1250 NE 94 St (6)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/15/2004
Applicant: MARCELO LEAL
Owner: LEAL MARCELO
JOB ADDRESS: 1250 NE 94 ST
Parcel # 1132050100200
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2004 -168
Contractor ALL PRO SEPTIC & SEWER INC Contractor's Address: 1531 NW 26 AVE
Local Phone: (305)635 -3002
Page 1 of 1
Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 W35FT OF LOT 21 & E65FT OF LOT 22 LOT
Fees: Description Amount
FEE2004 -6115 Building Fee $175.00
FEE2004 -6116 CCF $4.80
FEE2004 -6117 Training and Education Fee $1.60
FEE2004 -6118 Technology Fee $4.37
FEE2004 -6119 Scanning Fee $3.00
FEE2004 -6120 Builders Bond $300.00
Total Fees: $488.77
Total Fees: $488.77
Total Receipts: $488.77
Permit Status: APPROVED Permit Expiration: 12/7/2004 Construction Value: $7,500.00
Work: INSTALL NEW TANK & 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:
(Continued on opposite side)
BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit
Total Fee Now Due $ 6g • / r i
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
500
Submittal Fee $ Permit Fee $ i 5.O 0
Notary $ Training/Education Fee $ l - lV C)
Scanning $ ' " OO Radon $
Zoning
Code Enforcement $ Structural Plan Review. $
Permit No. 91.2-00q 1 (06"
Master Permit No. I.
Permit Type (circle): Building Electrical lumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) �U 0 Phone # � 5 )
/.
CSO ► ) c (® L
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) r 2 5o NE- O 4- ST
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
oS) ‘35-3
Contractor's Company Name Mk 1: 95 iC._ Phone #
Contractor's Address ( 2100 Al w`i 27 /
City Pt iriV' State Zip 3 f3 ( Lt -
Qualifier r ier eAr
Architect/Engineer's Name (if applicable) N Phone #
Square Footage Of Work:
Type of Work: ❑Addition ❑AlteratiPn New epair/Replace ` ❑ Demolition
Describe Work: I Y\ X1I NeANJ n r
DYD►Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ -6o • CO /CC
4 -37
Technology Fee $
Bond $ 000 • 00
pO(d d 4,3co.0o
TAO
Bonding Company's Name (if applicable) •
Bonding Company's AddresF
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 app ;. ed a a reinspectiap fee will be charged. C
s ignature
• er or Agent
The foregoin: instrument was acknowledged before me this
day di tilfr€- , 20 °Y, by }JULY t
who is personally known to me or who has produced
NOTAR�Q �UBLIC:
Sign: X
Print: \1G.,YrsS L
My Commission Expires:
* * * * * * * * * * * * * * * * * * * *"*ry
State Certificate or Registration No. S0q 9 1 3
Chc 12/15/03
As identification and who did take an oath.
State Zip
\ VANESSA B. Rlos
MY COMMISSION t DD 281326
EXPIRES: January 14, 2008
* iloadifthe Wrgetlielle01NYA tit * * * * * * * * *
Signature
Sign:
Print:
Contractor
The foregoing instrument was acknowledged before me this
day of J 61 , 20 C- by -- 1 7 6
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC
(Certificate of Competency Holder)
'k
\)1r `
B. RIOS
My Commission : • •r' <s: MY COMMISSION tDD251326
y * EXPIRES: 14, 2008
* * * * * * * * * * * * * * * * * * **
Zoning
a• Certificate of Competency No.
T ****************************** * * * * * * * * * * * * * * * *
APPLICATION APPROVED BY: 1 *************** 1 � '
� / Plans Examiner
Engineer
STATE OF FLORIDA t ;
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
' CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
[ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other
( X ]Repair [ ]Abandonment [ ]Temporary [ NA ]
APPLICANT: Leal, Marcelo AGENT: ALL PRO S, TEIXEIRA BARRY
PROPERTY STREET ADDRESS: 1250 NE 94 St Miami Shores FL 33138
LOT: 21 BLOCK: N/A SUBDIVISION: Miami Shores Bay Vie
[Section /Township /Range /Parcel No.]
PROPERTY ID #: 11- 3205 -010 -0200 [OR TAX ID NUMBER]
SYSTEM DESIGN AND SPECIFICATIONS
OTHER REMARKS:
APPROVED BY: Arrieta, Rolando
"SEE SPECIFICATIONS ON REVERSE SIDE"
SPECIFICATIONS BY: RAM, Arrieta, Roland \Y\ TITLE:
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 001 - 4016 -0) 1o8Cda cone_4o16 -11
TITLE: Engineer I
CENTRAX #: 13' -SG -21066
DATE PAID:
FEE PAID : $
RECEIPT .
OSTDSNBR : 04 -2016- -R
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.
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: [ N ]STANDARD [ N ]FILLED [ N ]MOUND [ N ]
I CONFIGURATION: [ N ]TRENCH [ N ]BED 1 N
N
F LOCATION TO BENCHMARK: 9.20'NGVD FF E/R
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.4 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 5.7 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 27.0 1 INCHES
Dade CHD
DATE ISSUED: 6/3/04 EXPIRATION DATE: 9/1/04
Page 1 of 2
•This repair pbrmig is fbx, a: unique iCkwater ,standard, gravity and single -be
.to remain.. serving the single- famiiy' :reeid'ence, it is NOT
Instal 1 gels .:'dual chambered and minimum' oategory 3 ; septia tank equipped
approved,ii1ter and a xso]id:vertical deflector ,on the. outlet:''device. ','<,`, ' '
The licensed contractor installing the .system is responsible for installing the
category' of tank in accordance'with sec, 64E- 6.013'(3.) If) ,,BAC. .
The •existing.. septic tank shall ,be"'p
p -out r upp,d,,, 9rushed•the bottom filled 'wi th suitable soil
and provided the pume
- : i , .,,. i . :t?r :t ., . _, ; { . " . ram ' t,
Install no less than - 300 -,sf. Fep],aped drainfie1d, draining to the . certified , suitable: ; soil :.
in the • site . previdus <`confis�znatiOn Otthe aforementioned` crondition ' the' .entiire required b `
area, I plus in the 12" wide around the, perimeter. to 39 eep•,. , L n
Invert elevation of drainf e1d t'o be, no _less .-than. 4.0' , NGVV
Bottom. of drainfield elevation to be no'less .tl an '3,55'x' •N('iVD.
'
:!4 ,1t1d r•,tid c .
•!" t.
• 'y
(..
SPECIFICATIONS BY:.RAM, Arrieta, Roland ;TIT •
APPROVED BY: Arrieta, Rolando , :. , TITLE . Engineer I
DATE ISSUEDe..6 /3/04
DH 4016, 03/97 (Obsoletes previous editions which' may mot. be' used) .+ '
(Stock Number:: 5744- 001 - 4016 -0) foetds cone 4016 - i) .
• EXPIRATION DATE , /1/04 ..
of •2
PLiCANT:
LOT: a
1-11 ee to
PROPERTY ID #: i ( -3 )o) -olo OV)t;.! (Section /Township /Range /Parcel No. or Tax ID Number)
•
TO BE COMPLETED BY ENGINEER, HEALTH.UNIT :: EMPLOYEE, OR..OTEER QUALIFIED'PERSON. ENGINEER'S MUST
PROVIDE REGISTRATION NUMBER .AND'SIGN'•`AND'SEAL`'EACH PAGE"OFISUBMITTAL " COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: (x] YES ,(•J NO NET USABLE AREA AVAILABLE:
i AC
TOTAL ESTIMATED SEWAGE FLOW: ".dne .', 1 llr . GALLONS�PER •DA a k- DEN ES -TAB 1
AUTHORIZED SEWAGE FLOW: ,. .5. 1. . GALLON PER-'DAY. [1500• /ACRE OR •
UNOBSTRUCTED AREA AVAILABLE: "��f5O1) •;i')' +: UNOBSTRUCTED. AREA REQUIRED:
BENCHMARK /REFERENCE POINT: :LOCATIONt
ELEVATION OF PROPOSED SYSTEM SITEAIS ='7
THE MINIMUM SETBA
SURFACE WATER:
WELLS: PUBLIC:
BUILDING FOUNDATIONS:
Munsel / Color Texture / Depth
toyQ. � 3 n. Ci S A-4
USDA SOIL SERIES
t)
to '
to
to
OBSERVED WATER - 60111 4 NeitO i &D
ESTIMATED WET SEASON WATER TABLE ELEVATION:
HIGH WATER TABLE VEGETATION: [ . ,], YES 4k0Q••NO
SOIL TEXTURE /LOADING. RATE- FOR.,:SYSTEMWSIZING :
DRAINFIELD CONFIGURATION: ( ] TRENCH [}C
REMARKS /ADDITIONAL - CRITERIA r "AI:1 - 7:
44, A 3() O CO -r-.4
SITE EVALUATED BY:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAOE'DISPOSAL''SYSTEM "
SITE EVALUATION AND SYSTEM SPECIFICATIONS
( e - k L
BLOCK: SUBDIVISION:
F ..
ck '
DM 4015, 10196 (Replaces HRS -H Form 4015 'Page 3) which may used
•51,1 lock Number: 5744-003-4015-1)
,
AGE
`; 1
G -4 o
BENCHMARK /
(INCHES / T : [ABOVE EL0W
WHICH CAN.BE MMNTAINED:FROM THE P GPOSED.SYSTEM TO THE FOLLOWING FEATURES:
[
,
T `
A' 'FT ", . ,. i„ rT4ITCHES�S ALESs, � F'� ORMALLY WET ?�' 'J YES' +±'�'�] NO
�, Nt. vi;: r�, t r 1 ' I;J Ar FT NON-POTABLE: 04 FT
� � �LIMIT]rD''USE r •' ' a'�Ar FT � i
Sir FT, ' "PROPERTY .LINES: 5 a - 'FT POTABLE WATER LINES: } FT
. 'b5'44 .'.:•j. 4; ' . ) . • r , . . 3s1.., ...... . T n .. 7;. :. r.. .4, ...4 ,
SITE SUBJECT TO. FREQUENT .•.FLOODINO: ),r ( ] YES ; . tAl,. NO ; 10, YEAR ; FLOODING? p [
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NGVD SITE ELEVATION: 52
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE c IN•FOB ATION SITE 2
/Color Texture' Depth
•
0" to
L � �
to 1-)
_t o
.i14 r .,t
to
Io't2 6J . 4.1
iv
�t0
USDA SOIL,SERIES:
Ski{. },ew. .
� DATE:
dX r
]
SQFT
FERENCE POINT
YES pC] NO
FT MSL /NGVD
� l TstfNG , .GRAD%; •:,. TYPE: '' PERCHED / APPARENT
w.:'ti INCHES [ ABOVE / BELOW ] EXISTING GRADE.
t. - ,,:a . MOTTLING:,(r] -,YES ..:50 NO DEPTH :. . Na INCHE:
T P @ e V [ . ,, , :L ,.DEFTH OF EXCAVATION:
] BED [ ] OTHER . (SPECIFY)
050 .: 4.'f(o ,,, . G `7` "` .44)..- k : . ..
.21 , INCHE:
l!
Page 3 of
:N MIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address /o2s--v c% 9.46 5 j Tax Fond S.Zec g eo
Legal Description Aj2,5 1 .# � (1 --/ ..?„2., 1 125 g404/ Master Permit # 3:2Zg
s r
Owner / Lessee / Tenant /tit t. Gof'
Owner's Address / 2. S ,( r c27 y'¢ i
Contracting Co. en, 9/ f Ga-k�J
Qualifier G I t 1 - - n 5 4 1 ' 1 2 j . SS# 7 & 5 - J - 7 _ 3 phone
State#
fry-r r,036
Architect /Engineer
Bonding Company
Mortgagor
Square Ft. ,Szo S. TT
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 4 icy Spa S CS; / -=� -- �7,� / -�i" f
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS,
POOLS, ROOFING, and MECHANICAL work.
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 regu :ti•_ construction and zoning.
Furthermore, I authorize the above -named contractor to d� stated.
o /
ignature of Contractor or Owner - Builder
Sig of Owner and /or Co. y. President
Date: 21IL I �j Z o . .'A.1.1,.r Casc®PUte
( CF CtiaB�rb ST I4
. FLG A
o' 4a Ny >�•�r•�;; VW. aAw.r,,,a, L ,�h.,�✓
Notary as to Owner an • or Co l sident tary(/as to Contractokr0? Ay l0¢ (rfORIDA
My Commission Expires: Commission Expireia COMMISSION EXPIRES APRIL 16. 1992
* * * * * * * * * * *BONDED nab STEMBLER*AMS & SWEW
PERMIT FEE: APPROVED:
Ju - ®d Zoning Building lectrical
� )/J M echanical Plumbing S'� �
3 1,So
Competency#
Fire
Address
Address
Address
Address
Estimated Cost a ��
Date:
phone
°TAUA/ 3 4- s - T
Ins. Co.
Other
•
•
FLORIDA
NT OF HEALTH AND REHABILITATIVE SERVICES
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
r �v
Date of Application 7
IV rrt-
Name of Owner �ill � d�f � Telephone Number
Mailing Address of Owner / 2 s 9-f-: S
Owner's Agent • (7/) ,KGB Builder
Agent's Mailing Address / .5 "3. s Telephone No
Property Street Address
Lot No. Block No Subdivision Date Subdivided
NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION
This Application is for: New System Repair Existing System
Type of Sewage Flow Sewage Flow
Establishment (Gallons per day) Based On
7
Type of No. Bedrooms Heated or Cooled Area No. Dwelling
Residential (each dwelling unit) (each dwelling unit) Units
SF w
AUDIT CONTROL NO 315 816
HRS-H Form 4015, Feb 85 (Obsoletes previous editions which may not be used)
(Stock Number: 5744 -001 - 4015 -1)
Authority: Chapter 381, FS
Chapter 10D-6, FAC
PART I — APPLICATION
TOTAL FLOW =
ft
ft
Exact Directions to Property
Applicant's Signatu
Permit Application Number
Sewage Flow
(Gallons per day)
Page 1 of 3
STATE OF FLORIDA
COUNTY OF DADE
I HEREBY CERTIFY that this Is a�y of the
ori?inal ,w n this office ort� d of
�� 1�11 A. D. 1Q �
"!1TNESS my hind and Official Seat.
Clerk Circuit Court
By / DM
PERMIT # Tax Folio No. 1 _go , A — , r� , 4dW
State of Florida
County of Dade
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
1. Description of property: (legal description of the property, and street address if
ava11ab1e)giT (
7/15)
2. General description of improvement: S er T / 7149yC ,4, )
Or ! �e Y J �( /L,�, J UCJ i Q /2 4 - l: / ^ y. ,--,
3. Owner information:
a. Name and. Address:
4. Contractor: (name and address)
5. Surety:
a. Name and Address
b. Amount of bond$
6. Lender: (name and address)
4-/V J T r
54 71- / o / c
92R054-6u4 1992 FEB 14 14:18
b. Interept in property: U 6 <i/2/-e7 ,,
c. Name and address of fee simple titleholder(if other than owner):
1 ?U5�
C 4 / 5 O ,TL2 Q 414/, 3 4 sT
7. Persons with the State of Florida designated by Owner upon whom notices or
other documents may be served as provided by Section 713.13(1)(a)7., Florida
Statutes : (name and address)
8. In addition to himself, Owner designates C rr',7 rPtwl/ of3/96P fS
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date is specified)
1 ( C4 4
Sworn to and subscribed before me this 1 L of C., 1-, .. .. _ 1991.
• Adda'Cascante
Notary STATE OF. FLORIDA 61C)1(061( Public My Comm Exp8 /19/94
lotary Pudic / My Commission Expires: BONDED
Signature of Owner