DS-16-410 s
Miami Shores Village FES 122016
Building Department BY. �--
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/x/
BUILDING Master Permit NOE)SL
PERMIT APPLICATION Sub Permit No.
®BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: l08l, A!E q SV
City: Miami Shores County: Miami Dade 33(3c9
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): AKA /� 1201 AS
Address: /D 9�, lyE eK5tl
City: &L4ILL' S/y0265 State: ,CL Zip: 33/30
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 5Ti (2 _tS L/NO C�2E7`E',DES Phone#: -2:26-?9'/4'
Address: HE /45�3 S i'
City: IVM/3 State: zip:33/�'z
Qualifier Name: H,4 4WZ CoaW4aS
State Certification or Registration#: Certificate of Competency#:E21�/qo3
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
ue o 0.O
Type of Work: ❑• Addition ❑ Alteration ❑ New #
j❑ Repair/Replace ❑ Demolition
Description of Work: =NSTA& A 2 C AI? 4,4
Specify color of color thru tile:
2D
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ oo Radon Fee$ 2� DBPR$ °fes Notary$
Technology Fee$ S Training/Education Fee$ /.�U Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 20
(Rev1sed02/24/2014)
}
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 a absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ��'� Signatur
OWNERorAGENT N RA OR
The foregoing instrument was acknowledged before me this Thef oin instru e k owledged before me this
day of ��'''"�"'�� ,20 1 ,by d y of 20 by
Q RcLqAS .who is personally known to rC� s who is personally known t
me or who 1 iss p.aduced as me or who has produ a t
LARRY E TENOR:
identification and who did take an oath. identification and d) to r*o COMMISSION to FF22 ;
34;.. April NOTARY PUBLIC: NOTARY PUBLI EXPIRES Ap 130.2099
•t'� {g•d'6i _ PhgtWilNutttrotle•vr cu.�
Sign: Sign:
Print: Caridad E.Lane t•
Seal: CARIDAD E. I:
MY COMNQSSION 0I
. EXPIRES:July 23.2019
ov
APPROVED BY a t Plans Examiner r Ca Zoning
Structural Review Clerk
(Revised02/24/2014)
. l lflflf Illlf 1111f l�flf[�llf l��l�Ill[ llll f��l
CF'N 2016R00907 63
OR BK 29961 Rss 1921-1923 (3Fes)
RECORDED 02/12/2016 12:11:30
DOCUMENT COVER PAGE HARVEY RUVINP CLERK OF COURT
MIAMI-DADE COUNTYP FLORIDA
For those documents not providing the 3 x 3 inch
space on the first page,this cover page must be attached.
It must describe the document in sufficient detail to ,
prohibit its transference to another document.
An additional recording fee for this page must be remitted.
------------------------------------
(Space above this line reserved for recording office use)
Document Title: !t/- -�✓✓ ,_� G ��'
(Mortgage,Deed,Construction Lien,Etc.)
Executing Party:
Legal Description:
(If Applicable)
As more fully described in above described document.
Return Document To/Prepared By:
(Relevant excerpts)
Rule 2.520(d)On all..documents prepared......which are to be recorded in the public records of any
county...a 3-inchby 3-inch space at the top right-hand comeronthe first page and al-inch by3-
inchspaceatthetopright-handcomeroneach subsequentpageshallbeleftblankandreservedfor
use by the clerk of court.
F.S.695.26 Requirements for recordinginstru ments affectingrealproperty—
(1)No instrument by which the title to real property or any interest therein is conveyed,assigned,
encumbered,or otherwise disposed of shall be recorded by the clerk of the circuit court unless: �p co
CLERK
�~ CLERKcQ.
(e)A 34nch by 34nch space at the top right-hand comer on the first page and a 1-inch by 3-'
space at the top right-hand comer on each subsequent page are reserved for use by the clerk ftl §
court...
IN GOD WE iRUgr�
CLK/CT 155 Rev.04/15 CierWs web address:www.miami-dadecierk.com
.5�► �s Miami Shores Village
Building Department
10050 N.E.2nd Avenue
'% Miami Shores, Florida 33138
"lpRrpA Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) Ana M. Rojas hereinafter referred to as the owner of
the following described property(address): 1086 NE 96 Street, Miami Shores, FL 33138
Legal Description Lot 3 Block 81 Subdivision Miami Shores Section 3
Folio# 11-3206-014-3480
Requests permission to install(describe work): F%o t2,4 jrAlF PAc/E2
Within the public right of way of(address) 1086 NE A'�S1" h1•FiM- 5h/o1ZES 66 3.3138
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.
�o cowry
a�P CLERK C"
1 9�i M oou WERu�'�
OR BIK 29961 PG 1923
. UAST PAGE
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).
SIGNED,SEALED, EXECUTED AND ACKNOWLEDGE on this 29 day of January ,201e'
AMA �J�Are Signature)
SIGNED, SEALED,AND DELIVERED in the presence of:
; '"'•";;•: LO O
MY FF2 5726
q. ,201e.ta�•
STATE OF FLORIDA,COUNT OF DADE CO
"60613Y CERTIFY thatlhiS is a Nue copy of Me ♦ CURE t+
ngrnal
Ffiled in this office on day o/
O �C
ES 12 2019 ._._ AR 20 s '
tNTNESS my and Ofhcal Seal.
f
� 1)Ev RUlnllf}. �Ca+orata�CaoadjrCama
2
Molt#bolt
Top"4 pO 8trrPsa#WtWeRt►
�4 mi+++gts�id
W hawk.smsmpmorod
YINIMTo6®ahea l r tib1oftftNAM
('-(1-7—
t t7— 0S "2 — t�` y17,2018
Rem Vedaat,Drfveways by Design MAY I'S 2015
2199 NE 163 Street BY:
Miami,FL 33138
RE:1OWMeatlon to a Sin&Family Resfdeno e-No Betfrom Addillm
Appliestim Dommu t Number, AP124
Conbm Perndt Number. 18410•18ON"
1086NE90S
UIwnaf Shoria,FL 33188
Lot 4 Rkwk 81 Subdivision:Mismi Shores Sea 8
tea'int,
Tfds will acitnowledge receipt of a Floor pin and site plan on tk (Ot12016 W theuse of the existimg
orwite sgwaga beatmant and disposal system located on the abon referenced property. No
OBJECTION
New Driveway
A.Edwards
This office has reviewed and vedfled ter floor plat and site plan you submitted,for the proposed
remodeft addition or modem to your sht k may home end on the Infonnation you provided,
the Health Department concludes OW the proms remodeling addition or modification Is not adding a
bedroom arsd fieri it does not appear to cover any pert of tine exkft system or efwFW ch on the
required setback or unreacted arae. No existing system Inspection or evaluation and assessmeK
or modification,replacement,or upgrade aWmizaton Is required.
Because an Inspection or evaluation of the existing septic system was not conducted,the Department
cannot atm to the exling system`s current condition,size,or adequacy to se+o the Wgxwed use.
You may request a voluntary mon and assessment of your systern from a licensed septic tank
comb or plumber,or a person certified under sect 381.0101, FloridaStatutes.
if you hwxe any questions.please deli our office at(305)623-WW.
Sincerely,
Astrid V. Edwards
Engineering Supervisor III
Department of Health in Dade County
11w11rlr1oMo���� �a����
in Do&cow...FIN WA"MHOW>"nccseoac�t ,KA
a (30) o
Scarined by CamScannW "
Miami Shores Village �' E •• ,` " ,
10050 N.E.2nd Avenue NE s
' Miami Shores,FL 33138-0000
� 3
Phone: (305)795-2204 4, z
x y xrr 3
Expiration: 10M612016
Project Address Parcel Number Applicant
1086 NE 96 Street 1132060143480
Miami Shores, FL Block: Lot: ANA ROJAS
Owner Information Address Phone Cell
ANA ROJAS 1086 NE 96 Street
MIAMI SHORES FL 33138-2552
Contractor(s) Phone Cell Phone Valuation: $ 6,300.00
STAR ISLAND CONCRETE DESIGN Ct 305-253-5151
_::::__ ..._w- Total Sq Feet: 700
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:INSTALL A 2 CAR DRIVEWAY WITH OLD C Additional Info: Review Building
Bond Retum: Classification:Residential Review Planning
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20 Invoice# DS-2-16-58688
DBPR Fee $2.00 04/18/2016 Credit Card $99.20 $50.00
DCA Fee $2.00
Education Surcharge $1.40 02/12/2016 Check*1711 $50.00 $0.00
Permit Fee $125.00
Scanning Fee $9.00
Technology Fee $5.60
Total: $149.20
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 LAICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAV aforegoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an I authorize the above-named contractor to do the work stated.
April 18,2016
ed Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 18,2016 1
• • • • • • • ZONING DATA
7 (»8 (2)M SASH AND POOH ROOM I lash
OQBW70 tl8@ 1ST MOOR 1176 SP. P 4 tr ]00 SF.OBAOL
7 OARAOS 361 SP.
• • P • e TOTAL "17WPM-
S►. _ _.M= � \
• • • • a • •
e
• LEGAL DESCRIPTION _.___:__
•
•• • • • •• ••• •• 1 a a°•
• • • • •
• • • :tea►wua �s � s_ ,_ +s2 as Pym � _ _„ I ����
••• • 4CDCA!TdON MAP
• • • . • Geos aR o�me awa,L aanDA
0
PROPOSED SITE PLAN
SCALE. 1/1 8••=1'—O'•
ig�I6�RO P27116�T{8A7UR[8 OD AOJAIiM'/PR188 AND
AMO66 06 SI18LT ANT YAY APAYOT TR6118TO1 OOlTAW1SON
LtJ Q
UJ 112i�r•161i�6�NM6m
NER C'Oti'•IWB I ----- --___� ------___
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q\C► - - c � V °TO RFMMM,
o z FEB ISMS
D o µ,
K PROPOSED FLOOR PLAN
m ' t D 1 �: scALE: 1/4-11•_o" A- 1
1 14
1. OI 9 ®RM�e
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1 T
Parcel Owner Report
Parcel Number: 1132060143480 1086 96 Street
Miami Shores FL
Tax ID: 1132060143480
Owner Information
ANA ROJAS Current Owner:Yes
Phone:
PATRICIA SASTRE Current Owner:Yes
Phone:
Related Permits Permit Number Application Date Expiration Date Status
Driveways/Sidewalks/Slabs — DS-2-16-410 02/12/20 10/17/2016 APPROVED
Electrical-Residential EL-3-16-803 03/25/2016 01/01/2999 APPLIED
Electrical-Residential EL-3-16-599 03/04/2016 10/11/2016 APPROVED
Electrical-Residential EL-3-16-598 03/04/2016 10/12/2016 APPROVED
Garage Sale GS-6-11-1149 06/24/2011 01/01/2999 CLOSED
Imported Permit BP2005-104 01/24/2005 01/01/2999 CLOSED
Mechanical-Residential MC-9-11-1671 09/12/2011 01/01/2999 CLOSED
Mechanical-Residential MC-3-16-802 03/25/2016 01/01/2999 APPLIED
Plumbing-Residential PL-3-16-615 03/08/2016 09/06/2016 APPROVED
Plumbing-Residential PL-3-16-801 03/25/2016 01/01/2999 APPLIED
Pools/Whirlpools/Hot Tubs -CBPP-3-16-799 03/25/2016 09/21/2016 APPLIED
Re-Occupancy REOC-2-11-255 02/15/2011 01/01/2999 CLOSED
Residential Construction RC-2-16-433 02/17/2016 10/10/2016 APPROVED
Roof RF-9-06-2367 09/19/2006 01/01/2999 CLOSED
Windows/Shutters WS-3-11-458 / 03/15/2011 01/01/2999 CLOSED
CAf
Itla./
Thursday,April 21,2016 Page 1 of 1
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BY 1QVENU
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z.(0)N1n---(G,°Ep-r
BLDG DEPT Inn
SUBJECT "0 C(=hIpLlPNCE VvI FH ALL FEDERALm<
STATE ANL)[ LIN-,Y ri[ LAS AND REGULATIOPIS
:w" OF n1pil Y wriltvny
FOR: 1086 N. E. 96TH STREET, MIAMI SHORES, FLORIDA 33138
LEGAL DESCRIPTION: CERTIFIED TO:
LOT 4, BLOCK 81, MIAMI SHORES SECTION NO. 3, ACCORDING TO THE MAP ANA M. ROJAS.
THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 37 OF THE PUBLIC RECORDS OF
MIAMI-DADS COUNTY, FLORIDA.
GENERAL NOTES I HEREBY CERTIFY THAT THIS SKETCH LEGEND 8 ABBREVIATIONS
OF SURVEY OF THE HEREON =CONCRETE8.,.-BLOCK CORNER A.E.•ANCHOR EASEMENT
cam-•-+•CONC.RLOCK WALL E°PROPERTY LM D.E.=DRAINAGE EASEMENT
1. LEGAL DESCRIPTION PROVIDED BY OTHERS,UNLESS OTHERWISE NOTED. DESCRIBED PROPERTY IS A TRUE AND -WOOD Lm5aK t°CENTER LINE ENCR.a ENcRoacHEmENT
2. THIS SURVEY DOES NOT DETERMINE OR IMPLY REAL PROPERTY OWNERSHIP. CORRECT REPRESENTATION OF A ®°BRED AREA X-MONUMENT LIE F.F.EM.°FINISHED FLOOR
ASPHALT CALL.-CALCULATED ELEVATION
3. THE LANDS SHOWN HEREIN ARE SUBJECT TO RESTRICTIONS OF PLAT(S)OF SURVEY MADE UNDER MY DIRECTION _ -�_-CHAINUNKF&SEc M.-FIELDMEASIr�D N.T.S.-NOT TO SCALE
AND SAID SURVEY MEETS THE -�� +�-° FENCE
ES c O P•YP'PER PLAT P.B.-PLAT BOOK
wo
RECORD,THERE MAY BE ADDITIONAL RESTRICTIONS THAT MAY BE FOUND IN THE _G d_. T .- TYPICAL O.R.B.-OFFICIAL RECORD
MINIMUM TECHNICAL STANDARDS AS A-ARC DISTANCEF ENC P.R.M.-PERMANENT BOOK
PUBLIC RECORDS OF THIS COUNTY,AFFECTING THESE LANDS. L.LENGTH REFERENCE MGNUN@NT M.M.-MAN ROLE
4. MEASURED VALUES OF BOUNDARY DISTANCES,DIRECTIONS AND INTERIOR ANGLES, SET FORTH BY THE FLORIDA BOARD A-CENTRAI_ANGLE T�TA P.C.P.°PERMANENT CONTROL C.B.S.-CONCRETE BLOK
y 14V
OF PROFESSIONAL SURVEYORS AND R°RADIUS o'R'TTAIL-Farm MAIL O.H.L.-OVERHEAD LrtaNTY
v HAVE BEEN FOUND CONSISTENT WITH VALUES QF R%QRD,UNLESS OTHERWISE MAPPERS IN CHAPTER 5J-17 FLORIDA P.i=POINTANOF TANG@NCY FD.AIH=FOUND DRILL NSE LONER
Cc: SHOWN. •• ••• • • P.C.°POINT OF amvATWE
C" Lv C • • • • • • ADMINISTRATIVE CODE PURSUANT TO Vr DIAMETER 112-I..--FOUND IRON PIPE e.A FACILITIES
m o ro z 5. ELEVATIONS, IF SIVWN,ARCR&MRLD O ,�Y V.C. 929. P.c.c.-POLNroFcoMParmarKE
m C'N w< • '� SECTION 472.027 FLORIDA STATUTES P.R.C.-POINT OF REVERSE CLINE PD. -,-FOUND MO REBAR ,ATV=CABLE UTILITY Boz
6. UNDERGROUND IMPR@VEMER:S,tO0TIlG AMD WTILITIES ARE NOT LOCATED ON ,H°CHOW �•P. -Palm FOUND W.n.-WATER METER
Fp.P.K.NALL a FOlrm ww a RIGHT WAY
w+— THIS SURVEY MAP.•+• ••• •• • • • •• CH.. MARK PARKER-KW.-N KWL ELEV. ELEVATION
m ' 3 z 7. FENCE OWNERSHIP NOT DETERMINED,APPARENT CLEARANCES AND/OR
THE BEST OF MY KNOWLEDGE AND aR-SFARINORIR-URE"CC P.S.M.-PROFESSIONAL TWS. TOOVINNSr
m 'O— o BELIEF. T.a.n.a TErVoRARr eENcx PAR K
F ° i n ENCROACHMENTS ARE NOTED BY VISUAL MEANS ONLY. P.r.-POWER POLE ac-AIR C-NDITI-�R PAD RG.-RANGE O
p 01- W O D.M.E.-DRAINAGE A MAINTENANCE TxO,7RnNSFo R SWK•SIDEWALK N
-u zD 8. NO IDENTIFICATION CA$§C FOUND.94 SIBIR,ViEY MONINMEV,,UNLESS OTHERWISE EASEMENT .O -FXISZGELEVA-nm n
o 9 x CA y 9. THE SCALE,AS SHOWN�•j THg I(&NDECSPLoiTT4NG SCQLC of THIS MAP. FLOOD INsuRANcE RATE MAP(FIRM) INFORMATION: rn
m ..a; i 10. THIS SURVEY IS EA�USWGLY FOR WE r OF _ ES TO WHOM IT IS COMMUNITY NUMBER: 120652 PANEL NUMBER: 0306 _
c Z CERTIFIED. •• • • ODALYS C0 . BE
LLO-IZNAGA SUFFIX: L ® PANEL REVISED DATE: 09/11/2009
z a 1- II. THIS SURVEY MAP AND THE COPIES THEREOF,ARE NOT VALID WITHOUT THE PROFESSIONAL SURVEYOR ii
FLOOD ZONE: X
c 6 ^' ro w SIGNATURE AND RAISED SEAL OF A FLORIDA LICEENSED��SSURVEYOR AND MAPPER. &MAPPER No. 6169 N
0 9 12. ADDITIONS OR DELEI�MS�f0 SUUPP��VPP�/tt�►►PPS" !FPORTi6 BY OTHER THAN THE STATE OF FLORIDA BENCH MARKS USED:
cn a c14 SIGNING PARTY OR P/l��TIE�� IS P$OWBNIIED WITHQUT V41TTEN CONSENT OF THE FIELD WORK DATE: 11/05/2015C •
CA ^' SIGNING PARTY OR PART1EG. • • • • • +
N
A.
•• ++ • • + •• •• COMPLETION DATE: 11/09/2015 MIAMI-DADS COUNTY B.M. NO.B-62 ELEV. = 8.66' o
• • ••+ • • AND B.M. No. N-800 ELEV.= 9.34'