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PL-14-95Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206291 Permit Number: PL- 1 -14 -95 Scheduled Inspection Date: February 19, 2014 Permit Type: Plumbing - Residential Inspector. Diaz, Osvaldo Owner: MORERA, JAVIER Job Address: 464 NE 91 Street Miami Shores, FL Project: <NONE> Contractor: MIAMI DADE ENVIROMENTAL comments INSTALL 200 SQFT DRAINFIELD Inspection Type: Final Work Classification: Drainfield Phone Number (305)305 -1524 Parcel Number 1132060190030 INSPECTOR COMMENTS False Phone: 786 -251 -4099 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 205890. NO ONE HOME ED�' SOD REQUIRED HRS APPROVAL REQUIRE Failed 5 C� ) Correction ❑ - - -- Needed r' Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 18, 2014 For Inspections please call: (305)762 -4949 Page 30 of 53 DIVISION Of Environmental Health ob Florida Department of Health � "Miami-Dade County Health Department RN Q OSTDS/Well Division 11805 SW 26 St. • Miami, FL 33175 O Inspector Date i 24'2 0 I q Address N I' A � .lam / _ _ OSTDS # 22DE i Comments: Signature Miami Shores Village GENET Building Department JAN; 9 1.2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 j3 Y; INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 201D BUILDING PERMIT APPLICATION Permit Type: PLUMBING Permit No. Master Permit No. ?(,, I tA _615- JOB ADDRESS: 6y Aj i- q i G 7— City: Miami Shores County. Miami Dade Zip: -� l 3 `' Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): l A u te- (y ��(Lti 12 L�1 c'2 Phone #: City: E dQ P-31 "3640 n& I State: Tenant/Ussee Name: Email: zl/2- 373S>--' CONTRACTOR: Company Name: ��( D�° �`- c�, °LLc��`�¢t Phone #: Address: ' ��J� e160 a 5 A 33 t '- City: 1''el gwi.. State: Qualifier Name: (i,'6; 75'-L 7 51 —g4_0 29 State Certification or Registration #: C(- o 12 ! 2 Certificate of Competency #: S 14 CC (2 Ito l-7 Contact Phone #: Email Address: DESIGNER: Architect/Engineer: L/ 9 Phone #: Value of Work for this Permit: $ 3 '500 Square/Linear Footage of Work: 0c,cD Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: B -rll 11 A- Pr 0/•= P L rfid' i J c j Submittal Fee $ Permit Fee $ J156- CCF CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b roved and a reinspection fee will be charged. Signature Signature Owner Contractor The foregoing. instrument was acknowledged before me this 921 day of p ,20L�-,by ADULeh Ptoftr ar who is personally known to me or who has produced / As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co 'ssion Expires: JOSE R. BOLANOS MotW Public, mate of Ronda The f egoing instrument was acknowledged before me a of ` , 2014 , by�$le: 13 OA*J' , who is personally known to me or who has producedE� �®R,_ pp Co n>is IN Fxg1rN 01104 M4 APPROVED BY Plans Examiner Structural Review (Revised3 /12/2012XRevised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) as identificatigkpdAldl V tarod take an oath. o0 qr/ NOTARY PUBLIC•��` s Sign: Print: My Commission Expires ' ,,i, ®%q�n111`\`\`����`��• Zoning Clerk TkF.F 'AIR {p I -DARE COUN CY HEA-TM DEPARWVW STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Javier Moreno PROPERTY ADDRESS: 464 NE 91 St Miami, Fl. 33134 LOT: 1 BLOCK: 5 SUBDIVISION: PROPERTY ID #: 11- 3206-019-0030 PENT #: 13-SC-1 515499 APPLICATION #: AP1132205 DATE PAID: FEE PAID: RECEIPT #: Docm=T #: PR927244 Ell Portal (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 649 -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 Septic CAPACITY A [ 0 l GALLONS / GPD CAPACITY N [ 0 I GALLONS GREASE INTERCEPTOR CAPACITY cmhxIMOM CAPACITY SINGLE TANK:1250 GALLONS] K [ l GALLONS DOSING TANK CAPACITY ( ]GALLONS e[ ]DOSES PER 24 HRS #Pumps [ I D ( 200 l SQUARE FEET Bed configuration drainfiel SYSTEM R ( 0 1 SQUARE FEET SYSTEM A TYPE SYSTEM: [xl STANDARD ( ] FILLED [ I MOUND [ I I CONFIGURATION: [ ] TRENCH [xI BED [ I N F LOCATION OF BENCHMARK: FIFE 10.7 I ELEVATION OF PROPOSED SYSTEM SITE [ 22.80][ INCHES FT I ABOVE/ BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 44.881[ INCHES FT I[ ABOVE iI BENCHMARK /REFERENCE POINT L D E 0 T H E R ILL AKWU.LAKU: L U.UU 1 IMUU U NAUAYAW -LUM ANWUIX": L LL.UU 1 lmf-;n&D 'I.-Existing 750 gal. septic tank, certified by "Miami Dade Environmental" on 01/05/2014 to remain. 2.-Install 200 sf of drainfield in bed configuration. 3.-Invert elevation of drainfield to be no less than 7.46' NGVD. 4. -Bottom of drainfield elevation to be no less than 6.96' NGVD. System sized for 2 bed with a max occupancy of 4'persons (2 per bedroom), for a total est flow of 300 gpd. THIS PERMIT IS NOT FOR ANY ADDITIONS. SPECIFICATIONS BY: Miami Dade Envi TITLE: APPROVED BY: TITLE: Engineering Specialist Ix Dade CHD Betsy range- oiadna DATE ISSUED: 01/17/2014 EXPIRATION DATE: 04 /17/2014 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated:. 64E- 6.003, FAC The contractor (or designee) is required Mgpff rrbt s3"l v 1.1.4 "1132205 boring adjace€ 9V@9@ drainfield excavation at the time of fir „. inspection. Prior to Final Approval, the FDOH inspector shah witness the soil boring and compare the results to the origina' ewal. ,-ation submitted. A reinspection fee will be assess tr:e c cr air a not at t`p jobsite 3t the arranged ti” STATE OF FLORIDA APPLICATION # AP1132205 DEPARTMENT OF HEALTH PERMIT # 13SC- 1515499 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE917338 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Javier Moreno CONTRACTOR / AGENT: Miami Bade Environmental LOT: 1 BLOCK: SUBDIVISION: El Portal ID #: 11- 3206-019-00 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTN MT EMPLOYES, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SI23 CONFORMS TO SITE PLAN: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMhTED SEWAGE BLOW: 300 GALLONS PER DAY [ RESIDENCES-TASLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD /ACRE OR 1 2500 GPD /ACRE ] UNOBSTRUCTED AREA AVAILABLE: 350.00 SQFT UNOBSTRUCTED AREA REQUIRED: 350.00 SOFT BENCM6= /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE THE MINIMUM SETBACK WHICH CAN BE MAX SURFACE WATER: FT WELLS: PUBLIC: FT LIMI BUILDING FOUNDATIONS: 5 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 FFE 10.7 22.80 [ INCHEB / FT ] [ABOVE / BELOW ] HENC�91R1C /REFicE POINT NTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES DITCHES /$WALES: FT NORMALLY WET: [ ]YES [ ]NO TED USE: FT PRIVATE: FT. NON - POTABLE: FT PROPERTY LINES: 2 FT POTABLE WATER LINES: 50 FT [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES IX]NDj FT I MSL /�] SITE ELEVATION: 8.80 FT I MSL /FNGMJ SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Urban land Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 12 10YR 6/1 Sand 12 To 24 10YR 7N Sand 24 To 72 USDA SOIL SERIES: Urban land Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 12 10YR e/1 Sand 12 To 24 10YR 711 Sand 24 To 72 OBSERVED WATER TABLE: INCHES I ABOVE / I EXISTING GRADE TYPE: [ PERCHED / APPARENT I ESTIMATED WET SEASON WATER TABLE ELEVATION: 45 INCHES I ABOVE /FEELOW�] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [XINO DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 22 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ I OTHER (.SPECIFY) - REMARKS /ADDITIONAL CRITERIA SITE EVALUATED BY: DATE: 01/1512014 Miami Dade Envi, (Title: ) (Miami Dade Environnm t S) D8 4015, 09/09 (Obsoletes previous editions which may not be need) Incorporated: 649- 6.001, FAC Page 3 of 4 AP1132205 8D1518499 v 1.0.2 -711-0 1. , 'S " I - a' I I,;* _ i 1: 4IiFF r ■ \�rrr'rrrrttrNNE rrrrrSEE ■rrr ■r��mrrrrrrrr ■rarrrrr■ ■rrr■ rr �rrrrrrrr�rrr■ ■r�rrrrrrr ■rrr■ ■rt�l rtrrrtlt ■rrrrrrtr■ rtrr■ ■rrr \rrtr rr ■rrrrrrtr■ rrr mom rrrr►�rtrrrrorr rrrrrrtr■ �rrrrrrtrr��rrrrrrrrr■ rr�rrtr■ ^��!r■ ■r�r�rt�jrtrrettrr■ r■ ■rr■ �!Q, �'!� �ii��l■ irrf�rrr��r■ rrl� ■ ■ /!'l r iir�:ilil {■ trG [ 11mnmono %rr■ rrr rr ®r■ rr■ tort rrtr■ ■RSrrr �;rrtrrrtFtrrm► -r■ ■���r ■ ■ o ■ rt■ r■ ■rrrramsrtt■ �r�,.;� ■ � ■L� ■rtrrtrr rrtr�',.ltMt■ i TlEsn ■ ■m■ ■r rrrrrrrr r l�t rrr�ia!lrrr ■���r %���r.r��r ttrr■ ���'��E= ��z■ %r►ir,.sm.isrmrr■ orrrr■ l��,,_ is Vic: ©rrrrt�:�l ►rrrrt'rrrrr■ NI!'�r__pm:;iAM, rrMOA- mmum mrriir®rrtrr �rrrrrrrrrrrrrrrtrrtrrt■ r;rl Y..r�il�i� ■rrrrrrrMrrrrii, ..Tt"' !�!. 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