DS-16-867 1
Miami Shores Village -� :
Building Department MAR 31.2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fag:(305)756.8972 ��` —
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 I LL
BUILDING Permit No. 16 16- 864
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS: 333 Ir F, 402-
City: Miami Shores County: Miami Dade Zip: 33V38
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): o N Phone#:9 9C-'304'a 665
Address: 333 J� QO2 s
City: Q�..: �. State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Co any Name: VAS N Phone#: -
Addr S Y�
City: ,a State Zip: 31t GIG
Qualiffer Name: ktke= F`iV er Phone#:
State Certification or Registration#: Certificate of Competency#: 9(-7C(CQ O G Lf
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit: 0 40. D,--) SquarelLinear Footage of Work: Q60
Type of Work: OAddress lteration U;Ne Repair/Replace (]Demolition
Description of Work: 110 L chOA
R6 6f
x+x����x�+x�x�xx�x��sxa��xxx��xxx���x���xFeesx���a�s�xxx�x���+x���aa���xa�axxxx�x�anxxxxax
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$Q, cp Radon Fee$ a- 0\- DBPR$ a-e� Bond$ �� ' ��
Notary$� Training/Education Fee$ Technology Fee$ 6
Double Fee$ Structural Review$ _
TOTAL FEE NOW DUE$_ I • 2.0
k49 '
s
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 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
1WROVEMENTS 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 ab ence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing' strument was a owl ged before me this The fo instrument was acknowl ged fore this 1&f4
day of ,20 by day of 201k,by
who is personally known to me or who has produced t 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.
NOTAR NOTARY PUBLIC:
MY 13.oN i oaa
Sign: Sign:
Print: Print
My Commission Expires: My Comimsston xpires:
APPROVED BY f L Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
I &A
t �
MIMI": Rick Scott
To protect,promot3e&inprowths haft Gouetnoc
ofaipeopleinRaridaharghirdecy
��&amnrifty�• amed Or' a Celeste Philip,MD,MPH
HEALTH UderimState Stageon Geneai
Vision:To be ft Hmgtftd Shft In to Ndm
March 22,2016
Artistic Concrete Group /
6845 NW 53 Terrace rp'
Miami, FL 33166 � �F�� b
MAR 3 2016
RE: Modification to a Single Family Residence-No Bedroom Addition
Application Document Number: AP1230772 BY:
Centrax Permit Number: 13-SC-1669161
333 NE 102 Street
Miami,FL 33138
Lot:16 817 Block:37 Subdivision:Miami Shores Section 1
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 03/18/2016 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. This project
entails the construction of a driveway,walkway and patio.
No objection letter issued on March 22nd,2016 by Paul Levelt Andre.
This office has reviewed and verified the floor plan and site plan you submitted,for the proposed
remodeling addition or modification to your single-family home. Based on the information you provided,
the Health Department concludes that the proposed remodeling addition or modification is not adding a
bedroom and that it does not appear to cover any part of the e)asbng system or encroach on the
required setback or unobstructed area. No existing system inspection or evaluation and assessment,
or modification, replacement,or upgrade authorization is required.
Because an inspection or evaluation of the existing septic system was not conducted,the Department
cannot attest to the existing system's current condition,size,or adequacy to serve the proposed use.
You may request a voluntary inspection and assessment of your system from a licensed septic tank
contractor or plumber, or a person certified under section 381.0101, Florida Statutes.
If you have any questions, please call our office at(305)623-35
Si cerely,
Paul eve Andre
Prof ien�tl f npir�j clugeryWr I
Depart gt'Ke4tt=irCQJd6JCounty
• ••• ••• • • •
In Dade County• •,Florida TWITTER:HealthyFLA
PHONE: (305)623-3500 FACEBOOKFLDepartmentotHealth
••` • ` ` • ••• • • YOUTUBE:fldoh
• • • • • • • • • •
••• •
• •• •• ••• • •• ••
• ••• • •
OR U 29985 Fos 56-57 QPss)
DOCUNENT COVER PAGE RECORDED 03403/`016 11:45419
HARVEY RUVINY 't:LER1: OF COURT
MIAMI-DADE COUNTYP FLORIDA
For those documents not Providing the required 3 x 3 inch _
space on the f rst page,this cover page must be attached..
It;nest describe the document-in sufficient detail-to
prohibit its transference to another document.
An additional recording fee for this page must be remitted. -
'------------------------------------
(Spaceabovel&1m rwerve&f0r==_dm90Mcevse)
Document Title:
t e: 1(�9�V
(Mortgage,Deed, Cotc-St tionLien,
Executing'Party:
Legal Description:
(If Applicable)
As more fully described in above described document.
Return Document To/Prepared By:
(Relevant eXcerpt s)
RulRule 2.520(d)On all..documents prepared......wbich are io be recorded iu the public records of any
e
a3-inchby3-inchspace atthetopright hand comeronthe Br0page and al-inchby3-
incbL paceatthetopright handcomeroneachsubsequentpageshallbeleftblankandresmedfor
use by the clerk-of court
F.S.595.26RequiremmbforrecmTmginstrmnEalsaffeclhg�aI.B1 ;ro"•• 9:00: .;•
(1)No iastmment by which the title to teal property or nay interest therein is CMVerA USIP4 ooUlyp
encumbered,cr otherwise disposed of sh2nbe recordedby t?ae de"Ofth„G4=�Ltcoaztu,"e �vCLERK yr0.
(e)A 3-mch by 3-inch space at the top right hp=d comb on2heTustpagg and a is inc; Thy
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CL JGT 155 Rev.04/15• •:• :• O Oa&o mo gds.+�a�w.miami-dadecieric=n
OR
LAST�485 PAGE
PG ��
`F{ Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner Nt, hereinafter referred to as the
owner of the following d cribed pro (address):
Legal Description Lot Block Subdivision
Folio#
Requests permission to install (describe work}:
Within the public right of way of(address) NF c
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 Rem(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 Rem(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 itein(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).
Signature
Owner or Agent
for Ing i trumenrn
Tq was acknowledged before me this 3r day of 20 byT!
Ceto is personally known tome or whtf h8S pro' WCeti .••
as identification an ho did take an oath.
. .. . . . . ... .
.. ... .. . . . ..
NOTAR,Y PUkIC:
Sign: :0 00
. . 0 :
. . . . . . .
Print: a •• . .
MY Commission Expires: •• toOF
af c
�Y PNS; MARIA DE BRUZOS
+; MY COMMISSJF in 9*Off• 0f
EXPIRES:August 90 • p.ID. 8
'fi;FA! Bonded Thu NotaryZubhc�n
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N. 103
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- i O.S.T.D.S.Ik Well Program13
! o 19.30' o /C SLAS = Application No.: " L mL o 7?2
xX ..
D o 6 es B Date: 2.o t LOCATION SKETCH
10.00' 23.00' Signature
W +
12 z LEGAL DESCRIPTION: The East 17 and the East 1/2 of Lot 16, Block 37, AN DELTA SURVEYORS, INN
ONE STORY AMENDED PLAT OF MIAMI SHORES SECTION NO. 1. according to the Plat thereof, as 13205 SW 137TH AVENUE
S% Z RESIDENCE 4 recorded in Plot Book 10 at Page 70 of the Public Records of Dade County, Florida. SUITE 225 WALDO F. PAU
m FLORIDA 331tf6 PROFESSIONAL SURSIEYOR AND MAPPER
NO• 3 ® i SURVEY fE1R: f.AIiLOTTA ANGEL
�v- n Cd I S 333 NE 102ND STREETten 305-253-0809 CERTIFICATE L �AnON
`` ` p'j 1� 1 MIAMI S FLMOA 33138 FAX: 305-253-0833 i •t4i OF.�0•A 00000
W 21.80, W 1 HEREBY•C!MTIFY: That the SKETCH OF SURVEY of the abowe captioned Property •• • • •
33 ••
O O was completed under my and/or direction.'to the best of my knowledge ief. t) FLO®D zc X •••••• PANE. •••••
O ThM eurvsy masts er exceeds the Mlrtlrtrtxn Teehnleol Stondorde set forth by hTe d COMMUNITY NO. 120652 DATEeOF MAP. 3-2_gq
wr 2) DEW MAY BE ADDITIONAL RESTRICTION VAA9•ARE NOT st l ON •
o 4 Land in t Ch 61G-17-6 Fkorldo Adm* Cade. Pursuazr ••..•
617. � of Lan 7, Fl Statutes SURVEY THAT MAY BE FOUND IN TM6i JC 1 CO S THIS •
.o pI AUPtER ! DEQ TA 3) EXAMINATION OF ABSTRACT aF TITLE wel NAGE TO BE A�WIb COUNTY so:**,
as l SINE REtODED XrISTRUMMTS, Fb W*4§ffCT"PROt]ERTY ••ot••
DELTA SU VEYDRS„ INC. . 4) LOCATION AND IF AITIFFCATIfON OF UTIUV^.r ANY ASL•VW4N IN
se 13205 SII 137TH AVENUE ACCORDANCE WITH RECORDED PLAT ....
Y 0 �� �� SUITE 225 WALDO F. PAEZ 5) OWNERSHIP IS SISECT TO OPINION O=-Mr• • •
m R!pp -- '%4 1r a- .-0 MIAMI. FLORIDA 33166 AL SURVEYOR AND M 5) TYPE OF SURVEY. BOUNDARY SURVEY• i • • *90111*
Z ?t [V Z NO. 3284 ( ••••••
CD + 1N p Z 30.5-253-0809 CERTIFICATE AUTHORIZATION ` 7) LEGAL DESCRIPTION: FURNISHED BY CLIENT RE AAD THE •
N FAX: 306-263-0933 L.B. NO. 3386 8) T}6S SURVEY IS NOT VALID WITHOUT TEj£ •00*
•� ! v b. ORIGINAL RAISED SEAL O' A FLORIDA LISMS�EIPSiRVEYRiiMiff AIA
• 4r STATE FLORIDA 8) THIS PLAN OF SURVEY. HAS BEEN PREPARED FOR THE�f�E ! USE OF
THE ENTITIES NAMED HEREON. THE tERT1FK;ATE DOES PIAT TO
' ANY UNNAMED PARTIES
10) UNCIERGROUND UTILITIES ARE NOT DEPICTED HEREON. CONTACT THE
RECORD & MEASURED:75.001' S FALXAPPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK ON
s .� 3000 '��a�pj coNsTRUcTIoN ON THE PROPERTY HEREIN DESCRIBED. SURVEYOR SHALL
'75
- 6" ��` BE NOTIFIED AS TO ANY DEVIATM FROM UTUW-S SHOWN HEREON.
ki FENCE 11) THE SURVEYM OF RECORD DOES NOT DETERMINE OWNERSHIP OF
A s - FENCES. MEASUREMENTS 1 HEREON DEPICT PHYSICAL LOCATION OF9T , 'i 12) WELL-IDENTIFIED FEATURES IN THIS SURVEY AND MAP HAVE BEEN
e 2t- P&VMY MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF
Miami Shores Ylla a 1-7500 INSTANCES.oNs 1IN SOME INSTANCES. GRAPHIC REPRESENTATIONS HAVE BEEN
�lEYAGGERATED TO MORE N iMPROOVVEMMEENT��ILLUSTRATE GASES,
SHIPS
A PROVED BY �, r
!�.
LOT $f 900 sgkv DIMENSIONS sHOMAN SMALL CONTROL THE LOCATION OF THE
IMPROVEMENTS
Z NING DEPT �a PAVEMENT OVER SCALED PclslnoNs
t� 740
0
Bt DG DEPT
YvO�o rtaw c>uv�va�t "j ZItD .
FIELD
S ECTTO CCMPUANCE V M AU-� t f 0 2 nd S T R E E T '��,,,,rSw, ?3 /. SURVEY DATE 5-26-03 SCALE 1- 20' DRAWN BY: PAP
DRAWING DATE: 5-'29-03 FB: 221 PG: 3 DRAWING NO.: 03-582X
S TE ANO CCUMY RUILES MID REQI)LA
Miami Shores Village it S
10050 N.E.2nd Avenue NE
7S z ' `
anA S' 9 S s xi �fl 3 2
Miami Shores,FL 33138-0000
b l
Phone: (305)795-2204 � �
`O F' Expiration: 09/27/2016
l a..
Project Address Parcel Number Applicant
333 NE 102 Street 1132060135070� �
CARLOTA ANGEL
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell - --
CARLOTA ANGEL 333 NE 102 ST (305)759-6052
MIAMI SHORES FL 33138-2428
Contractor(s) Phone Cell Phone Valuation: $ 6,240.00
ARTISTIC CONCRETE GROUP INC (305)888-9095 Total Sq Feet: 960
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:STAMP CONCRETE DRIVEWAY WALKWA Additional Into:STAMP CG,ZrNE i E DRiVEv Ar"WA Review Planning
Bond Retum: Classification:Residential Review Building
Scanning:3 Review Building
�.I
i.
Fees Due Amount Pay Date Pat,Type Xat Paid Amit Due
Bond Type-Contractors Bond $500.00 Invoice# DS-3-16-59231
CCF $ .20
DBPR Fee $22.00 03/31/2016 Check#:1599 $649.20 $0.00
DCA Fee $2.00 Bond#:3040
Education Surcharge $1.40
Permit Fee $125.00
Scanning Fee $9.00
Technology Fee $5.60
Total: $649.20
In consideration of the issuance to me of this permit, I agree to perform the work cr„Pr-d here—der it ,!ompli3nce 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 agF cnt, servan�s, o, _n!ployes I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL wo1 c.
OWNERS AFFIDAVIT: I certify t all the fo oing information is accurate and that all work will be done in com )liance with all applicable laws regulating
construction and zoning;_Futherm e, autho the above-named contractor to do the work stated.
_ Mar;h 31, 2016
Authorized ignature:Owne / Applicant U Contractor / Agent ate
Building Department Copy
March 31,2016 1