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PL-20-608Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 V' ni Issue Date: 03/25/2020 Location Address Parcel Number 910 NE 99 ST, Miami Shores, FL 33138 1132060143410 Contacts Permit No.: PL-03-20-608 Permit Type: Plumbing - Residential Work Classification: Septic/Drainfield Permit Status: Approved Expiration: 09/21/2020 HANS & URSULA KRAUSE Owner HANS & URSULA KRAUSE Applicant 910 N 99 ST, MIAMI SHORES, FL 33138 910 N 99 ST, MIAMI SHORES, FL 33138 Mobile: 3057516529 Mobile: 3057516529 WESTLAND PLUMBING CORP Contractor CARLOS COBOS 675 W 63 DR **** Business:3058636223 westlandplumbingseptic@yahoo.co Other: 7862360198 rn Description: NEW SEPTIC AND DRAINFIELD INSTALLATION Valuation: $ 5,000.00 Inspection Requests: 305-ecti 4949 Total Sq Feet: 3,433.00 Fees Amount CCF $3.00 DBPR Fee $2.63 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $175.00 Scanning Fee $3.00 Technology Fee $4.38 Total: $191.01 Building Department Copy Payments Date Paid Amt Paid Total Fees $191.01 Credit Card 03/25/2020 $191.01 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and ing�Futherauthorize the above named contractor to do the work stated. V\-� zop Authorized Signature: Owner / Applicant / Contractor / Agent Date March 25, 2020 Page 2 of 2 Miami Shores Village � �� Building Department %AAR 2.0 20*Lu g p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972- INSPECTION LINE PHONE NUMBER: (305) 762-4949 �. �1��] '� ��FBC 20�. BUILDING Master Permit No. 1 C_ k-1 — 2 b� PERMIT APPLICATION Sub Permit NO.?L- cl •.5_2&. b� ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 910 NE 99 ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-014-3410 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): HANS & URSULA KRAUSE Phone#: Address:4720 N BAY RD City: MIAMI BEACH State: FL Zip: 33140 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: WESTLAND PLUMBING CORP Address: 101 W 24 STREET City: HIALEAH State: FL Qualifier Name: CARLOS M COBOS State Certification or Registration #: CFC037110 Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ 5, D0D Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace Description of Work: NEW SEPTIC AND DRAINFIELD INSTALLATION Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ one#: 305-342-5767 Zip: 33010 hone#: 786-236-0198 Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ ��i' C 1 (Revised02/24/2014) 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 Zi 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 oc urs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved of d a reinspection fee will be charged. Sign or AGENT The foregoing instrument was bcknowledged before me this ,� `l h day of i-( p [(I , 20 -7,Q , by A J S Q , who is personally known to me or who has produced identification and who did take an oath. NOTARY mil ... ZULMMTORRES MY COMMISSION S 001i11111 EXPIRES: October 3.2023 APPROVED BY The (forgoing instrument wa acknowledged before me this / G 7�~ day of ql 20 �2 by �(�oS � C,060S w is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: Print: ,(®i2/Si N taffy lic - Slate of Florld• commission I FF 981913 Seal: '';�;aF� My Comm. Expires Jun 8, 2020 s•s*s*##*ssss**ss*sass**�*ssssss*�*ss�***sss*s*sss* Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Hans Joachim Krause PROPERTY ADDRESS: 910 NE 99 St Miami, FL 33138 LOT: 11-12 BLOCK: 80 SUBDIVISION: Miami Shares Ser. 3 PERMIT #: 13-SC-2037976 APPLICATION #: AP1467047 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1317365 PROPERTY ID #: 11-3206-014-3410 [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 iOCAL *PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. • • • • • -4%9XF DESfQN'A* SPECIFICATIONS T.'[ 1,050 ]' GALLONS'%'C;b NEW SEPTIC TANK INSTALL CAPACITY •I"•GALLONS'%.*1) N/A CAPACITY •N'[i " ]JG 'ALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ••••• •• ••• [ • •� GALLONS 00MING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ j •••••• •[. • • 6670 j �gUARE : EEC • • NEW DF IN BED CONFIG SYSTEM It •[ : ] • SQNARE FEET. • N/A SYSTEM oWf- SYSTFI1ti0 i76r S*NIDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURAT;Ql;* [ ] TRENCH [XI BED [ ] N F LOCATION OF BENCHMARK: C/L OF 99 ST & NW P/L EL.: 1 0.44'NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 5.28 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 35.28][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 72.00] INCHES O T H E R 1.-Invert elevation and Bottom of drain field to be respectively no less than 8.00'...and... 7.50' NGVD. 2.- Install a 1050... gal. septic tank with an approved filter 3.-Install ...667... sf of drainfield in BED........ configuration. 4.-Install 42" of slightly limited soil at the bottom of the drainfield. SPECIFICATIONS BY: GUILLERMO SUAREZ TITLE: APPROVED BY: TITLE: Environmental Manager Gerar i izaire DATE ISSUED: 03/10/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Dade CHD EXPIRATION DATE: 09/10/2021 Page 1 of 3 v 1,1•4 AP1467041 SG1254371 DOCUMENT # : PR1317365 -Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. 8.-Water line within 10 ft of septic system to be Sch 40 PVC or sleeved in accordance with FAC Ch 64E-6.005(2)(b). The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400 gpd. ...... . .. . . ...... .... .. .. ..... .... ...... ..... .. . .... .. see* ...... ...... .. .. ...... 0*00 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. •••• :0600• •••• . •• • •• • 0 ...... 00 ••••• •• • •••• • • • • • • •••••• •••••• •• •• •••• ••• • • • • •• •••••• •••• • • •