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DS-07-23-1757Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-07-23-175 Permit Type: Driveways/Walkways/Slab Work Classification: Addition/Alteratiol Permit Status: Approvei Issue Date:09/18/2023 Expiration: 03/18/2024 Location Address Parcel Number ------------ 10401 NE 6TH AVE, Miami Shores, FL 33138 1122310120190 Contacts Helen Wong JTRS Owner 10401 NE 6 AVE CHAMPION CONCRETE Contractor JAIME BASILIO 10280 NW 63 TER 105, DORAL, FL 33178 Business: 3052528055 jaimechampion@yahoo.com Mobile: 7864024802 Home: 3059784333 Other:7864024802 Description: CONCRETE PAD DRIVEWAY Valuation: $ 16,400.00 Inspection Requests: 305-762 4949." Total Sq Feet: 1,680.00 f Fees Amount Application Fee - Other $50.00 CCF $10.20 Concrete/asphalt/pavers, slabs, dways, $125.00 swalks DBPR Fee $2.63 DCA Fee $2.00 Education Surcharge $5.10 Planning and Zoning Review Fee $70.00 Scanning Fee (Manual) $12.00 Technology Fee $17.50 Total: $294.43 Payments Date Paid Amt Paid Total Fees $294.43 Check# 3668 09/18/2023 $244.43 Credit Card 07/17/2023 $50.00 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 AFFIDAVIT: I certify that the fioing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut rmore, uthorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent 8� Date 2oZ -5 September 18, 2023 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 DBUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF CONTRACTOR JOB ADDRESS: _jt'Yt)/ Nam_ �r� JUL 17 2023 D _ +ice FBC 2020 Master Permit No.-Tt. — (7S7 Sub Permit No ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Folio/Parcel#: / ���%'� (.°`� .. ®� Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �+�` ` �U� (r/--� Q'//�%"� Phone#: Address: City: _5/ l State: L Tenant/Lessee Name: J Phone#: Email: CONTRACTOR: Company 1Name: L ,1�1� ff -4 a Phone#:�� Address: lb9 M�,�� (��A�o Email: �.li�/iv 11k)"�. Qualifier Name: v ��`r//`t �I b Phone#: 7F fl- � Z+� State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ C �'1 �U� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑1 �New � y� © ❑ Repair/Replace ❑ Demolition Description of Work: r�U/�Gl� � 5 �.�i�flZ-(,ri"'�'I"7" Specify color of color thru tile: Submittal Fee $ ' 6 oa Permit Fee $ Scanning Fee $ t ,D DCA Fee $ _ Technology Fee $ Training/Education Fee Structural Reviews $ tw' 2.CO CCF $ tO.2D CO/Cc $ 0 DBPR $ �` b3 Notary $ G. tD Double Fee $ P&Z Review$ ' Bond $ (Revised04/05/2022) TOTAL FEE NOW 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 approved and a reinspection fee will be charged. Signature Signature OWN R or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this `- day of 20 aDa3, by f-1 eI /% L4 �2 , who is personally known to me or who has produced--=% L Va5'2t -VI) -�j g-s'yi, 0 as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this day of , 20 � , by `/f0 who is personally known to me or who has produced �Bllr�%�� �/%0�/J as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: U Print: Seal: el `* *i MAGALY LLAPUR MY COMMISSION # HH 3TI000 Seal: '"°' :, =*: :*= MAGALY LLAPUR MY COMMISSION # HH 371060 EXPIRES: March 25, 2027 ��;Q EXPIRES: March 25, 2027 APPROVED BY V1% L Plans Examiner l Zoning Structural Review Clerk (Revised04/05/2022) �11L� C� � � T JUL 17 2023 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, &MVV)0/u 6 does hereby attest that (Property owner) The attached survey, performed by Nalp JU_ �VOII> ���� (Name oAf�s�urveyorr''s` company) / For address: / 0g0N� 1 6A1) (�lA l � -)41 44 Performed on 7-07 0 (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further, ant say eth naught. Property Owner Sir ure Property Owner Print Name SWORN TO AND SUBSCRIBED before me this day of -1-0.2 Affiant is personally known to me, produced �� �D - �'�%- �'aentcation. Revised on 5/22/2009/ Revised on 6/12/09 *� �* MAQALY LLAPUR MY COMMISSION # HH 371080 EXPIRES: March 25, 2027 ,J.W Rh STREET SUITE 202 ,MI, FLORIDA 33126 ELEPHONE: (305) 264-2660 .y 1 zt y L p r't p 1J l-r 1 y� E .L! ,� i,.� 4 ,J dt i, SURVEYNo. 10-00012 8.1 FAX: (305) 264.0229 �7 LAND SURVEYORS DRAWN BY: ALAEi2T0 SHEE,'No. Z OF _ 2 BOUNDARY SURVEY SCALE = 1" = 20' � ��$� �..•. N ✓�. .. t t r yl_''-IYN p � Y wg+R,.. �-j � Jir�, ^,� O ♦— ` s c-PVMT. .. .. It _ F LP 1!2' 6' PWY N A - 6CONC. 6WK—_~~—�— 100.00' NO CAP .r J�! I B.C. J. NO CAP o CONC. DRIVE M �e i ,; P.R.M. y 14.75' BRICK PAVERS } 12.45' — ----- 6.50' 1160' -- PORCH o in 22.45' 32.25' ONE STORY RES. # 10401 h e v 0.05'ENCR. - � 12.51' 54.20' o pp g WR C,p. C S 16.60' 11.67' LOT - 22 LOT • 20 JACUZZI y m U BBO LOT • 21 M ^a z m U 0.24'CL 0.70'ENCR. 3' C.B W. rr F LP 1!2' NO CAP LIMIT OF PLAT 100.00' �I FLP U NO CAP ro (N.A.P.) a 0 SURVEY ENCROACHMENT NOTES: A) NORTH SIDE OF PROPERTY CONCRETE BLOCK WALL ENCROACHING ONTO NEIGHBOR'S PROPERTY. BJ WEST SIDE OF PROPERTY OVERHEAD UTILITY LINE ENCROACHING ONTO SUBJECT PROPERTY. SUR NEYOR'S NOTE: There may be Basements recorded in the Public Recordt not shown on this Survey. The purposo of this Sun-ey is for use in ohtaming Titln Insurance mtd Financing and ..hould not 11 -d 1'or Coustrucn m purposes. H.W. TTH STREET, 11117E 10,T�1n �+[1111 MIAMtELEP FL 22126Nova Surveyors, 1 c SURVEYNO 10-0001228-1 TELEPHONE: I206) 164.1660 �AX: (30611Bb0229 RAWN BY: A.A. LAND SURVEYORS SHEET NO 1 OF 2 SURVEY OF LCT 21. OF GOLF VIEW ESTATES CORRECTED PLAT. ACCORDING TO THE PLAT"THEREOF AS RECORDED IN PLAT BOOK 41 PAGE 58. OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY. FLORIDA. PROPERTY ADDRESS. 10401 NE 6 AVE, MIAMI, FL 33138 FOR: HELEN WONG LOCATION SKETCH scaler"=NT.,$ `1{`11A1'-' i };i f5 .:" C... j -4� ST�rTil jcinTi) t� `1 1 s e. SUBJECT +�9 4'i'29q RE, Ge"' PROPERTY G'T H F GAB, 0� AVE.. �q 0 K tH. 0• � � JJ` P. R.k•..�o IM.'61 100 100 170 0 X. I� s ABBREVIATION AND MEANING A • ARC A/C • AIR CONDITIONER PAD A E = ANCHOR EASEMENT Atli • ALUMINIUM ROOF 'VS• ALUMINIUM SHED ASPH.+ASPHALT B C • BLOCK CORNER OCR • BROWARD COUNTY RECORDS B.M. • BENCH MARK 808 • BAS IS Of BEARINGS C •CALCULATED C B. + CATCH BASIN COW . CONCRETE BLOCK WALL CH • CHORD CH B • CHORD BEARING CL • CLEAR C L F • CHAIN LINK FENCE C M E • CANAL MAINTENANCE EASEMENTS CONIC •CONCRETE C P. • CONCRETE PORCH C S • CONCRETE SLAB D E. • DRAINAGE EASEMENT D M.E. • DRAINAGE MAINTENANCE EASEMENTS DRIVE DRIVEWAY ENCR.• ENCROACHMENT E T P + ELECTRIC TRANSFORMER PAD F F E • FINISHED FLOOR ELEVATION F H • FIRE HYDRANT F I P. • FOUND IRON PIPE F 1 R • FOUND IRON ROD F N. • FOUND NAIL F N D + FOUND NAILS DISK FNIP + FEDERAL NATIONAL INSURANCE PROGRAM IN SEG. • INGRESS AND EGRESS EASEMENT L.F E. • LOWEST FLOOR ELEVATION L M.E. • LAKE MAINTENANCE EASEMENT L P • LIGHT POLE M • MEASURED DISTANCE WH • MANHOLE NAP -NOT APART OF NOVO • NATIONAL GEODETIC VERTICAL DATUM N T S. = NOT TO SCALE O H L • OVERHEAD UTILITY LINES O R B. + OFFICIAL RECORD BOOK 018 + OFFSET OVH.• OVERHANG PIT + PLAT BOOK PC • POINT OF CURVE P C C. + POINT OF COMPOUND CURVE PL. • PUNTER P L.S. • PROFESSIONAL LAND SURVEYOR P.O.8., • POINT OF BEGINNING P O.C. • POINT OF COMMENCEMENT P P •POWER POLE P.P S. • POOL PUMP SLAB P R.C. + POINT OF REVERSE CURVE FRIA• PERMANENT REFERENCE MONUMENT PT. • POINT OF TANGENCY PVMT.•PAVEMENT PVP/ • PARKWAY R • RECORD DISTANCE RAD. • RADIUS OF RADIAL RGE • RANGE RP . RADIUS POINT R.0,E • ROOF OVERHUNG EASEMENT RAN • RIGHT-OF-WAY SEC_ + SECTION SA P. • SET IRON PIPE L B A0044 SWK. •SIDEWALK T • TANGENT TWP • TOWNSHIP U E • UTILITY EASEMENT UP • UTILITY POLE W.M • WATER METER W R • WOOD ROOF W.S • WOOD SHED h • ANGLE 0 • CENTRAL ANGLE 4 • CENTER LINE If • MONUMENT LINE LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY ("RURVEY"1- THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON T1I18 SURVEY • THE PURPOSE OF THIS SURVEY 1$ FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING. AND SHOULD NOT BE USED FOR CONSTRUCTION PURPOSES. EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY. AFFECTING THE PROPERTY THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY BOUNDARY SURVEY MEANS A DRAWING AND I OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD. COULD BE DRAWN AT A SHOWN SCALE AND I OR NOT TO SCALE EASEMENTS AS SHOWN ARE PER PLAT BOOK. UNLESS OTHERWISE SHOWN. THE TERM -ENCROACHMENT" MEANS VISIBLE ANDABOVE GROUND ENCROACHMENTS. ARCHITECTS $HALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS. AND THEY WALL BE RESPONSIBLE FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN NEW CONSTRUCTIONS. UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING ANDIOR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED. HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. THE SURVEYOR MAKES NO OdARANTEE$ AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F E.MA AGENT SHOULD BE CONTACTED FOR VERIFICATION THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE SITUATED IN ZONE- X COMMUNITYIPANEUSUFFIX- 120692 0105 L DATE OF FIRM. 0911 V2009 BASE FLOOD ELEVATION WA. CERTIFIED TO: HELEN WONG & JOHN ARRASTIA JR STEWART VALENCIA P.A. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY TOTAL BANK, A FLORIDA BANKING CORPORATION, ITS SUCCESSORS AND/OR ASSIGNS LEGEND TYPICAL --ON- OVERHEAD UTILITY LINES ZE= CO. S WALL ICSWI rl-w C.L F • CHAIN LINK FENCE -O-O• IF • IRON FENCE -+r+r W F. • WOOD FENCE • Om • EXISTING ELEVATIONS SURVEYOR'S NOTES 1) IF SHOWN. BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. BY SAID PLAT IN THE OESCRIPTION OF THE PROPERTY IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY. TOWNSHIP MAPS 2) THIS IS A SPECIFIC PURPOSE SURVEY. 3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1 7500 FT 4) IF SHOWN. ELEVATIONS ARE REFERRED TO MIAMWADE COUNTY EMS ___ ELEV. FEET OF N G.V D OF 1929. SURVEYOR'S CERTIFICATION I HEREBY CERTIFY THAT THI8 'BOUNDARY SURVEY" Of THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAYM UNDER MY SUPERVISION, COMPLIES PATH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017A, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472,027. FLORIDA STATUTES Z /L,iL�'',l,'' , . LU WUKKI PROFESSIONAL LAND SURVEYOR NO. 2604 STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WALL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR) REVISED ON. REVISED ON N 4QaOB IBH 1� 4`p11FIC4f�'• GNO. Hm I IV t Ndp STATI OF ` 'b� LORIOT' gJ o� +ND SUP'Ib SURVEYOR'S SEAL I S IOO.G'- o bo._ o LOT SIZE to 15,000 SOFT. I� 9 f�i 010 20 40 op q\ I I I I —J—L GRAPHIC SCALE (IN FEET) oo.o' a �20NT YARD TOTAL AREA 50% TOTAL LANDSCAPE MIN. 15,000 SO. FT. 15,000 SO. FT. X 50% = 7,500 SO. FT. f N[ZS MINIMUM MINIMUM REQUIRED SQ. FT.-� D = Et ZS�! FT. MIN "I'll 9,86O SO PROP. 3/S ' � GREEN AREA (TOTAL) PROP. ( k=,4 Hr, rcL-ki NT YARD) OPEN LANDSCAPE CALCULATION A 3. 5. 6. 7. 8. 9. 10. NTS SCOPE OF 1yo/ ')K NO SCOPE OF WORK PROPOSED ON RIGHT OF WAY, ON SITE PROPERTY WORK ONLY. REMOVE EXISTING ASPHALT DRIVEWAY AND WALKWAY AS NOTED ON PLANS, TO BE REPLACED WITH PROPOSED CONCRETE PADS AS PER DETAIL. POUR 4' CONCRETE ON DRIVEWAY (3,500 PSI MAX) ON DRIVEWAY AND WALKWAY AS SHOWN ON PLAN AND DETAIL INSTALL FOOTER 10'X8' PERIMETER WITH R®AR tt 5 FOR EXTRA SUPPORT AS PER DETAIL, TRIANGLE OF VISIBILITY SHALL BE KEPT CLEAR OF VISUAL OBSTRUCTION BETWEEN A HEIGHT OF TWO AND HALF (25) FEET AND EIGHT (8.0) FEET ABOVE THE ESTABLISHED GRADE. 50% OR GREATER OF GREEN AREA WILL BE MAINTAINED ON THIS PROPERTY. NO TREES BEING REMOVED FOR PROPOSED DRIVEWAY. ALL WATER WILL BE RETAINED WITHIN PRIVATE PROPERTY. ALL IMPROVEMENTS ON THE RIGHT OF WAY AREA DAMAGED DURING CONSTRUCTION TO BE RESTORED TO ORIGINAL OR ID�20PC`_>-D DPIVEVV4Y CN SCALE 1 inch = 20 feet. GOLF VIEW EST CORK PL LOT 20 P8 41-58 (NOT A PART) BETTER CONDITIONS. PROP. TREE ROOT - 12EMOVE ALL CONSTRUCTION DEBRIS. PROTECTION FENCING (TYP ) Champion +ONMIMM • 7RAVEMM • PAI 10280 NW 63rd Terrace # 105 Doral, Florida 33178 Office: 305.252.8055 Mobile: 305.978.4333 www. championconcreteandpa vers. coin 1 CONCRETE PAD (3,500 PSI MAX. VARIES WITH FIBER MESH PROPOSED CONCRE 5 BLACK PEBBLES FILLINg, GAP PADS DRIVEWAY AS PER DETAIL // / CONCQETE PADS DETAIL NTS 10401 NE 6 AVE MIAMI SHORES, FL 33138 OWNER: HELEN WONG JTRS JOHN ARRASTIA JR JTRS FOLIO:11-2231-012-0190 LIMIT OF PLAT (N.A.P.) 100.0' Miami Shores V Ile Building De a t� Zoning Dept. l Date EXIST. C.B.W. Building Dept. ate Subject to compliance with all F deral, State and County rules and regula Permit# 1DS —(CT �'?� EXIST. TREEi 10'XIO' VISIBILITY I ! / \ TRIANGLE AT BOTH m i SIDES (TYP.) SEE Ir 147 ln5 MIN. CONTINUOUS NOTES. —WELL COMPACTED / BASE SCALE: 1 "=20' 1 DATE: 07/12/23 1 PROJECT # 23-145 1 SHEET 1 OF 1 /1 1 011, EXIST. SWALI=_ / b I1 EXIST. ONE STORY SM. 10401 ICE 6 AVE MIAMI SHORES, FL 33138 0 II-2231-012-0190 GOOLOEST CORK PL T 21 8 41-58 �x I PROPERTY. 0 cniZ)1. EXIST. SIGNAL CONCRETE TRAFFIC PROPOSED CONCRETE PADS - DRIVEWAY TO BE FLUSH WITH EXIST. SIDEWALK NE 6 AVE o s Im 1 PADS ATE 023 D b GOLF VIEW EST CORK PL LOT 22 P8 41-58 (NOT A PART) \\ s EXIST. UTILITY \\\ 1 POLE (TYPJ EXIST. 5' CONC. SWK R/W 77 'ETE EXIST. 2' C E G p Ld STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: ,John Arrastia PROPERTY ADDRESS: 10401 NE 6 Ave LOT: 21 PROPERTY ID #: BLOCK: 11-2231-012-0190 Miami, FL 33138 PERMIT # : 13-SC-1603194 APPLICATION #: AP1186706 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR978491 SUBDIVISION: Golf View Estates [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 j'ROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY, SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD existinq septic tank to remain 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 [ j D [ 208 ] SQUARE FEET _ Bed confiquration drainfiel SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Crown of Road: 10.8' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 14.401 INCHES ET ][COVE BE;LOWIBENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 35.64][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 62.001 INCHES 0 This permit was amended by B. Olmino on 7/8/2015 to change the configuration of the drainfield from trench to bed. System#2 (Front) T 1.-Existing 900 gal. septic tank, certified by "Mr.C's Plumbing" on 4/27/2015 to remain. H 2.-Install 208 sf of drainfield in bed configuration. 3.-Install 12" of slightly limited soil at the bottom of the drainfield. E 4.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed abso[ rtionbedor drain t r R (Comments Continued on Page 2.) SPECIFICATIONS BY: Mr C's Plb Sept TITLE: APPROVED BY: TITLE: Engineering Specialist II AA Betsy ange-01mino DATE ISSUED: 06/18/2015 EXPIRATION DH 4016, 08/09 (Obsoletes all previous editionswhichmay not be used) Incorporated: 64E-6.003, FAC sKO1s Y,� Miami Shores Village 10050 N.E. 2nd Avenue NE S ,M Miami Shores, FL 33138-0000 Phone: (305)795-2204 o-rs Permit NO. PL-6-15-1526 Pe Permit Type: Plumbing - Residential r�' Work Classification: Drainfield Permit Status: APPROVED Issue Date: 6/24/2015 1 Expiration: l 2I 1/2015 Project Address Parcel Number Applicant 10401 NE 6 Avenue 1122310120190 HELEN WONG Miami Shores, FL 33138- Block. Lot: Owner Information Address Phone Cell HELEN WONG 10401 NE 6 Avenue (305)751-7555 MIAMI SHORES FL 33138- 10401 NE 6 Avenue MIAMI SHORES FL 33138- Contractors) Phone Cell Phone MR C'S PLUMBING & SEPTIC INC (305)651-7859 Type of Work: DRAINFIELD INSTALLATION Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 3 Fees Due Amount Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Valuation: 1�•�` $� 2,000.00 Total Sq Feet: 156 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-6-15-56046 06/24/2015 Credit Card $ 116.70 $ 650.00 06/24/2015 Check #: 1017 $ 500.00 $ 50.00 06/22/2015 Credit Card $ 50.00 $ 0.00 Bond #: 2760 Available Insnections: Inspection Type: `) HRS Appro al _ Final r Review Plumbing i =rt* i 1 MUST BE REPLACM o,Driveways and/orSidgmalks, PRIOR TO Fift before final inspection and bond can ipproved forrefund; all sod and yard wo* *-1110 in $500.00 $1.20 $2.25 $2.25 $0.40 $150.00 $9.00 $1.60 $666.70 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresviIlage.con-dcap/. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. une 24. 2015 2 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR CONSTRUCTION PERMIT # -I' Permit Application Number 6t4l Rot �cp S�v arrcy, M, ad rF g m is X, jy "^r" j,, 6 c F cs�. ✓7 i 8 ^ �F�ILZ k fi' r. 0 rya "� Gig{ f 4 .099E Y- ua i tag^� rec: ttir I d: 1 Avit - There are no pertinent features on adjacent properties and or across the stuet that may affect the New Septic System installation Notes: t0-40{ 1 G ,a, f jfict Site Plan submitted by: Plan Approved=__yS,_ Not Approved By YUa vt.a,Seerra, County Health Department 20 tU! ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4016, 08100 (Obsoletes Previous editions which may not be used) Incorpmatod 64H.6.001, PAC Page 2 cr s �Siocl. Number 6744-002-401")