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DS-16-2380Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. DS -8-16-2380 j Permit Type:rmWork Classification: Repair Permit Status: APPROVED Issue Date: 8/25/2016 Expiration: 02/21/2017 Parcel Number Applicant 155 NW 91 Street Miami Shores, FL 33150- 1131010000220 Block: Lot: JOHN & NICOLE KRINEY Owner Information Address Phone Cell JOHN & NICOLE KRINEY 155 NW 91 Street MIAMI SHORES FL 33150- 155 NW 91 Street MIAMI SHORES FL 33150- Contractor(s) Phone RM & ASSOCIATES CONSULTING INC (786)348-3903 CeII Phone Valuation: Total Sq Feet: $ 3,000.00 1200 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: REMOVE / REPLACE CONCRETE DRIVEN\ Bond Return : Scanning: 3 Additional Info: REMOVE / REPLACE CONCRETE D Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning e :. r Technology. Fee Total:‘ .w Amount $1.80 $2.25 $2.25 $0.60 $150.00 $9.00 $2.40 $168.30 r- i 1 Pay Date Pay Type Amt Paid Amt Due Invoice # DS -8-16-61108 08/25/2016 Credit Card $ 168.30 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Planning Review Building 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, 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 zonin.. F .ermore 1 aut. • - - - '.ve-named contractor to do the work stated. Aut or' •d Signatu -: Owner / Applicant / Contractor / Agent Building Department Copy August 25, 2016 Date August 25, 2016 1 BUILDING PERMIT APPLICATION ILDING ❑ ELECTRIC 0PLUMBING ❑ MECHANICAL JOB ADDRESS: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 RECEIVED AUG '2 5 2016 BY:_ FBC20lei- Master Permit No. tS 1 b 2,5 Bo Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 9/ 3 /1-4,--/ • CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: -33/5- Folio/Parcel#: // 3 / 0/ - 0000 - 0 22-0 Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): JG/(/) £t crn / l�ic in Address: /5S- Aviv 9/ s /i“:7 BFE: Phone#: (3 05) NO FFE: yo/- Y913. City: n%, m. -CA 0 1-C4 . State: Zip: 33/5-0 Tenant/Lessee Name: Phone#: _otin ofo / 1. eir,M Email: CONTRACTOR: Company Name: Address: / 9' J 9 Sw 11 f25.50e/01--- /QV SSDc/01-- /oV sfiu../ WY9/. Phone#: (3os) �8S - s-oZ� City: r)'1, 09 m I State: FG Zip: 3 3 / e 6. Qualifier Name: 0 £ c 4 fY) o,/r-0 , Phone#: 0444) 3'/8 - 3 9 0 3 . State Certification or Registration #: C66- / s a 0 / Y / Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ '3 , 00 O Square/Linear Footage of Work: / 2 o a s F Type of Work: ❑ Addition ❑ Alteration❑//N�� ew // pair/Replace Description of Work: e m o -o //Cep /,4GG CAn c,c.c, tc D11 c- w . ❑ Demolition Specify color of color thru tile: Submittal Fee $ 0 Permit Fee $ 160 CCF $ ' + RIO co/cc $ Scanning Fee $ 9 Radon Fee $ 2 , 2 5 DBPR $ 2 +2 S Notary $ o Technology Fee $ 2 0 4 © Training/Education Fee $ 0 • 0 Double Fee $ I Structural Reviews $ Bond $ Pi._ t, - 2104 TOTAL FEE NOW DUE $ I B . 3 U (Revised02/24/2014) 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. In the absence of such posted notice, the inspection will not be a r • • , - • . • d a reinspection fee will be charged. Signature WNER or AGENT The foregoing instrument was Acknowledged before me this day oof- ASU S Johl n oin sy , who is personally known to me or who has produced , 20 / (D , by identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 'o`'ir','ry Marisol Quintana Camnission # FF 172378 V Expires: OCT 28, 2018 IV Erb; ONDTHRU FLORlb EDNOTAR' LLC ('Af't.nal as ****************************** APPROVED BY (Revised02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this ? day of /- 5 , 20 �� , by XO it. �o�•t✓ , who is personally known to me or who has produced41.17 identification and who did take an oath. NOTARY PUBLIC: ,,' Marisol Quintan-, Commission # FF1 " :o`- Expires: OCT 2' f,F`,�o BONDRBT!' tat ORIAANO ,ti.:, Qat a% (,!/1 Sign: Print: Seal: as **f*s ****************sss*sss********s***sss*********************s**s*sss Plans Examiner Structural Review Zoning Clerk Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. karma HEALTH Vision: To be the Healthiest State in the Nation Rick Scott Govemor Celeste Philip, MD, MPH State Surgeon General and Secretary August 24, 2016 Statewide Septic Connections, Inc. po box 54 0856 Opa Locka, FL 33054 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: API252559 Centrax Permit Number: 13 -SC -1702367 155 NW 91 Street Miami, FL 33150 Lot: na Block: na Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 08/17/2016 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. No objection issued by B. Olmino on 8/24/2016 for a new driveway. 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 existing 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) 623-3500. Sincerely, Betsy Olmino Engineer II Department of Health in Dade County Florida Department of Health in Dade County • • , Florida PHONE: (305) 623-3500 www.floridaheaith.gov TWITTER:HealthyFLA FACEBOOK: FLDepartmentofHealth YOUTUBE: fldoh RMASS01 OP ID: MA A�O�RD CERTIFICATE OF LIABILITY INSURANCE DATE /DD/YYVY) 08/25/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FILER INSURANCE, INC. 9440 S.W. 77 Avenue Miami„ FL 33156 Joe Filer NAMEACT Joe Filer No, Ext): --2100 FAX (A/C, No, 305 270 (AIC, No): 305-270-2195 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Seneca Insurance Company 10936 INSURED RM & Associates Consulting Inc 14629 SW 104 St #498 Miami, FL 33186 INSURER B : BAG1041884 INSURER C 11/04/2016 INSURER D : $ 1,000,000 INSURER E : INSURER F : X COVERAGES CERTIFICATE N THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY BAG1041884 11/04/2015 11/04/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PE� PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N I A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Qualifier: Robert Moreno License #CGC1520941 CERTIFICATE HOLDER CANCELLATION MIAMISH Miami Shores Village Bldg Dept 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Marielle Beraza P184346 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • •••7 ••• •• •• •• •• •• • •• • • • • • • • •• • •SKETCH OF BOUNDARY • SURl/Ey •.• • •• •• 4 • • doe Copy FND.I.P.1/2" (NO ID) _ CL 0.20' x A,, 43.00' V'x x 2 Oveihang 1.05' Ix/ il / 14' C.LF. r I — 4„1 8.80' E.M. FND.I. 1P/2" (NO ID) 21.55' t .'—Crown of Road .s Concrete UCALE/ f''80' 100.00'(R&M) rw.P.P. 6' C.L,F. • • ••• • • •• • . •.• • • • • • • • • • • ••• • • ••• 40.00' Concrete 18.00' •• • •• —•—r. • FN154.P.1/7 (NO ID) •,Qx � •• • • ad-•�. ••CL • • . • •• • • ••• • •• ••• • •x 1 x 22.00' ONE STORY CBS RESIDENCE # 155 31.60' r 13.00' r d a Re mo,/ e, Concrete Driveway 100.00'(R&M) 28' Parkway 35.00' 23.70' -Se-p4-1-4; r rF/..---/tom V ..."111g;60� Concrete 20.00' \, N. W, 81st STREET k 1Q0.00' 20' Asphalt South Line of 8.W.1/4, N.W. 1/4, S,E.1/4 of Section 1.533.41 m Ga go 4 a -J .C_ sy (D �. 0 o(DOm �0 0 241.40' B.C. x 11.60' 1 W.M. ❑ FN&I.P.1/T (N D ID) 1 (70.00' Total RAN By P.B. 45 -Page 13) a. /(cnno�a�' Copy o F Cop e mF a/ of, •/L i_ •4 • • • • •••• • • • • /L1• ••w • • fiGG✓ of elfSi/J lata ltuein en Gv o h S t n, . tin, "Diti e a- v /a. 11.> ey 0i1 • • •• .• • • • • • • • •. •••• In 44 e-4 Ge/ .•• • 0 . • •• ••• • • ••,,,.,,:.1Y1aA.(•.' ,Ih• "77/l..-!•'• ZiI •.•• • • • • • • • ••• • ••• • • • of 4:9 ••s•••�. r•i•• • • sip.) 00 C.//021c/7 J° �J I! c.G I U /LI 60 4-e ✓ 0/.i/ 0h Ci(-C�7-� A on 4/. • • ed -1:5, cmc C . Do 66 O ti t a/ et n IA, /74 si c/ SM 0 a h 6..00 do/n/ /1 F cj 4. it aj alp € (_h -14 / 6 t /K'4' ` e 4/ e- 14 SKETCH OF BOUNDARY SURVEY FND.I.P.I/2" 1 (NO ID) 0.80' CL Lt 0 Co 0.20' CL' c?% �0 A- 43.00' x o'?9n �x x 2' Overhang x a N !M. W 1 / 1 2.I 4' C.L.F. rt - 04 T — N x 1 8.80' E.M. 1 b Conc. tri N 4' O/ SCALE:11120' 100.00' (R&M) 6' C.L.F. x co o� N▪ r0 x V „c3 21.55' 1 .05' N CV r 40.00' Concrete 18.00' CV 22.00' NC FND.I.P.1 /2" (NO ID) ;! .80' x L ONE STORY CBS RESIDENCE # 155 31.60' 7 1 13.00' x•00 N Co) /O�v d Y FND.I.P.1 /2' (NO ID) —16.00'-- 0 0 Concrete 23.00' 35.00' 0 N st 19.60' N Ccd L Concrete Driveway 100.00' (R&M) 28' Parkway 14.00' Concrete 20.00' fo r • 2.00 W. M. 0 21.85' u; J t-) -v 11.60' LL J 0 BY: x FN6..I.P.1/2" (NO ID) J ••. • • •• • • • • .I . .. a. • • • • w•• • • • • 0 • n • • • • • • •.• m • • • • ••• FOE JOHN VINCENT KRINEY AND NICOLE KRINEY • • • • • • • • • ▪ • • •• , PROP. ADD 155 N.W. 91st STREET, MIAMI SHORES, FL 33150 • • ••• • • •• w • •• • •• • • • • • • • • • • • s • • ••• 0 • • • .••• • ••• • • • •• ••• •, • • • • •• • • • • • ••• ••' AUG 2 5 2016 [RIT#: _ M arni Shares Village I BY l I ;MMPt_WricE W111-1 Al iN i'f HULL'S AND RI 0 0 CL < 1— D_ 0 0 0 N IBLDG DEPT 241.40' • B.C. 170.00' Total RNV By P.B. 45 -Page 13) N.W. 91st STREET -Crown of Road 100.00' —20' Asphalt — South Line of S.W.1/4, N.W. 1/4, S.E.1/4 of Section 1-53-41 1st AVENUE JOB NO: 1304-035 FIELD DATE: 05-10-2013 CERTIFIED: JOHN VINCENT KRINEY AND NICOLE KRINEY. PROSPECT MORTGAGE, IT'S SUCCESSORS AND/OR ASSIGNS. GUARANTY TRUST & TITLE, INC. FIDELITY NATIONAL TITLE INSURANCE COMPANY. LEGAL DESCRIPTION: The South 1/2 of the East 100 feet of the West 388.60 feel of the $5 th 1/2 of the Southwest 1/4 of the Northwest 1/4 of the Southeast I/ f Section 1, Township 53 South, Range 41 East, lying and being in Miami -Dade County, Florida. SURVEYOR'S NOTES: 1.) THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CLIENT. 2.) UNLESS A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOWN ARE THE SAME AS PLAT VALUES. 3.) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THE SKETCH. 4.) UNDERGRAUND PORTIONS OF FOOTINGS, FUNDATIONS OR OTHER IMPROVEMENT WERE NOT LOCATED. 5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME. 6.) WALL TIES TO THE FACE OF THE SAME. 7.)ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (1929) UNLESS OTHERVNSE NOTED. 8.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. 9.)THIS SURVEY IS FOR MORTGAGE PURPOSES ONLY, NOT TO BE USED FOR CONSTRUCTION PURPOSES. ;A (FLOOD ZONE INFORMATION) ZONE• X COMM. 120652 PANEL• 12086C0302 SUFFIX: L DATE. 9-11-2009 BASE: N/A NOTE: DETERMINATION OF FLOOD ZONE LINES WERE BASED ON SCALING OF FEMA MAP LISTED ABOVE. NOTE ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF N/A ON THE CENTER LINE OF N/A PROPERTY LINE. EASEMENT VIOLATIONS: APPARENT VISIBLE ENCROACHMENTS: COMENTS: ❑YES XNO ❑ YES KI NO ABBREVIATIONS: SWK= Sidewalk CBS= Concrete Block Structure, CLF= Chain Link Fence, PL= Property Line, DUE= Drainage Utility Easement, IP= Iron Pipe, NC= Air Conditioner Pad, Plc= Property Corner, D/H= Drilled Hole, W/F= Wood Fence, RES= Residence, CL= Clear, IR= Iron Rebar, UE= Utilty Easement, CONC.= Conc. Slab, RNV= Right of Way, DE= Drainage Easement, C/L= Center Line, 0= Diameter, TYP= Typical, M= Measured, R= Recorded, ENCR= Encroachment, COMP= Computer, ASPH= Asphalt, WD= Nail & Disc., S= Set, FFE= Finish Floor Elevation, 0/8= Offset, PIP= Power Pole, OHP= Overhead Powerline, VIM= Water Meter, WPP= Woad Pawer Pole, E.M.=Electric Meter, M.F=Metal Fence, P.F.=Plastic Fence, D.M.E.=Drainage Maintenence Easement, C.M.E.=Canal Maintenence Easement, L.M.E.=Lake Maintenence Easement, M.E.= Maintenence Easement, B.0 =Block Comer, P.C.=Point of Curvature, FND=Found, NO ID=No Identification. GLBAL MENSIONS INC Land Surveying Services OFFICE: 14770 SW 43rd WAY, MIAMI, FL 33185. PHONE: (305) 612.4225 FAX: (306) 512.1914 • I HEREBY CERTIFY: The the attached "BOUNDARY SURVEY" N the lends sown hereon I. true and correct to the beet or my knowledge end belie ea recently surveyed and drawn under my eup ension -rd cinchona This survey complies with the applicable Minimum Technical Standards adopted by the Florida Stat. Board of Professional Surveyors end Mappers n contained in Chapter5J-17, Florid. Administrative Cod., pursuant to Chapter 472.027, Florida n. x,41 u%'k. DAVID L. FUTCII EGISTERED LAND SURVEYOR # 4843 STATE OF FLORIDA LB # 0006874 Note: Not Valid Unless Signed and Sealed. SHEET 1 OF 1