The URL can be used to link to this page

PL-15-1526 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-241663 Permit Number: PL-6-15-1526 Scheduled Inspection Date: August 21, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: WONG, HELEN Work Classification: Drainfield Job Address: 10401 NE 6 Avenue Miami Shores, FL 33138- Phone Number (305)751-7555 Parcel Number 1122310120190 Project: <NONE> Contractor: MR C'S PLUMBING &SEPTIC INC Phone: (305)651-7859 Building Department Comments DRAINFIELD INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False lffspector Comments Passed CREATED AS REINSPECTION FOR INSP-237326. HRS APPROVAL ON FILE NO ANSWER NO PLAN NO PERMIT Failed Correction Needed Re-Inspection ❑ �� Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections lease call: (305)762-4949 August 20, 2015 p p ( ) Page 14 of 29 IA ey �} �� a x.s �f �3 q Q .H `4k S � a r N� s� x� xx 'Ain e Ono 77 a M ��, � k IL ti t t r r K t� a �4�xvN wsiLi +#tt Q5µ°mss i,� Miami Shores Village "b 10050 � > &� 10050 N.E.2nd Avenue NE th Miami Shores,FL 33138-0000 Phone: (305)795-2204 gar �� t11 Expiration: 12/2V2015 �,, Project Address Parcel Number Applicant 10401 NE 6 Avenue 1122310120190 HELEN WONG ¥ Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell HELEN WONG 10401 NE 6 Avenue (305)751-7555 MIAMI SHORES FL 33138- 10401 NE 6 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 MR C'S PLUMBING&SEPTIC INC (305)651-7859 _..,... Total Sq Feet: 156 Type of Work:DRAINFIELD INSTALLATION Available Inspections: Type of Piping: Inspection Type: Additional Info: HRS Approval Bond Return: Final Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# PL-6-15-56046 CCF $1.20 DBPR Fee $2.25 06/24/2015 Credit Card $ 116.70 $550.00 DCA Fee $2.25 06/24/2015 Check#: 1017 $500.00 $50.00 Education Surcharge $0.40 06/22/2015 Credit Card $ 50.00 $0.00 Permit Fee $150.00 Bond#:2760 Scanning Fee $9.00 Technology Fee $1.60 Total: $666.70 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_�feregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futh9pxiere, authorize the above-named contractor to do the work stated. _�- June 24, 2015 AutFfo ized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 24,2015 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUN 0 Z015 Tel:(305)795-2204 Fax:(305)756-8972 111 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 )6 BUILDING Master Permit Noa 6- 15aC PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP l CONTRACTOR DRAWINGS (� JOB ADDRESS: 10W ,vc 6 2( p City: Miami Shores County: Miami Dade Zip: J 40 Folio/Parcel#: lLr — V �4� Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: _Flood Zone: BFE: FFE: g OWNER: Name(Fee Simple Titleholder): i'�]" U "G Phone#: 30,�;-- � – ld 6 Address: City: State: L_ Zip: �313Ly Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �� 1.t3 l Phone#: 6� �—V Address: ��a �,� City: \AA lw.k State: Zip: / Qualifier Name: Ke—j- ..a -t�`N� Phone#: / �'s� -74-Tr State Certification or Registration#: 5 f26 G (, Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: [ Value of Work for this Permit:$ ,T(� Square/Linear Footage of Work: 1 h� Type of Work: ❑ Addition ❑ Alter tion ❑ New [ epair/Replace ❑ Demolition Description of Work: V Specify color'0e h "�"ttle, Submittal Fee$ i e°d$ So. 1`y CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$J/ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. t Signature Signature NER or A T CONTRACTOR The foregoing instrument was ac nowledged before me this The foregoing instrument was acknowledged before me this day of 20 by �/� day of f/1�/� 20 /f— , by who is personally known to Kai*u.e who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: r Print: Print: �� f a«a�"�a��.� ,• ��ni'*'�•, SHERYL A MENDES Seal: =i• • Notary Pu=of Florida Seal: ;°?�. `4+i Notary Pubk.State of FloridaMy Cornm. 9,201714YCOwM1.�Oet 23,2016",e OF F��PCommis5732 '•,Odr • /FF IN597"' Bonded Throtary Assn. 1�off$ * * ********************** * * ********* APPROVED BY 42,IS Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) -: --- ._ PERM # 13-SC-1603194 APPLICATION #:AP1 1 86706 STATE OF FLORIDA DATE PAID; DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTxM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: DOCUMENT #: PR978491 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT. John Arrastia PROPERTY ADDRESS: 10401 NE 6 Ave Miami, FL 33138 LOT: 21 BLOCK: SUBDIVISION: Golf View Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 11-2231-012-0190 [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 ] G&LLONS / GPD existinq septic tank to remain CAPACITY A ( 0 ] GALLONS / GPD CAPACITY N [ 0 ) GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ) GALLONS DOSING TANK CAPACITY [ IGALI:ONS fa ]DOSES PER 24 HRS #Pumps ( ) D [ 156 ] SQUARE FEET new trench confiq. drainfie SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ j MOUND [ ) I CONFIGURATION: [xj TRENCH [ j BED [ ] N F LOCATION OF BENCHMARK: Crown Of Road: 10-8'NGVD I ELEVATION OF PROPOSED SYSTEM SITE ( 14.40 ] ( INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 35.64 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 62.001 INCHES System#2(Front) O 1_-Existing 900 gal. septic tank,certified by"Mr.C's Plumbing"on 4/27/2015 to rern,ain. T 2.-Instali 156 sf of drainfield in trench configuration 3.-Install 12"of sliqhtly limited soil at the bottom of the drainfield H 4.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. E (Comments Continued on Page 2.) R t SPECIFICATIONS BY: SCI Plb Sept TITLE: APPROVED BY: TITLE: Engineering Speuialist II � Dade CHD rtin DATE ISSUED: EXPIRATION DATE: 09/16/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 6/20/2015 CC F04282015 00000 jpg STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number l" --------- ------------- -----PART II-SITEPLAN--------------------------- Scale: Each block represents 10 feet and 1 inch=40 feet. o JI Gla VIN iQ Ll i . J i Iv 1j Q �W` i I j r' There are no pertinent fo { : on adjacent properties and or across the street that may affect the New Septic system installation. Notes: �r �o t'� Nei t� - � is'Cc.I��t-•?.QdQ �'a b e �*P_��c� Site Plan sW`rnifted Plan App o: d — Not Approved Date 4-11 By 4__ County Health Department ALL Ct ;': ,ES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 1' "n;:acc .,"" ! 716 which may be used) Page 2 of 4 (Stock t"un 002 -,1. https:/Idrive.goonl(, 'J,,7WiRflNGF4ZHRNSnIUTEU 1/1