PL-15-186 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227237 Permit Number: PL-1-15-186
Scheduled Inspection Date: February 03,2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: MATEO, RAYMOND AND DAMARIS Work Classification: Septic
Job Address:900 NE 100 Street
Miami Shores, FL 33138-
Phone Number
Parcel Number 1132060340220
Project: <NONE>
Contractor: CHAPMAN SEPTIC SERVICE, INC. Phone: (305)815-9901
Building Department Comments
INSTALL 1350 GAL AND 867 Infractio 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.
February 02,2015 For Inspections please call: (305)762-4949 Page 28 of 41
a
i n1
e � a
MIMS
t OWN
'I RIM
,e=
Asn
OW
P
7 •^J *f�� '# P�
"NN
Miami Shores Village _ _�_3J37 )
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JAN 2 7 2015
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
r
�-FBC 20
BUILDING Master Permit No. i` -I�. I
PERMIT APPLICATION Sub Permit No. 'a—1
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
��nn�� CONTRACTOR DRAWINGS
JOB ADDRESS: L�D�O 6
City: Miami Shores County: Miami Dade Zip: 331.21
Folio/Parcel#:_ Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): IR064mlj Z&AX Phone#:
Address: 946 " 11def -.,))S 11?:)?N
City: 5 State:K Zip: 33 I
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Com any Name: Aj AA Phone#:
Address:
City: i State: F1 Zip: .32
Qualifier Name: Phone#: � v Q 149-1010,,1
State Certification or Registration#: V Q Certificate of Competency#: S Iq&j ,B S��
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
� QQ
Value of Work for this Permit:' Square/Linear Footage of Work: O 6r1
Type of Work: F-1AdditionAlteration New ❑ Repair/Replace ❑ Demolition
Description of Work: 44444 40.1 Q 9V �.i!}�
Specify color of color thru tile:
Submittal Fee$ 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$ +� r'
(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.
jt�c jo � p.•Lt3� 71
Signature t Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
/ day of `��C 20 L by _day of;544 ,20 15 , by
P _
'r*— T6,'�vho is pe a y k ^L
to CA *44 Qh flLA• ,who is personally known to
me or who has produced as me or who has produced as
Ir
identification and who did take an oath. identification and wIL i �3�
NOTARY PUBLIC: NOTARY PUBLIC: ` -lip���Y 30�FaA` ,,�S'
. as
�Vi
Sign: \ti, !!ll/ii Sign: #FF087888 ;q`
Print: Print:
1101Ni�dt��
Seal: ¢, :u,v~ �1. �y�°. Seal:
off' ���,•'a�
APPROVED BY _2 � Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PERMIT #: 13-SC-1517576
STATE OF FLORIDA APPLICATION #: AP1133572
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID:
SYSTEM FEE PAID:
CONSTRUCTION PERMIT COPY RECEIPT #:
FtOrfda Nelltlth MIAMI-Dade COURENT #: PR929169
®,� ,D,m�t:
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Raymond Mateo
PROPERTY ADDRESS: 900 NE 100 St Miami, FL 33138
LOT: 1012 BLOCK: 170 SUBDIVISION:
PROPERTY ID #: 11-3206-034-0220 [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 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 [ 1,350 ] GALLONS / GPD Septic CAPACITY
A [ 7 GALLONS / GPD N/A - CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS ®[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 867 ] SQUARE FEET bed configuration drainfiel SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED t ]
N
F LOCATION OF BENCHMARK: Crown of rd., NE 9 ave.,8.58'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 32.40] FINCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2.40 ] [ INCHES FT ] [ BELOW]BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 72.003 INCHES
o Invert elevation of drainfield to be no less than 9.28'NGVD.
'Bottom of drainfield elevation to be no less than 8.78.00'NGVD.
T "Install 42"of slightly limited soil under the bottom of drainfield.
H -Perimeter of excavation area shall be at least 2 ft.wider and longer than the proposed absorption bed or drain trench.
The system is sized for 5 bedrooms with a maximum occupancy of 10 persons(2 per bedroom),for a total estimated
E flow of 520 gpd.
R The licensed contractor installing the system is responsible for installing.the minimum category of tank in accordance
with s.64E-6.013(3)(f), FAC.
SPECIFICATIONS BY: Charles J Chapman TITLE: Master Septic Tank Contractor
APPROVED BY: TITLE: Dade CHD
Carlas N Xcaaa
DATE ISSUED: 02/07/2014 EXPIRATION DATE: 08/07/2015
16�
Ida Mal"
M401ade Cotinly. `
Q OS,TDS/Welt DI"Id"
11,905,SW 2614'S •Miamij L 33175 "`
Ittape for �,` Date
Addrea—(?0D &Je { OSTDS# P�. �►.�
Comments
Signature.
f
'2
J
fl
i