PL-18-3683 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
10611 NE 10TH PL, Miami Shores, FL 33138
Contacts
Issue Date:12/14/2018
Permit NO.: PL-12-1&3633
Permit Type: Plumbing - Residential
Work Classification: Drainfield
Permit Status: Approved
Expiration: 06/11/2019
Parcel Number
1122320280590
Aranaldo Batista
10611 NE 10 PL, MIAMI SHORES, FL 33138-2103
Owner
Description: DRAINFIELD REPAIR
CLIVE G NELSON PLUBING INC
CLIVE GEORGE NELSON
10218 SW 23 CT, MIRAMAR, FL 33025
Business: 9549345151
Contractor
Valuation: $ 2,400.00
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
$50.00
$1.80
$2.00
$2.00
$0.60
$50.00
$9.00
$2.50
Total: $117.90
Inspection Requests:
305-762-4949
Payments
Total Fees
Credit Card
Credit Card
Amount Due:
Date Paid
12/13/2018
12/14/2018
Amt Paid
$117.90
$50.00
$67.90
$0.00
Building Department Copy
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 a d zoning. Futhermore, I authorize the above named contractor to do the work stated.
'7 WW1 //'
Authorized Signat e: Owner / Applicant / Contractor / Agent Date
December 14, 2018
Page 2 of 2
DIVISION OF
Environmental Health
Florida Health
Miami-Dade County
1ZP,
OSTDS/Well Division WAN
11805 SW 26th Street • Miami, FL 33175
Inspector
Address /Di // /C;',Ghr—
Date
OSTDS # /1
Comments:
!Y,
C),/`
BUILDING
Miami Shores Village 7'C I Dl
bE
Building Department \� 3 O1s
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 1?Y: 04"
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
Master Permit No. pLA 2 b 3
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
12(13/LUMBING ❑ MECHANICAL (PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /0 6•// 'V'�s • /a �` c
City: Miami Shores County: Miami Dade Zip: 3.3 / 3 O
Folio/Parcel#: %/ -- 2(23 2- OZ — 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): A-4' ' d,47XS704'
Address: / T6/d 7k. /422A
Phone#:
City: ,- -cyr e9/gcs2 State: "127 .4- Zip: 33/ 3<Qv
Tenant/Lessee Name: Phone#:
Email: /,,
CONTRACTOR: Company Name:67"4=`/`= ,%4J L2U,J /6L '<-44'46=�5 riePhone#:9.�1--- ZI'"�'� -/
Address:
/y)3-2-/e • i4, �3 `� `""-'/�
City: �'/-1-����� State: �Xdie-''7bA Zip:J3 °Z
Qualifier Name--C �' 'GS O" Phone#:
State Certification or Registration #: eFd es 80 6 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: 11'' City: State: Zip:
Value of Work for this Permit: $ 2,. 14- v O ` C7 V Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
�,•^ /�� ham . '%� Description of Work: /✓��'�-1 � / ..�,.Q
Specify color of color thru tile:
Submittal Fee $ Safq, ci Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ cO O • �
TOTAL FEE NOW DUE $ Gq- • [- ( 0
(Revised02/24/2014)
se- 90
Sign:
Print:
Seal:
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 appryoved and a reinspection fee will be charged.
Signature
b(
OWNER or GENT
The foregoing instrumentj�V"was acknowledged before me this
1- t 1-day of2JQ-\ , 20 I , by
I (Qk LL. 11�6 1 -who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
•
I . •
irdyv ii • •
O‘VPIREEI: Apn123, 2019
*mese unman? Kelewomen
The foregoing instrument was acknowledged before me this
1/ day of 3 // ,20%� , by
0' -/.
`J� �, ol- g4fio is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
rejo
"t� •' 4EN,taly�Hblib- Mate of Florida
_ Commission # uu 12029
%,oi FP' My Comm. Expires Jun 15, 2020
KIMBERLY PEYNADO
************************************************************************************************************
APPROVED B
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
12/13/2018
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio: 11-2232-028-0590
Property Address:
10611 NE 10 PL
Miami Shores, FL 33138-2103
Owner ARNALDO BATISTA &W ELEIDE
Mailing Address
10611 NE 10 PL
MIAMI SHORES, FL 33138-2103
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
2,866 Sq.Ft
Living Area
2,178 Sq.Ft
Adjusted Area
2,181 Sq.Ft
Lot Size
Year Built
10,400 Sq.Ft
1953
Taxable Value Information
2018
Generated On : 12/13/2018
Assessment Information
Year
2018
2017
2016
Land Value
$255,024
$255,024
$189,446
Building Value
$140,223
$140,545
$140,866
XF Value
$28,213
$28,446
$28,848
Market Value
$423,460
$424,015
$359,160
Assessed Value
$274,091
$268,454
$262,933
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes Cap
Assessment Reduction
$149,369
$155,561
$96,227
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
32 52 42
MIAMI SHORES ESTATES PB 47-58
LOT 9 BLK 4
LOT SIZE 80.000 X 130
OR 20210-4920 01 2002 1
County
Exemption Value
20171
2016
$50,000 $50,000 $50,000
Taxable Value
$224,091
$218,454
$212,933
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$249,091
$243,454
$237,933
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$224,091
$218,454
$212,933
Regional
Exemption Value
Taxable Value
$50,000$50,000
$224,091 $218,454
$50,000
$212,933
Sales Information
Previous
Sale
Price
OR
Book-
Page
Qualification Description
01/01/2002
$242,000
20210-
4920
Sales which are qualified
11/01/1995
$0
16990-
4531
Sales which are disqualified as a result of
examination of the deed
03/01/1995
$123,500
16708
2732
Sales which are qualified
06/01/1993
$108,000
15955-
3948
Sales which are qualified
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:
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SUBJECT CO CCMMPt_I,.NCE WI Ir11 All FEDERAL
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DISTANCE PIL..PROPERTY LINE CONC...CONCRETE P.H. FlRE HYDRANT UP...U1IIJTY POLE R...RADIUB U.E.-UflLJTY EASEMENT
£..CENTRAL ANGLE R...RADIUS PL. PLANTER T»TANGENT C.B.._CATCH BASIN MM.-MANHOLE CLF.-CHAIN LINK FENCE W.F..-MOOD FENCE
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LEGAL DESCRIPTION:Lot
9,Block
4,EIAMI
SHORES
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ESTATES,according to the IMt thereof•as riedrL;
ded in Plat Book 47,Page 58 of the Public Records of Miami -Dade Countyr,ii. rida•-
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•• •• •• ••
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GENERAL NOTES . •
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE. •• • •• • •• • •
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, HPANtf •AFFEC•I1glb..:
THIS.PROPERTY. • • •
3) (2.22) DENOTES THOSE ELEVATIONS REFERRED TO NGV DATUM.
4) LOCATION AND IDENTIFICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
INFORMATION WAS NOT REQUESTED.
AE
5) THIS PROPERTY IS WITHIN THE LIMITS OF THE FLOOD ZONE • .
6) NO UNDERGROUND LOCATIONS WERE DONE BY THIS COMPANY. '
CERTIFIED TO: rnaldo Batista DATE:
March 22,2011
APPUCABLE ZONING, UNDERGROUND, ZONING AND BUILDING SET BACKS, MUST BE CHECKED BY OWNER,
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY.
I HEREBY CERTIFY: That the attached Plan of Survey of the above described property Is true
and correct to the best of my knowledge, information and belief, as recently surveyed and platted
under my direction, also that there are not above -ground encroachments other than those shown.
This survey meets the minimum technical standards set forth by the Florida Board of Leland Surveyors
pursuant to Chapter 61G17-6, Florida Administrative Code, Section 472-027, Florida Statues.
SURVEYING, INC
L.B. NO. 3333
ro D. Alonso
6187 NW 167"' STREET, H5 P ssional Land Surveyor
Certificate No. 3590
MIAMI, FLORIDA 33015 o State of Florida
305/512-4940
THIS IS A BOUNDARY SURVEY
NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL
'STATE' OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT:
Eleide Batista
PERMIT #: 13-SC-1907237
APPLICATION #: API 386594
DATE PAID:
FEE PAID:
RECEIPT #'
DOCUMENT # : PR1193837
PROPERTY ADDRESS: 10611 NE 10 PI Miami, FL 33138
LOT: 9
BLOCK: 4 SUBDIVISION:
PROPERTY ID #: 11-2232-028-0590
[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
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
MATERIAL FACTS,
TO MODIFY THE
NULL AND VOID.
OTHER FEDERAL,
SYSTEM DESIGN AND SPECIFICATIONS
T [
A [
N [
K [
900 ] GALLONS / GPD Existina Seotic Tank and Pumo Tank CAPACITY
0 ] GALLONS / GPD CAPACITY g,1�
K
0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE ��0]:1.7HItF'AryI
300 ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ 1 ]
D [ 300 ] SQUARE FEET
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [ ] STANDARD
I CONFIGURATION: [ ] TRENCH
N
F LOCATION OF BENCHMARK: FFE4.9
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
R
FILL REQUIRED:
[
] INCHES
SYSTEM
SYSTEM
[x] FILLED [] MOUND
[x] BED [
[ 8.40 ]
INCHES
/ FT ][ ABOVE /+ BELOW lBENCHMARK/REFERENCE POINT
[ 16.80 ] ( INCHES / FT ] [ ABOVE 4 BELOW ]BENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: [ 32.00] INCHES
1.-EXISTING 900 gal septic tank with and approved filter and 300 gal pump tank 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 300 sf. of drainfield in ...BED... 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 4.00 ' & 3.50 ' NGVD respectively
THIS PERMIT IS NOT FOR ANY ADDI
taTRACTOR .. SOIL BORING boring
SPECIFICATIONS BY: Drain tractor (or designee) is required tF To time i n g
�-- a]acent to the dra'rfie!n Aicavation
por F ral Approval, the FDOH in�xc'✓ nal
APPROVED BY: i ° P ., ,�D*d F vpxo�ff is V a' II
Erick
site evaluation submitted. A reinspecncn rre I! c a sa
DATE ISSUED: 12/07/2018 it the rnntlad.Of is not at the jcbsite at the arranged timEXPIRATiON DATE: 03/07/2019
RIAIR
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
Dade CBD
Page 1 of 3
v 1.1.4 AP1386594 SE1143656
DOCUMENT # : PR1193837
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.
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTE 'CONSTROC I Icar\rt-CaM40.
Permit Application Number
PART II - SITEPLAN
.;ale: Each block represents TO feet and 1 inch = 40 feet.
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Signature
Not Approved
an Approved
Date
County Healt Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
4015, 10/96 (Replaces HRS-H Form 4016 which may be used)
)ck Number: 5744-002-4015-6)
Page 2 of 4
01
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.