1041 NE 93 StPermit No / 3 6 o
Size Septic Tank_____
Feet of Drain Tile__--_
Nature of Water Supply: City —Well.
Amount of Permit 0________
T --
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
QPPUUCATDOd FOR PLUM NG P[ RMOT
No.
Date. -.__L _P
Street_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
-- ------- - - - - --
Employing Plumber's Name _ � i. ; . � t' g21 -- : No._----- _-- - - - - -_ Street -
Location and Legal Description Lot_________ _ _________ _ 1 flock_ Subdivision
Street and Number where work is to be performed —No 119l t Street
State work to be performed and purpose of building (By Floors) __----__...._--_-.-----------_-_--
New Building Remodeling_— _____ Addition Repairs No. of Stories . . .. . ...... ....
Type of Tank__ Capacity Gals.
•st. Feet of Tank or DraiI Field from Well
S:ze of Soakage Pit
Signed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli /s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman- Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub. contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed —
My Commission Expires Notary Public, State of Florida
Mast& Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........ _ .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- instection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOUETB
BATH
TUBS
SHOWHRO
LAVA-
TORIES
S INKS
SLOP
SINKS
LAUNC RY
TUBIt
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTn.
LIOT
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEE•
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIOT
CHECK
Permit No / 3 6 o
Size Septic Tank_____
Feet of Drain Tile__--_
Nature of Water Supply: City —Well.
Amount of Permit 0________
T --
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
QPPUUCATDOd FOR PLUM NG P[ RMOT
No.
Date. -.__L _P
Street_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
-- ------- - - - - --
Employing Plumber's Name _ � i. ; . � t' g21 -- : No._----- _-- - - - - -_ Street -
Location and Legal Description Lot_________ _ _________ _ 1 flock_ Subdivision
Street and Number where work is to be performed —No 119l t Street
State work to be performed and purpose of building (By Floors) __----__...._--_-.-----------_-_--
New Building Remodeling_— _____ Addition Repairs No. of Stories . . .. . ...... ....
Type of Tank__ Capacity Gals.
•st. Feet of Tank or DraiI Field from Well
S:ze of Soakage Pit
Signed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli /s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman- Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub. contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed —
My Commission Expires Notary Public, State of Florida
Mast& Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........ _ .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- instection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui)ding Inspection Request
Date WJ I �'n�IVI �
Type Insp'n / 09
Permit No. 1" - 3
Name
\ I
Address (OH t.
i I N v
Compan , )e 2
Phone # /� J C
Inspection Date 5 / J 7
Approved
Correction ❑
Re-Insp'n Fee ❑
Type Insp'n
Permit No.
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Inspection Date
Approved
Correction
Re- Insp'n Fee
P1 Focor Drop.
Name -i •
Address 1 1 935-/-
z
Company `�'
BUILDING
PERMIT APPLICATION
FBC 2001
Tenant/Lessee Name
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical !Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) f D E E L HIS Phone #
Owner's Address 0 tj /..1E, . 4 :
, d
City j 0 a CI, 19,5 ,
State
I 0 Li- I
Job Address (where the work is being done)
City Miami Shores Village County 1‘4iami -Dade
Is Building Historically Designated YES NO
Zip 33 (3
Phone #
iI
Contractor's Company Name 11 r � � � °�- , Phone 5 SE
Contractor's Address Q3 0 5T
Cit A) n E State 7 Zip
Qualifier [� I� -o
Type of Work: ❑Addition ['Alteration ❑ New
Describe Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 1 5 • 00 CCF $ 1 - /SO . CO /CC
Notary $ c5 . Training/Education Fee $ t (0Q Technology Fee $ d-- 5 3-
CO Scanning $ 3 • 1 • Radon $ Zoning Bond $ 7 )60. 00
Code Enforcement $ Structural Plan Revigw. $
4gq ck G4 3(
Permit No. P105-21
Master Permit No.
Square Footage Of Work:
aC
Roofing
Repair/Replace ❑ Demolition
Bonding Company's Name (if applicable) 1.J 1ft
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) k)1 ft
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 constriction 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.
The foregoing instrument was ac
My Commission Expires:
APPLICATION APPROVED BY:
Chc 12/15/03
Owner or Agent
by
wled ed b - ore i e
day o
who . sonally known to me or who lit pr
��
As identification aitd' ti" iit»ke an oath.
NOTARY P +11 f'
o
Sign:
* * * * * * * * * * * * * * * * * * * * * * *
d /
The foregoing instrument was acknowledg d before me this
day of ,20by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
02 wo� My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * ** * *** * ** * ** * * ** * * * * * * * * ** ***
Plans Examiner
Engineer
Zoning
APPLICANTS
AGENT1
PROPERTY ADDRESSs
LOT s MOCK:
==========—..
TANK INSTALLATION
[01] TANK $IZE [10/),) [2)
pa] TANK MATERIAL
1
1
1
1
3
1
[07] WATERTIGHT
[081 LEVEL
[09] DEPTH TO LID
[10]
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]
TATE OF FLORIDA
DEPARTMENT OF REALM
ONSITE SEWAGE TREATMENT AND DIPOSAL SYSTEM
CONSTRUCTION INSPECTIO'bt AND FINAL APPROVAL
'VISIONS
ft (1
[03] OUTLET DEVICE 1
[04] MULTI—cHANBERED /(1 ]
[05] OUTLET FILTER
[06] LEGEND
DRAINFIELD INSTALLATION
AREA [1] / )( C ( 36( ) 1
DISTRIBUTION BOX HEADER ,/
NUMBER OF DRAINLINES 4
DRAINLINE SEPARATION
DRAINLINE SLOPE
DEPT OF COVER
ELEVATION [ABOVE/BELOW) BM
SYSTEM LOCATION
DOSING PUMPS ,0/4
AGGREGATE $IM . h
AGGREGATE EXCESSIVE txtuttr
AGGREGATE DEPTH
EXPLANATLON OF VIOLATIONS / REMARKSa
( 1
36-
FILL / EXCAVATION MATERIAL
[22] FILL AMOUNT . I
[23] FILL TEXTURE
(24) EXCAVATION DEPTH
[25],, AREA REPLACED
(26) REPLACEMENT MRIERIAi(,
DH 4016, 10/97 (Previous Editions May Me
H
2 7
e
CHECKED 1X] ITEMS ARE NOT LE COMPLIANCE MITE STATUTE OR RULE AND
,22t=w
Used)
3
3
/
1 11 [40]
3 [H]
[42]
E 1 0
1 [44]
1 I [45]
E 1 [
E 1 1
E 1 4
r
PROPERTY ID asp -
f/
SETBACKS.
[27] SURFACE WATER
[28] DITCHES
129] PRIVATE WELLS
[30] PUELIC WELLS.
1311 IRRIGATION WELLS
1321 POTABLE WATER LINES
.1331 BUILDING FOUNDATION
[34] PROPER= Lamm
3511 OTHER ;.).
FILLED / MOUND SYSTEM
136] DRAINFIELD COVER
137] B OULDERS
138] SLOPES
139] STABILIZATION
ADDITIONAL INFORMATION
UNOBSTRUCTED AREA
STORNMATER RUNOFF
ALARMS
MAINTENANCE AGREEMENT
UILDI) ARICA
LOCATION CONFORMS MITE SITE PLAN
FINAL SITE GRADING
CONTRACT0a
OTHER
P I orc-
ABANDONMENT
091 TANK Plow=
[50] TANK CRUS
maTu PAIDs — '
=EMIT NO.
FEE PAID:
RECEIPT Os
ST BE CORRECTED.
t •
PT 1: App6=11
PT 2: InstalleriContractot
11 TILLED
1.
FT
FT
FT
FT
FT
f 1
(
CONSTRUCTIOw
/
I ( fiC
FINAL sysTE34 lAppilovroilDislu„pRovED1
CHD DATE st I '7 - -
CHD DATE . --
Page 2 of 3
FLORIDA
DEPARTMEN
OF HEALTH
APPROVED
(305) 513 4459
Miami Shores Village
10050 NE 2nd Avenue
Plumbing Permit
Phone: 305 - 795 -2204 Permit Number: PL2005 -21
Printed: 1/20/2005 Page 1 of 1
Applicant: ELIAS EDE
Owner: EDE ELIAS
JOB ADDRESS: 1041 NE 93 ST
Contractor BOBS SEPTIC & DRAIN INC Contractor's Address: 1020 NE 130 ST
Local Phone: 305 - 558 -5818
Parcel # 1132050150080 Legal Description: 5 53 42 BELVIDERE PARK PB 16 -71 LOTS 13 & 14 & W1 OFT OF LOT 15
Fees: Description Amount
FEE2005 -798 Building Fee $175.00
FEE2005 -799 CCF $1.80
FEE2UUb -ts00 Notary Fee $5 nn
FEE2005 -801 Training and Education Fee $0.60
FEE2005 -802 Builders Bond $300.00
FEE2005 -803 Technology Fee $4.37
FEE2005 -804 Scanning Fee $3.00
Total Fees: $489.77
Permit Status: APPROVED Permit Expiration: 7/13/2005 Construction Value: $2,500.00
Work: INSTALL 300 SQ DRAINFIELD
Signed: (INSPECTOR)
Total Fees: $489.77
Total Receipts: $489.77
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Plumbing Permit
Permit Number: PL2005 -21
Printed: 1/20/2005 Page 1 of 1
Applicant: ELIAS EDE
Owner: EDE ELIAS
JOB ADDRESS: 1041 NE 93 ST
Contractor BOBS SEPTIC & DRAIN INC Contractor's Address: 1020 NE 130 ST
Local Phone: 305 - 558 -5818
Parcel # 1132050150080 Legal Description: 5 53 42 BELVIDERE PARK PB 16 -71 LOTS 13 & 14 & W10FT OF LOT 15
Fees: Description Amount
FEE2005 -798 Building Fee $175.00
FEE2005 -799 CCF $1.80
FEE2005 - 800 Notary Fee $5.u0
FEE2005 -801 Training and Education Fee $0.60
FEE2005 -802 Builders Bond $300.00
FEE2005 -803 Technology Fee $4.37
FEE2005 -804 Scanning Fee $3.00
Total Fees: $489.77
Permit Status: APPROVED Permit Expiration: 7/13/2005 Construction Value: $2,500.00
Work: INSTALL 300 SQ DRAINFIELD
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Total Fees: $489.77
Tnt�l Debnnin+c- t A.RO 77
STATE OF FLORIDA.
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPCSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
( ]New System ( ] Existing System [ ] Hol(iing Tank
[ x ]Repair 1 ]Abandonment [ )Temporary
APPLICANT: Ede, Elias AGENT: SA0921116, P
PROPERTY STREET ADDRESS: 1041 NE 93 St Miami Shores FL 33138
SYSTEM DESIGN AND SPPECIFICATICNS
T ( 900 ]Gallons SEPTIC TANY
A ( 0 ]Gallons
N I 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ) GALL ONS Q [ 0
D ( 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R ( 0 )SQUARE FEET SYSTEI4
A , . TYPE SYSTEM: [ [ 1 STAN17APD L N )FILLED
I CONFIGURATION: [ N 1 T'RSNCH L y ) BED
N
F ' TO BENCHMARK: Existing Finished P1aca- >E1ev. s 10.
I ELEVATION OF PROPOSED SYSTEM SITE 1 2.0 ) ( 8'E>£'r
E BOTTOM OF DRAINFIELD TO SE 1 4.5 ) ( FEET
L
D FILL REQUIRED:1 0.0 )INCHES EXCAVATION REQUIRED:
THIS PERMIT IS NOT FOR AN ADDITION.
'DATE .ISSUED: 1/13/05
DH 4016, 03/97 (Dbsclete3 previoas editions w ic; may not bF: used)
(Stock Number 5144 -001- 4016 -0) (astde_ezr.9_4C1E - ll
10 3.9Vd 91130
CENTRAX #: ;• : - 1 3511
DATE PAID:
FEE PAID :
RECEIPT
OSTDSNBR : i -i'0' - E.
Innovative
LOT: 15 BLOCK: 2 SUBDIVISION: Belvidere Park
[Section /'Township Range /Parcel No.]
PROPERTY ID #: 11- 3205 - 015-0080 [OR TX: ID NUMBER)
SYS=TEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF :'fi;O .: ;; (E -5, FAC
DEPARTMENT APPROVAL OF SYSTEM DOSS NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ".ld' }, '1C TIME
PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE Or 111 3
REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS M :::' G'1' EN THIS
PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE ?1:1L: AN" FROM
COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERT Uei:illi N 3iTT.
MULTI - CIiAM3EREL , .:.v' IE : 1Y ]
MULTI- CHAMBER2L J T IE 1 : [ Y )
]DOSES PER 24 E ! • i' 1.7":$ ( 0 ]
( N )MOUND (
[ N ]
80 Pt NGVD
[ HELOW 3 BENCHMA 'Il ::'l Z:G:: 'E POINT
( BELOW BENC &MA. ] 25:. ".E POINT
30.0 3 INCHES
SPECIFIC ATIONS BY: Andre, Paul TITLE:
sir
APPROVED BY: Andre, Paul -- TITLE: Professional Engin 1'141
EXPIRATION DA: 4,' 3/ I i
OTHER REMARKS:
1. Install 300 sf of drainfiold in bed configuration.
Z. Existing 900 gal. septic tank has to remain.
3. Existing 900 gal. septic tank to be inepectcd for an appropriate pump -out ::.ry! sc:'.id
vertical deflector installed on the outlet device.
4. Invert elevation of drainfield to be no lest than 6.80 NGVD.
5. Bottom of drainfield elevation to be no leaf than 6.30' NGVD.
CW
Pei e 1 of 2
ZLPEE: TSSOE f :7 :9Z S(3K / E T/ t1
Scale: Each block represents 5 feet and 1 inch - 50 feet.
ppro■•■
, - . 7 r • r • ., • , • .
; bd.
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t TLT . . ! .• t •
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• •
• : ! • • • : •
• • • • I
1
. I
Notes:
Site Plan submitted by:
Plan Approved
By
Di-440115, 10108 (RepiathasHRS-14 Fomi 4016 wtld ii b0 IMO)
attpdc Numb's': 674d4402-1a164)
Z i 39Vci
'STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PE
Permit Application Number
PART 0- SITE PLAN -
I , .
47 r "
e :
••••
11..,M011911
1 " -° " 4-4 "`"T`T 4(4> ''" • •
I r 1 •
• !. , • I , , ; •
; 1 • 7' ; 1 •-•.- • •
1 • " , . 1- •,_ -
Vignature
Not Approved
; I r
■
ALL CHANGE MUS E APPROVED 13Y THE COUNTY 11EALTV DEPAR I 1,11E
r '• • .■•••• •••••••
.••■••1 4111.
Lo
/ rarr.
5 --
TI
HaLL. _,..
11 60‘tqAe-. i
Go. ,I;y ;-11 lit 1)epartment
Page 2 of 3
SOELSO ?../._tEETSSIDE :'3I SOK/ET/TO