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DS-10-20-2326Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address A Issue gate.2 18Jiil20 FExpiration: 06/18/2021 Parcel Number L63 NW 101ST ST, Miami Shores, FL 33150 1131010230150 :ontacts THOMAS USAREK-WITEK Owner ACCESS GENERAL CONTRACTOR Contractor MICHEAL HOFFMAN 4400 NW 109 TER, CORAL SPRINGS, FL 33065 i Inspection Requests: E Description: EVALUATE & REMOVE ASPHALT DRIVEWAY Valuation: $ 10,800.00 305 762 4949 € REPLACE WITH PAVERS IN DRIVEWAY & WALKWAY ON WEST ELEVATION & TERRACE (NORTH & BACKYARD) I Total Sq Feet: 1,567.00 i Fees Amount Application Fee - Other $50.00 CCF $6.60 Concrete/asphalt/pavers, slabs, dways, $125.00 swalks DBPR Fee $2.63 DCA Fee $2.00 Education Surcharge $2.20 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $4.38 Total: $236.81 Payments Date Paid Amt Paid Total Fees $236.81 Credit Card 10/14/2020 $50.00 Credit Card 12/18/2020 $186.81 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 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. Authorized Signature: Ow r ! Applicant ! Contractor / Agent Date December 18, 2020 Page 2 of 2 Miami Shores Village RECEIVED► y BUILDING PERMIT APPLICATION I BUILDING ❑ ELECTRIC Building Department OCT 14 2020 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---t Master Permit No.-\-)S- JQ-20' 2321.0 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION [7]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �11' I ` CONTRACTOR DRAWINGS JOB ADDRESS: I �� I�! VV 1 O I S� City: Miami Shores County: Miami Dade Zip: 3315(� ) Folio/Parcel#: �'-b> (� I� oa�� Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type'(a�ereS Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder),.- 6VN i'g0SG�(ei.�t}� nabr'�elle . L I �i Phone#: Address: I�O NCI 1C)\��� ee� City: '�S"wcs State: �""- L- Zip: S B'5 b Tenant/Lessee Name: Email Phone#: CONTRACTOR: Company Name:Aco�:�C,, �pn'tY �..� Phone 5��3s (p Address: M\q 1C)q 4-c r(�1� N City:_("'0CCLQ r\ State: F—L---- Zip: Qualifier Name: Phone#:���%/�G� State Certification or Registration #: � 5 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: �1City: State: Zip: ppy� Value of Work for this Permit: $ ic,,4&2. 06 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New fiaRepair/Replace ❑ Demolition T I 1 /I /) t/� , // ,., . � Description of Work: Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised02/24/2014) Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �-� --- 7-7 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 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 low brochure wilt 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. to the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged, signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged Zore me this The foregoing instrument was acknowledged before me this day of by day of 120 4C by 1 26 -TT-01AWwho is personally known to rpverosanta2y known to me or who has produced tq-�L s7as me or who has produced 4' as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY *PUBU: Sign: Sign: i Print; LGc c, r Print r\ Seal: Seal: IN oINIDIA AUVA ION it GG `3 LAURAMONTANARO MY COMMISSION# GG 106992 EXPIRES:Sept etuber Bonded Tnru Notary Pu*Underw4,fters '7 APPROVED BY 1k PAZ, ��Q Plans Examiner Zoning Structural Review Clerk iFt"Sed02f24120141 LAURA MONTANARO MY COMMISSION # GG 106992 ; Zo EXPIRES; June 7, 2021 Bonded Thru Notary Public Underwriters ❑0 Ron DeSantis, Governor STATE OF FLORIDA Halsey Beshears, Secretary DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES HOFFMANN, ADAM MICHAEL ACCESS GENERAL CONTRACTOR LLC 4400 NW 109 TERRACE CORAL SPRINGS FL 33065 LICENSE NUMBER: CGC1521876 EXPIRATION DATE: AUGUST 31, 2022 Always verify licenses online at MyFloridaLice nse.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Florida BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2020 THROUGH SEPTEMBER 30, 2021 D: Business Name: ACCESS GENERAL CONTRACTOR LLC Owner Name: HOFFMANN, ADAM MICHAEL Business Location: 4400 NW 109 TERR CORAL SPRINGS Business Phone: (954) 865-6366 Receipt #:18 GENERAL4446 CONTRACTOR (GENERAL Business Type: CONTRACTOR) Business Opened:04101/2014 State/County/Cert/Reg: CGC 15 218 7 6 Exemption Code: Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: ACCESS GENERAL CONTRACTOR LLC Receipt #WWW-19-00200308 4400 NW 109 TERR Paid 07/29/2020 27.00 CORAL SPRINGS, FL 33065 2020 .2021 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2020 THROUGH SEPTEMBER 30, 2021 DBA:ACCESS GENERAL CONTRACTOR LLC Business Name: Owner Name: HOFFMANN, ADAM MICHAEL Business Location: 4400 NW 109 TERR CORAL SPRINGS Business Phone: (954) 865-6366 Signature Rooms Seats Employees 1 Number of Machines: Receipt#:180-264446 Business Type: GENERAL CONTRACTOR (GENERAL CONTRACTOR) Business Opened: 0 4 / 0112 014 State/County/Cert/Reg: CGC 15 218 7 6 Exemption Code: For Vending Business Only Machines Vendinn Tvne- Professionals Tax Amount I Transfer Fee I NSF Fee I Penalty I Prior Years Collection Cost I Total Paid 27.001 0.001 0.001 0.001 0.001 0.001 27.00 Receipt #WWW-19-00200308 Paid 07/29/2020 27.00 ACORV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYM 09/24/2020 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 have ADDITIONAL INSURED provisions or 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 CONTACT Chanda Miller NAME: The Contractors Choice Agency, Inc. A/ N o Ext: (800)918-3584 FAX No): (855)336-7189 4435 E Chandler Blvd Ste 200 -MAIL chanda@contractorschoiceagency.com ESS ADDR: INSURER(S) AFFORDING COVERAGE NAIC # Phoenix AZ 85048 INSURERA: Preferred Cont. Ins. Co. RRG 12497 INSURED INSURERS: Access General Contractor LLC INSURER C : INSURER D : 11627 NW 36 Street INSURER E : INSURER F : Coral Springs FL 33065 COVERAGES CERTIFICATE NUMBER: CL185838458 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 AODLSUBR INSO WVD POLICY NUMBER POLICY EFF MWDO POLCY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ®OCCUR DAMAGE TO RFNTE5_ PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A PCA5026-PC353287 04/15/2020 04/15/2021 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ JECOT- LOC FIOTHER: PRODUCTS -COMP/OPAGG $ 1,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ I PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LU\B CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N STERI ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ " OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Access General Contractor, LLC. CGC# 1521876 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores FL 33138° ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACOR I a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F10n/2020 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 have ADDITIONAL INSURED provisions or 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 SUNZ Insurance Solutions, LLC. ID: (Cornerstone) c/o Cornerstone Capital Group, Inc. 10 Willow Road Building 3, Suite 151 Maple Shade, NJ 0805Z NA EAR Jessi Crumb PHONE 87037s 2s71 arc No): E-MAIL ADDRESS: coi.requests@cornerstonepeo.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: SUNZ Insurance Company 34762 INSURED Cornerstone Capital Group, Inc. 10 Willow Road, Building 3 INSURER B : INSURER C : INSURER D : Suite 151 Maple Shade NJ 08052 INSURERE: INSURER F : CAVFRAnFA CFRTIFICATF NtIMHFR- rAAArGAn RFVISIAN NIJURFR• 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. TR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MM DDmYY MM/DD/YY P LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E-1 OCCUR EACH OCCURRENCE TTZ5 $ DAMAGE R PREMISES (Ea occurren e $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ I i GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F7, PRO- JECT E LOC PRODUCTS -COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR J CLAIMS -MADE i DIED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N WC005-00001-020 1 /1 /2020 1 /1 /2021 ,/ STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1 00O 000 OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If as, describe under DESCRIPTION OF OPERATIONS below N/A, E.L. DISEASE - EA EMPLOYEE $ 1 E.L. DISEASE - POLICY LIMIT $1 000 000 I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage provided for all leased employees but not subcontractors of: Access General Contractor LLC Client Effective: 07/29/2020 FE HOLDER 6417 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. AUTHORIZED REPRESENTATIVE 4l Rids Leonard ' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 58045940 1 Cornerstone Capital Group PEO 005 MASTER CERT I Chase Eisenmann 1 10/7/2020 5:45:19 PM (EDT) 1 Page 1 of 1 ACCESS GENERAL CONTRACTOR, LLC. CGC# 1521876 11471 W. SAMPLE ROAD # 10 CORAL SPRINGS, FL. 33065 (954) 865-6366 accesscgc@gmail.com PROPOSAL SUBMITTED TO JOB NAME DATE TOM WITEK & GABRIELLE LILIENFELD DRIVEWAY REMODEL 9/01/2020 STREET JOB ADDRESS: 163 NW 101ST STREET 163 NW 1011T STREET MIAMI SHORES, FL. 33150 CITY, STATE & ZIP CODE ATTENTION: TOM WITEK & GABRIELLE LILIENFELD MIAMI SHORES, FL. 33150 OFFICE PHONE FAX MOBILE PHONE EMAIL: (504)520-0168 (508)520-0168 OUR SERVICES INCLUDE: • Onsite inspection and evaluation • Demolition ofexisting asphalt driveway approximately 660 sgft • Remove, haul away and proper disposal of all debris/demolition materials • Excavate and place lime rock / road rock as need per code • Compact base material to current code standards • Supply & Install 1,567 sqft of 2-3/8" Concrete Pavers • All Border Pavers will be Cement Set, all other pavers in field to be sand set • Price includes delivery of all required materials • Price includes basic clean-up after installation • All work to be performed by Licensed and Insured Contractors EXCLUDED: • Does not include materials, work, labor and/or management services not mentioned above • Does not include any asbestos and/or lead paint renovations and/or testing • Unless otherwise noted, only standard materials are being installed and all other items to be provided by Owner • Customer is responsible to remove and/or protect any furniture, furnishings, artwork, landscape and/or private property prior to work commencement • This proposal does not include any architect, engineering, survey, density testing, material testing and/or any fee other than pen -nit fees • Any permits, work authorization, etc, is the responsibility of the customer ABOVE MENTIONED SCOPE OF WORK = $ 10,800.00 PERMIT FEES ONLY =NOT INCLUDED GRAND TOTAL = $ 10,800.00 *** $4,800.00 DEPOSIT REQUIRED AT PERMIT APPROVAL / $4,000.00 REQUIRED AT DELIVERY& COMMENCEMENT OF WORK / $2,000.00 REQUIRED AT COMPLETION *** Print Name: x Li �jl/ ) Date of Acceptance: �%2`//-ZOZ6 Signature: x Prepared by: Adam M. Hoffmann Mission: Ron DeSantis Governor To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Gabrielle Lilienfeld 163 NW 101 Street Miami, FL 33150 RE: Contingency Letter Application Document No Centrax Permit Number: OSTDS Number: 163NW101St Miami, FL 33150 Vision: To be the Healthiest State in the Nation AP1583486 13-SC-2184390 October 13, 2020 Scott A. Rivkees, MD State Surgeon General Lot:15 Block: 2 Subdivision: • •Dear`�ppNcant: • • • .,41This �cnowLedgereceipt of an application dated 10/08/2020 for a permit to use an existing •• onsite sewage trWlxgnt and disposal system located on the above referenced property. ••••• •.•. •.•.•a • %• •Revi�Ved. Qn 10/1.3/£020. No objection for replacing driveway asphalt with paver as per your site :....:plan. Propdrty wilrtdrfiain with two (2) bedrooms. NO BEDROOM ADDITION. NO FLOW ......INCRI�Q E. .. .. • • •.•• • .• a •• e "From.a•ra0ew of jr• ur°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, YltA� Se v ra, Yliana Serra, Engineering Specialist II Florida Department of Health www.FloridaHeaHh.gov in DADE COUNTY ° TWITTER:HealthyFLA 1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth PHONE: (305) 623-3500 FAX: (305) 623-3645 i YOUTUBE: fldoh Np on`3� v D 9 � -yi N�'m�8 3' Z �o O C Gl m j o € rg R ° o a' - m) 0 V, BONMAR 0 ° s" �` ' ^ N o �' A —.PARK ADDI TION 8p T Q � I PAx�� -� a 9 ma;> o '�n �`" = Ir.PB.24 - PG.71 y o o new LOT 16 Z o $a ? o BLOCK 2 aD f 90'08' S" � mm m �g R"z m_� 26.52 a 33. zo in mx ; o I�gp V y O N O an o m �i _ A m s ---. 3.50' m D"tj^ v i0yip z N ; m �L i i U) co��� � 1 -Dr1 p 30 V s >� �.;gS 2., 3.16 3.5 rn m r7t��fp it ?x O O) f 1 Z O W N W CP T CD `°�oc p�� O IJil a Yyam'� 3Z� O v a � 4 CD' ^l^,!� J lz 41.40' o n l --- 25.00' 89'S1 45" _ 3 • • • • • • •• •• P 10 ri n rnn Z mr 1z= WA ' ^^Nr\ J Ur t 47.05'- 3.50' T5.4' e -4 0 00 mm 12.0' — co Oo NC 15.65' 50.40'— — co Oo NC 15.65' 50.40'— rn o O�� O3r, �OZ 0.40' T T c) c) o Miami Shores Villaqe APPROVED I By 70NING DEPT DATE !a : jf C T TO CnMrj IA"JCG WITH ALL FFDFI?At_ Fs AMA 17FG1. fI /Vlln1�!S y