1196 NE 97 St (4)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
., ontractor
?r Builder
1.egal
Description
Address of
wilding
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE 195
❑ PERMIT N° 3 917 Contractor's
License No.
❑ Work to be performed under this Permit
B1.
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances or if the plans aro changed without authorization. A further condition upon which this permit is
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
?ertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
lone by his agents, servants or employees.
Signed. BY
INSPECTOR
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
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
-epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY e,
APPLICATION POS0
] vas System
G. Repair
APPLICANT:
liMnaara- araatage
TO BE COMPLETED EY APPLICANT OR APPLICANT'S AUSNORIZED AGENT. STEME249 =VIZ NE COENTKOCTED
I A FERSON tacmsEp PURSUANT TO 489.105(3)(m* OR 489.552, FLORIDA SATUTES.
=
R OPE ATT INFORMATION
LOTs
PROP/ ID et EL=a. ZIN1321ZU
CV4)
MOPE= SIMS ?,S mum mzemsz samara PRIMATE
IS snwpm AVAILAELa AB PER 381.00E5, FE? g i f(D.
1
PROPERTY ADORES
DIRECTIONS
DUILDM ItMEMATION
• it T/pa of
Uo Dotablicesst
1
2
3
E
S ZONATIME s
=OCRs . 1 a
STATE OF FLORIDA
EPARTMUWT URALTE
ONSITE DEMAOv DISPOS::.; sysTsm
APPLICATION ?OP. CONSTRUCTION PERMIT
APf
Picur/124inigana
Existing Systan
g Alstandespeent
goo-i-e<
. 6a22: c+
xvisitom , p Shoes, MAXIM
1 6- cLco 4
PA.4'
' 5j - ra. Ave, e 4
qt. -.V.Y•
ZAL
2. - 7450
I Holding Tank 1 Innovative
1 2 Teeporer7 3
(f>
SISZURIE OBNIMIg rs
C4
elaBEIREZA2.
Building Connorcial/MustitutiOMAI SystenBeeign
Area ft. Tabis l ebaptar 64E4, PAC
•• 4,
IV
Luz a 1 Other (Epacif)
1,1
DM 4015, - 10P27 - Pat*i Iliatts edEans may he viszo4
Stock Number 5744-001-4015-1
Fa&
IZEZZ PaZ1,2
PER PAIDg
Fin magr
TELEPRONEt
ElaUTMENTg EY,M
1<=240013PD [ p2/34-44W
PROP 'g XD 0
a
SPECIFICATIONS Y:
APPROVED EYs
naTn ISSUED:
ST ,TE OF FLORMEM
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AIM DISPOSAL
CONSTRUCTION PST
CONSTRUCTION PERMIT FORp rR'
[N41 New stets [s 1 fisting System
FiC 3 Repma 1"1 Aband t
l 3
PROPERTY ADDRESS:
t ,'s . 9 7 J, it..., , : r� y
Epp- $ tL SUBDIVISION:
7 .1 l 7
`.-
p FV4114 tw
( E 3 v
101
E0
EECAVATION - I
4016 12/4S fi 1) (Frovtus Editions May De Used)
3.4iag Tank
Temporary
DA2E Ps .F
FEE P.s
1
•
-F P •
, RANGEk w +
[OR . TAX MEMEL/
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE . `c a SPECIFICATIONS= stAUtARZe OF em=mm
F.S., AND CHAPTER 64E -S, F. ..C. DEPARD0a, APPROVAL Op 5Ysrza DOES HOT GUARANTEE SAFTZEFACTMCT
PERFORMANCE FOR ANY SPECI IC PERIOD OP TIME. ANY CHANGE IN MATERIAL FACTS, MICR SERVED AS A
BASIS FOR ISSUANCE OF luis immwr, REQUIRE THE APPLICANT TO =UM TEE PEEWIT ALEFLICATION.
PUCE XODIFICA S MT RESULT Zig TELE PST nsmo mum : V* .- rziotrz
DOES NOT EXEMPT THE APPLICANT man COMPLIANCE s ' ' s OR LOCAL HRNITTING
REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
•
SYSTIEJ DESIGN A= SPECIFTMTICWE
1 GA {® / GPD SEPTIC TANK/ s - G i- C .
T � � � 1 O�iS ! GPD @1� ��C� �YtYen� a 'a 94iia��. WIT -_ __
• E a �� � 1 GALLONS / GPD CAPACITY °C7 TI '
1 GAS GREASE IkTTERCEPTOR. CAPACM7g DIAXIMEt CAPACITY =MA TAW: 12 SD . S`. I S=
E 1 --- 1 GALLONS DOSING TARR CAPS E maugaimeElnuisigs PER 14 FRS ; P=Mgff/
D £ J r +,r23 SOME
• — 1 sryeARE krasze SYSTEM
A TYPE SYSTEM E §4 =AMID g FILLED 11 MOZND
• COSFIaURAWXOND [ 1 TRENCH 1 NED 1 1
z gragVAtTOft kftWetED grammtsrme €'y,' c 1 T A
E BOTTOM OF DRAIEFIELD TO BE WAI 01 Lam/ 1 tABOVE/BilL.01 EiRMWARXIAISPAREU
zaresma
■€tk2L , F W��_;.-
ImDkRIAJTAWCWDRAVEMOD
Pat Paill-Reeast
PeL12 - & .
Pa43-
4 -'^,�
TIM1D7 -T4
4.t 07 °y
,�y €� s✓'NA .E/ ` Val,
_ t f 1
• ds°ab / r t K l ". rF
Pew
PART - srEFLAm-- c.uu <m.o. •=a cm". aoin
1 •
i . i . . .. •. . I.: 4.......; ... .... ",* . .: , ; . _:1_,...;_..',. - ,, .• -.; „
", . . t ; . • • ;
- • ...........•
' ' - -1 1- -.., - * ; x,
F .- ,,--,_, 7 - 2 " : - •••"-'--- - 71117' ' ---1 - 1 •,• t " • '''. , - ••• • ' : - t
- . . , : ' . ,..• , ' i'•• - ••-. ' • '
iti" .• ,t; r •ti •t• r 'I' ''-.•
E
'
=-4 '---- 7' '' - ' — :. --. 1 - 4 • . i'Vi '. a- ..'.• , r . , '' .." ., . '`.-;:-. . ' ' ' ' '', -
4 -7- -'.- I:17 ‘, -, i ',, ', _i_' - ••,, -; - •-•-•- --- .---- ',: ,, 1 - .• •
By
STATE Of FLORIDA
DEPARTMENT OF HEALTH
APPLICATIM FOR ONSITE SEWAGE DISPOSAL SYSTEM CONS rERMT
Pe_nraft Applicatzta ttnitzerf-__-)22
Site Plan whittled by:
Plan Approved
• •,
M3* ,'Megaattg54
tiskgssRAytemani-egima
:c •
if -
_ - •
•
Not Amused
Scale: Each block represents 5 feet an 1 Inch . 50 teal.
= ; - :-i. -6.-4-.-;!-1 ', ' , . -- - --, . -- 2 --- r - I ---- '''. —'"t • .-"'''' ." --
4.4 .1--:.--1-.:. 4- •., • - i-- -•- -2 -4- • - .• •-• ■.- 4• 2 1--: ; -: - • • ; ._ ..• -- i - 1-
y • • • , • _
, • . •
v • ' ' • ' ' ' .,. -• . ..:. •`....... i • ... , - •-••.-.1 -- - -4- : -• - - . - :••.- - ---------,-.- . ..
- ' " ' 1 • ,.
1 ----- i --- : -- : --- - ; - - i . - - t - - . - : . 7 ' - '''' • - ,_ • )
, ; ; ••• ; z -• --I
1 .. _....._.__'.1 '
,._.._;.;. ; : ; ; ; __..:_ , 1 -;_-!_.:_-?
...•, 4_4... 4 : , ,..:.___..4..._....,.__•_ : J_ _4 it. ;. ,.. 4 ; ti.._ ..,,, : ; .. , - i - ,• - ,. •
1 ----: . i ;:. -.• •, - -- '- --.•-- • --; ',' - ' 7 ": --- 7 1 7 '7 ' ' . r -- ; ---
• "•...,....
• . -
' - • . •
, 1 --; i•-•1 ;•;'t • -
• 4= ;
‘ ; — --•"— `"4:i ..
; • , : -..f % --.--- •--t; :-.•-:- -:----•:- -- • ,O -..e.,.„:: .
1 -1- 2 - . ,, • . .- ...1:.. ' 1,..2 \ .;d:.
i - -- - ' - . 4 , ' ' • ' ' -: -- 7 ---
i t_f
• -I 'I" .t.g.X, :-. r 1 ....z.ea ' a
• • " • . • • t 1 2 t . _ • 2... • n .1, •.,_......--,--, ,
".":"?• i• ' • '!,' ".2 ----- . -- -:.• r " ;Ai' '•'0'"' .
't - r •i- -1--, :--'.---^ --' -"- •%. '- 2 t• : ,• '
L ! • ; i .-- : • 1 - ; t'''''' ` ' '' ,
' ' "
'-, -,,,,,,----.-•-",.....-r _,-•`--:-- t , . 2 ..... - ' ■• c ,, -,-
- . -, . . ... _ _ ,
' ' ....i : .2 I 4 ,. 2 - + -I' • - '"i t TC - i
: ; • : '
--i -. I...* • i. 1 .. . , . ; .1 . . ,. , 'r '' - T '47,1:< 1 :--''''' r '' r i"' '' -T••":P 7 l' ''i :' ' -• : ' •
''1.':
......„ ' , ,r = k
7.1
- . .: 9trip....,, 1 ,.. • j. ' ; : .
. ..• .i. 1. ; y - f , ; .2e.'
. ; '''''" Jr i2.412 . y 2 -;,.. ,... fr •.,_ ......._ ,...._ 4,4_1, .1. :.1, .... : t ..,, .. .....i: _ .......'r _:"....: .., • •
;.—..........., ........:„.....; , -.; ,s ......,..__:- ... -..,.....z....,.......t...
. .
t = • -. -,- : .. - -- -- •,. -•!--, - • -, - - -- - L --- t 1 t :,..' -.` ; •- •-• ;•.--; 4- •'---- . ---- - • '-. • ' z
-•.- -,... . . •• ....,_-._ _ . _ „ ; . . , , 4. . .; . .: 2 : 4 2 ... 1 • , ; .....---: -4._ ; .: t :. ; 2 __'- ... -2 '...4 ;. , :.-- ' .i---,-- -, --- .,- - • : :- -
N r
a ..--,q„ yl•
L.A., , , ...,,,,,,,,, — ,
, „, .„..„, A.g. i.02' - 1 z..' 4 .""-.Y. - r. , .f•g•-4 . - - - 2 "71. 1.2
.,..\ -11 ') rt •
•2 , 'i- „ , -,.., „4 ,..b:„
If
.,!- q ., .c,'; 0 . ,;.e..-? i?">,:l! 0..i' - `"..4 -!.
. .,4;
5 i
• • a • ^ - A
aLL Dlt-VaGES =ST BE APPROVED Y THE COUNTY MALTii DEPAR'
Count Enteatgt DepaTtreerti
•
FL?-vz24323
ELPPLUCANT:
•
' C? maazua
DEARTMENT OP BEALTE
ONSITE SEWAGE DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
BLOCK: ‘ s i SUBDIVISION:
LOT:
PROPERTY ID 0:
32.0 5 - 01 - - 50
THE MINIMUM SETBACK WHICH
SURFACE WATER: NIA FT
WELLS: PUBLIC:
BUILDING FOUNDATIONS:
SITE SUEJECT TO FREQUENT FLOODING:
10 YEAR FLOOD ELEVATION FOR SITE:
i tim - Tr, a $
SOIL PROFILE INFORMATION SITP: 1
Munse111"/Color TeXtUre pth
3 60Q to Zif"
r4,0 2 to - 1e'
to
to
to
to
!USDA SOIL SERIES:
1`■ r
t I, YES 00 so
to
to
to
SITE E'VALUATED BY:
en (l& ita= tas-m s-corle.ots erZ
Mara CdUITAX $144-003-4015-1)
A
A Jrckica.frOrt
mio SkVvie, szc,
ISOZtic4=rmstiplEaltgelYabecfa EO... err Tax ID
DO E COMPLETED f:11 -ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S usaT
MOW= nsaumwgzon NUMBER AND szem END smar. MACE PAGg SUBMITTAL. COMPLETE ELL TTEMS.
-
sort CONFORNS TO siva PI.AN: iwvos wo rms TosAnm AamAmmrlAms2.
TOTAL ESTIMATED SEWAGE FLOW: -77 ,›Os.1 GALLONS PER DA7 - a ole*ER-TA Z;
AUTHORISED SEWAGE FLOW: CIA.:11 GALLONS PER.DAY 14500 GPD/ACRE CR 25_GPDLOI
UNOBSTRUCTED AREA AVAILABLE: 3co SQFT MORSTRUCTED r& EQUIREDu EQP17
SOIL PROFILE I
1 muuseIl #/color
1:1:0
BENC 4AMK/REFERENCE POINT LOCATION: FA= AfG 9
--
ELEVATION OF PROPOSED SYSTEM SITE IS (1NCHES/Q1)tABOVE14EOVI msNc177-tnxfUppz4;:lc Eazaz
CAN BE NAILAINED FROM THE PROPOSED SYSTEM TO TEE PCIZAMING ETAIZTEZ:
DITCHES/SWALES: AJ-1 FT NORMALLY WET? j t4 NO
Ii4ITED USE: Ntt‘, FT PRIVATE: NA- FT ram-PoznaLE: Ntt. FT
PROPERTY LINES: L.5 EA0T-g=-- NAT 7771 EGa
10 VEER traaamwzIT t 3 VEE L ED
LI: A FT MSL/MGVD SITE ELEVATXON: 11.i
FT tiniuGvEi
ORMATION SITE 2
Texture
SA
to -
t
------
to
_man sot& SERZ232.
OBSERVED WATER TABLE: ge—rucuss gaseva KRE4R4 ansTxxa GRADE. TYPE: EPERCHEO f
ESTIMATED WET SEASON WATER TABLE sawaTram mcms AIMUE 11@§r ! exzszma nvi
HIGH HATER TABLE VEGETATION: t 2 was M MOTTLING: g 2 YES lt,4 ED DEPTH: __EL INCHES
SOIL TEETURE/LOADING RATE FOR SYSM= SISUPG: 17M;Ttfti osprei op Immogymaa - McE=
DRAINFZELD CONFIGURATION: E 1 twines gy-1 BED g OTHER (SPECIFY)
REMARKS/AWITIONAL CRITERIA:
1-
wag? 1- ' 1.
Pave 2 od