PL-07-2433F
d�
Scheduled Inspection Date: February 26, 2010
Inspector: Hernandez, Rafael
Owner: SENA, DION
Job Address: 1301 N 104 Street
Project: <NONE>
Contractor: A AARON SUPER ROOTER
Building Department Comments
February 25, 2010
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Phone Number
Inspection Number: INSP -69145 Permit Number: PL -12 -07 -2433
For Inspections please call: (305)762 -4949
UV
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Parcel Number 1122320300040
Phone: 305 -944 -8886
DRAINFIELD REPLACEMENT
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
1
Page 9 of 11
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type: Plumbing
FOLIO / PARCEL #
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel, (305) 795.2204 Fax: (305) 756.8972
Permit No. FL 1 Z4A
aster Permit No.
Owner's Name (Fee Simple Titleholder) D1 Yj . CO( $one #
Owner's Address 1301 N E o4 S
City M Sid %e5 State �L
Tenant/Lessee Name
E -MAIL:
Zip 3 6
Phone #
Job Address (where the work is being done) ) 5° ) NE 104- . e-d
Miami Shores Village County Miami -Dade Zip 331 3?
City
f 1 � o 0640
Is Building Historically Designated YES NO t�
A A � S .� 0 (33) -
y ��T6
Contractor's Company Name � hone #
Contractor's Address Go 22. ,SOI 3.5 fi
i
City qtr State Zip3 Z3
Qualifier Name 550' In TO
Type of Work: ['Addition
Describe Work:
State Certificate or Registration No. JS C O dO 64 Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $. 2- }�
❑Alteration
a
['New
DEC 0 5 2007
eKS417
MIAMI SHORES VILLAGE
Phone #
Square / Linear Footage Of Work: - 3
Cs iQce, 7 •rgkn
Phone #
Repair /Replace ❑'Demolition
,
deg:********* * * * * * ** * ** *de' ** * * * *de * * * * * * * ** F de***** * * * * * * * * * * * * * * * *de * * * * * * * * *de **
Submittal Fee $ Permit Fee $' 17 5 - CCF $ /'S6 CO /CC
1
Notary $ Training /Education Fee $ a40 Technology Fef $ '01
Scanning $ �'bo DPBR $ Zoning $
' Radon $
Bond $ 51 #1607 Cod etc ,.� Double Fee $
Structural Review. $ Total Fee Now Due $ 4 g4.7
See Reverse side
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. 1 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
promise in good faith that a copy of the notice of commencement and construction lien law br
whose property is subject to attachment. Also, a certified copy of the recorded notice of comet
for the first inspection which occurs seven (7) days after the building permit is issued. In
inspection will not be approved and a reinspection fee will be charged.
AZZO
- - -Sig tore
Owner or Agent
The foregoing instrument was acknowledged before me this
day of Dfc , , by D r See, A
who is personally known to me or who has produced {v •
�.a Leiw ,, Se As identification and who did take an oath.
NOTARY PUBLIC:
APPLICATION APPROVED BY:
(Revised 02/08/06)
'TERESA J. SOLOMON
'ow"' Comm# DD0733348
11/8/2011 a
Sign:
Print:
My Commission Expires:
*ww wwwwwwwww,c*, ******** ** wwwww w* wwwwww**
ding $2500, the applicant must
will be delivered to the person
ent must be posted at the job site
bsence of such posted notice, the
Contractor
The foregoing instrument was acknowledged before me this L"'
day of D-ec. , 20 431, by 43h
who is personally known to me or who has produced D
L. C.... as identification and who did take an oath.
NOTARY P[JBLI RAJ• - 1..440
Comm# DDO7
181.
Sign:
n �u a unannu m 116 Print: -�'�6 ton
My Commission Expires:
ww.** t********.***# dr4exx***** ***w***.*****,ti...*wwwwwkwwwww*
/�'60Pla s Examiner
Engineer
Zoning
Project Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Building Department Copy
Address
Contractor(s)
A AARON SUPER ROOTER
Phone
305 - 944 -8886
CeII Phone
Fees Due
Bond Type - Contractors Bond
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Vo0
Amount
$300.00
$1.80
$0.60
$175.00
$3.00
$4.37
$484.77
Authorized Signature: Owner / Applicant / Contractor / Agent
"ype: Plumbing - Reside
Work Classification: gi airfield
Permit Status: APPROVED
Parcel Number
1301 N 104 Street
Miami Shores Village, FL 33138-
1122320300040
Block: Lot:
DION SENA
1
Phone
CATHY SENA
1301 NE 104 ST
MIAMI SHORES FL 33138 -2661
1
Type of Work: DRAINFIELD
Type of Piping:
Additional Info:
Bond Retum :
Classification: Residential
II
DEC 0 5 2007
CK bit(
MIAMI SHORFS VII 1 Ar,F
Expiration: 06/02/2008
Applicant
Available Inspections :
December 05, 2007
Date
CeII
Valuation:
Total Sq Feet:
$ 3,000.00
0
1
Inspection Type:
Final
Landscaping
Rough
1
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.
Wednesday, December 5, 2007 1
APPLICANT: Dion & Cathy Sena
LOT: 6
T [
A [
N [
K [
0
T
E
1
PROPERTY ID #: 11- 2232 - 030 -0040
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
PROPERTY ADDRESS: 1301 NE 104 St MIAMI, FL 33138
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
1,050 ] GALLONS / GPD
BLOCK: 1 SUBDIVISION: River Bay Park
0 ] GALLONS / GPD
0 ] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY
D [ 375 ] SQUARE FEET
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [x] STANDARD
I CONFIGURATION: [x] TRENCH
N
F LOCATION OF BENCHMARK: FFE 8.7 "" NGVD
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED:
[ 0.00 ] INCHES
Septic CAPACITY
PERMIT #: 13-SG- 661464
APPLICATION #: AP611620
DATE PAID: 11/30/2007
FEE PAID: $200.00
RECEIPT #: 13- PID- 668419
DOCUMENT #: PR512671
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
Trench Conflauration SYSTEM
SYSTEM
[ ] FILLED [ ] MOUND [ ]
[ ] BED [ ]
[ 6.00 ] [1 INCHES 1 FT ] [ ABOVE /) BELOW I) BENCHMARK /REFERENCE POINT
[ 36.00 ] [I INCHES I FT ] [ ABOVE 4 BELOW b BENCHMARK /REFERENCE POINT
EXCAVATION REQUIRED: [ 42.00] INCHES
1.-Existing 1050 gal. septic tank to remain.
2.-Install 375 sf of drainfield in bed configuration.
3.- Install 12" of slightly limited soil at the bottom of the drainfield.
4. -Invert elevation of drainfield to be no Tess than 6.20 ft NGVD.
5. -Bottom of drainfield elevation to be no Tess than 5.70 ft NGVD.
THIS PERMIT IS NOT FOR " ADDITION(s) ".
R
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
DH 4016, 10/97 previous Editions May Be Used)
v 1 .1.4
TITLE:
:Engineer Specialist II
AP611620 8E525345
Dade CHD
EXPIRATION DATE: 03/02/2008
Page 1 of 3
APPLICANT:
LOT: 6
T [
A [
N [
K [
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
Dion & Cathy Sena
PROPERTY ADDRESS: 1301 NE 104 St MIAMI, FL 33138
PROPERTY ID #: 11 -2232- 030 -0040
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
1,050 ] GALLONS / GPD Septic
0 ] GALLONS / GPD
0 ] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY [
D [ 375 ] SQUARE FEET Trench Configuration SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [] MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: FFE 8.7' "' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED: [ 0.00] INCHES
T
H
E
R
1.- Existing 1050 gal. septic tank to remain.
2.- Install 375 sf of drainfield in bed configuration.
3.- Install 12" of slightly limited soil at the bottom of the drainfield.
4.-Invert elevation of drainfield to be no Tess than 6.20 ft NGVD.
5.-Bottom of drainfield elevation to be no less than 5.70 ft NGVD.
THIS PERMIT IS NOT FOR " ADDITION(s) ".
SPECIFICATIONS BY: Gerala' L Philiz
APPROVED BY:
DATE ISSUED: / 12/
BLOCK: 1 SUBDIVISION: River Bay Park
v 1.1.4
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 MRS #Pumps [ ]
[ 6.00 ] ( INCBES I FT ] [ ABOVE A BELOW b BENCHMARK /REFERENCE POINT
[ 36.00 ] [1 INCHES I FT 11 ABOVE / BELOW b BENCHMARK /REFERENCE POINT
EXCAVATION REQUIRED: [ 42.00] INCHES
TITLE:
TITLE: Engineer Specialist II
AP611620 8E525345
PERMIT #: 13-SG- 661464
APPLICATION #: AP611620
DATE PAID: 11/30/2007
FEE PAID: $200.00
RECEIPT #: 13- PID- 668419
DocumENT #: PR512671
Dade
EXPIRATION DATE: 03/02/2008
DH 4016, 10/97 (Previous Editions May Be Used) Page 1 of 3
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Notes:
Site Plan submitted. by:
Plan Approved
By j'r
r
DH 401S. 10416 (Ftsplaoss HRS4IFiNM 4015 which May be used)
Pock Number, 6744-002-40154)
STATEOF
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
4
PART II - SITE PLAN
• !I ,
i 4— - 4., 6 'c'•
Signature
Not Approved
•
:Lf" r •-S•
• •
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
Title
County Health Departme
Page 2 oi