PL-19-1568Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 07
Location Address Parcel Number
9701 NE 4TH AVE, Miami Shores, FL 33138 1132060170240
Contacts
Permit NO.: PL -07-18-1563
Permit Type: Plumbing - Residential
Work Clossificotion: Septic/Drainfield
Perm, if -Status. Approved
Expiration: 01/13/2020
BRIDGE INVESTMENTS II LLC Owner MR C'S PLUMBING & SEPTIC INC Contractor
9701 NE 4 AVE, MIAMI SHORES, FL 33154 KEMBLE ETTRICK
Mobile: 7863339096
Business: 3056517859 kemble@mreseptic.com
Description: INSTALL DRAINFIELD & SEPTIC TANK Valuation: $ 4,600.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
DBPR Fee
$2.42
DCA Fee
$2.00
Education Surcharge
$1.00
Permit Fee
$111.00
Scanning Fee
$9.00
Technology Fee
$4.03
Total:
$182.45
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$182.45
Credit Card
07/16/2019 $132.45
Credit Card
07/09/2019 $50.00
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, MECHAMCAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the fa
regulating construction and zoning. Futhermore,
Authorized Signature: Owner / Applicant / Contractor
is accurate and that all work will be done in compliance with all applicable laws
named contractor to do the work stated.
/ Agent
Date
July 16, 2019 Page 2of2
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department JUL 9 2,019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:'��
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F BCI�20 I a
Master Permit No.Rn- l G�
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City:
Folic
Occ _
Miami Shores County: Miami Dade Zi 3!2
�6
/Parcel#: 3a//b b — L)�� 6 C) Is the Building Historically Designated: Yes NO
upancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titl
Address: 57D
City: lr
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: ' `-� Phone#:
D,
Address: l ` NVV �� '
City: �5tate: Zip: r �/
Qualifier Name: Q�-"v Phone#:
State Certification or Registration #: ��0� �O Certificate of Competency #:
DESIGNER: Architect/Engineer: %'V l ► ` Phone#:
Address: City: State:
Q Zi
Value of Work for this Permit: $ J
n Square/Linear Footage of Work: n
Type of Work: 1:1 Addition F-1Alteration El New ❑ Repair/Replace El Demolition
Description of Work: k i r f I
Specify color of color th u tile:
Submittal Fee $ S Ci ! Permit Fee CCF CO CC
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ S—w�
2 L'
TOTAL FEE NOW DUE $ IJZ ' y -S
(Revised02/24/2014) 4
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) _
Mortgage Lender's Address
City
State
IV
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.
r
Signature
WNER or AGENT
The foregoing instrument was acknowledged before me this
day of 7�3'r-L- 20 \A by
�2X S P gGG �G`n -,who is personally known to
me or who has produced
t`IH
identification and who did take an oath.
NOTARY PUBLIC:
Signature,
5
��
CONTRACTOR
The foregoing instrument was acknowledged before me this
I day of } wl 20 by
� I who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
as
Print: A,� VAO 01rTA(4C7r - Print: 6 n
Seal: Seal: ;.�^Y° DONALD MARTIN
/^�,
A�iina Avakian MY COMMISSION # GG102743
C4=#GVM1 EXPIRES May 09, 2021
********** ************************* *********
V.01 W1 NWW ft AM N*1 '
APPROVED BY 7 15 ldj Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
PERMIT #: 13 -SC -1 969904
APPLICATION # : AP 1420792
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1242282
i,
D ( 300 J SQUARE FEET New Drainfield Bed COnf. SYSTEM
R [ 0 J SQUARE FEET SYSTEM
A TYPE SYSTEM: [x) STANDARD [ ] FILLED [ ] FUND [ J
I CONFIGURATION: [ ] TRENCH [x] BED [ J
N
F LOCATION OF BENCHMARK: F.F.E: 12.10' NGVD.
I ELEVATION OF PROPOSED SYSTEM SITE [ 25.20][ INCHES FTir ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 75.20][ INCHES FT ](ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED`, [ 0.00 ]- INCHES EXCAVATION REQUIRED: [ 62-001 INCHES
O
T
H
PE
R
1.- Install a 900 gal, septic tank with an approved filter.
2.- 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.
3.- Install 300 sf. of drainfield in BED configuration.
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 6.34'& 5.84' NGVD respectively.
THIS PERMIT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY: Mr C1.0rPlb Sept TITLE:
APPROVED BY: TITLE: Environmental Specialist II Dade CHD
EtiWk Perera
DATE ISSUED: 06/27/2019 EXPIRATION DATE: 09/2512019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 642-6.003, FAC Page 1 of 3
fiGl
A1'74207H2 ss:�v}
CONSTRUCTION PERMIT FOR: OSTDS R@ air
APPLICANT: (Brid e. Investments LLC
y
PROPERTY ADDRESS: 9701 NE 4 Ave Miami, FL 33138
LOT: 1011 BLOCK: 87 SUBDIVISION;,
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 11-3 06-017-0240
(OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND •STANDARDS ••4r•• SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A,.C.
DEPARTMENT APPROVAL OF SYSTEM••DOES N157••GUARANrTj&••
SATISFACTORY PERFORMANCE FOR ANY 'SPECIFIC
PERIOD OF TIME. ANY CHANQj.. MAItR;AI1
FACTS,.
WHICH SERVED AS A BASIS FOR ISSUANCE OF
.A
THIS PERMIT, REQUIRE THE AP,4Tj M TO MGDIFY eTIM :•
PERMIT APPLICATION. SUCH MODIFICATIONS MAY
RESULT IN THIS PERMIT BEING••WE NULL •AND
VOID. •
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT
THE APPLICANT FROM C0MPLIANC%..1jrTiH G&W. FEDERAL, •
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. •••••• •
••�••
SYSTEM DESIGN AND SPECIFICATIONS
••••••
• • • •
••••••
•
T [ 900 ] GALLONS I GPD New Seatic Tank_ CAPACITY • • ••••:•
•••• •
••••i•
A [ 0 ] GALLONS I GPD
CAPACITY
CAPACITY
(MAXIMUM CAPACITY SINGLE TANK. -1250 GALLONS.]
i••••i
• •
N (, 0 J GALLONS GREASE INTERCEPTOR
K [ J GALLONS DOSING TANK CAPACITY [
]GALLONS 8[ ]DOSES PER 24 HRS #Pumps
( ]
D ( 300 J SQUARE FEET New Drainfield Bed COnf. SYSTEM
R [ 0 J SQUARE FEET SYSTEM
A TYPE SYSTEM: [x) STANDARD [ ] FILLED [ ] FUND [ J
I CONFIGURATION: [ ] TRENCH [x] BED [ J
N
F LOCATION OF BENCHMARK: F.F.E: 12.10' NGVD.
I ELEVATION OF PROPOSED SYSTEM SITE [ 25.20][ INCHES FTir ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 75.20][ INCHES FT ](ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED`, [ 0.00 ]- INCHES EXCAVATION REQUIRED: [ 62-001 INCHES
O
T
H
PE
R
1.- Install a 900 gal, septic tank with an approved filter.
2.- 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.
3.- Install 300 sf. of drainfield in BED configuration.
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 6.34'& 5.84' NGVD respectively.
THIS PERMIT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY: Mr C1.0rPlb Sept TITLE:
APPROVED BY: TITLE: Environmental Specialist II Dade CHD
EtiWk Perera
DATE ISSUED: 06/27/2019 EXPIRATION DATE: 09/2512019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 642-6.003, FAC Page 1 of 3
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A1'74207H2 ss:�v}
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Z ••••••
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ro :, •• ��[•• • -
cn
0.,< �,. a +° d ,�I'O JJ cil
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D/ ---z •z CONC -{� co n m 26.3.... G d.
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25.4' 33.3' } °-'
� ❑ 3X3' � - - �
AIC 71��9
cupy . < 11'X22' �.'�.� . '.
]PLUMBING PLANS a
leg
r
PERMIT
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BY
ATE
APF90\vED C� � r JUL ®9 1019
70NING DEPT y�• ._�4._.. -� la -51, BY;
i
-3'-DG DEPT
DEJECT 1'0 CGh1PlYNCE W F9 ALL FEDERAL
"ATG AND Cc IjN'i'f ril,L.S AND REGULATIONS
_y