PL-17-947 Permit NO P L-4-1 t7
Miami Shores Village Permit Type Plumbing-Resitiential
10050 N.E.2nd Avenue NE
n .m work`Cisu O •AttdItlon/AIt4iration
Miami Shores,FL 33138-0000 M I
h— e P ?Tl1>*i Status:APPR<?VED
xORmPhone: (305)795-2204
Issue Date:4113/2017 Expiration: 10/10/2017
Project Address Parcel Number Applicant
57 NE 93 Street 1132060130400
Miami Shores, FL 33138- Block: Lot: ABRA ADRABI
Owner Information Address Phone Cell
[ABRA ADRABI 57 NE 93 Street 1
MIAMI SHORES FL 33168- F
57 NE 93 Street
MIAMI SHORES FL 33168-
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00._.....m.....
MR C'S PLUMBING&SEPTIC INC (305)651-7859
Total Sq Feet: 300
E
Type of Work:DRAINFIELD REPAIR Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Top Out
Bond Return: Final
Classification:Residential Scanning: 1 Review Plumbing
Underground �JE
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00
CCF $1.ao Invoice# PL-4-17-63591
DBPR Fee $2.25 04/13/2017 Credit Card $612.30 $50.00
DCA Fee $2.25 04/05/2017 Credit Card $50.00 $0.00
Education Surcharge $0.60 Bond#:3373
Permit Fee $150.00
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 ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS 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 zoning. Futh7a;;K
he above-named contractor to do the work stated.
April 13, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 13,2017 1
MP
DIVISION 0'
Environmental Wealth
Florida Health
Miami-Dade County �O�
p�� OSTDS/Well Division ��
11805 SW 26th Street'Mjami FL 33175
��, _Date
P
�
"S�mf Y
Ins ector
�'� Z 3 S� O5TD5
Address Z
Comments:
Signature 9
g ' Miami Shores Village
WE
Building Department P
R 0 5 20V
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 2014
BUILDING Master Permit No. PLL X 914-1
PEitM17 A PUCATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING f� REVISION ❑ EXTENSION [:]RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
d� CONTRACTOR DRAWINGS
JOB ADDRESS: �IL AJ't _13
City: ___-_ Miami Shores y County: Miami Dade Zia:
Folio/Parcel#: 6 12, - Q 6-0 Is the Building Historically Designated:Yes NO—1
Occupancy Type:: Load: Construction 1 ype: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 2670 8 "Lt a ft"ftT Phone#:
Address•__9_%—&)I- ca st
City: M-T0+0Lit 6tP V'& State: Ft- Zip: 3317
Tenant/Lessee Name: Phone#: 90 *4 �
Email: fc.�0 -kh• ® �l
rn 2 �
CONTRACTOR:r o-;pr<r,y Name,-- t� l� '� a hone#: �CJ�'o r 79
Address: l 17�` 1, fly —
City: _—__-- Gt 1111.1 State: Zip:
Qualifier Name:_,_kej&ku f ( 17'Ly Phone#: �5 —6S-1
State Certification or Registration#: J e—6 6 l Certificate of Competency M
DESIGNER:Arai ':ect/Engineer: / Phone#:
Address:_--...... City: State: Zip:
��
Value of Woyk icer this Permit:$ Square/Linear Footage of Work:
Type of Werk: i,ao: `on ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Worit:
Mkt/14R EZ-b �Pt'l
Specip color of color thru tile:
Submittal Fee x_1501 vO— Permit Fee$ ® CCF$ CO/CC$
Sciinnin g rt:s. -_ Radon Fee$ DBPR$ Notary$
Technelcry iee; Training/Education Fee$ Double Fee
$
Structural Ree-iews:. _ Bond$
` TOTAL FEE NOW DUE$1 k
(Revised02/24/20:.:)
C)12 4
Bonding Cornp?ny's Name(if applicable)
Bonding Company'-address
State Zip
Mortgage Lender's Name(if applicable) y
Mortgage Lens'._r s Pddress
City —_ _ State Zip
Application is here!�y md;de to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced rV.iar (, tL.: 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,Bi 4z.l R:;, riE 4i ERS,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 rrG atir.,;construction and zoning.
"WARNING 71 C'uUNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN Ff NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR N07i OF :COMMENCEMENT."
Notice to Applicwnr: As a.'conditior,to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in goo., fa:-,r t;,ata copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose properto is svi-i.ect to w-tachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first occurs seven (?) days after the building permit is issued. In th nce of such posted notice, the
inspection e• 71 r:C :.'a'rr;.,:: ?tied and a reinspection fee will be charged.
Sign2turF _ — -.------------ -----_ _ Si;nature
or AGEI`'T CONTRACTOR
The fore ow. :nrzrumA is was(acknowledged before me this The foregoing instrument was acknowledged before me this
20 by { day of -r' 20. b
T6A� �1 Z� �� Y
�_. >rrho is personally known to T../14,6(� �i��who is personally known to
me or who F; prodore _ as a or who has produced as
!dent:ficatr)--;:r wf.r ,.,j lake an oath. identification and who did take an oath.
NOTARY PLPLIC: NOTARY PUBLIC:
Sign: _. Sign:
Print: Print:
"4'gF0.y
_ - - _ ---RE1VIgCF ETT
` PVe,�
Seal; HICK
Notary Public-State of Florida Seal: �. "' �.,
��oB., SHERYL A MENDES
« » =M
My Comm. Expires Sep 19,2017 `a° NDtary Public-State of Florida
Commission#FF 055732 s °
= ••=My Comm.Expires Oct 23
Bonded Through National Notary Assn.
SUN P�o� Co 2018
>�xxxma,xx =« >v x k*ax >xax K*>x>xxa ' >r<d i$ +*'"�o►t edT Slur&xFiFx x6oi
rough National Notary Assn.
(-7PlansExarcine:• Zoning
Structural Review Clerk
(Revised02,24; C:, .;
� STATE OF FLORIDA
PERMIT #: 13-SC4750441
:TIEFFARTMIM OF MALTH APPLzc=oN #:API 282922
E ONSITE SL TR11CAiMENT AND DISPOSAL DATE PAID:
SYSTEM
FEE PAID:
CONSTRUCTION PERMIT
RECEIPT #:
IM7 Dir #: PR1055542
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Jonathan Adrabi
PROPERTY ADDRESS: 57 NE 93 St Miami,FL 33138
IAT: 1819 BLOCK: 3 SUBDIVISION:
PROPERTY ID #. 11-3205-013-0400 [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, H.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIM. 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 EXISTING Septic TO REMAIN CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTET<CZPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DosING TALAR CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D { 300 ] SQUARE FEET NEW DF IN BED CONFIG SYSTEM
R [ 0 ] SQUARE FLET SYSTEM
A TYPE SYSTEM: [XI STANDARD [ ] FILLED I l MOUND [ ]
I CONFIGURATION: [ ] TREECH [x] BED [ I
N
F LOCATION OF BENCHMARK: FIFE..........12.30'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE { 25.20 FT ][ABOVE/1 BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 75.24] INCHES FT ][ABOVE/ BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 62.001 INCHES
0 1.-EXISTING 900 gal.septic tank with and approved filter TO REMAIN.
T 2.- Install 300 sf.of drainfieid in...BED.......configuration.
3.-Install 12"of slightly limited soil at the bottom of the drainfield.
H 4.Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or trench.
E (Comments Continued on Page 2.)
R
SPECIFICATIONS BY: Gerard L Phil;za;z TITLE: Engineering Specialist II
APPROVED BY: TIT z: Engineer Supervisor III Dade COD
DATE ISSUED: 03/29/2017 EXPIRATION DATE: 06/27/2017
DH 4016, 08/09 (obsoletes all previous editions ,hash may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
r 1.1. .
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