PL-10-5651
0
Inspection Number: INSP - 139667 Permit Number: PL -4 -10 -565
Scheduled Inspection Date: September 15, 2010
Inspector: Hernandez, Rafael
Owner: FURR, JAMES
Job Address: 360 NE 97 Street
Project: <NONE>
Contractor: A AARON SUPER ROOTER
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
HRS APPROVAL IN FILE
September 14, 2010
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Phone Number
Parcel Number 1132060135840
Phone: 305 -944 -8886
Page 3 of 19
APPLICANT': �,r :..� ..:
AGENT' . . , yam •
r f
PROPERTY. ADDRESS''
4
LOT:- BLOCK. /
CHECKED [X] ITEMS ARE NOT . IN ' WITH STATUTE OR RULE AND MUST BE .CORRECTED, `:
TANK INSTALLATION ...
] 101) TANK SIZE [1] [2]
j 102] TANK MATERIAL
] [03] OUTLET DEVICE
3 [04] MULTI - CHAMBERED [Y
] . [05] OUTLET,' FILTER
] [06] LEGEND ......
3 107] WATERTIGHT
] [073] LEVEL,
1 [09]. : ; DEPTH TO LID
1 :
1
STATE OF FLORIDA •
.
DEPARTMENT. OF. HEALTH.-
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
SUBDIVISION.
DRAINFIELD INSTALLATION
[10] AREA ['1] [2]: 60E r
(11] DISTRIBUTION B X HEADER
112]:. • NUMBER OF DR JNLUNES::
[13] DRAINLINE SEP RATION
[14] DRAINLINE SLOE
[151 DEPTH OF COVR
[16] ELEVATION. [A- VE,JBELOW] BM
(17) SYSTEM ::LQCA' ION . .
[18] DOSING POMP
[19] . AGGREGATE IZE .. .
[20] AGGREGATE XCESSIVE FINES
[21] AGGREGATE EPTH
FILL / EXCAVATION ATERIAL
[22] FILL. AMOU
(23] `:: FILL T XTU E
[24] . EXCAVATI DEPTH
[25] AREA REPLACED
] 126] ' . REPLACE4NT MATERIAL
EXPLANATION OF VIOLATIONS / REMARKS: : :. `.
• OH 4016... (Page 2), 10197:. IPrevlows Editions May Be Used) '.
Sleek Number 5744.002 -40164 .
ire
t/ /
•
PERMIT NC) + . ` .: ":r` 1 r
DATE .PAID:
:' . .
FEE PAID:
RECEIPT *-
• . PROPERTY ID #°'.: . e �`<.
SETBACKS' ::: [
[271 ,.. SURFACE WATER .. ..
[28] .DITCHES
[29] PRIVATE WELLS'. FT
[30] '.PUBLIC WELLS 1
[31] IRRIGATION WELLS : - FT
[32) POTABLE WATER LINE FT
-] [33] ' ' ' BUILDING FOUNDAT•1O FT
[341 PROPERTY LINES Er
[35] OTHER s .
FILLED / MOUND SYSTEM
[36) DRAINFIELD COVER.
[37] SHOULDERS
[38] SLOPES .'. ......'::.'.'.'
[39] STABILIZATION
ILIZATION
• ;ONSTRUCTTt�I I&P PHOVED/ SAPPROV .]•. : k ` - -' CHD. DATE
- FINAL SYSTEM [APPROVE ISAPPROVE)]: r "
= --
)
CHO ... T 47 2 .2 , 401
H. DATE'
Pa 2' of 3
. ADDITIONAL. I.N :FORMATIO 1
[40] UNOBSTRUCTED AREA ..
[411 . STORMWATER RUNOFF
[42] 'ALARMS : ,..:...
[ MAINTENANCE AGREEMENT, •
[44] BUILDING AREA::
[45] •LOCATION CONFORMS WITH': SITE PLAN .:-
[46] FINAL SITS GRADING
[47] CONTRACTOR
[48] . . ' OTHER
ABANDONMENT
[49] TANK PUMPED k -,/
1501 TANK CRUSHED :a FILLED 1 "/ :4C-7 j' '
Applicant
PT 2: Installer /Contractor
PT 3; Building'Depariment
_ . PT 4:. _ leaUh Department _;
Miami Shores Village
Bu4ding Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING Permit NoTt-- lb — 565
PERMIT APPLICATION !� Master Permit No.
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) jct fu rr Phone # G S G05 201 T
Owner's Address ( 6 0 .N-E- 9'1 S
City MSinClrej State
Tenant/Lessee Name
Email
360 0
City Miami Shores Village County Miami -Dade
Job Address (where the work is being done)
FOLIO / PARCEL #
01 3- Rs 4 O
Is Building Historically Designated YES
NO
Contractor's Company Name 6 4..•o r 3‘
Contractor's Address O 22 S 3 S C t
City Ir c rn®-✓
State
Zip 33r 3 R`
Phone #
Zip 83 138
Phone# ''OS q4y g (A8 6
Zip "3 02
Phone #
BY: -
Flood Zone
Qualifier Name c) 0 k".
State Certificate or Registration No. Certificate of Competency No.
Contact Phone E -mail
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 2-3C
Type of Work:
Describe Work:
Submittal Fee $ Permit Fee $ �� 1 1 1 1 CCF $ 1
gni ' ^n
Notary $ Training/Education Fee $ • (G J
Scanning $ 3 on Radon $ DPBR $
Double Fee $
Structural Review. $
Phone #
Square / Linear Footage Of Work:
s�
❑Addition ❑Alteration ❑New 1:5' Repair/Replace ❑ Demolition
R . 1 G ee` D r fd
** * * * * * * * ** * * * * * * ** * * * ** * * * * * **} *** * *** F * * ** * * * * *** * * * * * * * * * * * * * * * * ** **
Technology Fee $
Bond $
Vidlation date: 10'1
Total Fee Now Due $
See Reverse side -
a APR 0 2, 2010
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
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 ex
promise in good faith that a copy of the notice of commencement and construction lien law broch
whose property is subject to attachment. Also, a certified copy of the recorded notice of commen
for the first inspection which occurs seven (7) days afier the building permit is issued. In th
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or :ent
The foregoing " ! i ent was acknowledged before me this
day of — `- , 240 , by 0 tneS FV ry
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
`Y 1 69nir 1 lli0MaNpires:
P4A � Comm# DD0733348
Expires 11/8/2011
er
APPROVED BY ,(4 90 /0plans Examiner Zoning
My Commission Expires:
4A' Expires 11/8/2011 ,
e.u... NoteryAssn., Inc
.+ ..................
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
Sign:
Print:
eding $2500, the applicant must
will be delivered to the person
nt must be posted at the job site
sence of such posted notice, the
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of PTrt , 20 {° , by JA w 'S 'idler
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Clerk checked
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: James Furr
PROPERTY ADDRESS: 360 NE 97 St Miami, FL 33138
LOT: 5 -6 -7
PROPERTY ID #: 11- 3206 - 013 -5840
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. 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 DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD Septic Tank CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 MRS #Pumps [ ]
D [ 300 ] SQUARE FEET Trench confiauration SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: (X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: FFE 11.80' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 20.40] INCHES if FT ] [ ABOVE BELOW h BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 50.40 ] [) INCHES f FT ] [ ABOVE 4 BELOW 1' BENCHMARK /REFERENCE POINT
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 30.00] INCHES
T
H
E
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
BLOCK: 43 SUBDIVISION: Miami Shores
1.- Existing 900 gal. septic tank to remain.
2.- Install 300 sf of drainfield in TRENCH configuration.
3. -Invert elevation of drainfield to be no less than 8.10 ft NGVD.
6. -Bottom of drainfield elevation to be no Tess than 7.60 ft NGVD.
THIS PERMIT IS NOT FOR " ADDITION(s) ".
SPECIFICATIONS BY: Gerard L Philiza 'e
APPROVED BY:
DATE ISSUED:
Jo
0 01/2010
v 1.1.4
TITLE:
TLE: Engineer Specialist II
AP959183 3E812707
PERMIT #: 13 -SC- 1128843
APPLICATION #: AP959183
DATE PAID:
FEE PAID:
RECEIPT Si*
DOCUMENT #: PR804895
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
Dade CHD
EXPIRATION DATE: 06/30/2010
DH 4016, 10/97 (Pr >'•ious Editions May Be Used) Page 1 of 3
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Notes:
STATE OF FLORIDA
DEPARTMENT HEALTH
Al APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERM!
Permit Application Number
PARTI 'LAN
Site Plan submitted by:
Plan Approved I/ - Not Approved
DH 4015, 101911 (Replaces HRS-H Form 4016 which may be used)
(Stock Number. 8744 -00¢- 4018.6)
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Title
Date
County Health Department
Page 2 of 3
Scheduled Inspection Date: September 15, 2010
Inspector: Hernandez, Rafael
Owner: CALPINI, SEAN
Job Address: 312 NE 101 Street
Project: <NONE>
September 14, 2010
Miami Shores, FL
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 142180 Permit Number: PL -5 -10 -767
Contractor: ALL PRO SEPTIC & SEWER INC / ALL PRO PLUMBING SEP'
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number
Parcel Number 1132060135320
Phone: (305)635 -3002
REPLACE UNDER REAIR PERMIT DOH A 300 SQ
DRAINFIELD IN BED CONFIGURATION
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
HRS APPROVAL IN FILE.
Page 4 of 19
APPLICANT: � P o �a
AGENT:
PROPERTY ADDRESS: 31a, 161.1
LOT: a.2 I BLOCK: SUBDIVISION:
CHECKED [X1 ITEMS ARE NOT IN " COMPLIAI ICE WITH STATUTE
[
1 [
1 [
1 [
] [26]
CONSTRUCTION [APP#4O D/DISAPPROVED]•-
FINAL - SYSTEM [APPTIOVVD/DISAPPROVED]:
DH 4016 (Page 2), 10/97 (Previous Editions May Be Used)
Stock Number. 5744- 002 - 4016-4
STATE OF FLORIDA 1 , PERMIT NO.
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT: AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION INSPECTION AND FINAL APPROVAL
TANK INSTALLATION
[01] TANK SIZE [1] [2]
[02] TANK MATERIAL '�=
[03] OUTLET DEVICE,
[04] MULTI- CHAMBERED [Y /
[05] OUTLET FILTERS > gal' K
[06] LEGEND
[07] WATERTIGHT
[08] LEVEL
[09] DEPTH TO LID
DRAINFIELD INSTALLATION 1 24. 5-
[10] AREA [1] SOFT
[11] DISTRIBUTION BOX HEADED
[12] NUMBER OF DRAINLINES
[13] DRAINLINE SEPARATION
[14] DRAINLINE SLOPE
[15] DEPTH OF COVER
[16] ELEVATION [ABOVE/BE Wf BM
[17] SYSTEM LOCATION
[18] - DOSING PUMPS
[19] : AGGREGATE SIZE
[20] AGGREGATE EXCESSIVE FINES !!
[21] AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
FILL AMOUNT
FILL TEXTURE
EXCAVATION DEPTH _: F
AREA REPLACED
REPLACEMEN --T MATERIAL
OIR
[ 1 [36]
1 [3
[ [38]
I ] - [39]
3 ?
RULE AND MUST BE CORRECTED_
PROPERTY ID #: It h
FILLED / MOUND SYSTEM
DRAINFIELD COVER
SHOULDERS
SLOPES
STABILIZATION
RECEIPT #•
SETBACKS
[27] SURFACE WATER FT
[28] DITCHES FT
[29] PRIVATE WELLS FT
[30] PUBLIC WELLS FT '.
[31] IRRIGATION WELLS FT
[32] POTABLE WATER LINES d a FT
[33] BUILDING FOUNDATION FT
[34] PROPERTY LINES 9 F1-
[35] OTHER FT
ADDITIONAL INFORMATION
[40] UNOBSTRUCTED AREA
[41] STORMWATER RUNOFF
[42] ALARMS
[43] MAINTENANCE AGREEMENT
[44] BUILDING AREA
[45] LOCATION CONFORMS WITH SITE PLAN
[46] FINAL SITE GRADIN9
[47] . CONTRACTOR , f r cb
[48] -- OTHER
PT 1: Applicant
PT 2: Installer /Contractor
PT 3: Building Department
PT 4: Health Department -
ABANDONMENT
[49] TANK PUMPED / 1
[50] TANK CRUSHED & FILLED
EXPLANATION OF VIOLATIONS 1 REMARKS:
[ ]_
[
[ __.1-
[ ] ,
CHD DATE
CHD DATE' '
. ' __,i "-
At/DREW . ,.... _. - , __ P.O. Box or street mailing address for applicant or wri. __
T,131.00, E, SUBDIVISION- '.. * - Lot, Block and SLibdivision for lot or - - • _ - , „ ' - -.1',
. - - -K - '
PEIRTY ID# ' 27 character nurnberforproperty: (property api:itaiserl ' It Cr GIBItica 05 n
1
1 ' •
' -
• , .: ',.•-
coukri HEALTH bE,PARTMENT a 'ECK'S pq ITEMS NOT la-CONIPLIANCE WITH CONSTRUCTION PERMIT ANI:t 2
STATUTE OR RULE. INFORMATION IS COMPLETED BY CHD ON FOLLOWING IT6OS:
TANK SIZE.Igationi+ =
TANK MATERIAL (concrete, fiberglass, etc)
FILTERfaCturer; Mika, model) ,--
EGN Intanufactarei• code)
: -•
AREIVIsquireltetl
STRIBUTIQKBOX„1. me#41:)gFt -(nIte0k =
L 5 °
UMBE OF LINES (number installed) ,
SYSTEIVIMEVATION (in ott to.SM) -
SING PUMPS
ETBAKS -(record ictu
ft)
A S 01HEFt* recilired)
STABILI;ATION (tate
colcit
" "R (contractor int0 '
i ,,,,...,.1.
,_;i1-:"..-k... 1.,.....ired) ,
,ADomcm,8 ,.. ” Y
-.-- „ .:._.._ , ...
- AtiANOONMONTT PUMPED Pate)
' J. 4 , -&.''.''.'------'-',,
NK- - USHECI-Aittil
LANATION OF VIOLATIONS: ' Record item number, explanation of violation, and tegtfied.
SVIUCTION APPROVAL: , Circle approval:I disapproved. CI-ID sigma re and ;We. • - ; 106 , -
FINAL APPROVAL: Circle approved or disapproved, CHD signature and data of approval
appro shall not be granted until the (HD has -confirmed that building consbmclion and lot grading areirt_substantial ;1
Compliant. with plans and specifications aubniittid with the permit application.
- -
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