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PL-18-69 f i -inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-295119 Permit Number: PL-1-18-69 Scheduled Inspection Date: March 13, 2018 Permit Type: Plumbing - Residential Inspector. Hernandez, Rafael Inspection Type: Final- Owner: MALAMED,ADAM Work Classification: Drainfield Job Address:9215 N BAYSHORE Drive Miami Shores, FL 33138- Phone Number (917)685-2273 Parcel Number 1132050270590 Project: <NONE> Contractor: MR C'S PLUMBING&SEPTIC INC Phone: (305)651-7859 Building Department Comments DRAINFIELD REPAIR tnfractio 9 Passed Comments INSPECTOR COMMENTS False r r .r Inspector Comments Passed HRS APPROVAL ON FILE Failed D Correction Needed ❑ Re-Inspection a Fee I No Additional Inspections can be scheduled until ` I re-inspection fee is paid. MaFch 12,2018 For Inspections please call: (305)7624949 Page 15 of 44 s � •, DIVISION OP Environmental.Health':nc a .g Florida,Healtli r O .Miami-Dade County oQ� r s: OSTDS/Well Division �- `;` 11805 SW 26th Street•Miami,FL 33175 t rInspector 0��" '.�r���� Date ` . Address. 0STDStl# /7 / Comments: .. a s Signature Permit NO. PL-1-18-59 �sµO1kEs y� Miami Shores Village Permit Type:Plumbing-Residential 5 �r 10050 N.E.2nd AN 't venue e, rt� lNorkClassification:Dra nfield Miami Shores,FL 33138-0000 PPermit Status:APPROVED Phone: (305)795-2204 �'CORtDP' Issue Date:1/2312018 Expiration: 07122/2018 Project Address Parcel Number Applicant 9215 N BAYSHORE Drive 1132050270590 Miami Shores, FL 33138- Block:4 Lot:6 ADAM MALAMED Owner Information Address Phone Cell ADAM MALAMED 9215 N BAYSHORE Drive (917)685-2273 (305)572-4105 MIAMI SHORES FL 33138- 9215 N BAYSHORE Drive MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,450.00 MR C'S PLUMBING&SEPTIC INC (305)651-7859 Total Sq Feet: 400 Type of Work:DRAINFIELD REPAIR Available Inspections: Type of Piping: Inspection Type: Additional Info: HRS Approval Bond Return: Final Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 CCF Invoice# PL-1-18-66087 $1.80 01/09/2018 Credit Card $50.00 $618.05 DBPR Fee $2.25 DCA Fee $2.00 01/23/2018 Credit Card $ 118.05 $500.00 Education Surcharge $0.60 01/12/2018 Check#:3172 $500.00 $0.00 Permit Fee $150.00 Bond#:3609 Scanning Fee $9.00 Technology Fee $2.40 Total: $668.05 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 b er rxyself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDO O ROOFING and SWIMMING POOL work. r OWNERS AFFIDAVIT: I certify that all the foregoing informati a c rat and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-nam ntra�Ct o the work stated. January 23, 2018 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy January 23, 2018 1 LA L0920�18 r ' ; AY • • ••• •••••• " l LLJ POOL o O LL -j -j ux N o m Lo ¢ } z W W a o ' > W ^_ FXi9{ 1 y z o (ae v�'�l�cG��-'• ire 5 � _ . ' W . 4 � ... 20'A�'f�16,:PiCyFilE{�f romrty Addnos: 9215 NORTH BAYSHORE DRIVE NOTES:ALUMINIUM DOCK ENCROACHE OVER EAST MIAMI SHORES,FL 33138 LOT UNE. 4'17 G ��G-�-dL S• '1 -�Zj �S Miami Shores VillagetREC0VffDD% . �k\ 2018 Building Department ,i y 10050 N.E.2nd Avenue, Miami Shores,Florida 33138LY. o Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 G BUILDING Master Permit No.. I PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL QPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS f JOB ADDRESS: 9215 N BAYSHORE DRIVE City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 1-3205-027-0590 Is the Building Historically Designated:Yes NO X` Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):ADAM MALAMED Phone#: Address:9215 N BAYSHORE DRIVE City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: NA Phone#: Email: CONTRACTOR:Company Name: MR. C'S PLUMBING & SEPTICphone#: 305-651-7859 J Address: 19932 NW 2ND AVENUE City: MIAMI State: FL Zip: 33169 Qualifier Name: KEMBLE ETTRICK Phone#: 305-651-7859 State Certification or Registration#: SR061536 Certificate of Competency#: DESIGNER:Architect/Engineer: NA Phone#: Address: City: State: Zip: Value"of Work for this Permit:$2450 Square/linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition Description of work: DRAINFIELD REPAIR Specify color of color thru tile: Submittal Fee$ � a) Permit Fee$ / CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ ' T(� Structural Reviews$ Bond$ T rW` ) TOTAL FEE NOW DUE$ I 1 uV (Revised02/24/2014) Jp �,J . s a r � � t Bonding company's Name(if applicable) NA Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) NA 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 ence 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 13th day Qf December 20 17 by 8th /daay of January �J� --------J,20 18 by Kam: a vl who is personally known t• el'�J(� [� ��\ ,who is personally known to me or who has produced yV II e5 �l!��^SG 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: V 'Sign: ' WJA141-- Sign: "P Print: Print: 21k, I A ✓l 4 Seal: ,'I`�P DONALD MARTIN Seal: 's"" DONALD MARTIN MY COMMISSION#GG102743 MY COMMISSION# 6G102743 Ial�; EXPIRES May 09,2021b.''00 EXPIRES May 09,2021 APPROVED BYrat !/" Plans Examiner Zoning Structural Review Clerk r (Revised02/24/2014) T PERMIT #: 13-SM-1810244 STATE OF FLORIDA APPLICATION #:AP1320242 ti DEPARTMENT OF HEALTH DATE PAID: * ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: DOCUMENT #: PR1087109 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Adam Malamed PROPERTY ADDRESS: 9215 Bayshore Dr Miami, FL 33138 LOT: 6 BLOCK: 4 SUBDIVISION: PROPERTY ID #: 11-3205-027-0590 [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 Existina Septic Tank to remain CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 400 ] SQUARE FEET NEW DF IN BED CONFIG SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: FIFE......10.80'NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 32.40 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 72.40 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 64.00 ] INCHES 1.-EXISTING 1050 GALLONS septic tank with and approved filter TO REMAIN. 0 2.-The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance G0 T with s.64E-6.013(3)(f) FAC. de H 3.- Install 400 sf. of drainfield in ...BED....... configuration. 4.- Install 24"of slightly limited soil at the bottom of the drainfield. E 5.-Invert elevation and Bottom of drainfield to be no less than 5.26'& 4.76' NGVD respectively R THIS PERMIT IS NOT FOR ANY ADDITIONS. SPECIFICATIONS BY: Kemble trick TITLE: APPROVED BY: TITLE: Engineering Specialist II O Dade CHD d li re f DATE ISSUED: 12/2672MV EXPIRATION DATE: 03/26/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1320242 SE1058246 • DOCUMENT #: PR1087109 t -fhe licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(f), FAC. Required drainfield area based on rule 64E-6.015(6)(c)2. Install a new drainfield to achieve Drainfield size requirement. F r v { +(}it APPLICATION # AP1320242 Nr STATE OF FLORIDA I It PERMIT # 13-SM-1810244 cV DEPARTMENT OF HEALTH C:) ti ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOC # RE407184 00 s � EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION U? APPLICANT: Adam Malamed I CONTRACTOR / AGENT: Adam Malamed LOT:a 6 BLOCK: 4 SUBDIVISION: ID#: 11-3205-027-0590 t 1 TO BE COMPLETED BY A FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHEF 1 CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANF CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED. EXISTING TANK INFORMATION f [ 1050 ] GALLONS Septic Tank LEGEND: Unknown MATERIAL:Concrete BAFFLED: [I Y Y N ] [ ] GALLONS LEGEND: MATERIAL: BAFFLED: [ Y / N ] 4 ` [ ] GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL: [ ] GALLONS DOSING TANK LEGEND: MATERIAL: # PUMPS: [ ] I CERTIFY THAT THE ABOVE NOTED TANKS WERE PUMPED ON 12/04/2017 BY Mr C Plumbing & Septic HAVE THE VOLUMES SPECIFIED AS DETERMINED BY 11DIMENSIONS FILLING / LEGEND ], ARE FREE OF OBSERVABLE DEFECTS OR LEAKS AND HAVE A [ SOLIDS DEFLECTION DEVICE / OUTLET FILTER DEVICE ] INSTALLED. E (Mr. C"s Plumbing&Septic) 12/26/2017 SIGNATURE OF LICENSED CONTRACTOR BUSINESS NAME DATE EXISTING DRAINFIELD INFORMATION [ '400 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: 25.00 X 16.00 [ E ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: X TYPE OF SYSTEM: [X ] STANDARD [ ] FILLED [ J MOUND [ ] CONFIGURATION: [ ] TRENCH [X ] BED [ j DESIGN: [X ] HEADER [ ] D-BOX [X] GRAVITY SYSTEM [ J DOSED SYSTEM ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE 40.00 INCHES [ ABOVE SYSTEM FAILURE AND REPAIR INFORMATION [ 01/01/1976 ]' SYSTEM INSTALLATION DATE TYPE OF WASTE [X] DOMESTIC ( ] COMMERCIAL [ 400 ] GPD ESTIMATED SEWAGE FLOW BASED ON [ ] METERED WATER [ X] TABLE 1, 64E-6, FAC SITE [ ] DRAINAGE STRUCTURES [ ] POOL [ ] PATIO / DECK [X] PARKING CONDITIONS: [ ] SLOPING PROPERTY [ ] I NATURE OF [ ] HYDRAULIC OVERLOAD [ ] SOILS [X] MAINTENANCE [ ] SYSTEM DAMAGE FAILURE: [ ] DRAINAGE / RUN OFF [ ] ROOTS [ ] WATER TABLE [ ] FAILURE [ ] SEWAGE ON GROUND (X ] TANK [ ] D-BOX / HEADER [X] DRAINFIELD SYMPTOM: [X ] PLUMBING BACKUP [ ] I SUBMITTED BY: TITLE/LICENSE DATE: 12/18/2017 Kemble Ettrick(Mr C"s Plumbing) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC 1 Page 4 of 4 V 1.0.0 AP1320242 EID1810244 r a ja 1/9/2018 Property Search Application-Miami-Dade County OFFICE OF DHE PROPERTY Summary Report, Generated On:1/9/2018 r Property Information Folio: 11-3205-027-0590 - W N�y Property Address: 9215 N BAYSHORE DR Miami Shores,FL 33138-2948 Owner ADAM MALAMED 9215 N BAYSHORE DR Mailing Address MIAMI,FL 33138 USA a PA Primary Zone 1400 SGL FAMILY-3001-3250 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT w .f Beds/Baths/Half 413/0 Floors 2 Living Units 1 Actual Area 4,480 Sq.Ft Living Area 3,500 Sq.Ft Adjusted Area 3,571 Sq.Ft Lot Sae 13,861 Sq.Ft Taxable Value Information Year Built 1976 2017 2016 2015 County Assessment Information Exemption Value 1 $50,000 $50,000 $50,000 Year 2017 2016 2015 Taxable Value $2,246,205 $2;198,9771 $2,183,344 Land Value $1,766,183 $1,766,183 $1,635,355 School Board Building Value $556,183 $562,432 $568.682 Exemption Value $25,000 $25,000 $25,000 XF Value $44,803 $45,290 $29,307 Taxable Value 1 $2,271,205 $2,223,977 $2,208,344 Market Value $2,367,169 $2,373,905 $2,233,344 City Assessed Value $2,296,205 $2,248,977 $2,233,344 Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $2,246,2051. $2,198,977 $2,183,344 Benefits Information Regional Benefit Type 2017 2016 2015 Exemption Value 1 $50,000 1$50,000 $50,000 Save Our Homes Cap Assessment Reduction $70,964 $124,928 Taxable Value $2,246,2051 $2,198,9771 $2,183,344 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead I Exemption 1$25,000 $25,0001$25,000 Sales Information Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Previous OR Book- Board,City,Regional). Sale Price Page Qualification Description 03/31/2014 $2,700,000 29091-4126 Qual by exam of deed Short Legal Description 08/02/2012 $100 28228-1097 Corrective,tax or QCD;min 5 53 42 consideration BAY LURE PB 44-63 Financial inst or"In Lieu of 07/15/2011 $1,700,000 27779-0243 LOT 6 BLK 4 Forclosure"stated LOT SIZE 83.000 X 167 05/16/2011 $100 27730-2347 Financial inst or"In Lieu of Forclosure"stated OR 19152-0772 06 2000 1 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.govrinfo/disclaimer.asp Version: l i I"