PL-02-22-365Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
957 NE 99TH ST, Miami Shores, FL 33138
Issue Date: 02/17/2022
Parcel Number
1132060340260
Permit NO.: PL-02-22-365
Permit Type: Plumbing - Residential
Work Classif�2otion: Septic/Drainfield
Permit5tatus: Approved
Expiration: 08/17/2022
ow
Contacts
SEAN WILLIAMS Owner ALFONSO SEPTIC CONTRACTOR INC Contractor
957 NE 99 ST, MIAMI SHORES, FL 33138 JOSE BOLANOS
1391 W 36 ST, HIALEAHI FL 33012
Business: 7862514099
Inspection Requests:
Description: INSTALLA NEW 900GALLONS SEPTICTANKAND Valuation: $4,800.00 - 305-762-4949
300 SQFT OF DRAINFIELD.
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
DBPR Fee
$2.52
DCA Fee
$2.00
Education Surcharge
$1.00
Permit Fee
$118.00
Scanning Fee
$9.00
Technology Fee
$4.20
Total:
$189.72
Building Department Copy
Payments
Date Paid
Amt Paid
Total Fees
$189.72
Credit Card
02/10/2022
$50.00
Credit Card
02/17/2022
$139.72
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 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 ccnstruction and zoning. Fulhermore, I authorize the 3Peve named contractor to do the work stated.
Authorized Signature: Owner
February 17, 2022
Agent
Date
Page 2 of 2
2�IS tZ�C)22
�rnot L
BUILDING
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
1 III
�u F B 10 2022
FBC20 20
Master Permit No. pi- 02- �2?3CS
PERMIT APPLICATION Sub Permit No.
❑BUILID ING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9 r) _? - IV E • l Ct ST
City: Miami Shores County: Miami Dade Zip: 3 1 3gi
Folio/Parcel#: /I-3204,^03ti'0260 Is the Building Historically Designated: Yes NO
Occupancy Type: 9__ Load: Construction Type: RCFA l A Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): SE' Ai/ W l 111 bIMS Phone#: 5IS --11.R.0 -I4o l
Address: g25-7- N F • 9q Sr
City:Mlam/ S140ite5 State: FI& zip:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: al ECWSO C_--_rPCCONT/YAC1'On /W Phone#: 7gG-2S/-110?q
Address: /.39 ( WeS7- 3G Si -I
City: A/4 lea dd- State: r1 iQ Zip: 3 so I
Qualifier Name: wa e Ro l W IJaS Phone#: 7,?1a-2- S/ L/099,
State Certification or Registration #: SR og -7 l2:2�q Certificate of Competency #: S A 0 l'l /9 rj, 7
DESIGNER: Architect/Engineer:
Address: City: State:Zip:
Value of Work for this Permit: $ l[� S b0 Square/Linear Footage of Work: ` e)o-
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
DescriptionofWork: IIUSTQI) w tV#W,;,00gAltotos SePT'[cTAIUk. Ativ�,
coo (;�qA!T-0P 0)(LatrvFreld.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF
DBPR $
CO/CC $
Notary
Double Fee $,
Bond $ _
TOTAL FEE NOW DUE $ I '-�� ' 9
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
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 $1500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrumeU was acknowledged before me this
_% day of. 20 7-71 , by
CSC JSR.. (01 1( tN — w o is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
as
Signature
CONTRACTOR
Th foregoing instrument was acknowledged before me this
day off 20 ZZ • by
who is personally known to
me or who has produced. l ii1 Q a=3
identification and who did take an oath.
NOTARY LIC:
Sign:
Print:
Seal: �$w"•'i;. JOSE BOLANOS Seal:
.t MYCOMAIISSM4G0231457 .
gip+% EXPIRES: Oer8, 2M 0,VDiA ALVAIiE1
'+ pV $•a Wd4d Pn1 lei dnbPubk UMwaw Syp MY COMMISSION#
IRES.'Cein"ber 2022
APPROVED BY(tAPlans Examiner Zoning
Structural Review
Clerk
(Revisedo2/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-034-0260
_
957 NE 99 ST
Miami Shores, FL 33138-2568
Property Address:
Owner
SEAN WILLIAMS
SIMONE WILLIAMS
Mailing Address
957 NE 99 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds I Baths / Half
3 / 1 / 0
Floors
1
Living Units
1
Actual Area
2,112 Sq.Ft
Living Area
1,620 Sq.Ft
Adjusted Area
1,851 Sq.Ft
Lot Size
8,925 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2021
2020� 2019
Land Value
$286,237
$286,237
$249,280
Building Value
$199,908
$202,407
$204.906
XF Value
$0
$0
$0
Market Value
$486,145
$488,644
$454,186
Assessed Value
$471,136
$464,632
$454,186
Benefits Information
Benefit
Type
2021
2020
2019
Save Our Homes
Cap
Assessment
Reduction
$15,009
$24,012
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
MIAMI SHORES SEC 8 PB 14-33
LOT 20 & W1/2 LOT 21 BLK 170
LOT SIZE 75.000 X 119
CF 75R-68734
Generated On : 2/10/2022
Taxable Value Information
2021
2020
2019
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $421,1361
$414,6321
$404,186
School Board
Exemption Value
$25.000
$25,000
$25,000
Taxable Value
1 $446,1361
$439,6321
$429,186
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$421,136
$414,632
$404,186
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$421,136
$414,632
$404,186
Sales Information
Previous
Price
OR Book-
Qualification Description
Sale
Page
05/07/2021
$840,000
32511-4258
Qual by exam of deed
09/29/2016
$699,000
30260-4339
Qual by exam of deed
09/09/2014
$590,000
29307-3437
Qual by exam of deed
Corrective, tax or QCD; min
11/15/2013
$100
28974-0388
consideration
The Office of the Property Appraiser is continually editing and updating the lax 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 hdp://www.mismidade.gov/info/disclaimer.asp
Version:
https://www.miamidade.gov/Apps/PA/propertysearch/
+' - ......�.,., �....,�....�..i eu•u uiorv�..,. SYSTEM FEE PAID:
RECEIPT It:
-PocumuT #YPR1736124
CONSTRUCTION PERMIT FOR: GSTDS Repair
APPLICANT: (SEAN WILLIAMS) PLUMBING PLANS
PROPERTY ADDRESS: 957 NE 99 St Miami, FL 33138 pprove ate
LOT: 20 BLOCK: 170 SUBDIVISION: — — _�--.` ��}— -- •••
PROPERTY ID #: 11-3206-034-0260 [SECTION, TOWNSHIP, RAX4W -PARCEL: NU*MBE*Rj ••...•
[OR TAX ID NUMBER] •••••• x
SYSTEM MUST HE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND ..7�3 ..QFi SEC'�g;I.•
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYST .DOES •Ijq%. VUAP-VM..
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CUMCK ..;N MATERJ L FACTS,'
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE 75?PLiC6VT T.(a I{ODIFy .ilV•.
PERMIT APPLICATION- SUCH MODIFICATIONS MAY_ RESULT IN THIS PERMIT BEDJG MPDE N�..MD VQID. •.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANq.°W;TH FEDrj1LU!••
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD New Seotic Tank CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 I GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:I250 GALLONS]
E C I GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps I I
D [ 300 ] SQUARE FEET New Drainfield Bed COnf. SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [XI STANDARD [ ] FILLED [I MOUND
I CONFIGURATION: [ ] TRENCH [XI BED [ I
N
F LOCATION OF BENCHMARK: C.O.R. INLINE FRONT DOOR - 10.20' NGVD.
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
[ 0.00 7[ INCHES FT I[ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 30.00II INCAES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 30.001 INCHES
1.- Invert elevation and Bottom of drainfield to be no less than 820' & 7.70' NGVD respectively.
O 2: Install a 900 al. Septic tank with an g p approved filter.
T 3.- Install 300 sf. of drainfield in BED configuration.
R 4: Existing SAND at the bottom of the drainfield to remain. Any spoil material UNDERNEATH THE DRAIN FIELD within 24"
vertically that has visible signs of effluent shall be removed as part of the repair.
E THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS.
R (Comments Continued on Page 2.)
SPECIFICATIONS BY:
APPROVED BY:
TITLE: Registered Septic Tank Contractor
TITLE: OPS Environmental Specialist II Dade CHD
DATE ISSUED: 02108/2022
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
V 1.1.1 ?� 18014]1
CITY'
COPY
EXPIRATION DATE: 05/09/2022
SE1651624
Page 1 of 3
�I TEB
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR CONSTRUCTION PERMIT
Permit Application Number
---------------------------PART II - SITEPLAN---------------------------
S�cal hinck represents 10 feet and 1 inch = 40 feet
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Notes:
Site Plan Submitted b Ip li
Plan Ap etl Not Approved Date O2 �J�v- e�027
By i Count' Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015, mog (obsoietes previous editions which may not be used) Incorporated: 64E46.001, PAC Page 2 of 4
(Stock Number. 5744-002-4015-6)
PLUMBING �I.ANS
Approved C�_Date - �'� L i
Disapproved _ _--_—Pate .
W�,Or
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM T y SE1651624
SITE EVALUATION AND SYSTEM SPECIFICATION
—17
APPLICANT: SEAM VNLLL4MS
CONTRACTOR / AGENT: AIf00050 SBptIC
LOT: 20 BLOCK: 170
SUBDIVISION: ID#: 11-3206-034-0260
TO BE COMPLETED BY ENGINEER, HEALTH, DEPARTMENT EMPLOYEE' OR OTHER QUALIFIED PERSOR. ., "ENGINEEP.S. 1$16T P D
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL- COMPLETE ALL ITEMS-
PROPERTY SIZE CONFORMS TO SITE PLAN: [X1YE5 I 1N0
NET USABLE AREAeAAULILNBLE: Q.20 ACRES
GALLONS PER DAY C RESIDENCES- O?HER-�1'A87,E ^„m]
TOTAL ESTIMATED SEWAGE FLOW: 300 „"„
AUTHORIZED SEWAGE FLAW: 500.00 GALLONS PER DAY [ 1500 GPD/ACR$,", Qjt L225000 GPD/ACRE J]
UNOBSTRUCTED AREA AVAILABLE: 900.00 SQFT UNOBSTRUCTED AREA REQU EEV:A 45C1.96, SOFT"",
BENCHMARK/REFERENCE POINT LOCATION: C.O.R. INLINE FRONT DOOR - 10.20' NGVD.
[ INCHES / FT ] [ ABOVE / BELOW ]„`BENfEARK/REFERENCE POID]T
ELEVATION OF PROPOSED SYSTEM 9ITE 0400
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEZ [ ]YES [X7N0
IE3
SURFACE WATER: NA FT DITCHES/SWALES: NA FT NORMALLY WETT:
WELLS: PUBLIC: NA FT LIMITED USE: NA FT PRIVATE: NA FT NON -POTABLE: NA FT
BvxLDD1c FOUNDATIONS: 5
FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 25 FT
SITE SUBJECT TO FREQUENT FLOODING? [ IYES IX]NO 10 YEAR FLOODING? C ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / 1] SITE ELEVATION: 10.20 FT [ Ms / NaVD
USDA SOIL SERIES: Urban land
Munsell#/Color Texture
Depth
10YR 5/1
Sand
0 To 12
10YR 6/1
Sand
12 To 24
10YR 711
Sand
24 To 72
SOIL PROFILE INFORMATION SITE 1
USDA SOIL SERIES: Urban land
Munseli il/Color Texture
Depth
tOYR 5/1 Sand
0 To 12
10YR 611 Sand
12 To 24
10YR 711 Sand
24 To 72
OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE:
ESTIMATEDMET SEASON WATER TABLE ELEVATION: 86 INCHES [ ABOVE / BELOW ]
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Replacement4-FS/0.60 DEPTH OF EXCAVATION: 30 INCHES
DRAINFIELD CONFIGURATION: I ] TRENCH [X 7 BED [ ] OTHER (SPECIFY) 300
r REMARKS/ADDITIONAL CRITERIA
DATE: 02/06/2022
SITE EVALUATED BY:
Balance, Jose (Title; Regfsferetl Septic Tank CoMactmr) (Mali Dade Emimmmndal Page 3 of 4
De 4015, 08/09 (on,tes Prewiome editions which may not be mead) rmcov rated: 64E-6,001, YAC
AP1801471 EID2464679 v 1.0.2
A
LOT 4 LOT 3
LOT 5 BLOCK 170 BLOCK 170
LOT 6
BLOCK 170
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19.6 ASPHALT ROADWAY
70' RIGHT-01-WAY
LIMITS OF PLAT
NORTHEAST 99th STREET
- ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED
The survey map 6" report or the copies thereof a rrof valid without the digltal signature
and seal of a Florida licansed surveyor and mapper
Date of Field Work : 04-26-2021 ,:°""'•„
Drawn By: Oleg o o
Order *: 132187 c
Last Revision Date:`
Boundary Survey prepared by: LBB 311 5 * o`O•d^�•`
NexGen Surveying. LLCXGEN'@'
5601 Corporate Way, Suite *103 sr.re cs
West Palm Beach, FL 33407 SU RVMNG, LLC. - --
561-505-6272 1...............o••
Notice to Owner Workers' Com
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
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 (LLQ in the construction industry may elect to be
exempt if:
1. 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 Florida
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 contractor 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
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: %
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this _�� day of �'� . , 20-2.2-0.
By S (e 04 Ov UJ % W tQ tM _T 'W o is personally known to me or has produced
as identification.
Notary: JOSE BOLANN
S i :; WwCOMrMWM # GG 2�3i457
�N
i f �Il� O2M
''�.......•••'' BondedZlxu Nomr1► pubpctMdeiv►��
Alfonso Septic Contractor, INC.
1391 West 36 Street
Hialeah, FL 33012
Alfonsoseptic@emaii.com
Date: January.9.2022
State of Florida
County of Dade
Before me this day personally appeared _Jose Bolanos who, being sworn,
Deposes and says:
That he or she will be the only person working on the project located at 957 NE 99 ST Miami
Shores FLA.
re
Sworn to (or affirmed) and subscribed before me this day of 1 .20 �2'
by �tjCi�
Personally Know
OR Produced Identification
Type of Identification Produced-, -t(214 Clif«
Print, Type or Stamp Name of Notary
��;+a SINDIA ALVAREZ
"°' • W CI ; ;M!SS10N # GG 23B273
,•�o,+ EXt' t['.S. September S, 2022
`''Eo2E11, Bonded Thru Nulary PubbcUndervrtlI