The URL can be used to link to this page

PL-06-588 Inspection Worksheet . Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �4gN'O� OR P ne: (305)795 -2204 Fax: (305)756 -8972 All Inspection Date: 05/05/2006 Permit Type: Plumbing - Residential Inspector: Levrack, James Inspection Type: Final Owner: TERRY, JOHN Work Classification: Drainfield Job Address: 29 96 Street NW Miami Shores Village, FL 33150- Phone Number (305)754 -2361 Parcel Number 1131010330430 Project: <NONE> Block: Lot: Contractor: A SUPER SEPTIC TANK, INC. Phone: 305 - 940 -2828 Building Department Comments do not final until side walk is replaced Public Works had just replaced them in 2006. Will need to replace 3 flags Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, May 4, 2006 Page 1 of 2 ° Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 MEOW Inspection Date: 05/05/2006 Permit Type: Plumbing - Residential Inspector: Levrack, James Inspection Type: Final Owner: TERRY, JOHN Work Classification: Drainfield Job Address: 29 96 Street NW Miami Shores Village, FL 33150- Phone Number (305)754 -2361 Parcel Number 1131010330430 Project: <NONE> Block: Lot: Contractor: A SUPER SEPTIC TANK, INC. Phone: 305 - 940 -2828 Building Department Comments do not final until side walk is replaced Public Works had just replaced them in 2006. Will need to replace 3 flags Inspector Co m n Passed Failed Efr C El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, May 4, 2006 Page 2 of 2 STATE OF FLORIDA PRRMIT NO DEPARTMENT OTC' HEALTH DA22 PAID: — - ONSITE SEWAGE TREATMENT "D DIPOSAL RYSTE 9 FS, PAIDr CONSTRUCTION INSPECTION AND ''FINAL APPROVAL RBCSIPT 1: APPLICANTr r r PROPERTY ADDRESge 2 2 f 1� ddr LOT r BI.00R: StTBDIV�SIOIi� -►�,_ -; f PRQPBRTY IDx L/ �, /•, y * �s�zzzzzzzzaucaaasseaszseaa +raaa.� gcaeza�.s axzaax� ^ _ CDECKED [z] ITE" ARE NOT Ix COMPLIANCS W ITH NTATCPZZ OR Rul.s ACID MUST BS CORRECTED. TANK INSTALLATION SRTBACKS [ ` .J- : [ o 11 TANK SI ( 1) ] 1271 SURNWR WATER rT [ • ] �[ 0 21 T ANK AULTZRIAL (aa] DXTCn38 < PIT t fa' • t OUTLET DEVICE [ 1 ( PRIVATE WELLS a FT ( i j ;041 MULTI-CRA1[8ERID [ � J1� ] [ J [30] PUNIC WELLS � � � FT [ }�' [ 03 ] OUTLET FILTER , i °} ; [ ] [ 31 ] IRRI"TION iiRIJA FT [ 1 1 I.EdR ] (32 ] PO'�IHI.$ WATER LINES FT [ , A - - -- [07 1 WATERTIGHT [ 1 1 331 BUILDING FOUNDATIOtit 'PT ( - ° [08 1 LSVSL [ 1 (34 PROPERTY LINES �. j PT [ U 9 ] DEPTH TO LID t ] [ 3 5 ] Ommm f FT DRAINFIELD IHSTALXATIOW �- �! FILLED / no 8Y8TKw ( A-3101 AREA [11 r 1 $QFT [ ] [ 3 6 ] DEAI IM COVER' [ La [ 11 ] DssTAlaurYcur a�X B _ t ] (7] C 1 ] N�ER OF DRAINLIa 1 r [ l ( 38 1 PRP t13 DRAINLIN,Z HBPARATI�N [ ] (39 STARILZZATIOti - - -- ( 141 DRAINLINE 8r aFE [ 15 ] DEPTH OF COVER ADDITICKAL MF'ORMATION (16 ] XLEVATION [ABOVE /a.aW] B�€ �,, ( J" ' 140 ] UNOBSTRUCTED AREA 171 SYSTEM LOCATION [ t l ' r (411 6TORKWATER RUNOFF ( ] 1 18] DOSING PUMPS ,. [421 ALARKS 191 AGGREGATE SIZE (` 1 ( ;31 KAINTEmLCH AGiR.S81031T t r (201 AGGAEGATE EXCESSIVE FINES (,..} ' 1 441 R U XLDING AWM t s��` i AGQRRGATS DXPTV [ �w '`(45] LOCATI(W CONFORMS WITH SITE PLAN [ 1 [ FINAL SITS GRxDXmQ FILL. / EXCAVATION MATERIAL ( : ," [471 CONTRACTOR � 111 _ - - -- [ ] 1 221 FILL AMOUNT / ( ] t 88 ] OTHSR r , 'T! [ ] [ 23] FILL TEXTURR ( ? _]._ -- [ 241 EXCA V ATION DEPTH AREA REPLACED ( 49 1 TANK P)Arww — [ (26 REPLACEMENT au►rezr�i..� Jr. ( J [Sol TAX CilQSILED & rlsxED ®l —/ EXPLANATION OF VIOLATIONS / RERXS: t l i l [ l coNSfiRUCTSO "T 'PL1oR ',� ' '-' CUD DATE: r FINIAL 8]lSTEtE �ADV$ IBAPPROVSDI t - �•: ^' y? Cffi3 DATE a r /re r DH 4016, 10/97 (Previous xditiors KaT Be Used) Page 2 of 3 PT 1: ADDNcani . PT 2: Inzollor/Contraclor PT I Buying Depommnt INSTALLER / CONTRACTOR PT A; Henn Doo".2m �: ,_ .:,, � %�:'•;� �_. �: = �7? +, ti's - y.� ��.:a.�.+,>,.a :: a� r},`. •'� �: ::�i -"yJ s>::.' - µ }:� mod_. 'a! n- i.'.", �c: - >2'" EL:•T` - a`i'r '<i � t �' ' .. ` 3 �3?.`£[ a�'. 3 $ y x S � Z �y.•J -, '.'1, ,:,ham �. �:��g' .r�,t;:.., s[: v" Otc it that .s;.- s Inspection Worksheet .. .mss Miami Shores Village a 10050 N.E. 2nd Avenue Miami Shores, FL ` Phone: (305)795 -2204 Fax: (305)756 -8972 ;4 N y i I% Woe Inspection Date: 05105/2006 Permit Type: Plumbing - Residential Inspector: Levrack, James Inspection Type: Landscaping Owner: TERRY, JOHN Work Classification: Drainfield Job Address: 29 96 Street NW Miami Shores Village, FL 33150- Phone Number (305)754 -2361 Parcel Number 1131010330430 Project: <NONE> Block: Lot: Contractor: A SUPER SEPTIC TANK, INC. Phone: 305 - 940 -2828 Building Department Comments I s ector Comments Passed Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, May 4, 2006 Page 2 of 2 Miami Shores Village 10050 N.E. 2nd Avenue "lm" Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 31912006 Expires: 03/0812007 Permit Number: PL -3 -06 -688 Owner's Name: JOHN TERRY one: (305)754 -2361 Permit Type: Plumbing - Residential Parcel #: 1131010330430 Work Classification: Drainfield Block: Lot Job Address: 29 96 Street NW Section: PB: Miami Shores Village, FL 33150 - Contractor(s) Phone Primary Contractor Total Square Feet 429 A SUPER SEPTIC TANK, INC. 305 - 940 -2828 Yes Total Valuation: $ 3,400.00 Comments: Required Ins ections DRAINFIELD REPLACE TO FRONT YARD Rough Landscaping Final Additional Information Type of Work: DRAINFIELD Type of Piping: Additional Info: 429 SQ FT Bond Retum : Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount Invoice Number Amt Due Amt Paid Bond Type - Owners Bond $300.00 PL- 3- 06- 24064 $490.60 $490.60 CCF $2.40 Total: $490.60 Education Surcharge $0.80 Notary Fee $5.00 Permit Fee - Additions /Alterations $175.00 Scanning Fee $3.00 Technology Fee $4.40 Total. $490.60 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Applicant Signature Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 8' Tel: (305) 795.2204 Fag: (305) 756.8972 BUILDING EUVED Permit No. P1- -0(=:: PERMIT APPLICATIO 8e4ical 8 2006 Master Permit No. FBC 2004 Permit Type (circle): Building E / Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) . Ta ez-- o- Phone # Owner's Address --,7 1V / - / !2 " S f City ^ '0 ," 5,A OY 2 C State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) Z A/ /ti 9� a City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO A-4 Contractor's Company Name d , [ phone # Contractor's Address � 7 ®/ �,� R' � 2 Ci e e Stat /c, Zip 3 a r � Qualifier Name Phone # - T D _�_ 3 a V 42 State Certificate or Registration No. ® 7 2 - ' Z Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 2 D Q Square / Linear Footage Of Work: y- 2 - 1c, T T Type of Work: []Addition ❑Alteration ❑New [1 -Rep ' eplac ❑ Demolition Describe Work: vat Submittal Fee $ Permit Fee $ � CCF $ 2 .4CD CO /CC Notary $ S -0U Training/Education Fee $ 0 - 60. Technology Fee $ Scanning $ 9 , 00 Radon $ DPBR $ Zoning $ Bond $ � -.00 • Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1-0c. See Reverse side -� t Bonding Company's Name (if applicable) E- "ti Bonding Company's Address t 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 exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature &n er or Agent tractor The foregoing instrument was acknowledged before me this IS The foreg ing instrument was acknowledged before me this day of NO KJ 0 G6b f'_ 7 [(Q� 7 rLN of 20 ff- by 4 t6L & 4%1 r ZW who is per s nally known to me or who has produced who is personally known to me or who has produced �',f 0 As identification and who did take an oath. - 03 - 38- A s identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Pi<e. 191 * MY COMMIS, IONiDDQg399$ 171 ' %qf Th nio�y,�20�2009 Sign: Sign: Print: n ed 27, 2009 Print• o l?! My Commi ion Expires: My Commission Expires: APPLICATION APPROVED BY: _o C� Plans Examiner Engineer Zoning (Revised 02/08/06) a . 0 c STATE OF FLORIDA CENTRAX #: 13 -SG -27407 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT OSTDSNBR : CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ ]Repair [ ]Abandonment [ ]Temporary [ MO ] APPLICANT: Terry, John & Gina AGENT: $R083722.; ero Andrew PROPERTY STREET ADDRESS: 29 NW 96 St Miami F4 33150 LOT: 22 BLOCK: 130 SUBDIVISION: Miami Shores Sec 6 [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3101 - 033 -0430 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. 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 PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK MULTI - CHAMBERED /IN SERIES: [Y ] A [ 0 ]Gallons MULTI - CHAMBERED /IN SERIES: [Y ] N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] D [ 429 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R ( 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ Y ]STANDARD [ N ]FILLED [ N ]MOUND [ N ] I CONFIGURATION: [ N ]TRENCH [ Y ]BED [ N ] N F LOCATION TO BENCHMARK: Finished Floor Elev., 10.95' NGVD. I ELEVATION OF PROPOSED SYSTEM SITE [ 19.6 ] [ INCHES ] [.BELOW ]BENCHMARK/ REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 49.6 ] [ INCHES ] [ BELOW ]BENCHMARK/ REFERENCE POINT L D FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES OTHER REMARKS: *Existing 900 gl. septic tank to remain. *Install an approved outlet filter. *Install 429 sf of drainfield. *Invert elevation of drainfield to be no less than 7.32' NGVD. *Bottom of drainfield elevation to be no less than 6.82' NGVD. SPECIFICATIONS BY: Icaza, Carlos TITLE: CI,. 0 A �+ APPROVED BY: Test II, TITLE: EH Specialist I Dade CHD DATE ISSUED: 2/7/06 EXPIRATION DATE: 8/6/06 DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) fostds cons 4016 -11 Par*c �f 7