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
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15 Alley
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r
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100.00'
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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/