PL-11-302Inspection Number: INSP - 156279 Permit Number: PL -2 -11 -302
Scheduled Inspection Date: March 16, 2011
Inspector: Hernandez, Rafael
Owner: TAGGART, MEREDITH
Job Address: 585 NE 102 Street
Project <NONE>
Contractor: A AARON SUPER ROOTER
Building Department Comments
REPLACE DRAINFIELD AND REPLACE BROKEN SEPTIC
TANK
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
March 15, 2011
Miami Shores, FL 33138 -2454
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Phone Number
Parcel Number 1132060171010
Phone: 305 - 944 -8886
Page 23 of 35
a
BUILDING
PERMIT APPLICATION 2
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) _ ..
Owner's Address
City " ; State
Tenant/Lessee Name
Email
Job Address (where the work is being done) 1 A
City Miami Shores Village County _
FOLIO / PARCEL # I-
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address o Q. 2
Architect /Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
Submittal Fee $
Notary $
Scanning $
Double Fee $
Structural Review. $
Radon $
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
{
Permit Fee $
❑Alteration
City .4t 8/ 0 it Ct ( State
Qualifier Name ,f t "t y
State Certificate or Registration No. Certificate of Competency No.
Contact Phone E -mail
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * ** * * * * * * * * * * * * * * **
Training /Education Fee $
Violation date:
Miami -Dade
Square / Linear Footage Of Work:
[New
DPBR $
Master Permit No.
Zip
Phone #
Phone #
Permit No.
` ?Bone
Zip 7 C' 2:3
Phone #
Phone #
CCF $
Total Fee Now Due $
Repair /Replace
FEB 2 32011 !
Flood Zone
Technology Fee $
Bond $
CO / CC $
See Reverse side -
❑ Demolition
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. „ ( 1 , ‘ r+
Signature -' /�
Signature
Owner or Agent • T9,01,4 �'r Con tractor
�J; i�� - (4 , 7
The foregoing instrument was acknowledged before me this t Gi The foregoing instrument was acknowledged b fore me this t
day of , 20 1 , by the ,, 'fin Tar c day of , 20 k , by J=> `h^ t. �}
who is personally known to me or who has produced try 4 L Co-who is personally known to me or who has produced ,N
Sign:
Print:
APPROVED BY
NOTARY PUBLIC:
(Revised 07 /10 /07)(Revised 06/10/2009)
As identification and who did take an oath.
My Commission Expires: 3 W''ffi+el�l , �wc�
1 ▪ LOZ/9; L 41833 I
9tr£CCLOa® #W WOO �?
• ryl3 •
aeSeeeeeeeee esesessaaeeeealafw. _ ...
Plans Examiner
Engineer
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
wow
,) SOOMON
Gomm# 0007333
raids i4otary Assn., Inc r
Zoning
Clerk checked
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: John Taggart
PROPERTY ADDRESS: 585 NE 102 St
LOT : 23 -
PROPERTY ID #: 11- 3206 -017 -1010
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 [ 1,050 ] GALLONS / GPD Seofic CAPACITY
A [ 0 ] GALLONS / GPD 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 [ 300 ] SQUARE FEET SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: F.F.E.: 11.3' NGVD.
I ELEVATION OF PROPOSED SYSTEM SITE [ 21.60][1 INCHES I/ FT ][ ABOVE BELOWIBENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 57.60 ] ( INCHES I FT ] [ ABOVE 1 BELOW 6 BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES
0
T
H
E
R
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
RECEIPT #:
DocUMENT #: PR835908
BLOCK: 93 SUBDIVISION:
1— Install 1050 gal. category-3 septic tank equipped with an approved filter. 2 -The licensed contractor installing the system
is3responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f). 3- Install 300 sf of
drainfield in trench configuration. 4- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed
absorption trench. 5 -Invert elevation of drainfield to be no Tess than 7.00' NGVD. 6. Bottom of drainfield elevation to be no
less than 6.50' NGVD.
THIS PRERMIT IS NOT FOR ADDITI
SPECIFICATION'- : PEDRO'N OSP
APPROVED =t : � ' 1 � ITLE :
Pedro NOSp na
DATE ISSUED:
02/23/2011
v 1.1.4
Miami, FL 33138
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E- 6.003, FAC
AP994652
EXCAVATION REQUIRED: [ 36.00] INCHES
PERMIT #: 13-SC-1302261
APPLICATION #: AP994652
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
EXPIRATION DATE:
9E836900
Anastade
05/24/2011
Page 1 of 3
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Signature
•. _ � . •J• rove e
Site Plan submitted by:
Plan Appr•
By
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLI ATION FOR ONSITE SEWAGE DISPOSAL: SYSTEM CONSTRUCTION PERMIT
Permit Application Number
PART - SITE PLAN
?.-ALL- C 'AiNGES MUSTBE APPROVED BY THE COUNTY 'HEALTH DEPARTMENT
DH 4015,10/96 (Replaces HRS-H Form 401; which may be used)
(Stock Number: 5744-002- 4015-6)
Date
County Health Department
Page 2 of 3
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