Loading...
PL-19-2070Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 13 NE 108 ST, MIAMI SHORES, FL 33161 Contacts Issue Date: 09/25/2019 Permit NO.: PL -W-49-2070 Permit Type: Plumbing - Residential Work Classification: Drainfield Permit -Status: Approved Expiration: 03/23/2020 Description: INSTALL DRAINFILED Valuation: $ 2,490.00 Inspection Requests: ADDRESS 13 NE 108 ST 3(iS-762 4949 Total Sq Feet: 0.00 Fees HOME OWNER Owner HOME OWNER MR C'S PLUMBING & SEPTIC INC Contractor KEMBLE ETTRICK Business: 3056517859 kemble@mreseptic.com $50.00 Description: INSTALL DRAINFILED Valuation: $ 2,490.00 Inspection Requests: ADDRESS 13 NE 108 ST 3(iS-762 4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 09/05/2019 $50.00 Credit Card 09/25/2019 $67.90 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS„ DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informatiorYis accurafe and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the alove named c n to do the work stated. Authorized Signature: Owner / Applicant / Contractor Agent Date September 25, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village Building Department BY: 10050 N.E:2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 [--]BUILDING ❑ ELECTRIC ❑ ROOFING sglo 5 lois FBC 20 Master Permit Nol' L 09 —11l X70 Sub Permit No ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL f--] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 13 NIC I%V v " iec 33161 Folio/Parcel#: 1 I ' r4 t -� Q 11 V> L 01-0 is the Building Historically Designated: Yes NO Occupancy Type: Load: iConstruction Type: Flood t Flood Zone: BFE: nn�•FFE: OWNER: Name (Fee Simple Titleholder): 13:$t,.t1' N SWAM Phone#: ."1`31. 51 Address: 13 1Y� IMA- S1W �y City: hkhm ` State: FLMPA Zip: 33i�i I Tenant/Lessee Name: Phone#: Email: r. CONTRACTOR: Company Name::M� . C't i � 61A4 k kM I ` C • Phone#: .6-h •em Address: (� bl WA 2.0 AINUIC �p q City: 1�11NMk State: R0904 Zip: 3`5ul1 (� Qualifier Name: ' 1. (+ // ���Phone#: State Certification or Registration #: S+� �b,�(���'C� Certificate of Competency #: DESIGNER: Architect/Engineer: iT Phone#: Address: City: State: Zip. Value of Work for this Permit: $_ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New rA Repair/Replace ❑ Demolition Specify color of color thru tile: A Submittal Fee $ Sd A 1 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) S ( r 0• Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State /V l /Ps" US 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. 1 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. SignatureC'"1�'".... m:. Signature OWNER or AGENT The foregoing instrument was acknowledged befor�e3 me this day of l�T_ 20 t by vl, who is personally known to me or who has produced 11 vi V / ►'S L1,C e 'A% - as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: MY COMMISSION # GG102743 EXPIRES May 09.2021 CONTRACTOR The forgoing instrume/g1t was acknowledged before me this day of {1JU—�5 20 (Cl by Lu\Lu ��� I �� who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ( �• i of �i r'�) DONALD MARTIN Seal:`` MY COMMISSION # GG102743 EXPIRES May 09, 2021 APPROVED BY lG Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Sallma Sawani PROPERTY ADDRESS: 13 NE 108 St Miami, FL 33138 LOT: 10 BLOCK: 215 SUBDIVISION: PROPERTY ID #: 11-2136-011-0420 PERMIT # : 13 -SC -1982662 APPLICATION #: AP1428688 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1249947 [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 I 900 j GALLONS J GPD Seotic Tank to Remain CAPACITY A { 0 ] GALLONS / GPD CAPACITY N ( 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K ( j GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] "[fie r:ontr tior (ter designee) Is rewired to perforrn a so' D [ 300 I SQUARE FEET New Drainfieid Bed conf. SYSTEM boring ad acent to the drainfieid exCavat';On at the time of f, R [ 0 ] SQUARE FEET SYSTEM InsDeclion, Prior t0 Final AppprOVal, the FDOH in.SP!Ct3r Sh A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ �itnLii tht SGiI boring and COrnare the results tG the Brig I CONFIGURATION: [ ] TRENCH [X] BED [ ] si' L - - .u. f ev.. N > i*rii F LOCATION OF BENCHMARK: FRE: 12.901 NGVD. I ELEVATION OF PROPOSED SYSTEM SITE j 20.40][ INCHES FT I ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 70,40 It sNCHES UT IjABOVE BELOW BENCHMARK/REFERENCE POINT L D F 0 T H E R ILL REQUIRED: ( U.OU] INCHES EXCAVATION REQUIRED* I bZ.UUI INCHES 1. -EXISTING 900 gal. septic tank with an approved filter TO REMAIN. 2.-3.- Install 300 sf. of drainfieid in BED configuration. 4.- install 12" of slightly limited soil at the bottom of the drainfieid. 5.- Invert elevation and Bottom of drainfield to be no less than 7.54'& 7.04' NGVD respect) x CR g R ` (Comments Continued on Page 2.) f�EPjL i FLORIDA HEALTH MIAMI-DADE COU SPECIFICATIONS BY: KEMBLATTRICK TITLE: APPROVED BY: /gdMaTITLE: Environmental Manager Dade CHD DATE ISSUED: EXPIRATION D E., 11/24/2019 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v i.M.a aPM.a2a6edL[JMBINC>�M,�t�TS A pproved Date V isapproved Date DOMMENT #: PR1249947 PERMIT IS NOT FOR ANY ADDITIONS 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. -The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 �ed drainfield area based on rule 64E -6.015(6)(c)2. a new drainfield to achieve Drainfield size requirement. �G pL�S .pate/ ,QLt )A�� r�sappr 0 V iv I2.O' ASPHALT ALLEY o 73a31i ".� . ws .... .I.' 1%2" F. P. 1/2" (N .ID) '�, °GONG: _0 45.fiti' a0 (NO. ID) CO ,n 5' WOOD' %,Ut FENCE ' ti 28,55' •••••• •••••• 2.3. a a twi i6,3' r t ••i•• • s • Q% � :�. } 3 14,4 � � � •••••• 11 1 I - . J ` O ••• •••• • • Q x t j j O . 00 • • • y- xkn 00 c� I � OdD � a � i � � � j •� ,: N •���IVQ�ib • �•� ••i••• } w NCE I ���jj {! pf{��//�� fl.�O c • • FINCE • • • too*:* 0,35 s ' : • • ••••:• _ N N:RO �a LE DRIVE ' S_ 1 13.0 12.40 • • • • • • ti z z t 1 Ut CONC •••••• L) 4N , .. • . .. 'g' } a h r1 ••i••• o w c 14.35 0 1. vIt0O0 �' v C7 0 U Q ROOF C 0 Z 0 w� � cp CONC 4 28.20' —1 , a ON m mu� 3,X3 `J QQ N : 3 B/R SFR ' T • 4D Ic iMti i r, SE 5 019 N u J 28.20' m ,o' ;y 1 SATH11.0 TILE 1 res 12 4 o 0.45' 14,3 �A C� 25' �-cONC PLUM % P�A wgv(F)3 .o' y � .a Approved , j La tee,- ,�AW CSW 75.00" (PJ F.I.P. 1/2" (N©,tgL_D to '#'- �-� (Na ID) 'E O O CJ coikcr _ _ f 14.0' 33.70' �1 '114.V.1 _ 75' RIGHT-OF-WAY (BY PLAT ; 17'-+ ASPHALT PA VEMf NT . . #.. N.E. 108th STREET : f' There are no pertinent features on adjacent properties and or across the street that may affect the New Septic System Installation G0 ' �v Y� 1 ��