PL-19-225' •� DIVISION OF
Environmental Health
Florida Health 9%0
Miami -Dade County*01
OSTDS/Well Division
11805 SW26th Street • Miami, FL 33175
Inspector_�� E (,s' v '7/tI i Q Date
Address J U '✓ %G OSTDS #_d' F2
Comments:
,4
Signature
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 02/04/_2019
Location Address Parcel Number
156 NW 104TH ST, Miami Shores, FL 33150 1121360131470
Contacts
Permit NO.: PL-01-19-225
Permit Type., Plumbing - Residential
Work classification: Drainfield
Permit Status: Approved
Expiration: 07/30/2019
MICHAEL DEAN Owner MR C'S PLUMBING & SEPTIC INC Contractor
156 NW 104 KEMBLE ETTRICK
Business: 3056517859
Description: INSTALL DRAINFIELD Valuation: $ 2,450.00 Inspection Requests:
305 ��2-4949
Total 5q Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$117.90
Payments
Date Paid Amt Paid
Total Fees
$117.90
Credit Card
01/31/2019 $50.00
Credit Card
02/04/2019 $67.90
Amount Due:
$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/and zoning. Futhermore, I authorize therbovvee-naame_d contractor to do the worsated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
February 04, 2019 Page 2 of 2
. Miami Shores Village
BUILDING
PERMIT APPLICATION
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
Master Permit No
Sub Permit No.
REC _ VED
JAN 3 1 lji9
FBC 20 I�
Pi iq- zZS
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/� �� \ 1 CONTRACTOR DRAWINGS
JOB ADDRESS: � � / �/ / O Lt Vf�
City: Miami Shores // Couunttyy: Miami Dade Zip:
Folio/Parcel#: ��� A13JO— 0/a —1 %y Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
Al t J . A J). .
OWNER: Name (Fee
7Simple Tiitleholder):
^
Address: l ✓ ' V W /0
City: Ub Mm jhryi
Tenant/Lessee Name: / V
Email:
CONTRACTOR: Company Name: Mr. v
Address: 119 ;L— /Vw
City:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
State:
hone#:
hone#:
uI, I �
u,b G oS Phone#:.3/ S/ —'-2�9
e:/I FL Zip:
Phone#: 3os--4Sl
VLP7
Address: City:
of Competency #:
Value of Work for this Permit: $� *'�3 Square/linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration E New ❑ Repair/Replace
/ _ n /- 1 / _1/ -- f \ , A
Description of Work:
Zip:
❑ Demolition
Specify color of color thru tile:
f '
Submittal Fee $ Permit Fee $ CCF $ _.,_CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $ (
Structural Reviews $ Bond $ 6 W/
TOTAL FEE NOW DUE $ f0� ' Cl
(Revised02/24/2014) �� , p' 0
r
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
1
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 "CIF 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 �'Ionfee will be charged.
Signature Signature
OWNER or AGENT
CONTRACTOR
The foregoing instrument was acknowledged before me this
The foregoing instrument was acknowledged before me this
day of �14 A ✓20 �9 by
/ day oofy� �%� A ✓Art'% 20 If by
lql ck^cl -Pe a " , who is personally known to
�I��t�Gi�( &W;�� A , who is personally known to
me or who has produced ?rivers GiGP a Sc as
me or who has produced as
identification and who did take an oath.
identification and who did take an oath.
_._NOTARY PUBLIC:
NOTARY PUBLIC:
�""V l L a
704A-L
Sign:
Sign:
Print: bn,,, j4 AfAvbr-
Print: d0A10f IqA Ilb
N
Seal: ::�`•"`=IRE202
Seal: ;� DONALD MARTIN
y. MY COMMISSION # GG102743
02743
�'•?w
1******************************************************************
EXPIRES May 09,2021
APPROVED BY c�q Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
1/31/2019 Property Search Application - Miami -Dade County
OFF JU
""E P"On"'01"TY APPR rRo"ER
ICE OF In n RH AN
n •! '''
Summary Report
Property Information
Folio:
11-2136-013-1470
Property Address:
156 NW 104 ST
Miami Shores, FL 33150-1240
Owner
MICHAEL AARON DEAN
KATHERINE MELLISSA DEAN
Mailing Address
156 NW 104 ST
MIAMI SHORES, FL 33150 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,076 Sq.Ft
Living Area
1,779 Sq.Ft
Adjusted Area
1,876 Sq.Ft
Lot Size
9,150 Sq.Ft
Year Built
1949
Assessment Information
Year
2018
2017
2016
Land Value
$196,886
$196,886
$164,440
Building Value
$150,155
$151,243
$152,331
XF Value
$2,698
$2,708
$2,717
Market Value
1 $349,739
$350,837
$319,488
Assessed Value
1 $309,687
$303,318
$319,488
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes Cap
Assessment Reduction
$40,052
Portability
Assessment Reduction
$47,519
Homestead
Exemption
$25,000
$25,000
Second Homestead
Exemption
$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 5 PB 10-47
LOT 7 & E1/2 LOT 8
BLK 127
LOT SIZE 75.000 X 122
OR 20384-3532 0402 1
Generated On : 1/31/2019
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$50,000
$0
Taxable Value _+
$259,687
$253,318
$319,488
School Board
Exemption Value
1 $25,000
$25,000
$0
Taxable Value
1 $284,687
$278,318
$319,488
City
Exemption Value
1 $50,000
$50,000
$0
Taxable Value
1 $259,687
$253,318
$319,488
Regional
Exemption Value
$50,000
$50,000
$0
Taxable Value
1 $259,687
$253,318
$319,488
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
09/07/2015
$455,000
29788-1454
Qual by exam of deed
04/01/2002
$177,000
20384-3532
Sales which are qualified
01/01/1987
$73,500
13167-0813
Sales which are qualified
08/01/1975
$47,500
00000-00000
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/disciaimer.asp
Version
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PHONE:, X15-822-M FAX; 3fl`.t•-821-�9669 L-i ptR wf -Ffo ida Porm P)-Pfa[tal
6175, NAY I&W ST. SUITE 321, MIA1i11 LAKES FL 33013� q-Radifs G.R:S } Ugnl fronatarmet (R) -Rea 4
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This Document is not full and complete Without all Sheets, .Containing o told! of (2) Sheets; Sheet 2 of 2
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR
APPLICANT: Michael Dean
PROPERTY ADDRESS
OSTDS Repair
156NW104St
LOT: 7 8 BLOCK: 127
PROPERTY ID #: 11-2136-013-1470
PERMIT #: 13-SC-1916145
APPLICATION #: AP1392591
DATE PAID:
FEE PAID:
RECEIPT #: DOCUMENT #: aPR'1,2t�.0069-�,
iW
.c',1-+i.�T.. ^i 'fit •R.:X�-;'•w RK.-'i;; � •4r a -. _
Miami, FL 33150 '• `'+idK;,i,{+t ti a / ��c �'" , �+ ^
SUBDIVISION: (,'( .Z Z is fin'
[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 fi �� �"'� �' 1 •
T v• • +
[ 750 ] GALLONS / GPD Existing Septic Tank to be Abandonn CAPACITY ''
A [ 900 ] GALLONS / GPD Existina Septic Tank to Remain CAPACITY • • • • • • •
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TAMS:;,?j0 GALLONS] �••••�
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES �lr�•?4 HRS•• •#�umps [ ]
• •
D [ 300 ] SQUARE FEET New Drainfield Bed Conf. SYSTEM • • • • • • • • • • ••
• • • • • •
R [ ] SQUARE FEET SYSTEM ••••••
• • • • • •
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] ' • • • •
I CONFIGURATION: [ ] TRENCH [x] BED [ ] 0 ••• • • •
N 0• •• •
F LOCATION OF BENCHMARK: FFE13.5 ••••
I ELEVATION OF PROPOSED SYSTEM SITE [ 27.6011 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 77.601[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 62.001 INCHES
O
T
H
E
R
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 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 7.53 ' & 7.03 ' NGVD respectively
THIS PERMIT IS 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: Mr C " s TITLE:
APPROVED BY: __"-r - _ ^C- TITLE: Environmental Specialist II
Erick Perera
DATE ISSUED: 01/25/2019
Dade CHD
EXPIRATION DATE: 04/25/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AR1392591 SE1149807
Page 1 of 3