PL-18-471 f --
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
l Phone: (305)795-2204 Fax: (305)756-8972 0
Inspection Number: INSP-297946 Permit Number: PL-2-18-471
Scheduled Inspection Date: March 19,2018 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: PLUHAR, RICHARD&JESSICA Work Classification: Septic
Job Address:5 NE 105 Street
Miami Shores, FL 33138-2030 Phone Number (914)830-6434
Parcel Number 1121360060090
Project: <NONE>
Contractor: MR C'S PLUMBING&SEPTIC INC Phone: (305)651-7859
Building Department Comments
INSTALLATION OF SEPTIC TANK AND DRAINFIELD Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed HRS APPROVAL ON FILE
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
March 16,2018 For Inspections please call: (305)762-4949 page 9 of 18
Peftrti(WO.:PL-248-471
sKO1 S i,� Miami Shores VillagePennk Type:Plumbing-Residential10050 N.E.2nd Avenue NE
Per � � Work Classification:Septic
' Miami Shores,FL 33138-0000 Pefriv Status:APPROVED
Phone: (305)795 2204
FtORIDQ'
issue Date:W,612 N8 Expiration: 09/02/2018
Project Address Parcel Number Applicant
5 NE 105 Street 1121360060090
RICHARD&JESSICA PLUHAR
Miami Shores, FL 33138-2030 Block: Lot:
Owner Information Address Phone Cell
RICHARD&JESSICA PLUHAR 5 NE 105 Street (914)830-6434
MIAMI SHORES FL 33138-
5 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,400.00
MR C'S PLUMBING&SEPTIC INC (305)651-7859 Total Sq Feet: 300
i
F
r Type of Work:INSTALLATION OF SEPTIC TANK AND DRA Available Inspections:
Type of Piping: Inspection Type:
Additional Info: INSTALLATION OF SEPTIC TANK AND DRA HRS Approval
Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
t
i
r
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00 Invoice# PL-2-18-66554
CCF $2.40 03/06/2018 Credit Card $272.90 $550.00
DBPR Fee $4.50
DCA Fee $3.00 02/23/2018 Credit Card $50.00 $500.00
Education Surcharge $0.80 03/06/2018 Credit Card $500.00 $0.00
Permit Fee $300.00 Bond#:3679
Scanning Fee $9.00
Technology Fee $3.20
Total: $822.90
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 resp nsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, BI ,M:W91ANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: erti t t I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Fu o e, orize the above-named contractor to do the work stated.
March 06, 2018
Authorized Sign re:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 06, 2018 1
a
s
F
�o�s - � � � - ���
a
y
Miami Shores Village RECEIVEt
�
Building Department g FEB 23t �
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ��
Tel: (305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 (Slam+)
F tBC 2p6P
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL
❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
! CONTRACTOR DRAWINGS
JOB ADDRESS: 5 NE 105 STREET
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-2136-006-0090 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE:: FFE:
OWNER: Name(Fee Simple Titleholder):JESSICA PLUHAR Phone#:
Address:5 NE 105 STREET
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name: NA Phone#:
Email:
CONTRACTOR:Company Name:-MR. C'S PLUMBING AND SEPTIC Phone#: 305-651-7859
Address: 19932 NW 2 AVENUE
City: MIAMI State: FL Zip: 33169
a Qualifier Name: KEMBLE ETTRICK Phone#: 305-651-7859.
State Certification or Registration#: SR061536 Certificate of Competency#:
DESIGNER:Architect/Engineer: NA Phone#:
Address: City: State: Zip:
for 3,400-00 300 SF
Value of Work or this Permit:$ Square/Linear Footage of Work.
{
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: INSTALLATION OF SEPTIC TANK AND DRAINFIELD
}
fi
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 3M CCF$ CO/CC$
i
Scanning Fee$ Radon Fee DBPR$ 5 Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ j Bond$ W I
TOTAL FEE NOW DUE$ o� b
(Reviv! 02/24/2014)
Bonding Company's Name(if applicable) NA
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable) /VA
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 approved and a reinspection fee will be charged.
Signature 'Signature
OW ER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument
was acknowledged before me this
15 day of FCby—LA i V" ,20 I � by m1t, day of i z�r✓�'-.1 20 ( 0 b
V ss I Co � h Q r who is personally known to C Q ��c!� who is personally known to
me or who has produced DY ive rs U Ce S as me or who has produced as
identification and who did take an oath.#Pu(PaI- y2DT identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Ve LQ r 1 I Print: I Jy ld RA J4,;
Seal: 1}'d MadaVelanda Seal: �Y= DONALD
Commission IFM2161 LD MARTIN
' `- MY COMMISSION#GG102743
Exp 1 ' EXPIRES y,. fires:iktober 29,20 9 -;r;,�eES Ma os,2021
APPROVED BY I �L% /— Glans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
I
4
e!
a
i CFN: 20180106377 BOOK 30871 PAGE 1679
DATE:02/22/2018 10:38:38 AM
DEED DOC 3,354.00
HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY
PREPARED WAND RMRNTO-.
R,KOML
WOWING TITI,I:LLC
2030 S DOWLA81tA.SrN 103 I
CO1tAL CxAHUIS,P03134
FII tp.16R169saa
PrapersyAMnalsm Parrs!
Ide OfimtIOANtmyber(s} 11-213b-{►06.0M
actd�va its l.irtc fnY Recorsl�g(Mata)
THS WAR"NW DF D made the„_A ....day of FebruW ao:t8 by Samuel Soriero as
Ter+orf Qvly to capm managern►ent,LW,a Ftorida limnited llabBiW comlpalny,hereinafter
called the glc utor,.1 ldiard Pluhaar and Jessica Plulm r,husband and w ifs hereinafter called the
9=tee,whale Dost office address lrl' =��, #L 33 1;33
CWIWMM used ham dw tw=' snWe and"Maite iw1Wa a1111,eVortkstothb tm*wms*aux!
��t�al�ts�aa�sa �rma �nl�,e►�.tl�so��aaoc000 .
''l+l rrNFi WM-that the grantor,for and in conAdmfiou of the sm-of TE,N DOLLARS($w.00)and
other valuable c omderatians,receipt vebex is herift aelmowledged,hereby vants,lnargaw_%i sells,.aliens,
remises,conveys and,firms unto the pantee,.all that catain land situate in Miami-Dade County,lt"lnnda,
to-wit;
Lot 9,Block 202,of DU NMGS MUNI SROPM 2ND EXMSION,according to the plat the4o as
recorded In Plat Book 41,Page 78,of the Mlle Records of l [; mjri fade County,Florida.
Subject to taxes for the cur-mat year and asubsequeutyears,
Subject to easements,reshictions,lim talions and reservations of record. This shall not serve to
reimpose any restriction's,etc.previously abandoned or terminated.
1�
with all the teaemex bar a tments and appurtenances thweto belonging or in anywise
appertaining-
TO HAVEAND TOHOIDthe same is fee simple
AND the gmutor hereby covenants with said grantee that the grantor is.lawiCuhy seated of said land in flee
sample;that the granter has good night and lawfW authozaty to sell and cozW saidland,and hereby wrrar rants the
title to said land and wM defend that same against the IawfiA claims ofd persons whomsoever.
a t
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warranty need-rage Two
t PareelIdentification No.: 11-2136-006-0090
IN WPTNESS WHEREOF,the said grantor has signed and sealed these presents the day and year first
above written.
Signed,sealed and delivered in the presence of:
Group io Capital Management, LLC,a
Florida limited liability company
✓✓/ By:
Witne Signature Sam el SoAJo as Manager of Group io Capital
Management,LLC,a Florida limited liability
company address is
�--- 1680 Michigan Ave PH4,
Miami Beach, FL, 33139
f s
Print Witness Name
Witness Signature
Print Witness Name.
STATE OF FLORIDA
COUNTY OF_ 1 A to nn t-1Z-'XCA e-
The foregoing instrument was acknowledged before me this 14" day of February 2o18,by
Samuel Soriero as Manager of Group io Capital Management,LLC,a Florida limited liability
company,who is personally known tome or who has producedd-1-x\�s as identification.
Pats! Notary Signature
ROTARY PU13UC
STATE OF FLORIDA
Corn*FF904886
e E)Vires 7/30/2019
{
2/23/2018 Property Search Application-Miami-Dade County
Uff ut OF THE PROPERTV APPRAISER
Summary Report
Generated On:2/23/2018
Property Information a '�
Folio: 11-2136-006-0090
5 NE 105 ST
Pro rparty Address: Miami Shores,FL 33138-2030
Owner GROUP 10 CAPITAL MANAGEMENT � .
T w4
LLC
Mailing Address
1680 MICHIGAN AVE PH 4 �a
MIAMI BEACH,FL 33139 USA
PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ ,
Primary Land Use
0101 RESIDENTIAL-SINGLE
FAMILY: 1 UNIT ��
Beds/Baths I Half 3/2/0
Floors 1 '
4 -!.
Living Units 1
Actual Area 1,795 Sq.Ft
Living Area 1,795 Sq.Ft
Adjusted Area 1,703 Sq.Ft Taxable Value Information
Lot Size 9,225 Sq.Ft 2017 2016 2015
Year Built 11941 County
Assessment Information Exemption Value $0 $0 $0
Year 2017 2016 2015 Taxable Value 1 $348,406 $309,358 $281,235
School Board
Land Value $230,638 $198,007 $163,894
Exemption Value $0 $0 $0
Building Value $115,397 $115,397 $115,397
XF Value $2,371 $2,398 $1,944 Taxable Value 1 $348,406 $315,802 $281,235
City
Market Value $348,406 $315,802 $281,235 Exemption Value $0 $0 $0
Assessed Value $348,406 $309,358 $281,235 Taxable Value $348,406 $309,358 $281,235
Benefits Information Regional
Exemption Value $0 I $0 $0
Benefit Type 20172016 2015
Taxable Value 1 $348,406 `$309,358 $281,235
Non-Homestead Cap Assessment Reduction 1 1 $6,444
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Sales Information
Board,-City,Regional).
OR
Short Legal Description Sale
Previous Price Book- Qual�cation Description
Page
DUNNINGS MIAMI SHORES EXT NO 2
PB 41-78 03/31/2016 $100 3 0019- I
3558 Corrective,tax orQCD;min consideration
LOT 9 BLK 202
LOT SIZE 75.000 X 123 03/24/2016 $238,700 30016- Financial inst or"In Lieu of Forclosure"
OR 19537-077102 2001 4 2390 stated
02/28/2013 $220,100 28529- Financial inst or"In Lieu of Forclosure"
2943 stated
02/01/2001 $0 19537- 1 Sales which are disqualified as a result of
0771 1 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/disciaimer.asp
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Apted By: R06 11513(0
Property Address: Notes: NO NOTES
5 N.E.105 Street
Miami Shores,FLORIDA 33138
C -A�r-64.x3`
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Sun-cy0i:H-37.302 Client rilc h;](-1695OR Page 1 or 2 Not%-Wid without all pAges
•• •• w •• .. PERMIT #: 13-SC-1823306
STATE'OF FLORIDA : •
DEPARTMENT OF HEAI:CH w " • i •Li• APPLICATION #: AP 1328868
ONSITE SEWAGE TREATMENT AND DISPOSA
g DATE PAID:
SYSTEM�. • • • ••• • " FEE PAID:, r3 CONSTRUCTION PE%hT• - " . •• w i
• • • • RECEIPT #:
t,w, � •'• '"• �•w ••" •:• '.' DOCUMENT #: PR1094079
CONSTRUCTION PERMIT FOR: OSTDS Repair:•: �•• •`•
APPLICANT: (Group 10 Capital Managerri ft) • • • • • ••• ••
PROPERTY ADDRESS: 5 NE 105 St Miami, FL 33138
LOT: 9 BLOCK: 202 SUBDIVISION: Miami Shores Ext
PROPERTY ID #: 11-2136-006-0090 [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 I 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.
Y
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] 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 [ 300 ] SQUARE FEET NEW DF IN BED CONFIG SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
JA TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH (X] BED [ ]
N
F LOCATION OF BENCHMARK: FFE........12.40'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 21.60 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE ( 71.60 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 62.00 ] INCHES
0 1:Install a 900 gal.septic tank with an approved filter
T 2.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.
H 3.-Install 300 sf.of drainfield in ...BED....... configuration. ,
E 4.-,Install 12"of slightly limited soil at the bottom of the drainfield.
5.-Invert elevation and Bottom of drainfield to be no less than 6.93'& 6.43' NGVD respectively
R THIS PERMIT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY: KEMBLE ETTRICK TITLE:
APPROVED BY: TITLE: Dade CHD
DATE ISSUED: 02/16/2018 EXPIRATION DATE: 05/17/2018.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
1.1.4 AP1328868 SE1064874