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90 NE 96 St (9)Date 3/29/96 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant SINGLETON Master Permit # Owner's Address 90 NE 96 STREET, 33138 Phone 758 -7758 Contracting Co. NORTH DADE SEPTIC TANK Address 754 -3375 Qualifier DENNIS NFVIT,LF SS# State # 075816-8 Municipal # Competency # 12849 Ins. Co. TRAVFLFRS /FSIF Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): AKCCEDINIXXELECCMCMICK PLUMBING MEETIMMINEXMOMigaXPRIAMIXERICIMOCNiaiX WORK DESCRIPTION INSTALL DRAINFIELD Square Ft. 300 Estimated Cost (value) $1400.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) -- Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I j certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate an laws regulating construction and zoning. Furthermore, I authorize the above -n Signature of owne My Commission Exp FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 90 NE 96 STREET d 0 RADON n o President Date d;itA 3-2R-q6 Not to Owner afid/dr Con dd President Date SStSSt%WASSSRSRSSSS WASSSSSSSSSSSS & AS, i\N, °j Tc7-E3 J. Fek;?;:r ° ofTolit'a D w C cirl�.rL ic. E. /IS; '307 V, OF ° MyC J^L^f _:: ]_ C;•: _3t i11'ii 1- 800 -3 NOTARY . Fia. Natty 2:` a liz3 Co. APPROVED: Zoning Building Mechanical Plumbing Tax Folio Not o Contracto caner- uilder D . to My Commission Expire ) ° ho w et, Ter :? J. F• i'.: i ' 1 r•P ,a 1' Noiwry J"1'•' c r Cc i't:;:� ^:11 iio.> ', > 1- 800.3•NOTARY • Ea. Ac"•; .,. , : ` TOTAL DUE 3 6 C.C.F. .-- NOTARY Phone 754 -3375 Electrical Engineering • 9' ork will be d• . compliance with all applicable to do the - • rk stat d. 94 tor or Owner- uilder ate LOT: na BLOCK: Fla SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: /6 STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: [N] New System [ N] Existing System [ N] Holding Tank [N] Temporary /Experimental [Y] Repair [ N] Abandonment [ N] Other(Specify) APPLICANT: SINGLETON AGENT: KORTH DADE SEPTIC TANK PROPERTY STREET ADDRESS: 90 NE 96 STREET, 33138 PROPERTY ID #: na [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS 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. SYSTEM DESIGN AND SPECIFICATIONS EXISTING T [ 750 ] [GALLONS / Xis] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:(] A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [j] i D [ 300 ] SQUARE FEET ECIWIMDRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ X] STANDARD [ FILLED [ &4 MOUND [ ] I CONFIGURATION: [0] TRENCH [ X] BED [ ] N p F LOCATION OF BENCHMARK: FFE 9.89 F3SI I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: [ ] INCHES o INSTATE, 12" OF LOAMY COARSE SAND UNDER BO .T0N OF DRAINFIELD SUBN kIT BENCHMARK BEFORE INSPECTION. THIS PERMIT IS NOT FOR ADDITIONS. E INVERT ELEVATION (MINTN.UN) : _'. BOTTOM OF DRAINFIELD ELEVATION Oilik N) : 40 .‹- SUBDIVISION: ne HRS -H Form 4016; Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016-0) ] ;' INCHES /F ] ] BELOW EXCAVATION REQUIRED: Z547 ] INCHES TITLE: APPLICANT FT] ABOV [ABOV PERMIT # 6 )6 6E:0 DATE PAID 4° /4; FEE PAID $ • 4.1® RECEIPT # / -6. c BE I u • K /REFERENCE POIN POINT TITLE: g CPHU � r iE SEPTIC TANK SMALL BE PUMPED AND A SOLID EXPIRATION DATE � / DEFLECTION DEVICE INS?ALLED ON THE OUTLET TEE. Page 1 of 2 . ; .., - .t: A f 1 r�;k : t -1 ' 1'. is, APPLICATION FOR: [ New System [ N] Existing System [ N] Holding Tank ( N Temporary /Experimental [ j Repair [ N] Abandonment [ N] Other(Specify) APPLICANT: AGENT: MAILING ADDRESS: TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] LOT: PROPERTY ID #: SINGLETON BLOCK: PROPERTY SIZE: 1 PROPERTY STREET ADDRESS: 90 NE (6 STREET, 33138 DIRECTIONS TO PROPERTY: BUILDING INFORMATION [ RESIDENTIAL Unit Type of No. of No Establishment Bedrooms 1 SFR 3 DEEO04MS 2 3 4 [ IJ Garbage Grinders /Dispo [ lY Ultra -low 3o1ume 1 • APPLICANT'S SIGNATURE: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC NORTH DADE SEPTIC TANIt 754 -3375 800 N!•f 111 STREET, MIAMI 33168 ACRES [Sqft/43560] PROPERTY WATER SUPPLY: [ ] PRIVATE ( PUBLIC SUBDIVISION: lets Building Area Sqft [ It] Spas /Hot Tubs ( Other (Specify) HRS-H Form 4015, Mar 92 (Obsoletes previous editions which May ofbe used) (Stock Humber: 5744 - 001 - 4015 -1) [ ] COMMERCIAL PERMIT # DATE PAID FEE PAID $ RECEIPT # P TELEPHONE: 758-7785 4- . �?3 Li DATE OF BEFORE 72 SUBDIVISION: [Section /Township /Range /Parcel No.] ZONING: # Persons Business Activity Served For Commercial Only DATE: 3/29/96 1 [ A Floor/Equipment Drains Page 1 of 3 LOT: NA PROPERTY ID #: SITE EVALUATED BY: STATE OF FLORIDA ■ PERMIT # � ��1 /4 " ' DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS SINGLETON BLOCK: NA SUBDIVISION: NA NA 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. BENCHMARK /REFERENCE POINT LOCATION: THE MINIMUM SETBACK WHICH SURFACE WATER: lno- FT WELLS: PUBLIC: 1CO-i- BUILDING FOUNDATIONS: SOIL PROFILE INFORMATION SITE 1 PROPERTY SIZE CONFORMS TO SITE PLAN: [ YES [ ] TOTAL ESTIMATED SEWAGE FLOW: 30C) GALLONS AUTHORIZED SEWAGE FLOW: `7 1 7 GALLONS UNOBSTRUCTED AREA AVAILABLE: 13 SQFT Munsell 0/Color Texture BROWN SANDY USDA SOIL SERIES: SANDY Depth 00000to 72" to to to to to to to to AGENT: NORTH DADE SEPTIC TANK [Section /Township /Range /Parcel No. or Tax ID Number] NO NET USABLE AREA AVAILABLE: ACRES PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] UNOBSTRUCTED AREA REQUIRED: e9 SQFT ELEVATION OF PROPOSED SYSTEM SITE IS `� [ (' /FT] [ABO $li0 BENC CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: DITCHES /SWALES: -- FT NORMALLY WET? [ ] YES [x] NO FT LIMITED USE: — FT PRIVAT E: FT NON - POTABLE: FT 5 FT PROPERTY LINES: FT POTABLE WATER LINES: =5 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [x] NO 10 YEAR FLOODI G? ) YES [ NO 10 YEAR FLOOD ELEVATION FOR SITE: CWT. 4,0 FT MSL /NGVD SITE ELEVATION: tr5.0 FT $S/NGVD OBSERVED WATER TABLE: INCHES [ABOVE /e151279 EXISTING GRADE. TYPE: • ; , / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: 1f1$ INCHES [ ttuN / BELO " ISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [ NO MOTTLING: [ ) YES [x] NO DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: 1_95 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: SOIL PROFILE INFORMATION SITE 2 Munsell 0/Color Texture Ba I SANDY USDA SOIL SERIES: SANDY Depth to to to to to to to to 77" DATE:3 /29/96 HRS-H Form 4015, Mar 92 (Obsoletes previous editio s which may not be used) Page 3 of 3 (Stock Number: 5744- 003 - 4015 -1) / Scale: Ii Notes: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTI N PEMIIT [4. Permit Application Number `1 0 9 it:14 E 9 PART I I - SITE PLAN _ 50 feet. e_ ach block represents 5 feet and 1 Site Plan submitted by: Plan Approved By I i I I_ ^ - 1 -- I I I- 1 - - I l _ . II I _ I LJ Il I _ _1 n 1 _ 11I I I I CL I I - ,a ' 1 -I- �- -' 71 11-- 1 i _1 4_1 - _j_ 4 11 p 1-I i 11 -FT 1_1 1 1 I T 1 I. I 1 FJ i I I .J -. - - I i - ]-r - T I I I -_ � l I I I � I I 1 � ) J +I -I I i --1- 1 ( I _. = -i L t I I I I I_I T-1 11 1 1 l I -LL I - 1 - J _ _ l_ Il-) 1.11 1 1 1 I 1_ 1! J L 1 1 — i � - 1 �- '_I _I SINGLETON: IVO 90 NE 96 STREET 33138 OLD SYSTEM OVERFLOHING /[LATER CONSU PTI©1� idOT AVAILABLE P e 9.€39 rsl IC AT „Nita: SIGNATURE Not Approved • -I-F I .2- - 026 - 96 , ostlf Pte/ D y t) ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744- 002 - 4015 -6) I _ Ll r 1 1 U. Tti 1 I � _ _ 1 r I i � -i" I 11 -1 I t-1 i -1 1 11 -1 -4- I I I 1 1 ! 1! I I11 (- ;_ I 1 _ L . • I J_. 1 TITLE Page 2 of 3 } i iiL=1 i J i l 1 I 11 I1[1I' Date 1 County Public Unit