PL-06-23-1633Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PL-03-20-525
Permit Type: Plumbing - Residential
Work Classification: Septic
Permit Status: Approved
Issue Date:03/12/2020 Expiration: 09/08/2020
Location Address Parcel Number
234 NE 92ND ST, Miami Shores, FL 33138 1132060133410
r„mart�
ALEJANDRO DONZIS
Owner A AARON SUPER ROOTER Contractor
234 NE 92ND ST, Miami Shores, FL 33138
JOHN TUFFY
Mobile: 7542041564
6022 SW 35 CT, MIRAMAR, FL 33023
Business: 3059448886 miulie37@aol.com
Description: REPLACE BROKEN TANK Valuation: $ 3,300.00 Ins action Re uests:
Total Sq Feet: 0.00 III,
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$65.50
Scanning Fee
$9.00
Technology Fee
$2.89
Total:
$134.59
Payments
Date Paid
Amt Paid
Total Fees
$134.59
Check q 5696
03/12/2020
$84.59
Check If 5687
03/10/2020
$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 all the foregoing in rmatio is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize�the abov named contractor to do the work stated.
Authorized Signature: Owner / Applicant / /' o or / Agent Date
March 12, 2020
Page 2 of 2
Miami, Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33139
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
RNTnHED
MAR 10 2020
BY:
FBC 2WA i0"
PERMIT APPLICATION Master Permit No.
BUILDING ELECTRIC Sub Permit No.
❑ ❑ROOFING [� REVISION ❑ EXTENSION []RENEWAL
-�?LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
❑ CANCELLATION ❑SHOP
Nt (,^2d 5f CONTRACTOR
i06 ADDRESS: f DRAWINGS
� un Miami Dade Zi : � rJ`�_
Folio/Parceld; � . ,p6—,QI']J^
O Is the Building Historically Designated: yes __ NO
Occupancy Type: Load:
BFE
Construction Type: _Flood Zone: ! NO
: _
OWNER: Name (Fee Simple Titleholder): A I-Gi 1-1oa4 _ _ t%_ _ ..
City:
State:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: _ _ p _
�2 Z &tiJ Phoned: SOS 91(,(-4'C14(1
Name-
Address:—
City,
V
Qualifier Name:
State Certification or Registration d:. J Phone
DESIGNER: Architect/Engineer: —Certificate of Competency d:
zip: 3W L�
Value of Work for this Permit: $ �7p� �State: ZIP:
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
❑ New Repair/Replace
Description of W..r4. n rs
Specify color of color thru tile:
Submittal Fee $-------T_ Permit Fee $
Scanning Fee $
Technology Fee
S4ruckural Reviews $
(ReVI$ea02/24/2014)
Radon Fee $
_ Training/Education ion Fee $
I=
❑ Demolition
CCF $� CO/CC $
DBPR$ Notary:
---__ Double Fee $
Bond $ __
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgase Lender's Name (if applicable)
Mortgage Lender's Address P&
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 hure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of co 7 en ement must be posted at the job site
for the first inspection which occurs seven (7)_ days _after the build pq._permii is -issued n_ a obsenc" such posted notice, the
inspection will not be appr�pved and a rein Jectlon fee will be charged.
m— Signatu
ER or AGENT
The foregoing instrument vj�s acknowledged before me this
(D day of M a Ir 20 , by
who is personally known to
me or who has produced U mn as
identification and who did take an oath.
NOTARY PUBLIC.
Signat
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 by
"YNti who is personally known to
me or who has produced fd) as
identification and who did take an oath.
NOTARY PUBLIC:
Si
""�� Sign:
Print:
Print:
Seal:
Seal:
iA
Notary Rubltc
r .
to of
o f
Teres Edwards
EY Commission GC; 8341a
*'SP #Air******** *********************
APPROVED BY
Plans Examiner
Structural Review
Notary Public State of Flcrlds
7My Com l3slon GG 934146
i_xps fes 11/24/2023
�*a A _ _ IftlwA/
***********xr**ass****s***
Zoning
Clerk
(Revised02/24J2014)
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••`� LOT 15 ~ __.. __.. LOT 16 LOT 17
' BLOCK 25 BLOCK 25 BLOCK 25
Accepted By:
Property Address:
234 N.E. 92 Street.
Miami Shores, FLORIDA:3al38'
SURVEYMOB C8ITMCATi0i::t }Mg= = WY I"AT, illiS
otes; PAVER DRIVEWAYS. ENCROACH OVER NORTH LOT .{
INE.
GURVEY1SATRUCARD IRA C 1 ....a C%....... ;.... I--
EI '._ZDaED
MAR 10 2020
STATE OF/ FLORIDA R01IEu
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND D
im
SYSTEM
�T
CONSTRUCTION PERMIT FOR: OSTDS
o3-20-
APPLICATION N:
DATE PAID:
RECEIPT #:
n 1,,LC [ 10 COMPLIANCE WITH ALL FEDERAL
01 AM) COIN TY RULES AND REGULATIONS
APPLICANT: (Alejandro Donzis)
PROPERTY ADDRESS: 234 NE 92 St Miami. FL 33138
LOT: 8& 9 BLOCK: 25 SUBDIVISION:
PROPERTY ID #: 11-3206-013-3410
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST
BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS
AND :STVNOARDS 'Cr' SECTIOP••••
381.0065, F.S.,
AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF
SYSTEM! DOES
IJOP GCARANTEE ••
SATISFACTORY
PERFORMANCE FOR ANY 9PECISIC PERIOD OF TIME. ANY
CHAH6E••TN
MATEASAE• FACTS!••••
WHICH SERVED
AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPL9:^..MT
TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT
BEING••ESAE
NUBL AND VOW.••
•
ISSUANCE OF
THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE••NSTH
071HER FEDER_Vn,•••
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
••••••
•••• •...••
SYSTEM DESIGN AND SPECIFICATIONS
T [
900 ]
GALLONS / GPD New Sentic System CAPACITY • • ��
A [
0 ]
GALLONS / GPD
CAPACITY ••
N [
0 I
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK: 1250 GALLON91..•.•
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D 1 200 j
SQUARE FEET
Existino Drainfel Bed Conf
SYSTEM
R [ 0 I
SQUARE FEET
SYSTEM
A TYPE SYSTEM:
(XI
STANDARD I I FILLED
[ ] MOUND
I CONFIGURATION: [ ]
TRENCH 1XI BED
[]
N
F LOCATION OF BENCHMARK
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED: [ 0.001 INCHES
[ 0.00 ][ INCHES FT ][ ABOVE/ BELOW] BENCHMARK/REFERENCE POINT
[ 0.00 11 INCfTES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
—TANK ONLY REPLACEMENT t
0 1: The EXISTING 200 sf. bed drainfih, may remain If the system is not currently in failure, and meets the setback
T requirements of Table V Ch 64E-6 FAG,
H The four (4) corners of the drainfield shall be exposed so that the DOH inspector can verify the size as specified in OH 4015
Pg 4 - Existing System Evaluation. ' R P MIT (k
E 2: Install a 900 gal min. septic tank with an approved filter. }Z',E PQ
FLORIDA HEAL-r" WNAMI' PADS. C:t1UtJ
R (Comments Continued on Page 2.) N��. VALID FOR ADof C3,�
w
BY:
APPROVED BY:
DATE ISSUED:
TITLE:
TITLE:
DH 4016, 06/09 (OlAoletes all previous editions which may not be
Incorporated: 64E-6.003, FAC -
CND
-,-�___1610412020
Page 1 of 3
v 1.1.4 AP1470736
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Doccr # : PR1316860
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 - This permit includes the abandonment of the existing septic tank.
"THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
gpd. Required drainfield area based on rule 64E-6.016(6)(c)2.
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