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PL-19-1302Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 06/19/2019 Location Address Parcel Number 185 NE 107TH ST, Miami Shores, FL 33161 1121360070320 Contacts Permit NO.: PL-06-19-1302 Permit Type: Plumbing - Residential Work Classification: Septic/Drainfield Permit Status: Approved Expiration: 12/16/2019 Alexander Anthony Ruiz 185 NE 107 ST, MIAMI SHORES, FL 33161 owner MR C'S PLUMBING & SEPTIC INC Contractor KEMBLE ETTRICK Business: 3056517859 ns ecti Description: INSTALL DRAINFIELD AND SEPTIC Valuation: $ 7,500.00 Ion Requests: 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 Permit Fee $212.50 Scanning Fee $9.00 Technology Fee $6.56 Tota I : $291.03 Building Department Copy Payments Date Paid Amt Paid Total Fees $291.03 Credit Card 06/19/2019 $291.03 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 ac 'ng this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits ar uir for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNER F D IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatin tru apdzoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date June 19, 2019 Page 2 of 2 Miami Shores Village oEO 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 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING �6� FBC 2011 Master Permit No.-VL700— 1a ` Gaz Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL QPLUMBING ❑ MECHANICAL PUBLIC WORKS [—]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 185 NE 107 Street City: Miami Shores County Miami Dade Zio• Folio/Parcel#:11-2136-007-0320 Isthe Building Histo. By Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Rebecca Ruiz Phone#: A'41-- 185 NE 107 Street City: Miami Shores State: FL Zp:33161 Tenant/Lessee Name: NA Phone#: Email: CONTRACTOR: Company Name: Mr. C's Plumbing $ Septic Phone#: 305-651-7859 Address: 19932 NW 2 Avenue City: Miami State: FL Zip: 33169 Qualifier Name: Kemble Ettrick Phone#: 305-651-7859 State Certification or Registration #: SR061536 Certificate of Competency #: DESIGNER: Architect/Engineer: NA Phone#: Address: City: State: Value of Work for this permit . $ 7,500.00 Square/Linear Footage of Work: 300 Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Description of Work: Install drainfield and septic tank Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ TrainhWEducation Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ ( a (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address ral City State _ Mortgage Lender's Name (if applicable) NA 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 AFFIDAVfT: 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 low 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this q day of Jyne , 20 167 . by _ day of _*-J yr` c— 20 (! by Ae bP cc e4 I?y j z who is personally known to b-!-� 13L4L 1CV ?A UtIb is per<�n to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: OLC'R)t-� Nis Sign: Sign: Print: Print: ; arch 6, �2, Seal: it 11YCOMWIfS510NgCG2M13xi1 Seal: : #F is R duly30,2Ai1eF959J60 'Q '.� �,p tj �c'ed • �� M1ol. Ij011tlid TIMU IVolaiy PubAc IkIdE1MMf! • thN �0 : Qj pJ11111 III[1i111�� ilf APPROVED BY—� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTI�NT OF HEALTH ONSITE SEWAGEMRAA �S`��;� SYSTEMMUMBI LL PERMIT #:13-SC-1964689 APPLICATION #:AP1417486 DATE PAID; FEE PAID, Pate RECEIPT # DOCUMENT #: PR1229239 • • •••• CONSTRUCTION PERMIT FOR: OSTDS Repair •••• •••• ••••••• • APPLICANT: Rebbeca Ruiz •••!•• •••• 0 •••.:. PROPERTY ADDRESS: 185 NE 107 St Miami FL 33161 000009 : • .. .... .... ..... LOT: 16 BLOCK: 209 SUBDIVISION: •••• • • PROPERTY ID # : 11.2136-007-032d [SECTION, TOWNSHIP, 16&Gt*, PARCELe'NUBBER] • • • • • • •••••• • [OR TAX ID NUMBER] • • • • SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND--S2ANDARaS -.OF Sitimi 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES--NGd 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 [ 900 ] GALLONS I 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 U ]DOSES PER 24 HR3 #Pumps [ ] D [ 300 1 SQUARE FEET New Drainfeld Bed conf. SYSTEM F ~ �. . 1. A ,. R [ 0 1 SQUARE FEET SYSTEM FLORIDt'� H"1Uk-' .''Ar, ;-t1./ T'E GCUNTY A TYPE SYSTEM: [XI STANDARD [ ] FILLED [ ] MOUND, [ � I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: F.F.E: 12.50' NGVD. I ELEVATION OF PROPOSED SYSTEM SITE ( 22.80](INCHE8 FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 72.60][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D 0 T H E R 'ILL REQUIRED: ( 0.00 1 INCHES EXCAVATION REQUIRED: d1.UU] INCHES 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 6.94' & 6.44' NGVD respectively. THIS PERMIT IS NOT FOR ANY ADDITIONS. SPECIFICATIONS BY: Mr Cq Sept TITLE: APPROVED BY: TITLE: Environmental Manager Dade CHD �__sifPi asaixs DATE ISSUED. 06/O5/2d EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1A AR1417486 SE1178625 09/03/2019 Page 1 of 3 185 NE 107 St. Miami FL. 33161 F - c L DUNNING5 a There are no pertinent features on adjacent MIAMI 5110PE5 D(TEN properties and or across the street that may (P.B. 48 PG. 2 affect the New Septic System Installation .. LOT-2 1_GATE • • ' •• •••••• j (OWNER5iIP NOT • • .L0 - i' • BL OCK. -- 209. DETERMINED) " BCOCK .20$ . • • • ii••••• 15 ALLEY (N-A.P.) I a A5PtIALT • • w. • 1/2' C.B.W. WM • •� :.. --- P..�' FEN • • a r �j C.I. 0000 �• N t•••:• GATE 46 w BBO. r9 • �` l I' v�j -� m I A/C Ni h-6 � M ; I � s � I B.. 'oN FL. s LT? d`�'e �L r`e.�9-' _ Pn 35.45 f .05 ( ONE STORY VJ ti 3 BR SFRG1 to ? IC? O N F . 12- 11 1 .G5' ON PL. 20.85 13.G5' n 10.05' C.L.GATE ui 18.70' LP. 00 .B.W. } 5TEP W. F.I.P. 12' 0.15, CL. �40 CAP P.C. c"I r��' NO CAPAM I j �'' NO F.I. i /2' ` NO 24.5' PWY r _ I6'A5PF1ALTr. fq _.. _.__ ... _ ..._ 75' TOTi4L RIGHT-0F WAY - V lzp :UJ PLUMBING Pr , -,^ Apprn-r