PLC-16-812 PERMIT #: 13-SC-1667097
STATE OF FLORIDA
DEPARTMENT OF HEALTH APPLICATION #: AP 1229305
ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID:
SYSTEM FEE PAID:
CONSTRUCTION PERMIT
RECEIPT #:
Documm #: PR1010537
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (Leung Venture Inc)
PROPERTY ADDRESS: 9101 Biscayne Blvd Miami,FL 33138
LOT: BLOCK: SUBDIVISION: Shores Plaza
PROPERTY ID $: 11-3206-009-0010 [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 [ 2,700 1 GALLONS / GPD existinq septic tank CAPACITY
A [ ] GALLONS / GPD CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
X [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 ERS #Pumps [ ]
D [ 1,000 ] SQUARE FEET bed configuration drainfiel SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [u] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [g] BED [ ]
N
F LOCATION OF BENCHMARK: FFE 10.8'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 13.201 [ INCHES FT ] [ABOVE JBELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 63.2011 INCHES FT IIABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ 62.00] INCHES
O *"Repair for System#2 serving 10 units in hotel(1000 gpd/3900 gpd).
"THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS"
T I.-Existing 2700 gal.septic tank,certified by Mr.C's Plumbing&Septic on 03/09/2016,to remain.
H 2.-Install 1000 sf OR ALL AVAILABLE SPACE of drainfield in bed configuration.
3.-Install 12"of slightly limited soil at the bottom of the drainfield.
E
4.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench.
R 5.-Invert elevation of drainfield no less than 6.03'NGVD.6:Bottom of drainfield elevation no less than 5.53'NGVD.
SPECIFICATIONS BY: Kemble Ettrick TITLE:
APPROVED BY: TITLE: Engineering Specialist II Dade CHD
Erlanft Omisca
DATE ISSUED: 03/23/2016 EXPIRATION DATE: 06/21/2016
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 AP1229305 $8989693
r r • 1
■■■■■■■■■■■■■■■■■i■iii■ii� i�l�■�i'li�l■■G%!
■■■■■■■1■l\■moi\■�i��■L�■■■■i■�i■■111111ii�i
■■■■■■■f!�■�!�■\\i■i■■■i■i■! `; ■I■11111 i■
■■■■■■■il[�nll�Li■►ail!■i■■�1■■I■■■IS.. II(i■
�':�3���*'�:G■!=�■i�1■��■■■■i■■■iii■■■■■
There are no p_ . :._ , or across the skeet that may affect the New Septic systemr :,.
t i I
iLc...!
rr ...
Miami Shores Village o4
Building Department 1 MAR 2d20�1
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 ---
t INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20I
BUILDING Master Permit No. PLC- 16— S1 z
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
,AA CONTRACTOR DRAWINGS
JOB ADDRESS: I O 9(5U(AA,t?., �1 VAC
Com: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: I( — 5,Ay6 — 061— CW(0 Is the'Building Historically Designated:Yes NO —
Occupancy Type: Load: Construction Type: 11) Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): "'1-yr. Le v m Phone#: 50 7/0 51PZ.-
Address: otA3/ l� Ard 64yP� A,
City: State: /--C- Zip: 3-501
Tenant/Lessee Name: L Phone#:
Email: "-K L�cCr� /JG[�cw7Ya - Nef
CONTRACTOR:Company Name: tlf �[�ic� -�u J � L Phone#: aal 7, 5
Address: /�"_7 A OZ
City: ice'/; State: Zip: 5510
Qualifier Name: K,e,-4 L, W G/, Phone#:
State Certification or Registration#: 3Q b 6 I'53b Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work: f�a
Type of Work: ❑ Addition ❑ Alteration ❑ NewPIRepair/Replace ❑ Demolition
Description of Work: � t .tA
Specify color of*color thru tile: I cn,t 0
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Train(ng/Educat(on Fee$ Double Fee$ /
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ •SD
(Revised02/24/2014)
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 f Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
A
9'q day of I I ML ,20�by �day of WtG�,. .20 1 o ,by
-'T-M ftya who is personally known to K&%6 if— 'E*11 ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY Pl1BUC: NOTARY PUBLIC:
Sign:____ Sign:
Print: Print: C ..>�t N"D>Lc+'f- I41 -?
Notar Puolic-State of Florida u,
Seal: = `��`�; =My Comm.Expires Sep 19,2017 Seal: ��.¢,���
Claudette ► ips
Commission#FF 055732 _ COMMISSION#FF222451
Bonded Through National Assn _"�• ' r EXPIRES: APM 20, 2019
wWW.AARORNOTARY.COM
APPROVED BY 9 Plans Examiner Zoning
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:3/25/2016
Properly Information Rx
Folio: 11-3206-009-0010
Property Address: 9101 BISCAYNE BLVD
Miami Shores,FL 33138-3223 ' '
Owner LEUNG VENTURE INC
Mailing Address 9101 BISCAYNE BLVD
MIAMI SHORES,FL 33138-3223
Primary Zone 6200 COMMERCIAL-ARTERIAL
Primary Land Use 3922 HOTEL OR MOTEL:MOTEL
Beds/Baths/Half 38/39/0
Floors 2
Living Units 39 .
Actual Area Sq.Ft
b'
Living Area Sq.Ft
Adjusted Area 13,209 Sq.Ft
Lot Size 39,993 Sq.Ft Taxable Value Information
Year Built 1952 20151 20141 2013
Assessment Information County
Year 2015 2014 2013 Exemption Value $0 $0 $0
Land Value $1,399,755 $799,860 $799,860 Taxable Value $1,649,7301 $1,499,7551 $1,512,153
School Board
Building Value $662,999 $650,052 $661,660
Exemption Value $01 $0 $0
XF Value $49,053 $49,843 $50,633
Taxable Value 1 $2,111,8071 $1,499,7551 $1,512,153
Market Value $2,111,807 $1,499,755 $1,512,153 City
Assessed Value $1,649,730 $1,499,755 $1,512,153 Exemption Value $0 $0 $0
Benefits Information Taxable Value $1,649,730 $1,499,755 $1,512,153
Benefit Type 2015 2014 2013 Regional
Non-Homestead Cap Assessment Reduction $462,077 Exemption Value $0 $0 $0
Note:Not all benefits are applicable to all Taxable Values(i.e.County,
Taxable Value $1,649,730 $1,499,755 $1,512,153
School Board,City,Regional).
Sales Information
Short Legal Description Previous OR Book-
Sale Price PageQualification Description
SHORES PLAZA PB 48-86
LOTSTRACA IRREGULAR 02/01/1997 $1,050,000 117756 Sales which are qualified
OR 17550-0756 02971 11/01/1996 $0 00000- Sales which are disqualified as a result
00000 of examination of the deed
11/01/1980 $780,000 10059240- 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.govfnfotdisclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 3/25/2016
Detail by Entity Name Page 1 of 2
a
Detail tl Name
Florida Profit Corporation
LEUNG VENTURE, INC.
Filing Information
Document Number P97000017558
FEI/EIN Number 65-0743174
Date Filed 02/24/1997
State FL
Status ACTIVE
Principal Address
9101 BISCAYNE BLVD.
MIAMI SHORES, FL 33138
Availing Address
16260 N.E. 13TH AVE.
NORTH MIAMI BEACH, FL 33162
Changed: 04/21/2010
Registered Agent Name&Address
LEUNG, THERESA K
9101 BISCAYNE BLVD.
MIAMI SHORES, FL 33138
Officer/Director Detail
Name&Address
Title D
LEUNG, THERESA K
9101 BISCAYNE BLVD.
MIAMI SHORES, FL 33138
Annual Reports
Report Year Flied Date
2014 02/19/2014
2015 01/12/2015
2016 01/23/2016
http://search.sunbiz.org/Inquiry/CorpomtionSearch/SearchResultDetail?inquirytype=Entity... 3/25/2016
c
i-e Lam-- "
APPLICATION #:AP1229305
STM OF NWRIDA PERMIT #:13-SG-1:-667097
DZPARTM NT Off' HE,iALTH 11.0460�4
ONSITE SEmm TMATMNT AND DISPOSAL SYST>8M
r ` CONSTRUCTION INSPECTION ANO FINAL APPROVAL P�:03/10/2016
FEE PAi200.00
RECEIPT 8:13-PID-2902712
APPLICANT: Leung Venture Inc
A tT: AAr .4 Plumbing&
PROPERTY AODRaaa: 9101 Blamne Blvd Miami, FL 33138
LOT: BLOCK:
SUBDIVISION: 1flCf?ffi Plaza IDB: 99.319
CHECKED [KI ITEMS An NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BR CORRECTED.
TANK INSTALLATION SETBACKS
(011 TANK SIZE 111 2700.00 [21 t 1 1271 SURFACE WATER FT
3 [021 TANK MATERIAL 1 (281 DITCHES FT
t [031 OUTL'KT t3MCE "1 1291 PRIVATE WELLS PT
1 [041 MULTI-CHAMBSIOD C Y / N I [301 PUBLIC WKLLS FT
[05] otrrLKT FILTKR
. (311 IRRIGATION WKLL9 F'1'
I [061 LEGE@ID 1. 2. t I [321 POTABLE WATER 30 B'T
[' [071 WATERTIGHT t 1 [333 BUILDING FOUNDATIONS 2 . FT
[ 1 [081 LEVLL I (343 PROPERTY LINES T
t 1 [091 DEPTH TO LID ( (35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
t 1 [101 AREA. 11.1 n 121 SOFT ( V [361 DRAINFIELD C(7VER
{ ]
1111 DISTRIBUTION Box HEADER X [ j [371 SHOULDERS
( 1 1121 NUMBER OF DRAXWLIWS 1. [381 SLOPES
[; ] [133 DRA=nm SEPARATION t (391 STABILIZATION
C l (141 DRAINLINE SLOPE
[ [151 DEPTH OF COVER � ADDITIONAL IMPMATION
C 1 [161 ELEVATION C ABOVE / ]BM 48.12 ( (403 UNOBSTRUCTED AREA
( 1 (171 SYSTEM LOCATION j 1- (413 STORMWATER RUNOFF
1183 DOSING PUMPa [ 1 1421 ALARMS
C 1 (191 AGGREGATE 9112E C ,], 1433 MAINTENANCE AGREEMENT
[201 AQ=QATE EXCEHer" FINKS [ ]: [44] BUILDSI a AREA
t [211 AG(AtEGATS DEPTH t 3` [453 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ 1 [461 FINAL SITE GRADING
t j [221 FILL AMOUNT I 1 (471 CONTRACTOR (Mr C"s)
[. 1 (233 FILL TH)F't`tURE ( }. 1481 OTHER PTI ( Fi(3S 9 -2
1243 EXCAVATION DEPTH ABANDONMENT
(; .]
1251 AREA REPLACE I 1493 TANK PUMPED
E261 REPLACEMENT MATERIAL [ ..3 (Sol TANK CRUSHED & FILLED
Co=wnte: Cosa" is axe
(' � Daae..... c c DATE: 03 OQ016
CtaiSTRUCTION I APP Mb 1 DISAPPROVED l "C""" IE p9deC
��-
FINAL SYSTEM t A881KrVtD DISAPPROVED I: Dade CHO �. 03=016.
Dade
(aspiamatiom of Violatione on following p"s)
DH 4016, 08/09 (Obsoietea all PrOvioue editiana which may not be used3
Incorporated: 643-6.003, FAC Page 2 of 3
EH Database V 1.0.1 AP1229305 H10166"97
Aaic ►TICN #:AP1229305
STATZ OF VWP. DA a:13-SC-1667097
DZPAttTHM Or HEALTH mcmam #:FI1046044
ONSITE SENAM TREATMENT AND DISPOSAL SYST M
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE HAID:03/10/2016
BAm 200.00
i�c�s> r
#:13-PID-2902712
aComment
.2100 gal Ming tank
-32 bundles g Piga each,4 dralnlines(80 ft in lano),all available space
domIgunation,12 incase of sand
Da 4016, 08/09 (Cbsol®tee all previous aditions Which may not be used)
Incorporated: 64M-6.003, PAC
EN
of 3
EN Diabase v 1.0.1 AP4229305 EID1667007
G sir }
Miami Shores Village
3
10050 N.E.2nd Avenues
Miami Shores,FL 33138-0000 ''p"
3 i
Phone: (305)795-2204
ti=, x Expiration: 09/2712016
Project Address Parcel Number Applicant
9101 BISCAYNE Boulevard 1132060090010
LEUNG VENTURE INC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
LEUNG VENTURE INC 9101 BISCAYNE BLVD (305)754-9575
MIAMI SHORES FL 33138-3223
Contractor(s) Phone Cell Phone Valuation: $ 10,000.00
MR C'S PLUMBING&SEPTIC INC (305)651-7859 Total Sq Feet: 1000
Type of Work:DRAINFIELD INSTALL Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Final
Classification:Commercial Rough
Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00 Invoice# PLC-3-16-59168
CCF $6.00 03/25/2016 Credit Card $50.00 $629.50
DBPR Fee $2.25
DCA Fee $2.25 03/31/2016 Credit Card $129.50 $500.00
Education Surcharge $2.00 03/31/2016 Check#:4084 $500.00 $0.00
Permit Fee $150.00 Bond#:3038
Scanning Fee $9.00
Technology Fee $8.00
Total: $679.50
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 1 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 a e and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named co a r to do the work stated.
March 31,2016
Authorized Signature:Owner / Applicant ntractor / Agent Date
Building Department Copy
March 31,2016 1