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PL-19-912Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 250 NW 93RD ST, Miami Shores, FL 33150 Contacts 1 Issue Date: -05/06/2019 Parcel Number 1131010331110 Permit NO.: PL -04-19-9112 Permit Type: Plumbing - Residential Work Classification: Drainfield Permit Status: Approved Expiration: 11/04/2019 ASHLEE THOMAS Owner A SUPER SEPTIC & DRAIN FIELD INC Contractor 25093 BRYAN K ZERO 7701 W 18 LN, HIALEAH, FL 33014 Description: DRAINFIELD REPLACEMENT Valuation: $ 3,500.00 Inspection Requests: 49 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $72.50 Scanning Fee $9.00 Technology Fee $3.06 Total: $141.76 Payments Date Paid Amt Paid Total Fees $141.76 Credit Card 04/25/2019 $50.00 Credit Card 05/06/2019 $91.76 Amount Due: $0.00 Building Department Copy 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 information is accurate and that all work will be done in compliance with all applicable laws rPnulatinn onina. Futhermore_Lau tfactor to do the work stated. Owner / Applicant / Contractor / Agent rfj /o �- / f 9. Date May 06, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village 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 APR 2 5�r10�19 �T COn FBC 20 I�- Master Permit No.) -()Q - P -q 12 - Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL EdPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: J-656 (U U) CI � _S 1 _l,� -F 2�— City: Miami Shores County: Miami Dade Zip: -13 If) U / Folio/Parcel#: (- / b 1 - b 3 3 IIID Is the Building Historically Designated: Yes NO ✓ Occupancy Type: p S Load: Construction Type: % Flood Zone: i BFE: FFE: / OWNER: Name (Fee Simple Titleholder): U h S I hrn A Phone#: Address:, IT W q ' 2My el— City: C \� M State: E �- Zip: Tenant/Lessee Name: Email CONTRACTOR: Company Name: �L(z ie r2 9o`��i )gin io I ;� I� T� .� Phone#:(��-3G y D/i✓ Address: 7/%O ! W/IS �� n n 6 - City: {- (p n, State: I 0 R j Zip: -23-3 b) �/ Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Address : °3as ',' /, h/- O// 3 Certificate of Competency #: -'�'A- U ! b f 9,D City: State Value of Work for this Permit: $3; d" 0 Square/Linear Footage of Work: L50. Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile:. Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ � ' TOTAL FEE NOW DUES -I , ' ?(0 (Revised02/24/2014) SG) Bonding Company's Name (if applicable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ 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 a nspection fee will be charged. Signa tur Signature OWNER or AGENT TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ff r 1 20 1 P , by (� day of pM)� 11 120 by erf)n h f: Ih ho is persnonallyCknown to who is personally known to me or who has produced —l 1 �C�V �as me or who has produced r�7 , �� y , as identification and who did take an oath. NOTARY PUBLIC: Print: v •%-Jcxv� v - - �— Seal: ,..�.•« P , M MiARN K. GONZALEZ kos ... MY COMMISSION # GG 044602 ' EXPIRES: November 2, 2020 PUbIrUnderwrhers (Revised02/24/2014) identification and who did take an oath. NOTARY P Si Print: Seal: MY COMMISSION # GG 044602 Bonded Thru Notary Public UnderwdDers *********************************************************** BY �—-/Xi��% Plans Examiner Structural Review Zoning Clerk 4/25/2019 Property Search Appl ication - M iam i- Dade County OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-033-1110 Property Address: 250 NW 93 ST Miami Shores, FL 33150-2236 Owner ASHLEE THOMAS DEMIAN THOMAS Mailing Address 250 NW 93 ST MIAMI SHORES, FL 33150 USA PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,634 Sq. Ft Living Area 1,296 Sq. Ft Adjusted Area 1,465 Sq. Ft Lot Size 9,225 Sq. Ft Year Built 1948 Assessment Information Benefit Type 2018 2017 Year 2018 2017 2016 Land Value $203,198 $203,198 $203,198 Building Value $109,875 $101,964 $101,964 XF Value $1,696 $1,712 $1,728 Market Value 1 $314,769 $306,8741 $306,890 Assessed Value $196,186 $192,151 $188,199 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $118,583 $114,723 $118,691 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 6 PB 10-39 LOT 9 & W1/2 LOT 8 BLK 135 LOT SIZE 75.000 X 123 OR 20843-3059 09 2002 4 COC 25195-3577 12 2006 1 Generated On : 4/25/2019 Taxable Value Information OR 2018 2017 2016 County Price Exemption Value $50,000 $50,000 $50,000 Taxable Value $146,1861 $142,151 $138,199 School Board 07/10/2018 $500,000 Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value $171,186 $167,151 $163,199 City Sales which are qualified Exemption Value $50,000 $50,000 $50,000 Taxable Value $146,186 $142,151 $138,199 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $146,186 $142,151 $138,199 Sales Information OR Previous Price Book- Qualification Description Sale Page 07/10/2018 $500,000 31063- Qual by exam of deed 2871 12/01/2006 $496,000 25195 Sales which are qualified 3577 03/01/2005 $283,000 23243- Sales which are qualified 1332 20843- Sales which are disqualified as a result of 09/01/2002 $0 3059 examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/Iwww.miamidade.gov/info/disclaimer.asp Version A SUPER SEPTIC & DRAIN FIELD INC. CC: SR0161772 PHONE: 305-364-0113 DATE: L � -r� STATE OF FLORIDA COUNTY OF MIAMI-DADE 7701 WEST 18 LANE HIALEAH, FLORIDA 33014 Licensed and insured E-iYIAiL: ASUPERSEPTICOGN-tAIL.COM WWW.ASUPERSEPTIC.COM FAX: 305-364-0349 BEFORE ME THIS DAY PERSONALLY APPEARED, 9 WHO BEING DULY SWORN, DEPOSES AND SAYS: THAT HE Opp''R SHE WILL BE THE ONLY PERSON WORKING ON THE PROJECT AT: 5V /V\W 13 F i . 2� (f-0 Contractor Signature: SWORN TO (OR AFFIRMED) AND SUBSCRIB D TOME THIS 2 � DAY OF o" o'i 2019, BY: Y PERSONALLY KNOWN OR PRODUCED IDENTIFICATION O TYPE OF INFORMATION PRODUCED S� tr?r?g"' •, MAHARAI K GONZALEZ r MY COMMISSION # GG 044602 o< EXPIRES: November 2,2020 Bonded Thru Notary Public Underwriters PRINT, TYPE, OR STAMP NAME OF NOTARY Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of r) _,20 B� rn A q2) - N J'10 P r C who is persot � � down to me or has produced ty rV--Q as identificati� yt�': •••• r0 �i�� 50A2 N O i Notary: ` ��',�•; o s SEAL: . s J00G287288 i °OideA tt�� • AA STA S 1Rt-'`,`` . APR 2 511 CERTIFIED TO: Demian and Ashlee Thom LendUS, LLC Mor/yn J. Wlener, P.A. O/d Republic National Tit/e / 0 0 10 20 40 1 inch = 20 ft. ..................................:.......................................................-.................. 123.35' REMAINDER OF LOT 8 o BLOCK 135 $: 1/2° F.I.P N (NOT INCLUDED) N: NO I.D. 1/2' F.LR. Z z :::... m o••• No I.D. N0071'08"W 123.36'45 Roy 56.24' • ... R''' I 23.55- 43.60!13. ...... vv � vv � c�i � d • ;� "��... I LOTS S •—• /•• n, R .... I 1'j QS' 6•]0' Wig• v BLOCK 135 9 �i' 4 5�+ • • r I 'vv vvy�✓'vvvv vvvv • 2 • .', .', 1 vvvv. - ......... .... .... ..... .... ... uvv.v. ................ ... vvvvvv vvvvvvv • • _ vvvv vvvv , ''•4' vvvvv � v..vvvv •• � -- -�-- vvvvv v v v• vvvv • I I 1 �• VVVVVV VVV � ..11LED..,,,,,, �•• , V V V V V V V V V V V V V V • Q•" vvvvvv vv vvvvvvv ••✓'• I e� � vvv v vvvvvvvv 3 Q-',' , v�ivv O vvvvvvv � sOj. v.<</✓v I p�vvvvvv v �`� I v Q�vw 1 cv aA vvv �qr ONE-STORY 3.70 s' wooD FENCE:::: I ., RESIDENCE 250/� y I , vv vvvvv „ LOT .. vvv 4W 0 QL0 350' vw BLOCK 135 tun) I .�.'-... 1.50 I I v 4+• _ ... v ALLEY.- I A a+w`i U I PER , 26.50 61.02' 3 PLAT 41 35.88' _ _ —. I ---- -( 4' CLF-TNOO%1 �07��'i� E J 123 39' 1/2' F.LR. o :'POWER 1/2 F.I.R. DATE _ .'.PQM NO I.D. —NO I.D. 1 LOT'1V I"r'G r ; f BLOCK 3 RLDG DEFT V1 C) ® BLOCK SUBJECT i 0 C�:hIS'I.If`NC_ WI �� AI FFU�R4� CORNER a SiATFAN)C.'C 1JN E SIN? _T UEETS THE STANDARD OF PRACT/CE AS SET FOA s. -THIS• i✓ BY T-r� .f.Z10RIDA BOARD OF PROFESSIONAL SURVEYORS AND AtAFPERS 1W : HAP1rR 5J-17, FLORIDA ADM/N/STRARhE CODE. IN v L• - Date: 6122118 N -E -KUHA PS A, STATE OF FLORIDA PFESSIONAL SURVEYOR AND MAPPER LS 6711 VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. M • • 1�ql BASELINE LAND SUR9t 1400 N. W. 1st COURT BOCA RA TON, FLORIDA 33432 (561) 417-0700 LS -8229 JOB NO.: 18-06-030 LEGEND ARE HYDRANT A/C = AIR CONDITIONER P = PLAT C.B.S. = CONCRETE BLOCK STRUCTURE P.B.C. = PALM BEACH COUNTY C = CALCULATED P.B. = PLAT BOOK CH = CHORD P.C. = POINT OF CURVATURE � = CENTERLINE P.K. = PARKER KALON COMPANY C/S = CONCRETE SLAB D= DEED CONC. = CONCRETE 0.00'x= SPOT ELEVATION D.E. = DRAINAGE EASEMENT P.R.C. = POINT OF REVERSE CURVATURE A = DELTA (CENTRAL ANGLE) PG. = PAGE EL. = ELEVATION P.S.M. = PROFESSIONAL SURVEYOR AND MAPPER F.I.P. = FOUND IRON PIPE R = RADIUS F.I.R. = FOUND IRON ROD R/W = RIGHT OF WAY L = ARC DISTANCE U.E. = UTILITY EASEMENT ; •.• L.B. = LICENSED SURVEY BUSINESS C.L.F.= CHAINLINK FENCE • • • M = MEASURED ISAOA = ITS SUCCESSORS AND/OR AS$I.W: NO I.D. = NO IDENTIFICATION ATIMA = AS THEIR INTEREST MAY APPEARS. • N/A = NOT APPLI A NAVD'88 = NORTH AMERICAN VERTICAL DATUM OF 1988 • • NGVD'29 = NATIONAL GEODETIC VERTICAL DATUM OF 1929 : e o v: SYMBOL • ca CATCH BASIN • • • (2D WATER METER UTILITY POLE LIGHT POLE OVERHEAD WIRE UNE (OHW) CHAIN LINK FENCE (C.L.F) —,� — WOOD FENCE (W.F) -o---o -- METAL FENCE (M -F) o- PLASTIC FENCE (P.F) - WIRE FENCE (W.F) SURVEY NOTES: LOCATIONS ARE LIMITED TO VISIBLE IMPROVEMENTS ONLY AS SHOWN HEREON. LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THE SURVEYOR FOR EASEMENTS, RIGHT-OF-WAYS OF RECORD, OTHER RESTRICTIONS OR RESERVATIONS. DESCRIPTIONS PROVIDED BY CLIENT, OR THEIR REPRESENTATIVE. ALL DOCUMENTS ARE RECORDED IN SAME COUNTY AS PROPERTY LOCATION UNLESS OTHERWISE NOTED. ROOF OVERHANGS NOT LOCATED. SURVEY MEETS ACCURACY STANDARD FOR SUBURBAN SURVEYS (1 FOOT IN 7500 FEET). ELEVATIONS SHOWN HEREON ARE REFERENCED TO NGVD'29, UNLESS OTHERWISE NOTED. LEGAL DESCRIPTION: LOT 9 AND THE WEST ONE HALF (1/2) OF LOT 8, IN BLOCK 135 OF MIAMISHORES SECTION 6, ACCORDING TO THE PLA T THEREOF, AS RECORDED /N PLA T BOOK 10, PAGE 39, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. Tl 7Z_ E.- MAP OF BOUNDARY SURVEY SCALE. l " = 20' COMMUNITY PANEL,¢ FLOOD ZONE. BASE FLOOD EL.: DRAWN BY SG 120652 03025 H X N/A CHECKED BY- ✓.K. DA 7F OF FIRM.- BASIS 6F BEAR/NG. S R14Y UNE Cly NW 93RD STREET, SAID 9/11/2009 1 UNE HA WNG AN ASSUMED BEAR/NG CIS N90 00'00'E PROPERTY ADDRESS: 250 NW 93RD STREET, MIAMI SHORES, FLORIDA 33150 '.50! NOTES/RENS/ONS PARTY CHIEF* ARNUL SURVEY DA TE• 61 22 ARE HYDRANT W CABLE BOX ® ELECTRIC BOX © TELEPHONE BOX WATER VALVE CHAIN LINK FENCE (C.L.F) —,� — WOOD FENCE (W.F) -o---o -- METAL FENCE (M -F) o- PLASTIC FENCE (P.F) - WIRE FENCE (W.F) SURVEY NOTES: LOCATIONS ARE LIMITED TO VISIBLE IMPROVEMENTS ONLY AS SHOWN HEREON. LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THE SURVEYOR FOR EASEMENTS, RIGHT-OF-WAYS OF RECORD, OTHER RESTRICTIONS OR RESERVATIONS. DESCRIPTIONS PROVIDED BY CLIENT, OR THEIR REPRESENTATIVE. ALL DOCUMENTS ARE RECORDED IN SAME COUNTY AS PROPERTY LOCATION UNLESS OTHERWISE NOTED. ROOF OVERHANGS NOT LOCATED. SURVEY MEETS ACCURACY STANDARD FOR SUBURBAN SURVEYS (1 FOOT IN 7500 FEET). ELEVATIONS SHOWN HEREON ARE REFERENCED TO NGVD'29, UNLESS OTHERWISE NOTED. LEGAL DESCRIPTION: LOT 9 AND THE WEST ONE HALF (1/2) OF LOT 8, IN BLOCK 135 OF MIAMISHORES SECTION 6, ACCORDING TO THE PLA T THEREOF, AS RECORDED /N PLA T BOOK 10, PAGE 39, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. Tl 7Z_ E.- MAP OF BOUNDARY SURVEY SCALE. l " = 20' COMMUNITY PANEL,¢ FLOOD ZONE. BASE FLOOD EL.: DRAWN BY SG 120652 03025 H X N/A CHECKED BY- ✓.K. DA 7F OF FIRM.- BASIS 6F BEAR/NG. S R14Y UNE Cly NW 93RD STREET, SAID 9/11/2009 1 UNE HA WNG AN ASSUMED BEAR/NG CIS N90 00'00'E PROPERTY ADDRESS: 250 NW 93RD STREET, MIAMI SHORES, FLORIDA 33150 '.50! NOTES/RENS/ONS PARTY CHIEF* ARNUL SURVEY DA TE• 61 22 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR CONSTRUCTION PERMIT Permit Application Number ---------------------------PART II - SITEPLAN--------------------------- Scale: Each block represents 10 feet and 1 inch = 40 feet. Notes: ADDING A POOL, RELOCATING EXISTING 200 S.F BED, WITH 150 IN TRENCH CONFIGURATION D.F Site Plan submitted by: Plan Approved By of Approved CONTRACTOR Date 4- 16 -19 ,. County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 2 of 4 (Stock Number: 5744-002-4015-6) 11■ II ■I � !. ■IDI ■■1�■■■■■■■■■■ ■���i�ll■■®■■■ � Y■ II 6. i I■ ■IDI ■■Ii■■■■■■■■■■►■■■®�iwa■■!! � ■®■ii®�i fit! JL!�� iii■■■■■■■■■■■■It■■�■ ill■■■■■■■■■■■1 ■ ■■■■■11■■■■■■■■I ■■■■ I' ■■■■■■■■■■■■1 � ■■■■■1 i=====i=i �■■■ Notes: ADDING A POOL, RELOCATING EXISTING 200 S.F BED, WITH 150 IN TRENCH CONFIGURATION D.F Site Plan submitted by: Plan Approved By of Approved CONTRACTOR Date 4- 16 -19 ,. County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 2 of 4 (Stock Number: 5744-002-4015-6) I REPAIR MIAMI -DADS COUNTY HEALTH DEPARTt .W STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: APPLICANT. Ashlee Thomas r r 1 OSTDS Repair PERMIT 0:13 -SC -1941445 APPLICATION tl: AP1409073 DATE PAID: FEE PAID: RECEIPT (I: DOCUMENT #: PRI 21366 i PROPERTY ADDRESS: 250 NW 93 St Miami, FL 33150 , SUBdIVIsim Miami Shores Sec 6 BLOCK: 135 LOT: 8 9 [SECTION, TOWNSHIP, MRCEL N om]. RANG, •••• PROPERTY ID N: 11-3101-033-1110 [OR TAX ID NUMBER] •• •:069 • -*JAAARDB OH SECTION CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND ••• ES 1510T UARANlHH••' SYSTEM 5D • SYSTEM MUST BE OF CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL . • • • CHANGE••IN MA2ERSAi. FACiii•• 381.0065, F.S., AND SPECIFIC PERIOD OF TIME. PERFORMANCE FOR ANY REQUIRE THE •••• TO• KOAIFY THE • ABBLICnT • ••••• SATISFACTORY SERVED AS A BASIS FOR ISSUANCE OF THIS 'PERMIT, THIS PER • BEING ME NUI+s+• A� VQiID' ••••• WHICH C7. �� APPLICATION. SUCH MODIFICATIONS MAY RESULT IN FROM C PLIANOE • • • •��H OTHEit FEDERAL.• • • PERMIT EXEMPT THE APPLICANT ISSUANCE OF THIS PERMIT DOES NOT DEVELOPMENT OF THIS PROPERTY- DE • • • • ••••• •••••• • STATE, OR LOCAL PERMITTING REQUIRED FOR • • •• •••••• • • •• YSTEM DESIGN AND SPECIFICATIONS S CAPACITY T ( 900 1 GALLONS / GPD EXIStinQ septic tank CAPACITY GALLONS] A I ] GALLONS / GPD _ ACTY SI N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAX 6ALLO Q]DOSES ER 24 HRS #PUMPS L 1 K L ] GALLONS DOSING TANK CAPACITY L D [ 150 ] SQUARE FEET Trench configuration drainfi SYSTEM R [ ] SQUARE FEET MOUND I 1 A TYPE SYSTEM: Lx] STANDARD L l FILLED I ] I CONFIGURATION: [x] TRENCH L ] BED L ] NFFE 12.8' NGVD F LOCATION OF BENCHMARK: FT I ABOVE BELOW BENCHMARK/REFERENCE POINT I ELEVATION OF PROPOSED SYSTEM SITE L 26.4011 INCHES FT ]L ABOVE BELOW BENCHM&RK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE ( 61.40 ] L INCHES L EXCAVATION REQUIRED: ( 35.00] INCHES D FILL REQUIRED: L ] INCHES 1. -Existing 900 gat. septic tank, certified A Super Septic &Drain Field Inc on 04/16/2019, to remain. 0 2. -Install 150 sf of drainfield in trench configuration. T 3. -Perimeter of excavation areashall s be no lat leastess than ft wider and 8.18' NGVD. longer than the proposed absorption bed or drain trench. H 4. -Invert elevation of drainfield t 5 -Bottom of drainfield elevation to be no less than 7.68' NGVD. E The system is sized for 2 bedrooms With a maximum OR ANY occupancy ADof DITIONS" persons (2 per bedroom), for a total estimated flow of RUN gpd. '"THIS REPAIR PERMIT IS N TITLE: SPECIFICATIONS BY: Dade CHD TITLE: Engineering Specialist II APPROVED BY: Srland• pmisaa EXPIRATION DATE: 07/23/201 DATE ISSUED: 04/24/2019 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) rated: 64E-6.003, FAC s incorporated: AP1609073 , •�-?'f��r a sa.l ba v 1.1. a rhe C0fr-rX-_Z-r . . -� } s re.:urt4 .J . pf 23 11, ,-,d;acart t ara,: I !.,h �c.�sva' F t ,nsrCCtcr 1 IrtS R'=:Gn rrr' tG `Fina, f.�ArCva., Jr -_it ;hn s:,! b9nng And colraare •r2. r?5lii:5 :0 The 00.1wt;nt cs s :n evaluat.o: sala:r ttad. A reir'spacuan :er will be asset - mt _*n inbs;te St ttt- a: angad