REV-16-2952 Miami Shores Village
Bu i nt C PTXTFL>
I N. a op ri 33138 0C? 3 X16
�T .'( 5 A ,. x ( , 92
SP 011 1�5t i(3 7 2-4949 $Y:
FBC 2 N-17
BUILDING Master Permit Nozpa-T �k
PERMIT APPLICATION Sub Permit No. �1 \( I[0
BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
J /( �p �-�CO`NTRACTOR DRAWINGS
JOB ADDRESS:_ v/ l I_06 91-1 r
City: Miami Shores County: Miami Dade Zip: I �U
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): f C`�,'y �`'� t�'f ice✓05F Phone#:
Address: ;�--5 0&2
City: State: ,�Z_ Zip:
Tenant/Lessee Name: Phone#: �H
Email:
CONTRACTOR:Company Name: C V Q_-.)C_' Phone#:
Address: Ll-,/
City: State: f Zip: :7
Qualifier Name: r� s '?-- Phone#: ���✓
2�� -0
State Certification or Registration#: Certificate of Competency#: �—
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 5yo Square/Linear Footage of Work: 4;4 Jim
Type of Work: ❑ AdditiTL ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: be�;k,
Specify color of c o hru tile:
Submittal Fee$ Permit Fee$ 1 CCF$ 0.60 CO/CC$
Scanning Fee$ Radon Fee$ 2 ,oft DBPR$ 2,• 4P ea Notary$
Technology Fee :SD Training/Education Fee$ 2-0 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 obs a of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
r
Signature Signature
01.11,614ER or AGENT CONTRACTOR
The foregoing instrument
.was
/acknowledged before me this The foregoing instrument was acknowledged before me this
day of (a'To d+J l9�'' 20 io by �day of 0?��✓ 20 l 0 ,by
W A,lqn-�E ,who is ersonally know to I/rle!EL is ersonally known t
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,
/Z- 4
Print: t•• �L/ J C=2 Print
Seal: �a°`' "..'`;MABELIS E FERNAMABELIS E FERNANDEZ
NDEZ Seal: ),
MY COMMISSION#FF127992
T MY COMMISSION#FF127992 q..
A �` EXPIRES June 1,2018
•." 60 EXPIRES June 1, 2018
ora (4071398-0183 Florida(do $e
APPROVED BY AA`- Plans Examiner '" ing
Structural Review Clerk
(Revised02/24/2014)
Rick Scott
Mhmftn: Go nor
To protect,promote&hpraethe health
of all people in Florida through integrated 1 1Celeste Phlllpr MD,MPH
state,a my 8rnn
oonfty efforts. GI'�L & State&xgeon General and Semtwy
Vlslon:To be the Hw f lest State in the Nation
October 20, 2016
Hairy Sanchez
339 NE 100 Street
Miami, FL 33138
RE:Modification to a Single Family Residence-No Bedroom Addition
Application Document Number: AP1255517
Centrax Permit Number: 13-SC-1707037
339 NE 100 Street
Miami,FL 33138
Lot: 17,18 Block: 39 Subdivision:Miami Shores Sec 1 Amd
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 09/12/2016 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. No
Objection: addition of new wooden deck. Issued by E. Omisca on 10/20/2016.
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 381.010 1, Florida Statutes.
If you have any questions, please call our office at(305)623-3500.
Sincerely,
��6Va12Z
Erlande Omisca
Engineering Specialist II
Department of Health in Dade County
Fbd"neparbmwd at xaaNi www.fAM+ ►
in Dade County• •,Florida TWITTER:HealthyFLA
PHONE: (305)623-3500 FACEBOOK:FLDepartmentofHealth
YOUTUBE:fldoh