DEMO-16-3019$ 800.00
0
,..... j
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Pem»itNO. DEMO -11-16-3019
Permit Type: Demolition
Work Classification: Plumbing
Permit Status: APPROVED
Issue Date: 12/1
2016
Expiration: 06/13/2017
Parcel Number
Applicant
1276 NE 93 Street
Miami Shores, FL 33138-
1132050270230
Block: Lot:
SEYMOUR & JILL KANTOR
Owner Information
Address
Phone
Cell
SEYMOUR & JILL KANTOR
1094 NE 91 Terrace
MIAMI SHORES FL 33138-
(305)336-7100
Contractor(s)
APA PLUMBING CORP
Phone
(305) 992-4614
CeII Phone
Valuation:
Total Sq Feet:
Type of Demo: Plumbing
Additional Info: SEPTIC TANK PUMP AND ABANDONMENT FO
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$100.00
$3.00
$0.80
$108.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # DEMO -11-16-61917
12/15/2016 Check #: 14306 $ 58.60 $ 50.00
11/03/2016 Check#: 14224 $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above-named contractor to do the work stated.
December 15, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
December 15, 2016 1
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 1276 NE 93 Street
RECEIVED
N043� 2,,016
FBC 2131`1
Master Permit No. \ 6 t6 -' 3 A
Sub Permit No.1):Q (G - 30( 9
❑ REVISION ❑ EXTENSION ❑ RENEWAL
s
-14
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: 1 1 3205 027 0230
Occupancy Type:
Load: Construction Type:
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Seymour and Jill Kantor
Address: 172 Golden Beach Drive
Phone#:305 336-6691
City: Golden BeachState: FI
Tenant/Lessee Name: N/A
Email:
Phone#:
Zip: 33160
CONTRACTOR: Company Name: A.P.A Plumbing
Address: 7075 SW 46 Street
Phone#: lr2 —
City: Miami
Qualifier Name: Luis Garcia
State: FI
State Certification or Registration #: CFC1427783
DESIGNER: Architect/Engineer: N/A
Address:
Value of Work for this Permit: $ D a OD
Type of Work: ❑ Addition ❑ Alteration
Zip: 33155
Phone#: 305 992 -
Certificate of Competency #:
Phone#:
City: State: Zip:
Square/Linear Footage of Work: N/A
❑ New
❑ Repair/Replace ❑■ Demolition
Description of Work: Septic Tank pump and abandonment for demolition of SFR
Specify color of color thru tile:
Submittal Fee $ • w Permit Fee $ /L'6 ✓ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ SY Cart
(Revised02/24/2014)
•
Bonding Company' r Name (if applicable) /
Bonding Company's Address
City St;te. _ Zip
Mortgage Lender's Name (if applicable) Q/ !�
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. 1 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 regulatine 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 e.VCeeding $2500, the applicant Hurst
promise in good felith that a copy of the notice of commencement and coustruclion 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 Hurst be posted at the job .site
for the first inspectir 1 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the
inspection u:11 not b )proved a I a reinspec,n fee will be chargee).
.*Signature
The foregoing instrum was acknowledged before me this
day of C.,(--( , 20 I(p. by
vV\ov, r—
wh pen poi ttl)wn to me or who has produced
As identification and %vho did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
.F .P°646FRAMS MELGAARD
MY COMMISSION II FF161297
EXPIRES: September 18, 2018
Signature
1'
ontractor
The foregoing instrument was acknowledged before me this
day of OCT- , 20 t((, by i --UIS
ss l s pen. c n. 4 -,known 10 me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
L1/4,,s Cal ri2
Sien:
Print: eS
My Commission Expire.
pA�
Pu
e,
FRANCE MELGAARD
a;r MY COMMISSION 8 FF161297
EXPIRES: September 18, 2018
oP�
*************************; *; ****************************+Rei******************************ski*+k******
APPROVED BY
(Revised 117/ I0/(7)( Re% ised 1 N,/Ill/2_(8)9)(Revist d 3/15/09)
***i**
Plans Examiner Zoning
Structural Review Clerk
STATE OF FLORIDA
.::,,...., DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
- CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
GARCIA, LUIS ALBERTO
A P A PLUMBING CORPORATION
8741 SW 49TH STREET
MIAMI FL 33165-6701
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order
to serve you better. For information about our services, please
log onto www.myfloridalicense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and learn more about
the Departments initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT, GOVERNOR
LICENSE NUMBER
A ,, STATE OF FLORIDA
i DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CFC1427783 ISSUED: 06/12/2016
CERTIFIED PLUMBING CONTRACTOR
GARCIA, LUIS ALBERTO
A PA PLUMBING CORPORATION
IS CERTIFIED under the pr¢disions of Ch.489 FS.
Expiration data : AUG 31, 2016
DETACH HERE
L1606120601225
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CFC1427783
The PLUMBING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2018
GARCIA, LUIS ALBERTO
A P A PLUMBING CORPORATION
8741 SW 49TH STREET
MIAMI FL 33165-6701
ISSUED: 06/12/2016 DISPLAY AS REQUIRED BY LAW
SEC)* L1606120001225
010246
Local Business Tax Receipt
Miami—Dade County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
6281687
BUSINESS NAME/LOCATION
A P A PLUMBING CORP
7075SW46ST
MIAMI FL 33155
OWNER
A P A PLUMBING CORP
Worker(s)
RECEIPT NO.
RENEWAL
8547389
LBT
EXPIRES
SEPTEMBER 30, 2017
Must be displayed at place of business
Pursuant to County Code
Chapter 8A - Art. 9 & 10
SEC. TYPE OF BUSINESS
196 PLUMBING CONTRACTOR
CFC1427783
PAYMENT RECEIVED
BY TAX COLLECTOR
S75.00 07/11/2016
CREDITCARD-16-037963
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a licence,
permit or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws end requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sac 8a-276.
For more information, visitwww.miamidadq,gav/raxcollsctor
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Abandonment
APPLICANT: SEYMOUR KARTOR
PERMIT #: 13 -SM -1717646
APPLICATION #:AP1261737
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1037310
PROPERTY ADDRESS: 1276 NE 93 St North Miami Beach, FL 33160
LOT: 11
BLOCK: 2 SUBDIVISION: Bay Lure
PROPERTY ID #: 11-3205-027-0230
[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., AND 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 EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ ] GALLONS / GPD CAPACITY
A [ ] GALLONS / GPD CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D
R
A
I
N
F
I
E
L
D
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
[ ] SQUARE FEET
[ ] SQUARE FEET
SYSTEM
SYSTEM
TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ]
CONFIGURATION: [ ] TRENCH [ ] BED [ ]
LOCATION OF BENCHMARK:
ELEVATION OF PROPOSED SYSTEM SITE
BOTTOM OF DRAINFIELD TO BE
FILL REQUIRED:
[ 0.00 ] INCHES
/ ] [ ABOVE/ BELOW 1BENCHMARK/REFERENCE POINT
/ ][ ABOVE/ BELOW 1BENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: [
] INCHES
Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom
of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c)
The tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system
inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered.
Betsy Lange-Olmino
11/01/2016
TITLE:
TITLE: Engineering Specialist II
Dade CHD
EXPIRATION DATE: 01/30/2017
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1261737 SE -1
a ,
Page 1 of 3 �` .
NOTICE OF RIGHTS
. A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty-one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The
Agency Clerk's facsimile number is 850-413-8743.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order
will constitute a waiver of your right to an administrative hearing, and this order shall become
a 'final order'.
Should this order become a final order, a party who is adversely affected by it is
entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings
are governed by the Florida Rules of Appellate Procedure. Such proceedings may be
commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the
Department of Health and a second copy, accompanied by the filing fees required by law,
with the Court of Appeal in the appropriate District Court. The notice must be filed within 30
days of rendition of the final order.