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PL-18-806 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-300393 Permit Number: PL-3-18406 Scheduled Inspection Date:April 13,2018 Permit Type: Plumbing -Residential Inspector: Hernandez,Rafael Inspection Type: Final Owner: ,BARRY UNIVERSITY Work Classification: Drainfield Job Address:9701 NE 5 Avenue Road Miami.Shores,FL Phone Number Parcel Number 1132060171450 Project: <NONE> Contractor: MR C'S PLUMBING&SEPTIC INC Phone: (305)651-7859 Building Department Comments INSTALL NEW DRAINFIELD Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed D6 . HRS APPROVAL ON FILE Failed Correction Needed ❑ Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 12,2018 For Inspections please call:(305)762-4949 Page 21 of 31 i Permit NO. PL-3-18-806 �sKO1S r,� Miami Shores Village Permit Type: Plumbing-Residential 0 1005N.E.2nd Avenue NEPer ' �, ' work Classification:Drainfield' Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 F�ORtDp` etre Date:4/2/2018 Expiration: 09/29/2018 Project Address Parcel Number Applicant 9701 NE 5 Avenue Road 1132060171450 Miami Shores, FL Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractors) Phone Cell Phone Valuation: $ 2,450.00 MR C'S PLUMBING 8,SEPTIC INC (305)651-7859 Total Sq Feet: 300 Type of Work: INSTALL NEW DRAINFIELD Available Inspections: Type of Piping: Inspection Type: Additional Info:INSTALL NEW DRAINFIELD HRS Approval Bond Return Final Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# PL-3-18-66956 CCF $1.80 04/02/2018 Check*5311 $500.00 $168.05 DBPR Fee $2.25 DCA Fee $2.00 04/02/2018 Credit Card $ 118.05 $ 50.00 Education Surcharge $0.60 03/28/2018 Credit Card $50.00 $0.00 i Permit Fee $150.00 , Bond#:3702 Scanning Fee $9.00 Technology Fee $2.40 Total: $668.05 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 AFFIDAVIT: I ce ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an zoning. erme, I authorize the above-named contractor to do the work stated. April 02, 2018 Authorized'Signature.Owner / Applicant / Contractor / Agent Date a Building Department Copy t April 02, 2018 1 Miami Shores Village RECEIVES, Building Department MAR 2 71018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 261-4 BUILDING Master Permit No. r PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP pq CONTRACTOR ' DRAWINGS. Ale JOB ADDRESS: / ( D/ /y l� K-4- o City: Miami Shores County: Miami Dade Zip: 33/38 Folio/Parcel#: //—,3-"6 - 0/7- /4"sy Is the Building Historically'Designated:Yes NO // Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): 4tr�, (/&/ Phone#: Address: 7d A/C: e/L �^-�— City: AM, 0yAe-J State: Zip: i Tenant/Lessee Name: Phone#: Email: /�/f /�lD l CONTRACTOR:Company Name: /�(/'�- v =� �[u � �dGpG Phone#: Address: 1,7?S� 'AM) � r - � E City: /��l a ILtState: Zip: Qualifier Name: �Gyt`�(Q 7�//'� Phone#: State Certification or Registration#: 1 11 b 5 Certificate of Competency#: 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 115 Repair/Replace ❑ Demolition Description of Work: Af f a i Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 18 TOTAL FEE NOW DUE$ (Revised02/24/2014) , SO I i Bonding Company's Name(if applicable) s. Blinding 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 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 UOWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this SPI day of (3"�ar' 20 �® by ��7 day of Aif/�Gci 20 16 by �l� r.'1 �I�G�-P ,who is personally known to f1 myt fiw►ck who is personally known to Mg or who has produced as me or who has produced as identification and who did take an oath```�NN5�'NE 11111#1T t��/,//��/ identification and who did take an oath. NOTAR PUBLIC: �� 1SSIOp••�;Y NOTARY PUBLIC: oma: �_-- Sign:*0 Sign: Print: •••.reaaia + per: Print: IKAu /�'lA►-�H �illl.IY�• Seal: �r�i/��IIP��`` Seal: `r''`? DONALD MARTIN `c MY COMMISSION#'GG102743 EXPIRES May 09,2021 APPROVED BY Kid31)X Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t f STATE OF FLORIDA PES = 13-SM-1831498 T a.., DEPARTMENT OF HEALTH APPLICATION #:AP 1334249 ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID: ' SYSTEM CONSTRUCTION PERMIT FEE •skti 4 �_. Wt`'" DOCUMENT #: PR1099065 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: (BARRY UNIVERSITY) PROPERTY ADDRESS: 9701 NE 5 Ave Miami, FL 33138 LOT: 13-14 BLOCK: 97 SUBDIVISION: ' PROPERTY ID #: 11-3206 017-1450 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] i 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. t SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD- EXISTING SEPTIC 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 NEW D.FBED CONFIGUR 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 [ 21.60] INCHES FT ] [ABOVE BENCHMARK/REFERENCE POINT AE 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 O I.-EXISTING 900 septic tank with and approved filter TO REMAIN. 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)(f)FAC. 4 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 5.83'& 5.33' NGVD respectively R 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 SPECIFICATIONS BY: Mr C's P1b Sept TITLE: PiPPROVED BY TITLE: Engineering Specialist II Dade CHD Gerard i zaire DATE ISSUED: 03/22/2018 EXPIRATION DATE: 06/20/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.2.4 AP1334249 SE1069632 F 9' 3/28/2018 Property Search Application-Miami-Dade County PROPERTY OFF J f Summary Report Generated On:3/28/2018 Property Information _ Folio: 11-3206-017-1450 9701 NE 5 AVENUE RD Property Address: Miami Shores,FL 33138-2444 A. i Ominer BARRY UNIVERSITY INC 11300 NE 2ND AVE LAVOIE BLDG > Mailing Address 2ND FL RM 204 MIAMI,FL 33161 PA Primary Zone 1300 SGL FAMILY-2801-3000 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT xl� ,J-, Beds/Baths/Half 3/2/1 a l il}h Floors 1 Living Units 1 Actual Area 2,952 Sq.Ft { " Y Living Area 2,592 Sq.Ft Adjusted Area 2,816 Sq.Ft Taxable Value Information Lot Size 10,244 Sq.Ft 2017 2016 2015 Year Built 1936 County Assessment Information Exemption Value 1 $529;223 $481,112 $467,363 Year 2017 2016 2015 Taxable Value $0 $0 $0 School Board Land Value $307,021 $255,983 $245,616 Building Value $202,527 $204,160 $205,793 Exemption Value $530,517 $481,112 $467,363 Taxable Value $0 $0 $0 XF Value $20,969 $20,969 $15,954 - - City Market Value $530,517 $481,112 $467,363 Exemption Value $529,223 $481,112 $467,363 Assessed Value $529,223 $481,112 $467,363 Taxable Value $0 $0 $0 Benefits Information Regional Benefit Type 2017 2016 2015 Exemption Value $529,223 $481,112 $467,363 Non-Homestead Assessment Taxable Value $0 $0 $0 Cap Reduction $1,294 Sales Information Educational Exemption $529,223 $481,112 $467,363 Previous Sale Price OR Book-Page Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City,Regional). 06/01/2008 $835,000 26454-1153 Other disqualified 07/01/2002 $415,000 20520-3972 Sales which are qualified Short Legal Description 12/01/1977 $118,000 09902-0204 Sales which are qualified MIAMI SHORES SEC 4 AMD PB 15-14 05/01/1976 $97,500 00000-00000 Sales which are qualified LOT 13&SWI/2 OF LOT 14 BILK 97 LOT SIZE 78.800 X 130 OR 20520-3972 07 2002 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: Prgpgt�A Mdr-em: 9701 NE 5th Avenue Road ,F r MAR 2 7 2018 . . ,. - , r I •�_: • ,9 ••� • 1J►�ty • � -fir �-^f�. �V SKETCH IQF 1' . . ]BOUNDARY::TSU VES #; :• C.Z. �. . ADO / a+ � `4`x,••;.• T35'to" / I—STY C.B.S. RES.#9707 ,�� .'�' fir:"r� • •�s Iltro.:.•. tI •93,p SAO;. �O r = •." ;r;:�..`<s;,;,"<::. ,' \ a �h' !4 20 40 . _ T-1: INC-R-7--21-0—F,Va - _ ••' �. Shares Village 1 'i AppRn1ir: I ZONING DEPT - ®LDG DEPT- _ _ ----- --- i Su" JECT TO COMPLIANCE KITH ALL FED.ER L , I STATE AND COUNTY RULES AND REGULATIONS a i . • ... • . . ••• •! STATS OF FL•QWDA a DEPARTMENT OF HEALTH APPLICA•T40N FOR GONSTRUCTION PERMIT • . . • •• ". • ' •• ••• ;• : Pgnrit Application Number • • ••• • ••• • --------------------------- PART II -SITEPLAN --------------------------- Scale: Each block re resents 10 feet and 1•i =.4 f • • . •• •• i �3 t I e 1 r j 11 1 4jNJ, l There are no pertinent features on adjacent properties and or across the street that may affect'tth�e New Septic System Installation �p Notes: -72t �� Y �taA6%T ' —Xt ,41Ka a-irc iv 4t-et de 4n, &e T � teAACj k Site Plan submitted by: �D Y Plan Approved Not Approved Date 1-71) gy 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 Paae 2 of 4 (Stock Number. 5744-002-4015-6) j