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PL-09-697Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 112641 Scheduled Inspection Date: July 29, 2009 Inspector: Bruhn, Norman Owner: MACKRO, ROBERT Job Address: 1025 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: MR C'S PLUMBING SEPTIC INC Permit Number: PL -4 -09 -697 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050170110 Phone: (305)651 -7859 Building Department Comments SEPTIC TANK INSTALLATION 900 GALS DRAINFIELD INSTALLATION 375 SQ F Passed Failed n` e t•' Comments Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. .1111u 9R 9nnO For Inspections please call: (305)762 -4949 Dana R rnf 9R 9T L% I N W Miami Shores Village 10050 NE. 2nd Avenue Miami Shores, FL 33138-0C C0 Phone: (305)795-2204 Project Address 1025 97 Street Miami Shores, FL Owner Information ROBERT MACKRO Ikidress ,„ „4, Permit NO. PL-4,-uvo Pen'ilif Type: Plumbing - Residential' Work Ciassificafiaii: AdditiortiAlter'atiori Permit Status: APPROVED Issue Date: 4/2712009 "177iata.VONInailliit11011191Nt.1.41.: E .2,20501 71:1 '10 1.325 97 1AM1 S L 23138-2555 Contractor(s) MR C'S PLUMBING SEPTIC INC Phone Applicant PO3E.(T MACKRO Cell ex§:41ffiggi&MAWKS, ....... _.. ........._ i Pho:a :0eA i P4'07-te $ 2200.00 • • - •• • - • • --- I Valuat on: , i (30565-1-785: :305iYii,::i.-5652 , Total So Feet: 375 0 N Type of Work: PLUMBING Type of Piping: SEPTIC & DRAINFIELD Additional Info: Bond Return : Classification: Residential .1411E.4AIMBLEal Fees Due Bond Type - Contractors Bond CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Amount Amt Paid $300-00 N $ 567.15 $1.80 $ o tt 3E:32 r3one:: #: 184.2 0.6 Ipj„ $350.00 ip $6.00 $8.75 • Total: $667.15 In consideration of the issuance to me of this terry pertaining thereto and in strict conformity with the pie:0 accepting this permit I assume responsibility for all required for ELECTRICAL, PLUMBING, MECHANICA OWNERS AFFIDAVIT: I certify that all the foregoinc construction and zoning. Futhermore, I authorize the Authorized Signature: Owner i Building Department Cc.p April 27, 2009 Amt Due $ 0.00 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Underground Rough Heater %%later Service Final Water Main Lavatory '-iwyrsiam -4' -4 .14-42 -4. 444.54' 441M144-.C. 9111i60 VPM,11M174■MY r;c:, e1 here‘mder ii cbmpl . ince with all ordinances and regulations s s,,liornitted to the prof ar authorities of Miami Shores Village. In cork don-. se:Jani-s, or employes i understand that separate permits are G ,31AfiNIKANG POOL woi iTiormatioq is ccuraite and tiet ail work will be done in corr i)liance with all applicable laws regulating to do work stated. Ap 11 2'7, 2C09 )ate 1 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 Owner's Name (Fee Simple Titleholder) Owner's Address ` Q . MVEgVM APR 2 7 2009 BY: Permit No.9 c (09'7 Master Permit No. t2c7(er M -- 0 �4 N6. �N - City �t t q%-i 1 State _ Zip 3S( B� Tenant /Lessee Name Phone # E- MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Phone #8\-1-1- O FOLIO / PARCEL # Zip Is Building I- istorically Designated Contractor's Company Name J C� Contractor's Address t�o City (Gt�.� YES NO C is PLAAAA61Yle3.4 Phone # State ri.-- r-- r 1 Qualifier Name U � (1 � (`� —.t"I, State Certificate or Registration No._I (+96-75 E -MAIL: Architect /Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: 21 D-Csb • CO Zip Phone # ".%US Co ( 1' - Certificate of Competency No. Phone # Square / Linear Footage Of Work: 3316 1 ['Alteration ['New 3 -5 Repair /Replace ❑ Demolition © ' \ S'irL-\ ) °i 00 9€p} -c c, - }`"a,Uvtc 0 trM >l s qr d?r4)n -eece **WW**Wwwww cxxxxr .x*Wxxx9:xr.xr.xxxr.xr.r.xxxx Feeswwwwww*XX* ** lV**WY.Y.XX %Y. XWWWXXY.XXW%XflCWX)C Submittal Fee $ Permit Fee $ M. VV Notary $ Training /Education Fee $ 04(00 Scanning $ Bond $ Radon $ Code Enforcement $ DPBR $ CCF $ VO CO /CC Technology Fee $ Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ W (Ql 1 S See Reverse side –> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lendei" 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." Zip 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 properly 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 rei spection fee will be charged. Signature Owner or Agent Signature Contractor The foregoing instrument was acknowledged before me this The foregoing.instrument was acknowledged before e thisf1 day of , 20 , by day of P 7n i , 2069 by D Okra ' l� who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: NOTARY PUBLIC: My Commission E . ire sv ®� (407) 2g9 .xxxx *xxxxxx * --* * ** N # DD471903 E 3 #ept. 14 009 Sem Sign: Print: My Com [(ENABLE G El FRICK t ^J MY('< 3?SS [ON #DD471903 s3 i ,' *Ires: E:K, KR ES: Sept. 14,2009 4p93t8NA3 * * *Ma,V Y ** x * * * **xxxxx*xx *xxxxx * * ** APPLICATION APPROVED B (Revised 02/08/06) Plans Examiner Engineer Zoning STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Robert Macko PERMIT #:13 -SC- 975906 APPLICATION #: AP916357 DATE PAID: FEE PAID' RECEIPT #• DOCUMENT #: PR770670 PROPERTY ADDRESS: 1025 NE 97 St LOT: 11 Miami, FL 33138 BLOCK: 180 SUBDIVISION: Miami Shores PROPERTY ID #: 11- 3205 - 017 -0110 [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 [ 900 ] GALLONS / GPD Seotic Tank CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 375 ] SQUARE FEET Trench confiauration SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: C/L OF NE 97 ST EL 9.60' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 3.60 ] [I INCHES I' FT ] [ ABOVE /I BELOW II BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 31.60 ] [I INCHES I/ FT ] [ ABOVE / BELOW II BENCHMARK /REFERENCE POINT L D FILL REQUIRED: 0 T H E R [ 0.00] INCHES EXCAVATION REQUIRED: [ 70.003 INCHES 1.- Install 900 gal. category-3 septic tank equipped with an approved filter. 2. -The licenced contractor is responsible for installing the minimum category of tank sec. 64E- 6.013(3)(f). 3.- Install 375 sf of drainfield in TRENCH configuration. 4.- Install 42" of slightly limited soil at the bottom of the drainfield. 5.- Perimiter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed. 6. -Invert elevation of drainfield to be no less than 7 e 1 i.VD. 7. -Bottom of drainfield elevation to be no les. an 6.96 NGVD.ABANDONMENT PERMIT IS REQUIRED. SPECIFICATIONS BY: Gerard L Pvi'- =ire APPROVED BY: Piverger 7 TITLE: TITLE: Engineer Specialist II Dade CHD DATE ISSUED: /4/15/2009 EXPIRATION DATE: 10/15/2010 1 DH 4016, 10/97 (Pr= ious Editions May Be Used) Page 1 of 3 v 1.1.4 aoP916357 SE785251 r PROPERTY LINE FPL POLE WATER 75.0' PROPERTY UNE w z 12.5' PROPERTY METER \1 t \14' -6" f- ' + 17' -» + . , + 6 Z +` `\7 )Q+ 0 C ` MEIbp t PANEL a a 5' 7' -6" 30' '— 25'25 -6° 5' POOL EQUIP. POOL * L DECK ONE STORY RESIDENCE 82' -3" DRIVEWAY L -,5' f- .5' PROPERTY LINE 75.0 PROPERTY UNE SITE PLAN SCALE: 1" = 20' N.E. 97th STREET TRENCH DRAIN FIELDS SEPTIC UNE SEPTIC TANK SEPTIC UNE CLEAN -OUT 5' HIGH WOODEN FENCE Fernando Morales, P.E. 5201 S.W. 162 Place Miami, Florida 33185 786- 380 -9739 License #51441 PROPOSED LOCATIONS FOR SEPTIC TANK & DRAIN FIELD DATE: 3 /16/09 LEGAL: LOT 11, BLOCK 180 REVISED PLAT OF MIAMI SHORES SEC. 8 MACK() RESIDENCE 1025 NE 97 STREET MIAMI SNORES JOB NO. 8053