The URL can be used to link to this page

PL-11-712LO), 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING ✓/ Owner's Name (Fee Simple Titleholder) � t73--= 't 1`4 0'r (la Co O Phone # ` — g( 1,12$ City 5 itei, &AO fleS State Zip 31,i7)g . Tenant/Lessee Name Phone # Email ,4cs PPR 2 2 2011 Permit No. TIA 1 \� Master Permit No. Owner's Address Job Address (where the work is being done) 'j lie_ i`l S City Miami Shores Village County Miami -Dade FOLIO /PARCEL# -'3�c6 °®ig+--2S Zip 3V'',1i1 Is Building Historically Designated YES NO Flood Zone Contractor's Company Name S *t BEd e.. IC ,s 1 rv, Phone # 305 I G I - G 6 5-3, Contractor's Address I't ;1f`'' 5 `fit C2c1 1 # CU— C1(03'00ga, • City JAW rc, ens ,-- State g, Zip '3 -1`-q, Qualifier Name °Txrr,se 'aa z:°4,,-, , Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ CY2, Square / Linear Footage Of Work: 30'0 Type of Work: ['Addition Describe Work: ❑Alteration ❑New Repair/Replace ❑ Demolition 5C)-e} ace karo -e * * * * * * * * * * * ** * * * * * * * * *** ** ** * * * * * ** ** Fees************* * * * *** * * * * * * **** * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ IT2) CCF.$ CO /CC $ Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ { �C ' �`� See Reverse side -* Technology Fee $ Bond $ Bonding Company's Name (if applicable) r✓` 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 OWNEK'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. Signature "- Q7°1—% er or Agent The foregoing instrument was acknowledged before me this day of "1 ,20 ,by ,yo Sic Ce, who is personally known to me or who has produced Oti *ki® Lzzk,ce As identification {�le vho �e oath: 5�a. ®°RESAd y 348 �a�t:17;;I comma 000733 rY Pte. Expires 11I612011 (304-10_ Cer esL eeeeeoeeeaeeusaoeeeeeeaeee'm NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature 1D Contractor P? The foregoing instrument was acknowledged before me this day ofkIitA L— ,20 I , ' (.3..-(2):.--"L-7--J who is personally known to me or who has produced ' .. as identification and who did take an oath. NOTARY PUBLIC • Sign: Print: \\\\��l�ll�� ► ►( ► ►�, /// My Commission Expires: o, —. e2CP •sue eo ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY qPlans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Zoning Clerk checked The Florida Department of health hereby certifies the business or entity named below has satisfied the requirements of Part HI, Chapter 489, Florida Statutes, for septic tank contracting and has been duly authorized by the department to provide septic tank contracting services under the name off • �_ SNOIL3 NNO3 3LU S MART@ III *tii .A.1.54‘) cwo—cam STS O8' MLOAZDA DEPT OF RBALTH ON8XTm SEImcE TREATDWT AND DISPOSAL SYSTEM CONSTRUCTION PST CONSTROCTION PERMTT roR: OSTDS Repair APPLICANT: Jose & Maria Castro PROPERTY ADDRESS: 857 NE 96 St Miami, FL 33138 LOT: 18.19 AIM PERMIT * :13•SC- 1313234 APPLic xow O: AF'1001808 DATE PAID FEE PAID. RECEIPT 9: — nocustenT t: PF.842335 BLACK: 72 PROBERS? ID 1: 113208-0142500 sUaDIVISION: Miami Shores [SECTION, TOWNSHIP, RANGE, PARCxx, Notd9R3 (OR MAX ID NW P.R). SEEM MST )3ffi CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARD!, OP SECTION 381.006s, r.S., AND MrTF2t 64s -6, r.A.c. DEPARSMENT APPROVAL OP SYSTEM DOES NOT GUARANTEE SATISFACTORY PEMPOMMANCE FOR ANY SPECIFIC PERK Or TIME. ANY CHANGE IN M'.TBRIAL PACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THI8 PERMIT, REQUIRE TAO APPLICANT 'IO MODIFY THE PERMIT APPLICATION. SUCH MODISMOATIONS MAY RESULT IW IBIS PERMIT BEM NADE PULL AND VOID. IMSOANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE W2TH :rl'INiR MEDAL, STATE, OR LOCAL PERMZTTING REQUIRED FOR DEVELOPMENT OP THIS PROPERTY. SYSTEM DEBics AND SPECIFICATIONS T AI aI • ( u 900 ) GALLONS / 0PD SeoUc existin0 C7M,IACITY 0 ) GALLONS / GPD CAPACITY 0 ) GALLONS GREASE EMBERCEPTOR CAPACITY 049204 342d CAPACITY SZNGLH TANK:1250 CALLOW: *] l WiX0NS DOSING TANK CAPACITY I [GALLONS *( (DOSES PER 24 HMS *Pumps ( D ( 300) OgUARE FEET R [ 0 I SQUARE FEET A TYPR sum: Ix) STANDARD I CONFIGURATION: IxI TRENCH F LOCATION or B8tlaa RX: FFE :11.34' NOVD in TRENCH configuration SYSTE24 SYSTEM ( ) PILLED () MOUND I l BED ( (3 3 I LLEVAT'um OP PROPOSED SYSTEM SITE E BOTTOMS or DRAINPMEi,D To mx L O VT= 88Q0iRSD : I ] DtcttEa EXCAVATION 8EQDIRZD: ( 36.00 1 INCHES 1 18.60 id INCHES p FT) ( ABOVE 4 BEL ow b 8ENC8 A88 /R851 MENCS POINT 1 54.80 l INC88 PT ] I Aoov 4 0=w b aBNCHMARN /RIM MCI POINT 0 T H E A • Install 300 sq ft drainfleld in trench configuration (minimum 2' between trench • Install 3r of slightly limped soli under bottom of dralnfleld. - aviation of bottom of drainfletd to be no Tess than 8.79' NGVD. - 900 g existing septic tank to remain. - Not for additions borders). Ths contractor (or designee) In required to perk a soil boring rrlljacent to the dyad hell excavation at time of final inspection. Not hi final Approval, the ! ► H inspector shall vrldtess the SON whip and opmps : the results to the original site Irak iilon submitted. A reinvention tee will be &mesa it the contractor not at the jobstts at the twanged th xe. SPECIFICATIONS Mr: APPROVED 8Y: DATE ISeuED: Joe Laidig TITLE: TITLE: Engineer Specialist II Dade CIO DH 4016, 08/09 (Ob "tes all previous editions which may not Incorporated: 64E 003, FAC v 1.1.4 zoo/ t00ijfJ /41001808 be used) EXPIRATION DATE: 07/19/2011 /*142221 : ?age 1 of 3 XVd OC'bl IIOZ /lZ /1:0 1 -- newire•.wy �5• •1 ti✓•aSW4e"r•.Nrakeametn r goiruntesht3ittlogrt• a,.&*: STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number • PART II - SITE PLAN- Scale: Bach block represents 5 feet and 1 inch = 50 feet. • •, • j•i ,, 1 r.! : • , • .•' ' ! so' fro+► r • i . . ! ' ;7` i 7 1 I'e lit ;. • • ; • • • r , t . Notes: amp -'t' 4 IoD • 0 1 !' r 11',041' c ., • ' F' • I' • : K^ T .4444.14.1: •.crCi1 . i )t a r-4.0.44 • Ql:ltQfr* • t.. • , • Site Plan submitted by: Plan Approved _ By J 4/z signature Not Approved County H:;aith Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT ofMI5.taMRW.� MUM FOna4of6 may pilaw; ONO* NUNIVA184402401540 4. .1 Zoo /Zoo Page 2 of 3 XVA 00 01. 1.1.0Z /12/00 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 164971 Permit Number: PL -4 -11 -712 Scheduled Inspection Date: October 05, 2011 Inspector: Hernandez, Rafael Owner: CASTRO, JOSE & MARIA Job Address: 857 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: STATEWIDE SEPTIC CONNECTIONS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number (305)759 -0193 Parcel Number 1132060142500 Phone: (954)963 -0082 Building Department Comments REPLACE DRAINFIELD Passed ui Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 158632. HRS IN FILE missing sod October 04, 2011 For Inspections please call: (305)762 -4949 Page 33 of 49 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 158632 Permit Number: PL -4 -11 -712 Scheduled Inspection Date: May 20, 2011 Inspector: Hernandez, Rafael Owner: CASTRO, JOSE & MARIA Job Address: 857 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: STATEWIDE SEPTIC CONNECTIONS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number (305)759 -0193 Parcel Number 1132060142500 Phone: (954)963 -0082 Building Department Comments REPLACE DRAINFIELD Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments HRS IN FILE gee,/ s'O May 20, 2011 For Inspections please call: (305)762 -4949 Page 6 of 11 DIVISION OF Environmental Health Florida Department of Health Miami -Dade C wo.„.14-541ealth Department OSTDSIWeli Division 11805 SW 26 St. • Miami, FL 33175 Inspector ./t_: L- .-•--- Date 7 ' -2 7-11 Address 7 N. � �� h OSTDS # fig %,c. /2o � r Comments. Signature -- -� -- 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 10 /22/2011 Applicant 857 NE 98 Street Miami Shores, FL 33138- 1132060142500 Block: Lot: JOSE & MARIA CASTRO Owner Information Address Phone Cell JOSE & MARIA CASTRO 857 NE 98 Street MIAMI FL 33138- (305)759 -0193 Contractor(s) Phone Cell Phone STATEWIDE SEPTIC CONNECTIONS (954)963 -0082 Valuation: Total Sq Feet: $ 2,450.00 300 1 Type of Work: REPLACE DRAINFIELD Type of Piping: SEPTIC Additional Info: Bond Retum : Classification: Residential Scanning: 1 Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $300.00 $1.80 $2.25 $2.25 $0.60 $5.00 $150.00 $3.00 $2.40 $467.30 Pay Date Pay Type Invoice # PL -4-11 -40702 04/25/2011 Check #: 1208 $ 467.30 $ 0.00 Bond #: 2039 Amt Paid Amt Due Available Inspections: Inspection Type: Final Rough 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. April 25, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date April 25, 2011 1