PL-17-2221Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. PL -9-17-2221
Permit Type: Plumbing - Residential
Work Classification: Septic
Permit Status: APPROVED
Issue Date: 11/14/2017
Expiration: 05/13/2018
Parcel Number
Applicant
1135 NE 99 Street
Miami Shores, FL 33138-
1132050180060
Block: Lot:
KEITH AND LORY FREIMAN
Owner Information
Address
Phone
CeII
KEITH AND LORY FREIMAN
1135 NE 99 Street
MIAMI SHORES FL 33138-
1135 NE 99 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone
STATEWIDE SEPTIC CONNECTIONS (954)963-0082
CeII Phone
Valuation:
Total Sq Feet:
$ 5,000.00
150
Type of Work: SEPTICTANK + DRAINFIELD REPLACEMENT
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$3.00
$4.50
$4.50
$1.00
$300.00
$9.00
$4.00
$826.00
Pay Date
Invoice #
09/05/2017
11/14/2017
Bond #: 3523
Pay Type
PL -9-17-65066
Check #: 5404 $ 50.00 $ 776.00
Credit Card $ 776.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
HRS Approval
Final
Review Plumbing
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 AFFID IT: I certify, t
construction and z rung. Futh71
'all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
, I authorize the above-named contractor to do the work stated.
Authorized SignalrEure: Owner / Applicant /
Building Department Copy
Contractor / Agent
November 14, 2017
Date
November 14, 2017 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
Tit?' E VED
SE .0 5 20
BY.
1--il
FBC 20t`-}
Master Permit No\'U �— 2-221
Sub Permit No.
❑ REVISION ❑ EXTENSION
IIPLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS:
1133 s-
❑ CANCELLATION
❑ RENEWAL
0 SHOP
DRAWINGS
City:
Folio/Parcel#:
Occupancy Type:
Miami Shores
County:
11-3Zo5-- 016 - ocko
Miami Dade
Zip: 33/ 3F
Load:
Is the Building Historically Designated: Yes
Construction Type: Flood Zone:
NO V
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): IA el'Fr-f-eon.. A Phone#: -2(96 _ J ! 7-? 6 3 7
Address: 22,
City: a`moi _ State: l� Zip: J /
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: S-%A+e u £e
0t0 1\G G- 3-''S'nC,
Ei
Address: ‘38o NvJ l 4v - to 1
Phon # ��5c - 18O
City: O4 LOC_W-4 State: Zip: 3230054 -
Qualifier Name: WA -RSA cc-torr1.Oc Phone#:
State Certification or Registration #: LC-ACA—10_62 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
150
Value of Work for this Permit: $ 000
Type of Work: ❑ Addition r Alteration ❑ New
Square/Linear Footage of Work:
Description of Work:
S-ep c Tavi
Repair/Replace
1--)r011rfi-eld
❑ Demolition
Ri.+C°wr'ik..elY'.'w.aEtv.:et"rwr•"'���+�w�'•r
Specify cg or of color thru tile:
.4
ti n:ii^r?:enc
-GO
Submittal Fee $� - W-Peimitfee 2
e42vor •tl 'R P•''L. ,.,- �` k
Scanning Fee$ 2. n F�,;••.� �m�:,Radon,Fee$? •' ,
Technology
.i
CCF $ r1'7P! =' CO/CC$ '<�'S
eI-OS .e 1s z5 i,�3 �,_� 0,1''•:'; ('
DBPR $ Notary $
•
`"4 ra i education Fee $ Double Fee $ Sp
Structural Reviews $ Bond $ J`,J • CO
(Revised02/24/2014)
TOTAL FEE NOW DUE $ - 00
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 rei pection fee will be charged.
*Signature/
OWNER or AGENT
The foregoing instrument was acknowledged before me this
5 day of &eft ,20i7 , by
14.€114, `( mon who is personally known to
me or who has produced t")
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: —
OP -Inn
1421 Cr. \ . P'(-1"'1eror4
.cox 4e„ JERRICA L. ARMSTRONG
? Notary Public - State of Florida
My Comm. Expires Feb 9, 2019
APPkYVE-o BT
(Revised02/24/2014)
•r
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
5 day of c t 9 , 20 17 by
rr
ells �1'' Io ro.- , who is personally known to
as me or who has produced [1)
identification and who did take an oath.
NOTARY PUBLIC:
I Sign:
Prin
Seal:
as
*********************
Plans Examiner
Structural Review
I a - A A AK.
,6 JERRIC L. ARMSTRONG
N JERAI�p.L. ARIASQG1
,ia mitr4; �UD144Z3al�0
Commission # FFt197589g
s My -Comm. Expires Feb 9, 20191
*
Zoning
Clerk
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT:
Keith & Lory Freiman
PERMIT #: 13 -SM -1783340
APPLICATION #: AP1303356
DATE PAID:
FEE PAID:
RECEIPT #::
DOCUMENT #: PR1072944
PROPERTY ADDRESS: 1135 NE 99 St
Miami, FL 33138
LOT: 17 BLOCK: 178
PROPERTY ID #: 11-3205-018-0060
SUBDIVISION:
[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 TS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT MODIFYrTOERO IAL CTHE
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 [ 900 ] GALLONS / GPD NEW SEPTIC TANK TO INSTALL 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 [ 150 ] SQUARE FEET Trench Conf. Drainf. SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
[X] STANDARD [ ] FILLED [] MOUND [ ]
[X] TRENCH [ j' BED [ ]
A TYPE SYSTEM:
I CONFIGURATION:
N
F LOCATION OF BENCHMARK:
9.90' NGVD: FFE
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED:
0
T
H
E
R
[ 0.00 ] INCHES
[ 31.20][
[ 71.20 ] [
INCHES
INCHES
FT ][ABOVE/+BELOW JBENCHMARK/REFERENCE POINT
FT ][ABOVE4BELOWbBENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: [. 52.00] INCHES
1. Install a 900 gal. septic tank with an approved filter
2.- The licensed contractor installing the system is responsible for installing the minimum category o tan in ac rd
with s. 64E -6.013(3)(f) FAC. g ry �CpQ �c ount
Florida Health Mi]R1i Ua� Y
3.- Install 150 sf. of drainfield in TRENCH configuration. p �, (•D. c� Well Program
4.- Install 12" of slightly limited soil at the bottom of the drainfield
5.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed-abserptio
(Comments Continued on Page 2.)
SPECIFICATIONS BY: Teresa J Solomon
TITLE: Master Septic Tank Contractor
APPROVED BY:
Yvenel Clermont
DATE ISSUED: 08/17/2017
TITLE: ENGINEERING SPECIALIST I
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4
Dade CHD
EXPIRATION DATE: 11/15/2017
AP1303356 SE1044624
Page 1 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR CONSTRUCTION PERMIT
Permit Application Number
PART II - SITEPLAN
Scale: Each block re.resents 10 feet and 1 inch = 40 feet.
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Notes:
.t (^rlre n
�t RT 33Ie
IQ, i\i'etAJ
Site Han submitted by:
Plan Approved
By
Not Approved
Date
County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
(Stock Number. 5744-002-4015-6)
Page 2 of 4
DOCUMENT # :
PR 1072944;
6.- Invert elevation of drainfield to be no less than 4.47' NGVD
7.- Bottom of drainfield elevation to be no Tess than 3.97' NGVD
8.- This permit includes the abandonment of the existing septic tank.
THIS PERMIT IS NOT FOR ANY ADDITIONS.
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
gpd.
Required drainfield area based on rule 64E-6.015(6)(02.
Install a new drainfield to achieve Drainfield size requirement.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s.
64E-6.013(3)(0, FAC.
Surveyor's Legend
r _•,([.ftl • -f -. P. f.. _.
- R
I�
f. I•
I
r. r. r
I
ESMT EASEMENT HI
pC, DRAINAGE EASEMENTP.U.C. PUBLIC UTILITY EASEMENT
[SKIT LB E [05050*00 FLFFFN fPSFMFNT C .J C GANA1. MAINTENANCE EASEMENT
IMITTE. 0:.'0:5 EASTREKT 01.,.,011 LA. LM_'.I
' VI aiL
--- - - EASEMENT L.
I I I I
__
7_-__
T. I,
t
i I ' >
C.L.E. COUNT? UTILITY EASEMENT -.!L
I.F. /f. E. INGRE55 / EGRESS EASEMENT L.M.E. LAKE OR LANCSCAPC MAINT.
., J LII' LOOL'.I_NIHr;,l. 053 GYI RI'ANG Cn.S'010 N'
Property Address:
1135 N.E. 99 STREET
MIAMI SHORES, FL 33138
General Notes
1. The Legal Description used to perform this survey was supplied by others.
This survey does not determine or is not to imply ownership.
2. This survey only shows above ground improvements. Underground
utilities, footings, or encroachments are not located on this survey map.
3. If there is a septic tank, well, or drain field on this survey, the location of
items was shown to us by others and the information was not verified.
4.
4. Examination of the abstract of title will have to be made to determine
recorded instruments, if any, effect this property. The lands shown herein
were not abstracted for easement or other recorded encumbrances not shown
5. the Llai.
oPanel
5. Wall ties are done to the face of the wall.
6. Fence ownership is not determined.
7. Bearings referenced to line noted B.R.
8. Dimensions shown are platted and measured unless otherwise shown.
9. No identification found on property comers unless noted.
10. Not valid unless sealed with the signing surveyors embossed seal.
11. Boundary survey means a drawing and/or graphic representation of the
survey work performed in the field, could be drawn at a shown scale and/or
not to scale.
12. Elevations if shown are based upon NGVD 1929 unless otherwise noted.
13. This is a BOUNDARY SURVEY unless otherwise noted.
14. This survey is exclusive for the use of the parties to whom it is certified.
The certifications do not extend to any unnamed parties.
Flood Information:
Community Number: 120652
Number: 0306
Suffix: L
Date of Firm Index: 9/11/2009
Flood Zone: AE
Base Flood Elevation: 8
Date of Field Work: 9/25/2009
Date of Completion:
Legal Description:
LOT 17, BLOCK 178, OF SUBDIVISION REVISED PLAT OF MIAMI SHORES SECTION 8, ACCORDING TO THE PLAT
THEREOF AS RECORDED IN PLAT BOOK 43, PAGE 69, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,
FLORIDA
PRINTING INSTRUCTIONS:
Certified To: LORY & KEITH FREIMAN; STEVEN
GREENSPAN, P.A.; OLD REPUBLIC NATIONAL TITLE
INSURANCE CO.; ; . Its'successors and/or assigns as their
interest may appear.
While viewing the survey in any Acrobat Reader, select the
File Drop-down and select "Print"
Select a color printer, if available, or at least one with 8.5" x
14" paper.
Select ALL for Print Range, and the # of copies would like
you
to print out.
Under the "Page Scaling" please make sure you have'
selected "None."
Do not check the "AutoRotate and Center" button.
Check the "Choose Paper size by PDF"checkbox.
Click OK to Print.
. Florida Land
m Title Association AFFILIATE
MEMBERS
2a4TA ;-�
M.E. LAND SURVEYING,
INC.
Suite 3110 MIAMI, FL 33157
#:(305) 669-3190 LB # 6463 16.
iur
10665 SW 190TH Street,
vior._ PHONE:(305) 740-3319 FAX
WWW.MELANDSERVICES.COM
Survey: A-10603
Client File #: 09-0172
Page 2 of 2 Not valid without all pages.
Property Search Application - Miami -Dade County
OFFICE OF THE PROPERTY APP' A
SE,„"
Page 1 of 1
Summary Report
Property Information
Folio:
11-3205-018-0060
Property Address:
1135 NE 99 ST
Miami Shores, FL 33138-2640
Owner
KEITH FREIMAN
LORY M FREIMAN
Mailing Address
1135 NE 99 ST
MIAMI SHORES, FL 33138
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds/Baths/Half
2/1/1
Floors
1
Living Units
1
Actual Area
1,817 Sq.Ft
Living Area
1,517 Sq.Ft
Adjusted Area
1,667 Sq.Ft
Lot Size
8,925 Sq.Ft
Year Built
1949
Assessment Information
Benefit
Year
2017
2016
2015
Land Value
$321,020
$299,280
$272,468
Building Value
$116,023
$116,023
$116,023
XF Value
$694
$702;
$710
Market Value
$437,737
$416,005
$389,201
Assessed Value
$283,252
$277,427
$275,499
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$154,485
$138,578
$113,702
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
REV PL MIAMI SHORES SEC 8
PB 43-69
LOT 17 BLK 178
LOT SIZE 75.000 X 119
Generated On : 9/5/2017
Taxable Value Information
Previous
2017 2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$233,252
$227,427
$225,499
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$258,252
$252,427
$250,499
City
Exemption Value 1 $50,000
$50,000
$50,000
Taxable Value
$233,252
$227,427
$225,499
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$233,252
$227,427
$225,499
Sales Information
Previous
PriceSale
OR Book-
Page
Qualification Description
10/28/2009
$305,000
27074-4685
Qual by exam of deed
08/24/2009
$100
27016-2175
Trustees in bankruptcy, executors or
guardians
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/
9/5/2017
v - . IVISION OF
Environmental Health
Florida Health
Miami -Dade County
AQQ� OSTDS/Well Division
�►� 11805 SW 26th Street • Miami, FL 33175
Inspector 6r 410ryt 17174 Date c i iq- -2.0 1 �'
Address 4l, OSTDS # H-[" ISE) 336'64 --
Comments:
36'64 --
Comments: MC Pjti 14007-14.-
_Teti K rCO
Signature
,K I 7 - Z,
Proudly Serving
the Florida Real
_ Estate Community
irtliF for Over 20 Years
W W W.MELANDSERVICES.COM
/jar ASPHALT PAVfMENAT. N5.OD` ALLEY
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1106.
2200' ASPHALT PAVEMENT
NE 99 STREET
Accepted By:
Property Address: 1135 N.E. 99 STREET
MIAMI SHORES, FL -33138
NOTES: NO NOTES
REPRESENTATION OF A SUR APIEIT'NI1R MY DIRECTION. THIS COMPLIES WITH THE MINIMUM
TECHNICAL STANDARDS. AS FORTH BY THEE TE OF FLORIDA BOARD OF PROFESSIONAL LAND
SURVEYORS N CHAPTER I<1G17-0.FIAMMAADMIN THE CODE PURSUANT TO 472.027, FLORIDA STATUTES.
jy% c
IY�
SIGNED
MIGUEL
STATE OFF
NOT VALID WITHOUT AN
THIS MAP IS NOT VALD
AND MAPPER
/
tom. FOR THE ARM
P.S.M. No. 5101
SA SIAT or
DA"
- NATURE AND AUTHENTICATED ELECTRONIC SEM. AND/OR
i� AND THE ORIGINAL RAISED$EAL OF ALICENSED SURVEYOR
Survey: A-10603 Client File #: 09-0172
MIGUEL ESPINOSA LAND SURVEYING, INC.
10665 SW 190TH Street
Suite 3110
MIAMI, FL 33157
PHONE:(305) 740-3319
FAX #:(305) 669-3190
LB # 6463
Page 1 of 2