PL-14-1521Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-215963 Permit Number: PL -7-14-1521
Scheduled Inspection Date: November 18, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Owner: ,
Job Address: 9811 NW 1 Avenue
Miami Shores, FL 33150 -
Project <NONE>
Inspection Type: Final
Work Classification: Septic
Phone Number (305)479-4611
Parcel Number 1131010330080
Contractor: MR C'S PLUMBING & SEPTIC INC Phone: (305)651-7859
Mullin
comments
SEPTIC TANK AND DRAIN FIELD
INSPECTOR COMMENTS False
spector Comments
Passed HRS IN FILE SOD WILL BE PUT BACK ONCE THE RENOVATION IS
COMPLETED.
Failed �C
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 17, 2014 For Inspections please call: (305)762-4949
Page 8 of 46
Miami Shores Village IRMCEIVI
Building Department JUL 16 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 ;BY-
INSPECTION
LINE PHONE NUMBER: (305) 762-4949
FBC 20 0®
BUILDING Master Permit No. P L �.0 A S�� Q
PERMIT APPLICATION Sub Permit No.
BUILDING
ELECTRIC
❑ ROOFING
❑ REVISION
❑ EXTENSION
❑RENEWAL
PLUMBING
❑ MECHANICAL
❑PUBLICWORKS
❑ CHANGE
CONTRACTOR
CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS: 19,11 NrVI' /M
City: Miami Shores County: Miami Dade Zip: 33/$--0
Folio/Parcel#:
Occupancy Type: Load:
Is the Building Historically Designated: Yes NO -
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 7 0 �I �I) 1 � �p�'j) . Phone#: %111533 W
Address: /79��'/O l 6k,*
, A_!%�Doulk � 1
City: Niflli6� * I State: �(� Zip: 7 3 (q)
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ar lS P Vow I l Phone#: 3(1a 6c7 7ff T
Address: 3 a AN a" A AILt
City: mli. State: /%L Zip: 33 `1.ct
J
Qualifier Name: &esi 6;6)k Phone#: 90516/v 101
State Certification or Registration #: 5?, a, (g 3c Certificate of Competency #:
DESIGNER: Architect/Engineer:
one#:
Address: City: State: Zip:
�2 J
Value of Work for this Permit: $ cy -Xi Square/Linear Footage of Work: 9 cv
Type of Work: ❑ Addition ❑ Alteration ❑ New E Repair/Replace ❑ Demolition
Description of Work: 541? 'LL I k" -.;rd IT/._
u tile:
Submittal Fee $ �` Permit Fee $ J6Od,-- CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $ Soo - n ej
Notary $
Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $_ 2.'� 21
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
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 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ` Signature .
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 11
day of �17� 20 � by 51J+ �ASTro
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
day of L( 20f(moi by � r
who is personal known toc me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
011 //_�//I
. , . �7�
My Commission xp�1Cs61P,,,,KEMMy C '
BLE ETTRICK
Nutary Public - State of Florida"' N+�0ry Public-8gtaaf Fladds
• E My Comm. Expires Sep 19, 2017 #' 9h@ryi A Mendes
6� jPB' Commission i► FF 05573113
y2�� y�u�, _ My cammmisafan^pO410,70
i*i�17k1k1klki*9f11* •�iZ111iiiii*i�i7$i� 7k�P'�7KA�FF�•F**
.Yi114
APPROVED BY :;�17c os -p Plans Examiner
Structural Review
(Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
Zoning
Clerk
CERTIFICATE OF CORPORATE RESOLUTION AND INCUMBENCY
I, Marto Goozaiex, Presides of 9811 NAV 1 Ave Corp, a Florida corporation (the
"Corporation"}, do herebyr unto whom it may concern as follows:
t. That the Cotpom iorr is authorized to transact business in the State ofFlorida, and that i
am its President.
2 Thatnodissabrthmi bombWWorinsolvemyproccediripwithrespecttodwCorporation
have been commenced.
3. That the Articles of mon for the Corporation are true, complete, current and in
full force and effect this date witlmat modification.
4. That the Bylaws of the t,orporatin are doze, complete, currant and are in full force and
effect this date widwat
S. That the fofiowmg preastm are the Board of Directors of the Corporation which
dated beside their rive names.- W
OFFICE 1iN UMBEN T �
President Mario 0onzaiez
6. TIW at a Special Meeting of to Board ofDitectaas Ccn . ' . held n Jure 6,
2014, at its principal place ofbusiness in biamd DadeConrhty,. lorida, at ' hide nreetin a majority
of the Bid of Directors of the Corporation were personally present and attending, fallowing
A-solufion was unanimomdyadopted by the Board ofDirectors ofthe Corporation
W IT RESOLVED by the Board ofDirecton of9811 NAV Y Ave Corp, a Florida
corporation, as follows:
(1) That the Corporation's President, Mario Genzali i aWfor tie Corporation's
authorized representative, tive, Vanessa Lopez Castrop acting alone and m6ponklently
of each odes, isaut1wrinA empowered and directed to execute anyto take any and
all actions and to do any and all other Wags nary or incidental to raayout the
business affairs afore mon, and that M=to Gonzaleaandlor Varma Lopez
Castro, dndependerrtly, n further autironzed to execute any documents and enter
Into any agreements and that may be necessary or wxpired inaclyding but not limited
to theleasin8, repairing, buikft Improving and maintainingthe property owned by
the Corporation and located at 9811 NW i Avenue, Miami Shore, Florida, which
may include but is not limited to the wmention of building pwnits, building
applications, maps d=6 agrearnents with ArchitecK tial t:ontra ctor and any
and all mAbcontractom and inanyaetterwhatsoeverheforedoCityofMiamiShores
andlor hfiami-Dade County.
7. That ite fmqping resolution is outstanding and has not leen modified or rescind.
IN WirNM Vfl-t 1EOF, we have hereunto set and seal as the Board of
Directors of 9811 NW 1 Ave Corp, a Florida ration. have affixed die C=porate seal of
said Corporation bereW on lune r' , 281¢
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Vanessa Castro
PROPERTY ADDRESS: 9811 NW 1 Ave Miami, FL 33150
LOT: 12,13 BLOCK
PROPERTY ID #: 11-3101-0080
128 SUBDIVISION: Miami Shores Sec 6
PERMIT #: 13 -SC -1545622
APPLICATION #: AP 1151229
DATE PAID:
FEE PAID-
RECEIPT #:
DOCUMENT #: PR943517
[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 HRS #Pumps [ ]
D [ 300 ] SQUARE FEET SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [8] STANDARD [ ] FILLED [ ] MOUND [ 1
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: FFE: 13.3' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 26.401[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 61.40][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 47.001 INCHES
O
T
H
E
R
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 300 sf of drainfield in bed configuration.
4. -Install 12" of slightly limited soil at the bottom of the drainfield.
5. -Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed.
(Comments Continued on Page 2.)
SPECIFICATIONS BY: Kemble Ettrick
APPROVED BY:
TITLE:
TITLE• Engineer Supervisor III
Astrid V Edwards
DATE ISSUED: 06/26/2014
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
Dade CHD
EXPIRATION DATE: 09/24/2014
v 1.1.4 A21151229 SE932201
Page 1 of 3
DOCUMENT #: PR943517
.-Invert elevation of drainfield to be no less than 8.68' NGVD.
.-Bottom of drainfield elevation to be no less than 8.18' NGVD.
-This permit includes the abandonment of the existing septic tank.
ie system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated sewage
>w of 300 GPD.
PERMIT IS NOT FOR ADDITIONS)"! *"...