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941 NE 91 Terr (12)1opctoi Inspection Date: 08/28/2006 Inspector: Levrack, James Owner: BAES, JAMES AND JACQUELINE Job Address: 941 91 Terrace NE Project: <NONE> Friday, August 25, 2006 Miami Shores Village, FL Contractor: A LEAGUE CONTRACTORS, INC. Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AU 6 3 1 in Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic Phone Number (305)762 -6122 Parcel Number 1132060030050 Lot: Phone: 305 - 256 -0306 Page 1 of 2 Passed In s ector omments (� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until 1opctoi Inspection Date: 08/28/2006 Inspector: Levrack, James Owner: BAES, JAMES AND JACQUELINE Job Address: 941 91 Terrace NE Project: <NONE> Friday, August 25, 2006 Miami Shores Village, FL Contractor: A LEAGUE CONTRACTORS, INC. Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AU 6 3 1 in Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic Phone Number (305)762 -6122 Parcel Number 1132060030050 Lot: Phone: 305 - 256 -0306 Page 1 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PL -7 -06 -1967 Invoice Number: PL -7 -06 -25689 Applicant: JAMES AND JACQUELINE BAES Company Name: Owner Address: 941 NE 91 TERR MIAMI SHORES, FL 33138 Job Address: 941 91 Terrace NE Miami Shores Village, FL Date Wednesday, August 9, 2006 08/09/2006 Check Payment Type Check Number 10901 Amount $363.35 Change $0.00 Total Payment: $363.35 Page 1 of 1 Permit Number: PL -7 -06 -1967 Invoice Number: PL -7 -06 -25689 Applicant: JAMES AND JACQUELINE BAES Company Name: Owner Address: 941 NE 91 TERR MIAMI SHORES, FL 33138 Job Address: 941 91 Terrace NE Miami Shores Village, FL Date Wednesday, August 9, 2006 08/09/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 10901 Amount $363.35 Change $0.00 Total Payment: $363.35 Page 1 of 1 Issue Date: 7/26/2006 Owner's Name: JAMES AND JACQUELINE BAES Permit Type: Plumbing - Residential Work Classification: Septic Job Address: 941 91 Terrace NE Additional Information Miami Shores Village, FL Contractor(s) Phone A LEAGUE CONTRACTORS, INC. 305 - 256 - 0306 Primary Contractor . Yes Comments: INSTALL 1050 GAL SEPTIC TANK AND DRAINFIELD 571 SQ FT Type of Work: SEPTIC Additional Info: Classification: Residential • Type of Piping: Bond Return : In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Bond Type - Owners Bond CCF Education Surcharge Permit Fee - .Additions /Alterations Scanning Fee Technology Fee Total: Amount $300.00 $1.20 $0.40 $350.00 $3.00 $8.75 $663.35 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/22/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -7 -06 -1967 Total Square Feet: Total Valuation: Re•uired Ins•ections Abandonment Rough Landscaping HRS Approval Final Phone: (3051762 -6122 1132060030050 Lot: PB: 0 $ 2,000.00 Invoice Number PL -7 -06 -25665 PL -7 -06 -25689 Total: Amt Due $300.00 $363.35 AUG 0v (V 9 PAD \ G\ -\O Amt Paid S300.00 $300.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. & \' s'cu 1 I (P (o ° Miami Shores Village °0 ' Buildin g Department artment BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical (Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 0S bQSSA 1 Phone If qiccato Cit \ Cam ∎ QQS State f\ Zip - )3 t'k Q Phone # Owner's Address QA, \ \J ,, Q \ Tenant/Lessee Name Job Address (where the work is being done) CtA 1 VI .E Q. \ xrc_ City Miami Shores Village County Miami -Dade Zip 3314p Is Building Historically Designated YES NO Contractor's Company Name A ` u E l (- 2--t Phone # G222 Contractor's Address l 1 Q 1n \k) 4"2 aljr0.- o City I t t-JJ State "r' l Zip Qualifier II0.(�l0 `�— p,c ,, �1P` State Certificate or Registration No. S1--Q S2c 0 R(27 Architect /Engineer's Name (if applicable) Phone # $ Value of Work For this Permit k l50 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Certificate of Competency No. Square Footage Of Work: Type of Work: ❑Addition ❑Alteration New ❑ . Repair /Replace ❑ Demolti 1 Describe Work: �1��l(I•�� (�1 C 9A JLa Qua A-cc3L\ �l * * * * * * * * * * * * * * * * * * * * * *, * ** *F * ** Submittal Fee $ Permit Fee $ ) 75 + 1 7 J J CCF $ Notary $ Training /Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Permit No. ?,L 06 — I q �' l Master Permit No. * * * * * * * * * * * * * * * * * ** Technology Fee $ CO /CC Zoning Bond $ 3cO UU ft Inc( Structural Plan Review. $ CO 163 C Bonding Company's Name (if applicable) Bonding Company's Address City _ State Zip Mortgage Lender's Nanie (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 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' COMM ENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding , $'500, 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 u e posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the ab ex" n e of such posted notice, the in.spection will not be approved and a reinspection fee will be charged. Signatur Owner r Agent Ontr, or The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 Fns n n 1 + // 1 // day of = 'o w ' , 20 � :' E by \"�•\ 1 '..� 1 t' : l o o^: day of .l : t l 3 7!1 (".'�n h., -I DJ a ltd\ ! .. f�. e o who is personalty known to ,T has produced s identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: Print: _—_-- My Commission Expires: chc 05/13/03 * * * * * * * * * * * * * * * * * * * * ** A ;' i MY OMMISSION t DD 428255 Xf May 11, 2009 :444;4i,"** .3n9.4aw told viowtoik Sign: * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: * Signature ( wheyis- ersonally kno to me or wl has produced MyC * * * * * * * * * * * * ** Ar i ffeeffK- ! A( MISSION # DD 428255 o ES: May 11, 2009 s;1/4.,,,pws,owN .. , u I n.' Mm as entification and who did take an oath. * * * * * * * * * ** r/o *** * * * * * * * * * * * * * * * * * * * * *.* * * * ** * * * * * * * * * * * * * * * * * * * * ** r� Plans Examiner Engineer Zoning STATE OF FLORID DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ X ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ ]Repair [ ]Abandonment [ ]Temporary [ NA ] APPLICANT: Moussa -Baes, James & Jacquel AGENT: SA0990924, Suarez Guillermo PROPERTY STREET ADDRESS: 941 NE 91 Ter Miami FL 33140 LOT: 6 OTHER REMARKS: BLOCK: 1 SUBDIVISION: Biscayne Ridge III CENTRAX #: 13 -SG -29032 DATE PAID: FEE PAID : $ RECEIPT . [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 - 003 -0050 [OR TAX ID NUMBER] OSTDSNBR : 06-1462- MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. 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 PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 1050 ]Gallons SEPTIC TANK MULTI- CHAMBERED /IN SERIES: [Y ] A [ 0 ]Gallons MULTI- CHAMBERED /IN SERIES: [Y ] N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] D [ 571 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R ( 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ Y ]STANDARD [ N ]FILLED [ N ]MOUND [ N ] I CONFIGURATION: [ N ]TRENCH [ Y ]BED [ N ] N F LOCATION TO BENCHMARK: C/L 91 Terr. E1:8.57' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 7.6 ] [ INCHES ] [ ABOVE ] BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 22.4 ] [ INCHES ] [ BELOW] BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 72.0 ] INCHES 1. Install 1050 gal. category -3 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), FAC. 3. Install 571 sf of drainfield in the 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 absortion bed. 6. Invert elevation of drainfield to be no less than 7.20' NGVD. 7. Bottom of drainfield elevation to be no less than 6.70' NGVD. SPECIFICATIONS BY: Klug, Geoffrey APPROVED BY: Geoffrey, Klug DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) fostds_cons_4016 -1] TITLE:t lc [ b ) �r: TITLE: - J e Saf Dade CHD DATE ISSUED: 5/30/06 EXPIRATION DATE: 11/30/07 Page 1 of 2 Bill To JAMES AND JACQUELINE BAES 941 NE 91 TERR MIAMI SHORES, FL 33138 -3219 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Monday, July 24, 2006 Fee Name Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: 0305)795 -2204 Fax: (305)756 -8972 07/24/2006 Bond Type - Owners Bond Invoice Number: PL -7 -06 -25665 Invoice Date: July 24, 2006 Permit Number: PL -7 -06 -1967 Work Class Fee Type Fixed ifi cats Total Fees Due: on Septic Fee Amount $300.00 $300.00 Payments Date Pay Type Check Number Amount Paid Change 07/24/2006 Check 168 $300.00 $0.00 Total Paid: $300.00 Total Due: $0.00 Bill To JAMES AND JACQUELINE BAES 941 NE 91 TERR MIAMI SHORES, FL 33138 -3219 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Monday, July 24, 2006 Fee Name Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 07/24/2006 Bond Type - Owners Bond Invoice Number: PL -7 -06 -25665 Invoice Date: July 24, 2006 Permit Number: PL -7 -06 -1967 Fee Type Fixed Total Fees Due: Fee Amount $300.00 $300.00 Payments Date Pay Type Check Number Amount Paid Change 07/24/2006 Check 168 $300.00 $0.00 Total Paid: $300.00 Total Due: $0.00 II i ,.. 2, -7 -'. L 11 5 Passed Inspector / Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until i;ctii n NUM er: .......................... Inspection Date: 08/28/2006 Inspector: Levrack, James Owner: BAES, JAMES AND JACQUELINE Job Address: 941 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: A LEAGUE CONTRACTORS, INC. Building Department Comments Friday, August 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Septic Phone Number (305)762 - 6122 Parcel Number 1132060030050 Lot: Phone: 305 - 256 - 0306 Page 1 of 2