PL-19-1281Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/12/2019
Location Address Parcel Number
431 NE 100TH ST, Miami Shores, FL 33138 1132060170500
Contacts
Permit NO.: PL-06-19-1281
Permit Type: Plumbing - Residential
Work Classification: Septic
Permit Status: Approved
Expiration: 06/01/2020
ERIN HALLORAN Owner SOUTHERN SEPTIC AND LIFT STATION Contractor
451 NE 91 ST, MIAMI SHORES, FL 33138 CORP
Other: 3522623193 ROBERTO RODRIGUEZ
12040 SW 118 ST, MIAMI, FL 33186
Business: 3055988266
Description: TANK AND DRAIN FIELD REPLACEMENT Valuation: $ 2,000.00 Inspection Requests:
305-762-4949
TotalSq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Notary Fee
$5.00
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$122.10
Payments
Date Paid Amt Paid
Total Fees
$122.10
Credit Card
06/12/2019 $72.10
Credit Card
06/04/2019 $50.00
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 Afl' IDA I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
requlat' co ruction an oning. Futhermore, I authorize the above named contractor to do the work stated.
S
/ A41icant / Contractor / Agent
Date
June 12, 2019 Page 2 of 2
c
Miami Shores Village
JUN 4 201
Building Department Y.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F jBC 20rr G�
BUILDING Master Permit No.- (; 0
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
FM-IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 431 NE 100 STREET
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#:11-3206-017-0500 Is the Building Historically Designated: Yes NO X
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ERIN HALLORAN Phone#: _
Address:431 NE 100 STREET
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name: N/A Phone#:
Email:
CONTRACTOR: Company Name: SOUTHERN SEPTIC Phone#: 305-598-8266
Address: 21051 SW 234 STREET
City: HOMESTEAD, State: FL Zip: 33031
Qualifier Name: ROBERTO RODRIGUEZ Phone#: 305-598-8266
State Certification or Registration #: SR0021421 Certificate of Competency #:
DESIGNER: Architect/Engineer: N/A Phone#:
Address: City: State
Value of Work for this Permit: $ 2-040 Square/Linear Footage of Work: _
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace
Description of Work: TANK AND DRAIN FEILD REPLACEMENT
Specify color of color t ru tile:
Submittal Fee
$ 1 Permit Fee $ I00 CCF $_
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $
Structural Reviews $
Training/Education Fee $
Zip:
❑ Demolition
CO/CC $
i Notary $_
Double Fee $ Q
Bond $ rV"�� S �]
TOTAL FEE NOW DUE $ Z 1,
(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
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 on estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature �.� Signature C).
OWNER or AGENT NTRACT R
The foregoing instrument was acknowledged before me this The foregoing instrume t w s acknowledged before me this
12 day of i 6 20 by d of 20 by
i%a M 01140 Ulil _, who is personally known to Y 1 1�Y� Z who is p rsonally known to
me or who ha�rocl �I �Q r (1 C� S`Q as me or voioNs produce � I C�QY1S as
identificatio and ho did t e an oath. identifi ation nd ho di take an oath.
NOTARY PU LIC: NOTAR PUBL : �\��NgNV PR/FT /
Sign: O Sign:
Print: &WRA Print: O
Seal: Seal: e� �e/•�o
tiKt`?v� MY COMMISSION II FF 24031,
EXPIRES: March 25,202
2
.f*iB6d'11ifi�$�l�fe1�*ri��***********************************************************
APPROVED BY C 5 lg Plans Examiner Zor
Structural Review Clef
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Erin Hollaran
PROPERTY ADDRESS: 431 NE 100 St Miami, FL 33138
LOT: 16 17 BLOCK: 90 SUBDIVISION:
PROPERTY ID (I: 11-3206-017-0500
PERMIT (t:13-SC-1963660
APPLICATION # : AP1416861
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PR1228901
Miami Shores Sec 4
[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 [ 1,050 ] GALLONS / GPD New Septic Tank CAPACITY
A ( 0 ] GALLONS / GPD CAPACITY
N ( 0 J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K ( ] GALLONS DOSING TANK CAPACITY [ ]GALLONS U ]DOSES PER 24 HRS $Pumps L
D [ 400 ] SQUARE FEET
R ( 0 ] SQUARE FEET
A TYPE SYSTEM: [x]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK:
New Drainfield Bed conf. _ SYSTEM
SYSTEM RE( AIR PU'�ifIT
STANDARD L l FILLED ( ] MOUN7L01R1] , ! i
Lit t ttprry ..;:1>iJI- ��''►���]]AIE CoUtI �
TRENCH [x] BED I l ! '�%M �!�`iL..j 1-O t j� ...1'i✓G S J`B
C/L of NE 100 ST: 9.27' NGVD. C
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
[ 3.00 ][INCHES FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT
[ 33.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00 1 INCHES EXCAVATION REQUIRED: L 48.001 INCHES
1.- Install a 1,050 gal. septic tank with an approved filter
0 2.- The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
T with s. 64E-6.013(3)(f) FAC.
H 3.- Install 400 sf. of drainfield in BED configuration.
4.- Install 12" of slightly limited soil at the bottom of the drainfield.
E 5.- Invert elevation and Bottom of drainfield to be no less than 7.02' & 6.52' NGVD respectively.
R THIS PERMIT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
19
TITLE:
TITLE: Environmental Manager
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v AP1416861
Dade CHD
EXPIRATION DATE: 09/01/2019
SE1178292
Page 1 of 3
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N[,Q3Y• Proudly Serving
M� ND the Florida Real
ME LAND r. i tom` Estate Community
for Over 20 Years
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WWW.MGI.ANDSGRVICF.S.COM
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Accepted By:
Property Address:
Notes: FENCES ENCROACH OVER EAST LOT LINE.
431 N.E. 100 Street
Miami Shores, FLORIDA 33138
SURVEYOR'S CERTIFICATION: I HER
CORRECT R ESCNTATION DF
WITHTHEMINIMUMTECHN
THAT THIS BOU NDARY SURVEY IS A TRUCAND
®VNDER MY DIRECTION. THIS COMPLIES
ORTHBYTHESTATEOFFLORIDA BOARDOF
M.E. Land Surveying,Inc.
10665 SW 190th Street
- -
FIR ESSIONPL LAND` R
ADMINISTRATIVE CODE PUR
THROUGH SJ-17-05Z FLORIDA
TATUES.
Suite 3110
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SIGNED
FOR THE FIRM
Miami, FL 33157
ME LAND_
EFRAIN LOP
Phone: (305) 740-3319
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STATE OF FL
P.S.M. No. 6792
Fax: (305) 669-3190
NOT VALID WITHOUT AND AU
ELECTRONIC SEAL AN D/OR THIS MAP IS
IC SIGNATU REAND AUTHENTICATED
ALA WITHOUT THE SIGNATURE AND THE ORIGINAL
LB#: 7989
Survey #:B-46890 Client File #: FTGI8-0155 Page I of 2 Not Valid without all pages
Surveyor's Legend
PROPERTY LINE
STRUCTURE
iN0 rOUIID IRON PIPEFACILITIES.R. BEARING REFERENCE TEL TELEPHONE FACILITIES
/
e1� CONC. BLOCK WALL
PIN AS NOTED ON PLAT t, CENTRAL ANGLE OR DELTA U.P. UTILITY POLE
—X—X— CHAIN-UNK FENCE OR WIRE FENCE
LB# LICENSE it - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX
WOOD FEN"
LSO LICENSE # - SURVEYOR RAD. RADIAL M SEP. SEPTIC TANK
—e--o— WON FENCE
CALL CALCULATED POINT N.R. NON RADIAL D.F. DRANRKU)
—�-- EASEMENT
M SET PIN TYP. TYPK:AL A/C AIR CONDITIONER
— - — CENTER LINE
A CONTROL POINT I.R. IRON ROD S/W SIDEWALK
WOOD DECK
CONCRETE MONUMENT I.P. IRON PIPE OWY DRIVEWAY
BENCHMARK NRD NAIL R DISK SCR, SCREEN • • • • •
CONCRETE
EIEV ELEVATION IK NAIL PARKER-KAIAN MIL OAR • OARAt@ • • • •
®P.T.
ASPHALT
• • •
POINT OF TANGENCY D.M. DRILL HOLE ENCL •EDCLOSLOE 0000
P.C. FORT OF CURVATURE ® WELL N.T.i • VT♦TJ =CALL • • • •
BRICK / TOLE
P.R.M. PERMANENT REFERENCE MONUMENT 13 FIRE HYDRANT T.P. FIN*LIED FLOOR
••••••
P.0•
.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T.O.B. TOP OF BANK
WATER
• • • •
P.R.C. POINT K REVERS[ CURVATURE O.xl. OVERHEAD LINES [.0.W, Il•WATCR
APPROXIMATE EDGE OF WATER
•
P.O.B. POINT OF K"NING Tx TRANSFORMER E.O.P •Oa@ OF PAVEMENT • • • •
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' P.O.C. POINT Of COMMENCEMENT CATV CAKE TV RISER C,V.% • W4F" VALLEY CUTTER• • •
yca" COVERED AREA
L.�
I.C.P. PERMANENT CONTROL POINT W.M. WATER METER B,S,I_ d1NWN4•SETBACK LINE
0 TREE
• • • •
M FIELD MEASURED P POOL EOIRPMENT 1 • •
n S.T.L SURVEY TN IRIC
0 POWER POLL
P PUTTED MEASUREMENT COMC. CONCRETE 3LAB ¢:•CE4EI yNE •
® CATCH BASIN
D DEED EM EASEMENT R/WO RIGHT-OILWAY • •
C.U.E. COUNTY {ITR1Fl EAS[YCNT
C CALCULATED • • • • •
O.E. DRAMAOE EASEMENT P.UP PU"UTXITY EASEWNT
LE./E.C. INGRESS / EGRESS EASEMENT
L11.[. LAKE OR LANDSCAPE PAINT. EM. I.B.E. LANDSCAPE BUAFR EASEMENT C.LI.E. • VI"LL 4,ruiUmea jA •
U.C. UTILITY EASEMENT
R.O.E. ROOF OVERHANG EASEMENT LA.E. LIIINED ACCESS EASEMENT A.E. EASEMENT ET • •
• • • •
Property Address:
General Notes:
1.) The Legal Description used to perform this survey was supplied by others.
431 N.E. 100 Street
This survey does not determine or is not to imply ownership
Miami Shores, FLORIDA 33138
2.) This survey only shows above ground improvements.
Underground utilities, footings, or encroachments are not located on this survey map
3.) If there is a septic tank, well, Or drain field on this survey,
Flood Information:
the location of such items was shown to us by others and the information was not verified.
4.) Examination of the abstract of title will have to be made to determine recorded instruments, if any, effect this prop
Community Number: 120652
erty.The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the pl
Panel Number: 12086CO302L
at
Suffix: L
6.) Wall ties are done to the face of the wall.
6.) Fence ownership is not determined.
Date of Firm Index: 09/11/2009
7.) Bearings referenced to line noted B.R
Flood Zone: X
8.) Dimensions shown are platted and measured unless otherwise shown.
88Se Flood Elevation'
9.) No identification found on property comers unless noted.
'
10.) Not valid unless sealed with the signing surveyors embossed seal.
Date of Field Work: 09111 /2018
11.) Boundary survey means a drawing and/or graphic representation of the survey work performed in the field, cowl
Date of Completion: 09/14/2018
d be drawn at a shown scale and/or not to scale
12.) Elevations if shown are based upon NGVD 1929 unless otherwise noted
13.) This is a BOUNDARY SURVEY unless otherwise noted.
14.) This survey is exclusive for the use of the parties to whom it is certified. The certifications do not extend to any u
nnamed parties.
15.) This survey shIN not be used for construction/permitting purposes without written consent from the land
surveyor who has signed and sealed this survey.
Legal Description:
Lot 16 and 17, of Block 90, of AMENDED PLAT OF MIAMI SHORES SECTION NO.4, according to the plat thereof, as recorded in
Plat Book 15, Page 14, of the public records of Miami -Dade County, FLORIDA
Printing Instructions:
Certified To:
While viewing the survey in any PDF Reader, select the File
Thomas Halloran and Erin Halloran
Drop -down and select "Print'. Select a color printer, if available;
Focus Title Group
or at least one with 8.5" x 14" (legal) paper.
National Title Insurance Company
Select ALL for Print Range, and the # of copies you would like to
its successors and/or assigns as their interest may appear.
print out.
Under the "Page Scaling" please make
sure you have selected
Please copy below for policy preparation purposes only:
"None".
Do not check the "Auto -rotate and Center" box.
This policy does not insure against loss or damage by reason of the following
Check the "Choose Paper size by PDF' checkbox, then click OK
exceptions: Any rights, easements, interests, or claims which may exist by reason
to print.
of, or reflected by, the following fads shown on the survey prepared by Efrain
Lopez dated 0911412018 bearing ,lob # B-46890 :
a. FENCES ENCROACH OVER EAST LOT LINE.
M.E. Land Surveying, Inc.
10665 SW 190th Street, Suite 3110 Miami, FL 33157
ME AND
ME ND
Phone: (305) 740-3319 — \
Fax: (305) 669-3190
LB#: 7989
Survey #:B 46890 Client File #: FTGI 8-0155 Page 2 of 2 Not valid without all pages