DS-14-1810Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-225427 Permit Number: DS -8-14-1810
Inspection Date: January 06, 2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez, Jorge
Owner: ,
Job Address: 150 NE 109 Street
Miami Shores, FL 33161 -
Project: <NONE>
Inspection Type. Final
Work Classification: Addition/Alteration
Phone Number (305)219-8267
Parcel Number 1121360090120
Contractor: APC ENGINEERING ENTERPRISES INC Phone: (305)219-8267
Buildina Department Comments
REMOVE ASPHALT DRIVEWAY IN THE REAR AND
Infractio Passed Comments
INSPECTOR COMMENTS False
INSTALL A NEW CONCRETE DRIVEWAY INSTALL A NEVI
DRIVEWAY AND WALK WAY IN THE FRONT
Inspector Comments
Passed
'�g
CREATED AS REINSPECTION FOR INSP-218153. Replace sod
Failed EJ
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
January 07, 2015 Page 1 of 1
BUILDING
PERMIT APPLICATION
Miami Shores Village
Buildin g Dep artment AUG 19 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 �� v
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201
Master Permit No.,0,5 / IX " 1 140
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: i J D N e I t, 9 '' ,
Com: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1 } k 14 k i ry I r; I i l S Phone#: -2 0"_ -
Address:
" Address:)_`Y C) /�j U,.f '? i I I V"Q
City: M cG+vd+ e L -L State:
Tenant/Lessee Name:
Email:
�31C'i /0
CONTRACTOR: Company Name: 14(pc C' C 17 va 4 - Phone#: 20 'tel �1' - Z %
Address:(JC�
City: 1 + l ? , State: F.: Zip: (` Z
Qualifier Name: ` Oc,v 1� k 01. Al 1 r `t Phone#:
State Certification or Registration #: C &� 1 S I �' `j ) Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $_ `j Z 6 `>L) Square/Linear Footage of Work:
Type of Work: El Addition ❑ Alteration LJ New ID" Repair/Replace
❑ Demolition
Description of Work: "A 4"c yt �- c s- 0 �'J da ti G�
la G"J -PLJ C6, oe Te V1 _r�l� r Le% Vv�(/J
L 1'.' , �� �_ ,.. 4 ,,
Specify color of color thru tile: ��``
Submittal Fee $ _ L Permit Fee $ V0 '-0 CCF $ 0� CO/CC $
Scanning Fee $_ . (� Radon Fee $ "_9 - Q-7) DBPR $ Notary $
Technology Fee $ U Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $4
(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.
( o
Signature-A�—&-,J ��-��- Signature
OWNER or AGENT CONTRALTO
The foregoing instrument was acknowledged before me this The for9going instrument as acknowledged before me this
"l day of (� , 20 by day of _ � , 20 by
�C,Gl c r�.'C40X, , who i personally kno to J c� ' f1 /i1 who' personal)1 k to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
\II yV l.,i
Print: Print:
Notary Public - State of Florida
SANDY ROMERO
Seal: • z: My Comm. Expires Jul 26, 2015 Seal: `«4�,
Notary Public - State of Florida
Commission #
mmi EE 116040
My Comm. Expires Jul 26, 2015
Commission # EE 116040
APPROVED BY Plans Examiner / Zoning
Structural Review Clerk
(Revised02/24/2014)
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s S'rida Health Miami -Dade County
3 O.S.T.D.S. &Well P ogram
%yfF,LP 1 ApPiication No. AP nsw9 B
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Date: 3 - ►q-
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5igna"t" -vv4 12'tA5HL r PAV/NTture
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LOT r2 LOT 13
-'LOCK 216 BLOCK 216L-OCK 216
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Survey Date:6/25l2014 Survey Code:0-12140 Page 1 of 2 Not valid without all pages.
jggjF OR CER71FiCA710N 1..HERESY CERTIFY THAT THIS EOUNDARYSURVEY IS ATRUE
1
MAP OF BOUNDARY SURVEY
AND CORRECT REFRESENTA.T{ "LF+'A$1y/RVEY PREPARED UNLIER MY DIRECTION THIS
COMPLIES W17H THE Mf1NlMb}d XEFHNISAL ,�TgNOARDS AS SET FORTH 6Y 7HE STATE OF
Property Address:
FLORIDASOA.Y-',,OFE.S: 0WAL LiaND tiSUkCF,YORSItd CHAPTEP. 810'7-F FLORIDA
FTATUES.
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ADE.91N/STRAWn.FCCQDEFUk$UAW7T0•!Iy�1}yj.,FLt7R1DA
150 NE 109 ST
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MIAMI SHORES, FL 33167
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SIGNED ':' FOR THE FIRM
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FERNANDO V GOA11E's P.S.M. No. 5259
STATE OF FLORIDA
7925 Coral Way
Miami, FL 3,3155-6524
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www.OnlineLandSurveyors.Com
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Survey Date:6/25l2014 Survey Code:0-12140 Page 1 of 2 Not valid without all pages.
Mission:
To protect, promote & improve the health
of all people in Florida through irregrated
state, county & community efforts.
Danny Sanchez
2150 W 10 Avenue
Hialeah, FL 33010
Vision: To be the Healthiest State in the Nation
August 13, 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: AP1155091
Centrax Permit Number: 13 -SC -1552026
150 NE 109 Street
Miami, FL 33161
Lot:4 Block: 216 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 07/29/2014 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. No objection.
Driveway/Walkway addition. Reviewed by Y.Martin on 8/13/2014.
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)
Yu st�rtir'r'
Engi l� bring 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:FLDepartmentof leafth
YOUTUBE: fidoh
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VISIBLE ENCROACHMENTS ON THIS PROPERTY.
as 1'5' 30'
1 inch = 30' ft/��-�C
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MAP OF BOUNDARY SURVEY SURVEYORS CER77RCAT/ON: /HEREBY CERTIFY THAT THIS BOUNDARY SURVEY IS A TRUE
AND CORRECT REPRESENT ORA $14RVEY PREPARED UNDER MY DIRECTION. THIS
COMPLIES WITH THE MI Mb JAL, 4T DARDS, AS SET FORTH BY 774E STATE OF
FLORIDA BOARD OF PO L14ND�¢t 1RiD YORS IN CHAPTER 61G17-6, FLORIDA
Property Address: ADM/NIS7RA77vecgpE S I�T27WhgR/DASTATUES.
150 NE 109 ST k"; C"
MIAMI SHORES, FL 33167
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STATE OF Q
' FLORIDA •• e���
SIGNED O�• `••••....• •'' •� FOR THE FIRM
n l i n e la n d FERNANDO VURVF ,.`
SURVEYORS,INC. STATE OFFLORIDA' I I I I I' P.S.M. No. 5259
7925 Coral Way NOT VALID WITHOUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED
Miami, FL 33155-6524 ELECTRONIC SEAL, AND/OR THE SIGNATURE AND/OR THE ORIGINAL RAISED SEAL OF A
LICENSED SURVEYOR AND MAPPER. THE SEAL APPEARING ON THIS DOCUMENT WAS
www.OnlineLandSurveyors.Com AUTHORIZED BY FERNANDO V. GOMEZ, P.S.M. NO. 5259 ON THE SURVEY DATE NOTED
Survey Date:6/25/2014 Survey Code:0-12140 Page 1 of 2 Not valid without all pages.
Survey Date:6/25/2014 Survey Code:0-12140 Page 2 of 2 Not valid without all pages.
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LOCATION MAP N.T.S.
PROPERTY FRONT VIEW
CERTIFIED TO:
FLOOD INFORMATION:
ALYKAY INVESTMENTS
Community Number: VILLAGE OF MIAMI SHORES
ITS'SUCCESSORS AND/OR ASSIGNS AS THEIR
120652
INTEREST MAY APPEAR.
Panel Number: 12086CO302L
Suffix: L
Date of Firm Index: 9/11/2009
Flood Zone: X
Base Flood Elevation:
Date of Survey: 6/25/2014
LEGAL DESCRIPTION: LOT 4, BLOCK 216, OF SUBDIVISION DUNNINGS MIAMI SHORES EXT NO. 5, ACCORDING
TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 48,
PAGE 21, OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA
Surveyor's Legend
PROPERTY UK
ET STRUCTURE
is TREE
L.M.E. LAKE or LANDSCAPE NAINT. ESMT. ESMT. EASEMENT
CONKL BLOCK WALL
P.P.POWER POLE
R.O.E.� TANG EASEMENT D.E DRAINAGE BT
x CHAIN-UNK or W� FENCE .
—H---# — WOW FENCE ®CAL CATCH BASIN
PUMP L.S.E.LANDSCAPE BUFFER ESMT
PL PLANTER OR PROPERTY LME L.A.E. LIMITED ACCESS EASEMENT
C.U.E. COUNTY UTILITY ESMT.
I.D. IDENTIFICATION TEL TELEPHONE FACILITIES
-o---e---�— MON FENCE I.E./EE INGRESS/ EGRESS ESMT.
B.C. BLOCK CORNER U.P. UTILITY POLE
U.E. UTILITY EASEMENT
— — — — EASEMENT FIND. ORF FOUND IRON PIPE/
Bit BEARING REFERENCEA E.U.S. ELECTRIC UTILITY BOX
_ Cpy70 LINE P N AS NOTED OON■N T
CENTRAL ANGLE or DELTA SEP. SEPTIC TANK
R RECORD OR RADIUS D.F. DRAIN FWD
U9# LICENSE`_
AC AIR CXXI6I110NER
RAD. RADIAL AC
NDMCNIE
IST LICENSE % -SURVEYOR
WOOD DECK CALC CALCULATED PONT
N.R. NON RADIAL CORK ALK
SET SET MONUMENT
� • TYPICAL SON DWY DRIVEWAY
SCREEN
• .�: CONCRETE A CONTROL PONT
LR IRON ROD .
LP. IRON PIPE GAR. GAIufE
■ CONCRETE MONUMENT
N&D NAIL A DISK ENC., ENCLOSURE
FJiN ELEVATION
ASPHALT P.T. PONT IO TANGENCY
PK NAIL PARKER-KALON NAIL N.T.S. NOT TO SCALE
D.H. DRILL HOLE F.F. FINISHED FLOOR
P.C. POINT OF CURVATURE
' " ' ,' ' / ;r BRICC/TILE P.R.M. PEWRANENT REFERENCE MONUMENT T.O.B. TDP OF BANK
E.O.W. EDGE OF WATER
X FM
P.C.C. POINT OF COMPOUND CURVATURE T7 FII HYDRANT
O M.H. MAN HOLE E/P OR EO.P. EDGE OF PAVEMENT
/ WATER P.R.C. POINT OF REVERSE CURVATURE
PONT OF O
O.H.L. OVERHEAD LINES C.V.G. CONCRETE VALLEY GUTTER
P.
TX TRANSFORMER B.S.L BUILDING SETBACK LINE
COMMENCEMENT
P.MC. . PCANT'OF COCAMMEN
CAN CABLE N RISER S.T.L. SURVEY TIE LINE
�l^� APPROIQMATE EDGE OF WAIiR P.C.P. PERMANENT CONTROL PONT
M MEASURED
WAL WATER METER It CANTER LINE
LATIELD
P P TED MEASLIRAIENT
PLAT
P/E POOL EGIUMMENT R/W RIGHT OF WAY
CONC CONCRETE SLAB R.O.E. PUBLIC UTILITY EASEMENT
COVERED AREA D DHS
®
C.M.E. CANAL MAINTENANCE EASEMENT
C CALCULATED
A.E. ANCHOR EASEMENT
GENERAL NOTES:
r�
PROVIDED OTHERS.
a 0 e
1) LEGAL DESCRIPTION BY
• j
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO
i
DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING PROPERTY
3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR
OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT.
4) THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE
e i
AND FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION, PERMITTING
DESIGN, OR ANY OTHER PURPOSE WITHOUT THE WRITTEN CONSENT OF
�oeMenilYg
Printing to Scale:
ONLINE LAND SURVEYORS INC.''
5) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER
1. Select'None'from Page Scaling
IMPROVEMENTS WERE NOT LOCATED.
8) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED.
2. Deselect Auto -Rotate and Center' 2 ■,d'eaer
3' *a��rsou^��'
7) FENCE OWNERSHIP NOT DETERMINED.
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8) WALL TIES ARE TO THE FACE OF THE WALL.
psize
9) BEARINGS ARE BASE ON AN ASSUMED MERIDIAN.
10) BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION
OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A
LD WORK. • 612312014
SHOWN SCALE AND/OR NOT TO SCALE.
[) O• V. C,O
11) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
Q BY C.S. ` �Ps •
•
FH
12) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED OR
ELECTONIC SEAL.
Q- : SE �1U•••• �!
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ECKED BY. F.V.G. V Fp
13) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN.
14) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE
��
: 0. 52�
NOTED.
15) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED.
INAL REVISION. 0612512014 y w
Q "
18) THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF
OMPLETED: 612512014 '.• STATE OF •� Q
THE ENTITIES NAMED HEREON, THE CERTIFICATIONS DO NOT EXTEND TO ANY
FLORIDA
UNNAMED PARTIES,**KALE:
1"= 30' �� �b .......•.••• cR���
URVEY CODE: 0-12140 ' Le# 704 �``
nlineLand
7925 Coral Way
: F -6524
Phone: (305) 910-0123
' SURVEYORS,INC.
Fax: (305) 675-0999
www.OnlineLandSurveyors.Com
Survey Date:6/25/2014 Survey Code:0-12140 Page 2 of 2 Not valid without all pages.