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DS-19-1738 (2)PROPERTY ADDRESS: 1421 NE 104th STREET MIAMI SHORES, FL 33139 FLOOD ZONE INFORMATION: COMMUNITY NO. 120862 PANEL NO.0309 SUFFIX L FIRM DATE WI1.2009 FLOOD ZONE AE ♦9.W LEGAL DESCRIPTION: LOT 6, BLOCK 3, OF 'RIVER BAY PARK ADDITION', ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, AT PAGE 72, OF THE PUBLIC RECORDS OF MLAMPOADE COUNTY. FLORIDA. SURVEYOR'S NOTES: LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT. THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF A BOUNDARY SURVEY LEGAL DESCRIPTION SUBJECT TO ANY DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR RECORDED EASEMENT'S. THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT SHOWN ON THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF ABAMI-OADE COUNTY, OR THE RECORDS OF ANY OTHER PUBLIC AND PRIVATE ENTRIES AS THEIR JURISDICTIONS MAY APPEAR. THIS SURVEY DOES NOT DELINEATES THE REGULATORY JURISDICTION OF ANY FEDERAL, STATE, REGIONAL OR LOCAL AGENCY BOARD, COMMISSION OR OTHER ENTITY. THE ELEVATIONS OF WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY OF 1110 FOOT FOR NATURAL GROUND SURFACES AND 5/100 FOOT FOR HARDSCAPE SURFACES, INCLUDING PAVEMENTS. CURBS AND OTHER MAN-MADE FEATURES AS MAY EXIST. WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF Ill FOOT UNLESS OTHERWISE SHOWN. THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE STATED GRAPHIC SCALE IN ENGLISH UNITS OF MEASUREMENT. ATTENTION IS BROUGHT TO THE FACT THAT SAID DRAWING MAY BE ALTERED IN SCALE BY THE REPRODUCTION PROCESS ALL MEASUREMENTS SHOWN ARE IN THE UNITED STATES STANDARD FEET REFERENCE BENCH MARK: GNSS Stg6tw SWDnH-O.07,SWDevV=0.OY,ReBD=606, Re1Lal-K25'57'56.76796',RetLomWBO' iGO2.22280'•ReMpt-N.99', SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP, POSSESSION OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL SUBSURFACE IMPROVEMENTS ANWOR ENCROACHMENTS WITHIN, UPON. ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT LOCATED AND ARE NOT SHOWN. NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS AND DELETIONS TO THIS MAP OF SURVEY BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY. THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY UNNAMED PARTY. CERTIFY TO SURVEYOR'S CERTIFICATION: W MY PROFESSIONAL OPINION, THIS *BOUNDARY SURVEY', MEET$ THE STANDARDS OF PRACTICE AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 5J-17.05 FLORIDA ADMINISTRATIVE CODE. PURSUANT TO SECTION 472.D27, FLORIDA STATUTES. AND, IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. 360' SURVEYING AND MAPPING, LLC FLORIDA CERTIFICATE OF AUTHORIZATION NO. LS 6356 OSCAR E. BAEZ-CUSIDO, PL.S. REGISTERED SURVEYOR AND MAPPER NO.5034 STATE OF FLORIDA MrA P O F' SOU Iit E�Y 1� .S a BISCAYNE CANAL _ l`fFI FOUND DRILL HOLE ®0.3' US 7 CONC. SEAWALL 5 tJ —�I ON C9JV1' / / t PAA ODI 5 /Fell J _ OA' 4' H. C.B.S. WALL �7 l '-b 0A\ ASPHALT DRIVEWAY I I 'SECORNER LOT I BLOCK 6 "ry at —�375.0 "aCON6,Si4,EwtiDt, •-;'7$,q0�.. F.LP.IB FAP.10 (NO ID.) (NO ID) a, ASPHALT 12'PARKWAY - ) APPROACH NE 104th STREET _ _5O' PUBLIC RIGHT-OF-WAY 18' ,A ASPHALT PAVEMENT FOUNDORILL HTMEG0.3_OISS. Memo,", I LOCATION MAP (NOT TO SCALE) 10041k, N Adt�hl SCALE: 1" = 20' LEGEND ABBREVIATIONS AIC UNIT AC' AR OONDTRONER UNIT ELEVATION C.L.F.' CHAIN LINK FENCE .`i FIRE HYDRANT C.SS.CONCRETE BLOCK S STUCCO ® METER (WATER) CONC.=CONCRETE �'� _Deu61 Wi �E}/ F.F.EL=FINISHED FLOi� OR�L VATK7N R. J HEIGHT i Ha F.I.P.I0 • O N-wQAR34d d b � a6oJd 1PM 'S'G'-Q§cp! T -- /4�unoo aped-we'V4 u111c8r4• Wold - NOIlO:r80 ON JdmL i1 PROPERTY ADDRESS: 1421 NE 104th STREET MIAMI SHORES, FL.33138 "Y•, FLOOD ZONE INFORMATION: COMMUNITY N0. 120652 PANELNO.0306 SUFFIX:L FIRM DATE: 09.11.2009 FLOOD ZONE: AE+9.0'rrv,- �1 LEGAL DESCRIPTION: LOT 6, BLOCK 3, OF "RIVER BAY PARK ADDITION', ACCORDING TO THE PLpTTHE�OF, RECORDED IN PLAT BOOK 40. AT PAGE 72, OF THE PUBLIC RECORDS OF MWMY-DADE COON , FLORIDA. SURVEYOR'S NOTES: LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF BOUNDARY SURVEY LEGALDESCRIPnONSUBJECTTOANYDEDICATIONS, LIMITATIONS, RESIRICTIONS, L- RESERVATIONS OR RECORDED EASEMENTS THERE MAYBE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT SHOWN ON THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, OF � OR THE OF ANY OTHER PUBLIC AND PRIVATE ENTITIES AS THEIR JURISDICTIONS', �R MAY APPEAR THIS SURVEY DOES NOT DELINEATES THE REGULATORY JURISDICTION OF ANY FEDERAL, STATE, REGIONAL OR LOCAL AGENCY BOARD, COMMISSION OR OTHER ENTITY. THE ELEVATIONS OF WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY OF 1110 FOOT FOR NATURAL GROUND SURFACES AND 5110D FOOT FOR HAROSCAPE SURFACES, INCLUDING PAVEMENTS, CURBS AND OTHER MAN-MADE FEATURES AS MAY EXIST. WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1110 FOOT UNLESS OTHERWISE SHOWN. THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE STATED GRAPHIC SCALE IN ENGLISH UNITS OF MEASUREMENT. ATTENTION 15 BROUGHT TO THE FACT THAT SAID DRAWING MAY BE ALTERED IN SCALE BY THE REPRODUCTION PROCESS ALL MEASUREMENTS SHOWN ARE IN THE UNITED STATES STANDARD FEET REFERENCE BENCH MARK: GNSS Statls0cs SldDevH=0.02',SldDevV=0.03',ReRD=606, Regal-N25°ST56.76786",RefLon=W80°10'02.22280-,RefHgl=•56.98', SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP, POSSESSION OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL. RECEIVED JUL 2 9 2019 MrAP J L Q C �= 1>— c z Cr W � L z Q rvi� iPOU D DRILL 05 HOLE 0.3'CIS S. _ —� C � v - ' � N O F'-' S' ARM- E�Y OP u BISCAYNE CANAL a e / / o oma J / w 0.0 / SUBSURFACE IMPROVEMENTS AND/OR ENCROACHMENTS WITHIN, UPON, ACROSS, ABUTTING �� c OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT LOCATED AND ARE NOT SHOWN. `J� NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SEYOR AND MAPPER. ADDITIONS AND DELETIONS TO THIS MAP OF SURVEY BY OTHER I THANURVTHE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRIT TEN CONSENT OF THE SIGNING PARTY. THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY UNNAMED PARTY. I BE CORNER LOT 1 BLOCK 3 CERTIFY TO: 375.0' F.I.P.40 SURVEYOR'S CERTIFICATION: (NO ID.) IN MY PROFESSIONAL OPINION, THIS'BOUNDARY SURVEY", MEETS THE STANDARDS OF PRACTICE AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 5J-17.05 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. AND, IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. 360' SURVEYING AND MAPPING, LLC - FLORIDA CERTIFICATE OF AUTHORIZATION NO. LB 6356 OSCAR I- BAEZ-CUSIDO, PA-S. REGISTERED SURVEYOR AND MAPPER NO.5034 STATE OF FLORIDA. SEAWALL ?% ASPHALT ,�. DRIVEWAY I FOUND DRILL )LE 0030/S S. • i • I • • V) u LCL}IOI&AP Y � N ma< m pp 8 Uj SCAi9: 1C02 ® it?No- Q 01 LEGEND 0- � �.� REVIATIONS 11 j, `-`6j AIC UNIT C 1 •'^=AIR CONDMONER UNIT ELEVATION G <.=CHAIN LINK FENCE .tl FIRE HYDRANT C.B.S.= CONCRETE BLOCK B STUCCO © METER(WATER) CONIC. = CONCRETE BROpERTY LIiV =DIAMETER ,�.. //1� UTILITY POLE F.F.EL.-FINISHED FLOOR ELEVATION � o� L ✓/ o� � Lam, \.�4A_N< N% _ 7�..-F.IP.= RON PIPE 1.\41CICH=HEIGHT e: .•''. �W F.I.P. 0 ID.=IDEN FICATION ' L� SPH (NO ID.) j�j \ x - FSET 1ZPARKWAY AP ACH `� �JIC.Q� •, PG.=PAGE �. P.B. =PLAT BOOK NE 104th TREET Stl PUBLIC RIG T-OF-WAY _ 18'�I-ASPHAL PAVEMENT 360° SURVEYING AND MAPPING, LLC ORIGINAL DATE sz FIELD o:•zo16 Land Surveyors - Land Planners OBNO. 18050095 SHEET 2000 S.W. 83Td Court MIAMI, FLORIDA 33155 REV1S1OX9 1/1 PHONE: (305) 265.1002 -cam R p "�I-ems . b\ pus -t— SgQ0-)e © �. NO Florida He O.S.T. Application N Date: Signature — Notes STATE OFFLORIDA DEPARTMENT OF HEALTH APPLICATION FOR CONSTRUCTION PERMIT _ I , BJECTION'' %' Ith Miami -Dade County Y; .S. W II 1 �`- t [00 Site Plan submitted by; Plan Approved By i c, s2 c_r�ny\ OBI. Not Approved �) k -th I.S 't' itc ' r Date�,/2I Ilk 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 (Stock Number: 5744-0024015-6) Page 2 of 4 STATE OF FLORIDA PERMIT # . DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: ERNESTO MARQUEZ /HENRY DOW AGENT: MR. CS PLUMBING & SEPTIC INC. LOT. 6 BLOCK: 3 SUBDIVISION: RIVER BAY PARK PROPERTY ID # : 11-2232-032-0060 I Section/Township/Parcel No. or Tax ID Number ] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: IV(] YES I ] NO NET USABLE AREA AVAILABLE: 0.20 ACRES TOTAL ESTIMATED SEWAGE FLOW- 300 GALLONS PER DAY [ RESIDENCES -TABLE I j AUTHORIZED SEWAGE FLAW: 500 GALLONS PER DAY f 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 450 SQFT UNOBSTRUCTED AREA REQUIRED: 450 SQFT BENCHMARK/REFERENCE POINT LOCATION: FFE 4.1' ELEVATION OF PROPOSED SYSTEM SITE IS 8.4 [INCHES ] [ABOVE ] BENCHMARVREFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER:109 FT DITCHES/SWALES: NA FT NORMALLY WET? [ I YES [✓j NO WELLS: PUBLIC: NA FT LIMITED USE: NA FT PRIVATE: NA FT NON —POTABLE: NA FT BUILDING FOUNDATIONS: i.5 FT PROPERTY LINES: 12 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING: [ I YES [✓I NO 10 YEAR FLOODING? I I YES 1✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION:4.8 FT MSL/NGVD :SOIL, PROFILE INFORMATION SITE 1 MONSELL #/COLOR TEXTURE DEPTH I OYR 3/1 DG SAND FILL 0 TO 40 REFUSAL FRAC ROCK 40 TO 40 TO TO TO TO TO TO TO USDA SOIL SERIES: URBAN LAND SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH IOYR 3/ 1 DG SAND FILL 0 TO 40 REFUSAL FRAC ROCK 40 TO 40 TO mn mn TO TO TO USDA SOIL SERIES: URBAN LAND OBSERVED WATER TABLE:>72 INCHES [BELOW I EXISTING GRADE. TYPE :[APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION:21.6 INCHES [.BELOW I EXISTING GRADE HIGH WATER TABLE VEGETATION: I I YES [,(I NO MOTTLING- I I YES [,/I NO DEPTH -NA INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: TABLE VI DEPTH OF EXCAVATION:O INCHES DRAINFIELD CONFIGURATION: I I TRENCH [,(I BED I I OTHER {SPECIFY) REMARKS/ADDITIONAL CRITERIA. HWT 3.0' AS PERMIAMI DADE CONTOUR MAP DATE: // !3 DR 4015, 08/09 (Obsoletes previous editions which may not be used) incorporated: 64E-6.001, FAC Page 3 of 4 STATE OF FLORIDA PERMIT # _ DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION CONTRACTOR / AGENT: LOT. BLOCK: / SUBDIV: `V-C( �3a ID#: t I 2 2 2- O;2- a€54;0 TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR - OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED. EXISTING TANK INFORMATION GALLONS IC TAPIR CPD ATU LEGEND: r/`7' " ' MATERIAL: BAFFIID: jY / e I ] GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL: BAFFLED: / N] [ ] GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL: [ ] GALLONS DOSING TANK LEGEND: MATERIAL: # PUMPS:[ 7 I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON // 7 I(� BYE I VV - G5 (-L`I" + Ph t- , HAVE THE VOLUMES SPECIFIED AS DETERMINED BY f D S�O� FILLING / LEGEND ], ARE FREE OF OBSERVABLE DEFECTS OR LEAKS, AM,(HAVE -SOLIDS DEFLECTION / OUTLET FILTER DEVICE 7 INSTAL •D. r^ It^ .�l j'• i' ro + Sc p j- t G r2-• ( 1 J- SIGNATURE OF LICENSED CONTRACTOR BUSINESS NAME DATE EXISTING DRAINFIELD INFORMATION ( p,007 SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES j ] DIMENSIONS: LO X l j ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: X TYPE OF SYSTEM: j`] STANDARD ( ] FILLED [ ] MOUND j CONFIGURATION: ( ] TRENCH [>Oj BED ( ] DESIGN: ( ] HEADER [ ] D-BOX [ �`�� GRAVITY SYSTEM j ] DOSED SYSTEM TIZELEVATION OF BOTOF DRAINFIELD IN RELATION T�EXISTING GRADE _ INCHES [ ABOVE / SYSTEM FAILURE AND REPAIR INFORMATION j>� ] SYSTEM INSTALLATION DATE TYPE OF WASTE j DOMESTIC [ ] COMMERCIAL j goo GPD ESTIMATED SEWAGE FLOW BASED ON j ] METERED WATER j/'k] TABLE 1, 64E-6, PAC SITE j ] DRAINAGE STRUCTURES [ ] POOL [ ] PATIO / DECK j PARKING CONDITIONS: [ ] SLOPING PROPERTY I NATURE OF I 1 HYD OVERLO [ ] SOILS [�] MAINTENANCE [ STEM D G FAILURE: [ ] DRAT E / RUN OFF [ 7 ROOTS ] WATER TABLE [ FAILURE [ ] SEWA 0 GROUND [ 3 TANK I ] D BOX/HEADER [ ] DRAINFIE SYMPTOM: [ ] PLUMS NG BACKUP ( ] REMARKS/ADDITIONAL CRITERIA ` SUBMITTED BY: TITLE/LICENSE S&Z)6 DATE: l //' �' � /� � � l0 DH 4015, 08/09 (Obsoletes previous editions which may not be used) �.' ("Gj /l� Incorporated 64E-6.001, FAC Page 4 of 4 �-_.. Mr, us PIumbing & Septic, Inc. YOU CLOG IT - WE CLEAR IT S Mailing Address. RO. Sox 693239 Miami FL. 33269 WORK ORDER / INVOICE 60576 Ph: Dade:- (305) 651 - 7859 / (305) 651 - 5652 Date of Drier Nome rel. Ph: Brow: (954) 927 - 2140 Fax: (305) 651 - 5610 work Tel. POL No. ❑ Commercial HRS approved SR0061536 Licensed & insured Slartingw- Residential TO: peli o. LS — LD j , Job'W S:_E'R V-1 C -E S .; _ _ R E E`R:_ :-D PUMP-0v1 O}Si TANKS SNER-JE1 COST. CiTHER°S_ERVtCI= Septic Tank COST p Pressure clean tank ��� �� ❑ Tank Lid ❑ Grease Trap I] Drainfield Jetting Q Wank Repair ❑ Storm Drain J Catch Basin C Jet main tine ❑ Baffle Repair 1 installation ❑ Catch Basin / French Drain = ❑ Jet incoming - Tine Q Line Repair / installation ❑ Lift Station / Holding Tank ❑ Jet outgoing - tine n Locate tank ❑ ❑ Soakage Pit Sludge / Grease removal ❑ ❑ Jet internal - tine Jet lateral tine tj ❑ Septic an Inspectiono Snake Line ❑ Dirt/ Sand removal ❑ ❑ Clear Toilet t� ❑ 0 Plumbing Repair ❑ X Hours ❑ X Hours - ❑ X Hours :Sti6-70TA4-<I fsi- —;SU�ZOTAi _: ::.lfl f: S1fB_y!'OTAL ; == SERVICE:WARRANTY Drainfietd cleaning -use jet machine to remove sludge build - up from'drainfield Warranty is for ninety (90) days failure of the drainnffeld during the'` warranty period Mr. C' s Plumbing & Septic, Inc. will credit $ towards the cost of anew drainfield. Q Drainfield system not working at this time, therefore service ,provided is only temporary and not under warranty! The service provided is a cleaning procedure and not under warranty. Q Jet mainfine - warranty Is for days. Warranty is volded If line is damaged or corroded. PRt}POSED ES7IMATEEL7 t'.ORREC7 _l tC SYS EM =S.C,i2; K ❑ System requires new sq. ft. Drainfield. ❑ System requires new X Tank Lid. ❑ System requires new Galion Tank. ❑ System requires ft. of new tine. tE- 1 C e. Ll ' f SURE 56� , r �� 104 _ WA)6 - tt- S' G!)tp riT. �i5yo %ir+ _ ❑ System requires pressure cleaning / jetting of lines. TOTAL:ESTIWA 0 COST $_ WRITTEN PROPOSAL LEFT-VITH-1CUSTOMER LAYOUT OF SEPTIC SYSTEM - CNA G6 WJe are not responsnbte for roof or water damage or damage QTY. tErwiLE done to Property, pipes or underground utilities or for damns done to old or faulty plumbing. Pumpi oiit UNDER NO CIRCUMSTANCES ARE WE LIABLE FOR CONSEQUENTIAL DAMAGE. Selmer Jet - FO}3 Wt}RK: }ONE PER UNIT AMOUNT /Qa By signing this contract, arslorrer agrees that if payment is not received for services rendered or if collection proceedings aro necessary to Other enforce payment, customer shall be t.WA to Mr. C's plumbing & Sepik Inc. andror assignees for am costs and reasonable attorneys leas ' incurred to enforce ds rights, I Authorze the above services.OMNI - J TOTAL PAiIWtENf nrAft s °- TERMS OF PAYMENT t-�SH `CRFDIT CARD : ❑CA the sa6s�dory t�rr+pletion of tiww c descried above- rr�' FW rfo Mr. Cs Plumbing & Septic, Inc& 19932 ' ff' 2.vn Arenue P. a Box 693239. Afiami, Florida 33269-0239 Dade:(305) 651-785915652 Fax (305) 651-5610 Brow:(954) 927-2140 License # CFC1428729 INSPECTION REPORT Dater' !$ inspected By: C, t6\ca4T Inspection Fee: $ Seim .inv. No. J �(6 , Service Technician property Inspected: NC 16g sf 1Ml-ft'41 Sly � Septic Tank Location: 0 North iS South 0 East %Vilest M Front D Rear D Side Septic Tank Depth- � Its in/11. S+epttc Tank Size: 4Zg- Gals. Tank Baffled: 0 Yes Mi No Type: %$.Concrete. 0 Fiberglass. © Septic Tank Meas.: L: EE-L - - W-. a r--r D: 44 FT Drain field size is approx: 30O sq, ft. No. of Bedrooms 3 ] Water Supply: D VVell P City System adequate 0 Yes E3 No Condition of Tank lids: Eff Satisfactory ❑ Unsatisfactory Needs to be: 0 Replaced 0 Repaired Septic 'Yank Fluid Condition: M Satisfactory fl Unsatisfactory 0 Needs Pressure cleaning 0 Sludge Level: ,_A_ ft Preventative Pump Out To Be Done: 0 ASAP 0 1YR ® 2YR Condition of Absorption Area and Junction Box: 0 Dry 0 Moistened 0 Saturated Any evidence of sewer backup? - ................................................ 0Yes ONO. After running water for several minutes, was Mere any evidence of a possible backup. Dyes WNo. Corrective Measures Needed: Replace Septic Tank $ Mainline Jetting $ Drain field Jetting $ Replace Drain field $ ❑Pressure Cleaning ODirtl Sludge Removal $ Pump Tank Replace Lid Baffle Replacement Mainline Replacement Total estimated cost 3 Remarks: � C--P i ti C S�j 5 r"�`�1 ►S {,t)o 24u�6 f}-7 7�i5�S ?arc Septic systems are underground making it impossible to state, with certainty, their overall condition. all systems require regular maintenance such as pumping. No one can predid when a system will tell. This report comments only on the functionality on the day or inspection and is not a warranty. Reason for inspection: fb�©(,j& A -/WV011"1 5/21/2018 Property Search Application - Miami -Dade County OFFICE OFTHt FROPERT"A" x APPRAISER Summary Report Property information Folio: 11-2232-032-0060 Property Address: 1421 NE 104 ST Miami Shores, FL 33138-2663 Owner ERNESTO MARQUEZ Mailing Address 1421 NE 104 ST MIAMI SHORES, FL 33138-2663 PA Primary Zone 1300 SGL FAMILY - 2801-3000 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 31210 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,118 Sq.Ft Lot Size 8,925 Sq.Ft Year Built 1956 Assessment Information Year 2017 2016 2015 Land Value $477,544 $339,136 $312,324 Building Value $171,752 $171,901 $171,850 XF Value $2,927 $2,935 $2,494 Market Value $652,223 $513,872 $486,668 Assessed Value 1 $264,713 $259,269 $257,467 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $387,510 $254,603 $229,201 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,0001 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). I Short Legal Description I 32 52 42 RIVER BAY PARK ADDN PB 40-72 LOT 6 BLK 3 LOT SIZE 75.000 X 119 OR 15614-1624 0792 1 Generated On: 5I21I2018 Taxable Value Information 2017 2016 2015 County Exemption Value $50moil $50,000 $50,000 Taxable Value 1 $214,713 $209,269 $207,467 School Board Exemption Value S25,000 $25;000 $25,000 Taxable Value 1 $239,713 $234,269 $232,467 City Exemption Value 550,000 $50,000 $50,000 Taxable Value S214,713 $209,269 $207,467 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $214,713 $209,269 $207,467 Sales Information Previous Sale Price OR Book -Page Qualification Description 0710111992 1 $178,000 15614-1624 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 http:/Avww.miamidade.goy/infaldisdaimer.asp Version: OMB No. 1660-0008 ELEVATION CERTIFICATE DMI 1081453 Expiration Date: November 30, 2018. IMPORTANT: in these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE.: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1421 NE 104th St City State ZIP Code Company NAIG Number Miami Shores Florida 33138 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' 0 Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, Vi—V30, V (with BFE), AR, ARiA, AR/AE, .AR/A't A30, AR/AH, AR/AO- Complete items C2.a—h below according to the building diagram specified in Item A7_ In Puerto Rico only, enter meters. Benchmark Utilized: LNEf GPS Vertical Datum: NGVD 1929 indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ❑ NAVD 1988 ❑ Other/Source- Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom flow (including basement, crawlspace, or enclosure floor) 4.1 (@ feet ❑ meters b) Top of the next higher floor 7 5 ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA . ® feet ❑ meters d) Attached garage (top of slab) WA . [R feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.4 Q feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4 8 NJ feet ❑ureters g) Highest adjacent (finished) grade next to building (HAG) $ 2 X❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA NJ feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Q Yes ®No ❑ Check here if attachments. Certifier's Name License Number David J Cliff. PE 52211 ```�e�,,.�"�""`"1+t,�ci� i ,,ram A�\i J.G'L J'►r _ �.�•►U�ENS•'•.=�'c' 7A Title Professional Engineer �• ' *%* Company Name Don Meyler Inspections Cerfifisate of Authorization 27915 r �0 G� s Address 2703 Gateway Dr., Suite A', •..h'20R1 P .•''�" rr''rrr,s"ONAL INN State ZIP C�e Viandi Shorescity Florida33138 .a` 4/5/2018 Signatu , pate Telephone r 415/2018 (954) 972 7311 Copy all pages of this Elevation ti and ail attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments (iincluding type of equipMerR and location, per C2(e), if applicable) LOWEST MACHINERY IS AIC PAD_ THE LATITUDE/LONGITUDE AND ELEVATIONS WERE MEASURED BY A SURVEY -GRADE TOPCON GPS SYSTEM USING THE LENGEMANN REFERENCE STATION REAL TIME NETWORK (L-NET) OR THE FDOT REAL TIME GPS NETWORK. IT IS VALID FOR THE SOLE, EXPRESS PURPOSE OF OBTAINING FLOOD INSURANCE BY THE PERSON OR PERSONS NAMED ON THIS CERTIFICATE, AND FOR NO OTHER USE BY THE NAMED PERSON(S) OR ANY OTHER PARTY. ..- ?j • O FEMA Form 08"-33 (7/15) Replaces all previous editions. X r Form Page 2 of 6 �� 11 Mlsslon: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Dysi Sanchez 12611 SW 143 Lane Miami, FL 33186 / ICl►YIQd HEALTH Vision: To be the Healthiest State in the Nation RE: Contingency Letter Application Document No:AP1426025 Centrax Permit Number: 13-SC-1978453 OSTDS Number: 1421 NE 104 St Miami, FL 33138 Lot:6 Block:3 August 14, 2019 Subdivision: Ron DeSantis Governor Scott A. Rivkees, MD State Surgeon General Dear Applicant: This will acknowledge receipt of an application dated 07/29/2019 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Reviewed on 8/14/2019. No objection for concrete pavers installation, property will remain with three (3) bedrooms. NO BEDROOM ADDITION. NO FLOW INCREASE. From a review of your completed application, it has been determined that your existing system appears to meet the minimum standards of F.A.C. 64E-6 for the proposed use. It is approved for use with the plans submitted to this office. If this system should fail, causing an unsanitary condition to exist, steps must be taken to bring the system into compliance immediately. Department approval of the 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 approval requires the applicant to modify the permit application. Such modification may result in this approval being made null and void. Issuance of this approval does not exempt the applicant from compliance with other Federal, State, or Local Permitting required for development of this property. If you have any questions on this matter, please call our office at (305) 623-3500. Sincerely, Gerard Philizaire, Environmental Manager Florida Department of Health www.FloridaHealth.gov in DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth PHONE: (305) 623-3500 FAX: (305) 623-3645 1 YOUTUBE: fidoh Dysi Sanchez Page two August 14, 2019 Enclosures cc: