PL-18-415Project Address
Miami Shores Village .
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
Permit NO. PL -2-18-415
Permit Type: Plumbing - Residential
Work Classification: Septic
Permit Status: APPROVED
Isere bate: 2/16/2018
Expiration: 08/14/2018
Applicant
1032 NE 98 Street
Miami Shores, FL 33138-
1132050180320
Block: Lot:
1032 NE 98TH HOLDINGS LLC
Owner Information
Address
Phone
Cell
1032 NE 98TH HOLDINGS LLC
800 CORPORATE Drive
FT. LAUDERDALE FL 33334-
800 CORPORATE Drive
FT. LAUDERDALE FL 33334-
Contractor(s)
A AARON SUPER ROOTER
Phone
305-944-8886
Cell Phone
Valuation:
Total Sq Feet:
$ 6,000.00
0
Type bf Work: REPLACE SEPTIC TANK
Type of Piping:
Additional Info: REPLACE SEPTIC TANK
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$3.60
$3.15
$2.10
$1.20
$210.00
$9.00
$4.80
$733.85
Pay Date
Invoice #
02/16/2018
02/15/2018
Bond #: 3662
Pay Type
PL -2-18-66482
Check #: 5224 $ 683.85 $ 50.00
Check #: 5493 $ 50.00 $ 0.00
Amt Paid Amt Due
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 fho egoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. 4itlgermore, I authoPz the ove-named contractor to do the work stated.
Authorized Sighs ttfe: Owner / Applicant / Contractor / Agent
Building Department Copy
February 16, 2018 ,
Date
February 16, 2018 1
34o S - giV6
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: /03o). .00 Gf
City: Miami Shores County:
Folio/Parcel#: 11 -3/0 S- O 1 8^ 03Zo
-lam-Y\7ED
FEB 5 2018
FIBCii 2011
Master Permit No. PL 1 _415
Sub Permit No.
❑ REVISION ❑ EXTENSION
❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
Miami Dade
Zip:
Is the Building Historically Designated: Yes
❑RENEWAL
❑ SHOP
DRAWINGS
33/ &'
NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE:
r
OWNER: Name (Fee Simple Titleholder): /03.), girt%. fir)I/�.'-�Let -
Address: 9.262
"s1.4.r.
city;
--"j1‘..0-e. 'G.h.-{
Tenant/Lessee Name:
Email:
FFE:
State:
Phone#:
)
CONTRACTOR: Company Name:
Address: 1022- &) SS Cf
City: 1 e A,0,,,- 1 State: Zip: -5o23
i
f� P'tJl note P ?-f es , Phone#:. 3OS 4 4 - &&t6
Qualifier Name:
'4
State Certification or Registration #: `JSA09 2 64g Certificate of Competency #:. t ,,
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
I ot
Value of Work for this Permit: $ oU 6 Square/Linear Footage of Work:
job -r„
, r Phone#: -
Type of Work: ❑ Addition ❑ Alteration n New
Description of Work:
iyi Repair/Replace ❑ Demolition
n
Replace S 1 ?T G +a e-‘.
A•. Ir
Specify color of color thriu
P c / "
Submittal Fee $ O )
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
)
'4; let
Permit Fee $ (�7Z/ J CCF $ ''_' Lf "" ' CO/CC $
Radon Fee $ DBPR $
Training/Education Fee $
Notary $
Double Fee $
Bond $ Sco
TOTAL FEE NOW DUE$ 1 p 3..9s-3
w '"e
Bonding Company's Name (if applicable)
Bonding Company's Address 1v f'
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
r
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. ) Y -. ,.,,a c; , �.,.1` -
"WARNINGATO 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." " 1,
, "''4r1 �� iti' 1 '�S'". .� �i 1 ♦"ry--3� .
Notice to Applicant:, As a condition to the issuance. of.a vuilding pQrmrt with :anfest,mated:yalue exceeding $2500,•the applicant must
promise in:good faith:that a copy of the notice of commencement and construction lien lawfbro re will, be delivered+to the'person
whose property,s subject to attachment. Also, a certified copji'of the recorded notice of comme, e pnt must be posted at the fob site
r
for the first inspectioon,,which occurs seven (7) days after the building permit is issued. In- a/ absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
i S day of F l
k , 20 18 , by
M 1 Ck 1e I Ash KI r who is personally known to
me or who has produced 12," 4- I 0 as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
APPROVED BY
cS
i`:; -N TERES J. SOLOMON
MY COMMISSION # FF 928161
EXPIRES: November 8, 2019
1 44 BondedThN 1101 o S r ************************
Signature
,A1 'CONTRACTOR
The foregoing instrument was acknowledged before me this
(S day of r_ .IIG 5'1
,20 / e ,by
_.,�
�'`"k l V CTt/I , who is personally known to
me or who has produced P (r) as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
(Revised02/24/2014) •
Plans Examiner
Structural Review
�•';'::F TERES J. SOLOMON
MY COMMISSION # FF 928161
* EXPIRES: November 8, 2019
-Z `Oe Bonded Taro Budget Notary Serr %
Zoning
Clerk
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (1032 NE 98 HOLDING INC)
PERMIT #:13 -SM -1819878
APPLICATION # : API 326512
DATE PAID:
FEE PAID•
RECEIPT #:
DOCUMENT #: PR1092198
PROPERTY ADDRESS: 1032 NE 98 St Miami, FL 33138
LOT: 15
BLOCK: 18 SUBDIVISION:
PROPERTY ID #: 11-3205-018-0320
[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 [ 1,200 ] GALLONS / GPD NEW SEPTIC TANK TO INSTALL CAPACITY
A [ + 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY ' [ ]GALLONS @[ ]DOSES PER 24 HRS ' #Pumps [ ]
D [ 350 ] SQUARE FEET EXISTING DF IN BED CON SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: FFE 11.30'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM1OF DRAINFIELD TO BE
L
D FILL REQUIRED:
0
T
H
E
R
[ 0.00 ] INCHES
[ 28.80 ] [ INCHES Y FT ] [ ABOVE 4 BELOW IIBENCHMARK/REFERENCE POINT
[ 76.80 ] 1 / FT ] [ ABOVE 4 BELOW ] BENCHMARK/REFERENCE POINT
INCHES
EXCAVATION REQUIRED: [ 48.00] INCHES
TANK ONLY ---- ABANDON EXISTING TANK , AND INSTALL A NEW ONE
1.- Install a 1200 gal. septic tank with and approved filter
2.- The' licensed contractor installing the system is responsible for installing the mini `mum category of tank in accordance
with s. 64E -6.013(3)(f) FAC.
3.- This permit includes the abandonment of the existing septic tank.
THIS PERMIT IS FOR TANK REPLACEMENT ONLY, IT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
Joh f;r, ffy
ar• Philizaire
02/05/2018
TITLE:
TITLE: Engineering Specialist II
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incoporated: 64E-6.003, FAC
}
Dade CHD
EXPIRATION DATE: 05/06/2018
v 1.1.4 AP1326512 SE1063080
Page 1 of 3
DOCUMENT # : PR1092198
Install a newidrainfield to achieve Drainfield size requirement.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s.
64E -6.013(3)(f), FAC.
1
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR CONSTRUCTION PERMIT
Permit Application Number
PART II - SITEPLAN
kale: Each block re •resents 10 feet and 1 inch = 40 feet.
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Notes:
Site Plan submitted
Plan Approved
By
S
ty
C
Ag1111111MINIMEI
K e_n
2Oo :0 c.,11
Not Approved Date
County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
(Stock Number: 5744-002-4015-6)
Page 2 of 4
Propert Search Application - Miami -Dade County
OFFICE OF THE PROPERTY APPRAISE
Summary Report
Property Information
Folio:
11-3205-018-0320
Property Address:
1032 NE 98 ST
Miami Shores, FL 33138-2506
Owner
1032 NE 98TH HOLDING LLC
Mailing Address
7282 FISHER ISLAND DRIVE
MIAMI, FL 33109 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
5 /4 / 0
Floors
2
Living Units
1
Actual Area
2,857 Sq.Ft
Living Area
2,449 Sq.Ft
Adjusted Area
2,470 Sq.Ft
Lot Size
8,475 Sq.Ft
Year Built
1948
Assessment Information
Year
2017
2016
2015
Land Value
$305,135
$284,188
$258,352
Building Value
$243,579
$227,272
$229,983
XF Value
$41,892
$39,594
$25,288
Market Value
$590,606
$551,054
$513,623
Assessed Value
$590,606
$551,054
$513,623
Benefits Information
Benefit
Type
2017
2016
2015
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
REV PL MIAMI SHORES SEC 8
PB 43-69
LOT 15 BLK 180
LOT SIZE 75.000 X 113
OR 17626-2777 0497 1
Page 1 of 1
Generated On : 2/15/2018
Taxable Value Information
Previous Sale
2017
2016
2015
County
Exemption Value
$0
$0
$0
Taxable Value
$590,606
$551,054
$513,623
School Board
Exemption Value
$0
$0
$0
Taxable Value
$590,606
$551,054
$513,623
City
Exemption Value
$0
$0
$0
Taxable Value
$590,606
$551,054
$513,623
Regional
Exemption Value
$0
$0
$0
Taxable Value
$590,606
$551,054
$513,623
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
12/02/2013
$665,000
28971-2437
Qual by exam of deed
08/04/2009
$150,000
26989-3154
Affiliated parties
04/01/1997
$144,000
17626-2777
Sales which are qualified
08/01/1991
$140,000
15193-0947
Sales which are qualified
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/
2/15/2018
2017 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT
DOCUMENT# L13000160878
Entity Name: 103 -2 -NE -9 -8TH HOLDING L'LC7,'
Current Principal Place of Business:
7282 FISHER ISLAND DRIVE
FISHER ISLAND, FL 33109
Current Mailing Address:
7282 FISHER ISLAND DRIVE
FISHER ISLAND, FL 33109 US
FEI Number: 46-4127671
Name and Address of Current Registered Agent:
UNITED CORPORATE SERVICES, INC.
9200 SOUTH DADELAND BLVD.
SUITE 508
MIAMI, FL 30084 US
FILED
Mar 16, 2017
Secretary of State
CC4674424032
Certificate of Status Desired: No
The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: MICHAEL B-ARR\
03/16/2017
Electronic Signature of Registered Agent
Authorized Person(s) Detail :
Title MGRM
Name ASHKIN_ MICHAEL-�
Address
City -State -Zip: FISHER ISLAND FL 33109
7282 FISHER ISLAND DRIVE
Date
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and
that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: MICHAEL ASHKIN MANAGER 03/16/2017
Electronic Signature of Signing Authorized Person(s) Detail Date
r
PERMIT #:
Miami Shcres Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
CP
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795.2204 Fax: (305)756-8972
Inspection Number: INSP-297558
Scheduled Inspection Date: February 26, 2018
Inspector: Hernandez, Rafael
Owner:
Job Address: 1032 NE 98 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: A AARON SUPER ROOTER
Permit Number: PL -2-18-415
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Phone Number
Parcel Number 1132050180320
Phone: 305-944-8886
Building Department Comments
REPLACE SEPTIC TANK
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
Inspector Comments
HRS APPROVAL ON FILE
February 23, 2018
For Inspections please call: (305)762-4949
Page 16 of 27