PL-14-2507Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223424
Scheduled Inspection Date: December 11, 2014
Inspector: Diaz, Osvaldo
Owner: MCELENEY, NICOLA
Job Address: 9233 N MIAMI Avenue
Miami Shores, FL 33138 -
Project: <NONE>
Permit Number: PL -11-14-2507
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Septic
Phone Number
Parcel Number 1132060130210
Contractor: MR C'S PLUMBING & SEPTIC INC Phone: (305)651-7859
dunaling uepartment comments
INSTALL SEPTIC AND DRAIN FILED
INSPECTOR COMMENTS False
Inspector Comments
Passed HRS ON FILE
&
Failed
Correction
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 10, 2014 For Inspections please call: (305)762-4949 Page 11 of 22
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
NoV 1,12014
FBC112010
Master Permit No:p'
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
%PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9233 North Miami Avenue
City: Miami Shores County Miami Dade Zi P:
Folio/Parcel#: 11-3206-013-0210 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Nicola McEleney Phone#: 305-756-8243
Address: 9233 North Miami Avenue
City. Miami Shores State: FL AD: 33150
Tenant/Lessee Name: n/a Phone#: Na
Email: nicohara35@yahoo.com
CONTRACTOR: Company Name: L� A/'14 0 Phone#:
Address: o� Ala) /frc
City: Stater Zip:
Qualifier Name: � �/� al Phone#: _766Y_� 7Y) 7
State Certification or Registration #: Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:
Type of Work: ❑ Addition
Description of Work:
Specify color of color thru
Submittal Fee $ SD•Dd
Scanning Fee $
State: Zip:
Square/Linear Footage of Work:
Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Radon Fee $
CCF $ CO/CC $
DBPR $
Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ l m
TOTAL FEE NOW DUE $ 0
(Revised02/24/2014) CP -2)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ' F'� ftI
OWNER or AdU
The foregoing instrument was /a-cknowledged before me this
day of 20 l , by
®(� _ who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY
Print: ..�i�--�K.....e.��, E T7RIGi4�
? =� 'I'Aaiy F'uDiic - State of Florida
Seal: ; My Comm. Expires Sep 19, 2017
';•F oP°; Commission # FF 055732
bonded Thf 4h Natimial Notary Assn.
Signature
;�d�tE7TyteI'�
The foregoing instrument was acknowledged before me this
day of &QC4114g< , 20 15 , by
Kilrmldcrl cdmiC , who is personally known to
me or who has produced
r..
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal: .•o<SHERYL A MENDES
a? e`�- Notary Public - State of Florida
€N My Comm. Expires Oct 23, 2018
-',�F ••;� _ Commisslon # FF 138597
APPROVED BY � Plans Examiner
Structural Review
(Revised02/24/2014)
as
Zoning
Clerk
1
1 PERMIT #:13 -SC -1568905
J' i�: APPLICATION #: AP 1164986
STATE OF FLORIDAr c ' ; `
f..r*�:.. G"C}it°• DATE PAID:
DEPARTMENT OF' HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Michael O'Hara
PROPERTY ADDRESS: 9233 N Miami Ave Miami, FL 33150
FEE PAID:
RECEIPT #:
DOCUMENT #: PR966010
LOT: 10, 11 BLOCK: 2 sUBDIVISION: Miami Shores
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 11-3206.013-0210 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 6$E-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 PERMST BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL RuRMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
r
SYSTEM DESIGN AND.. SPECIFICATIONS
T [ 900 �GWLLONS / GPD new septic tank CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @I ]DOSES PER 24 HRS #Pumps [ ]
D [ 300 1 SQUKRE FEET
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [x]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK: FFE 12.7' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 24.00][ INCHES FT ]I ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 64.00]I INCHES FT ]IABOVE BELOW BENCHMARK/REFERENCE POINT
L
exist. drainfield to remain SYSTEM
SYSTEM
STANDARD [ ] FILLED [] MOUND
TRENCH Ex] BED I ]
D FILL REQUIRED: 10.00] INCHES EXCAVATION REQUIRED: E 52.001 INCHES
1. -Install a 900 gat min. septic tank with an approved filter.
0 2". -Existing 300 sf drainfield, certified by "Mr C's Plumbing and Septic on 11/4!2014" to remain, provided it meets all
T requirements of Table V Ch 645-6 FAG in regard to separations and setbacks.
H 3. -The existing driiinfleld may remain if the system was previously permitted and approved, and not currently in failure,
and meets the setback requirements of Table V Ch 64E-6 FAC. The four (4) comers of the drainfield shall be exposed so
E that the DOM inspector can verify the size as specified in DH 4015 Pg 4 - Existing System Evaluation.
R (Comments Continued on Page 2.)
SPECIFICATIONS BY: � M* G�Njs Plumbing
APPROVED BY:
DATE ISSUED:
TITLE:
TITLE: Engineering Specialist II Dade CHD
DH 4016, os/09 (Otdsoletes all previous editions which may not be used)
Incorporated: 645-6.003, FAC
v y.y,4 AB11Ga9G6
EXPIRATION DATE: 02/04/2015
sE942545
Page 1 of 3
wcubmm #; PR955010
4. -This permit includes the abandonment of the existing septic tank.
The system is sized for'3 bedrooms with a maximum occupancy of a persons (2 per bedroom), for a total estimated flow of
300 gpd.
THIS PERMIT IS NOT FOR ANY ADDITIONS.