PL-17-1533 #����
Miami Shores Village 'Gi*T� PItlnlbin ,r Ri n
S� Ur�
10050 N.E.2nd Avenue NE re
�� Um
s� 5f1Celci
Miami Shores,FL 33138-0000
6f1T31 , ' s',AV � n
�— � Phone: (305)795-2204 �ata
k 9ssue l am I l l2t 1 Expiration: 12/24/2017
Project Address Parcel Number Applicant
362 NE 92 Street 1132060136440
FRANCISCO PLAZA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
FRANCISCO PLAZA 362 NE 92 Street (305)781-7666
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
MRCS PLUMBING 8,SEPTIC INC (305)651-7859 Total Sq Feet: 300
Type of Work:DRAINFIELD REPAIR Available Inspections:
Type of Piping:DRAINFIELD REPAIR 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-Owners Bond $500.00 Invoice# PL-6-17-64264
CCF $1.60 06/26/2017 Check*384 $500.00 $168.30
DBPR Fee $2.25
DCA Fee $2.25 06/08/2017 Credit Card $50.00 $118.30
Education Surcharge $0.60 06/27/2017 Credit Card $ 118.30 $0.00
Permit Fee $150.00 Bond#:3440
Scanning Fee $9.00
Technology Fee $2.40
Total: $668.30
In consideration of the issua to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining theret in stri conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this e s e responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for T ICA , LIMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS A AVIT: c rti all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction i . F th re,I authorize the above-named contractor to do the work stated.
June 27, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 27,2017 1
O •:' , ,'"SZON of
Environment
OR
Florida healthal Health
ami-Dade Co un
1180 an"-Dade
DJ,1,10,, q�
I F\\ Inspector IV 26th street.AUR
rySlOn
mi,FL 33175 O�
_ Address�(z ,v
n/e 2Zs/ Date
COmments: OSTDS#
Signature
J
VL
Miami Shores Village
RECEIVED
Building Department ,uNo o�,
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
nV\ INSPECTION LINE PHONE NUMBER:(305)762-4949 C
BUILDING Master Permit No. l�m -S32-
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ❑RENEWAL
Q■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATIOk ❑ SHOP
rr p ( CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores / County: Miami Dade Zip: 3331 �Q
Folio/Parcel#: 113�2o G — ®f 4"_Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 0 S Lo Phone#:
Address: 36 PL self 60-- S
City: a
S State: C, Zip: 33�
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Mr C's Plumbing and Septic Phone#: 305 651 7859
Address: 19932 NW 2 Ave
City: Miami State: FL Zip: 33169
Qualifier Name: Kemble Ettrick Phone#: 305 6517859
State Certification or Registration#: SR061536 Certificate of Competency#:
DESIGNER:Architect/Engineer: �17Phone#:
Address: 'r' City: State: Zip:
Value of Work for this Permit:$ 9`I'� Square/Linear Footage of Work: 31e1
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work:
belyNI%let-D �P �
Specify color of color thru tile:
Submittal Fee$ p� -ID -Permit Fee$ ® CCF$ •�® CO/CC$
Scanning Fee$ - l Radon Fee$ Z5 DBPR$ L. ° Z5 Notary$
r t �
Technology Fee$ •� Training/Education Fee$ C? Double Fee$
Structural Reviews$ Bond$ g
TOTAL FEE NOW DUE$
(Revised02/24/2014)
ding'Company's Name(if applicable)
Bonding�C4,-",1pan;/s AcKress
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 / L Signature
Y
OWNER or AGENT CONTRACTOR
The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of J tkt JIrB ,20 ' ,by day of 20 (-1 by
tf'A h C(5 L0 PIAZA- ,who is personally know 10�-C 6 k I&J4r who 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: I'LL
Print: ` �� l Print: l/7?6r /; � Y/"
�,IBLE ETTRICK
Seal vitai y Public-State of Florida Seal:
L�L
h1y Comm.Expires Sep 19,2017 ;;` !�;z DONALD MARTW
Commission#FF 055732MY COMMISSION#GG102103
onded Through National N Assn. or EXPIRES May 09,2021
*******+x
APPROVED BY SLI 0 "� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PERMIT #:13-SC-1762815
STATE OF FLORIDA
APPLICATION #:AP 1290531
DEPARTM OF HEALTH DATE PAID
ONSITE SEXAGE TREATMENT AND DISPOSAL FEE PAID:
� SYSTEM
RECEIPT #:
DOCUMENT #:PRI 064390
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Francisco Plaza
PROPERTY ADDRESS: 362 NE 92 St Miami, FL 33138
LOT: 5 6 BLOCK: 48 SUBDIVISION:
PROPERTY ID #: 11-3206-013-6440 [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 [ 1,050 l GALLONS / GPD Existina Septic Tank To Remain CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I I GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #Pumps I l
D [ 300 l SQUARE FEET NEW DF IN BED CONF. SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ I
N
F LOCATION OF BENCHMARK: FFE: 11.00'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 24.00 ] INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE L 74.00 ] [ INCHEB FT IIABOVE HELOW aENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 50.001 INCHES
1.-EXISTING 1050 gal.septic tank with and approved filter TO REMAIN.
O 2:Install 300 sf.of drainfield in bed configuration.
T 3.-Install 12"of slightly limited soil at the bottom of the drainfield. --
H 4.-Perimeter of excavation area shall be at leAst 2 it wider and longer than th a6s8i S�Uor p a1 t bench.
(Comments Continued on Page 2.) T L DRiVA DER-`A7� I
E Gr 10 GMT"
R
SPECIFICATIONS BY: a Ettrick TITLE:
00
APPROVED BY: TITLE: ENGINEERING SPECIALIST I Dade CHO
Clermnt
DATE ISSUED: 06/06/2017 ( , IRATi'oS� i 03/04/2017
DH 4016, 08/09 (Obsoletes all previous editions which may no sj`2id used) ,c b%flrg
Incorporated: 64E-6.003, FAC hV c z t ' <<'Jr�;1 rFid e �a�ati�r �t t4l@a�e1 I,Eof 3
v 1.1.4 AP129053i)jEa€ ft t~ d_ �0 Q °Jd81, Y�@ [ 0}t �� 131
pPio. , �$ fLSt t5 t�
ea� ins
�
•.:s'iU`1:,€?$ �t`^v-iF"SiJ""C'IC? np,.r,� t�"��:.
tl, r tit i tint Ot LhC_
f �
BOUNDARY SURVEY
2 - SCALE: 1" = 20'
STS , I ET - -
18.5 APHAtT.PAVEMENT " �—�--
75' TOTAL RIGHT OF�VAY f
23.5' PARKWAY M
I�
BL
DIVe8 .00 . � ' ,5'.SIDE9VAtiC .>. _ 190.40' _CORNERD
12.0' 1 FIP. 1/2" FlP.
No LD, No I.D.
mow '4 69'47'46"
-- - ---- r - 35.0'
vxw LL
LLI
= 4'
= D
CO
4'X3.53'X3
2 .05'
o . �
- Jm ••.•
saz�
...(.
- r J W •' ✓` 4444 r ••�
• • • O •
h _ l •:•rp •• • •W••••
4.
- 4444••
-_ - � •.4;• 4444•• • •
PERMIT
4000 4444 4444•
Miami shcrs,Village - _. .. .• ......
APPROVED' BY - DA ....960
000000
__ _ . . •
ZONING DEPT • • :00 00:
7-F
- - • 000 . • 0
BLDG DEPT
* ~ SUBJECT iO CC'N1124,V`I CE Wf M ALL FEUERAL 1 8'
* 90'6'11"
STATEANULc ISN,{.�fI�ITS ArJD REaU ArtO�1S
�� AP. 1/2
e D FENCE No I.D.
s
4
i • • , i
M i • i
1
■■■■■■■■■■■■0■■■■■■■■■■■olp-M. ■
■■■■■■■■■■■■■••••••E•E••MOMMINN■
Fi1f �, ■■11■ ■iii■I�!t-- �I■1riiiii����■l■■
FIT ff- Iffiffic-
■■■■■■■■■■■■■I■■■■■■r■wig:�■■■■�■■
■. = . �i
•
• • f
11 1