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PL-08-1205Project Address 9wner Information PETER ABRAMS Wednesday, July 2, 2008 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Fees Due Bond Type - Contractors Bond CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $300.00 $1.20 $0.40 $175.00 $3.00 $4.37 $483.97 JUL 0 2-2O Cx it2J Building Department Copy Address nfte ......... ...................... ........... ............................... Expiration: 12/29/2008 Parcel Number 343 NE 99 Street 1132060135500 Miami Shores Village, FL Block: Lot: PETER ABRAMS 343NE99ST MIAMI SHORES FL 33138 -2436 Contractor(s) A AMERICAN Phone Cell Phone PLUMBING IN (305)919 -9512 Authorized Signature : Owner / Applicant / Contractor / Agent Phone Total I Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type : $ 0.00 Applicant Valuation: Total Sq Feet: Type of Work: DRAINFIELD Type of Piping: Additional Info: Bond Return : Classification: Residential Available Inspections: July 02, 2008 Date CeII $ 2,000.00 0 In cons! e o th s a �e J me 9 a l f h id ' 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 . 1 Inspection Type : Final Landscaping Rough 1 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Cristina Abrams PROPERTY ADDRESS: 343 NE 99 St LOT: 18 BLOCK: 40 PROPERTY ID #: 11- 3206 - 013 -550 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 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. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ A [ N [ K [ D [ 225 ] SQUARE FEET Trench Confiauration SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ 1 MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ l N F LOCATION OF BENCHMARK: FFE el.:11.80 "" NGVD I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: 0 T H E 900 ] GALLONS / GPD 0 ] GALLONS / GPD 0 ] GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY 1.-Existing 900 gal. septic tank to remain. 2.-Install 225 sf of drainfield in trench configuration. 3.- Invert elevation of drainfield to be no less than 7.90 ft NGVD. 6.-Bottom of drainfield elevation to be no less than 7.40 ft NGVD. THIS PERMIT IS NOT FOR " ADDITION(s) ". R SPECIFICATIONS BY: [ 0.00] INCHES rd L Philizaire APPROVED BY: „ - Astrid V Edwards DATE ISSUED: 06/30/2008 MIAMI, FL 33138 PLO NZO5 AND DISPOSAL s ■ECE VED JUL 0 2 MX SUBDIVISION: Miami Shores Sec 1 Amd Septic Tank [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] [ 22.80 l [I INCHES 1 FT ] [ ABOVE BELOW BENCHMARK /REFERENCE POINT [ 40.80 ] [I INCHES It FT I [ ABOVE / BELOW U BENCHMARK / REFERENCE POINT EXCAVATION REQUIRED: [ 30.00] INCHES TITLE: TITLE: Engineer Specialist II DH 4016, 10/97 (Previous Editions Map Be Used) v 1.1.4 A2886700 5E760529 PERMIT #: 13-S G 945128 APPLICATION #: AP886700 DATE PAID: 06/27/2008 FEE PAID: $55.00 RECEIPT #: 13 -PID -10440 DOCUMENT #: PR743440 Dade CHD EXPIRATION DATE: 09/28/2008 Page 1 of 3 DRAINFIELD REPAIR \0 Passed Ins tpyComments E . / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 07/16/2008 Inspector: Levrock, James Owner: ABRAMS, PETER Job Address: 343 99 Street NE Project: <NONE> Contractor: A AMERICAN PLUMBING INC Building Department Comments Tuesday, July 15, 2008 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Rough Work Classification: Drainfield Phone Number Parcel Number 1132060135500 Lot: Phone: (305)919 -9512 Page 1 of 2 DRAINFIELD REPAIR }I Passed r,. Inspect3r Commments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 08/20/2008 Inspector: Levrock, James Owner: ABRAMS, PETER Job Address: 343 99 Street NE Project: <NONE> Miami Shores Village, FL Contractor: A AMERICAN PLUMBING INC Building Department Comments Monday, August 18, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number Parcel Number 1132060135500 Lot: Phone: (305)919 -9512 Page 1 of 2 IT spector .,)ef? oivisioN 0; Environmental Health Florida Department of Heath Miami-Dade County Health Department OSTDS/Septic Tank Division 7769 NW 48` St Suite 175 Miami, 11 13 1(,6 vee t Date OSTDS -7 • P e 4`..) BUILDING PERMIT APPLICATIO FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder 343 N a ' 1 Owner's Address City %AMA! Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) aS City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO , Contractor's Company Name A kistuttatt Contractor's Address 12. ty$ [ City NOLO State 1161Mitt 51000A5,.% State Certificate or Registration No. CR, r4 o Qualifier Name E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Submittal Fee $ IJ A Notary $ Scanning $ 140 Bond $ t Radon $ Code En Structural Review. $ Miami Shores Village u.i1ding Department 10050', 2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State I t Zip z rYt Phone # leo Type of Work: DAddition ❑Alteration EJNew Describe Work: LA * * * * * ** sir*** * * * ** *xxxxx *ok * ** ** * * * * * * ** Fee$ * * * * ** * * * * * * * * * ** * * * ** * * * * * * *** * ** ** * * *** it Permit Fee $ 115 Training /Education Fee $ ®lfd MIAMI i ?Pilo ?1P• ®i.1ce4G JIL 0 2008 SHORES VILLAGE Permit No. Pl. ow-a05 Master Permit No. Phone # 7 6 - 4 1 I 1 Phone # Zip 3'b 1 g� Phone # Square / Linear Footage Of Work: 303 - qlq _t /L Certificate of Competency No. Repair /Replace ❑ pemolition CCF $ 12 co/c Technology Fee $. 437 DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ 4r .17 See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address 'City 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. l 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. 44 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." A/nrinn fn Annfirnn/ �Qc n n ndi �.�n f0 the ISSL[QN!'P nfn �i9ii /i/:v.n .,...„.:� ...:t/ .. �: , a .. / ,. ,/. Notice to Applicant: As a condition to the issuance cnn , t _ , of a buildinglAermit with an estimated value exceeding $2500, the applicant mnrst promise in good faith that a copy of the notice (f commencement and construction lien law brochure will be delivered to the person whose property i4 subject to attachment Also, a certified copy of the recorded notice of commencement must be pasted at the job site for the fist inspection which occurs seven (7) days gier the heildwng permit is issued In the plated nab the inspection wflf., r be approved and a reiurspection fee will be charged Signature X Owner or Agent The foregoing instrument was acknowledged before me this a., day ofs c ,. , 2' , by who is personally known to me or who has produced D. L A /is'-473 s"61 1- 1:19 As identification and who did take an oath. NOTARY PUBLIC: APPLICATION APPROVED (Revised 02/08 /06) State Zip Contractor was acknowledged before me this 9. 20 0 by who is personally known to me or who has produced '1h0.v, [A tate j as identification and who did take an oath. NOTARY PUBLIC: ***, wow wwwwd:*********xww wwwwwwwwwww **lc* Y*xx4:****r. Plans Examiner Engineer Zoning