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PL-10-1814REPLACE DRAINFIELD AND INSTALL DOSING TANK WITH PUMP Passed Inspector Comments ;' ,� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP - 152275 Permit Number: PL -10 -10 -1814 1 Inspection Date: December 10, 2010 Inspector: Hernandez, Rafael Owner: SCHAUER, HERBERT Job Address: 10667 NE 11 Court Project: <NONE> Miami Shores, FL Contractor: STATEWIDE SEPTIC CONNECTIONS Building Department Comments December 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number Parcel Number 1122320280200 Phone: (954)963 -0082 Page 1 of 1 tn115 -z� BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) Owner's Address Cit !-Ai S11.01-e„ ,tate Tenant/Lessee Name Email Job Address (where the work is being done) 1 Q C 0 1 E l 1.-Cr Contact Phone Architect /Engineer's Name (if applicable) Phone # Submittal Fee $ Permit Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 f r f7 e r E -mail 3 , Double Fee $ Violation date: Permit Noll 10 H8I4 Master Permit No. -r) ci V e.Y Phone # 3 S 1L} 141 Structural Review. $ Total Fee Now Due $ Zip 3 ( 38 Phone # City Miami Shores Village County Miami -Dade Zip 33 {B.. FOLIO / PARCEL # 2 - 0 Z eS G2 - 0 G Is Building Historically Designated YES NO ✓ Flood Zone (mac. Contractor's Company Name 51rk'c'f - ; i Ct , C CvA # 3 GpI - G j 6-3 3 Contractor's Address City 1 V'k r \ a r'' State 6L. Zip 33O Qualifier Name t SC; 30 (�,;; . y., Phone # State Certificate or Registration No. A-4_0 C t 7 t Z.c, ` Z. Certificate of Competency No. Value of Work For this Permit $ 2 3 Square / Linear Footage Of Work: S Type of Work: ❑Addition ❑Alteration New [epair/Replace ❑ Demolition Describe Work: \ R.e. p \C.c -e., , O - o. v- 0 3- ('- 1 i I ,01,.... ,..„, oc) , , ******** * * * * * * * * * * * * * * * * * * * * * * * * * ** *x *: F * * * * * * * * * * ** * * * * ** * * * * * * * * * * * ** CCF $ CO /CC $ Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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. //vita/1-- epd Owner or Agent The foregoing instrument was acknowledged before me this day of ( , 20 1 Li, by Signature NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY • (Revised 07 /10 /07)(Revised 06/10/2009) who is personally known to me or who has produced who is personally known to me or who has pfRilylc as identification AO who did to fr9ath. tom.•' � #•''•��e As identification and who did take an oath. 'TERESA J SOLOMON Comm# DD0733346 Expires 11/8/2011 Florida N. Assn., Inc Contractor The foregoing instrument was acknowledged before me this day of ( , 20 ( by r'f :a Engineer Signatur( Sign: Print: tW) (..-A tL�r• -- NOTARY PUBLIC: My Commission Expires: 1HO\ \\. 1 ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Zoning Clerk checked STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID. SYSTEM RECEIPT # DOCUMENT #: PR824161 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Herbert Schaver PROPERTY ADDRESS: 10667 NE 11 Ct Miami, FL 33138 LOT: 4 PROPERTY ID #: 11 - 2232 - 028 - 0200 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 SPECIFICATIONS T [ 900 ] GALLONS / GPD Septic Tank CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ 225 ] GALLONS DOSING TANK CAPACITY (375.0C ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ] D R A I N F I E L D 0 T H E R [ 300 ] SQUARE FEET Drainfield SYSTEM [ ] SQUARE FEET SYSTEM TYPE SYSTEM: [x] STANDARD [ ] FILLED [] MOUND [ ] CONFIGURATION: [ ] TRENCH [X] BED [ ] LOCATION OF BENCHMARK: F.F.E.:6.15' NGVD ELEVATION OF PROPOSED SYSTEM SITE [ 6.48 ] [1 INCHES k FT ] [ ABOVE /�BELOW b BENCHMARK/REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ 31.80 ] [) INCHES V FT ] [ ABOVE A BELOW h BENCHMARK /REFERENCE POINT FILL REQUIRED: BLOCK: 2 SUBDIVISION: Miami Shores [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 25.30 ] INCHES 1— Existing 900 gal. septic tank certified by " Statewide Septic Connections Inc." on 10/07/2010 to remain. 2- Install 300 sf of drainfield in bed configuration. 3- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed. 4- Invert elevation of drainfield to be no less than 4.00' NGVD 5. Bottom of drainfield elevation to be no less 3.50' NGVD. 6. Instal a 225 gal. Lift/ dosing tank with all the requirements for an alarm system installation. THIS PERMIT IS NOT FOR ADDITION(s). SPECIFICATIONS BY APPROVED B DATE ISSUED: PEDRO N OSPINA Pedr• N Ospina 10/12/2010 TITLE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E- 6.003, FAC APSE ;.7. "t'.-r n PERMIT #: 13-SC-1282465 APPLICATION #: AP981129 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] Dade CHD EXPIRATION DATE: 01/10/2011 Page 1 of 3 dE Y. STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION P Permit Application Number Scale: Each block represents 10 feet and 1 inch = 40 feet. 111111■■■ ■ ■ ■11■ ■■ ■1111 ■ ■■ ■■ 111fil.®:rii..iir ® ■ ■ ®■■11 ■11 ■■11111 ■1111 ■■■11 ■1111 ■■ ■1 iii • 111111111111111111•1111111111111111111111111111EME2CMI 1111■■ ■ 1111■ ■1111■■ ■ ■ ■I1.l , 1111 ■ ®,11 ■ ■rr ■ ■17 ■1111 ■li�'�'�- 't��"I 111•111111111101EMBERMIIMIIIEMITITEN MEIN 11111111111111•1111111111111111111111 ■ ■•■■r 113510121111111111NE511111111111111111 ■ ■ ■ ■■■ �! ■l9llr l ■ ■►!'1'x''!1 ■11 ■1�i1111� EM= ■■'•,'■■■ 1111'1■ w IIII l M AIMI i 'i lii ■■ ■■11E111I1 ■1111 1111t1L ERME111■i 11111 ii■ ■ ■■lid ■111W ■111111111∎ 1111' ■■■■■■ •!:: r ■1l I1I1 ■12 ✓ 111111 ■■ ■►W 1 E ■ 11111 ■i .1 r ■ ■11111FA it Il ®1111 ■!E■ ii■ ■11■ 'S ■ ■ ■ ■ ■ ■immom 11■■■ 11411111NNIM1111911111 0 s t otes: .. A V- 0 CT ) A is 33138 tfa Site Plan submitted by: Plan Approved By 'Kept A c E r.16 Oru - 1tj f9 I✓ `t e -N 0+ D(1.44 'r J 1=1 etc) o ■l t, y ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015,10/96 (Replaces HRS -H Form 4016 which may be used) (Stock Number: 5744- 002 - 4015 -6) PART II - SITEPLAN rev 2 ZS Title pproved Date County Health Department