DS-16-3229 i izrp t
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Miami Shores Village A.P460 7, 8 &6"S1S1d# aikS1S1a1bS
10050 N.E.2nd Avenue NE C Eton Ow
Miami Shores,FL 33138-0000
i?errr#Ft StkiiNApF�R ?VED
Phone: (305)795-2204
lsiue€gate:212812017 Expiration: 2712017
Project Address Parcel Number Applicant
384 NE 94 Street 1132060136140
PENN DAVIS
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
PENN DAVIS 384 NE 94 Street
MIAMI SHORES FL 33138-2832
Contractor(s) Phone Cell Phone Valuation: $ 10,750.00
STAR ISLAND CONCRETE DESIGN C( (305)776-7916
Total Sq Feet: 1000
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:INSTALL A PAVER DRIVEWAY IN REAR A Additional Info: INSTALL A PAVER DRIVEWAY IN RE Review Planning
Bond Return: Classification:Residential Review Planning
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.60 Invoice# DS-11-16-62192
DBPR Fee $2.00 02/28/2017 Credit Card $ 155.60 $0.00
DCA Fee $2.00
Education Surcharge $2.20
Permit Fee $125.00
Scanning Fee $9.00
Technology Fee $8.80
Total: $155.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibili I work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBI CHANICA _WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS
A�FIDAh oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructioore,I authorize the above-named contractor to do the work stated.
February 28, 2017
rized Signature:Owner / Applicant / Contractor / Agent Date
ilding Department Copy
February 28, 2017 1
Iv11dl 111 JI lul CJ V IIId8C
Building Department Nov 2 9 ?0$
�nI/U 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 --- -- -_=�
V' INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20.14
BUILDING Master Permit No. �.S 1(o _322q
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3&1 /V(� T 5;V4 �
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: J 3 - C//Ci Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): ReA(N Phone#: 305'5-6,6 - .3vZ
Address: Pk-'� 0,t"S
City: State: FL Zip: 3 t sY
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: C�aa�Phone#: �;2
Add ress:—Z l5-5 A/r-- 101:3 5s/
City:fVM13 State: F-L Zip:3 ✓�>`�
Qualifier Name: 6-or? Phone#: ?�G�-'6,j L/
State Certification or Registration#: 20, q'cJ 3 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ IC, 7sZ:' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ❑ Demolition
Description of Work: 54-LL C"-- RC-t'-e' 1)�r��vc�/ r �'e�� t vr" Cep aj=e
Dai
Specify color of color thru tile:
cP d
Submittal Fee$ Permit Fee$ ,2 CCF$ CO/CC$
Scanning Fee$ Qd:p% Radon Fee$ z DBPR$ 2 Notary$
Technology Fee$ U Training/Education Fee$ 2 . Double Fee ++
Structural Reviews$ Bond$ 1
TOTAL FEE NOW DUE S (5
15onding Com a(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 roved and a reinspection fee will be charged.
Signature Signature
—fk�
0 NER or AGENT ONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrumen as acknowledged before me this
day of ®c ,20 /r by day of 20 � by
wh is personally known 4-h'f-CL who is personally known to
me or who has produced 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• Print•
71"
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Seal: _• ' MY COMMISSION#FF022530 Seal: ;; � s MY COMMISSION#GG 0,17733
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APPROVED BY I Plans Examiner I ' Zoning
Structural Review Clerk
11111 11 1111111111 111 AI M,
CFM 2016RO676692
OR BK 30319 !:`ss 2092-2094 Capgs)
RECORDED 111/27/2F. a' llz-7-
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spam on the first page;this cover page must be aftazh5l
An additional recording fee for this page must be remitted.
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.5`��REsi Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
F�ORTel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) ?P*✓1►'1 J)af✓1 S hereinafter referred to as the owner of
the following described property(address): _:�P L+ tiE �{ ' � M�C-L►'Y),I
Legal DescriptionSec t Lot / vtvC _BlockerSubdivision -I R Mp
Folio# (1` 32o&� -Oio
Requests permission to install (describe work): aerL✓ T�1-I V1e W Gy a y1c -bo
wry �v,e �s
Within the public right of way of(address) (VF 4'y 5� M,it 331. 8
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 mn*9mg 4ha installation of these items within the public right of way.
. .. . . . . ... .
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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 r —!(�
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(� ( wner's Signature)
SIGNED, SEALED,A DELIV RED in the presence of: Pe tJa�)S
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STATE OF FLORIDA,COUNTY OF DAD t:Ob
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Mission: Mck
To protect,promote&improve the health g?�I� Go�or
of all people in Floridathrough integrated
date,oo<nty8�oorrrnrrityetfarts. �i Celeste Phlllpr MDQ MPH
HEALTHState Stugeon General and Sevetary
Vhdon:To be the htaaftNestState in the Nation
January 13,2017 ,
Rene Vant
513 NE 73 Street +
Miami, FL 33138
RE: Modification to a Single Family Residence-No Bedroom Addition
Application Document Number: AP1270816
Centrax Permit Number: 13-SC-1732188
384 NE 94 Street
Miami, FL 33138
Lot: 14 Block:46 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 01/12/2017 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. Proposed
driveway.
No objection letter was issued by C. Icaza on 1/13/17.
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.
Sinc y,
Car s aza
Enginee III
Department of Health in Dade County
INNNU Dopoftoot of xoolfY wrorw.floNdNwanlYi Dar
in Dade County• •,Florida TWITTER:HealthyFLA
PHONE: (305)623-3500 FACEBOOK:FLDepartmentofHealth
YOUTUBE:fldoh