DS-15-1753 Permit No. DS-745-175 '
`ygOREs L' Miami Shores Village t Permtt 7yp Drivewayw.51[Newalks/Sli
10050 N.E.2nd Avenue NE
W0*CiFaSstffcaliOty N+I i
Miami Shores,FL 33138-0000
Phone: (305)795 2204 P 0tS.`,A RED
Expiration: 01/17/2016
issue i3at�:7/21/ 015
Project Address Parcel Number Applicant
29 NE 106 Street 1121360060270 MARGARITA PARDO
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
MARGARITA PARDO 29 NE 106 ST _
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 2,500.00
HOME OWNER
Total Sq Feet: 11
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved: : In Review
Final
Date Denied: Foundation
Type of Work:PAVERS IN BACKYARD Additional Info: Review Planning
Bond Return: Classification: Residential Review Building
Scanning:3
Fees Due ]MnPay Date Pay Type Amt Paid Amt Due
CCF
Invoice# DS-7-15-56329
DBPR Fee
DCA Fee 07/21/2015 Credit Card $ 117.80 $0.00
Education Surcharge Permit Fee Scanning Fee Technology Fee Total:
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 AFFIDA I 0#0
he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo i thorize the above-named contractor to do the work stated.
July 21, 2015
Autho ' ed Si nature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 21, 2015 1
� Miami Shores Village � 4 '� }
��J JUL I 015
�� . Building Department BY,
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 -Ur
INSPECTION LINE PHONE NUMBER:(305)762-4949 S
FBC 20��,
BUILDING Master Permit No. ► m kk - R c J3
PERMIT APPLICATION Sub Permit No.
70BUILDING ❑ ELECTRIC ROOFING REVISION EXTENSION KRENEWAL
PLUMBING ❑ MECHANICAL DPLIBLICWORKS CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 29 NE 106 St.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1121360060270 Is the Building Historically Designated:Yes NO x
Occupancy Type: R-3 Load: NA Construction Type: NA Flood Zone: NA BFE: NA FFE:: NA
:'O'S-30e•-'4 cEr-L
OWNER:Name(Fee Simple Titleholder): Margarita Pardo Phone#:305-754-3344
Address:29 NE 106 st.
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Owner builder Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: NA Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$2,500.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Renew expired permit BP05-595 for new paver's in back yard.
Specify color of color thru tile: ��'!!��
Submittal Fee$ Permit Fee$ W CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
i
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 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 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 a d a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_day of �UL� 20 by day of ,20 , by
who is personally known to who is personally known to
me or who has produced L —lbu � �L\�5s me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Seal: 9L0z/C0/s0 saj!dx3p,�.O, Seal:
09L99L dd UOISSIWUIO`�AV4
Za�eAIV elpwg r
Leptioij;o a7e1S oiigria AMON a °
APPROVED BY / '` / Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
,5t!oRgS Miami Shores Village
Building Department
10050 N.E.2nd Avenue
�•N a Miami Shores, Florida 33138
�ORIDp
Tel: (305)795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: I'l��l +'� DATE:ol
-II 115
ADDRESS: � L
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 new form states 75,000).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.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an
exemption from the law.The exemption specifies that I,as the owner of the property listed,may act s y wn contractor with certain
restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is a ponsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I unders and that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name insteadof my o name.I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and tr ts.
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding,/may also build or improve a commercial
building if the costs do not exceed$75,000.The building or residence must be for my use or occu
pancy. may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved mys f i so or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale or leas ch violates the exemption.
Initial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons o king on my building or residence. It
is my responsibility to ensure that the persons whom I employ have the license required by law and c ty or municipal ordinance.
Initial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously
implies that the propelty owner is providing his or her own labor and materials. I,as an owner-builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder an a ware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contr for who is not licenses to perform the
work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee. nderstand that my failure to follow
these may subject to serious financial risk.
Initial
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and
requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulation
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that I may conta the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.html
Initial
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
2�1 ►J�� 1 �( M)A-AAI �� 331
Initial hi
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any the i fo ion that I have provided on
this disclosure.
Initial
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or
employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder
permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property
owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this1qday of J UL_\� 20 l
By hWIAP-{t�" I'�io who was personally known to me or who has
Produced there License or k�� Q-l � �--� as identification.
ooar n Notary Public State of Florida
? Sindia Alvarezmission 156750
OWNER NOTARY � / ExPCe 0o
9,03,2018
5582 N.W. 7th STREET SUITE 202
MIAMI,FLORIDA 33126 "'
TELEPHONE:(305)220-3171 suRVeY No. 4-0014064
FAX:(305)264-0229 _
DRAWN BY: ROSA LAND SURVEYORS SHEET No. OF -�
Survey of Lot : 11 Block: 207
Subdivision: DUNNING' S MIAMI SHORES EXTENSION NO.2
According to the Plat thereof as recorded in the Plat Book No. 41
at Page No. 78 of the public records of MIAMI-DADE County, Florida.
Property Address : 29 NE 106 ST, MIAMI SHORES, FL 33138
For: MARGARITA PARDO Date: 12/08/2004
LOCATION SKETCH
NOT TO SCALE
.. T 3030 7.9 OY ,
/OI / O7 /3 /4 /,S
e
9 70.Ira
N - /1/F
SUBJECT STREE 17
�i _
PROPERTY •� 75 71,
ABBREVIATION AND MEANING
A =ARC. =MINUTES. U.S.: UTILITY EASEMENT.
A.0.
AIR CONDITIONER PAD. (M)•MEASURED DISTANCE, U.P. UTILITY POLE.
A.E.=ANCHOR EASEMENT.
M.a. MANHOLE. M.N.+ NATER METER.
A.R.=ALUMINUM ROOF. N.A.P.=NOT A PART OF. M.F.. MOOD FENCE.
A.S.=ASPHALT. SHED. MGM =NATIONAL GEODETIC VERTICAL DATUM. M.S.= HOOD SHED.
AH.C.=ASPHALT. N.T.S.=NOT TO SCALE. M.P.- WOOD ROOF.
H.
BUILDLOCK CORNER. =MONUMENT LINE.
BLDG.=BUILDING. #-NO.=NUMBER.
B. BENCH NARK. O/S a OFFSET. ' CENTER LINE.
O.H.+ OVERHEAD �-=CENTRAL ANGLE.
B.C.R.=BASIS O COUNTY RECORDS. 0.ANGLE.
B.O.B.=BASIS OF BEARINGS. O.B.L.=OVERHEAD UTILITY LINES.
(C) = CALCULATED. O.R.B.+ ORIGINAL RECORDS BOOR.
C.B.= CATCH BASIN. O.Y.H.= OVERHANG. LEGEND TYPICAL
C.B.S.= CONCRETE BLOCK STRUCTURE. PVMT..PAVEMENT.
C.B.N.= CONCRETE BLOCK NALL. PL.+PLANTER. —OH- OVERHEAD UTILITY LINES
CH = CHORD. P/L +PROPERTY LINE. C.B.S. + NALL
CH.B.= CHORD BEARING. P.C.C.=POINT OF COMPOUND CURVE. �' C.L.F. = CHAIN LINE lZWCE.
CL. CLEAR. P.C.=POINT OF CURVE. -4-0- L F. + IRON FENCE.
C.L.F.= CHAIN LINE FENCE. FT.-POINT OF TANGENCY. -/I--Yf M.F. = WOOD FENCE.
C.M.E CANAL MAINTENANCE EASEMENTS. POC.. POINT OF CONNEN0 HENT, y 0.00 =EXISTING ELEVATIONS.
CONC.= CONCRETE. P.O.B..POINT OF BEGINNING.
C.P.= CONC. PORCH. P.R.C..POINT OF REVERSE CURVE.
C.S.= CONCRETE SLAB. NY=PARKWAY. SURVEYOR'S NOTES:
D.E.. DRAINAGE EASEMENT. PRN+ PERMANENT REFERENCE MONWVENT. 1).IF SHOWN,BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN,BY SAID PLAT
D.M.E.= DRAINAGE MAINTENANCE EASEMENTS. P.L.S.. PROFESSIONAL LAND SURVEYOR. IN THE DESCRIPTION OF THE PROPERTY,IF NOT, THEN BEARINGS ARE REFERRED
DRIVE DRIVEWAY. P.P.=POWER POLE TO COUNTY,TOWNSHIP MAPS.
= DEGREES. P.P.S.+POOL FEW SLAB
E.T.P.=ELECTRIC TRANSFORMER PAD. (R)+RECORD DISTANCE. 2).IF SHOWN,ELEVATIONS ARE REFERRED TO
ELEV.=ELEVATION. RR..RAIL ROAD. BMp ELEV FEET. OF N.G.V.D.OF 1929.
ENCR.+ENCROACHMENT. AES.+RESIDENCE. 3).THIS IS A SPECIFIC PURPOSE SURVEY.
F.H.= FIRE HYDRANT. R/N.RIGHT-OF-NAY. 4).THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:75W FT.
F.I.P.= FOUND IRON PIPE. RAD.+ RADIUS OR RADIAL. }a
F.I.R.+ FOUND IRON ROD RGS.+RANGE.
F.F.E.= FINISHED FLOOR ELEVATION. R.O.S.= ROOF OVERHANG EASEMENT.
ROOF
FOUND NAIL i DISE. SEC.- SECTION. SURVEYOR'S CERTIFICATION:
FT.. FEET• STY.- STORY. I HEREBY CERTIFY.*THAT THIS'BOUNDARY SURVEY'OF THE PROPERTY DESCRIBED
FNIP.. FEDERAL NATIONAL INSURANCE PROGRAM. SNE.. SIDEMALK, HEREON,HAS RECENTLY BEEN SURVEYED AND DRAWN UNDER MY SUPERVISION,AND
F.N.. FOUND NAIL. S.I.P.= SET IRON PIPE L.B. #6044. COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
H.= HIGH (HEIGHT) s•- SOUTH.
ZN.TEG. INGRESS AND EGRESS EASEMENT. . SECONDS. BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 6IG17.4 FLORIDA
.
L.P. LIGHT POLE. T + TANGENT. ADMINISTRATIVE CODE PURSUANT TO 472.027,FL ORI STATUTES.
Z.F.B.=LOWEST FLOOR ELEVATION. TMP TOWNSHIP.
L.M.S.= LAKE MAINTENANCE EASENENT. UTIL.. UTILITY.
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY(SURVEY):
1J.THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. BY,
2).THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING AND SHOULD NOT BE USED /l�O® 7� IBARRA (DATE OF FIELD WDRK)
FOR INA TIONS
OF T PURPOSES. �:J /�-C�
3J.EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MAGE TO DETERMINE RECORDED INSTRUMENTS,IF ANY,
AFFECTING THE PROPERTY. PROFESSIONAL LAND SURVEYOR NO.:
4)
.THIS SURVEY IS SUBJECT TO DEDICATIONS,LIMITATIONS,RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORD. STATE OF FLORIDA
5).LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
N BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE (VAUD COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THEATTESTING
FIELD,COULD BE DRAWN AT A SHOWN SCALE ANOMR NOT TO SCALE. LAND SURVEYOR).
7)
.EASEMENTS AS SHOWN ARE PER PIAT BOOK UNLESS OTHERWISE SHOWN.
8).THE TERM-ENCROACHMENT-MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. REVISED ON:
9).ARCHITECTS SHALL VERIFY ZONING REGULATIONS,RESTRICTIONS,SETBACKS AND WILL BE RESPONSIBLE OF SUBMITTING
PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW
CONSTRUCTIONS. REVISED ON:
OTHERWISE NOTED,THIS FIRM HAS NOT ATTEMPTED TO LOCA TE F0077NG ANMR FOUNDATIONS.
14 FENCE OWNERSHIP NOT DETERMINED.
12).THIS PLAN OF SURVEY,HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON,THE CERTIFICATE REVISED ON:
DOES NOT EMEND TO ANY UNNAMED PARTY.
13).THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE.
Situated in Zone : X Community/Panel/Suffix: 120652-0093-J N
Date of Firm: 07/17/1995 Base Flood Elevation:
Certified to: MARGARITA PARDO AND TERESA ACOSTA
ANGELO P. DEMOS, ESQUIRE w E
ATTORNEYS ' TITLE INSURANCE FUND, INC. �S
AMERICA' S WHOLESALE LENDER ITS SUCCESSORS AND/OR ASSIGNS
AS THEIR INTEREST MAY APPEAR s
A SEAL
582 N.W. 7th STREET SUITE 202 SURVEY No. 04-14064
11AM1, FLORIDA 33126 * .Jnr.
ELEPHONE:(?05)22Q-3171 V
'AX:(305)264-0229
LAND SURVEYORS SHEET No. 2 OF 2
IRA WN BY:ROSA
BOUNDARY SURVEY
SCALE =1':20'
ASPHA�T r r q
Q` f PVAOr s F.I.P 1/2"
` R NOW
75.00' W.M.
F.I.P 1/2" 5' L 0.63'CL
NO CAP
ON PL B.B.a ;
f.
vcis �
r
19.50
LOT-12
BLOCK-207
LOT-10 N cli
BLOCK-207
A.0 O
O � 0.30, .17' N
�C-i 17��'� 0 12.50' V-
0.02'CLV- F� �� I I Q
\�! ONE STORY 0.45'CL
82'
19.70'
0.30'CL RES. #29
LOT- 11
BLOCK-207 fO
cri Z-
1
M
u_ N APPro eti
U 25.13'
in 0�1 /d `
9.80' 11.45'cn 2'C.B.W. V;
0.30'CL FIRE PLACE. N 00 --
14.2V�— 13.20'
STEP
W.
N U" t[j
:.z'" N
.:
F.LP 112" N sDN F.LP 1/2" _
NO CAP '� "� NO CAP"
.• rn
150.00' `o
' _ /� .'•'
B/C
NO CAP
2'4`.PVsllf.'• o
o h
Cl)
c7
23'ASPHALT
0
ME 106th STREET
SURVEYOR'S NOTE:
There may be Easements recorded in the Public Records not shown on this Survey.
The purpose of this Survey is for.use in obtaining Title Insurance and Financing and should not be used for Construction purposes.