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PL-17-1619
YLAI r r� ' �k W��� Miami Shores Village # Y "PlIurnbing-Reside 10050 N.E.2nd Avenue NE r r"! 35J> 8tt?C! r; llifleld:, Miami Shores,FL 33138-0000 < y � 5� 1 VD Phone: (305)795-2204 I ue 41k, Expiration: 01/09/2018 Project Address Parcel Number Applicant 848 NE 91 Terrace 1132060050350 DOREEN RUGGIERO Miami Shores, FL 33138- Block: Lot: Owner information Address Phone Cell DOREEN RUGGIERO 848 NE 91 Terrace (786)286-4039 MIAMI SHIORES 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 REPAIR 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 Invoice# PL-6-17-64359 CCF $1.80 06/20/2017 Credit Card $50.00 $618.30 DBPR Fee $2.25 DCA Fee $2.25 07/13/2017 Check#:178 $500.00 $118.30 Education Surcharge $0.60 07/13/2017 Credit Card $ 118.30 $0.00 Permit Fee $150.00 Bond#:3451 Scanning Fee $9.00 Technology Fee $2.40 Total: $668.30 In consideration of the issuance to m of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto an ' stn confo ity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permi I assum res nsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRI G,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I rti oing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning ut e o I authorize the above-named contractor to do the work stated. July 13,2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 13,2017 1 Miami Shores Village RECEIVED Building Department JUN 2 0 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 20 I1-1 BUILDING Master Permit No. FL PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION E] EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 848 NE 91 st Terrace City: Miami Shores Countv: Miami Dade Zia: Folio/Parcel#:11-3206-005-0350 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Doreen A. Ruggiero Phone#:786-286-4039 Address:848 NE 91st Terrace City. Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: S/A Phone#: Email: profruggiero@yahoo.com CONTRACTOR:Company Name: �( � Phone#: J Address: 1 31, ►V V0 Gey City: I,UIAA State:: �tM Zip: Qualifier Name: uy47 � (� � Phone#: State Certification or Registration#: S k 66 1 yS">Q Certificate of Competency#: DESIGNER:Architect/Engineer: 9!1 I A— Phone#: Address: rr City: State: 22 Zip: 3 Value of Work for this Permit:$ ��t Square/Linear Footage of Work: 672 Type of Work: ❑ Addition ❑ Alteration ❑ New IM Repair/Replace ❑ Demolition Description of Work: N F� C'—L"b PSH Specify color of color thru tile: Submittal Fee$ '� Permit Fee$ G�l CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ J (Revised02/24/2014) Bonding Company's Name(if applicable) w Bo,ding 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. 2 Signature / Signature OWNER AUNT ENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of Jit A Qr 20 7 by day of ,n e- 20 17 by �aA le,no who is personally known to 67?h& C�/^ /`/U 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: w v Sign: J Sign: Print: Print: otP"° 114 DONALD MARTIN Seal: ;a+ *�, Notary Public-State of Florida Seal: OFt*. MY COMMISSION M 00102743 My Comm.Expires Sep 19,2017 Commission#FF 055732EXPIRES May 09,2021 '�IF OFF' Bonded Through National Notary Assn. APPROVED BY 3 �� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA PERMIT #: 13-SC-1769483 DEPARTMENT OF HEALTH APPLICATION #: AP 1294657 <; ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID: SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: DOCUMENT #: PR1065579 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Doreen Ruggiero PROPERTY ADDRESS: 848 NE 91 Ter Miami,FL 33169 LOT: 7 8 BLOCK: 3 SUBDIVISION: PROPERTY ID #• 11-3206-005-0350 [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 ] GALLONS / GPD Septic 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 @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 300 ] SQUARE FEET NEW DF IN BED CONF SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [K] STANDARD [ ] FILLED Il MOUND [ I I CONFIGURATION: [ ] TRENCH [7[] BED [ ] N F LOCATION OF BENCHMARK: FFE14.2' I ELEVATION OF PROPOSED SYSTEM SITE [ 37.20 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 87.20 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 62.00 ] INCHES O 1:FASTING 900 gal.septic tank with and approved filter TO REMAIN. 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 ft wider and longer than the proposed absorption bed or trench. E (Comments Continued on Page 2.) R SPECIFICATIONS BY: Mr C's Septic TITLE: APPROVED BY: TITLE• Engineering Specialist II Dade CHD anis X Gonzalez DATE ISSUED: 06/15/2017 EXPIRATION DATE: 09/13/2017 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FACPage 1 of 3 v 1.1.4 AP1294657 SE1037695 ■■■■■■■■■■■■■■■■■■MENMENENNI■■1■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■o!■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1■■ ■■i■■■■■■■■■■i■■■■■■■■■■■■■■sI■■ ■■■■■■■■■■■■■;■■■_■_m■■_■_■_m■_m_m_mm_tl■■ I S` • rr: E 5582 N.W.7th STREET SUITE 202 SURVEY No. 10-0000612-1 MIAMI,FLORIDA 33126 TELEPHONE:(305)264-2660 Noun PurVAgihrs 3yr. FAX:(305)264.0229 DRAWNBY., LILYLAND SURVEYORS SHEET No. 2 OF 2 — BOUNDARY SURVEY SCALE =1"-20' i 9 4 15'PWY N ,t 276.67' ` 75.00' B.C. F.I.P 1/2" 8-840P'....� ;; - - - I ' 91°544"' F.I.P 1/2" F.I.P 1/2" NO CAP "" _'-�. -'-'-S NO CAP NO CAP i .t 40 All 4 I 15.15' 0 21.60' M C!P 0.50 CL co I r` 11.50' cq I 11or �� 15.15' 3.60' 19.64' ONE STORY 4'C.L.F. O MO RES.11848 Go �a a o ' 3.70' 13.84' � v ® tV O fV g © 33.10' O LOT-8 ®) STEP STEP LOT-7 LOT-6 REMAINDER BLOCK-3 I oo BLOCK-3 BLOCK-3 LOT-8 BLOCK-3 v (N.A.P.) • •06 • 669*09 ••••• • • ••• • • ON'., ••••• i•••i• •••• • • c 9t-5-44- FIT- 88°5416"' ••:•• •• • ••••• •• •• •• •• •••••• 75.00' F.I.P 1/2' • U.P. F.I.P 1/2" v NO CAP ••••• • • NO CAP V • • • LIMIT OF PLAT • • *Go(N.A.P.) • • so SURVEY ENCROACHMENT NOTES; A)NORTH SIDE OF PROPERTY BRICK DRIVEWAY ENCROACHING ONTO RIGHT-OF-WAY. B)WEST SIDE PROPERTY OVERHEAD UTILITY LINE ENCROACHING ONTO SUBJECT PROPERTY. SURVEYORS NOTE: -There may be Easements recorded in the Public Records not shown on this Survey. E�nor•The purpose of thio Surveyx3saepis fn,Esror use in obtaining Title Insurance and Financing and should not be used for Construction purposes, notm.sa°su°etmt tremzore • P1 DUISION OF Environmental Health Florida Health 001 Miami-Dade County QQQ� OSTDS/Well Division ► �. 11805 SSW 26th Street•Miami,FL 33175 Inspectorfes✓ Date 7-7-1-7 Address tfo [` OSTDS#_l 12%74% Comments: Signatur