RC-12-2222Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: I NS P- 187385
Permit Number: RC -11 -12 -2222
Inspection Date: March 14, 2013
Inspector: Bruhn, Norman
Owner: GLINN, MacDAM & DENISE
Job Address: 1201 NE 102 Street
Miami Shores, FL 33138-
Project: <NONE>
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Contractor: EJD CONSTRUCTION CONSTRACTORS & INVESTMENT CO
Phone Number
Parcel Number 1132050250160
Phone: (305)433 -4843
Building Department Comments
INTERIOR ALTERATION ADDING 3RD BATHROOM AND
WINDOWS AND DOORS INSTALLATION
Infractio Passed Comments
INSPECTOR COMMENTS False Complete and close all
permits prior to final on
the master.
sod yard and swale.
Replace broken
damaged sidewalk.
The insulation cert is
wrong.
Passed
at windows and doors.
Inspector Comments NB
Complete and close all permits prior to final on the master.
sod yard and swale.
Replace broken damaged sidewalk.
The insulation cert is wrong.
Install screens and caps at windows and doors. NB
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
April 03, 2013
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CTED.
I ]f [01] TANX SIZE [1] /.. [2]
[ `J/ [021 TANK MATERIAL ,t&�iL
[ "J� [03] OUTLET DEVICE' -
^
[ [041 MULTI- CHAMBERED
[ ] [05] OUTLET FILTER e
, [06] - LEGEND / 3 .O 74' /..2 - C 3
[ "J [.07] WATERTIGHT
C I08] LEVEL
[ ] [09] DEPTH TO LID
I N
DRAINFIELD INSTALLATION;
[10] AREA [11j :[2] 6 7.2SQFT
[11] DISTRIBUTION BOX HEADER ✓
[12] NUMBER 'OF DRAINLINES S"4.42.07
[13] DRAINLENE SEPARATION.? (
[14] DRAINLINE SLOPE
[151 DEPTH OF COVER /0
[16] ELEVATION [ABOVE
[17] SYSTEM LOCATION ` 2
[18] DOSING PUMPS ,!1/ ).
[19] AGGREGATE SIZE N ) y4
[20] AGGREGATE EXCESSIVE FINES
[21] AGGREGATE DEPTH ,/A/ 7 A
SETBACKS
[27]
(28]
[293
[30]
[31]
[32]
[33]
[34]
[35]
SURFACE WATER
DITCHES•
PRIVATE WELLS
PUBLIC WELLS
IRRIGATION WELLS
POTABLE WATER LINES "' cS i. !
BUILDING FOUNDATION .5-- FT
PROPERTY LINES L, FT
OTHER FT
FILLED / MOUND SYSTEM
[ 1 [36] DRAINFIELD COVER
[ ] [373 SHOULDERS
[ 3 [38] SLOPES _
[ l [39] STABILIZATION .
BM 7. Sa' [ ,l
FILL / EXCAVATION MATERIAL
[22] FILL AMOUNT 41Q., l)
[231 FILL TEXTURE
[24] EXCAVATION DEPTH•
[25] AREA REPLACED
[26] REPLACEMENT MATERIAL
EXPLANATION OF VIOLATIONS /REMARKS:
i I
[ ]
13
[ ]
ADDITIONAL INFORMATION
.[40] UNOBSTRUCTED AREA
[41] STORMWATER RUNOk1,
[42] ALARMS
[43]. MAINTENANCE AGREEMENT
[44] BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
[46) FINAL SITE G IN.G
[47] CONTRACTOR
[48] OTHER
Ph. ABANDONMENT
pk' (49] TANK PUMPED / /II/13
99
[a1k '[50.] TANK CRUSHER) & FILLED / / /1/
CONSTRUCTION
/DISAPPROVED] : ,y.L.A...4 C i; 0
`iNAL SYSTEM PROVED DISAPPROVED] :afiftn. • C�o_cHD
`16, 08/09 (Obsoletes all previous editions which may not be used)
rated: 64E- 6.003, FAC
DATE;, 0 -1 3
DATE3'",Z -
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