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DS-15-2136
emhif NO, DS-8,45-2 Miami Shores Village �, few a Drivewaysic el�ra s Sial 10050 N.E.2nd Avenue NEc�f0iastfcer�n Miami Shores,FL 33138 0000 P � ..APS 0: h Phone: (305)795-2204 isi,ec� b.>3t112f15. Expiration: 02127/2016 Project Address Parcel Number Applicant 10050 NE 12 Avenue 1132050190370 -._.._,_..._..-.._ _.V.__.._ BEYOND ALL REVOCABLE TRU Miami Shores, FL Block Lot: Owner Information Address BEYOND ALL REVOCABLE TRUST 10050 NE 12 Avenue (305)244-2356 (786)709-3909 - --- - --- MIAMI SHORES FL 33138- . �.� , •_ .. .,,. .. :..�--- _ � � ., 10050 NE 12 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone -....___. __._ •_,._m_._$ 4,000 00 HOME OWNER Valuation: , _. .. ....m ; Total Sq Feet 1500 Approved:In Review Available inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:DEMOLISH EXISTING ASPHALT DRIVEWP Additional Info: Review Building Bond Return: Classification:Residential Review Building Scanning:3 Review Planning Review Planning Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# DS-8-15-56806 DBPR Fee $2.63 08/31/2015 Credit Card $ 150.66 $50.00 DCA Fee $2.63 Education Surcharge $0.80 08/21/2015 Credit Card $50.00 $0.00 Notary Fee $5.00 Permit Fee $175.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $200.66 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 conformI the plans,drawings,statements or specifications submitted to the prof er authorities of Miami Shores Village. In accepting this permit I re risibility r all work done by either myself, my agent, servants, or employes I understand that separate permits are required for rIDAVIT AL,PLU ING,MECH NICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS A I certfy that I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni g. Fythermor ,I authokze the above-named contractor to do the work stated. G August 31, 2015 Authorized Signature: wrier / Applicant / Contractor / Agent Date Building Department Copy August 31,2015 1 Miami Shores Villageis D Building Department Au 2ot� 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 'By, Tel:(305)795-2204 Fax:(305)756-8972 _ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201°' � BUILDING Master Permit IN �c- "�" 1 S 13 PERMIT APPLICATION Sub Permit N ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: d�jL ZTI� kV V Com: Miami Shores County: Miami Dade Zip: Folio/Parcel#: f(—3 U)5- O 1 °1— 01-10 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): f6—AlOc4k-S Lr Phone#: 3 D 5-ZH 4.1-:11 L3 Address: 10050 f_ke__ 1 z_M t41-llt� City: f--t(l<t'[( S NS-01�� State: � L-- Zip: 3313 Tenant/Lessee Name: Phone#: Email: f "'i V��_. t"'f� , Lop--% CONTRACTOR:Company Name: � � l ® Phone#: If Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#:' DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ !q' 000 Square/Linear Footage of Work: (, 5b O Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 0 LL S bE �-I S Tj "� �f pf14"�'T b�-L 14, 611 LTN- i_4 tF_ l " C44ci c-Ac,O 13 94 c4<-" DFA A�U '. AAD Ip ` �- ► Z� t� Cl-�(c �o Dp-ccK It OR- Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ COJCC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ o !�`vf� s �G � TOTAL FEE NOW DUE$Asn. (Revised02/24/2014) a 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 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"roved ai inspection fee will be charged. Signature_ Z Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by day of 20 , by / iso S Gl m�/f who ispersonallyknown to ,who is personally known 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: Signe Sign: t: Print: Seal: v""W Notary Public state of Florida Seal: Joanna M Feficiano My Commission FF 082753 Egrces 01!1212018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �5h0 Miami Shores Village goal 0,,, Building Department 10050 N.E.2nd Avenue IDpy Miami Shores, Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME j c)tJJ AAA A+/9,_A4 le DATE: © Z t A S ADDRESS: 1005o, �uric— a4l, )�JF IA/1rAm, S Nie, 3 S (�?;,1 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'ed for an owner-builder permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may a as my own contractor with certain restrictions even though I do not have a license. InitifAors 2. I understand that building permits are not required to be signed by a property owner unless his responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initia 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understan 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 my own name.I also understand that the contractor is required bylaw to be licensed in Florida and to list his or license numbers on permits nd contracts. Initi 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 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 myf elf is'sold or leased within 1 year after the construction is complete,the law will presume that I built or substantially improved it for sale or le e,which violates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the constructio . Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persd s qv rking on my building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and y cdunty or municipal ordinance. Initial 7. I 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 nd 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 contracto 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 su ervision 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 employ .I understand that my failure to follow these may subject to serious financial risk. Initial / 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will bide 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 regulatio S. Initia 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Inte al Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I ma contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.htmi Initia 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understa that I am the party legally and financially responsible for the proposed construction activity at the following address: JCo 5r, �j tLi" .ML dv�ikA: S�ota) kL 3313 03 Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of th i formation that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a person wh does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be 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 Z day of (,- 4 20 l S 9 gym ^ who was personally known tome or who has o 2 . - Pr uced there icense or �L� as identification. S��, N d OWNER NOTARY t -t PREPARED BY t s j • wve,...nM r Land Surveyors, Inc. www.exactaland.com Toll Free 566-735-1916 • F 866-744-2882 PROPERTY ADDRESS:10050 NE 12 AVENUE MIAMI SHORES,FLORIDA 3313E SURVEY NUMBER:F -01 FIELD WORK DATE:2/14/2015 REVISION DATE(S):(REV.0 2/17/2015) FL1502.0707 LOT 16 BOUNDARYSURVEY MIAMI-NDE CON �� pvu /) o� THE EASTERLY s'of LOT 15 NOTF5: Etf,, , S BLK 177 LOT APPEAR5 TO 5E 5ERVICE1)BY CITY WATER AND 5EWER P10 k. SS,So4 eR 1/2'FIF fENCe OWNER5hIP NOT DETERMINED 8 g f� C. S 7o LOT 17 NO 10 =2 O T3 ?s FS0�6`FZ' BILK 177 @ F.C. TABLE: S` f� 41 // �7� Ll N 90°00'00"E 5.00 D O.2• 0 s //6 J N 80'17128"E4.95' fes+ 2 ' eSG'TMJ Ore \ N 14128131"W95.8 ' D) 5 14°28'31"E 95.95'(C) z fru= °z• 6So- �� a �So ALLY(1 5'RMS – Ta'O,y 78.70(D) p'7• .,�.ry. 0 ry 0' I/2"FIR INO FIDP -...v=7.9 .6F\h��h0 ,�� O �V�52 NO ID TI 'S ERI ING GPS pN O ION ND D WITH L-NET GP5 A'1 p1, E ION HAVE BEEN R OT TIO ODETIC VERTICLE 19 .(NGV09 ZZ 'hh O t1.1 yA pA OON h f� 4 REMAINDER OF 0,.p 7 LOT 15 w ELK 17713'x' e f� (NOT INCLUDED) igc9 1 -Q s l 1 6 �P fN 19 r `t f9 .2 ♦ d t4z .T 2 FIFIlasea- Q r NO ID P11 w f P 1 C-2 O R– DL R=245.00'(D4M) G- L= 42 Sc B M) L=136.381(0)136.36(M) I–% e °l 5"(D3Ll °19,09"(M) e=3l 53'37(D)3/5337a(M) 12 5 2' W, 2'(D) 5 49 07'02"W, 134.62'(D)5 49-07102 W, 134.62'(M) p. sTpp At.E. IOOTH ST. (P) �qP�gt1s1t NU�'N I hereby ce Is Bourn ey of the hereon described p rly has&Rl in made er my direction, and to the y kno a lief,it is a true and accura N that meets the • • minimum to f /a an a t fo y the Flonde Board 40 0 20 40 • • ••• • of profeVio rve ,Y148p in Chapter 5J-17 of •••••• (=, the FlofiA6 five Code • • • • oe" GRAPHIC SCALE (In Feet) 1L Y •••••• • • • • S 1 Inch = 40' ft • • •KEITFZA.STEPTEPHENSON • • State all yorp ll pVfeaalonal Surrey«and Mapper • License No.8521 •••••• • •• •• ••• •• • • Use ofTNis Survey for Purposes other than Intended.Without Written Verifcauon,will be a[the Uw%Sole Rlskand Without Liability to the Surveyor. ••••• • • •••••at Nothing hereon shall be Construed to Gwe ANY Rights or Benefits to Anyone Other than those Certified. ••••• • FL:OD INFQW''Ibw POINTS OF INTEREST • • •• &*PERFORMIWG♦LEARCH WITH THE LOCALGOVERNING NONE VISIBLE •••••• MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTYAPPEARS TO BE • • • LOCATED IP030 4*6HADED AND AE(WITH A BASE FLOOD ELEVATION OF!).THIS PROPERTY WAS FOUND IN THE VILLAGE OF •••••• •• RAS MI SHORMOM1►1RIUNITY NUMBER 120652,DATED 09/11/09. • • • Florida Land AFFILIATE •••••• •• CLIENT NUMeR: DATE:2/17/2015 ••� Title BUYER:BEYOND ALL REVOCABLE TRUST FLTA Association.--- MEMBERS SELLER:ANDREW CURZON CERTIFIED TO:BEYOND ALL REVOCABLE TRUST;MOSKOWITZ, MANDELL,SALIM&SfMOWITZ,P.A. � ACTA— LandSurveyors Inc. WWW.ekattatprn Surveyors, P.866�735-1916•F.86G744-442882 This is page 1 of 2 and is not valid without all pages. LBO 7337 11940 Fairway Lakes Dnw,Suite I-Ft.Myer%FL 33913 al I r„ REPORT OF SURVEY FL1502.0707-01 -This is page 2 of 2 and is not(valid without all pages. LEGAL DESCRIPTION: LOT16,BLOCK 177,MIAMI SHORES SECnON 8,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 43,PAGE 67,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA, s AND THEEASTERLY 5 FEET OF LOT 15,BLOCK 177,MIAMI SHORES SECTION 8,ACCORDING TO THE PLATTHEREOF,RECORDED IN PIAT BOOK 43,PAGE 67,OF THE PUBLIC RECORDS OF MIAMI- ",] DADECOUNTY,FLORIDA,DESCRIBED AS FOLLOWS: BEGIN AT THE NORTHEAST CORNER OF SAID LOT 15 FOR POINT OF BEGINNING;THENCE RUN WEST ALONG THE NORTH LINE OF SAID LOT 15 A DISTANCE OF 5 FEET TO A POINT;THENCE RUN SOUTHEASTERLY PARALLEL TO AND 5 FEET FROM THE EASTERLY LINE OF SAID LOT 15 TO A POINT ON THE SOUTHERLY UNE OF SAID LOT 15;THENCE RUN IN AN EASTERLY DIRECTION „ ALONG THE SOUTHERLY LINE OF LOT 15 A DISTANCE OF 5 FEET TO THE SOUTHEASTERLY CORNER OF SAID LOT 15,THENCE RUN NORTHWESTERLYALONG THE EASTERLY LINE OF SAID LOT -- 15 A DISTANCE OF 95.89 FEET,MORE OR LESS,TO THE PLACE OF BEGINNING. SAID LAND SITUATED LYING AND BEING IN MIAMI-DARE COUNTY,FLORIDA JOB SPECIFIC SURVEYOR NOTES: THE ASSUMED BEARING REFERENCE OF SOUTH 56 DEGREES 45 MINUTES 06 SECONDS EAST IS BASED ON THE NORTHEASTERLY PROPERTY i UNE OF LOT 16,BLOCK 177,LOCATED WITHIN MIAMI SHORES SECTION 8,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 43,PAGE 67,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. 77, GENERAL SURVEYOR NOTES: 1.The Legal Descriptors usecitoperformtha saveywaswpphedbyotre*mlhiswrwydoes determhtewlnloyownemhip. 2 This suveyonlyshowsimprov ts6xmdabovegromdUndergrourd footings,utlitiesand axroavunentsarenotlocatedon thiswrwy map, 3. Ifthereis a septic tank or drain f eld shown on this s rvey.the location isapproximateasthelocaton waseNter shown w EPecre by a third party m h wasesdmmd bynwW detectors, Probing rods and vbual above ground impec ams only.No excavation was performed In ander to detemsm dusexactand acnaatelocation. 4.TWssLrvryiseucluOvelyfordwmoftmeparteswwhomttiscenifiaL S. Additions or ddesonstothis survey map and report byotherthas the signing party or patesis prohibited whissmwrinencassert ofthe signing party or pates 6. DimensionsaminfeetarddedmalstteseoL - 7. Dtretovaryingconstructmos dwdshwsedimensiatsamapp,>A.,.e. 8. Any FEMAfloodmne dataconteii d on this wrm is for lotfonnatonalpurposesonly.Research to obtain such datawas perfors—datwwwArruseov. 9. All commmarked as set areata Inhuman a'Wdiameter,18'imm rebat with a cap stamped LBtl7337, 10.Ifyouarereadingth4surveyinanelectronicfomot,theinfomutonwntainWondu4documentisonlyv dtthiskkoumerttbelmum"lysgrtedmspea8edm Chapter SJ-17462(3)ofthe Florida Administrative Code and Florida Stawta472A25.TheElectronhc Signature,File related to this documentisprornhenty displayed ors the lawiwfortis survey which hs sem under separatectwec Manually signed and sealed logsofall survey signature Net are kept lot the office,ofthe perfomdng s rveyoclftts documatt is in paper format i b not veGd without thesignatureatd original raised seal ofa Florida Licensed Sunvyor. 11.Unless otherwise notedan emuretlon oftheabstractoftitlewas NOT perfomod by the sigung sun yorto almermmawhich Instruments,dany,aeaffactrg this property, 12.The symbols reflected In the legend and onfl s survey may halm been enlarged or reduced for dadtyThe symbols have been plotted atthecente=field location,and may not represent the actual shape ors meofthe featse. 13.Pobmsof Interest Ws)one selected abmreground nnprovemenBwhich may be in confiktwhh boundary,building satbeck measement Gres, asdefined by the parametersoft is s prey-There may beadditonal POPS which are nM shown.not calledouta;Pal's,orwhich ae otherwise 14.=un known to to wrveyocThesePOi's my rot represent all items ofinteretto theviewer. ties shown-the subject property may or may not Indicate the edstems of recorded or unrecorded utGty easements 15.7he information contained w this wrwyhas been performed exdusively,and is the soleresponsibility,of Exacm Survyors,Additional logo or referaxes to third partyfirmae,for Informations]purposes only. 16.Purwamto F.S.558.0035,an individual employee or agent may not be held individually liable for negligence, 17.House measurements should not be used for new,construction or planning.Measua ants should be verified prior to s th activity. LEGEND: SURVEYOR'S LEGEND uNenrrs,t.,®q,a,,..00m We Aarnmrtronsw m. aBm rias ser. secna+ 8.R BGgN6 P8iti�.'Ct aL assust Sta' BERG TANA B.C. IXOOtCOfNm aa' aBiRUMOO 9tW. BBMR T'ae 1 &P.P. 9tO:ROW P�VMOR an. an76fCIgN 9CD 9tTG s%sC GOiIDb0f8 811. &DOL L t)GM 81Rc MWW RO{CM __ _ BLDG. BIaDING LBa NC[aBE•-BIBP✓6.9 9M10 9a NAR{DBL dMDllaRa W112 POMP BM BM Its L91 NCObBa-9lIRVO'pt 80.R. 50uA@nir 8RL aADa!,,t nW IlAB QO AIOWAm gry, gtOa- PA9OAGT W 8A8OAtar Y.B. MM BOOA B.TL 9IAaAYT1E IDP � '�. LOGEM WAIIX In BAYIeOf Y/D.9OV/ MP.B. MRa®DID BCOIW 9V 9OYOt VALYL' c CMLIAAty9 M.C. MCIALPOC! BW 91aw'NA ,PON(OCE L CL NR (ARI PADIK &W. DPAWALL GtV WI8IV.PBOt N.T9. NOrro5CgI8 TNI tB OAaMM LMB C.B. ONCReIe BIDOC O.L.B. Ori LONO3fE BIAS LPL llBaIONEPAWitB LIIOa. Cr'aosI OG. ON OOVIa i.0.5. VVWsMIK .,IIRVCYtY UN2 CLP. Owerlaet POLE Ot' Wfea8Oe8118A'CTPARCCL WA4Ori PAFa WALL CA. Cu,ut I Cn. 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OFFER VALID ONLY�FOR: • •••••• danc�r�no�a�Mtuw{maze arm PurNu o 1.While viewing the survey in Adobe Reader,select the BEYOND ALL REVOCABLE TRUST •• lironk Lgn�kre Aa•ISg6 err Florida statute mTLE x%XIX ••••• • than 66a I(Ih15•e�Rl•�i•Cegnd is PDF. "Pont"butron under the'RIe-lab. • • than h has been u"fully Elecnankaay Signed Therefor role w y • • yoyTn rtuva MsRhasht -_.. dae "— —_"4 ————_— POW.vhekmo � able I ase, as . eecta nnmr With Ieral Sred ppr.tM 1,%jemont Swupa � 3.Under Range,dick selectthe'AI"toggle. • hgi k W I Node for1 I • yea 4.Under the"page Handling'sedion,select the number :••••: „.pof ,m of copies that you would like to print r oma, uda IRetIeAVdAdtp116 famsu.wyPOFxn sur wvesm,sam • S.Under the"Page Scaling”selection drop down menu, •:•••• •• ♦#v.,aoadoNat -" salt"None,' i 2�/O off • • •5awmeSheyFfFonmyrffmmYmxalavexnputerystalsc 6. Uncheck the"Ara rduRmateaCenter"checkbox. (UP TOg5D0) • atromrheonan se•erny+wcwnrstarscam. 7.Check the"Ch—Papersiza by PDF"chedkbox. •••••• • •aama o Maeraro basun wwd&Parlynhandcamardtna ANY -TU RE • tsyukuamrmtfntlandteleclmesmedsuwyPOFemmm�cewdltlr " 8.CIrckOKtoprint I I • eCOw Xcutto inmekrAwd$sharst—ofdNHeshCamlaa. SURVEY[ G SERVICES I TO PIaB(f IN&J14C+xR4rtE I a`aaDaenNwdka an°ddaMae'�h`gu,omm eaodq p 1 In the maI ON THIS,PROPERTY w,>•t dhaay.+sfathevcalwt�WflNinwvaysmysMncan vAua in ant screen,choose'Properties'. ISNoplrrcedmuheln,wcetortxt uovay. 2.Choose"Quali 'from that tions. suer,anod:gtsamgdv,A,dwaLtenNaaaLvyBhe,N„aaltlaar.� n' P `.mhrs" fll.N1AY1Cp° sck"GdStt'Pr'aNtri �' 3.Change from"Auto Color"or"Full Coior"to mend's PDF is anhentk.Nthe40dga String dm,'oen foes not match I 'GrayScale". t •° asMvr.men rims POF nes base MmDarad wmam lusa.rtnama. .as.,.. � ;..� . ,. ., . - r: Exacta Land Surveyors,Inc. worincactalandcom t P866735.19!Y6•F266-7442882 CT LBO 7337 11940 Fairway Lakes Dnve,Suke 1"Ft Myers,FL 33913 I ,...x.,+.r, .y,ate.,. ,1; •'�„ '.,. .x+ .;,ic,,,-. .cx a,, Mission: Rick Scott Covemor To protect,pronate&inprove the health of all people in Florida thraujh integrated ®�'� John H.Armstrong,MD,FACS state,cwty&arm*dbts. plEaTH State&girt General&Seastary Vision:To be the Healtltiest State in the Nation August 14, 2015 Armando Miguel 10050 NE 12 Avenue Miami, FL 33138 RE: Modification to a Single Family Residence-No Bedroom Addition Application Document Number: API 198907 Centrax Permit Number: 13-SC-1622083 10050 NE 12 Avenue Miami, FL 33138 Lot: 16 Block:77 Subdivision: Miami Shores Sec.8 Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 08/03/2015 for the use of the existing onsite sewage treatment and disposal system located on the above referenced properly. No Objection. Proposed New Driveway. Reviewed by N. Gumbs 8/3/2015. 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. Sincer&Gu Nicole Engineering Specialist II Department of Health in Dade County Florida Dopwbeont of Noakb wwwAorldaboaM gov in Dade County• •,Florida TWITTER:HealthyFLA PHONE: (305)623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE:fidoh ® _ o Existing Asphalt Driveway to be demolished i Ey N Existing Septic and drainfleld to remain In place I New Chicago Brick driveway and walkway -r� ter S o Total Sq.Ft.Driveway+Walkway +-1756 Sq.Ft. d n 9' Coral Rock Pavers a ,N Total Sq.Ft. +-108 Sq.Ft. o ALLEY - 1 O co Existing Septic U and drainfleld to remain in place (� C� Lu E --) G ED (n O - Masonry sand at all joints ^ c 7/ Existing Asphalt O �_ Bricks a yr( Driveway to be Q Sand bed(2 to 2 1/2")--- x, demolished UCz .� Compact rock base(6 to 8")-► Els �'S� O c= til III II I=IIII 1111 IIII IIII III III IIII IIII IIIL �'� C)- CIO Compact sub grade 411 In nu uu un=ull u1I nn n1 un Iii Q [11=i111211'1= illi IIII,Iifl Iql IIU—IIII IIII IIII= _ I I I I-IIII_IIII _III IIII1=IIILIIII_II II_I III-II_IIII_.I .III.111=II�1=1111 I{II=:IIII=IIII III=11U-III IIII-II II.- ^ Driveway material detail Scale NTS New Chicago Be�k 14/ driveway and walRway \ 9 J Proposed T New Driveway 10050 NE 12th Ave. f K. Miami Shores,FL-33138 Owner:Beyond All Revocable Trust Folio#:11.3205-019-0370