PL-16-3091 4-3091
�eN°mss y, Miami Shores Village ieM*Tye @rttt t _
10050 N.E.2nd Avenue NE DI' l181CI
Miami Shores,FL 33138-0000
Pe '-
Phone: (305)795-2204
Perm/tt., t114§.A
�R iration: 611711
P.
Project Address Parcel Number Applicant
249 NE 98 Street 1132060134400 JOHN ROSENQUEST IV
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
JOHN ROSENQUEST IV 249 NE 98 Street (305)6071-5115
MIAMI SHORES FL 33138-
249 NE 98 Street
MIAMI SHORES FL 33138-
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 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
Bond Type-Owners Bond $500.00
CCF Invoice# PL-11-16-62037
$1.80 11/10/2016 Check#: 1187 $50.00 $618.30
DBPR Fee $2.25
DCA Fee $2.25 11/18/2016 Check#:1205 $ 118.30 $500.00
Education Surcharge $0.60 11/18/2016 Check#:212 $500.00 $0.00
Permit Fee $150.00 Bond#:3255
Scanning Fee $9.00
Technology Fee $2.40
Total: $668.30
In considera=-fy-#mtzff1hU-Wregoing
a ce to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thc conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting thinea responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required forLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS A 'fy-#mt-aft1hU-foregoing information is accurate and that allwork will be done in compliance with all applicable laws regulating
constructionh ore,I authorize the above-named contractor to do the work stated.
November 18,2016
Aut rize Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 18,2016 1
Miami Snores Wiage �IKCVVED
Building Department
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
WSPECT!oNr LMFE PROKe Rrrrn49ER.tenet'791-r040
f'L$L 1.V
b U I LUMb Master Permit No. 1 • (- •J_ �91
PERMIT APPLICATION Sub Permit No.
r-IBUILDING r-1 ELECTRIC F-1 ROOFING 0 REVISION F-� EXTENSION RENEWAL
yj VLUMblN(3 U MELHANILAL LJIUBLIL WUMS LJ LHAN(A OF LANLLLLAI(UN (_(5HUN
L�q [' CONTRACTOR DRAWINGS
JOB ADDRESS: � l [ 1�I �� 2
City: Miami Shores County: Miami Dade Zip: X313 U
Folio/Parcel#: Is the Building Historically Designated:Yes NO
v.�.ujaoii%y.yprc. waic.. e.virraiu�.aivii.y�c. ..vv�..�3iic. ♦tv�. } a..
TNS
Phone#: Sol'
R.�se�t�re�s7 407 Ilc
OWNER: Name(Fee Simple Titleholder):Sl R�M)=e aN�
Address: j4_1 . LPle '90T+t S_ ?
City: State: L Zip: J
ienlslit,��cScctv�iile. PJ !•'ww t rnvucrr.
clnaii: •` VJ VeS � ryt . C �
�rM+ o
CONTRACTOR:Company Name: (- f� S �Ia Q I��v 9010M C- Phone#: 305
Address: I"[q 32 N bi 2 Ac'JZ p,
City: Kt A-*.-% State: fa::n Zip: 33
Quaiiner Name. Phonei# .
�taie%e1 iiii�atiiun ur negiail aiivn ii: �..tll iiii�aie vti�,unlNeien�y»:
nF%mNFR;.Arrhitprt/Fnainpar- PhnneJk
Address: City: State: Zip:
Value of Work for this Permit:$� ���� � I Square/Linear Footage of Work:
Type of Work: ❑ Addition 0 Alterations P �\ C] ,New Repair/Replace ® Demolition
Yvwiptlufl W vvurli:
Specify color of color thru tile:
c..L.�Caa..1 r__E • n: •a r__c a '�6 O--r P rn Mr d
swwlmataa cc.+ rclinea i cy a.a.l y a.v/a•a,as
Scanning Fee$ Radon Fee$ DBPR$ Notary$
@l.riYlt)IU gy rCC 0 1is1111111rj CUUtd�1U1i rcc� IlVUUIC rCC-�7 \
Structural Reviews$ Bond$ :-i 1\) _)
TOTAL FEE NOW DUE$ • :50
(Rev1sed02/24/2014)
1.
Fsunufng WHIPdny's ivdtne of dppi
PEram #:.13-SM-1716790
APPLICATION 9:AP1260634
STATE OF FLORIDA
DEPARTMENT OF HEALTH
DATE P�
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION PERMIT RECEIPT 4.
Docm=T #:PR1036617
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: JOHN ROSENQUEST
PROPERTY ADDRESS: 248 NE 88 St Miarni,FL 33138
LOT: 16-17 BLOCK: 32 SUBDIVIsIOff: Miami Shores No.1
PROPERTY ID (1: 1132060934400 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MOST BE CONSTRUCTED IN ACCORDANCE WITS SPECIFICATIONS AND STANDARDS OF SECTION
381.'0065, F.S., AND CHAPTER 648-6, 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 MMUPT WE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING RBQUIRSD FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T I 900 3 GALLONS / GPD CAPACITY
A I 0 ] GALLONS / GPD CAPACITY
N [ 0 3 GALLONS GREASE INTERCEPTOR CAPACITY EMAXIMUM CAPACITY SINGLE 2ANS:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY I ]SNS .@C ]DOSES PER 24 HR8 4�. @Pumps [ 3
D I 300 ] SQUARE FEET Bed cofturadon drain SYSTEM
R ( 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND { ] .
I CONFIGURATION: [ ] TRENCH Ig] BED I ]
•N
F LOCATION OF BENCHMARK: 121'NGM TOP OF BOTTOM FLOOR
I ELEVATION OF PROPOSED SYSTEM SITE [ 26.20][ INCHES FT I ABOVE BELOW BENCHMARK/REFERENCR POINT
E BOTTOM OF DRAINBIELD To BE 175.20] INtEE$ FT ]IABOVE POINT
L
D FILL REQUIRED: 10.001 INCAS EXCAVATION REQUIRED: [ 62.001 INCHES
[4.-
:EXISTING 904 gal.septic tank with and approved filter TO REMAIN.
0 .- Install 300 sf.of drainfiek[in bed configuration.
T .-Install 12°of slightly limited soft at the bottom of the dramftekL
B Perimeter of excavation area shall be at least 2 R wider and longer than the proposed absorption bed or trench.
(Comments Corrtimued on Page 2.)
•E
R
SPECIFICATIONS BY: Yvenel Clermont TITLE: ENGIImmmG SPECIALIST I
APPROVED BY: TITLE: Professional Engineer I Dade CHD
Richard g PAJaV
DATE ISSUED: 10/25/2016 EXPIRATION DATE:E: 01/232017
DH 4016, 08/09 (Obaoletes all previous editions which may not be used)
Incorporated: 648-6.003, FAC Page 1 of 3
V 1.1.4 AP1260634 SE1011620
• . , i
®®®M®S®MMMMM®®M®M®■MM®M■.mm■m■m
® mo®m®®®®®®®m®mm®mmmmm®mmmmmm■
■®®m®®®®mmmmmmmmmmmm®®®®mmm■mm�
®®®M®MM®M®®MMO®®MMM■mmm®■®®m■m■
®®o®■■®mm®oomnaomp�1&Nmmm0®mmmm■
MMMMMMMMMEEWERANUMOMmmmmmmmm
®mmmmms®md®®nav mdmmmMMM■®MMMM®
mmmmmmmmmmmmrammmmmmmmmmmmmmmm
mmmmmm®®®mmmamummmmmmm®mimmmmm■
®®m®m®®®mm®m®m®®■m®®®m®mmmmmem■
■®■m®m®®m®mmmmmmmm mmmm mmmmmm■
im®■®®mmmmmmm®m®®®®mm®mmmmm i��■
®MM®MM■MMMMMMMMMME MMmmmmmmmmt■
MOMMMMMMMMMEMMM®®®M®®mmmmommomm
mmamm!®mmmmmummm®®®®®ma®mmmmm m
_T77-
Lv
cp
VIA
:4w
to
lall
C6�
tN
Ix
sr
�t
H err-1 �i1
F'��erida lf�slth � ,
��'�7 11�-14E�11 Iii*ta9►�-
7
KIN��
t. {,. � 'r',r .t,sv��: a�rr�isaa:e�s"�'N,IS. �.•.�.�,�'"�a�3'x�`t�:,�.-" a�"t4�,