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PL-18-621 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-299062 Permit Number: PL-3-18-621 Scheduled Inspection Date:April 12,2018 Permit Type: Plumbing -Residential Inspector: Hernandez,Rafael Inspection Type: Final Owner: RODRIGUEZ,JOSE WALLACE&TERRY Work Classification: Drainfield MT"' 1oc Job Address:375 NE 102 Street Miami Shores,FL 33138-2428 Phone Number (305)491-1544 Parcel Number 1132060135100 Project: <NONE> Contractor. ALLSTATE DIVERSIFIED ENGINEERING INC Phone:(305)256-0306 Building_Department Comments REPAIR EXISTING DRAIN FIELD I ctio Passed Comments.INSPECTOR INSPECTOR COMMENTS False i Inspector Comments Passed HRS APPROVAL ON FILE Failed Correction a Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 11,2018 For Inspections please call: (305)7624949 Page 12 of 36 € " DIVISION OF ' ' Environmental Health ``� u r Florida Health k1O ` Miami-Dade County Q% �'OSTDSLWell Divisions 9 { l 11805 SW 26th Street•Miami,FL 33,175 Inspector �( CfY�� w,-1-e� �+ Date 1,5 Address 7y L l OSTDS# r Corilments: k,Signature' a r PerMit NO. PL-3-18-621 `yKUREs Miami Shores Village Permit Type:Plumbing-Residential e� 10050 N.E.2nd Avenue NEmt' � r.,. Work Classification:13rainfield Miami Shores,FL 33138-0000 Permit Status:APPROVED Fw, , Phone: (305)795-2204 FCORLPp' Issue Date:,31201201�8 Expiration: 09/16/2018 Project Address Parcel Number Applicant I 375 NE 102 Street 1132060135100 Miami Shores, FL 33138-2428 Block: Lot: JOSE WALLACE&TERRY MON, Owner Information Address Phone Cell JOSE WALLACE&TERRY MONJURE 375 NE 102 Street (305)491-1544 ---- - -- ' MIAMI SHORES FL 33138- 375 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 ALLSTATE DIVERSIFIED ENGINEERIP (305)256-0306 (305)258-7797 x _ _ __ . ....w _•. ... _.. ...�� Total Scl Feet: 0 Type of Work:REPAIR EXISTING DRAIN FIELD Available Inspections: Type of Piping: Inspection Type: Additional Info:REPAIR EXISTING DRAIN FIELD HRS Approval Bond Return: Final Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# PL-3-18-66740 CCF $1.20 03/09/2018 Check#:7321 $50.00 $616.45 DBPR Fee $2.25 DCA Fee $2.00 03/20/2018 Credit Card $616.45 $0.00 Education Surcharge $0.40 Bond#:3690 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $666.45 . l 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and z i Futhermore,I authorize the above-named contractor to do the work stated. March 20, 2018 utho ed Signature:Owner / Applicant / Contractor / Agent Date BW ng Department Copy March 20, 2018 1 \�`b Miami Shores Village ` � '~� 0 MAR 0 2018 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 2011 "' BUILDING Master Permit No. PL1�-b PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL i ME PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 375 NE 102 ST i City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): I lm lJ-(Q- YAPhone#: Address: a-1G N E QQ City: 1 Em State: T-1 Zip: 5,-5 I CZ Tenant/Lessee Name: Phone#: Email: i CONTRACTOR:Company Name: ALLSTATE DIVERSIFIED ENG Phone#: 305-281-3771 Address: 25525 SW 141 AVE city. HOMESTEAD State: FL Zip: 33032 Qualifier Name: GUILLERMO SUAREZ J�R1 —1 Phone#: 305-213-2803 State Certification or Registration#: Certificate of Competency#: 6. DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: REPAIR EXISTING DRAINFIELD I Specify color"o-fes color thru tile: F Submittal Fee a 1 Permit Fee$ J" CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I ` (Revised02/24/2014) Bonding Company's Name(if applicable) 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$2500,,,the applicant must f promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absen ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature ( ( J� OWNER or RGENT NTRACTOR The foregoing instrumen s acknowledged before me this The foregoing instrume t was acknowledged before me this �_day of C� 20 t by LQ day of H OL 2019 by lwho isAV ersonally nown to l who iseewsyrtT1—ky nen to / me or o has produced as me or who has produced as identification and who did take an oath. identification and who did to a an oath. t NOTARY PUBLIC: NOTARY PUBLIC: i Sign: Sign: Print: Print: Seal: LES M.'hLUCK Seal: MY COMMISSION#GG 078885 _ • Notary Public 'State Com of Florida EXPIRES:May 11,2021 mission N GG 009467 F,q'F Bonded Thru Notary Public Underwrtkers { �a��d;�.•� MY Comm.Expires Oct31 wag 401 y Assn "*s*s«s*******�►**s*ssss********s*s*�s*****r*******srss******. . APPROVED BY I klk 3-1, f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Z # • • *• w •• • •• Y�� IgE yd BOUNDARY alo Lu i � q 0 W LLT CAP%Wmw Cow, I E °-- - O CL r "_ ul a C� `f sm CWE$Tom'►'C4S � .A r 417 s cgs*40 1 —MAD n �[ V ov �. WOO .r 12 w 14- 2x lE. 102nd STREET 75 07 Too it" STATE OF FLORIDA PERMIT #: 13-$M-1824631 DEPARTMENT OF HEALTH APPLICATION #: AP 1329772 ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID: SYSTEM FEE PAID: CONSTRUCTION PERMIT •�y RECEIPT #: `Op VWM9 DOCUMENT #: PR1095544 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: (Rodriguez Residence) PROPERTY ADDRESS: 375 NE 102 St Miami,FL 33138 LOT: 22 BLOCK: 37 SUBDIVISION: (SECTION, TOWNSHIP, RANGE, PARCEL NUMBER) PROPERTY ID #: 11-3206-013-5100 (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 [ 900 ] GALLONS / GPD Seotic TANK TO REMAIN 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 DF IN BED CONFIGURATI SYSTEM } R [ 0 1 SQUARE FEET SYSTEM A TYPE SYSTEM: [XJ STANDARD [ ] FILLED [ J MOUND [ ] I CONFIGURATION: [ ] TRENCH [X) BED [ ) N F 'LOCATION OF BENCHMARK: 9.87 NGVD C/L SW 102 ST I ELEVATION OF PROPOSED SYSTEM SITE [ 14.80)[ INCHES FT )( ABOVE BELOW)BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE ( 25.20][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ ) INCHES O 1.-EXISTING 900 gal.septic tank with and approved filter TO REMAIN. 2: Install 300 sf.of drainfield in... BED....configuration. T 3:Install 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 trench. E (Comments Continued on Page 2.) R I —A I SPECIFICATIONS BY: GUI SUAREZ TITLE: V t�� APPROVED BY: TITLE: Engineering Specialist II Dade CHU Lo ant i onza •z DATE ISSUED: 02/2/7/2018 EXPIRATION DATE: 0528/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FACPage 1 of 3 o 1.-.4 :.F132e772 se106628: nocM42Sr fi: PR1095544 (Comments continued on Page 2) 5:Invert elevation of drainfield to be no less than 8.27 NGVD 6:Bottom of drainfceld elevation to be no less than 7.77'NGVD THIS PERMIT IS NOT FOR ANY ADDITIONS. The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 400 a gpd• 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. Required drainfield area based on rule 64E-6.015(6)(c)2. Install a new draWWd to achieve Drainfield size requirement. 1 1 Property Search Application - Miami-Dade County Page 1 of 2 `6E OF THE PROPERTY APrmRAISER OFFIU r Summary Report Generated On : 3/9/ Property Information Folio: 11-3206-013-5100 932� � �; � ' 375 NE 102 ST Property Address: Miami Shores, FL 33138-2428 o, E Owner JOSE WALLACE RODRIGUEZ �t TERRY MONJURE RODRIGUEZ t ' 375 NE 102 ST Mailing Address MIAMI SHORES, FL 33138-2428 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 Living Units 1 2017 Aerial Photography 200 Actual Area Sq.Ft Living Area Sq.Ft Taxable Value Information Adjusted Area 2,430 Sq.Ft 2017 2016 2 Lot Size 10,030 Sq.Ft County Year Built 1960 Exemption Value $50,000 $50,000 Taxable Value $362,671 $354,184 $413. Assessment Information School Board Year 2017 2016 2015 Exemption) $25,000 $25,000 Land Value $301,229 $250,616 $240,820 Taxable Value 1 $387,671 $379,184 $413. Building Value $158,558 $159,826 $161,095 City XF Value $16,146 $16,154 $11,172 Exemption Value $50,000 $50,000 Market Value $475,933 $426,596 $413,087 Taxable Value $362,671 $354,184 $413.. Assessed Value $412,671 $404,184 $413,087 Regional Exemption Value $50,000 $50,000 Benefits Information Taxable Value $362,671 $354,184 $413. Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $63,262 Sales Information Portability Assessment Reduction $22,412 Previous OR Book- Homestead Exemption Price Qualification Description p $25,000 $25,000 Sale Page Second Homestead Exemption $25,000 $25,000 - Corrective,tax or QCD;min _ 02/20/2015 $100 29515-0350 consideration Note: Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City, Regional). 02/20/2015 $460,000 29515-0344 Forced sale; under duress;foreclo: prevention Short Legal Description 05/01/1979 $130,000 10394-0926 Sales which are qualified 1 5341 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOT 22&W35FT OF LOT 23 BILK 37 LOT SIZE 85.000 X 118 0R,10394-926 0579 1 http://www.miamidade.gov/propertysearch/ 3/9/2018