PL-18-2055Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Perm•
it
Permit=NO. PL-8-18-2055
Permit Type: Plumbing - Residential
Work Classification: Drainfield
Pennit:Status: APPROVED
Issue Date: 8/13/2018
Expiration: 02/09/2019
Parcel Number
Applicant
671 NE 105 Street
Miami Shores, FL 33138-2053
1122310120100
Block: Lot:
CAROL INVEST USA INC
Owner Information
Address
Phone
Cell
CAROL INVEST USA INC
671 NE 105 Street
MIAMI SHORES FL 33138-
(305)747-3098
671 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone
STATEWIDE SEPTIC CONNECTIONS (954)963-0082
CeII Phone
Valuation:
Total Sq Feet:
$ 6,000.00
0
Type of Work: INSTALL NEW SEPTIC TANK AND DRAINFI
Type of Piping:
Additional Info: INSTALL NEW SEPTIC TANK AND DRAINFI
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Amount
$3.60
$2.70
$1.80
$1.20
$5.00
$180.00
$9.00
$4.80
Total: $208.10
Pay Date Pay Type
Invoice # PL-8-18-68406
08/13/2018 Check #: 5579 $ 158.10 $ 50.00
08/01/2018 Check #: 5587 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
HRS Approval
Final
Review Plumbing
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 ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction nd zoning/ Futhermore, I authorize the above -named contractor to do the work stated.
on ignature:Owner / Applicant / Contractor / Agent
August 13, 2018
Date
Buding Department Copy
August 13, 2018 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-309544
Permit Number: PL-8-18-2055
Inspection Date: September 05, 2018
Inspector: Massanet, Maykel
Owner:
Job Address: 671 NE 105 Street
Miami Shores, FL 33138-2053
Project: <NONE>
Contractor: STATEWIDE SEPTIC CONNECTIONS
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number (305)747-3098
Parcel Number 1122310120100
Phone: (954)963-0082
Building Department Comments
INSTALL NEW SEPTIC TANK AND DRAINFIELD
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
HRS APPROVAL ON FILE.
September 06, 2018
For Inspections please call: (305)762-4949
Page 1 of 1
,
'
•
k
•-•'
4
4.„0
,
4
.
4
*
p
rto,
to
,
A
•
••
•.
,
•
•
••
t
h
4
.
1
1
'
:
Z
.
'
•
4
!.
.-.-...2. "It
„
I
t
.
t
.4
1
7
1t
,
,
,
,
7"-
'
,
4'
,
.
.:.
.
i
'
l'
,
',.
.
.
.,
.
1)
.
S
t
1
,
,,
.4
I
l
t
l
:
e
..
,
,,.
,.•
,-
4
g';
'
4
'
,
,
,F4.
F
.A
0
1I
,."-4,
,
,
.-
r
.
'
Aa1
,
I
P_1
L44
.
;qa. t
' 4
hi,
".0r74.
.
4
i14
.
k1
4t
,.:t
1•
t..
s
3
:
"
4
'
',
4'
. ,
.
.
I
.
,N
A•
,
k
'
•4
,'i
' 'lyisi,404
tIVIt6117eitil
;
d
a
m
.
i,•,
,
..„
r
4
•
-0
s
i
r
4
r
-
4
4
-
4
t
-
t
r
x
°
^
•
.1
vti
0
4
1
'
'
*,
4
,
4
•
/
6
'
"):tk' :14 "COilritY
"
"
.
1
r•
7
g_
,
P
i
Ot
5
i1.
s
S
,
•W
a..
4•
g
I
,tttl
-"
11
t
e
e
t
,
,!r
:
,
• •
•
4
M
i
a
4
m
.
i
;
%
p
x
i
.
§
,
p
,y
r
i
33
1
7
4
-
.
•••
•
•
•-
•
4
4
,
4
•
•
•
.
,
.••
•
:
,.
.
.
,
•
-
•;•
t6o
,it
4
0
4S4
;
4
..r;
4
,4
4
t
't
r
t
.4
'
4
.4
'
..1.741,4
.
4
14-
1
4+1
.4
'
1
1
i
-
S
A
l
li•
0
,
9
e
1
c
#
m
-4
•i•4•t1•t4:• s1,
.4•,-.47'•
,
,0
4
1,41,
4
4
4
4
4•
4
4
4
rt•.
o
4,
4
Z
f4
4
t
r
'
r
,
4
,
4r
9
-
t
•
k
4e
/i
1
4,•
••
/tt
Cornmits—
-
"
”t4",
`••
•
1•
•
•,
.
1
;
T
.4
1`
14
4
••••••
•
••
,-.-p. ,.s...-'•g-•',',-,2,
.-,•
x,'-4
,,--,-,-,Sr-.et-i,-i2.•1
.-n1.-, •--a
ei •,•
'
'
4
1
..
.
.,t
t
i
t,
r
t
t
.'O
t
m
.
r
4
4
4
4
4
4
,
•
•
;
,
• t
0
-
4
4
1
e
l
v
t
l
a
t
q
t
-
a
$
.
1
-
rt
,
•
••
•
•
)
0
4
,,
,
k
,
•
•
•
,"4
•
•
••
'
r
•i
t
e
,
, TESTVe111VISIO
"
awf,,,i10113,
,
-
;
.
•
•
•
.
'
•
•
•
,
•
•
I
t
t
t
r„
,
•
•
7:
'
'
•
-
•1
,
4
"
0
.
1
•
0
••
•
•
,
q
•
„
"
ty
••• '""
e/-ky ;•jr•P"• ',7't"%414,:1;
e"""..
1
;•
,
!...
0
J
;
0
t
,-
,
•4• nnr
?It
44
0
4' ""
k
t
:.
t, e
"
'
'
• .4e4AStr. sas•remr..
i7L
•
•,
'.•
•
•
,
4,„•• 4,
.j
s
hores
illage
Building Department
10050 N.E 2nd Avenue
Miami Shores, Florida' 33138
Tel: (305) 795.2204
Fax: (305) 766,8972
7.0
Notice to Owner — Workers!. Compensation Insurance Exemption t, .1„ s-0.1 101%i
--4444
Honda 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-tinae or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company iLLC) in the construction industry may elect to be
exempt if:
I . The officer owns at least I 0 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum I() percent ownership;
2. The officer islisted as an officer of the corporation in the recoils of the Florida
Department of State, Divisiort of Corporations; and
3. The corporation is registered and listed asactive' 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 exemptioi 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 circurnStanoes, 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.
Slonatu/c.
0 ner
State of likor-itlaWolkA5)a'8
County of Minnrirtrade32.4...Z.0.—'
The foregoing was acknowledge before me this
By 13/40,01yu?kal
Notary:
SEAT
\(7
day of _ , 20 J.
who is personally known to rite or has produced
as identification.
ELENA TRANSUE
NOTARY PUBLIC
_STATE OF RHOnF ISLAND
MY COMMISSION EXPIRES JULY 13, 2022
COMMISSION NO. 49897
ob\°'
BUILDING
PERMIT APPLICATION
Miami Shores Village
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
I (BUILDING I ELECTRIC I I ROOFING
RECEIVED
AUG 012018
43
EBC 20 1
Master Permit No. 2G
ss
Sub Permit No.
REVISION
EXTENSION U RENEWAL
PLUMBING n MECHANICAL flPUBLIC WORKS CHANGE OF 1 I CANCELLATION I I SHOP
CONTRACTOR DRAWINGS
10B ADDRESS: 671 NE 105 St.
City:
Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-2231-012-0100
Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): Carol Invest, USA
Address: 990 Biscayne Blvd. - Suite 801
City: Miami
BFE:
NO X
FFE:
Phone#:
State: Fl. Zip: 33132
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Statewide Septic Connections
Address:
13680 NI w 19 #- 1�
City: O?a L .- K-A State: Florida
State Certification or Registration #: 3 r4 °'112 62 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#: (305) 310-5030
Address: 370 NE 101 St. City: Miami Shores State: Fl. Zip: 33138
Qualifier Name:
Phone#:
Zip:
Phone#:
30S
Victor Bruce
Value of Work for this Permit: $ 6,000.00 Square/Linear Footage of Work: •
Type of Work: I 1 Addition I� I Alteration Pi New X] Repair/Replace I 1 Demolition
Description of Work: Install new septic tank and drain field
,r,Ir ATIAADFIAM
Specify color of color thru tile:
`
. Ir! '.t ' i:iliit,i:r,,, ' q
Submittal Fee $ So l `1 Permit Fee $ ISO CCF $ 3. 60 ,.ti�1CQ4",,'�! nva..n+"'
v.,,..,.._., .t
ee ems, f
Scanning Fee $ 9 Radon Fee $ 1, Oc5 DBPR $ Z •10 Notary $ 3
(+
Technology Fee $ 4 • coo Training/Education Fee $ I • ZU Double Fee $ 0 Structural Reviews $ Bond $ 69
Q 1 s- 1Z,q
TOTAL FEE NOW DUE$ 15C • 10
tRevised02/24/20i4)
it
Bonding Company's Name (if applicable)
Bonding 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.
Signature
OWNER or AGENT
Theforegoinginstrument was acknowledged before me this
// 7-- day of zTV / , 20 /<9 , by
"7 (A 7Jo(D7. , who is personally known to
Signature
ccko,CL_J
•
`i
The foregoing instrument was acknowledged before me this
day of
`C-er e,3
CONTRACTOR
by
�1V1Q o9perovallyknown to
me or who has produced as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: _ +�Y : Notary Public - State of Florida
• a Commission N GG 010911
•
My Comm. Expires Jul 19 20: r
`f ° F F,,, Bonded through National Nola' y As
APPROVED BY (6 4
U 1 zo _L_,
identification and who did take an oath.
NOTARY PUBLIC:
Si
Print:
Seal:
Plans Examiner
as
\� e. •• •-let% MAHARAI K GONZALEZ
• ' MY COMMISSION # GG 044602
020
r.n�.•o;
'•.,;FOF F�o;:� Bonded Thru Notary Public Underwriters
Structural Review
ti
Zoning
Clerk
(Revised02/24/2014)
8/1/2018
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-2231-012-0100
Property Address:
671 NE 105 ST
Miami Shores, FL 33138-2053
Owner
CAROL INVEST USA INC
Mailing Address
990 BISCAYNE BLVD 802 MB 17
MIAMI, FL 33132 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
k_
4/4/0
Floors
1
Living Units
1
Actual Area
7,856 Sq.Ft
Living Area
6,116 Sq.Ft
Adjusted Area
6,290 Sq.Ft
Lot Size
29,600 Sq.Ft
Year Built
1950
Assessment Information
Year
2018
2017
2016
Land Value
$810,300
$810,300
$763,236
Building Value
$1,462,424
$441,104
$441,113
XF Value
$6,092
$41,607
$41,987
Market Value
$2,278,816
$1,293,011
$1,246,336
Assessed Value
$2,278,816
$1,293,011
$1,246,336
rBenefits Information
Benefit
Type
1
2018
2017
2016
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
31 52 42
GOLF VIEW EST CORR PL PB 41-58
LOT 11 & THAT POR LOT 12 DESC
BEG AT SW COR LOT 12 N17.5FT TO
POB NELY205.17FT TO PT ON E/L
Generated On : 8/1/2018
Taxable Value Information
2018
2017
2016
County
Exemption Value
$0
$0
$0
Taxable Value
$2,278,816
$1,293,011
$1,246,336
School Board
Exemption Value
$0
$0
$0
Taxable Value
$2,278,816
$1,293,011
$1,246,336
City
Exemption Value
$0
$0
$0
Taxable Value
$2,278,816
$1,293,011
$1,246,336
Regional
Exemption Value
$0
$0
$0
Taxable Value
$2,278,816
$1,293,011
$1,246,336
Sales Information
Previous
Sale
Price
OR
Book-
Page
Qualification Description
11/08/2017
$3,000,000
30756
1001
Qual by exam of deed
05/18/2015
$1,050,000
29627
2110
Qual by exam of deed
05/01/1999
$500,000
18621
3078
Sales which are qualified
11/01/1995
$0
17015-
2695
Sales which are disqualified as a result of
examination of the deed
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property
Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
Detail by Entity Name Page 1 of 2
Florida Department of State
frst
:org l (J
Department of State / Division of Corporations / Search Records / Detail By Document Number /
DIVISION OF CORPORATIONS
Detail by Entity Name
Florida Profit Corporation
CAROL INVEST USA, INC
Filing Information
Document Number
FEI/EIN Number
Date Filed
State
Status
Principal Address
990 BISCAYNE BLVD
Suite 802, MB 17
MIAMI, FL 33132
Changed: 11/22/2016
Mailing Address
990 BISCAYNE BLVD
Suite 802, MB 17
MIAMI, FL 33132
P14000015318
38-3924898
02/18/2014
FL
ACTIVE
Changed: 11/22/2016
Registered Agent Name & Address
BOLOGNA, ESQ., STEFANIA
100 S.E. SECOND STREET
SUITE 3800
MIAMI, FL 33131
Name Changed: 04/30/2018
Address Changed: 04/30/2018
Officer/Director Detail
Name & Address
Title President, Treasurer, Secretary
VERLICCHI MARAZZI, EMANUELA
990 BISCAYNE BLVD
Suite 802, MB 17
MIAMI, FL 33132
http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/15/2018
• • • • •
• • • • • •
MAP OF BOUNDARY SURY
• • • • • • • • • •..
LOCATION MAP
NOT TO SCALE
A FARM OF LAN) BEING A PORTION OF THE SE 1/4 OF SECTION 31,
TOWNSHIP 52 SOWN. RANGE 42 EAST. VILLAGE OF MIAMI SNORES
MIAMIMA0E COUNTY, FLORIDA.
TREE TABLE (ARRODUTE IMNEd10/b)
No.
NAMES OF TREES
DLNET0
(M)
N/)
NHwRR
(FEET)
(a/-)
CANOPY
(FELT)
01-)I
PALM i
er
18'
15'
2
PALM
/3'
(8'
15'
3
0AR
36'
50'
45'
4
LNONOIIW Il
W_
50'
38'
5 PALM
14
36
(8'
6 PALM I
15.
30'
A'
7 UNBONOGN I
29'
40'
40'
I
ZO r
RECEIVED = ,
0
AUG 01 2018 71
CU4 z
• • •
• • • • • •
• • • •
• •• •• .
• • .
• • • •••P.w R'
ROPERTY- —
• • • • •
• • • •
• • • • •
•• • •
• • • •
• • • • • ••
LOT - 10
FoomW
rem M
J
f L_
RA'
•1
Fowl'
RPM
FNmP
OS AWN V
pI,6-zoss
LGEND 6 ABBREVIAn
MIAMI SHORES GOLF $ COUNTRY CLUB
(40-9)
NO9'0N'07•E
FAH/WE
70.00' IK h•
LEGAL DESCRIPTION: O MIAN-0AK
LOT II NW A PORTION OF LOT 12 00 CORRECTED PLAT OF GOLF VIEW ESTATES. /SCORWNS TO THE MAT TICEUP, AS RECORDED IN PLAT BOWL 41, PACE 58 OF THE P IWAEC 570EET ON-VATH THE
COMTY. 01305R; SAID PORTION OF LOT 12 BENG MITE PARTIRLALT DES4IBED AS FOLLOWS: BEGIN AT A PONT IN THE NTERSECTION OF THE MGM OF NAY LEE 0f NORTIEa/O5THAST 12 FOR 194.1E
DIMES ENE SETW®1 LOTS 11 AM 12 OF THE SAW CORRECTED RAT OF GOLF VIEW ESTATES; THENCE RN NORTH 47•57'25' EAST, ALONG THE SA0 0NS,ON LINE BET TEEN
FEET: THENCE SN SCUM 33•19'09' EAST. AL5N6 THE NWTHEASTOLT ONE 00 SAIO LOT 12 FOR 83.67 FEET. MORE DR LESS: THENCE EN SOUTH 67•4Y35' WEST FOR 205.. ' T TO A PONT N THE
RIGHT OF WAY C10 0 NORTHEAST 105TH STREET. SAO LAST MENTIONED POINT BENG THE MID PONT ALONG THE 35 FOOT FRONTAGE 0 LOT 12 AS NATTER THEME RN PORT THE SAID •GIN Of
WAY LNE OF NWT EAST 10513 STREET FOR 17.60 FEET TO THE PONT Of REWIRING.
SLR0EYGR'S REPORT AND GENERAL NOTES
0N0T awn wow M ArrAN0 WSW MAP)
1. LEGAL OESMr7ION HAS BEEN FURNISHED BY THE WENT.
2 REFORMER TO MD . RECORD 0R PLAT REFER TO DOCM INS AM NSTRUIENTS OF RECORD AS PART OF THE PERTINENT MFO•ATION USED FOR THIS
OCTANES. WECTIONS AND ANGLES ALONG BOURDARY LMES ARE M CONB57EWCY NTH CORRESP000NG VALUES WON RECORDS, LOURS °TNERWTSE SHOWN.
3. TIES LANDS ARE BIAECT TO ADDITIONAL RESTRICTNMS OF IE000 THAT WOE NOT EUMNED TO THE UOEIb1G1•NG REGISTERED SURVEYOR. A TITLE SEARCH HAS NOT BEM
4. NORTH ARROW D0KT101 b BASED ON AR ASSINED MERIDIAN.
5. BFIIRMGS ARE BASED 01 AN ASSUMED MERIDIAN ON A YEUMSTABU0ED U E, SAEI UPC 01 BEMO NOTED AS BR ON TR SURVEY MAP.
6. GAY ABOVE GROUND OYNOVEMEMS ARE SHAM HEREIN. FOND/MINS, UREROWIND FEATURES AND UTLITIES NAYS MOT BEEN LOCATED.
7. FEW WIRER NIP NAB NOT BEEN DETER /IfMO. DISTANCES FROM E515T00 FENCES TO BOUNDARY LINES ATE APPROXIMATE. FENCEMAUS WIDTH AM COMMONS PANT E
LOCATOR
B. THE KUDART COMERS NOR BE OBSTRUCTED BY E05TNNG FENCES AC/ON VEGETATION. OFFSET MONUMENTS ME KING SET AS NOTED, MESS THEY CANT BE SET
LOCATED BEYOND FOUETER FECES NGNT OR MIGHT NOT BE BEIM USED BY ADJOIIERS. ADIOMMG PARCELS HAVE NOT BEEN INVESTIGATED.
9. THIS SURVEY MAP MS MIMED TO BE DISPLAYED AT TIE SURE SHOWN HEREON. DATA b EXPRESSED IN U.S. SURVEY F00T.
10. TRISMOVEY MAP S KING PREPARED FOR ME USE OF TM PARTY/PARTES THAT IT IS CERTPED TO AM DOES NOT EXTEND TO ANY UNNAMED 1DIV0UAL, WITT OR ASSIGM$,,
II. FLOOD PLAIN INFORMATION: 6.s SCALED FROM FEDERAL 1100080E RATE MAP (FIRM) OF CAMMINTY NO. 120652 (MALAISE OF MIAMI SNORES). PANEL 0306. SUFFIX L.
7Na REAL PROPERTY FAILS M Z0E '1C AND 'AV WITH BASE FLOW ELEVATION 7 PEET
(2. HORIZONTAL ACCURACY: ACCURACY MANED TRU MEASUREMENTS AND CALCULATORS MEETS AND EXCEEDS THE WENN HORIZONTAL FEATURE ACCLRACL' FOR AN SUB
Iii,BBpE N 7. 500 FEET.
. MEASURED
TO OET000E TRUE
Y UREL LANDS
SEPT HRH, 2009,
A BENG EQUAL TO 1
W
70
Fewer
Kr
PERMIT #: F\,\.
Miami Shoes Ii ge
.V,
REMAOVER OF
APPROVED
N89.59'57'E 190.00'
ZONING DEPT
BLDG DEPT
BY
Sf Tr
3e.
O 10 20
I I 1
OCAS: P • EO'
DATE
UNUNTI SIAO NAL Y
• . ONBs AMA
. NANO
• ,•T.
• ulm tow MICE MP)
NMn SFO
—O= 00-- d Nerr.ue HIM PM
— 01ti •WVMMMIN
DO Nu[ OM
•II, •Paw raw w!
IR •,a1P RIMM O
9 •Cac WITPRA Wl
® .POLL
-iv •STREET van
® ' SIARAIR NORM
.. W M MAW
p •HN•a1
It •FLIRNT N
. •CIl1IrC IMTW
•FN. TMNENrW
n • WIN PA,NMNIT
.1r . E,G,K 010TVN
I •PRAN, WOO.
RMPOI NR.
(9 • ROenY COMP
• PowertCaaWA
RIM
PT POOR Or UMW,
ran
PC PAW OF COMM
POC POPOO CCPaAO OMR
/IN PORT OP avers aMa
K BlNA2
TI▪ M TRIM", MUCH Iola
NArNrT 1•E
Donut we
• Mu..Ma wee
&M OE
PRI RAT
PA, PPCPCOCKTPA aMaMRw
NILICiu NO
. e1a0oDRe1r
A aw: PPOi
(OFICAL Ivy.
as .cvaNn Era swum.
NNM a MAN
N1, • � ROMO
ICK
CALL •MMAATT
SUBJECT 10 CC,MPLIPNCE WITH ALL FEDERAL.
ST4 rNI,CCUN-i f VOLES AND REGULATIONS
t 110 AN•2. A.e..6,.
THIS SURVEY.
1 HEREBY CERTIFY T0: '
CAROL INVEST USA OS. A FLORIDA CORPORATION: FOAMY 6 BODENA; OLD REPUBLIC NATIONAL TITLE MStRANE COMPANY
TINT MS SURVEY CONFORM TO THE ST/MAROS OF PRACTICE AS SET FORTH BY THE FLORIDA BOARD OF
PROFESSIONAL SURYEYCRS APC1 KOPPERS IN APPUCABLE
PURSUANT TO SECTIO6 472.0E7 STATUTES.TINS PROVISIONS
SU2VEY IS ACDRATE AID CORRECT TO BEST OF
MY
KNOWLEDGE AND BELIEF.
IUALYS C. IELLOd2NA/A
PROFESSOHAL SURVEYOR AND MAPPER LS6469 . STATE OF FLORIDA
FIELD WORM DATE: II/02/201/
SURVEY UPDATE AND TREE SURVEY DATE: 03/29/2011
ANwpmAr.uvw were ye wows* NO. oz.,M Mom.
I�
Y 671 N.E.AD0ESY
7) N.E105TR 3705?. *MO SNORES, FLORIDA 33130
PROJECT N0. 15209 MR 1 O I
Scanned by CamScanner
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
;SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: 1'4(Carollnvest USA INC)
I r.
PROPERTY ADDRESS: 671 NE 105 St Miami, FL 33138
LOT: 1112 -A l'I
BLOCK:
•
PROPERTY ID
PERMIT #: 13-SC-1859684
APPLICATION #: AP 1352990
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1124728
• •
• • •
•• •
•
••••
• •
••••
•• •
• • •
•• .
•
11-2231-012-0100
SUBDIVISION: Golf View Estates
• •
••••
• • • •
• •
••••
•• •
Ank
[SECTION, TOWNSHIP,
[OR TAX ID NUMBER]
• •
mew: PARc . MASER]
•
• • •
•
•
• •
• • •
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND•••S,NDARD•S• •OF FBL�CTieN
381.0065, F:S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES••1VQ'1 GUARANTEE
1.
SATISFACTORYf PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN
WHICH SERVED F AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE
ISSUANCE OF,I THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH
t
1.
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
MATERIAL FACTS,
TO MODIFY THE
NULL AND. VOID.
OTHER FEDERAL,
SYSTEM DESIGN'•AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD NEW SEPTIC TANK TO INSTALL CAPACITY
A [ 900 ]., GALLONS / GPD EXISTING SEPTIC TANK TO REMAIN CAPACITY
N [ 0 ]' GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ]'GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps
r
D [
R [
A
I
N
F
I ELEVATION OF PROPOSED SYSTEM SITE [ 8.40 ][
225 ] tSQUARE FEET NEW DF IN TRENCH CON SYSTEM
300 ] SQUARE FEET EXISTING D.F BED CONF SYSTEM
TYPE SYSTEM: [x] STANDARD [ ] FILLED [] MOUND [ ]
CONFIGURATION: [x] TRENCH [ ] BED [ ]
[
LOCATION OF BENCHMARK: LOWEST FLOOR EL...7.00'NGVD
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED:
0
T
H
E
R
[ 0.00 ] INCHES
[ 29.40][
INCHES
INCHES
/
/ FT ][ ABOVE ABELOW pBENCHMARK/REFERENCE
FT ] [ ABOVE a BELOW b BENCHMARK/REFERENCE
EXCAVATION REQUIRED: [ 33.00] INCHES
POINT
POINT
REPAIRING EAST SIDE SYSTEM
1.- Install a 900 gal. septic tank with an approved filter
2.- Install 225 sf. of drain field in TRENCH... configuration.
3.- Install 12" of slightly limited soil at the bottom of the drain field.
4.- Invert elevation and Bottom of drain field to be no less than 5.05' & 4.55 ' NGVD respectively.
THIS PERMIT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY:
APPROVED BY:
Teresa s/ Solomon
411R izaire
DATE ISSUED: 07/10/2018
TITLE: Master Septic Tank Contractor
TITLE: Engineering Specialist II
Dade CHD
EXPIRATION DATE:
10/08/2018
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4
AP1352990
SE1084872
Page 1 of 3
DOCUMENT # :
PR1124728
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s.
64E-6.013(3)(f)
6.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption trench.
The system is siied for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 640
gpd.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance wglas.
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. • • • • • • •
• • ••
•. •
•
•
Aft
• • • •
• •
.. •• •
•• • .
••
••..
•
•
• •
•
••
• • • • •
• ••
•
•• • •• • • •
• • •