780 NE 94 St (13)I /d 6
ct omments
��
J
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Inspection Date: 06/29/2006
Inspector: Levrack, James
Owner: DUARTE, RAUL
Job Address: 780 94 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: BOBS SEPTIC & DRAIN INC
Building Department Comments
Wednesday, June 28, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number
.UL0
Permit Type: Plumbing - Residential
Inspection Type: Landscaping
Work Classification: Drainfield
Parcel Number 1132060141650
Lot:
Phone: 305- 558 -5818
Page 2 of 2
r
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type (circle): Building Elec
Owner's Name (Fee Simple Titleholder_,
Owner's Address Igo p r.
City ► P Sh t1L-`, o State
Tenant/Lessee Name A / p-
Job Address (where the work is being done)
City Miami Shores Village
- sa® �
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address 0 0
ob
State Certificate or Registration No. 9
City
Qualifier Name
Architect/Engineer's Name (if applicable)
Type of Work: ❑Addition ❑Alteration
Describe Work:
1
Submittal Fee $
Structural Review. $
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Notary $ Training /Education Fee $
Scanning $ Radon $
Permit Fee
Co ty Miami -Dade Zip
!, "' 2006
1,66
5t,Li Soc,s'S
, \ ` 6 ST
State Zip
► 0 l� Phone #
0 1AI Certificate of Competency No. V S. " ►
Value of Work For this Permit $ .
[New
DPBR $
�d
8231 c X7
Master Permit No.
Mechanical
,, 0 i ft'
Phone #
Permit No. 4 0 SS3
Phone #
Square / Linear Footage Of Work: �-- ---�
Repair/Replace ❑ Demolition
33)3
* *Fee ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Bond a: Code Enforcement $ Double Fee $
Total Fee Now Due $
See Reverse side —+
Roofing
Zip 33
CCF $ CO /CC
Technology Fee $
Zoning $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State f Zip
Mortgage Lender's Name (if applicable) '
Mortgage Lender's Address
City State Zip
P
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 co encement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is is . - . I the absence o such posted notice, the
inspection will not be approved and a . section fee will be charged.
.?c Signatur
Owner or Agent
The foregoing instrument was acknowledged before me this 2�
day oMek , 20 Cfll L_X,I /C
own to me or who has produced
who is person
LCt As identifi
Sign:
Print:
My
ing Co., Inc.
NOTARY PUBLIC:
ommis ion Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
o Yori ny Her ldez
Commis • # ; ))4.6455
4111. y •
�� • e' Th i, r r a , ,,•
41
Signature
ontractor
The foregoing instrument was acknowledged before me this
,2O 0.4 , by
Sign:
Print:
NOTARY PUBLIC:
My Commission Expires:
/4
who is personally known to me or who has produced
as identification and who did take an oath.
Plans Examiner
Engineer
Zoning
MONICA LISSETH DIAZ
BO
' err le
EXPIRES: October 20 28 3995 I�
c Unuer
5q4
CONSTRUCTION PERMIT FOR:
[ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other
[ X ]Repair [ ]Abandonment [ ]Temporary [ NA ]
APPLICANT: Duarte, Raul AGENT: SR0921116, PARILLA ROBERT
PROPERTY STREET ADDRESS: 780 NE 94 St Miami Shores FL 33138
LOT: 6 BLOCK: 65 SUBDIVISION: Miami Shores Sec 3
[Section /Township /Range /Parcel No.]
PROPERTY ID #: 11- 3206 - 014 -1650 [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 [ 750 ]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: [ 1 ]STANDARD [ N ]FILLED
I CONFIGURATION: [ N ]TRENCH [ /
N
F LOCATION TO BENCHMARK: F.F.E.:11.3' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.7 ] [ FEET ] [ BELOW]BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 4.2 ] [ FEET ] [ BELOW]BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES
OTHER REMARKS:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
1.- Install 300 sf of drainfield in bed configuration.
2.- Existing 750 gal. septic tank, certified by "Bob's Septic & Drain Inc. on 05/19/2006" to
remain.
3.- Invert elevation of drainfield to be no less than 7.60' NGVD.
4.- Bottom of drainfield elevation to be no less than 7.10' NGVD.
THIS PERMIT IS NOT FOR "ADDITION(s) ".
DATE ISSUED: 5/22/06
SPECIFI ONS BY: OSPI - TITLE:
APPROVED BY: Ospi - , Pedro TITLE:
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 001 - 4016 -0) [ostds_cons_4016 -1]
CENTRAX #: 13 -SG -29140
DATE PAID:
FEE PAID : $
RECEIPT .
OSTDSNBR : 06 -1567- -R
[ N ]MOUND [ N ]
[ N ]
Dade CHD
EXPIRATION DATE: 8/20/06
Page 1 of 2
Scale: Each block represents 5 feet and 1 inch = 50 feet.
Notes:
Site Plan submitted b
• Plan
By
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT ' ! - j • " y'(
r, ,
Permit Application Number
;{5V 7 �.
DH 4015, 10/96 (Replaces HRS-H Form 4015 which may be used)
(Stock Nurrber: 5744 - 002 - 4015.6)
er
PART 0 - SITE PLAN
Signature
Not Approved
6:4s6 IchrI
/ 5 e , s . �A / �
/ r
572,0 9 N4
b
e441.,/
Title
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Date
County Health Department
Page 2 of 3
Issue Date: 5/24/2006
Owner's Name: RAUL DUARTE
Permit Type: Plumbing - Residential
Work Classification: Drainfield
Job Address: 780 94 Street NE
Miami Shores Village, FL 33138-
Expires: 11/18/2006
Contractor(s) Phone
BOBS SEPTIC & DRAIN INC 305 - 558 -5818
Primary Contractor
Yes
Comments:
DRAINFIELD REPLACEMENT
Additional Information
Type of Work: DRAINFIELD
Additional Info: 300 SQ FT
Classification: Residential
Type of Piping:
Bond Return :
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 $1.80
Education Surcharge $0.60
Notary Fee $5.00
Permit Fee - Additions /Alterations $175.00
Scanning Fee $3.00
Technology Fee $3.75
Total: $489.15
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Permit Status: APPROVED
Permit Number: PL -5 -06 -1353
Phone:
Parcel #: 1132060141650
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 2,500.00
Required Inspections
Rough
Landscaping
Final
Invoice Number
PL - 5 - 06 - 24887
Total:
Amt Due
$489.15
Amt Paid
$489.15
$489.15
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
64 G
Passed
n
to Comments
Failed
Correction
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
r/ - o8r•
s. � t {.:i dry
J z' r�
...............
................
...............
................
Isa'ei
Inspection Date: 06/29/2006
Inspector: Levrack, James
Owner: DUARTE, RAUL
Job Address: 780 94 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: BOBS SEPTIC & DRAIN INC
Building Department Comments
Wednesday, June 28, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
JULO3
Block:
Permit Type: Plumbing - Residential
Inspection Type: Landscaping
Work Classification: Drainfield
Phone Number
Parcel Number 1132060141650
Lot:
Phone: 305 - 558 -5818
Page 1 of 2
6 )O
P° ipg_ei9sTh
Passed
Inspe I
. r k
om nts
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 06/27/2006 ,
Inspector: Levrack, James �1 UJU U
Owner: DUARTE, RAUL
Job Address: 780 94 Street NE
Project: <NONE>
Contractor: BOBS SEPTIC & DRAIN INC
Building Department Comments
Monday, June 26, 2006
Miami Shores Village, FL 33138-
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 1132060141650
Lot:
Phone: 305 - 558 -5818
Page 1 of 2
'7i)
-,
Passed
Insp t
/
m:1i s
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP- 18050
Inspection Date: 05/25/2006
Inspector: Levrack, James
Owner: DUARTE, RAUL
Job Address: 780 94 Street NE
Project: <NONE>
Contractor:
Building Department Comments
Wednesday, May 24, 2006
Miami Shores Village, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
my 2 8 Ia
Block:
. Permit Number: PL- 5-06 -1353
Permit Type: Plumbing - Residential
Inspection Type: Rough
Work Classification: Drainfield
Phone Number
Parcel Number 1132060141650
Lot:
Page 1 of 2
AGENT:
PROPERTY ADDRESS:
LOT: - -
[03]
[04]
[05]
[06]
[0
[08]
[
STATE C. ' = LORIDA
LYE kI TMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTI N INSPECTION AND FINAL APPROVAL
BLOCK: SUBDIVISION:
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK' INSTALLATION:
[011' TANi SIZE[1]7 aTO _i�1'
[02] TANKMATERIAL.C_e - .at r.
OUTLET DEVICE_
MULTI- CHAMBERED: [V/f ];
OUTLET FILTER`
LEGEND At J
WATERTIGHT" .
I.EVEL /',f -y
DEPTH TO'∎LID"
D RAI N F.I ELD - INSTALLATION
[10] AREA4[1]P,X [2j'3& (i SOFT
[11] DISTRIBUTION BOA HEADER.'
[ 1 [12] NUMBER OF DRAINLINESt, -C..t.
[ ]. [13]' DRA1NLINE SEPARATION' 7,,..,
[: 1, [1 DRAINLINE :SLOPE
[ ] [15] DEPTH OF COVER;
[ ] [16] ELEVATION. [ABOYE/BELOW] BM
[ ] [17] SYSTEM • LOCATION
[ ] [18]' DOSING-PUMPS'
[' • ] i [191: AGGREGA-TES}ZE
[ ).i - pop AOGRa EGATE'•''EXCESSIVEFINES,
[; ], [21] AGGREGATE.DEPTH" "A/ 1
FILL. / EXCAVATION MATERIAL
[i ] [221 FILL AMOUI t "J f"Y's -'rc;,•
[f ]- [231' FILL TEXTURE
[. j li • � }; 1•.S "60CrTO4 DtktR4 '' r
[ ] [251' AREA .REPLA+i3ED
[ ] [26}' REPLACEMENT
EXPLANATION OF VIOLATIONS / REMARKS:
[' 1'
[
[ 1
CONSTRUCT]
FINAL SYSTE APP.ROVEI'/DISAPPROVED.]:;
DH 4016 (Page-2), 10/97 (Previous. Editions"Mby.Be -Used)
Stock Number: 5744- 002=4016 -4
•
1:
)
E. ]
[r ];
[, 11
•[ • 11 [444!
[], ['5]i
:[46]t
1 [4
N [APPFiOYED ISAPPRO,VED] :`
PERMIT NO `.y •`
DATE PAID.
FEE PAID
RECEIPT #•
PROPERTY ID #•
SETBACKS
[27] SURFACE WATER -
[281 DITCE ,-
[2811 PRI:VA•TE :WEL-LS
[30] % '013siCy11/ELtS
[31] IRRIGATION WELLS
[321' 9t : B X. "L'"I IES / r
[33]C HIJILD[N� ;FE3C1NpTJON
[34]; PROPERTY L1NL.
[351. OTH €R ` .. „ '.
FILLED: /::MOUND.SYST,EM
[36]' DRAINFJELD COVER
[37] SHOO ER& 1 vary: =
[38] SLOPES
[39] ' STABI iZAT'ION''
ADDITIONAL-INFORMATION
[40]: UNOBSTRUCTED, AREA
[41] S,TORMWATER RUNOFF
[4 .AIM. ,
[43]: MAINTENANCE AGREEMENT
U _
•
LOCATION ;CONFORMS WITH SITE PLAN
FINAL(F
CONTRACTOR f' {
OTHER r., ✓�.';:.
;;ABANDONMENT
149]; TANK PUMPED
[50] TANK CRUSHED & FILLED � �`
I ' C. CHD? DATE° - -4 "
Aoolicant
FT
FT
FT
FT
FT
FT
FT
FT
FT
Page 2 of 3
DIVISION OF
Environmental Health
Fiprwiida Department death
`• ��
jilkiceade County "T ent
OSTDS /Septic Tank . , � ion
7769 NW 48 Sti Suite 175
Tv Dann, FL 33166
- Date , ' 2 S" O
SIDS # a b �,5�� ✓�