PL-18-1442Miami Shores Village
"
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
CORtDA
Phone: (305)795-2204
Permit NO. PL-5-18-1442
Permit Type: Plumbing - Residential
e Pr Work Classification: Septic
Permit Status: APPROVED
Issue Date: 5131/201`8 1 Expiration: I V27/2018
Project Address Parcel Number Applicant
366 NE 99 Street 1132060135560
Miami Shores, FL 33138- Block: Lot: ITAY BEN ZVI
Phone Cell
LAUREN OHAYON 366 NE 99 Street (917)514-8517
MIAMI SHORES FL 33138-
366 NE 99 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
SOUTHERN SEPTIC CONTRACTORS 1 (305)598-8266
Type of Work: NEW SEPTIC TANK AND DRAIN FIELD
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential Scanning: 3
Fees Due
Amount
Bond Type - Owners Bond
$500.00
CCF
$1.80
DBPR Fee
$4.50
DCA Fee
$3.00
Education Surcharge
$0.60
Notary Fee
$5.00
Permit Fee
$300.00
Scanning Fee
$9.00
Technology Fee
$2.40
Total:
$826.30
Valuation: �$ 2,400.00
Total Sq Feet: 667 _j
Pay Date
Pay Type
Amt Paid
Amt Due
Invoice #
PL-5-18-67705
05/25/2018
Credit Card
$ 50.00
$ 776.30
05/31/2018
Check #: 330
$ 500.00
$ 276.30
05/31/2018
Credit Card
$ 276.30
$ 0.00
Bond #: 3783
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 r onsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, P)-'GMBING,-MSCHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFF AVIT: Ice ify
construction an zoning. F r
Authorize�eart
ignature:
Building
that all the oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
more, I aut ove-named contractor to do the work stated.
/ Applicant /
nt
/ Agent
May 31, 2018
1
Miami Shores Village
W
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
❑p PLUMBING ❑ MECHAI.iCAL 7PUBL IC WORKS
JOB ADDRESS: 366 NE 99 ST
,Y 2 6 2018
�7 (p 4+
FBC 20
Master Permit No.TC F3 -- (2G0_
Sub Permit No-Vt. Ej ` R"z'
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF [] CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City. Miami Shores _ County: Miami Dade _ Zip:
Folio/Parcel#: 1 1-3206-013-b560 Is the Building Historically Designated: Yes NO X
Occupancy Type: SFR Load: Construction Type- _ —Flood lone: BFE. FFE:
OWNER: Name (Fee Simple Titleho!der): ITAY BENZVI OR LAUREN OHAYON Phone#:
Address.366 NE 99 ST
City. MIAMI SHORES
Tenant/Lessee Name: N/A
Ema.l
State: FL zip. 33138
CONTRACTOR: Company Name: SOUTHFRN SEPTIC
Addre,s: 21051 SW 234 ST
Phone#-
�CZIb7:isl:�:3�Z:Y:
City- HOMESTEAD State. rL Zip. 33031
Qualifier Name: ROBERTO RODRIGUEZ Phone#. 305 598-8266
State Certil�cation or Registration #: SR 0021421 Cert&cate of Competency #-
DESIGNER: Architect/Engineer: N/A Phone#-
Addres-:_ _ City _ State: Zip: _
e �
Value of Work for this Permit: $ 7 1400. Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition
Description of work: NEW SEPTIC TANK AND DRAIN FIELD
Specify color of color thru tile:
Submittal Fee $_S) � Permit Fee $ �� _ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $_
Radon Fee $
'raining/Education Fee $
DBPR $
Notary
Double Fee $ Soo
Bond
TOTAL FEE NOW DUE $ '
(Rev sP02i24/2014)
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City State _
Mortgage Lender's Name (if applicable) N/A
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.
S;gnature
OWNER or AGENT
The forea ing instrument was acknowledged before me this
f day of `F�l n {{�� 0 b�
�i ho Is personally n wn to
me or whc ha-, produced 4-1"�� as
identification and who did take an oath.
NOT
S
Print
identification and who did take an oath.
NOTARY
Sign:_
MAHARAI K. GONZALEZ Print:
l.�
?,, t_ Mr WMM1651UN # GG 044602 `
Seal: ; , .d` EXPIRES: November 2,2020 Seal:
Bonded Thru Notary Public Underwriters
A NotOrY Public State, of {slorid* SIndis AlvVrez
c7rx#IUYCoFifrt�t�ilonF�*�x��x*�*�
°f w Expires 09/03/2018 15@Y60
APPROVED BY �" 4' Plans ExaminerZoning
Structural Review Clerk
(Revised02/24/2014)
9
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: ITAY RFN71
PROPERTY ADDRESS: 366 NE 99 St Miami, FL 33138
LOT: 3-4 BLOCK: 41 SUBDIVISION:
PERMIT # : 13-SM-1842031
APPLICATION #: AP1341074
DATE PAID-
FEE PAID-
RECEIPT #:
DOCUMENT #: PR1104897
PROPERTY ID #: 11-3206-013-5560 [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 [ 667 ] SQUARE FEET Bed confiauration drainfield SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND I ]
I CONFIGURATION: [ ) TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: CL 10.09' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.28 ][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE 132.28)[ INCHES FT ][ABOVE JBELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 72.001 INCHES
O
T
H
E
R
Inspector to verify the existing septic tank is properly abandoned before final approval.
*Invert elevation of drainfield to be no less than 7.90' NGVD.
*Bottom of drainfield elevation to be no less than 7.40' 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
SPECIFICATIONS BY: Jorge Millan TITLE:
APPROVED BY: TITLE: Dade CHD
Carlos M Icaza
DATE ISSUED: 05/01/2018
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EXPIRATION DATE
11 /01 /2019
Page 1 of 3
v 1.1.4 AP1341074 SE1075238
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.
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: ITAY BENZI
PROPERTY ADDRESS: 366 NE 99 St Miami, FL 33138
LOT: 3-4
BLOCK: 41 SUBDIVISION:
PERMIT #: 13-SM-1842031
APPLICATION # : AP 1341074
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1104897
PROPERTY ID #: 11-3206-013-5560 [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 Septic 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 [ 667 ] SQUARE FEE'.
R [ ] SQUARE FEE:
A TYPE SYSTEM: [x]
I CONFIGURATION: [ j
N
Bed configuration drainfield SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED [ ] MOUND [ ]
TRENCH [x] BED [ ]
F LOCATION OF BENCHMARK: CL 10.09' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.28 ] INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 32.28If INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 72.001 INCHES
O
T
H
E
R
Inspector to verify the existing septic tank is properly abandoned before final approval.
*Invert elevation of drainfield to be no less than 7.90' NGVD.
*Bottom of drainfield elevation to be no less than 7.40' 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
SPECIFICATIONS BY: Jorge Millan TITLE:
APPROVED BY: TITLE:
Carlos M Icama
DATE ISSUED: 05/01/2018 EXPIRATION DATE
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
Dade CHD
11/01/2019
Page 1 of 3
v 1.1.4 AP1341074 SE1075238
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: ITAY BENZI
PROPERTY ADDRESS: 366 NE 99 St Miami, FL 33138
LOT: 3-4 BLOCK: 41 SUBDIVISION:
PERMIT #; 13-SM-1842031
APPLICATION #: AP1341074
DATE PAID.
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1104897
PROPERTY ID #: 11-3206-013-5560 [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
Sebtic
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 [ 667 ] SQUARE FEET Bed configuration drainfield SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: (X] STANDARD [ ] FILLED [] MOUND [ j
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: CL 10.09' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.28 ][ INCHES FT ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 32.281 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 72.001 INCHES
0
T
H
E
R
Inspector to verify the existing septic tank is properly abandoned before final approval,
Invert elevation of drainfield to be no less than 7.90' NGVD.
*Bottom of drainfield elevation to be no less than 7.40' 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 installingthe s , i sy 8 tk le for installing the minimum category of tank in accordance with
SPECIFICATIONS BY: i
APPROVED BY:
DATE ISSUED: 05/01/2018
DH 4016, 08/09 (Obsoletes all previous edi
Incorporated: 64E-6.003, FAC
v 1,I,4
'1t I'fl
Dade CHD
EXPIRATION DATE: 11/01/2019
c14>wh may not be used)
Page 1 of 3
AP1347..074 SE107523B
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.
�►0� DIVISION OF
Environmental Health
Florida Health
Miami -Dade County 91�
QeQ� OSTDS/Well Division
` 11805 SW 26th Street • Miami, FL 33175
Ins ector / J
t -. P // f/��/-:fon �t . Date
Address r� /I/ 9 S J'v4 OSTDS # /3
Comments:
Signature
PROPERTY ID #: 11-3206-013-5560
r
[OR TAX ID NUMBER]
HIT #: 13-SM-1842031
ION #: AP1341074
PAID:
PAID:
IPT #:
ENT #: PR1104897
.._ J
' ,
1
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANG'
WHICH SERVED AS A BASIS. FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL HLVL VV1L.
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 [ 667 ] SQUARE FEET Bed confiauration drainfield SYSTEM
R [ ) SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: CL 10.09' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.28 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 32.28][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 72.001 INCHES
O
T
H
E
R
Inspector to verify the existing septic tank is properly abandoned before final approval.
*Invert elevation of drainfield to be no less than 7.90' NGVD.
*Bottom of drainfield elevation to be no less than 7.40' 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 syigt'em i's,r— s dogible for installing the minimum category of tank in accordance with
SPECIFICATIONS BY: Jor9
�...4. r
APPROVED BY:
DATE ISSUED: 05/01/2018
-.il ill r.a�iF
TITLW
TITLE:
Dade CHD
EXPIRATION DATE: 11/01/2019
DH 4016, 08/09 (Obsoletes all previous edi s kr:r6a may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
?LIe- I 9 q2--
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ITE 9023 BUTTE N 200
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ENCROACHING INTO THE RIGHT OF WAY
OF NE SBL1 STREET.
B. WEST SIDE OF THE SUBJECT PROPERTY.
CONCRETE BLOCK WALL 0
ENCROACHING BITO THE NEIGHBOR5
PROPERTY.
C. EAST SIDE OF THE SUBJECT PROPERTY
NEIGHBORS WOOD FENCE IS
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PAD LOT- 4 FLOOR ELEV.= 11.96 LOT- 3
BLOCK-41 FLOOR ELEV.= 10.87 BLOCK _ 41
FLOOR ELEV.= 10.47'
14.65' 23.57' N.G.V.D. (29)
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POOL
FILTER
POOL
PUMP
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MAP OF BOUNDARY SURVEY
366 NE 99th STREET, MIAMI, FLORIDA ZIP 33138
GRAPHIC SCALE
-20 O IO ZO A98REyu110N3 AND MEANIN0.4
(IN FEET)
o' 1 INCH ■ 20 FEET
`O --�- >Na PE aAna KL 4ana
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BLOCK - 41
TREE TABLE
No.
NAME
"DIAMETER
(Ft.)"
"HEIGHT
(Ft.)"
"SPREAD
(Ft.)"
1
PALM
1.80
40.00
8.00
2
PALM
1.80
40.00
8.00
3
OAK
3.00
40.00
35.00
4
OAK
2.00
50.00
30.00
5
PALM
1.30
10.00
8.DO
6
PALM (2)
0.50
30.00
6.00
7
PALM
0.50
30.00
6.00
8
PALM
0.50
10.00
6.00
9
PALM (2)
0.45
35.DO
6.00
30
PALM (4)
0.50
30.DO
6.00
31
PALM (3)
0.40
30.DO
6.00
12
OAK
2.90
40.00
25.00
13
PALM
0.75
20.00
6.00
14
PALM
1.10
20.DO
6.00
15
PALM (2)
0.40
30.00
6.00
16
PALM (3)
0.65
35.00
6.00
17
PALM
0.45
30.00
6.00
is
PALM
0.80
12.00
4.00
19
PALM
0.60
30.00
6.00
20
PALM
0.40
20.00
4.00
21
PALM (3)
0.65
30.00
6.00
22
PALM (2)
0.45
30.00
4.00
23
PALM (3)
0.40
20.00
4.00
24
COCONUT PALM
1.20
30.00
12.00
25
PALM
0.35
13.00
4.00
26
SEAGRAPE
1 0.45
1 18.00
1 10.00
27
SEAG RAPE
1 0.90
1 20.00
1 12.00
LOCATION SKETCH
cl
SCALE •N.T.S.
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LEGAL NOTES TO ACCOMPANY SKETCH OFSURVEY:
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FLOOD ZONE WFORNATIOW
-
TIE NHPRL100 MAPS INVE DESpxA1ED lHE HEREIN OE4GNCEDIAND NPf SITUATED IN:
aaoozaNe r
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uarc
wrE OTTRN
111E NAVECTPAr)PERrI'OOES NOT LE NASPECVl a000 HALIRDMEA.
SURVEYOR'S NOTES:
SHOWN, BfA AR[ RRi'RCD TO AN ASwAICD MCNWN, H/ 9Ap nAr NI rn[ 0[SCRIrtgN Or
QIlYI
T R iO i0
PROR I If If NOT. CCM xGs AR£ rHEx FCRRRro CUA:iT, AhSn:P MAAPS.
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eoulm SENCH MARz INmz. louTOR xo. azso rv; elPvnrroN Is eea rm of x.r, v.o. or I sx5
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SURVEYOR'S CERTIFICATION:
_
HCPIDY f{Rr'.r/: m15'BOUNJARYwRVTT Of lnf PRORRIT DfPF Cro HCREON, nA5 NEfiHRY MEN
SURV[ttJ M'O DRAWN UNDCR W wPGK] %MD CONPUCS Wlrn rnC STMONNS of PRACTICE
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PDMINIsrRAiM CODE PLIWN�LO A]2.02], fIORICA SrA111rz5.
0111112018
CARLOS IBARRA IJAR of REIO Wo
G.B.W. LEGAL OESCRIPTION: • • 000 • • „,m.r,m..
LOT 3 AND 4, BLOCK A I QEMENDED PLAJ OF•MIAJO1 5v •..�: o`R. • PRwssaA'ALNnwRvxYor No.:6770 sr rzor rloww
• W.A�a�o INC` VAW uriHOJi MC Y�GNA - M9 TIE ORIGixAL cusCo 5GL OP A M1OWOA DC-NSCO wRv[ JR
®4 5ECTION No. I , ACCOFDMG TO THE PL•T THt%fQ` A`b • • -P r c. AND MI Z.
RECORDED IN PLAT BOOK It, PAGE "OFN1E WJBLY • • Rr"sm
RECORD5 OF MIAMI DAD ODNTY FL&JDk • • • • ON.
ON P,L. CERTIFICATION: x
S
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o
ITAY BEN ZVI
F.I.P. 112' LAUREN OHAYON
LEGEND
DRAWNBY:
AS
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• •••
• • •
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__-• =coNc�ETE Loc Aat�
UPC�R 4rF"Y
W.M.
a
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�OVERNEAD
• • •
•-=CMAIINK�EN
• •
FIELD DATE:
0111112018
d
NO. 67700
9'A5PNALT
o>0
WIRE
• •
•
-•-8---�-� ON C
=ODF • •.
STATE Of
SURVEYNO:
18-000158-1
0 "9' • ••--H-•-d�--•
PMMT. • • _•�- T=BuaD/N�BA�kuAE
P..
aUTILrr1177 MENT•
� • LIMITED ACCESS RIW
L LAtA
SHEET:
1 OF 1
LOT - 23 LOT- 24 H : NON -VEHICULAR ACCESS R/W
• EXISTING ELEVATIONS
SEAL
BLOCK - 41
BLOCK - 41
. OM
L-B.# 7806
• •
• • • •
• ••
• • • •
•• • • • •• ••
....
. . .... .
DIVISION OF PL-s-lg
Environmental Health
Florida Health 9�I�
eQ�O Miami -Dade County �D
OSTDS/Well Division
JJ 118055 SSW 26t�h/Street • Miami, FL 33175
• Inspector &4jfjc. / ' cn 7(r 0 a Date �i ` ` .
Address N; y f- 9' i J-'f OSTDS # A T 13 Y16,5751
Comments:
Signature
DIVISION OF
°i 44
Environmental Health
0 Florida Health
O� Miami -Dade County
eQR OSTDS/Well Division
11805 SW 26thh Street • Miami, FL 33175
Inspector />f/' '14fa6�7t 0 W. Date
Address Ni /Y f 9 y J'/ OSTDS # fJ ,E J / a%�
Comments:
Signature
PROPERTY ID #
- r ,
11-3206-013-5560
QV- P)
KIT #: 13-SM-1842031
EON # : AP 1341074
PAID:
PAID:
CPT #:
,NT #: PR1104897
[SECTION, TOWNSHIP, RANG`
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTF
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANG'
WHICH SERVED AS A BASIS. FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL tuVL vviu.
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 /'7GPD
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 [ 667 ] SQUARE FEET Bed configuration drainfield SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: (X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: CL 10.09' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE ( 2.28 ]( INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 32.281 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 72.001 INCHES
0
T
H
E
R
Inspector to verify the existing septic tank is properly abandoned before final approval.
*Invert elevation of drainfield to be no less than 7.90' NGVD.
*Bottom of drainfield elevation to be no less than 7.40' 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 sy fgti� ro-§ 61 ible for installing the minimum category of tank in accordance with
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED: 05/01/2018
TITL)ir_
Elza
DH 4016, 08/09 (Obsoletes all previous edi
Incorporated: 64E-6.003, FAC Z
TITLE:
Gh:e—ch may not be used)
EXPIRATION DATE
Dade CHD
11 /01 /2019
Page 1 of 3