AP-99-8013ta
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Rick Scott
Governor
March 18, 2011
(Jason septic)
13341 SW 88 Ave
Miami, FL 33176
RE: Contingency Letter
Application Document No: AP998013
Centrax Permit Number: 13=SC- 1307439
OSTDS Number:
50 NE 91 St
Miami, FL 33138
Lot:5 Block:9 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 03/16/2011 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use (concrete slab extension).
If you have any questions on this matter, please call our office at (305) 623 -3500.
Enclosures
cc:
Sincerely,
Jose
pecialistI I
4.
Miami -Dade County Health Department
1725 NW 167 St, Opa Locka, FL 33056
Phone: (305) 623-3500 . Fax: (305) 623 -3645
LEGAL DESCRIPTION
THE WEST 1/2 OF LOT 5 & ALL OF LOT 6 OF "EL PORTAL SECTION 3"
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 9 AT
PAGE 148 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA.
70' TOTAL RIGHT OF WAY
•
i .,
NEW
PORCH FLOOR
(162.28sq.ft.)
LOT 7
BLOCK 9
0.20' CL
10.35'
ONE STORY
CBS # 50
LOT 6&W%1IOT5
BLOCK 9
10.54'
METAL SHED
ON CONC. SLAB
I'd
Iin
LOT 24 i'
BLOCK 9
75.10
LOT 25 LOT 26
BLOCK 9 BLOCK -9-
SITE PLAN
SCALE: 1"- 20'
0
0
LOT REMAIN 5
BLOCK 9
f' 9 9 :3 el I 3
g lx:su krY
0.20'CL W --
s
LU
LL
crF
;LL
Nr-
C
LLi
L 11
Drawn By PUERTO /CBS
(305) 262 -8075
Checked: M. LOPEZ
Date: 11/01/10
Sheet:
Project # 10 -97
A -1
Rick Scott
Governor
March 18, 2011
(Jason septic)
13341 SW 88 Ave
Miami, FL 33176
RE: Contingency Letter
Application Document No: AP998013
Centrax Permit Number: 13 -SC- 1307439
OSTDS Number:
50 NE 91 St
Miami, FL 33138
Lot:5 Block:9 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 03/16/2011 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use (concrete slab extension).
If you have any questions on this matter, please call our office at (305) 623 -3500.
Enclosures
cc:
Miami -Dade County Health Department
1725 NW 167 St, Opa Locka, FL 33056
Phone: (305) 623 -3500 . Fax: (305) 623 -3645
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
ale: Each block re
•
PART IL- SITEPLAN
resents 10 feet and 1 inch - 40 feet.
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m
11111111111111111111111111111111111111111111111111111111111111111111111111 Ell
1101111111111111111111111111111111111111111M911111111111111 11111111111111 Ell
oral
iiiiiiiiiiIiIIi1IiiiiiIiIIIiII
••
•41
3.14-Majl
Site Plan submitted b
Plan Approve
By
3
Signature
Not Approved
Title
Date
County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015, 10/96 (Replaces HRS -H Form 4016 which may be used)
(Stock Number: 5744- 002 - 4015 -6)
Page 2 of 4
• -
• /
NE 9.
Miami, F
Lot:5
Dear Api
This will ;
onsite se
From a rE
adequate
If you hal,
Enclosure:
cc:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
! ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ ] New System
riefl Existing System
[ I Repair [ andonment
APPLICANTerk epero
AGENT:
[
[ 3
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
#:
Holding Tank
Temporary
Urt.ss &Rh
MAILING ADDRESS: ia3c4 <suo aa QU 33 ) 1 (c)
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 5 BLOCK: Ci SUBDIVISION:
PLATTED:
PROPERTY ID #: / 3(01 030 C0.0 ZONING: I/M OR EQUIVALENT: [ Y
PROPERTY SIZE: aEi ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [4]<=2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /2)]
PROPERTY ADDRESS:
DISTANCE TO SEWER:
]>2000GPD
FT
DIRECTIONS TO PROPERTY .1 q MOW ql) (I i-t- COS+ -RD
ttlitaUl f1Q Aztte. kf). on 61/ A
BUILDING -INFORMATION
Unit
No
1
2
3
[ ] Floor/Equipment
SIGNATURE:
[VI] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1.61E Romsed C,oncrei-e_
,Stab ex-i-eNS (Nd\
Other (Specify)
OA -A 0 111
DH 4015, 08/09 (Obs . -'etes preyiouseditions which may not be-used)
Incorporated 64E- 001, FAC
DATE: 6q101(1
Page 1 of 4
AMISCAPL #
03/17/2011
10 :14:21
BUILDING DEPARTMENT
ADD MISCELLANEOUS APPLICATION
APPLICATION DATE 03/17/2011
OTHER DEPT. APPLICATION # OR BLDG DEPT.
CONTACT NAME JASON SEPTIC
ADDRESS 13341 SW 88 AVE
CITY 'UAMI
SALES FEE
TYPE CODE
DOH H006
BNZM1142
PAGE 1
BOVEA
PROCESS NO. X2011061968
PERMIT # /ADDRESS: AP 998013
SUB TOTAL $70.00
UNIT
UNITS DESC
1 EACH EXISTING SYSTEM
STATE FL ZIP 33176 PHONE 3052521080
COUNTY AGENCY
USER PAID
ID FEE IND
BOVEA 70.00
FEE DESCRIPTION
PF1 = UPDATE
NEXT SCREEN NEXT KEY
MISC APPLICATION ACCEPTED...ENTER NEXT KEY TO CONTINUE
PF9 = MOD MISC APL