PL-18-1878RE„S Miami Shores Village
10050 N.E. 2nd Avenue NE
- Miami Shores, FL 33138-0000
' Phone: (305)795-2204
FLORI9P
Permit NO. PL-7-18-1878
Permit Type: Plumbing - Residential
Pen o Work Classification: Septic
Permit Status: APPROVED
Issue Date: 7/31/2018 1 Expiration: 01/27/2019
Project Address Parcel Number Applicant
1090 NE 104 Street 1122320290190
Miami Shores, FL 33138- Block: Lot: RICHARD E MELLETT
Owner Information Address Phone Cell
RICHARD E MELLETT 1090 NE 104 (305)984-7069
MIAMI SHORES FL 33138-
1090 NE 104
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
MR C'S PLUMBING & SEPTIC INC (305)651-7859
Type of Work: INSTALL DRAINFIELD AND SEPTIC TANK
Type of Piping:
Additional Info: INSTALL DRAINFIELD AND SEPTIC TANK
Bond Return :
Classification: Residential Scanning: 3
Fees Due
Amount
Bond Type - Owners Bond
$500.00
CC F
$2.40
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$150.00
Scanning Fee
$9.00
Technology Fee
$3.20
Total:
$669.65
Valuation: $ 3,600.00
Total Sq Feet: 300
Pay Date
Pay Type
Amt Paid
Amt Due
Invoice #
PL-7-18-68203
07/31/2018
Check #: 1468
$ 119.65
$ 550.00
07/30/2018
Credit Card
$ 500.00
$ 50.00
07/12/2018
Check #: 1455
$ 50.00
$ 0.00
Bond #: 3841
Available Inspections:
Inspection Type:
HRS Approval
Final
Review Plumbing
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 AFFIDM/IT: 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 #fining. F,aJhermo�j"'Nuthorize the above -named contractor to do the work stated.
July 31, 2018
' Authorized jitfgn-ffure: Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 31, 2018 1
GO
-_%
co
7/12/2018 Property Search Application - Miarni-Dade County
00"k F F I C E 0 F T t P R 0 P E RTY APPRAISER
Summary Report
Property Information
Folio:
11-2232-029-0190
Property Address:
1090 NE 104 ST
Miami Shores, FL 33138-2656
Owner
RICHARD E MELLETT JTRS
ERIKA BATEY JTRS
Mailing Address
1090 NE 104 STREET
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1100 SG FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,208 Sq.Ft
Living Area
1,672 Sq.Ft
Adjusted Area
1,931 Sq.Ft
Lot Size
8,250 Sq.Ft
Year Built
1951
Assessment Information
Year
2018
2017
2016
Land Value
$288,964
$288,964
$288,964
Building Value
$120,494
$120,494
$120,494
XF Value
$1,492
$1,507
$1,522
Market Value
$410,950
$410,965
$410,980
Assessed Value
$391,667
$383,612
$375,722
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes Cap
Assessment Reduction
$19,283
$27,353
$35,258
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
EVENINGSIDE PB 44-53
LOT 5 BLK 2
LOT SIZE 75.000 X 110
OR 20377-1291 04 2002 1
Generated On : 7/12/2018
Taxable Value Information
2018` 2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $341,667
$333,612
$325,722
School Board
Exemption Value
1 $25,000
$25,000
$25,000
Taxable Value
1 $366,667
$358,612
$350,722
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$341,667
$333,612
$325,722
Regional
Exemption Value 1
$50,000 $50,000
$50,000
Taxable Value 1
$341,6671 $333,612
$325,722
Sales Information
Previous
OR
Sale
Price
Book-
Qualification Description
Page
01/17/2014
$430,000
29018
Qua] by exam of deed
2251
04/01/2002
$206,000
20377
Sales which are qualified
1291
09/01/2000
$150,000
19312
Sales which are qualified
3116
01/01/1994
$0
16261-
Sales which are disqualified as a result of
1865
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:
• 1 & Miami Shores Village RECEIVED
Building Department JUL 12 N
40 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 CLI�+1
' Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 (1 0
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20
Master Permit No. 9 1
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
n /� ,/ � CONTRACTOR
/�
JOB ADDRESS: Io (/ / C O �N26R_�
City: Miami Shores
County: Miami Dade Zip: 3 31 3I.
Folio/Parcel#: I ( �Jd '�-1 4 '::) 0 Is the Building Historically Designated: Yes NO X!
CANCELLATION ❑ SHOP
DRAWINGS
Occupancy Type: Load: Construction Type: Flood Zone: BFE
OWNER: Name (Fee Simple Titleholder): Cr t kel' Phone#:_
Address: / 0 1 0 NG— 104
City: I VU G
Tenant/Lessee Name:
Email:
FFE:
State: Zip: I Q
pr- Phone#:
hA,^l(• c&yV1
CONTRACTOR:/Company Name: ✓- - v S G� one#:
Address: %-(�3-�- NV`l A
City: ) a h&1 �atS+tate: I' l U1il GEC" Zip:
Qualifier Name: e (' e � 1 ' I + Phone#:
State Certification or Registration #: J �d 6 �J b Certificate of Competency #:
DESIGNER: Architect/Engineer: N I A Phone#:
Address: 22 City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: 3
Type of Work: ❑ Addition ❑ Alteration ❑ New �Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ r S G " r0 CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $ DBPR $
Training/Education Fee $
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
NJ A-
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 t absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature q Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 41 20 by
who is personally known to
me or who has produced ?rt ve "F 4;ne,1 Sz- as
The foregoing instrument was acknowledged before me this
S4` day of u 20 /; by
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:
*l
Sign: C�/" " " Sign: L
Print: / IN tiIC4 N�Av�y�.� Print: pdh A V go c�r�
Seal: �°" DONALD MARTIN Seal: ;;p�'w%;: DONALD MARTIN
:A aa: MY COMMISSION # GG102743 MY COMMISSION # GG102743
F' EXPIRES May 09, 2021 '�; F EXPIRES May 09, 2021
Os M1,.
############################################ #########
APPROVED BY —J- Plans Examiner
Zoning
Structural Review
(Revfsed02/24/2014)
Clerk
OUND 1�
IRON A
NO
s' wooD
FENCE
. .... . . ....
.... .� .. .S;7 .
. ....... ....
.. . .. .. .. ..
• • ••• ••• ••• •
A&t c, RECEIVED
JUL 12 2018
r
5
•• • • • •• ••• ••
y4• ••-` ram_••••;♦1h •• •S•• •. :t •' _. ._ _
�• fI`II�'�T t
t• - .50' RIGHT-OF-VYAY.'
Q
O
..- - - _• ,-.?.�_ySPHALT PA , ENT _
�o•
<
METER
m
FOUND
14Z'
r
IRON
a_
1
NO ID
Lli
w
w
- •DRIVE
t
Q
N
J�
o
3 BR SFR ---
FFE 9.9' . - O
_ _
. ... .....
G
C
w �
L g
WLL
W
Q 5
3 �
w
u J
L
�'C
�z
ri O
UJ
0 U Q
w w
m ~
J � Q
ro U) U)
_ ------------
::.Dfl•x i 5i i 1/15
AMID,
64
rb
N
OXN Up
SET FENCE
IRON RO 0.4`E
L83835 Q2'N :.
PLA
I FENCE w
75.00' NSET ,1-
IRON ROD
} UM35
'�`e-PLUMBING PLANS
P
Dated%
% •• • • • % ••
STATE OF FLORIDA • • • ••• • •
DEPARTMENT OF HEALTH* ' "' • •
ONSITE SEWAGE TREATMENT AND DISPOSAL
PERMIT #:13-SM-1860177
APPLICATION # : AP 1353314
•
•i• DATE PAID:
FEE PAID: -
SYSTEM •0• '•i •i ••• •i ••• RECEIPT #:
• � �• !� # : PR1124335
.. • • fit"
• • ••• ••• r" •
MtAMI.DADE COUNTY HEALTH DEPARTMENT
••••
CON • • • • STRIICTION PERMIT FOR: OSTDS Repair. . . . • • • ••
APPLICANT: ERIKA BATEY : : : :'•
PROPERTY ADDRESS- 1090 NE 104 St Miami, FL 33138
LOT: 5 BLOCK: 2 SUBDIVISION:
PROPERTY ID #: 11-2232-029-0190 [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., jad 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 I 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 bEVEI.OPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T j 900 ) GALLONS I GPD New Seotic Tank CAPACITY
A ,j 0 1 GALLONS / GPD CAPACITY
N [ 0 1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ I GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 300 1 SQUARE FEET New Drainfield Bed Conf. SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: jx] STANDARD [ I FILLED [ I MOUND [ I
I CONFIGURATION: [ 1 TRENCH [xj BED [ I
N
F LOCATION OF BENCED ARK, FFE 9.9
I ELEVATION OF PROPOSED SYSTEM SITE [ 33.601 INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
9 BOTTOM OF DRAINFIELD TO BE [ 70.60I[ INCHES FT II ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D.
0
T
H
E
R
1.- Install a 900 gal. septic tank with an approved filter
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 4.52 ' & 4.02 ' NGVD respectively
THIS PERMIT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY: ALE ETTRICK TITLE:
APPROVED BY: —I TITLE: Environmental Specialist II Dade CHD
Erick Perera
DATE ISSUED: 07/06/2018 EXPIRATION DATE: 10/04/2018
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1353314
SE1084495
... . . . ... . .
. .. .. . . . .. . .
. . . . . . . . . .
... . . . . ... . .
. . .. . . .. . . .
• • • • • • • • • • •
PLUMBING PLANS
Approved
Disapproved