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PL-16-2014
1r11Qliu onui GJ v 111agc Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Permit No. (( - 2-c t Master Permit No. f y4--5 ( ern OWNER: Name (Fee Simple Titleholder): Seth & Lynette Long Phone#: 305-325-6976 Address: 650 W. Ave City: Miami State: FI. Zip: 33139 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 444 Ne 93 St. City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Mr. C's Plumbing & Septic Phone#: 305-651-7859 Address: 19932 NW 2 Ave City: Miami State: FI. Zip: 33169 Qualifier Name: Kemble Ettrick Phone#: 786-586-7473 State Certification or Registration #: SR06156 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Address Description of Work: ❑Alteration ONew ❑Repair/Replace Extension of permit UDemolition ***************************************Fees******************************************** Submittal Fee $ Permit Fee $ S CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (it 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 inspectio l not be ap r roved and a rejiispection fee will be charged. Signatur Owner or Agent The foregoing instrument was acknowledged before me this..(L) dayoCtt' ,20 ��;by� �1k t©r�g who is personally known to me or who has produced 1_520-:: �- 5 - 3 3 2 -d As identification and who did take an oath. NOTARY PUBLIC: Print: MAHARAI K. GONZALEZ s MY COMMISSION # GG 044602 EXPIRES: November 2, 2020 My Commission Expires: • ' ,t , Bonded Thru Notary Public Underwriters Signature Contractor The foregoing instrument was acknowledgedibefore me this Z E day ofJPcr\ , 20��;-by f `CXe-NO !, twho is personally known to me or who has produced 3 2 — S O O '-t-fas i�c e'ttti�tiote:2nranwho di�� and oath. NOTARY PUBLIC: Sig Print: •,_�'r"P ' •. MAHARAI K. GONZALEZ My Commissi * •' •'i: EXPIRES: November 2, 2020 .''•' 'o., Bonded Thru Notary Public Underwriters ********************************* **** ******************************************************************* APPROVED BY )1 Plans Examiner Structural Review Zoning Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Tto•-( (12 \KA:'6vkAA:\ Situ-ve)) NA)-e, vua 41)(i-�M1^U eeri Wigj eC-))Q f J TW\4N \ 1-\-e J 1 '-v11- ) V(AkbJapv.,1 &.‘,4 k=R- s oOLinit\JL �lsv� \beA kuhd _ (Mk:\ Ql'1 Cry/k/v)yJc_d\7\ u <uw10-c Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit NO. PL-7-46- 014 Permit Type: Plumbing - Residential Work Ciassifrcatibn: Drainfield Permit Status: APPROVED Expiration: 01/28/2017 Applicant 444 NE 93 Street Miami Shores, FL 33138- 1132060140200 Block: Lot: SETH & LYNETTE LONG Owner Information Address Phone CeII SETH & LYNETTE LONG 650 W Avenue MIAMI BEACH FL 33139- (305)325-6976 650 W Avenue MIAMI BEACH FL 33139- Contractor(s) MR C'S PLUMBING & SEPTIC INC Phone (305)651-7859 CeII Phone Valuation: Total Sq Feet: $ 10,000.00 400 Type of Work: NEW SEPTIC TANK & DRAINFIELD. Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 3 Fees Due Bond Type - Contractors Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee -r1 ScanningFee Technology1Fee Total::; Amount $500.00 $6.00 $4.50 $4.50 $2.00 $300.00 $9.00 $8.00 $834.00 -I� Pay Date Invoice # 07/19/2016 08/01/2016 Bond #: 3181 Pay Type PL-7-16-60649 Credit Card Check #: 1124 Amt Paid Amt Due $ 50.00 $ 784.00 $ 784.00 $ 0.00 Available Inspections: Inspection Type: HRS Approval Final ;,p Review'Plumbing 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 forELECTRICAL, 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 zoning. Futhermore, I authorize the above -name ontractor to do the work stated. August 01, 2016 Authorized Signature: Owner / Applicant Contractor / Agent Date Building Department Copy ri August;01, 2016 1 b 0\rl' BUILDING PERMIT APPLICATION ❑BUILDING )214MBING JOB ADDRESS: City: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 RECIETN, E ) J L.19 2016 BY: FBC20 N Master Permit No.1:) L._ I C Sub Permit No. ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 1/4 "3si Miami Shores County: CONTRACTOR DRAWINGS Miami Dade Zip: Folio/Parcel#: 1 1— 3 a o 6 - OI T - 00. uV Is the Building Historically Designated: Yes Occupancy Type: 5,f l4 Load: Construction Type: OWNER: Name (Fe- Simple Titleholder): L lf' Address: City: Tenant/Lessee Name: Email: Flood Zone: 5e_A'G‘eLoVAS6-Ce.I -tL iO R Comp `IA���i�'I;i CONTRALTO p y Address: 1 q 1" Q 1-3 w City: � (/N• "�� Qualifier Name: KP/1�•�1 e After a State: i i L1 Wt,j�, 1,0(3- •3 IT NO BFE: FFE: ("- s - Lela et Ai r �j ZI ' Phone#: CS 3 Ofri T 3 Phone#: 3» Cr I Phone#:d -4g-s7 State Certification or Registration #: Sr; 66 1536 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Square/Linear Footage of Work: i Afel .,1 � a-14c P epair/Re lace ,i n Demolition ei,J 5 e/Ii'i ?� �it.�c. �71,�ih y Value of Work for this Permit: $ I01Dt0. 010 Type of Work: ❑ Addition ❑ Alteration ❑ New Description of Work: Specify color of colorthru tile: Submittal Fee $ SC) uV Permit Fee $ 300 - CCF $ - CO Scanning Fee $ ' W Radon Fee $ I ' g o 'echnology Fee $ G - Q •ctural Reviews $ (/) Training/Education Fee $ DBPR $ L'I• SCE 2-_r�J 9), Double Fee $ ���JJJJJJ Bond $ J0 TOTAL FEE NOW DUE $'C Q CO/CC $ Notary $ '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 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 re'nspection fee will be charged. Signatur OWNERorA The foregoing instrument was acknowledged before me this ICday of 3 U L , 20 t , by Ly ne,-t , Alile c LOI\ A , who is personallynknownto me or who has produced �LO � bf ��cV I �i� gas identification and who did take an oath. NOTARY Py1TC: Sign: Print: Seal: A 001.1. Notary Public, State of Florida Commisslon# FF149307 My es7mm, expires Aug. 10, 2018 ****************************************************************** APPROVED BY Plans Examiner Signature CONTRACTOR The foregoing instrument was acknowledged before me this � 6 day of i tt,� , , 20 14s , by KttniSt.k • , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: S Seal: ,.,,",,,,,, SHERYL A MENDES Notary Public - State of Florid • • `•'' : • _ MyComm. Expires Oct 23, 201 Commission # FF 136591 **44t ='_. itiio*atIc' ary 7Is*sn. * ***** Zoning a 8 * Structural Review Clerk (Revised02/24/2014) Miami -Dade Official Records - Print Document Page 1 of 3 Return to: HOWARD B. NADEL, P.A. 301 W. Hallandale Beach Blvd. Hallandale Beach, FL 33009 Instrument Prepared By: CHRISTOPHER P. KELLEY, Esquire 11098 Biscayne Boulevard, Suite 205 Miami, FL 33161 Folio No. 11-3206-014-0200 1111111111111111111111 11111111111111111H CFN 2016R0409408 OR BK. 30151 Pss 3299-3301 (3Pss) RECORDED 07/14/2016 10:01:53 DEED DOC TAX $2,340.00 HARVEY RUVIN, CLERK OF COURT 1IACII--DADE COUNTY, FLORIDA Warranty Deed THIS INDENTURE, Made this -° day of June, 2016, between, RICHARD LOVE AND BETH LOVE, husband and wife, GRANTORS, and LYNETTE LONG and SETH LONG, as Tenants in Common, whose post office address is 650 West Avenue, Apt 501, Miami Beach, Florida 33139, GRANTEES, WITNESSETH, That said GRANTORS, for and in consideration of the sum of Ten and 00/100 Dollars, and other good and valuable considerations to said GRANTORS in hand paid by said GRANTEES, the receipt whereof is hereby acknowledged, have granted, bargained and sold to the said GRANTEES, and GRANTEES' heirs and assigns forever, the following described land, situate, lying and being in Miami - Dade County, Florida to -wit: Lot 7, Block 50, of MIAMI SHORES SECTION NO. 2, according to the plat thereof as recorded in Plat Book 10, Page(s) 37, Public Records of Miami -Dade County, Florida. commonly known as: 444 NE 93rd Street, Miami Shores, Florida 33138 SUBJECT TO: Applicable zoning and/or restrictions and prohibitions imposed by governmental authority; Conditions, restrictions limitations, reservations, easements, and other matters appearing on records, if any; Utility easements of record, taxes for the year 2016 and subsequent years. And said GRANTORS do hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. [Signatures on following page] Book30151/Page3299 CFN#20160409408 Page 1 of 3 https://www2.miami-dadeclerk.com/officialrecords/PrintDocument.aspx?QS=YaoUfOzxry... 7/19/2016 Miami -Dade Official Records - Print Document Page 2 of 3 IN WITNESS WHEREOF, GRANTORS have hereunto set their hands and seals the day and year first above written. Si_ d sealed, a - livered in our presence: Grantor Address: 561 Briarwood Drive Elverson, PA 19520 o Wit sen s Name v BETH LOVE Grantor CHRISTOPHER p_ ICFr r Ey Address: 561 Briarwood Drive Print Name STATE OF FLORIDA COUNTY OF MIAMI-DADE Elverson, PA 19520 I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared RICHARD LOVE and BETH LOVE, husband and wife, who produced f /)L and f OL respectively, as identification, and who executed the foregoing instrument and acknowledged before me that they executed the same. WITNESS my hand and official seal in the County and State aforesaid this 28 iti day of June, 2016. My Commission Expires: NOTARY PUBLIC, State of FLOHrA at Large eRrn CHRISTOPHERP.KEu.EY AAAMY COAOSSIOH / ff 880841 -14oIK��PBadW Budget , EXPIRES: MayNo1rySW= Book30151/Page3300 CFN#20160409408 Page 2 of 3 https://www2.miami-dadeclerk.com/officialrecords/PrintDocument.aspx?QS=YaoUfOzxry... 7/19/2016 1 PERMIT #: 13-SM-1693921 APPLICATION #:API247380 STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT # DOCUMENT #: PR1025142 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Betty Love PROPERTY ADDRESS: 444 NE 93 St Miami, FL 33138 LOT: 7 BLOCK: 50 SUBDIVISION: Miami Shores Sec 2 PROPERTY ID #: 11-3206-014-0200 [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 [ 1,050 ] GALLONS / GPD NEW Septic TANK CAPACITY Q,�oI,- tO� A [ 0 ] GALLONS / GPD CAPACITY �oQ�\ooare\SN� ire N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GAL L}Gadap�a�. Qa.Ce ` K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @ [ ]DOSES PER 24 �S•\�\'l�t�a\GO ; o��p°o D [ 400 ] SQUARE FEET BED CONFIGURATION SYSTEM k��a��°°;03�s°��a�`O��r����`` R [ 0 ] SQUARE FEET SYSTEM 4$�� �e ,..0,,c'P St'(�� ZsIae' ea'e A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] cpv.c<� P�N\\��N0, c., aSOS• I CONFIGURATION: [ ] TRENCH [x] BED [ ] `�\ ���� yraeQ�Q-\��'O��A�O, N ��' 6�5 �r ,gee e o F LOCATION OF BENCHMARK: FFE 10.60'NGVD I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: ( 0.00] INCHES 0 T H E [ 14.40 I [I INCHES [ 64.40 I / FT ] [ ABOVE BELOW FT ] [ ABOVE /) BELOW INCHES /REFERENCE POINT ]Bat ENCHMARK/REFERENCE POINT • 4• EXCAVATION REQUIRED: [ 62.00] INCHES 1.- Install a 1050 gal. NEW septic tank with an approved filter 2.- The licensed contractor installing the system is responsible for installing the minimum category of tank in with s. 64E-6.013(3)(f) FAC. 3.- Install 400 sf. of drainfield in bed configuration. 4.- Install 12" of slightly limited soil at the bottom of the drainfield. 5.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption be : nch. (Comments Continued on Page 2.) SPECIFICATIONS BY: APPROVED BY: L Phili sire Astrid V Edwards DATE ISSUED: 07/08/2016 TITLE: Engineering Specialist II TITLE: Engineer Supervisor III Dade CHD EXPIRATION DATE: 10/06/2016 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1247380 SE1001316 Page 1 of 3 ;y_ STATE OF FLORIDA DEPARTMENT APPLICATION FOR ONSITE SEWAGDISPOSSAL S HEALTH CONSTRUCTIO N PERMIT Permit Application Number.. PART II - SITEPLAN Scale: Each block re.resents 10 feet and 1 inch = 40 feet. i MI RE11 II M .EMIR ,� WA" I En NIMEMI . ! N ,� r�!I•O 1111111111t�p ffli�i i r ,a�ra�■ ■ -•iiimilli111-11 III it 010114110111414111/ 1111IL8 11�r r r� n rr 1411 .rrrr111111Mbinimin r 11,: ..rrrr rriwrrrrr moms .rrrr■■■ . _ Ib mum 1 _ .11 11511 fir my■ ■ 4111111111 mil ... There are no pertinent features on adjacent properties and or across the street that may affect the New Septic system installation o es .d Site Plan submitted by:Y 'Ian Approved Not Approved Date Y County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT -I 4015, y0/06 (Replaces }HR5-H Form 4016 which may be used) tock Nurfiber; 5744402-4015-6) Page 2 of 4