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REV-18-1799 Miami Shores Villag Ec TESD �� 'L0 2 2018 N) Building Building Departmen \� 10050 N.E.2nd Avenue, Miami Shores,Florida 33 Y� _ Tel:(305)795-2204 Fax:(305)756-8972 l rl INSPECTION LINE PHONE NUMBER:(305)762-49 FBBCJ20 BUILDING Master Permit No. 1 Pi— I �I_ 1 I` PERMIT APPLICATION Sub Permit No. F-LV l Pj- t-�,:5T9 , ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION [:]RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION SHOP ( �- CONTRACTOR DRAWINGS JOB ADDRESS: 1 ©� Iy "iZ '7 / City: Miami Shores r� County: Miami Dade Zip- 3��C/ Folio/Parcel#: (-5206-013" :2_n0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: �� OWNER: Name(Fee Simple Titleholder): Scoe David xco-�f e,- Phone#: Address:� �• SJ nh(� J`�y� *'PO0 �S City: F4U_ Vd,6ydCtW State: Zip: 33�Joy' Tenant/Lessee Name: Phone#: Email: /� �,�y, CONTRACTOR:Company Name: � A V� Woo �� R,00+ee- Phone#: Address: GAo^ 1 U,Cw ?js c'r 2 City: ,"li i GIYY�I�/ State: �� Zip: 6 Jo 2 3 Qualifier Name: do "("y• ' Phone#: State Certification or Registration#: _ Certificate of Competency#: DESIGNER:Architect/Engineer:_ Phone#:• Address: City: State: Zip: Value of Work for this Permit:$ 7f60w i ZZJC Square/Linear Footage of Work: Il Type of Work: ❑ Addition ❑ Alteration E] New A Repair/Replace ❑ Demolition - Description of Work: KE lt(.A(Z 'Da*'V/J R EW 7r-"-JV, �:::'Y.;1.Y'o�e'. /.7. �[ � YiUj;:•..S:.w.AKV.6ii-k{t�i V:iN k CJ Specify color 9f1color thru°til&•�t ✓yam n r 'S Submittal Fee$ Permit Fee$ % J CCF$ 3 CO/CC$. _ Scanning Fee$ /GI �� Radon Fee$ 2 ' DBPR$ 2 •�3 Notary$' /10 Technology Fee$ `-f 0� Training/Education Fee$ C-7 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �U , (Revised02/24/2014) aonding Company's Name(if applicable) l 3 it L'L Bonding Company's Address 5 City I State,` Zip - Mortgage'Lender's Name(if applicable) Mortgage Lenders 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is,subject to attachment. Also,a certified copy of the recorded notice of co ncement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In he absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. a signature ' g Signature OWNER or AGENT CONTRACTOR The(foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2-6 ydtay of Jy rl4i 20 18 by 26 day of VQrIe' 20�, by Jco*HT1 "C( who is personally known to -....Jow' �� _ who is personally known to me or who has produced () as me or who has produced b'* : as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: -- Sign:_ 7� Print: 'N, � Print: - �a —T Seal: rte♦ �pESd.90LOMON Seal: tee. 1ERESJ.3W-OMQIJ * MY COMMISSION#FF 926161 F * MY COMMISSION#E 926161 # + • EXPIRES:November 6,2019 EXPIRES:November 6,2019 BohdedThruBudge1N0WyS11ti1 "'+� o�d•�! BondedThruBudget Notary SBNIOa1 ' 35i APPROVED BY Plans Examiner Zoning Structural Review _Clerk (Revised02/24/2014) 4� STATE OF FLORIDA PERMIT #: 13-$C-1848514 DEPARTMENT OF HEALTH APPLICATION #: AP1345450 . . ONSITE SEWAGE TREATMENT AND DISPOSAL I- DATE PAID: SYSTEM CONSTRUCTION PERMIT FEE PAID: RECEIPT #: we DOCUMENT #: PR1118444 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: (Scott David Alexander&Brenda Kravec) PROPERTY ADDRESS: 100 NE 92 St Miami, FL 33138 LOT: 13 14 BLOCK: 24 SUBDIVISION: Miami Shores No. 1 PROPERTY ID #: 11-3206-013-3290 [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 New Septic Tank 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 [ 225 ] SQUARE FEET New Drainfield Bed Conf. SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: FFE11.7' I ELEVATION OF PROPOSED SYSTEM SITE [ 8.40 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 48.40 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 52.00 ] INCHES 0 Amended permit for new drainfield 225 Sq Ft in Trench Configuration. 1.-Install a 900 gal. septic tank with an approved filter T 2.-The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance H with s.64E-6.013(3)(f) FAC. E 3.- Install 225 sf. of drainfield in ....TRENCH... configuration. 4.-Install 12"of slightly limited soil at the bottom of the drainfield. R 5.-Invert elevation and Bottom of drainfield to be no less than 8.17'&7.67' NGVD respectively THIS PERMIT IS NOT FOR ANY ADDITIONS. (Comments Continued on Page 2.) SPECIFICATIONS BY: A Aaro S TITLE: APPROVED BY: TITLE: Environmental Specialist II Dade CHD Eric Perera DATE ISSUED: 05/23/2018 EXPIRATION DATE: , 08/21/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) E Incorporated: 64E-6.003, FAC Page 1 of 3 ` v 1.1.4 AP1345450 SE1078677 r { Zt+� STATE OF FLORIDA PERMIT #: 13-SC-1848514 DEPARTMENT OF HEALTH APPLICATION #: AP1345450 i" ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID: SYSTEM CONSTRUCTION PERMIT FEE PAID: •� RECEIPT #: DOCUMENT #: PR1118444 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: (Scott David Alexander&Brenda Kravec) PROPERTY ADDRESS: 100 NE 92 St Miami, FL 33138 LOT: 13 14 BLOCK: 24 SUBDIVISION: Miami Shores No. 1 PROPERTY ID #: 11-3206-013-3290 [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. i SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD New Seotic Tank 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 [ 225 ] SQUARE FEET New Drainfield Bed Conf. SYSTEM R [ 0 ] SQUARE,FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: FFE11.7' I ELEVATION OF PROPOSED SYSTEM SITE [ 8.40 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 48.40 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 52.00 ] INCHES 0 Amended permit for new drainfield 225 Sq Ft in Trench Configuration. T 1.-Install a 900 gal.septic tank with an approved filter 2.-The licensed contractor installing the system is responsible for installing the minimum categdry of tank in accordance H with s.64E-6.013(3)(f) FAC. E 3.- Install 225 sf.of drainfield in ....TRENCH... configuration. 4.- Install 12"of slightly limited soil at the bottom of the drainfield. R 5.-Invert elevation and Bottom of drainfield to be no less than 8.17'&7.67' NGVD respectively THIS PERMIT IS NOT FOR ANY ADDITIONS. (Comments Continued on Page 2.) SPECIFICATIONS BY: A Aaro S TITLE: APPROVED BY: TITLE: Environmental Specialist II Dade CHD Erick Perera DATE ISSUED: 05/23/2018 EXPIRATION DATE: 08/21/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1345450 SE1078677 DOCUMENT #: PR1118444 The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 300 gpd. 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. Required drainfield area based on rule 64E-6.015(6)(c)2. Install a new drainfield to achieve Drainfield size requirement. a a.. a , 1 4 r DOCUMENT #: PR1118444 The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 300 gpd• 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. Required drainfield area based on rule 64E-6.015(6)(c)2. Install a new drainfield to achieve Drainfield size requirement. l I � � c xtx_:/��il 2�i UL 02 srf 20 B ...... • 100 NE 92nd STREET, MIAMI SHdRES FL 33138 •• " '< •••••• • NE 92nd:,_STREET • SGALE:1'=30' v, 19'ASPHALT ROADWAY • AER1AGAtlbONAI!' •••• 75`121GNT-OF-WAY • • rye rp�+,t� •.•••• w • • • BLOCK CORNER FOUND 1l2" 6 SIDEWALK 350,00'(P -a 30.0 PROD 50; $ FOUND 1/2" BLOCK IRON ROD CORNER AT LOT 6 BLOCK 24 DRIVEWAY FENCE 0.4`W .0, io 30.8' _, LOT 12 14.9' 207' e, 13.7's 31.0' cNp BLOCK24 LLJy z LOT 14 '' POOL 11 p E7 BLOCK 24 EQUIPMENT L 3'eop ' 0< RESIDENCE #100 LOT13 �a \ BLOCK 24• S' C �'- 00 70 O y, cs00G'1 y, < O AC m J `� t✓� 14.7' 16.2' r FENCE �� 1� o, om 0 m - 9`�! 0.3 w w Z m y z 0 0 > 30:0 `$i• ^' /►� i Q I - .. 106. •s` �.. a: Z I 9'ASRNALT ALLEY °I s�iPE IRO ROD ALL ANGLES,AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED • - • •• • • IEPHONE:561.508.6272 FAX: 561.508.6309 �sj L8 8111 SURVEYING, LLC. Clyde McNeal PSM 2883 THIS SURVEY 1S NOT VAUD•WITHOUT # 5601 CORPORATE WAY, SUITE 103 WEST PALM BEACH,FL 33407 THE SIGNATUREAND THE ORIGINAL RAISED SEAL NexgenSurveying.com OFA FLORIDA LICENSED SURVEYOR AND MAPPER r , , ,r I .• BOUNDARY SURVEY Date of Fie Id Work:0 113112018 Drawn By:0,G. Order 9:2032 File 7 • LEGAL DESCRIPTION: .. ..... LOT 13 AND 14, BLOCK 24, OF AN AMENDED PLAT OF MIAMI SHORES SECTION 1,AC 6WING Tau• •••••. PLAT THEREOF, RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS(N--MAM1-DADE• .• r COUNTY FLORIDA. ' CERTIFIED TO: •..• :. •••• •SCOTT DAVID ALEXANDER AND BRENDA KRAVEC ' •KHANI AND AUERBACH •CORNOERSTONE HOME LENDING, INC. • OLD REPUBLIC NATIOINAL TITLE INSURANCE COMPANY FLOOD ZONE: 12086CO302L ZONE:X. EFF. 9/11/2009 SURVEY NOTES: •This survey is for conveyance purposes only and not intended for construction purposes without pernission of this surveyor, DRIVEWAY CROSSES PROFER Y LIt4E INTO ROAD RIGHT OF WAY AS SHOWN F i LEGEND AIC -AIRCONDMONER P.B: -PLAT800K —,.--FENCE AL , -ARCLENGTN PG. -PAGE BER 04-WATER VALVE (C) -CALCULATED P.U.E. -PUBLICUT►LIYEASEA MENT R " SPHALT f -CENTERLINE D.D.E. -DRAINAGEEASEMENT, ®R -RADIUS -CONCRETE-ASPHALT ® -CATCH BASIN (M) -MEASURED (R) -RECORD ® -PAVEWRICK 17 -FIRE HYDRANT P.QB. -POINTOFBEQNNING UE. UTRITYEASEMENT `a' -POLE P.00. -POINTOFCOMMENCING WR -WATERMETER ® -WAD ® -MANHOLE 1 -W-IJGELL 10 -TOpoGRAPNICELEV4V0N 561.508.6272 It %vwvv.NexGenSurveying.com SCAN lutEl} �II 560 1 Corporate Way �'! r _ 5uke 103 r r • I