PL-12-242Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: PLUMBING
Permit No.
Master Permit No.
Aa� '6' w
FEB 0
BY:
'al i2 -242
OWNER: Name (Fee Simple Titleholder): Washington Mutual Bank Phone#: ,P/P'
1 /// /2 6 g �CS A9- 4(' r,b3 nPMorgan A eai `'..- aonal As .tion
Address:
City: COL. /.f M /51.5 State: Zip: /1-g..2*,
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 129 NW 96 ST
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel #: 11- 3101- 025 -0100
Is the Building Historically Designated: Yes NO X Flood Zone:
CONTRACTOR: Company Name: MR. C's Plumbing & Septic. Phone#: 305 - 651 -7859
Address: 19932 NW 2 Ave
City: Miami yy"" state:. FL zip: 33157
Qualifier Name: ruap„ar th171Z4._ Phone #: ra6J1 7tf?
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: 305- 651 -7859 Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ �/ f69. PAC) Square/Linear Footage of Work: / je*
Type of Work: ❑Address UAlteration ❑New pairlReplace Demolition
Description of Work: /n ,,! „.l Chi/
, x, x******** ** ****:x:xx:****** ** ** **x:*** * *** Fees*** *x: ******************* ************mx:**x:***
Submittal Fee $ Permit Fee $ 900 CCF $ CO /CC $ GAI •
Scanning Fee $ Radon Fee $ DBPR $ Bond $ S tO f)O
Notary $ Training/Educaion Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ •
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDmONERS, 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 th ...sence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
// U&*ic A Residn Jones
Signature ��� av t Vice President Signature
Owner or Agent
The foregoing instrument was acknowl
day o
20 , by
who is personally known to
NOTARY PUB
*
Contractor
/ ed before me this / The foregoing instrument was acknowledged before me this ft
day of rest t-t . , 20 if , by K601 E'714f'
r who has produced
s identification and who did take an oath.
NOTARY PUBLIC:
Sign: / Sign: /i
Print: i Print: ;�i / 1 1I /1 -.6
My Commissi el 4 Nary Public St* of Florida
Story{ A Mendes
,r My COmatiaslan 017U13 IN**. 104312014
********************************************* ** **** * ** * **** * ********* * * **x� d.�. .1
y Commission Expires:
APPROVED BY
®� / `t_. Plans Examiner Zoning
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Structural Review Clerk
JURAT
511511•555 s a■ to R a a a R a s R a R a R R i R s a a D a a a R R R R a a a s R s a a a R R R 5555W. e a s a s R a a R s M R s R R a,
State of California
County of Los Angeles } ss.
Subscribed and sworn to (or affirmed) before me on this
ddywaht__, 20 lob-- , by 6040a,
proved to me on the basis of satisfactory evidence to be the person(s) who appeared
before me.
VALERIE L. STROBEL
COMM. #1902926
NOTARY PUBLIC • CALIFORNIA
KERN COUNTY
My Comm. Expires Sept. 4, 2014
(seal)
Signature of Notary
s a a R a 1 s p a a R a a R s R s R a 5 R R a a s R R 5 R R.a a R a i R R R a R i R a R a R R R a a R 5 a R R i R i 5 n a R a s a T a s a a V a 5
Date of Document
Type or Title of Document
Number of Pages in Document
Document in a Foreign Language
OPTIONAL INFORMATION
Type of Satisfactory Evidence:
Personally Known with Paper identification
Paper Identification
Credible Witnesses)
Thumbprint of Signer
[j] Check here if
Capacity of Signer: no thumbprint
Trustee or fingerprint
Power of Attorney Is available.
CEO /CFO /COO
President / Vice- President / Secretary / Treasurer
Other:
Other information:
1:ine . -.t! Gar >. hlr'lm- Prepnrution, Ira: -1.8C0) :.iii - >i•IJG - vnt.all statcnet;:uy.ca n:
A RECORDED
PERMIT NO.
111111111111111 111111111111111111111111111111
NOTICE OF COMMENCEMENT .OR ' p �- `R'-'� -''' x- '78
COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION R EC RDED1 2/ 3/2012- 5:4 P i,1 ,
RECORDED � {,.. �_�,,. Z�i1s 15 =�6`.�+1
HARVEY RUV'IHr CLERK OF COURT
IIIAIII- C'AC'E C0i_IHTYr FLORIDA
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
TAX FOLIO NO. 11-3101-025-0100
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street / address:
129 NW 96 St Resub of BLK 3 of Bonmar Park PB 42 -60 Lot 10 BLK 3 Lot
2. Description of improvement:
L0g.-i <S �iCa
3. Owners) name and address: Seller,by JPMorgan Chase Bank, National Association
Washington Mutual Bank itslittontey4i-fact 7).06-A4.5 "i9,4e1604y ea.al eas ■.5' 47-34.2k)
Interest in property:
Name and address of fee simple titleholder:
Seller,by JPMorgan Chase Bank, National .Aa u.._.
its Attorney-in-tact
/ // , d'a� e&.5 c 14/,4y cfac zern,6 5 G/7/ v
4. Contractor's name and address:
MR. C's Plumbing & Septic 19932 NW 2 Ave., Miami, FL 33169 305 - 651 -7859
5. Surety: (Payment bond required by owner from contractor, if any)
Name and Address:
Amount of bond $
6. Lender's name and address:
Seller,by JPMorgan Chase Bank, National Association
its Attorney-in-fact
11/1 1`0O L�-1'-,&/ 5 /%""it' GUS-,/ Cu- - i2m ,64e3 e nh
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes.
Name and Address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and Address:
\9.
Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
ature of Owner
Bruton A Reskin Jones
Assisrant Vice President
Print Owner's Name Prepared by
Swom to and subscribed before a thi/ day of , 20
Address:
Notary Public: , % Ili
Print No to.�!'"
My com`1. expires:
JURAT
a n 112121115913222222222223 a M X X X X X X X X X X X X X X X X X 112•211231132213221231223173193210
State of California
County of Los Angeles } ss.
Subscribed
and
sworn to (or affirmed) before me on this day of
, 20/8 , by
he basis of satisfactory evidence to be the person(s) who appeared
proved to me on
before me.
VALERIE L. STROBEL
y ' f,` COMM. #1902926
�®T -�s [�? NOTARY PUBLIC • CALIFORNIA� —
v KERN COUNTY
My Comm. Expires Sept. 4, 2014
(seal)
Signature of Notary
3 1 2 3 1 1 1 1 1 3 2 1 1 1 3 X X X X X X X X X X X X a 111121122222113111.2111•••213222212•222 a a 2 2 9 1 2 2 2 9 / 1 1 1 3 2 1 2 2 2 3 - 2 1 1 2 2 0 3 1 3
Date of Document
Type or Title of Document
Number of Pages in Document
Document in a Foreign Language
OPTIONAL INFORMATION
Type of Satisfactory Evidence:
Personally Known with Paper Identification
Paper Identification
Credible Witnesses)
Thumbprint of Signer
❑ Check her if
Capacity of Signer: no thumbprint
Trustee or fingerprint
Power of Attorney is available.
CEO I CFO / COO
President / Vice - President 1 Secretary 1 Treasurer
Other:
Other information:
_rink: A $ t:nr: t: )!ap/ Preparation. - ;:.J.;.nUSlr: fY•nC[Ex�•.ct ni
it
OR B K 27991 PG 0904
LAST PAGE
JPMORGAN CHASE BANK, NATIONAL ASSOCIATION
INCUMBENCY CERTIFICATE
I HEREBY CERTIFY that I am an Assistant Secretary of JPMorgan Chase Bank, N.A. and that the
following individuals holding the title set forth opposite his/her name, are duly appointed officers of JPMorgan
Chase Bank, N.A. and are authorized to execute Contracts, Deeds, Affidavits, Lien Releases, Registrations,
Closing Statements, Settlement Agreements and other documents related to the sale or management of real
property on behalf of the Company.
Name: Title to which appointed:
Deanna Fuentes Asst. Vice President
Barbara Jones Asst. Vice President
Paul Lifsey Vice President
Allison Cedarholm Vice President
Diane Towns
Assistant Secretary
Dated: January 19, 2012
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
On this 19th day ofJanuary, 2012, before me the undersigned notary public, personally appeared Diane Towns,
Assistant Secretary, who proved to me through satisfactory evidence of identification, which was to be the person
whose name is signed on this document, and acknowledged to me that she signed it voluntarily for its stated
purpose, and signed this document as her free act and deed, and the free act and deed of JPMorgan Chase Bank,
N.A., in her capacity as Assistant Secretary.
034 RODRIGUEZ COMMISS141.1 EE 026821
h . EXPIRES: December 15, 2014
-•, • BondedThru No ay Pugs Undenwders
NB
STATE OF FLORIDA, r'npuprt OF ADE>
HEREBY CERTIFY
Qfn this °f
clay of
ly •i. ,� 4 1�'_ ----
tgi
8l ' r-
Courts
0.0
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (GTF Builders)
PROPERTY ADDRESS: 129 NW 96 St Miami, FL 33150
LOT: 10
PST #: 13 -SC- 1388573
APPLICATION #: AP 1059062
DATE PAID:
FEE PAID:
RECEIPT #:,
DOCUMENT 8: PR864556
BLOCK: 13
PROPERTY ID #: 11- 3101 - 025-0100
SUBDIVISION: Bonmar Park
[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 FRCM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [
A [
N [
K [
D
R
A
I
N
F
I
E
L
D
O
T
H
E
R
900 1 GALLONS / GPD
0 ] GALLONS / GPD
0 ] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY
Septic
CAPACITY
CAPACITY
[MAit CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS 8[ ]DOSES PER 24 HRS #Pumps [ ]
I 200 1 SQUARE FEET SYSTEM
I 0 ] SQUARE FEET SYSTEM
TYPE SYSTEM: Ex] STANDARD I ] FILLED [ 1 MOUND [ 3
CONFIGURATION: [ 1 TRENCH Ix] BED I 3
LOCATION OF BENCHMARK: F.F.E.: 11.60' NGVD.
ELEVATION OF PROPOSED SYSTEM SITE
BOTTOM OF DRAINFIELD TO BE
FILL REQUIRED:
t 24.00 ] El INCHES FT ] [ ABOVE 4 BELOW l BENCBNARK/REFERENCE POINT
1 54.00 ] INCHES FT l [ ABOVE BELOW BENCEMIRK /REFERENCE POINT
1 0.00 ] INCHES EXCAVATION REQUIRED: [ 42.a]] INCHES
1— Install 900 gal. category-3 septic tank equipped with an approved filter. 2 -The licensed contractor installing the system
is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f). 3- install 200 sf of
drainfield in bed configuration. 4- Install 12" of slightly limited soil under the bottom of drainfield. 5- Perimeter of
excavation area shall be at least 2 ft wider and longer than the proposed absorption bed. 6- Invert elevation of drainfield
to be no less than 7.60' NGVD. 7. Bottom of drainfield elevation to be no less than 7.10.8. This permit includes the
Abandonment of the existing septic tank.
THIS PERMIT IS NOT FOR ADDmON(s)
SPECIFICATIONS BY:
ractD
'� 5
i�Dection. pe drainheld� Perf0fl a
DATE ISSUED:' 01124 _ tor Sjry yNneSS the or t0 f Ind q bon at
eouhs to
, f moo, used)
DH 4016, 08/09 (Obsoletes refp,� fee�a'r�UatiOn 'n►Pare th9
Incorporated: 64E - 6.003, a jobsite i f L`2 ,g: d° , mltted, q
V . � .11 U1@ arrarigeo nn actor 1s not'
SE860857
Page 1 of 3
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 # A02, Tallahassee, Florida 32399 -1703. The
Agency Clerk's facsimile number is 850 -410 -1448.
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 govemed 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.
May 4, 2012
Miami Shores Village
Attn:Viviana Cubilios
10050 NE 2nd Ave
Miami Shores, FL 33150
RE: 129 NW 96 Street
Miami Shores, FL
PO Box 973107
Miami, FL.. 33197-3107
Phone (305) 251 -5466
DL. yi' r-
MAY 0 8 202
iDax
PI )a- y 4
fie'd► rt>
.poo
1.00A8 °+1 ,
Enclosed please find authorizing letter from JP Morgan Chase Bank (property owner) to release $500.00
bond to GTF Builders, Inc. If anything further needed feel free to contact us at the above listed numbers.
Thank you,
George Flynn - Contractor
GTF Builders, Inc.
CGC045370
CHASE 0
Miami Shores Village
10050 N.E. 2 "d Avenue
Miami Shores, Fl 33150
RE: 129 N.W. 96 Street, Miami Shores
To Whom It May Concern:
As representative of JP Morgan Chase Bank, National Association, owner of above referenced property,
we hereby authorize Miami Shores Village to release the $500.00 bond to GTF Builders, Inc. The bond
was paid by GTF Builders to Miami Shores Village directly.
Sincerely,
Rinin away
Areissent Noe Pasant
Ryan Gentry • 2777 Lake Vista Dr, Floor 25, Lewisville, Tx 75067
Telephone: 972 537 9307
ryan. gentry@ jpmorgart. com