PL-13-1839 08-28-'13 06;38 FROM- T-701 P0008/0017 F-970
�I1,S�I @Q 10l1R'Works-hoot
Miami Sh-of°es:Villa'ge
'I10000 kt*.:2rrd Av.qhue Mia,i<t1 Sltor'e ,FL.
Phonies(30.5)705-2204 FaXC( A5)7s6�s972
inspecijanN.umber INSP-1$7 17 l+em3jt;[y�Ii'Cfl9 r: ILL-$M -'�$�39
SOh Ie�I In pedfio gate:AtlgtESt 27,.2oz3 Pgrmlt Type; Plumbing= Re%ldentlal
inspector'Uldt,Osvaldo
Inspecfion Typo: Final
pwrier: 1N1LltAtIAS,R(?f31IlRT 'Work.b.fassificab'on: brainfleld
Job Address:36s NE'0+;$trget
Miam ,FL•*10_ t'norie Nuttie r
Parcel Number '11$2060,135'930
project: �Nf}NE>� --- -.
G,ontrac or: 09006153.6 MR G's l CQMI3040*4$IrPT(41HC Ph4ino:ij346)86^I-7 59
13uiloing D90ortment Comrherlts:
INSTALL DkAINFIrLp InFr��I.a Passed CpmmentG
INSPECTOR COMMENTS False
Inspector Comments
Passed LV-1 Hk&19 rI.LE
Fade'•
{rbi"rettion
Needed
Rte-Intoodtion
Fea
No Additional Inspections can be satedulad until
re-Irigpaciion fee is paid.
August 26,2013 For InspecilonS please call:(305)702-4949 page 21 of 38
C
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MR:
w
s � Miami Shores Village
Buildin g Department
artment n
AUG r
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type:PLUMBING
JOB ADDRESS: 3 K roc— 9t
City: Miami Shores County: Miami Dade Zip: I J�
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): %6 Pt W 9 ll k Mn Phone#: 311a'77r 663 G
Address: 3q �� �� S't-
City: A 1A-, State: ----Zip: 7.> J3
Tenant/Ussee Name: Phone#:
Email:
CONTRACTOR:Company Name: lfff" / +e Phone#:
Address: f ft.u i14d Q v
��_ e
City: Af000 State:
Qualifier Name: K0114- 1a Phone#: .05V77e5_17
State Certification or Registration#: SP,'o 15-3/0 Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 02k".60 Square/Linear Footage of Work: 36z�
Type of Work: ❑Address ❑Alteration i� ONew A-Mepair/Replace ❑Demolition
Description of Work: 44;
Submittal Fee$ Permit Fee$ 1 ° ® CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$�
J
i
Bonding Company's Name(if applicable)
it
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 absence of such posted notice, the
inspection will not be approved and a reinspe tion fee will be charged.
Signat Signature
Owner or Agent Contractor
The foregoing instrument was ackgledged before me this 0— The foregoing instrument was acknowledged before me this
day of�_,20 L,by k\)V n�%-T day of 20 13 ,by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: ABLE ETfRICK My Co si it N6
S�YYPe�� Mtt �E0,75t3
MY COMMISSION#DD 891340 1� ��,4
EXPIRES:September 14,2013
... Bonded o?' BondedThruNotaryPublicUrrderaters .'
sk�MNkIS�skbelS�sBk��skNAsHN�k d� Aaekek sk�a��a✓aN�kIss§skskkk dsNk�sR�sksRkRsNkNsk��a�ssk�s��sk
APPROVED BY F6}->-13Plans Examiner Zoning
P
Structural Review Clerk
(RevisedMV2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
FLORIDA
STATE o>• PERMIT #:.13-SC-1488313
t
I*PARTMI3T!7T of EXALTH APPLICATION #:AP 1'11 fi413
ONSITE SEMMM TREATMENT AND DISPOSAL DATE PAID:
SYSTEM FEE PAID
CONSTRUCTION PERMIT
RECEIPT #:
DocaMEnT #: PR913881
OCTION PERMrr VM: 0SMS Repair
APPLICANT'_ Rdmt VVKmm
PROPERTY ADDRESS: W5 W 96 St Afilanf4 a 33 W
LOT: 23 24 : 43 IVIsION: Ward Shores Sec 1 Amd
PROPERTY ID #: 11-32 13-5 M [SEMO U, Tomamp, Rte, P ]
[OR TAX ID 11UMBER1
SYSTEM MUST BE CC2182MCTED IN KITH MCPSIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHUTER, SU-S, F.A.C. DEPJ042MENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY VERNESOVACE FOR ANY SPECIFIC lqWCD OF TIME. ANY CHANGE IN M&EM M FACTS,
MICH SERVED AS A BASIS FOR IS LE OF THIS PERMIT, RZOUIRE TIM APPLICANT TO MODIFY THE
PERMIT APPLICATION. SLICE MUM 3TIONS MAY RESULT IN THIS PST BEING MAD& NULL AND VOID.
ISSUANCE OF THIS PST DOES NOT EMWT THE APPLICANT FROM COMlM=WR WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR 099MAWKENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATI
T [ 900 ] GALLONS f am existing septic tank CAPACITY
A [ ] GALLONS f DPD CAPACITY
N [ ] GALLONS GREASE INTMWZPTOK CA_MCITv CAPACITY SINGLE TANK:1250 GALLONS]
x [ ] GALLONS DOSING TANK CAPACITY [ ]GALLS @E ]DOSES PER 24 EM #Pumps [ I
D [ 300 7 SQUARE FEET bad coafturation drainfd SYSTE4
R [ l SQW= FEET SYSTEM
A TYPE SYSTEM: [S] STANDARD [ ] FILE [ ] MO= [ ]
I CONFIGURATION: [ } TREE [a] BED E l
N
F LOCATION OF FFEVA. NGVD
I ELEVATION OF PROVOSED SYSTEM SITE E 22.$0] IN s FT ]I ABOVE Ponn
E BOTTOM OF DVA32078M TO HE 1 62.80]'N FT ]E AWVE POINT
L
D FILL REQUIRED: [ ] XHCEEKS : E 52A01 INCHES
O 1:Existing 900 gak septic tank cartiffled by N:C's Pkmdft A Septic on 0818WM3,tD remain-
2:Install 300 sf of drat d in bed confiauratiom
T 3.4nstall IT of slkjhtly&Tfded scg at the bottom of the drainfield.
H 4-Perimeter of excavation area shall be at least 2 R wider and Irrujsr than the proposed absorption bed or drain trench.
.Invert elevation of dreirAld in be no iess lhan 7.57'NGVD.
E 6.Bottom of drainfaeld elevation to be no less than 7.1T NGVD.
R System sized for 3 bedrooms with a max occupancy of 6 persons(2 per bedroonh�for a total est.flow of 4009PCL
SPECIFICATIONS BY: ZENBLE ETTRICK TITLE:
APPROVED BY: TITLE: Engineering specialist II Dade Clm
DATE ISSUED: 0121113 EXPIRATION HATE: 11/06)2013
DH 4016, 08/09 (Obsoletes all previous editioas which may not be used)
Incorporated: 64E-6.003, FMC Page i of 3
v 1.1.4 B.P1116413 SE9 05357