAL?E CO ITY HEALTH tiEPARTMENit. z � _ PEiiMli'Ilk.0 wo mmuw rl ' n r. u 50 �iVo / c: c .2350 \a� � ® . 0.C ;= This property described as: Lot 15 and the West half of Lot 16, Block 8 ' AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 7b of the Public Records -of NZ_E 98TH ST Dade County, Florida. 17 J AE -0 of `} dN� STa•�j� �. D¢cuoL' 505 . 00 Pyo Poeck0ri om0 ' _.,_-.. _ c < [C y /ir 7,,,7G"Q C7 E _ ea O Z �iVo / c: c .2350 \a� � ® . 0.C ;= McCorq�odale, Donald S. and PROPERTY OF: Beve.rl 8.., 29 N.E. 98th Street, Miami Shores, Florida 33138 NOT YAI,ID WITHOUT THE 8HHVNTURt' AND THE ORIDINALRIUstiDSEAt.oFFLowDR LICENSEDo SURVEYOR AND MAPPER A Bnl NDARY SURVEY AND GARCIA INC. I hereby certify that the survey represented .CANNES t hereon meets the m]nimum technical standards set forth by the Board of Land L.B. #209$ Surveyors to chapter 01017-9 Florida Admintatreihre Code pursuant to Section Surveyors-Mappers-Land Planners 472.027 Fla. statutes. There are no encroach $�F; SMITH, PSM # 5238 mems, overlaps, easements appearing on the Ptat,other than asshown hereto FRANCISCO F. FAJARDO 4F'4767 •- � 1� AOa Office Address: 359 Alcazar Aver Coral Gables, FL 33134 (305) 666-7909 (954) 523-8663 � FIELD D ATE SCALE DRAWN BY DRAWING NO rt. rHor. surtverat Alro NSR No. � � 29 01� �►r - �© JZ; 147662 5-27-09 Recertified, Certified o an aures lRevised. s> 215113 Miami s Village Building Department RECEIPT PERMIT #: P S (5 2 DATE: 2- /'f o Contractor Winer o Architect. Picked up 2 sets of plans and (other) -H 122> 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Address:�li- 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: 1 PERMIT CLERK INITIAL: STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant; i)#-Av hc- C'`�ge""I es hereby attest that (Property owner) The attached survey, performed by L-- *A;A) -f S 4,1.1 ZAn e4 -- (Name of surveyor's company) For address: 2A AJ � cte :5 ^ , Performed on 2. - "r' &)& (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. F r, Affi say eth naught. Property er Signature Pope Wrier Print Name SWORN TO AND SUBSCRIBED before me this U�damf _ Affiant is _personally known to me, produced rl PZ� /tel I J AAs identification., Revised on 5/2212009/ Revised on 6/12/09 Not y Public torida ' PA, Comm F)gres Sep 23. 2015 J; •;; Commission # EE 128810 Bonded Through National Notary Assn.