Loading...
RC-13-2314Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 200983 Permit Number: RC -10 -13 -2314 Scheduled Inspection Date: January 03, 2014 Inspector: Rodriguez, Jorge Owner: KOHEN, MARCELO Job Address: 1177 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050190350 Contractor: DECO STONE CONTRACTORS INC Phone: (786)255 -3333 Building department comments BUILT NEW POWDER ROOM INSIDE OF EXISTING CLOSET INSPECTOR COMMENTS False January 02, 2014 For Inspections please call: (305)762 -4949 Page 5 of 20 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 02, 2014 For Inspections please call: (305)762 -4949 Page 5 of 20 Miami Shores Village Building Department g' \1`' ic"di-IN ' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 OCT 10 2013 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949° 5u�NC'r1k;c'1. FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. &, 13 — ? 31 Permit Type: Uvwow ROOFING JOB ADDRESS: 11 T7 k I=. 10 0 SIT City: Miami Shores County- Miami Dade Zip: :?3313 9 Folio/Parcel #: 11---31-0.5-011-0350 Is the Building Historically Designated: Yes NO Y Flood Zone: OWNER: Name (Fee Simple Titleholder): MAKLI✓Lo K0%+El'l • Phone #: Address: WE 100 ST City: MIAMI % Qf-�A4 State: FL Zip: 3 =5159 Tenant/Lessee Name: it / Phone #: Email: MCI(CeloP, mrnehQte1 • com CONTRACTOR: Company Name: DF_CQ STPKIE l'_ONDSAC:TT)ISS_ I',tlC• Phone: I'M - 255-3 3;3 Address: 12 ql b SW 112. n 163 - M` liil A ' City: MIAMI State: Tr- Zip: _Z36 1$ (0 Qualifier Name: MA E State Certification or Registration #: C 0 C 15126,1 8 of Competency #: W(o,2.515.33 -33 Contact Phone #: `18 (p . 2 5 5. 35 3 Email Address: d C Cc S to iYG c-� � i y e • C om DESIGNER: Architect/Engineer: V-1} WPhone #: (g54-)5(o(P97 F Value of Work for this Permit: $ 5'0o C x�. Square/Linear Footage of Work: Type of Work: ❑Addition Alteration ONew ORepair/Replace ODemolition Description of Work: 10 NEW PO W DE& hZCOM 11V S I DE OF EX I S Tl K a CL.O.SeT- Submittal Fee Scanning Fee $ Color thru tdle: Permit Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $_ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) We'd, Bonding Company's Address N City State Mortgage Lender's Name (if applicable) t1J /A Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 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 beapprov a are' pection fee will be charged. Signature Signature - Owner or Agent Contractor The foregoing instrument was acknowledged before me this to The foregoing instrument was acknowledged before me this 0 day of��c i0 � , by /y, c�y 6CQ day of c�Ctz_�Y�lJQ�013 , by Mme � -°'' I ®. pq.4 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Print: A- My Commission Expires: NOTARY PUBLIC: Sign: Print: ,�J en tit, 64- A) �Z MY COMMISSION f EE 155991 ti My Commission Expires: EXPIRES: December 27, W5 Bonded Thru Notary Public fticmMers APPROVED BY Plans Examiner Structural Review (Revised 5/2/2012XRovised 3/12/2012) XRevised 06/10 /2009 )(Revised 3 /15 /09XRevised 7/10/2007) ^ " MARIA GOWALEZ MY COMMISSION 9 EE 155991 EXPIRES: Dacember27, 2015 LZ'Q a Bonded Thru Notary Public Underwiters zoning Clerk Miami Shores Village Building Department CONTRACTORS' REGISTRATION 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. V' COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. ,/ COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. ✓ COPY OF WORKERS COMPENSATION JEITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Pr-C C) I KJ C . BUSINESS ADDRESS: 12CO Z) (,;`VV t,2- Sfi . faa3 CITY M I A r\A 1 STATE F1, ZIP CODE BUSINESS PHONE: ( bte 1 2-5 33 3 FAX NUMBER L_) CELL PHONE QUALIFIER'S NAME: MAF=CF_ L1-N Mc) WTID IA QUALIFIER'S LIC NUMBER: C'kl C 15'1519(t9' E -MAIL ADDRESS (IF APPLICABLE): df Q-f JS:b2 rI5, P, I y e.. ccm Created on 3119109 BY MLDV / MOW MLDV / RV 612TH 1 AS aep * 3n C. Z= k' rRR Y 4, fi 2fJ t�_.,t /, ♦raw ' ° -©� CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDWrYYY) 09124/13 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 owtificate holder is an ADDITIONAL INSURED, the Policy(les) must be WWoraed. if SUBROGATION 18 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cmdficets does not confer rights to the certificate holder in lieu of such ando a . PRODUCER Insurance Professional Consultants 10481 SW 88 St Ste. D -204 Miami, FL 33176 Phone (305) 273 -4530 Fax (305) 2734409 ONEISIS FRIAS PIKI E (30g) 273 -4530- F Nok (305 ) 273 -4409 L O IPCFL.COM PRODUCER -R@RRM AFFORDING COVERAGE NAIL s INSURED DECO STONE CONTACTORS, INC 12973 S.W 112 STREET SUITE# 103 MIAMI, FLORIDA 33186 INSURER A: Endurance American Specialty Insurance Co. Y INSURER 8: CBC 1 OW1049401 INSUREII C: 05/27/2014 INSURER o $ 2,000,000 INSURER E: $ 100,000 INSURER F: $ 5,000 4Vvr-M%2W uen11rwwre Numacrs: 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, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN, IL7R TYPE OF INSURANCE am Nftf]L PO NUNISER Fax 305- 756 -8952 LRAR9 A GENERAL LIABILITY 0 COMMERCIAL GENERAL UABIUTY CLAIMS -MADE ❑ OCCUR ❑ GEN'L AGGREGATE UMrr APPLIES PER: POLICY ❑ PRO- ❑ LOG Y Y CBC 1 OW1049401 0512712013 05/27/2014 EACH OCCURRENCE $ 2,000,000 PREMISE nce $ 100,000 MED EXP (Any one Pte) $ 5,000 PERSONAL s AOV INJURY $ 1,000 000 GENERALAGGREGATE $ 2,000,000 PRODUCTS - COWIOPAGG $ 2,000,000 $ AUTOMOBILE LIABILRY F] ANY Auro ALL OWNED AUTOS SCHEDULED AUTOS El HIREDAUTOS El NON -OWNED AUTOS El COMBED SINGLE LIMIT (Ee wddeM) $ BODILY INJURY (Pet person) $ BODILY INJURY (Peracddent) $ PROPERTY DAMAGE (Per acdderd) $ $ ❑ UMBRELLA LIAB ❑ OCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABflM Y/N ANY PROPRIETORJPARTNERO(ECUTIVE OFFICERIMEMBEREXCLUDED? In der DESLrRIPTION OF OPERATIONS below N/A WC STATU OTH- FR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATION / LOCATIONS /VEHICLES (Attach ACORD tet, Addhional Renarke Schedule, I more opine M regW roM GERTIFIGATE HOLDER GANGELtAT1ON Miami Shores Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 10050 NE 2nd Ave Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Fax 305- 756 -8952 ©19� -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) OF The ACORD name and logo are registered marks of ACORD Property Search - Report 1 Property Information: Current Previous Year Folio 11- 3205 - 019 -0350 2012 Property Address 1177 NE 100 ST Exemption/ Taxable Owner Name(s) MARCELO ALBERTO JAIME KOHEN PAULA IRINA FURFARO Mailing Address 1177 NE 100 ST MIAMI SHORES FL 33138 Primary Zone 1100 SGL FAMILY - 2301 -2500 SQ Use Code 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds /Baths /Half 3/3/0 $50,000/$550,900 Floors 1 Living Units 1 Sale Information: Adj. Sq. Footage 3,226 OR Book -Page Lot Size 17,550 SOFT Year Built 1950 02/09/2009 Full Legal Description MIAMI SHORES SEC 8 REV PB 43 -67 LOTS 13 & 14 BLK 177 LOT SIZE IRREGULAR OR 21395 -2954 062003 1 COC 26294 -2392 03 2008 1 Assessment Information: 03/01/2008 $800,000 26294 -2392 Current Previous Previous 2 Year 2013 2012 2011 Land Value $320,746 $305,854 $254,878 Building Value $343,500 $349,975 $351,611 Market Value $664,246 $655,829 $606,489 Assessed Value 1 $600,900 $590,856 $573,647 Benefits Information: Current Previous Previous 2 Benefit Type 2013 2012 2011 Save Our Homes Assessment Reduction $63,346 $64,973 $32,842 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: not all benefits are applicable to all Taxable Values (ie County, School Board, City, Regional), Disclaimer: Page 1 of 2 MIAM OFFICE OF THE PROPS PROPERTY SEARCH SUP A N Aeri Taxable Value Information: The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIs data to reflect the and GIs positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the dE interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade Cour Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provic of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Mia disclaimer and User Agreement at http: / /www.miamidade.gov /info /disclaimer.asp. http: / /gisweb. miamidade. gov /PropertySearch /printMap.htm 10/10/2013 Current Previous Year 2013 2012 Exemption/ Taxable Exemptioi Taxable County $50,000/$550,900 $50,000/$54( School Board $25,000/$575,900 $25,000/$56: City $50,000/$550,900 $50,000/$54( Regional $50,000/$550,900 $50,000/$54( Sale Information: Date I Amount OR Book -Page Qua 05/20/20131$1,100,000 28653 -4935 Qua 02/09/2009 $100 26757 -1077 Tru: exe 03/01/2008 $800,000 26294 -2392 200 Qua 06/01/2003 $530,000 21395 -2954 200 QUE The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIs data to reflect the and GIs positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the dE interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade Cour Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provic of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Mia disclaimer and User Agreement at http: / /www.miamidade.gov /info /disclaimer.asp. http: / /gisweb. miamidade. gov /PropertySearch /printMap.htm 10/10/2013 Property Search - Report Page 2 of 2 Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS inquiries, comments, and suggestions email: gis@miamidade.gov Genei http: / /gisweb. miamidade. gov /PropertySearch /printMap.htm 10/10/2013 STATE OF (FLORIDA) COUNTY OF (DADE) nc 13 - - 23 /L/ Miami shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant, A!,AE F—LQ KoHF—i , does hereby attest that (Property owner) The attached survey, performed by eKANTAK NRCuP IMC (.-:n 2Z'0Q0r]5 (Name of surveyor's company) For address: 1�1 F i cX: Si'• M I A/Vl I S & 94-1 F-L- 3'Sl 3 . Performed on (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Furth P, ffi aye aught. P p Owner Signature ` Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of Affiant is �rsonally known to me, produced s identification. Notary Revised on 5/22/2009/ Revised on 6/12/09 MARIA GONZALEZ ,. MY COMMISSION t EE 155991 gz EXPIRES: December 27 2017 A,;a Bonded Thor Notary Public Under —firs Miami shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT # : -(0- (�- 22�)14 DATE: i 0. Z2 1 Z_) M (NAME) Contractor • Owner • Architect Picked up 2 sets of plans and (other) A Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 October 22, 2013 Permit No: RC13 -2314 Building Critique Review 1. 1. PLUMBING APPROVAL REQUIRED. 2. 2. HRS APPROVAL REQUIRED 3. 3. PROVIDE WALL DETAIL AND SPECIFICATIONS. Ismael Naranjo Building Official Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 10 . jo, V � Permit No: Plumbing Critique CD %l3---P- 2 03 PkaQalz -L stQ.c_ IQ Osvaldo "Ozzie" Diaz Chief Plumbing Inspector Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OCTOBER 16, 2013 Permit No: RC13 -2314 ELECTRICAL REVIEWER COMMENTS 1. Need permit application. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. rd w ev %P am .w i i Ar E RED BY: ROUP, INC. - LAND PLANNING WYNO111MM NO. LB 4507 22nd =RACE ORDA 55165 220 -0075 - - 0u acl ;I 1 4, 1 %1 4 !+ h t 40! Amot r') �IO e�� e P80PERlY ADDRESM 1177 M 100 SUM MM" MwCo. PbmwM 3313L LWAL MCWP7 M Loa 13 and 14. Dbxk 177. PLAT OF MOM Wom 3m7•ION's- Coo". F arpop�datcoCeeesmded aaPWBook43mPapli7..MtBeP+ ekwmrb�l 6�mFl>atkMi FM MARCaRD AL9EMMM M6B0i: K CERTIPYMUMCmDALt1MOJAIDl86OMMO VWXA VMM rWFAW, Us wLfe LCA37RO A ABSOCIATM PA MWAMMWMTITLEB COMPANY. TMALBAOfaovauon w� mtlN4r tmry CU { NK. i l _i t j I j I hereby CaUty to the &bow U msd arm and/or persa®s tbat the 8lroteh Boundary at the derartbod M tree sad =rreol to the best of my ksiMsdl{e and bdW. as an8 ptatled wda eyy abo that' sleets the MW=um Teohaiod Mandasds a" is Ibaydat W— To �n Code. panuout to SocUou 47LOW Plortda I,hatntM /t'/ lobs I3 2'1� Rota to � OrUx 18 43= tikateh N 2 a wwamffppowr. ate ot8 erlda. cJ'� W 0. ti.. w lYl LAND -SURV FLOMDA COMMA 835 tP Lot ►2 tots it 7•:6 7'(R18' .IUW i(MCA15) 811RV&iD8'S 1tD't6� . WW FAD" 0 aav am em not L4 aelats m° ane t� (met) MKAWO am kow fit 00 RL , _ am mm dal :ot of :4ltle v_ Lava 7A M detsrmiae d aeaddh e! se"Ids mot iariorm� by " . 400= esm um etaras edtitla or abnttlnS 1!w nm ARM evt . a/a a" Hai[ i • ea<vsS► VNPG=4 fair the "Madver W. am "%. astand faa Want t % mn(t7 {7st56t Pamet . , .' OWL FdO, nm alM= , 01 or emd ux ODO M= • An CROMta 1vm - f9.5 CONCt![1[ BtOCKC�a Imm �i I1` WL �t3 I; t w lYl LAND -SURV FLOMDA COMMA 835 tP Lot ►2 tots it 7•:6 7'(R18' .IUW i(MCA15) 811RV&iD8'S 1tD't6� �y�� v °ali •oa�is ' oa tbta adeve3. not L4 aelats m° ane t� sk tt) by eta and . a Saborban adea 0 toot Fs'yAOD teat) rr s8ealped in 6t- tirtjftm aj 1 fit ,tar to s1 teas invided by ON eliea< a" is Jaot to say .dsdlosua • iaa4> :ot of :4ltle v_ Lava 7A M detsrmiae d aeaddh e! se"Ids mot iariorm� by " tostrneamta.�lt aqy eft net now qgaa vlotatont. by thN. to,toate any andla�oand tlua and/or 8 uWi etaras edtitla or abnttlnS 1!w all" fs bond an sq aum-6 �n. have to + 6 olear)y j aipael aLtar Aeas wMrte laoatoa 8 for a.)tort w' � to ased the ► or, a s�a tl/or wa °11�1h° 1 i °; "TV.-MR-A", i • ea<vsS► VNPG=4 fair the "Madver astand faa Want t % mn(t7 {7st56t Pamet . , .' N { of *L 1 ia'i • ilOOa• Zeno, thsj anNtalttea Odor to any oa tLs Is , 01 or emd and us"" in respow withouL the signature and a of 0 ad Kapp Rick Scott Mission: To protect, promote & improve the health Governor of all people in Florida through integrated John H. Armstrong, MD, FACE state, county & community efforts. HEALTH State Surgeon General & Secretary Vision: To be the Healthiest State in the Nation November 07, 2013 Statewide septic Po bOx 3865 Hollywood, FL 33083 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: API 125114 Centrax Permit Number: 13 -SC- 1503481 1177 NE 100 Street Miami, FL 33138 Lot: 13,14 Block: 177 Subdivision: Miami Shores Sec. 8 Dear Applicant, NOV 19 2013 I This will acknowledge receipt of a floor plan and site plan on 10/31/2013 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single - family home. Based on the information you provided, the Health Department concludes: 1. the proposed remodeling addition or modification is not adding a bedroom; and 2. it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. 3. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623 -3500. Sincerely, Betsy Lange Engineering Specialist II Department of Health in Dade County Florida Department of Health www.FloridasHealth.com In Dade County - - , Florida TWITTER:HeafthyFLA PHONE: (305) 623 -3500 FACEBOOK:FLDepartmentotHealth YOUTUBE: fldoh 1 October 24, 2013 0 r i Miami Shore Village Building Department Permit Number RC13 -2314 Building Critique review: 3. Provide Wall detail and specifications a. The walls in the area to be renovated are existing to remain, plaster on wire lath. Note added to plan for materials to repair the wall affected by the plumbing work. Plumbing Critique 1. FBC 2903 Provide size of existing water supply. a. Provided. See revised drawings. In order to comply with the requirement of the Florida Accessibility code for Sincerely, Andres Hollmann P.A. HOLLMANN ARCHITECTURE .roc. 1400E OAKLAND PARK BLVD, SUITE 1 06 1 FORT LAUDERDALE, FL 33334 PHONE 954.566.9708 FAX 954.566,971 O r iv f—X► s1Ijla 61400 QAU M 8' A S P H A L t PAVEMENT 'r ?, A/a„, 15 00' (RXM) LW0Mi5 P H � PAVEMENT — {�-- R R E E T Fonda Health Miami-Dade County O.S.T.D.S. & Well Program Application No.: It 2�5 % It 6 Date: t l Signature m Property Andress: 1177 N'.E,100 STREU MIAM SHORESYWRIDA:33138 hh J J w M iG iP4t JL i�vo. �a� +raeatroeegpoperewwerewtawcam as a.� - - -- a•ua4aaaafowo�wm�wsrunwawmn�W+� n•9oou�s�m �aaerw•easrreweornoma►raau+os Approve nu,uros .,►b °0°e0 w' MM= ESMOSIA LA sapproved •. .��.: sair�.w.i y��•. • . s�aNeo vOwnt PIHONE:(305)740.3319 FAX #..(30S) 669.3190 LB # 663 • M�MgF'( MnPiO ■.WtRa9M ®a.0>atSL•IOGD9'�an • • • •• ••• • Survey: A.1744 PAGE 1 OF 2 • •• •• • • • •s •• s 14 1 tm CAI NGl '4.00 :: p�q►NH�J -D ONE STORY RMENCE ° ;,, ,�; •.?-'• .• F ^ fiI•`l•YR�. �� ge.7G:'g � CCIXlt,6l,fe"i1 n 36. .f . ...... �—��- sa 9a d 1 50.00 R M) t lilfct LEA' bftAINFiEjD LW0Mi5 P H � PAVEMENT — {�-- R R E E T Fonda Health Miami-Dade County O.S.T.D.S. & Well Program Application No.: It 2�5 % It 6 Date: t l Signature m Property Andress: 1177 N'.E,100 STREU MIAM SHORESYWRIDA:33138 hh J J w M iG iP4t JL i�vo. �a� +raeatroeegpoperewwerewtawcam as a.� - - -- a•ua4aaaafowo�wm�wsrunwawmn�W+� n•9oou�s�m �aaerw•easrreweornoma►raau+os Approve nu,uros .,►b °0°e0 w' MM= ESMOSIA LA sapproved •. .��.: sair�.w.i y��•. • . s�aNeo vOwnt PIHONE:(305)740.3319 FAX #..(30S) 669.3190 LB # 663 • M�MgF'( MnPiO ■.WtRa9M ®a.0>atSL•IOGD9'�an • • • •• ••• • Survey: A.1744 PAGE 1 OF 2 • •• •• • • • •s •• s 14 1