PL-17-96Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. PL -1-17-96
Permit Type: Plumbing - Residential
Work Classification: Septic
Permit Status: APPROVED
Issue Date: 1/25172017
Expiration: 07/24/2017
Parcel Number
Applicant
34 NW 97 Street
Miami Shores, FL 33150-
1131010330330
Block: Lot:
JENNIFER FREHLING
Owner Information
Address
Phone
Cell
JENNIFER FREHLING
1115 NE 97 Street
MIAMI SHORES FL 33138-
(305)582-6396
Contractor(s) Phone
MR C'S PLUMBING & SEPTIC INC (305)651-7859
Cell Phone
Valuation:
Total Sq Feet:
$ 2,300.00
300
Type of Work: INSTALL SPETIC TANK DRAIN FIELD
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 4
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$4.50
$4.50
$0.60
$150.00
$12.00
$2.40
$175.80
Pay Date Pay Type
Invoice # PL -1-17-62607
01/12/2017 Credit Card
01/25/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 125.80
$ 125.80 $ 0.00
Available Inspections:
Inspection Type:
HRS Approval
Final
Review Plumbing
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 -trict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this • it I 'ssume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for - IC L, PLUMB G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS
construction an
rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ermore, I authorize the above-named contractor to do the work stated.
Auth rized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
January 25, 2017
Date
January 25, 2017 1
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
Master Permit No.
JAN 122017
BY:
.5n—
FBC 20�Pk n--QC0
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS D CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
JOB ADDRESS: 3t1 rti)vo -hm St"
DRAWINGS
City: Miami Shores County:
Miami Dade Zip: 33 15V
folio/Parcel#: -O35- 6 /'t, Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): .•I P.v),n: kv— IRY- (��t
Address: 4 NA) X17 S*e
BFE: FFE:
Phone#: S82-(03 1
City: /14{ itA_44 d'vlOrState: / '—h _i DA— Zip:
Tenant/Lessee Name: Phone#:
Email:
/�� � f //tt,tb/'..fCONTRACTOR: Company Name: � vl r ' `
jq3� Nth AenrLe._
Address:
City:
Qualifier Name: 42-414
Phone#:
34'c -6'C? - 7 I
State: //
/G;G
Phone#:
Zip: 33/C 9
3o�'-6s1� 7
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
Value of Work for this Permit: $
ZS 00
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
City: State: Zip: _
Square/Linear Footage of Work: U
Repair/Replace ❑ Demolition
❑ New
�JlL°A(NF? 1- D
Tb rev tc i eflr\ki- Pi tU-UtDO
Specify color of color thru tile:
Submittal Fee $ 5C.Iiip.il7 -
Scanning Fee $
IZ.
Technology Fee $ Z• c o
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
4 CCF $ I • S ° CO/CC $
q• J'o DBPR $ q • SG Notary $
Training/Education Fee $ 'COG Double Fee $
Bond $
/ �J
TOTAL FEE NOW DUE $ { Z S•
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 commen t must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In e able e of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature !
OWNER AGENT
The foregoing instrument was acknowledged before me this
//02 day of V 17\111 , 20 %' ' by
Je N! Pc -4 t2 e*J Are who is personally known to
me or who has produced as
identification and who •'e take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
************
♦� FY PV ,,
Notary Public - State of Florida
• My Comm. Expires Sep 19, 2017
I�t.'oc Commission # FF 055732
`DC
R;,Lsi°° Bonded Through National Notary Assn.
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
12 day of 3I971)M4' , 20 / 7 • , by
P L d//7i k, ho is personally known to
me or who has produced
r
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
SHERYL A MENDES
Notary Public - State of Florida
•5 My Comm. Expires Oct 23, 2018
Commission # FF 136597
,, OF F��•���.
**** ****'i+>itif****floinged.RNoug* 1ati6RaFMbtllf fij! 0***********
Zoning
APPROVED BY Plans Examiner
(Revised02/24/2014)
Structural Review Clerk
• J • FT
15
•
'
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Jennifer Frehling
APPLICATION # : API 132263
PERMIT #: 13 -SC -1515588
DOCUMENT # : F1947640
DATE PAID:O1/15/2014
FEE PAID :200.00
RECEIPT #:13 -PID -2338990
AGENT: Mr. C"s Plumbing & Septic
PROPERTY ADDRESS:
LOT: 6, 7
SUBDIVISION:
34 NW 97 St Miami, FL 33150
Miami Shores Sec 6
BLOCK: 130
ID#: 11-3101-033-0330
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01]
[02]
[03]
[04]
[05]
[06]
[07]
[08]
[09]
TANK SIZE [1] 900.00 [2]
TANK MATERIAL
OUTLET DEVICE
MULTI-CHAMBERED
OUTLET FILTER
Polyethylene
[ Y /
Tuf-Tite
N
LEGEND 1. 70-109-20DC3
WATERTIGHT
LEVEL
DEPTH TO LID
DRAINFIELD INSTALLATION
[10]
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]
FILL
[22]
[23]
[24]
[25]
[26]
AREA [1] 300
DISTRIBUTION BOX
NUMBER OF DRAINLINES
DRAINLINE SEPARATION
DRAINLINE SLOPE
DEPTH OF COVER
ELEVATION [ ABOVE
SYSTEM LOCATION
DOSING PUMPS
AGGREGATE
AGGREGATE
AGGREGATE
[2]
2.
HEADER
1. 6.00 2.
BELOW
SQFT
X
]BM 3.87
[
SIZE
EXCESSIVE FINES
DEPTH
/ EXCAVATION MATERIAL
FILL AMOUNT
FILL TEXTURE
EXCAVATION DEPTH
AREA REPLACED
REPLACEMENT MATERIAL
•• ••• • • • . •[ •.
•• [
Comments: Comments are on page 2. • -: • •
SETBACKS
[27]
[28]
[29]
[30]
[31]
[32]
[33]
[34]
[35]
SURFACE WATER
DITCHES
PRIVATE WELLS
PUBLIC WELLS
IRRIGATION WELLS
POTABLE WATER
9
BUILDING FOUNDATIONS
PROPERTY LINES
OTHER
FILLED / MOUND SYSTEM
[36]
[37]
[38]
[39]
FT
FT
FT
FT
FT
FT
12 FT
4
DRAINFIELD COVER
SHOULDERS
SLOPES
STABILIZATION
ADDITIONAL INFORMATION
[40] UNOBSTRUCTED AREA
[41] STORMWATER RUNOFF
[42] ALARMS
[43] MAINTENANCE AGREEMENT
[44] BUILDING AREA
[45] LOCATION CONFORMS WITH SITE PLAN
[46] FINAL SITE GRADING
[47] CONTRACTOR
[48] OTHER
ABANDONMENT
FT
FT
[49] TANK PUMPED 03/25/2014
[50]
TANK CRUSHED & FILLED
03/25/2014
CONSTRUCTION [
FINAL SYSTEM [
APPROVED
APPROVED
(Explanation of Violations
• •.• .•• ••• .•• •
/ • • • • • • • Dade CHD DATE:
DI SAPPROV :q'] �ragi�fee:fn.Spe�ieli9t 11 B:t� y : a:ge-Olmino (Department of Health in Mia
••• • • • • •
/ DISAPPROVED ]: Dade CHD DATE:
Engineering Specialist II Betsy Lange-Olmino (bepartment of Health in Mia
on following page) • • • • • • • • • • • •
• • • • • • • •
• • • ••• • • •
previous editionsNhi*ch eBay not. be used)
••
• • •• • . •• .411. ••• • •• ••
• •
DH 4016, 08/09 (Obsoletes all
Incorporated: 64E-6.003, FAC
EH Database v 1.0 .1
AP1132263
EID1515588
03/26/2014
03/26/2014
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION # : AP1215843
PERMIT #: 13 -SC -1647264
DOCUMENT # : FI 1037102
DATE PAID :01/27/2016
FEE PAID:100.00
RECEIPT # :13 -PI D-2883606
Violation Number
Comment
Comments
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
gpd.
-10 bundles 9 pipe each, 5 drainlines (20 ft in length)
-bed configuration, 12 inches of sand
-okay to cover septic system.
•• ••• • • • • • ••
•
• • •
• • • •
•
•• ••• •• • • • ••
• ••V ••• '6•• ••• •
• • • e • • •
• • • • • • •
• • • • • • • • •
• •• • • •• •• • •
••• • • • • •
.041 • • • • 000 • •
• J • • • • • •
DH 4016, 08/09 (Obsoletes all previous edi4ienh inay raot•be used)
• •• •• • • • •• ••
Incorporated: 64E-6.003, FAC ••• • • • ••• • •
EH Database v 1.0.1
AP1215843
EID1647264
Page 2 of 3
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
10/7/2016
To: Current Owner
34 NW 97 Street
Miami Shores , FL 33150 -
Permit: PL -3-14-460
Address: 34 NW 97 Street Miami Shores FL33150-
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to obtain new permits, refinance or
sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,7/1/??
Ismael Naranjo (CO
Building Director