PL-15-2720 Inspection Worksheet
! Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246536 Permit Number: PL-10-15-2720
Scheduled Inspection Date: October 29, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: ALVAREZ, CLAUDIA Work Classification: Drainfield
Job Address:32 NE 92 Street
Miami Shores, FL 33138- Phone Number (305)588-2652
Parcel Number 1132060130050
Project: <NONE>
Contractor: MR C'S PLUMBING &SEPTIC INC Phone: (305)651-7859
Building Department Comments
EXPIRED PERMIT PL15-248 Infractio Passed Comments
DRAINFIELD INSPECTOR COMMENTS False
HD APPROVED 2/10/15
DRAIN FIELD INSTALL
Inspector Comments
Passed HRS APPROVED 2/10/15 ON FILE
Failed
Correction 1
C
Needed ❑ �
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 28,2015 For Inspections please call: (305)762-4949 Page 21 of 33
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Miami Shores Village ` F` ON \\ »\ if 3
10050 N.E.2nd Avenue NEIMF 1?111"
Miami Shores,FL 33138-0000 ` "
Phone: (305)795-2204 ' \� y r ',
Q .
GOR1Dp
128 Expiration: 0412512016
Project Address Parcel Number Applicant
L32 E 92 Street 1132060130050mi Shores, FL 33138- Block: Lot: CLAUDIA ALVAREZ
Owner Information Address Phone Cell
CLAUDIA ALVAREZ 32 NE 92 Street (305)588-2652
MIAMI SHORES FL 33138-
32 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 4,300.00
MR C'S PLUMBING&SEPTIC INC (305)651-7859
Total Sq Feet: 400
Type of Work:EXPIRED PERMIT PL15-248 Available Inspections:
Type of Piping:
Inspection Type:
Additional Info: HRS Approval
Bond Return: Final
Classification: Residential Scanning:3 Review Plumbing
Fees Due Amo]50.00
Pay Date Pay Type Amt Paid Amt Due
CCF
DBPR Fee Invoice# PL-10-15-57553
10/28/2015 Credit Card $ 171.52 $0.00
DCA Fee
Education Surcharge
Permit Fee $
Scanning Fee Technology Fee Total: $17
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractgLJQ-do the work stated.
October 28, 2015
Authorized Signature:Owner / Applicant ! Contractor / Agent Date
Building Department Copy
October 28,2015 1
Miami Shores Village
Building Department OCT z 6 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 L�—
FBC 20
BUILDING Master Permit No. TL (S —2_72a)
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION EXTENSION ❑RENEWAL
®PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
//
Folio/Parcel#: — 3d 46/ �r7��613 ^ V � Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: _Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Phone#:
Address:
City: State: r Zip:
Tenant/Lessee Name, Phone#:
Email: / ( / j
CONTRACTOR:Company Name: r L P� �/ ,)��/Z Phone#: (,3JU/�_l
Address:
City: State: Zip:3 �j516/
Qualifier Name: ll� �L �YT�1��� Phone#: �
State Certification or Registration#: SIS 0(7( 5-3 6 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$_ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New [ ] Repair/Replace ❑ Demolition
Description of Work:
f P= •1
Specify color-of color triru tile:
Submittal Fee$ Permit Fee$ S� �y CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ HI
(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
co 1 P P ,
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 Signature 45�y�
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this . The foregoing instrument was acknowledged before me this
0�6 day of LI)L6jt=f` 20 /S by 2—day of ()if;M A§f1K 20 /6 by
who is personally known to who is personally known to
me or who has produced —:04 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: . a:�. :�._. Sign
ie�4d+� E(TRICK
Print: '� Print: ''
xpires Sep 19,2017 s s Notary Public-State of Florida
Seal: = � Comnussion #FF 055732 Seal: =My Comm.Expires Oct 23,2018
Bonded Through National Notary Assn. '„of��?,,.�
�' CommissW#FF 136597
Bonded Through Nationai Notary Assn.
,a., ..
************************************************************************************************************
APPROVED BY l� L� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
_ .-t,erty Search Application- Miami-Dade County Page 1 of 8
,: \\
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Address Owner Name Folio
SEARCH:
32 NE 92 ST Suite Q
........ ...
PROPERTY INFORMATION
Folio: 11-3206-013-0050
Sub-Division:
MIAMI SHORES SEC 1 AMD
Property Address
32 NE 92 ST
Miami Shores, FL 33138-2812
Owner
ALFONSO SANCHEZ
CLAUDIA ALVAREZ
Mailing Address
32 NE 92 ST
MIAMI SHORES , FL 33138-2812
Primary Zone
1000 SGL FAMILY-2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT
Beds/Baths/Half 4/2/0
Floors 1
Living Units 1
http://www.miamidade.gov/propertysearch/ 10/26/2015
10/26/2015 L Z IMG-1524.J PG
DICT 2 6 2015
PERMIT #:13-_SC-1580163
APPLICATION a:AP 1171902
STATE OF FLORIDA DATE PAID: _
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION PERMIT RECEIPT #:
DOCUMENT :PR960929
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Alfonso Sanchez
PROPERTY ADDRESS: 32 NE 92 St Miami,FL 33138
LOT: 9,8 BLOCK: 1 SUBDIVISION: Miami Shores
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID N: 11-3206-013-0050 [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 YF CHANGSYSTE INESMATERIAL 140T GUA RANTEE S,
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME.
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MOS VOID.
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL
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 t 1,050 l GALLONS f GPD Septic CAPACITY
[ 0 )
GALLONS / GPD CAPACITY
A
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY (MAXCAPACITY SINGLElDQ ESQ&R 24 HGALLONS]
g LONSPumps [ 1.
K [ 7 GALLONS DOSING TANK CAPACITY I )GALLONS
D [ 400 ) SQUP_;E FEET'. Bed Confiquration drainfiel SYSTEM
SYSTEM
R [ 0 ) SQUARE FEET FILLED [ l MOUND [ )
A TYPE SYSTEM: [x) STANDARD [ )
I CONFIGURATION: [ ) TRENCH [x) BED [ I
E:11.9'NGVD
F LOCATION OF BENCHMARK: FFFT ] [AgpVE BELOW BENCHMARX/REFEMCE PfINT
I ELEVATION OF PROPOSED SYSTEM SITE [ 19.20)[ INCHES FT )[ABOVE BELOW BENCHMAWROMRENCE POINT
E BOTTOM OF DRAINFIELD TO BE
[ 69,20 1[ INCHES
LEXCAVATION REQUIRED: [ 62.00) INCHES
D FILL REQUIRED: [ O 00] INCHES Etnench.1:-Existing 1050 sial.septic tank,certified by"Mr C's Plumbing&Septic"on 1112/2015 to remain.
O2„-Install 400 sf of grainfield in bed configuration.
T 3:ICrstall 1 of slightly limited soil at'the bottom of the grainfield. --_getrne tpf excavation area shall be at least 2 ft wider and longer than the piroposed absorption bed or
5 '
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