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PL-15-91A Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-226555 Permit Number: PL -1-15-91 Scheduled Inspection Date: May 28, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: SPRINGFELS, DOLORES Work Classification: Drainfield Job Address: 347 NE 98 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060135621 Project: <NONE> Contractor: STATEWIDE SEPTIC CONNECTIONS Phone: (954)963-0082 sunaing uepanment comments REPLACE DRAINFIELD INSPECTOR COMMENTS False Spector Comments Passed HRS IN FILE YC Failed 7zb t< Correction S tD CUA Needed Re -Inspection ❑ ,s- 7, Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 27, 2015 For Inspections please call: (305)762-4949 Page 5 of 32 I I,, C, � ---- BUILDING PERMIT APPLICATION 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 ❑ ELECTRIC ❑ ROOFING .JAN K5 2015 FBC 20 to 'Tt- Master Permit No 15 _ I Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _ � q7l 018 S -T City: Miami Shores County: Miami Dade Zip: '3 A 317 Folio/Parcel#:_ t, l,-- ° - 0) 3 - J 6 2-t Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 6'�•s c.� Phone#: Address: 34.7 NE l8 City: 1'°`) 0'rli Shores State: P2— Zip. '33J Tenant/Lessee Name: Phone#: Email: CONTRACTOR:: Company Name: ►-` `'"" �� Y/ I �� /"7C -Phone#: Address: j,"3640 Nv,1 /q Av-e, � MWI Qualifier Name: -T-ey-cso d.0 d G State Certification or Registration #: LPM 0 q% 1?_6'e Certificate of Competency #: DESIGNER: Architect/Engineer: Value of Work for this Permit: Type of Work: ❑ Description of Work: ❑ Alteration Specify color of colorthru tile: Submittal Fee $CIDPermit Fee $ Scanning Fee $ Technology Fee $, Structural Reviews $ (Revised02/24/2014) Radon Fee $ 714VA : �-3505+ City: State: Zip: Square/Linear Footage of Work: Vii® ❑ New Repair/Replace ❑ Demolition Training/Education Fee $ CCF DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ �5020'10-3 TOTAL FEE NOW DUE $ ' 9 r Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Z Mortgage Lender's Address City State 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 OWNER or AGENT The foregoing instrument was acknowledged before me this day of 20 IS , by who is personally known to me or who has produced 07W b C'A as identification and who did take an oath. NOTARY PUBLIC: Sign: ` �-"�— Print: Seal: ;;+ TERESA J SOLOMON • MY COMMISSION 14 EE131935 EXPIRES November 08, 2015 Signature JCNTRACTOR The foregoing instrument was acknowledged before me this day of(�� 20 �~ ,by 1 �� LkJ-40 who is personally known to me or who has producedM T as identification and who did take an oath. NOTARY PUBLIC: Print: Nota Puft Sate of Florida Sit►dia Alvarez Seal: My Commission FF 156750 Exp 08/0 MI s �q8 t5� rl M�kM�k4�k�k�k�k�kak�R�k�k4�k�k �%�R��k9�4�k�k�k�R�'�eikils�i�k�k�k�k�k�kKeakak�k+k�k�ki�k�k+kik+kskWakak�k�k�kak*b+k�k�ksk�k�kak�U*�k&�k�k�kffi�k�k�k�k�k�k�k�k�F�k&�k�k�k�k&�k&�k�k�k�k�k4+k*�k APPROVED BY oS Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) REPAIR 001 awry WAXTH DFPARIMEW PERMIT #: I -SC-1679293 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE;SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTROCTION PERMIT CONSTRUCTION PERMIT FOR: APPLICANT: Dolores OSTDS Repair PROPERTY ADDRESS: 347 NE 98 St Miami. FL 33138 LOT: 1617 BLOCK: 41 SUBDIVISION: APPLICATION #: A P1171102 DATE PAID: FEE PAM: RECEIPT #: DOCUMENT #: PR960237 PROPERTY ID #: 1T 3206-013-5621 [SECTION, TOWNSHIP, RANGE, PAROL 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 DOE 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 1 GALLONS % GPD existing septic tank to remain CAPACITY A [ 0 1 GALLONS / GPD CAPACITY N [ 0 1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY Swig TANK: 1250 GA] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @ ]DOSES PER 24 HRS D [�V3 QUARE FEET new trench confiq. drainfie SYSTEM R [QUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK e FFE 12.6' NGVD I ELEVATION OF PROPOSEDSYSTEM SITE [ 30.001[ INCHES FT ][ABOVE BELOW BENCHMARK/] E BOTTOM OF DRAINFIELD TO BE [ 78.00][ INCHES FT ][ABOVE BELOW BENCHMARK/] L D FILL REQUIRED: [ .003 INCHES EXCAVATION REQUIRED: [ 48.001 INCHES 1. -Existing 900 gal. septic tank, certified by "Statewide Septic" on 01/05/2015 to remain. 0 2. -Install 300 sf of drainfield in trench configuration. T 3. -Perimeter of excavationarea shall be at least 2 ft wider and longer than the proposed absorption bed or drain I H 4. -Invert elevation of drai0eld to be no less than 6.60' NGVD. 5. -Bottom of drainfield elevation to be no less than 6.10' NGVD. E The system is sized for 4 bedrQ�oms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimat R of 400 gpd. ,\ SPECIFICATIONS BY: T r 'Solomon TITLE' Master Septic Tank Con APPROVED BY:%-Wk� TITLE: Engineering Specialist II DATE ISSUED: O'17b9/MD15 EXPIRATION DATE DH 4016, 08/09 (Obsolet®s all previous editions which may not be used) Incorporated: 64E-6.003, FAC V 1.1.4 AP1171102 SE949365 #Pumps [ I R flow for Dade CHD 04/09/2015 Page 1 of 3 �Aat';h97�}i�.�k�?� r RC:'•�'pY,ft �a ,'�a»....- a- «':' .v " < '_ : o,:'".,s5:�.F::'"u� % F - :` z ° cr3,'a?e . Kik?_ TATE OF FL.0RIbA' DEPARTMENT OF HEALTH -ION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONISTP JCI.101 Permit Applical-on Niers ------------• PARTN -SITE PLAN -- — — — — — Scare: Each block represents feet and 9 inch = 50 feet. _.. .co PEPWT Site Plan' ybmitted by:_ Plan By - ALL CH/ OR 40' 5. total (RtVkc r HFIS49orM 4015'rf ICirv'.r lfsfriw•�76.s rvn Al14r..A1 Not Approved Date ._ oun�j��t�ait•� .I�e�a+tm DUST tyE`At t hAdl1VEI1`BY I C I~ COU{ T1 HEALT([ DEPS may ba+rw) APPL .zta �Aat';h97�}i�.�k�?� r RC:'•�'pY,ft �a ,'�a»....- a- «':' .v " < '_ : o,:'".,s5:�.F::'"u� % F - :` z ° cr3,'a?e . Kik?_ TATE OF FL.0RIbA' DEPARTMENT OF HEALTH -ION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONISTP JCI.101 Permit Applical-on Niers ------------• PARTN -SITE PLAN -- — — — — — Scare: Each block represents feet and 9 inch = 50 feet. _.. .co PEPWT Site Plan' ybmitted by:_ Plan By - ALL CH/ OR 40' 5. total (RtVkc r HFIS49orM 4015'rf ICirv'.r lfsfriw•�76.s rvn Al14r..A1 Not Approved Date ._ oun�j��t�ait•� .I�e�a+tm DUST tyE`At t hAdl1VEI1`BY I C I~ COU{ T1 HEALT([ DEPS may ba+rw)