PL-13-2013 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-198550 Permit Number: PL-9-13-2013
Scheduled Inspection Date:October 22, 2013 Permit Type: Plumbing- Residential
Inspector: Diaz,Osvaldo Inspection Type: Final
Owner: DANIEL,WILLIAM&STEPHANIE Work Classification: Septic
Job Address:273 NW 91 Street
Miami Shores,FL Phone Number
Parcel Number 1131010331310
Project: <NONE>
Contractor: SR0061636 MR C'S PLUMBING&SEPTIC INC Phone: (305)651-7859
Building Department Comments
REPLACE EXISTING DRAINFIELD Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed HRS IN FILE
Failed
Correction 1 '
Needed ❑
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 21,2013 For Inspections please call: (305)762-4949 Page 16 of 42
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�,.. Miami Shores Villagep
Building Department v: j
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(3055)762.4949
BUILDING Permit No
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: PLUMBING
OWNER:Name(Fee Simple Titleholder):�.J 1 Q,D 1n�� w e �(������Q�hone#: ✓us 1-75- 001
'�0
Address: 213 1 y� �` S-tvQo.+
City: tA 1G.Wl\ 51(Lb`CeS state: L zip: �F�0
Tenant/Lessee Name: Phone#:
Email:
IIJ
JOB ADDRESS: 2"l:7 N V V `•\, S�TQe*_
City: Miami Shores County: Miami Dade Zip: 15 O
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
�4 ow CONTRACTOR:Company Name: r �� ��Phone#: (
Address: Lo 9- ` I-ILe
City: t State; zip: rs5La q
Qualifier Name: ' e nb)`A2- +}"Y L CPCi Phone#: - r �'
State Certification or Registration#: Certificate of Competency#: $
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 'Q"to c>" °fta. Square/Linear Footage of Work:
Type of Work: ❑Address OAlteration ONew ORepair/Replace ODemolition
Description of Work:
7 qce- ey-1
Submittal Fee$ Permit Fee$ o CCF$ � CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$ C)u
Notary$ Training/Education Fee$ 6C)_Technology Fee$ 2 ' 7
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable) 1a
Bonding Company's Address
City State zip
Mortgage Lender's Name(if applicable) Y\
Mortgage Lender's Address
City State 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 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 bg 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's issued. In.th .._ s ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature �5—11a a Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this �X) The foregoing instrument was acknowledged before me this
day of ,20 1�>,by �'E�Yt K� -�Q n 1 day
who is personally known to me or who has produced who is personally known to me or who has produced
As identipc4on and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission = "'' ONALD MART)
¢ 4F?ti3, _!77
o`� My Co 3 iR�Expire� N
aid. ,
.ki WyC,04NliSiIGy+At,i': °j340 M 5
- •*= Y COMMISSION#EE0955 0
EXPIRES:Sep16Tt.,^? '�. '4.; s ►,
°' •••3•' Doodad Thru Notary Public EXPIRES May 18,2015
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
OR Sk 25792 Pas 1565 - 1567i (3asS)
RECORDED 02/27/2013 12:01:25
DEED DOC TAX 1 s+50.00
HARVEY RUVINa GLERIV. OF COURT
MIAMI-OAK COUNTYP FLORIDA
Property Appraiser's Pared Identification Nos,
11-3101-033-1310
This bistiument was prepared by:
I
Brian.L.Pink,Esq.
Winn Seaton Fink&Kolski,IJ P.
2640 Douglas Raid
Snits 1043
Coral Gables,Florida.33134 FOR USE BY RECORDING ONCE
Consideration: $225,440.04
Taxes Pad: SIAV.no
Single.FanilyRadden=
WARRANT DEED
(STATWORY FORM•SBCTION 689.02,F.S.)
THIS INDENTURE, is made this /I A'day of August, 2013, between FF..RKW
LEGUEN and ROSARIO LEGUEN,husband and wife, whose post office address is 6823
Blossom Ave,Tampa,FL 33614, grantor', and WILLIAM A.DANIEL and STEPHANIE F.
DANA I,,husband and wife,whose past office address is 273 NW 91 Stree4 Miami Shores,
Florida 33150,grantee*.
WMESSETH that said grantor, for and in considaredon of the sum of Ten and
no/100ft Dollars($10.00),and other goad and valuable considerations to said grantor in land
pala by aid grantee, the receipt whereof is hereby acknowledged, has granted, bargained and
sold to the said grantee,.and grantee's heirs and assigns forever, the following desaxW land,
situate,lying and being in MIAMI-DADS County,Florida:
The But (1/2) of Lot 14, and Lot IS, Block 136, of MIAMI SHORES
SECTION NO. 6,according to the flat thereon as recorded in Plat Book 10,
at Page 390 of the Pubes Records of Maud-Dade County,Florida.
Subject to:
1. Taxes and assessmenta for the years 2013 and thereafter.
2. Restrictions, easements, covenants, conditions, limitations and reservations of
record,provided theft this recital shall not operate to reimpose same.
3. Zoning and applicable governmental ordinances.
And said grantor does hereby fully warrant the title to sold land,and will defend the same against
the lawful claims of all persons whomsoever.
*"Grantor"and"grantee"are used for singular or plural,as context requires.
i
I
S
600k28792/Pagel565 CFN#20130679048 Page 1 of 3
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IN WITNESS WHEREOF,grantor has hereunto set gmtoes hand and sed the day and
year first above written,
Sign e
in our'
,
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Print e' _. 4sd UEN
Print Plam k R
STATE OF FLO DA
aac,j Z. .
COUNTY OF
THE FOREGOING INSTRUMENT was acknowledged before me this day of
August,2013,by FF,RM IN LEGUEN and ROSARIO G are personally known
to me,produced Florida driver's licanses or produced as identification
and did not take an oath.
4
M170 Notary P iic,State qtFlolida
My Commission E res:
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Book28792/Page1566 CFN#20130679048 Page 2 of 3
PERMIT #:13-SC-1490832
STATE OF FLORIDA APPLICATION #:AP 1117938
DEPARTMENT OF HEALTH DANE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
< CONSTRUCTION PERMIT
RECEIPT #•
DOCUMENT #:PR91 5173
CONSTRUCTION PERMIT FOR: 08 Repair "
APPLICANT: Stephanie Daniel „
PROPERTY ADDRESS: 273 NW 91 St Miami FL 33150
LOT: 15,14 BLOM: 136 SUBDIVISION: Miami Shores Sec 6
PROPERTY ID #: 11-3101-033-1310 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NOMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 649-6, 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 TEE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID,
ISSUANCE OF THIS PERMIT DOES NOT E MOT THE .APPLICANT FROM C011PLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL, PERMITTING REQUIRED FOR DEVELOPMENT.' OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 1 GALLONS / GPD So C CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 7 GALLONS GREASE INTERCEPTOR CAPACITY [MAXnWM CAPACITY SINGLE TAtNK.1250 GALLONS]
R t I GALLONS DOSING TANK CAPACITY
i. I ]GALLONS �[ ]DOSES PER 24 FIRS #Pumps [ ]
D [ 300 1 SQUARE FEET ]G�Lt, tw w?y SYSTEM
R I 0 ] SQUARE FEET �'^ SYSTEM
A TYPE SYSTEM: EX] STANDARD I ] FILLED [ J MOUND I ]
I CONFIGURATION: I J TRENCH Lac] BED I ]
N
F LOCATION OF BENcHMARX: FIFE 12.8'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 19.207 1 INCHF;s FT ]IABOVE BELOW Bz= /RFFERENCB POINT
E BOTTOM OF DRAINFIELD TO BE [ 59.20 7 t INCHES FT I I ABOVE BENCHMA
L R&C/R9FrERENCE POINT
D FILL REQUIRED: [ 0.00 3 INCHES EXCAVATION REQUIRED: [ 52.00) INCHES
`Invert elevation of drainfield to be no less than 8.16'NGVD.
O *Bottom of drainfield elevation to be no less than 7:66'NGVD.
T "Install 12"of slightly limited soil under the bottom of drainfield.
H -Perimeter of excavation area shall be at least 2 ft.M(Wer and longer than the proposed absorption bed or drain trench.
'THIS PERMIT IS NOT FOR"ADDITIOAI(s)"
E The system is sized for 3 bedrooms with a maximum occupancy Of 6 persons(2 per bedroom),for a total estimated flows
of 300 gpd.
R
SPECIFICATIONS BY: H E Ack TITLE:
APPROVED BY: TITLE: Dade CHD
Car, e%Tcn�a
DATE ISSUF�D: 0 231 013 MWIRATION DA .6:
11f21t2013
DH 4016, 08109 tObsoAetes 11 previc�a ,not'be' ecll
Incorporated: 648-6.003, PAC Page 1 of 3
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