PL-08-635Scheduled Inspection Date: February 11, 2009
Inspector: Levrock, James
Owner: MEYER, NICOLA & GUNTHER
Job Address: 860 NE 98 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: A LEAGUE CONTRACTORS, INC.
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Comments
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
- Phone Number (305)981 -0540
Parcel Number 1132060142550
Phone: 305- 256 -0306
c45v,
February 10, 2009 Page 13 of 16
BUILDING
PERMIT APPLICATION
FBC 2004
Contractor's Company Name A
Architect/Engineer'sName (if applicable)
Value of Work For this Permit $ 5 ,
Type of Work:
Describe Work:
Submittal Fee $
['Addition
iC ]t tiG XiC I
11
Notary $ 'T Training /Education Fee $
Scanning $ ato Radon $
Bond $ Code Enforcement $
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
'01 ca` �V r r; a q r—�-
I:q M
Permit No. 12L rr (053
Master Permit No. V U' 01,
Permit Type: Plumb
Owner's Name (Fee Simple Title o lder) \✓IVU W1 Phone #
Owner's Address 1� , 0 `�N 1 fSb
City Wit ) t State Zi p 3 13
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) 0 1. - 6g
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # I1. 32(Xn • 014.25sO
Is Building Historically Designated YES NO V
Phone # ! • 02 6 [f - 5 wZ
Contractor's ddress 11 1 � + Y V 4 . at tli
City I 11.1 _ ate Zip 3 � 1 . `lam
Qualifier Name + )) C pl !` iii i Phone #
State Certificate or Registration No. �1� �, �91CCP Certificate of Competency No.
E- MAIL:
['Alteration
Phone #
Square / Linear Footage Of Work:
['New
DPBR $
El Repair/Replace
❑ Demolition
s cw* xxxx xzxxrxx xrxrxx^ ' rexxx aYxzxx zzxxx xxrxxxxxxxxxxxxxxxrxxxxxxxxxx
Permit Fee $ je / �� CCF $ i b' CO /CC
I '00 Technology Fee $ ?-
Zoning $
Double Fee $ c
APR 5 20O Total Fee Now Due $ rie15 : 1L
�' ` See Reverse side -›
Bonding Company's Name (if applicable)
Bonding Company's Address
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 •"." • "' "'_° ' " " �`" " "` jr. 'J °° ' "" "pp"` "`°`o`
for the first inspection which occurs seven (7) days after the build construction lien law brochu will be ere o the person
inspection will not be approved and a reinspection fee will be charge recorded notice 'o co went m be posted the job site
vg permit is issue #.fin the absen e of such post' d notice, the
Signature
: S 'IMABATISTA
i i, a tivIM MASSIdid t a
• EXPIRES: Ma 11, 2009
�4P• : P ..
Banded Thru Notary Puub4cUnde nvdtere
Owner or Agent Signa
The foregoing instrument was acknowledged before me this Contractor
day of , 20 , by , The foregoing instrumen was acknowledged before me this
who is personally known to me or who has produced day of �► �, , • 220*, , by U 1 L e 106'sY c
As identification and who did take an oath. who is personally kn
NOTARY PUBLIC:
)TARY PUBLIC.
Sign: Si
Print: Print:
My Commission Expires: My Commissi. Expires:
* * * * * * * ** ** * * * * ** *** * * ** * * * ** * *xxxxr. * * ** * * * * * * * * **** ***.' SAE - ' *.*_**_*.*.2~ Y'.'"** **acs`**.* . ..
* ** 'Y. * * **
APPLICATION APPROVED B
(Revised 02/08/06)
a8 Plans Examiner
Engineer
Zoning
APPLICANT:
PROPERTY ADDRESS:
T [
A [
N [
K
D
R
A
I
N
F
I
E
L
D
O
T
H
E
R
APPROVED BY:
Meyer Gunther
STATE OF FLORIDA
-DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
LOT: 4,5,6,7 BLOCK: 73
PROPERTY ID #: 11- 3206 - 014 -2550
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
1,350 ] GALLONS / GPD SeDtic
] GALLONS / GPD N/A
] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY [
[ 858 ] SQUARE FEET SYSTEM
[ ] SQUARE FEET N/A SYSTEM
TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ]
CONFIGURATION: [ ] TRENCH [X] BED [ ]
LOCATION OF BENCHMARK: 10.9" NGVD C/L NE 98 St.
ELEVATION OF PROPOSED SYSTEM SITE [ 2.16 ][IINCHESI/ FT 1 [ABOVE BELOW BENCHMARK /REFERENCE POINT
[ 32.16 ] [I INCHES I FT ] [ ABOVE /I BELOW 1IBENCHMARK /REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE
FILL REQUIRED:
1.- Install a 1350 gal min. category-3 septic tank with an approved filter.
2. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
with s. 64E- 6.013(3)(f), FAC.
3.- Install 858 sf of drainfield in bed configuration.
4.- Install 42" of slightly limited soil at the bottom of the drainfield.
5.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed.
(Comments Continued on Page 2.)
SPECIFICATIONS BY:
[ 0.00 ] INCHES
DATE ISSUED: 02/25/2008
860 NE 98 St MIAMI, FL 33138
trid V Edwards
Astrid V Edwards
AND DISPOSAL
EeCOVE
MAR 1 8 2008
TITLE:
SUBDIVISION: Miami Shores Sec 3
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
EXCAVATION REQUIRED: [ 72.001 INCHES
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
TITLE:
l J
DH 4016, 10/97 (Previous Editions May Be Used)
s 1.1.4 AP845208 SE724642
PERMIT #: 13- SG- 902540
APPLICATION #: AP845208
DATE PAID: 1/1/1899
FEE PAID: $55.00
RECEIPT #: 13 -PID- 989099
DOCUMENT #: PR707310
EXPIRATION DATE:
Dade
08/25/2009
Page 1 of 3
]
CHD
6. -Invert elevation of drainfield to be no less than 8.9' NGVD.
7. -Bottom of drainfield elevation to be no less than 8.4' NGVD.
DOCUMENT # : PR707310
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statues. Such
proceedings are governed by Rule 28 -106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty -one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN # A02, Tallahassee, Florida 32399 -1703. The
Agency Clerk's facsimile number is 850 -410 -1448.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order will
constitute a waiver of your right to an administrative hearing, and this order shall become a 'final
order'
Should this order become a final order, a party who is adversely affected by it is entitled
to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are
governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced
by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a
second copy, accompanied by the filing fees required by law, with the Court of Appeal in the
appropriate District Court. The notice must be filed within 30 days of rendition of the final order.
USDA SOIL SERIES:
Munsell It/Color
Texture
Depth
10YR 3/3
Fine Sand
0 To 8
10YR 5/2
Oolitic Limestone
8 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 3/3
Fine Sand
0 To 8
10YR 5/2
Oolitic Limestone
8 To 72
APPLICANT: Meyer Gunther
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
CONTRACTOR / AGENT: A Leagua
LOT: 4.5.6.7
SUBDIVISION: Miami Shores Sec 3
TOTAL ESTIMATED SEWAGE FLOW:
AUTHORIZED SEWAGE FLOW:
UNOBSTRUCTED AREA AVAILABLE:
BENCHMARK /REFERENCE POINT LOCATION:
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
OBSERVED WATER TABLE: 86.40 INCHES [ ABOVE /
ESTIMATED WET SEASON WATER TABLE ELEVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH
REMARKS /ADDITIONAL CRITERIA
SITE EVALUATED BY:
BLOCK: 73
ID# : 11-3206-014-2550
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO
600 GALLONS PER DAY
1025.02 GALLONS PER DAY
1715.00 SQFT
ELEVATION OF PROPOSED SYSTEM SITE 2.16 [
HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO
10.9' NGVD C/L NE 98 St.
'INCHES
[ ]YES [X]NO
FT [ MSL /
'BELOW
UNOBSTRUCTED AREA REQUIRED:
/ FT ] [ABOVE /
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: N/A FT DITCHES /SWALES: N/A FT NORMALLY WET: 1 ]YES [X]NO
WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N/A FT NON- POTABLE: N/A FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT
I NGVD
SOIL PROFILE INFORMATION SITE 2
] EXISTING GRADE TYPE:
86 INCHES [ ABOVE /
[X] BED [ ] OTHER (SPECIFY)
Suarez, Guillermo (Title: - Legacy) (A- LEAGUE)
DE 4015, 09/2006 (Previous Editions May Be Used)
BELOW
APPLICATION # AP845208
PERMIT # 13- SG- 902540
DOCUMENT # SE724642
NET USABLE AREA AVAILABLE: 0.41 ACRES
RESIDENCES- TABLE1 / OTHER -TABLE 2 ]
1500 GPD /ACRE OR 2500 GPD /ACRE ]
10 YEAR FLOODING? [ ]YES [X]NO]
I NGVD
] SITE ELEVATION: 10.90 FT [ MSL /
[BELOW
1715.00 SQFT
] BENCHMARK /REFERENCE POINT
I
/ APPARENT ]
DATE:
EXISTING GRADE
MOTTLING: [ ]YES [X]NO DEPTH: INCHES
SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: Replacement 4 DEPTH OF EXCAVATION: 72 INCHES
01/07/2008
Page 3 of 4
AP845208 EID902540 v 1.0.2
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Meyer Gunther
PROPERTY ADDRESS: 860 NE 98 St MIAMI, FL 33138
LOT: 4,5,6,7
PROPERTY ID #: 11- 3206 - 014 -2550
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 [ 858 ] SQUARE FEET
R [ ] SQUARE FEET N/A
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED
I CONFIGURATION: [ ] TRENCH (X] BED [ ]
N
F LOCATION OF BENCHMARK: 10.9" NGVD C/L NE 98 St.
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED:
0
T
H
E
R
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
BLOCK: 73 SUBDIVISION: Miami Shores Sec 3
1,350 ] GALLONS / GPD Septic
] GALLONS / GPD N/A
] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY [
[ 0.00 ] INCHES
1.-Install a 1350 gal min. category-3 septic tank with an approved filter.
2. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
with s. 64E- 6.013(3)(f), FAC.
3.- Install 858 sf of drainfield in bed configuration.
4.- Install 42" of slightly limited soil at the bottom of the drainfield.
5.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed.
(Comments Continued on Page 2.)
SPECIFICATIONS BY: trid V Edwards
APPROVED BY:
Edwards
DATE ISSUED: 02/25/2008
DH 4016, 10/97 (Previous Editions May Be Used)
v 1.1.4
SYSTEM
SYSTEM
[ ] MOUND
EXCAVATION REQUIRED: [ 72.00] INCHES
AP845208
TITLE:
EXPIRATION DATE:
8E724642
PERMIT #: 13-SG- 902540
APPLICATION #: AP845208
DATE PAID: 1/1/1899
FEE PAID: $55.00
RECEIPT # : 13 - D - 989099
DOCUMENT #: PR707310
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
[ 2.16 ][I INCHES FT ][ ABOVE /) BELOW BENCHMARK /REFERENCE POINT
[ 32.16 ] [I INCHES f FT ] [ ABOVE a BELOW b BENCHMARK /REFERENCE POINT
08/25/2009
Page 1 of 3
DOCUMENT #: PR707310
6. -Invert elevation of drainfield to be no Tess than 8.9' NGVD.
7. -Bottom of drainfield elevation to be no Tess than 8.4' NGVD.
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statues. Such
proceedings are governed by Rule 28 -106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty -one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN # A02, Tallahassee, Florida 32399 -1703. The
Agency Clerk's facsimile number is 850 -410 -1448.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order will
constitute a waiver of your right to an administrative hearing, and this order shall become a 'final
order'.
Should this order become a final order, a party who is adversely affected by it is entitled
to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are
governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced
by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a
second copy, accompanied by the filing fees required by law, with the Court of Appeal in the
appropriate District Court. The notice must be filed within 30 days of rendition of the final order.
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 3/3
Fine Sand
0 To 8
10YR 5/2
Oolitic Limestone
8 To 72
USDA SOIL SERIES:
Munsell # /Color
Texture
Depth
10YR 3/3
Fine Sand
0 To 8
10YR 5/2
Oolitic Limestone
8 To 72
APPLICANT Meyer Gunther
LOT : 4.5.6.7
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
: SITE EVALUATION AND SYSTEM SPECIFICATION
CONTRACTOR / AGENT: A Leagua
SUBDIVISION: Miami Shores Sec 3 ID #: 11- 3206 - 014 -2550
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.41 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 600 GALLONS PER DAY [ RESIDENCES- TABLE1 / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1025.02 GALLONS PER DAY [ 1500 GPD /ACRE OR 2500 GPD /ACRE 1
UNOBSTRUCTED AREA AVAILABLE: 1715.00 SQFT
BENCHMARK /REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE 2.16 [
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: N/A FT
WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N/A FT NON- POTABLE: N/A FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
[ ]TES [X]NO
FT [ MSL /
OBSERVED WATER TABLE: 86.40 INCHES [ ABOVE /
ESTIMATED WET SEASON WATER TABLE ELEVATION: 86
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO
SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING:
REMARKS /ADDITIONAL CRITERIA
SITE EVALUATED BY:
BLOCK: 73
10.9' NGVD C/L NE 98 St.
INCHES
DITCHES /sWALES: N/A FT
I BELOW
/ FT ] [ ABOVE /
INGvDI
SOIL PROFILE INFORMATION SITE 2
] EXISTING GRADE TYPE:
INCHES [ABOVE /
MOTTLING: [ ]YES [X]N0 DEPTH:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
Suarez, Guillermo (Title: - Legacy) (A LEAGUE)
DE 4015, 09/2006 (Previous Editions May Be Used)
BELM
APPLICATION # AP845208
PEST # 13- SG- 902540
I BELOW
DOLT # SE724642
UNOBSTRUCTED AREA REQUIRED: 1715.00 SQFT
] BENCHMARK /REFERENCE POINT
NORMALLY WET: [ ]YES [X]NO
POTABLE WATER LINES: 10 FT
10 YEAR FLOODING? [ ]YES [X]N01
I NGVD I
] SITE ELEVATION: 10.90 FT [ MSL /
PERCHED
] EXISTING
DATE: 01/07/2008
/ APPARENT ]
GRADE
INCHES
Replacement4 - DEPTH OF EXCAVATION: 72 INCHES
Page 3 of 4
AP845208 EID902540 v 1.0.2