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PL-19-694�J21_ Oma/ - ' DIVISION OF Environmental HealtF Florida Health �10 Miami -Dade County OSTDS/Well Division 11805 SW 26th Street • Miami, FL 33175 /cf- 64y Inspector fi}t,v-r Date Address �Q OSTDS #fA ✓ " 31gl,aLu, C V L-0- i - G91 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Isere Date: 04/11/2019 Location Address Parcel Number 98 NE 103RD ST, Miami Shores, FL 33138 1132060131570 Contacts Permit No.: FAL-04-19-694 Permit Type. Plumbing - ResideMial Work Classification: Septic/Dr'ainfield Permit Status: Approved Expiration: 10/08/2019 Description: INSTALLING SEPTIC TANK AND DRAINFIELD Valuation: $ 5,000.00 Inspection Requests: 305-762-4949 Total Sq Feet: 0.00 Fees GONZALO REY Owner 98 NE 103 ST, MIAMI SHORES, FL 33138 MR C'S PLUMBING & SEPTIC INC Contractor KEMBLE ETTRICK Business: 3056517859 $50.00 CCF $3.00 Description: INSTALLING SEPTIC TANK AND DRAINFIELD Valuation: $ 5,000.00 Inspection Requests: 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.63 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $125.00 Scanning Fee $9.00 Technology Fee $4.38 Total: $197.01 Payments Date Paid Amt Paid Total Fees $197.01 Credit Card 04/01/2019 $50.00 Credit Card 04/11/2019 $147.01 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 the above named contAo r tq f do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date April 31, 2019 Page 2 of 2 Miami Shores Village RECEIVED w S4 ��2�0`� Building Department APR 01 1019 S 0` 1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 — 1 INSPECTION LINE PHONE NUMBER: (305) 762-4949 C'C h FBC 20�1 BUILDING Master Permit No.p I l `("l -COq A ' PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL VIPI"LUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ' � _ NTRACTOR DRAWINGS JOB ADDRESS: N� � a� Nra City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: rG� 2 �J Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder):_ Address: "I &J E V Flood Zone: BFE: FFE: Phone#: City: HA AW- � AM[tA State: PL Zip: �3� 318) Tenant/Lessee Name: _ Phone#: Email: CONTRACTOR: Company Name: �r Address: ! `0 NV,) City: fl a m-1 Qualifier Name: KaA 4 lUAA-4 + s.1-+ '�L e#: 3 6 Ste-- b -� M ate: k Zip: tC Phone#: State Certification or Registration #: J 1q, 8� 5�%� Certificate of Competency #: DESIGNER: Architect/Engineer: N Phone#: Address: City: State: Zip: Value of Work for this Permit: $ b 6 v� Square/Linear Footage of Work: '6n Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: k _ M Specify coloi of color thru tile: ` Submittal Fee $ J�:Pal _ Permit Fee $ CCF $ - - CO/CC,$ Scanning Fee $^1 Radon Fee $ DBPR $ 2 e L3 Notary $ 4 Technology Fee $ .38 Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $�-7 ` TOTAL FEE NOW DUE $ ! o I (Revised02/24/2014) 643 w a 1 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State NiA- 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 X Signature q%q— OWNERorAGENT CONTRACTOR The lore oing instrument was acknowledged before me this t day of ( 120 1 `) by COOK 2 A %v t<e � who is personally known to me or who has produced P✓, ✓e rs 6cc x t c as The foregoing instrument was acknowledged before me this J/� S day of 20 q by kEi•��i�e �i� /c/ who is personally known to me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as Sign: L" (":L Sign: Print: % 6VtPrint: Seal: ;�*��;' DONALD MARTIN Seal: ..- ,�`. : DONALD MARTIN ri4• ': MY COMMISSION # GG102743 MY COMMISSION # GGIO2743 EXPIRES May 09, 2021 '•'�'ei:►,. EXPIRES May 09, 2021 ************************************************************************** APPROVED BY C,/ Examiner Zoning Structural Review Clerk (Revised02/24/2014) 4/1/2019 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-1570 Property Address: 98 NE 103 ST Miami Shores, FL 33138-2327 Owner GONZALO O REY Mailing Address 98 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 5/4/0 Floors 2 Living Units 1 Actual Area 4,224 Sq. Ft Living Area 2,587 Sq. Ft Adjusted Area 3,245 Sq.Ft Lot Size 11,910.2 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Benefit Type 2018 2017 2016 Year 2018 2017 2016 Land Value $297,326 $297,326 $297,326 Building Value $181,071 $181,071 $181,071 XF Value $2,184 $2,193 $2,203 Market Value $480,581 $480,590 $480,600 Assessed Value $480,581 $480,590 $480,600 Benefits Information Benefit Type 2018 2017 2016 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption 1 $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 I MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1 & 2 BLK 12 LOT SIZE IRREGULAR OR 20851-4556 11 2002 4 COC 23433-2992 05 2005 1 Generated On : 4/1/2019 Taxable Value Information Previous 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $430,581 $430,590 $430,600 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $455,581 $455,590 $455,600 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $430,581 $430,590 $430,600 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $430,581 $430,590 $430,600 Sales Information Previous OR Sale Price Book- Qualification Description Page 08/17/2015 $515,000 29745 Qual by exam of deed 3860 12/09/2013 $425,000 28947 Qual by exam of deed 2190 09/26/2008 $235,000 26686- Other disqualified 2371 09/20/2006 $100 24977- Sales which are disqualified as a result of 2853 examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version Um NOS PLAT ,. I AVCH 20f 75' TOTAL' RIGHT -OP -WAY t' m44'ASPIiA1T T=2,4.8$ 1 CONC.w 9.35' PWY (A) C. ...=8 • �'•`• Rkr1JRH t R�TURH • • • • • • j K.0 is { i C 50.00 ' \ `Pyt r 5' LONG. SwF • �t3W:fv1., NOI .` ,GAP • P.I.P. I/ , . , 0 0 i • f. O GC+f 3 e HO APdS 8� 1 0.3f! CBW • •�• • • i • i • i E" NO CAP 0.151.CL�C.B•••i•• ' • 4 • •• t �, • • ! • •••• AALTSWKYJ"1!7'I • • • • • SPH j `�(` '►11` ( FAID, 00 v S�1 r -- c.' -- NOID r� 2.5(7CBW: + d s GP << caw ' PIhUrER 0.45' CL f .,,. �'p��a I �� ONE STORY p; RES. # 9$ , LOT P.BLOCKI2 A,G I 4111 i k'A i 17Lu L" cow 6 AIR M 1 h SCS 1`{ct,cwopr 0.47 , ! J A.C. l c; W 4' Nil 1r: 14' l ' 1A !2,ss i I j _z CONC.5LAtj \�.. GONG; 1 ��... 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Pv►�r 15'ALLEY (NAP.))D ErYCt7 1 L11 4 AAPM' lim OF 1119MT `I PATE PAI@ _. ®.SMA @NSM PAID; �® LIT IF _. late PROPERTY APPR9991 ®g NO. 103 fit Miami, FL 331 3g - P tJ ' �D�C�'SC0:1) "�el71siL7 tS�Y / Kf=7tl:y / �t7 tiClYtfi'lSt� PROPERTY €P; { [OR ','AR If) NummRp @lf@T'Ef4 m@T om @@#mumm IN A@@QRPAM9 WITH 9WITZOMION6 An 9TAMARP9 @6' @961M 9@1,00661 F4.1 / ARP MAPTER 641=6l F4.9. : biPAft M ' APPR OF : 9'I€9T'E44 P@99 NOT 9VARA '9E 9ATI PAM@RP P9Rf'@Rf#AMPP@R ANY 9PEMM PERIOD Of TZMP - ANY MME IN 9-MRfAh ?A@T9 / Wdf@ff @flRVPP A@ A AAA.I9 FOR IMAM Of Tf fq PflMf '/ REQUIRE THE APPLIM" TO 999M THE P9 ' APPM@AW ON, 9i)@ff fs@Pjpj@A`f'j@fi@' MAjr REonT Iti jfff 9 PERMIT ifflfM MME N%t AND VOID. 1999Afi@9 OF MIA PERMIT 9@99 NOW EXEMPT THE % APPMMNT IFRM @@- MA N@E WITH OTHER FEURAL, 9TAT'9, OR W@Ah PIRMITTIM REQUIRED FOR DEVAIMMEf4T M TTM PR©P9RTY.- OVITEM 91019H AM 9PMMAMON9 ' @AIJM§ / APP NRW AQatis tank _ @APAMY A ® ) Mump / @PP WAMY fi Q i@A14MO 9REUP INTERCEPTOR, @APA@f 4 Y (WIMM @APA@IT'i @IN@M TANf I M9 @M&M- 91 ff t ] W&M PC9I#C TANK @AfWACI'Y :t I Qmmm@ @ t 19090@ PER 24 Hft@ tlPW@ I P t 609 t @QUARE FEET � NEW Mfgo Meld in REPAIR PERMIT R t ® t 999M Bill, FLORIDA HEALTH MIAMI -DADS COUNTY A TYPE M-FUNNI IN] @TANMM t t rithHP (] 'mm 'NOT •...... _ _ , _ . @@"FlouRAMlei t t 4,MN@ff tai ffEP t t f - .t ft • ! .4 — 4 F fd@@ATI@N OF PEN994NAKi FFF 12:7' 19mvATION OF PR@P@9EP 9V9'4'Ef4 ME t 20,40 It a rT l [ ABOVE 44Ri PE#Cmmm/m"R9m POINT OF PAMPMR&P TO RE 70:44 t g rT t B ABOVE PPmm*m/Rf;af imN@9 POINT I:= lnv@ft @I@v@tion And Oftm of drain fi@Id to h@ no 1@oo:th@,n /,331 & 0:031 N9v9 f@opootiv@ly, @ 2:= In@t@ll @ NEW 9200 g@i: @@ptio tank with an @ppf@v@d fiit@f T 3:= In@t@ll @ NEW 600 of: of df@in fi@Id in::: RED.— @onfigof@tion, @ 4:= in@t@ll 12" of @lightly limit@d mil at th@ bottom Of th@ dmin MIM §:= Th@ li@@n9@d @@ntf@@t@f in9t9fling th@ @yot@m M Mop @Ibl@ fof inlet@lling th@ fnl Itn@m d@t@g@fy of tank in @@o@fd@no@ E with @: M -4913(3)(f) - II h@ @t ! � ft d@f @nd !on atj th@ �@� �@a »@p ff�n h:• • • 999UMATM9 .. ... .. . .... APPROVED Mi T-1 17ffm9mmm 0!-4gm;��' -- - _ . ___.. f)@€@ @119 Fmu. TRfl_ • • • • • • • • PATE I99@EP; ®!_M -r :•• •Ef€��Rf�' .f�l�1;: 9dlii�ra��� DR 4016, 0@/09 - - I pp@vi@@g @dif i@na rrmgh pair not na@t) • • fn@@Ep@uatg9=. 949= 4, FA@ PnPg 4 e6 @ . . . . . .. . ...... . . .... . . ... . . . .... .