The URL can be used to link to this page

PL-11-1785Inspection Number: INSP - 165819 Permit Number: PL -9 -11 -1785 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: November 04, 2011 Inspector: Hernandez, Rafael Owner: MARIA GONZALEZ, ISABELLA DCT191 17CI 1 1 Job Address: 9546 NW 1 Avenue Miami Shores, FL Project: <NONE> Contractor: STATEWIDE SEPTIC CONNECTIONS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic Phone Number Parcel Number 1131010240240 Phone: (954)963 -0082 Building Department Comments REPLACE BROKEN SEPTIC TANK AND DRAINFIELD. 900 GALLONS SEPTIC TANK 150 TRENCH CONFIGURATION DRAINFIELD Passed Inspector Comments CREATED AS REINSPECTION r, FOR INSP- 164926. missing sod Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 November 03, 2011 Page 1 of 1 DIVISION OF Environmental Health Florida Department of Health Miami -Dade County Health Department OSTDS/Well Division 11805 SW 26 St. • Miami, FL 33175 — a s Inspector ` " ; Address 9 'L711 Ai Date OSTDS # sto Comments: Signature Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ' \ib 1 ` ` , �, Sa INSPECTION'S PHONE NUMBER: (305) 762.4949 l` �`° Permit No. 1 1 —fl Y) SEP 2.3 2011, BUILDING PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PLUMBING *OWNER: Name (Fee Simple Titleholder): E (Iwo ird Sof Iv a+0 Phone #: 3 -794-4- 9 61 Address: 'P S wit "� , a City: fr°01 a rr i ,st g 0 r'S State: T-1 Tenant/Lessee Name: Phone#: Email: Zip: 3o 2 3 JOB ADDRESS: G 4- `N City: Miami Shores County: de Miami Dade Zip: 3 51 5 0 Folio/Parcel #:, ( ®q -- 0 - 2- Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 14'-e1 '1CQ 1 -C CrOYIs H $hone# kG ( 66 33 Address: pp Po BO k -A 86 City: Tlo 1 r (�1/4.) O o 1/ State: p Zip: ,i 308 3 Qualifier Name: TQr°Se.. 1 s 1 SO O c O •'1 Phone #: State Certification or Registration #: SMQGk -1i 2_6 2 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 21+50 Square/Linear Footage of Work: 150 Work: Address DAlteration ONew ►`' epair/Replace Scr%Stion o /AT I f�� ODemolition * * * * * * * *** ** ate.: _AL11I, _ T :x:x*+x:x*+x**+xa:****** Fees * *** * * ** * **** x**= =x********+ *** *+x **** *** *=x*** Submittal Fee $ Permit Fee $ 3434,9 Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs s ' en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approv and reinspection fee will be charged. *Signature j Signatur Sca-ar Owner or Agent Contractor The foregoing instrument was acknowledged before me this The f. oin instrument was acknowledged befor day ofSF.2P , 20 j i , by , day of , 20 11, by who is personally known to me or who has produced who is pe onally known to me or who has produced as identification and who did take an oath. UBLIC: As identification and who did take an oath. `VW PUBLIC: rig T—m e fi ® o link ® W O NOT Sign: Print: My Commissi **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Plans Examiner * * * * * * * * * * * * * * * * * * * ** Zoning Structural Review Clerk STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DIS ` " "AL...`._ PAID: SYSTEM Miami -Dade County Health De g" —" PAID: CONSTRUCTION PERMIT ��; ©,$. & Well Program PR855271 RECEIPT #: CI DOCUMENT 4h � l� Y PERMIT #: 13- SC- 1370336 APPLICATION #: AP1047893 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Edward Salvatore PROPERTY ADDRESS: 9546 NW 1 Ave Miami, FL 33175 LOT: 2 BLOCK: 5 SUBDIVISION: PROPERTY ID #: 11- 3101 - 024 -0240 [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 [ D R A I N F I E L D 0 T H E R 900 ] GALLONS / GPD New Septic Tank CAPACITY 0 ] GALLONS / GPD CAPACITY 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] [ 150 ] SQUARE FEET Trench configuration drain SYSTEM [ 0 1 SQUARE FEET SYSTEM TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] CONFIGURATION: [x] TRENCH [ ] BED [ 1 LOCATION OF BENCHMARK: F.F.E., 12.60' NGVD. ELEVATION OF PROPOSED SYSTEM SITE [ 24.001E INCHES 1/ FT ] [ ABOVE4 BELOWjBENCHMARK /REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ 60.001 [I INCHES I FT ][ABOVE4 BELOWIIBENCHMARK /REFERENCE POINT FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 36.00] INCHES Inspector to verify the existing septic tank is properly abandon before final approval. *Invert elevation of drainfield to be no less than 7.10 ft. NGVD. *Bottom of drainfield elevation to be no less than 7.60 ft. NGVD. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f). F.A.C. 'THIS PERMIT IS NOT FOR " ADDITION(s) ". SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: Carlos M Icaza Carlos M Xoaza 09/27/2011 TITLE: TITLE: Dade CHD EXPIRATION DATE: 12/26/2011 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E- 6.003, FAC v 1.1.4 81,104759' SE852715 Page 1 of 3