PL-09-22-2325Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
9707 NE 13TH AVE, Miami Shores, FL 33138
Contacts
Permit NO.: PL-09-22-2325
Permit Type: Plumbing- Residential
Work Clossification: Septic/Drainfield
Permit Stotus: Approved
Issue Date:09/15/2022 Expiration: 03/15/2023
Parcel Number
1132050090530
JOSE MORAN Owner
ALFONSO SEPTIC SOLUTION Applicant
9707 NE 13 AVE, MIAMI SHORES, FL 33138
SATURNINO ALFONSO
Mobile: 3059870824 losemora2022@hotmall.com
1391 W 36 ST, Hialeah, FL 33012
Other: 3057948849
Business: 7867186460 Alfonsoseptic@gmail.com
ALFONSO SEPTIC SOLUTION Contractor
SATURNINO ALFONSO
1391 W 36 ST, Hialeah, FL 33012
Business: 7867186460 Alfonsoseptic@gmail.com
Description: SEPTIC TANK AND DRAIN FIELD Valuation: $ 5,000.00 1 tion Requests:
305-762-4949
Total Sol Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
DBPR Fee
$2.63
DCA Fee
$2.00
Education Surcharge
$1.50
Permit Fee
$125.00
Scanning Fee
$9.00
Technology Fee
$17.50
Total:
$210.63
Payments
Date Paid Amt Paid
Total Fees
$210.63
Credit Card
09/13/2022 $50.00
Credit Card
09/15/2022 $160.63
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 regoing information is accurate and that all work will be done in compliance with all applicable laws
regula struction and zoning. Fug e, I authorize the above named contractor to do the work stated.
Signature: 04ner /U Applicant / Contractor / Agent
September 15, 2022 Page 2 of 2
ENTERED
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
SEP 13 2022
BY:
FBC 20
Master Permit No. r'--09- ZZ- 2-32S
Sub Permit
❑ REVISION ❑ EXTENSION ❑RENEWAL
RN PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9707 NE 13 AVE
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-3205-009-0530 Is the Building Historically Designated: yes NO X
Occupancy Type: Load: _ _ Construction Type:
Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): JOSE MORAN Phone#:
nay o«. 9707 NE 13 AVE MIAMI SHORES, FL 33138-2545
City: MIAMI SHORES State: FL
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: ALFONSO SEPTIC SOLUTION
Address: 1391 W 36 ST
City: HIALEAH State: FIL. __-
33138
7-718-6460
33012
Qualifier Name: SATURNINOALFONSO Phone#: 786-718-6460
State Certification or Registration #: SR0221925 Certificate of Competency 9:
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $ 5,000 Square/Linear Footage of Work: 300
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
Description of work: SEPTIC TANK AND DRAIN FIELD
Specify color of color thru tile:
Submittal Fee $ j4b - Co Permit Fee $ CCF $ 3. C y CO/CC $
Scanning Fee $ 's'.. 00 Radon Fee $ !i QJ DBPR $ Z • (,o Notary'
Technology Fee $ 11 • •Sb Training/Education Fee $ • 5-b Double Fee $,
Structural Reviews $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ (( V • & 3
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lenders Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zip
SEP 13 2022
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 offer 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 --Ae, Signature AR
OWNER or AGENT CONTRACT
WX
The foregoing instrument was acknowledged before me this
f3 Ltd say of _ �/— 20 a'�- , by
4/d / " t ouy- ,who is personall now to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Pri nt:
Seal:
The foregoing instrument was acknowledged before me this
day of 20 a"y by
S - XJko s personally a to
me or who has produced
identification and who did take an.oath.
NOTARY PUBLIC:
Print:
Notary Public - State of Florida Seal:
Commission N GG 966894
Comm. � cph" March 9, 2024
as
YOSDELGOMEZ
Notary Pudic - state of Florida
Commission # GG 966894
Comm.: cplree March 9, 2024
rsassssssrrr asssasasaaaasssrrar•sssassssrsrrsrssssssarrsasasassrs•rrrsssaasassassssssssssaaarssssss
APPR ED BY Plans Examiner Zoning
Structural Review _ Clerk
(Revised02/24/2014)
Return to:
Affiliated Lawyers, PLLC
2601 S. Bayshore Drive, I S ' Floor
Coconut Grove, FL 33133
This instrument was prepared by:
Elizabeth B. Hitt, Esquire
A DER & H ITT PA
3401 North Miami Ave — Suite 218
Miami FL 33127
CFN: 20220682954 BOOK 33360 PAGE 4554
DATE:08/30/2022 02:32:44 PM
DEED DOC 27,600.00
HARVEY RUV1N, CLERK OF COURT, Pd WDADE CTY
[Space above this line for recording data]
Property Appraiser's Parcel Identification No. 113205 009 0530
PERSONAE REPRESENTATIVE'S DEED
The Grantor, ROBERT ADER, as Personal Representative of the Estate of Richard L.
Taylor, Jr., Deceased, whose post office address is 9701 NE 131" Avenue, Miami, Florida 33138,
for and in consideration of the sure of Ten 'Dollars ($10.00} and other good and valuable
consideration, the receipt and sufficiency whereof is hereby acknowledged, has granted,
bargained, sold, alienated, remised, released, conveyed, and confirmed, and by these presents
does hereby grant, bargain, sell, alien, remise, release, convey and confirm unto the Grantee(s)
Jose Moran, a single man, whose post office address is 9707 NE 131' Avenue, Miami, Florida
33138, and the said Grantee's heirs, personal representatives, successors and assigns forever, that
certain real property situate and lying in Miami -Dade County, Florida, to wit:
Lot 9, Block 4, EARLETON SHORES, ACCORDING TO THE PLAT
THEREOF AS RECORDED IN PLAT BOOK 43, PAGE(S) 80, OF THE
PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
TOGETHER WITH all the tenements, hereditaments and appurtenances thereto
belonging or in anywise appertaining;
TO HAVE AND TO HOLD the same in fee simple forever.
And Grantor hereby covenants with said Grantee that he is lawfully seized of said land in fee
simple, that he has good right and lawful authority to sell and convey said land, that he hereby fully
warrants the title to said land and will defend the same against the lawful claims of all persons
whomsoever, and that said land is free of all encurnbra ces, except tax ing subsequent to
December 31, 2021. A �
ROBERT ADER, as Personal Representative
of the Estate of Richard L. Taylor, Jr., Deceased
CFN: 20220682954 BOOK 33360 PAGE 4555
WKNESS
PRIN7`7VAME
STATE OF FLORIDA �
COUNTY OF MIAMI-DADE )
S
t4 i d rl r7 ueZ-
PRINT NAME
The foregoing instrument was acknowledged before me by means of IM physical presence
or 0 online notarization this a day of August 2022 by Robert Ader, as Personal
Representative of the Estate of Richard L. Taylor, Jr., 10 who is personally known to me or 0
who has produced iJ 1A as identification.
My Commission Expires:
S. ROXGUEZ
my tam. EWm Jan 24,2W biota Public
ab� "Mry �. Pnw„� .
ENTEg2.Ei)
SEP 13 2022 CITY
NOTE:
THERE Et$Y:-STATE FLORIDA
t'EVINFNFLA'uREstD�FA�IMEN? �= EiVIROi\iMEN f-AL PRCTECTICP®PY
ADJAC�.1JtIV011R'll:S APPI.I'-,aIION FOR CONSTRUCTION PERMIT
OR ACROSS 1rE S u-
THAT MAY .A'-FFG F.:F Permit Application Number
SYSTEM IKZIALi a`10^t
`:1RT11-SITEPLAN--- -- -- --------- -----
Scale Each block re resents 10 feet and 1 inr ll 40 fee.i
t
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Notes:
I
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T_
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nip l
9707 NE 13 AVE MIAMI SHORES, FL 33138-2545
I
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I
Site Plan submitted by___,_
Plan Approved__-Xx ^4-AA;:Proveq.-_ Date 916/2022
By EDZLA2DU CA5TZLL
— _County Health Department
— taut�sGG .c.*�"7,.y
ALL CHANGES MUST BE APPROVE"D BY (F: CGUi;TY HEALTH DEPARTMENT
DEP 4015, GO 21-2022 (Jhsclet_s p,r viou_ s, _ u c Miam- tGhores-Village Building Department
Incorporated: 62-6.004, F.A C. Zoning Dept. Date
p Building Dept. Date Page 2 at =1
Subject to compliance with all Federal,
State and County rules and regulations.
Permitti t7l n A ZZ - 73 Z5
ENTERED PERMIT #:13-SC-2665332
STATE OF FLORIDA
ED i i Pn22 APPLICATION #:AP1879019
r
S
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND PAVOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS
APPLICANT: (JOSE MORAN)
PROPERTY ADDRESS: 9707 NE 13 Ave Miami. FL 33138
LOT: 9 BLOCK: 4 SUBDIVISION:
PROPERTY xD #: 11-3205-009-0530
DATE PAID:
FEE PAID:
RECEIPT #'.
DOCUMENT #: PR1826845
[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 1 GALLONS / GPD New Sentic Tank CAPACITY
A ( 0 1 GALLONS / GPD CAPACITY
N [ 0 1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K ( ] GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #Pumps
D [ 400 ] SQUARE FEET
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [x]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK:
New Drainfield. Bed Conf SYSTEM
STANDARD [ I FILLE➢
TRENCH [x) BED
SYSTEM
[ ] MOUND
) Of Bottom Floor FRONT DOOR 7.84' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
[ 2Z60 111 INCHES ' F7 1 [ APOVc BELOW BENCHMARK/REFERENCE POINT
[ 51.601( INCHES F7 I I AHCVEBELOW BENCHMARK/REFERENCE POINT
. REQUIRED: L U.uU L 1NUHETi hAG VAIIVN KMQull u: L ou.uu j 1N.nao
Invert elevation and Bottom of drainfield to be no less than 4.04' NGVD & 3.54' NGVD respectively.
Install a 1050 gal. septic tank with an approved filter
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
i s. 64E-6.013(3)(0 FAC.
Install 400 St. of drainfield in BED configuration.
Install 12" of slightly limited soil at the bottom of the drainfield.
IS REPAIR PERMIT IS NOT FOR ANY ADDITIONS.
BY: SATURNINO ALFONSO
TITLE:
APPROVED BY: TITLE: Engineering Specialist II Dade CHD
Eduardo CastilloSalcedn
DATE ISSUED: 09/08/2022 EXPIRATION DATE: 12/07/2022
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3