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PT-07-584 i IRME Miami Shores Village a k w 10050 N.E. 2nd Avenue f `� 's f •" Miami Shores, FL 33138 -0000 s a Phone: (305)795-2204 v Ent p� Expira tion: l 11 Project Address Parcel Number Applicant 33 NW 98 Street 1131010330150 LYLLIAM LOUZADO Miami Shores Village, FL 33138- Block: Lot Owner Information Address Phone Cell LYLLIAM LOUZADO 33 NW 98 ST MIAMI SHORES FL 33150 -1736 Contractor(s) Phone Cell Phone Valuation* $ 1,0 00.00 HOME OWNER ::.::::::::::::::: :::..__:::::::::::::..::::::::: _:... __..:::::::::::__.-::::::..: N ._..::::.__:::::::::::::._..H__ .... ..................................................................... ................ ..:......:::::: _._.__- _:.T_ ......................_......._ . Total S Feet q 0 Type of Work: Exterior Available Inspections: Color. CANYON VIEW /SADDLERY Inspection Ty pe: Additional Info: Final Classification: Residential Color: CANYON VIEW/SADDLERY-Approved Code Comments: WALL- BEHR CANYON VIEW Color. CANYON VIEW /SADDLERY Approved Color: CANYON VIEW/SADDLERY-Denied Fees Due Amount Total Amt Paid I Amt Due CCF $0.60 Education Surcharge $0.20 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee $60.00 Payment 1 2E )T W M t Technology Fee $1.50 Total: $67.30 APR 2 0 2007 BY- ..--- .. ®. - - -- k rK 4 'W P AM 2 ® PAID 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 1 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. April 17, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, April 17, 2007 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL IC RM . JAR Phone: (306)795 -2204 Fax: (305)756-8972 ---------------------------------------------------- W ....... ........................................................... ....... ..................................................................... .............. 7 ............. ........... ................. .................................. ............................. ........................................................................... ........... .......................... .................... ..... .......... .. .................. - ............. ................. ........ .......................... . .. .................................. .................................... ........................................................................ ......................................................................... . ..................................................................... .. .................................................................... ............................ M fN ..................................................................... .. .................. Inspection Date: 05/22/2007 Permit Type: Paint Inspector: Grande, Claudio Inspection Type: Final Owner: LOUZADO, LYLLIAM Work Classification: New Job Address: 33 98 Street NW Miami Shores Village, FL 33138 - Phone Number Parcel Number 1131010330160 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buildina Deoartment Comments PAINTING EXTERIOR OF THE HOUSE MAY 2 2 2007 Inspector Comments Passed Y 7 Failed E:I_ Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Monday, May 21, 2007 Page 1 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PT -3 -07 -584 Owner Address: Invoice Number: PT -3 -07 -27963 33 NW 98 ST Applicant: LYLLIAM LOUZADO MIAMI SHORES, FL 33150• Company Name: Job Address: 33 98 Street NW Miami Shores Village, FL 33138 - Date Payment Type Check Number Amount Change Friday, April 20, 2007 04/20/2007 Check 4821 $67.30 $0.00 Total Payment: $67.30 Page 1 of 1 of . `1q o M Shores Village. _ W( �Juc^ Buildin g D artment MAR 2 Q 2 007 04 �� i��ll' -- 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y. - - - -- - Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2004i�l LtGtvt . Permit Type (circle): Euildingg� Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) �,� p�. t .�'K -'2 0 oW Phone # > k2_3 Owner's Address -7� A) ,J City State _ Zip Tenant/Lessee Name fy / Phone # Job Address (where the work is being done) C3 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO tl � Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) N Phone # Value of Work For this Permit $ 1 D(D , " Square I Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ 1 5co Training/Education Fee $ Techi►ology Fee $ . Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $� ' See Reverse side APR 2 ® PAID b Bonding Company's Name (if applicable) Bonding Companys 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 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 Owner or Agent Contractor The for om* g instrument was ackno hedged be 'ore pe this The foregoing instrument was acknowledged before me this day IW ` 2 by �j y of , 20 , by who is erso y known to me or who has produced 14 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an o ath. NOTARY PUBLIC: NOTARY;PUBLIC: A Sign: ' ;. �y Sign: Print: �IICrI �na�'%q tillss/ Print: Z�� lobQ OO My Commission Expires: yp �2p �63 My Commission Expires: 4bri�U�y`'�0 gs � APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08106) Miami Shores Village Paint Color Approval and Agreement Date: 16 ( Owner's Name: y2,*J'D Phone #: -86 2? :7 -7 Job Address (where the work is being done): �7: of c ,13 7 City Miami Shores Villane County: Miami -Dade Zip: Is Building Historically Designated ?: YES NO Contractor's Company Name (if applicable): /-' / Phone #: ■■ rrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�rrrrrrrrr�rirrrr All elements on the site must be listed and indicate the color: to be printed - Walls: y O>� �Ji tr Fascia: se, c &I -- f Q Attach cc Drip Cap /Drip Edge: (( with. Soffit: q S ®. 4 t Q V Roof: GU 1/0, zl Flower Bins: P o / Shutters: �J (6 -- Awnings: b Chimney: p Doors and Door Jams: 6 j pp C 0- y Garage Doors: s !q l k fZ- Railings: Fences: ( ;A 4 G It Decorat Metal: �U f e.- All brick (simulated or regular): ,v l , I 3 Stucco Banding: 1 Body: Canyon view ECC -20 -1P - 2Trim: Ranch Acres ECC -20 -2° Any other Stucco Features 3 Accent: Hickory Grove ECC -20 -3° Accessory Buildings: N e l 'o Other: ■■ rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr a rrrrrrrrrrrr� 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. Signature: AL Date: l /,-o— owirer or Agent .) APPLICATION APPROVED BY: Date: P & Z OFFICIAL * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I'NSP - 71592 �ermit. Number: PL- 1 - M42 Scheduled Inspection Date: June 25, 2009 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Final Owner: WILLET, RICHARD Work Classification: Septic Job Address: 174 NW 93 Street Miami Shores, FL Phone Number Parcel Number 1131010330960 Project: <NONE> Contractor: A AARON SUPER ROOTER Phone: 305 -944 -8886 Building Department Comments Inspector Comme s Passed HRS A I FILE Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT #: '6, : APPLICANT: i �J AGENT: 2 ,/ Y PROPERTY ADDRESS: Af • �� J V q 7T LOT: 101 ` BLOCK:-ft4 SUBDIVISION: l''t y� "/ PROPERTY ID #: CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE . CORRECTE TANK INSTALLATION a SETBACKS [ ] 1011 TANK SIZE [1] _ " [2] [ ] 1271 SURFACE WATER FT [ 1 [02] TANK MATERIAL [ ] [28] DITCHES FT [ 1 [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS FT [ ] [04] MULTI - CHAMBERED O N] ! / [ ] [30] PUBLIC WELLS FT [ ] [05] OUTLET FIL R /J [ ] [31] IRRIGATION WELLS FT [ 1 [06] LEGEND '^" _. .-� �j [ ] [321 POTABLE WATER LINES FT [ ] [07] WATERTIGHT -' / [ ] [33] BUILDING FOUNDATION A FT [ ] [08] LEVEL [ ] [341 PROPERTY LINES 16 FT [ ] [09] DEPTH TO LID [ ] [35] OTHER FT DRAINFIELD INSTALLATIOKL C FILLED / MOUND SYSTEM- [ 1 [10] AREA [1] 4i; 21 SQFT� [ ] [36] DRAINFIELD COVER [ ] [11] DISTRIBUTION BOX HEADER [ ] [37] SHOULDERS " [ ] [12] NUMB4R OF D RAINLINES [ ] [38] SLOPES [ ] [131. DRAINLINE SEPARATION [ ] 1 391 STABILIZATION [ ] [14] DRAINLINE SLOPE [ ] • {151 DEPTH OF COVER ADDITIONAL INFORMATION [ ] [16] ELEVATION [ABOVEBEL OM BM [ ] [40] UNOBSTRUCTED AREA [ ] [171 SYSTEM LOCATION �ltt��"" [ ] [41] STORMWATER RUNOFF [ ] [18] DOSING PUMPS [ ] [42] ALARMS [ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT [ ] [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA [ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN NG [ ] [46] FINAL SITE GRA 1� r 1 FILL / EXCAVATION MATERIAL [ ] [47] CONTRACTOR r' 1 [ ] [22] FILL AMOUNT [ 1 [48] OTHER [ ] [23] FILL TEXTURE [ 1 [24] EXCAVATION DEPTH . ABANDONMENT [ ] [251 AREA REPLACED ✓✓ [ ] [491 TANK PUMPED [ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED &'FILLED EXPLANATION OF VIOLATIONS / REMARKS: [ l CONSTRUCTIO AP PR VED ISAPPROVED]: [ C. CHD. DATE: 0 O FINAL SYSTEM PPROVED APPROVED]: t (l E 1 ° �l C i i 3 CHD DATE� tw DH 4016 (Page 2), 10/97 (Previous Editions May Be Used) Page 2 of 3 j Stook Number. 5744 -002- 4016 -4 PT 1: Applicant PT 2: Installer /Contractor PT 3: Building Department f PT 4: Health Department :: :: ::: .. •:• i :•i:•i:::{:iiiiiiiiii ::•i: :i::: i:• i:Ci�i:•i:•i:•i:•: i:•::? i•:•:• i:•:• i:•:? i•: 6:• :•i:•:•i:•:•i:•:•ii:•ii ?:•::•:• :•iii: :::i::: iiiiii: :i:•i:•i:•ii:-:- iiiii- i:- iiiiiisiiii: C:• i:• i:::::::• ii:: i:: i ::i::i::i::i::i::i::i::iii:::•: ii:: ::•:-:-::iiiiiiii .� ^4 iiiii : : : :ii ••••• W . i.iii:: v : : : : : :ii.' : : :•i : : : :i : : : ?L'i :<C: •':.:: iiiiii: ":.:':: ••. •• .. : isii:::• i% i' : :i����i : :i : :ii :•ii : : : :i����i :: iiiii ?iiii :' :• : :• : :•i :•i : :i :•: y:•:: : : {i'F,. : : : : : : : : :: iiiii::::: : : : : : :: iiiii:::::::::::: ii : :. : : :!.i :.i : :i : :j : :y!ii : : :ii :: •'::: i::: iiii:: iiiii: :::: is : :• : :i : :i : :' : : : : :i : :i : : :i w::::. •.xw : : : : :. :� •: v : :.� :. : w: •: •.s:.:. P:^ isv: A. . :i• :� : :viiiivii :•i :•i : ^:4:•i:• eK. :M, . � Miami Shores Village iiiii :•< :. > :. .; > :;-=- •••� > :. > :. : : : : : :: --<; : : : :.- .. :.; :. :. : :.; : : :; : : : : : : :. : : : :i : :i : :i : :i : :i : :ik� : >.; • : :. :i :<l. : :. >; :- >. :..". :... : :?$> 1 •. n .� 10050 N.E. : : : :i : :i� : : :� :i N. 2nd Ave / enue t :::i::::: . : •' '��� ;•;: �� :i:. • .i::: '? L. Miam aml Sh ores FL 33138 -0000 w ;,;;;;:.;;:.::::: �:• i:• i:• i, i:• i; i;;:• i::• i:. i:• i:;;:.;>;:.>:-:;;;;;;;;::;::,::, :, :.; : :. : :.; :.i :. : :. : :.i : : >; :.; iiiii;:.:;:.;;;;;;;;;::. -- . I •;• .. ;:; .:: -: . � .: "•�s : : :i: t> s . / Pho ne . 305 7 - 95 2204 ::;:: i:: i::'::;::: iiiii iiiii iiiii iiiii: �:::::::: iiiii iiiii is3:::::: i:::: i�: �: �: i:; i:: i:: i:::::::: i����is : : :i : : : : : : : :; : : :i : : : :i : : : :i: • - "• . . .. . ..... ......................... 'on• Ex irate . 07/071 Project Address Parcel (dumber Applicant 174 NW 93 Street 1131010330960 ROBERT ST GELAIS Miami Shores Village, FL Block: Lot: ................. •.•.•.•. .....{:.' L$ i •.❖.•.•.•. ' • ; i>........ e..?.:? v>.:• n�.>.................. .... >..:.. >.. » >.»K >. : :- :.•.. >.� .. i3.':> > : ° . :i'i : : ✓a�ri:L`. �+.•...❖:: L<•:{<•: KL•:•.•.•.•>.•.>.... .v >... :..x... >3.....✓.RL�v n J>...................... .................3. >..i 5?!! YlL&[. IIIf. Qrlpati4tl ........................................................... dtl m .................................................................................. Phone. .................................................. Cell .............................. RICHARD WILLET 174 NW 93 ST MIAMI FL 33150 -2235 . 4 b:•'•'•. w,.Y b 4wb:•bb:• bbN KKKK:•: KKKK•b. .KVC ••••. - - - .. - ..rrrrrr.. rw.wrr r.• - .....vrr �.. K pyr > �.wrr :. ..........c.....nSb`,M� e ...>.:...> �i w"..}>>.• 9>' �F. ..:.:»�•�`.$ >>.ev...u..uY.b:4s> . x>.•> P»> ir. ii:....>..? i.:. v iu'..:.. vv. vviw.: aJ. pe? • n?.LtuK�:��.•8 }b :w.. {. »n::.i.• »:•»>.... •.'?...9...:.`2';L {'fLSii�ai .>.S.•Ye>.....>.... »>uC» >...... _. ........................................................ ............................... Contractor(s) Phone Cell Phone Valuation: $ 5,000. si A AARON SUPER ROOTER 305- 944 -8886 .................. ......... ................ ........ Total Sq Feet: 150 Type of Work: SEPTIC & DRAINFIELD Available Inspections: Type of Piping: Inspection Type: Additional Info: Ab andonment Bond Return: Final Classification: Residential Rough Landscaping HRS Approval Fees Due Amount Total Amt Paid Amt Due Bond Type - Contractors Bond $300.00 .............................. CCF $3.00 $ 668.74 $ 666.74 $ 0.00 Education Surcharge $1.00hr< Permit Fee - Additions/Alterations $350.00 Payment Type: Check / Number: 8030 Scanning Fee $3,00 Technology Fee $8.74 Total: $665.74 JAN 0 9 2009 ` C K X030 M SHORES VILLAGE 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 . January 09, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday, January 9, 2008 1 Miami Shores Village REE Building Department �a 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY, Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit N o. o PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: P lumbi ng 'W r+ S� i�0 Ge�G QiC� Owner's Name (Fee Simple Titleholder) Phone # Owner's Address 1 1L+ W St City M( �ko -e S State f7 Zip 3 3 1 �; Tenant /Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 1j \^j �i 3 S City Miami Shores Village County / Miami -Dade Zip 3�5� FOLIO / PARCEL # I I — 310 1— D 33- 0960 Is Building Historically Designated YES NO Contractor's Company Name ` Phone # ( 5 4Lf— 8 ° " Contractor's Address 6o2-2- Sul ?ys G-�' City N�vG \a, State Zip 339 �3 Qualifier Name _ :ffi Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work:. 15D Type of Work: ElAddition ❑Alteration ❑New Repair /Replace Demolition Describe Work: tid � -� .�,,�, Imo., Q►, ,/ Submittal Fee $ Permit Fee $ CCF $ � W CO /CC Notary $ 0 Training /Education Fee $ 1 .0 0 Technology Fee $ Scanning $ . W Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due$ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Z i p Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zi 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 bplchure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co ncement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. n he absence of such posted notice, the inspection will note approved and a reinspection fee will be charged. r Signature Signature wner or Agen Contractor The foregoing instrument was acknowledged before me this U" The foregoing instrument was acknowledged before me this day of i%th , 20 01, by i6- wig r s day of �� , 20 �,> by t� �+. TI who is personally known to me or who has produced who is personally known Jq • jUV.Ur who has produced //n4 114.6.//. n 06404"M iY -- As id `j' .end.whpih .a oath. as ictnti ``f on a a an 0th. E3A J. SOI "'� NOTARY PUBLIC: r Comm# pD07 _ NOTARY PUBS _ 4118/2011 Expires 1118/'2011 Y AN.I..V Sign: • .. YAso,kv Sign: Print: Z �'�-o Print: (�� -f•- -� My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02 /08/06) L o 94 . x JAN ®9 ENT'D PERMIT #: 13- SG- 831833 PLCCATION #: AP775198 STATE OF FLORIDA LBY DEPARTMENT OF HEALTH DATE PAID: 01/04/2008 ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: $200.00 SYSTEM RECEIPT #: 13- PID- 864497 DOCUMENT #: PR642053 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Robert Gallas PROPERTY ADDRESS: 174 NW 93 St MIAMI, FL 33150 LOT: 10,11 BLOCK: 134 SUBDIVISION: Miami Shores Sec 6 PROPERTY ID #: 11 -3101- 033 -0960 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] 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 [ 900 ] GALLONS / GPD Septic CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [bDUMIUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ I D [ 150 ] SQUARE FEET Trench Confiauration SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED I I MOUND [ I I CONFIGURATION: [X] TRENCH [ ] BED I I N F LOCATION OF BENCHMARK: FFE ......... 12.6" "NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 22.80][ INCHES FT ][ABOVE BELOW BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 40.80][ INCHES FT ][ABOVE BELOW BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 30.00] INCHES 0 1.-Install 900 gal. category-3 septic tank equipped with an approved filter. 2.-The licenced contractor is responsible for installing the minimum category of tank sec. 64E-6.013(3)(f). T 3- Install 150 sf of drainfield in trench configuration. H 4.- Invert elevation of drainfield to be no less than 8.70 ft NGVD. 5 -Bottom of drainfield elevation to be no less than 8.20 ft NGVD. E THIS PERMIT IS NOT FOR "ADDITION(s) ". 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