PL-10-328REPLACE EAST SIDE 200 SQ DRAINFIELD
Passed
Inspector Comments
HRS APPROVAL IN FILE
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: August 18, 2010
Inspector: Hernandez, Rafael
Owner: KAY, KENNETH
Job Address: 640 NE 98 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MR C'S PLUMBING SEPTIC INC
Building Department Comments
August 18, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP - 136903
Permit Number: PL-3-10-328 1
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number
Parcel Number 1132060171820
Phone: (305)651 -7859
Page 1 of 1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing + Juenu')
Owner's Name (Fee Simple Titlehdlde rt Phone #
Owner's Address 6i-to N Ga St
Cit V
C ILl 11 State "1"<_, , Zip
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done)
C(.6 8 S I+
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # 1
Is Building Historically Designated YES NO !-
Contractor's Company Name ) I 0 (_,(,P11,0 -6 i1'1 + Se 0 Phone #
Contractor' Address , (0198P NUS a
City i 1 1 1 a State 1 Zip 3-3 1
Qualifier Name O bl s Ha 14. 1
State Certificate or Registration No.
I 7S I Certificate of Competency No.
P Y
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ ( '
Type of Work: ['Addition ❑Alteration
Describe Work:
if )c c-e.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Submittal Fee $ Permit Fee $
Notary $
Scanning 19 Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Square / Linear Footage Of Work:
['New
Training /Education Fee $ () J
DPBR $
Permit No. v\ 1 o — 52X
Master Permit loo.
Phone #
Phone #
114
Zip
r e""1
BY:.
.3o5 GS i R
'(;s GS( - 7 6 S
* * * * * * ** F * * * * * * * * *xxxxx * * * * * * * * * * * * * * * **
Repair /Replace ❑ Demolition
Cte Chr0 )
CCF $ I °LJ r n yll/CC
Technology Fee $ 14..0
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ ISto�
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
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: l 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:
promise in good f:
whose property
for the first i
inspection wil
Sign:
Print:
My Commission E
*** **** ***** ****
(Revised 02 /08/06)
State
S
As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant roust
at a copy of the notice of commencement and construction lien law brochure will be delivered to the person
t attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
'ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
and a reinspection fee will be charged.
Owner or Ag Contractor
The forgoing instr
, 20 (O , by day of k re-11, 20 by ® Y�lo�
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
' , 4 MY COMMISSION m 00 8913
_ XPiRCS:Septor r14,li'1-..
aye Batded Thru Notal4 rTlr tinder �^ `-
Ai6�U"k
APPLICATION APPROVED BY:
as identification and who did take an oath.
My Commj
* ***** '******* **X* ******
NOTARY PUBLIC:
Sign:
Print:
Zip
o,. MY COMM
irexpIRES: September 14, 2013
Bonded Thm Notary Public Underwriters
:
KEMBLE ETTRICK
Plans Examiner
Engineer
Zoning
CQNSTOICt ION PERMIT TOW OSTDS_
APPLICANT: Ka 8 Jennifer Kenneth
PROPERTY ADDRESS:
LOT: 7-8
PROPERTY ID # : 11 -3206. 017 -1820
SYSTEM MUST BS CC7NSTRUC'1 D IN ACS NITR SPECUT=TI0NS AND STANDARDS OF SECTION
3$1.0065, F.S.. AND CHP.TER 64E - F.A.C. DEPAYEESEWP APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATI$p'ACTORY ropoRbsoms $t R ANY SPECIFIC PERIOD OF W. ANY MANGE IN MATERIAL FACTS,
ERICCH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, MUTER TES TAssraxoren TO MODY Y TEE
PERMIT APPLICATION. SUCH MODIFICATIONS VAX RESULT BE TEIS PST tEZbIS MADE NULL ANb VOID,
ISSUANCE OF THIS PERMIT DOES NOT EYES THE ANSI.XC) T PROM COMPLIANCE WITH OT's. FEDERAL,
STATE, OR LOCAL =NWT= REQUIRED FOR P L08RENT Or THIS PROPERTY.
SYSTEbd DESIGN AND SPECIFICATIINiS
T [ 900 l GALLONS / GPO lemffit
� 1 900 1 G Ia /
N [ 0 3 maces Genss ISTENCEPICE GAPIACITY
c [ 1 GALLONS DOS TAUB CAPACITY
D [ 200 ] SQUARE FEET SYSTEM
R [ 200 ] SQUARE FEET SYSTEM
A TIM; SYBTsm: LAy INTARDAED [] mum 1 1 mato L 1
I CONFIGURATION: L ] TRENCH [X] BED [
N
F LOCATION OF BENCHMARK' F F E :12.6' NOVO
I ELEVATION OF PROPOSED SYSTEM SITE t 24.00 tr r � FT l [ AB0i1E t s / 1 K/ Rom
F1 5OT M OF DRAINFIELD TO aG L 52.00 1 t i s j' FT l C ABANE PO T
t.
D 3'!LL REQIIk b: [ 0.001 ETCH S
0
T
H
a
THIS PERMIT 1S FOR THE WW1 -WEST SYSTEM ONLY. 1—E 900 gal. sspb c tank canted by °Mr Cs Plumbing &
Septic ° an 02/2412010 to tsmain. 21ns1al1200 deg drainfield in bed confiuratIon.3- Perirneter of excavation sres shall be at
least 2 it wider and longer than the propped absorption bed. 4 -Invert elevation of dr.9infield to be no less than 8.66' NGVD.
5, Bottom of draintleld elevation to be no Me V= 8.15' NOVO. 6 Existing Norttr :System certified by ° MrCs
Plumbing & Septic ° an 02/2412010 to remain-
HIS PERMIT 13 NOT FOORADDITIQ
s'ECIPICATIONS E1Y:
. APPROVED NY:
DATE I$SOsD:
STATE OF E'LORIDA
DEPARmmENT OF HEALTH
OMITS SZNAGB TAT AND DISPOSAL
SYSTEM
640 NE 98 St Miami, FL 33138
BLOCK: 101
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DH 4016, 10197 (Previous Editions may Be Used)
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ZB /T0 39"c/d
sosmvsSION: Miami Shores
ERCAv2TION Almon= L 23.00 ] nrotraa
d i,
Mae N ONNxnak
02125/2010
CAAACIT 1
C.APACIT r
Dom= CAPACITY SINGLE TAME:1250 QM. ONR1
Inn +moo R[ ]DOSS$ PER 24 HRS *Pumps [ ]
AB953373
T # : 134C.h 122652
APPLICATION #: AP9538J5
i$aoee1i
DATE PAID:
FEE PAID:
RECEIPT #:
DOOMS= #11
(BECTMON, TONNSEZP, RANGE, RDECEL NW'a811
[OR TAR Xr 1
S OUOM N DATE: 05/26/2010
Pacrei
SQUSD ZLtEEI550E 69470 Z00Z /Z0 /TB
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