813 NE 97 St (13)"� r •' STATE OF FLORIDA
D'E'PARTMENT OF HEALTH
=SITES SEWAGE TREATMENT AND DISPOSAL SYSTEM
Y
• , ; COUSTROG"i'TON PERMIT
qt
CONSTRUCTION PERMIT FOR:
( 1New Symtem [ )Existing System
f X )Repair f ]Abandanmrant
APPLICANT: Mannau ;sobers:
PROPERTY STREET ADDRESS: 813 NE 97 Ot Miami Shores FL 33138
LOT: 14 BLOCK: 73 SUBDIVISION: Miami Shams SIIC 3 _
( /Township Rangt3r Parcaa No ..1
[OR TAX ID NUMBER1
PROPERTY ID #: 11 -3308 - 014.2580
SY *EN MUST »E CONSTRUCTED IN ACCORDANCE WITH 5! ?ECIPICATIONS AND STANDARDS OF .: r']
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR +!!P.i' E
PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF :173
REWIRE THE APPLICANT TO MODIFY TMB PERMIT APPLICATION. SUCH MODIFICATIONS M::.:
PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT TOES NOT EXEMPT THE ' P'.:'I.,7.
COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERT )11;..11;
SYSTEM DESIGN AND SPECIFICATIONS
T
N
900
0
0
0
]Gallons
)Gallons
1GALLONS
) 0ALLONS
D I 300 ) EQi7ARE
R [ 0 )SQUARE
A TYPE SYSTEM:
I CON?IC3t7RATYON i
F
I
E
D
SEPTIC TANI
FILL REQUIRED:[ 0,0 ]INCHES
THIS PERMIT TO NOT FOR AN ADDITION.
] Holdi
40
i tnnovacive i ipt
Tempo
L , IDii?
AGENT: $R0921116. PAR I
GREASE INTERCEPTOR CAPACITY
DOSING TANK CAPACITY f 0 ) C3A.LLONS
FEET PRIMARY DRAI13FIELD SYSTEM
FE NT SYSTEM
( y )STANDARD [ H 7ErILLED
[ N !TRENCH ( N(1 ZED
CEiNTRAX el_
DATE PAaQ: _
FEE PAID : _333_3
RECEIPT
OSTDSN1iR
MULTI - C1,{AMBERED ' ..W 131
xuLT . - CHAMBE1tED ' 1 T
0 10 )DOSES PER 24 4 P fe
N )MOUND [
N
- LOCATION TO BENC}ir'►RRK. KO= blav, 1 X1.44 ?u TGV - ....._...�.
ELEVATION OF PROPOS= SYSTEM SITE 1 1 . 1 ] I PE LOW) HENCI MA'
BOTTOM OF DR.INFIEE.D TO SE ( 3.6 ) ( FEET ' [ EELbW) BENCE'.MA ` A10
EXCAVATION REQUIRED: ( 30.0 ) IWCHEE
O'T'HER REMARKS: _ w
1. s 't I10 900 gal. category -1 septic tank equipped with en appro'v'ed filter.
2. The licensed contractor" installing the system is responsible for installs. 1 '.11
category of tank in accordance with •Nc. 6418.4.815(3)(f). rAC.
3. Install 300 sf of dreirtfield in bad configuration.
4. Existing 730 gal. septic tank to be inspected for an •ppropriete pump-out ,you
abandonn ■d .
5. Invert elevation of dreinfie1d to be no less then 8.30' NUVD.
6. bottom of drainfield slevabico to be no less than 7.90' NG'V'D.
SPECIFICATIONS BY: Andre Pa TITLE:
APPROVED BY: Andre Paul i TITLE: vroleesio el Xngln
DH 401d, 03/97 (abeoletet previous ®diti.ous whih rosy tot be used)
(stock 1114110err 6744- 001.4n16 0) I,acnn_oara 0014.11
TO 39 s iso
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DATE ISSUExD! 1/13/03 EXPIRATION DAM 6. 31U5
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Scale: Each block represents 5 feet and 1 fret= 50 feet.
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• STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATioN FOR ONSITE SWAGE DISPOSAL SYSTEM CONSTRUCTION P
Permit Application Numb9
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PART II • SiTE PLAN-
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Site Plan submitted by —4- ot
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Plan Approved ___ Not Approved
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ALI. CHANGES M T B ROVED BY THE COUNTY HEALTH DEPAR
Page 2 of 3
90190
LET SOOZ/ET/Tp
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From:
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MESSAGE:
SEPTIC & DRAIN, INC
• I Septic Tanks • Grease Traps
Drain Fields • Sewer
Jet Cleaning
CC#000652 • State Certified • Septic Tank Contractor
P.O. Box 612333 • North Miami, Florida 33261 -2333
Phone: (305) 558-5818
FACSIMILE TRANSMISSION
Date: 0 1 6/0
Please deliver th se documents immediately to
To: /ti
Of iy( , �‘ / . 97
Dade (305) 558-5818* Brow (954) 920 - 5099 *
Fax (305) 893 -0270
# Of Pages Including Cover Sheet c -
ili.
8/3 Afe_97
16,
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.,10.110
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•
Address
Co
Phone #
Name
Date
Type Insp'n
Permit No.
Inspection Date
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
UILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
0ogr se pcC.
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MIAMI SHORES VILLAGE
\ - , I)UILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date +,
Type Insp' n N•
Permit No.
Name
;CI TrN.
Address ‘..) ,# ' \. /
(+ ,.., - --, .
+ AI&
Company
..Lc......,-- i )
Phone #
Inspection Date 't+ ,
Approved
Correction
Re-Insp' n Fee
r4
Date:
Of
Fax #
• SEPTIC & DRAIN. INC
BOB
e • Septic Tanks • Grease Traps
• 8 Drain Fields - Sewer
Jet Cleaning
CCp000652 • State Certified • Septic Tank Contractor
P.O. Box 6t2333 • North Miami, Florida 33261 -2333
Phone (305) 558 -5818
FACSIMILE TRANSMISSION
Please deliver these documents immediately to
To:
From:
Dade (305) 558 -5818 * Brow (954) 920 -5099 *
Fax (305) 893 -0270
# Of Pages including Cover Sheet
MESSAGE:
0
JAE, 2 6 1g
( Zt)) /r-bg--7
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APPLICANT
AGENT:
TANS INSTALLATION
[01) TANK SIZE (
[02] TANK MATERIAL
[03] OUTLET DEVICE
(04] MULTI- CHAMBERED
[ 0,5 ] OUTLET FILTER
FILL / EXCAVATION I ►TERIA1.
(22)
[
[
[25]
(
FINAL SYSTEMAAPPROVED
STATE OF PLORIDA
DEPARTMENT OP REALM
ONBITE SEWAGE TREATMENT AND DIPOSAL BYSTE*
CONSTRUCTION INSPECTION AND FINAL APPROVAL
i / eA- ID p :// 3 0 C J/ I-
;1 i2/44/1 /
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PROPERTY ADDRESS* 7 `-�
LOTS A / gyoCx:
7 =� s usDIViSIOx: �'" fC• ' ,4 0 f55- G IPERTT — v
.
i ssssiisatlsssessiitossta r:sosass..+ussssimisn
..nuas■.ummrsass mmunnnwm=..sane
CHECKED (X) ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MIDST SE CORRECTED.
7Ri =a¢CCaZi #i:=SS'5=== istItatiiiii'C7C= ,.
s --� itatassl1[lt[s>iisaa3SiiiiE�a =s
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[ 0. ] LEGEND ! r 1(2 �"" ( e/ U C"
[ 07J WATERTIGHT
[08] LEVEL
(09rk DEPTH TO LID - 7
4q
DRAINFIELD INSTAL OI[
[10] AEA [1)12,4 [2] GL> $ ..
[11] D STEIBUTIWI BOX — HEA9
[13] ER OF DRAINLINES
[13) DRAINLINE SEPARATION
(14 ] DRAINLINE SLOPE (9,6) 74 //
[ 15 ] DEPTH OF COVER 1;2- / "
[16] ELEVATION (ABOVE /BELOW] DM
[17] SYSTEM LOCATION J
(18) DOSING PUMPS
119] AGGREGATE S IZE
(10] AGGZtSOATE EXCESSIVE FINES
(21] AGGREGATE DEPTH /:
FILL AMOUNT
FILL TEXTURE 4"
EXCAVATION DEPTl `r,/ f _ t
AREA REPLACED ) 4 V 3 ''"i" 1
REPLACEMENT MATERIAL VA/L/0
EXPLANATION OF VIOLATIONS / REMARKS:
[ ]
[ l
( )
[ )
CONSTRUCTION (AE'PROVED * XSAPPROV1p] 1.
I REAPPROVED ] I
oC.
DH 4016. 10/97 (Prariou■ Edition* May B
V
c
r
- 1
f
INSTALLER / CONTRACTOR
PT 15 Applicant
PT 2: InatalledOontractov
PT 3: Building Department
PT 4; Health Department
PERMIT MO.
DATK PAID:
FEE PAID:
RECEIPT f:
/C
`") (49 ) TANK PumpeD 0
1/ - [ AO ] TANK CRUSHED i
/A
SETBACZ$
[271 SURFACE WATER / i FT
(28) DITCHES "JO rte: in
[39] PRIVATE WELLS 1v ooti FT
[30] PUBLIC WILLS FT
[31] IRRIGATION WELLS N 1 FT
(32] POTANLE WATER LINES U PT
(33] BUXLDING FOUNDATION � r FT
(34] PROPERTY LINES CJ FT
(35] OTHER FT
FILLED / HOUND SYSTEM
(36] DRAINFZELD DOVER
(37) SHOULDERS' /
[38) SLOPES
(39) STABILISATIONN
ADD)T ;OVAL (==FORMATION ,
[ 4Q.] UNOBSTRUCTED AREA d„(_,
[41] STORMWATER RUNOFF d AL,
(42] 4,;:
( 43) MAZ CER ' AREER»T
[44j. BUZ 4
[45] `:,LOCATI01r..=ORMS WITE SITE PLAN
(46] FINAL SITE
147) CONTRACTOR 77./. ,
[48] OWNER
c
TILLED Z p ' "
CND DATE/ ' d U
Page 2 of 3
Miami Shores Village
10050 NE 2nd Avenue
Plumbing Permit
Phone: 305 - 795 -2204 Permit Number: PL2005 -24
Printed: 1 /25/2005
Applicant: ROBERT HANNAU
Owner: HANNAU ROBERT
JOB ADDRESS: 813 NE 97 ST
Contractor BOBS SEPTIC & DRAIN INC
Local Phone: 305 - 558 -5818
Parcel # 1132060142590
Contractor's Address: 1020 NE 130 ST
Fees: Description Amount
FEE2005 -1068 Builders Bond $300.00
FEE2005 -1069 Building Fee $175.00
FEE2005 -1070 CCF $1.80
FEE2005 -1071 Notary Fee $5.00
FEE2005 -1072 Scanning Fee $3.00
FEE2005 -1073 Training and Education Fee $0.60
FEE2005 -1074 Technology Fee $4.37
Total Fees: $489.77
Total Fees: $489.77
Total Receipts: $489.77
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 14 & W1/2 OF LOT 15 BLK 73
Permit Status: APPROVED Permit Expiration: 7/17/2005 Construction Value: $2,500.00
Work: REPLACE SEPTIC TANK AND DRAINFIELD
Page 1 of 1
Signed: (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 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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: PL2005 -24
Printed: 1/25/2005
Applicant: ROBERT HANNAU
Owner: HANNAU ROBERT
JOB ADDRESS: 813 NE 97 ST
Contractor BOBS SEPTIC & DRAIN INC
Local Phone: 305 - 558 -5818
Parcel # 1132060142590
Signed: (INSPECTOR)
Plumbing Permit
Contractor's Address: 1020 NE 130 ST
Permit Status: APPROVED Permit Expiration: 7/17/2005 Construction Value: $2,500.00
Work: REPLACE SEPTIC TANK AND DRAINFIELD
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 14 & W1/2 OF LOT 15 BLK 73
Fees: Description Amount
FEE2005 -1068 Builders Bond $300.00
FEE2005 -1069 Building Fee $175.00
FEE2005 -1070 CCF $1.80
FEE2005 -1071 Notary Fee $5.00
FEE2005 -1072 Scanning Fee $3.00
FEE2005 -1073 Training and Education Fee $0.60
FEE2005 -1074 Technology Fee $4.37
Total Fees: $489.77
Total Fees: $489.77
Total Receipts: $489.77
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: