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PL-18-2005Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-3091 29 Permit Number: PL-7-18-2005 Scheduled Inspection Date: August 20, 2018 Inspector: Massanet, Maykel Owner: SBARRA, JOSE Job Address: 128 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: EMPIRE ENGINEERING SERIVICES CORP Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic Phone Number (305)758-1169 Parcel Number 1132060132980 Phone: (786)488-8657 Building Department Comments SEPTIC TANK INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments fr-05 ? Fnr Insnactinns please call: 13051762-4949 FloDIVAIoN:OF Environmental -Health ricfa H Miami-Dadeealth County ,., * • pector -OSTDS4Vell Divisio ddreis ' n ‘'‘ mos SW 2&h Street • Mritni, FL 33175,, ' !, r e 1 a Ica 1 e' Iii s iler 0 Date /i:•••• i". if .., • 1 Conn/lents:, ' . ' DS' /Pt 0 - A . • ' _,Sienattire ‘f Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. PL-7-18- 005 Permit Type: Plumbing - Residential Work Classification: Septic PermitStatus: APPROVED Issue Date: 8/16/2018 Expiration: 02/12/2019 Parcel Number Applicant 128 NE 94 Street Miami Shores, FL 33138- 1132060132980 Block: Lot: SALVATORE INVESTMENTS INC Owner Information Address Phone Cell SALVATORE INVESTMENTS INC 128 NE 94 Street MIAMI SHORES FL 33138- (305)758-1169 (305)778-5961 6130 NE 4TH Court MIAMI FL 33137- Contractor(s) Phone EMPIRE ENGINEERING SERIVICES Cf (786)488-8657 CeII Phone Valuation: Total Sq Feet: $ 2,500.00 0 Type of Work: SEPTIC TANK INSTALLATION Type of Piping: Additional Info: SEPTIC TANK INSTALLATION Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.25 $2.00 $0.60 $150.00 $3.00 $2.40 $162.05 Pay Date Pay Type Invoice # PL-7-18-68351 08/16/2018 Credit Card 07/26/2018 Credit Card Amt Paid Amt Due $ 112.05 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: HRS Approval Final Review Plumbing Review Plumbing In consideration pertaining ther accepting thi required for OWNERS construction of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations nd in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In it I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are CAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating g. Futhermore, I authorize the above -named contractor to do the work stated. d • ignature: Owner / Applicant / Contractor / Agent August 16, 2018 Date Building Department Copy August 16, 2018 1 VVa BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC PLUMBING ❑ MECHANICAL Miami Shores Village 1 JUL Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 --- Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 n ROOFING nPUBLIC WORKS JOB ADDRESS: 2(& N 1 4 S 4 Master Permit No. ❑ REVISION FBC 20 Z`{ Sub Permit No. pi, \ 8 - z00r1 ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION SHOP DRAWINGS City: Miami Shores Folio/Parcel#: (\ 320 (0 01 Occupancy Type: Load: County: Miami Dade Zip: Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Sim,pPle Titleholder): Phone#: Address: 6a y*rfore -7171/e471,nP/)/i 119G City: NL 4 e r State: -/orgy 6/c~- Zip: 3 3 /3 ? Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: &nit)/f.€ b? j/22eV%� .2 )7/C-€i G2yf . Phone#: SO s- SOs52 SS Address: �'7 c2 3 aLc) / yi� A//ve . ' U City: 0 /Yu'i State: ',L2r7 7'— Zip: 3 3 / S S Qualifier Name: Vale Wigan Phone#: 3$(P 'VDS SIPA -1 State Certification or Registration #: J.r M 0 7/2 2- Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $42_ .SCO 0 Square/Linear Footage of Work: / Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace n Demolition Description of Work: .� T/c itr,/e. lSc / .f -4O, Specify color of color thrLi tfle 1'a Submittal Fee $ ‘&:)3 G7'r-4'.)Permit:Fee $ Scanning Fee $ Radon Fee $ -Z ' (� Technology Fee $ Training/Education Fee $ Structural Reviews $ YiG CCF $ DBPR $ 2 r, av*:Notary:0 +j$ Double Fee $ Bond $ TOTAL FEE NOW DUE$ IIZ` dS (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip r 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,:ithe 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 - ., encement must be pasted at the job site for the first inspection which occurs seven (7) days after the building permit is issued e absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER . AGENT CO • TRACTOR The foregoing instrument was . cknowledged before me this The foregoing instrument was acknowledged before me this Zz day of SutV ',201 V ,by z3 day of SJ r ,201 ,by '5, j i& -4-o Shq.rro� / who is eersonally known to -Sox- c�¢ g t 11 , 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: - Sign: Print: Seal: e0--0 A Ate ,3G IUD Cna A. Askilktbd NOTARY PUBLIC STATE OF FLORIDA Eggres 8/22i2020 , APPROVED BY 'N -"Au /A . Plans Examiner Structural Review NOTARY PUBLIC: Sign: Print: ero z /& Seal: Cruz A. Adetlaabel NOTARY PUBUC STATE OF FLORIDA 8/22/2020 Zoning Clerk (Revised02/24/2014) 2018 FLORIDA PROFIT CORPORATION ANNUAL REPORT DCSCUMENT# P14000025082 Entity Name: SALVATORE INVESTMENTS, INC Current Principal Place of Business: 6130NE4CT MIAMI, FL 33137 Current Mailing Address: 6130 NE 4 CT MIAMI, FL 33137 US FEI Number: 47-2627874 Name and Address of Current Registered Agent: SBARRA, JOSE A 6130 NE 4 COURT MIAMI, FL 33137 US FILED Apr 05, 2018 Secretary of State CC6986230059 Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Officer/Director Detail : Title Name Address City -State -Zip: P SBARRA, JOSE A 6130 NE 4 COURT MIAMI FL 33137 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: JOSE A SBARRA PRESIDENT 04/05/2018 Electronic Signature of Signing Officer/Director Detail Date ACORC) CERTIFICATE OF LIABILITY INSURANCE ihii.------ DATE(MM/DDIYYYY) 07/20/2018 . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Best Rate -Insurance Exchange Of America 8600 NW 17th Street Miami FL 33126 CONTNAME: Alejandro Alejandro Moreno (, PHONE , Ext): (866) 616-0065 FAX No); (305) 403-0801 ADDRESS: brian@instantquotesdirect.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : WESTERN WORLD INSURANCE CO INSURED EMPIRE ENGINEERING SERVICES CORP 2423 SW 147 AVE # 344 Miami FL 33185 INSURER B INSURER C: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I LTR TYPE OF INSURANCE NSD SUBR W VD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MM/DDIVYYV) LIMITS A X COMMERCIAL GENERAL LIABILITY OCSQB-b 04/27/2018 04/27/2019 EACH OCCURRENCE $ 300 000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100 000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $ 300 000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PROX PER: LOC GENERAL AGGREGATE $ 600 000 PRODUCTS - COMP/OP AGG $ 300 000 $ AUTOMOBILE LIABILITY SCHEDULED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y I N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Septic Tank Contractor Lic # SM0971292 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department. 10050 NE 2 AVE. Miami shores Village, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Empire Engineering Services, Corp. 2423 SW 147 Ave. #344 Miami, Florida 33185 SM0971292 - 786-488-8657 Date: State of: -1-1-o e cc.. County of: 91i/dmt �iccq-e Before me this day appeared sworn, deposes and says: who, being duly That he or she will be only person working on the project located at: /2 8 TVE 9'4 57A f'41001; 5Aorol 35 13E. Contr'aeforsignature Sworn to (or affirmed) and subscribed before me this -23 day of S ly .20 , by-Zbt-.; 110 LA. Personally know Or produced identification Type of identification produced Cruz I zc1 Print, Type or Stamp Notice to Owner — Workers' Com p Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: State of Florida County of Miami -Dade The foregoing was acknowledge before me this Z 3 day of ty , 20 t Y . BO, 6 \ bee r 4o Sbu t r c . who ispersonally knowr< to me or has produced as identification. Notary: Cry SEAL: Cruz A. Ariel:NW NOTARY PUBUC STATE OF R.ORIDA Cam* OG023474 Expires 8/22/2020 10 LOT 13 BLOCK 22 1 0 9 d, 9}; 50.00' (PLAT) LOT 12 BLOCK 22 20" OAK 9 98 ASPHALT PAVEMENT NE 94TH STREET ASPHALT DRIVE 61 g/150.00' 50.00' (PLAT) LOT 11 BLOCK 22 960 12" OAK a \_ C9 x- D.J--FIP 9� t - . (`/2iHAIN LINK FENCEF WPPNI 9' d 90^ EDGE OF PAVEMENT 9y9 150.00' ALT EM ENT 15' ALLEY 14" OAK O HOSE Q BIB W 3 50.00' (PLAT) 6" PALM 16" PAL 6" PALM 6" PALM LOT 10 OCK 22 10" PAL 9 36" OAK 155 o0 0' FIP (1/2") COUSINS SU SW 47T FLORID CATE 0 (9 LAND DESCRIPTION: ASPHALT PAVEMENT LOTS 10, 11 AND 12, BLOCK 22 OF "AN AMENDED PLAT OF MIAMI SHORES SECTION N0. 1", ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 10, PAGE 70 OF THE PUBLIC RECORDS OF MIAMI/DADE COUNTY, FLORIDA. CLIENT ARQUIGREEN 128 NE 94TH STREET MIAMI SHORES, FLORIDA 33138 PP LOT 9 BLOCK 22 PERM T #: 1$ Z-Ods Miami Shires Village APPROVED BYSKFTC H ()PA FIRVF' ZONING DEPT — —,__ BLDG DEPT SUBJECT iO CCMIPURNCE STATE ANu CCUN'iY Wf fH ALL. FEDERAL RULES AND RED b%HECOKEDSY WNC CUNCHETE jet 1,-)JDJ‘Ataisj FLOOD ZONE INFORMATION COMMUNITY NUMBER 120640 PANEL NUMBER 0302 L ZONE X BASE FLOOD ELEV N/A EFFECTIVE DATE 09/11/09 SKETCH OF SURVEY witDRAWN BY FFF���/;;; FIELD BOOK AND PAGE SIR SET IRON ROD & CAP #6448 SNC SET NAIL AND CAP #6448 FIR FOUND IRON ROD FIP FOUND IRON PIPE FNC FOUND NAIL AND CAP END FOUND NAIL & DISC P.B. PLAT BOOK # • • • M/D.C.R. MIAMI/DADEIOUNTY RECORDS 1CB5 •CONCRETE BLGIC• JTOICTURE •1/C • AR CONDITIONER • Vim• *ATER METLR•• • • WV WATER VALVE • • • C! • • • *LEAN OUT • • TSB • TRAFFIC SIGNAL BOX I S'• • •CONCRETE LIGHT P•LE • WPP WOOD POWER POLE FR • • *FIRE HYDRAIIE• ) • • 4B RECTRIC BA( • • 5.Ad• • ELEVATIONS •• • • 4• •• •>•• • • • .) • • • • NOTES • • 1. NOT VALID WI;OUT 1�E GNATURE D THE IGINAL RAISFF • SEAL OF A FL FLORIDA LICE ED SURVEI Ii RIPER. 2. LANDS SHOWN•HEREON WERE NOT AB!<RACTED FOR RIGHTS-SF� WAY_, • EASEMENTS, OA •�IAP, 1% OTHER INSTRUMENTS OF RECORD♦ • 3. THIS SURVEY WAS DONE SOLELY FOR•90UND•RY RIRPOSES AND DOES NOT DEPICT THE JURISDICTION OF ANY •1•IICIR\L, STATE, FEDERAL OR OTHER ENTITIES. 4. THE LAND DESCRIPTION SHOWN HEREON WAS PROVIDED BY THE CLIENT. 5. UNDERGROUND IMPROVEMENTS NOT SHOWN. 6. ELEVATIONS SHOWN HEREON ARE BASED ON THE NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7. BENCHMARK REFERENCE : MIAMI/DADE COUNTY BENCHMARK y N-568 ELEVATION= 9.65' I HEREBY CERTIFY THAT THE "SKETCH OF SURVEY" OF THE HEREON DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS SURVEYED IN THE FIELD UNDER MY DIRECTION IN OCTOBER, 2017. I FURTHER CERTIFY THAT THIS SURVEY MEETS THE STANDARD OF PRACTICE FOR SURVEYING IN THE STATE OF FLORIDA ACCORDING TO CHAPTER 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE. PURSUANT TO SECTION 472.027, FLORIDA STATUTES. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN HEREON, SUBJECT TO THE QUALIFICATIONS NOTED HEREON. FOR THE FIRM, BY: V5. - SURVEY DATE RICHARD E. COUSINS PROFESSIONAL SURVEYOR AND MAPPER 0/23/17 FLORIDA REGISTRATION NO. 4188 REVISIONS EIOUNOTRY NNE IMPROVEMENTS SUM, DATE Pe/PO OWN 00 WC PROJECT NUMBER 8520-17 SCALE : 1" = 10' SHEET / 1 of SHEET STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Salvatore Investments INC) PROPERTY ADDRESS: 128 NE 94 St Miami, FL 33138 LOT: 1011 12 PERMIT #: 13-SC-1838099 APPLICATION (l: AP1338489 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT tl: PR1103117 BLOCK: 22 SUBDIVISION: PROPERTY ID 1: 11-3206-013-2980 [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 [ 1,350 ) GALLONS / GPD New Traffic Rated Septic Tank CAPACITY A ( 1 GALLONS / GPD NIA CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS Q( ]DOSES PER 24 HRS MPumpa [ ] D [ 950 1 SQUARE FEET New Drainfield Bed Conf. SYSTEM R [ 1 SQUARE FEET N/A SYSTEM A TYPE SYSTEM: Ix] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ 1 TRENCH [x] BED ( 1 N F LOCATION OF BENCHMARK: Edge NE 94 St 9.89' I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: 0 H E R [42.00] INCHES [ 4.68 1 (1 INCHES / FT 1 ( ABOVE/{BELOW 1 BENCHMARK/REFERENCE POINT [ 34.68) (l INCHES Y FT ] [ ABOVE A BELOW BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: [ 72.00 ] INCHES 1.- Instal( a 1350 gal. Traffic Rated septic tank with an approved fitter 2.- 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. 3.- Install 950 sf, of drainfield in ... BED... configuration. 4.- Install 42 " of slightly limited soil at the bottom of the drainfield. 5.- Invert elevation and Bottom of drainfield to be no less than 7.5' & 7.0' NGVD respectively The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 520 gpd. SPECIFICATIONS BY: CONTRACTOR TITLE: APPROVED BY: Eriek Pereca DATE ISSUED: 04/12/2018 TITLE: Environmental Specialist II Dade CHD EXPIRATION DATE: 10/18/2019 DU 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1 1.4 AS,133R+Ib5 f¢1^734k6 Page 1 of 3 DOCUMENT # : PR1103117 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.