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PL-17-362 Permit NO. PL-2-17-362 Miami Shores Village Permit Type:Plumbing-Residential 10050 N.E.2nd Avenue NE r■ � terill Work Classification:Septic Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-22045-2204 FtontvA Issue Date:4/3/2017 Expiration: 09/30/2017 Project Address Parcel Number Applicant 766 NE 96 Street 1132060142070 Miami Shores, FL Block: Lot: LISA GUINOVART ANDREA COL Owner Information Address Phone Cell LISA GUINOVART ANDREA COLON 766 NE 96 Street MIAMI SHORES FL 33138- 766 NE 96 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 4,200.00 G&L PLUMBING SERVICE 305-551-5090 (786)225-3648 Total Sq Feet: 700 Type of Work:SEPTIC TANK AND DRAINFIELD Available Inspections: Type of Piping: Inspection Type: Additional Info: HRS Approval Bond Return: Final Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PL-2-17-62918 DBPR Fee $4.50 04/03/2017 Credit Card $276.00 $50.00 DCA Fee $4.50 Education Surcharge $1.00 03/10/2017 Credit Card $50.00 $0.00 Permit Fee $300.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $326.00 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, ECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that a he f egoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futherm re ut ze the above-named contractor to do the work stated. April 03, 2017 Authorized Signature: r / Applicant / Contractor / Agent Date Building Department Copy April 03, 2017 1 A rc .� g6 _�Z3g-'It Miami Shores Village ED RECEIV Building Department u�T 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 FEB, 9, Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 2014C 20I BUILDING Master Permit No. /7L/Is- A/ 3 `1 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION EN WAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:] CHANGE OF [:]CANCELLATION ❑ SHOP // qCONTRACTOR DRAWINGS JOB ADDRESS: bh / l S City: Miami Shores/ County: Miami Dade Zip: Folio/Parcel#: //— 3�a4—(71 (x-�o-)Q Is the Building Historically Designated:Yes NO Occupancy Type: Load: // Construction' SType: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): l_ISz4 Ln l/✓ ��`7�� Phone#: Address: z)4 6 p City: X1,41�1 J Stater Zip: 3 3/,T Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: CT f t- Phone#: Address: "/ City: /"I/.9�'✓l l Stater zip: 3�'1 W_j!5 Qualifier Name: r-10 Phone#: State Certification or Registration#: /? d 5 6 7 SS Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ q�00 auar mear Footage of Work: --)60 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 5 /C /1� st/✓� dZi4i� C��/� Specify color'! thru tile: . Submittal Fee 1pc1 A Permit Fee$1 7Gt! CCF$: �5 CO/CC$ Scanning Fee$ l Radon Fee$ `-� - DBPR$ u S 0 Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ Z�� — (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender sAddress City State Zip Application.is-herebylmade to"obtain a permit to do the work and installations as indicated. 1 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 reinspectiofwill be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 13 day of_ :R!1 UAa 7 .20 / > by / 3 day of �C -8/Z 20 J:)� by �S� >//l�0►gT�/ /. who is personally known to who is personally known to me or who has produced as me or who has produced . L as identification and who did take an oath. identification and who did take an oath. NOTARY PUB C: NOTARY PUBLIC: Sign: Sign: Print: A &T—cCN Print: �!� cTja Seal: DANNY GARCIA Seal: DANNY QARCIA MY COMMISSION#GG088675 i' : MY COMMISSION 1!OG086675 „, • EXPIRES January26,2021 „,• EXPIRES January 26,2021 ***s**s*sss* sssssss s*s*s*ss*s*ss*ssss**ss **** ********* APPROVED BY all, 9 -t;--11 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) APPLICATION #:AP1151551 STATE OF FLORIDA PERMIT #:13-SC-1546147 DEPARTMENT OF HEALTH DOCUMENT #:81022023 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:10/20/2015 ' y�o EEE PAID:1 OO.00 RECEIPT #:13-PID-2831564 APPLICANT: Lisa Guinovart AGENT: Day&Night PROPERTY ADDRESS: 766 NE 96 St Miami, FL 33138 LOT: 3.4 BLOCK: 68 SUBDIVISION: Miami Shores Sec 3 ID#. 11-3206-014-2070 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ ] [01] TANK SIZE [1] 1050.00 [2] [ ] [27] SURFACE WATER FT [ ] [02] TANK MATERIAL Concrete [ ] [28] DITCHES FT [ ] [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS FT [ ] [04] MULTI-CHAMBERED [ Y N ] [ ] [30] PUBLIC WELLS FT [ ] [05] OUTLET FILTER ZabeIA1801 [ ] [31] IRRIGATION WELLS FT [ ] [06] LEGEND 1. 13-076-08DC3 2. [ ] [32] POTABLE WATER 45 FT [ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 7 FT [ ] [08] LEVEL [ ] [34] PROPERTY LINES 7 FT [ ] [09] DEPTH TO LID [ ] [35] OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ ] [10] AREA [1] 510 [2] SQFT [ ] [36] DRAINFIELD COVER [ ] [11] DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS [ ] [12] NUMBER OF DRAINLINES 1. 6.00 2. [ ] [38] SLOPES [ ] [13] DRAINLINE SEPARATION [ ] [39] STABILIZATION [ ] [14] DRAINLINE SLOPE [ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION [ ] [16] ELEVATION [ ABOVE / BELOW ]BM 49.32 [ ] [40] UNOBSTRUCTED AREA [ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF [ ] [18] DOSING PUMPS [ ] [42] ALARMS [ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT [ ] [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA [ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING [ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR [ ] [23] FILL TEXTURE [ ] [48] OTHER ADS ARC 24 [ ] [24] EXCAVATION DEPTH ABANDONMENT [ ] [25] AREA REPLACED [ ] [49] TANK PUMPED 06/25/2014 [ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED 06/25/2015 Comments: Comments are on page 2. [ AppROVED / Dade CHD DATE: 03/13/2015 CONSTRUCTION DISAPPROVED Engineering Specialist II Betsy Lange-Olmino(Department of Health In FINAL SYSTEM [ APpROVED / DISAPPROVED Dade CHD DATE: 10/20/2015 Engineering Specialist II Yudeisy Martin(DepartmentsqFffivoy (Explanation of Violations on following page) F`d'�_ DH 4016, 08/09 (Obsoletes all previous editions which may not be u"ida Health N lami-Dade County Incorporated: 64E-6.003, FACage 2 of 3 EH Database v 1.0.1 AP1151551 EID�aa�ijyD•s' &Well Prograr�l APPLICATION #:AP1151551 STATE OF FLORIDA PERMIT #:13-SC-1546147 DEPARTMENT OF HEALTH DOCUMENT #:F11022023 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 10/20/2015 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID: •�* D�� FEE PAID:100.00 RECEIPT #:13-PID-2831564 Violation Number Comment Comments 47"of sand provided. The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 400 gpd. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1151551 EID1646147