REV-17-1445BUILDING
PER APPLICATION
BUILDING ❑ ELECTRIC
PLUMBING
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
❑ ROOFING
Master Permit No.
❑ REVISION
Sub Permit No.
RECEIVED
MAY 3 01017
FBC 20 1-
-
�5
❑ EXTENSION ❑RENEWAL
❑ MECHANICAL ❑ PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
6d_coeptie.t.d. CONTRACTOR DRAWINGS
aL- 'VU -S /V� q Z s)'" -
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: q q5 !1/g
City: 4 v'� 7/ //O/w5 State:
Tenant/Lessee Name:
Email:
Phone#:
Phone#:
Zip: 3 '5/5 -
CONTRACTOR: Company Name: (1114 ' 7 yI 6/v m, "e
Address: 10 zee /14.1 6:3 •r =i/Z,&_l �- f% r
q
City: _ 1! ow ( State: IJ/U1t)() �L-.- Zip: ,7
Qualifier Name: ,/#97//4 -pe. ✓ Phone#:3 ,
' _Y333
State Certification or Registration #: Certificate of Competency #: CC 0S6.SOd�/1
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ `l "'Q Square/Linear Footage of Work: Zt 74;242Q 5 f • '4 Ci .
Phone#:3'6 '.5.2111)5)--
Type
2/bsr
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
(cnciv)-C7'e- 567-1, S
cal rlke(,/--so
❑ Demolition
Specify color of color thru tile:
Submittal Fee $
Permit Fee $ f ¶� C CCF $ 5 coicc $
Scanning Fee $ ''Q' i. Radon Fee $ 2' 2-s DBPR $ 2 . Notary $
Technology Fee•$ Training/Education Fee $ j ' �b ouble F e
Structural Reviews $ Bond $
TOTAL FEE NOWDUE$3 • AJC)
(Revised02/24/2014)
Bonding Company's Name (if applicable)
o
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 deliv: ed, to the person
whose property is subject to attachment. Also, a certified co"py of the recorded notice of commencement must be 'sted'at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the bsence of sposted notice, the
inspection will not be approved and a re' . pection fee will be charged.
Signatu
Th fo egoing instrum
a„y of
AGENT
cknowledged before me this
me or who has produced
20a, by
who isie.rsoo ly known to
identification nd w j did take an oath.
NOTARY
Sign:
Print:
Seal:
LUCIA ESTRELLA
* MY COMMISSION # EE 880165
EXPIRES: July 2, 2017
re„ „00 Bonded Thru Budget Notary Services
Signature
•
CONTRACTO
regoing instrum t acknowledged beforq me this
day I , 20 / , by
o is personally known to
as me or who has produced as
identification and who did take an oath.
NOTAR
01#
Sign:
Print:
Seal:
?�Sp�' PGBliLUCIA
*. r�
EL
* MY COMMISSION # EES
0165
EXPIRES: Jut 7
8 1
sowed Tin Budget Notary i
N Ser Services
***********************************************************************************************************
APPROVED BY
(Revised02/24/2014)
Plans Examiner
Zoning
Structural Review Clerk
O(kTDOOR SWIMMING BARRIER
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•
_J+i _MN_ SETB,GK
PROVIDE REMOVABLE ADD BARRIER
AROUND POOL
51 EDIMON (20147 PBC -2014
44601.17.1.15
LD FENCE PERMEIE1 125.5'
az
V
FENCE MUST BE PLACED NO
20' FROM NIGER EDGE.
POST SET PEAMANEN1LY.
Al LOCK DERCE 0 46'
LEVEL OCR MORE
0E10ES
041•
LESS
NOTE:
AND OATS
FROM POOL
NFO SEE POOL
(SHEET 1)
ED0140 WUCO PER
UNDER ROOF SAVE
POOL EQUIPMENT
0X1711)140 U.O.
ELECTRICAL SERVICE
EXISTING SEPTIC TANK
EXISTING DRAIN FIELD
EXISTNO
SUB -PANEL 125 AMP
DOMINO 4FT 44044
- AWN LINK FENCE
1
//I um.
Z I 111011, 111111
oTn1
IpII1
Llnll
EXISTING
WATER UNE SERVICE
Va.
-+5.1fjJ..
ry
- LOT
20'4Ca11 •. 4` ' 170 A PARK ADB PB I
""-1.77°J'�:G J=PT
21
EXISTING AT HIGH CHAIN LINK FENCE •
DOUBLE GATE 441 SELF CLOSING AND S
LATCHING COME VI/LOCK DEVICE 0 K'
FR ADE LEVEL (CEN104 POST SET
I
3P
z
APPROVED
LOT SIZE 124.060 X 140
RIfGDEPT
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SHEET:
1 OF 4
I y' P F AND CO'I_'1TY RU' .ES AND REGULATIONS
Mission:
To protect, promote & in n:Ne the health
of all people in Florida through integrated
state, county & corrrnxtity efforts,
t r.
Y ;
Randa
HEALTH
Vision: To be the Healthiest Sate in the Nation
Rick Scott
Goaemar
Celeste Philip, MD, MPH
State Surgeon Generd and Secretary
July 19, 2017
Jaime Basiinio
10280 NW 63 Street
Miami, FL 33178
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: API299036
Centrax Permit Number: 13 -SC -1776527
905 NE 92 Street
Miami, FL 33175
Lot: 0 Block: 130 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 07/13/2017 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. Driveway
reconstruction. No Objection Letter issue by Loanis Gonzalez on 07/19/2017
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
Loa ` Gonzalez
Engineer Specialist II
Department of Health in Dade County
Ploida DepaRmant of Health
in Dade County • • , Florida
PHONE: (305) 623-3500
www.UoAdahalfh.yow
TWITTER:HealthyFLA
FACE BOO K: F LDepartmentofH ealth
YOUTUBE: fldoh
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) 1- (9C;(49W1-1 p -
hereinafter referred to as the owner of the fo lowin described
property (address): '� d -S GO_2s-r- sl�v
!VI'' 11111 11111 1111111111 1II 111111111 II
!_
Ft.4 2 017R04570F:
[3 EI:. 30645 Ps 46:34 ilPss}
'!ARVEY U171 0 OM
Legal Description: Lot Block Subdivision
Folio # moS - poi fl
Requests permission to install (describe work):
GoN cnto),-c— to /3-1, S.
Within the public right of way of (address)
ct LS U E 42- 5T- P' V Arw{ fr A-3
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.
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 shemain in full force and effect and be binding on the undersigned, their
heirs and assigns/dtil uch time as this obligations has been canceled by an affidavit filed in
the Public Recofds of made County, Florida by the Village Manager of Miami Shores Village
(or his fully aepresentative).
Signature
State of Florida
County of Miami Dade p
The foregoinginstrument was a knowledged before me this 6 day of ffQ;) 5 , 20 , by
G 0(0 e/N buiS ho is personally known to me or who has produced
p,,00 c-ce-Ias identification.
NOTARY PUBLIC:
Owner or As --nt
��}vL oth Bpi
F-144.41\ C%.5NTY OF OsSOf
nrt that at** t
3 Corny Cburts
D.C.
Sign:
Print:
,fel r3 cs ` <<`o SEAL:
AY V*Stefan Basili)
__ COMMISSION # FF140832
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