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PL-19-2467Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address —.�U-n Q L Issue Date:10/22/2019 Parcel Number 913 NE 95TH ST, Miami Shores, FL 33138 1132060143090 Contacts Permit Na: PL-10-19-2467 Permit Type: Plumbing - Residential Work Classification: Septic/Drainfield Permit Status: Approved Expiration: 04/14/2020 MARINA GONELLA Owner SOUTHERN SEPTIC AND LIFT STATION Contractor 913 NE 95 ST, MIAMI SHORES, FL 33138 CORP Home: 7543660828 ROBERTO RODRIGUEZ 12040 SW 118 ST, MIAMI, FL 33186 Business:3055988266 SOUTH ERNSEPTICCORPORATION@GM AIL.COM Description: REPLACEMENT OF SEPTIC TANK AND DRAINFIELD Valuation: $ 7,500.00 Ins ection Requests: 1. 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $3.94 DCA Fee $2.63 Education Surcharge $1.60 Notary Fee $5.00 Permit Fee $212.50 Scanning Fee $6.00 Technology Fee $6.56 Total: $293.03 Payments Date Paid Amt Paid Total Fees $293.03 Credit Card 10/22/2019 $293.03 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. con certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws arTd 4oning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Apjklicant / Contractor / Agent Date October 22, 2019 1 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED Building Department OCT 17 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 1e6+� FBC 20l v —1 Master Permit No-TU- 1 Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q 1 `_J N r q S 4. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: i 1 - `32a b- O 1 L\ D 61 O Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): C_1 o+NC'i 0^ Phone#: Address: L-1 \-b t)C as City: Sao Cc5 Tenant/Lessee Name: h1 A 4" - Email State: L Zip: Phone#: CONTRACTOR: Company Name: ° o.ct ^ 5� '�' �-� St��e� Phone#: Address: 21 0 — ( Sw 2�a , 3C)f) S °i$- 7146 City: tAC&"� State: 'CL Zip: Qualifier Name: -�_Zyse'Z� o -?--. D2.�,yTc L Phone#: State Certification or Registration #: I20 O Z I q2 i Certificate of Competency #: DESIGNER: Architect/Engineer Address ql_ City: Phone#: State: Zip: Value of Work for this Permit: $ -7 5 J o• " " Square/Linear Footage of Work: Soo 's j- ' Type of Work: ❑ Addition ❑ Alteration ❑ New XRepair/Replace ❑ Demolition Description of Work: i IZe��ae c �,�•� O Specify color of color thru tile: [� © /�( Submittal Fee $ I _ Permit Fee $ c,� d� • 5� CCF $ -1. 8 0 CO/CC $ zfo n Scanning Fee $ �() • Radon Fee $ ;' w3 j DBPR $ !'4 Notary $� ). 0 (/ Technology Fee $ 111 S �O Training/Education Fee $ ` • Double Fee $ Structural Reviews $ Bond $ Q[�J TOTAL FEE NOW DUE $ a -1 3 • D 3 (Revised02/24/2014) Bonding Coimpany'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 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. Signature'Ielly � OWNER or AGENT The foregoing instrument was acknowledged before me this day of ©CI 20 n by ly\ 047-1 t-4 CTC7, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: R The foregoing instrument w`asacacknuvOedged before me this y ('I day oft),,,�� 20 by r2-0►3(n L) to me or who has produced identification and who djd take an oath. NOTARY PUBLIC: Sign: Print: Seal: ""r�11111111N"' " 11 APPROVED BY /C/' ��� Plans Examiner as ** Zoning Structural Review (Revised02/24/2014) Clerk PERMIT #:13-SC-1993585 STATE OF FLORIDA IAUS j jib APPLICATION # : AP 1435576 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATI VOSA�IME , FEE PAID: SYSTEM uu tt���� RECEIPT #: DOCUMENT #: PR1266573 I'BMIm7I SI o. � �; F -%l• .aj ' � �E CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Marina Aurora Gonella F01• `P."Aic: Eifik ,�nryi)r rj:']I' `1PIr1� PROPERTY ADDRESS: 913 NE 95 St Miami, FL 33138 110 flllei; Illsoe-ti')'! iJ`]ti: ,farrl an-i 'anriSr.� �j!ja r5 rP;o;. ' LOT: BLOCK: SUBDIVISION: Vila nn �� PROPERTY ID #: 11-3206-014-3090 [SECTION, TOWNSHIPR7iNE e;;&41, Elkepaired. [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 [ 1,050 ] GALLONS / GPD New Septic Tank CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 300 ] SQUARE FEET R [ 0 ] SQUARE FEET A TYPE SYSTEM: [x] I CONFIGURATION: [ ] N New Drain field Bed conf. SYSTEM STANDARD TRENCH [ ] FILLED [x] BED SYSTEM [ ] MOUND [ ] F LOCATION OF BENCHMARK: C/L NE 95th St: 10.47' NGVD. I ELEVATION OF PROPOSED SYSTEM SITE [ 1.56 ][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 41.52][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 52.00] INCHES 1.- Invert elevation and Bottom of drainfield to be no less than 7.51' & 7.01, NGVD respectively. 0 2.- Install a 1,050 gal. septic tank with an approved filter. T 3.- The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance H with s. 64E-6.013(3)(f) FAC. E 4.- Install 300 sf. of drainfield in BED configuration. p��' � �� 5.- Install 12" of slightly limited soil at the bottom of the drainfield. R R (Comments Continued on Page 2.) FLORIDA HEALTH WANU-DADS COUNTY - - - \ A IM SPECIFICATIONS BY: T 11 1 V�aLa� i�+�r"y i' LJLJ1 1 I%L#1 George ate APPROVED BY: TITLE: Environmental Manager Dade CHD izaire DATE ISSUED: ` 10/15/20 9 EXPIRATION DATE: 01/13/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not b PLANS lgi Incorporated: 64E-6.003, FAC pL NG r7�� Date v 1. 1. 4 AP1435576 Approved SE121557,i�- � wed Date______ Disapp . • DOCUMENT #: PR1266573 THIS PERMIT IS NOT FOR ANY ADDITIONS. -The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 Required drainfield area based on rule 64E-6.015(6)(c)2. nstall a new drainfield to achieve Drainfield size requirement. MUN A � OR «R =solo` j+ CID iia"1 ==W ��aM01 MMIC�M =MV-"i P w. ® EI ' S "Wi CERTIFY TO: 1I � MARCELO ALDO 51A5UTT0 AN M NA AURORA GONELLA LEGAL DESCRIPTION•}}}}�....���� LOT 17 AND THE WE503 FE OF LOT 18, BLOCK 7G, MIAMI SH 5 ON N0.3. ACCORDING TO THE P THE F PS RECORDED IN PLAT B I C, GE 37, PUBLIC RECORDS OF I-DAPlf COUNTY, FLORIDA BN OF OR161N: NAME: B- G2 ELEV(NGVD29): 8.G7 LOCATION I : NE 9G G JORTH OF CIL NE 10 AVE --- 23.5' T Q�7G/L 70.7' NW OF CENTER OF INTERSECTION DESCRIPTION I: BRA55 BAR IN CONC MON. FLOOD ZONE INFORMATION: THE NFIP FLOOD MAPS HAVE DE51GNATED THE HEREIN DESCRIBED LAND TO BE SITUATED IN: FLOOD ZONE: X PANEL NO/5UFFIX: 3OG/L COMMUNITY NO.: 120035 DATE OF FIRM: 9/ 1 1/2009 THE SUBJECT PROPERTY DOES NOT LIE IN A SPECIAL FLOOD HAZARD AREA 3T INSP 1"'t L k ECTIoN � a ?r-to4 -rArjk Notes: A) Al 0learances and / or enUoachment shown hereon are of apparent nature. fences oxner°h,P by via means. legal ownweh�p offence9 no[ determined. I B) This survey is mended for mortgage d r purpasas only ettl for [his ux q [host 't, T1, ,! This survq �s not to be used whom it is ca-, for coth. �t on, pema[nng, de a other p x without ho . conxrrt dThom» J. Kelly .Inc. / t-olo CJ Cale restriction and 4tle search xe not reflected on thin survey. / / D) The flood nNormation shown hare.` does not imply / chat the referenced p.oparty wnll or will no[ be free / from Aoeeing or damage and does not create Hey / on the part of the firm, aq officer or employee thereof for any damage that results f, m re once oo sad r�fWd"d n E) The lands dep sad hereon wee survged per the - legal dascr pt oo and no clams ae to ownerehq or _' matters of t Cie are made or ," ed F) Undarground encroachment. fang, not located. / / GI I hereby e.,t y that the survey represented hereon meet the m n mum tech` cal standxds ,et fo- I, by the Board of land 5urveyore $ / A—.. n chapter 5J 17.050 to 17.052 r da Ad,mn —o- code / pe-- to 5eot— 472.027 Fla, Statutes - N) If h—.. bear ngs xe to an assumed mer d (M p.0 If shown, elevat orn to N G. V D. 19 - - J) The s a boundary survey qo 9ERGf Digit d Julio S PitasPit N0.6 Date: 19.02.06 STATE OF FLORIDA NOT VAUD UNLESS IMPRINTED VATH URVEYOR'S SEAL / , -�" MIAMI SHORES VILLA'tfii: no final inspection until WL&DARY SURVEY M.ALP: I - 9 0' and landsca i;�g is re_ �--A sidewalk inspected and r�l P�� 1p°��,'� �y0• 1p• / O * CS tA� / / 1 ♦V Q- iF 'li 973'MIN 1 ASPN. b W.F. l\- l- 7/ I Jr FN h 151.83 R M5, SW — - "�— / ASPH. / 24• PWY X / s NE 95th_ ST -- -- 2 AO SPHAL T PA I EM£NT- - 80' TOTAL R/W VIEW OF PROPERTY PROPERTY ADDRESS: 013 NE 35TH STREET MIAMI SHORES, FLORIDA 33138 SURVEYOR'S NOTATIONS: NONE E 961h St 95 NE 951h St NF Z m rZm m o Z I4T. p3111 S1 n Nt. v?rd SI [^ m. 3 NF 97n11St � D VICINITY MAP. 1.211�KIDNNOILF OR MY A<SCNAT�I�yOtpl6�� t��.a�aOt a0wl ILTk �M WK 1etA<JL M[In �IqO MM¢ _ ArWr �Mutaum�n �r cAI �Iltyc an M=��I,w�a�o�ii a tub usrr ui to - raawKal Fm 611 woE Axx s$ NW $an� I J N t~V m � C^ g:3 U Z 1 G } Z D O m REGISTERED SEPTIC TANK CONTRACTOR ROBERTO RODRIGUEZ 21051 SW 234 STREET HOMESTEAD, FL 33031- SOUTHERN SEPTIC AND LIFT STATION CORP. Business Authorization: SA0121809 SR0021421 Registration Expires on September 30. 2020 001847 Local Business Taxeceipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6963459 BUSINESS NAMEACCATION RECEIPT NO. SOUTHERN SEPTIC AND LIFT STATION CORP RENEWAL 30 SW 57TH CT 6306658 MIAMI FL 33144 EXPIRES SEPTEMBER 30, 2020 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED SOUTHERN SEPTIC AND UFT 196 SPECIALTY PLUMBING CONTRACTOR BY TAX COLLECTOR SEP121809 - $45,00-08/30/2019 Worker(s) ' 1 ' CREDITCARD-19-069006 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit www.miamidede.aovAaxcollector e MIAMI-DADE COUNTY DEPARTMENT OF PERMITTING, ENVIRONMENT AND REGULATORY AFFAIRS 11805 SW 26TH ST. SUITE 207 MIAMI FL, 33175 (786) 315-2880 STATE CONTRACTOR'S CERTIFICATE OF VOLUNTARY REGISTRATION WITH MIAMI-DADE COUNTY ISSUED DECEMBER 07, 2016 THIS IS TO CERTIFY THAT SOUTHERN SEPTIC AND LIFT STATION CORP CONTRACTOR CERTIFICATE NO.: SA0121809 TRADE: PLUMBING REGISTRATION EXPIRATION DATE:;T) HAVING MET THE REGISTRATION REQUIREMENTS OF MIAMI-DADE COUNTY, IS REGISTERED AS A STATE CONTRACTOR IN THE FOLLOWING CATEGORY(S): 0006 SEPTIC TANK INST WITH ALL WORK TO BE DONE UNDER THE SUPERVISION, DIRECTION AND CONTROL OF QUALIFYING AGENT RODRIGUEZ ROBERTO S.S.N. - -4106 ALTERATION, REPRODUCTION OR TRANSFER OF THIS CERTIFICATE IS PROHIBITED. JAIME D. GASCON, P.E. SECRETARY, CONSTRUCTION TRADES QUALIFYING BOARD 1 SOUTHERN SEPTIC AND LIFT STATION CORP 21051 SW 234 ST HOMESTEAD FL 33031