PL-17-279 Permit ivo. PL-2-17-279
`groaEs y� Miami Shores Village Permit Type:Plumbing-Residential
10050 N.E.2nd Avenue NW ' WorkClassifoation:Drai'nfield
Miami Shores,FL 33138-0000 Perill " Permit Status:APPROVED
r '�` Phone: (305)795-2204
FNTQ�IM9
GOR/Op'
Issue Date:21812017 Expiration: 08/07/2017
Project Address Parcel Number Applicant
54 NW 106 Street 1121360050210
Miami Shores, FL 33150- Block: Lot: MIRYAM ROJAS
Owner Information Address Phone Cell
MIRYAM ROJAS 54 NW 106 Street 305-498-1227
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
MRCS PLUMBING&SEPTIC INC (305)651-7859 Total Sq Feet: 300
Type of Work:DRAINFIELD REPAIR Available Inspections:
Type of Piping:
Inspection Type:
Additional Info:DRAINFIELD REPAIR
HRS Approval
Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00
Invoice# PL-2-17-62811
CCF $1.80
DBPR Fee $2.25 02/08/2017 Credit Card $618.30 $50.00
DCA Fee $2.25 02/02/2017 Credit Card $50.00 $0.00
Education Surcharge $0.60 Bond#:3307
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $668.30
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 Wng.
a responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, UMBING, MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFthat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction anr rrrf6 a Tauthorize the above-named contractor to do the work stated.
February 08, 2017
Autho ed gnature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 08, 2017 1
Miami Shores Village 7FEB
Building Department
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
V INSPECTION LINE PHONE NUMBER:(30S)762-4949 S
FBC 201(-4
BUILDING Master Permit No. 1-4 — Z-9-9
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
bg PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
// , ' CONTRACTOR DRAWINGS
/v w
JOB ADDRESS: ` 0 7" S`City: Miami Shores County: Miami Dade zip: 3-2
S6
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: ,,Construction Type: Flood Zone: BFE: FFE::
OWNER: Name(Fee Simple Titleholder): /A.4 ( R y'/9/V1 0 -S Phone#: d - ( �-
Address: 5-25. 4 N E 15- S
City: /V1 (AYU i �S kD P ES State: F L zip: 33(3R,
Tenant/Lessee Name: 61A n Phone#:
Email LA-m l(Z!/AM
CONTRACTOR:Company Name: M►- S n Phone#: 36S'--6 sj 7f-s /
Address: IV Ki C2 AVONX6 !�
City: State: R, -Zip:
Qualifier Name: P,tnn� G F`lt' l Gk- Phone#: 3QS� �2" ' 1
State Certification or Registration#: S/� I,/ 3� Certificate of Competency#:
DESIGNER:Architect/Engineer: Af/ A- Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ D Square/Linear Footage of Work: 1ZT0
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
•DIS MfV F16D
Specify color of color thru tile:
Submittal Fee$_050 Pfhl Permit Fee$ �O CCF$ v CO/CC$
Scanning Fee$ Radon Fee$ Z DBPR$ Notary$
Technology Fee Training/Education Fee$ �� Double Fee$
Structural Reviews$ Bond$ -.500
TOTAL FEE NOW DUE$ // 1 I .
(Revised02/24/2014)
6 C,
VV// \ a �,
Bon[Ing GbmpanC#OName(if applicable)
EbnUng Oampan[TOAGl lrem
City State Zip
Morq;age LenEler'OName(if applicable)
Mor%age Len[1er'0A0&em
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.....
00 NEFTSAIRDAVIT. 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.
"B ARNI NG TO 00 NBA YOUR FAI DIRE TO FE00RD A NOTICE OF OOM M BVCEVI BVT 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 NOTICEOFOOM M ENCEM B Y 1."
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 Signature
OWN'A or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
3.04' day of J AIV VLWN ,20 T , by 36 day of Q 20 /? by
M(4y KQ ':!� ,who is personally known to 1VOZ& F'T7Xr4fW Who is personally known to
me or who haCdwho
as me or who has produced as
identification did t ce an oath. identification and who did take an oath.
NOTARYPUB NOTARY PUBLIC:
P
Sign: Sign:
TRICK
Print: P U`' Print:
'- My Comm. Expires Sep 19,2017 .. ;' •SHERYL A MENDES
Seal: _;� oPe Commission# FF 055732 Seal: =oy Ue`'s Notary Public,OF FV
-State of Florida
Bonded Through National Notary Assn. •. :•"c My Comm.Expires Oct 23,2018
Commission#FF 136597
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PERMIT 11: 13-SM-1726778
APPLICATION #:AP1267398
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION PERMIT RECEIPT 11:
• 0 DOCUMENT #TRI
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: MIRYAM ROJAS
PROPERTY ADDRESS: 54 NW 106 St Miami, FL 33138
LOT: 5 BLOCK: 203 SUBDIVISION: Dunnings Miami Shores
PROPERTY ID IF: 1121360050210 [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 Septic Tank CAPACITY r
A [ 750 ] GALLONS / GPD Existing Septic Tank to Remain CAPACITY ,ted to 9-
Tt
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250G�A�LLODiSI;
K [ ) GALLONS DOSING TANK CAPACITY [ ]GALLONS 8[ ]DOSES LE,{t524t »i`OI)Pu psV�"
�,r11 C u .t ul`� •. `pry PAF�'Z��`'�.,C'1i•.i-
D [ 300 ] SQUARE FEET New Bed conf.Drainfield SYSTEM '.ae
R [ 200 ] SQUARE FEET Existing Bed contDrainfie SYSTEM OSt-�"� J y-3
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] QIP:'-�''S`a, ,t "'a t r`3 tin
I CONFIGURATION: [ ] TRENCH [x] BED [ l ...ry
N
F LOCATION OF BENCHMARK: FFE: 12.3'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 20.40 ][ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 70.40 ] INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 50.00 ] INCHES
DUAL SYSTEM-EXISTING SE(SYSTEM#2)TO REMAIN-REPLACING NE SYSTEM(SYSTEM#1)'
O 1.-Install a 900 gal.septic tank with an approved filter
T 2:The licensed contractor installing the system is responsible for installing the minimum category of tank in
H with s.64E-6.013(3)(0 FAC.
3:Install 300 sf.of drainfield in BED configuration.
E 4:Install 12"of slightly limited soil at the bottom of the drainfield.
(Comments Continued on Page 2.)
R
SPECIFICATIONS BY: fan cllermonTITLE: ENGINEERING SPECIALIST I
APPROVED BY: a* TITLE: Engineer Supervisor III Dade CHD
Astrid V Edwards
DATE ISSUED: 01/09/2017 EXPIRATION DATE: 04/09/2017
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1267398 SE1016907
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-There am no perarwo batures on g4acerd properties aW or-across the street.ftt may affect the New Septic system installation.