PL-01-21-165, 1020 NE 92nd StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 02/10/2021
Location Address Parcel Number
1020 NE 92ND ST, Miami Shores, FL 33138 1132050130020
Contacts
Permit NO.: PL-01-21-165
Permit Type: Plumbing -`Residential
Work Classification: Septic/Drainfield
Permit Status: Awroved
Expiration: 07/21/2021
1760 NE LLC Owner Dolphin Expediting.com Applicant
1020 NE 92 ST Mannix Fernandez
Business: 305-878-9326 MANNIX7705@HOTMAIL.COM 14512 SW 147 CT, Miami, FL 33196
Business: 3058789326 mannix@dolphinexpediting.com
AAA PRO PLUMBING LLC Contractor
GEORGE L CANCIO
6619 S DIXIE HWY 173, MIAMI, FL 33143
Business: 3056398972 aaaproplumbing@gmail.com
Mobile: 7862730577
Description: INSTALL SEPTIC TANK AND DRAINFIELD AS PER Valuation: $ 5,000.00 Inspection Requests:
PLANS. 305 762-4949
Total Sq Feet: 2,475.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
DBPR Fee
$2.63
DCA Fee
$2•00
Education Surcharge
$1.00
Permit Fee
$125.00
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
02/10/2021 $141.01
Credit Card
01/22/2021 $50.00
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.
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
d zoning. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Date
February 10, 2021 Page 2 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village�r����
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 F�
Master Permit No. eL' -1 O I °I' J-S73 I
Sub Permit Noyl_—('s1- 2 1615
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: i (.) ZCD NC q
City: Miami Shores County: Miami Dade Zip: 3 3 13 Eil
Folio/Parcel#: ( l " 32 05 - 013 - 002C Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 0 ® L Phone#:
Address: I0a0 N1✓ q a S+
City: bL4 101-1 1 5A- -F S State: Zip: 33135
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: AAA PRO PLUMBING
Address: 8550 NW 64 ST
City: MIAMI State: FL
Qualifier Name: George L. Cando
State Certification or Registration #: CFC-1428813
DESIGNER: Architect/Engineer:
Ad d ress:
Phone#:
Phone#: 786-273-0577
Zip: 33166
Phone#:
rtificate of Competency #:
one#:
City: State: Zip:
Value of Work for this Permit: $ S 000 r Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 04 New ❑ Repair/Replace ❑ Demolition
Description of Work: IRS -Mil SZPlL T-44V, (114 k-OLCA �ij-0 QJ P�f I n l 44
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 DUE $ 7
(Revised02/24/2014)
I
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 a pr ved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument
r�was
,�acknowledged before me this
A day of ') W QA l 20 It by
P Ile Mt who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal: o
,o DAB IA PERr_Z
:2 •'�►° MIY COMMISSION rr3C )7 i 171
o`' EXPIRES: Maroh8, 2021
PP Bonded Thru Notary Public Underwriters
########
The foregoing instrument was acknowledged before me this
day of lotiw 20 J- by
CfA'NU► p who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: - "Alt -
Print: _� T "—'�— SL
Seal: ;;.s ►ig DEBORIW Y. HERNAN
U.,
DEZ;. ECOMMisQsl�o # GGG 1�14115�559
MM
APPROVED BY %�� 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: (1760 NE LLC)
PROPERTY ADDRESS: 1020 NE 92 St Miami, FL 33138
LOT: 3 BLOCK:
PROPERTY ID #: 11-3205-013-0020
SUBDIVISION:
PMUaT #:13-SC-2218598
APPLICATION #: AN 1611028
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1499372
[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 FMORT 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 Seotic CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I l GALLONS DOSING TANK CAPACITY I ]GALLONS @I ]DOSES PER 24 BRS #Pumps I l
D [ 500 ] SQUARE FEET DF IN TRENCH CONFIGUR SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND I l
I CONFIGURATION: [S] TRENCH I ] BED I ]
N
F LOCATION OF BENCHMARK: RRE 11.78' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 39.00] INCHES FT ][ABOVE J � BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE 169.00] INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 72.001 INCHES
0
T
H
E
R
Invert elevation and Bottom of drainfield to be no less than 6.53' & 6.03 ' NGVD respectively
- The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
dth s. 64E-6.013(3)(0 FAC.
- Install 500 sf. of drainfield in ....TRENCH... configuration.
Install 42 " of slightly limited soil at the bottom of the drainfield.
- Install a 1050 gal. septic tank with and approved filter
Jr-1611JIV112511 q's rLAN6
is sized for 3 bedrooms with a maximum occupancy of 6 perso2 (g2�a jqom), for a total estimatemw of
SPECIFICATIONS BY: Barry Teixeira TITlfl
APPROVED BY: TITLE:.Engineering Specialist II Dade CHD
Ldanls X Gonzalez
DATE ISSUED: 01/20/2021
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
SE1457235
EXPIRATION DATE: 07/20/2022
v 1.1.4 I- 1611028
Page 1 of 3
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.
t?$'UMING PIL NS
Approved