DS-19-1329Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: DS-06-19-1329
Permit Type: Driveways/Sidewalks/Slabs
Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 07/25/2019 Expiration: 01/21/2020
Parcel Number
1116 NE 92ND ST, Miami Shores, FL 33138 1132050270420
:ontacts
SYLVAIN FABER Owner DECO CONCRETE INC Contractor
1116 NE 92 ST, MIAMI SHORES, FL 33138 JOSE MONNAR
10773 NW 58 St #161, MIAMI, FL 33178
Business: 3058285158
Other:3053454740
Description: PLAIN CONCRETE CUSTOM PADS Valuation: $ 15,000.00 Inspection Requests:
49
Total Scl Feet: 1,373.50
Fees
Amount
Application Fee - Other
$50.00
CCF
$9.00
Concrete/asphalt/pavers, slabs, dways,
$100.00
swalks
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$3.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$3.75
Total:
$214.00
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$214.00
Credit Card
07/25/2019 $164.00
Credit Card
06/11/2019 $50.00
Amount Due:
$0.00
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 fo ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFI T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating con%t ., ion and zoning. Futhermore, I authorize the above named contractor to do the work stated.
ature: Owner / Applicant / Contractor / Agent
Date
Page 2 of 2
Miami Shores Village `
Building Department By:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
J U N 1112919
FBC 20Q i
Master Permit No 2 — K ' 1 ' �2A
Sub Permit No
❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami
iiShhorees ^^�1 �y��,., County: Miami Dade Zip:a6139
Folio/Parcel#: 11 - 3205 - � /'l -1 J Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: I kkLO NV— "ld% �TJT�71
City: yfkakA ShofQS State m Zip: 3bi c>0
Tenant/Lessee Name: Phone#:
Email: jgtorres@decoconcreteine.com
CONTRACTOR: Company Name: DECO CONCRETE INC Phone#: 305-828-5158
Address: PO BOX 720067
City: MIAMI State: FLORIDA Zip: 33172
Qualifier Name: JOSE MONNAR Phone#: 305-828-5158
State Certification or Registration #:
CBC057725
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: /
Type of Work: ❑ Addition ❑, Alteration ew ❑ Repaij/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ b6 PG A Permit Fee $ 100, M CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
Notary $
Double Fee $
Bond $ t':�(lb
TOTAL FEE NOW DUE $ ���. CD
(Revised02/24/2014)
i
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zi
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 _ Sign
OWNER or AGENT
The foregoing instrument was acknowledged before me this
21 /day of .20 1 ` ( , by
II V196W t—, w ho is personally known to
me or who has produced -as
identification and who did take an oath.
NOTARY PUBLIC: . #7
641
Print:
;tnr ^o MARIA M AGUILAR
Seal: =°�r : Notary Public State of Fiona
'i*( Commission # GG 246536
�? o r��°`` My Comm. Expires Aug 7. 2022
Bonded through National NotaryAssr
########## # # ## ###### ##### ## ###
The foregoing instrument was aS�Kowledged before me this
12) _day of ,201q ,by
,,nw who Is personally known to
me or who has produced on-6 N as
identification and who didSake-an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:
###################################
APPROVED BY L,4�114 r Plans Examiner
Structural Review
JCS c�\5SNW - 1�
3
�i ning
Clerk
(Revised02/24/2014)
Mlsslon:
Ron DeSantis
Governor
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
(Deco Concrete Inc)
PO Box 720067
Miami, FL 33172
FlnrictA
HEALTH
Vlslon : To be the Healthiest State in the Nation
RE: Contingency Letter
Application Document No: AP1419057
Centrax Permit Number: 13-SC-1967070
OSTDS Number:
1116NE92St
Miami, FL 33138
Lot:3
Block:3
July 01, 2019
Subdivision:
Scott A. Rivkees,4WD
State Surgeon General,
Dear Applicant:
This will acknowledge receipt of an application dated 06/13/2019 for a permit to use an existing
onsite sewage treatment and disposal- system located on the above referenced property.
Review on 7/01/2019 by Gerard Philizaire
NO OBJECTION LETTER ISSUED FOR NEW DRIVEWAY INSTALLATION ONLY NOT FOR
f POOL DECK.
From a review of your completed application, it has been determined that your existing system
appears to meet the minimum standards of F.A.C. 64E-6 for the proposed use. It is approved for
use with the plans submitted to this office. If this system should fail, causing an unsanitary
condition to exist, steps must be taken to bring the system into compliance immediately.
Department approval of the system does not guarantee satisfactory performance for any specific
period of time. Any change in material facts which served as a basis for issuance of this approval
requires the applicant to modify the permit application. Such modification may result in this
approval being made null and void. Issuance of this approval does not exempt the applicant from
compliance with other Federal, State, or Local Permitting required for development of this
property.
If you have any questions on this matter, please call our office at (305) 623-3500.
Sincerely,
—�� L-1,
Gerard Philizaire, Environmental Manager
Florida Department of Health www.FloridasHealth.com
in DADE COUNTY TWITTER:HealthyFLA
1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth
PHONE: (305) 623-3500 . FAX: (305) 623-3645 1 YOUTUBE: fldoh
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BASER ON THE FLOW INSURANCE' st" •Ai OF THE FEDERBL EMERGENCY
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3. THE LANDS SAWN HEREON HAVE NOT BEEN ABSTRACTED IN REGARDS TO
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MATTERSOr INTEREST BY ODDER PARTIES, SUCH AS EASEMENTS, RIGHTS OF WAYS.
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4. THIS SURVEY WAS PREPAREC FOR AND CIRTIIED TO THE PARTY(IES) INDICATED
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ELEVATIONS WHEN HAW BEEN MEASURED TO NEAREST Or
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9. ALL BOUNDARY UIRT INDICATORS SIT ARE STAMPED L8P 710C
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12. DEAR" WHEN SHOWN ARE TO AN ASSUMED MERIDIAN AND BASED ON PUT,
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I HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEOCE AND
DA7E OF SURVEY :
BELIEF AS RECENTLY SURVEYED AND DRAWN UNDER MY DIRECTION AND MEETS THE STANDARDS OF
0411112017
PRACTICE SET FORTH BY THE FLORIDA STATE BOARD OF SURVEYORS AND MAPPERS IN CHAPTER W-17
J� 170425202
FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472.027 FLORIDA STATUE.
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FILE �:' C-18281
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PROJECT NAME.
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