RC-09-669v
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 139696 Permit Number: RC -4 -09 -669
Scheduled Inspection Date: July 15, 2010
Inspector: Bruhn, Norman
Owner: BYNDLOSS, KEVIN & SARAH
Job Address: 87 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: F&F CONSTRUCTION SERVICES INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060130290
Phone: (954)454 -1948
Building Department Comments
INTERIOR RENOVATION AS PER SUPPLIED PLANS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 112254. TO BE DONE
TOGETHER WITH MECHANICAL FINAL.
Not Ready. work must be complete. NB
July 14, 2010
For Inspections please call: (305)762 -4949
Page 7of21
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NS P- 139556
Permit Number: MC -6 -09 -979
Scheduled Inspection Date: July 01, 2010
Inspector: Perez, JanPierre
Owner: BYNDLOSS, KEVIN & SARAH
Job Address: 87 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: SANSONE CORPORATION
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1132060130290
Phone: 954 - 428 -8919
Building Department Comments
NC UNIT REPLACEMENT AND DUCT WORK FOR INT.
REMODEL
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP - 139151. a/h, grilles, & kitchen
hood ok; c/u missing jpp
June 30, 2010
For Inspections please call: (305)762 -4949
Page 7 of 26
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
0
Inspection Number: INSP - 147456
Permit Number: EL -9 -09 -1602
Scheduled Inspection Date: July 01, 2010
Inspector: Devaney, Michael
Owner: BYNDLOSS, KEVIN & SARAH
Job Address: 87 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: F &F CONSTRUCTION SERVICES INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Temp for Construction
Phone Number
Parcel Number 1132060130290
Phone: (954)454 -1948
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 30, 2010
For Inspections please call: (305)762 -4949
Page 23 of 26
!YM
fr
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 147457
Permit Number: EL -6 -09 -978
Scheduled Inspection Date: July 01, 2010
Inspector: Devaney, Michael
Owner: BYNDLOSS, KEVIN & SARAH
Job Address: 87 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: AJL ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060130290
Phone: 305 - 895 -4971
Building Department Comments
ELECTRICAL SYSTEM SERVICE UPGRADE FOR INT.
REMODEL
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 30, 2010
For Inspections please call: (305)762 -4949
Page 24 of 26
--77J
INSPECTION- RECORD A
I«.
26`10
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax (3C5,75-8972 U.
POST ON SITE
Permit NO. RC-4-09-669 I
INSPECTION REQUESTS: (306)762-4949
REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY.
Issue Date: 7/812009
Residential Construction
Msamiammsoautit,
Owner's Name: KEVIN & SARAH BYNDLOSS
Job Address: 87 92 Street NE
Bond Number:
4-mpanitzrommlyz, s*.
Parcel #:1132060130290
Owner's Phone:
Total Square Feet: 1800
Total Job Valuation: $ 95,000.00
t'Atnz•-• .WAP-4 RN, /NO ‘ZAS, ttr
WORK IS ALLOWED MONDAY THROUGH SATURDAY,
7:30AM - 6:00PM. NO WORK IS ALLOWED ON
SUNDAY OR HOLIDAYS.
Contractor(6) Phony Primal' Con actor
F&F CONSTRUCTION SERVICES IN (954)454-194S Yes
BUILDING INSPECTIONS ARE DONE MONDAY -
THROUGH THURSDAY. ROOFING INSPECTIONS ARE
DONE MONDAY 'THROUGH FRIDAY. NO BUILDING
INSPECTIONS DONE ON FRIDAY.
IrS MUST PE
J03 AT TIE F
INSPEC t
NO INSPECTION WILL BE MADE UNLESS 111E PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT YOUR PAYING TWICE FOR IMPROVEMENTS
0 YOUR PROPERTY. A N0"71.: OF COMMENCEMENT MUST BE RECORDED
ND POSTED ON THE JO S 'EFORE THE FIRST INSPECTION. IF YOU
I TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COM -K:NG WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT. 305 -SAs
INSPECTION RECORD
STRUCTURAL
INSPECTION
DATE
INSP
Foundation
Stemwall
Slab
Columns (1st Lift)-
Columns (2nd Lift)
Tie Beam
Truss /Rafters
Roof Sheathing
Bucks
Windows/Doors
i%. ,1
'„min
A,
Interior Framin • i7:f
Insulation4::
.44
-l•
Ceiling Grid
Drywall
•
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
Roof in Progress
Mop in Progress.
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA corn •lance
DOCUMENTS
Soil Bearing Cert
Soil Treatment Cart
Floor Elevation Surve
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
INSPECTION_ DATE INSP
Zoning Final
ZONING COMMENTS
INSPECTION
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab
Wall Rough
{erlirl Ro
DATE
NSP..
Rough
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
ELECTRICAL COMMENTS
rrfir
INSPECTION
DATE
INSP
Rough
Water Service
2 "" Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook -up
Roof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
FINAL
PLUMBING COMMENTS
MECHANICAL
INSPECTION
DATE
INSP
Underground Pipe.)
Pcv"'v`�.,t (2
Rough t4.-
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
FINAL
MECHANICAL COMMENTS
_.®
INSPECTION
Miami Shores Village
40050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)755 -8972
POST ON SITE
Permit NO. RF- 609 ®1 `020
Issue Date: 6/2412009
INSPECTION REQUESTS: (305)7624949
REQUEST ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE P
Roof
Owner's Name: KEVIN & SARAH BYNDLOSS
Job Address: 8L92 Street NE
Miami'Shoo s_Fl 33:38-
Parcel #:113206013029 1
Bond Number:
Contract°
AFFORDABLE ROOFTEC, INC
Phone
(951)962 -9670
Primary Contractor
Yes
Owner's Phone:
Total Square Feet: 1600
Total Job Valuation: $ 10,174.00
WORK IS ALLOWED MONDAY THROUGH SATURDAY,
7:30AM - 6:00PM. NO WORK IS ALLOWED ON
SUNDAY OR HOLIDAYS.
BUILDING INSPECTIONS ARE DONE MONDAY -
THROUGH THURSDAY. ROOFING INSPECTIONS ARE
DONE MONDAY THROUGH FRIDAY. NO BUILDING
INSPECTIONS DONE ON FRIDAY.
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL. BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL. OR REPLACEMENT OF ANY MATERIAL
WARNING TO NE R: YOUR F: ILURE TO ECOIi NOTICE
COMMENCEMENT Y RESULT 1N YOUR PAYING ICE FOR IMPROVEMENT E
TO Y U PROPERTY. SIC COMMENCEMENT MUST BE RECORDEC
AND THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO TAI FINANCING, CONSULT WITH YOUR LENDER OE I g
ATTORNEY EFO E COMMENCING ORK OR EC I YOUR NOTICE OF
COMMENCEMENT.
°'FIRE
INSPECTION
Final Sprinkler
FINAL
DATE
INSP
EMI
INSPECTION RECORD 3
< . STRUCTE
INSPECTION
RAL
DATE
INSP
Foundation
Stemwall
Slab
[Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss /Rafters
ELECTRICAL
INSPECTION
DATE
Roof Sheathing
Temporary Pole
Bucks
Windows/Doors
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
P „A
--/749
Roof in Progress
"R54411P/:1-.
Mop in Progress
-.44
43'7
Final Roof
g
rz ,QG
Shutters Attachment
Alarm Final
Final Shutters
Fire Alarm Rough
Rails and Guardrails
Fire Alarm Final
ADA corn. lance
Service Work With
FINAL
DOCUMENTS
Soil Bearing Cert
Soil Treatment Cart
Floor Elevation Survey
Reinf Unit Mas Cart
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
ZONING
INSPECTION
DATE
INSP
Zoning Final
ZONING COMMENTS'
ELECTRICAL
INSPECTION
DATE
INSP;
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Rioter Ground
Slab
Wall Rough
Ceiling flo ugh
Rough
Telephone Rough
Telephone Final
TV Rough
TV Final<
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
FINAL _, •:
ELECTRICAL COMMENTS
Rough
Water Servi
2"d Rou
To
Fire S
Se
Sewer Hooku
Lawn
Main Drain
Pool Piping
Backflow Prevento
interceptor
Catch Basins
Condensate Drains
HRS Final
FINAL
PLUMBING COMMENTS
MECHANI
INSPECTION DATE
Underground Pipe
INSP
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
MECHANICAL COMMENTS
To:
Re:
Address:
.14 IC Insulation Installation Certificate
Date:
Lot/Block:
Project:
Addition & Remodel
The undersigned hereby certifies that insulation has been installed in the above described property as follows:
1. Exterior CBS walls have been insulated with:
Thickness in inches:
Manufacturer:
Density:
R-Value:
Fi Foil
Spray-on Cellulose
Fiberglass Blankets
R ck Wool Blankets
Aluminum Foil
Rigid Board
Polystyrene
Other
Exterior (frame walls) have been insulated with:
Spray-on Cellulose
Thickness in inches:
Manufacturer:
Density:
R-Value:
2. Ceilings (level) have been insulated with:
Thickness in inches:
Manufacturer:
Density:
R-Value:
iberglass Blankets
OW eh/ 5
CI4.i)j IRok Wool Blankets
I. s'
1/
6 1/2"
Johns Manville
Ceilings (Vaulted/Cathedral) insulated with:
Thickness in inches:
Manufacturer:
Density:
R-Value:
gise,
Aluminum Foil
Polyurethane
Other
. Interior kneewalls have been insidated with:
Thickness in inches:
Nlanufacturer:
Density:
R-Value:
rglass Blankets
Rock Wool Blankets
Fiberglass Blown
Cellulose Loose Fill
Fiberglass Blankets
Fiberglass Loose Fill
Rock Wool
Fiberglass Blown
Cellulose Loose Fill
Other
--'Fiberglass Blankets
6 1/2"
Johns Manville
Rock Wool
Polyurethane
Spray-on Cellulose
4. Garage partition walls of C living area have
been insulated with:
Thickness in inches:
Manufacturer:
Density:
R-Value:
Rock Wool Blankets
Fiberglass Blankets
Spray-on Cellulose
Polyurethane
Other
5. The following have been insulated:
1.4 i Arr
--'--------jiiffl 1? r ■
/ f'W ---------------
9)
F & F CONSTRUCTION
General Contract/Builder
By:
Kevin Byndloss
954 270 -7338
byndloss @gmail.com
March 31, 2010
Miami Shores Village Building Department
10050 N.E.2nd Avenue
Miami Shores
FL33138
eiC,MiC(fq
r Apg""1
0 1 N10
Dear Sirs,
As you are aware we have been renovating our home at 87 NE 92nd St. and would like to
obtain a temporary certificate of occupancy while the finishing touches to our home are
being made. Our general contractor is F & F Construction Services Inc.
We understand that the property needs to be landscaped to conform to Miami Shores
Village standards and are prepared to have the landscaping improved to comply within 90
days of receiving the temporary certificate of occupancy.
Thank you for your consideration.
Sincerely yours,
evin Byndloss
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT:
Kevin & Sarah Byndioss
PERMIT #: 13-SC- 984417
APPLICATION #: AP924866
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR776708
PROPERTY ADDRESS: 87 NE 92 St Miami, FL 33138
LOT:
BLOCK: SUBDIVISION: Miami Shores
PROPERTY ID #: 11- 3206 - 013 -0290
[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 [
900 ]
]
] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY
GALLONS / GPD
GALLONS / GPD
Septic
N/A
D [ 429 ] SQUARE FEET
R [ ] SQUARE FEET
A TYPE SYSTEM: [x] STANDARD
I CONFIGURATION: [ ] TRENCH
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
SYSTEM
N/A SYSTEM
[ ] FILLED [ ] MOUND [ ]
[x] BED [ ]
N
F LOCATION OF BENCHMARK: W P/L & C/L NE 92 St : 10:65 NGVD
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED:
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
[ 0.00 ] INCHES
[ 6.60 ] [I INCHES I/ FT ] [ ABOVE /) BELOW I] BENCHMARK /REFERENCE POINT
[ 36.60 ] [} INCHES Y FT ] [ ABOVE /I BELOW I] BENCHMARK /REFERENCE POINT
EXCAVATION REQUIRED: [ 30.00] INCHES
1.Install 900 g septic tank.
2.Install 429 sq ft drainfi
3.Invert elevation of drainfield to be no less than 8.1' NGVD.
4.Bottom of drainfield elevation to be no less than 7.6' NGVD.
5.The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
with s. 64E- 6.013(3)(f), FAC.
Joseph R Piverger
Joseph R Piverger
DATE ISSUED: 06/16/2009
TITLE: Engineer Specialist II
TITLE: Engineer Specialist II
Dade
EXPIRATION DATE: 12/16/2010
DH 4016, 10/97 (Previous Editions May Be Used)
v 1.1.4 AP924866 5E790121
CHD
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 Statues. Such
proceedings are governed 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.
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Kevin & Sarah Byndioss
APPLICATION # : AP924866
PERMIT # :13 -S C- 984417
DOCUMENT # :F1757105
DATE PAID :07/24/2009
FEE PAID :100.00
RECEIPT #:13 -PID- 1161751
AGENT: Miami Dade Enviromental
PROPERTY ADDRESS: 87 NE 92 St Miami, FL 33138
LOT:
SUBDIVISION:
BLOCK:
-Miami Shores ID# : 11 -3206- 013 -0290
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01] TANK SIZE [1] 1050.00 [2]
[02] TANK MATERIAL Polyethylene
[03] OUTLET DEVICE
[04] MULTI- CHAMBERED [I Y N ]
[05] OUTLET FILTER Tuf -Tite
[06] LEGEND 1 70- 109 -11DC3 2.
[07] WATERTIGHT
[08] LEVEL
[09] DEPTH TO LID
DRAINFIELD INSTALLATION
[10]
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]
AREA [1] 570 [2] SQFT
DISTRIBUTION BOX HEADER X
NUMBER OF DRAINLINES 1 8.00 2.
DRAINLINE'SEPARATION
DRAINLINE SLOPE
DEPTH OF COVER
ELEVATION [ ABOVE / BELOW ]BM 24.60
SYSTEM LOCATION
DOSING PUMPS
AGGREGATE SIZE
AGGREGATE EXCESSIVE FINES
AGGREGATE „DEPTH
FILL / EXCAVATION MATERIAL
[22] FILL AMOUNT
[23] FILL TEXTURE
[24] EXCAVATION DEPTH
[25] AREA REPLACED
[26] REPLACEMENT MATERIAL
Comments:
SETBACKS
[27]
[28]
[29]
[30]
[31]
[32]
[33]
[34]
[35]
SURFACE WATER
DITCHES
PRIVATE WELLS
PUBLIC WELLS
IRRIGATION WELLS
POTABLE WATER
BUILDING FOUNDATIONS
PROPERTY LINES
OTHER
FILLED / MOUND SYSTEM
[36]
[37]
[38]
[39]
FT
FT
FT
FT
FT
sleeved3 FT
14 FT
13 FT
FT
DRAINFIELD COVER
SHOULDERS
SLOPES
STABILIZATION
ADDITIONAL INFORMATION
[40]
[41]
[42]
[43]
[44]
[45]
[46]
[47]
[48]
UNOBSTRUCTED AREA
STORMWATER RUNOFF
ALARMS
MAINTENANCE AGREEMENT
BUILDING AREA
LOCATION CONFORMS WITH SITE PLAN
FINAL SITE GRADING
CONTRACTOR Jose Bolanos (Miami Dade E
OTHER ARDS ARC 24
ABANDONMENT
[49] TANK PUMPED
[50] TANK CRUSHED & FILLED
CONSTRUCTION [
FINAL SYSTEM [
APPROVED
APPROVED
(Explanation of Violations
/ DISAPPROVED ]:
Dade CHD DATE: 07/22/2009
Engineer specialist li Joseph R Piverger (Dade County Environmental H
/ DISAPPROVED ]:
on following page)
Editions May Be Used)
Dade CHD DATE: 07/24/2009
Engineer Specialist II Joseph R Piverger (Dade County Environmental
DH 4016, 10/97 (Previous
EH Database v 1.0.1
AP924866
EID984417
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION # : AP924866
PERMIT # :13 -S C- 984417
DOCUMENT # : F1757105
DATE PAID : 07/24 /2009
PEE PAID :100.00
RECEIPT #:13 -PID- 1161751
Violation Number
Comment
DE 4016, 10/97 (Previous Editions May Be Used)
EH Database v 1.0.1 AP924866
010984417
Page 2 of 3