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DS-19-2312Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: DS-1 0-19-2312 } Permit Type: Driveways/Sidewalks/Slabs Work Classification: Addition/Alteration Permit status: Applied Issue Date:11/07/2019 I Expiration: 05/05/2020 Location Address Parcel Number 424 NE 103RD ST, Miami Shores, FL 33138 1132060170750 Contacts OMAR HERRERA Owner 424 NE 103RD ST, Miami Shores, FL 33138 Mobile: 3057107071 TRUE STAMP CONCRETE LLC Contractor WILLIAM TRUEBA Business: 3054944465 wtrueba@yahoo.com Description: REPLACE EXISTING ASPHALT APPROACH AND Valuation: $3,500.00 Inspection Requests: PAVER DRIVEWAY WITH PLAIN CONCRETE IN SLAB PATTERN 1305-762-4949 Total Sq Feet: 1,241.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 Concrete/asphalt/pavers, slabs, dways, $100.00 swalks DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $0.80 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $3.75 Total: $205.20 Building Department Copy Payments Date Paid Amt Paid Total Fees $205.20 Cash 11/07/2019 $205.20 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 for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above named contractor to do the work stated. 1 Authorized Signature: Owner / Applicant / Contractor / Agent Date November 07, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village EivF-1) Building Department OCT 012019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20t' Master Permit Noz.9-10' IR - Zo 12 Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:]MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �Z U �(/ C /O 3 S �✓L�� 4- City: Miami Shores County: Miami Dade Zip: --;� -'7 / 3 Folio/Parcel#: 07 io Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 0A70 /L /- e6(.2PA 9 Phone#: Address: q2- q S7.4 e e—?" City: A'k <l-7-117 1 S 62 01, .Q s State: G Zip: -5 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: _7/See o) eQ *—Cit. Q%Q. I-e? P h o n e M -2d S c/%L/�%��� Address: 2 7 11 6' �Ci/ 2- 0 6 Tell. it. 2 City: 'e /r222�2 State: C zip: _ 3 3/ 7-7 Qualifier Name: Phone#: 3 0 Y State Certification or Registration #: / C) �� 7`-� Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: t City: State: Zip: �7 Value of Work for this Permit: $ 5-0 0 Square/Linear Footage of Work: _ _ l ZC// s /' Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: %�,g C P e- xf i ;"'e vim% � .9,v p!P/�i�,i a ea ! X'4 4 4 ..• cD N c .t e T,y i .v y Zd 6 7`TQt A Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ DBPR $ CO/CC $ Notary $, Double Fee $ Bond $ EZ�D - (2�3 Tr%TAI CCC KIMAI rUIC It 2_as' 2-0 A0 lV 1j) b 1% 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 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 of such posted notice, the inspection will not be approv 7 7einspec ion fee will be charged. Signature • Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 5 day of ,l�{� %- 20 i!2 by day of 20 / by Qzn/g OL_- l�ll�� �P/L// , who is personally known to 4JeG �!/ 1 r�2 u¢;-4 , who is personally nown to " me or who has produced e� Cr C it s ,e as identification and who did take an oath. Seal: _.*�•kL ARANELISGONZALEZ MY COMMISSION # FF 913306 ,--: yr,, o' `EXPIRES: September 18, 2019 Bonded Tbru Notary Public UndenMrfters (ffJ r who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: —o-1 ARANELIS GONZALEZ Seal: _; = MY COMMISSION # FF 913306 EXPIRES: September 18, 2019 Bonded Thru Notary Public Underwriters as ***************************************************************************** APPROVED BY Plans Examiner 1 Zoning Structural Review Clerk A� tF - CERTIFICATE OF LIABILITY INSURANCE DATE09/619 Y) 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 policy(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 Yes insurance Agencies, Inc. CNAOME:NTACT Madeline Estrada PHONE (305)225-5757 A ; (305)223 8158 ADDRESS. madeline@yesins.com 9507 Bird Road INSURERS AFFORDING COVERAGE N/UC s Miami, FL 33165 INSURER A: GRANADA INSURANCE COMPANY Phone (305) 225-5757 Fax 305) 223-8158 INSURED INSURER B . INSURER C : True Stamped Concrete Uc. INSURER D : 8320 SW 38 St INSURER E : Miami, FL 33155- (305) 494-4465 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LTR TYPE OF INSURANCE ADDL 1 UBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/D LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE � OCCUR N N 0185FL00020506 08/01/2019 08/01/2020 EACH OCCURRENCE $ 500,000.00 NTED PRAEM SESO(Ea Eoccurrence) $ 100,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 500,000.00 ❑ GENERAL AGGREGATE $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- ❑ LOC ❑ POLICY ❑ JECT PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ALL OWNED SCHEDULED AUTOS ❑ AUTOS OW NED HIRED AUTOS AUTOS ❑ ❑ COMBINEDcident SINGLE LIMIT Ea a BODILY INJURY (Per person) _ $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $❑NON $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAR ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A El W C STATU OTFF E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) CONCRETE WORK LIC # E0800748 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2 ND AVE MIAMI SHORES, FL 33138 ACORD 25 (2010/05) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Madeline Estrada 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD True Stamped Concrete LLC. Date: D /% 20 State of:_c—L/-pK. (?� County of: :yJ i,4 j Before me this day personally appeared who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: y2C/' Sworn to (or affirmed) and subscribe before me this /7_ day of _;�e7- 20 1'9' by: &) t Glo=a TZ cV,4 yi Affiant Signature: Personally Known: v Or Produced Identification: Type of Identification Produced: ARANEUS GONZA EZ P A �A MY COMMISSION i FF 913306 ''•'ems EXPIRES: September 18, 2o19 '% P Bonded Thru Notary Pubre Urberanitere Print, Type or Stamp Name of Notary Notice to Owner - Workers' Corn Hiaml shores Village 3, uilding Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Insurance Exem 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 far 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 ¢LC) 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 and has acknowledge that he o.r she will not use day labor, part -tune employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from E the contractor's -company for day labor, part time employees of subcontractors. BY SIGNING BELO KC���O \DGE THAT YOU HAVE READ THIS NOTICE AND ; UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this " -q day of ___ $'��_ , 20/2. AIL- 4 who is personally known to me or has produced i�� C-P as identification. Notary: �� r ARANELIS GONZALEZ SEAL: Commlaslon ♦t GG 366334 e� Expires September 0, 2023 ;,to,Fltl� BalledTMuBudpNNoNrySWA086 t �, ll A3TIH s l d,d 1 N3 W3/1Hd 1lHH . (-' O .00'00 l Q/N 'P�d !� .s 0'0 d'M.9 •�" • • •• •�• ••••••' 416 •• ••••�• I •••i•• AM-9•i-vI • jl • • ey tiifd 5213 : ( o!' I l �O � .s900 '0 SCLE e'n 00 00 NO OBJ "T N � �011 �. Florida Health Mia i-Dad , County bZt 'ON O.S.T. D.S. & W II Pro ` aouapisaN Application No.: --�ff tioaS aup .scsz o(�! .1 Date: Signature .Ob'OI ,.OZ's ,5E•Z ld � � d•1' .ti A21 l N3 mgwrav a 10 r b� m> AIW MIAI��....:... PUB ..."•�. :.o.l`. x APPROVED � DATE I a` C � •e-d .d., i �k�e e n AVM)lWd .OZ 0. C-I 0 3 2019 w r/74( CAC LN3W3AI1d5V .SZ i]eld gad Pa7e:)!Paa fh!f4nd!hi0 /iV __ wRCI'CEC �1338 S PJ£0I 7N 3tM Psi W/Fbermesh r ,T IA-1 S44�4 HAI �c^ ` Synthetic Grass Installation Detail 1' on all open sides to be fully filled with concrete to prevent filler spill. Leave space for synthetic turf installation h'rl p0/ Yo for Spaces Between Slabs Top View 0 � 0 Cross Section J �, � c 1 rUa.F r — Tro 1 SUNSET A Synthetic Grass 8 Ivy Company ... When it comes to your grass, we don't monkey around! V FEATURES & BENEFITS lead-free r F. • High performance quality • Reacts naturally • Improved durability and safety • Virtually maintenance free • Can be cleaned easily • Consistent performance over time and use i r • r • High performance quality • Reacts naturally • Improved durability and safety • Virtually maintenance free • Can be cleaned easily • Consistent performance over time and use i r • r DESCRIPTION Primary /Stalk Yarn Polymer Polypropylene /Polyethylene Secondary/Thatch Yarn Polymer Nylon Yarn Cross Section Nylon; Texturized Nylon Standard Colors Lime & Field UV Stabilized Yes Fabric Construction Tufted Primary Backing Dual layered woven polypropylene Coating Type(s) Polyurethane Yarn V1 Shape Monofil PE + Curled PP Thatch Color Brown/Green Density 165 stitches/m, 17325 stitches/MA 2 Recommended Infill 1-3 lbs. Silica Sand Pile Height 1.38" Total Weight 80 oz. Fabric Width 7 % Ft. & 15 Ft. 6700 NW 82"d Avenue, Miami, FL 33166 (786) 452 -6631 www.TROPICAL TURF.com Yi A Synthetic Grass & ivy Company (10) TEN YEAR LIMITED TURF WARRANTY Tropical Turf warrants our synthetic turf styles (Sunset, Pinecrest, Bayside, Miramar, Vizcaya & Fiji) for ten (10) years from the date of synthetic turf installation, when it is installed and maintained as recommended by the turf manufacturer. If any area or portion of the turf substantially changes, as distinguished from a change in texture within ten years after its initial installation, Tropical Turf will have all such areas or portions replaced, excluding installation costs. Tropical Turf also warrants that at the time of the initial turf installation, the synthetic turf will be free of manufacturing defects. Slight color changes will occur over the lifetime of this turf and are not considered an issue or basis for a claim. All labor costs involved with the removal of the affected turf and reinstallation of the replacement will be the responsibility of the purchaser. Subject to the following limitations: General provisions of this limited warranty apply to the wear of the turf with regard to ultraviolet degradation, and do not apply to damage incurred during installation, improper underlay, pile crushing, willful or negligent abuses, or damage by machinery or equipment, nor does it apply when the turf is not installed by a professional installer. The expressed limited warranty excludes all implied warranties, and said manufacturer shall in no event be liable for a breach of warranty in any amount exceeding the invoice price of the turf. Limitations on Coverage: This warranty does not cover: 1. Damage from accidents, vandalism, abuse and neglect. 2. Acts of God (including earthquakes, floods, hurricanes and other natural disasters). 3. Use of chemicals and improper cleaning methods. 4. Failure to properly maintain, protect and/or repair the turf. 5. Damage that occurs during the shipping/transportation process. All shipping claims must be filed against the freight company in question. 6. Damage caused by reflection (melting) or other flammable materials. 7. Synthetic turf is subject to normal wear and tear. Normal wear and tear is not a manufacturing defect and therefore is not covered by this warranty. Limitations on Liability: Purchaser must promptly inspect all products upon delivery. Anything herein to the contrary notwithstanding, to the extent that any defects, shortages, or non -conformities in the products are discoverable by inspection upon delivery of the products, all obligations of Tropical Turf to purchaser with respect to such defects, shortages, and non- conformities shall be deemed satisfied, and all products shall be deemed to be free of such defects, shortages, and non -conformities, unless Purchaser notifies Tropical Turf of such defects, shortages, or non -conformities in writing within 30 days after the date of delivery. Assignment: Purchaser may not transfer, convey, or otherwise assign all or any of its rights under this warranty without prior written consent of Tropical Turf. Any such transfer or assignment without prior written consent shall be null and void and of no force or effect. Claims Procedure: Claims must be signed and submitted in writing and delivered to: Tropical Turf 6700 NW 82 Avenue Miami, FL 33166 U.S.A. Email: sales(Mtropicalturf.com Company Representative: Customer Name & Address: Initial Installation Date: XGS - Artificial Grass 10/28/19, 20:54 SYNTHETIC TURF ADHESIVES XGS Turf Adhesive is an eco-friendly, single part, moisture curing, polyurethane adhesive. It is designed specifically for bonding various substrates to the backing of synthetic turf. Substrates include: ROAD BASE, DECOMPOSED GRANITE, CONCRETE, ASPHALT, WOOD and FOAM PADDING. Directions: 1. Application area should be clean and free of oil and debris. 2. Apply XGS Adhesive to seam tape or surface via trowel, spray rig, glue box, or by pouring over the surface area. 3. Allow 5-7 minutes wait time (2-3 minutes for XT-32) for adhesive to absorb surface and atmospheric moisture. 4. Lay down turf. 5. Wait 10-15 minutes (longer wait time required under moist or humid conditions.) 6. Press seams ensuring contact between both surfaces (weighted roller may be used for field applications.) 7. After 25-35 minutes of cure time, press or roll seams again, ensuring contact between both surfaces. 8. Begin brooming and infilling after 2-3 hours. XGS Turf Adhesive will be fully cured after 24 hours. XGS Adhesive Storage Instructions: 1. XGS Turf Adhesive should be stored at 600-80OF in a dry area avoiding as much humidity and moisture as possible. 2. Unused adhesive should be kept in its original container and sealed properly to avoid any moisture absorption. Disclaimer: It is strongly recommended that installers be familiarized with the product before use. The user is solely responsible for the application of this product. XGS Inc. is not liable for any loss, damage or injury, direct or consequential, arising from the use of this product. Call us now at 1.866.947.4358 or send us a note on our contact page. Xerigrass q:,at ry ,yntt:e;i, gross at a great price. greens Irvmar Pr synthetic grass Artificial 'iu-rf SYNLAWN http://xgsonline.com/application.html Page 1 of 1 w Z Lu GAL DESCRIPTION: GS pARCE4 _ ___ h0 N.E. 103rd STREET 12 1 11 I 8 1 7 1 6 5 1 4 1 3 2 13 14 15 16 17 18 19 20 21 22 23 24 Zi N.E. 102nd STREET Location Sketch NTS is 9 and 10, Block 92, AMENDED PLAT OF MIAMI SHORES SECTION NO. 4, cording to the Plat thereof, as recorded in Plat Book 15, Page 14, of the Public cords of MIAMI-DADE County, Florida. :RTIFIED TO: Omar Herrera; Law Offices of Rodrigo S. Da Silva, P.A.; Old Republic, ltional Title Insurance Company; A & D Mortgage LLC, its successors and/or assigns their interests may appear.. EPARED FOR: Omar Herrera, 424 N.E. 103 Street, Miami Shores, FL 33138 croachments: Overhead utility lines. The asphalt drive is encroaching over the North boundary line into the street Right -of -Way (N.E. 103rd Street). Portion of the 6 foot high wood fence is encroaching over the South boundary line into the abutting alley. Portion of the 6 foot high wood fence is encroaching over the West boundary line. eyor's Notes: All clearances and/or encroachments shown hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. Encroachments Noted: 4 Underground structures, if any, not located. Bearings, if shown, are based on assumed meridian or Plat of Record. Lands shown hereon were not abstracted for easements and/or right-of-ways of records. Legal description provided by client. This certification is only for land as described. It is not a certification of title, zoning, easements, or freedom from encumbrances. ABSTRACT NOT REVIEWED. There may be additional restrictions not shown on this survey that may be found in the public records of this county. ABSTRACT NOT REVIEWED. This BOUNDARY SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed parry. This survey was based on the monuments found on the field. No construction in any manner should be made without the prior written consent of the Surveyor. SURVEYOR'S SEAL ess it bears the signature the original raised seal of lorida licensed surveyor and )per, this map/report is for rmational purposes only is not valid. D: BOUNDARY .SURVEY NELSON MO q NA Registered Surveyor & Mapper No. 5504 State of Florida LEGEND o = Central Angle A = Arc - A/C = Air Conditioner ASPH = Asphalt BBO = Barbecue C = Calculated CB = Catch Basin CBS = Concrete Block Structure CH = Chord* • rhatta.. = chattzjlm f l ? • ...... Center Line • CLV = Chainl nk tgWe • L•I• •: • 6 Clear • • • • • • • •. • Qwwo • F Concrete . Do 0 0 Deed •••••• i4 F Diameter - - . 0 DNO = Drill Holp• • • ***so OAAE• • F Drainage & WaintenaW614sol4 g4s?Vo• Eases"?••• Enc. •••••• = Encroachment . I.": •; Fire Hydrant • flP Foun4 1/2' Iron Pipe • • • • . • FIR = Found tJ.2•ITdh Rebar fPL • • Florida Power & Light: • • • • � Ili �= ident:c4i8m • • I.P. = Iron Pipe* • • LB = Licensed Business LME = Lake Maintenance Easement L.P. = Light Pole M = Measured MAINT. = Maintenance M.F. = Metal Fence Y = Monument Line Mon. = Monument N/A = Not Applicable N/D = Nail & Disc N' = Number NTS = Not to Scale O/S = OfFset O.U.L. = Overhead Utility Lines P = Plat PB = Plat Book PC = Point of Curvature PCP = Permanent Control Point PG = Page P.I. = Point of Intersection PKWY = Parkway R = Property Line PL = Planter PLS = Professional Land Surveyor P.O.B. = Point of Beginning P.O.C. = Point of Commencement P.P. = Power Pole PRC = Point of Reverse Curvature PRM = Point of Reference Monument PT = Point of Tangency R = Radius Res. = Residence R.L.S. = Registered Land Surveyor RNG = Range R/R = Railroad RSM = Registered Surveyor & Mapper R/W = Right -of -Way Sdwk = Sidewalk Sec. = Section T =Tangent TWP = Township U.E. = Utility Easement UTIL. = Utility W.F. = Wood Fence W.M. = Water Meter WME = Wall Maintenance Easement MOJARENA & ASSOCIATES, INC. H Land Surveyors & Mappers _ W#E Certificate of Authorization No. 6698 S P.O. Box 56-0126 Miami, FL 33256-0126 (305) 278-2494 FLOOD ZONE: X DATE.- I SCALE: BASE: N/A DWN. BY I JOB NO. 06-1 1-19 11" = 20' N.M. 1 19-013 7 • Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. William Trueba 12716 SW 206 Terrace Miami, FL 33127 -ear�cxa HEALTH Vision: To be the Healthiest State in the Nation RE: Contingency Letter Application Document No: AP1433981 Centrax Permit Number: 13-SC-1990995 OSTDS Number: 424 NE 103 St Miami, FL 33138 Ron DeSantis Governor Scott A. Rivkees, MD State Surgeon General September 24, 2019 Lot: Block: Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 09/18/2019 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Reviewed on 9/24/2019. No objection for driveway installation as per your Site Plan. NO BEDROOM ADDITION. NO FLOW INCREASE. 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, Gerard Philizaire, Environmental Manager Florida Department of Health www.FloridaHealth.gov 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: ttdoh Lot: Block: Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 09/18/2019 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Reviewed on 9/24/2019. No objection for driveway installation as per your Site Plan. NO BEDROOM ADDITION. NO FLOW INCREASE. 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, Gerard Philizaire, Environmental Manager Florida Department of Health www.FloridaHealth.gov 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: ttdoh William Trueba Page two September 24, 2019 Enclosures cc: •000:0 ...... .... ...... .... .... . . .... .... ..... ...... . . ..... .... . ...... . . . . ......