Loading...
PL-15-2719 { Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)758-8972 Inspection Number: INSP-246531 Permit Number: PL-10-15-2719 Scheduled inspection Date:April 27,2016 Permit Type: Plumbing-Residential Inspector:Hernandez,Rafael Inspection Type: Final Owner. CHMSTIAN AND MICHELLE GAVIRIA, Work Classification: Drainfield Job Addrew 136 NE 91 Street Miami Shores,FL Phone Number Parcel Number 1131010190040 Project <NONE> Contractor: MR C'S PLUMBING&SEPTIC INC Phone: (305)651-7859 Building Department Comments DRAINFIELD INSTALL Inftcdo Pasmd Commence INSPECTOR COMMENTS Faire Inspector Comments Passed HRS IN FILE Failed Correction ❑ Needed Re-Inspection Fee No Ad IlWai In specibm can be scheduled untli re-inspee ion fbe Is pail. �. DIVISION OF • Environmental Health Florida Health AID Miami-Dade County 40M OSTDSlWell Division 11805 SW 261h Street•Miami,n 33175 Inspector / C°i s/ 1 o.7 le/ o Date Address 6 /� OSTDS#_Q -2g Comments: Signature J Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 . Expiration: 05/30/2016 Project Address Parcel Number Applicant 136 NE 91 Street 1131010190040 TOMAS GAVIRIA JTRS CHRISTI Miami Shores, FL Block: Lot: Owner Information Address Phone Cell TOMAS GAVIRIA JTRS CHRISTIAN AND 136 NE 91 Street -- - - - - -- MIAMI SHORES FL 33138-2810 136 NE 91 Street MIAMI SHORES FL 33138-2810 Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 MR C'S PLUMBING S SEPTIC INC (305)651-7859 Total Sq Feet: 300 Type of Work:DRAINFIELD INSTALL Available Inspections: Type of Piping: Inspection Type: Additional Info: HRS Approval Bond Retum: 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-10-15-57552 CCF $1.80 10/26/2015 Credit Card $50.00 $618.30 DBPR Fee $2.25 DCA Fee $2.25 12/02/2015 Credit Card $118.30 $500.00 Education Surcharge $0.80 12/02/2015 Cash $500.00 $0.00 Permit Fee $150.00 Bond#:2918 Scanning Fee $9.00 Technology Fee $2.40 Total: $668.30 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. Futhermo rOfForize above-named contractor to do the work stated. December 02,2015 Autho gnature:Owner / Applicant / Contractor / Agent ate .0011-Building Department Copy December 02,2015 1 Miami Shores Village �CR,117FF) Building Department OCT 2 6 ,5 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BYe Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201q SIVA BUILDING Master Permit No. ?L is PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 1 CONTRACTOR DRAWINGS JOB ADDRESS: City Miami Shores County: Miami Dade Zip: 331 3k Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: _Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): '1&ilfs,5 6A V14-4 Phone#: 3br 7 Address: 134 �►f+�'g, Sr City: 01&4 �kcr& State: Zip: :3 3 131 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: r Phone#: 6 'A Address: HM N M f City: I kl f� GGState: �"� Zip: ��Uiq Qualifier Name: K �eJJ,�� emiike 11 lk Phone#: State Certification or Registration#: d6 S36 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: 30o o Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: 41 Specify color of color,>thru t1k Submittal Fee$ Permit Fee$ l�r�• CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ G(W 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 property is subject Itachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be rove and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before/me this The foregoing instrument( was acknowledged before me this dayof20 by day of ((�j 0 !' ,20 IS .by g1faG S l�Tfh�(irt� .who is personally known to "Oml fiUL .who is personally known to me or who has pr d c as me or who has produced as identification an } a an oa MBLE ETTRI f identification and who did take an oath. Notaryfublic-State of Florida NOTARY PUBLIC- '?My Comm.Expires Sep 19,2017 NOTARY PUBLIC' Commission#FF 055732 Borrel Through National Notary Assn. Sign: Sign: J2 L Print: Prin o` SURri END c ,s u C-State r Seal: Seal: Idy mm.Expires Oct 23,2018 omission#FF 136597 '�• slo S=W Rooto National Nater Assn. �r*sa����*a�x��w**we�xwx��ss��x�s*s�s�*��a**�*�s**�s**wx��*�xw�*w�s�s�w�s**���s��*�s�**��xe�xa��**�a�**s�►�s��*s��*�xm*�x�ss��**�x�x**���a APPROVED BY `� t� i� Plans Examiner Zoning Structural Review Clerk !< (Revised02/24/2014) ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1) �.�+"' 6/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER SUNZ Insurance Solutions, LLC. ID:TLR NME. Aimee Gra C/o TLR of Bonita, Inc PHONE 727.520-7676 x 222 FAX No: 727-525-3662 700 Central Ave Suite 500 EMAIL St. Petersburg, k 33701 ADDRESS: INSURER(s)AFFORDING COVERAGE NAIC# INSURER A: SUNZ Insurance Company 34762 INSURED INSURER a: AsDen Re-London-Best Rating°A° TLR of Bonita, Inc dba Enter riseHR Encore Business Solutions, Inc INSURER c: Catlin Syndicate-Lloyds-Best Rating°A° and its Subsidiaries INSURER D: Brit Syndicate-Uo ds-Best Rating°A° 700 Central Ave Suite 500 INSURER E: St. Petersburg k 33701 INSURER F COVERAGES CERTIFICATE NUMBER: 25007302 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE JUM SUER wvp POLICY NUMBER POLICY EFF POLIO EXP LIMITS COMMERCIAL GENERAL LL421U Y EACH OCCURRENCE $ CLAIMS-MADE FIOCCUR DAMAGE T RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE UMITAPPLIES PER: GENERAL AGGREGATE $ POLICY D PRO- JECT F LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS P r de UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION WCPE0000000111 6/1/2015 6/1/2016 PER OTH- ANDEMPLOYERS LIABILITY Y/N WCPE00000001 10 6/1/2014 6/1/2015 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑N/A (Mandatory in NM E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D under such reinsurance. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached M more space is required) Coverage Provided for all leased employees but not subcontractors of:Mr C's Plumbing&Septic,Inc Client Effective:1/6/14 CERTIFICATE HOLDER CANCELLATION 7441 Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami h r 2nd Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE Glen J Distefano 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 25007302 1 Master Certificate I Aimee Gray 1 6/8/2015 3:49:21 PM (CDT) I Page i of 1 ✓4 AA� PERMIT #:13-SC4 636461 APP�Icmxam #:AP1208452 STATE OF FLORIDA (PL DATE PAID: DEPARTMENT OF HEALTH �16ITE SEWAGE TREATMENT AND .=�. ctve�rFA FEE PAID: CONSTRIICTION PERMIT >� � � RECEIPT #: j QTY 2015 DOCUMENT, #:PR991244 fly: CONSTRUCTION CONSTRUCTION PERMIT FOR: OSTDS Repair i I 1 APPLICANT: Thomas Gaviria PROPERTY ADDRESS: 136 NE 91 St Miami,FL 33138 i LOT: 5 BL<=: 7 SUBDIVISION: [SECTION, RESHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 1t-3101-019-0040 [OR TAX ID NUMBER] � I 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 NM GUARANTEE SATISFACTORY PERFORMANCE IM 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 CMWLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEV WRONT OF THIS PROPERTY. I SYSTEM DESIGN AND SPECIFICATIONS T [ 90O ] GENS / GPD Septic CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N [ 0 I GALLONS GREASE INTERCEPTOR CAPACITY ISM CAPAC SINGLE x:1250 GALLONS] (; $ [ ] GALLONS DOSING TALAR CAPACITY t ] #[ IDOSIM PER 24 HRS #Pumps [ i ! D [ 300 I SQUARE T _ed configuration drainW SYS R [ 0 ] SQA FEET STEM A TYPE SYSTEM: [x] STANDARD [ I F [ I MOUND t ] I CONFIGURATION: [ I TR21NCH 1XI BED [ ] N FLOCATION OF ARK: FFE 11.7 NGVD I ELEVATION OF PROPOSED SYSTEM SITE t 14.40 I IDTCHES FT ] ABOVE E BOTTOMOF DRAINFIELD TO BE 164.447 _n_q_=__Sj FT I[ABOVE HE BSNCHMARWREFERSNCB POINT L D FILL REQUIRED: t 0.00] INCHES EXCAVATION REQUIRED: t 62.001 S 1.-Existing 900 gal.septic tank,certffied by"Mr.as Septic and Plumbing"on 10/1312015 to remain. 0 2.4n"300 sf of drainfasid in bed configuration. T 3.4nsWl 12" ted soil at the bottom of the draiMield. of slightly limited of excavation area shall be at least 2 ft wider and"or than the proposed absorption bed or drain trend. H E 5: (Comments Continued on Page 2.) R •• ••e • • • • • •+ SPECIFICATION C'1:s4pti0 i i0+ �• TITLE: APPROVED BY: ITLE: Engineering specialist II Dade CHD DAIS ISSUED: •1 1SM15 • • • i • • •i• EXPXRATION DATE: 01/17/2016 DH 4016, 06/09 (Obsold*s j4l•Pry�•e&i$i4o8 ch may P1c incorporated: 64E-6.Vn, P'AC •• • • • ••• • • • 6:0 • • d ti18 C0kJ cGu+f 4S :1Q;. 3:P8 �...�•ti Aa w�v a�,�.�4ai ��1 Su.