PL-17-2703Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
623 NE 97 Street
Miami Shores, FL 33138-2470
Permit
Permit NO. PL -11-17-2703
Permit Type: Plumbing - Residential
Work Classification: Drainfield
Permit Status: APPROVED
Issue Date: 1215/2017
Expiration: 06/03/2018
Parcel Number
1132060171870
Block: Lot:
Applicant
JOHN & MELISSA BUSTARD
Owner Information
JOHN & MELISSA BUSTARD
Address
623 NE 97 Street
MIAMI SHORES FL 33138-
623 NE 97 Street
MIAMI SHORES FL 33138-
Phone
CeII
Contractor(s)
MR C'S PLUMBING & SEPTIC INC
Phone
(305)651-7859
CeII Phone
Valuation:
Total Sq Feet:
$ 2,400.00
576
Type of Work: INSTALL DRAINFIELD
Type of Piping:
Additional Info: INSTALL DRAINFIELD
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
Bond Type - Owners Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$1.80
$2.25
$2.00
$0.60
$150.00
$9.00
$2.40
$668.05
Pay Date
Invoice #
11/14/2017
12/05/2017
11/29/2017
Bond #: 3571
Pay Type
PL -11-17-65646
Credit Card
Check #: 1333
Check #: 583
Amt Paid Amt Due
$ 5.85 $ 662.20
$ 162.20 $ 500.00
$ 500.00 $ 0.00
Available Inspections:
Inspection Type:
HRS Approval
Final
Review Plumbing
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 inforr- r ion is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the ab` -named contractor to do the work stated.
Authorized Signature: Owner / r .licant / Contractor / Agent
Building Department Copy
December 05, 2017
Date
December 05, 2017 1
BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC
E'LUMBING ❑ MECHANICAL
JOB ADDRESS:
City: Miami Shores County:
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
❑PUBLIC WORKS
Master Permit No.
RECEIVED
NOV 141017
Qite`-(1
F C 20 ,
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
�a3 tip= °t7 sket-
Folio/Parcel#:
Occupancy Type: Load:
11-3ac - b17- ►&-�
Miami Dade
Zip:
331��
Construction Type:
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Ji91k ,'l Phone#:
Address: 3 /V C� q 7 s'!)
City: CX Dtili s1/LUYe,d State:
Zip: ssi30
Tenant/Lessee Name: Phone#:
Email: 1 i (ru
CONTRACTOR: Company Name: 16 i\ • C /1 (S K-4441 ' Phone#:
Address: //9-43,/`NGv a )1/eitJ4_Q--
City: )-1,14-,1421 State: F-CZip: 331 I
Qualifier Name: ke_44,l/ l e l
i\i/ *
Address: City:
30C-4 S1— 7`7
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Phone#:
Certificate of Competency #:
Phone#:
Value of Work for this Permit: $ c2 V-6-6
rt7
Square/Linear Footage of Work:
State: Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New ERepair/Replace
Description of Work:
❑ Demolition
I tQrtaltIleta
- Specify color of color thru
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
tile:
Permit Fee $ f5V
Radon Fee $ 2 • (:)b
Training/Education Fee $
CCF $ CO/CC $
DBPR $ 2• ZS Notary $
Double Fee $
Bond $ �(• ab
TOTAL FEE NOW DUE $ (' 18 • CfS
Bonding Company's Name (if applicable) N/i)r
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 be approv= d and a reinspection fee will be charged.
Signature
OWNEor AGENT
Signature
CONTRACTOR
The foregoing instru ent was acknowledged before me this The fore oing instrument was acknowledged before me this
d of �J(� PJ( , 20 / 7 , by ' day of Anther , 20 /. , by
41nN b LJ5+i3/€i , who is personally known to kenib/e- Ice , who is personally known to
me or who has produced — as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
43'x :•:4 t, RANAE L WLSON
* MY COMMISSION t FF 112704
EXPIRES: April 23, 2018
tfat Bonded mru Budget Nona Servka
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: 11M/0( 111/14 hs
Seal:
;("'''; DONALD MARTIN
` MY COMMISSION # 60102743
*ki' **** VOPe0e44Q1t***
APPROVED BY NV' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
DIVISION OF
Environmental Health
Florida Health
Miami -Dade County
OSTDS/Well Division
11805 SV 26th Street. Miami, FL 33175
Inspector //(47i 1"/ 7 C" 4 se e7 Date
Address 03 E 2'7 5/ OSTDS #
/1-1 /3 7,3,y2r,
Comments:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT:
john bustard
• . .0•
•• •• •
• • • •
• • •
AND DISPOSAIL • • •
• . • • • • PERMIT #: 13 -SM -1799670
• • .. .. •
•••. • : ' :APPLICATION #:AP1313488
• • • ••
• • • •
• • • •
•••• .. • •
• • • . •
. • •
••• •0.
•
• •
••• 0410 .00 . •
•. . • • ••
•
PROPERTY ADDRESS: 623 NE 97 St Miami, FL 33138
LOT: 15-16
" 'DATE PAID:
FEE PAID:
...
$1.'CEIPT #:
•
DAME #: PR1081135
••• ••
•
• •
• • •
•
.. • • . • • ••• ••
BLOCK: 101 SUBDIVISION:
PROPERTY ID #: 11-3206-1317-1870
[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 [ 1,050 ] GALLONS / GPD
A [ 0 ] GALLONS / GPD
N [
Existing Septic Tank to remain CAPACITY
CAPACITY
0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY
D
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [X] STANDARD
I CONFIGURATION: [ ] TRENCH
N
F LOCATION OF BENCHMARK: FFE 11.0' NGVD
[ 576 ] SQUARE FEET
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
NEW DF IN BED CONFIG SYSTEM
SYSTEM
[ ] FILLED [ ] MOUND
[x] BED [ ]
I ELEVATION OF PROPOSED SYSTEM SITE [ 27.60 ] [) INCHES I/ FT ] [ ABOVE A BELOW b BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED:
0
T
H
E
R
[ 0.00 ] INCHES
[ 65.60 1 [I INKS I/ FT ] [ ABOVE /) BELOW 1' BENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: [ 74.40] INCHES
1. -EXISTING 1050 gal. septic tank with and approved filter TO REMAIN.
2.- Install 576 sf. of drainfield in... BED configuration.
3.- Install 36" of slightly limited soil at the bottom of the drainfield.
4.- Invert elevation and Bottom of drainfield to be no less than 6.00' & 5.50' NGVD respectively
5.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed
THIS PERMIT IS NOT FOR ANY ADDITIONS.
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
460 gpd.
SPECIFICATIONS BY: Kemble Ettrick
APPROVED BY:
Gerard L Philizaire
DATE ISSUED: 11/03/2017
TITLE:
TITLE: Engineering Specialist II
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4
AP1313488
Dade
EXPIRATION DATE: 02/01/2018
SE1052505
CHD
Page 1 of 3
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11/14/2017
Property Search Application - Miami -Dade County
FTHE PROPERTY APPA!SER
Summary Report
Property Information
Folio:
11-3206-017-1870
Property Address:
623 NE 97 ST
Miami Shores, FL 33138-2470
Owner
JOHN W BUSTARD
MELISSA B BUSTARD
Mailing Address
623 NE 97 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
3,344 Sq.Ft
Lot Size
9,750 Sq.Ft
Year Built
1949
Assessment Information
Year
2017
2016
2015
Land Value
$292,215
$243,639
$233,772
Building Value
$300,306
$302,354
$304,401
XF Value
$41,160
$41,620
$25,072
Market Value
$633,681
$587,613
$563,245
Assessed Value
$497,365
$487,136
$483,750
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes Cap
Assessment Reduction
$136,316
$100,477
$79,495
Homestead
Exemption
$25,000
$25,000
$25,000
Second Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 4 AMD PB 15-14
LOT 15 & W1/2 LOT 16 BLK 101
LOT SIZE 75.000 X 130
OR 19980-3057 10 2001 4
COC 23474-1694 06 2005 1
Generated On : 11/14/2017
Taxable Value Information
Previous
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$447,365
$437,136
$433,750
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$472,365
$462,136
$458,750
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$447,365
$437,136
$433,750
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$447,365
$437,136
$433,750
Sales Information
Previous
OR
Sale
Price
Book-
Qualification Description
Page
04/22/2011
$600,000
27663-Qual
by exam of deed
4502
06/01/2005
$434,900
23474-
Sales which are qualified
1694
10/01/2001
$0
19980-
3057
Sales which are disqualified as a result of
examination of the deed
05/01/1995
$0
16819-
0014
Sales which are disqualified as a result of
examination of the deed
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: