PL-17-2458 ZZs g
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
' Phone: (305)795-2204 Fax: (305)756-8972 0
Inspection Number: INSP-290566 Permit Number: PL-10-17-2458
Scheduled Inspection Date: November 22,2017 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Main Drain
Owner: BOARDMAN,GLENN-E Work Classification: Pool - Private
Job Address:78 NE 101 Street
Miami Shores,FL
Phone Number (303)437-1529
Parcel Number 1132060131330
Project: <NONE>
Contractor: PARKWOOD POOLS AND PAVERS LLC Phone: (954)583-3355
Building Department Comments
POOL PIPING Infractio Passed Comments
INSPECTOR COMMENTS False
s
fi
Inspector Comments
Passed El
Failed IZ000"
. r
Correction
Needed ❑ C6�- a"� �'`
vv. -4-S �o Qoo� CA--
Re-Inspection �Q��� Q �W S� �t-a� Y-- tom."
Fee
No Additional Inspections can be scheduled until V ��
re-inspection fee is paid.
t
November 21,2017 For Inspections please call: (305)762-4949 Page 16 of 31
(d)Fifty feet from a non-potable water well as defined in subsection 64E-6.002(39),F.A.C.
(e)Ten feet from any storm sewer pipe,to the maximum extent possible,but in no instance shall the setback be less than 5
feet.
(f)Fifteen feet from the design high-water line of retention areas,detention areas,or swales designed to contain standing
or flowing water for less than 72 hours after a rainfall or the design high-water level of normally dry drainage ditches or
normally dry individual-lot stormwater retention areas.
f`(2)_Systems shall not be located under buildings or within 5 feet of building foundations,including pilings for elevated
i structures,or within 5`fFet of mobile home walls,swimming pool walls,or within 5 feet of property lines except where
property lines abut utility easements which do not contain underground utilities,or where recorded easements are specifically
provided for the installation of systems for service to more than one lot or property owner.
(a)Sidewalks,decks and patios shall not be subject to the 5 foot setback,however,drainfields shall not be installed
beneath such structures.Any tank located beneath a driveway shall have traffic lids as specified in paragraph 64E-6.013(1)(0,
F.A.C.Concrete structures which are intended to be placed over a septic tank shall have a barrier of soil or plastic material .
placed between the structure and the tank so as to preclude adhesion of the structure to the tank.
(b)Systems shall not be located within 10 feet of water storage tanks in contact with the ground or potable water lines
unless such lines are sealed with a water proof sealant within a sleeve of similar material pipe to a distance of at least 10 feet
from the nearest portion of the system or the water lines themselves consist of schedule 40 PCV or stronger.In no case shall
the water line be located within 24 inches of the onsite sewage treatment and disposal system.Potable water lines within 5 feet
of the drainfield shall not be located at an elevation lower than the drainfield absorption surface.Non-potable water lines shall
not be located within 24 inches of the system without backflow devices per Sections 381.0065(2)(1)1.and 2.,F.S.,being
installed on the water line to preclude contamination of the water system.
(c)Systems shall be setback a minimum of 15 feet from groundwater interceptor drains.
i (3)Except for the provisions of Section 381.0065(4)(g)1.and 2.,F.S.,systems and septage stabilization facilities shall not
{ be located laterally within 75 feet of the boundaries of surface water bodies. Systems and septage stabilization facilities shall be
located a minimum of 15 feet from the design high water line of a swale,retention or detention area designed to contain
standing or flowing water for less than 72 hours after a rainfall,or the design high water level of normally dry drainage ditches
or normally dry individual lot storm water retention areas. 1
(4)Suitable,unobstructed land shall be available for the installation and proper functioning of the system.The minimum
unobstructed area shall:
(a)Be at least 1.5 times as large as the drainfield absorption area required by rule.For example,if a 200 square feet
drainfield is required,the total unobstructed area required,inclusive of the 200 square feet drainfield area,would be 300 square
feet.Unobstructed soil area between drain trenches shall be included in the unobstructed area calculation.
(b)Be contiguous to the drainfield.
(c)Be in addition to the setbacks required in subsections(1),(2),and(3)above.
(5)Onsite sewage treatment and disposal systems if installed in fill material,the fill shall be required to settle for a period
of at least 6 months,or has been compacted to a density comparable to the surrounding natural soil.The fill material shall be of
a suitable,slightly limited soil material.
(6)To prevent soil smear and excessive soil compaction,drainfields shall not be installed in soils with textures finer than
sand,loamy sand,or sandy loam when the soil moisture content is above the point at which the soil changes from semi-solid to
plastic.
(7)Onsite sewage treatment and disposal systems shall be installed where a sewerage system is not available and when
conditions in Sections 381.0065(4)(a)-(g),F.S.,are met.Onsite graywater tank and drainfield systems may,at the
homeowners' discretion,be utilized provided blackwater is disposed into a sanitary sewerage system when such sewerage
system is available.Graywater systems may,at the homeowners' discretion,be utilized in conjunction with an onsite
blackwater system where a sewerage system is not available for blackwater disposal.
(a)The minimum area of each lot under Section 381.0065(4)(a),F.S.,shall consist of at least 1/2 acre(21,780 square feet)
exclusive of all paved areas and prepared road beds within public rights-of-way or easements and exclusive of surface water
bodies.
(b)The determination of lot densities under Section 381.0065(4)(b),F.S.,shall be made on the basis of the net acreage of
the subdivision which shall exclude from the gross acreage all paved areas and prepared road beds within public or private
rights-of-way or easements and shall also exclude surface water bodies. I
(c)Maximum daily sewage flow allowances specified in Sections 381.0065(4)(a),(b)and(g),F.S.,shall be calculated on
an individual lot by lot basis.The acreage or fraction of an acre of each lot or parcel of land shall be determined and this value
shall be multiplied by 2500 gallons per acre per day if a public drinking water well serving a public system as defined in
subparagraphs 64E-6.002(44)(b)l.,2.,or 3.,F.A.C.,is utilized,or be multiplied by 1500 gallons per acre per day if a public
drinking water well serving a public water system as defined in subparagraph 64E-6.002(44)(b)4.,F.A.C.,or a private potable
well or cistern is utilized.Contiguous unpaved and non-compacted road rights-of-way,and easements with no subsurface
obstructions that would affect the operation of drainfield systems,shall be included in total lot size calculations.Where an
EFFECTIVE JULY 16,2013
11
M
Permit NO. PL-10-1,7-2458
y� Miami Shores Village Permit Type:Plumbing-Residential
I !.. t 10050 N.E.2nd Avenue NE Work Classification:Pool-Private
Miami Shores,FL 33138-0000 Per I
y4FH ` Phone: (305)795-2204 • Permit Status:APPROVE'
FtORVID
Issue Date: 11121/2017 Expiration: 05/20/2018
Project Address Parcel Number Applicant
78 NE 101 Street 1132060131330
Miami Shores, FL Block: Lot: GLENN E BOARDMAN
Owner Information Address Phone Cell
GLENN E BOARDMAN 78 NE 101 Street (303)437-1529
MIAMI SHORES FL 33138-
i 78 NE.101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone =��o
+ Valuation
PARKWOOD POOLS AND PAVERS LL (954)583-3355
Total Sq
Type of Work:POOL PIPING Available Inspections: _
Type of Piping: Inspection Type:
Additional Info:
Bond Return
Main Drain
Final
Classification:Residential Scanning: 1 Rough
i
Review Plumbing
I Fees Due Amount Pay Date Pay Type Amt Paid Amt Due .
CCF $0.60
DBPR Fee Invoice# PL-10-17-65357
$3.38
DCA Fee $2.25 11/21/2017 Check#:3615 $ 185.23 $50.00
Education Surcharge $0.20 10/13/2017 Check#:3535 $50.00 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $235.23
+
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 i accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-name ontrac r to do the work stated.
9 November 21,12017
Authorized Signature:Owner / Applicant / C n ractor / Agent Date
Building Department Copy
November 21, 2017 1
Miami Shores Village A IVSD
0 T13 017a
Building Department BY.
a
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 ( �P�
BUILDING Master Permit No.-Eall
PERMIT APPLICATION Sub Permit No.v� I-
BUILDING ❑ ELECTRIC ❑ ROOFING, ❑ REVISION Ej EXTENSION RENEWAL
]PLUMBING F-1 MECHANICAL PUBLIC WORKS E] CHANGE OF CANCELLATION' ❑ SHOP
CONTRACTOR DRAWINGS
;� �
JOB ADDRESS: ISE' 101 St / ytkb ^Q�.
�Yl1 � e, I L��"?)* u-my r ()Sr L 7- Nj -k In
City: Miami Shores County: Miami Dade zip: 33�
Folio/Parcel#:41-3ZU-013-13M Is the Building Historically Designated:Yes ' NO
Occupancy Type: Load: Construction Typpee:� Flood Zone: BFE: 1 FFE:
OWNER:Name(Fee Simple Titleholder): ->>C-1� _ T��i` T� ►'F-�� Phone#: 3�
Address: -7% IJF 101 S
City: Mw11 '2� State: L Zip:23\3W
Tenant/Lessee Name: Phone#:
a
Email: CQ2,Ql,_l Tn LCIraiZ)m2cj�!O Com( \—QU l
CONTRACTOR:Company Name: >'1` d Q l Rink. ;j Phone#:q5L I-58'3"WSR
' Address: G1(01 `.l . 1(�l��c. �Z)ya h
City: 3XC4 61 1 State: L Zip:333��
Qualifier Name: old , , Phone#:
State Certification or Registration#: I y52 Certificate of Competency#: + ,
DESIGNER:Architect/Engineer: 141A Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$~q 00: -� Square/U66 Footage of:Work:
Type'ofWork: Addition Alteration New I lkq=.Repair/Replace Demolition
Description of Work:- Pine
lit
I �r
Specify color of color thru tile:
Submittal Fee$. ( - Permit Fee$ 2 2�� CCF$. CO%CC$
Scanning Fee$ .� Radon Fee$ 2. *25 DBPR$ 3. F3 Notary$
3
Technology Fee$ Training/Education Fee$ Double Fee$
1
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable) a 1 A
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.
"WARN ING-TO' OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
a .
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. k
Signature _ —� Signature
r
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
y. ,
30 day of 20 by 30 day of { 20 by
who is personally known to alw;,d who is personally known to
me or who has produced cfliV¢(5 as me or who has produced T` ,as
identification and wh esH. identification and wh
: Y'•�'• H
CERYL MORGAN
CHERYL MORGAN
NOTARY PUBLIC: F MY COMMISSION#GG082765 NOTARY PUBLIC: MY COMMISSION#GG082765
EXPIRES June 28,2021 EXPIRES June 28,2021
Sign: Sign:
Print: tq
Print: rno<
Seal: Seal:
,
APPROVED BY U U Plans Examiner-
Zoning
Structural Review Clerk
(Revised02/24/2014)