The URL can be used to link to this page

PL-13-1997Ivilall11 0114. 1 Gb V 1uA.gu uilding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (345) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (303) 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING SEP 04 20g IBC 20 Permit No. — 7? Master Permit No.D__.�r TJ JOB ADDRESS: 105'5 r1 e t05 City: Miami Shores County: Miami Dade .Lip: 33 t 3 Folio/Parcel#: it - Z2 3'7- - 0 Zt9 - ®8 10 is the Building Historically Designated: Yes NO Flood lone: OWNER: Name (Fee Simple Titleholder): CA\i1Stie r Cc "'10S G21301leAM Phone #: Address: PO SIS I'r (0$ S -- — City: M i ArA i S Lt,.® re-S ,State: r-u — Zip: _ 3 3_ /-�'-a_ Tenant/Lessee Name: Phone #:. Email: CONTRACTOR: Company Name: Sf' •t ,,0\' cee° ' G Cr'i-^ S 1"c Phone #: a� ,oS-- 49 4) • -6 6 3 3 Address: (0 ® 'bZ. &s'3 2-3 S-t City: M t r®, re\ C. ✓ State: FL Zip: 3 3 Qualifier Name: `tom Se ®° M'0' Phone# State Certification or Registration #: S kA or, -7 tZ6Z Certificate of Competency #: _• __ Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone# Value of Work for this Permit: $ -13 00 Square/Lin ootage of Work: Type of Work: OAddress © It -- ,'.l�New epair/Replace ODemolition kj a^0 &a'4 Description of Work: - t.? _ �.. . � t�• �' Al � V Submittal Fee $_,,?., r •400 Permit Fee $ Ig ��' ® CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ 1?:ond Notary $ Training/Education Fee $ Technology Fee $ __ Double Fee $ Structural Review $ TOTAL FEE NOW DU E $ bsar> wing wmpany-s ivaane tit appta ote) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 OWNERS 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 certfed copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days Ater the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature '°�'�' ^' Owner or Agent Contractor The foregoing instrument was acknowiedget%be ' me this 414 The foregoing ' strument was acknowledged before me this day of 20, by = o 3 of 20 �L, by�gq- 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: XM%1V • nv 7trYnr wire_ My Commission Expires. Structural Review Clerk 0tcvi=dN1M012XDevised- 07d10/o AeviW 06/10iM)(RVAWd 3115109) [ i [ r t t t t r ] 7 i ] ] 1 I ] ] [ 7 [ 7 t] [031 OUTLET DEVICE j [041 MULTI - CHAMBERED 1051 OUTLET FILTER j 1061 LEGEND •5� /� �'— as C r [081 LEVEL TIGHT EVEL r 1091 DEPTH TO LII? •Z y [ DRAINFIELD INSTAXZATIQN 1101 AREA r111 9jXJY -12" lASQFT r [111 DISTRIBUTION BOX HEADER ✓ [ [121 NUMBER OF DRAINLINES _ .3T.- ce.«,,�� 1131 DIZAINLINS SEPARATION 2 L [ [141 DRAINLINE SLOPE [151 DEPTH OF COVER /.2 0%-4L.v {161 . ELEVATION [AB.OVB LO BM �/ [ [171 S3;STEM LOCATION ' [ 1181 DOSING PUMPS 1191 AGGREGATE SIZE [201 AGGREGATE EXCESSIVE FINES [ [217 AGGREGATE DEPTH /v FILL / EXCAVATION MATERIAL [ [221 FILL AMOU [231 FILL TEXTURE x241 EXCAVATION- DEPTH [251 AREA REPLACED 1261 REPLACEMENT MATEyZn EXPLANATION OF VIOLATIONS / REMARKS: [ 7 ABANDONMENT [ ] [49] TANK PUMPED 123113 I 7 •[501 TANK CRUSM . & FILLED Q 14V % [ 7 17 a CONST9UCTI [APPRO DISAPPROVED] s �+ � la.�+�I.G�R... �. -O`er. CHD DATE: 3 3 FINAL SYS PRO DISAMOVED1 : _ 00-4-4{%l Cwa."r c a . CHD DATE: S ' a 3 "{ 3 DH•4016, 0$109 -(Obsoletes all previous editions which may not be used) Incorporated•: 64E- 6.003, FAC Page 2 of 3 FILLED i MOUND SYSTEM FT 1 [28) DITCHES FT 1 [291 PRIVATE WELLS FT 1 [30] PUBLIC W=S . l [311 IRRIQATION. WELL'S FT ] [321 POTABLE WATER %INNS [401 1 1331 BUILDING FOUNDATION FT 1 [34] PROPERTY LINES rJ FT 1 [35] OTHER FT ABANDONMENT [ ] [49] TANK PUMPED 123113 I 7 •[501 TANK CRUSM . & FILLED Q 14V % [ 7 17 a CONST9UCTI [APPRO DISAPPROVED] s �+ � la.�+�I.G�R... �. -O`er. CHD DATE: 3 3 FINAL SYS PRO DISAMOVED1 : _ 00-4-4{%l Cwa."r c a . CHD DATE: S ' a 3 "{ 3 DH•4016, 0$109 -(Obsoletes all previous editions which may not be used) Incorporated•: 64E- 6.003, FAC Page 2 of 3 FILLED i MOUND SYSTEM 1 [3 61 DRAINFIELI) COVER 1 [371 SHOULDERS 1 [381 SLOPES 1 [391 STABILIZATION ADDITIONAL INFORMATION 1 [401 UNQBSTRUCTED AREA ] [411 STORMWATER RDAbVP ] [42] ALARMS -i C •$ •. d7ei 1 [431 MAINTENANCE AGREEMENT 1 [441 BUILDING AREA 1 [451 LOCATION CONFORMS WITH SITE PLAN 1 1 [461 [471 FINAL SITE G G CONTRACTOR 1 [481 OTHER ABANDONMENT [ ] [49] TANK PUMPED 123113 I 7 •[501 TANK CRUSM . & FILLED Q 14V % [ 7 17 a CONST9UCTI [APPRO DISAPPROVED] s �+ � la.�+�I.G�R... �. -O`er. CHD DATE: 3 3 FINAL SYS PRO DISAMOVED1 : _ 00-4-4{%l Cwa."r c a . CHD DATE: S ' a 3 "{ 3 DH•4016, 0$109 -(Obsoletes all previous editions which may not be used) Incorporated•: 64E- 6.003, FAC Page 2 of 3 b T FIEPAIR ^? r;OUNTY HEALTH DEPAR911' STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS APPLICANT: Christina & Carlos PROPERTY ADDRESS: 1055 NE 105 St Miami, FL 33138 11t5y . P 04 ZOO PERMIT #:13 -SC- 1487477 APPLICATION #: AP1115894 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR915069 LOT: 10 BLOCK: 5 SUBDIVISION: Miami Shores Estates PROPERTY ID #: 11- 2232 -028 -0810 [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 [ 900 ] GALLONS / GPD septic tank CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ 225 ] GALLONS DOSING TANK CAPACITY 150.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ] D [ 225 ] SQUARE FEE! R [ ] SQUARE FEE! A TYPE SYSTEM: [ ] I CONFIGURATION: [x] N trench configuration drainf SYSTEM SYSTEM STANDARD [XI FILLED [ ] MOUND TRENCH [ ] BED [ ] F LOCATION OF BENCHMARK: FFE 5.1' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 13.20][ INCHE3 FT ][ABOVE BELOW BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 19.20]I INCHE3 FT ][ABOVE BELOW BENCHMARK /REFERENCE POINT L D E O T H E R SPECIFICATIONS BY: Teresa J Solomon TITLE: Master Septic Tank Contractor APPROVED BY: �o[„ 3%lre/' TITLE: Engineering Specialist II Dade CHD Erlande onisca DATE ISSUED: 08/22/2013 EXPIRATION DATE: 11/20/2013 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) The Contractor (or deSignee) i� �IrgC1 &(t�tOrnl a Incorporated: 64E- 6.003, FAC Soil Goring 16j,aCP,nt t0 t<<e drain fc d exuaja)n at iile v a. 1.4 AP1115894 N s � fiinal i�ispecjior, Prior to Final Approval, the ooH, inspCCt�f sifali witness the soii horiricl ars,j Cnrnf)are ii7e res +wits to the origioal sire e °rah,atiUr� Cubmittoc. A 16f1sp8cliop -Ee Will i1S as,es: ec+ if the ccnirac r is mat t DOCUMENT #: PR915069 - Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. -Invert elevation of drainfield to be no less than 4.0' NGVD. - Bottom of drainfield elevation to be no less than 3.5' NGVD. -Water line within 10 It of septic system to be Sch 40 PVC or sleeved in accordance with FAC Ch 64E- 6.005(2)(b). -This permit includes the abandonment of the existing septic tank and dosing tank. ie system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of )0 gpd.