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925 NE 91 TerrMiami Shores Village Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) V)( SC? r Owner's Address 92 '� T City H ,'�.4 b t S State 1 L Tenant/Lessee Name Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Describe Work: Total Fee Now Due $ (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shore Florida 33138 Tel: (3 05) e �17�6.ft972 ' Rec BUILDING 3t1 % 2 ` 13" Permit No. P104,-014, PERMIT APPLICATION _ :....._ . .-.7_:M ster Permit No. IOC( - ( 0, . FBC 2001 � J� A k _Sr. l c 'r .Phone # -, c 1 `i • 2;ip Phone # Mechanical Roofing Job Address (where the work is being done) 2 5 `� City Miami Shores Village County Miami -Dade Zip 3 1 f Is Building Historically Designated YES NO Contractor's Company Name rn•, Contractor's Address 1 . ' S > t , SC . i ct City State 1' t- Qualifier L:: C, . -., 0 Phone # , s) r. C.. 5( Cc Zip _') .�t.f State Certificate or Registration No. Certificate of Competency No. Phone # Square Footage Of Work: Type of Work: ['Addition ['Alteration ❑New R pair/Repla a ❑Demolition V -N r \ ; * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * *i: * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 115 00 CCF $ 170 CO /CC Notary $ Training/Education Fee $ • ZO Technology Fee $ A.-31 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 1)50 p_0 t__ (q0 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 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. l L,� Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this I day of , 20 , by , day of C. •�`0-t% 20 U by kfN' ■ t Ct I, • • t4LC.t- C. V (, who is personally known to me or who has produced who is personally known to me or who has produced « k u • As identification and who did take an oath. , c , t.'‘ as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Si Si , k \,;ej,-, .S C.I, ti..C. Print: Pr mot, =)t =, A'LC: - i`l. My Commission Expires: My E **************************,****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED Chc 05/13/03 ssion Expires: * * ** * * * * * * * * * * * * * * * * * * ** i • , 4 • f, TEE FF pP �k J SOLOMON * ti Mg *�KSK ,u-1:41, ember * *20 ** 14 004- NOTARY FL Notary Discount Assoc. Co. MY COMMISSION * DD250437 Plans Examiner Engineer Zoning * * 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /18/2004 Applicant: BARBARA Owner: ABSALOM JOB ADDRESS: 925 NE 91 Parcel # 1132060030060 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2004 -293 ABSALOM BARBARA TERR Contractor A AMERICAN SEPTIC & PLUMBING INC Contractor's Address: 17027 W. DIXIE HWY Local Phone: (305) 866 -5600 Page 1 of 1 Legal Description: PL OF BISCAYNE RIDGE PB 39-41 W31FT LOT 7 & LOT 8 & E2FT LOT 9 LESS Fees: Description Amount FEE2004 -10010 Building Fee $175.00 FEE2004 -10179 CCF $0.60 FEE2004 -10180 Training and Education Fee $0.20 FEE2004 -10181 Technology Fee $4.37 Total Fees: $180.17 Total Fees: $180.17 Total Receipts: $180.17 Permit Status: APPROVED Permit Expiration: 4/10/2005 Construction Value: $400.00 Work: PUMP & ABANDONMENT EXISTING SEPTIC TANK OCT 15 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MI�ORE9 VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui d Inspection Request Date d� Type Insp'n '1�t ( 1 k AI 1 JA Air Permit No. PI �� ��` i & no. Name�CS Address / - !v /`-r o f , Company II /� 1 , Phone # Inspection Date co 12K Approved �1 Correction ❑ Re- Insp'n Fee ❑ (r(at,c0/ 3 BUILDING PERMIT APPLICATI FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address Qualifier City / ciiLL,. % A, State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Architect/Engineer's Name (if applicable) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 304225.2204 Fax: (305) 756.8972 � -1 Contractor's Company Name A A m 2v : i s&v Contractor's Address City PO vi iJv lkt iArv, vvoori Q r d EC ETVE 2004 OCT Electrical G, : tDcr vt` J r' MO MOO 0.11 Plumbiig State Certificate or Registration No. L Certificate of Competency No. Phone # Master Permit No. fim Phone # 13 County Miami-Dade NO t � Zip 3)/3 Phone # Zip 11 `:. Phone# L' -k i d State r'L Zip "_ i ee I $ Value of Work For this Permit Zit Square Footage Of Work: / Type of Work: DAddition ❑Alteration Describe Work: Submittal Fee $ Permit Fee $ 1 .0 0 Notary $ Fee $ Scanning $ On Radon $ Code Enforcement $ Total Fee Now Due $ ' "1 7 (Continued on opposite side) [New 1+1 b -irk o 1 \""' MI X pair/Rplace * * * * * * * * * * * * * * * * * * * * * * * * * * *, F ees * * * * * *:t * * * * * * *** * * * * * * * * * * * * ** Structural Plan Review. $ to ( 1go\ Permit No. PIN, acg. Mechanical Roofing ❑ Demolition CCF $ I : gU A CO /CC Technology Fee $ A .. 3 1 Zoning Bond $ • GCJ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) I ' 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 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. day of who is pers Chc 05/13/03 L' 4'L—_ Owner or Agent 4+IoScau+�- The foregoing instrument was ack oowledg before me this "'I (..t _ 20 , by in � V •1 it":( f b z (C Signature NOTAR Sign: Print: My Co ission Expi es: known to me or who has produced As identification and who did take an oath. * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: /` r � ,� ' / �r� Plans Examiner ylaga5 ommission #DD23198 tic Bonding Cu•', Inc Signature Contractor The foregoing instrument was acknowledged before me this II day of 0 ( 4 20 u4; by iN ►1t irtve) i~.►k) 4 L •t' who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co ission E s ires: **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer Zoning :ONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ X ]Repair [ ]Abandonment [ ]Temporary [ NA ] kPPLICANT: Absalom, Barbara P. AGENT: SR0001342, Woodard William ?ROPERTY STREET ADDRESS: 925 NE 91 Ter Miami Shores FL 33138 .OT: 7 BLOCK: 1 SUBDIVISION: Biscayne Ridge [Section /Township /Range /Parcel No.] PROPERTY ID #: 11 - 3206 - 003 - 0060 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICP.,TIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. 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 2OMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK MULTI- CHAMBERED /IN SERIES: [Y ] A [ 0 ]Gallons MULTI- CHAMBERED /IN SERIES: [Y ] ✓ [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY 0 ] GALLONS DOSING TANK CAPACITY [ 0 ] GALLONS C4? [ 0 ] DOSES PER 24 HRS # PUMPS [ 0 ] D [ 150 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A ; TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED [ N ]MOUND [ N ] I CONFIGURATION: [ N ]TRENCH [ N ]BED [ N ] a F LOCATION TO BENCHMARK: Existing Finished Floor Elev.: 12.40 FT NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 0.0 ] [ FEET ] [ BELOW ]BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 0.0 ] [ FEET' ] [ ]BENCHMARK /REFERENCE POINT u D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 0.0 ] INCHES DTHER REMARKS: STATE OF. FLORIDA DEPARTMENT OF HEALTH - ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM C. NSTAUCTION PERMIT CENTRAX #: 13 - - 22506 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 04 - 3455 - - 1. Install 900 gals. category -1 septic tank equipped with an approved filter. , 2.fThe licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f), FAC. 3. Existing 900 gals. septic tank to be inspected for an appropriate pump -out and properly abandoned. The pump -out receipt shall be provided prior to the granting of the final approval. 4 Existing 150 sq. ft. primary drainfield has to remain. Ti is permit is not for an addition. SPECIFICATIONS BY: Andre, Pau TITLE: APPROVED BY: Andre, Paul , TITLE: Professional Engin Dade CHD DATE ISSUED: 10/8/04 ... EXPIRATION DATE: 1/6/05 Miami -Dade My Home Page 2 of 2 http: / /gisin .comiami- dade.ff /niyhome /propmap. asp ?app= none&bytool= AI)DR&cmd:... 7/28/2004 Miami -Dade My Home Page 2 of 2 http: / /gi sim2. copiami- dade.fl.us /myhome/propmap. asp ?app= none &bytool= ADDR&cmd :... 7/28/2004 cale: Each block represents 5 feet and 1 inch = 50 feet. • - -L_ 3S: Plan submitted by: Approved STATE OF FLORIDA 'L 7-74 f DEPARTMENT OF HEALTH / " -- -APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT-i ''' At. 51/5 Permit Application umber ? t_. ..... AkIDSictiOrn ci25 54‘ SV\ C sktrft ••'• ' • 7 7 • • i 1 ' f 7 '' ' " ' - 7 • • • ' 7' .• . • ! 1 ": ± ;7 1 • • • - !.- . -i. .1 ," ■ . ., ,_4 ..4 ...i. "; 1 1 " _ '. _ ! i , , , • i 4. 4.-4 " , • i .' 1 • 4 . 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[04] MULTI- c71N [05 ] OUTLET ?II [06] LSAEND a 1071 WATERTIOEM [08] [ D1tAINFIELD TASTE 6LATI011 5 6 J' ' [10] MBA (116 Xl 2 ] �? [11] DI8TRI5DT:; 311 BOX MEADER (123 NOMER OF )RAINLIREE i, (13) DRAINLINF IEP*RATLON DRAMILD1E ILOPit DEPTH OF t )VS2 [14] (15) [161 [ [18] [ 1 f211 P111 [ [ ( (25] ( EXPLANATION OF VLGLATI CONSTRUCTI 3055133472 STATE + 7 FLORIDA DEPART ENT OP =A7.TN O)I ITA $$RAGE TARATKEZZT AND DIPOBAL BYSTRI[ CONSTA'CTXON INSPECTION AND FINAL APPROVAL 5 • 3 �` ► � ¢- - -- SiT9DIgI8201Pt ID Ps LRVS[. DEP"TB TO ]' ID ( LAL ctle 4 --- Y [ ELEVATION stsTEA LC( ITION ( [ AGGREGATE 1ISa j" C7 0 7-; [ AQGRJOATA antissIvE FINES [ AOQRS0ATR TSPTR p Z 0) [ [ DOSING PUN !S ) / NXCAVATIC f TSRi1AI. mots ots r / Z . FILL TEiTC tE T) EXCAVATION DEP ANNA Mom MD REPLACES ! IOITERIAL ] 3 1 NS / RE11 RK81 APPROVED OISAPPRAV>CD)I [APPROVED WSAPP*OVISDj D11 4• • , 10/97 (Previa s Rditio is ltaf Me Used) OSTDS 1 1 3 ) 3 1 1 1 1 1 1 3 1 1 1 1 1 1 1 I PAGE. 04 M PRA I°P NO.•0 DATA PAIDt MIDI I1D t R*C1uIPT /e d BiTNAcEN (27] SURFACE NAM ) ) t' (24] DITCHES ,,y f 1291 PRIVA'TS WELLS [301 PUBLIC =LLB 1311 IPAIGATION WELLS (323 POTAELE NETER LINES 7A [33] SuILDVAS FOUNDATION (34] PROPERTY LINEA [351 OT & 7G e PT PT 7 PT Tr FT PT FT FILLaD / MONAD SYSTEM =Amax= Am1FIRT D COMER [37] MOULDERS [381 SLOP= (39 j $TABILIAATIon ADDITIONAL INFORMATION [40] DNONSTRUCTED AMA [41] 8TO1ti(QOSTER =Nor? 1421 AI.* Lffi [43] NAIAZ'RMiCA ADRENAL= (44 ] Du17.DI1Ri AREA [45) LOCATION CONFORMS MITA *ITN PLAN 'y [46) FINAL SITE [47) COETRA [44] mT sa ABANDONMENT (491 8'7110[ num _ELI) a' 2 3 (50] TA11>< mama= A FII.IaD PT 1: Applicant PT 2' 1nS10:IDNCnnhociar PT 3: t AtInp Department OT •l: 14,06 D4De■dm • DATE t t S ! a DATED - J 'd Page 2 of 3 06/12/2005 15:11 3 055133472 r STATE OF It DEPARTMENT ONSITE SEW) : CONSTRUCTIC • APPLICANT: �] AGENT: )I PROPERTY L'E'T t 2 BLOCK t EXPLANATION t ] ] f ] [ 1 DRAINFIELD INSTALLA (10] AREA 11] _.._..- 1111 DISTRIBUTIOIN [12) NUMBER OF DRA (131 DRP,INLxNB SEP 1141 DRAINLINE SLC (151 DEPTH OF COVE (161 ELEVATION [Au [17] SYSTEM LOCATI .ORIDA OP HEALTH GE TREATMENT AND INSPECTION AND ' A / 16f ADDRESS: . - ; ) St 3DIVXS ION ; CHECKED [X] ITEMS ARE NOT IN COMPLIANCE wITE STATUTE OR RTTLE AND MUST BE CORRECTED. TANX INSTALLATION [ ] (01) TAIGIC SIZE [11 /6410 [21 [ ] [02] TANK MATERIAL [ ] [03] OUTLET DEVICS (;D ' e [ ] [04] MULTI CHAMBER D [a-/ N ] [ 1 [05 ] OUTLET FILTER � L [ 3 (06) LEGEND �7"t [ ] [071 WATERTIGHT [ ] [08] LEVEL [ 1 [091 DEPTH TO LID DOSING PUMPS, AGGREGATE'; SIZ AGGREGATE EXC AGGREGATE DEP FILL / EXC•A.vATZON M tTERWAL [22) FILL AMOUNT [231 FILL TEXTURE [24) EXCAVATION DE TII (25) AREA REPLACE.' [26] REPLACEMENT N !FERIA. OF VIOLATIONS ,o N [21 SQFT DX _HEADER NLINES RATION lVE /BEiL0W1 BM_ +1}7 ,SS.TVE FINES / ERS : CONSTRUCT/0 I /14R ] ;APPROVE : `-,L 1. a FINAL SYST 7 !APPROVE 'D1 ;APPROVEDI : Si DH 4016, 10/97 \( evioue :ditions May Be Used) ZRZ HORES VILIT GE G EPA• NT BU 305 - 795 -2214 2C13 Building Inspecti Request Date • T Insp' Permit No. Name Address r Company Phone # Inspection Date Appr oved Correction R -Insp' n f C f 'PERMIT NO. DATE PAID: DISPOSAL SYSTEM PEE PAID: FINAL APPROVAL RECEIPT #: OST DS SETBACKS [27] [28] (29) [3!0] 152] [33] [ 341 [35] 12 1:73 [3.8) [39] [ ] [40] [ 1 [41] [. 1 1421 [ 3 [ r 1 (443 [ [45) [ ] [ 1 2 [47) [ ] 1 [ [ PROPERTY ID __ILI +, • tom PT 1: App!ICnnt PT 2:1ns1allcdtontractar PT 3: Rtlilrllrlp Oepartinen: PT 4. H.- lth bnperrtmxra PAGE a5 Y. — 3 •t 3l R- /cf•_?_ SURFACE [ WATER F r DITCHES FT PRIVATE WELLS FT PUBLIC WELLS FT IRRIGATION WELLS FT POTABLE WATER LINES ) FT BUILDING FOUNDATION If FT PROPERTY LINES FT OTHER FILLED / MOUND SYSTEM DRAINFIELD COVER SHOULDERS SLOPES STABILIZATION ADDITIONAL INFORMATION FT UNOBSTRUCTED AREA STORMWATER RUNOFF ALARMS MAINTENANCE AGREEMENT BUILDING AREA LOCATION CONFORMS WITH SIZE PLAN FINAL SIZE GRDII3T CONTRACTOR 1- 7 20 V 11 ,742 4 OTHER ABANDONMENT ] [49 ] TANK PUMPED // .__, ] [50] TALC CRUSHED & FILLED __V CIID DATE' : 'qf CED DATE: Page 2 of 3 MIAMI SHORES VILLAGE, i LA. APPLICATION FOR SEPTIC TANK PERMIT • DIVISION OF PLUMBINSNSPECTION Date: -�: I herewith submit the following applicAtidn for a.permit covering the installation of a Septic Tan r New: Soakage Pit: Relaying: Feet of drain tile: Installed by: Address: sue„ y : (NEW: Old( Story: // Addition: Remodeled: For a (Store: Garage: Apt: Hotel: Office Bldg. (Res: 4( Garage wash floor: taste water from a: Building has: Stores; Offices; Apts; Hotel Rms; Bedrums Owner or Agent: ti .� ? = _. , 'Address: �2' �- Lot No. ; Block No. / SUBDIVISION •r �� Address of work: 4 ,' , . � / ` 7° . .s N o. of g Plumbin ixtures: . Laundry Tubs: Floor Drains: Nature of water supply: City: Well: Distant from all wells: Type of tank installed: Tank capacity in gallons: '�+;��" Size of Soakage Pit: Purpose of same: Additional information: Ready for Inspection: Date: APPROVED BY: Remarks: PERMIT NO. ONDEMNEII BY: Time: Permit No ___ _-) _,_ __ C Application 1 hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Di ' snon of Miami Shores Village shall be comphed with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ Cathey Const .Co . Registered Architect and /or Engineer _ Location and Legal Description Lot Street and Number where work is to be perfoflned -No 976 N .E,. Al Ter 'jStreet State work to be performed and purpose of building New Building__.___- _____ _ _ - - -- - _.__ -- Remodeling -____. _._ .. __ - _ Addition__ X_ _ .__ __ -- ... . Repairs_ Size Septic Tank_._ _ Feet of Drain Tile Nature of Water Supply. City-Well. Amount of Permit $ _ 16.00 STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date _____ -.Dec -9.,_.1969 - No. _ 545 ____ -_- Street_ . N K.. 122 S t (Signed). .. -_hT (signed)._ M. Employing Plumber's Name __.Qualif Plumbing_ Co. , Inc._ No.. 1083 _ Street _ BIocTr= '_ ?.y Subdivision. Type of Tank _ - --- _ -- - •• _ Capacity Gals. __ _Dist. Feet of T a n k or Drain F i e l d f r o m W e l l . . . . . City __ _ Si 3 of Soakage Pit ... No. of Stories . . Pl, mb rig In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, ,n:l 1 as om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. E. - - -23 Street - Hialeah Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the . .... .. ............ . . .. .... . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all .acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS S SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TU88 URINALS BASIN FLOOR DRAIN DRINKING FOU "T'N6 H H. W W. lIPaf'e 1 TOTAL F XTUREB 4 cONTR. LIST 1 1 1 CHECK SEPTIC TANK SEWER DRAIN CONK. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE_L SPRKL'A. SYSTEM SW IM'G POOL CO NT . IST 1 Con zection CHECK Permit No ___ _-) _,_ __ C Application 1 hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Di ' snon of Miami Shores Village shall be comphed with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ Cathey Const .Co . Registered Architect and /or Engineer _ Location and Legal Description Lot Street and Number where work is to be perfoflned -No 976 N .E,. Al Ter 'jStreet State work to be performed and purpose of building New Building__.___- _____ _ _ - - -- - _.__ -- Remodeling -____. _._ .. __ - _ Addition__ X_ _ .__ __ -- ... . Repairs_ Size Septic Tank_._ _ Feet of Drain Tile Nature of Water Supply. City-Well. Amount of Permit $ _ 16.00 STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date _____ -.Dec -9.,_.1969 - No. _ 545 ____ -_- Street_ . N K.. 122 S t (Signed). .. -_hT (signed)._ M. Employing Plumber's Name __.Qualif Plumbing_ Co. , Inc._ No.. 1083 _ Street _ BIocTr= '_ ?.y Subdivision. Type of Tank _ - --- _ -- - •• _ Capacity Gals. __ _Dist. Feet of T a n k or Drain F i e l d f r o m W e l l . . . . . City __ _ Si 3 of Soakage Pit ... No. of Stories . . Pl, mb rig In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, ,n:l 1 as om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. E. - - -23 Street - Hialeah Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the . .... .. ............ . . .. .... . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all .acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. ____ -_1 Amount of Permit $ LI ' && STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address GU iI,fi'anz A'tivate4 Registered Architect and /or Engineer_____-__ � �_ Employing Plumber's Name 0 'Neat K.fock, & Septic Javzk Co. No./ 368 N. GU. 29th. street_ State work to be performed and purpose of building (By Floors) _ ______ New Building __ -______-_____- ____.____ -_- Addition (Sign 92 S N. C. . 91 ge 3 Septembeic 1969 Date - - -- — - -- — Location and Legal Description Lot Blodr Subdivision Street and Number where work is to be performed —No 925 N. 9l �e�vca Street Repairs No. of Stories . . ................ . Size Septic Tank_ , 9_00 pt -------- - - - - -- -Type of Tank 1 Capacity Gals .__- 9QQ__ - fit. Feet of Drain Tile_�__ __________ ^_Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ ....... _— _________Size of Soakage Pit (Signed)_ - - -Q Plumbing ispector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My C E Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neeessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSITS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK ^- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK X _ _ Permit No. ____ -_1 Amount of Permit $ LI ' && STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address GU iI,fi'anz A'tivate4 Registered Architect and /or Engineer_____-__ � �_ Employing Plumber's Name 0 'Neat K.fock, & Septic Javzk Co. No./ 368 N. GU. 29th. street_ State work to be performed and purpose of building (By Floors) _ ______ New Building __ -______-_____- ____.____ -_- Addition (Sign 92 S N. C. . 91 ge 3 Septembeic 1969 Date - - -- — - -- — Location and Legal Description Lot Blodr Subdivision Street and Number where work is to be performed —No 925 N. 9l �e�vca Street Repairs No. of Stories . . ................ . Size Septic Tank_ , 9_00 pt -------- - - - - -- -Type of Tank 1 Capacity Gals .__- 9QQ__ - fit. Feet of Drain Tile_�__ __________ ^_Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ ....... _— _________Size of Soakage Pit (Signed)_ - - -Q Plumbing ispector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My C E Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neeessary by improper notice for inspection, or faulty materials and /or workmanship. , - 7 / r OWNER (� LOT BLOCK SUBDIVISION t � f �1t'�':�Lt Y1 G x , Date 1 Issued to Received Payment by cY Liam cJhores'9illage F 1. 0 R 1 D A PLUMBING PERMIT ■9 1133 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story building at Fixtures Fixtures $ Sewer $ Septic Tank f : $ Total $ ,f Village Plumbing Inspector OWNER LOT BLOCK SUBDIVISION _' ` _ . / d ate - j - / Issued to For a_Lstory Miami cShores9llage F L O R D A Total $ Village Plumbing Inspector Received Payment by PLUMBING PERMIT N9 1090 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. building at' Fixtures Fixtures Sewer $ Septic Tank $