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PL-08-89Project Address 152 NE 92 Street Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Owner Inj'Qrmatl9n Address Phone CeII Lilia Li 152 NE 92 Street Miami FL 33138- Contractor(s) A AARON SUPER ROOTER Phone 305- 944 -8886 Cell Phone Fees Due Bond Type - Contractors Bond CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Surcharge Total: Amount $300.00 $3.00 $1.00 $175.00 $3.00 $4.37 $486.37 r a y ty � .Jd , ) JAM 5 2C08 � kk „ 44 MIAMI SHORES VIA Building Department Copy _AGE Authorized Signature : Owner / Applicant / Contractor / Agent sou .................. .................. ................ ................ ................ ................ ................ ................ Expiration: 07/14/2008 Parcel Number 1132060133260 Block: Lot: (786)218 -7508 Valuation: Total Sq Feet: Type of Work: drainfield Type of Piping: Additional Info: Bond Retum : Classification: Residential , Total I Amt Paid 1 Amt Due $ 486.37 $ 486.37 $ 0.00 Payment Type : Check / Number: 8044 Applicant Lilia Li $ 5,000.00 0 Available Inspections: Inspection Type : Rough Landscaping Final , 1 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 . January 16, 2008 Date Wednesday, January 16, 2008 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) LI `If L Phone # 7"21•57 7508 Owner's Address I SZ NE 12 Streei- City M Shore f, State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # 5106- o t 3'2 Is Building Historically Designated YES NO Contractor's Company Name A 4-00 s goofee Phone # l 30.0 q-q- Mg Contractor's Address . 2-1 S Ai c City M 1 y4 rro State rt. Zip 33 Qualifier Name jcilevl State Certificate or Registration No. 3 O64Q' E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: DAddition Describe Work: Submittal Fee $ Notary $ Scanning $ 'NCO Bond $ * deck****** *x eYdr4vxxxxx *stir** xxxxxx4e****aexxk F ees * *xxx xxeY*******a xxxxxxxxxxxxxxxxxxxwww* e**** Structural Review. $ CCF $ 3.0 CO /CC Technology Fee $ 4:31 Radon S PBR $ Zoning $ CodeiEnforcement $ ' Double Fee $ J ?,M I 08 Total .Fee Now Due $ ' 37 el� X 41 Permit Fee $' Training /Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑Alteration iS2 NE. tyre €t County Miami -Dade ❑New Zip 33i Phone # Rep1gee. D(Qtn �-e td Phone # Permit No. PL 4/S r Permit No. Certificate of Competency No. Phone # Zip 3315k Square / Linear Footage Of Work: 3 Repair /Replace See Reverse side —> ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City ignature Sign: Print: (Revised 02/08/06) The foregoing instrument was acknowledged befo0 me this day of ',), (7. t , 20 10 ' by y na /s oasis ssss /ss//sssssa r who is personalk•Ienowri a O.ra� geed {,© As identification dLd take an oath. NOTARY PUS . r Assn.. a►c lit. eW ssss in ssssss rv, My Commission Expires: % e ,p *vex** ve***s:a ***********x"ie**xze>Yx APPLICATION APPROVED BY: State Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 COMMENCEM ENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceey>'ng $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochur ill be delivered to the person whose property is subject to attachment. Also a certified copy of the recorded notice of comment ' , nt must be posted at the job site for the first inspection which occat s seven (7) days after the building permit is issued In th. '.sence of such posted notice, the inspection wil r be approved an a reinsp ction fee will be charged. Signature Contractor The foregoing instrument was acknowledged before me this day of 741 1 , 20 cog, by To who is personally known to me or who has.produced 'TEBikdfBeli@RMil who aid take an oath. Lg mm# DD0733348 E res 11f8f2011 y ; . •.t,TAv� Florida NctaiyAssn., inc 14ss /U * e.s.esoussssaf ^u ac s3 Sign: J Pu mom, Print: Cre. NOTE xxx xxx9Yxxxx C*** ***********Wxxxx xxxxxxxx�Y aY &�c $c str'ek deAr eY vk,x�exxxxxatxxxae My Commission Expires: Zip Plans Examiner Engineer Zoning CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Lelia Li PROPERTY ADDRESS: 152 NE 92 St MIAMI, FL 33138 LOT: 8 & 9 BLOCK: 24 PROPERTY ID # : 11- 3206 - 013 -3260 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 A [ 0 ] GALLONS / GPD N [ K [ ] GALLONS DOSING TANK CAPACITY D [ 300 ] SQUARE FEET R [ 0 ] SQUARE FEET A TYPE SYSTEM: I CONFIGURATION: N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: 0 T H E R STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND SYSTEM SPECIFICATIONS BY: Gerald ,' Philizare APPROVED BY: DATE ISSUED: DH 4016, 10/97 (Previous Editions May Be Used) v 1.1.4 DISPOSAL 'V Og D JAN Y6ENIT SUBDIVISION: Miami Shores No. 1 Septic CAPACITY CAPACITY PERMIT #: 13- SG- 833024 APPLICATION #: AP776381 DATE PAID: 01/14/2008 FEE PAID: $200.00 RECEIPT #: 13 -PID- 899073 DOCUMENT #: PR643128 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] Trench Confiauration SYSTEM SYSTEM [ ] FILLED [ ] MOUND [ ] [ ] BED [ ] [X] STANDARD [X] TRENCH FFE EI:11.90 " "NGVD [ 0.00 ] INCHES [ 18.00 ] [I INCHES I FT ] [ ABOVE a BELOW U BENCHMARK /REFERENCE POINT [ 48.00 ] [I INCHES I FT ] [ ABOVE A BELOW l i BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ 30.00] INCHES 1.-Existing 900 gal. septic tank to remain. 2.-Install 300 sf of drainfield in trench configuration. 3.-Invert elevation of drainfield to be no less than 8.40 ft NGVD. 6.-Bottom of drainfield elevation to be no Tess than 7.90 ft NGVD. Duplex residence a recorded utility easement is required prior final approval granted. THIS PERMIT IS NOT FOR " ADDITION(s" AP776381 TITLE: TITLE: Engineer Specialist II 8E658081 Dade EXPIRATION DATE: 04/14/2008 Page 1 of 3 CHD PART 1l - SITE PLAN - -- -- — tAk Scale: Each block represents 5 feet and 1 inch = 50 feet. Notes: Site Plan submitted by: Plan Approved t✓ STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM:. CONSTRUCTION PERMIT Permit Application Number Signature Not Approved By G ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015,10/96 (Replaces HRS-H Form 4015 whtch may be used) (Stock Number; 5744-0024015-6) rue Date t f 1 5-7.66 County Health Department