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PL-19-1802/14/2019 IMG_9976.JPG Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 !r'C's�L�UI NI�L� Issue Date: 01/30/2019 Location Address Parcel Number 1158 NE 99TH ST, Miami Shores, FL 33138 1132050180130 Contacts Permit NO.: PL-01-19-180 Permit Type: Plumbing - Residential Work Classification: Septic/Drainfield Permit status: Approved Expiration: 07/24/2019 SUSAN PINNAS Owner STATEWIDE SEPTIC CONNECTIONS Contractor 1158 NE 99 ST, MIAMI SHORES, FL 331382641 TERESA SOLOMON 13680 NW 19 AVE BAY#10, OPALOCKA, FL 33054 Business: 9549630082 Inspection Description: REPLACE TANK AND DRAINFIELD WITH NEW 1050 Valuation: $ 7,800.00 Inspection Requests: 4949 TANK AND NEW 667 AND BED DRAINFIELD TotalSq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $4.10 DCA Fee $2.73 Education Surcharge $1.60 Permit Fee $223.00 Scanning Fee $9.00 Technology Fee $6.83 Total: $302.06 Payments Date Paid Amt Paid Total Fees $302.06 Credit Card 01/25/2019 $50.00 Credit Card 01/30/2019 $252.06 Amount Due: $0.00 Building Department Copy 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 AFFIDAFT I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construclol and zoning. Futhermore, I authorize the above named contractor to do the work stated. Owner / I Applicant / Contractor / Agent Date January 30, 2019 Page 2 of 2 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 '41' Master Permit N Sub Permit N REC IVED JAN241019 �I 4-1 �st-, c zo t I tq- ieD ❑ REVISION ❑ EXTENSION ❑ RENEWAL 'PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: E City: Miami Shores County: Miami Dade Zip: 331319 Folio/Parcel#: I -20 ZOC, — 6 18 -o'-_ho Is the Building Historically Designated: Yes NO Lam_ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):SUSGn �lnnas Phone#30S / e7 1 S Address: II )J1 9 City: t N 1 SS State: � . Zip: 3 -j Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: QiNj `� phone#: Address: t� 6 !l1 W ( al /-vel # O City: ©• State: f j. Zip 74563Sg Qualifier Name: T�'tS� �o�pt-.�qr� Phone#: State Certification or Registration #: S J-1 401 -71 ZL Z Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $_ 7 8 1DO Square/Linear Footage of Work: Type of Work: Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑Demolition Description of Work: P,e K, a 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 $ Is' (Revised02/74/2014) TOTAL FEE NOW DUE $ 2�; 2 (o r Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip city State Zip_ I Application is hereby made to obtain a permit to do the work and installations as Indicated. I certify that no work orlinstallation 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, ISIGNS, 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, opied copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven d s fter the building permit is issued. In the absence of such posted notice, the inspection will�be approved and a rein ec ' n feJ will be charged. OWNER or The foregoing instrument was acknowledged before me this � `Z2 day of U GZ 20 1 � by u"SO n who is personally known to me or who has produced Ft p, t r, as identification and who did take an oath. NOTARY PUBLIC: Sig 110Jc'r" ,� �t l 1 r ) V ► Seal: 1 Notary Public State of FlcndeTeyanSolomon My Commission GG 2a8a41 APPROVED BY <t==� IRevised02/24/2014) �--� CONTRACTOR The foregoing instrument was acknowledged beforl me this day of CJ ^ 20 g by 1—W-'who is Personally known to me or who has produced F-A ( h as identification and who did take an oath NOTARY PUBLIC: Seal: _400 PQ. Notary Pudic State of I +� Teyana Solomon +� My Commission GG 2 a Expires 10/1712022 »»»»»»»s»»»»»»►»s»►• , Plans Examiner Zoning Structural Review I Clerk Scanned by CamScanner 1/25/2019 Property Search Application - Miami -Dade County OFFICE OF THE PROWERTY" APPARAISER Summary Report Property Information Folio: 11-3205-018-0130 Property Address: 1158 NE 99 ST Miami Shores, FL 33138-2641 Owner SUSAN PINNAS Mailing Address 1158 NE 99 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SG FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/1/0 Floors 1 Living Units 1 Actual Area 2,003 Sq.Ft Living Area 1,531 Sq.Ft Adjusted Area 1,748 Sq.Ft Lot Size 10,400 Sq.Ft Year Built 1947 Assessment Information Year 2018 2017 2016 Land Value $374,393 $374,393 $348,089 Building Value $131,100 $121,661 $121,661 XF Value $0 $0 $0 Market Value $505,493 $496,054 $469,750 Assessed Value $505,493 $198,319 $194,240 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $297,735 $275,510 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 Widow Exemption 1 1 $500 $500 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 4 BLK 179 LOT SIZE IRREGULAR OR 15721-2050 1192 4 Generated On : 1/25/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $50,500 $50,500 Taxable Value 1 $505,493 $147,819 $143,740 School Board Exemption Value $0 $25,500 $25,500 Taxable Value 1 $505,493 $172,819 $168,740 City Exemption Value $0 $50,500 $50,500 Taxable Value 1 $505,493 $147,819 $143,740 Regional Exemption Value $0 $50,500 $50,500 Taxable Value 1 $505,493 $147,819 $143,740 Sales Information OR Previous Price Book- Qualification Description Sale Page 02/05/2018 $540,000 30880- Qual by exam of deed 1923 $0 15721- Sales which are disqualified as a result of 11/01/1992 2050 examination of the deed 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 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner —Workers' Compensation Insurance Exemption • r .. :`" .. •' �. w'.�. •k:: 1i H' . �`4•ii• ^y•. �� �:7 y"� o�, r1,�.y 7'�•S;i `R �;N 4: All I lunch Ln%� requn•eS \Vorkers, Compensation insurance cuvera_c under Chapter 440 of the Florida SlaluleS Fla. Slat > 440.0; allow-. corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to uhlait ine a building permit. 11111sucuil to the Florida Division of \\'orkers Cornprns:uirnt limpinvcr fait: 13rnchurr An employer in the. construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if. I . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the 1=lorida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of' State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your :ontractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will he the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of %korkcrs' conipcosalion insurancecover. ^e from the contractor's company for day labor, part-time employees or subcontractors. 13Y SIGNING BELOW YOU AC LEDGE THAT YOU HAVE READ TMS NOTICE AND UNDERSTAND ITS CON"ENTS. . i Signa u State if Florida Coumy of Miami -Dade The foregoing was acknowledge before me this 2-2-i day of C_l (.(n , 20 19 BY__ 5u &Ck r ` ��naS who is personally known to me or has produced - P�E as identification. \otari: SEAL: JrYD Teyana Solomon .1aMy Commission GG 268641 Expires 10/17/2022 Scanned by CamScanner IF Y 4 1 RECEIVE JAN 2 4 hid _ HN JC3EiR! ►~1AfiRA & 41 OCIATEF INIC.. Pr«ies:�eon Ti Land ::i1.11voyors Li • y: bvww Ir)AIMAL.ANI"it nV1 113111 r t,ta 7 7 Wv 1? t AVY.N111' ,it1,q n -i r pale„ �n ,in •,rn int si t• r �..' •uNtr a .0s trrn i AIIA r It. F t, 111110A :1; 11JII rflu ttled r1 1v—, "-. t 1'11 Ia11�1 2q2-O•Itlp I.A. 16) I :bd.n•lU1 I'A.c t:' n'p ..tn , .. MAP OF BOUNDARY SURVEY is 1158 NE 99TH STREET, MIAMI SHORES, FLORIDA 33138 (REV•0 612312018) rer ra. ti� 21.7A5Pt1A1T NAIL d IWSK raPVMT. NE JJth STREET =76 66 11 70' TOTAL RIGHT-OF-WAY • 1 0 I -- (A) (A},.PETURN .. "ESaICK �. 24.65' PN/Y �� m F.LR. 1/2' F,IR. 112" F.1.P.., 1/2' - h�_CAP \e 9oe ` \ 10000 � � hJo GAP h10 CAP f I I�.� 'bNCK WALK N .���. N • • `tii Y: tj • • • 0.45' CL. 15.80 ' �T[P5 ° 26.00' • • • I4.50 �'�� 13.G5' b • • • • 1-PORCH`-, � • • • •• •• 27:15�9'1 C.B.V., .�u N PL ONE STORY N i • i • a C.D.'N' F.F.E.=,,.7T RES. # 1158 ., • • • LOT - 5 A i R GARAG` F.E.=9.95 LOT-4 N.G.V.D. (29) • • • • • • • • • BLOCK - 179 r g LOT - .3 • • •• ctocK-1?Q 41 59' 26.05' (oh 15,82' 1 1450 u' n C.5:. g SreP � A PAx �G D 1 AiCELEV. =7.82' 4 o �a7PLUNYBIN� L.F. LAMS x1ti� m Approved Date ON PL h3 y 0.05"-L .L.F. 6\ 0°7 ON .P. 100.00 hV'M, 1�6� (-1 r.h F.1. R. 1/2, 9.5'A5PHALT .0° �' t h1 0l TCr,7 V•11 qP v PVM7 15ALLEY(N.A,P.) �y . 0 ------ 0 0 e DA LOT - 15 AN �, � OT - F) 179I EKOCr•, . 179 t3LGCK - 17 3 ZONIHO hEFT ENCROACHMENT NOTES. A. NORTH SIDE OF THE SUBJECT PROPERTY, BRICK RETURN IS ENCROACHING INTO GRA HIC SCALE THE RIGHT OF WAY OFNE 99N STREET. '�' DC' 1�r4' 1 �O—�D ADDITIONAL NOTES: r��A LL FE'� ER ALL ELEVATIONS SHOWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929; MIAMI'- t3,J F` 4 - OF (IN FEE DADE COUNTY BENCHMARK p B 400, LOCATOR NO, 3250 S; ELEVA TION IS 8.28 FEET OF N.G. V D. 1929. AND �_r 11L/IT1( I STI\TE AN,)11NICH11`10rFE�TS 1eq kR LEGAL DESCRIPTION: DRAWN BY: " F.S. BAN C, .. i i....... 9 LOT 4, BLOCK 179, REVISED PLAT OF MIAMI SHORES, SECTION 8, ACCORDING OF THE G� 4TF TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43, PAGE 69, PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. FIELD DATE: 6/18/2018 NO.5204 O O' 5TATE OF CERTIFICATION: •5 �'.LR:t SURVEY NO: 18-000516.2 . NAL LLAB LB#7806 SHEET: 2 QF 2 E NS STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Riican Pinnac PROPERTY ADDRESS: 1158 NE 99 St Miami, FL 33138 LOT: 4 BLOCK: 179 SUBDIVISION: PERMIT #: 13-SC-1890532 APPLICATION #: AP1372370 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1182034 PROPERTY ID #: 11-3205-018-0130 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] •••• [OR TAX ID NUMBER] • • • • •••• •••••• • SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND ••5*ftARDS• OF SEC14[)N••- 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSM"GOES NOT• GUARANTEE • SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANpV*'7p MA;tj2I4 FAQrS, • WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT Tt MDIFY •TFiEP•• PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEII" : WE Nggt :%VD V&".•• ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANU •WITH OSI&R 0FEDElt}i17,•�• STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. �••�•� • • SYSTEM DESIGN AND SPECIFICATIONS •••• • •• :••••: T [ 1,050 ] GALLONS / GPD Septic CAPACITY • • • • • • A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 667 ] SQUARE FEET bed conflauration drainfield SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ J TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: CL NE 99 st., 7.70' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 2.64 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE ( 32.401 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 29.00] INCHES O T H E R Inspector to verify the existing septic tank is properly abandoned before final approval. Invert elevation of drainfield to be no less than 5.50' NGVD. 'Bottom of drainfield elevation to be no less than 5.00' NGVD. The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. 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. SPECIFICATIONS BY: Teresa J Solomon APPROVED BY: TITLE: Carlos M Icaza DATE ISSUED: 11 /26/2018 TITLE: Master Septic Tank Contractor DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC EXPIRATION DATE Dade CHD 05/26/2020 Page 1 of 3 v 1.1.4 AP1372370 SE1131926