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DS-14-1558Inspection. Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216214 Scheduled Inspection Date: November 26, 2014 Inspector: Rodriguez, Jorge Owner: MONTERO, JULIAN & DEBRA Job Address: 465 GRAND CONCOURSE Miami Shores, FL Project: <NONE> Permit Number: DS -7-14-1558 Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 3051685-0412 1132060170320 Contractor: CHAMPION CONCRETE Phone: (305)252-8055 tcunamg uepartment comments CONCRETE SLAB INSPECTOR COMMENTS False November 25, 2014 For Inspections please call: (305)762-4949 Page 9 of 48 Inspector Comments Passed Failed El Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 25, 2014 For Inspections please call: (305)762-4949 Page 9 of 48 Rick Scott Missions Teo protect promote & improve the health Governor of all in Florida through state, counity & community effortsintegrated. FUrfi-d"a John H. Armstrong, MD, FACS HEALTHState Surgeon General & Secretary Vision: To be the Healthiest State in the Nation Glasshammer Engineering 19341 Sterling Drive Miami, FL 33157 October 14, 2014 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1160522 Centrax Permit Number: 13 -SC -1561309 465 Grand Concourse Miami, FL 33138 Lot: 23 25 Block: 87 Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 09/22/2014 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. Proposed driveway. No objection letter was issued by C. Icaza on 10/14/14. 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. Sincere ent of Health in Dade County Florida Department of Health www.floridahealth.gov In Dade County • -, Florida TWITTER:HealthyFLA PHONE: (305) 623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE: fldoh Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: ®C�� 6(-a KI 4i Permit No. JUL 18 204 FBC 20 t(D Master Permit No pcs 1 4 --iss cts ROOFING City: Miami Shores County- Miami Dade Zip: 3 3 f 3 k Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: /L0 OWNER: Name (Fee Simple Titleholder).N Ij !( Q ky1 OC4r%A / '�'' �; �`�� Phone#: . 7y3.13 7 Address: %S— 612. City: f[!0t-V4 f Tenant/Lessee Name:: V/—+ Email: -,A(j f� P� W 1 0— %4 State: FL, Zip: 3�3 t3 0 CONTRACTOR: Company Name: r (4p p l ay to /u oy9n Phone#: 305 Z52 2?40:-5 Address: Y Q 0 ( MU Q"Q 'jFr City: J (20 State: Zip: -3-3 r7d' Qualifier Name: 1,4-141-e i4sl IJl Phone#: -tea q0Z LtdodZ_ State Certification or Registration #: Certificate of Competency #: Cc DS 6_500"?1S Contact Phone#: _1P;4 _ 6A-511 0 Email Address:-IAYJIz°C- A-1 i94'114100-40Cf DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 5 Square/Linear Footage of Work: -51e 0 Type of Work: ❑Addition ❑ teration ❑New ❑Repair/Replace ❑Demolition Description of Work: Submittal Fee $ ermit Fee $ - CO CCF $ 1 ` & 0 CO/CC $ Scanning Fee $ Radon Fee $ & co DBPR $ C"Lm Bond $ tfM , Notary $ Training/Education Fee $ G G O Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Gy --� ' C�� 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 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 deliver d to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be po ed at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absenceff suc osted notice, the inspection will not kapproved and a reinspection fee will be charged. The fo�reov fg day of�� who ' persc NOTARY Sign: Print: Owner or Agent instrument was acknowledged J�efore,me this f q A 20 �, byJ o ),kms 4w � Signature. Contractor The foregoing instrument was acknowledged before me this day of �-'�'✓ , 20 jA, by JAJ1n1-- ql,41�-03 .n # 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. My Commission Expires:' APPROVED BY W COMEWN MIS i 155840 NOTARY PUBLIC: i 1l 1 �wi , \\\`��%w Sign: ° Print: - 1pR� PU9lIC Q My Commission Expires: % �0EE1734�9 : �_ (6/02./ Plans Examiner Structural Review (Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) %4% _ z6ning Clerk STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT The undersigned Affiant\, 0 does hereby attest that (Property owner) The attached survey, performed by (Name of surveyor's company) For address:ter/ ,i T 6/a 4 � � dam, o4 S`Q-y , r'C 3.3 Performed on J�q 2Pi3 (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 affect final inspections as applicable to this or other permits. r say eth naught. J PAF6perty Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of���`� Affiant is personally known to me, produced as identification. 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N Q 9 S (A c n •r o 11X n N O �p N CO 3 r OJ v it<'ti Y. 00 TION Florida Health Miami -Dade Count` O.S.T.D.S. & Well Program pplication No.: 1N 6 �Date: -� ; Signa