PL-10-1513Address: kI,e 1®P) �t
e �
City: l_ &W'r`IL QJ State: Zip: ~ � J 1
JOB ADDRESS: I I DF5
City: Miami Shores County:
Folio/Parcel #:
1 I -2-136 -Di I 0
Is the Building Historically Designated: Yes
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Miami Dade
ZOTEIIWZD
Ai I
BY:
Zip:
BUILDING Permit No. R-4 l) ®1 1
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: PLUMBING 1,
OWNER: Name (Fee Simple Titleholder): C10 ,C) U.e J
Phone #:
Tenant/Lessee Name: Phone#:
Email:
NO Flood Zone:
CONTRACTOR: Company Name: ri\'r: `PL r t:1 � LC , Phone#: S ) -- MI
Address: 119 �� 1\k, L3 ktt '(-.v -e_,
City: CAA-4A J' " State: Zip: 1 b ® I
Qualifier Name: � . \ C�C�� Phone#: vOS 1 —�
State Certification or Registration #: cU
Contact Phone# DS Email Address: rn
DESIGNER: Architect/Engineer: Phone#:
Certificate of Competency #:
Value of Work for this Permit $ 11 (2) • 0 Square /Linear Footage of Work: Z-(2)
Type of Work: OAddress O ONew »RepairlReplace p C1Demolition
Description of Work: (e 1 kt e J d ;��C11
*************************************** F************* * * * * * * * * * * *** * *** * * * * *** * * * * * **
Submittal Fee $ -CD Permit Fee $ /50 CCF $ CO /CC $
Scanning Fee $ 4 %ID Radon Fee $ DBPR $ Bond $,( CP
PR
Notary $ Training/Education Fee $ Technology Fee $ IO
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Scheduled Inspection Date: September 22, 2010
Inspector: Hernandez, Rafael
Owner: CALLE, EDUARDO
Job Address: 74 NE 108 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MR C'S PLUMBING SEPTIC INC
Building Department Comments
September 21, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 150347 Permit Number: PL -8 -10 -1513
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number (305)751 -2707
Parcel Number 1121360110020
Phone: (305)651 -7859
REPLACE DRAIN FIELD
Passed
Failed
Correction
Needed
Re- lnspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 11 of 20
t
cp
09/03/2010 14:28
September 3, 2010
Miami Shores Village
10050 NE 2' Ave
Miami Shores, FL 33138
Re: Cancellation of Permit #PL -8 -10 -1501
74 NE 108 St, Miami Shores, FL 3138
To Whom It May Concern:
We recently discovered that we mistakenly applied for two(2) drainfield permits on the
above referenced address. permit number PL -8 -10 -1501 was applied for on August 20,
2010, and the bond was paid with check number 835, and permit number PL -8 -10 -1513
was applied for on August 23, 2010, and the bond was paid with check number 891.
Both checks were written by our Customer, Eduardo Calle.
We are requesting cancellation of permit number PL -8 -10 -1501, and we are also
requesting that a refund be issued for the $300.00 paid for the bond.
Your assistance with this matter would be greatly appreciated, and should you have any
further questions, please do not hesitatate to contact us.
Sincerely,
3056515610
Mr. C's Plumbing & Septic Inc.
19932 NW 2N DAvenue
P.O. Box 693239. Miami, Florida 33269-0239
Dade: (305) 651 - 7859/5652 Broward: (954) 927 -2140
Fax:: (305) 651 -5610
MR C PLUMB SEPTIC PAGE 02/02
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CARCEILLP
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BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) ecudbwo
Architect/Engineer's Name (if applicable)
Value of Work For this. Permit $ • (Roe 'Eric)
Type of Work: ❑Addition
Describe Work:
Structural Review. $
Submittal Fee$'D•CO
B— Miami Shores Village
g
Building Department '
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Address lie los if: Cit t -Rojo( D es r �V(g State Zip ''
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) - 1 NE I 02" St'
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #. O 1- I€ Cj —Ui (• CDC) 2-0
Is Building Historically Designated YES NO
['Alteration
State Certificate or Registration No.CSC✓ 1 Lt t 1S 1
E -MAIL:
❑New
Permit No.
Master Permit No.
Contractor's Company Names ' I - C P 1 1) + Ce f '1 G Phone # Gs I --7259'
Contractor's Address (qq 3 y , 61, 2. A
City V`-Q l Q1P ( State fi{ Zip E 't
Qualifier Name joI' ' H N ( e. Phone #
Certificate of Competency No.
Phone #
Zip . a
Square /Linear Footage Of Work: 2-d
epair /Replace
r az' 2 0 2010
Phone # � RS ( 2:a*p'1-
* * * * *** * * * * * * *** * * ** *F * * *, ******* * *** **** * ** * ** ** *** * * **w
Permit Fee $ fro CCF $
CO /C C
❑ Demolition
Notary $. Training /Education Fee $ Technology Fee $
4 a
Scanning $ Radon $ DPBR $ ` Zoning $
Bond $ a
Code Enforcement $ • Double Vee $
Total Fee Now Due $ . [ OeO •
See Reverse side
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. l 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, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR. CONDITIONERS, ETC
OWNER'S AFFIDAVIT: l certify that all the foregoing information is accurate and that all work will be done in compliance an
applicable ce with
b e laws regulating P all
a
pp egulating 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
The foregoing instrument was acknowledged before me this 2
day of Gdfi'., 20 40_, b y -�- �. 1�� 1-
who is personally known to me or who has produced
As id ation and who did take an oath.
Sign:
Print:
C6tn s E
isx******* &,c ***
R [f TfOJ APROVEb
(Revised 02/08/06)
Agent
State
Signature
Cont
The foregoing instrument was acknowledged before me this 2
day of
who is personally kno p
as identifi
NOTARY PUBLIC
Sign:
Print:
My Commi
Zip
, 20 10 , by W m T\&r -' �`'�,
wn to me or who has produced 1
444_
4: 5
ETRICK
..4 EXPIRES: September 14, 2013
and who did take an oath.
1
Plans Examiner
Engineer
Zoning
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Tap
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be , y ; and a reinspection fee will be charged IN
i
Signature ��d Air
The forego' g ti 1
day of
er
who is personally known to me
APPROVED BY
l ent was acknowledged before me this
,20 t by
(Revised 07 /10/07)(Revised 06/10t2009)(Revised 3/15/09)
lion and who did take an oath.
Plans Examiner
Structural Review
Signature
Contractor
The foregoing instrument was acknowledged before me this 2
- day of , 20 1 b, by 3 l'■ c h Le4
who is personally known to me or who has produced
as identifi
NOTARY PUBLI
Sign:
on an it who did take an oath.
Print
1 1 4 1 XPIHtS: September 14, 2U w
M Comni t��:ulsthru Notary Public Undenwiters
o ,,.. avc °Y .
MY COMMISSION # DD 891340
** BAP+ **:ls **$ **************** * #9*********+ ******* **** * ************
Zoning
Clerk
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
Scale: Each block represents 10 feet and 1 inch = 40 feet.
DH 4015, 10136 (Replaces HRS -H Form 4016 which may be used)
(Stock Number: 5744 -002- 4015 -6)
PART II - SITEPLAN
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Notes: - 7 4- N I d S + ( L
j) c ( at/. vim + C. ct - proper - be K.? Ic ecii f r,
- &--e
Site Plan submitted by: dL ' • ���` -e �f
Plan Approved Not App .ved Date 2 1 0
By County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Page 2 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
RECEIPT #:
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Eduardo Calle
PROPERTY ADDRESS: 74 NE 108 St
LOT: 2 BLOCK: 210
PROPERTY ID #: 11- 2136 -011 -0020
SYSTEM DESIGN AND SPECIFICATIONS
I
E
L
D
0
T
H
E
R
FILL REQUIRED: [ 0.00 ] INCHES
THIS PERMIT IS NOT FOR ADDITI
(305)051-36310 .
Miami, FL 33161
SUBDIVISION: Dunnings Miami Shores
EXCAVATION REQUIRED: [ 40.00] INCHES
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E- 6.003, FAC
v 1.1.4
A8974604
9E823134
PERMIT # -SC- 1271731
APPLICATION #: AP974604
DOCUMENT #: PR818390
[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.
T [ 750 ] GALLONS / GPD Seotic tank (west sidfel CAPACITY
A [ 750 ] GALLONS / GPD Se(otic tank (east side) CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 200 ] SQUARE FEET Drainfield (west side) SYSTEM
R [ 200 ] SQUARE FEET Drainfield (east side) SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: F.F.E.: 12.10' NGVD
ELEVATION OF PROPOSED SYSTEM SITE [ 13.20] [I INCHES FT 1[ ABOVEABELOWliBENCBMARK /REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [ 41.20 ] [I INCHES ( � FT ] ( ABOVE /) BELOW II BENCHMARK /REFERENCE POINT
THIS PERMIT IS FOR THE (WEST SIDE SYSTEM) ONLY. 1- Existing 750 gal. septic tank certified by "Mr C's Plumbing &
Septic " on 08/- 02/2010 to remain. 2- Install 200 sf of drainfield in bed configuration. 3- Install 12" of slightly limited soil under
the bottom of drainfield. 4- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption
bed. 5 -Invert elevation of drainfield to be no less than 9.16' NGVD. 6. Bottom of drainfield elevation to be no less than 8.66'
NGVD. 7. Septic system on the east side certified by "Mr C's Plumbing and Septic" on 08/02/2010 to remain.
RPAIR
SPECIFICATIONS. - PEDRO TITLE:
APPROVED BY TIT
P =... N Ospina
DATE ISSUED: 08/05 EXPIRATION DATE: 11/03/2010
Dade CHD
Page 1 of 3
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 govemed 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.