423 NE 92 StlUILDING
LECTRICAL
'LUMBING
Lot
CONTRACTOR 45R
MIAMI SHORES VILLAGE, FLORIDA
DATE y i 194 7
Contractor's a
License No.
Work to be performed under this Permi
PERMIT N° 5208
)wner of a
luilding �' � t i�„+r.t. `
architect
.' ontractor d A
,r Builder .-` v ,
.egal
)escription
Iddress of
; uilding
This permit is grante t. the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
dans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t any time if the work is not done in compliance with such ordinances or if the plans arcs chariggd without authorization. A further condition upon which this
,ermit is granted is the understanding that the contractor or builder named above asses the fesporitibility , , +thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plan s o;Aiw ecifications and that he assumes respon-
ibility for work done by his agents, servants or employees.
Bl.
Subdi-
vision
Value of
Project
Signed I i / j
O
NSPECTOR By
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
.ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n acceptiug,this permit assume responsibility for all work done by either myself, my agent, servant or employee.
BY
Amt. of
Permit ...
AUTHORITY
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B ding Inspection Request
Date
Type Insp' n I 0 \fl) S� c, L nC Strip.
r�
� IO —
Permit No. f�,,�
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Name UJc Pr 1
Address 4- Na q2 64-
i1
t�l
Compan 0 Pr a
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Btxi, ding Inspection Request
TypeInsp'n�la )5P l- tC, 9 LO
Permit No. P(
Date
Phone #
Inspection Date 44
Approved
Correction
Re- Insp'n Fee
Name UJC IPy onon
Address NE_ 2
Company 0 s.-iv C f s
BUILDING
ELECTRICAL
a PLUMBING
i Owner of
Building
PERMIT N° 5208
Work to be performed under
Architect f'
Contractor �,�� -�,�,� r s �
or Builder id:A
°
Legal Lot
Description
Address of - , if
4
Building 0 /
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Bl.
this Permit
Subdi-
vision
Value of
Project
This permit is granted : the contractor or builder named above to construct the building or to install the equipment or . evice described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the pro,ffper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans chap without authOtization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above a�es ` espo#iibilit for thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on theplans or, �:. in thg_stat ien r specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
/INSPECTOR •
In consideration of the issuance to me of this permit I agree to perform the wo(rlc co hereunde
ed' r in compliance with all ordi nances and igltl ttirs
pertaining r y : d in/strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities'bf Miami ShoresVillage.
In accept) 1 ',� rm assumeresponsibil trfor all work done by either myself, my agrSat, servant or employee.
Contractor's
//License No
Amt. of
Permit
simsworow
By
AUTHORITY
194
CONSTRUCTION PERMIT FOR:
[ ]New System [ ]Existing System [
[ X ]Repair [ ]Abandonment
APPLICANT: Walterman, Stanley
PROPERTY STREET ADDRESS: 423 NE 92 St Miami FL 33138
LOT: 15
[Section /Township /Range /Parcel No.]
PROPERTY ID #: 11- 3206 - 014 -0240 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERIOD. 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 PROPERTY DEVELOPMENT.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ]Gallons SEPTIC TANK MULTI- CHAMBERED /IN SERIES: [Y ]
A [ 0 ]Gallons MULTI- CHAMBERED /IN SERIES: [Y ]
N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ]
D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ 0 ]SQUARE FEET SYSTEM
A,-..,)TYPE SYSTEM: [ J STANDARD [ N ]FILLED
I CONFIGURATION: [ 14 ] TRENCH [ ]BED
N
F LOCATION TO BENCHMARK: Existing Finished Floor Elev.: 11.60 Ft NGVD
I ,;ELEVATION OF PROPOSED SYSTEM SITE [ 2.8 ] [ FEET ] [ BELOW] BENCHMARK /REFERENCE POINT
E ,BOTTOM OF DRAINFIELD TO BE [ 5.3 ] [ FEET ] [ BELOW] BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES
OTHER REMARKS:
1. Install 300 sf of drainfield in bed comfiguration.
2. Existing 900 gal. septic tank to be inspected for an appropriate pump -out and a solid
vertical deflector installed on the outlet device.
3. Existing 900 gal. septic tank has to remain.
4. Invert elevation of drainfield to be no less than 6.80' NGVD.
5. Bottom of drainfield elevation to be no less than 6.30' NGVD.
THIS PERMIT IS NOT FOR AN ADDITION.
SPECIFICATIONS BY: Andre, Paul
APPROVED BY: Andre, Paul
DATE ISSUED: 1/3/05
STATE OF FLORIDA
DEPARTMENT OF HEALTH
•ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
BLOCK: 50 SUBDIVISION: Miami Shores
TITLE:
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 001 - 4016 -0) [ostds_cons_4016 -1]
]Holding Tank
] Temporary NA ]
AGENT: SR0931119, COCKING MSTEPHEN
TITLE: Professional Engin
CENTRAX #: 13 -SG -23306
DATE PAID:
FEE PAID : $
RECEIPT .
O S TD3SN 2: 04-4256- -R
U -
Innovative Other
[ N ]MOUND [ N ]
[ N ]
Dade CHD
EXPIRATION DATE: 4/3/05
Page 1 of 2
cale: Each block represents 5 feet and 1 inch = 50 feet.
' It
By
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION P g [>AIT
Permit Application Number - `` r < ° f=
PART II - SITE PLAN
Site Plan submitted by: �' `— = -_ `._`
Signature
Not Approved
Plan Approved 4
DH 4015. 10/96 (Replaces HRS-H Forte 4015 which may be used)
(Stock Number: 5744402- 4015.6)
ALL CHANGES APPROVED BY THE COUNTY HEALTH DEPARTMENT
Title
Date
County Health Department
Page 2 of 3