PL-20-477Permit No.: PL-03-20-477
Miami Shores Village Permit Type: Plumbing -Residential
30050 NE 2 Ave
Miami Shores FL 33138 - work Classification: Septic/Drainfield
305-795-2204 Permit Status: Approved
Issue Date: 03/10/2020 Expiration: 09/08/2020
Location Address Parcel Number
575 GRAND CONC, Miami Shores, FL 33138 1132060171380
Contacts
SUSAN BUDENZ Owner
575 GRAND CONC, MIAMI SHORES, FL 33138
Mobile: 3053435321
Other: 3057576047
A AARON SUPER ROOTER Contractor
JOHN TUFFY
6022 SW 35 CT, MIRAMAR, FL 33023
Business: 3059448886 miulie37@aol.com
_
Description: REPLACE TANK AND DRAINFIELb Valuation: $ 2,300.00 Requests:
Ins 305-ectition Re Re
Total Sq 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
$12.00
Technology Fee
$2.50
Total:
$120.90
Payments
Date Paid Amt Paid
Total Fees
$120.90
Check # 5688
03/04/2020 $50.00
Check # 5687
03/10/2020 $70.90
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 Pccurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I autQlze the above n, med contractor to do the work stated.
Authorized Signature: Owner
March 10, 2020
Agent
Date
Page 2 of 2
Miami Shores Village CEIVED
• ��''� Building Department M R 0 2020
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY.
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 ("-A
FBC 20 (�
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING
❑ ELECTRIC ❑ ROOFING
REVISION ❑ EXTENSION
RENEWAL
PLUMBING
❑ MECHANICAL ❑PUBLIC WORKS
❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS:
5M
1lJl�d C MC r� 7.J� 5Q,
City:
Miami Shores County:
Miami Dade Zip:
331 '�g
Folio/Parcel#:T
- 3 -0(6- 0 k 7 - (�J 80
Is the Building Historically Designated: Yes
NO
Occupancy Type:
Load: Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder):
hone#: 3" 3 1 -f) - _: �a
Addreesss:S '5 _ � ��ti �X `��'' � 1::
City: �' I �.� `" O C� State:_ Zip:_a� / S
Tenant/Lessee Name: l Phone#:
Email: Ima
CONTRACTOR: Company Name: N pvc-\my-\ Phone#: 3as 94"r-f-� �O o
Address: ro-zz. S `J 3S C-t
City: M1y V-\. -- a--T�\ct �(` State: R, Zip:
VSac�3
Qualifier Name: o " TQ l M Phone#:
State Certification or Registration #: SR09 Z) I (Z Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: -Zip:
Value of Work for this Permit: $ Q)00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New [Repair/Replace ❑ Demolition
Description of Work: �� 4 C.Q., t""y- `-r DY e),�n�-elo�
ti
Specify color of color thfw le:
Submittal Fee -$ Q > -,Permit Fee $ CCF $ ,CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
E� - `l 0
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
. . ,
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 co mencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. 1 the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature,--- -
OWNER or AGENT
The foregoing instrument was acknowledged before
�-5 day of (---'e �2 20 20 by
S VS� n ewde- - who is personally known to
me or who has produced k'a ( t) as
Signatu
CONTRACTOR
The foregoing instrument was acknowledged before me this
2 S day of �6 20 ZA by
—_ �V \, "i who is ersonally known to
me or who has produced 10 as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign A64 AA Sign•
Prin . PH L mV r
Seal:
Seal: jW Notary Public State of Florida �.d' Notary Public State of FlorWa
Teyana Solomon Teyana Solomon
My commission GG 268641 h ; My -vission GG 268841
Expires 10/17/2022 !«w Ea, i t_v1712022
************* **************************** ***
APPROVED BY .3///4o- Plans Examiner
Zoning
Structural Review
(Revised02/24/2014)
Clerk
Property Search Application - Miami -Dade County Page 1 of 1
41 U 'OuNkERTY APPRAISER
@.OFFI^E
Summary Report
Property Information
Folio:
11-3206-017-1380
Property Address:
575 GRAND CONC
Miami Shores, FL 33138-2464
Owner
DONALD L BUDENZ
SUSAN BUDENZ
...._.............
Mailing Address
74006 HARVEY
CHAPEL HILL, NC 27517
PA Primary Zone
1300 SGL FAMILY - 2801-3000 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
3,409 Sq.Ft
Living Area
3,340 Sq.Ft
Adjusted Area
3,259 Sq.Ft
Lot Size
13,431.6 Sq.Ft
Year Built
1950
Assessment Information
Year
2019
2018
2017
Land Value
$472,715
$472,715
$472,715
Building Value
$226,826
$226,826
$226,826
XF Value
$27,814
$28,154
$28,493
Market Value
$727,355
$727,695
$728,034
Assessed Value
$727,355
$722,421
$656,747
Benefits Information
Benefit
I Type
2019
2018
2017
Non -Homestead Cap
Assessment Reduction
$5,274
$71,287
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 4 AMD PB 15-14
LOTS 31 & 32 BLK 96
LOT SIZE 103.320 X 130
OR 16591-1263 0894 1
Generated On : 3/4/2020
Taxable Value Information
2019
2018 2017
County
Exemption Value
$0
$0
$0
Taxable Value
$727,355
$722,421
$656,747
School Board
Exemption Value
$0
$0
$0
Taxable Value
$727,355
$727,695
$728,034
City
Exemption Value
$0
$0
$0
Taxable Value
$727,355
$722,421
$656,747
Regional
Exemption Value
$0
$0
$0
Taxable Value
$727,3$0
$722,421
$656,7 77
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
08/01/1994
$259,900
16591-1263
Sales which are qualified
07/01/1993
$275,000
15983-2561
Sales which are qualified
12/01/1987
... ...............
$180,000
13504-2142
Sales which are qualified
07/01/1984
$160,000
........... __.._
12208-1543
- - .......
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 hftp:/twww.miamidade.gov/info/disclaimer.asp
Version:
https://www.miamidade.gov/Apps/PA/property search/ 3/4/2020
STATE OF FLORIDA PERMIT # : 13-SC-2040321
DEPARTMENT OF HEALTH APPLICATION #: AP1468599
ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID:
SYSTEM
CONSTRUCTION PERMIT FEE PAID:
RECEIPT #:
DOCUMENT # : PR1304695
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (Donalds & Susan Budenz)
PROPERTY ADDRESS: 575 Grand Concourse Miami. FL 33138
LOT: BLOCK: SUBDIVISION:
PROPERTY ID V 11-3206-017-1380
[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 •j • •GALLONS / GPD NEW SEPTIC TANK TO INSTALL CAPACITY
A:4... 750 ]• • Gl LLON9 •/' GPp Existina Seotic Tank to Remain CAPACITY
Ni.: 0 eJ• G%L.I,ONS PREASI. INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I. ] GALLONS LAEA TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ J
*:sees **'be es ••
D a(**** 150 ol• SQUARE FEESO a •Install new DF in Trench co SYSTEM
R•�•• ••
'[ 150 �• SQUARE F];,ET• Exustina Drainfield Trench SYSTEM
A:7yV9•a SYSTE1%••: [ ] STANDARD [ ] FILLED [ l MO�p [rl �a^ c F#t:S�a� ;•.:a #� nattwlZ'
I•CONFIGURATION: (X1 TRENCH [ ] BED
sees•• •• •• s•s••• T
F•;jgJTION Ot:.V�NcHMAr,' ;CROWN OF ROAD SE CORNER PROPERTY LINE 9.2' NGVD
•
I ELEVATIONOP•PROPOSED SYSTEM SITE [ 3.60 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 44.40][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 48.00] INCHES
0 Existing System 1: Rear property, To Remain with no additional changes.
T System 2: 1.- Invert elevation and Bottom of drainfield to be no less than 6.00' & 5.50' NGVD respectively. r +�
2.- Install a 900 gal. septic tank with an approved filter
H, 3.- Install 150 sf. of drainfield in TRENCH configuration.
E 4,- Existing SAND at the bottom of the drainfield to remain. Any spoil material UNDERNEATH THE DRAIN FIEL�vi in ,� )
24" vertically that has visible signs of effluent shall be removed as part of the repair. YY'' '
R (Comments Continued on Page 2.) �4y
SPECIFICATIONS BY; A ha n S Rooter TITLE:
APPROVED BY: TITLE: Environmental Manager A� C, `< Dade c�m
zaire S
DATE ISSUED: 02/24/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
EXPIRATION DATE: 0512412020
DOCUMENT #: PR1304695
S REPAIR PERMIT IS NOT FOR ANY ADDITIONS
.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or trench.
6.- The licensed contractor insta;ling the system is responsible for installing the minimum category of tank in accordance. s: i
s. 64E-6.013(3)(f) FAC.
Replacement of Tank and Drainfield.The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 pe
bedroom), for a total estimated flow of 300 gpd.
Required drainfield area based on rule 64E-6.015(6)(c)2.
Install a new drainfield to achieve Drainfield size requirement.
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