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PL-17-2086 1 ►• D'IVISION OF ' °i Environmental Health Florida Health Miami-Dade County QQQ OSTDS/Well Division ► 11'•;805 SW 26th Street-Miami,FL 33175 Inspector //��tQ�' �ar/• Date0-M Address 1.7 16rf) s11— ;OSTDS# Comments: I ure Signat p� 01 -8 �y is Miami Shores Village ' "p, itYP -R@St�taN '�- �g� 10050 N.E.2nd Avenue NE �Wtirlc lat#1 Dralnfleld Miami Shores,FL 33138-0000 �P' ta 3 Pettif 5tafuPQYEG yF �Ae Phone: (305)795-2204 ue Imo:812 1201'' ., Expiration: 2 201 Project Address Parcel Number Applicant 133 NE 102 Street 1132060131820 JOHN SASSO MARIA SALAZAR Miami Shores, FL Block: Lot: Owner Information Address Phone Celt JOHN SASSO MARIA SALAZAR 133 NE 102 Street MIAMI SHORES FL 33138- 133 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 MR C'S PLUMBING&SEPTIC INC (305)651-7859 Total Sq Feet: 300 Type of Work:DRAINFIELD REPAIR Available Inspections: Type of Piping: Inspection Type: Additional Info:DRAINFIELD REPAIR HRS Approval Bond Return: Final Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# PL-8-17-64914 CCF $3.00 08/25/2017 Credit Card $ 121.50 $550.00 DBPR Fee $2.25 DCA Fee $2.25 08/17/2017 Check* 1400 $500.00 $50.00 Education Surcharge $1.00 08/17/2017 Credit Card $50.00 $0.00 Permit Fee $150.00 Bond#:3491 Scanning Fee $9.00 Technology Fee $4.00 Total: $671.50 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 confo ity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I a re onsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRIC P UI4II I G,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: rtifyKatheregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning F e ze the above-named contractor to do the work stated. August 25, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 25,2017 1 Miami Shores Village Building Department RECEIVED 10050 N.E.7nd Avenue, Miami Shores, Florida 33138 AUG 171017 Tel:(305)795-2204 Fax:(305)756-8972 QL� 4-1 INSPECTION LINE PHONE NUMBER:(305)762-4949 S FBC 20 tq BUILDING Master Permit No. h -20 9 PERMIT APPLICATION sub Permit No. F-JBUILDING ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP AA``�i,', Q►�' CONTRACTOR DRAWINGS JOB ADDRESS: 1-3 3 !v l� 10 C�_ 1 rte" City: Miami Shores p- County: Miami Dade Zip: Foiio/Parcel#: `�3o�-b�!D I O o�� Is the Building Historically Designated:Yes NO Y Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): V 0 V y) sr-+' V Phone#: Address: —�^ City:. �-_ �Y, Ci * J``am/T tA State: PC- Zip: Tenant/Lessee Name: Phone#: Email: r CONTRACTOR:Company Name: �• �-s �J*M hone#: Address: J�- City Cly State: Zip: .33169 I $. Qualifier Name: C�1L ,� / I /I Phone#: State Certification or Registration#: ry,wDCCb Certificate of Competency#: DESIGNER:Architect/Engineer: /V Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ^._ �� v Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: cc�� Specify color of color thru tile: Submittal Fee$ Permit Fee$ ®� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ so® 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 h—h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be p v d and a reinspection fee will be charged. Signature Signature OVMR or AGENT CONTRACTOR The foregoing instrumen was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,�l�l� U S� 20 17 ,by � day of S 20 /� by who is personally known to �''It�(� �G� 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: y 9 Sign: Sign: !� Print: 4i1�1�d� qr /n Print: 1046( av,y�)'n Seal: ;.►I'�%a;: DONALD MARTIN Seal: ;is• r" DONALD MARTIN MY COMMISSION#OG102743 " MY COMMISSION#GG102743 EXPIRES May 09.2021 + EXPIRES May 09.2021 19 *********** ************************************************ ************************ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Proper Search Application- Miami-Dade County Page 1 of 1 �CER "Y' A""' P Summary Report Generated On:8/15/2017 Property Information gal Folio: 11-3206-013-1820 133 NE 102 ST tea_ Property Address: 3 ��;. Miami Shores,FL 33138-2324 ,i JOHN J SASSO IV Owner ' MARIA SALAZAR Mailing Address 133 NE 102 ST MIAMI SHORES,FL 33138 USA PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ 0101 RESIDENTIAL-SINGLE Primary Land Use FAMILY:1 UNIT Beds/Baths/Half 3/2/0 Floors 1a Living Units Actual Area 1,600 Sq.Ft c Living Area 1,300 Sq.Ft Adjusted Area 1,450 Sq.Ft Taxable Value Information Lot Size 8,475 Sq.Ft 1 2017 2016 2015 Year Built 1948 County Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable Value 1 $228,816 $223,0821 $221,184 Year 2017 2016 2015 School Board Land Value $211,570 $211,570 $161,296 Exemption Value $25,000 $25,000 $25,000 Building Value $108,750 $108,750 $108,750 Taxable Value 1 $253,816 $248,082 $246,184 XF Value $2,739 $2,768 $2,440 City Market Value $323,059 $323,088 $272,486 Exemption Value $50,000 $50,000 $50,000 Assessed Value $278,816 $273,082 $271,184 Taxable Value 1 $228,816 $223,082 $221,184 Regional Benefits Information Exemption Value $50,000 $50,000 $50,000 Benefit Type 2017 2016 2015 Taxable Value $228,816 $223,082 $221,184 Save Our Homes Assessment Cap Reduction $44,243 $50,006 $1,302 Sales Information Homestead Exemption $25,000 $25,000 $25,000 Previous OR Book- Price Qualification Description Second Homestead Exemption $25,000 $25,000 $25,000 Sale Page Note:Not all benefits are applicable to all Taxable Values(i.e.County, 07/17/2013 $385,000 28743 Qual by exam of deed School Board,City,Regional). 1296 12/18/2008 $280,000 26696- Sales which are qualified Short Legal Description 12273 MIAMI SHORES SEC 1 AMD PB 10-70 26254- Sales which are disqualified as a result LOT 19&E1/2 OF 18 BLK 13 03/01/2008 $319,700 4422 of examination of the deed LOT SIZE 75.000 X 113 25985- OR 19805-0996 07 2001 1 09/01/2007 $337,450 3149 Sales which are qualified COC 26254-4422 03 2008 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 8/15/2017 PERMIT #:13-SC4609481 APPLICATION #: sTaTE of FLORIDA APPLICATION c. DEPARTNEW OF HEALTH' DATE PAM: ONSITE SEWAGE TREA'1 MUM AND DISPOSAL FEE PAID: . SYSTEM .b� RECEIPT #: DOCUMENT #:PR1071266 CONSTRUCTION PERMIT FOR: OSTDS Existing Repair APPLICANT: John Sasso PROPERTY ADDRESS: 133 NE 102 St Miami,FL 33138 LOT: 19, 18 BLOCK: 13 SUBDIVISION: Miami Shores Section 1 PROPERTY ID #: 11-3206-013-1820 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AMID CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT E=MPT THE APPLICANT FROM COMPLIANCE WITH i ••• • • L STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. •••• SYSTEM DESIGN AND SPECIFICATIONS • •• • •••••• T [ 900 ] GALLONS / GPD NEW SEPTIC TANK TO INSTALL CAPACITY •••••• :...:. •••• ••.• A [ 0 l GALLONS / GPD CAPACITY • ..... N L O ] GALLONS GREASE INTERCEPTOR CAPACITY [MARIMUM CAPACITY SINGLE TAN1%i;2200•GAL1.ONSj. ••i••• K L ] GALLONS DOSING TANK CAPACITY I ]GALLONS @L IDOSES P�� #Primps [••••a• • • • • • D L 300 ] SQUARE FEET NEW DF IN BED CONFIG SYSTEM • •• ;...�• •••• • • R L 0 l SQUARE FEET SYSTEM • • • • . A TYPE SYSTEM: [x] STANDARD L ] FILLED [ ] MOUND [ ] • • I CONFIGURATION: [ j TRENCH [x] BED [ ] -• N F LOCATION OF BENCHMARK: FFE.........12.50'NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 20.407 INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 70.40 ] I INCHES FT ] [ABOVE BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 10.00] INCHES EXCAVATION REQUIRED: [ 62.001 INCHES 1:Install a 900 gal.septic tank with an approved filter ° 2:The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance T with s.64E-6.013(3)(f)FAC. H 3.-Install 300 sf.of drainfield in...BED....... configuration. 4.-Install 12"of sfiightly limited soil at the bottom of the drainfield. E 5.-Invert elevation and Bottom of drainfield to be no less than 7.13'A 6.63` NGVD respectively R THIS PERMIT IS NOT FOR ANY ADDITIONS. SPECIFICATIONS BY: Mr Cs 1b Sept TITLE: APPROVED BY: TITLE: Engineering Specialist II Dade CHD dL DATE ISSUED: 0 EXPIRATION DATE: 11/01/2017 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 V 1.1.4 AP1129640 SE1043000 f r STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR CONSTRUCTION PERMIT Permit Application Number - � I AM - �� `� I �ti ra-�� XlI � -YaQ x ,�-(Qc eoe (LA � Y • 0000 0000•• ' • •• • • •• :•• 0000•• •• ' � �� 0000•• ' 0•Is •• 0 S •• • ' 0000 � •• •• •• •• 000 •• • • • • • •000.0 ••• •• ' • • • • • ' • • 0006 Notes: 193 Joe- 10a a elf Pz Site Plan submitted by: .Lr .- Plan Approved Not Approvec! Date__& 1 1 gy County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015,08109(Obsotetes previous editions which may not be used) Incorporated: 64E-8.001,FAC Page 2 of 4 (Stock Number. 5744-0021015-6) P1 F1=1 40 203 �o Miami Shcras Village APPDIOVED BY DATE TIP c 7-g' A ZONING DEPT ELDC DEPT CL f of of CT fc CGNIPUAN �A= '(-UN) rr,UL-� RrcuI-A70 3 g REMAINDER OF � w ? qq LOT 18 BLOCK 13a m R S fn { �4 a ° N 112.86'(P)(M)pt .� lot m wt, ti t .3 r , 36.30` Ai a �dldCh*lFjE• s{ 10.00 31.30 •-DIPlVE�VAY-, � a� p �� ° .'. L t !'. 8.80 3 0ME WA - Q 44 py�i f 4.ff� O Ti=9 , ' p�yyy•�vz o 4 M cma LOT 31 .20 CM 13 quo sa m C-) ... . M r