PL-18-183 Inspection Worksheet
Miami Shores Village
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10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-295941 Permit Number: PL-1-18-183
Inspection Date: February 13, 2018 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: FRANZOSA,JOHN Work Classification: Drainfield
Job Address:520 NE 102 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060171060
Project: <NONE>
Contractor: MR C'S PLUMBING &SEPTIC INC Phone: (305)651-7859
Building Department Comments
DRAINFIELD REPLACE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
February 13,2018 Page 1 of 1
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Signature
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Permit NO. PL-1-18-183
Miami Shores Village Permit Type:Plumbing-Residential
10050 N.E.2nd Avenue NEWot*Classification:Draintield
' .
Miami Shores,FL 33138-0000 Per Permit Status:APPROVED'
yF—mss Phone: (305)795-2204
CorcloA
Iss3u&,0x ;/ 3112018 Expiration: 07/30/2018
Project Address Parcel Number Applicant
520 NE 102 Street 1132060171060
Miami Shores, FL Block: Lot: LYNN FRANZOSA
Owner Information Address Phone Cell
LOHN.FRANZOSA 520 NE 102 ST
MIAMI'SHORES FL 33138-2455
Contractor(s) Phone Cell Phone Valuation: $ 2,450.00
MR C'S PLUMBING&SEPTIC INC (305)651-7859
-� Total Sq Feet: 300
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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
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Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00
Invoice# PL-1-18-66211
CCF $1.80 01/31/2018 Credit Card $500.00 $ 168.05
DBPR Fee $2.25
DCA Fee $2.00 01/23/2018 Credit Card $50.00 $118.05
Education Surcharge $0.60 01/31/2018 Credit Card $ 118.05 $0.00
Permit Fee $150.00 Bond#:3625
Scanning Fee $9.00
Technology Fee $2.40
Total: $668.05
1
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. I
OWNERS AF ID VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construe'oMwnFuhermore,I authorize the above-named contractor to do the work stated.
January 31, 2018
�,u i atu re. / Applicant / Contractor / Agent Date
Building De artment Copy
January 31, 2018 1
L'A
Y
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Miami Shores Village
RECEIVED
Building Department i
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 JAN 2 3 2018
Tel:(305)795-2204 Fax:(305)756-8972 � D
INSPECTION LINE PHONE NUMBER:(305)762-4949 11 �
FBC 201 "
BUILDING Master Permit No. I — JQ5
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF E] CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 520 NE 102 Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-017-1060 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):Lynn Franzosa Phone#:
Address:520 NE 102 Street
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: NA Phone#:
Email:
CONTRACTOR:Company Name: Mr. C's Plumbing & Septic Phone#: 305-651-7859
Address: 19932 NW 2nd Avenue
City: Miami State: FL Zip: 33169
Qualifier Name: Kemble Ettrick Phone#: 305-651-7859
State Certification or Registration#: SR061536 Certificate of Competency M
DESIGNER:Architect/Engineer: NA Phone#:
Address: City: State: Zip:
}
Value of Work for this Permit:$2450.00 Square/linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition +
Description of Work: Drainfield repair: y4 k r---
Specify color of color thru tile: t
Submittal Fee$ Permit Fee$ �df O CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ 2 . 2-5Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
"CA- 00
TOTAL FEE NOW DUE$ 05
(Revised02/24/2014) v)V (3b
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Bonding Company's Name(if applicable) NA
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) NA
Mortgage Lender's Address
City State Zip
i
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 approved and a reinspection fee will be charged.
Yt Signature Signature
' OWNER or AGENT CONTRACTOR
The foregoing instrumfent was acknowledged before me this The foregoing instrent was acknowledged before me this
�y� day of Jan va►^+�/ 120 I by ��~� day of`J�O n vet �21 ;20 ?by
Z4ti✓l �✓t1N2dh^ ,who is personally known to &ia4lc `✓� who is personally known to
me or who has produced )�+'►✓er5 �IG�gS� 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:
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Sign: Sign: /
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Print: r Dr►a�°, a 1p Print: �Dnti r� 0✓�N
I Seal: Seal: ra DONALD MARTIN
DONALD MARTIN
MY COMMISSION#GG102743.
MY COMMISSION#GG102743
EXPIRES May 09 2021 '+ EXPIRES May 09,2021
•
E APPROVED BY l�1>0I D Plans Examiner Zoning
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Structural Review Clerk
(Revised02/24/2014)
1/23/2018 Property Search Application-Miami-Dade County
OFFICE OF THE Pf"'OPERTY APPRAISER
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Summary Report
Generated On: 1/23/2018
Property Information 1 "
Folio: 11-3206-017-1060
Property Address: 520 NE 102 ST - , "•`"'"" '. ''�
Miami Shores,FL 33138-2455 ,. M ,
Owner JOHN P FRANZOSA&W LYNN M
520 NE 102 ST
Mailing Address
MIAMI SHORES,FL 33138-2455
PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ :• " 8-
0101 RESIDENTIAL-SINGLES -
Primary Land Use FAMILY: 1 UNIT f C'
Beds/Baths/Half 3/2/0
Floors 1 �'�'
Living Units 1
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Actual Area 2,808 Sq.Ft ,P
Living Area 2,497 Sq.Ft ��
Adjusted Area 2,473 Sq.Ft
Lot Size 11,500 Sq.Ft Taxable Value Information
Year Built 1951 2017 2016 2015
County
Assessment Information
Exemption Value $50,000 $50,000 $50,000
Year 2017 2016 2015 Taxable Value $194,705 $189,672 $188,006
Land Value $345,138 $287,615 $276,299
School Board
Building Value $182,928 $183,583 $184,236 Exemption Value $25,000 $25,000 $25,000
XF-Value $3,984 $4,032 $3,060 Taxable Value $219,705 $214,672 $213,006
Market Value 1 $532,050 $475,230 $463,595 City
Assessed Value 1 $244,705 $239,672 $238,006 Exemption Value $50,000 $50,000 $50,000
Benefits Information Taxable Value $194,705 $189,672 $188,006
Regional
Benefit Type 2017 . 2016 2015 Exemption Value $50,000 $50,000 $50,000
Save Our Homes Assessment
Cap Reduction $287,345 $235,558 $225,589 Taxable Value $194,705 $189,672 $188,006
Homestead Exemption $25,000 $25,000 $25,000
Sales Information
Second Homestead Exemption $25,000 $25,000 $25,000
Previous Sale Price OR Book-Page Qualification Description
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School 06/01/1996 $177,500 17264-4328 Sales which are qualified
Board,City,Regional).
06/01/1984 $94,000 12191-1154 Sales which are qualified
Short Legal Description 11/01/1977 $68,000 09857-1073 Sales which are qualified
6 53 42 PB 15-14
MIAMI SHORES SEC 4 AMD
LOTS 9&10 BLK 94
LOT SIZE 100.000 X 115
OR 17264-4328 0696 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:
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••• ••• ` there are no pertinent features on adjacent
.T. - � ; ;•; properties and or across the street that may
affect the New Septic System Installation
(
STATE OF FLORIDA PERMIT #:13-SM-1815546
4 DEPARTMENT OF HEALTH APPLICATION #: AP 1323663
j. ONSITE SEWAGE TREATMENT, AND DISPOSAL DATE PAID: .
SYSTEM
CONSTRUCTION PERMIT FEE PAID
RECEIPT #:
WAS DOCUMENT #: PR1089919
CONSTRUCTION PERMIT FOR: OSTDS Repair f
APPLICANT: Lynn Franzosa
PROPERTY ADDRESS: 520 NE 102 St Miami, FL 33138
3
LOT: 9-10 BLOCK: 94 SUBDIVISION: Miami Shores Sec 4 Amd Plat
PROPERTY ID #: 11-3206-017-1060 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
4 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 [ 900 ) GALLONS / GPD seDtictank 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 [ 300 ) SQUARE FEET bed confiauration drainfield. SYSTEM
R [ ) SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED ( ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: FFE 11.6'NGVD
i B
I ELEVATION OF PROPOSED SYSTEM SITE [ 24.00 1 [ INCHES FT I ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF"DRAINFIELD TO BE [ 74.00 ] [ INCHES FT ) [ABOVE BELOW BENCHMARK/REFERENCE POINT
L i
D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ 62.001 INCHES
O 1.-Existing 900 gal.septic tank,,certified by Mr_C's Plumbing&Septic on 01/13/2018,to remain.
2.-Install 300 sf of drainfield in bed configuration.
T 3.-lnstall 12"of slightly limited soil at the bottom of the drainfield.
H 4.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench.
I E 5.Invert elevation of drainfield no less than 5.93'NGVD. 6.-Bottom of drainfield elevation no less than 5.43'NGVD.
The system is sized for 3 bedrooms wWv a grTfrM of�ocup ancy ff �fC*persons(2 per bedroom),for a total estimated flow of
R 400 gpd.**THIS REPAIR PERMIT I&NOT FOR ANY OkDOIj�ON9.
as see so— a a • 406
SPECIFICATIONS BY: Kemble Ettrick TITLE:
APPROVED BY: • • • •:I;M: Fng.'*ne Zjg Specialist II Dade CHD
Er an a ��ca •• • • + - •• • • '
• • ••• • • •
t DATE ISSUED: 01/19/2018 EXPIRATION DATE: 04/19/2018
t
DH 4016, 08/09 (Obsoletes all prtV*.oys e4irtgPs':&,*Sh may not be used)
••• • �^ •
Incorporated: 64E-6.003, FAC •• • • •• .•. • • , • Page 1 of 3
f h •• •u • • • 1 �36� SE106.0912
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