PL-16-858 y Miami Shores Village �r �
10050 N.E.2nd Avenue NW ?
•"` Miami Shores,FL 33138-0000 j
Phone: (305)795-2204
Expiration: 10/02/2016
Project Address Parcel Number Applicant
266 NW 91 Street 1131010331320 SHARON BICHACHI
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
SHARON BICHACHI 265 NW 91 Street (305)968-4026
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 7,500.00
MR C'S PLUMBING&SEPTIC INC (305)651-7859 Total Sq Feet: 300
Type of Work:DRAINFIELD&SEPTIC TANK INSTAL Available Inspections:
Type of Piping: Inspection Type:
Additional Info: HRS Approval
Bond Retum: Final
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00 Invoice# PL-346-59219
CCF $4.80 04/05/2016 Credit Card $280.80 $550.00
DBPR Fee $4.50
DCA Fee $4.50 04/05/2016 Credit Card $500.00 $50.00
Education Surcharge $1.60 03/30/2016 Credit Card $50.00 $0.00
Permit Fee $300.00 Bond#:3047
Scanning Fee $9.00
Technology Fee $6.40
Total: $830.80
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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named co ctor to do the work stated.
April 05,2016
Authorized Signature:Owner / Applicant 00PINintractor / Agent Date
Building Department Copy
April 05,2016 1
Miami Shores Village : -
r � 0 ZO1
Building Department MAR 1 ii
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949 S41
FBC 2014
BUILDING Master Permit No. -PL 16- 8S8
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
a L CONTRACTOR DRAWINGS
I_
JOB ADDRESS: �V� �w -`( S T �[t-
City: Miami Shores County: Miami Dade Zip: 3 3 �1
�,.
Folio/Parcel#: It 3161 G 11 (3 4.0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): IM90 IN 4' "JACA 31 GKA Lki Phone#: sos f6 Y to a (,
Address: (L S N W g t S+
City: fkia.i State: FG. Zip: 33
Tenant/Lessee Name: At b i SS 0— D 4f I S 60 se . La-WL Phone#:
Email:
CONTRACTOR:Company Name: ltS .. ��., S 3`wl�� Phone#: �S
Address: IV $A Ow 44wl
City: WWI —State: Zip:
Qualifier Name: &"6 C—+f_674 Phone#:
State Certification or Registration#: I ta. <rr 3 J: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zi
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: a us t T,,.k,i
Specify coloroof'c)olor thru tile:
Submittal Fee$ Permit Fee$ 1 CCF$ %41 CO/CC$ 92
Scanning Fee$ l Radon Fee$ DBBPR$ Notary$
Technology Fee$ Training/Education Fee$ ' L7 Double Fee$
Structural Reviews$ . O Bond$ 1 s
TOTAL FEE NOW DUE$ a
(Revised02/24/2014) �°!
r
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
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 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 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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of M 91,%{Z-CN ,20 r So .by 30 day of_ ,20& .by
!9R-NQ-J0 v4 11S,1tQ31who is personally known to �{(' L�L..�1l'�I ,who isPers Personally n to
me or who has produced:I- 87-14-790--IC-921-0 as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign,
Print: ��77� C( (�f Pri
a e o Florida
�, y comm.Ex fres
Seal: ,�,��V,'¢��y,,, Claudette Phillips Seal: �, �" a oot23,2ote
;,R �� COMMISSi011#FF 136597
COMMISSION;l~I=f222491 ihra0 M do W Natay Assn.
EXPIRES: April 20, 2019
kss��*��*s' `.. :.*spas+�eas�.:w*sw*waffix�n�*�swasa��ffiw»esae�**e.a�r�as�a�s:s«�ssssassss:sass::•*
APPROVED BY1 146011 � 11` Plans Examiner Zoning
_a
7
Structural Review Clerk
(Revised02/24/2014)
Prope Search Application-Miami-Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Generated On:3/30/2016
Property Information
Folio: 11-3101-033-1320 'EyR
Property Address:
265 NW 91 ST
Miami Shores,FL 33150-2258
Owner JACOB BICHACHI
SHARON BICHACHI
Mailing Address 265 NW 91 ST
MIAMI SHORES,FL 33150 USA
Primary Zone 0800 SGL FAMILY-1701-1900 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY:1 UNIT
Beds/Baths I Half 3/1/0
Floors 1
Living Units 1
Actual Area 1,550 Sq.Ft
Living Area 1,110 Sq.Ft
Adjusted Area 1,395 Sq.Ft Taxable Value Information
Lot Size 9,375 Sq.Ft 2015 2014 2013
Year Built 1940 County
Exemption Value $0 $0 $0
Assessment Information Taxable Value $250,9101 $199,0131 $180,921
Year 2015 2014 2013 School Board
Land Value $152,250 $126,750 $84,750 Exemption Value $0 $0 $0
Building Value $97,092 $94,581 $94,581 Taxable Value $250,910 $222,910 $180,921
XF Value $1,568 $1,579 $1,590 City
Market Value $2r>o,giol $222,9101 $180,921 Exemption Value $0 $0 $0
Assessed Value $250,910 $199,013 $180,921 Taxable Value $250,910 $199,013 $180,921
Regional
Benefits Information Exemption Value $0 $0 $0
Beneft Type 2015 2014 2013 Taxable Value $250,910 $199,013 $18Q921
Non-Homestead Cap Assessment Reduction $23,897
Note:Not all benefits are applicable to all Taxable Values(i.e.County, Sales Information
School Board,City,Regional). Previous OR Book-
PriceQualification Description
Sale Page
Short Legal Description 01/29/2016 $360,000 29955-0651 Qual by exam of deed
MIAMI SHORES SEC 6 PB 10-39 Financial inst or"In Lieu of
LOT 16&W1/2 LOT 17 BLK 136 05/132015 $226,300 29638-3035 Forclosure"stated
LOT SIZE 75.000 X 125 Financial Inst or"In Lieu of
OR 20941-318212 20021 03/042014 $211,000 29079-4001 Financi lin stated
COC 25720-3054 02 20071
02/01/2007 $500,000 25720-3054 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://www.miamidade.govrnfoldisclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 3/30/2016
i
PERMIT #-:13-SC-1887817
• APPLICATION #:AP1229827
STATE OF FLORIDA
DAIS PAID:
DEPAPTM MT OF FWALTS
ONSITE SENA= TREATMEW AMID DISPOSAL SYSTEM PEE PAID:
CONSTRUCTION PERMIT RECEIPT #:
DocoMENT fi:PR1009743
CONSTRUCTION PERMIT FOR: OSTDS Repair
1 APPLICANT: Sharon Sichachi
PROPERTY ADDRESS: 265 NW 91 St Miami,FL 33175
kLAT: '1617 BIACR: 136 SUBDIVISION:
PROPEARR m #: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
tall TM ID NUMBER]
SYSTEM MUST BE COLI92RUCTED IN ACCORDANCE V SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 642-6, F.A.G. DEPAP42MM APPROVAL OF SYSTEM DOES NOT QUAPA14M
SATIS11ZCT1b1RY Papselleam yM ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MA'EETAM FACTS,
i WHICH SWVED AS A BASIS FOR I88 OF THIS PERMIT, MgFI tE THE APPLICANT TO MODIFY THE
PERMIT, APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AMID VOID.
ISSUANCE OF THIS PERMIT DOES NOT EREMBT THE APPLICANT FAUN CcNVLIANCE wrTH OTHER FEDERAL,
STATE, OR IACAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T ( 9W J GALLONS / GPD septic CAPACITY
' A [ 0 ] GALLONS / GPD CAPACITY
N ( 0 7 GABS GREASE INTERCEPTOR CAPACITY [Mimmm CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLOWS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS �P I
D
[ 0 300 7 s EMT SYSTEM 1pt0� `SOURRE FX— SYSTEM P
A TYPE SYSTEM: Is1 STANaARD ( ] FILLRD E ] MAID �"" t�s
I CONFIGURATION: [ J TRENCH [xJ BED
F LOCATION OF BENCHMARK: FFE:12.5'NGVD c+ "- VA
I ELEVATION OF PROPOSED SYSTEM SITE [ 21.601 INCHES FT ][ABO x/RE POINT
E BOTTOM OF DRAIN17BLD TO BE [ 71.60] FT J[ABOVIrd"M / POINT
L
D FILL PigIUM ED: [ 0.00 J INCHES ERCAVATION REQUIRED: E 62.003 INCHES
1.Install a 900 gal min.septic tank with an approved Vier.
O 2.-The licensed contractor instaNing the system is Mspor>stble for installing the minimum category of tank in
T with s.642-6.013(3){f),FAC.
H 3.-Install 300 sf of drainfield in trench configuration.
4.install 12"of slightly limited soil at the bottom of the drainfieki.
E 5.-Perimeter of excavation area shall be at lest 2 ft wider and longer than the proposed absorption Itran .
(Comments Continued on Page 2.)
R
} nuQApp imOr-L.Q �--�
j SPECIFICATIONS BY: Mr C!&f$eptic TITLE:
APPROVED BY: TITLE: Engineer Supervisor III Dade CHD
rtra V$evards
DATE ISSUED: MW2016 E70?IRATION DATE: 'x/1512016
DH 4016, 08/09 (Cbsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
V 1.1.4 AP1229827 52989039
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION P MIT.AS
Permit Application Number - :.
---------------------------PART II-SITEPLAN; ., :..»._ _.»»»»»- ---_..
Scale: Each block I 0 Sents 10 feet and 1 inch =40 feet... �
wo
t N
.....
There are no on_ad�et proper end c ecxoss sheet that may ettea New syetn instelletlon.
:
. .... ..
It
Site Plan submitted
Plan Approved Not Approved
y County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4016,1 OM(Reoeces MRS-H Form 4016 which may be'heed) Page 2 of 4
(Stock Number. 5744-002-4016.6)
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795.2204 Fax: (305)756.8972
Inspection Number. INSP-265998 Permit Number. PL-3-16-858
Scheduled Inspection Date:August 25,2016 Permit Type: Plumbing -Residential
Inspector Hernandez,Rafael
Inspection Type: Final
Owner. BICHACHI,SHARON Work Classification: Septic
Job Address:265 NW 91 Street
Miami Shores,FL 33138-
. Phone Number (305)968-4026
Parol Number 1131010331320
Project <NONE>
Contractor. MR CS PLUMBING&SEPTIC INC Phone:(305)651-7859
Building Department Comments
DRAINFIELD&SEPTIC TANK INSTAL INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP 255943. need hrs tag in city file
08/24/2016-HRS ON FILE
Failed
Correction D
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection tee Is pati.
� DIVISION OF444-> � Environmental Health
��O Florida Health 9
Miami-Dade County
*01
OSTDS/Well Division Kr
8(15 SW 26th Street•Miami,H.33175Inspector ( /10 /) �(✓d Date
GS V r
AddressOSTDS#�_-- -
Comments:
Signature