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PL-16-307 r Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone. (305)785-2204 Fax:(305)756.8972 Inspection Number: INSP-252181 Permit Number: PL-2-15.307 Scheduled Inspection Date: March 17,2016 Permit Type: Plumbing -Residential Inspector. Hernandez,Rafael Inspection Type: Final Owner. HEGEDUS,INES Work Classification: Drainfieid Job Address:1201 NE 98 Street Miami Shores,FL 33138-2562 Phone Number Parcel Number 1132050050220 Project: <NONE> Contractor. A AARON SUPER ROOTER Phone:305-9444886 Building Department Comments REPLACE DRAIN FIELD o Passed comments INSPECTOR COMMENTS False Inspector Comments Passed HRS GREEN CARD APPROVAL IN FI Failed Correction Needed ❑ Re-Inspection Fee No Additional Inspections can be scheduled until re-Inspection fee Is paid a N � E R.: aK k r 9 a � a v a � 9: PL (6 - �3C4-- Ngo. �' � '��' a � s �!. a �,� � � !/ s s _ g°. ;g. " • etc r / 7 MC M . �, , .; ; e- s W s r 3 r ? rsG 6 .d' ti Miami Shores Village 10050 N.E.2nd Avenue NE " Miami Shores,FL 33138-0000 � � Phone: (305)795-22041 3 Expiration: 08103/2016 �"t�3 '�, 13.E •k.; Project Address Parcel Number Applicant 1201 NE 98 Street 1132050090220 ENRIQUE GARCIA Miami Shores, FL 33138-2562 Block: Lot: Owner Information Address Phone Cell ENRIQUE GARCIA 1201 NE 98 ST MIAMI SHORES FL 33138-2562 Contractor(s) Phone Cell Phone Valuation: $ 2,350.00 A AARON SUPER ROOTER 305-944-8886 _--- Total Sq Feet: 225 Type of Work:REPLACE DRAIN FIELD Available Inspections: Type of Piping: Inspection Type: Additional Info: HRS Approval Bond Retum: Final Classification:Residential Scanning:1 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-2-16.58559 DBPR Fee $2.25 02/05/2016 Check#:6004 $112.30 $50.00 DCA Fee $2.25 Education Surcharge $0.60 02/03/2016 Check#:5030 $50.00 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.30 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. Futhermore,I uthori the above-named contractor to do the work stated. a �/' - February 05,2016 Autho ed nature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 05,2016 1 Miami Shores Village - -- rrlvrD- Building Department FE9 032016 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/G/ ' BUILDING Master Permit NO.R` 4 - ,_3.s9 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL %PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP � CONTRACTOR DRAWINGS JOB ADDRESS: 120 f N E 0 S Ue City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 -2)2M C✓' -009 `0 22('� Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholdeer):At,1 N , FIND P-t Q0IE 4- I MES Phone#:-786- 4'2 3-100 3 Address: 120 t N( -1 6 &j City: M State: Zip: f Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: /� � � �1 v�t' L �i Phone#: Address: &2-2- &`o ?�s Cr City: KkaAmcm- State: Zip: 3 Z3 Qualifier Name: 1011'0 T"i e A Phone#: State Certification or Registration#: ® `l�L-I)W qB Certificate of Competency#: DESIGNER:Architect/Engineer: SA Phone#: Address: City: State Zip: Value of Work for this Permit: Square/Linear Footage of Work: 7i2 S Type of Work: ❑ Addition ❑ Alteration New I [ Repair/Replace ❑ Demolition Description of Work• Specify color of color thru tile: Submittal Fee$ 019 Permit Fee$ CCF$_j CO/CC$ m Scanning Fee$ Radon Fee$ DBPR$ Notary$ r Technology Fee$ Training/Education Fee$ 0 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment Also,a certified copy of the recorded notice of comm cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In a absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OW of AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �2 .2q 6 by 1 day of fe b ,2016 ,by �V)Q S GCor061 ,who is personally known to I'D IN -a ,who is personally known to me or who has produced fLN V�YW L'UPfs' as me or who has produced I'�1/ - lh as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: yam ' Sign: cmv Ign: Print: � °�°��; * Print: Seal: Seal: * o8 :s:**esss•ssssees*$w�:ss**ss*srr****a�aa:�ssssesa:+�wwwsssssssss*sesw:wwass*e*s*s**:s*sssu*ss*ss*•assa�w:*waa APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) REPAIR At N---GAPE Couary w.ALTH DEPARTMEtrr PERMIT #:13-SC-1663331 APPLICATION #:AP1219697 STATE OF FLORIDA DATE PAID' DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT : # 41.0 DOCUMENT #:PRI 003243 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Enrique Garcia PROPERTY ADDRESS: 1201 NE 98 St Miami,Fl-33138 LOT: 10 BLOCK: 2 SUBDIVISION: Earleton Shores PROPERTY ID #: 11-3205-009-0220 [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 I 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 [ 750 ] GALLONS / GPD existing septic tank CAPACITY A I ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 225 ] SQUARE FEET trench configuration drainf SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: Ix] STANDARD [ ] FILLED I ] MDUND I ] I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: FFE 12.3'NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 21.60] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM! OF DRAINFIELD TO BE [ 65.60 ][ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ I INCHES EXCAVATION REQUIRED: 156.00] INCHES 1.-Existing 750 gal.septic tank,certified by A Aaron Super Rooter on 1/11/2016,to remain. O 2.-Install 225 sf of drainfield in trench configuration. T 3.-Install 12"of slightly limited soil at the bottom of the drainfield. 4.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. H 5.-Invert elevation of drainfield no less than 7.33'NGVD. 6.-Bottom of drainfield elevation no less than 6.83'NGVD. E The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 400 gpd. "THIS REPAIR PERMIT IS NOT FOR ANY ADDITIONS" R SPECIFICATIONS BY: JOHN J TUFF7r TITLE: \ APPROVED BY: TITLE: Engineering Specialist II Dade CHD 8.rlande omisea DATE ISSUED: 02/02/2016 EXPIRATION DATE: 05/02/2011 '•6 DH 4016, 08/09 (Obsoletes all previous editions which may not be used �g� ��o�.o o a 3 Incorporated: 64E-6.003, FAC tONi v 1.i.A AP1219697 The col'?A?A �(0_ 5 ) pe crm a scil bn-rig i Li C• ' ree is requ�rEi1 to f;a s l final ad'acent W -rB d-a•^.`etd excavafon at tt,e ins;ectian. Prcr to f'ina!Apprflval,the FDOH inspector shall y,,hn ti+e sc„ jp ink and compare the res,is to t e On site evaluation s::nmitted. A reinspection fee W11 be assessed if the contractor is not at the jobsfte at the arranged t1l". ■■■■r�■■si■■■r��■■i ire■�i►�■■■��■■��f�■ ■■■■�■/ iiii��■�■�ISL�r� :a■■■f iii■ '�I1■ ■ `hi `��■/!�■■■■■■■■■■fir■■■t'■■■■■■ • - ' (ROM uam 11 1