PL-09-2004 Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 y ��
„
=� Expiration: 06/0 2010
a
Project Address Parcel Number Applicant
620 GRAND CONCOURSE 1132060172000 HORACIO AGUIRRE
Miami Shores, FL Block: Lot:
Owner Information Address Phone cell
HORACIO AGUIRRE 620 GRAND CONCOURSE
MIAMI SHORES FL 33138 -2474
5
Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00
A AARON SUPER ROOTER 305 - 9448886
Total Sq Feet: 225
Type of Work: PLUMBING For inspections please call:
Type of Piping: DRAINFIELD (305)762 -4949
Additional Info: Available Inspections:
Bond Return: Inspection Type:
Classification: Residential Final
Rough
Landscaping
Fees Due Amount Invoice # Total Amt Paid Amt Due
Bond Type - Contractors Bond $300.00 PL -12-09 -36561 $ 481.20 $ 481.20
CCF $1.20 $ �'��
Education Surcharge $0.40 Check #: 1367 Bond #: 1910
Permit Fee - Additions/Alterations $175.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $481.20
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 contractor to do the work stated.
December 04, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 04, 2009 1
Miami Shores Village
Building Department DEC 0 3 coos �
10050 N E.2nd Avenue Miami Shores Florida 33138
Tel. (305) 795.2204 Fax: (305) 756.8972 B Y .. ®®
INSPECTION'S PHONE NUMBER: (305) 762.4949 ®
,1
BUILDING Permit N o. �
PERMIT APPLICATION ' Master P No.
FBC 20
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Permit Type BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) Oat 44ej f_n MU 9 Ct(C Phone #
Owner's Address �� ;�✓"t S-�
City tl1 ayn, 9�10r _ 81— Zip -5:5 3
Tenant/Lessee Name Phone # h �
Email
i
Job Address (where the work is being done) .620 G Fq n
City Miami Shares Villaee County _ Miami -Dade Zip g J3 3�
FOLIO/ PARCEL # _ J 1- :>2_06- _ 17 ^- 2 ®
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name SV ° 4kbne # ?`q "&&e6 j
Contractor's Address _ Q 2Z S� 1 0 f
City o YfA A�r State FIL Zip
Qualifier Name Phone #
State Certificate or Registration No: Certificate of Competency No.
Contact Phone E -mail
Architect/Engineer's Name (if applicable) Phone # !,I
Value of Work For this Permit $ moo Square / Linear Fooiage`Of Work: q
Type of Work: ElAddition ❑Alteration QNew epair/Replace ❑ Demolition
Describe Work. �II
Submittal Fee $ Permit Fee $ CCF $ 1 • CO /CC .$
Notary Train uca 'on
i'3' nglEd h .Fee $ � � � Technolo Fee $
g3'
Scannin $�
Radon $ DPB
g R
$ Bond n
Double Fee $ Violation date: Sri
Structural Review. $ Total Fee Now Due $ 4
See Reverse side -4 ���
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that.aIl 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 $ 00, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure wit delivered to the person
whose property is subject to.attachment. Also, a certified copy of the recorded notice of commencement be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abs c of such posted notice, the
inspection will not be approved and a reinspection fee will be charged..
Signatur s A 4 Signature
weer or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of Ofe- , 20 by - l � !J �(f� day of e e 20 by JO
who is personally known to me or who has produced who is personally known to me or - who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: a Sign.
Print:. Print:
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APPROVED B
la M Zoning
Engineer Clerk checked
(Revised 07 /10/07XRevised 06110/2009)
eRencT x: 13 -SC- 1081010
STATE OF FLORIDA As'PLIc&wzc v 0= AP944190
DEPARTmxT OF HEALTH DATE PAM
4D s
ON9YTS SEWAGN TREA71IMM AM DISPOSAL sax PAID:
SYSTEM
REC>ix1?T #
Docuw= #: PR791950
CONSTRVCTIOIW PENaT VOR: OSTDS Repair
APPLICANT: Helen Aguirre
PROPERTY ADDRESS s 620 Grand Consume Miami, FL 33138 t
LOT: 9-10 R OCRs 102 Smmrj75.TON1
MOMRTI ID e: 11- 3206 -017 -2000 [SECTION, TOWNSHIP, RAN=, PARCEL NaNgER]
[OR TAX I NUMMRI
SYSTEM MUST 88 CmmT=CTBD iAT ACCORDAN08 Yrx= $PECIFICATI0118 AND STANDARDS OS SECTION
381.0063, F.S., AMID CMPTBR 648 - 6, F.A.C. DEPARTMENT APPROVAL, OS BX$TEM DOES NOT mAFANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECYB'YC PERIOD OF TIME. AVY CHANGE IN M&TIPTAT FACTS,
WEaCS SEED As A BASI FOR ISSUANCE Oi THIS PERMIT, REQUIRE THE APPLICANT W MODIFY THE
PERbaT APPLZCATION. SUCH MODIFICATIONS MRY RESULT IN THIS PERMIT BEING MADE X= AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT TIM APPLICANT FROM COMBLIANCB WITH OTHER FEDRPAL,
STATE, OR LOCAL PERMITTn;G REQS,TIRE1:1 SOR DEVELOPMENT of Tsxs pRoVERTY.
SYSTEM DES =GMT AMID SPECIFICATIONS
T E 780 3 GALLONS / GPD Seotic CAPACITY
A [ ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS 6178ASE n=RCEPTOR CAPACITY CmLxxmm CAPACITY SINGES TANK:1250 GALLMSl
K [ ) tiALLONS DOSING TANK CAPAC [ I GALLOM ® [ ]DOSES PER 24 8RS flrPumps [ ]
D [ 225 1 SQUARE FEET SYSTEM
A [ ] SQU ARE. FRET SYSTEM
A TYPE SYSTEM: [ STANDARD [ ] FILLED [ 1 NOWD [ ]
I CONFIGURATION: Ex] TRENCH [ l mm [ ]
N
F LOCATION OF SENCHM MK. F.F.E.: 14.4' NGVD
I EZ.EVATION OF PROVO19ED SYSTEM BITE [ 24.00 7 i .
T ] [ ABOVE � BENCKKM /RESaR=C8 POINT
x BOTTOM OF DRX=F =xLD TO BE E 60.00 1 [ IMrCtIEe FT ] [ ABOVE 11=CHM?kWRZF8RWCE POINT
L
D SILL REQUIRED: [ 0.00 ] INm ms 8?[CAVwwxoN Rxguzmm: [ 36.00 ] INCIISs
o THGIS PERMIT IS FOR THE WEST SYSTEM SIDE ONLY. 1- Existing 750 gal septic tank certiffed by " A Aron super
Rooter" on 11/30/2009 to remain. 2 Install 225 sf of drainfgeld In trench configuration. 4- Install 42" of slightly limited Boll
T under the bottom of dralnfield. 5- Pedmater of excavation area shall be at least 2 ft wider and longer than the proposed
K absorption trench. 6- Invert elevation of drainfield to be no less than 6.90' NGVD 7. Bottom of dralnfield elevation to be no
x less than 6AY NOW.
R THIS PERMIT IS NOT FO ON(s)
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APPROVED T ZTLx : Gf� '"��*iu .._ Ate � I D @�•, C»
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DATE ISSUED; 1 009 RxVmk =:10x- ►TE: 0310
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DE 4016, 10/97 (Prwimo EdUtlana Mayr Be 'Quad) page 1 of 3
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- - "&NO -DAde CGOUty Health i)ep *rtment
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 130789 Permit Number: PL -12 -09 -2004
Scheduled Inspection Date: December 22, 2009 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Final
Owner: AGUIRRE, HORACIO Work Classification: Drainfield
Job Address: 620 GRAND CONCOURSE
Miami Shores, FL Phone Number
Parcel Number 113206017200
Project: <NONE>
Contractor: A AARON SUPER ROOTER Phone: 305 -944 -8886
Building Department Comments
replace drainfield
In Wen
Passed H IN FI E
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 21, 2009 For Inspections please call: (305)762 -4949 Page 12 of 27