DS-15-2628 E a Perri !
awe,®RES Miami Shores Village ''!iT?!(r�j� vfarsirai
• ��,. 10050 N.E.2nd Avenue NE
' }
nl{?t � )nfA- l��rl
Miami Shores,FL 33138-0000
"Sto
Phone: (305)795-2204 ' f.. i
scsu+ te � Expiration: 04/17/2016
Project Address Parcel Number Applicant
89® iibEJ92~Street
�._.�___���� ~^W__ 1132060050130
MIGUEL AND CARLINA ARRONI
PViacl.m'I Shores, FL Block: Lot:
Own(: ,:Jonnation Address Phone Cell
MIGUEL ARID CARLINA ARRONTE 890 NE 92 Street
MIAMI SHORES FL 33138-
,_
890 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Y-� Phone Cell Phone Valuation: $ 5,000.00
HOME OWNER
_.. _.__.. _.._ Total Sq Feet: 1270
Appruvkju. In Review Available Inspections:
Comments:
Inspection Type:
Date Approved:: In Review Final
Date Denied: Foundation
Type f'Alnrk REPAIR REPLACE DRIVEWAY Additional Info: Review Planning
Banc rr. Classification:Residential Review Building �JE
Scanning. 3
Feer ')ue Amount Pay Date Pay Type Amt Paid Amt Due
Bond TVoe-Owners Bond $500.00
Invoice# DS-10-15-57445
CCF $3.00 10/20/2015 Credit Card $621.50 $50.00
DBPR gee $2.25
DCA'ee $2.25 10/16/2015 Credit Card $50.00 $0.00
Education Surcharae $1.00 Bond#:2886
Perms i ee $150.00
Scannic;Fee $9.00
Technology Fee $4.00
Tntx": $6711.50
0
In corisiuLiation of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertain`-,c hereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
acceptinn this permit I assume responsibility for all ,fork done by either myself, my agent, servants, or employes. I understand that separate permits are
require^'fcr ELECTRICAL, PLUMBING,MECHANICA'..,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OV4ra�-_,,c urwil cuiuiy thai all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constn ction an zoning. Futherl nor�orize the above-named contractor to do the work stated.
October 20, 2015
Authorized Signature:Owner / Applica it / Contractor / Agent Date
BOPr-mn". Department Copy
Octc h r 20, 2015 1
Miami Shores Village
Building Department OCT 2015
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 201'-/
BUILDING Master Permit No.,z is /�,-- 2L6 2,ff
PERMIT APPLICATION Sub Permit No.
21"BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
C CONTRACTOR DRAWINGS
JOB ADDRESS: 890 A11E-m d� ��
City: Miami Shores County: Miami Dade Zip: S.3
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type:��—S� Load: Construction Type: �.-E5S Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 11V1Q �" �'��� Phone#:_I '3,C'_(G-°144�0
Address: y lc wH. `t-
City: "k ca4 is Skoy- c' State: �— Zip: �ab
Tenant/Lessee
,Name: Phone#:
Oaf fkik \�OSc gni (@_ ��Cc. C��
CONTRACTOR:Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration M Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 5�ac-TQO as Square/LinearFootage of Work: 112�u.
Type of Work: EJ Addition ❑ Alteration ` ❑ New �I Repair/Replace ❑ Demolition
Description of Work: 1 �4
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 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)
a
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 and a reinspection fee will be charged.
Signature r Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
16 day of 0 G- 20 JJ by day of ,20 , by
11A !) -141-IC14 ho is personally known to ,who is personally known to
me or who has produced -;=p L, as 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: Prl t:
Seal: Seal:
ao � Notary Public State of Florida
Joanna M Feliciano
My Commission FF 082753
Eor1,4 Ezpi 's01/12/2018
04
APPROVED BY Plans Examiner v S Zoning
Structural Review Clerk
(Revised02/24/2014)
,yro'�
o- Miami Shores Village
IIH muni" Building Department
10050 N.E.2nd Avenue
Rl� � Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) -7ro✓t hereinafter referred to as the
owner of the following described property (address): 14 F_ �j 2- Z:N��s
Legal Description Lot l 2 Block Subdivision 6
joArnq
Folio # � n
Requests permission to install (describe work): Zet4CjJe_ zkci J cr �e
Within the public right of way of(address) OW LkicLQ
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the
dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County
to make repairs or maintain said items within public right of way including restoration of
street by reason of the Owner's failure to do so, such expense shall be paid by the Owner
or shall constitute a lien against the above described property until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade
County harmless from any and all liability, which may rise by virtue of permitting the
installation of these items within the public right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense,
within 60 days notice by the Village to do so. Failure to comply with this notice will result
in the Village causing the item(s) to be removed and a lien being placed on the property
and/or assessed against the Owner for all costs incurred in the removal and disposal of
the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant
running with the land and shall remain in full force and effect and be binding on the
undersigned, their heirs and assigns, until such time as this obligations has been
canceled by an affidavit filed in the Public Records of Dade County, Florida by the
Village Manager of Miami Shores Village (or his fully authorized representative).
4Signature -
Owner or Agent
The foreoing instrument was acknowledged before me this 16 day of , , 20 by
who is personally known to me or who has produced
as identification and who did take an oath.
NOT PUB
Si
Print: YIII
My Commission Expires: 3? �oana°br'�sr�rQ
of e801/1
�son ea o 53'da
�yU° s Miami Shores Village
RU. Building Department
10050 N.E.2nd Avenue
R Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: C ��\ �� • PkMCIA IE DATE:
ADDRESS: 01K) �_LE. �'Z_ S Y cam` `io-Hl qLOfcs
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. I 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 as my own 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 responsible for the construction and
is not hiring a licensed contractor to assume responsibility. �
Initial a`l
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own 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 contracts.
Initial Ct�
4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding.I 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 occupancy. It may not be built or substantially
improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale or lease,which violates the exemption.
Initial CTA_
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial �l � `
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial
s
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 property 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 and am aware of the limits of my insurance
coverage for injuries to workers on my property. /%
Initialy��
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor 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.I understand 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 regulations.
Initial ���
10. I 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 contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.html
Initial c+ A
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:
Initial 4��_kL
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on
this disclosure. q
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 this day of OC , 20��
By a��( -�� who w personally knowtasidentification.or who has �` •'�"�
C 0
Produced there License or g
0•TN N
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T
OWNER N ARY W
0CT 15 2019
I �_ _ 100.00' (R/M)
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f PERMIT #: = -
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I f Miami Shores V111a a L
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APPROVED BY DATE
I � 1
ZONING DEPT
fBLDG DEPT .
SUBJECT t 0 CrNIP(.W10E WTrH All FEUERAL
I STATE ANL)U( ISN, r MULLS AND REGULATIONS
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NO R E V I W REQUIRED r-r 6-0 17-1C 15 4 t100D0AT!
i FI)ride Healt Miami-Dade County ,
O.S.T.D.9 &Well Progogn f
Ap lication No.:
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oat : 1n I
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I 100.00' R%M I— �a
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�--- - - - _ N.I. !12 STRUT-
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SITE PLAN9999.9• 0 •
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POR ADDITIONAL INFORMATION SEE PROPERTY SURVEY SCALE: 1/1 W-1-F • �� , 0 0 K O•
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•••••• . •
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9999..
PROPOSE17 NEW FAVE17 PRIVEW . .AY 9999
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.
A PPRES5: 6 41 N.E. q2 STREET MIAMI SHORES FL. 55185 •• 0
OCTOBER 15-2015
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6666..
THOMAS J. KELLY, INr4::• 6666:.
L.B. #6488••••• • :..••:
....
SURVEYORS-MAPPERS-4,4W PLAWER5 .....
8125 SW 120 STREET PINECBEST• FLORIDA 33156 00000
•
(786) 242-7692 DADE -tMl� 779-32aB BRWD 0 0 0•'0
(786) 242-6494 DADE FAX :t9Y43�79-3260 BRWD FAX 0•
• • • • 000000
DATE FIELD WORK ISCALEo:01-1,5--13 v = 2p..• ISURVEY
134rc"44
LEGEND OF SURVEY ABBREVIATIONS Sheet 1 of 2
A.....ARC DISTANCE AIC....AIR CONDITIONING CBS...CONCRETE BLOCK STRUCTURE NOVO...NATIONAL GEODETIC VERTICAL DATUM
C.....CALCULATED C.B......CATCH BASIN O.U.L...OVERHEAD UTILITY LINE PRC...POINT OF REVERSE CURVATURE FLOOD ZONE: X
CL....CLEAR CIL....CENTER UNE P.C.C...POINT OF COMPOUND CURVE RAD...RADIAL _THI5 IS A FLOOD
ENC...ENCROACHMENT P.0.....POINT OF CURVATURE P.O.C...POINT OF COMMENCEMENT RNV...RIGHT OF WAY /HAZARD ZONE
FIP....FOUND IRON PIPE P.O.B...POINT OF BEGINNING BLDG..BUILDING SEC...SECTION ✓_THIS IS NOT A FLOOD
O.H....OVER HANG W.M....WATER METER C.H.....CHORD DISTANCE SCR...SCREENED HAZARD ZONE
P.B....PLAT BOOK M.....MEASURED D.E.....DRAINAGE EASEMENT S.LP.....SET IRON PIPE PANEL NO.% 306/L
PIL...PROPERTY UNE CONC..CONCRETE F.H.....FIRE HYDRANT SINK...SIDEWALK COMMUNITY#: 120652
UP...UTILITY POLE F.D.....FOUND R.....RADIUS U.E.....UTILITY EASEMENT DATE OF FIRM: 09/11/2009
CHLF.....CHAIN LINK FENCE BASE FLOOD: NIA
CERTIFY TO: FINISH FLOOR: N/A
Miguel R Arronte And Carlina T Arronte LOWEST N/A
Columbia Title Of Florida, Inc. D/B/A Ewm Title. ADJ GRADE
W F G National Title Insurance Company
Chase Bank, It's Successors And/Or Assigns
LEGAL DESCRIPTION:
Lot: 1 AND 2
Block: 2
Subdivision: Golden Gate Park Addition
According to the Plat thereof as recorded in
Plat Book: 6 Page: 130
Public Records of MIAMI-DADE County, Florida.
ADDRESS:
890 NE 92ND STREET
MIAMI SHORES, FL 33138 j
Encroachments Noted: NONE
LOCATION SKETCH OU
SCALE:
-- N E - --92 5T_
N '
LLJ
' l . >
l �
23 24 25 26
I
111
:'lam t :�5
NOTES:
A) All Clearances and/or encroachments shown
hereon ars of apparent nature. Fence ownership i
by visual means. Legal ownership of fences not
determined.
B)This survey is intended for mortgage or refinance purposes
only exclusively for this use by those to whom it is
cerNfiad.This survey is not to be used for construction,
permitting,design,ar any other use without written con-
sent of Thomas J.Kelly,Inc.
C) Code restriction and title search are not reflected
on this survey.
D) The flood information shown hereon does not imply
that the referenced property will or will not be free
from Tioading or damage and does not create liability
on the port of the firm,arty officer or employee thereof,
for any damage that results from reliance on sold
Information.
E) The lands depicted hereon were surveyed per the
legal description and no claims as to ownership or
matters of title are made or implied. • •
F) Underground Encroachments,If any,not located. ••••.•
I hereby certify that the survey represented : ••• • ••••••
hereon meets the minimum technical sten- V�••• • •••• •
dards t forth by the Board of Land Surveyors THOMAS J'. K L-W o Yore.• *so***
•
in Ch to 5J-17.050 to 17.052 Fla.Admin.Cade pursuant
Secti 4.027 Fla.Statutes.
L.B. #6486... • �••••�
• •.•.•.
SURVEYORS-MAPPERS-L"Mb PLANNERS ••e•�.
705E R P,S.&M.#4858
STA FLORIDA 8125 SW 120 STREET PINE'L'h& .., FLOR&A 33156 •••••
NOT A 0 UNLESS IMPRINTED WITH AN •• •• •• • see***
EM ss D SURVEYORs'S SEAL (786) 242-7692 DADE•js2U779-3288•BRWD .
•
1. IF SHOWN,BEARING ARE TO AN ASSUMED
(786) 242-6494 DADE FAX : (994;779-3e60 SRWD FAX--:-
•.••••
MERIDIAN(BY PLAT).
2. IF SHOWN,ELEVATIONS ARE REFERRED N.G.V.D 1929. DATE FIELD WORK SCALE �• • • ISCJRVE(yNO.3. THIS IS A BOUNDARY SURVEY. 0115./2013 1 = 1V,I.J' • �J034• •