287 NE 101 St (6)Lot
No. 2021
Owner, Agent or Tenant of Building
Street Address 287 N.E. 101 Street
Remarks : Permit #38451
_lilt' alai 414 C
BUILDING ANO ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138
TELEPHONE (305) 795 -220
FAX (305) 756 -8972
CERTIFICATE OF OCCUPANCY
Date May 6, 1996
Castro, Eduardo & Michelle
Block Subdivision
Approved use by occupancy Single family residence
This Certificate of Occupancy is issued to the above named
owner for building at above named location only upon the
express provision that the applicant will abide by and comply
with all conditions of Ordinances Nos. 92, 93, 94 and 97, known
as the Zoning, Electrical, Plumbing and Building Ordinances of
Miami Shores Village pertaining to the erection, construction,
alteration or remodeling of buildings or structures.
PRANK LUB1IN, DIRECTOR, BUILDING DIVISION
No. 2021
taint ` ei
Owner, Agent or Tenant of Building
Lot Block
Street Address 287 N.E. 101 Street
Remarks : Permit #38451
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138-2382
TELEPHONE (305) 795 -220
FAX (305) 756-8972
CERTIFICATE OF OCCUPANCY
Date May 6, 1996
Castro, Eduardo & Michelle
Subdivision
Approved use by occupancy Single family residence
This Certificate of Occupancy is issued to the above .named
owner for building at above named location only upon the
express provision that the applicant will abide by and comply
with all conditions of Ordinances Nos. 92, 93, 94 and 97, known
as the Zoning, Electrical, Plumbing and Building Ordinances of
Miami Shores Village pertaining to the erection, construction,
alteration or remodeling of buildings or structures.
FRANK LUBILN, DIRECTOR, BUILDING DIVISION
Date g/ t QS Job Address Tax Folio
•
Ai e - eiV6D R44-T OP NHS/ ori / - T BBC /0
Legal Description 1.07"S" 1.07"S" c� a. c} 7 M1/tMI Su0QtrS Historically Designated: Yes No
Owner/Lessee / Tenant • / 4/4 /04ECC CN S772
Owner's Address - = /'I /o I S t
Contractin Co. ad-6 C o,P4
Qualifier A //C o tie/Nei J . 11-
State # CSC OS,1 - 7
A d d r e s s za L 54/ , 4d, Av E / ALGe4 / 4 / t`_. .?3/ t l
Bonding Company Address
Address •
Architect/Engineer t✓ C d-- ASS 0C.
Mortgagor 5e�'r / ?so J eAIqK
Permit Type (circle one) BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / Ew 2 eS(yi(AICC
Square Ft. dr +e zk
Signature of owner and/or Condo President
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
( V2 /
Da
Notary as to Owner and/or Condo President Date
My Cd—
I
{
1 OrB R34CIAL NOTARY SEAL
O (i SANDRA BA MONTIEL
ly * COMMISSION NUMBER
Q CC401261
-i its �
� PAY COMMISSION .EXP.
� OF F'0 Ali • 098
r
FEES: PERMIT RADON C.C.F.
Master Permit # ;g" J "' `
Phone 7S /- ?/73 l
Address /9 g WES1 - 444' - DA / M /4/4/,P 27o45
SS# - Phone S) t ( — S
Municipal # Competency # Ins. Co.
Estimated Cost (value $5GG€ j i 5 0
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.
Signature of Contr actor or Owner- Builder
Not
M Cor�>ptssrg 9 n
0 </
* A) *
o
op F40
.r. 4•
�f.
as to Contractor or Owner - Builder
cL NOTARY SEAL
SANDRA M L1ONTIEL
COMMISSION NUMBER
CC401261
GAY COMMISSION .EXP.
AUG, 17',10
.W3I/f
Date
TOTAL DUE ') / 7
9
Date
PERMIT NO.
NOTICE OF COMMENCEMENT
TAX FOLIO NO.
' STATE OF FLORIOA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with
Chapter 713. Florida Statutes. the following information is provided in this Notice of Commencement. '
1. Legal description of property and street address Lri ( -c as & a Loci_ T o--(n
1. PR IU � - 4- co t �
2. Oescipdon of improvement: 1.6—) Qas: c.e
3. Owner(s) name and address:
60• 146 /•r 1T.
Interest in property:
Name and address of fee simple titleholder.
ff,Arir , F /k 33s S
4 . Contractor's name and address: V C cc C ®MPo_^... (S ect ( t_) C-.14-..... t ,�,..�r:,
STATE OF FLORIDA, COUNTY OF DADE
S. Sure : Pa ment bond required by owner f rom c antrac I RE C[I In that fo °Ina i a true �fct copy
tY ( Y e4 Y GRigl�aitfil in this oftice the 90 19
Name and address: HARVEY RUVIN, CLERK, of CI uit nd Cs) • ty Courts
Amount of bond S Deputy Clerk r,.�.•./ ,%/�... a ,
6. Lender's name and address: J C t Rs 0,4 6A.vk cr' R"/ ,DA IF
2,'f3 AD /I 01 v 24O FlooR AdV"vooti FLA • 339
11 ,
7. Persons within the State of Florida designated by Owner upon whom notices or other dor-intents may be served as provided
by Section 713.13(1)(a)7.. Florida Statutes.
Name,and address: •
8. In addition to himself, Owner'designates the following person(s) to receive a copy of the Uenoes Notice as provided in
Section 713.13(1)(b). Florida Statutes.
Name and address:
9. Expiration date of t is Notice of Commencement: (the expiration date is t year from the date of recording unless a
different date is specified)
Sgruwre of Owner .
Print Owners Name CD vt,i ' D 0 CA.
Sworn to and subscribed before me this 7 1 %ay of t0 cr'ar.2. 19 9 S .
Notary Public
Print Notary's Name d
My Commission Expires:
IAL bTAR l!';
MARIA R LEON
NOTARY PUBLIC STATT oi; FLORIDA
COMMISSION NO , ...46226 •
MY COMMISSION EXP. NOV: 18.1997
1i3ao6olvi g3D
Address: GOO nlf LQ2 sr
cct
c1
c-n
Ce
SERVE CONSERVE
ATLAS PAGE: INV#: OAR#:
NAME OF OWNER: EDDIE CASTRO
MAILING ADDRESS: 600 NE 101 ST
MIAMI, FL. 33138
PROPERTY ADDRESS: 2XX NE 101 STREET
TYPE OF USAGE /NUMBER OF UNITS: 1 SF RES BEING BUILT ON VACANT
LOT (350 GPD)
PROPERTY LEGAL:LOTS 22 &23, BLK 35, AMENDED PLAT OF MIAMI PB 10/70
THIS IS TO CERTIFY THAT THE COMPANY INDICATED ABOVE DOE ILL HAVE
A E3 INCH WATER MAIN ABUTTING THE ABOVE SUBJECT LEGALLY
DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY,
[IF WILL HAVE] —UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE
OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE
COMPANY INDICATED ABOVE) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF
GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER
SUPPLY OR WITHDRAWAL. PEDRO M. CUETO
Plans Review Engineer, Utilities Dev. Div.
b iami o e Water and Sewer Department
BY:
SIGNATURE,
NEW BUSINESS
PLANS REVIEW
THIS IS TO CERTIFY THAT THE COMPANY INDICATED ABOVE DOES /WILL HAVE
A dU ptr.1te INCH GRAVITY SEWER MAIN ABUTTING THE ABOVE SUBJECT
LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT
ROPERTY ([IF WILL HAVE] —UPON PROPER CONVEYANCE AND PLACEMENT INTO
SERVICE OF SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH
THE COMPANY INDICATED ABOVE) SUBJECT TO PROHIBITIONS OR
RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER
MATTERS OF SEWER DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE
FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM D.E.R.M.
THE ANTICIPATED DAILY WATER AND SEWAGE FLOW FOR THIS PROJECT WILL
BE —0— GALLONS PER DAY. PEDRO M. CUETO
Piens Review Engineer, Utilities Dev.
fdiaml = lade Water and Sewer Department
BY:
MIAMI -DADE WATER AND SEWER DEPARTMENT •
P.O. Box 330316, Miami, Florida 33233 -0316 0 3575 S. LeJeune Road G Tel: 305 - 665 -7471 O Fax: 669 -7884
OF REPRESENTATIVE
WCC's SCC'S - CCC's
Due.. with Set Meter Request
COMMENTS:
SIGNATURE OF REPRESENTATIVE PRINT NAME AND TITLE
NEW BUSINESS COMMENTS:
DATE:9 -08 -95
PRINT NAME AND TITLE
-Ykio
PLANS 'REVIEW COMMENTS: F .S As. S E P T (G
Has did ® A G de
IF THE UTILITY IS UNABLE TO STATE THAT A GRAVITY SEWER MAIN EXISTS
ADJACENT TO THE PROPOSED BUILDING SITE, THE APPLICANT MUST HAVE THE
FOLLOWING COMPLETED BY DADE COUNTY DEPARTMENT OF ENVIRONMENTAL
RESOURCES MANAGEMENT.
TYPE OF EXTENSION 1. L.S. & F.M.
2. GRAVITY EXTENSION: SERIAL# DATE
STATE APPROVAL#
APPROVED:
DATED:
SIGNATURE
QUEEN BOOKER
NEW BUS REPRESENTATIVE
CUSTOMER NAME: EDDIE CASTRO
305 - 751 -8183
414. -
SERVE • CONSERVE
ATLAS PAGE:
•
MIAMI -DADE WATER AND SEWER DEPARTMENT
P.O. Box 330316, Miami, Florida 33233 -0316 • 3575 S. LeJeune Road • Tel: 305- 665 -7471 • Fax: 669 -7884
INV#:
NAME OF OWNER: EDDIE CASTRO
MAILING ADDRESS: 600 NE 101 ST
MIAMI, FL. 33138
PROPERTY ADDRESS: 2XX NE 101 STREET
TYPE OF USAGE /NUMBER OF UNITS: 1 SF RES BEING BUILT ON VACANT
LOT (350 GPD)
PROPERTY LEGAL:LOTS 22 &23, BLK 35, AMENDED PLAT OF MIAMI PB 10/70
SIGNATURE OF REPRESENTATIVE
WCC's - SCC'S - CCC's
NEW BUSINESS t Due. with Set Meter Request
PLANS REVIEW COMMENTS:
NEW BUSINESS COMMENTS:
OAR #: DATE:9 -08 -95
THIS IS TO CERTIFY THAT THE COMPANY INDICATED ABOVE DO ILL HAVE
A 8 INCH WATER MAIN ABUTTING THE ABOVE SUBJECT LEGALLY
DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY,
[IF WILL HAVE] —UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE
OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE
COMPANY INDICATED ABOVE) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF
GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER
SUPPLY OR WITHDRAWAL. PEDRO M. CUF_TO
Plans Review Engineer, Utilities Dev. Div.
BY : �� p Miami - Dade Water and Sewer Department
PRINT NAME AND TITLE
THIS'IS TO CERTIFY THAT THE COMPANY INDICATED ABOVE DOES /WILL HAVE
A ►J p Nl� INCH GRAVITY SEWER MAIN ABUTTING THE ABOVE SUBJECT
LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT
ROPERTY ([IF WILL HAVE] —UPON PROPER CONVEYANCE AND PLACEMENT INTO
SERVICE OF SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH
THE COMPANY INDICATED ABOVE) SUBJECT TO PROHIBITIONS OR
RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER
MATTERS OF SEWER DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE
FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM D.E.R.M.
THE ANTICIPATED DAILY WATER AND SEWAGE FLOW FOR THIS PROJECT WILL
BE —0— GALLONS PER DAY. PEDRO M CU`TO
Plans Review Engineer, Utili?ies Dev. 5iv,
BY: Miami - Dade Water ;end Sewer Department
SIGNATURE OF REPRESENTATIVE PRINT NAME AND TITLE
CONSTRUCTION PERMIT F R:
[ \/] New System [ ] Existing System fA ] Holding Tank [A Temporary /Experimental
Repair � [ /] Abandonment ' ] Other(Specify)
APPLICANT: °' I AGENT: W Ito Vai4 1 -5/1
PROPERTY STREET ADDRESS:
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D -6, FAC
LOT: • 5 BLOCK: SUBDIVISION:
PROPERTY ID #:
SYSTEM DESIGN AND SPECIFICATIONS
[SECTION /TOWNSHIP /RANGE /PARCEL NUMBER]
[OR TAX ID NUMBER]
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.
T [ ®ll] GALLONS / GPD] SEPTIC TANK EROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ]
A [ ) [ NS / 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: [ ]
[0c) c] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND
I CONFIGURATION:' [ ] TRENCH [Al BED [ ] f f /
F LOCATION OF BENCHMARK: S (A ) O 1 S f 1
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:'
DATE ISSUED:
I ELEVATION OF PROPOSED SYSTEM SITE [4 0] INCHE /FT] [ABOVE/
E BOTTOM OF DRAINFIELD TO BE [ 249 9 ) [ HES'FT [ABOVE/
D FILL REQUIRED: [ ] INCHES
7 t1S rII z fl
re 7,3 ills (:
EXCAVATION REQUIRED: [77. ] INCHES
HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744 - 001 - 4016 -0)
TITLE:
TITLE:
PERMIT #
.DATE PAID
FEE PAID $
RECEIPT #
/n, l 1 fro5 /
[
ENCHMARK /REFERENCE POINT
NCHMARK FERENCE POINT
1-)LiA( /1-N,d
EXPIRATION DATE:
9-
PHU
Page 1 of .2
c ' ice_
CZ . ?O ,: Chez': ty pl: c' , if °O +c. ri::c "y :ypc in buns.
iFSLUeSiy
Te!ep lone, : hc. f'c appIicant a.
OW311. :.'❑ iegnlly r.eC a. =z.:% Leprccenttiivc.
.. ADDRESS: i?.C. r.:.iling ac ?dry,..: fc,' applicant or agent.
SU3Dn"V Si.ON or
2/ c :us acte ::ri : 1u,rbcr fo: . :. :y. (CP31U n.:ry drai -„ property ay? . n 0 or rcction/tcw. /ecnge /pc-ccl number)
.. =7 DESEC Z! AND
S ? :ECI:.=ECA h EONS:
Minimum sp ^cificatiooi from CI:t.ap :er eOD-6, IFAC.
Minimum specifications from C? ±t:_ ter /0D-6, IFAC.
Oli specifications, such ns opc: :•.tim3 permit rcnuircc; : :-'ss, tow- volarne , :usls toilets, variance provisos.
SlrEC-'.=<CA'q' :Only 8Y: Name of indivia al proviciin; specifications. Ef designee by a regime 2f. engineer must be sealed.
A'. ?:toV TED SY: County i'ublic H=ealth Unit (CE'3.1::J) p rconnel reviewing anti approving
DA ?:E ISSUED: Date permit is issued by CPHU.
:X?1:2ATION DATE: One year from date issued if the system has not been installed. Permit for system repairs become void 90 days from the date
issued.
PROPERTY ID #:
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D -6, FAC
CONSTRUCTION PERMIT OR:
] New System ] Existing System [,) Holding Tank [A] Temporary /Experimental
(J
] Repair [ Abandonment 1 7 L I] Other(Specify)
APPLICANT:
/i/& ®v/ -f-
LOT: 9 BLOCK: 1 SUBDIVISION:
PROPERTY STREET ADDRESS: 2
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 [ ][GALLONS / GPDr SEPTIC TAN'AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ]
A [ ] [ iALLONS / 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 [41= Q ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND
I CONFIGURATION: [ ] TRENCH [AO BED [ ]
N , S B 4 S ,1
� t
F LOCATION OF BENCHMARK: l
I ELEVATION OF PROPOSED SYSTEM SITE [4. ] i[INCH�,E$ /FT] [ABOVEfBE,OW]BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2 r be7 ] [INCHESt" FT [ABOVE /BELOW BENCHMARK /.REFERENCE POINT
L
D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ 7 j ] INCHES
s 1 I 4 " 0; e.4-1,14 P C V IJ
7.
DATE ISSUED: /",ps ?r
[SECTION /TOWNSHIP /RANGE /PARCEL NUMBER]
[OR TAX ID NUMBER]
HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744-001-4016 - 0)
TITLE: 4
PERMIT #
DATE PAID
FEE PAID $
RECEIPT #
2ro
AGENT: / � / J V jv l4 j - L 1
[
TITLE: ; p f L s 2 �ry�
EXPIRATION DATET5.2 J N c -
Page 1 of 2
fl
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS —
z C r
LOT: 23 BLOCK: , 3e5 SUBDIVISION:
APPLICANT:
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE
SURFACE WATER: p pQ FT DITCHES /SWALES:
WELLS: PUBLIC: hX //3 FT LIMITED USE: /4 //9 FT
BUILDING FOUNDATIONS: . FT PROPERTY LINES:
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES LINO
SOIL PROFILE INFORMATION SITE 1
Munsell Color Texture
6
Depth
® to
ff
�� to
to
�tt o
(` t o
SITE EVALUATED BY:
HRS -H Form>4015, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 003-4015 -1)
10 YEAR FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE: - FT MSL /NGVD SITE ELEVATION:
<) 3" ; �• 7 a-t�
2 ; SOIL PROFILE INFORMATION SITE
PERMIT #
2
DATE:
77/c
AGENT: k4
p er
PROPERTY ID #: p go [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.
PROPERTY SIZE CONFORMS TO SITE PLAN: [4 YES [ ] NO NET USABLE AREA AVAILABLE: < t ACRES
TOTAL ESTIMATED SEWAGE FLOW: 40 fl GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2]
AUTHORIZED SEWAGE FLOW: 4 7 P('f GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE]
UNOBSTRUCTED AREA AVAILABLE: $ , a C� SQFT UNOBSTRUCTED AREA REQUIRED: P 5 °% SQFT
BENCHMARK /REFERENCE POINT LOCATION: ` 0. . Cam.. • 3 /4G . /M. • (I ®e s� 1 +
ELEVATION OF PROPOSED SYSTEM SITE IS el, �cS [ING$LS /FT] [ A OVE /Br BENCHMARK /REFERENCE POINT
PROPOSED SYSTEM TO THE FOLLOWING FEATURES:
AD FT NORMALLY WET? [ ] �YE0 [ ] NO
PRIVATE: /) /4 FT NON-POTABLE: '" 6) FT
cJ 0 FT POTABLE WATER LINES: FT
[ ] YES [ 9
8 0 FT MSL /NGVD
Munsell
- �' k
Depth
iO to
to
to
Color - Texture
/
/ v./ f 1 to
to
4 t
1 ).4 isCIACV to� -)
USDA SOIL SERIES:\ (.,,., /)L-fj JAS/ c
tO to
I I to
USDA SOIL SERIES: 4,..7 ro R
p // R p
OBSERVED WATER TABLE: G.J )1J INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE _ / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATION: i INCHES [ ABOVE / B O ] EXISTING GRADE.
HIGH WATER TABLE VEGETATION: [ ] YES [ ' NO MOTTLING: [ ] YES [ JNO DEPTH: P CINCHES
SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: c 0 DEPTH2OF EXCAVATION: /V INCHES
DRAINFIELD CONFIGURATION: [ ] "TRENCH [ d ,]' BED [ ] OTHER (SPECIFY)
REMARKS /ADDITIONAL CRITERIA:
Page 3 of 3
- 137.3ACKS:
:cth • •
- —e, t.Ls7grzed by C1U.
.21 owner's ail:
ir.gcL„
ca.7:
(pre:2o:ty
''.; confc,. to s r ^'•,; '• :7:2; -
.;:: - y o '.'•
-orrn.••.!ly vi'. crJnc
';•••"..• • ' -c • - " (:;;;.!.....onaon; 2
./ r - 3 - . (533
L.; ; ; • •••. ::f nut":to: a•s-••,.
tr: : ) us" or .31e
• • ; rj:`, !Cs.::::12,
:1 . ,, r. Ct
Chapte: - .21s; circ7
1:2 lecor•:". t :ccation 122; 7: curveyor':, •:;c:tc::::k record the actuc: elevation. accoatl the
(;levation of the pro72c,:esi oystorn site in ... 2 ',;;;OV3 11C7: to '.. bfne2177-ra.
accord minimum setbacks which can be mec: ▪ ail lic:ed Asa: meals:Ire:nen:0 must be reco:ded or "NA"
for non applicable fe: :Featureo on site Cr "15 feat of tl/e cw21icLna tot C1111::: .7nCr2.3:::36. T1 location
of cny public drinking well within 200 feet cf ▪ app:ic=71's lot rnuot also tc verined.
OCD ":1ORMATION: accord information on les subject to floodinb. or Zoto to flooding record 10 year flood elevation for site crd
actual. site elevation.
▪ ?ao:F:La :NFORMATY,ON: Two roil profiles wi e propooed absorazio7 crew to depth o'5 feet or crefue..-0, cr requirad. Soil
identification will uso 'USDA Soil Classificat:.on 7 Wuncell colom and 'USDA coil 'textures). ilefuralo must
be clearly documante. ?rovicie USDA mi.: cc if avails:71"o, record "UN(' if the cerieo cannot be determined.
accord the death of!. observed water table r. t. time of f-c• cycluation. Mark "perched" or "apparent no
ape. roociate. Record the eatimated wet masa::: water table ci:'t,rctior based on site evaluation, USDA rail mac, and
t:to! information. 7nrlier.L: if there is vJgc:ction 2ms....;:d. :Indicate firsc E3 72rerant an e:;;t1
s.oi: 'texture a: las.ding rate for syno:
31.F '3XCAVA ;:filpp"..iccble racers: do of excavation Ileeers: " if no,. c.oplicalf_e.
•:..."CNT-TC".1.1.A77.0N: cont.: c' specify
A:3:3: aeco:d any codditio-••:: pertinent to c: insta"
2.11 :2 7:J7V: :7 Sign.ature evaittrtor, and date of evc:::...ttion. enr Enuct cool El documentation cnbrnitt.cd.
17:11;F:■/•17.1CN .H71\11, \11:( / LaN
;7.7.73 9,
APPLICATION FOR:
[)(] New System
[ ] Repair
APPLICANT: bo G AS7AO
AGENT:
MAILING ADDRESS:" /9's4/1 ides - r ,4/A"e DfZ 33OIS
� / 111 /r�/Ll ��L. �
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- 6t-SFLORIDA ADMINISTRATIVE CODE.
PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED]
LOT: a3 BLOCK: 3s -
PROPERTY ID #: [Section /Township /Range /Parcel
7 Book /O /J4/6 7D &tD6' G[vAtr p
PROPERTY SIZE: 730 ee ACRES [Sgft /43560]
PROPERTY STREET ADDRESS:
DIRECTIONS TO PROPERTY:
2
3
4
Q
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
APPLICATION FOR'CONSTRUCTION PERMIT
Authority:
l 570.3 ReS119Ma
Chapter 381, FS & Chapter 10D -6, FAC
Al ILO JC/ITVQ f4 crR.
] Existing System [
] Abandonment \ [
SEc7iarv
SUBDIVISION• DATE OF
AP oor° PLAT OF/14 /AM 1 Si10 SUBDIVISION:
No.] ZONING: g.
.3X NE /o/ s+
p. Garbage Grinders /Disposals
[V] Ultra -low Volume Flush Toilets
� - p S _so '1 -/ a
E ?( /7`
ro N E s °e ' A ti°
La X() Col 7
BUILDING INFORMATION [ ] RESIDENTIAL
Unit Type of ,No. of
No Establishment_.__„__ )Bedrooms
3
APPLICANT'S SIGNATURE: Aj����,2 �I
c /o) t a
[ ] Spas /Hot Tubs
PERMIT #
DATE PAID
FEE PAID $
RECEIPT #
!J wJ / ‘R "j
] COMMERCIAL
J HoldingTank [ ] Temporary /Experimental
] Other(Specify).
TELEPHONE: { 2?9,4
PROPERTY WATER SUPPLY:. [ ] PRIVATE [//] PUBLIC
1 -o /s41 /p/ 5 �;
coh''u A`f NE 34)'A4s N E / o / -,�
Building # Persons Business Activity
Area Saft Served For Commercial Only
[ -];,Floor /Equipment Drains
[ ] Other (Specify)
DATE:
NRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) Page 1 of 3
(Stock Number: 5744-001- 4015-1)
*
Date 9 . 9 5
The SF/Q
Metropolitan Dade County
Environmental Resources Management
SEWER C O N N E C T I O N
(Dade County Unincorp.)
Located at
( ) 1. Review of records indicate that engineering plans for
water mains to serve this project have not been reviewed
and approved, as required by this office.
• ( ) 2. Pursuant to a moratorium imposed by
on
( ) 5. Provide a Plumbing Section form from
Z. 7 J . CE c 2, 0 2 0 0
s _ ,f� /0�u
co - ;Jo_ j
x95 a0X0 2 9
PROCESS NO. ,'•S7'Zg
PROCESSOR -<<'c
HAS BEEN REVIEWED BY THIS OFFICE AND DISAPPROVED FOR THE
FOLLOWING REASONS: , (Read only those preceded by "X" Mark)
any project which would increase the demand for
potable water from the aforementioned facilities is not
approvable without an allocation. Allocations, when
allowable, will be made by the
( ) 3. Review of our records indicate that engineering plans for
sewage collection and transmission system to serve this
project have not been reviewed and approved, as required
by this office.
( ) 4. The has been disapproved
as a means of disposing of additional sewage flow. No
building permit involving the generation of additional
sewage flow to this system will be allowed.
(vr . � o o • I - PEf► D t /J -z-; / (_ JE P -- ;
( ) 7. 1)00/
TyA C ey e Co Az", c 7, a .✓
Approval of this project, based upon compliance with the above
specified conditions will not be granted after ninety (90) days from
the date of this notice. After this time period, compliance with all
requirements in effect at the time of resubmittal will be necessary.
0 /.�
9/1/91"
Cduardo Res, c/. 2 X. AJE /o/ Sf•
On 'e hi Cle✓ai-roer ' S' Pleas aJaI 69<77
-S'upp or/ 41�So✓lr y a. e ecithic4
ypears 6eJi' i4 d ie A 4 ieal M.$,/z Gara_f
PO C Ri S1de o Rrg�i� /e ✓a�io•� ?
. TAe 2 ea& 4 h P e-
Me y are poured `n -4v e
ti 4lso , 1- 11 4 aee ref'
.03 S fud . Ccr, cols,
® Cols.
t
e� az.`1125 i 's
l'Z •` x
2o" So
�xascr� corner
/2 x /Z or larger-
must 4a 9!p sq. of , v r.
per AC/ - 3/1 • lso, (o 4 6 t'e .. e' - ceeds S' / as n
lS dou1. /441 !1' ;7 cou- /d be fou re e s pr-esen /ea'
s4 ld 6e ;I/1 ves li ya fed tor 1�ossl'4 //4
/ h /eu o .s • (Der e K as- is)
/Veil up//A ;s /v be ea.lce4 6_ ear cam, /'h (DL rut)
rrol add'', ih L, L 4 Also %i t7L . kus
•e, e_ca. f /, 3 x eJPL t Fr — di 404;1 i ; s t es (/6,)
et-- Cols, G3 ,
T
IV Words "Se Ta frk." ¢ "Preri - o eId " a v e I any2ased
oh t<e Rem . r
Sabot; f Oa/Ad Appro-vatc all Low dows deo 51 JrM -
5 4 - lerS ,
S
M
APRIL
T W T
F
S
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
MAY
S
M
T W T
F
S
1
2
3
1
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
"u "u
25
26'
27
28
29
1993
JANUARY
S M T W T F S
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
"21 25 26 27 28 29 30
FEBRUARY
$M T W T F S
1 2 3 1 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28
MARCH
S M T W T F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30 31 •
JUNE
S M T W T F 5
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30
JULY
S M T W T F S
1 2 3
1 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
AUGUST
5 M TW T F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 49 20 21
22 23 24 25 26 27 28
29 30 31
SEPTEMBER
S M T W T F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30
OCTOBER
S M T W T F S
1 2
3' 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
"21 25 26 27 28 29 30
NOVEMBER
S M T W T F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30
DECEMBER
S M T W T F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31
Abbot
High Quality Printing at Realistic Prices!
r
( 3tu �
4f6e e.11 N O 6 ("A/ Da
(t/
AbboT PRiNTiNq
11625 N.E. 2nd Ave. • Miami, FL 33161
(305) 893 -5369
C/Ji� •- �� � V
FIGURES 'N
DOODLES