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PL-10-27-2607Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 113 NE 106TH ST, Miami Shores, FL 33138 Contacts Permit NO.: PL-10-22-2607 Permit Type: Plumbing - Residential Work Classification: Drainfield Permit Status: Approved Issue Date: 10/18/20221 Expiration: 04/18/2023 Parcel Number 1121360060340 LORENZO CASTRO Owner ALYSSA MARIE Owner 113 NE 106TH ST, Miami Shores, FL 33138 11 113 NE 106TH ST, Miami Shores, FL 33138 Yosdel Gomez Applicant ALFONSO SEPTIC SOLUTION Contractor 14713 Sw 22 ter, Miami, FL 33185 SATURNINO ALFONSO .. Mobile: 7864399698 yosdelalfonsoseptic@gmail.com 1391 W 36 ST, Hialeah, FL 33012 Business: 7867186460 Alfonsoseptic@gmail.com Inspection Requests: Description: REPLACES PL-06-21-1581 REPLACE SEPTIC AND Valuation: $ 7,500.00 DRAINFIELD -. 305-762-4949 Total Scl Feet: 0.00 w Amt Paid Payments Date Paid Fees Amount 100% Permit Renewal Fee $133.00 Total Fees $133.00 Credit Card 10/18/2022 $133.00 Total: $133.00 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 AF IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regula Ing c struoff, n and zoni Futhermore, I authoolr`ize the above abbove named cc tractorto do tthhee work stated. v _ > Authorized Signature: Owner / Applicant / Contractor / Agent Date October 18, 2022 Page 2 of 2 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑■ PLUMBING [—]MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 113 Ne 106 St N,, T I � 2022 BY. 144 FBC 20U Master Permit No.?L- Sub Permit No. PL-06-21-1581 ❑ REVISION ❑ EXTENSION MRENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-006-0340 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): Lorenzo Castro Phone#: 3— Soi— 7607 113 Ne 106 St City: Miami Shores Tenant/Lessee Name:. Email: State: Florida 33138 CONTRACTOR: Company Name: Alfonso Septic Solution Phone#: 786-718-6460 Address: 1391 W 36 St City: Hialeah State: FI Zip: 33012 Qualifier Name: Saturnino Alfonso Phone#: 786-718-6460 State Certification or Registration #: SR0221925 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State:Zip: Value of Work for this Permit: $ `�Jr� Square/Linear Footage of Work: Sib SP Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition Description of work: Repair septic tank and drain -field Specify color of color thru Submittal Fee $ Permit Fee $ Scanning Fee $ _ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ "" TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City St; Mortgage Lender's Name (if applicable). Mortgage Lender's Address City State 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. Signature �Signature /�al " l/994M�c OWNERorAGENT CONTRACTOR The foregoing instrument was acknowledged before me this /c day lof_1jC7"B41 20 ZZ by �mue , who is personally now to me or who has produced The foregoing instrument was acknowledged before me this =/ day of JJ?_M 20 ZL by S'ATVa1w-'1* who is personall known o as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as Print: 70S/DeL VOM1L Print: ` 4!,Vm L. Yam' �•+, VORDEL EZ Seal: s�� �`aJ HZ Notary Public • Shle of Florida Seal: •• Notary Pudic - State of Florida Commission # GG 999994 • Commlulon><GG 988894 Comm. (pins March 9, 2024 Comm. I rplms March 9, 2024 APPROV Y Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Permit Number: Owner's Name (Fee Simple Title Holder): Lorenzo Castro Owner's Address: 113 Ne 106 St City: Miami -Shores State : Florida Job Address (where work is being done): 113 Ne 106 St City: Miami Shores State: Florida Contractor's Company Name: Alfonso Septic Contractor Address: 1391 W 36 St City: Hialeah Qualifier's Name: Jose Bolanos Architect/ Engineer of Record Name: Address: City: State: State: FI Describe Work: Repair drain -field and septic tank Phone: Zip Code: 33138 Zip Code: 33138 Phone : 786-718-6460 Zip Code:33012 Lic. Number: SR0921276 Phone: Zip Code: I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all legal involvement. Signature Signature Owner / Agent Contractor / Architect / Engineer The foregoing instrument was aknowledged before me this A day of&.IVMX2022,by t4 LySSA /2WC- Who is personally nown o me or who has produced as indentification. The foregoing instrument was aknowledged before me this _L1 day of degk 20 9); by P 04*POS Who is personally now o me or who has produced as indentification. %Comm. YOSDEL GOMEZ YOSDEL GOMEZ Notary Public: Nobq -StatedFlorida Notary Public: .Not"Pubk-state ofFleaCommbaston 8 GG 9M94 Commbsbn 9 GG 966M Sign and Seal:: mimMamh9,2o24 Sign and Seal: Y�o� Dz ®Y0MC_z 1106202 - Change of Co t actor orm Pa e 2 of 2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS APPLICANT: Lorenzo Castro PROPERTY ADDRESS: 113 NE 106 St Miami Shores, FL 33138 LOT: 10 BLOCK: 208 SUBDIVISION: PERMIT #:13-SM-2673340 APPLICATION #:AP1883982 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1861222 PROPERTY ID #: 11-2136-006-0340 [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 LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] 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 New Drainfleld.Bed Conf. SYSTEM R [ 0 ] SQUARE FEET A TYPE SYSTEM: [X1 STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: Center pn I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D F 0 T H E R [ ] FILLED [X] BED SYSTEM [ ] MOUND [ ] line crown -road 11.03' NGVD [ 1.80 1 [1 INCHES FT IABOVE BELOW] BENCHMARK/REFERENCE POINT [ 40.20]I INCHES FT ][ABOVE HELOW BENCHMARK/REFERENCE POINT LLL HEQUIE U: L U.UUJ INCHES EXCAVATION REQUIRED: t O .UUJ INCHES 1: Invert elevation and Bottom of drainfield to be no less than 8.18' NGVD & 7.68' NGVD respectively. 2: Install a 900 gal. septic tank with an approved filter. 3: The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(f) FAC. 4: Install 300 sf. of drainfield in BED configuration. 5: Install 12" of slightly limited soil at the bottom of the drainfield. THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS. BY: SATURNINO ALFONSO TITLE: APPROVED BY: TITLE: Engineering Specialist II Dade CHD Eduardo CastilloSalcedo DATE ISSUED: 10/10/2020 EXPIRATION DATE: 01/08/2023 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1883982 SE1749965 NOTE: THERE ARE NO STATE OF FLORIDA PEONWRATURESON DEPARTMENT OF ENVIRONMENTAL PROTECTION ADJACEW PROPERTIES' APPLICATION FOR CONSTRUCTION PERMIT ORACROSS IK SFREEi THAT MAY AFFECT THE Permit Application Number PROP03ED SEPTIC < SYSTEAA WAIL ATION-------------------- PART II-SITEPLAN--------------------------- _rr✓ 113 NE 106 ST MIAMI SHORES, Fl. 33138 Site Plan submitted Plan Approved XX M+�pSi% 1tOtRiNot Approved Date 1016/2022 �J By EDUARDO CASTILLO swntQs County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT OEP 4015, M21-2022 (Obsoletes previous editions which may not be used) Incorporated: 62-6.004,F.A.C. Page 2 of 4 W7610 Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - 00 NOT PAY 7340775 LBT BUSINESS NANFAOCANON REUIPTNO. EXPIRES ALFONSO SEPTIC SOLUTION INC RENEWAL SEPTEMBER 30, 2023 1391 W 36TH ST 7633304 Must be displayed at place of business HIALEAH FL 33012--4830 Pursuant to County Code Chapter BA - Art 9 & 10 pyyNpl SEC TYPE OF BUSNLESS ALFONSO SEPTIC SOLUTION INC 196 SPECIALTY PLUMBING CONTRACTORPAYNENTSECEIVEB C/O SATURNINO ALFONSO PRES SA0222132 BYTAA COLLEC(oa $45.00 08/29/2022 Worker(s) 1 INT-22-399504 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 holderaqualMcatious,to do business. Hoidermost 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 Ba-276. Formore information, visit wwwmiamidade novltexcolleutor r� a' JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 4/14/2022 PERSON: SATURNINO R ALFONSO FEIN: 881084006 BUSINESS NAME AND ADDRESS: ALFONSO SEPTIC SOLUTION INC 1391 W 36 STREET, HIALEAH, FL 33012 SCOPE OF BUSINESS OR TRADE: Plumbing NOC and Dnvem EXPIRATION DATE: 4/13/2024 EMAIL: ALFONSOSEPTIC@GMAIL.COM IMPORTANT: Pursuant to subsection 440.05(14). F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05 (13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO SE EXEMPT REVISED 08-13 E01620116 QUESTIONS? (850)413-1609