PL-03-230Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/20/2003
Applicant: CHRISTOPHER
Owner: RUSSO
JOB ADDRESS: 1160 NE 102
Contractor MARLOW S PLUMBING
Local Phone: 305- 652 -3031
Parcel # 1132050190160
Plumbing Permit
Permit Number: PL2003 -230
RUSSO
CHRISTOPHER
ST
Page 1 of 1
Contractor's Address: 402 43 RD STREET WEST
Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43-67 LOT 6
BLK 176 LOT SIZE
Fees: Description Amount
FEE2003 -5089 Building Fee $80.00
FEE2003 -5090 Builders Bond $300.00
FEE2003 -5091 CCF $1.80
Total Fees: $381.80
Total Fees: $381.80
Total Receipts: $381.80
Permit Status: APPROVED Permit Expiration: 2/14 /2004 Construction Value: $2,500.00
Work: SEPTIC TANK REPLACE
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Date
Legal Description Historically Designated: Yes No
/�
/ Tenant C_= // ?a 5 / TS S/ Master Permit # P 0.003 2s 9
Owner's Address Phone OS 758 a4IP -�
A d d r e s s / / O ,5CJ l %(� 3-7----
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Contracting Co. / l t4 I t 6 P18
Qualifier Re-An01-5 I V'v l A-16e_ L
State #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC
WORK DESCRIPTION gr
Square Ft.
My Co
PERMIT APPLICATION FOR MIAMI SHORES VIL
A/
Job Address / //o /v 6' /49 57 Tax Folio / 050
Municipal # Competency # Ins. Co.
Address
Address
FEES: PERMIT RADON
APPROVED:
Zoning Building
Mechanical Plumb'
Date
My
C.C.F. 1 :60 . NOTARY
30S-02-619323
MECHANICAL ROOFING PAVING FENCE SIGN
/tom 7' /z° a,
Estimated Cost (value)
Electrical
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 FJ F.CTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S A, f certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio an ' �'� Furthermore, I authorize the above -named contractor to do the work stated.
•
S
6
er and/or Condo President
A6'ie
OITA to Owner an. rondo"- eszdent
„e Nt SUSAN J. NESENMAN
MY COMMISSION # CC 860763
4 tOF
EXPIRES: Aug 4, 2003
Fl�
1 -8043- NOTARY Fla Notary Service & Bending Co
1
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f
• or • - r
•
4, y 4 Wr, SUSAN J. NESENMAN
MY COMMISSION # CC 860763
OF EXPIRES: Aug 4, 2003
1-81:02-NOTARY Fla Notary Service & Bonding Co.
to Contract
er- Builder
uilder
93
Q
BOND 300 .d •
TOTAL DUE 311 -60
Structural Engineer
a , 3
Poe i 0 of I ct., rO s4 -
d3
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT,
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
,
CENTRAL HEATING
DISHWASHER
RECEPTACLES
t A/C (WIND)
0I•SPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER.
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0— 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1— 3 If
HOT WATER BOILERS
SINK,.POT /3 COMP.
MOTORS OVER 3— 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5— 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
M)TCRS OVER 8— 10 HP
ELEVATORS/ESCALATORS
1
TEMPORARY WATER CLOSET
s
MOTORS OVER 10— 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
_
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
.
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER —NEW INST.
GENERATORS TRANSFORMERS
HEATER— REPLACE
GENERATORS TRANSFORMERS
.i'
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
,. SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
EWER ,CONNECTIONS •
—
SIGN TRANSFORMERS
UtI1ITY —SEWER •
SIGN TIME CLOCK
UTILITY—WATER—
FIXTLRES
ANTENNA .
SEPTIC TANK 1'
+,'
RELAY
TELEVISION CUTLETS
DRAINFIELD, 4" TILE/RES.
/
VIOLATION
PumP & ABANDON SEPTIC TANK
.
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL .
AREA GRAIN
ROOF INLET
•
SOLAR WATER HEATER
=.IRE..STANDPIPE
'001. PIPING
•
.A1N SPRIT:: • •
_
AS ,ICE o.
r�
!TER SET (GAS)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
T
A
N
K
D
R
A
I
N
F
I
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L
D
APPLICANT: Russio, Chris
LOT: 6 BLOCK: 176
APPROVED BY: Icaza, Carlos
DATE ISSUED: 8/7/03
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
[ ]New System [ ]Existing Sys`eM
[ X ]Repair [ ]Abandonment
PROPERTY STREET ADDRESS: 1160 NE 102 St Miami FL 33138
PROPERTY ID #: 11- 3205 -019 -0160
SYSTEM DESIGN AND SPECIFICATIONS
LOCATION TO BENCHMARK: Top of Bottom F1gor,
ELEVATION OF PROPOSED SYSTEM SITE [ 3.0
BOTTOM OF DRAINFIELD TO BE [ 5.0
Ad a RO l OUTLET FILTER
SPECIFICATIONS BY:Icaza, Carlos
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(Stock Number: 5744 - 001 - 4016 -0) {ostda cone 4016 1'
1l101 i g Tank [ ] Innovative Other
] Tempd'rary [ NA ]
AGENT: CFCO54863, Blalock Dennis
SUBDIVISION: Miami Shores
[Section /Township /Range /Parcel No.]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERIOD. 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 PROPERTY DEVELOPMENT.
900 ]Gallons SEPTIC TANK
O ]Gallons
O ]GALLONS GREASE INTERCEPTOR CAPACITY
O ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS
250 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
0 ]SQUARE FEET SYSTEM
TYPE SYSTEM: ( ]STANDARD [ N ]FILLED
CONFIGURATION: ( N ]TRENCH [v' ]BED
10.69'NGVD.
] [ FEET ] [ BELOW1 BENCHMARK /REFERENCE POINT
] [ FEET ] [ BELOW ] BENCHMARK/REFERENCE POINT
FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 24.0 ] INCHES
OTHER REMARKS:
This permit is not for additions.
*Replace existing broken septic tank by a new 900 gi.
outlet filter.
*Install 250 sq.ft. of drainfield.
*Invert elevation to be no less than 6.22' NGVD.
*Bottom elevation to be no less th ,5.72' NGVD.
KIEWLY
gyp,
TITLE:
TITLE: Engineer I
CENTRAX #: 13 - - 17528
DATE PAID:
FEE PAID : $
RECEIPT .
OSTDSNBR : 03 -2443- -R
MULTI - CHAMBERED /IN SERIES: [Y ]
MULTI- CHAMBERED /IN SERIES: [Y ]
@ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ]
[ N ]MOUND [ N ]
[ N
C -2 septic tank with its approved
Dade
EXPIRATION DATE: 11/5/03
CHD
Page 1 of 2
Scale: Each block represents 5 fleet and 1 inch = 50 feet.
Notes;
Site Plan submitted by:
Plan Approved Not Approved
By
Wm, ammo 1.1.0 Wise miliss moils alma memo wawa
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLIDATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTfi
Permf
PART II - SITE PLAN —
,, signer
ALL CHANGES MUST BE APPROVED BY THE COUNTY H
OH *Mt IMO 0_41#1!?_wa _WWI Fon 4015 eticitmaYbi used)
;Stook Nutrias': .u46-=-16-114
My Health `Departmi
Page 2
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