PL-18-416 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-297562 Permit Number: PL-2-18-416
Scheduled Inspection Date: March 08,2018 Permit Type: Plumbing -Residential
Inspector: Hernandez,Rafael Inspection Type: Final
Owner: COOK,BARBARA Work Classification: Septic
Job Address:9801 NE 13 Avenue
Miami Shores,FL Phone Number
Parcel Number 1132050090510
Project: <NONE>
f Contractor: A AARON SUPER ROOTER Phone: 305-944-8886
Building Department Comments
REPLACE BROKEN TANK ONLY Infracti° - Passed comments
INSPECTOR COMMENTS False
Inspector Comments
Passed HRS APPROVAL IN FILE
Failed
Correction
Needed ❑
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
4 re-inspection fee is paid.
March 07,2018 For Inspections please calk (305)762-4949 Page 15 of 34
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Perm#,NO.'PL-2-18-4'9 6
,g 01 yc Miami Shores village 10050 N.E.2nd Avenue NE 4 Permit Type:Plumbing-Residential
s� Work Classification:Septic
'PerMiami Shores,FL 33138-0000 � �
Phone: (305)795-2204; Petmif Status:APPROVED
�'toR►oA
Issue Date:211612018 Expiration: 08/15/2018
Project Address Parcel Number Applicant
9801 NE 13 Avenue 1132050090510
Miami Shores, FL Block: Lot: BARBARA COOK
Owner Information Address Phone Cell
BARBARA COOK 9801 NE 13 AVE r
MIAMI SHORES FL 33138-2503
Contractor(s) Phone Cell Phone Valuation: $ 3,000.00
A AARON SUPER ROOTER 305-944-8886
-—..,...,...._ Total Sq Feet: 0
Type of Work:REPLACE BROKEN TANK ONLY Available Inspections:
Type of Piping: �� Inspection Type:
Additional Info:REPLACE BROKEN TANK ONLY HRS Approval
Bond Return
I
Final
Classification:Residential Scanning: 1
Review Plumbing
1
I
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# PL-2-18-66483
CCF $1,80
DBPR Fee $2.00 02/15/2018 Check#:5493 $50.00 $566.80
DCA Fee $2.00 02/16/2018 Check#:5224 $566.80 $0.00
Education Surcharge $0.60 Bond#:3663
Permit Fee $105.00
Scanning Fee $3.00
Technology Fee $2.40
Total: $616.80
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.
OWNERS AFFIDAVIT: I certify that all he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction a np ing. Futhermore,L�0�
edcontractor to do the work stated.
February 16, 2018
Authted,g ig nature:Owner / Applicant / Contractor / Agent Date
f
Building Depart_ ment Copy
February 16,2018 1
3 o.S q Lt 8�a6
I �
" Miami Shores Village �, �,
Building Department FEB 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 i
Tel:(305)795-2204 Fax:(305)756-8972 --. — ---�
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC"20
BUILDING Master Permit,No.P L1 8 _ I
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/ CONTRACTOR DRAWINGS
t JOB ADDRESS: A
City: Miami Shores County: Miami Dade zip:
i Folio/Parcel#:-4- 32_0S-:-W9-0S110 Is the,Building Historically Designated:Yes NO `V
Occupancy Type: Load: ;, Construction Type: Flood Zone: BFE: FFE: `
/ f r
OWNER:Name(Fee Simple Titleholder): ��a I. Phone#'
( Address:I l ,r E1, eyo L 3/ i
City: /'—� ' St te: /, Zip:
Tenant/Lessee Name: A) ale a Phone#: .6_6 3-C
Email:
r � �,,(` f ` t L cG
c CONTRACTOR:Company Name: '. Phone#:ajs,a�"C"'I p 4 k�
Address: V 2 2
`d . &W
AA
I City: '`� lr n-Ay- State: J (, Zip. y2?
Qualifier Name: kn T► Phone#:
a ��['} t
State Certification or Registration#. S. 9 Zlo `i Certificate of Competency#: 1
DESIGNER:Architect/Engineer: , Phone#:
Address: City: State: Zip:
v
Value of Work for this Permit:$ `�iT�(�� Square/Linear Footage of Work: NA
Type of Work: ❑ Addition ❑ AlterationNew
❑ ; ,Repair/Replace ❑ Demolition
Description of Work: R P r2) /' ('�• ! ._ F-)
t 1
Specify color of color thru tile:
Submittal Fee$ o 1 Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$ .
Structural Reviews$ Bond$ y_,t6
TOTAL FEE NOW DUE$ G7Wa
(Revised02/24/2014)
a
r
Bonding Company's Name(if applicable)
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable) 4
t ,
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,_issua,nce of,a,permit and that- will b2 perfornied 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
A
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 ImA'brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commence e t must be posted at the job site
-for the first inspection 'which occurs seven (7) days after the building permit is issued. In the ab nce,of-such posted.notice, the=
inspection will not be-app,•oved and a reinspectioirfee will be diarged''_
e
,
Signature ' Signature
OWN E or AGENT ONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of AK41 20) by day of.V 0( 120 18 by
(Z&4 CoUkwhc-o' personally known to = - illwho is personally known to
me or who has produced 05�' t cr I\f ISI as me or who'has produced as
identification and who did take an oath. identification and who did take an oath.
i ;-x r'1
NOTARY PUBLIC: ����6fldkb�, NOTARY PUBLIC: i +
+'' ��°i'i• '•, /iii
Sign: '�'' _�= Sign:
Print: f ��_. � T�� Print: ��y' MY COMMISSION It FF 928181
s OZ02°� 5S.• a`
Seal: %9*'•:�bidX3 N� '• ��� Seal: M r EXPIRES:November 8,2010
BondedThru84etNotary Serft
APPROVED BY �! " Plans Examiner Zoning '
Structural Review Clerk
(Revised02/24/2014)
r
PERMIT #: 13-SM-1815738
STATE OF FLORIDA APPLICATION #:AP1323784
" DEPARTMENT OF HEALTH DATE PAID: ,
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
.4-' _ ; RECEIPT #:
VM DOCUMENT #: PR1090698
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: BARBARA COOK
PROPERTY ADDRESS: 9801 NE 13 Ave Miami, FL 33138
LOT: 6 BLOCK: 4 SUBD3;VISION:
PROPERTY ID #: 11-3205-009-0510 [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 '[ 1,350 ] GALLONS / GPD NEW SEPTIC TANK TO INSTALL CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N j 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D '[ 200 ] 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 [ ]
Nt
F LOCATION OF BENCHMARK: FFE.........7.00'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 21.60 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 39.60 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 30.00 ] INCHES
1.- Install a 1350 gal. septic tank with and approved filter
0 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)(0 FAC.
H 3.-This permit includes the abandonment of the existing septic tank.
E THIS PERMIT IS FOR TANK REPLACEMENT ONLY, IT IS NOT FOR ANY ADDITIONS.
R '
SPECIFICATIONS BY: A r S Rooter TITLE:
APPROVED BY: A, TITLE: Engineering Specialist II Dade CHD
izaire
DATE ISSUED: 01/25 18 EXPIRATION DATE: 04/25/2018
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 AP1323784 SE1061664
r DOCUMENT #: PR1090698
Required drainfield area based on rule 64E-6.015(6)(c)2.
Install a new drainfield to achieve Drainfield siie requirement.
M
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Property Search Application- Miami-Dade County Page 1 of 1
(IOF"�=ICLUFT"HmEmP'RO"P"ER"IFYAP'BFftRfA:' I"Smh'ER
Summary Report
Generated On:2/15/2018
Property Information
Folio: 11-3205-009-0510
9801 NE 13 AVE
Property Address: Miami Shores,FL 33138-2503
Owner BARBARA J COOK t
Mailing Address 9801 NE 13 AVE '�'�
MIAMI SHORES,FL 33138-2503
PA Primary Zone 1700 SGL FAMILY-4001 SQFT&
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY: 1 UNIT
r'
Beds/Baths I Half 3/3/0
r
Floors 1
Living Units 1 °
Actual Area 4,922 Sq.Ft
Living Area 4,226 Sq.Ft 2, en
Adjusted Area 4,574 Sq.Ft Taxable Value Information
Lot Size 14,023.5 Sq.Ft
Year Built 1956 2017 2016 2015
County
Assessment Information Exemption Value $50,500 $50,500 $50,500
Year 2017 2016 2015 Taxable Value $565,5021 $548,640
Land Value $1,787,634 $1,787,634 $1,655,217 School Board
Building Value $480,270 $480,270 $480,270 Exemption Value $25,500 $25,500 $25,500
XFValue $691 $701 $533 Taxable Value $590,502 $577,833 $573,640
I
Market Value $2,268,595 $2,268,605 $2,136,020 City
Assessed Value $616,002 $603,333 $599,140 Exemption Value $50,500 $50,500 $50,500
Taxable Value 1 $565,502 $552,833 $548,640
Benefits Information Regional
Benefit Type 2017 2016 2015Exemption Value $50,500 $50,500 $50,500
Save Our Homes AssessmentTaxable Value $565,502 $552,833 $548,640
Cap Reduction $1,652,593 $1,665,272 $1,536,880
Homestead Exemption $25,000 $25,000 $25,000 Sales Information
Second Previous Sale Price OR Book-Page Qualification Description
Homestead
Exemption $25,000 $25,000 $25,000
Widow Exemption 1 $500 $500 $500
Note:Not all benefits are applicable to all Taxable Values(i.e.County,
School Board,City,Regional).
Short Legal Description
EARLETON SHORES PB 43-80
LOT 6 BLK 4
LOT SIZE 93.490 X 150
OR 12424-1529 0285 5
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp:/twww.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 2/15/2018
�0 FTA r R__r _*
I g�:
wMiami Shores Village �p01h_STREET
GRAPHIC SCALE APPROVED BY DATECa
_ t.=
i
ZONING DEPT N.E-99th.STREET
( IN FEET)
1 inch 20
r' BI DG DEPTIJ MM
✓` W 6 H m gF
-- I
SUBJEC TO COMPLIANCE WI i H ALL FEDERAL wl.
C N.E.98th_STREETIad
CnU11TY f'Ul�S A!d7 RFGUI_ATIOvS
� .
Ni
N.E..@71h�_SLREEli g•�.
l.^ (IP.1/2'-Ne LD
LOT BLOCK 4 foul,
s, 4 I 035'SWr & COLUMN$ , I-' 0�DRILL Ma
b \rcI 1 0.00' s WALL HaE LOCATION MAP }
+ ° I w0 0.7 NOT TO SCALE allo
V._,
90 0' 56.08' .4' -n
SURVEYOR'S NOTES: n LL
ul by "C 1-The above copt oned Property was surveyed and descrhed based o
the above Legal D 'pt on Provided by Chart �!
�k I 0 e 2-Th s Cert l cat'o ly(or the ImIs as descr bed \
/ ws cert'I cat on of T'tl 7-mg Easements.or Freedom o1 E-11,1ances. ?> /^
ABSTRACT NOT REVIEWED
mere may be amtanal Restfntons nal shown on me sar,ey that
_ %; '•'d' m may be lo-al n the Pubfc Records o1 this County.E--lion of
L zt ABSTRACT OF TITLE will 1-tI be made to delermne recorded
1-STORY p Cy
4.82 ' ithis properly
ng ary L
ASPHALT lYdvFNAY d5 - RES9801 de
nslraments f any oflec
e-Accuracy � V
FF.E-N6,99' LOT 6,BLOCK 4 w Y The e.peatea use of the lantl as on-ifed'n the Standards of Proct'ce Z
d
(5J-17 FAC), s"Res'dent�al Hgh Rsk' me mnmum relative tl'stance t
day'I'
tns type of boandpry surveys 1 loot'n 10000 feet.me p
by sure.rt and col-lotitIn of I Closed
his req�illmsmlU)
Z uw @ 25.2 ' .� ....4325, m 5 lines
lthegP OW l the
gs that
ndda el not ss h',aahethe to do, o o �•
w
N.E 98th.STREET
e 6- a Li: t t a u to 0 9 or sedl of oFlor-iu O �y
eR -(� FOUMU F N map' r ,partelsed Surveyor nil Mapper Addition,ar r parties toes vey
pl I i o h proh'btetlfew thoulb)Willem consent olthan thes tM1e sgn nl9 Party
ar yrorepart es W f
A' < 7-Contoct the approprate author ty prior to any desgn work on lne N w
70.80' ti ; n h d bed parcel for Bultlng and Zoning nformoton
2." 2375 909'0' 8-U tl g d Hiles are not depcled I...I,,contact the approprate Qr#
N
A/c_ b�' �. h 0.9 th 'ty D to any design work Or const as ton on tYe property m
UN# __---_-- -- x I FWND 9-Thiel-shyornmes of deterlmllneete clef on d/ort wall o deershipn from LL `-
F m wn �)
BS)WALL 10-0wnersn e } 0
FIP. /2 __ 150.00 P sublet is to OPINION OF TITLE
Lu
No IU. -- - - ------- ----- 11-The of Survey. BOUNDARYon ar Y. N �_..
COLUMNS v/WAIL Q 10'UTILITY EASEMENT NWE 12-The North arrow shown hereon are as shown on recprtletl plat of
LOT 7,BLOCK 4 I. "EARLETON SHORES,according to the plat thereof as recorded in Plot z xQ Y c'•1
901'0' Book 43,Ot Page 80,01 the Public Records of Miami-Dade County, 0 Q J OL
6 Floritlb J Q.';
13-Flom Zone Data: Community/Panel M120652/0306/L Dated 09/11/09
Flood Zone: "AE' Bose Flood Elevation=+10.0'(West)of Property)
Flood Zone: "VE- Bose Flood Elevation=+11.0'(East of Property) �-
14-El evotions are based on the Notim.1 Geodetic Vertical Datum of 1929. Q::.
5_Bench Mark Used: Miami-Dade County Benchmark
16_Thi BOUNDARY SURVEY has been prepared fpr the exclusive us,of -
the entities n metl hereon.The Certificate does not e.tenE to any Ul a'
A.)BARBARA J.COOK Q L-
LEGEND ••• • • • ••
•E.ialinq Ekmlionv A/C=M CondRimer • • • • • • • • ' -_
-•---•---0wneod Wre Lne L9=Catch Bosh [ane-Coro<la •• • • • . • SURVEYOR'S CERTIFICATE:
®•walm u<le CB.S.=Cma<le Bbd k Swan • •• • • • • ♦•• •HEREBY CERTIFY THAT: in the professional opinion of the under.19-al
0E.=Mohoge Eosemml • • • • • • • • P fessional Surveyor and Mapper in the Stale of Florida,the following Z
®=Dmvic Bw O.u.F=orobo a uablmanw Eosemml PROPERTY ADDRESS: •• •• • y y m regatremen s My _
9 ••• B hilar Sarve eels the is or the Standards of Practice a set
------Um Link Fmc< m-Sw y umhde FD.H.-found ONI Nde 9801 NE 13th.AVENUE,MIAMI SHORES.FLORIDA 33138 • • ••forth by the Florida Boprtl of Professional Surveyors and Mappers in Chapter r
yin Em<e pd•Sp'nker Pump FFL= ah Floor 11-w Folio#08-3205-009-0510 5J-17,Florida Adnm lrotiw Code,pursuant to Section 472.027.Floritla c
_ �II..wead Pd< f.IR=fwne lrm Pge/Pn Statutes.Further,this Cerlificote is based on ooservalions of field
Hl"-"---"-N°'u"N"l w'< O.pmvip Bw R-forme Irm ReLpr measurements performed on 02/06/2018 and other information awilable to
Fn.=Foam Na LEGAL DESCRIPTION the undersigned at the time the services were rendered. DRAWN: J.G.
------Cmtefna Q•lgnl Poe (.xd0=Found Nod N Dlxc Lot 6,in Block 40.of EARLETON SHORES Arding••,@plat thereof• ••• - _
-Fie Hytlml FRL-=FbMO Pews Ubtt Trmslamer as ret riled in Plat Book 43,at Pa 80,0•lhe•ublic ds of ••• Capps of this Bountlary Survey Or nal valid without the seal and the original CHECKED: P.J.A.
_Ropmly Lbe �,•,6bler de HGT.=Nn9nt Miami-Dade County.Florida Page F+•cor • • • • •'sed&eal of a Floritla licensed s veyar and mapper,said embossed copies --•
®=ImN y Epa<mml • • • • • • qE7 1 the specific ase of those entities of the Boanapry SNrvey hove been SCALE: 1•= 20'
if"to
E•0-neo. (P)=IemMd • • •• • • • • FIELD DATE:02/06/2(:
®=Dedra Meter Bw POR-Pont w 0<9^^^9 • • •• • • • • • JOB No.: RP78-0135
IM-Tropic S*d Boa Pad=Pont M Car-mcemml • •
D�-Wa valva IN)-n'd<nce - ------ --
pC=usni ain9 vdve Pablo J.Alfonso P..M.
9PIR-kr kw Pin/Rdw Professional Surveyor&-poor SHEET:
laid•uanhde SPD.-*P State of Florida Reg.No 5880
®-Mmuar will CIA. 000 •
• • • • • • •
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