The URL can be used to link to this page

550 NE 96 St (7)4/17/2003 2:51:30PM PROJECT: SINGLE FAMILY HOME REVIEWER: MIRANR CONTACT INFORMATION: COI: N COI ID: NONE COI Zone: 0 COI Covenant: N Covenant on File ?: COMMENTS: 1. REVIEWS 2. CR- SIGNOFFS 3. HOLDS D001 SEPTIC TANK D004 WATER CONNECTION PROS VERIFICATION FORM N/A N/A N MUNICIPALITIES PLAN REVIEW REVIEW TYPE: PLAN REVIEW MS LAURA MAAL OE PAEZ 5XX NE 96 ST MIAMI SHORES, FL 9547278381 Current use of property: n/a Improvement NEW CONSTRUCTION ON VACANT LAND Description of Work: SINGLE FAMILY RESIDENCE 04 -17 -2003, 12:10:14, By: dearmm VERIFICATION FORM FROM WASD REQUIRED TYPE DESCRIPTION STATUS Water Abutting ?: Y WE #: n/a Sewer Abutting ?: N SE #: n/a Gravity or Force: N 04 -17 -2003, By: dearmm NEW SINGLE FAMILY RESIDENCE, W AND SEPTIC TANK, NO COI SEWAGE LOADING 50 X 182.50 = 9125 <15,000 BUT PROPERTY IS GRANDFATHER, PB 10 -37. ORIGIN: RECEIVED: 4/15/2003 FOLIO: 1132060140681 Well : Septic Tank: Y Ft2 Existing Bldg: 0 Ft2 Proposed Bldg: 0 2003041510202820 BY FEE 65.00 55.00 0.00 • 0.00 0.00 VERIFICATION FORM SERVE • CONSERVE EXPIRES ONE YEAR FROM DATE OF FORM ATLAS PAGE: E -8 PSF INV #: 59809 INV #: DATE: July 7, 2003 NAME OF OWNER: FRADER ONE INC PROPERTY ADDRESS: 5XX NE 96 ST TYPE OF USAGE\ NUMBER OF UNITS: SINGLE FAMILY RES REPLACING VACANT LAND PREVIOUS FLOW: 0 � PROPOSED FLOW: 350 PREVIOUS SQUARE FOOTAGE: N/A PROPOSED SQUARE FOOTAGE: N/A NEW CONSTRUCTION ?: YES INTERIOR RENOVATION ?: NO PROPERTY LEGAL: FOLIO #11- 3206 - 014 -0681 THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) 6 INCH WATER MAIN ABUTTING THE ABOVE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF "WILL HAVE ", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES I3Y THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, ID # N /A) SUBJECT TO PROHIBITIONS OR RESTRICTIONS v ! s VERNMENTAL AGENCIES HAVING JURISDICTION OVER MA T'I'ERS OF WATER SUPPLY OR WITHDRAW,_. ..,() r _ BY: NEW BUSINESS COMMENTS: ALL FEES DUE WITH METER REO* *CUST NEEDS TO CONNECT FROM 6" WM ON NE 96 ST ** 'PLANS REVIEW COMMENTS: THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT I • _ _ • VE A(N) N/A INCH - GRAVITY/FORCE SEWER MAIN ABUTTING THE ABOVE SUBJECT ' I ESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF "WILL H • -", : • IN PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER FACILITIES BY THE DEVE • • ' II DER AGREEMENT WITH THE DEPARTMENT, ID # [N /A) SUBJECT TO - PROHIBITIONS OR REST : ' OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF SEWAGE DISPOSAL. FU ORE, APPROVAL OF ALL ; SEWAGE FLOWS INTO_THE DEPARTMENT'S SYSTEM MUST BE O: ' !. P ROM DERM. THE ANTICIPATED IDACILY !_WATER(AND FLOW FOR THIS PROJECT WILL BE 350 INCREASE ' • . O ■ PER DAY. BY: �l/ ( "^� v i"-I MEW BUSINESS REP UTHORIZED STAMP SIGNATURE OF REPRESENTATIVE NEW BUSINESS COMMENTS: SUBJECT TO HRS APPROVAL #0 -19-0 PLANS REVIEW COMMENTS: CUSTOMER: MATILDE PHONE: 954- 394 -0355 MIAMI -DADE WATER AND SEWER DEPARTMENT P.O. Box 330316, Miami, Florida 33233 -0316 • 3575 S. LeJeune Road • Tel: 305 -665 -7471 SIGNATURE OF REPRESENTATIVE R PHONE: 305 -669 - 701 FAX: 305- 669 -7699 NEW BUSINESS REP AUTHORIZED STAMP Acct!?#: WS 9008197792 777/2003 10 :45AM 909 17KC 0001 PSOJS Retail Payment 0601' of 0 001 FSS Retail C " CHIGE ' PAID � Thank You MAAL. TYEDE For 1leposit Only - Pooled Cash Fd Rank Acct. N 2696206503470 Mianii)Dade Water and Sewer Dept. „n / 7 ),2003 009 17KC 0 019574 - 00019574 Acc = WS 9008197792 Arat,, F'aidg $30.'00 CK $30.00 r 00019574 LEJN $30.00 $30.00 $30.00 $0.00 Mi i -Dade Water and Sewer Dept. Dade Water and Sewer Department New Business Office P.O. Box 330316 Miami, Florida 33233 -0316 575 South LeJeune Road, Room 114 Miscellaneous Charges #11- 3206 - 014 -0681 rION DIST CODE UNIT PRICE AMOUNT r) NWT -VF01 $30.00 $30.00 TOTAL: $30.00 PeopteSoft Acct 1D# [9008197792 ER WATER: ER SEWER: AGMT ID: WATER DEPOSITS: SEWER DEPOSITS: Invoice #59809 Printed on 7/7/2003 10:38:45 AM By: EMARC Distribution: White- Customer, Yellow - General Office, Pink -Local Office, Gold -New Business INVOICE # 59809 DATE: July 07, 2003 CUSTID: 36379 N/A N/A N/A $0.00 $0.00 INVOICE NO. 59809 TOTAL: $30.00 v0 " 1 - 2 - c 9 0 . •. Sign approval 44 Site plan • Appeal of Administrative Decision O Conditional or Special Use iami, Shorea ale 10050 KE. SECOND AVE. MIAMI SHORES, FLORIDA 33133 -2332 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 • PLANNING AND ZONING BOARD APPLICATION • This application, with all supplemental data and information, must be completed in accordance with the specific instructions in this application. Applications and all supplemental infomiatiorr must be filed no later than 18. days prior to the reoular meeting date of the Planning and Zoning Board. .Applicants will be notified by mail of the date scheduled for Village Council review when applicable. • e indicate which application you are submitting by checking one category belovr.. Please indicate MI 0.41 a co P O Variance: . O Setback(side, front, rear) O Fence CI Other Mailing Address i.,0 .,0 - 15s LA ut -A. City, State, Zip Telephone N re of Owr.er• Please orint or tvoe IMPORTANT: THE APPLICANT, OR REPRESE ATIVE, MUST BE PRESENT AT THE.,! ERRING TO PRESENT THE PROPOSAL. A. • LEGAL DESCRIPTION. (If subdivided — lot, block, complete name of subdivision, plat book and page numbers). If metes and bounds description — Complete description, including section, township and range). l Folio Number 11 4-06"Address Lot(s) _ Block '4 Subdivision f ' 1 > ( STTDwS suc _ ZONING APPLICATION B. ADDRESS (If number has been assigned) C. SIZE OF PROPERTY I9 ft. X Z .S ft. = 7 iv; sq. ft.:. • 1 `' acre(s) Width e th D. Provide legal description or address of any property held by the owner which is contiguous to that which is the subject matter of this application. L-6(7 , Fur (I Sf SEG�prv..p�o Z. lo E. DATE SUBJECT PROPERTY WAS ACQUIRED APPLICANT'S PROPOSAL::: Specify in full the request. Use a separate sheet of paper if necessary. To ur 1r' ins r roalu rep 0o', 100 Explain purpose of application, benefit (s) in the change and reasons why this application should be approved. Specify the exact nature of the use or operation applied for, together with any pertinent technical data, which will clarify the proposal. (Use a separate sheet of paper if necessary). tralegte l P . Page 2 Is this application the result of a Notice of Violation or deviation from approved plans? 0 Yes LEND Are there any existing structures on the property? 0 Yes CyYfVo If so, what type? (CBS, Frame, Frame - Stucco, Wood, Other) Nl� My applications (except plat applications) which involve new building construction or exterior improvements to an existing building must submit the plans with this application. Plans that are not filed with this application will not be considered by the Planning and Zoning Board. Edgar M�r►oz Project: Fraderone 5XX NE 96 Street Civil/Structural y ffr �a e 4 Tributary to One Hip: 2(20/4)(20/2)x1 /2 = 50 fs DL + LL = 55 psf W = 2(20/4)x55x(1/1.41) = 390 plf Rz r2- Tributary area for Beam = 70.7 sf April 26, 2003 GARAGE ROOF BEAM R Reaction from opposite Hip R2 = Reaction from Beam R3 = ' Reaction from Column 5.3R 390(14.14/2) x 14.14 x 0.67 =0 where R 4930 # R2 =R1 = 4930# R3 - 390(14.14/2) =0 0.7/20 x 55 = 200 plf M = w1 /8 = 200x20 = 10000 lb-ft = 10 k -ft te Proposed Beam: Structural Tube 10 "x4 "x1/4" with properties: A = 6.59 I = 91.2 in I = 79.3 in S. = 15.9 in Z = 20.2 in is adequate Proposed Beam is much larger than required due to esthetic considerations Edgar Munoz, P.E. Civil /Structural Project: Fraderone 5XX NE 96 Street April 26, 2003 WALL REINFORCEMENT (Worst Case, Kitchen Wall) f' = 1400 psi n = (29 x 10 x 1400) = 28 F = 0.2xf' (h /40t) F = 0.2x1400[1- {(11x12) /(40x8) }] = 260 psi F = 24000 psi Fb = (1/3)x1400 = 467 Load at middle height of wall P = 1000 + 85x5.5 = 1468 Section Properties of one foot length of wall: b = 12 in (Wall solid grouted) t = 7.63 in d = 3.8 in fa = P /bt = 1468/(12x7.63) = 16 psi Moment on wall M = w1 = 50x11 = 756 ft-lb/ft f /F + fb /Fb <- -1.33 psi fb = Fb(1.33 - fa /Fa) = 467(1.33- 16/260) = 592 psi 2/jk = (fbbd /M = (592 x 12 x 3.8 = 11.31 from masonry tables np = 0.022;_ j = 0.937; n = 28; p = 0.0022/28 = 0.00078 Only nominal reinforcement is required Use #5 rebars @ 48 in o.c. Vertical #9 wire ladder type @ 32 in o.c. Horizontal ANCHORAGE UPLIFT ANCHORAGE UPLIFT 484 sf x (-)86.61 psf 41.9 kips ANCHORAGE ANCHORAGE NEEDED 150 X OF 41.9 kips = 6Z9 kips ANCHORAGE PROVIDED 66.3 kips 62.9 kips OK WIND SPEED =146 mph BUILDING CATEGORY : II IMPORTANCE FACTOR : 1 EXPOSURE: C BUILDING CLASSIFICATION: OPEN TRIBUTARY AREA: 22 ft x 22 ft = 484 sf HEIGHT =15 ft FBC ADJUSTMENT COEF. =1.21 MAIN WIND FORCE RESISTING SYSTEM HORIZONTAL LOADS WALL = 46.8 psf ROOF = ( -)12.4 psf VERTICAL LOADS WINDWARD ROOF = ( -)40.7 psf LEEWARD ROOF = ( -)28.3 psf OH COMPONENT AND cum* WIND LOADS ZONE 2 EFFECT. AREA 100 fs = (- )86.61 psf USE 71115 ROOF STRUCTURE: 484sfx10psf 4,840# HAUNCHED BEAMS: 2 x 23 cfx150pcf 6,917# COLUMNS: 2x 8.5ftx12inx150pcf 2,550# SOIL OVER FOOTINGS: 2 x 62 sf x 110 pcf 13,640 # FOOTINGS: 2 x 8 ft x 8 ft x 2 ft x 150 pcf 38,400 # TOTAL 66,347# OVERTURNING MOMENT HORIZONTAL WIND PRESSURE OF 12.4 psf APPLIED ON VERTICAL TRIANGULAR PROJECTION OF 1/2 x 6 ft x 22 ft= 66 sf @1 /3OF6ft =2ft f1 =820# F2 =750# eri OVERTURNING MOMENT 870 #x13.83 feet + 750 # x 741 feet =16.9 kips -feet RESLSTIN9 MOMENT 66,347 # x 4 feet = 265.4 kips -feet 16.9 kipS -feet OK HORIZONTAL LOADS OF 46.8 psf APPLIED ATMIDHEIGHT OF BOTH COLUMNS WITH 16 sf TOTAL 1. ( �Q %-�,� C = II.o7 v Ax, L 42 A. : + (r o.tr 4G A\ P g-A 11, = o.� Lo•�s 4 --q/; ,. J 7 40 9 As 4- zict REPORT OF SUBSURFACE SOIL EXPLORATION GEOTECHNICAL EVALUATION AND RECOMMENDATIONS PROPOSED RESIDENCE 5XX NE 96 STREET MIAMI SHORES, FLORIDA NOVEMBER, 2002 FRAD 20755 NE 30 P, 7 CE AVENTURA, FL. 33180 NELCO TESTING AND ENGINEERING SERVICES; INC. 13370 SW 131 Street, Suite 105 Miami, Florida 33186 410 NELCO TESTING AND ENGINEERING SERVICES Fraderone, Inc. 20755 NE 30 Place Aventura, FL. 33180 Attn: Matilde Maal de Certain RE: Report of Subsurface Soil Exploration and Recommendations Evaluation of Subsurface Conditions For Proposed Residence: Vacant Lot 5xx NE 96 Street Miami Shores, Florida NTES Project Number: B 021122 Dear Mrs. Certain, Following please find report of subsurface soil explorations and geotechnical evaluation for the subject property. Test Borings and soil sampling took place on October 31, 2002 using procedures in general accordance with ASTM D -1586, the Standard Penetration Test. This report presents our findings, data and recommendations. We appreciate this opportunity to assist you in this project. If you have any questions or comments, please call us at (305) 259 -9779. Respectfully Submitted, NELCO Testing and - Engineering Services, Inc. November 7, 2002. A. Martiiez Professi 1 E:ig'uieer N.o, 0031509 Si i F]ooida 13370 SW 131 Street, Suite 105, Miami, FL 33186 (305) 259 -9779 NELCO TESTING AND ENGINEERING SERVICES Subsurface Soil Exploration and Recommendations For Proposed Residence Vacant Lot 5XX NE 96 Street Miami Shores, FL. INTRODUCTION The purpose of this sub - surface exploration was to obtain data in order to provide an evaluation of the sub - surface conditions and recommendations for foundation design for support of the proposed construction. PROJECT INFORMATION Site survey and construction information was provided by Mrs. Matilde Maal de Certain of Fraderone, Inc. Proposed construction consists of a two story single family residence. SUB - SURFACE CONDITIONS Sub - surface exploration consisted of two Standard Penetration Test Borings conforming to the guidelines as set forth in ASTM D -1586. Testing was performed on October 31, 2002. A Review of the Test Boring Reports generally indicates that surface is mantled by fine to very fine sand varying in shades of color to an approximately depth of five feet. Beneath a loose sandy limestone was identified throughout the maximum explored depth of (15) feet below existing grade. Water level at time of testing was approximately (6) feet. Please refer to attached Test Boring Reports for classification and stratification. 13370 SW 131" Street, Suite 105, Miami, FL. 33186 (305) 259 -9779 NELCO TESTING AND ENGINEERING SERVICES RECOMMENDATIONS 1. Remove all surficial vegetation and a minimum of six (6) inches of the soils encountered within the building areas plus five (5) feet outside the building footprint. 2. Compact cleared area to a minimum compaction of 95 percent of the maximum dry soil density as determined by the Modified Proctor Test — ASTM D -1557. 3. If additional fill is needed, fill and compact the building area in lifts not greater than 12 inches of loose thickness to elevate to the required grade. Fill material for areas in support of footings is to be a mixture of limerock and sand, free of rock or gravel larger than 3 inches. Fill material for slab on grade areas may be clean sand, filled and compacted in lifts not greater than 12 inches of loose material. 4. Compact each lift to a minimum compaction of 95 percent of the dry soil density as determined by the Modified Proctor Test - ASTM D -1557 prior to placement of any additional fill required. 5. Prior to compaction, the moisture content of each lift of fill material shall be adjusted to within plus /minus 2 percent of the optimum moisture as determined by the Modified Proctor Test, ASTM D -1557. 6. Compaction of building site shall be verified by means of one Field Density Test for each 2500 square feet or fraction thereof for each lift of compacted soil for building pad, or slab area. Field density tests shall be performed as per ASTM D -2922. SOIL BEARING CAPACITY FOR FOUNDATIONS Our observations, exploration, and evaluation, supplemented by a review of sub -soil profile developed from the soil engineering Standard Penetration Test, indicate that the soils found should be suitable for supporting foundations proportioned for a maximum allowable bearing stress of 2000 pounds per square foot, based on total load. 13370 SW 131" Street, Suite 105, Miami, FL. 33186 (305) 259 -9779 NELCO TESTING AND ENGINEERING SERVICES Soil Boring Logs 13370 S.W. 131 Street, Suite 105, Miami, Fl. 33186 (305) 259 -9779 0 Soil Boring Test Location NELCU TESTING AND ENGINEERING SERVICES Soil Boring Test Location Sketch 13370 S.W. 131 Street. Suite 105, Miami, Fl 33186 (305) 259 -9779 %.,I1 G111. I 1Q\IGIVUici, 1,flv Job: 8- 021122 Project: Proposed Residence Project Location: 5xx NE 96 Street, Miami Shores, Florida Test Boring No. 1 ( Descnption :: Sample mple No Hammer Blo fl II 01 Fine dark grey sand 1 1 02 1 2 2 3 03 Very fine tan sand 3 3 04 Fine dark brown sand 2 1 0 4 05 1 4 06 Sandy limestone 3 3 4 7 07 5 6 08 4 4 3 10 09 3 3 10 5 4 5 7 11 5 9 12 6 11 13 20 13 13 9 14 7 11 14 20 , 15 End of Test 10 11 16 8 17 18 9 19 20 10 21 22 11 - Water Level NELCO TESTING AND ENGINEERING SERVICES TEST BORING REPORT • Date: 10/31/02 Per ASTM D -1586, Standard Penetration Test 13370 SW 131" Street, Suite 105, Miami, FL. 33186 (305) 259 -9779 APPLICANT: LOT: PROPERTY ID #: rQQ ProNJ �C . BLOCK: Sc./ SUBDIVISION: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS 11— 3 oly-- o&81 TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PR.9ERTY SIZE CONFORMS TO SITE T TAL ESTIMATED SEWAGE FLOW: A T§ORIZED SEWAGE FLOW: OBSTRUCTED AREA AVAILABLE: V.E,9(0 s'. l 2.c. 8', S / ,IGvA ELEVATION OF PROPOSED SYSTEM SITE IS £/,2.. Ij NC S /FT] [ABOVE BELOW] /REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: Nc FT DITCHES /S ALES: N - ` FT NORMALLY WET? ( ] YES r--1 WELLS: PUBLICl Hi lu-L FT IMITED USE: /✓ A ✓0 - FT PRIVATE: /A- - FT NON - POTABLE: 4 '-' FT BUILDING FOUNDATIONS:. FT PROPERTY LINES: S FT POTABLE WATER LINES: /0 FT BENCHMARK /REFERENCE POINT LOCATION: SITE SUBJECT TO FREQUENT FLOODING: ( ] A YES [LYNO 10 YEAR FLOOD ELEVATION FOR SITE: N / FT MSL /NGVD 3 -S SOIL PROFILE INFORMATION SITE 1 Munsell Co or Texture [/oyf2 s / /O y. ;2 8 3 A L y Depth O to to -0 7) to /3 to 6/ to to ,n to to ____ f vt to / A . SOIL SERIES: 1,i/5 "'t ! ^, 1-2? � SITE EVALUATED BY: /4. -}: v i 0H 015, 10/96 (Replaces HRS -H Form 4015 (Page 3] which may be used) (Stcck Number: 5744- 003 - 4015 -1) AGENT : mow"' A r Y�f /r m // .,4 M. Sho/'1 [Section /Township /Range /Parcel No. or Tax ID Number] �kk )Il, Eo 9� PLAN: YES ( ] NO NET USABLE AREA AVAILABLE: 0 /6 ACRES 4/00 GALLONS PER DAY RESIDENCES -TABLE 1 / OTHER- TABLE_2] S/.00 GALLONS PER DAY [1500 GPD /ACRE OR/2500 GPD /ACRE]! 1/ (, 6 SQFT UNOBSTRUCTED AREA REQUIRED: 1 I - g SQFT 10 YEAR FLOODING? [ ] YES ( -1NO SITE ELEVATION: 7, 9 FT MSL SOIL PROFILE INFORMATION SITE 2 Munsell C N (,1 H USDA SOIL SERIES: OBSERVED WATER TABLE: N /[ INCHES [ABOVE / BEL9aL] EXISTING GRADE. TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: HIGH WATER TABLE VEGETATION: [ ] YES [✓f NO MOTTLIN [ ] SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: 7 U DRAINFIELD CONFIGURATION: [ ] TRENCH - [,>,--1 BED [ ] OTHER REMARKS /ADDITIONAL CRITERIA: "'t d O , / - e( 4 Texture O S e•dd C�c� // � sf3 h Depth to . to id- vl to .,,.vj N� to to A to a to a to (/ i to e/ .¢ (PERCHED / APPARENT] 52-i? INCHES [ ABOVE / BE EXISTING GRADE. G: YES [ NO DEPTH: A. -Yk INCHES DEPTH OF EXC 77. INCHES (SPECIFY) ci,,,PG 5 . 2 6 1 2- L, ✓ir-- A/ JCi 0' DATE: 51 /5.03 3 Page 3 of 3 APPLICANT: - r 40 0 if./c . AGENT: d l/ A4( , LOT: Q R! STATE OF FLORIDA ' DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS Ce BLOCK: 561 SUBDIVISION: /4; Ai/ Shoe - ,ci`of" PROPERTY ID #: / f... D0(01. 0b 81 [Section /Township /Range /Parce No. or Tax ID Number] k'‘r /(/, E o 9G . TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [VI YES ( 1 T T 1L ESTIMATED SEWAGE FLOW: I //00 GALLONS A fORIZED SEWAGE FLOW: 4lOD GALLONS OBSTRUCTED AREA AVAILABLE: // 1 SQFT .p /REFERENCE POINT LOCATION: P. / G SA • r o r<"'-Of ELEVATION OF PROPOSED SYSTEM SITE IS 41, 2, INCHFS/FT] [ABOV BELOW]BENCHMARK /REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: /V FT DITCHES /SyALES: /"Or.- FT NORMALLY WET? [ ] YES [-] —NO WELLS: PUBLIC: 1✓04MA FT IMITED USE: /. 4 - FT PRIVATE: 'j2 - FT NON - POTABLE: /y?P FT BUILDING FOUNDATIONS: . ,- FT PROPERTY LINES: � FT POTABLE WATER LINES: /0 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [6.j'NO 10 YEAR FLOODING? [ ] YES [6!r 10 YEAR FLOOD ELEVATION FOR SITE: Pl/4- FT MSL /NGVD SITE ELEVATION: 7, 9 FT MSL 406) SOIL PROFILE INFORMATION SITE 1 Mninsell # /Cox or Text re /®Y 5/1 5,9 Nca e9( .2 C 3 • £.1 iI dl to vt to Depth 0 to to z-a 3 to to to to [ LA to, UEDA SOIL SERIES: 7X/5 49 , OBSERVED WATER TABLE: N /(C- INCHES [ABOVE / Bglad.] EXISTING GRADE. TYPE: [PERCHED / APPARENT) ESTIMATED WET SEASON WATER TABLE ELEVATION: S2• a INCHES ( ABOVE / BE EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES (t/J NO MOTTLING: [ ] YES ( NO DEPTH: A4t. INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [>.,-1 BED REMARKS /ADDITIONAL CRITERIA: SITE EVALUATED BY: DH 015, 10/96 (Replaces HRS -H Form 4015 (Page 3) which may be used) (St k Number: 5744- 003 - 4015 -1) "7 1vP6 c:i M PERdIT / # 6° 755 /J fh1 NO NET USABLE AREA AVAILABLE: „.4 ACRES PER DAY RESIDENCES -TABLE .1 / OTHER -TABLE 2] PER DAY [1500 GPb /ACRE 0 R / 0 0 GPD ACRE UNOBSTRUCTED AREA REQUIRED: SQFT SOIL PROFILE INFORMATION SITE 2 Munsell Co •r Textur Depth 4 ep to to /SP to h r1g � to to U A to Id „/ to N A to is / ! to USDA SOIL SERIES: /W� // ,s A4-5 d Ca,d f 70 DEPTH OF EXC V IO 7 INCHES [ ] OTHER (SPECIFY) � PG d4 5 • 26 _ l :, ArAir /er-e �q DATE: 5 0 Page 3 of 3 INSTRUCTIONS: " • • eta PERMIT NUMBER: Permit tracking number by County Health Department. APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. LOT, BLOCK, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY ID NUMBER: 27 character number for property (property appraiser ID number or section /township /range /parcel number). PROPERTY SIZE: Check if property at site conforms to submitted site plan. Record net usable area available - lot area exclusive of all paved areas and prepared road beds within public rights -of -way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. SEWAGE FLOW: UNOBSTRUCTED AREA: BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. - MINIMUM SETBACKS: FLOOD INFORMATION: Record the estimated sewage flow for the establishment from Table 1 (residence) or Table 2 (non - residential), Chapter 10D -6, FAC. Record the authorized sewage flow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the application must be denied. Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfield absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter 1OD -6, FAC. The unobstructed area must be contiguous to the drainfield. Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. - Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site elevation. SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth. SOIL TEXTURE: Record soil texture or loading rate for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION: Check drainfield configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature of evaluator, title, and date of evaluation. Professional engineers must seal all documents submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE 1 SITE 2 SITE 3 [ + ] SHOT H.I. H.I. H.I. H.I. [ - ] SHOT [ - ] SHOT [ - ] SHOT STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [X] New System [6J] Existing System [ P] Repair [ 13 ] Abandonment APPLICANT: r 4c 4. J P( 0 k .e PROPERTY ADDRESS: -11- L4 S X X EJ,L. PG S • /i/c„,;, F/. 33031 LOT: (O BLOCK: r SUBDIVISION: PROPERTY ID #: Q ^ O 0 1— 0 421 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 SAFTISFACTORY 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. 0 T H E R SYSTEM DESIGN AND SPECIFICATIONS D [ S 7 Z ] SQUARE FEET PRIMARY R [ -° ] SQUARE FEET A TYPE SYSTEM: [V] STANARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E 'BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ ] INCHES I�YUvtc 34 (Ctk R f0unr . SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: DH 4016, 12/99 (Page 1) [4 ] [33,60 (Previous Editions [J] Holding Tank [ n Temporary GALLONS / GPD SEPTIC TANK /AEROBIC UNIT CAPACITY GALLONS / GPD GALLONS GREASE INTERCEPTOR CAPACITY GALLONS DOSING TANK CAPACITY [ [ ] tO »PS S .Qe 1 - /Li 2 ° P. C, -L/J!� 4 /J. e, 56 SI - - [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] 1 MULTI- CHAMBSREflIN- SERIES [ X] CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] ] GALLONS ® [ ] DOSES PER 24 HRS # PUMPS [ ] DRAINFIELD SYSTEM SYSTEM [ j ] FILLED [ ] MOUND [ ] _ (.4 BED [ [INCHES /FT] [ABOVFpBELOW] BENCHMARK /REFERENCE POINT [INC EH S /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ 1 ] INCHES STA.fi L = +a SL:C - T Y LEN? SOIL 11 UNDER i3� ll "O1Vi 3r u;: I I , t ti C T b N K 6Y 7 INVERT �'d: b! S S-01 ' — BOTTOM U. DIU _ -i� ;� :: L_ i T PERIMETER Ur EA.1..AVA1. Ai; EA S;IA;.L Dr. AT LhAS I" 2.0 r t l i vv _D Ai LG OEP. TT IAPI TI I ®POSED ABSOTITL81�? BED NCHI 7/ , / , 3 G.-_,A1 • all 1 6<, 8', ow .f- 7' 2 EXPIRATION DATE: ' ` I 2 0 ' TITLE: PERMIT NO. C) 3'- / 5 1 DATE PAID: S-19-03 FEE PAID: / ` O, JHJ RECEIPT #: 50 3 v T 1 ?Oo 1 1 3 -sC- - I(Go NP- Innovative 3 May Be Used) Page 1 of 3 Part 1 - Haalth Dapatrnant Part 2 - Applicant Pad 3 - Installar /Con3rcccor Part 4 - % wilding pssimant INSTRUCTIONS: L'ERWITT 1Si: y C211-11U. CONSTTZUC"..."1:ON - 227'"3 - 72:2:2'.20L - 22 2.2 . ' 2 7. 7 1‘.C. • CONSTRUCTION PERMIT FOR: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT New System [,'i ] Repair 1 Abandonment APPLICANT: �, a a •-ir ;) t C [X] [J] PROPERTY ADDRESS: a )( ) tab' • . , 7 - LOT: (P BLOCK: :; SUBDIVISION: ROPERTY ID #: 4 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 SAFTISFACTORY P RFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A B SIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT - APPLICATION. S CH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT D S' NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYS DESIGN AND SPECIFICATIONS T [ I/' ] GALLONS GALLONS GALLONS GALLONS D ] SQUARE R ;[ m ] SQUARE A TYVE SYSTEM: ICONFIGURATION: N O ➢ L' 1 T H a a. , 4 � E R SPE IFICATIONS BY: • PROItp BY: DAT ISSUED: DH 6, 12/ ],, 12/99 (Page 1) Existing System , [] Holding Tank ( Innovative [] Temporary [ ] 1-1= PERMIT NO. („%,;./-- - - DATE PAID: FEE PAID: a J RECEIPT #: 1 2,.. a=1 , A ° t4 . j :� 1 t [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] / GPD SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI_CHAMB/IN- SERIES [] / GPD � CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] DOSING TANK CAPACITY [ ]GALLONS @ [ ] DOSES PER 24 HRS # PUMPS [ ] FEET FEET I ] PRIMARY DRAINFIELD SYSTEM SYSTEM STANARD [ ] FILLED [ ] MOUND [ ] _ TRENCH [ BED [ ] LOVATION OF BENCHMARK: Z` • c.,-..1 '� '' � f • ,° , 3 L� .> I OF PROPOSED SYSTEM SITE (y,' [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [; ) [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT D FILL REQUIRED: [:. i ] INCHES EXCAVATION REQUIRED: [ - H ] INCHES .1I.O.a t t' (Previous Editions INSTAL!, i t Z OF ST TC,PTT-TT V T T tT i' Y fTT UNDER BOTTOM OF A', i\T IFT ,T) INVERT yy r . :1,'t ; :T iI._J_ � f_ O O r , e`er -BOTTOM OF aA N. I T y 7 T 1L3. ,. - 5 I {� G' PERTH. Twit OF EXCAVA1 Of T „t,I1EA S I,LL B1r AT LEAST 2.0 FEET V _DI /;t�; �� i..- )NriL?e THAN THE , 'c ROPOSED ABSCHEIIT E) 6 i; 'z zirT 'OF; 'a / TITLE: EXPIRATION DATE: Te y May Be Used) Page 1 of 3 Past 1 - -aa1th Daparircant Part 2 - Applicant Paid 3 - Installer /Coniv eT PC..Pi 4 - Duildinca Doper nznt .7211M cs by C?C-rJ.