PL-17-562�` SNORES `,tt
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Permit NO. PL-3-17-562
Permit Type: Plumbing - Residential
Work Classification: Drainfield
t-none: (sub)/9b-Z204
fLORiDp
Issue Date: 3/7/2017 1 Expiration: 09/03/2017
Project Address Parcel Number Applicant
285 ,N E 98 Street 1132060134430
Miami Shores, FL 33138- Block: Lot: 285 NE 98 STREET INC
Owner Information Address Phone Cell
285 NE 98 STREET INC 285 NE 98 Street
MIAMI SHORES FL 33138-
285 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
MIAMI DADE ENVIROMENTAL 786-251-4099
Type of Work: INSTALL A 900 GALLON SEPTIC TANK AN
Type of Piping:
Additional Info: INSTALL A 900 GALLON SEPTIC TANK AN
Bond Return :
Classification: Residential Scanning: 3
Fees Due
Amount
Bond Type - Owners Bond
$500.00
CCF
$3.00
DBPR Fee
$4.50
DCA Fee
$4.50
Education Surcharge
$1.00
Notary Fee
$5.00
Permit Fee
$300.00
Scanning Fee
$9.00
Technology Fee
$4.00
Total:
$831.00
Valuation: $ 4,500.00
Total Sq Feet: 225
Pay Date
Pay Type
Amt Paid
Amt Due
Invoice #
PL-3-17-63169
03/07/2017
Check #: 827
$ 500.00
$ 331.00
03/07/2017
Cash
$ 281.00
$ 50.00
03/0312017
Credit Card
$ 50.00
$ 0.00
Bond #: 3326
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, PLUN46ING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT -
construction and zoni
foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
)rize the above -named contractor to do the work stated.
March 07, 2017
Signktiree: Dwner / Applicant / Contractor / Agent
Building Department Copy
March 07, 2017 1
BUILDING
PERMIT APPLICATION
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
ENTERED
OCT S 1 20 9
BY:
IQ 4�
FBC 2011 Master Permit No. IFL- n —n-2bi 1 t
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 0RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
�n,^� CONTRACTOR DRAWINGS
p�/V
JOB ADDRESS: e_
City: Miami Shores ,,n County: Miami Dade Zip:
Folio/Parcel#: �i-�� - 01.3
/Y ` ,' 30 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): o- cuW (XXc- j W Phone#:
Address: OZ;;AU'" C= -1 cal
c
City:
State: Zip: �0 , 32
Ten, ![.essee Nam � �
-,�- ��Gc���
i�Y)'L i hone#: �:.�7 + 206. �O�y
Email:
QC(I.PibW
&66 �n� Q
ZS
CONTRACTOR: Company Name:
Phone#:':366 i C -0-9
Address:
City:-!
Stater Zip:
Qualifier Name:
(6' Q
Phone#:6 � z o T 1
State Certification or Registration #: �JIZ O /Q
-4-I 2 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:,
Address: cS ��
City: State: !t�:l Zip: 33r b
Value of Work for this Permit: $ `12
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
❑ New ❑ Repair/Replace Demolition
Description of Work: 51 l�C
/❑
,,
y�x au'_/�cAl dC/ .
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 1� V CCF
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 1 • �-�
(Revised02/24/2014)
M,
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.
If,
Signature ak%,
OWNER or AGENT
The foregoing instrument was acknowledged before me this
�S day of 20_ by
Nrum r�C i 4VJ0rQ''A1ollIs personally known to
me or who has producedit i-' as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Ma,
Signature L 0,57rzlZq� j
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of (\V 1) P— 20 J by
��501 fl �nl`� who is personally known to
me or who has produced fll .(IJP/s \ ( CQ-Se as
identification and who did e,III PatriCia D`Angefo
�; * COMM:SSION #FF902526
NOTARY PUBI p - EXPIRES: July 22, 2019
WWW,AARONNOTARY.COM
Sign:_
Print:
Seal: 470 Seal:
�r•� r'�,,55�� �a�
ors
1/111111111111���
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-013-4430
Property Address:
285 NE 98 ST
Miami Shores, FL 33138-2407
Owner
CARLOS EDUARDO SEGURA
IVETTE CIAVALDINI
Mailing Address
285 NE 98 ST
MIAMI, FL 33138 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
10101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/3/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,676 Sq.Ft
Lot Size
11,902.5 Sq.Ft
Year Built
1948
Assessment Information
Year
2019
2018
2017
Land Value
$357,218
$357,218
$357,218
Building Value
$197,743
$200,221
$202,699
XF Value
$20,249
$20,396
$20,542
Market Value
$575,210
$577,835
$580,459
Assessed Value
$575,210
$577,835
$575,952
Benefits Information
Benefit
Type
2019
2018
2017
Non -Homestead Cap
Assessment Reduction
$4,507
Homestead
Exemption
$25,000
Second Homestead
Exemption
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 22 & 23 BLK 32
LOT SIZE 103.500 X 115
OR 17770-4564 0897 4
Generated On : 10/31/
Taxable Value Information
2019
2018
2
County
Exemption Value
$50,000
$0
Taxable Value
$525,210
$577,835
$575.
School Board
Exemption Value
$25,000
$0
Taxable Value
$550,210
$577,835
$580.
City
Exemption Value
$50,000
$0
Taxable Value
$525,210
$577,835
$575.
Regional
Exemption Value
$50,000
$0
Taxable Value
$525,210
$577,835
$575.
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
31127-
Corrective, tax or QCD; min
08/28/2018
$100
2759
consideration
28528
02/28/2013
$535,500
Qual by exam of deed
3934
17770-
Sales which are disqualified as a rest
08/01/1997
$0
4564
of examination of the deed
1645
07/01/1994
$210,000
Sales which are qualified
4184
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 Appra
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.govfinfo/disclaimer.asp
https://www8.miamidade.gov/Apps/PA/propertysearch/ 10/31/2019
E
I
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR CONSTRUCTION PERMIT
Permit Application Number.
prnn no ----, I ---PART 11=aSITEPLAN---------------------------
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Notes:
Site Plan submitted
Plan Appro
By
y�
I/
1�
�_ ,,._ .aces` •- r;na, rrt2 �.- �/l+� ..- e.
J
bo .5 Ltlo� + 011 bG+ ng ana A re;ns0ec a 2
tttl2 acrao
ti�nSU�T�eda`t
Not Approved_ e he�+accol +5 nJ Date
`on
'f County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 2 of 4
(Stock Number: 5744-002-4015-6)
PERMIT #: 13-SC-1739787
STATE OF FLORIDA APPLICATION #: AP1275826
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID:
SYSTEM FEE PAID:
CONSTRUCTION PERMIT
RECEIPT #:
DOCUMENT #: PR1050777
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (285 NW 98 ST Inc)
PROPERTY ADDRESS: 285 NE 98 St Miami, FL 33138 �
JPIUMBING PLANS
LOT: 22 23 BLOCK: 32 SUBDIVISION: Aa
gf ffi rn `O SHIP, RANGE—, PARCEL;-NiROWrR4-
PROPERTY ID # : 11-3206-013-4430 b Dia Ct
[OR T I ER3----________
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 New 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 2Z5] • SQUARE FEET New Trench Conf. Drainf. SYSTEM
001,
' R [• 0 ] SQUARE- FEET SYSTEM
•
0:OAOPRPE S2;?W4a •[X] %TANDARD [ ] FILLED [ J MOUND [ ]
•
•'I CONFIGURATION: jx]•TRENCH [ ] BED [ ]
"' LV— • ••000
• "� S,OCATIQN %E BENC) K►:• 10.20' NGVD: CROWN OF ROAD
• • • •00
I ELEVA710M •OF PROPOS?C •SYSTEM SITE [ 2.88 ] [ INCHES FT J [ABOVE BELOW ] BENCHMARK/REFERENCE POINT
• • • • • 0000
• ' OBOTTOM• I)PODRAINAZIT)• SO BE [ 39.12 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
•
•' D FILLO REQ�SRED : • • •[e 0.00 ] INCHES EXCAVATION REQUIRED: [ 54.00 ] INCHES
••••••
O
T
H
E
R
1.• fnsfat a lirU ;;i:septic tank with an approved filter
2.- tAg Ticensed 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 225 sf. of drainfield in TRENCH configuration.
4.- Install 12" of slightly limited soil at the bottom of the drainfield.
5.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or trench.
(Comments Continued on Page 2.)
SPECIFICATIONS BY:
TITLE:
APPROVED BY:
TITLE: ENGINEERING SP ST I
Yvenel Clermont
DATE ISSUED:
02/23/2017
DH 4016, 08/09
(Obsoletes all previous
editions which may .n8 e
r�
Incorporated:
64E-6.003, FAC
v 1 A, 4
AP12 .1)82E OIS• •.
a
51 �.1e
K,PMPJWION DATE:
4,rr+ Vade County
Dade CHD
05/24/2017
Page 1 of 3
n
DOCUMENT #: PR1050777
6.- Invert elevation of drainfield to be no less than 7.44' NGVD
7.- Bottom of drainfield elevation to be no less than 6.94' NGVD
8.- This permit includes the abandonment of the existing septic tank.
System specifications performed by DAY and NIGHT.
S 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
400 gpd.
Required drainfield area based on rule 64E-6.015(6)(c)2.
Install a new drainfield to achieve Drainfield size requirement.
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.
IN , pLANs
pLZJNiB DaLe
Appr°red
D,Sappr°red
•••••• • • • •• ••
•••••• •••• • •
•
•
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.
G 4LA,�S
NV
VoVe
BUILDING
PERMIT APPLICATION
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
7_�_ * Iff-t : t V, 1 —1.
MAR ,3 2017
BY: �`�-�(
,5- n
FBC 201q
Master Permit No. 01 1 --:) "'SADZ .
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
19 PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: *?X Aj U_ CW* cST
City: Miami Shores County: Miami Dade Zip: 33 _
Folio/Parcel#: / 3206 __0(3 41y1:30 Is the Building Historically Designated: Yes NO �!
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: _
OWNER: Name (Fee Simple Titleholder): Jlw'me gTh()k\ 0 14,(. Phone#:
Address: 5�� AJ67
City: Lt , atut. Shot-eo State:
Tenant/Lessee Phone#:
Email: I (/$ � 1_e c, cLyo_1 dint 40-jaMW - c-om
CONTRACTOR: Company Name: &&k( Q Ly[ n 6 i" e ka Phone#: A��-2 G
Address: g2 F� 201No (be) S ilf `-� �t'!
City: 4 k r State: � Zip:
Qualifier Name• _ns'a B/11 1210mr Phone#: 7& =2 5C-E-LE��
State Certification or Registration #:.Q i 1 Certificate of Competency #: 4 Oe*4� t:
DESIGNER: Architect/Engineer: Phone#:
Address:2 &!C M F__ Q3Z '/1T City: 16d A/4 $qg&-State:
IL Zip:
Value of Work for this Permit: $ '7 fDb Square/Linear Footage of Work: �2fjr.
Type of Work: ❑ Addition ' i yp ❑ Alteration [� New ❑: Repair/Replace /❑� DeFnolition
Description of Work: I N (4 11 069 �,lfc �(� %. �11ve 41110 2Z S 4�i-6- 04( �A�
- Y
Specify color of color thru the:
Submittal Fee $ 50 . Permit Fee $ ,1!9-
Scanning Fee $ I Q Radon Fee $ '2 .3 b
Technology Fee $ ! Training/Education Fee $
Structural Reviews $
CCF $ 3 • V ` • CO/CC $
DBPR $ 2 .3 6 Notary $
Double Fee $
Bond $
boo
(Revised02/24/2014)
TOTAL FEE NOW DUE $ C/Z ( . "7?—
116 .7 z
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
1
r
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this Th oregoing instru ent was acknowledged before me this
�j� day/o�f' 1'14AI. 4 120 h 7 by � day, of
Marc-,' \ 20 �� by
y✓!'><lE� t�L�UL�(,C1 who is personally known to s' -r0sc wlQn� ,who is personally known to
me or who has produced as me or who has produced QC (Sz { �ZDO
identification and who did take an oath. identification and who did take an oath. r jCDY Jc G
i GGr�$ (�-
Sea I:
NOTARY PUBLIC:
Sign:
Print:
Seal:
MAHARAIK.GONZALEZ
EXPIRES: November 2, 2020
Bonded Thru Notary Public underwriters
************************************************************************************************************
APPROVED BY "4-11 Plans Examiner
Zoning
Structural Review
(Revised02/24/2014)
Clerk
_ S
1 (40Z
DIVISION OF
Environmental Health A
�< Floridaa Health ' RAO
Miami -Dade County FO
O OS.rDSfWejl Division
Miami, FL 33175
/
'Q 1I805 SW 26th Street •
a Date
Inspector s� OSTDS #
Address
S
Comments:
Signature