The URL can be used to link to this page

DS-13-1692 Miami 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 FBC 20 BUILDING Permit No.S)5_ 11(09�_ PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS:-/9/0 I—Al,?l fijrj6 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(FeeNSimpl`e,Titleholder): G l/�t ®/7 Phone#:3 OS�2 —f J�o Address: 10/ 04 • �l A l�/�i * ,1 e City: .S l AIL S State:F� Zip: 3 31 YO ,renant/Lessee Name: Phone#: Email: — -- _ CONTRACTOR:Company Name: ES i" Ct Coy cx?.Te WO Phone#:�'!06"3 fO JS)q Address: `��I ywil M 0 City: W-A-!AA State: ) c. Zip: 3 /� �q Qualifier Name:� L J/V �J ?1 N 19,5 4 Phone#: ��6Q_3 y 0_ fS,. ) State Certification or//R��egistrattio/n#: Q Certificate of Competency#:a S!6 S 0 0 `. `Z 46 Contact Phone#: 'Ab-3L --T Y: "I Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ 1 0 DV`"- Square/Linear Footage of Work: 0 Q Q Type of Work: OAddition ❑Alteration New ❑Repair/Replace ODemolition Description of Work: ECA-14Z (AAlclf-are 0/LIIIP WAL1 Color thru tile: Submittal Fee$ Permit Fee$ V CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) M 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 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 sote posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abs c of such posted notice, the inspection_will not be roved w a reinspection fee will be charged. Signature Signature caner or gent /Contractor 1e� The fo ego' g mstrum t was ackno a ged before me this The forego' g instrument was acknowledged before me this day of VIZ ,20 13,by day of b �►!2 ,20 / 'by , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ry NOTARY PUBLA • o.,Iw Notary Punic state of Florida VV 0, Notary Public State of Florida ra ,^� : . USn@y Abin '0 `8 llgney Abin My Commission EE 188977 Sign: My Commission EE 188977 Sign: 04/12/2018 Print: 5 n Print: /5 R My Commission Expires: ��//lir My Commission Expires: T***7* ****** APPROVED BY � � Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) CFN 2013RO569426 NOTICE OF COMMENCEMENT OR 8k 28732 P9 1537; (Ips) A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 07/19/2013 14*17'.29 HARVEY RUVIN? CLERK OF COURT 0 nIAMI-DADE COUNTYr FLORIDA LAST PAGE PERMIT N '--TAX FOLIO NO. STAT)z Ue�L -.4-4 A. 'j STATE OF FLORIDA: r,q FORd In y tow on dey of COUNTY OF MIAMI-DADE: A.D.r� WNESS THE UNDERSIGNED hereby gives notice that improvements will be mftWtQv%&",rj0kRK property, and in accordance with Chapter 713, Florida Statutes, the follftnakLomatio is provided in this Notice of Commencement. 1. Legal escription of roperty and street/address: 12 A4e 4_ /0100 Al. A"Z-41 hVe W44-41 _99-0M_5 TZ 33730 2. Description of improvement* P6,41& CO&C11fle PA IV(f X/ 3. OEner(s) name and address: 111 A 9®Adf 21;: --tf 10 q XV, UtAkil Ac4e ut,44&i .5bylte5 331L�q Interest in property: Name and address of fee simple titleholder: 4. Contraclor's ripme and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: 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 and Address: 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 different date is specified) Sign re of Owpef- Print Own(LiName Prepared by AN Notary Puw� ift of Horicia Sworn to and subsc min "I day m*W20 Wires 77 EXPIM W12MIS Address: Notary Public: Print Notary's Name: My commission expires: A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD 08/20/13/M PRODUCER Florida Bankers Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 7278 SW 8 Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Miami,FL 33144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (305)266-6493 Fax (305)262-0679 INSURERS AFFORDING COVERAGE NAIC# INSURED ESPINOSA CONCRETE INC INSURER A: CONVINGTON SPECIALTY 15441 SW 160 St INSURER B: PROGRESSIVE EXPRESS INS.CO. MIAMI,FL 33187- INSURER C:INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR t DATE MWDD DATE(MM/DDIM LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000.000.00 ©COMMERCIAL GENERAL LIABILITY DAMAGE TO VBA228002 04/18/13 04/18/14 PREMISES(Ea ocaurence) 100.000.00 Ll El CLAIMS MADE © OCCUR MED EXP(Any one person) 5.000.00 A ❑ ❑ PERSONAL 8 ADV INJURY 1,000,000,00 ❑ GENERAL AGGREGATE 2,000,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1,000.000.00 ❑d POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO 01794813-1 08/17/13 08/17/14 (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY 10,000.00 I B ❑ © SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS ❑ NON OWNED AUTOS BODILY INJURY 20,000.00 (Per accident) ❑ PROPERTY DAMAGE 10,000.00 ElPer accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE El ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND _ EMPLOYERS'LIABILITY ❑ OCY LIMITS ❑ ERH ANY PROPRIETOR/PARTNER I EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL MIAMI SHORES VILLAGE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2 AVE THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY MIAMI SHORES, FL 33138 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE151v&* w ro ACORD 25(2001/08)CIF ©ACORD CORPORATION 1988 Rick Scott mission: rtc�d� 7�a�t iii�� Governor To protect,promote&irnprove the health of all people In Florida through Integrated John H.Armstrong,MD,FACS state,county&community efforts. HEALTH I TH State Surgeon General&Secretary Vision:To be the Healthiest State in the Nation July 18, 2013 (Espinosa Concrete Inc) 15441 SW 160 Street Miami, FL 33187 RE: Contingency Letter Application Document No:AP1114115 Centrax Permit Number: 13-SC-1484324 OSTDS Number: 10109 N Miami Ave Miami, FL 33138 Lot:13 14 Block:11 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 07/15/2013 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 contingency letter is to authorize Ms. Lina Gomez to construct a concrete driveway on the west side of the property. This project has no impact on the existing onsite sewage treatment and disposal sysstem. If you have any questions on this matter, please call our office at(305 - 51. Sincerely, a' Paul Andre, P fess io�na'hEngineer Supervisor I "r,-"FP{OVED nay s OEPT n nclosures r IT 41 18 JE CT TO COMPLIANCE 1MTti ALL FEDERAL nT='AND COUNTY RULES AND REGULATIONS `l Florida Department of Health www.FloridasHealth.com In DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St,Opa Locka,FL 33056 FACEBOOK:FLDepartmentofHealth PHONE:(305)623-3500.FAX:(305)623-3645 YOUTUBE:fldoh JOHN IBARRA & ASSOCIATES, INC. Professional a do Surveyors & Mappers • r 777 N.W.72M$AVENUE SUITE 3026,MIAMI.FLOMM 33120 TELEPNON ft 13")2024KW I FAX:(306)202.0401 W W W.IBARRALANDSURVEYORS.COM MAR OF BOUNDARY SURVEY 10109 NORTH MIAN AVENUE,MIAMI SHORE �oaE�EN�MOrEs: w l3"qP s AS A. pvStlPRT T04=24.9l' j0'C o4AWK: PL Q I' 104W C9 lid 0�9 147 CL. 1 ,G7 ti� 0� PL. i ltffyo f �TERo /,;-4--�. z P I 0 . . 28.38' � � •� t.trCL. «, E ��j - �I T W.F. ; m 1.W a- y LOT-14 I LOT-13 I p, BLOCK-11 f LESS Ac 3 FEET I BL -11 I $ I 4046 to?� - AV1114-110 I ry r J ta:ABPFW.T l 119 =�: ' �• • - P1lAR` ,fit'. f T '� `• � f F.I.P.1/l------ -----LOT-16 --- --- NO CAP BLOCK-11 OAL DESCR/PWN: 5 ' DRAWN BY: DA q LOT 13,LESS THE NORTH 5 FEET AND LOT 14,BLOCK 11.AMENDED PLAT OF GTIFIC MIAMI SHORES SECTION No.1,ACCORDING TO THE PLAT THEREOF,AS d RECORDED IN PLAT BOOK 10,PAGE 70,OF THE PUBLIC RECORDS OF SQA STATE t� O MIAMI-DADE COUNTY,FLORIDA CERTIRCA170N., 0&2&M3 i- JOB NO: 13-4MM .1 �'.!�tORi9?'•5� PEREZ-ARENA 8 GONZALEZ,LLC. �l LAS OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY SPACE COAST CREDIT UNION,ITS SUCCESSORS AND OR ASSIGNS,AS THEIR SHEET: Z OF 2 LB.#7808 SEAL INTEREST MAY APPEAR - -