RC-15-1077 (2)Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
MIAMI SHORES VILLAGE
NOTICE TO BUILDING DEPARTMENT
OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER
THE FLORIDA BUILDING CODE
I (We) have been retained by Mr. Philippe G Alluard to perform special inspector services under
the Florida Building Code at the Addition 1050 NE 105th Street, Miami Shores, Florida project on the below listed structures as of
September 4th, 2015 (date). I am a registered architect or professional engineer licensed in the State of Florida.
PROCESS NUMBERS:
• SPECIAL INSPECTOR FOR PILING, FBC 1822.1.20 (R4404.6.1.20)
❑ SPECIAL INSPECTOR FOR TRUSSES >35' LONG OR 6' HIGH 2319.17.2.4.2 (R4409.6.17.2.4.2)
❑ SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 2122.4 (R4407.5.4)
❑ SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2218.2 (R4408.5.2)
❑ SPECIAL INSPECTOR FOR SOIL COMPACTION, FBC 1820.3.1 (R4404.4.3.1)
❑ SPECIAL INSPECTOR FOR PRECAST UNITS & ATTACHMENTS, FBC 1927.12 (R4405.9.12)
❑ SPECIAL INSPECTOR FOR
Note: Only the marked boxes apply.
The following individual(s) employed by this firm or me are authorized representatives to perform inspection *
1. Daniel Goldman, B.N. 2. Dave E. Walker
3, Rodrick L. Chin -You 4, Leon C. Chin -You
*Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or
licensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional
engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an
architectural education program; successful completion of the NCEES
Fundamental Examination; or registration as building inspector or general contractor.
I, (we) will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection
services.
I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site
for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida
Building Code, must be performed by the County. The Village building inspections must be called for on all mandatory inspections.
Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the
Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of
final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and
professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in
substantial accordance with the approved plans.
Signed and Seale/ gineer/Architect
Name Robert H. Schuler, PE, PG, SI
(PRINT)
Address Wingerter Laboratories, Inc.: 1820 NE 144 St., N. Miami, FL 33181
Phone No. (305) 944-3401, Ext. 301
Q6I5DC�S35
•
NOTE: ALL SHEET MUST BE REVIEWED
MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES
Herbert S. Saffir Permitting and Inspection Center
11805 SW 26th Street (Coral Way) • Miami, Florida 33175-2474 • (786) 315-2000
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR ENVIRONMENTAL SERVICES
PROVIDE MUNICIPAL PROCESS NUMBER HERE
LOCATION OF
IMPROVEMENTS
Job Address I JI --D (Or --2 �(-
CONTRACTOR
INFORMATION J
Contractor No. -r. (EPPb •
Last four (4) digits of Qualifier No.
Folio 1.1-• / 2 P72 - 020. - mar,& O
Contractor Name
Lot as, Block 1
Qualifier Name
Subdivision At . •Al $ PBpg 44-55, •
Address
Metes and bounds
City State Zip
TYPE OF
IMPROVEMENTS
[ ] New Construction on
Vacant Land
['.] Alteration Interior
[ec] Alteration Exterior
[ ] Relocation of Structure
[ ] Enclosure
[ ] Repair
[ ] Repair Due to Fire
[ I Demolish
[ I Shell Only
[X] Addition Attached
[ ] Addition Detached
[ ] Re -Roof
[ ] Foundation Only
[ I Tent
Current use of property �J• •
Description of Work IPotre-Az•Ww•-• R0t, •
g— ,f,,,Appi-'r 4 •
Sq. Ft. '2710. Units k Floors l
Value of Work 4. *0( 9CD• •o
PERMIT TYPE
[ ox] MELD`
Category O2 •
REVIEW STATUS
[ ] Chg. Contractor
[ ] Re -Issue
[ ] Re -Stamp
[ I Revision
[ ] Not Applicable for
Fire
OWNER'S NAME
Owner 1 l i t 4! 7 •
Addressf-tr- WV, .-/-c
_14%r90
City j,/11•A lstate- Zip 9.-'J1 38
[ ] MELE
Phone Vir, 030 4f « •
[ ] MLPG
Last four (4) digits of
Owner's Social Security No.
[ I MMEC
[ ] FIRE
PERSON TO
PICK UP PLANS
Name 4-'
ARCHITECT /
ENGINEER
Owner 464.4..- 3c -'t.'? •
Address 24)0 5(.4..) 2S •,..i...1 e..
Address 4' C,“ al t% -T
City i t State -Zip 33 [ s'
City M 4h_t I State -• Zip '011 (or,' •
Phone 858 Oxt et0 •
Phone ? * W'l r? •
FIRE SPECIAL
REQUEST PLAN
REVIEW (SRI)
I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $209 for the first hour
and $71.50 per each additional hour in addition to the review fees. Minimum charge one-hour.
1" Request: Date:
2nd Request: Date:
3rd Request: Date:
PERA OPTIONAL PLAN
REVIEW (OPR)
l am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline.
Additional review fees may apply.
1" Request: Date:
24d Request: Date:
3 d Request: Date:
123_01-192 4/14
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
Vision: To be the Healthiest State in the Nation
Rick Scott
Governor
John H. Armstrong, MD, FACS
State Surgeon General & Secretary
August 18, 2015
Harry Sanchez
4175 SW 98 Court
Miami, FL 33165
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1199309
Centrax Permit Number: 13 -SC -1622724
1050 NE 105 Street
Miami, FL 33138
Lot: 6 Block: 1 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 08/05/2015 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. Proposed
swimming pool, pool deck, new terrace, and internal renovation.
No objection letter was issued by C. Icaza on 08/18/15.
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.
Sincer: I
Carlo
Engin
Department of Health in Dade County
Florida Department of Health
in Dade County • • , Florida
PHONE: (305) 623-3500
www.floridahealth.gov
TWITTER:HealthyFLA
FACEBOOK:FLDepartmentofHealth
YOUTUBE: fldoh