DS-09-19-2289, 30 NE 93rd StIsmael Naranjo
From: Ismael Naranjo
Sent: Thursday, February 13, 2020 11:15 AM
To: 'Jude Faccidomo'
Cc: 'fafaccidomo@gmail.com'; Arlenis Silvera
Subject: RE: Septic tank.
Good morning Mr. Faccidomo,
Below please find section 107.4 of the 2017 Florida Building Code that requires resubmittal of construction documents
for approval.
[A] 107.4 Amended construction documents. Work shall be installed in accordance with the approved construction documents, and
any changes made during construction that
are not in compliance with the approved construction documents shall be resubmitted for approval as an amended set of construction
documents.
From: Ismael Naranjo
Sent: Thursday, February 13, 2020 9:59 AM
To:'Jude Faccidomo' <Jude@rflawgroup.com>
Cc: fafaccidomo@gmail.com; Arlenis Silvera <SilveraA@msvfl.gov>
Subject: RE: Septic tank.
Good morning Mr. Faccidomo,
Hope you are doing well, I left you a message earlier today. In order to pass final inspection on the driveway permit, you
need to submit revised site plan reflecting the existing concrete driveway on the west side of the property to the Health
Department for approval. Once the Health Department approves the revise plans you will bring them back to our office
for review and final approval. Please keep in mind, 2 sets of the sketch approved by the Health Department along with a
permit application will be require for the revision.
Once the revision is approved and the fees are paid, you will be able to request a final inspection.
Please let me know if you have any questions.
Thank you.
Ismael Naranjo, BO
Building Director
Miami Shores Village
10050 NE 2 Ave
Miami Shores, FL 33138
Office: 305-795-2204
Fax: 305-756-8972
www.miamishoresvillage.com
From: Jude Faccidomo <Jude@rflawgroup.com>
Sent: Tuesday, October 29, 2019 11:38 AM
To: Ismael Naranjo <Naraniol msvfl. ov>
Cc: fafaccidomo@gmail.com
Subject: RE: Septic tank.
Thank you, Ismael. I hope this resolves the issue. I very much appreciate your assistance.
Jude- 9W (Faca omo, Esquire
1l'1'al'.All!: �. 1�:(•- =t... t_Il
From: Ismael Naranjo <Naraniol@msvfl.gov>
Sent: Tuesday, October 29, 201910:32 AM
To: Jude Faccidomo <Jude@rflawgroup.com>
Subject: FW: Septic tank.
From: Ismael Naranjo
Sent: Tuesday, October 29, 201910:32 AM
To: 'jud@rflawgroup.com'<iud rflawgroup.com>
Cc: Arlenis Silvera <SilveraA@msvfl.gov>
Subject: FW: Septic tank.
From: Ismael Naranjo
Sent: Tuesday, October 29, 201910:16 AM
To:'gud@rflawgroup.com' < ud rflaw rou .com>
Cc: Arlenis Silvera <SilveraA msvfl. ov>
Subject: FW: Septic tank.
Good morning Mr. Faccidomo,
Please find attached a copy of your site plan reflecting the location of the existing concrete driveway.
Below you will find the email from the Health Department. Address for the Health Department id 11805 SW 26" St.
Miami, Florida
In order to pass final inspection on the driveway permit, you need to submit the revise site plan reflecting the existing
concrete driveway on the west side of the property to the Health Department for approval. Once the Health Department
approves the revise plans you will bring them back to our office for review and final approval. Please keep in mind, 2 sets
of the sketch along with a permit application will be require for the revision.
Please let me know if you have any questions.
Thank you.
Ismael Naranjo, BO
Building Director
Miami Shores Village
10050 NE 2 Ave
Miami Shores, FL 33138
Office: 305-795-2204
Fax: 305-756-8972
www.miamishoresvillage.com
From: Toussaint, Frantz <Frantz.Toussaint@flhealth.gov>
Sent: Tuesday, October 29, 2019 8:42 AM
To: Ismael Naranjo <Naraniol@msvfl.gov>
Cc: Philizaire, Gerard<Gerard.Philizaire@flhealth.gov>
Subject: RE: Septic tank.
Good morning,
As long as the tank is traffic rated, it should not be a problem. NB The drainfield should stay clear of any obstruction.
I hope I answered your question.
Frantz
From: Ismael Naranjo <Naraniol msvfl. ov>
Sent: Monday, October 28, 2019 2:52 PM
To: Toussaint, Frantz <Frantz.Toussaint@flhealth.gov>
Subject: Septic tank.
Good afternoon Mr. Frantz,
Hope this email finds you well. I need your assistance with the following.
We have a property owner in Miami Shores that has a septic tank, drain field and reserve area on his property. The
owner wants to place a concrete slab over the area where the septic tank is located, the slab will not encroach into the
drain field or reserve area.
Please advise.
Regards,
Ismael Naranjo, BO
Building Director
Miami Shores Village
10050 NE 2 Ave
Miami Shores, FL 33138
Office: 305-795-2204
Fax: 305-756-8972
www.miamishoresvillaee.com
5-01
BATIL; 3
1/ 9
IF= CE-
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z
4V7
QjK NO OBJECT
1
Florida Health Mlaml-Oa
—7
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O.S.T.O.S. &Well Pr
1. r-Lo CLO.
Application
No.: OP12 E
Dslagtra,ture
j35n-R-Q0M 3
<'C-E
LIU.
Qr
I- N Nc
'1ASTER
El
N'EJJ 3-,ONCRETE BLOCK
NEW DRYWALL PARTITION
Q)Q11UJN 51 11110E)
EX5TI.Y- IA'-L
EX!5TNf-"31D. LOAD -BEARING
5`41RTITfON
NEW WD, LOAC) -SEARINv,
PARTITION (DRAU.N 5'WIDE)
RETROFIT FILL CE-1-' W 5, (SEE
FLOCK PLAN FOR LOCATION):
DRILL WEPDXY 5X3•4'
DOWELS IN EXIST. CCNC. it
STRY-TURE TOP 4
DE7. SPEET A-5;
M
Area breakdown:
Lot area:
9,600 s.f.
Existing habitable area:
2,304 s.f.
New habitable areas:
Garage conversion-
257 s.f.
Proposed habitable area:
2,561 s.f.
SEAL
WWII
%
`77ry VICTOR J. BRUCE
AR-0017103
370N.E.101itStreet
Miami Shores, Florida
r'NE t.33138
7-7 tel., 305-310-5030
tax: 1.877-408-8280
email:
vlonsceftl-assoclatesr.et
Ail drawings wriff. -fint.1
3q:
ty t hherein,or In,fr—M, ol
un
7 - p, —ic-hal—dInth.
of A1.1—lolef. A
- - - - - - shall net be reproducedor
copied, In whale or in Pan
without the exiffesmed wMten
o..M o(Af-iff—Iole, &
is
noy not be used or
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'ef—cd 1—Y .1othernh
jjjf P'aaawy Inf—ts- of
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I had not be discs .. d to
oth-
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I here
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h— been gly.n the
ppfursify to ask qu.fllan,
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:h.t:.y ..dif -11- to
he plans will
Asp
addifronplserncewnh
lenfl.1 hnisc,t an
5F conshucg.n cast &
scheduling.
accepted
accepted osinoted
date:
I
It
9-16
n8 01-27-1
L
Faccldomo
Residence -
Garage cony. &
int. renovation
30 NE 93rd Street
mlcrnni, Shares, Florld,
33138
fte� t % nbe
0370-faceldomo
REAR ALL=-
(117) 5iTE FDL4N
\-�/SCALE: (D
Proposed Site
F---77,77�7
plan & Floor
CA plan
C
A -]a
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
mv fl�h it
Parcel Number
30 NE 93RD ST, Miami Shores, FL 33138 1132060230200
Contacts
Permitw0.: 9 2=9
Pern* 7 e: O115' , 1 JSiain
Work C1dssjka6onAftw
Permit Status: Apprim
d
1119- Expiration:04/06/2020
Jude Faccidomo Owner
30 NE 93 ST, Miami Shores, FL 33138
Business: 3057257598
HOME OWNER Contractor
HOME OWNER
Description: PLAIN CONCRETE DRIVEWAY TO REPLACE Valuation: $ 5,000.00 Inspection Requests.
PERMIT#DS-01-19-128
REPLACED DS-01-19-128 TotalSq Feet: 1,500.00
Please take a look at the approved plans. Make sure slab
and structure on the side of the house are removed.
Fees
Amount
50% Renewal Fee
$25.00
Application Fee - Other
$50.00
Total:
$75.00
Payments
Date Paid Amt Paid
Total Fees
$75.00
Check# 1608
10/07/2019 $25.00
Credit Card
09/30/2019 $50.00
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the ans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepti this permit I assume respons' ility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are requ d r ELECTRICAL, PLUMBIN , MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNER=IT: I certify that a0 foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulati I nstru oa n and zoning. F ermore, I authorize the above named contractor to do the work stated.
Authorized Signs/qre: Owner / Applicant / Contractor / Agent
Date
October 07,
Page 2 of 2
lb
BUILDING
PERMIT APPLICATION
Miami Shores Village RECEIVEED
Building Department SE? 1"
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 201�
Master Permit NQ� ' j cl - aa89
Sub Permit
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL
❑ PLUMBING [:]MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
✓ CONTRACTOR DRAWINGS
n/
JOB ADDRESS: I d ' `� V � j �
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: -Flood Zone: BFE: � FFE:
OWNER: Name (Fee Simple Titleholder): J t Wr ► '}"� (� 'f /A tf 1 6 ��Phone#: �/ J Zf 7
Address: L l✓l?_ q 3 J�_
City: �f) I i✓1?1 ► J� E/�j State: Zip: 7 I
Tenant/LesseeName: Phone#:
Email: j y J& ii �-�I�1 W�7'(J✓ �,U
CONTRACTOR: Company Name:
Address:
City: State:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ JC 406 )U ( )
Type of Work: ❑ Addition ❑ Alteration 1 Description of Work: 1 / 1 1 /.i 1. / A ' 1 (
Zip:
Phone#:
Certificate of Competency M
Phone#:
_City: State: Zip:
y:
iia�f Li:nearl~oo age of Work: % .Sa C�
s1` '\"#tepair/Replace ❑ Demolition
a
Specify color of color thru tile: mot` •., = i . �'
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 2 J • g)
(Revised02/24/2014)
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 approved and a reinspection fee will be charged.
Signature
OWN16 or AGENT
The foregoin instrument was acknowledged before me this
gkt1' day of !Sq f ' 20 ( 1 g. , by
�4 OICC �b iYlO who is personally known to
or who has produced L- as
ide
take an oath.
Y PR/F .4,
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 , by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print t' %2 :Z Za71� - Print:
A'OdOd N.
Seal: � as S(E��C``` Seal:
TK
*************************** ss* ****nn*******s***ss**s**********s**s******s*s***********ssss*s*****s*ss**
�D r GGI
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: J%.d L 6 (2rj c QM6 DATE: )
ADDRESS: 3O @ F_ C(. rc,
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have
read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption
allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a
cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or
lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built
for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on
your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and
with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all
applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner builder permit under an
exemption from the law. The exemption specifies that I, as the owner of the property listed, may act s my own contractor with certain
restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he o s e is r ponsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understa d that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of y o name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits a on racts,
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding I may also build or improve a commercial
building if the costs do not exceed $75,000. The building or residence must be for my use or occ p ncy. It may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved mysl is so or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or leas##, is violates the exemption.
;n ittal I.i
S:' • 1 un8erstafnd that, as the owner -builder, I must provide direct, onsite supervision of the constructio
ti �,�' .`��,'• Initial
y+ 6: ` 1understand that I may not hire an unlicensed person to act as my contractor or to supervise pers w ng on my building or residence. It
G
;s my responsibility to ensure that the persons whom I employ have the license required by law and un or municipal ordinance,
Initial
.�'�rtrtllit?t1ti'�
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously
Implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder a d am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contra or who is not licenses to perform the
work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employe. I ypRjerstand that my failure to follow
these may subject to serious financial risk. (t � �
9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity,+III abide by all applicable laws and
requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulation
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Ir#ernal Revenue Service, the United States
Small Business Administration, and the Florida Department of Revenues. I also understand that I may n the Florida Construction Industry
Licensing Board at 850.487.1395 or htto://www.mvfloridalicense.com/dbpr/pro/cilblindex.html
Initial
11. 1 am aware of, and consent to; an owner -builder building permit applied for In my name and underst s that I am the party
legally and financially res risible for the proposed construction activity at the following address: L,
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of e' r ation that I have provided on
this disclosure.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a persogwho does not have a license, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or
employee of an individual or firm is injured while working on your property, you may be held liable for damages. if you obtain an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this 3O day of 20
By Q JV ;61CC i J0 cop who was personally known to me or who has
Produced there License or
identification
OTARY
��.•
`\g��
• �H?5,2� •'�
% o #GG 28720
p� 0 r
/�����/i• STK��``
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
30 NE 93RD ST, Miami Shores, FL 33138
Contacts
issue Date:10/07/2019
Parcel Number
1132060130200
PermitNO.:PW-0949-2290
Permit Tyree: PWIC Works
Work Cfassifica: Public Works
Permit Status: Approved
Expiration: 04/06/2020
Jude Faccidomo Owner STAR ISLAND CONCRETE DESIGN CORP Contractor
30 NE 93 ST, Miami Shores, FL 33138 MIGUEL CORPAS
Business: 3057257598 1018 nw 47 street, Miami, FL 33127
Business: 3057767916 miguelcorpas22@gmail.com
Description: PLAIN CONCRETE DRIVEWAY to replace Valuation: $ 1,000.00 Inspection Re uests:5-� -�
permit#pw-19-12990
REPLACED PW-01-19-129 Total Sq Feet: 1,500.00
Fees Amount
Payments
Date Paid Amt Paid
100% Permit Renewal Fee $100.00
Total Fees
$100.00
Total: $100.00
Check # 1608
10/07/2019 $100.00
Amount Due:
$0.00
Building Department Copy
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 1 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.
AFFIDAV} T': I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
;onstrucfron i d zoning. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Date
October 07,
Page 2 of 2
Miami Shores Village WEIVED
Public Works Department
(305)795-2210 SEP 30 2M
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property�l
Permit#: RtoeA)
?w_c�—ig- gaga
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio #; - 3 -
Address: -,Y)
UTILITY. NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone: Email:
State Certification or Registration M
State:
ZIP:
Certificate of Competency #
CONTRACTOR NAME: l CA- k l�� V 1 `� ► \
Qualifier/Authorized Ae'n-tff
Address: t W
City: IM I C.► Vyl I State: ZIP:
72>17-7
Telephone: 1 Email:
State Certification or Registration #: Certificate of Competency M
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way:
Type of Work: ❑ Paving ❑ Utility
❑ Landscape[] Antenna
DESIGNER: Architect/E
Address: 30 K) -
City:
Telephone:
Registration #:
❑ Sidewalk ❑ Electric ❑ Irrigation
Jown
❑ Qti�er��`ID•r i?�o�i1�
perm
State:
Email:
.;�, •z • � ,. �� �. �.+ .t� yam:
Value of Work for this Permit: $ 11000Square%Lineal Footage of Work: /
*****Fees*****
Permit Fee $100.00 t
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ (do -
Bond ing.Compa ny's Name (if applicable):
Bonding Company's Address:
City:
State:
ZIP:
Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in
this jurisdiction. I understand that separate permits must be secured for
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be
done in compliance with applicable laws§ regulating construction and specifically construction in the
right-of-way.
"WARNING TO APPLICANT: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value
exceeding $2,500, 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 the
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 public works permit is issued'. In the
absence of such posted notice,.the inspectiojiill not be approved and a reinspection will be charged.
Signature
Appliq
The foregoin instrur
rpe this,�Qday of
- Q cr l dt) vv% 1b
known to me or who has produced
Signature
Company/Utility Agent
)re The foregoing instrument was acknowledged before
by me this day of .20 by
who who
is personally known to me or who has produced
as
identification.
PUBLIC:
Print: ZLf3 T1 ► _ .�1s�lded 2Z4 o?print:
SEAL:
APPROVED BY: 3O Public Works Director, or Designee
2017-04-15
141
0�=.1 TWOS
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Florida Health Miami -Dade Co' My
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Application No.: 111%,I/ 3 f $71y"-
�_ Date: 4a-19F. y"`
Scanned by CamScanner
,r
Ron DeSantis
Governor
Tn protect, promote & improve the health
oall people in Florida through integrated
state, county & community efforts.
(Maria de Brusos)
1250 NE 204 Terrace
Miami, FL 33179
HEALTH
Melon : To be the Healthiest State in the Nation
RE: Contingency Letter
Application Document No: AP1388714
Centrax Permit Number: 13-SC-1910385
OSTDS Number:
30 NE 93 St
Miami, FL 33138
Lot:8 9 Block:2
January 10, 2019
Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 12/18/2018 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
NO OBJECTION letter issued by Gerard Philizaire for a DRIVE WAY INSTALLATION ONLY.
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 Philizair , Engineering Specialist II
Florida Department of Health www.FlorldsaMealth.eom
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
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER
� DISCLOSURE STATEMENT
NAME: t� �Cti Cl�il(^1(1y - (I DATE: 3U /
ADDRESS: 30 3 r(' Sf.
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have
read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption
allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a
cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or
lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built
for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on
your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and
with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all
applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have app ied for an owner -builder permit under an
exemption from the law. The exemption specifies that I, as the owner of the property listed, may at as rtly�wn contractor with certain
restrictions even though I do not have a license. / /
2. 1 understand that building permits are not required to be signed by a property owner unless he o�she is sponsible for the construction and
is not hiring a licensed contractor to assume responsibility. /I
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I undenl that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name inste o my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits a d cWracts.
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuildi*. I may also build or improve a commercial
building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially
Improved for sale or lease. If a building or residence that I have built or substantially improved myseif is sol or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or lea , is violates the exemption.
Initial
14�� 9RIil�H rid6stand that, as the owner -builder, I must provide direct, onsite supervision of the constructs
.i; •,'} �,'�, Initial
R `6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise pers s wor " g on my building or residence. It
n % o is. Jny responsibility to ensure that the persons whom I employ have the license required by law an y t or municipal ordinance.
'i` •:� ` Sf2S Ut .
til ✓ -T; ..
=�s ': •� ` 'r 6.; .n� :i " Initial
tflr,r �lil7Tt.t1�i�+�`
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed co
work being done. Any person working on my building who is not licensed must work under my
me, which means that I must comply with laws requiring the withholding of federal income tax
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the err
these may subject to serious financial risk.
9. 1 agree that, as the party legally and financially responsible for this proposed Construction
requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning i
10. 1 understand that I may obtain more information regarding my obligations as an employer from t
Small Business Administration, and the Florida Department of Revenues. I also understand that I
Licensing Board at 850.487.1395 or htto://www.mvfloridalicense.com/dbor/oro/cilb/index,htmi
11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and
legally and financially responsible for t�epro osed construction activity at the following address:
12. 1 agree to notify Miami shores "village immediately of any additions, deletions, or changes to any
this disclosure.
rc who is not licenses to perform the
supervision and must be employed by
)cial security contributions under the
i. I understand that my failure to follow
abide by all applicable laws and
Revenue Service, the United States
:t the Florida Construction Industry
nds that I am the party
that I have provided on
Licensed contractors are regulated by laws designed to protect the public. If you contract with a persOV who does not have a license, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or
employee of an individual or firm is injured while working on your property, you may be held liable for damages. if you obtain an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this 3OVI day of �Q �- , 20 M.
g-2ACC� GLpr�a who was personally known to me or who has
Y P Y
Produced there License or
identification
ARY
PRIFro
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eNG 26e260
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10
Arlenis Silvera VS -- o g --yii •- 2gii
From:
Ismael Naranjo
Sent:
Thursday, March 12, 2020 4:58 PM
To:
Jude Faccidomo
Cc:
Travis Kendall; Tom Benton; Frances Faccidomo; Arlenis Silvera
Subject:
RE: Permit/State of Emergency
Good afternoon Mr. Faccidomo,
Thank you for the email, hope you and the family are doing well. As for our permit, I have no objection on an extension
of time; however, I cannot speak on behalf of the Health Department, as we do not regulate their requirements. You
may want to request an extension from them as well.
Please be safe,
Sincerely,
Ismael Naranjo, BO
Building Director
Miami Shores Village
10050 NE 2 Ave
Miami Shores, FL 33138
Office: 305-795-2204
Fax: 305-756-8972
www.miamishoresvillaee.com
1
From: Jude Faccidomo <Jude@rflawgroup.com>
Sent: Thursday, March 12, 20201:47 PM
To: Ismael Naranjo <Naranjol@msvfl.gov>
Cc: Travis Kendall <KendallT@msvfl.gov>; Tom Benton <BentonT@msvfl.gov>; Frances Faccidomo
<fafaccidomo@gmail.com>; Arlenis Silvera <SilveraA@msvfl.gov>
Subject: Permit/State of Emergency
Dear Mr. Naranjo:
As you recall, following our meeting on February 26th at Village Hall, my wife and I were instructed that in order to close
our permit we would need to have plans reflecting the "change" drawn up by our architect. Once that was done we
were told we would need to have two (2) copies of those plans stamped by MSV and then, finally, take the stamped
copies to the Department of Health for approval and permitting. Once DOH stamped those plans we were instructed to
return them to your department at Village Hall to request the closure of the permit. In order to accomplish this, you
graciously agreed to a ninety (90) day extension of our existing permit. Thus far we have secured the plans from Mr.
Bruce and last Friday I responded to Village Hall and Ms. Silvera stamped them. The remaining step is to take them to
the Department of Health. Given the current situation with the COVID-19 that is both impracticable and unsafe. As such,
and given that Governor Desantis has declared a "state of emergency", we are respectfully requesting that the time on
our ninety (90) day extension be tolled until such time as the "state of emergency" has been lifted.
Kindly advise.
9uSe At Eacci6mnq zsguve
RATZAN&
FACCIDOM
«pa
Tat 305.374,5730
ew