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785 NE 94 St (5)E UILDING LECTRICAL - 1 1 PLUMBIN 0 Buil ding CONTRACTOR 0 ILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 6312 Work to be perforid -under this Peri Signe Subdi- vision BY SP' •R Contractor's License No. 194& Architect Contractor or Builder Legal Lot Description Address of Building This p: it is granted to the contract gf or ilder 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 with 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 proper 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 are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the respons'.il' y for a thorough knowledge f ordinances and ' regulations pertaining to the work covered hereby whether shown on the plans .r dr. d'ings o " in the : a - ments or speci cations and t h assumes respon- sibility for work done by his agents, servants or employees. By In consideration of the issuance to me of this permit I agree to per '.rn\ 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 authority of Miami Shofts.V)llale. In acceptijg th ermit I assume res..nsibility for all work done by either myself, my agent, servant or employee. AUTHORITY • f nspection Number: INSP-1805 Inspection Date: 05/16/2006 Inspector: Levrack, James Owner: BRIGGS, WILLIAM Job Address: 785 94 Street NE Project: <NONE> Contractor: Building Department Comments 6� Passed \ d ‘n Re -Ins Fee` ($ 7 5 ) No Additional Inspections c ai, I I re inspection fee is Paid. ' , .duled until HondaY, May 15 2006 Miami Shores Village, FL 33138- WP SEPTIC TANK CO INC Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (30 )795 -2204 Fax: (305)756 -8972 Block: rmit Number: , -1245 -1169 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number Parcel Number 1132060142030 Lot: Phone: 305 - 620 -6320 Page 1 of 2 s /3 Passed J In pec r C . 'mnt is 7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 #SAY.17 On nspection Number: I NSP -1804 Inspection Date: 05/16/2006 Inspector: Levrack, James Owner: BRIGGS, WILLIAM Job Address: 785 94 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: WP SEPTIC TANK CO INC Building Department Comments Monday, May 15, 2006 Block: MI l umber: $PL -12 -05 -1169 Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Drainfield Phony Number Parcel Number 1132060142030 Lot: Phone: 305 -620 -6320 Page 1 of 2 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: '.. �' . t 1 6.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ttJ ` ;12 wi i Phone # Owner's Address r f 2c /V C: 9 if r— .J Cit 11 uc A i s 5 O t-,?..G State Tenant/Lessee Name SL'>{ Aw f Job Address (where the work is being done) City Miami Shores Village County Miami- Zip . _ f �' S Is Building Historically Designated YES NO V Contractor's Company Name A//' ,P sa /( /C �, �� Phone # Zip 7 ,3 46 ' b- City / 1 / /11, , LL ,, / State Qualifier 4/4 //a< e 4.2ne n �, State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition pescribe Work: ❑Alteration * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ¶Fee $ Permit Fee $ / 2 r CCF $ Training/Education Fee $ Radon $ Zoning Bond $ lent $ Structural Plan Review. $ ; .$ V1 r OO :ite side) Miami Shores Village 1 zip 3 3 LlNew aster Permit No. Phone # Square Footage Of Work: Permit No. ! LQ6 " 1 1 69 Phone # Technology Fee $ }�Repair/Replace ❑ Demolition CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City State Signature tu WM i Owner or A ent My Commission Expires: 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 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 reinspection fee will be charged. Signature j Contractor The foregoing instrument was acknowledged before me this 9 The foregoing i trument was acknowledged before me this q Q day of�� ,t,#iiba , 20 S, by day of Dean/ , 20 by who ersonally known to me . who has . oduced D L • who is pers known to me or who ss on # DD268491 My Commission Expires: APPLICATION APPROVED BY: IM Ili eye Chc 05/13/03 Plans Examiner Engineer Zoning • FEE ITEM SPACE HEATERS UNIT FEE iEM TLS UNIT FEE ITEM UNIT SWITCH OUTLETS ATH IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER 1 1 RECEPTACLES A/C (WIND) ISPOSAL 1 SERVICE TEMPORARY A/C (CENTRAL) RINKING FOUNTAIN 1 SERVICE SIZE IN A6PS DUCT WORK LOOK DRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION ;REASE TRAP APPL I ANCE OUTLETS PROCESS AND PRESS P I P I Flu HTERCEPTOR 1 RANGE TT UNDERGROUND TANKS ATCRY OVEN ABOVE GRDUNIID TANKS .AV TRAY WATER HEATER U.F. PRESSURE VESSELS .AUFDRY MDTCRS 0- 1 I-P STEAM BOILERS :LOTHES WASHER MOWER MOTORS OVER 1- 3 H' HOT WATER BOILERS MOTORS OVER 3- 5 I-P MECHAN I CAL ENT I LAT I DN 3 INK POT /3 COW , . 3 INK RESIDENCE MOTORS OVER 5- 8 H° TRANSPORT ASSEM3LIES I , 3INK, SLOP MOTCRS OVER 8- 10 H' ELEVATORS/E CAL ATORS I TE1rPORARY WATER CLOSET MOTORS OVER 1C- 25 If F IRE SPRINK ER SYSTEZ I URINAL MOTORS OVER 25-100 FP COOLING TOWERS HATER CLOSET MJTORS OVER 100 FP VIOLATION INDIRECT WASTES 1 I A/C W I FDOW I RE I,NSP,ECT J0 � WATER SUPPLY T0: 1 1 AIR CONDITIONERS I 1 1 A/C UNIT 1 I STRIP HEATER I I 1 F IRE SPRINKLER 1 I GENERATORS TRANSFORMERS 1 1 I 1 HEATER -NEW INST. 1 GENERATORS TRANSFORMERS 1 1 HEATER - REPLACE I 1 GENERATORS TRANSFORMERS I I LAWN SPRINKLER -WELL I I SPECIAL P%RPOSE 1 J I SWIM1ING POOL OUTLETS COMI4ERCIAL I 1 I WATER SERVICE SIGN TU3ES I -' SEWER CONNECTIONS - • SIGN TRANSFORMERS ' UTILJTY -SEER - SIGN TIME CLOCK I UT I L I TY -WATER F.l XTl,RES. I • SEPTIC TAW r ANTENNA RELAY 1 TELEVISION OUTLETS DRAINFIELD, t- TILE/RES. Jox3 VIOLATION PUMP & ABANDON SEPT IC TANK RE HS?ECT ION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL TIDIEST IC WELL 1 1 1 AREA DRAI I I ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE ! POOL P I P I hi; 1 I 1 LAWN SPRINKLER SYSTE.. I 1 1 1 • GAS RANtiE 1 1 hETER SET (GAS) I 1 I I i GAS PIPIN: ADDENDUM TO BUILDING PERMIT APPLICATIDN AN AEPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A ikSTER PERMIT HAS B. OBTAINED, THE OV €R' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBS APPLICATIONS.) PLUMBING ELECTRICAL ME CHAN I CAL CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment APPLICANT: Brigos, William AGENT: SR0890743, PONDER WALLACE PROPERTY STREET ADDRESS: 785 NE 94 St Miami Shores FL 33138 LOT: 24 BLOCK: 67 PROPERTY ID #: 11- 3206 - 014 -2030 SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANLARDS 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 A [ 0 N [ 0 K [ 0 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT ]Gallons SEPTIC TANK ]Gallons ]GALLONS GREASE INTERCEPTOR CAPACITY ]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: Top of Bottom Floor EL: 12.4'. NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 5.0 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT L D FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 32.0 ] INCHES OTHER REMARKS: 1 - Existing 900 gal septic tank certified by "W & P Septic Tank" to 'emain. 2 - Install 300 sf of drainfield in bed configuration. 3 - Invert elevation of drainfield to be no less than 7.93' NGVD. 4 - Bottom of drainfield elevation to be no less than 7.43' NGVD. This permit is NOT for Addition(s). SPECIFICATIONS BY: Heybeck, Nicholas APPROVED BY: Heyback, Nick DATE ISSUED: 11/30/05 SUBDIVISION: Miami Shores Sec 3 [Section /Township /Range /Parc [OR TAX ID NUMBER] DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [ostds_cons_4016 -1) ] Temporary [ NA ] TITLE: 6.01 % TITLE: CEN RAX #: 13 -SG -27195 DAT PAID: FEE PAID : $ REC IPT . OSTDSNBR : 05 -3742- -R )Holding Tank [ ] Innovative Other. a =1 No.] MULTI -C AMBERED /IN SERIES: [Y ] MULTI -C AMBERED /IN SERIES: [Y ] DOSES ER 24 HRS # PUMPS[ ]GALLONS @ [ 0 ] [ ] [ N ]MOUND [ N ] [ N J Dade EXPIRAI DATE: 2/28/06 CHD Page 1 of 2 _n Joti APPLICANT: BLOCK: 1 F 7 PROPERTY ID #: .i 1, ,4i1 'r - j c- 11 - =================== ___ _ _ - --- -g- --_- _s'° = S MUST _ - - - - - -- - ~~�.� ZED PERSON./ ENGINEE R YO-YO - --__HEAL== =UNIT = PLOY-- -- OTHER- QUALIF SO •. ALI, ZTE ======================================================= _ --- COMP-- -- -- ---- =- -- ER HEALTH_ EMPLOYEE, O _- COMPLETE TO V E COMPLETED REGIS REGISTRATION NNNIMB SIGN AND SEpL'EACH PAGE OF SUBMITTAL. - ° = == L I TEMS. °H= PROVIDE REGISTRATION NUMBER AND - = == =____Vic' ========================================= _= = = = =H === === E =H =PM- ==== A CRE: PROPERTY SIZE CONFORMS TO SITE PLAN: [ "L]r YES [ ] NO NET USABLE Z • O „,..5 TRE - a A C 2i P 2 2. GALLONS PER DAY [RE-SIDEN ES- TABLE ) / � / TOTAL ESTIMATED SEWAGE FLOW: .�„ GALLONS PER DAY [ 1500 GPI /ACRE OR, 2500 GP JICRE] SQF •� • � UNOBSTRUCTED AREA QUIRED: 6/Y,... AUTHORIZED SEWAGE FLOW: � .,)t. SQFT UNOBSTRUCTED AREA AVAILABLE: ._- r" - ( ; ) 6,1„,,I) i d ' -�� �ENC /�FE�NCE POIN BENCHMARK /REFERENCE POINT LOCATION: ti INCHES /AFT} [ABOVE /�ELO �' . � ELEVATION OF PROPOSED SYSTEM SITE IS << — [ THE MINIMUM SETBA CK Y WET? [ 1 YES URE : WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTE STE TO THE FOLLOWING FEATURES.: �3 / r DITCHES /SWA E g , #f t FT ri) NON- POTABLE. WE UBLIC !t FT u .: FT �,_ P O TA LE WATER LINES: /C7 1 FT PRIVATE: WELLS: PUBLIC: I L IMITE D USE: c71 FT PROPERTY LINES: .ate BUILDING FOUNDATIONS: � [ ] YES [ly1 FT MSL /N STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS SOIL PROFILE INFORMATION SITE 1 f' EL NCHES [ OBSERVED WATER TABLE: V ! ; I ABOVE / ESTIMATED WET SEASON WATER TABLE ELSVA[IONN SQJL TEXTURE/LOADING HIGH WATER TABLE VEGETATION: [ ] SYSTEM SIZING: CH [ L DRAINFIELD CONFIGURATION: [ ] TREK REMARKS /ADDITIONAL CRITERIA: SITE EVALUATED BY: SUBDIVISION: [Section /Township /Range /P reel No. or;,Tax ID Number 1.r, . .F� BUI YES [` NO 10 YE •• FLOODING? J.i SITE E V 1 __ SITE SUBJECT TO FREQUENT FLOODING: [ J FT MSL /NGVD LEATION: i 10 YEAR FLOOD ELEVATION FOR SITE: J SOIL PROFILE INFORMATION SITE 2 .......:..w ...ew he used) BELOW) EXISTING GRAD INCHES [ MOTTLING: [ ) YE BED [ ] OTHER (S USDA SOIL SERIES: Texture Munsell Color `fix to to to to to to to to ito ,e L.t TYPE: [PERCHED / APPAR • OVE /:, EB LOW ] EXISTING GR NO = 1`' IN [ V)� DEPTH: f ; Ir TH OF EXCAVATION: ECIFY) De tb DATE: Page '- Scale: Each block represents 5 feet and 1 inch = 50 feet. • . r . ..', ‘."./' f i. ! .■ ; -!-.•#;---', - 3 -% - -- - . - - (-•■, ' - _,.. :....;_ _..il..L.;.; • ' • 1 • : -- 't.it t.:; .4. -.• . -I - i .--,..- f -4 ... - , • --: -. • , ., -...• • i- ,;- . • .„-•••,., .• :,- ttl t-;• - 1,...... „ . ...1:„. - .. : ••. " .. . . . .. .. . . -- ,...i.....,„:7-4...;,....,;,....4.... .....1,..i.......4.4_,;,..i......„..„.............:,.......,.....;-.4......i...i....i....;....„.,...-;_....„!..„'`,,.......,;....;.,C....,. , ,,,...,o.. ;... •;.! 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LI .1 - - ---!.:-- , .i„,•; , - ,. i - i I .". 1 ...,. 1 i A-- : ; , ,,, i ; 1 , • 1 ; ', , i , -; - '" - - --- „ • 4„.._.,....,. . , t ; 1 T ,- rl --; -, ; I — - -4-4,----- 1 -1 +, - , ' ---:---,.. , . --, . . - •et. - - - 4 - 1 Notes: Site Plan submitted by: Plan Approved By ALL CHANGI 444015, 10/96 (Replaces HRS-H Form 4015 which may 1:s hock Number: 5744-002.4M 5.41 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT — r Permit Application Number PART II - SITE PLAN 9tti: • • • .• .........,!..,.4......ii_.s---,:i ,.....--,; - - —' -• . - 0 v„' ., . 3 , • , i3 ._, , , ,_ ____. • : . , .. _, ..1. .t . ... ?..(7 ,,..„. : . , ,,4 .-- ! ' • ,re ,( Approved • , • i ■:'; • • • • ,E APPROVED BY THE COUNTY HEALTH D PARTMENT Li Date County Health Department Issue Date: 12/12/2005 Owner's Name: WILLIAM BRIGGS Permit Type: Plumbing - Residential Work Classification: Drainfield Job Address: 785 94 Street NE Additional Information Miami Shores Village, FL 33138- 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 Expires: 12/09/2006 Contractor(s) W P SEPTIC TANK CO INC Phone 305 - 620 -6320 Primary Contractor Yes 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. Parcel #: Block: Section: Permit Status: APPLIED Permit Number: PL -12 -05 -1169 Phone: 1132060142030 Lot: PB: Total Square Feet: 300 ToIjai Valuation: $ 1,500.00 Required Inspections Type of Work: INSTALL 300 SQ FT DRAINF Type of Piping: Additional Info: Fees Due Amount Bond Type - Contractors Bond $300.00 CCF $1.20 Education Surcharge $0.40 Miscellaneous Fee $75.00 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $4.40 Total: $484.00 Invoice Number PL - 12 - 05 - 23005 Total: Rough Landscaping Final Amt Due $484.00 MAf 15 PAID Amt Paid NOTICE: In addition to the requirenients of this permit, there may be additional restrictions applicable to thi property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL ERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.