PL-10-766Project Address
161 NW 106 Street
Miami Shores, FL 33150-
1121360080270
Block: Lot:
MICHELINE VETIAC
1
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
161 NW 106 Street
MIAMI SHORES FL 33150 -1247
Contractor(s) Phone CeII Phone
ALL PRO SEPTIC & SEWER INC / ALL (305)635 -3002 (305)206 -4473
Type of Work: plumbing
Type of Piping: septic
Additional Info:
Bond Retum :
Classification: Residential
Fees Due
Bond Type - Contractors Bond
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$300.00
$2.40
$0.80
$0.00
$150.00
$3.00
$3.20
$459.40
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.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
It Status APPROVED
Amt Paid Amt Due
Pay Date Pay Type
Invoice # PL -5-10 -37761
05/06/2010 Y9 (Q7_.... $ 459.40 $ 0.00
Bond #: 1962
Expiration: 11/02/2010
Applicant
May 06, 2010
Date
Valuation:
Total Sq Feet:
$ 4,000.00
0
Available Inspections:
May 06, 2010 1
Abandonment
Inspection Type:
HRS Approval
Final
Rough
Landscaping
Inspection Number: INSP - 142177
Scheduled Inspection Date: July 07, 2010
Inspector: Hernandez, Rafael
Owner: VETIAC, MICHELINE
Job Address: 161 NW 106 Street
Project <NONE>
Miami Shores, FL 33150-
Contractor: ALL PRO SEPTIC & SEWER INC / ALL PRO PLUMBING SEP'
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
July 06, 2010
For Inspections please call: (305)762 -4949
Permit Number: PL -5 -10 -766
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Phone Number
Parcel Number 1121360080270
Phone: (305)635 -3002
Page 5 of 26
Inspection Number: INSP - 142177 Permit Number: PL -5 -10 -766
Scheduled Inspection Date: July 07, 2010
Inspector: Hernandez, Rafael
Owner: VETIAC, MICHELINE
Job Address: 161 NW 106 Street
Project: <NONE>
Miami Shores, FL 33150-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Contractor: ALL PRO SEPTIC & SEWER INC / ALL PRO PLUMBING SEP'
Building Department Comments
July 06, 2010
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Phone Number
Parcel Number 1121360080270
Phone: (305)635 -3002
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 5 of 26
BUILDING Permit No.P' 101 •
PERMIT APPLICATION Master Permit Na.
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) . uTCJ 10 er/ a Phone #30) "lam'
Ovvner's Address td l 4 Fr
ci es State Zip 3 / Yc
Phone # /' 4-
Email
Tenant/Lessee Name
Job Address (where the work is being done) / k / 6 J
City Miami Shores Village County Miami -Dalde Zip 3 73 /TO
FOLIO / PARCEL # C1— ta 13(' � J— 7o
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name
Contractor's Address X7 /1 /� el City /) 7� iYJ l `� Zip 3 3 /1/2-- p
Qualifier Name /,�� 72/ k ', 363) h„3J — > 0 ®Z
State Certificate or Registration NegM eel? `�� Certificate of Competency No.
Contact Phoneg 5),0 - 44 j E- mail /9 " &,5 ;'" ' 111
Architect/Engineer's Name (if applicable)
Mia Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (05) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Double Fee $ Violation date:
Structural Review. $
b5--)014L � C.) /v'ePhone # 3 '$J ell 9..00
Phone #
Phone #
CCF $ .'O CO /CC $
Total Fee Now Due $
pazmnsil
MAY 042010
BY:
Value of Work For this Permit $ / � Square / Linear Footage Of Work:
Type of Work: ❑Add'tion Alteration New Repair/Replace El Demolition
Describe Work: ! II <x � 1^' p -742i
****** * * * * * * * * * *** * * * * *** * * * * *44* * * ** * F * * * * * *** * * * * * * * *** * * * * * * * * * ****
Submittal Fee $ Permit Fee $ 1 ( . 9 ' 0 0
Notary $ Training/Educ4ion Fee $ Technology Fee $
Scanning $ ( ?)'00 Radon $ DPBR $ Bond $WO . a)
45 9 40
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 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.
sip
JEFFREY DOWSETT
MY COMMISSION # DD 947106
EXPIRES: April 11, 2014
Bonded Thru Notary Public Underwriters
*
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 , by � £4 Ide '
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sig #r
/ 1,
My Commissi
* * * * * * * * * **
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
* * * * * * * * * * * * * * * * * * * * * **
Engineer
Signature
Contractor
The foregoing instrument was acknowledged before me this 5
day of 6 , 20 /O, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: �
y
My C
JEFFREY DOWSER
MY COMMISSION # DD 947106
EXPIRES: AprI 11, 2014
Bonded Thru N r. Public Und
* * * * * * **
Plans Examiner Zoning
Clerk checked
CONSTRUCTION PERMIT FOR:
APPLICANT: Nego Vetiac
PROPERTY ADDRESS: 161 NW 106 St
LOT: 11
PROPERTY ID #: 11- 2136- 008 -0270
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS �OF AND ST STANDARDS OF SGUEECTION
381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT MA NOT R ANG E ,
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME
THE ANY CHANGE APPLICANT TO MODIFY THE
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, AND ISSUAN AP CE OF T HI IOS PERMIT H DOES F NOT EXEMPT PT Y THE APPLICANT FROM COMPLIANCE MADE
ITH R FEDERAL,
Igg� OF T
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [
A [
N [
K [
D [
R I
A TYPE SYSTEM:
I CONFIGURATION:
L
D FILL REQUIRED'
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
STATE OF FLORIDA
DEPARTMENT OF HEALTH FEE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM RECEIPT #:
DOCUMENT #: PR809373
OSTDS Repair
Miami, FL 33150
BLOCK: 205 SUBDIVISION:
900 ] GALLONS / GPD
0 ] GALLONS / GPD
0 ] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY
200 ] SQUARE FEET
0 ] SQUARE FEET
[x] STANDARD
[ ] TRENCH
THIS PERMIT IS NOT FOR ADDITION(s).
Septic
DS 4016, 10/97 (Previous Editions May Be Used)
v 1.1.4
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 FIRS #Pumps [ ]
SYSTEM
SYSTEM
[ ] FILLED [ ] MOUND [ ]
[x] BED [ ]
N F. F . E > 12 NGVD
F LOCATION OF BENCH INCHES I ELEVATION OF PROPOSED SYSTEM SITE [ I
ABOVE BELOW ]BENCHMARK /REFERENCE POINT
48.80 INCHES 1/ i FT ][ ABOVE /� BELOW b �C�K /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ I
[ 0.00] INCHES EXCAVATION REQUIRED: [ 0.00 ] INCHES
DATE PAID:
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
1- Install 900 gal. category-3 septic tank equipped with an approved filter. 2 -The licensed contractor 3 usting 200 sy
is responsible
REPA PEPAR TMENT
COUNTY MALIN
AP963985
APPLICATION # :AP963985
EXPIRATION DATE: 08/04/2010
6E816350
PERMIT # : 13 -SC- 1134630
Dade cHD
Page 1 of 3
05/05/2010 19:55 FAX ALLPRO
0
H
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Abandonment
APPLICANT: Nego Vetlac
PROPERTY ADDRESS: 161 NW 106 St Miami, FL 33150
LOT 11 BLOCK 205 SUBDIVISION: Dunnings Miami Shores
PROPERTY ID #: 11. 2136. 008 -0270
SYSTEM DESIGN AND SPECIFICATIONS
T [
A [
N (
R [
SPECIFICATIONS M P'H.RO N OBPIANA TTY:
APPROVED Y:
N caw.
DATE ISSUED: 05/05/2010
ate 4016, 10/97 (Previous Editions May Ea Used)
v 1.1.5 A1 BE -1
wP.RlaT s : 13 -SC- 1134631
APPLICATION # s AP963986
DATE PAID;
FEE PAID:
RECEIPT #:
DOCUMENT t: PR809173
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER)
[OR TAX ID NUMBER]
Lj 002 /005
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CRAFTER 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 HAM 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 WITS OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
3 GALLONS / GPD CAPACITY
] GALLONS / GPD CAPACITY
1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
1 GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HAS NPuatps [ ]
D ( 1 SQUARE BEET SYSTEM
R ( ] SQUARE FEET SYSTEM
A TYPE SYSTEM: 13 STANDARD 11 FILLED 11 MOUND ( 1
I CONFIGURATION; t ] TRENCH ( ] BED t 3
N
F LOCATION OF BENCHMARK;
I ELEVATION OF PROPOSED SYSTEM SITE [ 3I / 3( ABOVE / BELOW 3 BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE I 1 / 11 ASOVE/ BELOW]BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES
EXCAVATION REQUIRED: [ ] INCHES
Have the tank abandoned In accordance with the following prooedures:(a) The tank shall be pumped out(b) The bottom of
the tank shall be opened or ruptured, or the entlre tank collapsed so as to prevent the tank from retaining water, and(c) The
tank shall be filled with clean sand or other suitable materiel, and completely covered with soll.Have the system inspected
by the health department after It has been pumped and ruptured but before it Is filled with sand and covered.
TITLE Dade
EXPIRATION DAME; 08/03/2010
Page 1 of 3
CHD
05/05/2010 19:56 FAX ALLPRO
PART II - SITEPLAN
Scale: Each block re, resents 10 feet and I i ch = 40 feet. 1(0 iud-' i ti 6 }1 0-= S 1,41405 F
111 iimmai
Site Plan submitted by:
Plan Approved
By
STATE OF FLORIDA
APPLICATION FOR ONSIT SEW SYSTEM CONSTRUCTION P
Permit Application Number '
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015. 10/96 (Replaces HRS -H Form 4016 which may be used)
(Stook Number: 5744 -002 - 4015 -6)
I I 003/005
T_ '
Date
County Health Department
Page 2 of 4
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA
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 o , . cement
cct 2D Li977 /
2. Description of improvement
3. Owner (s) name and address: t , l C AL kAse—
/( / i7 "J /4 4 $r (4,0/ , 6' % J - 534 - 5-0
Interest in Property :a/V/1 &It
Name and address of fee simple titleholder. 114- 1/0
4. Contractor's name and address:
5.- Surety: (Payment bond required by owner from contractor, if any) tr + s ■ (;F F �-O. r s a h°
Name and address: /" 1 W R ''�1s,
vir M�!
7. Persons within the State of Flo 'eta deb = ted b Own upon (vho otices or other is , be served as provided by Section: T13.13
(1) (a) 7., Florida Statutes: ' / L �' /we..
Name and address: � 'Z) /�� ' � 7 G 53/1/2j
81n addition to himself, Owner designates the following person's) to receive a copy of the J.ienor's Notice as provided in Section 713. 13 (1)
(b) 7., Florida Statutes: ,„?„- . " L - - S
, %
Name and address:
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified)
•' ;'
2O
JEFFREY DOWSE IT
MY COMMISSION # DD 947108
EXPIRES: April 11, U 2 014
1'
Address QZ /7 t /7 :' e
ArAPro,://,
Si ! : n of Owner
Print Owner's Name
Sworn to and 'bed before me this day
Notary Publi t/ "A VA I-
Print No ''�'.,• /L�
My Commission Expires:
NOTICE OF
COMMENCEMENT
-;/96. o'6 - 02-7
111111111III 1I111III111II1 "I111111111MINN
CFM 20108029561
OR Bk 27271 Ps 0638i (19a)
RECORDED 05/04/2010 10:35 :12
HARVEY RUVIHp CLERK OF COURT
IIIAMI -DADE COUNTYr FLORIDA
LAST PAGE
07/07/2010 09:07 FAX
r r
[
TANK INSTALL"A I rum
[01] TANK SIZE [1]
[02] TANK MATERIAL
(033 OUTLET DEVICE
[04] MULTI - CHAMBERED [Y / N
[05] OUTLET FILTER
[06) LEGEND
[07] WATERTIGHT
[001 LEVEL
[09] DEPTH TO LID
EXPLANATION OF VIOLATIONS / REMARKS: -
ALLPRO
:Einvl nmentar HeaftiTt
7 Florida' De P ftmept''of *al th' •
tami;DAde; Cony $eelt4 a
h OST /Well D' ' on-g1 rrtedt 7
-; yi e63 S W 26 Sr; • Miami; FL 3 3 3. '
r FL 33175
I21.
DRAINFIELD INSTALLATION
[10) AREA [1) [2] SOFT
[11] DISTRIBUTION BOX HEADER
[12] NUMBER OF DRAINLINES
[13] DRAINLINE SEPARATION
[14] DRAINLINE SLOPE
[15] DEPTH OF COVER
[16] ELEVATION [ABOVE/BELOW] BM
[17] SYSTEM LOCATION
[10] DOSING PUMPS
[19] AGGREGATE SIZE
[20] AGGREGATE EXCESSIVE FINES
[21) AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[22) FILL AMOUNT
[23] FILL TE
[24] EXCAVATION DEPTH
[25] AREA REPLACED
[26] REPLACEMENT MATERIAL
CONSTRUCTIO■ r ' .
FINAL SYSTEM [APPROVED /DISAPPROVED]:
OH 4015 (Page 2), 10/97 (Ptevlous Editions May Be Used)
St0ok Number. 57MA- 0024016 -4
1 1
[ 1
PT is Applicant
PT 2: Ina19116NConlraclor
PT 3: ouilt#In9 Depanment
PT n: Honllh l oj,tnntoru
003/003
' • ? n
! !.") 4.
CORRECTED
' TITTER
[28] DITCHES
[29] PRIVATE WELLS
[30] PUBLIC WELLS
[31] IRRIGATION WELLS
(321 POTABLE WATER LINES
[33] BUILDING FOUNDATION
[34] PROPERTY LINES �,� , FT
[35] OTHER FT
—_ FT
FT
FT
FT
FT
FT
FT
FILLED / MOUND SYSTEM
[361 DRAINFIELD COVER
(37) SHOULDERS
[381 SLOPES
[391 STABILIZATION
ADDITIONAL INFORMATION .
(40) UNOBSTRUCTED AREA,
[41) STORMWATER RUNOFF
[42] ALARMS
[43) MAINTENANCE AGREEMENT
[44] BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
( FINAL SITE GRADING . •
[47] CONTRACTOR''
[48] OTHER
ABANDONMENT ,
[491 TANK PUMPED ,/
[50] TANK CRUSHED 6 FILLED
CHD DATE '
CHD '