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PL-18-3142Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001269-2018 Permit Number: PL-10-18-3142 Scheduled Inspection Date: November 01, 2018 Inspector: Massanet, Maykel Owner: JOHN ROSSETTI Address: 549 NE 95TH ST Project: Miami Shores, FL 33138 Contractor: MR C'S PLUMBING & SEPTIC INC KEMBLE ETTRICK Permit Type: Plumbing - Residential Inspection Type: Plumbing Final) Work Classification: Septico Phone Number: Parcel Number: 1132060140740 Phone Number: 3056517859 Building Department Comments INSTALL DRAINFIELD Checklist Item General Comments Passed False Comments Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 31, 2018 For Inspections please call: 305-762-4949 Page 24 of 37 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address J Permit NO.: PL-10-18-3142 k PermitType:Plumbing - Residential Work Classification: Septic Permit Status: Approved Issue Date: 10/17/2018 Expiration: 04/09/ 2 019 Parcel Number 549 NE 95TH ST, Miami Shores, FL 33138 1132060140740 Contacts JOHN ROSSETTI 549 95 Owner MR C'S PLUMBING & SEPTIC INC KEMBLE ETTRICK Business: 3056517859 Contractor Description: INSTALL DRAINFIELD Fees Amount Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: $50.00 $1.80 $2.00 $2.00 $0.60 $50.00 $9.00 $2.50 $117.90 Valuation: $ 2,200.00 Total Sq Feet : . 0.00 r Inspection Requests: i 305-762-4949 Payments Total Fees Credit Card Credit Card Amount Due: Date Paid 10/11/2018 10/17/2018 Amt Paid $117.90 $50.00 $67.90 $0.00 Building Department Copy 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 forego' . f.r ation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I . t' = above named contractor to do the work stated. Authorized Signature: Owner / Applicant // Contractor / Agent Date October 17, 2018 Page 2 of 2 ‘0\\-c,`" BUILDING PERMIT APPLICATION BUILDING 0 ELECTRIC XPLUMBING 0 MECHANICAL JOB ADDRESS: 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 FBC 20 ^_ Master Permit No. P L 18 - 3 )4z Sub Permit No. 0 ROOFING ❑ REVISION 0 EXTENSION ❑RENEWAL 0 PUBLIC WORKS 0 CHANGE OF 0 CANCELLATION 0 SHOP CONTRACTOR DRAWINGS City: Miami Shores /�Cou/n�ty: Miami Dade Folio/Parcel#: 'i-3ao6 - 6J v- NC'40 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address: J)kV\eossal` (S- sly Phone#: Zip: 33/ 3g City: ►YU`GC(Ili(,( akeY4AState: Ft Tenant/Lessee Name: Email: Phone#: Zip: 33I �a Address: City: Qualifier Name: CONTRACTOR: Company Name: Mv - C (S (P1 ` 1? •••-) tr z Nw AVQ.,� one#: SoSbS ( — 7 Zip: 3314,.1 Phone#:c-671 -"1kg9 State Certification or Registration #: SnO6 ?CSC:. Certificate of Competency #: DESIGNER: Architect/Engineer: 'NI k'` Phone#: Address: City: State: Value of Work for this Permit: $ 020 167) a M State: P ke k . lE4$ c/- Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Description of Work: r\Skul1. Zip: IO Repair/Replace ❑ Demolition 1 Specify cclor,of color't ru,tile: • Submittal Fee•$-50 G�" ""'Permit Fee Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $//\ Bond $' wv • (Revised02/24/2014) TOTAL FEE NOW DUE $ (0) • 43.0 Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500; the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be' delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued) "In the absence of such posted notice, the inspection will not be appro v-d an reins tion fee will be charged. Bonding Company's Name (if applicable) 47/‘ Bonding Company's Address City State `/� Zip 4. Mortgage Lender's Name (if applicable) v Mortgage Lender's Address City 4 , State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC r• OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. `' "WARNING 'TO OWNER: YOUR FAILURE 'TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR 'PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature ,,. CONTRACTOR F i The fore ing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / ' day of eat r' , 20 , by GY / / day ``�Goof``-- t(/ Gr," , 20 __ , by , who is personj/ ally known to �,{4/P -,�L , who is personally known to Signature "NER o AGENT Obi /44$e7Y/ me or who has produced / as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: IAA id )! vbir, DONALD MARTIN MY COMMISSION # GG102743 ,,,,,, EXPIRES May 09, 2021 • identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: L /,,4 W" a✓Z/.%. DONALD MARTIN MY COMMISSION # GG102743 + ,,,,,,•' EXPIRES May 09, 2021 *************►****►********* k**************************************************** ******t******************** APPROVED BY ) t'4i k Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk 4). >- co 1— 0 LIJ 0 a_ 0 aj w c:f Z I 2 0 50 0 Found iron rod No 10 PLUMBING Approved IA. 8 50.00' Found iron rod No ID cn cc 0 w rz. 0 olc 11. 0 LiJ n cc 0 f) -3 PC 2 0 -.00011111111101 TM MUST BE LA I VeT istFctiv:-‘ 50.00 T1ON 15 Alley 5,/Plot Book 10, Page .17 (OCR) 50.00 r 0.3 Aces. 14250.0 $(4. ft. •' 100.00' SURVEY M Lot 5 50.00' Found tnon rod No 0 .12' )(I 94" i cly01,31t0 Ant) lve rer c.cre S -1-1) (reAllain 1°1i 2' wall P sc, CA Re PI 9+1"0 100 S r _ St;41 ,Aok5 q7cf" 0.50' 0\, • • • • • • • e - , • • et t.29, ee • • We •• , ••••••• •• -0-1 • • •••••• •• . koo,Tro, : m :* e•-• --* . . if,.AUSA1 in 94-e, 4 ci-c.,,,,L4,.,,,,,e,. . .. • • •• „, . „,,,, South • PO' • . • • • i Y\ ..t•••• : g • • • . • . . .. • • • 5 ci • • • • • • • • • • 00 20 asphalt DIVISION OF Environmental Health Florida Health 9�I� Miami -Dade County * OSTDS/Well Division AO 11805 SW 26th Street • Miami, FL 33175 Inspector f f J t < ' "/ c Date l U 6 /f Address S / / OSTDS # 1 %o1,‘ ' Comments: Signature STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION # : AP 1366848 ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID: SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: DOCUMENT #: PR1155834 PERMIT #: 13-SM-1881480 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: JOHN rossetti PROPERTY ADDRESS : 549 NE 95 St Miami, FL 33138 LOT: 18-19 BLOCK: 54 SUBDIVISION: PROPERTY ID #: 11-3206-014-0740 [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 Existina 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 [ 200 ] SQUARE FEET NEW DF IN BED CONFIG SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: FFE10.6' I E L D 0 T H E R ELEVATION OF PROPOSED SYSTEM SITE BOTTOM OF DRAINFIELD TO BE FILL REQUIRED: [ 0.00] INCHES [ 21.60 ] [ [ 71.60 ] [ INCHES INCHES / FT ] [ ABOVE / / FT ] [ ABOVE / BELOW BELOW BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: [ 62.00] INCHES 1.-EXISTING 900 septic tank with and approved filter TO REMAIN. 2.- Install 200 sf. of drainfield in ...BED.... configuration. 3.- Install 12 " of slightly limited soil at the bottom of the drainfield. 5.- Invert elevation and Bottom of drainfield to be no less than 5.13 ' & 4.63 ' NGVD respectively. THIS PERMIT IS NOT FOR ANY ADDITIONS. ( Comments continued on page 2 )_ SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: Mr C's 08/28/20 TITLE: TITLE: Engineering Specialist II Dade CHD EXPIRATION DATE- 11/26/2018 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 AP1361399 5E1091521 Alk IC` InspectOrJ. Address 15. 9 c Comments: Signature DIVISION OF Environmental Health Florida Health Miami -Dade County OSTDS/VVell Division 11805 SW 26th Street • Miami, FL 33175 71 Date 7S- OSTDS # r/