PL-14-470Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2104 Fax: (305)756 -8972
inspection Number: INSP- 209291 Permit Number: PL4 -14470
Scheduled. Inspection Cate: April 01, 2014 Permit Type: Plumbing, Residential
Inspector. Diaz, Osvaldo
inspection) Type.: Final
thmer: BENSON, ROBERT Work Classification: Septic
Job Address: 16433 NE 6 Avenue
Miami Shores, FL
Project: <NONE>
Phone Number
Parcel Number 1922310120160
Contractor: STATEWIDE SEPTIC CONNECTIONS Phone: (954)9bl -0082
comments
SEPTIC
INSPECTOR CUMMENTS False
March 31, 2014 For Inspections please call: (306)762 -4948
Page 23 of 50
Inspector Comments
Passed
�
HRS IN FILE
1
'
Failed
Correction
Needed
,L -Zy
Re- Inspection
Fee
No Adddional Inspections can be.scbedtded until
m4nspection fee is peid..
March 31, 2014 For Inspections please call: (306)762 -4948
Page 23 of 50
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VIVISION OF
EnAmnmentat Health
Florida Health
Miami-Dade County
OSTDS/Well Division
1805 SW 2611 Strect - Miami, FL 33175
Inspector r Date..
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Comments:
Signature
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APPROVED BY
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REPAM
MAMI -DADE COUNTY HEALTH DEPARTMIM
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
APPLICANT: Robert Benson
OSTDS Repair
PROPERTY ADDRESS: 10433 NE 6 Ave Miami, FL 33138
LOT: 20 BLOCK: na SUBDIVISION:
PROPERTY ID #: 11- 2231 -012 -0180
PERMIT #:13 -SC- 1524703
APPLICATION #: AP1138065
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR932162
[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 CAPACITY
A I 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps I ]
D [ 150 ] SQUARE FEET Trench configuration drain SYSTEM
R I 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ 7
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: FFE 13.3' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 16.80][
E BOTTOM OF DRAINFIELD TO BE [ 52.80][
L
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R
FT ][ ABOVE A BELOW1 BENCHMARK /REFERENCE POINT
FT ].[ABOVE BELOW BENCHMARK /REFERENCE POINT
'.L" MwU.LKsu: l U.UU ] INCHES EXCAVATION REQUIRED: [ 36.00 ] INCHES
1.- Install a 900 gal min. septic tank with an approved filter.
2. -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.
3.- Install 150 sf of drainfield in trench configuration.
4. -Invert elevation of drainfield to be no less than 9.40' NGVD.
5. -Bottom of drainfield elevation to be no less than 8.90' NGVD.
6. -This permit includes the abandonment of the existing septic tank.
APPROVED BY:
DATE ISSUED:
DH 4016, 08/09
Incorporated:
BY: Teresa J Solomon TITLE: Master Septic Tank Contractor
1 TITLE: Engineering Specialist II Dade CHD
Be 9y 8IIQ@- OSIIIiAO
03/06/2014 EXPIRATION DATE: 06/04/2014
(Obsoletes all previous editions which may not be used)
64E- 6.003, FAC Page 1 of 3
0 1.1.4 APii3edTd5e rontractor (or deijM%W required to perform a soil
ooring adjacent to the drainfield excavation at the time of final
inspection. Prior to Final Approval, the FDCH inspector shall
w. fitness the soil hori; g and compare the results to the original
eva!:.:ation submitted. A reinspection fee will be assessed
.� ,�i,e cortractor is not at the jobsite at the arranged time.
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DEPARTMENT OF HEALTH
... ' APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM GUMS I P UCT{ON PER1I,tiT
Permit Applic,�t"on PIur1 _,�
fl� — — — -- PART It -SITE PLAN------ — — --- — —
- i
Scare: Each block represents .5 feet and 1 inch - 50 feet.
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Site Plan submitted by: �. _ : CEOi --� 2^
attire Title
P(ao Approved Not Approved pproved Date 21 h�,
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County Health De'partm--
ALL CHANGES P-1U T DE APPROVED 'BY THE COUNTY HEALTH DEPARTMENT
9440-5.
(R�tacea FffiS -t{ �qtm MOSS �ft m,►Y � ur.�f) ,
{S: WA tumor: 5744.W2- 4015.0.