PL-05-22-1379 SepticMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
490 NE 96TH ST, Miami Shores, FL 33138
Contacts
Permit NO.: PL-05-22-1379
Permit Type: Plumbing - Residential
Work Classification: Repair
Permit Status: Approved
Issue Date:06/03/2022 Expiration:12/05/2022
Parcel Number
1132060140550
MICHAEL HOEFLINGER Owner
490 NE 96 ST
A AARON SUPER ROOTER Contractor
John Tuffy
6022 sw 35 court, miramar, FL 33023
Other: 3059448886 aaronsuperrooter@gmail.com
Description: REPLACE TANK AND DRAINFIELD Valuation: $ 7,000.00 Ins ection Requests:
J
Total Sq Feet: 0.00 a a i .;` l,..-
i
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.20
DBPR Fee
$3.68
DCA Fee
$2.45
Education Surcharge
$1.40
Permit Fee
$195.00
Scanning Fee
$9.00
Technology Fee
56.13
Total:
$271.86
Payments
Date Paid
Amt Paid
Total Fees
$271.86
Check# 22033
05/31/2022
$50.00
Check# 22038
06/03/2022
$221.86
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 information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner I Applicant / Contractor / Agent r Do
June 03, 2022 Page 2 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village��rva
Building Department MAY 8t �oz�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 )A
Tel: (305) 795-2204 Fax: (305) 756-8972 T3
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 2 �j
Master Permit No.A _6—� I J� 1
Sub Permit
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
t \ CONTRACTOR DRAWINGS %
JOB ADDRESS: "Lad N -1 l0 ✓—F
City: Miami Shores ' t County: Miami Dade zip: 3 31 3c4
Folio/Parcel#: 1l �J 7.O—fi I T ' CJCJ O Is the Building Historically Designated: Yes NO J
Occupancy Type: Load: Construction Type': I Flood Zone:
OWNER: Name (Fgee Simple Titleholder): tA I cin of �I 1i O 5P. IhG�
AAlruee• '- qQ A, iv:' 011n 17,—T
BFE: FFE:
City: M'S VYO '", S State: 1=L Zip:
Tenant/Lessee Name:
Email:
CONTRACTOR''/TG
: Company Name: A
R/
Address: l0 O ZZ S U 3S G�
Email:
n
Qualifier Name: V'y V\''\ ty Uri Phone
State Certification or Registration #: S k 09-20G L(-g Certificate of Competency #:
DESIGNER: Architect/Engineer: 59,0IZtk(-z Phone
Address: City:
bo
Value of Work for this Permit: $ 000 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New �Q Repair/Replace
Description of Work:
Specify color of color thru tile:
Submittal Fee
Scanning Fee $
Technology Fee
Permit Fee $
DCA Fee $
Training/Education Fee $
t~n r- 4- p�ttlw
lZZ-019<b
_Zip:
25
❑ Demolition
CCF $ CO/CC $
DBPR $
Notary
Double Fee $
Structural Reviews $
(RevisedO4/05/2022)
P&Z Review $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
m
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 on 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 issueI in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of M G 29- Z , by
Mt G�nA i Vo e , who iskliersonally known to
me or who has produced F-L.m m as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:,
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of AACI' 2022- —.by
�6�n TV who is personally known to
me or who has produced "�0 as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: l rint• RY.19Gr'
IZRPN"fvo
TE . ;, NOTARY PUBLIC • STATE OF FLORIDA
Seal: NOTARY PUBLIC - STATE OF FLORIDl1 ea ICOMMISS{ON#GG934148 'ay.,,� 'COMMlSS{ON# GG934148
My Commission Expires 11f2412023 My Commisslon F Ires 11/2412023
************************************************************************************************************
APPROVED BY
Plans Examiner Zoning
(Revised04/05/2022)
Structural Review Clerk
-0"0 4
PU M ING S ..
CiTy
MAY 3 1/_022
STATE OF A
COPY DEPARTME TjLORIOF HE LThI BY: —
APPLICATION FOR CONSTRUCTION PERMIT
Permit Application Numbor
• • ........ . .. . ..... • • ... PART II • SITE PLAN ....... There are no partin�ntlauures acre;;
tflcd stiett Ur edJAcent to the property
Sc' "Ch WOc�k reoresenls t0 toot and 1 inch = 40 teat, that may affect septic uyatam.
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Notes:
Site Plan submitted
- W'Q'D N 5
Not Approved_
b,
County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Ddt 4015. OW9 Wtmo!oms ptovbus W.vons nikh may not on used) incarpaalnl' 64E.6001. FAC Page 2 of 4
(Stock Number. 5141.002.4015-6I .
Miami Shores Village Building Department
Zoning Dept. Date
Building Dept. Date
Subject to compliance with all Federal,
State and County rules and regulations.
Permit#
R-05-z? -13-yi
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Michael HOefllncer
PROPERTY ADDRESS: 490 NE 96 St Miami, FL 33138
LOT: 1 2 BLOCK: 53 SUBDIVISION: Miami Park Sec 2
PERMIT #:13-SM-2511383
APPLICATION #:AP1836922
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #:
PR1768103
PROPERTY ID #: 11-3206-014-0550 [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
T [
1,200 ]
GALLONS / GPD
New Seolic 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 [ 225 ] SQUARE FEET
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [X]
I CONFIGURATION: [X]
N
New Drainfield Trench Con SYSTEM
SYSTEM
STANDARD [ ] FILLED [] MOUND
TRENCH [ ] BED [ j
F LOCATION OF BENCHMARK: NE 96 ST INTERSECTION NE 5 AVE 8.80' NGVD.
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.60 ]I INCHES FT][ ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE 144.4011 INCHES FT ][ABOVE HELOW BENCHMARK/REFERENCE POINT
L
a
0
T
H
E
R
-ILL x Wultt v: I V.UV J SNGHES EXCAVATION REQUIRED: I 4d.UU J INCHES
1.- Invert elevation and Bottom of drainfield to be no less than 5.60' & 5.10, NGVD respectively.
2.- Install a 1200 gal. septic tank with an approved filter.
3.- Install 225 St. of drainfield in TRENCH configuration.
4.- Existing SAND at the bottom of the drainfield to remain. Any spoil material UNDERNEATH THE DRAIN FIELD within 24"
vertically that has visible signs of effluent shall be removed as part of the repair.
THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS.
(Comments Continued on Page 2.)
SPECIFICATIONS BY: JOHN J '}HUFFY TITLE:
h = /
APPROVED BY: I % TITLE: UPS Environmental Specialist II
Jo a �n/ ldiviaeo. rs
DATE ISSUED: 05J.ry12022 EXPIRATION DATE:
OH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v I.i.4 AFI836�22 S?16R'4.3
Dade CHD
0812512022
Page 1 of 3
DOCUMENT # : PR1768103
5.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or trench.
6.- 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.
-This permit includes the abandonment of the existing septic tank.
-The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 460
-ed drainfield area based on rule 64E-6.015(6)(c)2.
a new drainfield to achieve Drainfield size requirement.