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PL-05-337
Miami Shores Village 10050 NE 2nd Avenue Printed: 11/21/2005 Applicant: JOYCE Owner: WILLIAMS JOB ADDRESS: 246 NW 93 Contractor A ARON SUPER ROOTER Local Phone: 305 -944 -8886 Parcel # 1131010331100 Signed: (INSPECTOR) Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2005 -337 WILLIAMS JOYCE ST Contractor's Address: 6022 S.W. 35 CT. Page 1 of 1 Legal Description: 1 53 41 MIAMI SHORES SEC 6 PB 10 - 39 LOT 7 & E1/2 LOT 8 BLK 135 LOT SIZE Fees: Description Amount FEE2005 -14731 Building Fee $175.00 FEE2005 -14732 CCF $1.80 FEE2005 -14733 Training and Education Fee $0.60 FEE2005 -14734 Technology Fee $4.40 FEE2005 -14735 Scanning Fee $3.00 FEE2005 -14736 Builders Bond $300.00 Total Fees: $484.80 Total Fees: $484.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/17/2006 Construction Value: $2,400.00 Work: INSTALL NEW DRAINFIELD 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: SEP 2 0 2091 r • e • r Comments e � SRS DOCS Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -51820 Permit Number: PL2005- 337 Inspection Date: 09/19/2007 Inspector: Levrock, James Owner: WILLIAMS, JOYCE Job Address: 246 93 Street NW Project: <NONE> Miami Shores Village, FL 33150- Contractor: A AARON SUPER ROOTER Building Department Comments Tuesday, September 18, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number Parcel Number 1131010331100 Lot: Phone: 305 - 944 -8886 Page 2 of 2 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED NOV li ; 4 Permit Type (circle): Building Electrica Mechanical Roofmg BUILDING PERMIT APPLICATION FBC 2001 Owner's Name (Fee Simple Titleholder) Owner's Address City t° ®r % .5 h te Tenant/Lessee Name Tojta 4:10 Job Address (where the work is being done) 24 ( p3 ¶t City Miami Shores Village County Miami Zip Is Building Historically Designated YES NO Contractor's Address _Go 2.l S 55 C4 City r rr rys A r State 2 Qualifier 3o 17 r 1%49 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 2A° Total Fee Now Due $ 484 . 80 (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 \i■k 1 ‘ 1 \Q r S JO C e-/ Phone # 24 q3 S Zip 3 31 so Ih,11 NPc1s-.) �l Permit No. PLO5 _ 3- 1 ster Permit No. Phone # 3 3l& ,So6) Contractor's Company Name (boo Phone �a Zip 3,2 State Certificate or Registration No. S I- S Certificate of Competency No. Square Footage Of Work: Soo Type of Work: ['Addition Alteration ['New Re air/Re lace p g ❑ Demolition Describe Work: , 1 ****************************F F ees ** ** * * *** * *** * * * *** * * * * * ** **** Submittal Fee $ Permit Fee $ 11S CCF $ 1 - 80 CO /CC Notary $ Training/Education Fee $ D • 6C) Scanning s.3, 00 Radon $ Zoning $ond $ aa) . 00 . Code Enforcement $ Structural Plan Review. $ Technology Fee $ 4 . 40 . Bonding Company's Name (if applicable) Bonding Company's Address City State 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 AllNIDAVIT: 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 certed copy of the recorded notice of commence ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the csence of such posted notice, the inspection will not be approved and a reinspection fee will be charged My Commission Expires: * * * * * * * * * * * * * ** er or Agent The foregoing instrument was acknowledged before me this i5 day of , 200 S, by j c !. V /1 i 4 S who is personally known to me or who has produced b a �� Lt As identification and who did take an oath. NOTARY PUBLIC: Sign: - Z < Print: S WI LIMY! AVECrikiei*** ItoFv,f4% t.XPIRES: 2 16, 2007 * * * * * * * * * * * * * ** litettStt itf * * *itF# APPLICATION APPROVED BY: chc 05/13/03 Sign: Print Zip Signature Contractor The foregoing instrument was acknowledged before me this ?S day N 0 , 20c) 5 b who is personally known to me or who has produced V' (2"r‘ Ce as identification and who did take an oath. NOTARY PUBLIC: < S Tex-el a My Commiss , ns: TERESA J. SOLOMON a " eAlcwevattilit DD250437 @ EX'iR- :fie;: mber�`6ic *****************************1:::! TARY FL Notary O ant :.Co. * * * * * * * * * * * * ** * * * * * ** * * * *** Plans Examiner Engineer Zoning STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT )NSTRUCTION PERMIT FOR: ]New System [ ]Existing System X ]Repair [ ]Abandonment [ PLICANT: Williams, Joyce AGENT: SR091112, Tuffy John :OPERTY STREET ADDRESS: 246 NW 93 St Miami Shores FL 33150 ]Holding Tank [ J Innovative Other [ ]Temporary [ NA 1 T: 7 BLOCK: 135 SUBDIVISION: Miami Shores Sec 6 OPERTY ID #: 11- 3101 - 033 -1100 [Section /Township /Range /Parcel No.] [OR TAX ID NUMBER] STEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC PARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME RIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, QUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS RMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM 4PLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. STEM DESIGN AND SPECIFICATIONS 1050 ]Gallons SEPTIC TANK 0 ]Gallons 0 ]GALLONS GREASE INTERCEPTOR CAPACITY 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS 300 JSQUARE FEET PRIMARY DRAINFIELD SYSTEM 0 JSQUARE FEET TYPE SYSTEM: [ N ]STANDARD CONFIGURATION: [ N ]TRENCH SYSTEM [ N ]FILLED [ N J BED LOCATION TO BENCHMARK: EFF El. :12.80'NGVD ELEVATION OF PROPOSED SYSTEM SITE [ 1.9 [ FEET BOTTOM OF DRAINFIELD TO BE [ 4.4 J [ FEET FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES ER REMARKS: - Install 300 sf of drainfield in trench configuration. - Existing 1050 gal. septic tank , certified by " A Aaron Super Rooter main - Invert elevation of drainfield to be no less than 8.90' - Bottom of drainfield elevation to be no less than 8.40' IS PERMIT IS NOT FOR " ADDITION(s)." :IFICATIONS BY: Andre, Paul TITLE: , no..v. .,... NGVD. NGVD. CENTRAX #: 13 -SG -27081 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 05-3648--R MULTI CHAMBERED /IN SERIES: C [Y ] `� MULTI - CHAMBERED /IN SERIES: [Y ] @ [ 0 ]DOSES PER 24 HRS # PUMPS [ 0 [ N ]MOUND [ N J [ N ] [ BELOW] BENCHMARK /REFERENCE POINT ] [ BELOW 1BENCHMARK /REFERENCE POINT on 11/11/2005." to .OVED BY: Andre, Pau]. — � : TITLE: Professional Engin Dade ISSUED: 11/16/05 EXPIRATION DATE: . 2/14/06 CHD- 1 APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number � ■ r e I■N 1111■■r UMNI relrrrrrrrr /r i■t/rrr■/tir• L r.:O #N■x �r■■r i■■Eri■/Irr■tiitr ■�r/ ■r>� it ■ NINNE UMMI N ■■■■■■/r■■/rrOMr■■ /r ■■I■r/■ / AMIfl /MMENNI r/a■rr■■■■■r■■N //NNO ..; U...N. UEr i�NNONEN■■■■■ ■■MENNN■■•11■N■.. 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Iu .ii i i. i CRM is i r I iCiii ' ' i r isii iir i OI /.N' ■r ■ ■ ■/ .r ■rN11 ■■ ■/r/N�O� ■ ■■ /��■IrN 11NNtNSIIMI■ /■r■■.■ 11r�■ .■11/■ir ■.11.11 1 I�M1111i1%■m .■ l�miltOt ii ■ ■I■ ■. ■1l� 111111 uuit111111 i1•.1 ■ 1 I111CIi1 / ■1 I ■pIIIMI Scale: Each block represents 5 feet and 1 inch = 50 feet. Notes: Site Plan submitted by: a Plan Approved By STATE OF FLORIDA DEPARTMENT OF HEALTH PART II - SITE PLAN a Signature Not Approved s 31S 2o7 v nck di° /11°5 ALL CHANGE MUST BEAPPROVEDBY THE COUNTY HEALTH DEPARTMENT OH 4015.10P9e (Replaces HRS-H Fort 4015 which may be used) (Stock Number: 5744-002. 4015. - $(c(' , Title Date County Health Department Page 2 of 3 1 • LOT: TANK INSTALLATION [ ] [01] TANK SIZE [1]9°1 Y [2] [ ]. [02] TANK MATERIA [ ] [03] OUTLET DEVICE - -- [ ] [04] MULTI- CHAMBERED [Y [ l [05] OUTLET FILTER [ ] [06] LEGEND [ ] [07] WATERTIGHT " ,. " -- • -_ [ ] [08] LEVEL [ ] [09] DEPTH TO LID FILL / EXCAVATION MATERIAL [22] FILL AMOUNT / [23] FILL TEXTURE [24] EXCAVATION DEPTH [25] AREA REPLACED [26] REPLACEMENT MATERIAL EXPLANATION OF VIOLATIONS / REMARKS: FINAL SYS M [APPROV APPROVED] f DH 4016 (Page 2), 10/97 (Previous Editions May Be Used) Stock Number: 57.44- 0024016 -4 STATE OF FLORIDA PERMIT NO DEPARTMENT OF HEALTH DATE PAID ONSITE SEWAGE TREATMENT AND ISPOSAL SYSTEM FEE PAID CONSTRUCTION INSPECTION AND APPROVAL RECEIPT #: r t ! APPLICANT AGENT: PROPERTY ADDRESS: BLOCK: -` SUBDIVISION '� ° CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR DRAINFIELD INSTALLATIO [10] AREA [1] " I == [2]' -- n SQ'FT [11] DISTRIBUTION BOX HEADER'°" [12] NUMBER OF DRAINLINES [13] DRAINLINE SEPARATION 3 °° [14] DRAINLINE SLOPE [15] DEPTH OF COVER [16] ELEVATION [ABOV7 /BELOW] BM [17] SYSTEM LOCATION • [18] DOSING PUMPS [19] AGGREGATE SIZE/ _ [20] AGGREGATE EXCESSIVE FINES [21] AGGREGATE DEPTH CONSTRUCTION [APPROVED/DISAPPROVEP] •7 J �t c .. - .PROPERTY ID #: RULE AND MUST BE CORRECTED. SETBACKS ] [27] SURFACE WATER FT ] " [28] DITCHES FT ] [29] PRIVATE WELLS - FT [30] PUBLIC WELLS FT ] [31] IRRIGATION WELLS FT [32] POTABLE WATER LINES FT ] [33] BUILDING; FOUNDATION FT ]: [34] PROPERTY LINES = -, FT ] [35] OTHER FT FILLED / MOUND SYSTEM [ ]. [36] DRAINFIELD COVER [ ] [37] SHOULDERS [ ] , [38] SLOPES [ ] [39] STABILIZATION ADDITIONAL INFORMATION [40] UNOBSTRUCTED AREA [41] STORMWATER RUNOFF [42] ALARMS [43] MAINTENANCE AGREEMENT [44] BUILDING AREA [45] LOCATION CONFORMS WITH SITE PLAN [46] FINAL SITE GRADING ABANDONMENT [49] TANK PUMPED [50] TANK CRUSHED & FILLED 11 �'-- '� CHD DATE PT 1: Applicant PT 2: Installer /Contractor PT 3: Building Department PT 4: Health Department [47] CONTRACTOR > [48] OTHER CHD DATE - / .=, Page 2 of 3 Permit itratIcIng number = assi9r by CHO. i Property owners ful{ -t arn: r :1��.1+ @Qg�y/4j'��'{��/��.], he s3C } {o ..1 PO. box or street Mailing addgress.for applicant or ag s Lot, mock and 5ubdlision forTot or r �' ; 27' hharac ternumber for property, (property appraiser Ib tier ©IS n)'- EPARTMENT CHECKSIX] ITEMS NOT INCOMPLIANCE WITH CONSTItuCTION PERMIT; FORMATION IS- COMPLETED $Y- CHO-ON$OLLOWINGJIEMSS ELEVATION OF BENt` OR REFERENCE :m BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address City , & S ho r-e tate Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building HS' Contract Contract City Qualifie 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State Cer ' or Total Fee Now Due $ T , (Continued on opposite side) Miami Shores. Village Building Department Electrical ikt'Qrr'S Oofce 246 NIN2 01 Nw P3 County Miami -Dade Zip - 3! - DIVISION OF Environmental Health Florida Department of Heath Miami -Dade County Health Department OSTDS /Septic Tank Division 7769 NW 48` St. Suite 175 Miami, FL 33166 Inspector N ' Date Address Y6 /V . ()--} r ) Permit No. 0 1 Master Permit No. Phone # Zip 5 31 so Phone # Mechanical Roofing OSTDS Architect Comments: $ Value SignaturX.c - °''� r� - Type of Work. _ .. i i e aac O Demolition Describe Work: Xt.- 11 Y Submittal Fee $ Permit Fee $ 1 -7.5 CCF $ 1- 80 coicc Notary $ Training/Education Fee $ ' (:::CD Technology Fee $ 4 . 40 . Scanning $� 00 Radon $ Zoning_ Bond $ . 00 . Code Enforcement $ Structural Plan Review. $