PL-08-1645Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Scheduled Inspection Date: March 17, 2009
Inspector: Levrock, James
Owner: FtAPHAE ULES
Job Address: 117 N f94 Street
Miami Shores, FL
Project:
...................
................
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Contractor: A AARON SUPER ROOTER
Phone Number
Parcel Number 1131010330720
Phone: 305-944-8886
Building Department Comments
Passed
Failed
Ins pqctorComments''
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
7
March 16, 2009
Page 22 of 25
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Permit No. VIO*1045
Master Permit No.
Owner's Name (Fee Simple Titleholder) JO led A !ra.,rde. one ' #e
Owner's Address
City M C110 reS State F L
Nw c1L SJr
Zip 33■50
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) t ? N \Ai 9 L-
City Miami Shores Village County .Miami -Dade Zip 331 50
FOLIO /PARCEL# 3101— a 33' 0?20
Is Building Historically Designated YES NO 1/
Contractor's Company Name A AG wen ;).p iY gioo-}-
Contractor's Address 602,2, ,c'Q,s 3; Gt
City jV\‘ ( ai`` -o ( State -t-- Zip 33o`2'3
Qualifier Name 3 3Lc f . J Phone #
State Certificate or Registration No. 1 Certificate of Competency No.
E -MAIL:
Phone # (-Do S. Gl f �{' ke, 4
Architect /Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ G 'SOO Square / Linear Footage Of Work: 22. S
Type of Work: ❑Addition ❑Alteration [New Repair /Replace ❑ Demolition
Describe Work:
I ce D i i n -ere ( d
********* **** ** * * * * * * * * * **** ******* ** * *F es************* *** * * ** * * * * *** * * * * * * ** * * * * * * ***
Submittal Fee $ Permit Fee $ 175 CCF $ ► 3.0 CO /CC
Notary $ Training /Education Fee $ 0.60 Technology Fee $ 437
Zoning $
Scanning$ '1.0) Radon $
^
Bond $ 30) I ( Code Enforcement $ Double Fee $
Structural Review. $
DPBR $
Total Fee Now Due $
See Reverse side -a
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
Zip
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: 1 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 broth ill be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of comme ' nt must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In '.sence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signat
ptr
The foregoing inst ment was acknowledged before me this 4-
day of - ,20 cc by U('S trzqpilaict
who is personally known to me or who has produced Dr (v.
Pnee As identification and who did take an oath.
/r/
wner or Agent
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
tSA J. SOLOMON
% % % % % % % % % % % % % % % % % % % % %%
Comm# DD, 33346. R
41 n2011P*4 * ** %%
ssn,. ink
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 O'g, by SO Gt n )
who is personally own to me or who has produced / Y7 v.
t-t C c 5 as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Comm).
***,,****,4,-
res: Expires 11/8/2011
%% Amide *k *2). * * % %, ,
APPLICATION APPROVED B
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning
VA-4 caPi
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Jules and Alourdes Raphael
PERMIT #: 13-SG- 953313
APPLICATION #: AP894476
DATE PAID: 09/04/2008
FEE PAID: $55.00
RECEIPT #: 13-PI D-10609
mamma # : PR749936
PROPERTY ADDRESS: 117 NW 94 St MIAMI, FL 33150
LOT: 221 & 222
BLOCK: 132 SUBDIVISION: Miami Shores Sec 6
PROPERTY ID #: 11- 3101 - 033 -0720
[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.
SYSTEM DESIGN AND SPECIFICATIONS
T [
A [
N [
K [
900 ] GALLONS / GPD
0 ] GALLONS / GPD
0 ] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY
Septic Tank
D [ 225 ] SQUARE FEET
R [ 0 ] SQUARE FEET
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
Trench Confiauration SYSTEM
A TYPE SYSTEM: [x] STANDARD
I CONFIGURATION: [R] TRENCH
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED:
SYSTEM
[ ] FILLED [ ] MOUND [ ]
[ ] BED [
FFE 12.40 "" NGVD
0
T
H
E
R
[ 0.00 ] INCHES
[ 15.60 ] [l INCHES Y FT ] [ ABOVE A BELOW h BENCHMARK /REFERENCE POINT
[ 33.60 ] [1 INCHES / FT ] [ ABOVE A BELOW 1] BENCHMARK /REFERENCE POINT
EXCAVATION REQUIRED: [ 30.00] INCHES
1.-Existing 900 gal. septic tank to remain.
2.- Install 225 sf of drainfield in TRENCH configuration.
3. -Invert elevation of drainfield to be no less than 9.10 ft NGVD.
6. -Bottom of drainfield elevation to be no less than 8.60 ft NGVD.
THIS PERMIT IS NOT FOR " ADDITION(s) ".
SPECIFICATIONS BY: Ger
a%d L Philj:yzaire
APPROVED BY:
Pa \ L Aatird
DATE ISSUED: 09/05/2 + 08
TITLE:
TITLE: Professional Engineer III
DH 4016, 10/97 (Previous Edi. ons May Be Used)
v 1.1.4
Dade
EXPIRATION DATE: 12/04/2008
AP894476 SE766555
CHD
Page 1 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION F 3R ONSITEd SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERM
Permit Application Number
PART II SITE PLAN _ =
t Scale Each block represents :5 feet and 1 inch .10 feet
Notes:
Site Plan submitted by
Plan Approved
Date
a: ALL BHA GEB' UST BE.APPRO LED BY THE COUNTY HEALTH DEPARTMENT. -:
DH 4015. 10196 (Replaces HRS-1 Form 4015 which may be us tl)
(Stock Number: 5744002-40154)
HURRICANE SEASON JUNE 1St to NOVEMBER 30th
During such periods of time as are designated by the National Weather
Service as being a tropical storm watch, tropical storm warning,
hurricane watch, or hurricane warning, the owner, occupant,
contractor or user of a property shall take precautions for the securing
of the buildings under construction, materials on the job and
equipment.
HURRICANE PREPARATIONS AND PRECAUTIONS
60 -48 Hours Before Landfall or Closest Point of Approach (CPA)
• Building Department stops activities related to field inspections except those
related to concrete pouring of columns, tie beams, decks, floors and similar
structural items.
• Cease all construction activity, notify sub - contractors to assist in securing the
building site, then notify the subs not to return until the thread of the storm
has passed.
• Secure the jobsite, starting with jobs located in the most populated areas and
closest to the water, first.
• Clean up all the construction debris and place in safe areas or trash
dumpsters and make arrangements with ample time to have them pick up.
• Band or tie all loose plywood, lumber and roof tiles on roofs.
• Secure all loose materials as much as possible.
• If temporary toilets can not be pick up by supplier, push over to the ground
and place concrete blocks or sand bags inside.
24 Hours Before Landfall or Point of Closest Approach
• Complete securing home and jobsite and prepare family and property for
storm event.
STORM WARNINGS
• Tropical storm watch: Tropical storm conditions are possible in the watch
area within 36 hours.
• Tropical storm warning: Tropical storm conditions are expected in the
warning area within 24 hours.
• Hurricane watch: Hurricane conditions are possible in the watch area within
36 hours. Your hurricane preparations should be well underway.
• Hurricane Warning: Hurricane conditions are expected in the warning area
within 24 hours. All preparations should be complete.
• Category 1
• Category 2
• Category 3
• Category 4
• Category 5
HURRICANE CATEGORIES
Winds 74 -95 mph
Winds 96 -110 mph
Winds 111 -130 mph
Winds 131 -155 mph
Winds 156 + mph
Storm Surge 4 -5 feet
Storm Surge 6 -8 feet
Storm Surge 9 -12 feet
Storm Surge 13 -18 feet
Storm Surge 18 +