PL-12-736Mr. C's Plumbing & Septic Inc.
April 16th, 2013
19932 .NW' 2"p Avenue
Pal Box 693239. Miandlflorida 33269-0239
,lade: (305) 651-7859/5652 Fax: (305) 651 -5610
Brow: (954) 927-2140
Miami Shores Village
10050 NE 2"6 Ave
Miami Shores, FL 33138
Re: Permit # PL -4 -12 -736
• 38 NW 108 Street
Miami Shores, FL 33138
To Whom It May Concern:
crip-oz5zTcwEcfiT
i AR1 72513
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PN2i3(Q .
We were contracted to install a drainfield at the above referenced address, however,
our customer sold the property and the installation was never done. We therefore
request that you please cancel permit PL -4 -12 -736 and provide us with confirmation of
cancellation.
Thank you for your assistance in this matter.
Best re s ands,
Kemble Ettrick
Operations Manager
License SR061536
g (3
APRI 23, 2013
MIAMI SHORES VILLAGE
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138
ATTN: NORMAN BRUHN, BUILDING DIRECTOR
A APR 2 2x13
B �o�� .
TO WHOM IT MAY CONCERN:
PLEASE CLOSE THE FOLLOWING PERMITS EFFECTIVE IMMEDIATELY DUE TO PROPERTY IS ON SALE AS IS:
PLL2 -736 SEPTIC
PROPERTY IS LOCATED AT 38 NW 108 STREET MIAMI SHORES, FLORIDA 33168.
IF YOU NEED FURTHER INFORMATION DO NOT HESITATE TO CONTACT ME AT 786- 372 -4161.
SINCERELY,
CARLOS GARCIA, PROPERTY OWNER
STATE OF FLORIDA, COUNTY OF DADE:
The foregoing Affidavit was acknowledged before me this 23rd of April, 2013, by Carlos Garcia who has
produced driver's license.
,NOTARY PUBLIC
NOTARY PUBLIC•STATE OF FLORIDA
"" Dolores Castro
.�� Commission # EE088229
Expires: APR. 26, 201S
BONDED TBRII ATLANTIC BONDING CO., INC.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Nang Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
B ILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 20
iMVEIMM-111
la APR 5 7.612 2
A
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): ID 5 q,f c-c Phone #: 7. 3 5 3 6-S 6'7
Address: 'ACS 11140 t sr-
Address:
City: 14.4.... State: Zip: 3 316?
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 'Jr. Nw 10( s r
City: Miami Shores County: Miami Dade Zip: 33 (GS'
Folio/Parcel #: (/ - A-1 3 4 611- 0 t 6Z0
Is the Building Historically Designated: Yes NO Flood Zone: —
CONTRACTOR: Company Name: ✓ , S
1 4.z Phone #: 305' C.S / FS"?
/995 .vu. a µ- a
Address:
City: fl i41--.; %ti-.: State: ice-- Zip: 3 5/6 i
Qualifier Name: 7., th:"; z Phone #: . ?�aSGS/ ? "--rf
State Certification or Registration #: Stg - O0(1 S36 Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
6'
Value of Work for this Permit: $ /,3TD. ' Square/Linear Footage of Work: .-4'
Type of Work: °Address � °Alteration New �,Repair/Replace °Demolition
Description of Work: -1-274 475C (7
**** **** x********** ** ********* ** x****** Fees*** * ****** ** * ** x********* ** * *** *** *****:xx ***
Submittal Fee $ Permit Fee $ /5-7) CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $ 500.OL)
Notary $ Train_ing/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 4 3 '7o
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 seven (7) days after the building permit is issued. In the ab ence • such posted notice, the
inspection will not be app(pved and a reinspection fee will be charged.
Signature
c
Owner or Agent
The foregoing M triment was acknowledged before me this The foregoing instrument was acknowledged before me this S
day of , 20 _, by , day of F O:04q $ ,2o / 2 by ./«ZC6 £T ,
who is personally known to me or who has produced (who is personally kn wn to m3or who has produced
Signature
Contractor
NOTARY PUBL
Sign:
Print:
My Commission
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
EXPIRES: September 14, 201::
Bonded Thru Notary Public Underwriters
Sign:
Print:
My Commission
/,
Notary ` w e ,. .,.
r 1sy Sheryl A Mendes
.. My Commission EEO17813
d Expires 10123!2014
$e************* ***** ********* *********************************************** ***************************** **
APPROVED BY
—02 7-f2--
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Existing Modification
APPLICANT:
Carlos Garcia
PERMIT #: 13-SC4 398664
APPLICATION # : AP 1065369
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR871657
PROPERTY ADDRESS: 38 NW 108 St Miami, FL 33168
LOT: 4
BLOCK: 211 SUBDIVISION:
PROPERTY ID #: 11- 2136 -011 -0120
[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 [ 750 ] GALLONS / GPD Existing septic tank to remain CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS 8( ]DOSES PER 24 HRS #Pumps [ ]
R
A
I
N
F
I
E
L
D
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
[ 500 ] SQUARE FEET bed configuration drainfiel SYSTEM
[ ] SQUARE FEET N/A SYSTEM
TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ]
CONFIGURATION: [ ] TRENCH [x] BED [ ]
LOCATION OF BENCHMARK: F.F.E., 13.40' NGVD
ELEVATION OF PROPOSED SYSTEM SITE
BOTTOM OF DRAINFIELD TO BE
FILL REQUIRED:
[ 0.00 ] INCHES
[ 31.80 ] [I INCHES if FT ] [ ABOVE /I BELOW II BENCHMARK /REFERENCE POINT
59.88 ] [I INCHES I/ FT ] [ ABOVE /I BELOW II BENCHMARK /REFERENCE POINT
EXCAVATION REQUIRED: [ 70.00] INCHES
*Invert elevation of drainfield to be no less than 8.91 ft. NGVD.
*Bottom of drainfield elevation to be no less than 8.41 ft. NGVD.
*Install 42" of slightly limited soil under the bottom of the drainfield.
- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench.
-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.
DATE ISSUED:
Carlos M Icaza
Carlos M Iaaza
04/02/2012
TITLE:
TITLE:
Dade CHD
EXPIRATION DATE: 10/02/2013
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E- 6.003, FAC
v 1.1.4 AP1065369 SE867095
Page 1 of 3
NOTICE OF RIGHTS
A party whose substantial interest is affected by'
this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are govemed by Rule 28 -106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty -one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN # A02, Tallahassee, Florida 32399 -1703. The
Agency Clerk's facsimile number is 850 -410 -1448.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order
will constitute a waiver of your right to an administrative hearing, and this order shall become
a 'final order'.
Should this order become a final order, a party who is adversely affected by it is
entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings
are governed by the Florida Rules of Appellate Procedure. Such proceedings may be
commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the
Department of Health and a second copy, accompanied by the filing fees required by law,
with the Court of Appeal in the appropriate District Court. The notice must be filed within 30
days of rendition of the final order.