PL-19-378Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 02/22/2019
Location Address Parcel Number
1055 NE 96TH ST, Miami Shores, FL 33138 1132060143710
Contacts
Permit NO.: PL-02-19-378
Permit Type: Plumbing - Residential
Work Classification: Septic/Drainfield
Permit Status: Approved
Expiration: 08/21/2019
PATRICE ROBINET Owner MR C'S PLUMBING & SEPTIC INC Contractor
1055 NE 96 ST, MIAMI SHORES, FL 331382551 KEMBLE ETTRICK
Business: 3056517859
Description: INSTALL DRAINFIELD Valuation: $ 2,490.00 Inspection Requests:
305-762-4949
Total Scl 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
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$117.90
Credit Card
02/19/2019 $50.00
Credit Card
02/22/2019 $67.90
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.
OWNERS FFIDAY IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating Opstrucjion and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
February 22, 2019 Page 2 of 2
n
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
RECEIVED
F B 19 2019
BY:
Tel. (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 t
FBrC����20/�V-
Master Permit No.?Ly---(' ' 34 8
PERMIT APPLICATION
_ Sub Permit No.
❑BUILDING
❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION
[-]RENEWAL
[PLUMBING
❑ MECHANICAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
DRAWINGS
/ �!1 (� I ,- �CONTRACTOR
Q
l oSS `� 6 � U-
JOB ADDRESS:
J -
City:
Miami Shores
County: Miami Dade Zio:
33138
Folio/Parcel#: ) l- - "�06 - of 4 - 3i I t) Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: D-` Flood Zone: BFE: FIFE:OWNER: Name (Fee Simple Titleholder): pa�rl LC- Phone#:
Address: 109;� NG �')4 s*ej-k
City: Iy.It
Tenant/Lessee Name:
Email
State: 1, Zip:
n e#:
5?61 3 S
CONTRACTOR: Company Name: ,'`r v S ��'T '��-f�� Phone#:
Address: ,�� 11.� 3Z Nw keA—Iti-� 2
City: 1a�.t ,,State: � Zip:���7
Qualifier Name: C L Phone#: �0 �'0 1SION
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
Ad
Value of Work for this Permit: 5 O4 '� U
Type of Work: ❑ Addition
Description of Work:
Phone#:
City: State: Zip:
Square/Linear Footage of Work: .3
n4l
❑ Alteration ❑ New
Rr Repair/Replace ❑ Demolition
Specify color of color ttiru tile:
Submittal Fee $. f p
Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $.
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $ YjC- 11- 1$ " 3�j 10
TOTAL FEE NOW DUE $ b1 . q 0
(Revised02/24/2014)
Bonding Company's Name (if applicable) N / A'
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) / V
Mortgage Lender's Address
City
State
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 AGE T
The foregoing instrument was acknowledged before me this
day c / �491A r`y 20 /1 by
"4 4i r-C lob ire l�
. who is personally known to
me or who has produced Py lli rs k-Cf 17 S If-- as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
//�5 / day ofrr Cyr✓f-4 20 dal by
/p',t4A 11 . who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
D, a�
;) I,&
Sign: / / 1 � Sign: ,�J
Print: d{hAl4l // � �A� Print: 7 �IA��� ��vbi,
Seal: ;a?`''4i : DONALD MARTIN Seal: DONALD MARTIN
MY COMMISSION # GG102743
MY COMMISSION # GGIO2743
EXPIRES May 09.2021 « EXPIRES May 09.2021
*************************************f�***************************** ********
APPROVED BY � a,111019 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
m ` •:'
FICE OF
THE APPRAISER
Summary Report
Property Information
Folio:
11-3206-014-3710
Property Address:
1055 NE 96 ST
Miami Shores, FL 33138-2551
Owner
PATRICE ROBINET
ELSA GAGNON
Mailing Address
1055 NE 96 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3 / 3 / 0
Floors
2
Living Units
1
Actual Area
3,319 Sq.Ft
Living Area
2,702 Sq.Ft
Adjusted Area
2,856 Sq.Ft
Lot Size
12,500 Sq.Ft
Year Built
1938
Assessment Information
Year
2018
2017
2016
Land Value
$450,000
$450,000
$463,000
Building Value
$206,533
$207,045
$155,278
XF Value
$33,209
... _....
$33,520
_.. _ ..
$1,914
Market Value
$689,742
$690,565
$620,192
Assessed Value
$419,615
$410,985
$320,533
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Assessment
$270,127
$279,580
$299,659
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
(Short Legal Description
MIAMI SHORES SEC 3 PB 10-37
LOTS 12 & 13 BLK 82
LOT SIZE IRREGULAR
ODH OR19383-4062 1100
PROB 99-02686 CP (04)
Generated On : 2/19/2019
Taxable Value Information
2018A 2017 2016
---_-__...__......._._-.__.................
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$369,615
$360,985
$270,533
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
1 $394,615
$385,985
$295,533
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$369,615
$360,985
$270,533
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$369,615
$360,985
$270,533
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
Corrective, tax or QCD; min
12/19/2011
$100
27963-4942
consideration
07/28/2009
$480,000
26995-1100
Qual by exam of 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:Nwww.miamidade.gov/info/disclaimer.asp
https://www.miamidade.gov/propertysearch/ 2/ 19/2019
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Patrice Robinet (Mr C"s Plumbing & Septic)
PROPERTY ADDRESS: 1055 NE 96 St Miami, FL 33138
LOT: 12 BLOCK
82 SUBDIVISION: Miami Shores Sec 3
PROPERTY ID #: 11-3206-014-3710
PERMIT # : 13-SC-1923189
APPLICATION #: AP1397263
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1202268
[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 Existina Septic 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 [ 300 ] SQUARE FEET New Drainfleld 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: FFE11.3
I ELEVATION OF PROPOSED SYSTEM SITE [ 21.60][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 71.601[ 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 gak 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 5.83 ' & 5.33 ' NGVD respectively
THIS PERMIT IS NOT FOR ANY ADDITIONS.
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
SPECIFICATIONS BY: Mr C ''s TITLE:
APPROVED BY:
C �-•� TITLE: Environmental Specialist II
Erick Perera
DATE ISSUED: 02/11/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EXPIRATION DATE:
Dade CHD
05/12/2019
Page 1 of 3
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