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PL-16-994 t/ Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax:(305)756-8972 Inspection Number. INSP-256850 Permit Number: PL-4-16-994 Scheduled Inspection Date: May 05,2016 Permit Type: Plumbing-Residential Inspector. Hernandez,Rafael Inspection Type: Final P� ype. Owner: WEIHNACHT,DANIEL Work Classification: Septic Job Address:241 NW 91 Street Miami Shores,FL 33150- Phone Number Parcel Number 1131010331340 Project <NONE> Contractor MR C'S PLUMBING A SEPTIC INC Phone: (305)651-7859 Buftng Department Comments Inftactio REPLACE SEPTIC TANK EVACUATE AND INSTALL mores DRAINFIELD INSPECTOR COMMENTS Faire Inspector Comments Passed HRS IN FILE Failed Correction Needed 41❑ Re-inspection Fee No Additional Inspections can be scheduled until re-Inspection fee is paid For insoectlons please call(305)762-4949 .. ._ . ._ Xk y € i _ Sar Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 € Phone: (305)795-2204 � � f Expiration: 1011 /2016 ! Project Address Parcel Number Applicant 241 NW 91 Street 1131010331340 Miami Shores, FL 33150- Block: Lot: DANIEL WEIHNACHT Owner information Address Phone Cell DANIEL WEIHNACHT 241 NW 91 Street MIAMI SHORES FL 33150-2258 Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 MR C'S PLUMBING&SEPTIC INC (305)651-7859 Total Sq Feet: 200 Type of Work:REPLACE SEPTIC TANK EVACUATE AND IN Available Inspections: Type of Piping: Inspection Type: Additional Info: Bond Retum: HRS Approval Final Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 CCF $3.60 Invoice# PL-4-16-59401 DBPR Fee $4.50 04/19/2016 Check*1080 $500.00 $327.60 DCA Fee $4.50 04/13/2016 Credit Card $50.00 $277.60 Education Surcharge $1.20 04/19/2016 Credit Card $277.60 $0.00 Permit Fee $300.00 Bond#:3059 Scanning Fee $9.00 Technology Fee $4.80 Total: $827.60 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 authorize the above-named co or to do the work stated. April 19, 2016 Authorized Signature:Owner / Applicant Contractor / Agent Date Building Department Copy April 19,2016 1 q Miami Shores Village BuildingDepartment APR 1 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 `T� Tel:(305)795-2204 Fmc(305)756-8972 — INSPWrION LINE PHONE NUMBER.(345)762-4949 FBC 20 (4 g� BUILDING Master Permit No.? L G ^ `1 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL 2PLUMBING ❑MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [] SHOP �° CONTRACTOR DRAWINGS JOB ADDRESS: '12 I I s� f"• City Miami Shores County Miami Dade Zio• 3 3 t 0 the Building Historically Designated:Yes NO -- Occupancy Type: Load: Construction Type: Flood Zone: 8FE: FFE: OWNER:Name(Fee Simple Titleholder): 0. ] 1 r� G f' Phone#: C� Address-2-141 P-w- I l - 5 kw c�e 3 State. � Zip:iC Tenant/Lessee Name: At / A Phone#: (21C)'31.3—Y6 2'7 Email: lAd1 G�✓I f" "7f!dl' ccs'I. -7 CONTRACTOR:Company Name:JL4f. C IS P %ken VY14 �d �7 e,01,C.C©. Phone# C2� �6-1 `K9 Address: 2 ArW °Ld Ve P_0, Z City: �l6 CWyl� '/rug r I State: r �- Zip: 73 +a d Zr L KQualifier Name: Ec L Phone#• State Certification or Registration#: O 6 15 ,56 Certificate of Competency#: DESIGNER:Architect/Engineer. Phone#: Address: ,m• City: State Zip: this Valise of Work for Permit:$ (O,V w 0'0 Square/Linear Footage of Woric "200 44 Type of Work: ❑ Addition ❑ Alteration ❑ New (Repair/Replace ❑ Demolition n of Work: k e A (a C•e S te�d C fig- �"�/a c LE u 4-e Cs'-c, ;st s t4 6/ �l�a✓i •�celot Specify color o color thru tile: •OCA ?•6® al Submittal Fee$ Permit Fee S � ) CCF S r , CO/CC$ Scanning Fee$ c ' Radon Fee$ '1 ' DB®$ Y•�® Notary$ Technology Fee$(k E?O Trairdng/Educat1on Fee$ �' Double Fee$ Structural Revue$ Bond$ TOTAL FEE NOW DUE$ (RevbedO2/24/2014) ha 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. 1 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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature � / Gc Signature OWNER or AGENT CONTRACTOR The foregoing Instru was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20- by 13 day of [� ,20 /6 by who Is personally known to . G E*v�Gp ,who is a__�„ ersonally known to me or who has produced R _ as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: f Sign: Sign: Print: Print: I, „ JANET®F.ALEJAND Seal •'s° Notary Public-State of Florida Seallotary Public,State of Florida ra My Comm.Expires Oct 23,2018 Commission#FF 206561 ?• Commission#FF 136597 MY comm.expires Mar.11,2019 """l Bonded Rrough National AotWeryAsan Bl��P��4iR if4�6�tgiYB�Hi�E�tt9+F�iMrNrR6l�tsit6•li�i6ii�MluM 9ii8rif�Ai49�6#+R6�+1�68t8�4+l1�9Y�P86NM APPROVED BY 'Plans Examiner Zoning Structural Review Clerk (Revbed02/24/2014) I REPAIR C1 W./v lcor-14 WEAL-pi Wi4kox-t d 1 PERMIT #:13-SC4 673267 l APPLICATION ti:AP 1233543 STATE OF FLORIDA DATE RAM: I DEPAItTMEN'1' OF x>rALTs Ot�T$ ITE SES Ttgp1T AND DISPOSAL SYSTEM FEE PAID CON$T'RUC'P iON PERMI T RECEIPT 8: DOCUMENT #:PRI 12990 II CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Daniel Vftihnec ht II ! PROPERTY ADDRESS: 241 NW 91 St Miami,FL 33150 LOT: 19.20 BLOCK: 136 svIVlsxCW: Miami Shores Sec 6 1 (SECTSCN, TOWNSHIP, RANGE, PARCEL NUMBER' ! PROPERTY ID #: 11-3101-033-1340 [OR TAX ID NUMBER] I � SYSTEM MAST 88 CONSTRUCTED IN ACCORDANCE 1sITH SPECIFICATIONS AND STANDARDS OF BECTICN + 381.0065, F.S., AND CHAPTER 648-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT QUAPAWM SATISFACTORY PERFOKAhNCE FOR ANY SPECIFIC PERF OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE TRE APPLICANT TO MODIFY THE VOID. PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND ISSUANCE OF THIS PERMIT D088 NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OMR FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS septic tiC taNc CAPACITY GALLONS l T [ 900 1 CAPACITY GALLONS / G� A 3 [ s INTERCEPTOR CAPACITY [MARIMdM CAPACITY SINGLE TANK.1250 GALLONS] G91LL01�8 GREASE N [ ] 24 HRS #Pampa [ ] CAPACITY [ ] S At ]DOSES PER GALLONS DOSING TANK CAP II , D E 200 1 SQUAREFEET bed confi0—m drainfist SYSTEM R [ l SQUARE FEET SYSTEM I A TYPE SYSTEM: EX1 STANDARD t 1 FILLED [ ] MOID [ 1 I CONFIGURATION: [ ] TRENCH Ext BED [ ] N I F LOCATIOK OF BENCHWM: FFE 13.T NGVD I ELEION OF PROPOSED SYSTEM SITE [ 22.80 1 ZN =8 E r ][ ABOVE BELO�P POINT VAT E BOTTOM OF DRAINFZBLD TO BE E 72.80] INCHES FT I(ABOVE POINT L D $ILL REQUIRED: [ ] INCHES EXCAVAncu REQUIRED: E 62.001 INCHES 1.install a 900 gal min.septic tank with an approved fitter. O 2.-The licensed contractor installing the system is for installing the minimum category of tank in accordance T with s.64E-6.013(3)(f),FAC. 3.-install 200 of of drainfield in bed configuration. H 4.4nstall 12-of slightly limited soil at the bottom of the drainfield. E 5.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. (Comments Continued on Page 2.) R TITLE:SPBCIFICATIONS BY Kembl® Ettrick TITLE: Engineering apeciallat II Dade CHD APPROVED BY: laaA® Cm4lsoa Sr DATE xsSUED: 04/07120 16 BXPIRATICN DATE: 07AX=16 letes all revious editims which may not be uaed) III } DH 4016, 08/09 (iso P CONTRACTOR .. 1 RI Incorporated: 64E-6.003, FAC v 1..1. RP1e33543 "jt;fg�' 71T'iGLC[IQ'.'6+=Gnee)is rNuirad to pe JTZ a s;1 bv4ng HdJaCQI:t la ?1' 4•:2.4ii•Bt t 8Y.G�YZ?',tl a, the t;Te Of f; W ift5�ec i3 ?f::.r to i t13t Approval,t+`!e F-)OH :nS�Ctcr S'121.1 wftne►s t,a s+ hcri;+;; and^;,rnpare the resu*.ts ?;, the ori inat s to Evaluation A `ae%Of i be assessed if this cantrth^tor is re at ttae iobsqe at *,he arrened time. II I FL16 DIVISION OF 44>� Environmental Health A `� Florida Health O� Miami-Dade County Q� OSTDS/Welt Division 149ty,11805 SW 26th Street•Miami,M 33175 q Inspector r/l �► t' 0 Date V / -- - �% Address ��/ `/�� 9/ f1 OSTDS# Comments: y Signature