DS-18-1830 4
Permit No. DS-7-1,8-1-830
�sRES Miami Shores Village t Permit Type:DrIii'eiNaye--ISIdewalks/Slabs
.� 10050 N.E.2nd Avenue NE er Worts Classification:Addition/Alteration
""'�' Miami Shores,FL 33138-0000 P
Permit Status:APPROVED
Phone: (305)795-2204
FLORIDA
Issue gate:7/13/2018 Expiration: 01/09/2019
Project Address Parcel Number Applicant
360 NE 103 Street 1132060135000
Miami Shores, FL Block: Lot: MIKE JAAR
Owner Information Address Phone Cell
-MIKE JAAR 360 NE 103 Street (786)252-6374
t MIAMI SHORES FL 33138-0
Contractor(s) Phone Cell Phone Valuation: $ 4,500.00
GAMMA CONSTRUCTION LLC (786)252-6374 11
Total Sq Feet: } 500
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved: : In Review
Final
Date Denied: Foundation
Type of Work:NEW DRIVEWAY AND WALKWAY REMOV Additional Info:NEW DRIVEWAY AND WALKWAY R Review Planning
Bond Return: Classification: Residential Review Building
Scanning:3
S.
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.00
Invoice# DS-7-18-68148
DBPR Fee $0.00 07/05/2018 Credit Card $50.00 $55.00
DCA Fee $0.00
Education Surcharge $0.00 07/13/2018 Credit Card $55.00 $0.00
Notary Fee $5.00
P&Z Review Fee $0.00
Permit Fee $100.00
Scanning Fee $0.00
Technology Fee $0.00
Total: $105.00
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.
F
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 zoning. F r ore,I authorize the v-e-named contractor to do the work stated.
\ July 13, 2018
Authorized Signature:Owner / Applicant / Contractor / Agent Date
+ v
Building Department Copy
July 13, 2018 1
Miami Shores Village I - . Tt>
Building Department J L 05 X018
� g p
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY.
Tel: (305)795-2204 Fax:(305)756-8972
T INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 li Ll
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: { '
•City: Miami Shores, County: Miami Dade Zip: 3"
Folio/Parcel#: Is the Building Historically Designated:Yes NO.
Occupancy Type: Load: F Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Phone#:
Address:
-�� c S-Ltac, r 3 3
City: State: �— Zip:
Tenant/Lessee Name: Phone#:
r
Email:
CONTRACTOR:Company Name: �'4 �'�_�-t�7`/�'^� Phone#:
Address: ! r J(j '?( 't^ '3t_t/Y_� 440
City:' State: Zip:
Qualifier Name: �" I / J� � ^ Phone#:
State Certification or Registration#: v I C- �Z`7�Jl� Certificate of Competency#:
DESIGNER:Architect/Engineer: . Phone#:
Address` --������ City: State: Zip:
Value of Work for this Permit:$ /�W � Square/Linear Footage of work: Sn�
Type of Work: ❑ Addition ❑ Alteration UI New ❑ Repair/Replace ❑ Demolition
Description of Work:_ t7pr 't U
Specifycolor of color thru,tile:
Ito
,
.,,,r4o.,r t '
Submittal Fee$ �� Permit Fee$ y .-CCF$ .. CO%CCw$
Scanning Fee$ Radon Fee$ DBPR$ ;� Notary$_ Czz)
Technology Fee$ Training/Education Fee$ Double Femme$ h
Structural Reviews$ Bond$ JS a �6 UG
TOTAL FEE NOW DUE$ 5 '
(Revised 02/24/2014)
p
Bonding Company's Name(if applicable) r +:
F y
Bonding Company's Address _
City' s State Zip +
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
r
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 approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrum nt was acknowledged before me this
J_Qday of v 20 ( q by da of U J 20 U by
ho is personally known to l �,�w�ho is personally \kcnow-.n' to
me or who has produced t-�- 21 � �Sas� me or who has produced r14Q - UM,Vl as
identification and who did take an oath. identification and who did take an oath.
NOTA a
NOTA
RY PU LI
SignSign:
Print: �ILXJ
s
4-"AC-4 Print:
Seal: r ` ' ' y Seal; �`°'�"`'� Notary Public State Of Florida {
7� oar► Notary Public State of Florida { a Sindia Alvarez {
} _ Sindia Alvarez { My Commission FF 156750 {
+` My Commission FF 156750offt Expires 09/03!2018
} of pd� Expires 0910312018 �.
. E
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 02/24/2014)
r,
�. Rick Scott
Mission: ,, {1
To protect,promote&irrproue the health
of all people in Florida though integrated /�
state,ootrriy&oorminity efforts. HEALTH State FlOrlua _ ,
Surgeon MPH
General and Seoretary
Vision:To be the Healthiest State in the Nation
September 08, 2016
Tara Jaar
360 NE 103 Street
I Miami, FL 33138
RE: Modification to a Single Family Residence-No Bedroom Addition
r
Application Document Number: AP1262078
Centrax_ Permit Number: 13-SC-1701574
360 NE 103 Street
Miami, FL 33138
Lot: 5 Block: 6 Subdivision:
Dear Applicant,
i
This will acknowledge receipt of a floor plan and site plan on 08/12/2016 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. Proposed
new concrete driveway and walkway, also a new wood deck.
No objection letter was issued by C. Icaza on 09/08/16.
I
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
coritractoror plumber, or'a-person cerci ied under sec ioi-38 :0101;Florida Statutes.
4
If you have any questions, please call our office at(305)623-3500.
Sincerely
J-11
y---
Carlds.Ic za_ _
Engineer III
Department of Health in Dade County
Fl.rw.O.pefrM.f N x..Nr .......1NM�Ywllr�ti
in Dade County• •,Florida TWITTER:HealthyFLA
PHONE: (305)623-3500 FAC EBOOK:FLDepartmentofHealth
YOUTUBE:fldoh
ORES
HNli
J
lt" Miami Shores Village
.0 .. Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204 C_F N tri 16 R ci!f.4 5 6-4-
OR 6K 3�Q35 Fg 1SO (Pqs)
Fax: (305) 756.8972 Ru� ej-I
ECOFT!ED 11:1"15:11,1
L'! �C 0 UP.T
4,,N-!EY -RUVINt LEU OF
11iAill-NEIE ('.0UNTYy FIIORTDIa
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) Ylil le C- J-7AAK_
'hereinafter referred to as the owner of the following described
'property (address): 3(0c)
Legal Description: Lot Block Subdivision q,%,D
Folio # 3z06 - 013
Requests permission to install (describe work): CorL-w_cr4_
Within the public right of way of (address) 3(oo r,-C ko-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 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 thMilla&p Manager of Miami Shores Village
(or his fully authorized representative). ATE IFLORQIIii,COLWry OF rAAM
I HEREBY CERMY UW N*it S fte OW Cf ft
u*d Ned in this cft on
Signatg�— A.D.2Q
y ha4
SEW.
Owner or Ae`nt H tUV%CLERK d Chu*wd Clow"
State of Florida
County of Miami Dade
The foregoing instrument was acknowledge this L0 day of 4-tAivST 20 t,6 by
_JUHU� who is prs� onally kno n to me or who has produced
as identification.
'NOTARY PUBLIC:
/0 GIACOMO CHIOVARO
'Sign:
MY COMMISSION#FF160979
,Print: U�Aco;�,_aCI(oyAt, SE 018
EXPIRES September 17,2012
.r ot. .c. "
1(407)398 0153 F'loriESNotaryservice.com
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