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RC-16-2500 (2)INSPECTION RECORD Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. RC-9-16-25J17 Peri#f Tka.: *eiddma brit Eru Work cfassiricatlon., AdMon/Aiter Issue Date: 4/18/2017 Expires: 10/ 15/2 INSPECTION REQUESTS: (305)762 -4949 -or Log on at https://bldg.miamishoresvillage.conVcap REQUESTS ARE ACCEPTED DURING 8:30AM'- 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for -following day inspections. Residential Construction Parcel #:1132050310060 Owner's Name: CHRISTOPHER SAVITS Owner's Phone: Job Address:a e;R A 9 ':1 Total Square Feet:. 250 Miama aZWIN xy:1 - 3" Bond Number: 3379 i � '°"�' Total Job Valuation: $ 197,182.00 .. DISTINCTIVE HOMES a 7!7 WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM. r SATURDAY 8:OOAM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSPECTION RECORD STRUCrURAL INSPECTION DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Windows/Doors Interior Framing . Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base _- Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCLIMEN Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS ZONING INSPECTION DATE INSP Zoning Final ZONING COMMENTS ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough Telephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With f46k%61`,r ELECTRICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm PLUMBING INSPECTION DATE INSP I�^ �- Rough Water Service 2nd Rough " Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Gatch Basins Condensate Drains HRS Final PLUMBING COMMENTS ` 4 5 IL MECHANICAL INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater FinalVacuum7 .. MECHANICAL CO MENTS JOSE A. MARTINEZ, P.E. CIVIL STRUCTURAL ENGINEER September 11, 2019 Building Official Building Department Miami Shores Village 10050 NE 2nd Ave. Miami Shores, Florida 33138 Re: Monica & Christopher Savits 1460 NE 103 Street Miami Shores Village, Florida 33138 Permit # RC -9-16-2500 Dear Building Official: I Jose A. Martinez, P. E., having performed and approved the final required inspections for terrace, cover entrance , trellis and gazebo; hereby attest that to the best of my knowledge , belief and professional judgement, the structural and envelope components of the above referenced structure are in compliance with the approved plans and other approved permit documents. I also attest to the best of my knowledge, belief and professional judgement, the approved permit plans represent the as -built condition of the structural and envelope component of said structure. This Document is being prepared in accordance with Chapter 1 of the Florida Building Code and must be submitted to the Village of Miami Shores Building Department in conjunction with the application for a Certificate of Completion for the above referenced structure. Should you have any questions or need any additional information, please do not hesitate to contact me. 1NSince ,E? . 2 LLJ ; o A�, Jo I-Xartinmel, W v" Mc # P, Na j 509 �'.•' �� °pnccg�� 24 EAST. 5 STREET- HIALEAH, FLORIDA 33010 - TEL(305) 887-4417 Fax (305) 884-3967 U.S. DEPARTMENT OF HOMELAND SECURITY Federgil Emergency Management Agency 'National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 __ n_:a__._ ...A ., u �i4 . hm&ntc for r11 community official. (2) insurance agent/company, and (3) building owner. copy au pages or orauvfl is ciev%dFlLl %.a.V a",. a., �............._ ._.. , -- - FOR INSURANCE COMPANY USE SECTION A — PROPERTY INFORMATION Policy Number: Al. Building Owner's Name MONICA SAVITS & CHRISTOPHER SAVITS Company NAIC Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1460 NE 103 ST City State ZIP Code MIAMI SHORES Florida 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 15, BLK 5, PB 64, PG 97 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N25°52'11.82" Long. W80°09'59.86" Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1150.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 10 c) Total net area of flood openings in A8.b 1280.00 sq in d) Engineered flood openings? ❑ Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 400.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State VILLAGE OF MIAMI SHORES 120652 MIAMI-DADE Florida B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO306 L 09-11-2009 09-11-2009 AE 9.00' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Q No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1460 NE 103 ST City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: B-50 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.80 ❑x feet ❑ meters b) Top of the next higher floor 8.90 x❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet ❑ meters d) Attached garage (top of slab) 6.80 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.50 ❑x feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.40 x❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.50x❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet meters x structural support N/A ❑ ❑ SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? rx-1 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number ADIS N. NUNEZ 5924 �2� Title REGISTERED LAND SURVEYOR Company Name BLANCO SURVEYORS INC l Ler Address 555 N. ORE DR City State ZIP Code MIAM BE CH Florida 33141 Signa ur Date Telephone Ext. 0423-2019 (305) 865-1200 Copy afrpages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) LATITUDE AND LONGITUDE OBTAINED USING A.GARMIN DEVICE, C2(E) A/C ELEVATON CROWN OF THE ROAD ELEVATION ON CENTERLINE ON CENTER OF ROAD: 5.40' BM# B-50 ELEV. 10.02' LOC# 3250 S FtmA Form uS6-u-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ITT wA nr%K1 r%C0TIC1f%AT1= OMB No. 1660-0008 Expiration Date: November 30, 2018 ISI-vr%I.vg. v-... —.._ IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1460 NE 103 ST City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, if Check the measurement used. In Puerto Rico only, complete Sections A, B,and C. For Items E1—E4, use natural grade, available. enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is❑feet F1 meters ❑above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or [-]below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No EJ Unknown. The local official must certify this information in Section G. I SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who %ompletes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Nam Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 r- rrvwT1n&1 ^00r1C1f•ATC OMB No. 1660-0008 Expiration Date: November 30, 2018 •— G{.QVP%I IV11% I me V- — IMPORTANT: In these spaces, copy the corresponding information from Section A. IMPORTANT: FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1460 NE 103 ST City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable item(s) and sign below. Check the measurement Sections A, B, C (or E), and G of this Elevation used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) G2 or Zone A0. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters Datum of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 r-.. w -rn.1 n0071Clf ATG See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Policy Number: � 1460 NE 103 ST City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption _ Clear Photo One I I Photo Two Caption FEMA Form 086-0-33 (7/15) Photo Two Replaces all previous editions. Clear Photo Two Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 .—raiA-rr%L1 1�C071CIf ATG Cnntinuation Paae Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1460 NE 103 ST City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs "Front "Rear View"; if required, 'Right Side View" and "Left Side View." When applicable, with: date taken; View" and and, must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. photographs Photo Three Photo Three Caption Clear Photo Three y t Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 License # JB 172 Certificate of Compliance for Termite Protection (as required by Florida Building Code (FBC) 1816.1.7) Distinctive Homes (786) 367-2598 1460 N.E. 103rd Street, Miami Shores, Florida 33138-2626 Residence Permit # B16-2500 Method of Termite Treatment Prevention Treatment- soil barrier, wood treatment, bait system, other (describe) The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services Authorized Signature 1020 S. STATE ROAD 7 • PLANTATION, FLORIDA 33317 • 954-584-8588 • 1-800-749-8588 • FAX: 954-584-6117 N /-4 u. CONFIRMATION OF COMPLETION OF SUBTERRANEAN TERMITE TREATMENT AS REQUIRED BY FLORIDA BUILDING CODE (FBC) 1816.1.7 Purchaser's Frame and Address Distinctive Homes 5535 S.W. 11211' Ct. Miami, Florida 33165-6849 Treatment Site: 1460 N.E.103`d Street, Miami Shores, Florida 33138-2626 Project: Residence Chemical: Imidacloprid Square Feet: 780 Number of structures treated: 1 Date of Completion: 05/24/19 PERMIT: B16-2500 Block: N/A Product: Centerfire 75WSP @.05% Number of Gallons: 78 Lot: N/A Block: N/A Applicator: Devin Kolman Date & Time: 05/24/1912:00 PM Accurate Pest Control, Inc. hereby confirms that this building has received a complete, final treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws as established by Florida Department of Agriculture and Consumer Services. Exterior perimeter treatment was completed upon final grade. Guarantee: None 1 Year X (AREA TREATED ONLY) Renewal Yes 5 Year No X LICENSE NO. JB 1752 ACC14P,-ATE T CONTROL, INC. BY: ,L- - Harvey Sma es, President Revised on 06/01/19 1020 S. STATE ROAD 7 9 PLANTATION, FLORIDA 33317 • 954-584-8588 9 1-800-749-8588 • FAX: 954-5$4-6117 A ) aIVISION 0f Environmental Health Florida Health Miami-Dade2140 County *A kk OSTDS/Well Division Q` 11805 SW 26th Street # ��iami#AFL 331.75 L:tor Q r'- Date a iss IV40 WF %ll3 s OSTDS # e-413 71 lents: U re 7/9/20T9 Inspection Type: Building Final Requested Date: 11/14/2016 Requested Time: 12:00 AM Inspection Status: Passed Scheduled Date: 02/13/2017 Scheduled Time: 12:00 AM Link Type Name: Permit Completed Date: 02/14/2017 Completed Time: 12:00 AM Link Number: PL -11-16-3104 Inspector First Name: Rafael Inspector Last Name: Hernandez Rain Address: 460 NE 103 ST Miami Shores, FL CSS bldg.msvfl.gov/energov_prod/selfservice#/inspectionDetailAnspection/2913AO19-738C-4B5D-9458-74518208ADBC 1/1 FLORSAP' Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Expiration: 07/05/2017 Project Address Parcel Number Applicant 1460 NE 103 Street 1132050310060 Miami Shores, FL Block: Lot: MONICA SAVITS MONICA SAVITS 1360 N. E. 103 contractor(s) Phone Cell Ph MR C'S PLUMBING & SEPTIC INC (305)651-7859 of Work: DRAINFIELD of Piping: onal info: Return : ification: Residential Scanning: 3 Fees Due Amount Bond Type - Owners Bond $500.00 CCF $5.40 DBPR Fee $4.50 DCA Fee $4.50 Education Surcharge $1.80 Permit Fee $300.00 Scanning Fee $9.00 Technology Fee $7.20 Total: $832.40 Pay Date Pay Type Amt Paid Amt Due Invoice # PL -11-16-62051 11114/2016 Check #: 1195 $ 50.00 $ 782.40 01/06/2017 Check #: 97 $ 500.00 $ 282.40 01/06/2017 Credit Card $ 282.40 $ 0.00 Bond #: 3296 Cell AN $ 8,500.00 Feet: 400 Available Inspections: Inspection Type: HRS Approval Final Review Plumbing Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https:Hbldg.miamishoresvillage.com/cap/. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. January 06, 2017 2 P A 1 STATE OF FLORIDA , k%A1-0ADE COVE HEALTH (�PARTWiEN� DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Monica Savits PROPERTY ADDRESS: 1460 NE 103 St Miami, FL 33138 LOT: 15 BLOCK: 5 PROPERTY ID #: 11-3205-031-0060 CI IPn�t�c�c� PERMIT #:13 -SM -1717093 APPLICATION #: AP1261379 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1037519 SUBDIVISION: RE PLAT OF TRC MIAMI SHORES (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, 01/31,,2017 Incorporated: SYSTEM DESIGN AND SPECIFICATIONS T [ 1,050 ] GALLONS / GPD septic tank CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ 300 ) GALLONS DOSING TANK CAPACITY 167.00 ]GALLONS Q( 6 ]DOSES PER 24 HRS #Pumps ( 1 ] D [ 400 ] SQUARE FEET Bed confiouration drainfiel SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ j FILLED [ ] MOUND [ j I CONFIGURATION: [ ] TRENCH (x) BED ( ) N F LOCATION OF BENCHMARK: FFE 8.4' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 28 80)[ INCHES ' FT )[ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE ( 58.80)[ INCHES FT ]( ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ 42 00 INCHES "Performing Lift Dosing. 0 "Pumps must be certified as suitable for distributing sewage effluent. T 1. -Install a 1050 gal min, septic tank with an approved filter. H 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, E 3 -Install 400 sf of drainfield in bed configuration R (Comments Continued on Page 2 ) SPECIFICATIONS BY: KEMBLE ETTRICK TITLE: APPROVED BY: 11)� Qjy, TITLE: Engineering Specialist II DATE ISSUED: Erlands omiica Dade CHD 11;02/2016 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) 01/31,,2017 Incorporated: 64E-6.003, FAC i/�, my A#{$}ii, 00 0 UA 0 4C B.C.= BLOCK CORNER U.E.= UTILITY EASEMENT P.R.C.= POINT OF REVERSE CURVE '67 Ss�r a 3p 6O r8 ®= CONC. BLOCK WALL ®= �a 550 CH = CHORD SEC•= SECTION I HEREBY CERTIFY THAT THE SURVEY SINCE 1987 r B=Jp. MONUMENT LINE gcCAL - ENCR.- ENCROACHEMENT / y \ •b0 T ��T INC.T BLANCO SURVEYORS IlV 9 �= ASPHALT C.- CALCULATED M.= FIELD MEASURED F.F. ELEV. - FINISHED FLOOR a ) 2s� o 'b Ar. - x -x-- CHAIN LINK FENCE (CLF) p• - PER PLAT ELEVATION P.O.A.= PONT OF COMMENCEMENT N .0 PURSUANT TO SECTION 472.027 FLORIDA Engineers •Land Surveyors •Planners • LB # 0007059 BOUNDARY SURVEY RE tvl am, Shores YL_ APPRCVDD _ BY Y <<.'V ic- 'DEP L' DF° j I ED DATE ,IiAA, E( -T 1O C(�1.1GL IANCF \,p rri AL, Fr `.El LOCA TION MAP NOT TO SCALE .7•• •" .0000• 0000 0000 0000•• PROPERTY ADDRESS: 1460 NE 103 ST., MIAMI SHORES, FL. 33138 m i W Q N M M .4 0000 0000 0000 • 0000•• • 0000 0000•• • 0000 0000•• • • • 0000.. 0000•• 0000• •000.0 •. 000••0 • 0 • • • • • • LEGAL DESCRIPTION: LOT 15, BLOCK 5, OF REPLAT OF TRACT "C", MIAMI SHORES BAY PARK ESTATES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 64, PAGE 97, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORDA. SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECTTO OPINION OF TITLE. 2) NOT VALID WITHOUTTHE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURAN4E. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 11)ELEVATIONS BASED OFF OF BM# B-50 LOC# 3250 S ELEV. 10.02' ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNNG PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB: 64 PG: 97 0 - CONCRETE B.C.= BLOCK CORNER U.E.= UTILITY EASEMENT P.R.C.= POINT OF REVERSE CURVE ELEV.= ELEVATION ®= CONC. BLOCK WALL ®= S PROPERTY UNE CENTER LME A.E. = ANCHOR EASEMENT D.E DRAINAGE EASEMENT CH = CHORD SEC•= SECTION I HEREBY CERTIFY THAT THE SURVEY SINCE 1987 VALID UNLESS EMBOSSED WITH WOOD DECK ®= COVERED AREA MONUMENT LINE gcCAL - ENCR.- ENCROACHEMENT CH. BRG. CHORD BEARING B.M.= BENCH MARK �•- TOWNSHIP RG. =RANGE MEETS THE MINIMUM REPRESENTED REQUIREMENTS TECHNICAL REQUIREMENTS ADOPTED BY THE T ��T INC.T BLANCO SURVEYORS IlV SURVEYORS SI=!�L �= ASPHALT C.- CALCULATED M.= FIELD MEASURED F.F. ELEV. - FINISHED FLOOR B.R.= BEARING REFERENCE _SIDEWALK STATE FLORIDA BOARD LAND SURVEYORS - x -x-- CHAIN LINK FENCE (CLF) p• - PER PLAT ELEVATION P.O.A.= PONT OF COMMENCEMENT N .0 PURSUANT TO SECTION 472.027 FLORIDA Engineers •Land Surveyors •Planners • LB # 0007059 -��- = WOOD FENCE (WF) TYP. - TYPICAL N.T.S.= NOT To SCALE P.O.B.= PONT OF BEGINNING T.B.M.= TEMPORARY BENCH MARK STATUTES.THERE ARE NO ENCROACHMENTS.555 NORTH SHORE DRIVE - IRON FENCE (IF) P.R.M.= PERMANENT P.B.= PLAT BOOK P.O.B.= POINT OF BEGINNING OVERLAPS, EASEMENTS APPEARING ON THE PLAT A - ARC DISTANCE REFERENCE MONUMENT O.R.B.= OFFICIAL RECORD T.B.M.- TEMPORARY BENCH MARK OR VISIBLE EASEMENTS OTHER THAN AS SHOWN MIAMI BEACH, FL 33141 L- LENGTH G= CENTRAL ANGLE DELTA / P.C.P: PERMANENT CONTROL POINT BOOK M.H.= MAN HOLE FD. LR. - FOUND IRON REBAR HEREON. 305 865-1200 Email: blancosurve orsinc ahoo.com Fax: (305) 865-7810 ( ) Y @Y R =RADIUS FD. NAIL =FOUND NAIL C.B.S.= CONCRETE BLOCK FD. P.K.NAIL = FOUND PARKER-KALON NAIL P.S.M.= PROFESSIONAL SURVEYOR AND MAPPER -. •, , FLOOD ZONE: AE SUFFIX: L FEMA DATE: 09/11/09 BASE: 9' T = TANGENT P.T. POINT OF TANGENCY FD. D - FOUND DRILL H FD. 1/2' I.P. = FOUND IRON STRUCTURE BLDG =BUILDING A/C - AIR CONDITIONER PAD i T f i REVISED: P.C. - PONT OF CURVATURE PIPE I/2- DIAMETER O.H.L.= OVERHEAD UTILITY TX= TRANSFORMER�- P.P.= POWER POLE PANEL: 0306 COMMUNITY # 120652 P.C.C.= POINT OF COMPOUND CURVE C.M. - CONCRETE MONUMENT LINES TEL= TELEPHONE FAGLIIIES D.M.E.- DRAINAGE k MAINTENANCE EASEMENT ADIS N. NUNEZ DATE: SCALE: OWN. BY: JOB No. C.B.= CATCH BASIN W.M.= WATER METER 0.0'= EXISTING ELEVATION REGISTERED LAND SURVEYOR - CATV = CABLE UTILITY BOK R/W - RIGHT OF WAY STATE OF FLORIDA #5924 4/23/19 1° = 30' R.BELLO 19-327 f