PL-16-279 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-252052 Permit Number: PL-2-16-279
Scheduled Inspection Date: March 03,2016 Permit Type: Plumbing- Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: PAREDES,ELOY Work Classification: Drainfield
Job Address:600 NE 98 Street
Miami Shores, FL 33138-2472 Phone Number (305)333-3169
Parcel Number 1132060171840
Project: <NONE>
Contractor: MR C'S PLUMBING&SEPTIC INC Phone: (305)651-7859
Building Department Comments
-Infractlo Passed Comments
DRAIN FIELD INSTALLATION. INSPECTOR COMMENTS False
Inspector Comments
Passed HRS APPROVAL IN FILE
Failed
e,A
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re4nspecfion fee is paid.
March 02,2016 For Inspections please call: (305)762-4949 Page 13 of 44
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Miami Shores Village PG'Ilt7# i
10050 N.E.2nd Avenue NE A �� '
�... ....� � }tDra 0tialil
Miami Shores,FL 33138-0000 e'
+ Y$ AirPROVED,
,
h— s Phone: (305)795-2204
Ft"oRmA
Expiration: 01/2016
Issue, 21312016 p-
Project Address Parcel Number Applicant
600 NE 98 Street 1132060171840
ELOY PAREDES
Miami Shores, FL 33138-2472 Block: Lot:
Owner Information Address Phone Cell
ELOY PAREDES 600 NE 98 Street (305)333-3169
MIAMI SHORES FL 33138-
600 NE 98 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: 300
Type of Work:DRAIN FIELD INSTALLATION. 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 Invoice# PL-2-16-58527
CCF $3.00
DBPR Fee $2.25 02/03/2016 Check#:3006 $ 121.50 $550.00
DCA Fee $2.25 02/03/2016 Credit Card $500.00 $50.00
Education Surcharge $1.00 02/02/2016 Credit Card $50.00 $0.00
Permit Fee $150.00 Bond#:2978
Scanning,Fee $9.00
Technology Fee $4.00
Total; $671.50
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
constructionand zoning. Futhermore, I authorize the above-named cto do the work stated.
February 03, 2016
Authorized Signature:Owner / Applicant Contractor / Agent Date
Building Department Copy
February 03,2016 1
w
Miami Shores Village
Building Departments B 02 2016
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
BUILDING Master Permit No.TL (lr�—
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Gt® �j E
City: Miami Shores .3
County: Miami Dade Zio: 331
Folio/Parcel#: I I- 70L 0)7- 1 ef!;40 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: - Flood Zone: BFE: FFE:
Cow
OWNER:Name(Fee Simple Titleholder): a- � (?A G1`��C , Phone#: L30� 333 - 3 I(o?
Address: (2(23 U'j C q 6 - 5rt
City: 4-t'ov—' F kar" State ``^L- Zip: S'3
3 d
Tenant/Lessee Name: Phone#:
Email: .014t, ( CCae,,^^)® �,'11i�t0✓1 l�}L+�
CONTRACTOR:Company Name:Tr S P64j'A4 � &ArL Phone#: 30576 f/ Vf�
Address: �����
City: IRII*mState: Zip: 331 C 11
Qualifier Name KAag a &Nt-4Z Phone#•
r
State Certification or Registration M d� 7✓�6 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: 100 City: State: Zip:
Value of Work for this Permit:$ - Square/Linear Footage of Work: 3yn
Type of Work: ❑ Addition ❑ Alteration New Is Repair/Replace ❑ Demolition
Description of Work: ,eu ZAS
Specify color of color thru tile:
Submittal Fee$ S6--Q73 Permit Fee$ /O 0, '�r CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$�
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ EM • G�) _
TOTAL FEE NOW DUE$ k�t ' ()
(Revised02/24/2014) (-�,;2 1 ,E;
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 b appy ved and a reinspection fee will be charged.
Signature Signature
A4�-
0 I NER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
L day of J fa�U+��tC 20 °b�c"� by 017 day of 20 U6 by
i6k)(i Arltg& who is personally known to KP SCC (:-t 600 who is p�onally known to
me or who has produced ? 2 - ' 49 'OCIL 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:
ign-Print: b( rr Print: mom
Seal: KEMBLE ETTRICK Seal: SHERYL A MENDES
Nota y Public State of Florida
;_� PL"jo Notar Public-State Ot Florida
My Comm.Expires Sep 19,2017 ._(yly Comm.Expires Oct 23,2018
Commission#FF 055732 $ay Commission#FF 136597
gul 10.11111IDt �91`Aleterll+t `.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
4FENT #:13-SC-1666159
APPLICATION #:AP1221606
STATE OF FLORIDA
N- DATE PAM:
DEPARTMENT OF HEALTH
1P
SITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
COSTRUCTION PERMIT RECEIPT #:
DOCUMENT #:PRI 002"1
CONSTRUCTION PERMIT FOR: 0STDS Repair
APPLICANT: Eloy Pbredes
PROPERTY ADDRESS: 600 NE 98 St Miami,FL 33138
LOT: 11 12 BLOCK: 101 SUBDIVISION:
PROPERTY ID #: 11-3206-017-1840 [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 64Z-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 E 9()0 1 GALLONS OPD Septic(Existing) CAPACITY
A E 0 3 GALLONS GPD CAPACITY
* C 0 j GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
* E I GALLONS DOSING TANK CAPACITY 1 ,,4 GALLONS @ ]DOSES PER 24 HRS #Pumps
* C 300 1 SQUARE FEET Bed Drainfield .;'-S-YTEMM
* E 0 1 SQUARE FEET SYSTEM
* TYPE SYSTEM: ExI STANDARD FILLED MOUND
I CONFIGURATION: TRENCH BED
N
F LOCATION OF BENCHMARK: FFE 11.6'NGVD
FT I ABOVE)�mmcmaw/REFE-REN= POINT
I ELEVATION OF PROPOSED SYSTEM SITE f 21.601 INCHES NCHES
FT ][ABOVE�BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE t 71.601 INCHES
L
D FILL REQUIRED: 1 0.001 INCHES EXCAVATION REQUIRED: 1 62.001 INCHES
"THIS PERMIT IS NOT FOR ADDITIONS"
0 Install 12"of slightly limited soil at the bottom of the drainfield.
T *Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed.
Invert elevation of drainfield to be no less than 6.13'NGVD.
H "Bottom of drainfield elevation to less than SAT NGVD.
0 les
f ti �19(ste
E *Water line within 10 ft��re. to Ir Sch 40 PVC or sleeved in accordance with FAC Ch 64E-6.005(2)(b).
The system is sized for 3 bed is w aftammurn occupancy of 6 persons(2 per bedroom),for a total estimated flow
R
SPECIFICATIONS BY:14lTITLE:Et ck�,
APPROVED Y' VAXI A TITLE: Engineering Specialist II Dade CHD
DATE ISSUED: INCIhm"'�4� EXPIRATION DATE: 04126r2016
DR 4016, 08/09 (Obsoletes all previous .editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
AP1221606 SE983258
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