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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 bcale: tacn DIOCK represents s teet ana 1 Incn = 50 teet. 3— ce _ y . f Y Y. �...... _. r - t s § rS �'-s --- — . # , I L-1 t _ j 1.� ! r_ Y.,.�.. ■ ■ 11 ■ ■■ _. _..� 111 _ . , , --� _ N■ ■..I1 !s 1 ■■■ t _ '` r { • w Mlk■ ■ ■ SIIS SM I 1 ... aI1 ,F, , y t � -I SUM ■ ■■ i ■ a• e i + !� - i ii . r i ii ■ ■ te . . ■� ■■ a ■ ■■ a ■ P ,_ ■"■■ ■ OM _ ■`' i_ i ii � E.?t. L ■ __.. ■ ■■ r: 1111 411 1 1 04. [ u ■ ■11■I� to u . �/ t■■ s MI tor ,, e/ : � i ■} d • �■ %iii W ,- ; _ ; Of H ■ � ■ ■aii 11i r ■ # ■■■ ■�I Me IIu I I ni �I M■ I 1 i ■ ■ ■ an ■ i■ i � i �■■ ■ i iNI r 111111 ■MMU ■■■� t U ■ ■ i � ■■ ■ ■ i ■■I r■I,M■ ■N>>lli ■■■■■■■■U■■t ■ ■ ■/ ■u ■ i ■ ■ ■■ ■ m i � ■ ■■ V ■■ � I I■ U•N■■ ■ ■■ ■ • . ••i X ' OM . 1 � �I ■ ■ f � I• ■�I ■ /i _ I =.ra. ■ ■■ •• i• i ■ � • ■ ■ ■t• ■ � XXXXI s.}. -...mw ii ■ �® i i ■ i � ■ U U II ■■ ■ ■ { 1 �■ i ll� ■ ■ I ■/i,Ss ■Hill■■■■ um ■ H ■N a ■ R ■ € ell L _ ■�■ ■■■ �i • i��� i■,■■ ■■■ ■■ ■ II X !�! ■ ■ _ _ ■ f � i SI ■MI■ ■ ■■111■■.■■ so i mum ■■■e1 ■ mum ■■ �f■■■S■ ■I1>!t ■■ ■■■■a1■ ■ ■■■ _ 1f1� ■.III■. ■ / Anion. ■N ■ ■ ■■■■■ 11■ ■ ■■ ■� ■I t ■ k.■■ ■■ Anionmann ■■■■ /Inn nnamm nnnwOn..■ MN 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. - - -• •Il 1:= _ - • t - • • 4 •' C . 11414 11 C? "-• • ":" ,1 ,_ - - • ' ' - ' • ELEVA ON-WORISHEET- POINT:: - 1 bctettige GROliND - ::. = :: TOP OF -xi AGGREGATE „,-,...: y .„. . 744 ‘ .v.. • . : _ .,,, 4, T ,.:4,4, z., r,_:;,, . 4,,:,i.:,,,,,4,i __ ..__ • -- " -- ` •.- . - E. -. , L . .i„,_:„.. . H 1::19-- ) sHOT . ‘ ' - -r - • , -,, ...,..--. " , ,..., -;-,,,,....- -,,, 4.4_ _ ,-4..-i-,,-, : - -,, 1 . iitivittoit ---,-, ,- , , ,41,r, - .'1 , . , 4-'-'4, - - ' .,..' - - ....----- - - ... . ,