PL-18-3575Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
F� @ FfIn-Tj I ��
Issue Date: 01/30/2019
Parcel Number
236 NE 103RD ST, Miami Shores, FL 33138 1132060134890
Contacts
Permit No.: PL-12-18-3575
Permit Type: Plumbing - Residential
Work Classification: Drainfield
Permit status: Approved
Expiration: 06/03/2019
CLARISSA RODRIGUEZ DAMON STINSON Owner
236 NE 103 ST, MIAMI SHORES, FL 331382431
A SUPER SEPTIC & DRAIN FIELD INC Contractor
BRYAN K ZERO
7701 W 18 LN, HIALEAH, FL 33014
Description: FRAIN FIELD REPAIR TO REPLACE PL17-2536 Valuation: $ 2,900.00 Inspection Requests:
49
TotalSq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
Permit Fee
$51.50
Total:
$101.50
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$101.50
Credit Card
01/30/2019 $51.50
Credit Card
12/03/2018 $50.00
Amount Due:
$0.00
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.
OWN VIT: I ce�that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
re ulating constr tion and oning. uthermore, I authorize the above named contractor to do the work stated.
0 ,
Authorized Signature licant / ' Contractor / Agent ` Date
January 30, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
❑ BUILDING
i'
EEPLUMBING
❑ ELECTRIC
Miami Shores Village PrCr iV EDDEC 03 Asa
Building Department C(,f�.�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 4)-rA
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20171-
Master Permit No.?
Sub Permit No.
❑ ROOFING REVISION ❑ EXTENSION RENEWAL
MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: c 9 '3 b 1 U S T2 �1-
Folio/Parcel#: I/ - 3Q 04- G/ 1 412�70 Is the Building Historically Designated: Yes NO ✓
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder)�� Cs� R D d Ri Tv o ti Phone#:
Address:,-) 5 A rY k' 1 D 1
City: Mi' A m" J Pau- State: P 1. zip: --,33 i 3 F
Tenant/Lessee Name:
Email
Phone#:
CONTRACTOR: Company Name: 4 S,44* rr �L,��pn,r� ✓ /� �N Phone#:
Address: '��%Q� fir/ l S' Anh 4--
City: 6��1 %,v4 N State:/ Zip: 13 0,1
Qualifier Name:
3a55- 36'A/- o//'
State Certification or agistration #: q R n/ 6/ 770 Certificate of Competency #: 'S6 0161 qo) oZ
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ c;7, %G d Square/LinearrFF,000ttage of Work: o7a
Type of Work: ❑ Addition El Alteration ❑ New LJ Repair/Replace ❑ Demolition
Description of Work: 1 Ju 1W 1-7i P I RJ 12n y 2
Specify color of colorthru tile:
Submittal Fee $ �b C17 Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
CO/CC $ _
Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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
_ day of �l J� 20 ��, by
Iris Sci �.�Yf tpr&ally known to
me or who has produced 'I�1 �C— as
identification and who did take an oath.
NOTARY PUBLIC:
MAHARAI K. GONZALEZ
Signature
CONTRK>WR
The foregoing instrument was acknowledged before me this
_ 1 day of t-�� 2d by
YI-A an --I�'C KQwho is personally known to
me or who has produced, i r n as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
.:
Seal: III :o EXPIRES:November2,2020 Seal:
F -, o?= Bonded Thru Notary Public Underwriters It
MAHARAI K. GONZALEZ
EXPIRES: November 2, 2020
Bonded Thru Notary Public Underwriters
************************************************************************************************************
APPROVED BY (d'� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Propert Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
c„
Summary Report
Property Information
Folio:
11-3206-013-4890
Property Address:
236 NE 103 ST
Miami Shores, FL 33138-2431
Owner
CLARISSA RODRIGUEZ
DAMON STINSON
Mailing Address
236 NE 103 ST
MIAMI SHORES, FL 33138 USA
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
2,120 Sq.Ft
Lot Size
11,300 Sq.Ft
Year Built
1950
Assessment Information
Year
2017
2016'
2015
Land Value
$304,996
$ 553,884
i $ 443,829
Building Value
$105,576
$105,576'
$105,576
XF Value
$35,442
$35,848
$22,941
Market Value
$446,014
$395,308
$372,346
Assessed Value
$347,301
$340,158
$337,794
Benefits Information
Benefit
Type
20177000$25,000
Save Our Homes
Cap
..............
Assessment
Reduction
$98,713
Homestead
Exemption
$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
1 5341 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
!LOTS 8 & 9 BLK 36
LOT SIZE 100.000 X 113
OR 18616-2546 05 1999 5
Generated On : 10/25/2017
Taxable Value Information
2017 2016 2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1
$297,301
$290,1581
$287,794
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$322,301
$315,158
$312,794
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$297,301
$290,158
$287,794
Regional
Exemption Value
Taxable Value
!=5$50,0001$50,000
$90,158
$287,794
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
28055-
02/23/2012
$333,000
Qual by exam of deed
0171
18616-
Sales which are disqualified as a result
05/01/1999
$0
2546
of examination of the deed
18277
08/01/1998
$145,000
Sales which are qualified
0481
17379-
Sales which are disqualified as a result
10/01/1996
$0
4197
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:
http://www.miamidade.gov/propertysearch/
10/25/2017
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: cLARRISSA RODRIGUEZ
PROPERTY ADDRESS: 236 NE 103 St Miami, FL 33138
LOT: 8-9 BLOCK: 36
PROPERTY ID #: 11-3206-013-4890
SUBDIVISION:
PERMIT #: 13-SM-1796789
APPLICATION #: AP1311696
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1079589
[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 Septic TANK TO REMAIN 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 [ 225 ] SQUARE FEET NEW DF IN TRENCH CON SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED I MOUND [ ]
I CONFIGURATION: [x] TRENCH [ ] BED []
N
F LOCATION OF BENCHMARK: FFE13.1
I ELEVATION OF PROPOSED SYSTEM SITE [ 31.20] INCHES FT ]( ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 67.20It INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION. REQUIRED: [ 48.00] INCHES
O
T
H
E
R
1.-EXISTING 900gal. septic tank with and approved filter TO REMAIN.
2.- Install 225 sf. of drainfield in__. TRENCH.... configuration.
3.- Install 12" of slightly limited soil at the bottom of the drainfield.
4.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or trench.
(Comments Continued on Page 2.)
SPECIFICATIONS BY
APPROVED BY:
DATE ISSUED:
[i. Super •• ••• -T1T,-K.
TITLE: F.nginegfing Specil'Ist; II Dade CHD
anis X Gonzalez &i �• • •
•• • ••
10/19/2017 ••• ' • EXPIRATION DATE: 01/21/2018
DH 4016, 08/09 (Obsoletes all previous editions which may pot ??a•usied)
Incorporated: 64E-6.003, FAC ':' i • • ' : i •
v 1.1.4 jP1311W60 • eo*-"051020
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