The URL can be used to link to this page

PL-10-20-2332Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 930 NE 95TH ST, Miami Shores, FL 33138 1132050070070 Contacts MATTHEW & AMANDA GREEN Owner SOUTHERN SEPTIC AND LIFT STATION Contractor 930 NE 95 ST, MIAMI SHORES, FL 33138 CORP ROBERTO RODRIGUEZ 12040 SW 118 ST, MIAMI, FL 33186 Business:3055988266 SOUTH ERNSEPTICCORPORATION@GM AIL.COM Inspection Requests: Description: septic tank replacement Valuation: $ 1,000.00 IR 2-4949 305---- Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $116.30 Payments Date Paid Amt Paid Total Fees $116.30 Credit Card 11/25/2020 $116.30 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 AFFIDAVIT: I certify that all the foregoing inf ation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore jAthoriz e above named contractor to do the work stated. Authorized Signature: Owner Contractor / Agent Date November 25, 2020 Page 2 of 2 Miami Shores Village CEIVE.D 1,0P Building Department ocr 14 2020 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 FBC 20►_'�- BUILDING Master Permit No. 9L 10- O - 2 32 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL FEPLUMBING ❑ MECHANICAL F PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 930 NE 95 STREET City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-007-0070 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): MATTHEW AND AMANDA GREEN Address..930 NE 95 STREET City: MIAMI SHORES State: FL Tenant/Lessee Name: N/A Email: Phone#: i 5�" 23 4 yS"I Phon p: 33138 CONTRACTOR: Company Name: SOUTHERN SEPTIC AND LIFT STATION Phone#: 305-598-8266 Address: 21051 SW 234 STREET City: HOMESTEAD State: FL Zip: 33031 Qualifier Name: ROBERTO RODRIGUEZ Phone#: 786-236-0539 State Certification or Registration #: SR0021421 Certificate of Competency #: N/A DESIGNER: Architect/Engineer: N/A Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1000.00 Square/Linear Footage of Work: N/A Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: SEPTIC TANK REPLACEMENT Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised 02/24/2014) CCF $_ DBPR $ CO/CC $ . Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ ,o • 3a BondinF 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 approved and a reinspection fee will be charged. / �-N Signature(` Signature �--�_ OWNER or AGENT ONTRACTOR The foregoing instrument was acknowledged before me this — day of _�C,V-""iC.t 20 2Cf ,by 1(eel'1, who is p sonally known to me or who has produced identification and who did take an oath. as The foregoing instrument was acknowle6re me this t t day of i� �) IX , 20 , by kXjoe-i %C 1206(i(i 6it,1-4?i`1, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: > Sign: _ Sign: Print: +L u ' �' Print:l-t-J-L Seal: • ! .NAYMARAFUMS Seal: MYCMpSS MOW330894 Eat h1y:Q.2023 .�►..° s0r4edllw ******** ******************** APPROVED BY �'" �►__.� j�;/tGs l�. Plans Examiner Structural Review (Revised02/24/2014) '?r�,CF MELANIE GRANADILLO • Notary Public - State of Florida Commission ; GG 956292 ********* My Comm. Expires Feb 6 274 **************i* ***«**** Zoning Clerk e.: UAWATE �F Fi_.OkIB�: ` PL 6F HEALTH�V __ee'f APPLICATION FARE SMiSEWAGE �ISPC}SA ` STEIV Cl?NSTRUGTlt3N r Permit Application Number ---------------------------- :PARTII-SI"AEI'LAN--------------------------- ,;- 9i iyc a, ins: THERE ARE NO PERTINENT rEATURES ON ADJACENT PROPERTIES AND OR ACROSS i HE STREET THAT MAY AFFEST THE NEW SYSTEM INSTALLATION. Site Plan suam'tted by:€21'2.`s Plan Approved Not A proved Date B Ylia4a,Sari-ci, �- JJ --- --- County Health Department 10/13/2020 ML ALL CHANGES MUST BE APPROVED BY 5 a CTArt DHI 4015, 10196 (Replaces HRS-H Form 4016 which may be used) For Septic Tank rage 2 of 4 (Stcci'cNumbe� s7-oo2-cols-�� no find! and/or ��infield, inspection Llntii and landscaping is restored ,d sidewalk inspected and reoai-£d. STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE THE If�$3Qr SYSTEM jj�r Approved Date CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: (Amanda Greene) PROPERTY ADDRESS: 930 NE 95 St Miami, FL 33138 LOT: BLOCK: SUBDIVISION: PERMIT # :13-SC-2184359 APPLICATION # : AP 1583466 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1453138 PROPERTY ID #: 11-3205-007-0070 [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 APPt-1-VION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. :;��TJ4NCE C)lr-•THIS :PF.IMV DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, -STATA, OR.LM'4j4 PERMIfiTINC! REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. • • •SYSTEM DESIGN.MD SPEq;FI• TIONS • T• I • • 1,05VI • GALLONS' -P tt'D New Septic Tank CAPACITY A•i-- 1,05Q.1..0ALLO10 %PD Exiting Septic Tank To Remain CAPACITY :W.j.: O•] GALLONS GRE1SE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] 0K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] • • • • • • • • • • • • • • • • •D• 1 . . 300 ] SQUARE nET : Existing Drainfield Bed Con SYSTEM R [ 300;P-CgUARE FEET Existing Drainfield Bed Con SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D E O T H E R 0.00 ] [ INCHES FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT 0.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT '11'L k(6; 2UliiEu: L U.UU J 1NUHEI i EXUAVA'TIUN NEQUINED: L J LNUkih;b "TANK ONLY REPLACEMENT 1.- The EXISTING 300 sf. bed drainfield, certified by "SOUTHERN SEPTIC AND LIFT STATION" may remain if the system was previously permitted and approved, and is not currently in failure, and meets the setback requirements of Table V Ch 64E-6 FAC. The four (4) corners of the drainfield shall be exposed so that the DOH inspector can verify the size as specified in DH 4015 Pg 4 - Existing System Evaluation. 2.- Install a 1050 gal min. septic tank with an approved filter. SPECIFICATIONS BY: Roberto Rodriguez APPROVED BY DATE ISSUED: TITLE: YL +j-a1Se41j1Gi TITLE: Engineering Specialist II Yliana Serra 10/13/2020 EXPIRATION DATE DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC AP1583466 SE1411485 Dade CHD 01 /11 /2021 Page 1 of 3 DOCUMENT # : PR 1453138 system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400 System #1-To remain 1050 gal septic tank - 300 sqft drainfield System #2 1050 gal septic tank To Repair only - 300 sgft drainfield To Remain .]PLUMING PLANS .. APProvee, Date- - ---- 0 ••••• •••• •• w• - • • • ••••• •••• •••••• • • ••••• • •••• •••••• • • 0000 006 • •••••• •••• •••••• • •••• • •• • • • • •••••• • d, SeP` ;res'�°paged. r 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. •a•• . .. • ••••• •••• •••••• ••••• • •••• •••••a a • •••••• • a • •••••• • •••••• •••a ••A••• • • • 0. a • • • ••••••