PL-17-478 Permit NO. PL-2-17-47$
`SNortFs y�� Miami Shores Village Permit Type:Plumbing-Residential
10050 N.E.2nd Avenue NEI Work Classification:Drainfield
Miami Shores,FL 33138-0000 Pen Permit Staters:APPROVED
Phone: (305)795-2204
<ant
Issue Date: 2/28/2017 Expiration: 08/27/2017
Project Address Parcel Number Applicant
335 NE 101 Street 1132060135211
Miami Shores, FL 33138- Block: Lot: GERARDO GUARCH
Owner Information Address Phone Cell
GERARDO GUARCH 335 NE 101 Street (786)586-7756
MIAMI SHORES FL
335 NE 101 Street
MIAMI SHORES FL
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
MR C'S 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: 1 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00
CCF $1 a0 Invoice# PL-2-17-63057
DBPR Fee $2.25 02/24/2017 Check#: 104 $500.00 $ 162.30
DCA Fee $2.25 02/23/2017 Credit Card $50.00 $ 112.30
Education Surcharge $0.60 02/28/2017 Credit Card $ 112.30 $0.00
Permit Fee $150.00 Bond#:3319
Scanning Fee $3.00
Technology Fee $2.40
Total: $662.30
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 permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRIC4PMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIThat a the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoninr I orize the above-named contractor to do the work stated.
February 28, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 28,2017 1
Miami Shores Village1�e cExvED
Building Department FEB 3 2017
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2-0 I4
BUILDING Master Permit No. 'F' L I l — 41
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
14PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
�CONTRACTOR DRAWINGS
JOB ADDRESS: 3 3 5- NL- 10 1
City: Miami Shores County: Miami Dade Zip:
11 -3
Folio/Parcel#: Is the Building Historically Designated:Yes NO �r
Occupancy Type: Load: �TConstruction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): l./I Pit�Gt f-?JD ��Gl f Phone#:
Address: 3 3 s NE lo l .S'�-ee�
8
City: Q R/ '� ,/ State: �0'Yl A'" Zip:
N )
�3
Tenant/Lessee Name: I `� ) A- Phone#:
Email: 1
CONTRACTOR:Company Name: S u1�Y1�( -+ l4hone#: SL�
Address: 1,7q32 �jV1_) 2n _
q
City: 0-VIA-A, State: , Zip: �/
Fie—
Qualifier Name: eWl nn�- E� " I Phone#: 3 b��^7 S
State Certification or Registration#: Sk , t�S Certificate of Competency#:
Q
DESIGNER:Architect/Engineer: N I , ! Phone#:
Address• City: State: Zip:
''tt
Value of Work for this Permit:$ Square/Linear�F,ono-tage of Work:
Type of Work: El Addition ❑ Alteration 1:1 New EY'Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile: /
Submittal Fee$ F50 cn Permit Fee$ � (/`' CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$-5CO ?f V1 L )
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) /
Bonding Company's Address
City State Zip
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$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
OWNER or AGENT CONTRACTOR
The foregoing instrument waas acknowledged before/me this The fore oing instrument was acknowledged before me this
a-t day of 1 ���V' "`�`"I .20 (� ,by 2l� day of F 20 /7 ,by
who is personally known to Kt �r �i�w o is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
u�P' MBLEa055732
`P �"qPrint:
Print: °, " NotaryPublic
M Comm.Expires ,
- Y P SHERYLA MENDES
Seal: Seal: .o e,'
9EO �; Commission ?+. o, Notary Public-State of Florida
t 00 Bonded Bonded Through N :e;My Comm.Expires Oct 23,2018
Commission#FF 136597
***sss****ss****sss*ss*s**ss*ssss**s*ssss******s***s**sss*s*s SRSI9p�Y�tl�HlakY�ar�>Ry511, ss*sssssss*s
APPROVED BY aid 9--a-7- L'2_ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PERMIT #:13-SM-1739607
APPLICATION #:AP 1275730
STATE OF FLORIDA
+- DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
.� CONSTRUCTION PERMIT RECEIPT #:
"'" l Docm-mm #:PR1049443
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: GERARDO GUARCH
PROPERTY ADDRESS: 335 NE 101 St Miami,FL 33138
LOT: 18/19 BLOCK: 38 SUBDIVISION: Miami Shores No. 1
PROPERTY ID #: 11-3206-013-5211 [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 J GALLONS / GPD Existing Septic tank to remain. CAPACITY
A [ 0 J GALLONS / GPD CAPACITY
N 1 0 1 GALLONS GREASE INTERCEPTOR CAPACITY [b+AXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K ( ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 300 1 SQUARE FEET bed conflquratio drainfield SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ j MOUND [ J
I CONFIGURATION: [ ] TRENCH [xj BED [ j
N
F LOCATION OF BENCHMARK: F.F.E, 12.00'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 28.80 ] [ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE 1 78.84 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 62.00] INCHES
Invert elevation of drainfield to be no less than 5.93'NGVD.
O 'Bottom of drainfield elevation to be no less than 5.43'NGVD.
T 'Install 12'of slightly limited soil under the bottom of drainfield.
H -Perimeter of excavation area shall be at least 2 ft.wider and longer than the proposed absorption bed or drain trench.
A 'THIS PERMIT IS NOT FOR"ADDITION(s)".
E 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.
R
SPECIFICATIONS BY: Kemble rick TITLE:
APPROVED BY: Dade CHD
Car os Icaza
DATE ISSUED: 02114/2017 EXPIRATION DATE: 05/15/2017
0
DH 4016, 08/09 (Obsoletes all porecvoutslt�edut:�ssniwhiclsK�may_'not be used)
Incorporated: 64E-6.0:03ACZt
Page 1 of 3
s4D4l bortng vd%rttt te the
AP1275730- SE1022988
i7ti!E wft 1iS3at t;t.. .,. .
f�
STATE OF FLORIDA
DEPARTMENT OF HEALTH
,f APPLICATION FOR CONSTRUCTION PERMIT
Permit Application Number
r1
- - - - - - - - - - - - - - - - - - - - - - - - - - - PART II - SITEPLAN - - - - - - - - - - - - - - - - - - - - - - - - - - - I
Scale: Each block represents 10 feet and 1 inch = 40 feet.
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here are no pertinent features on adjacent properties and or across the street that may affect the New Septi
ystem Installation
Notes:
'33F,2 OF 101 ST -
Site
T •Site Plan submitt by:
Plan Approv Not Approved Date
By County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015,08/09(Obsoletes previous editions which may not be used) Incorporated: 64E-6.001,FAC Page 2 of 4
(Stock Number: 5744-002-4015-6)
DIVISION OF
Environmental Health
Florida Health A
eQQMiami-Dade County 0
OSTDS/Well Division Q
Q` 11805 SW 26th Street•Miami,FL 33175
Inspector Z;7- ,
Date
Address .3-Ir Alf
b OSTDS# i27f730
` Comments:
i
4
�� Signature