1298 NE 98 St (7)Date 7/28/94 Job Address 1298 NE 98 STREET Tax Folio
Legal Description
Owner / Lessee / Tenant SEIFERT Master Permit # R65P
Owner's Address 1298 NE 98 STREET, MIAMI SHORES 33138 Phone 754 -2252
Contracting Co. NORTH DADE SEPTIC TANK
Qualifier DENNIS NEVILLE
State # 025836 -8 Municipal # Competency # 12842 Ins.Co. TRAVELERS
Architect /Engineer Address
Bonding Company Address
Mortgagor ddress
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING CHANICAL ROOFING PAVING FENCE SIGN '
WORK DESCRIPTION INSTALL DRAINFIELD
Square Ft. 300 Estimated Cost(value) $1600.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signet a ol, er bnd /or Condo President
Date:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
q
Nota .S to-Owne
My Comnission_.Exs'
NOTARY IC; STATE Of FLORIDA AT LARGE
MY COMMISSION EXPIRES JUNE 19, 1995
BONDED THRU MUC!(LE3ERRY & ASSOCIATES
** *
Condo President
FEES: PERMIT D RADON
Zoning
Mechanical
SS#
IN a
0
Notar to Contr r r' Owner - Builder
My Commission Expire :
NOTARY PU*ICi STATE OF FLORIDA AT LARGE
My COMPASSION EXPIRES JUNE 19. 199$
* * * * PONDER* RU HUCKLEBERRY & ASSOCIA *ES
C.C.F.
Fire Other
O D
r
Address 800 NW 111 STREET
NOTARY
Phone 754 -3375
Sig e of/Contractor or Owner- Builder
Date:
* **
t 00
TOTAL DUE 3 /`
Electrical
Engineering
COI'(STRUCTION PERMIT FOR:
[kJ] New System [0] Existing System [d] Holding Tank [/J] Temporary /Experimental
[)(] Repair [/3] Abandonment [/J] Other(Specify)
APPLICANT:
PROPERTY STREET ADDRESS: (2 {J . ( j
LOT:
PROPERTY ID #:
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
T [ 11,4 ] [GALLONS / GPD] 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: [ ]
D [3 U u ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [./f BED [ ]
N I ,i) 1
F LOCATION OF BENCHMARK: N/
I ELEVATION OF PROPOSED SYSTEM SI7 [/J / /4-] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ /g' ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT
/ ,
D FILL REQUIRED: [h =/4 ] INCHES EXCAVATION REQUIRED: 010 ] INCHES
0
T
H
E
R
r ; <? (1 / 2 il,),y CD6r5 -4acj (/mod �u / 6 ct vra //, /Cl
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D -6, FAC
BLOCK: SUBDIVISION:
HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744 - 001 - 4016 -0)
PERMIT # `!'Q - Z /`
DATE PAID 7 - Z9
FEE PAID $ 40. 0 0
RECEIPT # 602 .5.
AGENT : / `i A � , 4 J G4 ¢ i d )L/ c:
[SECTION /TOWNSHIP /RANGE /PARCEL NUMBER]
[OR TAX ID NUMBER]
TITLE:
TITLE: ��✓ j � / ! A // Lt. CPHU
APPLICANT
EXPIRATION DATE: /6/2th4
Page 1 of 2
INSTRUCTIONS:
PERMIT NUMBER: Permit tracking number assigned by CPNU.
APPLICATION FOR: Check type of permit, if 'Other' specify type in blank.
APPLICANT: Property owner's full name.
TELEPHONE: Telephone number for applicant or agent.
AGENT: Property owner's legally authorized representrtive.
MAILING ADDRESS: P.O. box or street mailing address for applicant or agent.
LOT, BLOCK, SUBDIVISION or
PROPERTY ID/1: 27 character id number for property. (CPHU may require properly appraiser HD U or cection/toweec'zip /range /parcel number)
SYSTEM DESIGN AND
SPECIFICATIONS:
TANK: Minimum specifications from Chapter 1OD-6, FAC.
DRAINFIELD: Minimum specifications from Chapter 1OD-6, FAC.
OTHER: Other specifications, such as operating permit requirements, low - volume flush toilets, variance provisos.
SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed.
APPROVED BY: County Public Health Unit (CPHU) personnel reviewing and approving permit.
DATE ISSUED: Date permit is issued by CPHU.
EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date
issued.
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMITC,) //�
Permit Application Number /
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Notes: SFTFERT: 1998 NF, 98 STREET, 33138
Site Plan Submittedsby:
Plan Approved ,
By
OLD SYSTEM OVERFLOWING.
tI ,
r
d .
ALL CHANGES MUST BE APPROVED BY THE c0 Y PUBLIC HEALTH UNIT
HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 002- 4015 -6)
PART II - SITE PLAN
SIGNATURE
Not Approved
t n '
TITLE // /
Date__
County Public Unit
Page 2 of 3
APPLICATION FOR:
[ N] New System [ x ] Existing System [N ] Holding Tank [N ] Temporary /Experimental
[ y] Repair [ ] Abandonment [N ] Other(Specify)
APPLICANT: SEIFERT
AGENT: NORTH DADE SEPTIC
MAILING ADDRESS: 800 NW 111 STREET, MIAMI 33168
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 #:
'PROPERTY SIZE:
BLOCK:
PROPERTY STREET ADDRESS: 1298 NE 08 STREET 33138
DIRECTIONS TO PROPERTY:
BUILDING INFO]MATION [][X]
Unit Type of
No Establishment
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
1 SFR 3 BEDROOMS
2
3
4
[ N] Garbage Grinders /Disposals
[ If] Ultra -low Volume Flush Toilets
APPLICANT'S SIGNATURE:
SUBDIVISION:
SIDENTIAL [ ] COMMERCIAL
IN l Spas /Hot Tubs
HRS -H Form 4015, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744 - 001 - 4015 -1)
PERMIT #
DATE PAID
FEE PAID $
RECEIPT #
TELEPHONE: 754 -2252
754 -3375
DATE OF CONS
[Section /Township /Range /Parcel No.] ZONING:
No. of Building # Persons Business Activity
Bedrooms Area Sgft Served For Commercial Only
DATE: 7/2R/94
ACRES [Sgft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE Cu] PUBLIC
[ N] Floor /Equipment Drains
[N l Other (Specify) J °r
•
Page i of 3
1
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A,3-7.775iii37:3 Street P.'2 . 7.0 lot, kl;thou: cn 3'..; "
i?rovido ii•312 instructions tc io or ettaci7. cri
:N Chcfr .'r•;.■ or corn
NO. 717S7....171COIV:3S: Count c!! roorn, dczignaci prinicri!35 for Occ Cfl. 1Y c 7::-.357•..3 7 3.3:77 •.,7,3:77.
occupant,.
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AafiA: 7otal foolc..Ec of cr_cloc:3;3 '1.rbitzble C.:.7:2 CT Wf:1
f.creened patios or f...:eck,. 3acf3c cutsIdo 53 for cr.d.t cto:y
?'NS: of e: rcsieing, or tuo:kins ir... 77 c... - • • 5 .
...ssurnad.
7 AC77;M7: : on!y. czn?!oycco, .57
"Abic Cbactcr 10D-5„
Signatur,3 oi . .ppliccnt cgcn cir.y cub
A sitc 4.v: to ccaLe, rbown E bcurtdc: vi? 3 •-" ncncio:31, • - ., • 7 •
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SEIFERT
LOT: BLOCK:
PROPERTY ID # 1298 NE 98 STREET, 33138
PROPERTY SIZE CONFORMS TO SITE PLAN: [ ]
TOTAL ESTIMATED SEWAGE FLOW: 450
AUTHORIZED SEWAGE FLOW:
UNOBSTRUCTED AREA AVAILABLE: 600
BENCHMARK /REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [](] NO
10 YEAR FLOOD ELEVATION FOR SITE: 6.0 FT MSL /NGVD
SOIL PROFILE INFORMATION SITE 1
Munsell # /Color Texture
BROWN SANDY
USDA SOIL SERIES:
Depth
0" to
to
to
to
to
to
to
to
to
72"
SITE EVALUATED BY:
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
SUBDIVISION:
HRS -H Form 4015, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 003 - 4015 -1)
PERMIT #
AGENT: NORTH DADE SPTIC
9x4- 2 /*
[Section /Township /Range /Parcel No. or Tax ID Number]
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.
YES ( ] NO NET USABLE AREA AVAILABLE: ACRES
GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2]
GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE]
SQFT UNOBSTRUCTED AREA REQUIRED: 600 SQFT
[INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING F
SURFACE WATER: 7 FT DITCHES /SWALES: --- FT NORMALLY WET ? [�"'Y
WELLS: PUBLIC: 100 FT LIMITED USE: -- FT PRIVATE: — FT NON - POTABLE:
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 15 FT
10 YEAR FLOODING? [ ] YES [](] NO
SITE ELEVATION: 7.2 FT MSL /NGVD
SOIL PROFILE INFORMATION SITE 2
S:
[ ] NO
— FT
Munsell # /Color Texture
BROWN SANDY
USDA SOIL SERIES:
Depth
to
to
to
to
to
to
to
to
OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 10 INCHES [ ABOVE / BELOW ] EXISTING GRADE.
HIGH WATER TABLE VEGETATION: [ ] YES [x] NO MOTTLING: [ ] YES NO NO DEPTH: 2i INCHES
SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: 1.25 DEPTH OF EXCAVATION: 94 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [g ] BED [ ] OTHER (SPECIFY)
REMARKS /ADDITIONAL CRITERIA:
DATE: 7/2q/94
Page 3 of 3
;
0: Permit tracking retimber assigned by
Property OWEICT'II full name.
Ar's iaN7: Property owner's legally authorized mpreces.tative.
131.CCX, SliJ3DXVISION: Lai, block, ors; subdivision for
r: 7.3)//: 27 character number for ?-cperty. (paa2erly Lpp:Tiiapr:=1 0 sr
Check if property size Cl site conforim to submitted site
:A! pryer: Erect; and zyCpc bets witbin public ightc-cf-tvay c Cr.
normally we:. Tirairo.nc ditches -- “ars c o'' watt -
. CCtilitEiCd jce EOW 7C: establiabrr t c::..ft.:;:7: 2 (22
IFAC. accord. c • •:-, ..:•,••;,,; .
day per acne fc: private viz:ter .77!: \later :.•
not equal or C`iX0CC:i '15: ■'01. liai7/,
tecod tht: cr frx;: of urtobstrinteT" LT:Hablc 7 • •--- 7:: 7.:
times rs itirge tite ercinfic16 c .;c — • 7 ".... —
rf!■br.c%s in Chap: ?AC. :.:nolistrected a•rer,
aecord the Ie.:at:on of the If using r. :777:k ?.:ae
Glevstion of the proposed system site in gelation (c.bavo or ..1:low)
cord minimum setbocks ct_n b 77-CC: ;t c1 7..^.:ce. c • •
ron applicable features. :Featt or: site 7.1"..r "at -. ;7' • .: • :st:
ci ony public drinking well witbi7l 2C0 - 7:e". of the ar.;y.l'c ;C:
.1e7 ors; infc on lot's stibject :Fe :012 tc eieva'_ic • f. cita
actuci site devotion.
::N.FOCT1 'X'wo soil profiles within the pi rcorpt.ion ',a as.„
identification will Ilf.s0 7■JSDA Sol! Clr.ssification .7 ...
be clearly Tiocummted. Provide IS1, coiT "7„11\7:1"
• 71' 1:cord the depth cc o'isedved tobir cf
appropriate. eeo e ec.irnatr:Ti VJt c tat.c:: °able 7:asf.71 or: Li.tc
historical irformation. 7ndicate faarc: ic a.777"
accord 3011 texture or loading rate fer systeirt
C.`..7 applicable record dept.::: of CI1Gcvc 11:, required!. acca "NA' if a2plicable.
CCN:F...CjI1A7iON: Check droinfield configuration requir. ;:f othew, specify `13,r
ADD:tr!ONAL aecord any additional remarks pertinent to site or inc!c!ic.:!.T.n. :Ex. dosing ro•tired.
3117 Signature of evaluator, title, and date of evoluction. 2rofessional ergineers must cc:L.2 Eli
WC.
ELENA OF X3NCHMA1IXt / 121EIFERIENCE
SiTE 1 SITE' 2
!-:-; £:1-CT: H.X.
H'.II. [-] SHOT [ - I SKCI'
ShiriF. 3
1E.11.
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.s . " • = '
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•--
BUILDING
ELECTRIeAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal - Lot
Description
Address of
Building J
CONTRACTOR OR BUILDER
PERMIT N° 7621
MIAMI SHORES VILLAGE, FLORIDA
r •
DAT
Contractor's
License No
Work to be performed under this Permit
Bl.
Value of
Project
rr builder named above to construct the building or to install the eq
This permit is granted to the contractor
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in
plans, drawings, statements or specifications that may have been submitted to and approved by the propel' municipal authorities, This Perini
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further c
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the sttepts or specifications and
sibility for work done by his agents, servants or employees.
Signed:
Olt
BY
In consideration of the issuance to me of this permit I agree to perfo ry - e work covered hereunder in compliance with or
pertaining thereto and in strict conformity with the plans, drawings, stateme s or specifications submitted to the proper auths o
In accepting this permit J ssume responsibility for all work done by either myself, my agent, servant or employee.
' 1\ rJ
II Amt. o
Permit
rnent or device d
By
AUTHORITY
re