PL-15-248 02� ��
Miami Shores Village
FEB 0 4 2015
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
FBC 20 LC
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING F--] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 32 NE 92 St
City: Miami Shores County: Miami Dade Zip: 3338
Folio/Parcel#: It 3aO6 Drs ogd Is the Building Historically Designated:Yes NO ✓
Occupancy Type: Load: Construction Type:_Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):Claudia Alvarez-Sanchez Phone#:305-588-2652
Address:32 NE 92 St
city: Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: n/a Phone#:n/a
Email: n/a >
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CONTRACTOR:Company Name: Q�,,,�((L� �r�� Phone#: 30S(,r/ 7 SSS
Address: Ant )�%
City: State: {L Zip: M651
Qualifier Name: Phone#:
State Certification or Registration#: -y—Owl 6 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: I 07 City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:_ I
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$S01 C5-.<D Permit Fee$ Oi CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$$
Structural Reviews$ Bond$ ;VQ U
TOTAL FEE NOW DUE$ 12
(Revised02/24/2014)
16 21 . 5b
-
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
p p p 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_k Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foipgoing instrument was acknowledged before me this
day of 'F6Kf=dI-N 20 1 S by y day of `'F—X" 20 r by
NICIA AIViIRE? who is personally known to K61r1� b i�'TifjtC whf i 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:
Print: Print:
RY6 A MENKS
Seal: , Notary Public -State of Florida Seal: so}` Nt 12 y Nublic-ataill or Florida
My Comm. Expires Sep 19,2017 .j
Commission # FF 055732 My G rnm.Expires 0C123,2018
°F"° ` Bonded Through National Notary Assn. .;�f CL,o n:mission#t FF 136597
**********
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APPROVED BY -�/ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
„r PERMIT #: 13-SC-1580563
APPLICATION #:AP 1171902
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
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
PROPERTY ID #: 11-3206-013-0050 [SECTION, TOWNSHIP, RANGE, PARCEL 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 DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIIM. 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 [ 1,050 ] GALLONS / GPD Septic CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 400 J SQUARE FEET . Bed confiquration drainfiel SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ J MOUND [ ]
I CONFIGURATION: [ J TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: FFE: 11.9'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 19.20 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 69.20 1 Fi—N—c—HEST FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0,00] INCHES EXCAVATION REQUIRED: [ 62.001 INCHES
1.-Existing 1050 gal. septic tank,certified by"Mr C's Plumbing&Septic"on 1/12/2015 to remain. —
O 2.-Install 400 sf of drainfield in bed configuration.
T 3.-Install 12"of slightly 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 ----------------------------------------------------------------------------------------------------------------------------------
5.- (Comments Continued on Page 2.)
R
SPECIFICATIONS BY: amble Ettrick TITLE:
APPROVED BY: TITLE: Engineering Specialist II Dade CHD
Betsy Lange-Olmino
DATE ISSUED: 01/16/2015 EXPIRATION DATE: 04/16/2015
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
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DOCUMENT #: PR960929
Invert elevation of drainfield to be no less than 6.63'NGVD.
6.-Ba+Lom of drainfield elevation to be no less than 6.13' NGVD.
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons(2 per bedroom),for a total estimated flow of
400 gpd.
THIS PERMIT IS NOT FOR ANY ADDITIONS.
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty-one (21)days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN#A02, Tallahassee, Florida 32399-1703. The
Agency Clerk's facsimile number is 850-410-1448.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order
will constitute a waiver ofour right to an administrative hearing, and this order shall become
Y 9 9,
a 'final order'.
Should this order become a final order, a party who is adversely affected by it is
entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings
are governed by the Florida Rules of Appellate Procedure. Such proceedings may be
commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the
Department of Health and a second copy, accompanied by the filing fees required by law,
with the Court of Appeal in the appropriate District Court. The notice must be filed within 30
days of rendition of the final order.
STATE OF FLORIDA APPLICATION # API 171902
DEPARTMENT OF HEALTH PERMIT # 13-SC-1580563
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE948003
SITE EVALUATION AND SYSTEM SPECIFICATION
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APPLICANT: Alfonso Sanchez
CONTRACTOR / AGENT: MrC
LOT: 9 88 BLOCK: 1
SUBDIVISION: Miami Shores ID#: 11-3206-013-0050
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST
PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.22 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ L RESIDENCES-TABLET / OTHER-TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 549.99 GALLONS PER DAY [ 1500 GPD/ACRE OR r 2500 GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: 600.00 SQFT UNOBSTRUCTED AREA REQUIRED: 600.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: FFE: 11.9'NGVD
ELEVATION OF PROPOSED SYSTEM SITE 19.20 [1 INCHESI/ FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [ ]NO
WELLS: PUBLIC: -FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: FT
BUILDING FOUNDATIONS: 2 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: 10.30 FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES: Urban land USDA SOIL SERIES: Urban land
Munsell#/Color Texture Depth Munsell#/Color Texture Depth
10YR 3/1 Sand 0 To 6 10YR 3/1 Sand 0 To 6
1OYR 5/4 Sand 6 To 28 10YR 5/4 Sand 6 To 28
10YR 5/4 Oolitic Limestone 28 To 72 10YR 5/4 Oolitic Limestone 28 To 72
OBSERVED WATER TABLE: INCHES [ ABOVE / BEE] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEAS014 WATER TABLE ELEVATION: 76 INCHES [ ABOVE /EEI EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING. [ ]YES [X]NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Replacement 4-FS/0.60 DEPTH OF EXCAVATION: 62 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
SITE EVALUATED BY: DATE: 01/12/2015
Ettrick,Kemble(Title:)(Mr.Max Septic Servi)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1171902 EID1580663 V 1.0.2