PL-09-937 a
Miami Shores Village ,,
10050 N.E. 2nd Avenue
..
Miami Shores, FL 33138 -0000 ��
VAPPIROWD
LOR11
aF Phone: (305)795 -2204 ry „
e
� Expiration: 12/02/20 09
Projec Add ress P arcel Number Applicant
1551 103 Street 1132050310210 MARGARITA DOSAL
Miami Shores, FL 33138 Block: Lot:
Owner Informati _ Address Phone Cell..ma
MARGARITA DOSAL
1551 NE 103 ST
MIAMI SHORES FL 33138 -2627
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
A LEAGUE CONTRACTORS, INC. 305 - 256 -0306
Total Sq Feet: 420
Type of Work: PLUMBING Availabl Inspections:
Type of Piping: DRAINFIELD
Inspection Type:
Additional info:
Final
Bond Return : Rough
Classification: Residential L a n dscaping
Fees Due Amount Invoice # Total Amt Paid Amt Due
Bond Type - Contractors Bond $300.00 PL -6 -09 -35022 $ 486.98 $ 300.00
CC F $1.20
Education Surcharge $0.40 PL -6 -09 -35022 $ 486.98 $ 486.98 $ 0,00
Permit Fee - Additions /Alterations $175.00 Check #: 16262 &k►� Bond #: 1856
Scanning Fee $6.00 p�
Technology Fee $4.38
Total: $486.98
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
June 05, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 05, 2009 1
loom [16EL ON sor] SE ans 60OZ /61/SO
V illa g e 'j �y���I
Mi ami Shores V1 ag JUN 0 4 2009
Build Department
(0050 N.E.2nd Avenue, Mimni Shores, Florida 3313$ B Y: - Tel: (305) (305) 795.2204 Fax: (30S) 756.$972
BUILDING ]Permit No V1 Oct - q n
PL+ RIN11T APPLICATION master permit N o.
FBC 2004
Permit iI` : P lumbing
Owner's Name (Fee Simple Titleholder) (A" fi LAr a Dos a Phone #
Owner's Address t
city mi aim i ' h Q r es state l= L Zip _ .
Name —
Tenant/Lessee Na Phone #
E -MAIL:
Job Address (where the work is being done) 1 5511 N V 1 p
City _ iarni Shores Villne _ -- County _ Miami -pg "Gip 33 ► 3 8
FOLIO / PARCEL # I l - 3 QQ 5 ' tDA - oZ 10
Is Building Ristorically Designated YES NO x
Contractor's Company Name
Contractor's Address __ Z ,,
City ��. Ci a � � �'; t State Zip F�� --
Qualifier Name t i \� ` `� r °{ ` 1 i .r ` Phone
State Cesrti finale or Registration No, arfficate of Competency No.,,
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of 1Vork For this Permit $ ' � � Square / Linear Footage Of Work: � f� (� -- , SC �'
IYP of'P /ork: ElAddition Iteratio ONew Repair /Replace Demolition
Describe 'Work r
5 }'Z41
Submittal Fee $ Permit Fee S S' CCIT S �. 0 0 -- CO /CC
Notary S_ Training/Education Fee $ Technology Fee $ '
Scanning $ (n • Radon $ DPBR $ Zoning $
Bond S� y Code Enforcement $ Double Fee S�__
Structural Review. S _ Total Fee Now Due $
C /* - I W-(e f �` ,JUN () 5 PAID ) � ^Se l �erse side -+
C %70 - )�K JUN 5 PAID 300. e o
ZO /T0 39t/d SNO VO UN00 3f19d3 t1 bZb9Z65506 LZ :ST 60OZ/6T/50
Z00m [Z6EL 'ON Hop] SE GT ans 60OZ /6Z /SO
Bonding Company 'a Name (if applicable)
Bonding Company's Address
City State 'Lip _
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 peri`nrmed 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 Alit 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.
"WARNI:NC TO OWNER: YOUR FALLUR1E 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 AI7ORNEY BEFORE RECORDING YOUR ]NOTICE OF
COMME- NTCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in goad fait copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose prcperry ' Ytbject t attachment. Also, a certi, feed copy of the recorded notice of commencement must be posici! ut the job site
for the first i ection w ich occu se en (7) days after the building permit is issued In the abswrice of such posted notice, the
in spection! 11 n o a roved a a re' spectton fee will be charged ^-
Sign, a Signature
Oran r Agent Contractor
The fore instrument was acknow edged before me this The foregoing instrument was acknowledged b4�fore me s
day of --, 20 Da. by ��L �?(.(rC 1 0� , day of — 20()� , by
w is personally known tome or who has produced �1 f who is personally know me or who has produced
As identification and who did take an oath. _ as identifica#on and who did take an oath.
NOTARY PU lC: NOTARY PLi. BIAC: �
SXW BATWA
MY COMMISSION # DO 885425
PIR : Wy 11, 2013
Sign: Si tpx ;, ; ==71=70MMMUM
Print' <�Y ^v''. HELENA M. ROORIGUE7_ Print ? „—
My COMMISSION # DU 6?T3b
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My Comml : EXPIRES, APO 28, 2011 My Commission Expires:
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Bonded j ^se ryue. -ry Public Undenvrit rs
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APPLICATION APPROVED Y: !O d Plans Examiner
Engineer
"Zoning
(RcvL%vd 02/08/06)
ZO /Z0 39bd SaO-LOVdiN00 3n9V30 V bZb9Z69906 LZ :ST 600Z /6T /50
y PENT *: 13-SC-981672
APPLICATION #: AP922139
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM r "
�g RECEIPT #:
DOCUMENT #: PR773933
k:s :s x:s
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Margarita Dosal
PROPERTY ADDRESS: 1551 NE 103 St Miami, FL 33138
LOT: 18-19 BLOCK: 6 SUBDIVISION:
PROPERTY ID #: 11- 3205 - 031 -0210 [ 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 LO CAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,350 ) GALLONS / GPD Septic CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS)
K [ 300 1 GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ )DOSES PER 24 HRS #Pumps [ 1 )
D { 420 ) SQUARE FEET bed confiouration drainfileld SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: (X] STANDARD [ ] FILLED () MOUND [ )
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: CL NE 103 st., 4.92' NGVD.
I ELEVATION OF PROPOSED SYSTEM SITE { 7.68 )[INCHES FT)(ABOVE BELOW) BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 11.321 INCHES FT )[ABOVE BE W BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED { 0.001 INCHES EXCAVATION REQUIRED: [ 55.00] INCHES
O Invert elevation of drainfield to be no less than 4.47 ft. NGVD.
*Bottom of drainfield elevation to be no less than 3.97 ft. NGVD.
T 'Install 12" of slightly limited soil under the bottom of the drainfield.
H - Perimeter of excavation area shall be at least 2 ft voider and longer than the proposed absorption bed or drain trench.
E "THIS PERMIT IS NOT FOR " ADDiT1ON(s) ". T7 7 77iZIT g N OT v �
R YNEZ EPTIC TANK SPf.1 r e,,,g; g
SPECIFICATIONS BY: Carlos M I TITLE: - Legacy l ICE ;WALLE D ON TAE GU LET TEE
APPROVED BY: TITLE: Dade CHD
Carl caz
DATE ISSUED: 0511812 , EXPIRATION DATE 08116/2009
DH 4016, 10/97 (Previous Editions May Be Used) Page I of 3
5..
1 .. _ 4 Ak9.2 1 S iE "Y'3? 5h
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: July 01, 2009 Permit Type: Plumbing - Residential
Inspector: Levrock, James
Inspection Type: Final
Owner: DOSAL, MARGARITA Work Classification: Drainfield
Job Address: 1551 NE 103 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 113205031021
flroject: <NONE>
Contractor: A LEAGUE CONTRACTORS, INC. Phone: 305 - 256 -0306
Building Department Comments
REPLACE DRAINFIELD 420 SF
SEPTIC TANK TO REMAIN 1,350 GALLONS
Ins ec't mments
Passed
Failed
Correction ❑
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
i .. -- 2n )nno For Inspections please call: (305)762 -4949
$. Inspection Worksheet
Miami Shores Village
; 10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
z mgj ME
K >:
Scheduled Inspection Date: June 29, 2009 Permit Type: Plumbing - Residential
Inspector: Levrock, James
Inspection Type: Final
Owner: DOSAL, MARGARITA Work Classification: Drainfield
Job Address: 1551 NE 103 Street
Miami Shores, FL 33138- Phone Number
Project: <NONE> Parcel Number 113205031021
Contractor: A LEAGUE CONTRACTORS, INC. Phone: 305 - 256 -0306
Building Department Comments
REPLACE DRAINFIELD 420 SF
SEPTIC TANK TO REMAIN 1,350 GALLONS
In t Comments
Passed
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
June 29, 2009 For Inspections please call: (305)762 -4949 Page 5 of 19