DS-15-846Project Address
525 NW 111 Street
Miami Shores, FL 33138-0000
Parcel Number Applicant
3021360210720
ALEX R. PARDO TRS JOSE MAF
Block: Lot:
ALEX R. PARDO TRS JOSE MARTINEZ 13876 SW 56 Street
-- ---- - MIAMI FL 33175-
13876 SW 56 Street
MIAMI FL 33175 -
Contractors) Phone Cell Phone
GILNICK ENTERPRISES INC (786)202-9175
In Review
Approved:: In Review
Denied:
of Work:
Retum :
nino: 3
Fees Due
Miami Shores Village
10050 N.E. 2nd Avenue NW
Bond Type - Contractors Bond
Miami Shores, FL 33138-0000
F
Phone: (305)795-2204
Project Address
525 NW 111 Street
Miami Shores, FL 33138-0000
Parcel Number Applicant
3021360210720
ALEX R. PARDO TRS JOSE MAF
Block: Lot:
ALEX R. PARDO TRS JOSE MARTINEZ 13876 SW 56 Street
-- ---- - MIAMI FL 33175-
13876 SW 56 Street
MIAMI FL 33175 -
Contractors) Phone Cell Phone
GILNICK ENTERPRISES INC (786)202-9175
In Review
Approved:: In Review
Denied:
of Work:
Retum :
nino: 3
Fees Due
Amount
Bond Type - Contractors Bond
$500.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$8.00
Technology Fee
$0.80
Total:
$614.60
Additional Info:
Classification: Residential
Phone
Valuation:- $ 1,000.00
Total Sq Feet: 300
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS -4-15-55163
05/15/2015 Check #: 1791 $ 564.60 $ 50.00
04/10/2015 Credit Card $ 50.00 $ 0.00
Bond * 2715
Avauaoie inspections:
Inspection Type:
Final
Review Bu
Review Bu
In consideration of the issuann to me of this permit, I agree to perform the work covered hereunder in compli -ince with all ordinances and regulations
pertaining thereto ailmi
nformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permsponsibility for all work done by either myself, my agent, servants, or employes I understand that separate permits are
required for ELECTBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDATIjli)yhat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo 'n u h ore, I authorize the above-named contractor to do the work stated.
May 15, 2015
Authorized-81gna1ur : Owner / Applicant / Contractor / Agent
Building Dep ment Copy
BUILDING
Miami Shores Village
4APR 0 2015
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 LO
Master Permit No.
PERMIT APPLICATION
Eg/BUILDING ❑ ELECTRIC ❑ ROOFING
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Z W I I J .
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder)-�UPS1�0r* Phone#:
Address:
City: t—'k 1 PCV -1 � A ---t ® �--r-�
State:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Nam
Add
City,
Qua
I4PPhone#:
State Certification or Registration #: �(T( Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
zip���� 1
9
Address: City: State: Zip:
Value of Work for this Permit: $, �� , Square/Unear Footage pf_Vllork:-„i'� 5°
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile::.
Submittal Fee $
Scanning Fee $
Technology Fee $,
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary!
Double Fee $
Bond $
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 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 eyweeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law br chure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice oW e eme ust be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issuIn th absen e f such posted notice, the
inspection w o p roved and ar ' spection fee will be charged. (
rl+`4 '� ( ) )tom
Signat a Signature
Ll_____�OWNER or AGENT _
The foregoing instrument was acknowledged before me this The for_e�g�Q ing instrume owledged before me this
day of ��6 � 20 (� by � day 20 , by
N nb�'J At a ersonall known to ['' wl o is personal) knowo`
me or who has produced as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
C/'�-�
Sign: Sign:
Print: ��S�_ _ _ Print:
.1M v'.
Seal: . o g,% ANDRES CRUZ
=s •Oe
�. Notary Public - State of Florida
N, oQc My Comm. Expires Sep 21, 2015
'•o; �o �� �g�` Commission # EE 132342
APPROVED BY
(Revised02/24/2014)
a�` '°;e�% ZE "
Seal.. H. BARBARA * * MY COMMISSION # EE 860789
A
EXPIRES: February 15,2017
"re��o��Op BWdedThiuBudgetNotary Servaes
Plans Examiner �® f Zoning
Structural Review
Clerk
0
SKETCH OF BOUNDARY SURVEY 9i " 1- //!/�, k�
LOT 7 LOT 8 LOT 9 ^'° //z VW .ST
BLOCK 4 j BLOCK 4 LU BLOCK 4 — - '
n O 1\ f „ /7 ! /r' i
F.LR.12 '� — — — — — --� IF.I.R.12 — — APR 1 201 j
— — �o�c 58.00' (P&M) (No I.D.)
T — -- =r--
-
_Y `7
le W le
— — � � 065'
top
mss - -r.. c�;cr2sv�n�ge LOCATION MAP
I -_ --- --
ID A� NOT TO SCALE
�Y �` LEGAL DESCRIPTION:
Lot 13 , in Block 4 , of " WEST SHORES ;
according to the Plot thereof as recorded in Plot Book 42 at
nFPi
J i Page 18 of the Public Records of Miami -Dade County, Florida.
I /�'�//� l ryi � 1 TH ALL
T1
O "� ILJ�rT �� �•�.1-i �f'I��C� tlVl I Y 1 /'�i1 i 1_UEi�;
-- i CERTIFIED TO:
t
TPTr �f,j'��.'""'�'t A-�i ALEX R. PARDO and JOSE MARTINEZ
asSEWN MA� BASES OF SEAMMS
BC - °t PROPERTY ADDRESS:
CBS a STRUM= 525 N.W. 111th Street,
.� 9L 1608" 11.79 a UNE Miami, FI 33168
LOT 14 v 30.13' `�' LOT 12 MONUMENT LINE
BLOCK 4 *po BLOCK 4 CONCRETE
CL
CLEARANCE SURVEYOR'S NOTES:
I O NW � 1) The above captioned Property was surveyed and described
Ui M F.F. M. FTN FLIM ELEVATION based on the above Legal Description: Provided by Client.
A - CENTRN. ANGLE
�- R ONE STORY r MDHH erML W 2) All bearings and distances shown hereon are recorded and
C.B.S. W ouL G umirr LINES measured unless otherwise shown.
EL ELEVATIgi
RESIDENCE METER
R LK 25 Z EALK v ELEELECTMC MANN HUE 3) The lands shown hereon were not abstracted for easements or
LOT 13 BLOCK 4 I ET. - ELECTMC 1RANSFORIM other recorded encumbrances not shown on the plat and the
ENt
SET � same, if any may not be shown on this section.
I 16.08' j FOLM UM
9' � Q F _ � 4) Foundations and/or footings that may cross beyond the
LLL . CLF CHAIN L� FENCE boundary lines of the parcel herein described are not shown
LLL N J RAMM
(UNDERGROWND)
1 0.52' J LLLL r g0,ga 11.79 iin E _FRE T 5) Elevations are based on the National Geodetic Vertical Datum 1929.
S L PLANTER Poe aMEASUM �G 6) Fence ties are to be the center line of the fence.
p L� IG
`F ��,� GAL - on _ 7) Wall ties are to face of the wall.
FN FOMMND
UW
®/ �� 8) Ownership subject to opinion of the Title.
��,,,, m• C ' qn. \p041 PRC
o �o a TURF 9) Underground utilities are not depicted hereon.
WAY . P N �Z �° 0I". �Rw 10) Zoning and Setbacks are not verified by this survey.
O 0.65' W m WATER WOW METER
0.33'ENC.I a • -�It --AW - WAS VALVE 11) This survey is to be used exclusively as aid to obtain N - NAE.
as Title Insurance. No other warranties are hereby extended.
F. ^ TANGW
12) Benchmark :X, Elevation=X' N.G.V.D. 1929.
W.M. F.I.R. 1 2 BLOCK ° WEEK
& IDISCi a a DME - awuiAGE AiO YAaiIELYAOd EASi161T
�i CORNER T SURVEYOR'S CERTIFICATE:
LME - LAM MAINTENANCE EASAIENT —
73 F.I.R. 1/2" CME CAL ►� - I hereby certify that this survey meets the minimum technical standards
11 C B CONC. (NO LD.) M as set forth by the Florida Board of Surveyors and pyo ers in Chapter 61G176
LIGHT POLE Florida Administrative Code, pursuant to section 41'2.Q27,, Florida Statutes. And is
18 ARKWAY �1. ' true and correct to the best of m knowledge and belief.
�� � 15.28' PARKWAY � Y 9$ � ,
/(moi w, .dJldr�r "iw
TACD.Al r M.
NOT VALID UNLESS SEALED AND EMBOSSED 'WITH �SURVEY0R'a SEAL
Date of filed work: 11-15-2014 a A
GRAPHIC SCALE
a 10 20 40 Adress:13801 SW 10th Terrace
Miami. FI 33184 —
Phone: (305) 345-9083
IN FW Fax: (305) 820-3558 Professional
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