The URL can be used to link to this page

PL-19-1283Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: PL-06-18=1283 Permit Type: Plumbing - Residential Work Classification: Septic Permit Status: Approved Issue Date: 06/12/2019 F Expiration: 06/01/2020 Parcel Number 270 GRAND CONC, Miami Shores, FL 33138 1132060136210 Contacts JODIE BLUM Owner SOUTHERN SEPTIC AND LIFT STATION Contractor 270 GRAND CONC, MIAMI SHORES, FL 33138 CORP Home: 4154125469 ROBERTO RODRIGUEZ 12040 SW 118 ST, MIAMI, FL 33186 Business: 3055988266 Inspection Requests: secti Description: SEPTIC SYSTEM REPLACEMENT Valuation: $ 2,000.00 Inspec 4949 Total Sq Feet: 0.00 Fees Amount Application Fee -Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $122.10 Payments Date Paid Amt Paid Total Fees $122.10 Credit Card 06/04/2019 $50.00 Credit Card 06/12/2019 $72.10 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. lating certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws and zoning. Futhermore, I authorize the above named contractor to do the work stated. re: Owner ) / Applicant / Contractor / Agent Date June 12, 2019 Page 2 of 2 M Miami Shores Village BUILDING Building Department JuN 4 2ii�'19 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: �l� - Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 11� Master Permit No. Ob— PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 270 GRAND CONCOURSE City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-6210 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): JODIE BLUM Phone#: 415 412-5469 Address: 270 GRAND CONCOURSE City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: N/A Phone#: Email: CONTRACTOR: Company Name: SOUTHERN SEPTIC AND LIFT STATION Phone#: 305 598-8266 Address: 21051 SW 234 ST City: HOMESTEAD State: FL Zip: 33031 Qualifier Name: ROBERTO RODRIGUEZ Phone.: 305 598-8266 State Certification or Registration #: SR 0021421 Certificate of Competency #: DESIGNER: Architect/Engineer: N/A Phone#: Address: City: State: Zip: Value of Work for this Permit: $ C5 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New M Repair/Replace ❑ Demolition Description of Work: SEPTIC SYSTEM REPLACEMENT Specify color of color thru tile: l� Submittal Fee $ SO I d Permit Fee $ I"D CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ '12)Lr—" 3 -IS --53 TOTAL FEE NOW DUE $ 7 Z • 10 Bonding Company's Name (if applicable) N/A Bonding Company's Address City State _ Mortgage Lenders Name (if applicable) N/A Mortgage Lenders Address City Zip 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. w OWNER or AGENT C %TRACTOR The f regoing inst ment was acknowledged before me this The foregoing instrum nt nowledged befor methis day 20 by da of 1 by . who is personally known to A "L who is fersonally known to me or who has produced as me or ho has produce �u Q V ' ( tkItllllt/l///j identification and who did take an oath. id ficati an who did take an oath. \��\ •�.•' ss�oq, O�� a CH2S '•• NOTARY PUBLIC: TRY PUB C: Sign: lT 5 • Z OGG 2871ia Sign: lr .°4 a Print: 1��.� Print: Seal: C!/Y ?J Seal: APPROVED BY MtE;� `i Z- Plans Examiner Zoning Structural Review _ Clerk (Revised02/24/2014) CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) k 2 3 4 5 5 Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California Countyof 14�57 MIKE KOOK LEE Notary Public •California 7i Los Angeles County i z Commission # 2171676 M Comm. Expires Nov 12, 2020 Place Notary Seal and/or Stamp Above Subscribed and sworn to (or affirmed) before me on this 4nK-771- day of Kf'20 1 p , by Date Month Year (1) s� la6 JA % (and (2) Name(#of Signers} proved to me on the basis of satisfactory evidence to be the person(qw ,pp"Jp&before me. Signature OPTIONAL Notary Public —`— Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: �U��`r'rT�✓ Document Date: Number of Pages: l`'» Signer(s) Other Than Named Above: 02017 National Notary Association CFN: 20190321857 BOOK 31455 PAGE 2297 DATE:05/24/2019 08:23:12 AM DEED DOC 5,760.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Prepared by: Desider R. Kellermann Attorney at Law Kellermann Varela PL 605 Lincoln RD, STE 420 Miami Beach, FL 33139 Return to: Stephen L. Vinson PA 1200 Brickell Ave., Ste. 1440 Miami, FL 33131 File No. 7327.00 [Space Above This Line For Recording Datal Warranty Deed This Warranty Deed made this t day of 2019 between Erhan Kostepen, a single man whose post office address is 1680 Meridian Ave., #200, Miami Bea , FL 33139, grantor, and Jodie Blum, a single woman whose post office address is 270 Grand Concourse, Miami Sh es, FL 33138, grantee: (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lots 14 and 15, Block 46, of Amended Plat of Miami Shores, Section 1, according to the Plat thereof, as recorded in Plat Book 10, at Page 70, of the Public Records of Miami -Dade County, Florida. Parcel Identification Number: 11-3206-013-6210 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2018. DoubleTimem CFN: 20190321857 BOOK 31455 PAGE 2298 In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: (Seal) Erh Kostepen State of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this A— day of ka 2019 by Erhan Kostepen, who L] is personally known or [X] has produced a driver's license as identification. [Notary Seal] Nc Name: My Commission Expires: 01.1 • OE51KELlgRMANN Notary Public -SUM of Floddt + (ommisdonNGGICS"I MIr(gnryi•fa�pk041rA1I�2D�1 �andedlhbY�h Warranty Deed - Page 2 DoubleTime® STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AM DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Jodie Blum PERMIT #: 13-SC-1963836 APPLICATION # : AP 1416976 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1228890 i PROPERTY ADDRESS: 270 Grand Concourse Miami, FL 33138 LOT: 14 & 15 BLOCK: 46 SUBDIVISION: PROPERTY ID #: 11-3206-013-6210 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENOF SECTION T APPROVAL, OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMITANY CHANGE IN MATERIAL FACTS, PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN /TH REQUIRETHE H BEING APPLICANT TD MODIFY THE ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM 'L'AND VOID. STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. COMPLIANCE WITH OTHER FEDERAL, SYSTEM DESIGN AND SPECIFICATIONS T [ g00 ] GALLONS / GPD New Septic Tank CAPACITY A I 0 ] GALLONS / GPD CAPACITY N I O ) GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ l GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 300 ) SQUARE FEET New Drainffeld Bed conf SYSTEM R[ 0] SQUARE FEET R E PA C R PERMIT A TYPE SYSTEM: SYSTEM IX] STANDARD I ] FILLED I ] MOUNfLOPIPA HEALTH MIAMI-DADS COUNTY I CONFIGURATION: [ j TRENCH (XI BED [ ] :►� N n rN IZ'l'I'1�t F LOCATION OF BENCHMARK: C/L of Grand Concourse: 9.97' NGVD. I ELEVATION OF PROPOSED SYSTEM SITE [ 0.36 l [ NCHE3 FT ] (ABOVE BELOW ]BENCHMARK/REFERENCE POINT L E BOTTOM OF DRAINFIELD TO BE 139.641[ INCHEB FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT D FILL REQUIRED: ( 0.001 INCHES EXCAVATION REQUIRED: [2.- Install a 900 gal. septic tank with an approved filter Q [ 52.00 j INCHES ° The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance T s. 64E-6.013(3)(f) FAC.H nstall 300 sf. of drainfield in BED configuration. nstall 12" of slightly limited soil at the bottom of the drainfield. nvert elevation and Bottom of drainfield to be no less than 7.17'& 6.67'NGVD respectively, RS PERMIT IS NOT FOR ANY ADDITIONS. SPECIFICATIONS BY: TITLE. APPROVED BY: TZTLE: rard L iaairo Environmental Manager DATE ISSUED: 06/03/2019 Dade CHD DH 4016, 08/09 (Obsoletes all previous editions which EXPIRATION DATE: 09/01/2019 Incorporated: 64E-6.003, FAC —Y not be used) Page 1 of 3 v 1.1.4 AP1416976 SE1178279 LANDTEC S U R V E Y I N G Proudty Ser g Flort"*% land TAW 6 Real Crmb Indumne. ... mea.ruresly 6ef rerl This BOUNDARY SURVEY has been prepared for: 10DIE BLUM PROPERTY ADDRESS: 270 GRAND CONCOURSE MIAMI SHORES, FL 33138 On your behalf, and as a requirement for your transaction, th's document has been coordinated firm. Landtec Surveying, Inc. is a non-affiliated, private firm and remains entirely and sole;y res SLV lU P 'OTPICEW L. VFk'Fn_N.. rn,, IF A- A Rr.t#, EstA'ttit 4.,%%, FrK A Sheet 1 of 3 4 r� Q C > ` M S LU u r_ r n � O J 1 I 1_ r I LEGAL DESCRIPTION: LOT 14 AND 15, BLOCK 46, AMENDED PLAT OF MIAMI SHORES, SECTION 1, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE(S) 70, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. PROPERTY ADDRESS: 270 GRAND CONCOURSE MIAMI SHORES, FL 33138 . . .... ..... INVOICE NUMBER: 95794-SE "':"*a. DATE OF FIELD WORK: 04/17/2019 ...... ""' CERTIFIED TO .... ...... ..•..• .... .... *600 ..... ..... **a*: STEPHEN L. VINSON, JR., P.A. •••••• • OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY QUICKEN LOANS, INC, ISAOA ' '.00. JODIE BLUM •"' FLOOD ZONE: X FLOOD MAP: 12086C PANEL: 0302 SUFFIX: L PANEL DATE: 09/11/2009 PLATTED EASEMENTS, NOTABLE OR ADVERSE CONDITIONS (UNPLATTED EASEMENTS ALSO LISTED IF PROVIDED BY CLIENT): IF APPLICABLE, RECIPIENTS OF THIS SURVEY SHOULD REVIEW THE POSITION OF ANY FENCE LINES SHOWN HEREON AND THEIR RELATIONSHIP TO THE BOUNDARY LINE. -NONE FOUND 1. THIS SURVEY IS BASED UPON RECORD INFORMATION PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE UNLESS OTHERWISE NOTED. 2. IF THIS SURVEY HAS BEEN PREPARED FOR THE PURPOSES OF A MORTGAGE TRANSACTION, ITS SCOPE IS LIMITED TO THE DETERMINATION OF TITLE DEFICIENCIES. NO FUTURE CONSTRUCTION SHALL BE BASED UPON THIS SURVEY WITHOUT FIRST OBTAINING APPROVAL AND/OR UPDATES FROM LANDTEC SURVEYING. LANDTEC SURVEYING ASSUMES NO RESPONSIBILITY FOR ERRORS RESUL TING FROM FAILURE TO ADHERE TO THIS CLAUSE. 3. ANY FENCES SHOWN HEREON ARE ILLUSTRATIVE OF THEIR GENERAL POSITION ONLY. FENCE TIES SHOWN ARE TO GENERAL CENTERLINE OF FENCE. THIS OFFICE WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM THE REMOVAL OF, OR CHANGES MADE TO, ANY FENCES UNLESS WE HAVE PROVIDED A SURVEY SPECIFICALLY LOCATING SAID FENCES FOR SUCH PURPOSES. DETERMINATION OF FENCE POSITIONS SHOULD BE BASED SOLELY ON THEIR PHYSICAL RELATIONSHIP TO THE MONUMENTED BOUNDARY LINES. 4. GRAPHIC REPRESENTATIONS MAY HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS - DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. 5. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 6. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (N.G.V.D. 1929) OR NORTH AMERICAN VERTICAL DATUM (N.A.V.D. 1988) AS SHOWN ABOVE. 7. ALL BOUNDARY AND CONTROL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. B. CORNERS SHOWN ASSET' ARE IDENTIFIED WITH A CAP MARKED LS (LICENSED SURVEYOR) B 5839. I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR LEGEND: SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND M APPERS IN CHAPTER 5J-17.051 A- DENOTES ARC LENGTH P - DENOTES PLAT & 5J-17.062 OF THE FLORIDA ADMINISTRATIVE CODE , PURSUANT TO SECTION 472.027, FLORIDA CA -DENOTES CENTRAL ANGLE PH -DENOTES POOL HEATER STATUTES, AND THAT THE ELECTRONIC SIGNATURE AND SEAL HEREON MEETS PROCEDURES AS SET CAN- DENOTES CABLE 7.V. BOX PP -DENOTES POOL PUMP BOUNDARY LINE FORTH IN CHAPTER SJ-17.062. PURSUANT TO SECTION 472.025. FLORIDA STATUTES.BUILDING LINE CF DENOTES CALCULATED FROM FEILD R DENOTE RADIUS Digitally signed by Andrew Snyder DN: c=US, o=Landtec Surveying Inc, ou=A01427E00000165B49526F C00006EA1, cn=Andrew Snyder Adobe Acrobat version: 2019.010.20100 SIGNATURE DATE: 04/ 18/ 2019 ANDREW SNYDER- PROFESSIONAL SURVEYOR AND MAPPER FLORIDA REGISTRATION No. 5839 (NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OR ELECTRONIC SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) S CR- DENOTES CALCULATEDFROMRECORD SV- DENOTES SEWERLHONE CENTERLINE CH- DENOTES CHORD DISTANCE ___________ 7R-DENOTES TELEPHONE RISER EASEMENT LINE DE- DENOTES DRAINAGE EASEMENT UE- DENOTES UTILITY EASEMENT _ METALFENCE EM - DENOTES ELECTRIC METER UP DENOTES UTILITY POLE — WOODEN FENCE FN-DENOTES NAIL p o WM WM-DENOTES WATER METER PVC FENCE TESLEG L L - DENOTES LEGAL WV -DENOTES WATER VALVE _OVERHEAD CABLE M - DENOTES MEASURED OHC - DENOTES OVERHEAD CABLE LANDTE'G S U R V E Y I N G PmudtY 5—wV F1pWq•'s Land TitN & R4r1 Estate tndustny ... oweas traA& 60llt1! Sheet 2 of (Sketctl of Survey) - See Sheet 3 of 3 for Legal Description, Certifications, Property and other Survey,related data. SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS akN ' FOUND 1/2' IRON AT A POINT OF BEARIN6, . AK if E PORs S 'eqy Prp SCALE:1 "=30' /'c �f FOUND"FIT�' IRON P �10 9�0. 2 `�� AERIAL PHOTOGRAPH 1',"NtVNOT SHOWWiEPiilAP40VEh1ENTSJ ��O �P O\i 9 ••• 4T•TCsci) ••••• ��v��Q 2� 299s O� wc� •• • •••:•• •; �J s\ \� �O •••• •••••• •••• • ONE5TORY �� a� \ •••••• • •i RE51DENCEI270 ' ` i•••i• 00901• hp. O�� P�' \�\ • • • • ••1 • • •• �••••I• li O 4 � °yc �D 2a \• �� oZ FOUND IRON m� C° OFFSEf W 0. 111 0 FOUND 1/2'IRON ROD OFF5ET NE 0.09' ON UNE O' SS ',I /3�� ., vow _ • _ �� \d� \ g0°00'5020' C \� / I T3YIV 1E) Je � UN 4 201 / FOUND 1 I T,C I- � vl I•' I A1.L r EU:-PAL IRON D By' Platted sements, Notable or Adverse Conditions (unplatted easements also listed NproWdedy client): IF APPLICABLE, REGIMEN SOFTHIS URVEY SROULD REET79MITION OF ANY FENCE LINES SHOWN HEREON AND THEIR RELATIONSHIP TO THE BOUNDARY LINE None round. Lj,�,jGPLQAN Dated g �� BEARING REFERENCE: NONE. RECORD INFORMATION RELIANT UPON ANGULAR DATA ONLY. v ALL ANGULAR DATA SHOWN HEREON REFERENCED THERETO. This survey has been issued by the fdbviing Landtec Surveying office: PLense NOTE: 600 Fairway Drive - Ste.101 Bo � uw NS� MNH�ENMA BYTHISoFRce Deerfield Beach, FL. 33441NDr�*�C Job Number:95794-SE Rev.: Office: (561) 367-3587 Fax: (561) 465-3145 Drawn By: J. Santmyer Rev.: S U R V E Y I N G Proudly Sary nd Fbnd.a's Land Tide Al Rtmd Fatal• lnduotnas nreasrrro6<y 6ettcr.� www.LandtecSurvey.com Date ofFiddWork:04116f2019 Rev.: LICENSED BUSINESS III MOT