PL-14-986Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-212441
Scheduled Inspection Date: August 28, 2014
Inspector: Diaz, Osvaldo
Owner: CASTANEDA, DAVID & KARA
Job Address: 9525 NW 1 Court
Miami Shores, FL
Project: <NONE>
Contractor: MR C'S PLUMBING & SEPTIC INC
tsunasng uepartment comments
INSTALL SEPTIC SYSTEM
Permit Number: PL -5-14-986
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Phone Number (786)281-1825
Parcel Number 1131010240300
INSPECTOR COMMENTS False
Inspector Comments
PassedDll�
HRS IN FILE
Failed L�
Correction
Needed ❑r
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (305)651-7859
August 27, 2014 For Inspections please call: (305)762-4949 Page 4 of 27
Miami Shores Village
o a`'
Building
g De artPment MAY 14 W
1 90050 N.E.2nd Avenue, Miami Shores, Florida 33138
1 Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 13y'
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. u
Permit Type: PLUMBING
JOB ADDRESS: l f IUW L
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: /t -1/p/ _ 0,7e)0
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): �_-� (A—
Address:�n' vsk
City: l +IM \- S � S State: FF fL Zip:
Tenant/Lessee Name: Phone#:
CONTRACTOf�
R: Company Name: _ ,It' G 0' /k� / ,�� Phone#: 34 67 Z
!
Address: f f ,TJ A40 At
City:. f�
Qualifier Name:
6� Zip: XTIM7
State Certification or Registration #:A1 k 0A Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ If m _ 6li Square/Linear Footage of Work: -5"ao f
Type of Work: DAddress ✓D/Alteration ONew
Description of Work: s�S1i(
Submittal Fee
Scanning Fee $
ODemolition
Permit Fee $ Z 3 ®u . Y CCF
CO/CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Educatlon Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ 9! ;0— 06
'�p
fig
00
Bonlling Gompany's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
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 reinspection fee will be charged. Z�-\
Signature Signature — FD
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this
day of 2014 by )0—"` C AYA1k4 >1-
who is personally known to me or who has produceda
As identification and whg did take an oath.
\�`�uui uri1,,
NOTARY PUBLIC: ,��`\��� is �//a.,
Sign:
Print:
My C
APPROVED BY
The foregoing instrument was acknowledged before me thisw1w.
day of 20 by
who is personally own to me or who has produced
Plans Examiner
Structural Review
(Revised3/12/2012)Xevised (r7/10/07)(ReAsed 0&10/2009)(Rmised 3/15/09)
NOTARY
My
as
Sheryl A1wWgs
my comMbolmi ,
4 7 Put* we of Pladde
Sharyl A Mon
my Camml"* IR017813
6"IrOP 10/73/3014
Zoning
Clerk
REPAIR
WAMI-DARE COUNTY HEALTH DEPi.P1.112NT
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: David Castaneda
PERMIT #:13 -SC -1536647
APPLICATION #: AP1145642
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR938536
PROPERTY ADDRESS: 9525 NW 1 Ct Miami, FL 33150
LOT: 1112 BLOCK: 5 SUBDIVISION:
PROPERTY ID #: 11-3101-024-0300 [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 [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 ARS #Pumps [ ]
D [ 300 ] SQUARE FEET
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [x]
I CONFIGURATION: [ ]
N
STANDARD [ ] FILLED
TRENCH [x] BED
SYSTEM
SYSTEM
[ ] MOUND
F LOCATION OF BENCHMARK: Crown of Road 10.0'
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.60 ][ INCHE3 FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 26.401! INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 42.00] INCHES
'THIS PERMIT IS NOT FOR ADDITIONS**'
O 1. -Install a 900 gal min. septic tank with an approved filter.
T 2. -Install 300 sf of drainfield in bed configuration.
H 3. -Install 12" of slightly limited soil at the bottom of the drainfield.
4. -Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed.
E 5. -Invert elevation of drainfield to be no less than 8.30' NGVD.
6. -Bottom of drainfield elevatio o Wnp� less than 7.80' NGVD.
R ®®��
SPECIFICATIONS BY: KY Afi�k TITLE:
APPROVED BY: TITLE: Engineering Specialist II Dade CHU
JLSCbcVe P Gimbs
DATE ISSUED: 05/05/2014 EXPIRATION DATE:
DH 4016, 08/09 (Obaoletea all previous
The contractor (or designee 15 r@qgi @d to pvfw� a §61
�c�����aah
Incorporated: 64E-6.003, FAC inspection. PrIor to Finial ApprovM, Oe FRQM�mctgr 644
v 1.1.4AP 4 6a2
witness the 5A rA g a:rn&il g®fpgrg Ift rg§W?§ to th'a gfigir-W
site eval.watii9n
If th'Q contrfacty 4 not at;h; jgpvtl4404 N/fiop"AAO camp:
08/03/2014
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