PL-18-14106/7/2018
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Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Issue
Permit NO. PL-5-18-1410
Permit Type: Plumbing Residential
WorkClassification: Septic
Permit Status: APPROVED
te: 6/8/2018
Expiration: 12/05/2018
Parcel Number
Applicant
640 NE 101 Street
Miami Shores, FL 33138-2468
1132060172090
Block: Lot:
LOIS WEISMANTLE
Owner Information
Address
Phone
Cell
LOIS WEISMANTLE
640 NE 101 Street
MIAMI SHORES FL 33138-
(305)467-5342
640 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s)
MR C'S PLUMBING & SEPTIC INC
Phone
(305)651-7859
Cell Phone
Valuation:
Total Sq Feet:
$ 3,200.00
250
Type of Work: INSTALL DRAINFIELD & SEPTIC TANK
Type of Piping:
Additional Info: INSTALL DRAINFIELD & SEPTIC TANK
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
$4.50
$3.00
$0.80
$300.00
$9.00
$3.20
$822.90
Pay Date Pay Type
Invoice # PL-5-18-67668
06/08/2018 Check #: 1431
05/23/2018 Check #: 1415
05/25/2018 Check #: 1429
Bond #: 3778
Amt Paid Amt Due
$ 272.90 $ 550.00
$ 50.00 $ 500.00
$ 500.00 $ 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. Futhermore, I authorize the above -named contractor to do the work stated.
June 08, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
June 08, 2018 1
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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
b}N
FBC 2011
BUILDING Master Permit No. Q L - - 8' 14IU
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
XPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: / D /V f 6 I Q C-i(�
City: Miamil(Shores County: Miami Dade Zip: 33/ g
// Folio/Parcel#: 30266 - a(/ -024 qv Is the Building Historically Designated: Yes NO X
Occupancy Type:
Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): iti0 is of i />z a. /t-'Ei Phone#:
/A� SA
NC M/ S7i`�
/
Address: ^��(}
City: V(��///c?/iL.l' . IGqt-I_ j State: a_ Zip: 33/_
Tenant/Lessee Name: /✓)%/ 4 Phone#:
Email: /
CONTRACTOR: Company Name: Wr, �� ,r (LL- ( gone#: 3 Us-4 �/ - ` s
Qa
Address: /q'32-- NA) 0,L76U0ez.._
City: 44,( 114- State:
j � /
Qualifier Name: I��//LC[(+� ( Phone#: 6r 7
State Certification or Registration #: J ke,f�/) c4 Certificate of Competency #:
DESIGNER: Architect/Engineer: /
Address: [[[ City: State: Zip:
ar
Phone#:
Value of Work for this Permit: $ 3/ 02ere) Square/Linear Footage of Work:
Type of Work: ❑ Addition n Alteration ❑ New Repair/Replace 1-1Demolition
Description of Work: f /1 S . t( dcei t,i e(_/ J��TIG ti�
Specify color of color thru tile:
Submittal Fee $ SO t\ 1 a Permit Fee $ () CCF $ CO/CC $
Scanning Fee $ Radon Fee $ S CO DBPR $ LI. , C) Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ SC10 • (.! peal
TOTAL FEE NOW DUE $ )` '2 • ' 0
(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
A// A-
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.
Signatur
OWNER or AGENT
The foregoing instrument was acknowledged before me this
1.191 day of /KAy , 20 /o , by sr day of/''l"(A) , 20/1 , by
ad''/2 (i7�t
, who is personally known to trer,'ck , who is personally known to
Signature
me or who has produced �iciCry 4/Ce4fe_. as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
************
l/Atd/qa�-z
,;p liv:kz,k, DONALD MARTIN
MY COMMISSION # GG102743
,,fir.t, ` EXPIRES May 09, 2021
+...*,***************************ae
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
********************
Plans Examiner
t/iYV;
7/oi NIA P- is
,, .. DONALD MARTIN
• MMY COMMISSION S GG102743
.., �-r •
EXPIRES May 002021
****************************
*********
Zoning
(Revised02/24/2014)
Structural Review Clerk
STATE OF FLORIDA
EPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
{
APPLICANT: Lois Weismantle
PERMIT #: 13-SC-1848416
APPLICATION # : AP 1345403
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1117727
PROPERTY ADDRESS: 640 NE 101 St Miami, FL 33138
LOT: 34 5
BLOCK: 103 SUBDIVISION: Miami Shores
PROPERTY ID #: 11-3206-017-2090
[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 [ 900 ] GALLONS / GPD New Seotic Tank CAPACITY
A [ 1,090 ] GALLONS / GPD Seotic Tank CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ 1 GALLONS DOSING TANK CAPACITY [ ' ]GALLONS @[ ]DOSES PER 24 HRS @Pumps [
D [ 200 ] SQUARE FEET New Drainfield Bed Conf. SYSTEM
R [ 225 ] SQUARE FEET Drainfield SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ 1
I CONFIGURATION: [ ] TRENCH [x] BED [ 1
N
F LOCATION OF BENCHMARK: FFE 14.5'
I
E
L
D
O
T
H
E
R
ELEVATION OF PROPOSED SYSTEM SITE [ 69.60 ] () INCHES f FT it ABOVE A BELOW b BENCHMARK/REFERENCE POINT
[ 119.601 a INCHES I FT 1 [ ABOVE a BELOW b BENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE
FILL REQUIRED:
[ 0.00 ] INCHES
EXCAVATION REQUIRED: [ 62.00] INCHES
1.-EXISTING 1090 gal septic tank with and approved fitter and 225 Sq Ft drainfield 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 200 sf. of drainfield in ...BED... configuration and 900 gal septic tank.
4.- Install 12" of slightly limited soil at the bottom of the drainfield.
5_ Invert elevation and Bottom of drainfield to be no Tess than 5.03 ' & 4.53 ' NGVD respectively
THIS PERMIT IS NOT FOR ANY ADDITIONS.
(Comments Continued on Page 2.)
SPECIFICATIONS BY: ISLE ETTRICK
APPROVED BY:
Erick Perera
DATE ISSUED: 05/18/2018
TITLE:
TITLE: Environmental Specialist II
Dade CHD
EXPIRATION DATE: 08/16/2018
DE 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
7 1.1.4 AF13454 3
Page 1 of 3
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Property Search Application - Miami -Dade County
Page 1 of 2
Summary Report
Property Information
Folio:
11-3206-017-2090
Property Address:
640 NE 101 ST
Miami Shores, FL 33138-2468
Owner
JOHN GRUNDHAUSER
LOIS WEISMANTLE
Mailing Address
640 NE 101 ST
MIAMI SHORES, FL 33138-2468
PA Primary Zone
1300 SGL FAMILY - 2801-3000 SQ
Primary Land Use
...................
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/2/0
Floors
2
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
3,756 Sq.Ft
Lot Size
13,250 Sq.Ft
Year Built
1956
Assessment Information
Year
2017
2016
2015
Land Value
$397,828
$331,152
$317,818
Building Value
$263,083
$263,320i
$263,558
XF Value
$17,875
$17,875
$12,666
Market Value
$678,786
$612,347,
$594,042
Assessed Value
$328,993
$322,227
$319,988
Benefits Information
Benefit
Save Our Homes
Type
2017
2016
2015
Assessment
Cap
Reduction
$349,793
$290,120
$274,054
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
AMD PL MIAMI SHORES SEC 4
PB 15-14
LOT 3-4 & E1/2 OF 5 BLK 103
LOT SIZE 125.000 X 106
OR 17365-3901 0996 1
R
Generated On : 5/23/2018
Taxable Value Information
2017
1
2016, 2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$278,993
$272,227
$269,988
School Board
Exemption Value
$25,000
$25,000
$297,227
$25,000
Taxable Value
$303,993
$294,988
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$278,993
$272,227
$269,988
Regional
Exemption Value $50,000 3
$50,000
$50,000
$269,988
Taxable Value $278,993
$272,227
Sales Information
Previous
OR Book -
Sale
Price
Pa 9a
Qualification Description
08/01/2003
$0
21606-
Sales which are disqualified as a result
2480
of examination of the deed
09/01/1996
$254,600
17365
Sales which are qualified
3901
06/01/1994
$182,000
16454
Sales which are qualified
4265
08/01/1983
$220,000
11894-
Sales which are qualified
1501
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 htto://www.miamidade.aov/info/disclaimer.aso
https://www.miamidade.gov/propertysearch/
5/23/2018