PL-13-1481 (2) •'w
il. Miami Shores Village
0 10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Fn " Phone: (305)795-2204> a �� vx,�` ...,: . .,
$ hi_
g 7 Expiration: 12129/2013
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Project Address Parcel Number Applicant
1370 HE 103 Street 1132050300080
Miami Shores, FL Block: Lot: CAMILLE CHEE-AWA#
Ovmer Information Address Phone Cell
CAMILLE CHEE-AWAI 1370 NE 103 Street (305)710-3331
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone =2,2
SR0061536 MR C'S PLUMBING 8,SEP (305)651-?859 Valuation:_.........._____.__........... Total Sq Fee
Type of Work:TANK AND DRAINFIELD Available Inspections:
Type of Piping: ---
Additional Info: 4 I Inspection Type:
;� HRS Approval
Bond Retum: .4
Classification:Residential S anning. 1( Review Plumbing
JOB
s r
TIRE
OF
Fees Due Amount "Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# PL-7-13.48282
CCF $1.80
DSPR Fee $4.50 07/0112013 Check 0:8094 $50.00 $766.80
DCA Fee $4.50 07/03/2013 Check#:8095 $766.80 $0.00
Education Surcharge $0.60 Bond#:2248
Permit Fee $300.00
Scanning Fee $3.00
Technology fee $2.40
Total:_;'s $816.80 -- --
e
Apcant Copy
Foal inspections, Call(306) 762-4949 or Log on at httpS:/Ibldg.miamishoresviilage.com/capt.
Requests must be received by 3 pm for following day inspections.
NOTICE,-,-,'In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
addltiop4l restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
July 0�,,;2013 2
Inspection Worksheet
Miami Shores Village
10050 M.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)766-8972
Inspection Number: INSP-194543 Permit Number: PL-7-13-1481
Scheduled Inspection Date:August 13,2013 Permit Type: Plumbing-Residential
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner: CHEF-AWAI,CAMILLE Work Classification: Drainfield
Job Address:1370 ME 103 Street
Miami Shores,FL Phone Number (305)710-3331
Project, <NONE> Parcel Number 1132050300080
Contractor: - SR0061636 MR C'S PLUMBING&SEPTIC INC Phone:(305)661.7869
Building Department Comments
INTALL SPECTIC TANK AND DRAINFIELD Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed LZ HRS IN FILE
Failed
Correction
Needed
Re-inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 12,2013 For Inspections please call:(305)762-4949 Page 13 of 51
............. .............. ........
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax:(306)766-8972
Inspection Number: INSP-196358 Permit Number: PL-7-13-1481
Scheduled Inspection Date:August 06,2013 Permit Type:• Plumbing-Residential
Inspector:Diaz,Osvaldo
Inspection Type: Rough
Owner: CHEE-AWAI,CAMILLE Work Classification: Drainfield
Job Address:1370 NE 103 Street
Miami Shores,FL Phone Number (305)710-3331
Project: <NONE> Parcel Number 1132050300080
Contractor: SR0061536 MR C'S PLUMBING&SEPTIC INC Phone:(305)651-7859
Building Department Comments
INTALL SPECTIC TANK AND DRAINFIELD Infractlo Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August O5,2013 For Inspections please call: (305)7624949 Page 28 of 37
t
° STATE OF FLORIDA PERMIT NO. �
' DEPARTMENT OF HEALTH ' DATB PAID:
ONSITE SEWAGE TREATMENT AND DIPOSAI� SYSTEM FEE PAID:
Gt3NST32tTf:T N -INSPECTION AND APPROVAL RECRIPfi #:... __->-
WC
APPLICANT:
AGENT:
PROPERTY ADDRESS: I U �+ f C) —
LOT: $ BLOCK: SUBDIVISION: PROPERTY ID #: 1 -;Sao V_T.?o -c7�
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR R"E AND MUST BE_CORRECTED.
TANK INSTALLATION SETBACKS
I - 1 1011 TANK SIZE [1] .Z Cd 121 I 3 €273 SURFACE WATER FT
C 3 (023 TANK MATERIAL f 1 128) DITCHES FT
t 3 [031 OUTLET DEVICE Gd'`'s' [ 1 €291 PRIVATE WELLS FT
C 1 [041 MULTI-CHAMBERED [0Y / N f I €301 PlVBT41C WELLS FT
[ 3 [053 OUTLET FILTER Alloy [ 3 €311 IRRIGATION WELLSpp FT
€ 1 €061 LEGEND c3'-^ Cr 1 3 1321 POTABLE WATER D 9
INES 0 FT
€ 1 [073 WATERTIGHT [ 1 1331 BUILDING FOUNDATION �(. FT
[ 1 [081 LEVEL [ 1 [341 PROPERTY LINES FT
[ 1 €091 DEPTH TO LIP [ 3 [351 OTHER FT
DRAINF'IELD INS�TTION FILLED / MOLD SYSTEM
[ 3 €101 AREA [11-7;20 123 SQFT [ 3 [361 DRAINFIELD COVER
f 1 1111 DISTRIBUTION BOX HEADER [ 1 €373 SHOULDERS jam/
[ 1 [121 NUMBER OF DRAINLINES [ 1 [383 SLOPES
[ 1 [131 DRAINLINE SEPARATION [ I [393 STABILIZATION
[ 1 [143 DRAINLINE SLOPE
[ 3 [151 DEPTH OF COVER ADDITIONAL, INFORMATION
[ 3 [161 ELEVATION [ABOVE/BELOW] BM10V [ 3 [401 UNOBSTRUCTED AREA
[ 3 [173 SYSTEM LOCATION I 1 [411 STORMWATER RUNOFF
I 3 [183 DOSING PUMPS I 3 1421 ALARMS
1 3 1193 AGGREGATE SIZE [ 1 [431 MAINTENANCE AGREEMENT
[ 3 [201 AGGREGATE EXCESSIVE PINES I I [441 BUILDING AREA
€ 1 [211 AGGREGATE DEPTH { 1 [451 LOCATION CONFORMS WITH SITE PLAN
f 3 [463 FINAL SITE GRADING J
FILL J EXCAVATION MATERIAL [ 1 1473 CONTRACTOR YZA C t?
[ 3 [223 FILL AMOUNT t t ` [ 1 [483 OTHER
€ 3 [233 FILL TEXTURE
C 3 [243 EXCAVATION DEPTH ^ / ABANDONMENT ^� ? �°
1 1 [251 ,AREA REPLACED �°l�4, [493 TANK PUMPED 21 Y/j S
[ 3 [261 REPLACEMENT MATERIAL I.Db [501 TANK CRUSHED & FILLED 2 J
EXPLANATION OF VIOLATIONS j REMARKS- as
[ 1
1 I
f 3
CONSTRUCTIO APP_RAE DISAPPROVEDI; ( _ CHD DATE: —2 &' -/ 3
FINAL SYSTAPP OVEDJDISAPPROVED3 : +w 1 1 CED DATE. 2 Y- J
DH 4016, 08/09 (Obsoletes all previous editions wthich may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3