DS-14-1976(Os
Miami Shores Village
Building Department
10050 N.E.2nd Avenue; Miami Shores, Florida 33138
BUIL
PERMIT APPLICATION
JUN102015
BY:
Tel: (305) 795-2 Fax: (305) 756-8972
NUMBER: (305) 762-4949
FBC 20 1_0
Master Permit No 1 J 7 ?==>
Sub Permit No.
®BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 0 RENEWAL
PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
/L " CONTRACTOR DRAWINGS
(
JOB ADDRESS: a `I �(/ C �s 7'
City: Miami Shores q County: Miami Dade. _ Zip:
Folio/Parcel#: //-.dad -0/g
Occupancy Type: Load:
Is the Building Historically Designated: Yes
{
NO
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): A7f0 (a [ I `� Phone#: 7k6 -�(:)
Address: G ( /17e— 'Ss 1
City: 4 C ok S k o ✓gy m
State: -CZ..
Zip: 3 ✓ 1 3 ii
Tenant/Lessee Name: Phone#:
Email: CONTRACTOR: Company 4La
0 et`e S-610 Cow S117(CI a "f Phone#: 9('c 7 9?
Address: MOO Of' vl (v (2-k . -�
City: Co, ✓ot L v-i f-I4 �`� S / State: L
Qualifier Name: J 6'3 u S Lia\ at Z 9 GL`e Z-- Phone#: "ZT(Cp - 2 9 - 7 074
State Certification or Registration #: C6 e S 0 S a O8 Certificate of Competency #:
(� Phone#: ‘6�- : 3�'-- g,2,
Address: 7760 // VI ((Vf' #.6-0C'City: W t'tim ' State:R" Zip:l r3 3 / 5yo
DESIGNER: Architect/Engineer:
'Value of Work for this Permit: $
c I c' a vti -0(49,e etc c`G
oad'
Zip: 3 3 ( 3 V
Type of Work: ❑ Addition Alteration n New ❑ Repair/Replace
V e(Al CO(4C +V v� acre pet(fe
'Vek /V'wt/ets
Description of Work:
,v1/c.e
Square/Linear Footage of Work: �� (c a s
n Demolition
M Y tl rt
Specify color oficolorftiru tile:= w4
Submittal Fee •<' - Permitfee $-
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
•
Bond $
v - 13 .11 rt"yl•1.
:, ..,+,
CCF $ r!, 2 ' w -1 a'3 • NCO/CC $ Y
DBPR $'tk, Notary $
(Revised02/24/2014)
TOTAL FEE NOW -DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State r -^�"."`"" .""Zip""""_`.
Mortgage Lender's Name (if applicable) r"mot �. ; t;. 'f �� g ''r : I I t
Mortgage Lender's Address "Ir( y- �'� `v" o'Y-'X' ZrrfY
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 .f such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Signature
CONTRACTOR
The foregoing instrument was ack .wledg-• .efore me this
S+h day of JUrL , 20 IS , by jS-F�. day of Ju r'&
, 20 i s , by
Pir-l-urn Cad i \lo. , who is personally known to .)eskis VIA(9 ,ems , who is personally known to
me or who has produced FC. t7r vp,s (ico V\ -�- as me or who has produced FL -0r iverS Licons.r. as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
Prin .prrocJ M. (maS
Seal:
10
Asiri14& JERROD M. JONES
• a•. fa TA. Commission # FF 197851
4-... Expires Februa, 27, 2019
APPROVED BY
rso
(7
Sign: 7)1
.
Print: Jevrodl M mtie_�
Seal:
Plans Examiner
r+ir".�iiyy JERROD M. JONES
=.r ; = Commission # FF 197851
i .. -.'a: Expires February 27, 2019
.1:tli (:r Bonded Thru Try Fin Nsuranc.800.386.7019
Zoning
(Revised02/24/2014)
Structural Review
Clerk
'ACORU®
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
06/09/2015
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 pollcy(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
INSURED
ALL CITY INSURANCE INC - ACI
275 FONTAINEBLEAU BLVD.
SUITE 190
MIAMI FL 33172
ONE STOP CONSTRUCTION, INC.
LICENSE # CGC 1505208
4214 SW 2ND TERR
MIAMI
COVERAGES
FL 33134-
CERTIFICATE NUMBER:
NAME: CARMEN RODRIGUEZ
PHONE (305) 463-9431
GMAILaALLCITYINS.COM
In;.201549
INSURER(S) AFFORDING COVERAGE
IAIC_Ho):(305) 436-6797
DiBURERA:WESTERN WORLD INSURANCE C
INSURER B :
NAIC
INSURER C :
INSURER D :
INSURER E :
INSURER F
•
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
I TR
TYPE OF INSURANCE
ADDL
MICR
SUER
wun
POLICY NUMBER
POLICY EFF
(MMIDDIYYYY)
POLICY EXP
QIIMIOOIWYYI
LIMITS
A
GEIERALLIAeILITY
A
COMMERCIAL GENERAL
LIABILITY
X
FORM
OCCUR
NPP8268670
02/18/201502/18/2016
EACH OCCURRENCE
$ 1,000,000
DRENTED
PRAEM SFSGE O(Fe occurrence)
8 100,000
CLAIMS -MADE
MED EXP (Any one person)
$ 5,000
X
NI BLANKET
PERSONAL & ADV INJURY
$ 1,000,000
$ 2,000,000
GGEEN'L
)I
GENERAL AGGREGATE
AGGREGATE LIMIT APPLIES PER:
POLICY PRO- I I LOC
PRODUCTS - COMP/OP AGG
$ 1,000,000
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
$
UMBRELLA LIAR
EXCESS LIAR
_
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
D
DEDUCTIBLE
RETENTION $
$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes describe under
DESCRIPTION OF OPERATIONS
Y I NWITS
NIA
WCY I STATU-OTH-
MI
E.L. EACH ACCIDENT
$
E.L DISEASE - EA EMPLOYEE
$
below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION
ONE
LICENSE
LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required)
OF OPERATIONS I
STOP CONSTRUCTION
# CGC-1505208
CERTIFICATE HOLDER
CANCELLATION
Al 000080
MIAMI SHORES VILLAGE
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.
AUTHORED REPRESENTATIVE
&atm 066-(k,
ACORD 25 (2009/09)
01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
3/12/2015
100%
Report Viewer
JEFF ATWATER
CHIEF FINANCIAL OFFICER
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
• • CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW • •
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 3/12/2015 EXPIRATION DATE: 3/11/2017
PERSON: VELAZQUEZ JESUS
FEIN: 043736889
BUSINESS NAME AND ADDRESS:
ONE STOP CONSTRUCTION INC
4214SW2TERR
MIAMI FL _ 33134
SCOPES OF BUSINESS OR TRADE:
LICENSEDGENERAL
CONTRACTOR
Pursuant to Chapter 440.05(14). F.S.. an ofacer of a corporation who elects esemption from this chapter by filing a certificate of elation under this Notion may not recover benefits a campensatbn under this aygar. Piwsuant to Chapter 440.05(1 F.S.. C4eort ates a ela tion to to exempt... apply only within
ar scope a fel busness be beadle hated on the nake a slxlbn to be. P after
the
e to Chapter Mo.05(1J . F.S.. ante of a SMabh t0 bs exempt and named tee a election to exempt .snit be to equine orh n. at cry time aver tOYnp oa notice a fhwanee a thu Certificate the person
named an the notice or certificate no longer moats the reputements a th s section for iuth ere of a certificate. The department stall revoke's certificate at
DFS-F2-0wC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609
https:`//apps8.tldfs.com/cmeportviewer/reportViewer.aspx?data=kdvpginc9D7Q3gH6TER6eP1 KMZ%2fSz5bXKYfBxkrekeESoPVy 1 v4NPOPN42XeirDRGXV WIu... 1/2
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DS-9-14-1976
p •Permit Type: DrivewayslSidewalks/Slabe
r ru
Work Classification: Addition/Alteration
Permit Status: APPROVED
issue Date: 4/28/2015
Expiration: 10/25/2015
Parcel Number
Applicant
841 NE 95 Street
Miami Shores, FL
1132060142940
Block: Lot:
ARTURO CADILLA
Owner Information
Address
Phone
Cell
ARTURO CADILLA
841 NE 95 Street
MIAMI SHORES FL 33318-
841 NE 95 Street
MIAMI SHORES FL 33318-
Contractor(s) Phone
ONE STOP CONSTRUCTION INC (786)299-7209
Cell Phone
Valuation:
Total Sq Feet:
$ 5,500.00
800
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Work: REPLACE EXISTING DRIVEWAY FOR PAV
Bond Return :
Scanning: 3
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$3.60
$2.00
$2.00
$1.20
$125.00
$9.00
$4.80
$147.60
Pay Date Pay Type
Invoice # DS-9-14-52909
04/28/2015 Check #: 1684
09/10/2014 Credit Card
Amt Paid Amt Due
$ 97.60 $ 50.00
$ 50.00 $ 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, PLUM G, MECHAfjUCAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I ce ify,that all theforegoinginformation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F thermore, I authorize the above -named contractor to do the work stated.
April 28, 2015
Authorized fgnature:Owner / Applicant Contractor / Agent Date
Building apartment Co.
April 28, 2015
1
•
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20 10 yy
Permit No.DS 1�f�-- /97 �
Master Permit No.
Permit Type: BUILDIN ! ROOFING
JOB ADDRESS: 841
95St
City: Miami Shores County: Miami Dade zip: 33138
Folio/Parcel#: 11-3206-014-2940
'Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Artur C dilla
State:
Pain)
Address: 841 NE 95 St
City: Miami Shores
Tenant/Lessee Name:
Phone#: (786)252-2803
zip: 33138
Phone#:
Email: acadilla65@gmail.com
CONTRACTOR: Company Name: One Stop Construction Inc.
,Address: 1000 Ponce de Leon Blvd. Suite 208
City: Coral Gables
Qualifier Name: Jesus Velazquez
State: FI
Phone#: (786)299-7209
Zip: 33134
Phone#: (786)299-7209
State Certification or Registration #: (50.5 `ZOO Certificate of Competency #:
Contact Phone#: 8 Cv 2. 4i 7_(9C Email Address: ,e SV 5 e- @ S `T Co N b'[ ,2.-/ c,"(, ; CO "(1
Phone#: (305)778-1276
DESIGNER: Architect/Engineer: William Plasencia
5sex�c-PQ
Value of Work for this Permit: $ — Square/Linear Footage of Work:
Type of Work: ❑Addition
Description of Work:
❑Alteration
❑New ❑Repair/Replace
❑Demolition
5
12p .0 E A \"T Q Y i v WAy
Color thru tile:
***************************************Fees************************
Submittal Fee $
Scanning Fee $ Q CO
Notary $ c
Double Fee $ (�
Permit Fee $ t 25 CD CCF $ 2 • 63. 0 CO/CC
Radon Fee $ 2 'Cb DBPR $ 2 CO BonL
Training/Education Fee $`t • 2-0 Technology Fee $ . eo
Structural Review $
TOTAL FEE NOW DUE $ 9 1 - d
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 NOTI E OF COMMENCEMENT."
Notice to Applicant: As a condition to th ..•4? a} i J1 i . ;� mit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of co :, •, j' �; d construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy • e 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. t the absence o such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
c
Owner or Agent
The foregoing in trument was acknowledged before me this
day of / 0 6 , 20 , by
who i
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
********************
APPROVED BY
*
LL4pri,TeValif
JESSE WALTERS
Notary Publics�- State of Florida
My Comm.
lans xami e
Signature
Contractor
• The f• egoing I trument wasd�acknowledged be
, day of f' p ,42Q , 20IJ , by
who has produced who/is personally kno to me or who has produced
V 210-o id tification and who did take an oath.
NOTARY P_ . LIC:
Sign:
Print:
My Comm': sion
***************
Structural Review
(Revised 3/12/20 1 2)(Revised 07/ I 0/07)(Revi sed 06/l0/2009)(Revised 3/15/09)
A DELGADO
SION # FF029457
: June 20, 2017
oning
Clerk
DBPR - VELAZQUEZ, JESUS DAER; Doing Business As: ONE STOP CONSTRUCTI... Page 1 of 1
Licensee Details
Licensee Information
Name: VELAZQUEZ, JESUS DAER (Primary Name)
ONE STOP CONSTRUCTION INC (DBA Name)
Main Address: 4214 SW 2ND TERR
MIAMI Florida 33134
County: DADE
License Mailing:
LicenseLocation: 4214 SW 2ND TERR
MIAMI FL 33134
County: DADE
License Information
License Type: Certified General Contractor
Rank: Cert General
License Number: CGC1505208
Status: Current,Active
Licensure Date: 02/05/2003
Expires: 08/31/2016
Special Qualifications Qualification Effective
Construction Business 08/20/2003
View Related License Information
View License Complaint
6:23:33 PM 9/9/2014
1940 North Monroe Street, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395
The State of Florida Is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement
Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do
not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact
850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must
provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee.
However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address
which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change.
https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=01 ED05D6638D4E003E42... 9/9/2014
9
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of ,
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances, Miami Shores Village
does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, you may be
personally liable for the worker compensation injuries of any person allowed to work under this permit. Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
I
j� Owner
Print Name: I 111- '�(D C �]�e (Ct
Signature: (�e�l.(J `�=�(�10 e,‘
State of Florida
County of
Sworn to a
day of
By
(S
T
scribetd before me this
eck , 20 I 4 .
Oct. 8, 2017
(O b
7c ZU
Contractor
I - A
Print Name:
Signature:
c
State of Florida )
County of Miami -Dade) I
Sworn to and subscribed before me this
,20 l-
LAURA MAYER
NOTARY PUBUC
STATE OF FLORIDA
Corm* FF085329
dijs a$;o-62-xi10-0
F(_,Zo A t &Zs• ago- 32-Y76-0
day of arhod
Type of Identification p
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795-2204 • Fax; (305)756-8972
10/24/2016
To: Current Owner
841 NE 95 Street
Miami Shores, FL
Permit: DS-9-14-1976
Address: 841 NE 95 Street Miami Shores FL
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to obtain new permits, refinance or
sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
id Z!p G
Ismael Naranjo CB )
Building Director
Mission:
To protect promote & improve the health
of all people In Florida through integrated
state, county & community efforts.
FroM
HEALTH
Vision: To be the Healthiest State in the Nation
Rick Scott
Governor
John H. Armstrong, MD, FACS
State Surgeon General & Secretary
August 28, 2014
William Plasencia R.A.
7700 N Kendall Drive, Suite 506
Miami, FL 33156
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1157115
Centrax Permit Number: 13-SC-1555506
841 NE 95 Street
Miami, FL 33138
Lot: 13 Block: 75 Subdivision: Miami Shores Sec 3
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 08/18/2014 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. No objection.
Covered terrace addition. Reviewed by Y.Martin on 8/28/2014.
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) 623-3 00.
I
Engineering Specialist II
Department of Health in Dade County
Florida Department of Health
in Dade County • • , Florida
PHONE: (305) 623-3500
www.FloridasHeaith.com
TWITTER:HealthyFLA
FACEBOOK:FLDepartmentofHealth
YOUTUBE: tldoh