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PL-18-2046DIVISION OF Environmental Health 0 QUO Y 11805 SW 26th Street • Miami, FL 33175 /Je insector % 1' ,7�P ra Address Florida Health Miami -Dade Count OSTDS/Well Division Date 1' OSTDS # ! /3 T442, omments• Signature • Address i?be ( DIVISION OF Environmental Health Florida Health Miami -Dade County OSTDS/Well Division 11805 SW 26th Street • Miami, FL 33175 cA4'f%1 P/cs- 5`s/1Y.r �J Date OSTDS #.1r�3 Comments: Signature Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address ■ =illllllr !' a !"• — —1•. Permit NO. PL-8-18-2046 Permit Type: Plumbing - Residential Work Classification: Drainfield Permit Status: APPROVED Issue Date: 818/2018 Expiration: 02/04/2019 Parcel Number Applicant 455 NE 93 Street Miami Shores, FL 33138- 1132060140391 Block: Lot: JOHN DILLON Owner Information Address Phone Cell JOHN DILLON 270 GRANDCONCOURSE MIAMI SHORES FL 33138-2853 Contractor(s) Phone MR C'S PLUMBING & SEPTIC INC (305)651-7859 CeII Phone Valuation: Total Sq Feet: $ 2,000.00 400 Type of Work: REPLACE 400 S.F DRAINFIELD Type of Piping: Additional Info: REPLACE 400 S.F DRAINFIELD Bond Return : Classification: Residential Scanning: 3 Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $500.00 $1.20 $2.00 $2.00 $0.40 $100.00 $9.00 $1.60 $616.20 Pay Date Invoice # 08/07/2018 08/08/2018 08/01/2018 Bond #: 3853 Pay Type PL-8-18-68397 Check #: 941 Credit Card Credit Card Amt Paid Amt Due $ 500.00 $ 116.20 $ 66.20 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: HRS Approval Final 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 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 zoning. /FtJti rrgore, I horize the above -named contractor to do the work stated. August 08, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy August 08, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001459-2018 Permit Number: PL-8-18-2046 Scheduled Inspection Date: November 07, 2018 Inspector: Massanet, Maykel Owner: JOHN F DILLON Address: 455 NE 93 ST Project: Miami Shores , FL 33138 Contractor: MR C'S PLUMBING 8 SEPTIC INC KEMBLE ETTRICK Permit Type: Plumbing - Residential Inspection Type: Plumbing -Final? Work Classification:-Drainfield7 Phone Number: Parcel Number: 1132060140391 Phone Number: 3056517859 Building Department Comments REPLACE 400 S.F DRAINFIELD Checklist Item General Comments Passed False Comments Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: RECEIVED AUG 01 2018 (3141 FBC20t� Master Permit No. e1 18 - ZOu Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 444 S N e- Q1 : S-r - City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Address: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): J Ok V ( I 1 6 V\ Phone#: /� S s f �IsT City: l Y .�. �� State: F 30s - - . i5o1 Zip:el Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ('' `r . C ls t 2-'-0) I 4 pi L. Address: City: ,,Phone#: 'd 6 Qualifier Name: 1' ` L a Vw1 State: t, rvIGVe G cs-- State Certification or Registration #:S 0 G ZC7`3(o Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ -(20©0 eonSquare/Linear Footage of Work: b° Type of Work: ❑ Addition ❑ Alteration Description of Work: ❑ New Zip: (c3i Phone#: —i g G, s i'e 1 L- 3- Ai Repair/Replace ❑ Demolition - rbb- t„) v‘" l.e lam Specify color of color Thru tile: O i C Submittal Fee $ S� Permit Fee $ ( G CCF $ • Z(i CO/CC $ Scanning Fee $ l Radon Fee $ Z DBPR $ 2. Notary $ Technology Fee $ (. (0 6 Training/Education Fee $ _ 4 0 Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ �00 TOTAL FEE NOW DUE $ CJb • 10 566 . 2.0 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 reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 2----1" day of 3l , 20 1 �' , by hh lt.o l .n , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: .9.+44: DONALD MARTIN •1 MY COMMISSION # GG102743 EXPIRES May 09, 2021 APPROVED BY > CONTRACTOR The foregoing instrument was acknowledged before me this 2 day of , 20 !'g , by Y ` ri Who is personally known p y to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: tAnA,7t)-- DONALD MARTIN MY COMMISSION # GG102743 EXPIRES May 09. 2021 11. Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3206-014-0391 Property Address: 455 NE 93 ST Miami Shores, FL 33138-2841 Owner JOHN F DILLON Mailing Address 455 NE 93 ST MIAMI SHORES, FL 33138-2841 PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 4/3/0 Floors 1 Living Units 1 Actual Area 3,201 Sq.Ft Living Area 2,207 Sq.Ft Adjusted Area 2,656 Sq.Ft Lot Size 9,600 Sq.Ft Year Built 1959 Assessment Information Year 2018 2017 2016 Land Value $287,807 $287,807 $240,217 Building Value $184,858 $184,858 $184,858 XF Value $1,759 $1,787 $1,815 Market Value $474,424 $474,452 $426,890 Assessed Value $368,749 $361,165 $353,737 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $105,675 $113,287 $73,153 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 6 53 42 MIAMI SHORES SEC 2 PB 10-37 LOT 18 & W25FT LOT 19 BLK 51 LOT SIZE 75.000 X 128 OR 18411-4062 1298 1 Generated On : 8/1/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $318,749 $311,165 $303,737 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $343,749 $336,165 $328,737 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $318,749 $311,165 $303,737 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value I $318,749 $311,165 $303,737 Sales Information Previous Sale Price OR Book- Page Qualification Description 12/01/1998 $181,000 18411 4062 Sales which are qualified 11/01/1993 $0 16146- 0141 Sales which are disqualified as a result of examination of the deed 01/01/1978 $65,000 00000-Sales 00000 which are qualified 12/01/1976 $1 00000- 00000 Sales which are disqualified as a result of 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/disclaimer.asp Version: 90'20'59' PERMIT # iami Shires Village 1 Q O SUBJECT CO CCMPU,NCE NTH ALL. FEDERAL STATE ANv e tjN"iY rtg-S AND REGULATIONS )- co 2 APPROVED ZONING DEPT BLDG DEPT RECEIVED AUG 0{1 1018 There are no pertinent features on adjacent properties and or across the street that may affect the New Septic System Installation BLOCK 011106h CAR ZED. 17 -51 . r. 89'39'2" /RP. 1/2 250 00' No I.D. BOUNDARY SURVEY SCALE: 1" = 20' PORTION OF LOT-19 BLOCK-51 0.3' 90�f0'58. • • •v • HP. ja ti... No • • • o • i N.5. 9rd FREET ,," " .21.8; ASLlU4,T pow- 75"TOTAL RiOHT-OF-WAY , c°' ,,, . • • • • • • • •• •• • • • r •• • • • • • • • • • • • • • • • • •• • • • •• • 1-0 Coe. t- � c,.ea • S. T - C c t' -c-i-c) YPL I -V : G PLANS Datei Approved ��/,. patF Disapproved •• • •• STATE OF FLORIDAPERMIT II: 13-SM-1865223 DEPARTMENT OF HEALTH APPLICATION #: AP1356605 ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID: SYSTEM • FEE PAID: CONSTRUCTION PERMIT RECEIPT #: DOCUMENT #: PR1126953 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: JOHN DILLON PROPERTY ADDRESS: 455 NE 93 St Miami, FL 33138 LOT: 18-19 BLOCK: 51 SUBDIVISION: PROPERTY ID # : 11-3206-014-0391 [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, WHICHi 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 Septic Tank 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 ( 405 ] SQUARE FEET New Drainfield Bed Conf. SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND I CONFIGURATION: I ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: C/L 9.6 I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: 0 H• [ 0.00 ] INCHES •••• • • • • •••• • • • •• • •• • • • • •• • • •• • • •••• •••• • • • • • • I 3.60 ] d INCHES I FT ] [ ABOVE /) BELOW ] B EK/REFERENCE POINT: • • • [ 59.60 ] II INCHES f FT ] [ ABOVE a BELOW b BrattI ► ARK/REPERENCE POINT • • • • • • • • • • • • EXCAVATION/tEQUiRED: [ 69.00 ] INCHES • • • • • 1.-EXISTING 900 1 tic tank with and gal septic approved fitter TO REMAIN. •' • • • • 2.- The licensed contractor installing the system is responsible for installing the minimum category of tank in aocordMiJ with s. 64E-6.013(3Xf) FAC. 3.- Install 405 sf. of drainfield in ... BED.... TRENCH... configuration. 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 5.11 ' & 4.61 ° NGVD respectively THIS PERMIT 1S NOT FOR ANY ADDITIONS. The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of • SPECIFICATIONS BY: KEMBLE ETTRICK APPROVED BY: Erick Perera DATE ISSUED: 07/25/2018 TITLE: • • TITLE: Environmental Specialist II Dade CHD DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC EXPIRATION DATE: 10/23/2018 Page 1 of 3 v 1.1.4 AP1356605 SE1087032 DOCUMENT # : PR1126953 '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 drainfield to achieve Drainfield size requirement. .... . . . . .... . . • . .. . .. . . . . . . . .... .... . . • • .... .... . . .. .. • • • • • • . • • • • • • .. • .. . • • • • • • • NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an • administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. .... • • • .... • • • • ..• .. • • • .. • .. • • • • • .••• • • . • .. . • .• • . • .... • • .... • • • • • • • • • • • • • • • • ..• .. • • • • ..