PL-12-2301Miami 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
FBC 20 D
Permit No. Li"), l
Master Permit No. 2._..m Lo-12 I OOdi
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: 7 7 qG
City: Miami Shores County
Folio/Parcel #: / / - 2Dlaa�)/ 3 ` Cam un)
Is the Building Historically Designated: Yes NO
Miami Dade
Zip: r`.
OWNER: Name (Fee Simple Titleholder): ►i2L L/ (Cfl �' ! Phone#:
Address: 7�
City: State:
Flood Zone:
Zip: y ` i
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
�J
Address: 4 .5 P/b
City:
Qualifier Name: 04/ /' ®i! 7 ( L(2 C a?
State:
%,/fi%ne#: S 2 SLZZ
!
�® Zip: _
Phone#: s, -J
State Certification or Registration #: /07 1) Certificate of �Competency #:
Contact Phone#: Email Address: A c/7 »/ v). dn?'.0
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ C 0-'7) Square/Linear Footage of Work:
Type of Work: °Address Alteration ON w, ORepair/R ace °Demolition
('
f
Description of Work: ,L� f_0// Liz/.1)//191(
* * * * * * **
* * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 160 — CCF $
Scanning Fee $ Radon Fee $ DBPR $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
CO /CC $
Bond $ .5C4D' Cs°
TOTAL FEE NOW DUE $
f
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 F.T.F,CTRICAL 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 wil de • ered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencemen must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab: ence of su ' posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of_, 20 ! a, by
who is personally known to me or who has produced
ODJ As identification and who did take an oath.
NOTARY PUBLIC:
Signature
for
The foregoing instrument was acknow el pefore me
day of j D6r) tr, 20/ 2-, by Ud l06 0
who is personally known tgmme o who has produced
as 'dentific.ri on and who did take an oath.
oipt,
NOTARY
Sign:
Print:
My Commissio
************** * * * * * * * * *** * * * * * * * * * * * * * * * * * * *' ******* ******fig***** *8��kffi�N�k�k*** ***
APPROVED BY !�� Plans Examiner
Structural Review
(Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09)
*
SARIMA BATISTA
MY COMMISSION # 00 885425
EXPIRES: May 11, 2013
ad Thru Notary Public Underwriters
Zoning
Clerk
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Mary Morgan
PERMIT #: 13-SC-1413558
APPLICATION #: AP 1073888
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMNT #: PR878915
PROPERTY ADDRESS: 307 NE 95 St Miami, FL 33138
LOT: 1011
BLOCK: 44 SUBDIVISION:
PROPERTY ID #: 11- 3206013 -6000
[SECTION, TOWNSHIP, RANGE, PARCEL NUMER]
[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 [ 1,200 ] GALLONS / GPD CAPACITY
A [ ] GALLONS / GPD CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS 9[ ]DOSES PER 24 HAS #Pumps [
D [ 834 ] SQUARE FEET SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STAWfOARD I ] FILLED I] MOUND ( ]
I CONFIGURATION: 1 ] TR [x] BED [ ]
N • ►.!{.
F LOCATION OF BENCHMARK: O/Lt. SW 3 Avenue/95 Street 10.04' NGVD. ■
I ELEVATION OF PROPOSED ilYSTEM SITE I 8.88 1 If INCHES [ FT ] ( ABOVE A BELOW I] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE 1 38.881[)INCHES ' FT II ABOVE BELOWiBENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: 1 0.00 ] INCHES
0
T
H
E
R
EXCAVATION REQUIRED: 1 72.00] INCHES
1— Install 1200 gal. septic tank equipped with an approved filter. 2 -The licensed contractor installing the system is
responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f). 3- Install 834 sf of
drainfield in bed configuration. 4- Install 42" of slightly limited soil under the bottom of drainfield. 5- Perimeter of
excavation area shall be at least 2 ft wider and longer than the proposed absorption bed. 6- Invert elevation of drainfield
to be no less than 7.30' NGVD. 7. Bottom of drainfield elevation to be no less than 7.80' NGVD. 8. This permit includes
the Abandonment,cthe existing septic tank.
SPECIFICATIONS BY: Teresa J Solomon TITLE: Master Septic Tank Contractor
APPROVED BY:
DATE. ISSUED:
Pedro N ospina
06/27/2012
TITLE:
Dade
EXPIRATION DATE: 12/27/2013
DH 4016, 08/09 (Obsoletes all previous editions which may not be. used)
Incorporated: 645 - 6.003, FAC
v 1.1.4 AP1073888 3E873468
Page 1 of 3
THIS DOCUMENT HS A COLORED BACKGROUND • MICROPRINTING • LINEMARK PATENTED PAPER
BATCH NUMBER 1I- f''
Expiation cl ®t AETG
4
692596-1 THIS ISNOT ABILL; DO:NOT PAY -
RENEWAL
% BUSINESS NAME/LOCATION RE�CcEPTRO. 374186 -6
ILLSTATE DIVERSIFIED' ENGINEERING STATE* CGC058347
7399-SW 45 ST
33155 UNIN DADE COUNTY
OWNER
ALLSTATE DIVERSIFIED ENGINEERING
selinaglin BUILDING CONTRACTOR WORKS /S
FIRST -CLASS
U.S. POSTAGE t
PAID
MIAMI, FI.
PERMIT NO. 231
THIS IS ONLY A LOCAL
BUS TAX RECEIPT. IT
DH NOO PIOAE AE Y
EXISTING REGULATORY OR
ZONING LAWS OF THE
COUNTY OR CITIES. NOR
DOES IT EXEMPT THE
HOLDER FROM ANY OTHER
PERMIT OR LICENSE
REQUIRED BY LAW. THIS IS
NOT CEPTRFIDATD3N OF
THE HOLDER QUALIFICA-
TIONS.
�P�pAYMMENT RECEIVED
GDI TDA+ cOUNTYTAX
9/17/2012
60080000120
000075.00
SEE OTHER SIDE
DO NOT FORWARD
ALLSTATE DIVERSIFIED ENGINEERING
ANC
MIRIAM GONZALEZ PRES
7399 SW 45 ST
MIAMI FL 33155
i huli lithinhht l hh Onsid uI ilijj i 1
30
692598 -7
THIS IS NOT A BILL - DO NOT PAY RENEWAL
BU EVYMffWAIN50lFIED ENGINEERING STATEVETPUR26847
INC
7399 SW 45 ST
33155 UNIN DADE COUNTY
°STATE DIVERSIFIED ENGINEERING
snirleNNTAG CONTRACTOR
THIS IS ONLY A LOCAL
BUSINESS TAX RECEIPT. IT
DOES . NOT PERMIT THE
HOLDER TO VIOLATE ANY
EXISTING REGULATORY OR
ZONING LAWS OF THE
COUNTY OR CITIES. NOR
DIES IT EXEMPT THE
HOLDER FROM ANY OTHER
PERMIT OR UCM3NSE
REQUIRED BY LAW. THIS IS
NOT A CERTIFICATION OF
THE H.OLDER'S QUALIFICA-
TIONS
PAYMENT RECEIVED
MIAMI -DADE COUNTY TAX
cO 09/17/2012
60080000117
000075.00
SEE OTHER SIDE
`WORKER /S
1
DO NOT FORWARD
ALLSTATE•DIVERSIFIED ENGINEERING
INC
MIRIAM GONZALEZ PRES
7399 SW 45 ST
MIAMI FL 33155
FIRST -CLASS
U.S. POSTAGE I
PAID
MIAMI,
PERMIT NO. 231
682096 -4
1i Mfl i1Mf ii1ilt ll M1MTl tl Mil iM hh1.MIliiililliJil,Mfiiiij14igf
32