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PL-13-401Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 frspection Number: INSP - 186483 Permit Number: PL- 2- 13-401 Inspection Date: March 25, 2013 Inspector: Hernandez, Rafael Owner: WESTON, MICHAEL Job Address: 660 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MR C'S PLUMBING SEPTIC INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number Parcel Number 1132060171810 Phone: (305)651 -7859 Building Department Comments INSTALLATION OF 300 SQ FT DRAINFIELD Infractlo Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments HRS IN FILE I� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until March 25, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 APPLICANT: AGENT: MrQ PROPERTY AL LOT: 56 SUBDIVISIO1' TANK INSTALLATION [01] TANK SIZE [1] 900.00 [2] [02] TANK MATERIAL [03] OUTLET DEVICE [04] MULTI - CHAMBERED [ Y / N ] Concrete [05] OUTLET FILTER [06] LEGEND 1. [07] WATERTIGHT [08] LEVEL [09] DEPTH TO LID DRAINFIELD INSTALLATION [10] AREA [1] 300 [2] [11] DISTRIBUTION BOX [12] NUMBER OF DRAINLINES [13] DRAINLINE SEPARATION [14] DRAINLINE SLOPE [15] DEPTH OF COVER [16] ELEVATION [ ABOVE [17] SYSTEM LOCATION [18] DOSING PUMPS [19] AGGREGATE SIZE [20] AGGREGATE EXCESSIVE FINES [21] AGGREGATE DEPTH 2. SOFT HEADER X 1. 5.00 2. • BELOW ] BM 20.40 FILL / EXCAVATION MATERIAL [22] FILL AMOUNT [23] FILL TEXTURE [24] EXCAVATION DEPTH [25] AREA REPLACED [26] REPLACEMENT MATERIAL Comments: ' r�T `E"O1�ZZOLE-'A1�7I3 "- 1�IC7Sfi` BE -CORIiEOs]'ED. 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 FT FT FT FT FT 40 FT 5 FT 5 FT FT FILLED / MOUND SYSTEM [36] DRAINFIELD COVER [37] SHOULDERS [38] SLOPES [39] STABILIZATION ADDITIONAL INFORMATION [40] UNOBSTRUCTED AREA [41] STORMWATER RUNOFF [42] ALARMS [43] MAINTENANCE AGREEMENT [44] BUILDING AREA [45] LOCATION CONFORMS WITH SITE PLAN [46] FINAL SITE GRADING [47] CONTRACTOR KEMBLE ETTRICK (MR C "S [48 ] OTHER ADS MPS -11 (11 pipes - 2 tier) ABANDONMENT ] ,[49] TANK PUMPED [[TANK CRUSHED & FILLED CONSTRUCTION [ FINAL SYSTEM [ (Explanation of 4 APPROVED APPROVED DISAPPROVED ] * Engin / DISAPPROVED 3: Violations on following page) DH 4016, 08/09 Incorporated: CHD DATE: 03/05/2013 unty Environmental Heak Dad -. CHD DATE: 03/05/2013 onmental Hea pec : st (Obsoletes all previous editions which 64E- 6.003, FAC EH Database v 1.0.1 AP1098 .0 not ed) E1D1456684 Page 2 of 3 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING JOB ADDRESS: Ale II 5.1 Li 8 '47 ;pi FEE') 2 :7 JLiJ BY:L FBC 20 i ri Permit No. I 1 Master Permit No. City: Miami Shores County: Miami Dade Zip: '53 1 Yk Folio/Parcel#: I( - 3a0 L - 0 0- Iklh Is the Building Historically Designated: Yes NO ... Flood Zone: VIOWNER: Name (Fee Simple Titleholder): IjOeS-VOK Phone#: Address: t1O xle cit. City: KAM %ell State: 4C" Zip: 133 Ili Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 16 di 16.4i) ef4 Phone#: 36S (517 )(SI Address: 11 LL City: tAtto.a.:‘ State: .....- Zip: 73/0 Qualifier Name: l'<'-t.- EL State Certification or Registration #: WO ( t SIL Certificate of Competency #: Contact Phone#: Email Address: DF.SIGNER: Architect/Engineer: Plione#: Phone#: 355 a WS-1. Value of Work for this Permit: $ • (lb Square/Linear Footage of Work: 3 „pf Type of Work: ClAddress UAlteration New a Repair/Replace CIDemolition Description of Work: --0W11/4.-CZ eck 3Acisotl *************4*************************Fees******************************************** ------- Submittal Fee $ Permit Fee $ / CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ 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 FAIL TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EVIPROVEMENTS 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In t .ise of such posted notice, the inspection will not be approved and a reinspec e will be charged. Signature Owner Agent Signature The foree�goin--g instrument was acknowledged before me this °�� The foregoing in day of + /Irit 2 13 by M GhCc. (A +b day of rr = <' who is personally known to me or who has produced who i As anti cation and who did take an oath. NOTARY PUBLI Sign: Print: My Commissio -ars MY COMMISSION 4 DD 891340 , EXPIRES: September 14, 2013 7 11.gQ' Bonded Thru Notary Pubic Underwriters Contractor rnent was acknowledged before me this27 20 f 3 , by fcl=� T Li I r7X Z* or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ./ �. A L Print: S My C Structural Review (Revised3 /12/2012)(Revised 07 /10/O7)(Itevised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 02/22/2013 15:03 FAX STATE OP FLORIDA DEFERMENT or HEALTH =SITE SEWAGE TREATI,I NT AND DISPOSAL, SYSTEM cowSTROCTION PST CONSTRUCTION PERMIT FOR: APPLICANT: Mary We3thn PROPERTY ADDRESS: LOT: 5 6 ©STDS Repair a 001 /001 PERMIT #:13 -SC- 1456584 APPLICATION 4; API 098050 DATE PAID: PAID: RECEIPT 0:-, DOCCRWT #: PR898191 660 NE 98 St Miami, FL 33138 BLOCK! 101 PROPERTY ID #: 11- 3206 -017 -1810 =DIVISION: [SECTION, TOOQN$IiIL, RANGE, PA CEL NOMnFA] [CSI TAX ID NUMBER] SYSTEM MUST 8E CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF' SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL O8' SYSTEM DOES NOT GUARANTEE BAT/SFACTORY psarosmAses FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANCE IN MATERIAL FACTS, MOH SERVED AS A BASIS FOR ISSUANCE OF THIS PENNIT, AEQIIIRE Tim APPLICANT TO MODIFY T8E PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PEST BEING MADE' NULL AND VOID. ISSUANCE 08' THIS PERMIT D0E8 NOT EXIT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL rzattrT".t'Ik1'G REQUIRED FOR DEVELOPMENT or THISI PROPERTY. SYSTEM DESIGN AND SPECIFICATION$ T C 800 ] GALLONS / GPD A [ 0 ] GALLON$ / GPD Sa tIC existing w L 0 1 GALLONS GR AME rwirzacence. CAPACITY X t 1 GALLONS DOSING TANN CAPACITY D L 300 1 Std FEET R L 0 ] SQUARE FEET A TYPE SYSTEM: [x] STANDARD I CONFIGURATION: t 1 TRENCH N s LOCATION 08' BENCHMARK; CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK :1250 GALLONS] ]Gh.WAEM 8 [ ]DOSES PER 24 FIRS #PueNa I 1 SYSTEM SRSTLM 1 PILL= I ] MO= L Lx1BED L ] FFE: 11.0'ngvd X S,LBifTp,'!,'IQN OS PROPOSETI SYSTEM SITE E BOTTOM or I FX LD TO BE D ma, REQUIRED: 0 T H L 20.40 ] Li =mil/ FT 1 r ABOVE it BELOW /I CSMARX /REFERENCE POM L 50.40 ] (1 INCHES I FT 1 L ABOVE 4 =Low 1$»CHIGI R /REFERENCE POINT [ 0.00] =Ku EXCAVATION REQUIRED: t 42,00 1 xNCHKs - Install 300 so ft drainfield. - Install 12° of slightly limited ,soil under bottom of dralnfleld. - Elevation of bottom of drainfield to be no less than 6.80' NGVD. - Existing 900 g septic tank, to remain. - The system is sized for 3 bedrooms with a maximum occupancy of 6 persons, for a total estimated sewage flow of 300 g/d. - Not for additions SPECIFICATIONS SY: AMMO= BY: DATE ISSUED: Da 4016, 08/09 tOiasoletae all previous Ineosporatald: 648,6.003, SAC v1.1.4 Thi` ,,trrtmrThis rr.t rr,';,;rp,r .! to t'r.'ltrin a : t h. '.' A.Ri,' .11 ext, gva,10:1 at the time of 1Ir,;ti'r, :,r', •1 r r'not T': !•tl. i f r'r,I,,v. , lttn Of711 bari :!S; ,m!; compare li',0 ;.. rF �• .: t*i 1:1n0 'ItmltrrrN, A rNn.$1:t't,00,1 • :: ,"f a :Cd rl Li.it dontracaor 1;; not at Gila loose El MA ritratigeo It.1id,'• TITLE: Engineer Specialist II Dade editions which may not no 1.1.130d) ai'7t090050 EXPIRATION DAME: 05123/2013 8E590950 CUD Pager 1 of 3