Loading...
PL-17-806`4r!.n ciEs y�! Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 FtoRiD Permit NO. PL-3-17-80s Permit Type: Plumbing - Residential Pen Worts Classification: Drainfield Permit Status: APPROVED issue Date: 413/2017 1 Expiration: 09/30/2017 Project Address Parcel Number Applicant 1037 NE 91 Terrace 1132050010050� Miami Shores, FL Block: Lot: ALISON HARKE Owner Information Address Phone Cell ALISON HARKE 1037 NE 91 TERR MIAMI SHORES FL 33138-3401 Contractor(s) Phone Cell Phone MIAMI DADE ENVIROMENTAL 786-251-4099 of Work: INSTALL A NEW 1050 GALLONS SEPTIC T of Piping: itional Info: INSTALL A NEW 1050 GALLONS SEPTIC T Bond Return : Classification: Residential Scanning: 1 Fees Due Amount CCF $3.00 DBPR Fee $4.50 DCA Fee $4.50 Education Surcharge $1.00 Notary Fee $5.00 Permit Fee $300.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $325.00 Valuation: $ 4,500.00 Total Sq Feet: 500 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-3-17-63435 03/23/2017 Credit Card $ 50.00 $ 275.00 04/03/2017 Cash $ 275.00 $ 0.00 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 zonin _ ermore. I� authorize the e above -named contractor to do the work stated. April 03, 2017 Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 03, 2017 1 7� 7l ��646 � 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 y V I+; D - i Ri MAR 2 3 2017 I FBC 201 f BUILDING Master Permit No. p(�- PERMIT APPLICATION Sub Permit No. f L ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I0 3 1 IU C 11 /'�_ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: //- --� 2 n ;� 4)0 1-•(,-)n 2!:�_o Is the Building Historically Designated: Yes NO Occupancy Type: _` Load: Construction Type: P Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):_ 1 1a iU e Q hl to (L )� P Phone#: Address: (1) `3 -]- tj E . 1:21 ► I:C n n City: ill 6 " I S iA co 11 P State: / lQ zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ill va rVl 1 A `Q F LIli o �/ A rl M to JL'f� / Phone#: lg(,'� 2Ttzc39,- Address: Q 2 Cl0 [ A t e b h S �3 L1_ City: State: F(L Zip: Qualifier Name Phone#: Zcs':2 State Certification or Registration #: S ROCt -7 )_2 :2Certificate of Competency #: -5, A Dc Q w 11 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of work: S 0C.) Type of Work: ❑ Addition ❑ Alteration 50 New ❑ Repair/Replace ❑ Demolition Description of Work: jNj1z_; 1 IA [t A New L o s o aj W 1(0 rtJ � T'A Ili f z /J Ilj v) Specify color of color thru the:," Submittal Fee $ 2 Permit Fee $00C /� CCF $ CO/CC $. Scanning Fee $ //_7 Radon Fee $ U • .>l J DBPR $ Notary $ Technology Fee $ li1 Training/Education Fee $ I Double Fee $ Structural Reviews $ Bond $ _„Li✓ �' -T "-►� TOTAL FEE NOW DUE $ J �o (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 Signature OWNER or AGE IK CO RACTOR The foregoing instrument was acknowledged before me this +h day of P 6 ✓C L, 20 ) I by ,4A e k who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Th c regoing instrument was acknowledged before me this Z?J' rd day oa^fI`n�,CIYC� 20 by , 'e f�'� n CA who is personally known to me or who has produced_, as identification and who did take an NOTARY P Sign: Sign: Print: D IU0 f Z-i'yY I G1 Print: Seal: Seal: �0r •yam Notary Public State of Florida `F. Dione Iturria c ,per My Commission FF 240546 ?o, f,,d` Expires 06115/2019 ********** ************************ APPROVED BY n Plans Examiner Structural Review MY COMMISSION # FF 214031 EXPIRES: March 25, 2019 Bonded Thru Notary Public Underwriters Zoning Clerk (Revised02/24/2014) APPLICATION #:AP1257110 STATE OF FLORIDA PERMIT #:13-SM-1709567 DEPARTMENT OF HEALTH ONSITE SEWAGE TREATlQBLA*&Em DOCUMENT #:F11105538 CONSTRUCTION INSPECTWXpWejqINAL APPROVAL Date DATE PAID:09/28/2016 Y,i;:,. FEE PAID:375.00 RECEIPT #:13-PID-3112684 APPLICANT: LANCE HARKE AGENT: iSOUTHERN SEPTIC PROPERTY ADDRESS: 1037 NE 91 Ter Miami, FL 33138 i LOT: 6 BLOCK: 1 Approved SUBDIVISION: Water Edge ID#: 11-3205-001-0050 A prov d Date CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED, TANK INSTALLATION 1011 TANK SIZE [11 1050.00 [21 [ 02 ) TANK MATERIAL Concrete [031 OUTLET DEVICE [041 MULTI -CHAMBERED [ Y N [051 OUTLET FILTER Polylok PL-68 (061 LEGEND 1. 13-076-08DC3 2. (071 WATERTIGHT [081 LEVEL 1[091 DEPTH TO LID DRAINFIELD INSTALLATION [101 AREA [1) 502.5 [21 SQFT [111 DISTRIBUTION BOX HEADER X [121 NUMBER OF DRAINLINES 1. 6.00 2. [131 DRAINLINE SEPARATION 1141 DRAINLINE SLOPE [151 DEPTH OF COVER [16] EL SETBACKS [ l [271 SURFACE WATER FT [ l (281 DITCHES FT [ l (291 PRIVATE WELLS FT I l [301 PUBLIC WELLS FT I l (311 IRRIGATION WELLS FT [ l [321 POTABLE WATER 33 FT [ l [331 BUILDING FOUNDATIONS 19 FT [ ] [341 PROPERTY LINES 7 FT [ 1 [351 OTHER FT FILLED / MOUND SYSTEM [ ] [361 DRAINFIELD COVER [ l [371 SHOULDERS I l [381 SLOPES [ l [391 STABILIZATION EVATION [ ABOVE / BELOW )BM 30.84 ( ] [171 SYSTEM LOCATION [ ] [181 DOSING PUMPS [ ] 1191 AGGREGATE SIZE [ ] 1201 AGGREGATE EXCESSIVE FINES [ ] [211 AGGREGATE DEPTH FILL / EXCAVATION MATERIAL I l [221 FILL AMOUNT [ ) [231 FILL TEXTURE [ l [241 EXCAVATION DEPTH [ l [251 AREA REPLACED [ ] (261 REPLACEMENT MATERIAL Comments: Comments are on page 2. ADDITIONAL INFORMATION [401 UNOBSTRUCTED AREA [411 STORMWATER RUNOFF [421 ALARMS [431 MAINTENANCE AGREEMENT [441 BUILDING AREA (451 LOCATION CONFORMS WITH SITE PLAN [461 FINAL SITE GRADING K71 CONTRACTOR [481 OTHER INFILTRATOR ARC 24 ABANDONMENT I ] [491 TANK PUMPED ( l 1501 TANK CRUSHED 6 FILLED CONSTRUCTION [ iAPPROVED:;/ DISAPPROVED ] Dade CHD DATE: 03/23/2017 Environmental Specialist 11 Jermaine D CrittendenShaw (Florida Depart FINAL SYSTEM L APPROVED / DISAPPROVED ]: Dade CHD DATE: 03/23/2017 Environmental Specialist 11 Jermaine D CrittendenShaw (Florida Depar (Explanation of Violations on following page) DH 4016,'08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Pu rl'41 .­_ " a ,, . Page 2 of 3 AP1257110 E€D1709567 Violation Number STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT;AND DISPOSAL, SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Comment ... . I t . APPLICATION #: API 257110 PERMIT #:13-SM-1709567 DOCUMENT # : F11105538 DATE PAID:09/28/2016 FEE PAID :375.00 RECEIPT #:13-PID-3112684 :omments ..: The system is sized for 4 bedrooms with a maximum'occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. -Angel Rosario -33.5 chambers with trench config. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Page 2 of 3 Incorporated: 64E-6.003, FAC EH Database v 1.0.1 AP1267110 Etii1709567 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New PERMIT #: 13-SM-1709567 APPLICATION #: AP1257110 AND DISPOSAL DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1036041 APPLICANT: LANCE HARKE PROPERTY ADDRESS: 1037 NE 91 Ter Miami; FL 33138 LOT: 6 BLOCK: 1 SUBDIVISION: Water Edge PROPERTY ID #: 11-3205-001-0050 [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 [ 1,050 ] GALLONS / GPD Seotic CAPACITY 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 Trench configuration drain SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: (X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: (X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: COR NE 91 ter., 9.00' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 3.60 ][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 33.60][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 72.001 INCHES O T H E R "Invert elevation of drainfield to be no less than 6.70' NGVD. `Bottom of drainfield elevation to be no less than 6.20' NGVD. *Install 42" of slightly limited soil under the bottom of drainfield. -Perimeter of excavation area shall be at least 2 ft. wider and longer than the proposed absorption bed or drain trench. The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(0, FAC. SPECIFICATIONS BY: Jorae Millan APPROVED BY: TITLE: Carlos M Icaza DATE ISSUED: 10/20/2016 TITLE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used Incorporated: 64E-6.003, FAC v 1.1A AP1257110 CHD EXPIRATIONI-DA_T41,1 % ':arn@ '�unty � ��Well Program Page 1 of 3 SE1011054 _ NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order.