PL-18-1364Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-5-18-1364
Permit Type: Plumbing - Residential
Work Classification: Drainfield
permit Status: APPROVED
Issue Date 5/24/2018
Expiration: 11/20/2018
Parcel Number
Applicant
246 NE 100 Street
Miami Shores, FL
1132060134470
Block: Lot:
TONY GISPERT
Owner Information
Address
Phone
CeII
TONY GISPERT
246 NE 100 ST
MIAMI SHORES FL 33153
Contractor(s) Phone
A SUPER SEPTIC & DRAIN FIELD INC
CeII Phone
Valuation:
$ 3,500.00
Total Sq Feet: 300
Type of Work: DRAIN FIELD REPAIR
Type of Piping:
Additional Info: DRAIN FIELD REPAIR
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
$2.40
$2.25
$2.00
$0.80
$150.00
$9.00
$3.20
$669.65
Pay Date Pay Type
Invoice # PL-5-18-67614
05/18/2018 Credit Card
05/24/2018 Credit Card
Bond #: 3775
Amt Paid Amt Due
$ 50.00 $ 619.65
$ 619.65 $ 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 • FFID VIT: I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construct. = t 'n.. i l,.... ri a the above -named ractor to do the work stated.
�''49»
;re:Owner / Applicant / Contractors 4' Agent
Buil • mg Department Copy
ized Sig
May 24, 2018
Date
May 24, 2018 1
AO
tAANN
Inspector
DIVISION OF-
Environmental Health
Florida Health
Miami=Dade; County 1"
OSTDS/Well Division
11805 SW 26 Street • Miam1,-FL 33175
6;2L - pate 6 r2-[94e
"Address _ OSTDS #
i
Comments;r
\
,� Signature
PL fg -(34
Address ' 4 (0
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION
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
FBC 20 11 bfh
Master Permit No.1 L\ D- 1 36 T
Sub Permit No.
I(LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS:
City:
iV too S
Miami Shores County:
Miami Dade
❑ EXTENSION El RENEWAL
❑ CANCELLATION
❑ SHOP
DRAWINGS
Zip:
3g
Folio/Parcel#: 1(-- �i (7 ^ V t — T if 7 0 Is the Building Historically Designated: Yes NO fr
Occupancy Type:
Load: Construction Type:
Flood Zone:
OWNER, Name (Fee Simple Titleholder): TO' ��i , S Pr` Phone#: V S` li 9' �! 7 65
At y
�✓ I: I 0 D 5 4--
BFE: FFE: 1 d,
City: 1, a rn i S )'' Ore S
State: F` cj r'
Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 4 - Sve-Or- S' �L c� Qi�ai , Pt e TA t'— Phone#: l� y d
Address: %-7 0 \ (9 Lai le , 5 S01 9--
City: (4-I'a "1 re 4 State: Irr6. U rt Ai Zip: 7 o i7
Qualifier Name: (P yA L- r 0-6 ' Phone#:'3 VS - V '6 - G It v
State Certification or Registration #: S R (9 l li .1 71 ). Certificate of Competency #:
DESIGNER: Architect/Engineer: /� « Phone#:
Address: City: State:
Value of Work for this Permit: $ )' SV 0 Square/Linear Footage of Work: ' 00
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work: Ora i v� , c (d I r� ak ir\/'
Ir Repair/Replace
Zip:
❑ Demolition
Specify color of color thru tile:
ti
Submittal Fee $ ,S 0 VCI Permit Fee $ /Sd CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $ SCCI
TOTAL FEE NOW DUE $ I I 1 • CP5
(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
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.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
0 day Of , 20 1 g , by
(6NY �p(\) r;t , who is personally known to
me or who has produced 1I - . tke
identificatien and who did take an oath.
NOTARY P '1: LIC:
Sign:
Print: Cl (� �
Seal:
*****************
APPROVED BY
So �yyn a Notary Public State of Florida
° Sindia Alvarez
1,,4my Commission FF 156750
ora. Expires 0910312018
1-7-431-1
CO f I�Rfi 'ACTOR
The foregoing instrument was acknowledged before me this
day of Ac(
ri G►n kirenortAl r0, who is personally known to
I
me or w o has produced �1f i�R1f C-'eXlz 'Q
identificatio
NOTARY P
Signature / i. o
Sign:
Print:
Seal:
*************************************
py ks-64/t
Plans Examiner
,20 I8 ,by
YAN : PRIETO
M COMMISSION # FF 214031
EXPIRES: March 25, 2019
pr V ;4 Bonded Thru Notary Public Underwriters
f i :Riraritimar**k** fir* * t** ***********
as
Zoning
(Revised02/24/2014)
Structural Review
Clerk
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PLANNERS'.‘
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A SUPER SEPTIC & DRAIN FIELD INC.
CC: SR0161772 7701 WEST 18 LANE
HIALEAH, FLORIDA 33014
Licensed and Insured
PHONE: 305-364-0113 E-MAIL: ASUPERSEPTIC@GMAIL.COM FAX: 305-364-0349
WWW.ASUPERSEPTIC.COM
DATE: 5-9-18
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
BEFORE ME THIS DAY PERSONALLY APPEARED, i)_)f (1Y\ r RnC e \ Z:.ro WHO
BEING DULY SWORN, DEPOSES AND SAYS:
THAT HE OR SHE WILL BE THE ONLY PERSON WORKING ON THE PROJECT AT:
246 N.E 100 STREET, 33138
Contractor Signature:
SWORN TO (OR AFFIRMED) AND SUBSCRIBED TO ME THIS 10" DAY OF
V 1 , 2018, BY: t'g n r r€n1 2.er0
C�
PERSONALLY KNOWN
OR PRODUCED IDENTIFICATION
TYPE OF INFORMATION PRODUCED bfl\MY .IC4,YtS%Q
YANADY PRIETO
MY COMMISSION # FF 214031
EXPIRES: March 25, 2019
Bonded Thru Notary Public Underwriters
PRINT, TYPE, OR STAMP NAME OF NOTARY
Notice to Owner — Workers' Com
p
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
ensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this I I day of
,20(a .
By lO NY C)r0N Gl� ct who is personally known to me or has produced
ca.) Lkf2 (.. as identification.
Notary:
NO, Notary Public State of Florida
SEAL: - ° Sindie Alvarez
My Commission FF 158750
Expires 0910312018
.+. n a .
STATE OF FLORIDA
PERMIT # : 13-SC-1844917
DEPARTMENT OF HEALTH APPLICATION #: AP1342996
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT:
Tony D Gispert
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PR1115833
PROPERTY ADDRESS: 246 NE100 St
LOT: 7 6
PROPERTY ID #:
Miami, FL 33138
BLOCK: 33 SUBDIVISION:
11-3206-013-4470
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST
381.0065, F.S
SATISFACTORY
WHICH tSERVED
PERMIT APPLI
ISSUANCE OF
BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
CATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
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
A [ 0 ] GALLONS / GPD
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY
K [ ] GALLONS DOSING TANK CAPACITY
D
R
A
I
N
F
I
E
L
D
0
T
H
E
R
[ 225 ] SQUARE
[ 0 ] SQUARE
TYPE -SYSTEM:
CONFIGURATION:
FEET
FEET
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
New Drainfield Trench Con SYSTEM
SYSTEM
[
[X] STANDARD
[x] TRENCH
LOCATION OF BENCHMARK: FFE 12.2'
[ ] FILLED
[ ] BED [ ]
MOUND
ELEVATION OF PROPOSED SYSTEM SITE [ 27.60 ] [I INCHES 1 FT ] [ ABOVE /I BELOW h BENCHMARK/REFERENCE POINT
[ 67.60 ] [I INCHES I/ FT ] [ABOVE 4 BELOW IIBENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE
FILL1REQUIRED:
[ 0.00 ] INCHES
EXCAVATION -REQUIRED: [ 40.00] INCHES
1.-EXISTING 900 gal 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
with s. 64E-6.013(3)(f) FAC.
3.- Install 225 sf. of drainfield in ....TRENCH... configuration.
4.- Invert elevation and Bottom of drainfield to be no less than 7.07 ' & 6.57 ' NGVD respectively
THIS PERMIT IS NOT FOR ANY ADDITIONS.
(Comments Continued on Page 2.)
SPECIFICATIONS BY:
APPROVED BY:
CONTRACTOR
Erick Perera
TITLE:
TITLE: Environmental Specialist II
DATE ISSUED: 05/07/2018
DH 401'6, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4
AP1342996
Dade
EXPIRATION DATE:
9E1076159
08/05/2018
CHD
Page 1 of 3
DOCUMENT #: PR1115833
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
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 drainfield to achieve Drainfield size requirement.
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR CONSTRUCTION PERMIT
Permit Application Number
PART II - SITEPLAN
Scale: Each block represents 10 feet and 1 inch = 40 feet.
75.0o0'
ADwii
EXISTING
BED
300
S.F
E
STING
O�
O
o
10
1
5'
aT
A.
THERE
ON A
ARE
�,IACENT
NO
PE
PR
TINENT
ERTIES
FEA—URES
AND
15'
AFFECT
ACROSS
—HE
THE
SYST
STR
ET THAT
INSTILLATION
MAY
2'
246NE100ST,
_MS
3138
11:
4-
1I-3-.E.
9.9'
2'
0
DRIVEWAY
r
Y
le
—ES
I HOLE
5 j
9.9
---
---dW
4t
ST
---
----
-----
Notes: REPLACING EXISTING 300 S.F D.F WITH 225 S.F IN TRENCH
CONFIGURATION DRAIN FIELD.
Site Plan submitted by:
Plan Approved
P r^
Not Approved
CONTRACTOR
Date 5-4-18
By 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
(Stock Number: 5744-002-4015-6)
Page 2 of 4
Page 1 of 1
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-3206-013-4470
Property Address:
246 NE 100 ST
Miami Shores, FL 33138-2419
Owner
TONY D GISPERT &W PATRICIA
Mailing Address
246 NE 100 ST
MIAMI SHORES, FL 33153
PA Primary,Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds/Baths/Half
3/2/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
1,740 Sq.Ft
Lot Size
8,625 Sq.Ft
Year Built
1939
Assessment Information
Year
2017
2016
2015
Land Value
$258,854
$215,711
$207,224
Building Value
$121,104
$121,104
$121,104
XF Value
$1,896
$1,911
$1,643
Market Value
$381,854
$338,726
$329,971
Assessed Value
$125,335
$122,758
$121,905
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$256,519
$215,968
$208,066
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
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 7 & W1/2 LOT 6 BLK 33
LOT SIZE 75.000 X 115
OR 15088-1690 0691 1
Generated On : 5/18/2018
Taxable Value Information
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$75,335
$72,758
$71,905
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$100,335
$97,758
$96,905
City .
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$75,335
$72,758
$71,905
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$75,335
$72,758
$71,905
Sales Information
Previous
Sale
Price
OR Book -
Pa 9a
Qualification Description
06/01/1991
$83,000
15088
1690
Sales which are qualified
03/01/1991
$0
14956-
1304
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:
https://www.miamidade.gov/propertysearch/
5/18/2018