PL-15-1837 F
� W Miami Shores Village �e�g e P>kt#tt F) ) )
n 10050 N.E.2nd Avenue NEP11Up#f� IS�"�lCc1lr
ate. ;
•" "' Miami Shores,FL 33138-0000PIP
p `
Phone: (305)795-2204 :
Expiration: 02/20/2016
Issue�at�.�J24�15 p�
Project Address Parcel Number Applicant
1041 NE 96 Street 1132060143720
VALERIE GREENBERG
Miami Shores, FL 33138-2551 Block: Lot:
Owner Information Address Phone Cell
VALERIE GREENBERG FL
Contractor(s) Phone Cell Phone $ 2,400.00
Valuation:
A AMERICAN SEPTIC&PLUMBING (305)866-5600 (786)236-5599
- Total Sq Feet: 300
MR C'S PLUMBING&SEPTIC INC (305)651-7859
Type of Work:SEPTIC TANK&DRAIN FIELD INSTALLAT Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
HRS Approval
Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00 Invoice# PL-7-15-56432
CCF $1.60 07/24/2015 Check#:2361 $500.00 $322.80
Change of Contractor Fee $75.00
DBPR Fee $4.50 07/24/2015 Credit Card $272.80 $50.00
DCA Fee $4.50 07/22/2015 Credit Card $50.00 $0.00
Education Surcharge $0.60 Bond#:2798
Permit Fee $300.00
Scanning Fee $3.00 Invoice# PL-8-15-56848
Scanning Fee $9.00 08/31/2015 Credit Card $78.00 $0.00
Technology Fee $2.40 Bond#:2798
Total: $900.80
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 oat efQre . ormation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Fut o i e the above-named contractor to do the work stated.
7 August 31, 2015
Authorized Signature r / Applicant / Contractor / Agent Date
Building Department Copy
August 31,2015 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246751 Permit Number: PL-7-15-1837
Scheduled Inspection Date: November 04, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: GREENBERG,VALERIE Work Classification: Septic
Job Address: 1041 NE 96 Street
Miami Shores, FL 33138-2551 Phone Number
Parcel Number 1132060143720
Project: <NONE>
Contractor: A AMERICAN SEPTIC& PLUMBING Phone: (305)866-5600
Building Department Comments
SEPTIC TANK& DRAIN FIELD INSTALLATION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-244154. NEED ROUGH
INSPECTION FOR REROUTING TO NEW SYSTEM
NEED PERMIT AND HRS APPROVAL
NO ONE HOME
Failed ❑ **HRS IN FILE**
Correction ��
Needed ❑ �1�
Re-Inspection 9b!
Fee
r�
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 03,2015 For Inspections please call: (305)762-4949 Page 23 of 39
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Miami Shores Village may ;
Building Department ' AUG 24 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 0
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20l
BUILDING Master Permit No.Pz- 1,5--1 C�0-�
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS 'CHANGE OF ❑ CANCELLATION F] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: l o`L ISfi
City: Miami Shores, County: Miami Dade Zia:
Folio/Parcel#: (� 3Z®(� - Oi 312® Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFF�E,:� 1_ FFE:
OWNER:Name(Fee Simple Titleholder): Iv w`� _ R(/l1'(Wr%S0A t �p one#: 3oi y—3141r b®2_7
Address: �1 �04l oe qu S"C
City: ` s i'WYY S State: Zip: 33138
Tenant/Lessee Name: t-S/R Phone#:
Email: y o-jcy ► e a Gidyger 0 o%- o-yn . C1®m
CONTRACTOR:Company Name: ( Ld` C t f Phone�#I &E QW SbIDD
Address: t2-595 P�,TSe®V Ud -_Io i'1n►D�mil Fit 13191
City: I State Zip:
Qualifier Name: � I I t i&Iy� �' W-OJA ` Phone#: _149� 2,�9(0 55-a-q
State Certification or Registration#: SEPOWW1 Certificate of Competency#: 5A o poo 1-[�t-7
DESIGNER:Architect/Engineer: WA Phone#:
Address: P/ City: State: Zip:
Value of Work for this Permit:$ `� Square/Linear Footage of Work: 3
UD 0
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ Y CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ C� '�)
(Revised02/24/2014)
Bonding Company's Name(if applicable)
j Bonding Company's Address
City State Zip
Mortgage lender's Name(if applicable) /A
Mortgage Lender's Address
City State Zip
I Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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: 1 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 bull -peft-1 with an estimated value exceeding$25OQ the applicant must
promise in good faith that a copy of the notice a
J-ramMincement and construction lien law brochure will be delivered to the person
whose property is subject to attachment ,a certified copy of the recorded notice of commencement must be posted at the Job site
for the first Inspection w occu n(7) days after the budding permit is issued M the absence of such posted notice, the
Inspection wilt not roved a reinspection fee will be charged.
,.l
Signature Signatur AJ
WNER or AGENT CONTRACTOR
The fotsgoi strument was acknowledged before m�e thts The r ng i me t w acknowledged before this
of `5 day of 1 4 )c�.}_ 20 i.� ,by day of
��1'a l e r;e r4 P a�n�who is personally wnso 0 0 personally known to
_me.or who has produced as r who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC NOTARY PU C:
Sign: E r Sign:
Print: A--�t--UJ r<i "f s n S" Print: I~
DEBRAATIOWN ;•••.8�,� NANCYGOLDRING
Sea!* .•''•• * MY tO�81iiS{ON i FF 078981 Seal: � * MY COMMISSION#EE 860780
EXPIRES:ApA 15,2018 „� ap EXPIRES:February 15,2017
SI.re"O Band Th1u Li st Ntday&avis
'rFOFF� BondedThruBudgetNc�ryServices
ff#ftifffliftillfifftftfittt#tiff##tiffll#itlNgllfiKlift#ffiit#ttiifiiltiftttitlit►ftilitff#ilitifitt#tit
APPROVED BY 2iS Plans Examiner Zoning
Structural Review Clerk
iRe►Mdozn4nvUl
Scanned by CamScanner
♦SgoeEs Miami
shores Village
slime Building Department
�LpRIpA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Permit N. f3—SC—//6(7�)-3tb
Owner's Name (Fee Simple Title Holder): IACC9111- Phone#: 30�; -3
Owner's Address: iP
City: State : Zip Code:
Job Address (Of where work isbeing do ): ( NL 9(0 S�
City: Miami Shores State:—Florida Zip Code3 3t 3
Contractor's Company Name: Ar LI.S 1�-Vm S , Phone#: 365 6 7 70-21'
Address: IMJ� , IJO,J av- &'
City: State: �L Zip Code: :5,Th.
Qualifier's Name : "e ,a Lic. Number:
Architect/ Engineer of Record Name: Phone#:
Address:
City: State: Zip Code:
Describe Work: S� C ,�,,, Q +�!1 1`� r7c L> K o\/e- PA(p-�
I hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to com to the contract. I hold the Building Official and the
Miami ores harmless of all legal inv vement.
Signatufw Signature
Owner or gent Contractor or Architect
The foregoing instrume was aknow dged before me The for oing instrument was aknowledged before me
this day of � ,20( y cR_b(L��V3►ft� this day of (, 20jfby f�167 &��-6K
Who is personally k w me or who has produced who is personally known to me or who has produced
F:�7L— ) as indentification. as indentification.
Notary Public: Notary P 'c:
�, ,
Sign: �` S '% Sign:
Seal: `l� \� '. Seal: +° `�= No Public-State olFlorida
"\ \ My Comm.Expires Oct Commission FF 1371i►a NNlor�alN�
PERMIT #: 13-SC4 618236
STATE OF FLORIDA APPLICATION #:AP1196480
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION PERMIT
4 .RECEIPT #:
DOCUMENT #:PR981573
• s' an ti Wl;
CONSTRUCTION PERMIT FOR: OSTDS Repair f j ' " °_'IK V�F
APPLICANT: (Mark HutchinsonNalede Greenberg)
PROPERTY ADDRESS: 1041 NE 96 St Miami,FL 33138
LOT: 14 8,15 BLOCK: 82 SUBDIVISION: Miami Shores Sec 3
PROPERTY ID #: 11-3206-014-3720 "tSECTI;N, TOWNSHIP, RANGE, PARCEL NUMBER]
1OR TAS 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 TIM.-. 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 IIQ THIS PERMIT BEING MADE NULL AND VOID-
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT - FROM COMPLIANCE WITH OTHER FEDERAL,-
STATE, OR LOCAL RERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T I 1,050 ] GALLONS / GPD Septic(New Tank _CAPACITY
A [ O ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY ' IMMUCH CAPACITY SINGLE TANK:1250 GALLONS]
K I ] GALLONS DOSING TANK CAPACITY [ (GALLONS 01 ]DOSES PER 24 ERS #Pumps [ ]
D I 300 ] SQUARE FEET Bed Drainfield SYSTEM
R I 0 ] SQUARZ FEET SYSTEM
A TYPE SYSTEM: Ixl STANDARD [ ] FILLED I ] MOUND I I
I CONFIGURATION: I ] TRENCH Ix] BED I ]
N
F LOCATION OF BENCHMARK: FFE 11.9 NGVD
I ELEVATION OF PROPOSED SYSTEM SITE 125.20] INCHES :FT IIABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE 175.20 1INCHES FT It IBOVE BELOW PENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: (0.001 INCHES EXCAVATION REQUIRED: 62.00] INCHES
""THIS PERMIT IS NOT FOR ADDITIONS***
O 1-Install a 1050 Sal min.septic tank with an approved filter.
T 2.-The licensed contractor installing the system is responsible for installing the m'�^imum category of tank in accordance
with s.6415-6.013(.3)(f),FAC.
H 3.-Install 300 sf of drainfield in bed configuration.
E 4.-Install 12"of slightly limited soil ttom of the drainfield.
5.-perimeter of excavation area stAll Inant 2 ft wider and longer than the prcposed absorption bed.
R
SPECIFICATIONS BY: le Et Al
TITLE:
TLE: aiineerin I.ialiat II
APPROVED 87r: g �° Dade CHD
rr a �� ,
DATE ISSUED: OT/ 7/2 EXPIRATION DATE: 10/15/2015
DH 4016, 00109 (Obaoletee all previous editions vihich may'rlot be used)
Incorporated: 6415-6.003, FAC Page 1 of 3
". v 1.1.4 ,G': it' AP1196A&D SE9664.63
i
Ii
Miami Shores Village
ID
Building Department JU�_IIVMD
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20,4--
BUILDING Master Permit
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1041 kis ccb S*
City: Miami Shores County: Miami Dade Zip: 33108'
Folio/Parcel#: It Uab4 01(+ '37 a o Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): yQ6f_ (_A tfA.4et4 Phone#: Cl) 31Y n-2-7
Address: 1041 06 U St
City: c..'. S"rCS State: R_ Zip: 3313
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: fr L f PLO.Ls 1 ` GA.4 Phone#: (3) /
�_(US`
Address: iflat A16) 02~ J44
City: State: /=L Zip:�313/6 S
Qualifier Name: A52,,A(e 6*kk Phone#: CsJ (;f( 7PSt
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Ug Square/Linear Footage of Work: 3W 1�
Type of Work: ❑ Addition ��❑ Alteration 1:1New Repair/Replace ❑ Demolition
cc��
Description of Work: - p��L - GL1Qat 1as�'t�
Specify color of color thru tile:
Submittal Fee ¢J `' Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(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$2500, the applicant must
promise in good faith that a copy of the notice of commenceme nd construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a ce copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven days after the building permit is issued. InZ
f such posted notice, the
inspection will not be approved and a r ' spection fee will be charged.
Signature Signature
OWNER AGENT CONTRACTOR
The foregoing instru as acknowledged before me this The foregoing instrument was acknowledged before me this
a Z day of -St 16 ,20 t S ,by J��-day of 20 by
--r
yq�2flC ISW&IN •G ,who is personally known to who is personally known to
me or who has produced r as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
q"- h JA.
Sign: Sign
Print: ,.•��������., KEMBLE ETTRICK Print: S
Notary Public tate o monda
Seal: =My Comm.Expires Sep 19,2017 Seal: 8♦ Notary Pdit-State 61 Florida
pa; Commission#FF 055732 . Icy Comm,Ettp M Oct 23,2016
'---iF mow Bonded Through National Notary Assn. ♦F Com 136597
nunN
Notary Assn.
Sa
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Pt imitivo, PL-7-15-183,7.
Miami Shores Village frmrr Type;Plumbing-Residential
s 10050 N.E.2nd Avenue NE
r
rm,
Work CJqS$iff00ff0n,1Sept1C
Miami Shores,FL 33138-0000 "Petri*Status:APPROVED
Phone: (305)795 2204
FrORiD�
lair Dat+.7124120 IS Expiration: 01/20/2016
Project Address Parcel Number Applicant
1041 NE 96 Street 1132060143720 7
VALERIE GREENBERG
Miami Shores, FL 33138-2551 Block: Lot:
Owner Information Address Phone Cell
VALERIE GREENBERG
FL
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
MR C'S PLUMBING&SEPTIC INC (305)651-7859
Total Sq Feet: 300
Type of Work:SEPTIC TANK&DRAIN FIELD INSTALLAT 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
CCF Invoice# PL-7-15-56432
$1.80 07/24/2015 Check#:2361 $500.00 $322.80
DBPR Fee $4.50
DCA Fee $4.50 07/24/2015 Credit Card $272.80 $50.00
Education Surcharge $0.60 07/22/2015 Credit Card $50.00 $0.00
Permit Fee $300.00 Bond#:2798
Scanning Fee $9.00
Technology Fee $2.40
Total: $822.80
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. F tbffmore,I aut rize the above-named contractor to do the work stated.
July 24, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 24, 2015 1
1 1 1 1�111�1 •
y
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n,.Y.
PERMIT #.. 13-SC-1618236
APPLICATION #:AP 1196480
STATE OF FLORIDA DATE PAID:
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION PERMIT RECEIPT #:
� DOCUMENT #:PR981573
CONSTRUCTION PERMIT FOR: OSTDS Repair' ' "- rf ,' -� " ' , "
"'7'•-f.
APPLICANT: (Mark HutchinsonNalerie Greenberg)
PROPERTY ADDRESS: 1041 NE 96 St Miami,FL 33138
LOT: 14&15 BLOCK: 82 SUBDIVISION: Miami Shores Sec 3
[SECTI.N, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 11-3206-014-3720 [OR TA, 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 TIM ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, £tEQUIRE 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 [ 1,050 ] GALLONS / GPD Sep tic(New Tank) _ CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY° [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY L ]GALLONS 0I ]DOSES PER 24 HRS #Pumps [ ]
D [ 300 ] SQUARE FEET Bed Drainfield SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x) STANDARD [ ] FILLED [ ] MOUND I ]
I CONFIGURATION: [ ] TRENCH [xI BED [ ]
N
F LOCATION OF BENCHMARK: FFE 11.0'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE 125.20 ][ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 75.20] [ INCAES FT ] [ aBOVE BELOW PENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: 10.001 INCHES EXCAVATION REQUIRED: 62.00] INCHES
—*THIS PERMIT.IS NOT FOR ADDITIONS—
* 1.-Install a 1050 gal min.septic tank with an approved fitter.
Tom.2.-The licensed contractor installing the system is responsible for installing the m-,imum category of tank in accordance
with s.64E-6.013(3)(f), FAC.
3.-Install 300 sf of drainfield in bed configuration.
E 4.-Install 12"of slightly limited soil a ottom of the drainfield.
5.-Perimeter of excavation areas If a lea 2 It wider and longer than the proposed absorption bed.
R 1
SPECIFICATIONS BY: Kemlle IEt :TITLE:
APPROVED BY: TLE: gineering Spe+:ialist II Dade CI1D
x' e
DATE ISSUED: 07 7/2 �rV EXPIRATION DATE: 10/15/2015
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC - Page 1 of 3
kp CFN:20150471826 BOOK 29707 PAGE 4628
`'t mrn DATE:07f22/2015 12:46:26 PM
RAPID MLF,mRVICO Co. DEED DOC 6,000.00
. 175 N.E. Z25t$ST, S-S12 HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY
,No MiaMt FL 33161
STBVEN L. BORNSTEIN, P.A.
STEVEN L. BORNSTEIN E9 QIR1
9950 STIRLING ROAD b 10
COOPER CITY VLORIDd► 33024
Yoa LDNnnalam 11-3206-014-3720
Warranty Deed
ThIs Iidela W e, Made this �
/0 day of � � , 2015 an, Between
MARK A. HUTCHINSON and DART•n`NE L. HUTCHINSON, hurs�ba�n.rd, andwife
of dw Comfy of j.- , Stade of grantors, and
VALHRIN GRE ERCP, a s ngle woman
whase addms in 1041 NE 96 STREET, MIAMI SHORES, FL 33138
of to Comty of MIAMI-DADE , state of Florida ,grantee.
W ttneweth that the GRANTORS,far and In coaetdwadon of the sum of
--;l;; DOLLARS ($10)----------------------- DOft,ARS,
and other good and valuable coaddmadon to GRANTORS In hand bald by G` �7'EE, the rewilat whereof is hereby acknowledged,lave
granted,baraainefl and geld to ft said GRANTER and GRANTAn bass,sacees=awl asdgar forever,the following daeoribod tend,dwet'%
Vmand baingintheComtyof MIAMI-DADE State of Florida to wit:
Lot 14 and the East 1/2 Of Lot 15, in Block 82 of MIAMI SHORES,
Section 2, according to the map or plat thereof, as recorded in Plat
Book 10„ at Page 37, of the Public Records of MIAMI-DADE County,
Florida.
Subject to restrictions, reservations and easements of record, if
any, and taxes subsequent to 2014.
and the t santas do hereby fully warrant Qat title to Bald laud,and will do*nd the samo agahxt lawfal olaizm of all persons wlamaeoevea
lit Witness Whereof, the gcaators have hauanto sot their haxdaand seals*ha y and year fnsal Amw malaew'
Slgn4 treated omd delivered in ora'premnet~
Price ed amet / /f / MARRCHIS 0
v7itII •ie r
7/m/A514?
`� i5 3'45
�"- (SM)
Pr gue Tema R, PmttSNS L. HUTCHINSON
�--
STAn OF Florida.,Omlr�e�)1 �7�/ajr•�
COUNTY OF IJIA,140
The Anegaing bwhwrtent was acknowledged halms me flats �C/ day of Qj d ,2015 by
MARK A. HUTCHINSON and DARLENE L. HUTCHINSON, husband and wife
who MV p°rte l lorida drivers license as td
°s NOW P0110-$late of Karl"
e•„ ;s My comm.ExAlres Jun 17,2018
1 CoWlasW#EE 1188890 Sri Names 1
Boadad ilaPUgh lteCarel Malay Assn, Notary Public
15-06-05 1 fat YJQT 23
Tensa emaeted 6r6DLpleYaracat.Atn.=S(W)700"FMFIMMII