PL-19-1492Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 07/08/2019
Location Address Parcel Number
670 NE 97TH ST, Miami Shores, FL 33138 1132060171630
Contacts
Permit NO.: PL -06-19-1492
Permit Type: Plumbing - Residential
Work Clossifrcutiort. Drainfiels
Permit,Status; Approved
Expiration: 12/24/2019
JOHN BARBICK Owner MR C'S PLUMBING & SEPTIC INC Contractor
670 NE 97 ST, MIAMI SHORES, FL 331382471 KEMBLE ETTRICK
Other: 3057546966
Business: 3056517859 kemble@mreseptic.com
Description: INSTALL DRAINFIELD Valuation: $ 2,490.00 Inspection Requests:
3{13-762-4948
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
$3.00
Technology Fee
$2.50
Total:
$111.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.90
Credit Card
07/08/2019 $111.90
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.
OWNEPyr/ : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulati o tru t and�zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner
/ Applicant / Contractor / Agent
Date
July 09, 2019 Page 2 of 2
Miami Shores Village c6 -1y6_6
Building Department J�"�- 40
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 C
FBC 20 (�
BUILDING Master Permit No.lQC)(0 -R z
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
(( CONTRACTOR DRAWINGS
JOB ADDRESS: A
City: Miami ShoresCountv: Miami Dade ZID: -�>3)31;5
Folio/Parcel#: 3264� — b C -7— 16 3 -the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: ?� FIFE:
OWNER: Name (Fee Simple Titleholder): jUl/ln art Phone#: ✓��^�`'� l ��
Address:
City: a �S( ��"State: Zip:
Tenant/Lessee Name: !� 1_ Phone#:
Email:
CONTRACTOR: Company Name: r • C t 7(
003-
'' .. \\ �- Phone#: ��
Address: ' W
City: /`A to : Zip:
Qualifier Name: t Phone#: �36' ', > S l r -? " I
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer: N I K Phone#:
Address: City: State2 Zip:
Value of Work for this Permit: $ O �I' l Square/Linear Footage of Work: d'u v
Type of Work: El Addition ❑ Alteration E-1NewI.VJ Repair/Replace ❑ Demolition
Description of Work:
�S21 G�l�
F ,
Specify color'of olor'thru tile:
Submittai+ee $-- Permit Fee $ CCF ,$ - CO/CC'$
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond$ �UUG
TOTAL FEE NOW DUE $ `
6II'G10
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) _
Mortgage Lender's Address
City
State
wig
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 charaed.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of I "(// +� +v 20 1 (i by
/b�Y1 �jl ✓�twC who is personally known to
me or who has produced 17 r VC r S bcen Sbs
identification and who did take an oath.
NOTARY PUBLIC:
Signature q�o�
CONTRACTOR
The foregoing instrument was acknowledged before me this
y� /d� ay of i � n -- 20 /' by
k2 R-. It W -Ti Cvbyho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
I
W'(,t, L
Sign:
Sign:
Print:"IA
✓� /I Print:
Seal: =
DONALD M ARTIN Seal:
MY COMMISSION # GG102743
'?p. ,,•'
EXPIRES May 09, 2021
********************************
**********************
APPROVED BY� Plans Examiner
Structural Review
(Revised02/24/2014)
N A Id PA v -6 r-
•'Y^l%i DONALD MARTIN
'= MY COMMISSION # GG102743
�oa, EXPIRES May 09, 2021
Zoning
Clerk
STATE OF FLORIDA
DEPARTMENT -OF, HEALTH,
ONSITE SEWAGE TREATMENT'AND DISPOSAL
SYSTEM
PERMIT #:13 -SC -1968872
APPLICATION #:AP1420175
DATE PAID:
FEE PAID -
DOCUMENT #:
PR1241696
SYSTEM DESIGN AND SPECIFICATIONS
•••••• ••• •
•
CONSTRUCTION PERMIT FOR. OSTDS Repair
R[ 0 1 SQUARE FEET
APPLICANT: John Barbick
••�•••
PROPERTY ADDRESS: 670 NE 97 St Miami, FL 33138
900 1
LOT; 34 BLOCK: 100 SUBDIVISION:'
••
CAPACITY • • • • •
PROPERTY Ib #: 11-3206-017-1630 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
3'
[OR TAX Iia NUMBER)
O 1
GALLONS / GPD
•
CAPACITY • •
•
SYSTEM MUSTBE CONSTRUCTED + IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S- .AND CHAPTER 64E-6, F.A-C. �(11 DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
'
SATISFACTORYtlPERFORMANCE ,FOR' -ANYry SPECIFIC PERIOD OF TIME. ANY CHANG£ T4N
••••
MA'T'ERIAL• FACTS,
WHICH SERVED•)-ASl At BASIS FOR ISSUANCE OF" THIS PERMIT, REQUIRE THE APPASUT
TO fi�E•�•
PERMIT APPLICATION.., --,-SUCH MODIFICATIONS + MAY, r RESULT IN THIS PERMIT BEINCP G OVER
•�ODIFY
NUt'14 • •AND VOID . %
ISSUANCE OF THIS PERMIT DOES, tNOT'! -EXEMPT THE APPLICANT FROM COMPLIANCL�••l�i�'H
••••••
OTHE33 •FEDERAL,
STATE, OR LOCAL,PERMITTING'REQUIRED FOR DEVELOPMENT OF THIS PROPERTY, ••••
�••••�
=-�t::: • •
•• •
• •
SYSTEM DESIGN AND SPECIFICATIONS
•••••• ••• •
•
•••••
R[ 0 1 SQUARE FEET
•
••�•••
T (
900 1
GALLONS / GPD Septic T2rtk ttyt (emSin'
••
CAPACITY • • • • •
• • • • •
A
O 1
GALLONS / GPD
•
CAPACITY • •
•
•
N (
0 ]
GALLONS GREASE INTERCEPTOR CAPACITY•
[MAXIMUM CAPACITY SINGZE TANK:�.25Q jALLON`�7••••
96646
K [
j
GALLONS DOSING TANK CAPACITY [
;GALLONS @[ ]DOSES PER'A HRS tRtynp9 [
•
•• •i
•
•
••••
D [ 300 1 SQUARE FEET
_New Drainfield Bed Conf.
SYSTEM
R[ 0 1 SQUARE FEET
SYSTEM
#
A TYPE SYSTEM: [XI
STANDARD [ ] FILLED
1 MOUND
I CONFIGURATION: [ ]
TRENCH j x J BED
( ]
? � �► � ' i" *!
N
'
F LOCATION OF BENCHMARK:
F.F.E: 9.80' NGVD:
"�° }...•,,- l se
I ELEVATION OF PROPOSED SYSTEM
SITE [ 8.40
1[ INCHES T
][ABOVE HELOW` BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE ( 63.401[ xNCHR9 FT ](ABOVE BELOW BENCHMARK/REFERENCE POINT
1i -0i
O
T
H
E
R
SPE
00 1 INCHES
1. -EXISTING 900 septic tank with an approved filter TO REMAIN,
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) FAG.
3.- Install 300 sf. of drainfield in BED configuration. Ti, , ,; , !:{
4.- Install 12" of slightly limited soil at the bottom of the drainfield.
5: -Invert elevation and Bottom of drainfield to be no less than 5.02 & MAN tiu�rJ'N'c� , -L•F, ,
`,Lt 115r
THIS PERMIT IS NOT FOR ANY ADDITIONS. - ", ' 1` •;
APProvectva ;� r— Date
' it 1
CIFICATIONS BY: tr. r i -r e..,« m7 ?Prove t'. y , ' Dqt;., ,, '
__r_
APPROVED BY: TITLE: Environmental Manager Dade CHD
DATE ISSUED: 061 I EXPIRATION DATE: 09/22/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAG Page 1 of 3
V 1.1.4 AP1420175 SE1191036
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