PL-17-942 ,7
Permit NO PL -1i-942
Pq
Miami Shores Village ,rmit Type:Plumbing-Residential
-0000 Work Classificat6n:D ral Infield
10050 N.E.2nd Avenue NE r
Miami Shores,FL 33138
Permit Status:APPROVED
Phone: (305)795-2204
Expiration: 10/04/2017
Issue Date:4171PI7
Project Address Parcel Number Applicant
990 NE 94 Street 1132060350040 ROBERT JENKINS
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
ROBERT JENKINS 990 NE 94 ST
MIAMI SHORES FL 33138-2917
Contractor(s) Phone Cell Phone Valuation: $ 2,350.00
A AARON SUPER ROOTER 305-944-8886
Total Sq Feet: 0
Type of Work:REPLACE BROKEN TANK WITH NEW 900 GA 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-Contractors Bond $500.00 Invoice# PL-4-17-63686
CCF $1.80
DBPR Fee $4.50 04/05/2017 Credit Card $50.00 $772.80
DCA Fee $4.50 04/07/2017 Credit Card $772.80 $0.00
Education Surcharge $0.60 Bond#:3364
Permit Fee $300.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $822.80
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 al the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,(authorize the above-named contractor to do the work stated.
�/ �-Y` of (3-a- April 07,2017
Authorl2t��Sature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 07,2017 1
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Miami Shores Village RECEIVED
Building Department APR 05 1017
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949ILA
FBC 201'1
BUILDING Master Permit No. ' Ll 2-
PERMIT APPLICATION Sub Permit No.
F-IBUILDING F-� ELECTRIC F-1 ROOFING Ej REVISION EXTENSION RENEWAL
°PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: P o ,+' L,9%j , 'e s -kn k""?s — Ono NE 9 4- �7
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: ,�Q®G Is the Building Historically Designated:Yes V NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Rp10 & Low-,rdes C 1 -t4hone#:
Address: �® N l.i- S-r �y
City: Mt C.ey"�( ] State: 1 Zip: 3-3112 �
Tenant/Lessee Name: Phone#:
Email:
�1 �-�^ b®s ri 44
CONTRACTOR:Company Name: Phone#:
Address: Coil &,kN Z-%s Ct
City: ' � `� State: C11 Zip:'33 o
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ :21(= Square/Linear Footage of Work: la(
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$50'00 Permit Fee$ _ goo .."- CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ ob
TOTAL FEE NOW DUE$ 2— cyl
(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 br hu re will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of comm n ment must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. 1 th absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
r
Signature + Signature
OWNE or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
3 day of "N 20 (1 by day of �PYt1 20 P by
9 bb1' tJ�n who is personally known to J0 k-A -T"�t who is personally known to
me or who has produced-Pyr (1) _as me or who has produced 1� as
* identification and who did take an oath. identification and who did take an oath. td
+ � NOTARY PUBLIC: NOTARY PUBLIC: �'m
A OW
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Sign: C Sign:
177-
z cO• Print:_ ^ Print:
® � o..r Seal:
Seal: 3.
-1V
APPROVED BY d� `, l Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
4 PERMIT #: 13-SM-1748964
+ , STATE OF FLORIDA APPLICATION #:AP 1281945
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
p SYSTEM RECEIPT #:
DOCUMENT #:PR1055503
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: ROBERT&LOURDES JENKINS
PROPERTY ADDRESS: 990 NE 94 St Miami, FL 33138
LOT: 4 BLOCK: SUBDIVISION:
PROPERTY ID #: 11-3206-035-0040 [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 [ 650 ] GALLONS / GPD Existina Seotic Tank to Remain CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS U ]DOSES PER 24 HRS #Pumps [ ]
D [ 225 ] SQUARE FEET New Trench Conf. Drainfiel SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [XI STANDARD [ ] FILLED [ ] MOUND [ I
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: FFE: 12.5'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 21.60 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 61.60 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 52.00 ] INCHES
EXISTING SEPTIC TANK TO REMAIN, REPLACE DRAINFIELD ONLY
T 1.-EXISTING 650 gal.septic tank with and approved filter TO REMAIN. f VFW MW a"4,-*STH
H
2.- Install 225 sf.of drainfield in TRENCH configuration.
3.-Install 12"of slightly limited soil at the bottom of the drainfield.
E (Comments Continued on Page 2.)
Performa
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SPECIFICATIONS BY: c ff TITLE The contra rtt.^the drainfq f�al thefr®®NlnspeCt of-' Ana\
a�C �ett3 t0 the
bOTW6 e�; 9r br t�1 „ . rn��� &g, a -11 be a
APPROVED BY: TITLE: ENGINEERING 3;j ��T I dor ng an• `y ®'dae
e nt - _�Pd" a—yr!" Y s+ggdPPA 8
DATE ISSUED: 03/29/2017 site eva`luati^�[y ��tDATE: 06/27/2017
� �ntra�.a
DH 4016, 08/09 (Obsoletes all previous editions which may not be4'wef)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1281945 SE1028501
DOCUMENT #: PR1055503
5.-Invert elevation of drainfield to be no less than 7.87'NGVD
6.-Bottom of drainfield elevation to be no less than 7.37'NGVD
THIS PERMIT IS NOT FOR ANY ADDITIONS.
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.
Required drainfield area based on rule 64E-6.015(6)(c)2.
Install a new drainfield to achieve Drainfield size requirement.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s.
64E-6.013(3)(f), FAC.
APPLICATION # AP1281946
STATE OF FLORIDA
PERMIT # 13-SM-1748964 co
� DEPARTMENT OF HEALTH DOC # RE391775
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
EXISTING SYSTEM AND SYSTEM REPAIR
EVALUATION
� r
REMARKS/ADDITIONAL CRITERIA
SUBMITTED BY: TITLE/LICENSE DATE:03/21/2017
(*A Aaron Super Rooter)
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 4 of 4
V 1.0.0 AP1281946 EID1748964
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR CONSTRUCTION PERMIT
Permit Applicatiop Number
PART II -S! EPLAN - --- y - - ----
Scale. Each block re resents 10 feet and 1 inch=4 feet.
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Notes: `� rl-5
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Site Plan submitted by: ON104 --
Plan Approved 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)
JOHN J TUFFY
A-AARON SUPER ROOTER,INC.
6022 SW 351H COURT
WR"AR,�L 33023-
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FLORIDA DEPART T O HEALTH
RTIF
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CATS OF AUTHORIZAT10 F R SEPTIC TANK CONTRACTING
HEALTH
The Florida Department!of7fealth hereby certifies the business or entity nan ied belov s has satisfied the requirements of Part
Ill Chapter 489, Florida Statutes,for septic tank cnntracting and has ee My air horized y the Department to provide
septic tank contracting services un er t name 9fl .,
I
A-AARON SUPER ROC TER, INC.
Qualifying Couftetor: JOHN J Tt IFFY
SA0920648 i Marc 8
h 2 , 2017 March 31, 2019
Authorization Number Date Issued Expiration Date
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