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PL-20-465L —(� -w> C-0 91?A(# 4 DIVISION OF 4<4> °i Environmental Health ;175 Date h Comments: Signature Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 74 NW 108TH ST, Miami Shores, FL 33168 1121360110150 :ontacts Cory Mullinare Owner SB ENGINEERING INC Contractor 74 108 SARIMA BATISTA 430 FLAGAMI BLVD, MIAMI, FL 33144 Business: 3052813771 SBENGINC@GMAIL.COM Mobile: 3052813771 Inspection Requests: Description: REPAIR OF EXISTING SEPTIC TANK AND Valuation: $ 2,500.00 305 762 4949 DRAINFIELD Total Sq Feet: 0.00. i. 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 03/03/2020 $50.00 Check# 850 03/13/2020 $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 the above narped contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date March 13, 2020 Page 2 of 2 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC M ROOFING X N T J�� ED MAR ZO By; FBC ZOI-�- Master Permit No.ft - 03 20 41l Sub Permit No. ❑ REVISION ❑ EXTENSION F� RENEWAL (PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �JJ�� � ) Q� CONTRACTOR DRAWINGS j� JOB ADDRESS: aT" /" / 1 I v(� S City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: // ,/3it'p 01 / — U /b D Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple � Address: -74 N �Y City: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Address: 430 at City: J Qualifier Name: Construction Type: Flood Zone: BFE: FFE: State: iT— Zip: IVA State Certification or Registration #: 5ja01 � 1 Phone#: jk Zip: 3!314A Phone#: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ J 7 ( Square/Linear F otage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Description of Work: Specify Color of color Mru tile: Submittal Fee $ Permit iee $ CCF $ CO/CC $ Scanning Fee $ Radon. eee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ Double Fee $ Bond $ Zip: Demolition (Revised02/24/2014) TOTAL FEE NOW DUE $ 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. /I Signature Signature OWNER or AGENT CTOR The foregoing instrument was acknowledged before me this The foregoing instrument wa acknowledged before me this y of _20 ZQ by S day of (C�� 20 by Ail wd is p rsonally known to w is sonall n to me r who has produced �L �4 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: Sign: Sign: Print: Print: Q _., SARIMABATISTA Seal: .' MY COMMISSION # GG 078885 Seal: EXPIRES: May 11 2021_ WILLIAM MORALES Bonded Thru Notary Public Underwrtters a S,r MY COMMISSION # GG 291605 r ... • .N, Bonded Ttru Notary Public WMWrRers APPROVED BY - ---' �J!_ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: (Cory R Mulinare) PROPERTY ADDRESS: 74 NW 108 St Miami. FL 33168 LOT: 7 BLOCK: 211 SUBDIVISION: PROPERTY ID #: 11-2136-011-0150 PERMIT # :13-SC-2040891 APPLICATION #:AP1468974 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1304766 [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.R.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 [ 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 ( 200 ] SQUARE FEET New Dralnfleld Bed Conf. SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED ( ] MOUND [ ] I CONFIGURATION: [ j TRENCH [x] BED ( ] N F LOCATION OF BENCHMARK: CROWN OF ROAD: 10.40' NGVD (NAIL) I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D E 0 T H E R [ 1.20 ] [ INCHES ' F7 j [ABOVE B'LOM ]BENCHMARK/REFERENCE POINT [ 22.801[ INCHES T ][ l' BELOW BENCHMARK/REFERENCE POINT 'ILL REQUIRED: ( 0.00 ] INCHES EXCAVATIUN Kk;WUIKr:L: L w.vv J 11... — 1.- Invert elevation and Bottom of drainfield to be no less than 9.00' & 8.50' NGVD, respectively. 2.- Install a 900 gal. septic tank with an approved filter. 3.- The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(0 FAC. 4.- Install 200 sf. of drainfield in BED configuration. REPAIR PERMIT 5.- Install 12" of slightly limited soil at the bottom of the drainfield_ FLORIDA NOT VALIDTH MIAMI DADE COUNTY FOR ADDITIONS THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS. SPECIFICATIONS BY: CON TITLE: APPROVED BY: TITLE: Engineering Specialist II Dade ian�. S EXPIRATION DAT 05/24/2020 DATE ISSUED: /(]2/24/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be useA)G 1,A7 AN Incorporated: 64E-6.003, FAC py 13 lU'UMBl11�� L - Page 1 of Date_.._-- ..--- Date__ �� — Disapproved CHD DOCUMENT # : PR1304766 -The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 200 ed drainfield area based on rule 64E-6.015(6)(c)2. a new drainfield to achieve Drainfield size requirement. 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. STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR CONSTRUCTION PERMIT Permit Application Number ---------------------------PART II - SITEPLAN------------ - - - _---------- Site Plan submitted by: Plan Approved By Not Ap d c0� County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015. 08109 (Obsofetes previous editions which may not be used) Incorporated 64E- 001. FAG Page 2 of 4 (Stock Number 5744-0024015-6) Miami -Dade County - Building and neighborhood Compliance Office Page I of 1 Contractor License Information Contractor Number: E1800486 Contractor name: SIB ENGINEERING, INC. Address: 430 FLAGAMI BLVD City, St, Zip: MIAMI Phone: (305)281-3771 Other Phone: Fax: Email: D/B/A: Contractor Status: SBENGINCOGMAIL.COM ACTIVE FL 33144 Class Category Category Description Expiration Date ENGR 7 PAVING ENGINEERING 09/30/2021 CONTRACTOR INQUIRY COMPLETE BCCO Contractor inquiry and Complaint Search I BCCO Home Page I State License Search Menu • Home I About I Phone Directory I Privacy I Disclaimer © 2001 Miami -Dade County. All rights reserved. Jv �� 2-70 http://egvsys.miamidade.gov:1608/WWWSERV/ggvt/BNZAW941.DIA?CNTR=EI800486 3/6/2020 C t T I *O'WHFEFEAG'f S00.10'00'E CERTIFIED TO: RAPID TITLE SERVICES COMPANY COMMONWEALTH LAND TITLE INSURANCE COMPANY COR Y R. MULINARE AND LEIGH MULINARE PROSPECT MORTGAGE, L.LC ITS SUCCESSORS AND/OR ASSIGNS AS THEIR INTEREST MAY APPEAR A 122.53'(R)(M) "� at iv WO p 75' TOPAL R/W I � V ��5 Katie � LOCATION SKETCH_ NOT TO SCALE I N.I so�snlwri"as'(' ii e�tAM1 AtH.a i9 R'Rt'm4 s.nH a0 7 -t �N Bp.. ,. LEGAL DESCRIPTION: LOI 7, BLOCK 211, "DUNNINGS MUM) SHORES EXTENSION No 71, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 52, PAGE 33, OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA SURVEYOR'S NOTES: 1) NOT VAUD UNLESS SIWMTURE IS SNOSSED MTN THE REGISTERED LAND SURWYOR'S SEAL 2) LEGAL DESCRIPTION PROVIDED BY OTHERS 3) PROPERTIES SHOWN HEREON WERE NO T ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLA T OF RECORD. 4) MEASUREMENTS TO WOOD FENCES ARE TO OUPSIDE OF WOW 5) UNDEROR UW U77U71ES, FOUNDAT70VS OR 07HER IMPROVEMENTS, IF ANY, WERE NOT LOCH TED. 6) ELEVATIONS IF SHOWN ARE BASED ON NATIONAL GEODETIC VE-RrICAL CA TUM 1929. 7) FENCE OWNERSHIP NOT DETERMINED UNLESS 0THERMSE NOM-D 8) MEASUREMENTS TO MIRE FENCES ARE 70 CENIER OF WIRE. 9) WALL MEASUREMENTS ARE TOAFRiMf FACE OF WALL 10) DRAWING DISTANCE BETWEEN WALLS ANCAOR FENCES AND PROPERTY LINES MAY BE EXAGGERATED FOR CLARITY. I T) FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL E MERGE14CY MANAGEMEN7'AGENCY Root) INFORAM TN'N RATE MAPS AN 121 BEARINGS F Y SHOWN ARE BASED ON AN ASSUMED MERa71AN A T. CENTERLAVE OF MW 1080 STREETN90 W OO"E IEAS7) LEGEND L.M. AE4CAraL40M407ENANCE a: MMGArEs c AA 10"I co ClWIE ENCR AVLNrArEseMaAaAaAtlr9rr NAP"TESOeEMHEADIMES FA°: M✓ONATES FO(AVO AP(aV PA97 -----"----- MOMWATFSWWF6W-E FAR, NnuresFOuhvAwaA WDICA YES 11ATOD frmw srA)r_4 5Sfl WOMMEUNR5a4F '_-O_ WwATEs PROPERTY CORM -A Tw..: AUC TM YTACAL PON. MWA TES POW OF AE'0WOW AW IV ArAMSMWT-Q WAY POC.� MDM:ATEs PCWr OF cx;mwic9Aw Y cow MaCATES OFFXW RECORD BOOK c MAW4rn AQ0PFRTYLM6 I MIGTESM RFORIFSS at CATPJF'4SkWFL0aq ELEVArVW P U.E: W47CATESDACAV 4C£EU7LmEAWMWT MY.S: 4rS5AEOOJWA/EASUREMENT FF BEV: MMRCATE$ Nor T48GV.E LIZ MOK:A rm um rY EASEAt6NT N MWAm NOR"! PRAC W AMS PERM NBYTREMRDA McawaaDYr S NDICATFs 83RH PGP' MOICA TES Ff$040VIVT COM/RM POW [E AIOII':Arw CENTEAXoff Aw. M7MAYES FOEM6T ryq MMGATla F9LDAWA8tWMENr3 CL: M.DICAIWS QbIR COW: A1OA:ATES CONCRETE MAP BPANEL= 12086C0302� M MULfNARE AND LEIGH MULINARE CORR. 74NW1081hSTREET MIAMI SHORES, FLORIDA 33168 ly — V ;me Y vEJ lO -. �� -� �.�� NGT vAtID 7tx:F A^'° THE ORIGINAL A�-ORIDAD767 CENSED YOR ANDPPER. , . ... ... o ... , IWRERYCERTFY 64ATTW SURVEv REPRESENTED HDWON MEETS T TAar1MREPREHEAWAAMH ICALsrAmmRa55ETFORTHsyrtw FLORIDA BOARD OF LAW SURVEYORS W CHAPTER WGIYAFLORIDA ADUP"TRATNECODE PURsuwrTa sEDTroM 472ov, I3LvxmA STATUTES, TICRE ARE NO ENCROAGrwAENTS, OVERLAPS EASEMENTSAPPEAMNGONTWPLAT,365ALHAMBHACIRCLE•SUITEC,S OTHER THAN AS SHO" HERETO. PROFESSIONAL SURVEYING AND MAPPING LANNES & GARCIA INC. 7 LB#2098 F385 AL A F. A CI R L PSM # C, CORAL GABLES, FLORIDA 33134 PH (305) 666-7909 FAX (305) 559-3002 COMMUNITY AID.: 120852, SUFFIX: L _ DATE OF FIRM: 09-! 1-09 SE ELEV.= A FRANCISCO F. FAJARDO 84767 IR,ORIDA PROFESSIONAL SURVEYOR AND MAPPER R[-0. NO, 4767 lELD DATE09-06-2071SCALE' t"= 20' DRAWN BY AMEREL DWG. No.: 2220q