BPP-14-629Inspection Worksheet
Miami Shores Village
9
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-209931
Scheduled Inspection Date: December 03, 2014
Inspector: Rodriguez, Jorge
Owner: TIMS, DONALD & MELANIE
Job Address: 301 NE 93 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: REGENCY POOL & SPA OF FLA INC
lsunaing Department comments
NEW SWIMMING POOL & DECK
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Permit Number: BPP -3-14-629
Permit Type: Pools/Whirlpools/Hot Tubs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
NEED TO PICK UP FINAL SURVEY 12/1/14
1132060136230
Phone: 954-424-0134
December 02, 2014 For Inspections please call: (305)762-4949 Page 2 of 28
Miami Shores Vi
Building Depart]
10050 N.E.2W Avenue, Mami Shores, Florida 33131- -
Tel: (305) 795.2204 Fag: (305) 756.8972 0 :
INSPECTION'S PHONE NUNINER: (305) 762.4949
FBC 20
BUILDING Permit No.
PERAUT APPLICATION Master Permit
Permit Type: BUILDING
ROOFING
JOB ADDRESS: 301 NE 93 St.
City: Miami Shores County: IV 9d Bade Zip; 33138
Folio/Parcel#: 11-3206-013-6230
Is the Building Historically Designated: Yes NO NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Donald Tuns &Melanie Chung. 1054864201
Address. 301 NE 93 St.
City: Miami Shores Ste: FL zip: 33138
Tenaudi Name: Phone#:
Email:
CONTRACTOR: Company Name: Regency Pool and Spa of FLphi: 954583-7373
Address: 6507 NW 13 Ct
City: Plantdon Ste. Fl- gyp: 33313
Qualifier Name: Rafael Imbert Phone#: 305-6843804
State Certification or Registration # CPCO56811 Certificate of Competency#:
Contact phi 954-583-7373Email Address: miriam@regeneypool.com
DESIGNER: Archit .Sine, Aquadynamied0fella Taboada phone#: 30v •667-8975
Value of Work for Permft: $
%� r%o =
of Work:
!�
3-20'Footage
Type of Work: on
teration - _
ew I ORepair/Replace
O)]emolition
Color thru life:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TaaiEducstlon Fee $ Technology Fee $
Double Fee $ St nctdaral Review $
TOTAL FEE NOW D�
Bonding Company's Name (if applicable)
Bonding Company's Address
1+I
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOIL ERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AMDAVIT: 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
DIPROMMENTS 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 cert&d copy of the recorded notice of commencement must be posted at the job site
for the just inspection which occurs seven (7) days afar the building permit isissued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged lz�—
,
Signature
er or Agent
The foregoing instrument was acknowledged before me this��
day of6r 20�,by ofbanie QV 'Tifit ,
11
who is personally known to me or who has produced
As identification and who did take an oath
NOTARY PUBLIC: ,
day of
j o = mown to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
SiN V Sign:'
ANWER M. SUM NINpry i Print: of t
y.� ' = 1,11 COMM�.I� M 1 W OOW'JG =NJ Y P6d,✓
My mmissionExpires. x�= E)tf MES:S�mber28.2014 MY lies;Commission # EE 211333
Bb" ThnNe yPa� w*mQ rs Bonded Through National Notary Assn.
APPROVED BY
Li v ( Structural Review Clerk
(Revised 3/122012)Mev sal 07/10W)(Revised 000lMXRevised 3/15/09)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tei: (305) 795.2204
Fax: (305) 756.8972
3 SOWNE COVENANT PROTECTNE POOL ENCLOSURE
KNOW ALL MEN BY THESE PRESENTS: /-�_
WHEREAS, tare under * Donald Tims �i- Mt[Dj A F V ►ln —'JIrn ► Is/are the fee
simple owners) of the following described property situated and being In Mla n! Shores Village, Florida:
Adm: 301 NE 93 St, miami Shores, FL 33138
Whereas, the undewgewowner(s) Melanie Chung Tims -00ka[d J
desire to utffize said Logs) as a single bugdhry site, and the undersigned owner(s) do(es) hereby dedare and agree as Mom:
I. That the property will not be used In violation of any ordinances of Munni Shores Vide or Miami -Dade
County now to effect or herclnalter enacted.
g. That the purpose of the covenant Is to Induce Munni Shores Village to issue a permit for a pool where the
required enclosure is not on the subject property where the pad Is located.
III. That N any of ouradjohdng neighbors remove any portion oftheir fence rswag, orifwhny property shell fag
to meet code requiremerrts for poolbarriers, we, as owners will immediately Instep a protective enclosure to
meat node reWirements and will obtain a pemrit for such fence.
IV. That, I /we, ars owners) hold Miami Shores Village hanNess fw any negligence or Injury that resub from not
having the enclosure.
V. N enrcloerre telonp to said property. I agree to maintain & or replacer said enclosure In the event that Is
damaged or rermoved by any case.
NOW, THEREOF, for good and valuable consideration, the w deralgred do(es) hereby declare that he/she will not
convey or cam to be conveyed the We to the eve property without requiring the successor M tide to abide by all tetras and
conditions set forth herein.
FURTHER, the undersigned declares) #19 this covmcant is Intended and shag comft be a restrictive covenant
concerning the use, enjoyment and Ude to the above property and shell constitute a covenant nmrdng with the land and shag be
binding upon the undersigned, hisArer si=es ors and assigns and may ordy be released by Nflaml Shores Village. or Its
successors. In accordance of sold Videas Deer in etfest.
OWNER SIGN & PRINT
OWNER SING & RINT
I Hereby Cerdfy that on this daypersonally appeared before me ud GVl I � D" -I l m S and has produced ID
# 29 Identification and he/she acknaarledge that he/she exe uteri the foregoing, fray and voluntarily,
for purposes there In expressed.
SWORN TO AND SUBSCRIBED bye me on this Ey I� day of
(Revised 05/2209
I S""
�`�IONIDD9D6�
Date
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
Miami Shores Village
Suliding & Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as
Lot 17, bik 46 of Mia Shores Sect ,Dated at 301 NE 93 St.
In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting and approved barrier prior to final inspection and use of the
pool.eg _
Legal Owner Donald Tims i � l0
Note: This cerdkadon Is to be submitted with a swimming pool permit application In dupllcab.
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Falx: (305) 758.8972
NOTICE OF REQUIREMENTS
RESIDBITIAL S01111M1111M POOL, SPA AND HOT TUB SAFETY ACT
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or Installed at
301 NE 93 Street IMkW Shores, FL, and hereby
affirm that one of the foflowlrtg methods wM be tad to moot t'ae requiremerds of Chapter 515,
FloridaStatues and the Florida Building Code R4101.17.
Please hnNW the method(s) to be used:
The pool will be equipped with an approved safety pool cover that comp Des with ASTM
F1346-91. mit Manufacturer's Specifications).
A continuous, ate -piece (child) barrier meeting the requirements of Florida Building Code
R4101.17.1.15 will profit the pool perimeter. The plans shall show the fend location and method of
attachment, Including one end that shall not be removable without the aid of took. (Submit Manufacturer's
Specifications).
A combination of non -dwelling walls and fends (screen enclosure, child fence, masonry
fence wails, drain link or wood fence, etc.) will protect t he pool perimeter. The plans must spa* t he type
and location of all non dwelling wails. Florida Building Code, R4101.17.1
Any combination of protection which Incorporates dwelling walls with openings directly into the
pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building
Code, R4101.17.1.9 (Submit Manufacturer's Specifications).
Any combination of protecrtion which Incorporates dwelling wails with openings direr into the
pool perimeter and all doors will be equipped with a self -latching device with positive mac hanicaal
letchingflocidng installed a min. 54' above the threshold. If this option is selected, submit plans showing all
types and location of all perimeter protection. The plans must also show the location and type of all
openings, and the hardware type for each location. (Submit Manufechurer's oats).
In accordance with the Code, the pool may not be filed with water without compliance wi h the
Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be
presumed to be urnsafe .1 understand that not having one of the above Installed will constitute a
violation of Cbeptpr 515, F.S ., an d will be considered as committing a misdemeanor of the second
degree, PU01hobfivappvIdilid In Section 775082 or Section 775.3 F.S . This form must be signed
by the uf Rime cmntracW:
i
nOR'P S NATURE AND DATE OWNER'S NATURE AND DATE
CO R'S NAME (PLEASE PRINn nw� ul: mr e-Qamun
N
RAFAEL A. PELLERANO
Notary Public -State of Florida
?' • . •e My Comm. Expires Jul 21, 2016
R,: Commission # EE 211333
Bonded Through National Notary Assn.
JENIVERKSOM
W COMiMUION # W SM
Local Business Tax Receipt
Miami -trade Counter, State of Florida
THIS IS NOTA BILL -DO NOT PAY
353orzs
SUSUWMS WAfiwL0CA-rw V
REGM-Y POOL lb SPA OF RA INC
DOING, BUS IN DAbE CO
MIAM FL 33WI)
RECEIPT NO. EXPIRES
RE"JEWAL3688916 SEPTEMBER30, 2074
![Aust be displayed at puce of business
Pursuant to County Code
Chapter aA - Art. 8 & 10
OWNER SEC. TYPE OF 18tiSNaESS
REG CO POOL&SPA OFFLA LA INC 796 PLUMBING CONTRACTOR PAYMENT RECEWED
CPCDSNI I eY TAX COLLECTOR
tti dW(s) 2 V5.00 07/11/2013
FPPU06-13-002584
Tim (o at 8pstam7ex Receipt ady confumspaymea ul the Local Business Taa. The Receipt is not a license.
peretft of a taatificatiotr of the holders goalifraalimm to do btaiaess. Nelda most comply with anygovemmentat or
�agaaertmteatal raguletoty lawia and regalrements which apply tache husiness.
The RECEIPTNO. above most he displayed on all commercial vehicles — Miami—Dade Code Sec 8a ?76
For more information, visitwww.miammiic{adaAavfteotaoil¢cwr
4
STATE OF FLORIDA
DXPARTJU OF BUSINESS AND PROFESSIONAL REGULATION
C0NSTR BION INDUSTRY LICENSING BOARD (850) 487-1395
lip
� _ 1940 NOPM9 MONROE STREET
TALr.AR&I SEN FL 32399-0783
3ERT, 11 R'AEL ':A
RENCY F€3 ]`a AND SPA OF FLORIDA INC
6507 NftiX T3 > COURT
PLANTATION FL 33313
Congratulationsl With #hi�#i,cerise you became one of the nearly one million
Fiondians licensed by the Depaiment of Business and Professional Regulation.
Our professionals and businesses range from an:hliects to yacht brokers, from
boxers to barbeque restauran, antl they keep Flaitda's economy strong.
Every day we work to immove the way we do business in order to serve you better
impact you, subscribe to deparhoent newsletters and learn more about the
Depefterifs Inifttives.
Our mission at the Department is: License E ficlently, Regulate Fairly. We
constantly sbWe to same you better so that you can serve your Customers.
Thank you for doing busing in'Florida, and congratulations an your new license!
DETACH HERE
06/26/20-i-21118211903 �ICPC056811
be RESID UL 1a0t/9PA CONTkACTOR
KEN LAWSON
SECRETARY
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
inspection Number: INSP-223418 Permit Number: BPP -3-14-629
Inspection Date: November 14, 2014 Permit Type: Pools/Whirlpools/Hot Tubs
Inspector: Dacquisto, David Inspection Type: Survey Final
Owner: TIMS, DONALD & MELANIE Work Classification: New
Job Address: 301 NE 93 Street
Miami Shores, FL 33138- Phone Number
Project: <NONE> Parcel Number 1132060136230
Contractor: REGENCY POOL & SPA OF FLA INC
Buildinsa Department Comments
Phone: 954-424-0134
NEW SWIMMING POOL & DECK
Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed El
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
November 14, 2014 Page 1 of 1
5582 N. W. 7th STREET SUITE 202 9 SURVEY No. 13-0000263-2
MIAMI, FLORIDA 33126
TELEPHONE: X305) 2642660 C
FAX: (305) 2640229
LAND SURVEYORS SHEET No. 2 OF 2
DRAWN BY: LG.
• ,y gel
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SURVEYORS NOTE. os j a
A) Water Meter Encroaching onto Subject Property on the North side.
75.001 B) Overhead Utility lines Encroaching onto Subject Property on the North side.
TOTAL RIW ' e) Asphalt Drive From Alley Encroaching onto Subject Property on the Northwest side of property.
i
;
SURVEYOR'S NOTE:
- There may be Easements recorded in the Public Records not shown on this Survey.
6682 N.W. 7TH STREET, SUITE 202 NO'V a Surveyors Inc.
MIAMI, FL 33128 SURVEY NO 13-0000263-2
TELEPHONE: (306) 2642660 y
FAX: (306) 2840229
DRAWN BY: A.A. LAND SURVEYORS SHEET NO 1 of 2
SURVEY OF LOT 17, BLOCK 46, OF MIAMI SHORES SECTION ONE AMENDED, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT
BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
i . ,
PROPERTY ADDRESS: 301 NE 93 ST, MIAMI SHORES, FL 33138
FOR: MELANIE TIMS
LOCATION SKETCH Scale 1" = NT.S.
E 1
9 5 16 17 118 119 l 2C 2 2: z 3 4 ♦ ( a .>d 19 Zo E I 1 e. l r-4 ..4 o y )✓ rd to \ 44
25
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ABBREVIATION AND MEANING
yG b
,` ho •4 y
tt � a 1'�x • D z, zz II ,
,o1.eHJ3`vy` NSC-
or . 1
5 .'I 4 3 2
V ,
11 '12; li Iv 115 6�
A = ARC FNIP. = FEDERAL NATIONAL INSURANCE RAD. = RADIUS OF RADIAL
A/C = AIR CONDITIONER PAD PROGRAM RGE. = RANGE
A.E. = ANCHOR EASEMENT IN.BEG. = INGRESS AND EGRESS R.P. = RADIUS POINT
AIR = ALUMINIUM ROOF EASEMENT R.O.E. =ROOF OVERHANG
AIS =ALUMINIUM SHED LRE. = LOWEST FLOOR ELEVATION EASEMENT
ASPH. = ASPHALT L.M.E. = LAKE MAINTENANCE EASEMENT RAN = RIGHT-OF-WAY
B.C. = BLOCK CORNER L.P. = LIGHT POLE SEC. = SECTION
B.C.R. = BROWARD COUNTY RECORDS M. = MEASURED DISTANCE S.I.P. = SET IRON PIPE L.B. #6044
B.M. = BENCH MARK MIH = MANHOLE SWK = SIDEWALK
B.O.B. = BASIS OF BEARINGS N.A.P. = NOT A PART OF T = TANGENT
C= CALCULATED NGVD = NATIONAL GEODETIC VERTICAL TWP = TOWNSHIP
C.B. = CATCH BASIN DATUM U.E. = UTILITY EASEMENT
C.B.W. = CONCRETE BLOCK WALL N.T.S. = NOT TO SCALE U.P. = UTILITY POLE
CH = CHORD O.H.L. = OVERHEAD UTILITY LINES W.M. = WATER METER
CH.B. = CHORD BEARING O.R.B. = OFFICIAL RECORD BOOK W.R. = WOOD ROOF
CL= CLEAR O/S = OFFSET W.S. = WOOD SHED
C.L.F. = CHAIN LINK FENCE OVH. =OVERHANG c� =ANGLE
C.M.E. = CANAL MAINTENANCE P.B. = PLAT BOOK
EASEMENTS P.C. = POINT OF CURVE =CENTRAL ANGLE
CONC. = CONCRETE P.C.C. = POINT OF COMPOUND CURVE g =CENTER LINE
C.P.= CONCRETE PORCH PL =PLANTER
C.S. = CONCRETE SLAB P.L.S. = PROFESSIONAL LAND =MONUMENT LINE
D.E. = DRAINAGE EASEMENT SURVEYOR
D.M.E. = DRAINAGE MAINTENANCE P.O.B.. = POINT OF BEGINNING
EASEMENTS P.O.C.. = POINT OF COMMENCEMENT
DRIVE = DRIVEWAY P.P. = POWER POLE
ENCR. =ENCROACHMENT P.P.S.. = POOL PUMP SLAB
E.T.P. = ELECTRIC TRANSFORMER PAD P.R.C. = POINT OF REVERSE CURVE
F.F.E. = FINISHED FLOOR ELEVATION PRM = PERMANENT REFERENCE
F.H. = FIRE HYDRANT MONUMENT
F.I.P. = FOUND IRON PIPE PT. = POINT OF TANGENCY
F.I.R. = FOUND IRON ROD PVMT. = PAVEMENT
F.N. = FOUND NAIL PWY = PARKWAY
F.N.D. = FOUND NAIL 8 DISK R. = RECORD DISTANCE
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY ("SURVEY"):
THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY.
THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING, AND SHOULD NOT BE
USED FOR CONSTRUCTION PURPOSES.
EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY,
AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS
OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN
THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND / OR NOT TO SCALE
EASEMENTS AS SHOWN ARE PER PLAT BOOK UNLESS OTHERWISE SHOWN.
THE TERM "ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS, AND THEY WILL BE RESPONSIBLE
FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO
AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE
FOOTING AND/OR FOUNDATIONS.
FENCE OWNERSHIP NOT DETERMINED.
THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTRIES NAMED.
HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F.E.M.A.
AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED
LAND TO BE SITUATED IN ZONE: X COMMUNITY/PANEL/SUFFOC 120652 0302 L DATE OF FIRM: 09/11/2009
BASE FLOOD ELEVATION: WA
CERTIFIED TO: MELANIE TIMS
LEGEND TYPICAL
-OH- OVERHEAD UTILITY LINES
zzzz C.B.S. =WALL (CBW)
-x- C.L.F. =CHAIN LINK FENCE
-0-� I.F. = IRON FENCE
W.F. = WOOD FENCE
■ OAO = EXISTING ELEVATIONS
SURVEYOR'S NOTES
1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED
MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE
PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO
COUNTY, TOWNSHIP MAPS.
2) THIS IS A SPECIFIC PURPOSE SURVEY.
3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE
1:7500 FT.
4) IF SHOWN, ELEVATIONS ARE REFERRED TO
MIAMI-DADE COUNTY.
ALL ELEVATIONS SHOWN ARE REFERRED TO
NATIONAL GEODETIC VERTICAL DATUM OF 1929
CITY OF MIAMI BENCH MARK N -603-R
3250 SW
ELEVATION 8.06 FEET OF N.G.V.D. OF 1929
SURVEYOR'S CERTIFICATION
I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" OF
THE PROPERTY DESCRIBED HEREON, AS RECENTLY
SURVEYED AND DRAWN UNDER MY SUPERVISION,
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
AS SET FORTH BY THE FLORIDA BOARD OF
PROFESSIONAL LAND SURVEYORS IN CHAPTER 61 G17-6,
FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,
FLORIDA STATUTES.
BY..
GEORGE IBARRA (DATES FIELD W R
PROFESSIONAL LAND SURVEYOR NO. 2534
STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL
BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR).
REVISED ON:
REVISED ON:
N
[1pGE... I
*OrfT,.��ati FlOgTic 9
Q WNO.2534
9 �E
�(JOSTATE y%
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yqr '•.• AOR...02„
�qND SUR"s�
SURVEYOR'S SEAL
S
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
Nestor Ruiz-Castaneda
301 NE 93 Street
Miami, FL 33138
Vision: To be the Healthiest State in the Nation
July 01, 2014
Rick Scott
Governor
John H. Armstrong, MD, FACS
State Surgeon General & Secretary
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1145291
Centrax Permit Number: 13 -SC -1536101
301 NE 93 Street
Miami, FL 33138
Lot: 17 Block: 46 Subdivision: Miami Shores Sec 1 Amd
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 04/30/2014 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. No
Objection: swimming pool. Issued by E. Omisca on 07/01/2014.
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 that the proposed remodeling addition or modification is not adding a
bedroom and that it does not appear to cover any part of the existing system or encroach on the
required setback or unobstructed area. 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,
zqaow&
Erlande Omisca
Engineering Specialist II
Department of Health in Dade County
Florida Department of Health www.FloridasHealth.com
in Dade County - - , Florida TWITTER:HealthyFLA
PHONE: (305) 623-3500 FACEBOOK:FLDepartmentofHealth
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