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27 NE 94 St (2).--/ Passed sp ctdr omm is (_,) Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until ispectiori Numbed NSP -283 Inspection Date: 05) ,.6/2006 Inspector: Levrack, James Job Address: 27 94 Street t- Project: <NONE> Miami Shores Village, FL Contractor: WP SEPTIC TANK CO INC Building Department Comments Monday, May 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (�p5)795 -2204 Fax: (305)756 -8972 TIP Owner: SANTOS, MARCOS AND LEAH Block: Permit Number PL•12 -05 -1049 Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Drainfield Phone Number (305)759 -8255 Parcel Number 1132060130540 Lot: Phone: 305 -620 -6320 Page 2 of 2 Inspection Number INSP -172$2 O lAY 1 7 E(! Inspection Date: 05/16/2006 Inspector: Levrack, James Owner: SANTOS, MARCOS AND LEAH Job Address: 27 94 Street Miami Shores Village, FL Project: <NONE> Contractor: WP SEPTIC TANK CO INC Building Department Comments Monday, May 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL -12-05 -1049 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number (305)759 -8255 Parcel Number 1132060130540 Lot: Phone: 305 - 620 -6320 Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number INSP -172$2 O lAY 1 7 E(! Inspection Date: 05/16/2006 Inspector: Levrack, James Owner: SANTOS, MARCOS AND LEAH Job Address: 27 94 Street Miami Shores Village, FL Project: <NONE> Contractor: WP SEPTIC TANK CO INC Building Department Comments Monday, May 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL -12-05 -1049 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number (305)759 -8255 Parcel Number 1132060130540 Lot: Phone: 305 - 620 -6320 Page 1 of 2 Inspection Date: 03/10/2006 Inspector: Levrack, James Owner: SANTOS, MARCOS AND LEAH Job Address: 27 94 Street )\jE Miami Shores Village, FL Project: <NONE> Contractor: W P SEPTIC TANK CO INC Building Department Comments Thursday, March 9, 2006 Inspection Worksheet Miamii Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residgr;tial 6C 4,7C Inspection Type: Work Classification: Drainfield Phone Number (305)759 -8255 Parcel Number 1132060130540 Lot: Phone: 305 -620 -6320 Page 1 of 2 Passed ns - � • rments / W '($75) /7 a (if? 7 k--( /AV V 7)111 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 03/10/2006 Inspector: Levrack, James Owner: SANTOS, MARCOS AND LEAH Job Address: 27 94 Street )\jE Miami Shores Village, FL Project: <NONE> Contractor: W P SEPTIC TANK CO INC Building Department Comments Thursday, March 9, 2006 Inspection Worksheet Miamii Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residgr;tial 6C 4,7C Inspection Type: Work Classification: Drainfield Phone Number (305)759 -8255 Parcel Number 1132060130540 Lot: Phone: 305 -620 -6320 Page 1 of 2 A. / Passed I spe �• "mm ents ------ (?o � d 2 7 %77 0`lC� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. T C/-- & 7v L 7 until Inspection Number: INSP-284 Inspection Date: 03/10/2006 Inspector: Levrack, James Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 L .�. Permit Number PL -12 -05 -1049 Permit Type: Plumbing - Residential (o ys Inspection Type: Work Classification: Drainfield Owner: SANTOS, MARCOS AND LEAH Job Address: 27 94 Street Miami Shores Village, FL Project: <NONE> Contractor: W P SEPTIC TANK CO INC Building Department Comments Thursday, March 9, 2006 Block: Phone Number (305)759 -8255 Parcel Number 1132060130540 Lot: Phone: 305 - 620 -6320 Page 2of2 Issue Date: 12/2/2005 Owner's Name: MARCOS SANTOS Permit Type: Plumbing - Residential Work Classification: Drainfield Job Address: 27 94 Street Miami Shores Village, FL Contractor(s) Phone W P SEPTIC TANK CO INC 305 - 620 -6320 Additional Information Type of Work: DRAINFIELD Type of Piping: Additional Info: 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. Fees Due Amount Bond Type - Contractors Bond $300.00 CCF $0.60 Education Surcharge $0.20 Permit Fee - Additions /Alterations $100.00 Permit Fee - Additions /Alterations $100.00 Permit Fee - Additions /Alterations $100.00 Plan Review Fee (Engineer) $50.00 Scanning Fee $3.00 Technology Fee $8.75 Total: $662.55 Building Department File Copy Miami Shores Village • 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/01/2006 Primary Contractor Yes Permit Status: APPROVED Permit Number: PL -12 -05 -1049 Phone: 305/981 -4702 Parcel #: 1132060130540 Block: Lot: Section: PB: Total Square Feet: 300 Total Valuation: $ 1,000.00 Required Inspections Rough Landscaping Final Invoice Number PL - 12 - 05 - 22857 Total: DEC 0 7 PAID C-f2S H Amt Due $662.55 Amt Paid :6 Z . se NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATIO FBC 2001 City q State Tenant/Lessee Name Architect/Engineer's Name (if applicable) $ Value of Work For this Permit -ADO® Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 79522.114.,Fmg 05) 756.8972 EnilEx o• State Certificate or Registration No. Ce tificate of Competency No. A. Permit No. PLO — I D4 9 Master Permit No. Permit Type (circle): Building Electrical Plumbing , Mechanical Roofing b n \ Owner'sName (FeeSimpIeTitIehoIder) 4 iS , , (..:41-(ea , � #-A -j' one # 20-..s 1a S2 S''' Owner's Address , � .� / �' F ,_. �� _?`Z5 -ss' — I d 1 - 1 �• " � d 0 Zip `5 Phone # Job Address (where the work is being done) ..)f.I.P1_ City Miami Shores Village County Miami - Dade" Zip Is Building Historically Designated YES NO an Name Vc, l' / `� q P Y �� Contractor's Company ��'ll d C Aa' ,i &", tV Phone # . S� 7_,- '� y �• , Contractor's Address % ^ •�' /�� _ d City ® �I • (� 6� i ) State Zip Qualifier 4,7 ' k )rte Phone # Square Footage Of Work: 'o r-,'- Type of Work: ❑Addition ❑Alteration ['New Re air/Re lace _ p p ❑Demolition Describe Work: - 1/1 <y`/ f) o / ,v y , , &/ * * * * * * * * * * * * * * * * * * * * * * * * * *i *Fees * ** * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 4)I Permit Fee $ /75 /75 CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State 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 approved and a reinspectionee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this day o l/ , 2Q by , day of � , 20 , by d or w tificati 6cOresNlar16 2C1� o Commission # DD26 oft' Bonded By National Notary Assn. Ai Arifie / . Tit ;t7 !l No ary . u • is - • = u� •. ntsion • •. Print: My Commis * * * * * * * * ** Chc 05/13/03 State Zip rsonally known to m A APPLICATION APPROVED BY: * ** * * * * ** has produced d who did take an oath. NOTA ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** I Pr' My who is personally known to me o Zip as identi roduced or cv o did take an oath. **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i � _ J o 2- -v 7 Plans Examiner Engineer Zoning PLUMBING ADDENDUM I U dUlLuiNu r�t�;vtl I r, rr Ll�+n �•, AN LI.p:,rtATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDU!!. IF A MASTER PERMIT HAS OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATI( ELECTRICAL MECHANICAL UNIT FEE ITEM SPACE HEATERS UNIT TFW UNIT FEE ITEM SWITCH OUTLETS ATH TW LIGHT OUTLETS CENTRAL HEATING IDET RECEPTACLES A/C (WIND) ISHWASHER I SERVICE TEMPORARY A/C (CENTRAL) IISPOSAL PINKING FOUNTAIN SERVICE SIZE IN AAPS DUCT WORK LDOP, DRAIN SERVICE REPAIR/VETER CHANGE REFRIGERATION APPLIANCE OUTLETS PROCESS AND PRESS PIPING IREASE TRAP INTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS - TRAY WATER HEATER U.F . PRESSURE VESSELS _AUtICRY :LOTHES WASHER MOTORS 0- ', HP STEAM BOILERS SHOWER MI OVER 1- 3 hP HOT WATER BOILERS SINK, POT /3 COW. MOTCRS OVER 3- 5 HP M(ECHAN I CAL VENT I LAT I DN MOTORS OVER 5- 3 HP TRANSPORTING ASSEMBLIES SINK, RESIDENCE "'INK, SLOP MOTCRS OVER B- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 H' FIRE SPRINKLER SYSTEM 1 URINAL IQTCRS OVER 2E -10C HP COOLING TOWERS '}WATER CLOSET MOTORS OVER 1C0 1-P VIOLATION WO IREC1 WASTES A/C WINDOW I REINSP,ECTJDN WATES SUPPLY TO: AIR CONDITIONERS I A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS I I HEATER - REPLACE GENERATORS TRANSFORMERS I I LAWN SPRINKLER -WELL SPECIAL PURPOSE S11IRAING POOL OUTLETS COM+ERCIAL I 1 WATER SERVICE SIGN SEWER CONNECTIONS •SIGN TRANSFORMERS _ UTILITY- SEWER SIGN T I P E CLOCK UTILITY -WATER FIXTLRES ` SEPTIC TANK r' ANTENNA - RELAY - TELEVISION OUTLETS DRAINFIELD, 4' TILE/P,ES. /pp V:IOLAT.ION^ _ PUMF & ABANDON SEPTIC TANK RE INSPECTION,: ".. SOAKAGE PIT CU. FT." '• • CATCH BASIN DISCHARGE WELL '' DOMESTIC WELL AREA DRAIN' 1 ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE 1 , POOL PIPING LAWN SPRINKLER SYSTEM` GAS RAN__ I METER SET (GAS) I i GAF PIPING I . PLUMBING ADDENDUM I U dUlLuiNu r�t�;vtl I r, rr Ll�+n �•, AN LI.p:,rtATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDU!!. IF A MASTER PERMIT HAS OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATI( ELECTRICAL MECHANICAL LOT: 15 BLOCK: 4 • CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment APPLICANT: Santos, Marcos STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT PROPERTY STREET ADDRESS: 27 NE 94 St Miami FL 33138 PROPERTY ID #: 11- 3206 - 013 -0540 SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ N ]BED N F LOCATION TO BENCHMARK: FFE EL.:12.90'NGVD THIS PERMIT IS NOT FOR " ADDITION ". DH 4016, 03/97 (Obsoletes previous editions which ay not be (Stock Number: 5794- 001 - 9016 -0) [ostds_cons_4016 -1] ]Holding Tank ]Temporary [ NA ] I ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ] [ FEET E BOTTOM OF DRAINFIELD TO BE [ 5.1 ] [ FEET L D FILL REQUIRED: [ 0.0 ]INCHES AGENT: WALLACE P, Ponder Wallace EXCAVATION REQUIRED: [ 34.0 ] INCHES OTHER REMARKS: TITLE: used) CENTRAX #: 13 -SG -26779 DATE PAID: FEE PAID : $ RECEIPT . I SNOSTDSNBR : 05 -3350- -R [ ] Innovative Other SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] [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. MULTI - CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: [Y ] ]GALLONS @ [ 0 ]DOSES PER 24 HRS # PUMPS[ 0 ] [ N ]MOUND [ . N ] [ N ] ] [ BELOW BENCHMARK /REFERENCE POINT ] [ BELOW BENCHMARK /REFERENCE POINT 1.- Install 900 gal. category -3 septic tank equipped with an approved filter. 2. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f), FAC. 3.- Install 300 sf of drainfield IN BED CONFIGURATION 4.- Invert elevation of drainfield to be no less than 8.27' NGVD. 5.- Bottom of drainfield elevation to be no less than 7.77' NGVD. dig SPECIFICATIONS BY: Andre, Paul APPROVED BY: Andre, Paul TITLE: Professional Engin Dade CHD DATE ISSUED: 10/13/05 EXPIRATION DATE: 1/11/06 Page 1 of 2 • i I • - h—= .3.'�c= • Site Plan submitted by: Plan Approved Al By STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT,,,: Permit Application Number- --` 3 ♦ Scale: Each block represents 5 feet and"1 inch = 50 feet. Notes 'icu , 'err, rna d (3 t e ]� at e lob"' 4- PART II -SITE PLAN- 1 j 1 1 € i 1 1 LL t i —r r 1 a 1 t . • e1 ... 11 1 J Signature Not Approved {r' I C Y ..: . 1 f} 4 ' Title Date •‘„ County Health Department ALL CHA S MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10196 (Replaces HRS-H Form 4015 which may be us (Stock Number: 5744 -002. 4015.6) Page 2 of 3 ,k