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PL-18-3618Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 ���If 1fUJl� issue Date, 02/08/2019 Location Address Parcel Number 141 NW 101ST ST, Miami Shores, FL 33150 1131010220170 Contacts Permit No.: PL-12-18-3618 Permit Type:lturrtbing - Residential Work Ciassif bation: Septic Permit Status: Approved Expiration: 06/04/2019 COLBY NEUMANN Owner MR C'S PLUMBING & SEPTIC INC Contractor 141 NW 101 ST, MIAMI SHORES, FL 33150 KEMBLE ETTRICK Other:7862109004 Business: 3056517859 Description: INSTALLATION OF DRAINFIELD AND SEPTIC TANK Valuation: $ 3,000.00 Inspection Re nests > TO RENEW EXPIRED PERMIT PL-5-18-1473 . 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $55.00 Scanning Fee $3.00 Technology Fee $2.63 Total: $117.03 Building Department Copy Payments Date Paid Amt Paid Total Fees $117.03 Credit Card 02/08/2019 $117.03 Amount Due: $0.00 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 arg,,reguired for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OVER FF tZIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws reg at' g sn and zoning. Futherob�e, I authorize the abov,"aft} d contractor to do the work stated. Authorized Signature: O er / Applicant / Contractor / Agent Date February 08, 2019 Page 2 of 2 V BUILDING PERMIT APPLICATION Miami Shores Village r� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 r� Tel: (305) 795-2204 Fax: (305) 7S6-8972 - INSPECTION LINE PHONE NUMBER: (30S) 762-4949 ❑BUILDING ❑ ELECTRIC ❑ ROOFING yr ry FBC ff20 Q Master Permit No.� Sub Permit No. ' ❑ REVISION ❑ EXTENSION QRENEWAL PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 141 NW 101 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Colby Neumann Phone#: Address:141 NW 101 Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: NA Phone#: Email: CONTRACTOR: Company Name: Mr. Cs Plumbing & Septic Phone#: 305-651-7859 Address: 19932 NW 2 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: $ 3 VLJC� �� 4 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New Description of Work: is r R ' 0 y) t �f1 ❑ Re it/Replac El olition `) *( r I ii 7 C j1 L �c6 - 4� Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $?1--[ 9 — (W '� 3 TOTAL FEE NOW DUE $ \ I---) . 03 (Revised02/24/2014) Doc ID: fbf8b5c1656fb3c85de99b2efOcOecc43a3c007e ti Bonding Company's Name (if applicable) Bonding Company's Address M City State _ Mortgage Lender's Name (if applicable) NA Mortgage Lender's Address City State Zip 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 ke, Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of �QCfrv--x ✓ 20 /PO by 4z4 AlP�wfp �- who is personally known to me or who has produced �r t ✓e r S Ltc-e 0 t as The foregoing instrument was acknowledged before me this t'day of Oe C e 1,-� 1 ✓ 20 %�d by who is personally known to me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: , l�•[..� Sign: Print: 0 MARPrint 0ttAId IYh£i^ Seal : MY COMMISSION # GG102743 Seal ?'."`•p"Qk': DONALD MARTIN bR' EXPIRES May 09, 2021 '�': MY COMMISSION # GG102743 0 -1- "'t "16' EXPIRES May 09, 2021 APPROVED BY /1 //G 1 �� Plans Examiner as Zoning Structural Review Clerk (Revised02/24/2014) Doc ID: fbf8b5cl656fb3c85de99b2efOc0ecc43a3c007e Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 F�oRioA Pea it NO. PL-5-18-1473 ■ Pemlit Type: Plumbing - Residential entilWork Classification: Septic Permit Status: APPROVED Issue Date: 6/4/2018 1 Expiration: 12/01/2018 Project Address Parcel Number Applicant 141 NW 101 Street 1131010220170 Miami Shores, FL 33150- Block: Lot: COLBY NEUMANN MARK P TUMADA 141 NW 101 Street MIAMI SHORES FL 33150- 141 NW 101 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone MR C'S PLUMBING & SEPTIC INC (305)651-7859 Type of Work: INSTALLATION OF DRAINFIELD AND SEPT Type of Piping: Additional Info: INSTALLATION OF DRAINFIELD AND SEPT Bond Return : Classification: Residential Scanning: 3 Fees Due Amount Bond Type - Owners Bond $500.00 CCF $1.80 DBPR Fee $4.50 DBPR Fee $0.00 DCA Fee $0.00 DCA Fee $3.00 Education Surcharge $0.60 Permit Fee $300.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $821.30 Phone (786)210-9004 Valuation: $ 3,000.00 Total Sq Feet: 200 Pay Date Pay Type Amt Paid Amt Due Invoice # PLC-5-18-67741 06/04/2018 Credit Card $ 500.00 $ 321.30 05/30/2018 Check #: 1420 $ 50.00 $ 271.30 06/04/2018 Check #: 1427 $ 271.30 $ 0.00 Bond #: 3788 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 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 contractor to�p the work stated. June 04, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy une u4, ZU'Itf 1 5 BUILDING PERMIT APPLICATION 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 U FBC1O (- Master Permit No. Sub Permit No. F-IBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP rr 1 N(,/ CONTRACTOR DRAWINGS JOB ADDRESS: I `11 � I V V V S 1 1 t City: Miami Shores County: Miami Dade Zir): � 61 S 0 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type&lyrllq it 'Lo & Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):UkbA r 1 a Phone#: 1,Jy ( V Address: V V 10 r' J ''ll City: V 1�Y State: ✓� Zip: 3 91 f V Tenant/Lessee Name: �h 1 Phone#:�.(nO Email: U `1 M ' " IV (iYMI ` • Uyn CONTRACTOR: Company Name: �� C S I (uC- Phone#: Address: Nw c� I1-- City: r • State: Zip: 3V 6 e-?/ Qualifier Name: (n'lam I / / Phone#:� State Certification or Registration #: J/ Certificate of Competency #: DESIGNER: Architect/Engineer: A( Phone#: Address: City: State: Zip: Value of Work for this Permit: $ d ' Square/Linear Footage of Work: _ a? d-6 Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) e Permit Fee $ r3b© CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ CO/CC $ Notary Double Fee $$ Bond $ S TOTAL FEE NOW DUE $ Z --=-► . 30 Bondhig Company's Name (if applicable) 'All /$— Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 approv d and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of 20 I d by Nr4WA^ — who is personally known to me or who has produced lr/ -efr G/Cek rG as The foregoing instrument was acknowledged before me this /day of //A 20 by C�ai�12� who is personally known to me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as K-PSign:✓V ` Sign: 1 , Print: �U�o (% lqak-4, Print: Seal: `,via%_ Seal: DONALD DONALD MARTIN ;`"' "!4 : MARTIN g,� MY COMMISSION # GG102743 MY COMMISSION # GG102743 oidP`� EXPIRES May 09, 2021 ar.? EXPIRES May 09, 2021 ************ **** *********************** ****** APPROVED BY bohl Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-022-0170 Property Address: 141 NW 101 ST Miami Shores, FL 33150-1213 Owner COLBY NEUMANN MARK P TUMADA Mailing Address ......_....-_....... _. _.___-......_ 141 NW 101 ST MIAMI SHORES, FL 33150 USA PA Primary Zone Primary Land Use 0800 SGL FAMILY - 1701-1900 SQ 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,440 Sq.Ft Living Area 1,113 Sq.Ft Adjusted Area 1,264 Sq.Ft Lot Size 8,100 Sq.Ft Year Built 1949 Assessment Information Year Land Value ___ ...._.-_... - ...... _........ _._..__ 2017 $178,398 2016! 2015 $178,398$131,771 Building Value $107,036 $108,502 $91,640 XF Value $1,174 $1,193 $947 Market Value $286,608 $288,093, $224,358 Assessed Value $286,608 $288,093 $203,958 Benefits Information Benefit Save Our Homes Cap Type Assessment Reduction 2017 2016 2015 $20,400 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 GOLD CREST A SUB PB 21-56 ..................... W1/2 OF LOT 11 AND LOT 12 BLK 2 LOT SIZE 75.000 X 108 OR 20448-4573 04 2002 1 Generated On : 5/30/2018 Taxable Value Information 2017, 201 22015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $236,608 $238,093 $153,958 School Board Exemption Value ._._................................_-.._._..__._ Taxable Value ®®__®_1__ $25,000 $261,608 $25,000 _......_._._.._._.......-..._......_....- $263,093 $25,000 ................. ......_-_.............. . $178,958 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $236,608 $238,093 $153,958 Regional Exemption Value __.__. ___ __...._........_ Taxable Value .._......_........_ $50,000 ............. $236,608: $50,000 $238,093 $50,000 .......... $153,958 Sales Information Previous OR Book - Price Qualification Description Sale Page 04/28/2017 $399,000 30524-4723 Qual by exam of deed 02/18/2015 $347,500 29517-0916 Qual by exam of deed 02/01/2013 $226,000 28519-1912 .. ................. ....... _.._- ..... ....... Qual by exam of deed Financial inst or "In Lieu of [05�/0�27/20112$108,900 F28336'-0209 Forclosure" stated 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 hftp:/twww.miamidade.gov/info/disclaimer.asp https://www.miamidade.gov/propertysearch/ 5/30/2018 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT SYSTEM CONSTRUCTION PERMIT • • • • • . • • • PERMIT #: 13-SC-1848850 • • • • • • • • • • • • • • • • • • lPPLICATION #: AP 1345673 AND DIVOSi• i i i •i• DATE PAID: • • • e 0144 FEE PAID: •••RECEIPT #: 74mUMENT #: PR1118455 CONSTRUCTION PERMIT FOR: OSTDS Repair •• • • • •• •�• • APPLICANT: Colby Neumann ; ; ; ; ; 0 0 ; 0 PROPERTY ADDRESS: 141 Nw 1 n1 Rt Miami FI 331 sn LOT: 12 BLOCK: 2 SUBDIVISION: PROPERTY ID #: 11-3101-022-0170 [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 [ 900 ) GALLONS / GPD New Seotic Tank CAPACITY A [ 0 j GALLONS / GPD CAPACITY N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ IGALLONS @[ ]DOSES PER 24 HRS #Pumps '[ D [ 200 ] R [ 0 ] A TYPE SYSTEM I CONFIGURATI N SQUARE FEET New Drainfield Bed Conf. SYSTEM SQUARE FEET [x] STANDARD ON: [ ] TRENCH [ ] FILLED [x] BED [ SYSTEM [ l MOUND l F LOCATION OF BENCHMARK: FFE13.7' I ELEVATION OF PROPOSED SYSTEM SITE [ 22.801[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 72.801[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 62.00] INCHES 0 T H E R 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 of tank in accordance with s. 64E-6.013(3)(f) FAC. 3: Install 200 sf. of drainfield in ...BED... configuration. 4.- Install 12" of slightly limited soil at the bottom of the drainfield. 5.- Invert elevation and Bottom of drainfield to be no less than 8.13 ' & 7.63 ' NGVD respectively THIS PERMIT IS NOT FOR ANY ADDITIONS. (Comments Continued on Page 2.) SPECIFICATIONS BY: KEMBLE ETTRICK APPROVED BY: Erick Perera DATE ISSUED: 05/2312018 TITLE: TITLE• Environmental Specialist II DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC EXPIRATION DATE: Dade CHD 08/21 /2018 Page 1 of 3 v 1.i.4 AP1345673 SE1078686 141 NW 101 ST;MAMI.F oo tPITY '•5 ol� PIL- 7.S-CID::* CL ...... IDDS A/C ro 4-1 7 CL 5' WOW FENCE ail AS, lo� FEN- 7 O jap, :7 N X" STREET" , N (W;:TQTAL -t '�V\q t2> 6e T VA MAY 3 0 7g ' DIVISION OF Environmental Health Florida Health eQ�O Miami -Dade County OSTDS/Well Division 11805 SW 26th Street • Miami, FL 33175 Inspector '7r / a Date E Address // 2G� �f OSTDS # Comments: Signature