PL-18-1515Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
443 NE 94 Street
Miami Shores, FL 33138-
Owner Information
Address
issue_ Date: 6/1
Permit NO. PL-6-18-15
Permit Type: Plumbing -Residential
Work Classification: Septic
Permit Status: APPROVED
/2018
Expiration: 12/10/2018
Parcel Number
Phone
Applicant
Cell
SETH LONG
650 W Avenue
MIAMI BEACH FL 33139-
650 W Avenue
MIAMI BEACH FL 33139-
Contractor(s) Phone
MR C'S PLUMBING & SEPTIC INC (305)651-7859
CeII Phone
Valuation:
Total Sq Feet:
$ 6,500.00
500
Type of Work: INSTALL NEW SEPTIC DRAINFIELD
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.00
$150.00
$3.00
$0.00
$153.00
Pay Date Pay Type
Invoice # PL-6-18-67784
06/13/2018 Check #: 1434 $ 103.00 $ 50.00
06/04/2018 Check #: 1427 $ 50.00 $ 0.00
Amt Paid Amt Due 1
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 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. Futhermore, I authorize the above -named contractor to do the work stated.
orized i nature:
Auih g Owner / Applicant / Contractor / Agent
June 13, 2018
Date
Building Department Copy
June 13, 2018 1
/,55'
IVIId111I JI 101 CJ V IIIdgt
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC20iy
BUILDING Master Permit Noel L(c9 45tS
PERMIT APPLICATION
RECE vElD
UN 0 4 2018
Sub Permit No.
El BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
0PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
. LL CONTRACTOR DRAWINGS
f���T JOB ADDRESS: " (' `3 NO q Li' J(� u Q�
Miami Dade Zip: 3 3 / 3 9
Is the Building Historically Designated: Yes NO X
Construction Type: Flood Zone: BFE: FFE:
City: Miami Shores County:
Folio/Parcel#: II--.3 o 01 ✓ 51 0
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
%U Av
Address: D- �
City: I V Ana t1,L G(C-&/ )1n,State: I c Zip: 3S I f /
Tenant/Lessee Name: N Phone#:
Email:
Phone#:
CONTRACTOR: Company Name: ► "� 1� i ds Pluih + kirie#:
p,3_
Address: i l1 ?— NIA) v" � ALC-r\i/Ltt-
City:2 c C State: II PC Zip: J l 6
Qualifier Name: kO 4Itlab ell)rj ) l C/ --. Phone#: Zd S — / 7 �
State Certification or Registration #: J f`.d,,h l SO Certificate of Competency #:
DESIGNER: Architect/Engineer: t i L
1c Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of,Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 0 Demolition
�
Description of Work: C2p\OCiQ vA k n�)v� 1l
_ - ‘1 ` 17
-34S���(^?cam'
Specify color
--of��color thru tile:
Submittal Fee $ '�V - Permit Fee $ 300" CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ ?CA _n
TOTAL FEE NOW DUES l Of
QL f -i2J39
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Nip
Mortgage Lender's Name (if applicable) J vk
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 reinspeption fee will be charged.
Signat
(OWNE or GENT
The foreoing instrument was acknowledged before/�me this
,20 /o ,by
day of
4(4 41,�
me or who has produced ?/111 r4 Li m as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
, who is personally known to
VAA
eitik, DONALD MARTIN
11 MY COMMISSION # GO102743
EXPIRES May 09, 2021
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
gni 4/t Et4ridc
4/ ,20 4. ,by
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
AI ` ✓
l Df2 AM
:•4":1•`'t,; DONALD MARTIN
� MY COMMISSION # GG102743
?o.�i; EXPIRES May 09, 2021
****************************************************************************** ****sssaranswo+_
APPROVED BY
i` 1a -J'ff Plans Examiner
Zoning
Structural Review Clerk
SMS
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: SETH LONG (NUVIEW IRA INC.)
AGENT: MR C
APPLICATION # : F 1 300442
PERMIT #: 13-SM-1778741
DOCUMENT #:F11143307
DATE PAID:07/24/2017
FEE PAID:375.00
RECEIPT # :13-PI D-3305289
PROPERTY ADDRESS: 443 NE 94 St Miami, FL 33138
LOT: 18-19
SUBDIVISION:
BLOCK: 52
ID#: 11-3206-014-0510
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01] TANK SIZE [1] 900.00 [2)
[02] TANK MATERIAL
[03] OUTLET DEVICE
[04]
[05]
[06]
[07]
[08)
[09]
MULTI -CHAMBERED
OUTLET FILTER
Polyethylene
[( Y 1
Tuf-Tite
N 7
LEGEND 1, 70-156-90D-C3
WATERTIGHT
LEVEL
DEPTH TO LID
DRAINFIELD INSTALLATION
[10]
[11]
[12]
(13]
[14]
(15]
[16]
[17]
[18]
[191
[20]
[21)
AREA [1] 540
DISTRIBUTION BOX
NUMBER OF DRAINLINES
DRAINLINE SEPARATION
DRAINLINE SLOPE
DEPTH OF COVER
ELEVATION [ ABOVE
SYSTEM LOCATION
DOSING PUMPS
[2]
2.
SQFT
HEADER X
1. 9.00 2.
BELOW
]BM 11.40
AGGREGATE SIZE
AGGREGATE EXCESSIVE FINES
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[22] FILL AMOUNT
[23) FILL TEXTURE
[24] EXCAVATION DEPTH
[25] AREA REPLACED
[26] REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
[27]
[28]
[29]
[30]
[31]
[32)
[33)
[34]
[35]
SURFACE WATER
DITCHES
PRIVATE WELLS
PUBLIC WELLS
IRRIGATION WELLS
POTABLE WATER
10.0
BUILDING FOUNDATIONS
PROPERTY LINES
OTHER
FILLED / MOUND SYSTEM
[36]
[37]
[38)
[39]
5.9
5.1
DRAINFIELD COVER
SHOULDERS
SLOPES
STABILIZATION
ADDITIONAL INFORMATION
[40] UNOBSTRUCTED AREA
[41] STORMWATER RUNOFF
[42] ALARMS
[43] MAINTENANCE AGREEMENT
[44] BUILDING AREA
[45] LOCATION CONFORMS WITH SITE PLAN
[46] FINAL SITE GRADING
[47] CONTRACTOR (Mr C"s)
FT
FT
FT
FT
FT
FT
FT
FT
FT
[48] OTHER ADS MPS-9 (9 pipes - 2 tier)
ABANDONMENT
[49] TANK PUMPED
[50] TANK CRUSHED & FILLED
CONSTRUCTION [
FINAL SYSTEM [
APPROVED
APPROVED
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous
Incorporated: 64E-6.003, FAC
EH Daera era e v 1,; l
D1SA,PROVED
Dade CHD DATE: 11/28/2017
Engineering Specialist II Frank Agras (Florida Department of Health in
DISAPPROVED ]
Engineering Specialist II Frank Agras (Florida Department of Health in
Dade CHD DATE: 11/28/2017
editions which
may not be used)
AP13UO442
LID1,'7u'741
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION #:AP1300442
PERMIT #: 13-SM-1778741
DOCUMENT #:F11143307
DATE PAID: 07/24/2017
FEE PAID : 375.00
RECEIPT #:13-PID-3305289
Violation Number
Comment
Comments
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.
- New 1050 gal tank with Tuf-Tite EF-4 filter.
- Total of 9 drainlines- 9 lines with 20 feet for 540 sq ft bed drainfield.
- 42" inches of sand provided below drainfield.
- Ok to cover system.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
..i i::;atxat:[asca v 1X0
APi`SOO442
Ei 177374'I
Page 2 of 3
ib""" STATE OF FLORIDA
ir
-1t DEPARTMENT OF HEALTHAPPLICATION# : AP1300442
ONSITE SEWAGE TREATMENT AND DISPOSALDATE PAID:
tSYSTEM
CONSTRUCTION PERMIT FEE PAID:
RECEIPT #:
DOCUMENT #: PR1071825
PERMIT #: 13-SM-1778741
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT:
SETH LONG (NUVIEW IRA INC.)
PROPERTY ADDRESS: 443 NE 94 St Miami, FL 33138
LOT: 18-19
BLOCK: 52 SUBDIVISION:
PROPERTY ID #: 11-3206-014-0510
[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 1 GALLONS / GPD NEW SEPTIC TANK TO INSTALL CAPACITY
I ,i, A [ .] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 500 ] SQUARE FEET NEW DF IN BED CONFIG SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPEISYSTEM: [x] STANDARD [ ] FILLED [ ]'MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x]`'BED [ ]
N II
F LOCATION OF BENCHMARK: C/L OF 94 ST 9.70'NGVD
ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ] [I INCHES I/ FT ] [I ABOVE If BELOW ] BENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [ 24.00 ] [PINCHES 1 FT ] [ ABOVE d BELOW b BENCHMARK/REFERENCE POINT '
I
E
L
D
0
T
H
FILLIREQUIRED:
[ 0.00 ] INCHES
EXCAVATION REQUIRED: [ 72.00 INCHES
1.- Install a 900 gal. septic tank with an approved filter
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 500 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 8.20' & 7.70' NGVD respectively
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
a
300 gpd.
SPECIFICATIONS BY: Mr C's Pib Sept TITLE:
APPROVED BY: TITLE: Engineering Specialist II Dade cHD
Gerard L Philizaire
DATE ISSUED: 08/08/2017 EXPIRATION DATE: 02/08/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
Page 1 of 3