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PLUMBING PERMITMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date .' 0 Time Type Insp'n Permit No. Name J c=) Address Compa Phone # For Inspee: )2 Name & Date Approved Correction Re-Insp'n Fee o PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date —ZD -91 Job Address 257 N.E. 91st Street Tax Folio Legal Description Lots 17,18, 19 Mi a . Shores Sec #1 Historically Designated: Yes * * * * * No Ownerk*Isedfk I> t Henry H. & Frances Harnage Master Permit # Owner's Address swot CPC010280 257 N.E. 91st Street Contracting Co J.R. Crockett, Inc. Address 2700 E. Oakland Pk. Blvd . , Ft. Laud. Qualifier J. R. Crockett SS# Phone (305)441 -9399 Kehler Engineering Asso., Inc. ApchiteoWEngineer Bonding Company None Address N/A Mortgagor None Address N/A Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Swimming pool piping Square Ft. Estimated Cost (value) $2,000.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AF :t VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable la s regulat g co .tructio d zo _ Furthermore, I authorize the above -named contractor to do the work stated. i / 1 WA Signat and/or .r •ent as to Owner and/or Condo President My Commission Expires: ��pYp�e--;�:. "J. R. CROCKETT COMMISSION # CC 469707 iiil c EXPIRESJU 1999 ^� BONDED THRU - OF Fv- ATLANTIC BONDING CO., INC. Municipal # Competency # CPC010280 Ins. Co. Michigan Mutual 3/49 7 Jam. �1 Date / e of Contractor or Owner - Builder 3 (S c Dat FEES: PERMIT RADON C.C.F. APPROVED: Zoning Building Mechanical Plumbing 33138 Phone (305) 759 -3007 Address 4950 S.W. 72nd Ave., Miami, F1 to Contra tor or Owner - Builder xp1re ANNE STAMOS My Con rn son CC411775 Expires Oct 05, 1998 Bonded by HAI 800- 422 -1565 15 ! 20/c1 7 Date Electrical NOTARY BOND TOTAL DUE Engineering /--747va 1/&, iftbu. HENRY H. HARNAGE 257 N.E. 91ST STREET MIAMI SHORES, FLORIDA 33138 TEL.: (305) 759-3007 Dedrt ). 6-re7 ded2J-A:c0-1,—. 741- a_c s Dr-p-t4AAdi / 1' -/-rA fr()- f t/tA cg7da-;A /07‘,‘/'- 7(r PI° Kehler Engineering Associates, Inc. 4950 SOUTHWEST 72nd AVENUE / SUITE 115 / MIAMI, FLORIDA 33155 / 667 -8975 / FAX 662 -1002 Mr. Frank Lubian City of Miami Shores Building and Zoning Dept. Miami Shores, Florida Re: Harnage Residence Swimming Pool Subject: Enclosure Wall shown on pool drawings; Dear Mr. Lubian: This letter will certify that the CBS Wall enclosure shown on the pool drawings was included as as a means of meeting the Safety Barrier requirement established by The Dade County Building and Zoning Department. Construction and subsequently the details for construction of the barrier are not part of the intended scope of work to be covered by the pool drawings or the pool permit. A separate permit for the wall, along with details depicting the construction sequence are to be by others. The drawings submitted for the pool and pool deck are to cover those related items only, and none other. I hope this information will clarify this issue, and clear the way for issuance of the swimming pool permit. Should you have any questions about this letter, please do not hesitate to call our office during regular business hours. Thank you for your help in this matter. Respectfully, Kenneth C. Kell , P.E. /P.L.S. C cc: J.k. Crockett Pools, Inc. (Via fax) STATE CERTIFIED GENERAL CONTRACTOR M CGC006535 BROWARD COUNTY ENGINEERING CONTR. M 66 -198 April 11th, 1997 Village of Miami Shores Building Department 10050 N.E. 2nd Avenue Village of Miami Shores, F1 33138 Attn: Mr. Frank Lubien, Building Official Re: Judge Henry Harnage Residence - Permit Dear Mr. Lubien: In accorance with your request, please be advised that the undersigned hereby certifies that the Permit Application submitted on 3/31/97 and referenced above is intended solely for the construction of the new swimming pool and deck as shown on the drawings. The additional new work shown on the site plan will be constructed under a seperate permit pursuant to a contract presently being negotiated with Judge Harnage. All new work is scheduled to be completed prior to the completion of the swimming pool and deck work. I appreciate your consideration in this regard and request that the Harnage Pool Permit be expedited. Very Truly Yours, J.R. Crockett, Inc. J.R. CROCKETT, INC. . Crockett, CPC010280 STATE CERTIFIED COMM. POOL CONTR. *CPC010280 BROWARD COUNTY GUNITE CONTR. * B6- 4333GU 2700 EAST OAKLAND PARK BLVD. • SUITE C • FT. LAUDERDALE, FLORIDA 33306 • (305) 565-1654 r Date /.Cl/ Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL .OWNER'S CERTIFICATION certify that I am the.legal owner of the property described as Lots 17,18, & 19, Block 25 " AN AMENDED PLAT • . of MIAMI SHORES SEC. #1 (Plat Bk 10. Pg 70). , located at 257 N.E. 91st Street Miami Shores Village, F1 33138 In accordance with Section 83- 12(f), Code.of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address.cannot be used or filled with • water until a separate permit has been obtained for anti approved safety barrier, and such barrier erected, inspected and approved: I further understand that this certificatiorli however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. • Date .ljii4 # /f /997 Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL .OWNER'S CERTIFICATION I certify that I am the legal owner of-the property described as.. Lots 17,18, & 19, Block 25 " AN AMENDED PLAT of MIAMI SHARES SEC. #1 (Plat Bk 10 .Pg 70). ••, located at 257 N.E. 91st Street Miami Shores Village, F1 33138 Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. In accordance with Section 33- 12(f), Code. of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address. cannot be used or filled with water until a separate permit has been obtained for anti approved safety barrier, and such barrier erected, inspected and approVed: I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. MIAMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS please type or print clearly NAME OF PROPERTY (if applicable) : The SIMMONS Residence ADDRESS OF PROPERTY: 257 NAME(S) OF APPLICANT(S): (NOTE: IF THE APPLICANT IS A PERSON OTHER THAN THE OWNER(S) . EVIDENCE OF THAT PERSON'S AUTHORITY AS AGENT MUST BE ATTACHED TO THE APPLICATION.) ADDRESS OF APPLICANT(S): (if different than address of property) FORM : MSHPB.COA (adopted 4/95) N.E. 91st Street, Miami Shores, FL 33138 PRESENT USE OF PROPERTY: Henry H. & Frances Simmons Harnage 377 -5405 (Henry) TELEPHONE OF APPLICANT(S): (305) 759 - 3007 ; (305) 757 -1966 (Frances) (see above) Residence of Applicants /Owners CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the letter next to the appropriate classification) A. MAINTENANCE OR REPAIR: The act or process of applying measures to sustain the existing form. integrity and material of a huilding or structure and the existing form or vegetative cover of a site. It may include initial stabilization worIc where necessary. as well as on -going maintenance and repair. Samples of material must he submitted with the Application. B. RESTORATION: The process of accurately recovering the form and details of a property and its setting as it appeared at a particular period of time by means of the removal of later work or by the replacement of missing earlier work. All applications for restoration shall include site plans of required by the Building Permit). a statement with bibliography historically justifying the work. and any additional photos or information to support the proposed work. C. REHABILITATION: The process of returning a property to a state of utility through repair or alteration which mak possible an efficient contemporary use while presenins those portions or features of the property which are significant to its historical. architectural and cultural values. All applications for rehabilitation shall include: site plans (if required by Building Permit). and any other supplementary information such as drawings. that will support the proposed project. D. DEMOLITION: The process of destroying or tearing down a huilding or structure or a part thereof. or the process of removing or destroying an archeological site or a par thereof The applicant shall include a report explaining why the proposed action should occur. If this action is to occur for reasons of financial hardship. all pertinent financial data should be included pertaining to the cost of preservation demolition and new construction. Any other material pertinent to the application is also encouraged as supplementary information. E. NEW CONSTRUCTION: The process of a nstrueting a huilding or structure that has never existed at that location. Applications shall include : a site plan. elevations. floor plan and/or landscape plan. a DESCRIPTION OF THE PROPOSED PROJECT (Explain what changes will be made and how they will be accomplished - use continuation sheet if necessary - all applications shall be accompanied by at least one 3" x 5" photograph of the property): �. h Construction of pool with accompanying stucco wall in front, side and part of rear; c�el�. �olt� oyc�t�3s Fo ct^ccr .. t / r 1 Extension of existing concrete walkway to already walled portion of backyard; omjpletion of exterior concrete steps at rear of home (north side) wpomiglismOW Creation of second iron gate to existing side stucco wall for aesthetic balance and ease of access to pool area. CERTIFICATION create complete I (WE) CERTIFY TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN THIS APPLICATION AND ITS ATTACHMENT TRUE AND CORRECT: circular path inside SIGNATURE OF APPLICANT(S SIGNATURE OF OWNER(S): FOR BOARD USE ONLY APPLICATION DATE (date application received by Secretary of the Board): DATE: DATE: encing on west DECISION OF THE BOARD (circle the appropriate number): 1. APPROVED [on s s ��c n ) 3eek∎O n ( sec.° Ukcc 2. APPROVED WITH CONDITIONS (set forth conditi below): SErict6 n 71\ bI as pope ; u1c 1 t m e-cc +- w/ uL1o4 kr,- do tom' c4. s�- �� cra ® F rte- pa's cacl -ere., rem' v (4- e. 9 . off , 3. DENIED ��� � SIGNATURE OF CHAIRMAN: DATE: ! � � 9 I � 2So£/ 8 7 4 A 5 r_ 4 3 2 I P z4.62, i 5' - £/ 1G •1 li\\X 1 0 2 0 21 ZZ Z3N 55.65 9245 S. W. 44TH STREET MIAMI, FLORIDA. 33165 SURVEY NUMBER: 94 -02 -225 TOPOGRAPHICAL AND BOUNDARY SURVEY OF: LOTS 17, 18 AND 19 BLOCK 25 SUBDIVISION: "AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 70 OF THE PUBLIC RECORDS OF DADE COUNTY, FL. DATE: FEBRUARY 22ND, 1994 CERTIFIED FOR: HANK HARNAGE 257 N E 91ST STREET MIAMI SHORES, FLORIDA 33138 1 IIEREDY CERTIFY MAT 111E ATTACHED SKETCH REPRESENTS A PECTNI' SURVEY MADE UNDER MY DIRECTION, AND IS 1RUE MD CORRECT 1D 11E REST OF ILW KNOWLEDGE MID BELIEF. CIS1ER1 MID Sti►WVEYUR IJO. IU5U STALE OF FLORIDA LOCATED IN: MIAMI SHORES VILLAGE, DADE COUNTY, FLORIDA. N s LOT DETAILS: SCALE: 1' = 20' VALID) COPES WILL BEAR FrMI3OSS!'I) SEAL OF A'1iESI'IIJG LAND SURVEYOR fj LOtiC doeA/E,P aN ?¢00 MEAS_ CHARLES W. CARR LAND SURVEYOR ,ma .. 40 tyi it PROPERTY ADDRESS: 257 N E 91sT STREET MIAMI SHORES, FLORIDA 33138 /.0 13o /o x 11 • 12 ▪ T ID i4 v t /30 m LOCATION SKETCH: SCALE: 1' = 200' ill P. ,s �• 1 92N 9 / sT TELEPHONE 221 -3416 5 77 h J _S / J E= 4' A L i( SUM tVIES 1. TIE SURVEY IEKON REPRESENTS A PERIMETER BO(UDMY SURVEY WI 111 COSTING num GROVA IMIIROVFIF_NIS LOCATED. lb UNDERG,ROUD FOOTING WERE LOCATED ULESS ODERWISE 91J41. 2. Ib N?TCROAo MENDS WERE iu1ED BY THIS SUiVEY ULESS 9 UrTN• 3. MY 11O1CRIQ)S EVIDENCE OF OCCUPATION NA /Qt USE CF 11E DEGAIBED PARCEL FOR Rtais-OF-WM, INRRESS OR EGRESS Is SOWN CH nNS SURVEY DRAWING. INEVER T11S SUiVEY HOES IIOT PURPORT TO REFLECT TVrY RECORDEn EASEMENTS aR Ri us-OF-WAY OD ER TM DM Off 11E RECORDED FIAT aR STATED IN TIE LEGAL DESCRIPTION M IT MPEMS ON nlis DRAWING. THIS SURVEY DOES NOT CERTIFY THAT SUCI ITSTRU•EUTS DO O(IST, AND LAMS SLUT IEREOV WERE NOT ABSTRACTED FOR EASEMENTS NN/CR RIanS - WAY OF RECORD. 11. THIS SURVEYOR DID TOT RESEARCH TIE PMIUCTLM SETBACKS AS REWIRED BY TIE ZONING OF DE DESCRIBED rMCF1. NUR DOES THIS SURVEY CERTIFY THAT ANY OF TIE IFTROVETENTS 9041 ME IN OR•T<INTCE WITH T1ESE ZONING REGULATIONS. 5. TIE IbRnl ARMY NTD RFMINGS, AS SIMI. ARE DERIVED FROM TIE ASSU'ED F£RIDIM ON TIE RECORDED FIAT, DE LEGAL DESCRIPTIal 1EREW, IF SAID DESCRIPTION IS A MEIES AMID WINDS, a1 FRPCTICNAL DESCRIPTIONS IF BEARINGS ME DERIVED FRC1 ClUH1Y SECTIaf FIN'S AND 91OYdl CH PE LOCATION SKETCH. 6. 11E FLORIDA INSURANCE RATE FLAP °J3 J DATED 3 — Z -9 4 Ca4HUITY Ib. / 2o65Z IIAnai lLIOD INSURANCE PROGRAM DELINEATES DE IEREIN DESCRIBED LAND 10 BE WITHIN ZONE "X ' ELEVAT ION N /A • liIis IS NdrA FLOOD HAZARD ZaTE. 7. ELEVATIONS ME BASED ON MINI DATUM NM RENO' MARKS ME CITY, COUNTY AND/OR SC AND GS VERTICAL REFERWTCE 1'bNU•£Nrs. 8. This Is n LAD SURVEY MD WAS FIREPMED IN ACCORDANCE WITH FLORIDA SInIWE 1 172 NE THIS SURVEY p, � C � OTLIES WI II TIE MINIM TE0NICN. SIMOMDS ADOPTED BY 11E FLCRIIA STALE Do , � OF LAUD SURVEYORS FURSUMT N CNIAPTOR 61G11 FLORIDA ADMINISTRATIVE CODE, N1D MEETS 11E REQ./MOTTOS OF TE FLORIDA DVS) 111LE ASSOCIATION. • LEGEND: CB - CONCRETE BLOCK CL - CENTER LINE EL - ELEVATION FND - FOUND IP - IRON IR - IRON ROD DH - DRILL HOLE N/T - NAIL AND TAB CLR - CLEAR MEAS - MEASURED R/W - RIGHT OF WAY CLF - CHAIN LINK FENCE WMF - WIRE MESH FENCE PP - POWER POLE WM - WATER METER UE _ UTILITY EASEMENT 58. 58.85 M /4.76 ca s 4/001/c frEPs 4. L L /O' PAVE 't / 7 ° w . 6 1 41 tIr r ,, , , • -T. c ", 1.7611,01 T7 _r NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 97R 14521:2 1997 APR 16 11:50 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of properly and street address: Lots 17, 18 & 19 of Block 25, Subdivision " An amended plat of Miami Shores section #1 " according to the plat thereof as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. 2. Description of improvement: Construction of a new swimming pool, deck and related work. 3. Owner(s) name and address: Henry H. & Frances Harnage (Husband and wife) 257 N.E. 91st Street, Miami Shores Village, Dade County, Florida 33138 Interest in property: Fee Simple title holder Name and address of fee simple titleholder: Owner 's name above 4. Contractor's name and address: J.R. Crockett, Inc. (J.R. Crockett, Qualifier) CPC010280 2700 East Oakland Park Blvd., Ft. Lauderdale, F1 33306 (954- 565 -1654) 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: None Amount of bond $ None 6. Lender's name and address: None 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: Owner only 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differ • date is specified) One year from date of recordin• • ,/ !tiL it, et„... Print Owners Name enry H. Harnage Signature of Owner Sworn to and subscribed betore me this /5—da of 1,14l704 , 19 97 Notary . Public Print Notary's Name My Commission Expires: Owner only -- . CROCKETT I rg, COMMISSION # CC 469707 EXPIRES JUL 21, 1999 BONDEDTHRU O ATLANTIC BONDING CO., INC. MATE OF WAWA, OO1)1\TY OF jA()t' CERTIFY that this is s o fr a oP 1 HEREBY C d Srlglnal led in office on A. O. 19 WiT hand e nd Official Seal. H A. • ,s L �(s of Circuit and County Co �Y v� Prepared by: J•R• Crockett 2700 E. Oakland Pk. Blvd. Address: Ft. Lauderdale, Fl BUILDING ELECTRICAL PLUMBING Owner of Building Architect ~;,' ` Contrac r Build _regal .escription Ad ess of 0 72 .5, 7 ;/,/. SHORES VILLAGE, FLORI DATE MIT ■9 3173 be performed under this Permit applir-ation llerefor in stri4 co with, any plans, drawings, spat be revoked at any time if the upon which this permit is gr the ordinances and re gulation that he assumes responsibi In consid ration of t dons perta, ther Village. I Bl. Subdi- vision Value of Project This ermit is granted to the contractor or builder narned above to construct the building or to install the equi eat or device descri >< or specifications that may have been submitted to and not done in compliance with such ordinances or if the understanding that the contractor or build ing to the work covered hereby whetherfsho work done by his agents, servants or employees. Signed:.. r( ed in the mpliance roved by tl s p oper municipal authorities. This l ermit may ns are changed without authorization. A further condition assumes the responsibility fqe a •ugh knowledge of in the stagy . ecific tions and ce with all ordinances pertaining thereto and with the understanliin that the wor will be performed in BY INS 0 Amt. of f o Per e e issuance to me of this permit 1 agree to perform the work covered hereunder in compliance with all ordinances and regule- nformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mis Shores responsibility ` r all work done by either myself, my agent, servant or employee. Permit No 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. • Owner's Name and Address No. Registered Architect and /or Engineer ___-- — Employing Plumber's Name j Location and Legal Description Lot. C' Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street_. No. Street_ Block / Street and Number where work is to be performed —No 6 7 O 11 Street_-.---..... _._______._................ _...... __-._..---...... State work to be performed and purpose of building (By Floors)__W__.___ New Building _ Remodeling____ __ _ __ Addition_ Repairs Size Septic Tank_-_- ... ------------------------ - - - - -- Type of Tank _ Capacity Gals Feet of Drain Tile._. __—Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed)- (Signed)_ Date 6 is s' My Commission Expires Notary Public, State of Florida No. of Stories. -- -- - - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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. Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. 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. 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 wort manship. CLOSE" BATH TUBS SHOWER! LAVA. TORIES SINKS SLOP SINK! LAUNDRY Tuns URINAL! CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N& TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G P001. CONTR. LIST CHECK Permit No 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. • Owner's Name and Address No. Registered Architect and /or Engineer ___-- — Employing Plumber's Name j Location and Legal Description Lot. C' Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street_. No. Street_ Block / Street and Number where work is to be performed —No 6 7 O 11 Street_-.---..... _._______._................ _...... __-._..---...... State work to be performed and purpose of building (By Floors)__W__.___ New Building _ Remodeling____ __ _ __ Addition_ Repairs Size Septic Tank_-_- ... ------------------------ - - - - -- Type of Tank _ Capacity Gals Feet of Drain Tile._. __—Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed)- (Signed)_ Date 6 is s' My Commission Expires Notary Public, State of Florida No. of Stories. -- -- - - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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. Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. 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. 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 wort manship. 4 . J o , )°,/1 5 /1 • I r 4 0 1' 0 ro 1 a BUILDING ELECTRICAL PLUMBING 6 The following is ready for inspectioh:- Inspectorls Report:- e • u is i // N • t , A D D : ,/ • • WORK • DOPE BY• RE • • I:I ILL B1E, IILADY 77L-0 Arf JOB: 5 BUILDING ELECTRICAL PLUMBING 0 ADD: '; WORK . • DOl E BY: . ▪ REQUESTED : WILL BE READY : The Following is ready for inspection :- Inspector's Report: -. PLUMBING PER IT N9 904 Date 4✓ 4/r/ L 13* Issued to 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 CiiieteregmA tY I j ,4 . .. Fixtures Sewer Septic Tank Total aiami �horesllage F L 0 R 1 D A _ building at, a6 -�. $ 'hq $ /4" - f ; Village Plumbing Inspector io �je` %-'► Received Payment by OW R LOT BLOCK SUBDIVISION f l /IJ y / PLUMBING PER IT N9 904 Date 4✓ 4/r/ L 13* Issued to 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 CiiieteregmA tY I j ,4 . .. Fixtures Sewer Septic Tank Total aiami �horesllage F L 0 R 1 D A _ building at, a6 -�. $ 'hq $ /4" - f ; Village Plumbing Inspector io �je` %-'► Received Payment by Permit No Size Septic Tank Feet of Drain Tile__ Amount of Permit $_ 66 Nature of Water Supply: City —Well 7PLICATION 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 o 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. Owner's Name and Address �' `' `___— ______ _ No. J . Street__ Registered Architect and /or Engineer ---- •.yy - -- Employing Plumbeq's Name No. _321 Location and Legal Description Lot__________— ____________________�___ Block Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank . _____Capacity Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. __(Signed) The undersigned applicant for this building permit does hereby certify tha understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil • 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Street 6 45,Q'' Subdivision Street__.__w No. of Stories u bing Inspector. Master Plumber. STATE OF FLORIDA, i j COUNTY OF DAD ss. 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 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 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK �- // SEPTIC TANK SEWER DRAIN S IAZ',E FIELD / PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM •G POOL CONTR. LIST I CONN. • CHECK Permit No Size Septic Tank Feet of Drain Tile__ Amount of Permit $_ 66 Nature of Water Supply: City —Well 7PLICATION 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 o 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. Owner's Name and Address �' `' `___— ______ _ No. J . Street__ Registered Architect and /or Engineer ---- •.yy - -- Employing Plumbeq's Name No. _321 Location and Legal Description Lot__________— ____________________�___ Block Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank . _____Capacity Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. __(Signed) The undersigned applicant for this building permit does hereby certify tha understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil • 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Street 6 45,Q'' Subdivision Street__.__w No. of Stories u bing Inspector. Master Plumber. STATE OF FLORIDA, i j COUNTY OF DAD ss. 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 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 / 7 Owner's Name and Address ... Registered Architect Employing Plumbe Location and Legal and /or En s Name Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building— Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7 } Date 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 Buil • .; I r. u oT T 311Tt • 9hsaes. Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Villa g , all rules and regulations of the Buil i 'vision of Miami Shores \fillage shall be complied with, whether herein specified or not. A s of approved plans and specifications must be kep building during progress of wor !� Addition._ CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRA FIE D SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Size Septic Tank__1_ Type of Tank Capacity Gals. Feet Drain Tile_ __��__�__-_____-_______– . _______— Dist. Feet of Tank or Drain Field from Well of _ _ Nature of Water Sulaply: City—Well of Soakage Pit �_____ __.Size II/ , . 41./ • - - -- _-- Amount Permit S___ ` 0 (Si / " ' l e► of - 6 -- --- ----- ---- -_ / Plu„b/ ctor. / The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of -_tt5o5 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 under signed agrees to employ only such sub -co / actors, on work to be rformed under this permit, as are licensed by Miami Siores Village. „�,�..... - -- �' � Master Pau r. STATE OF FLORIDA, 1 / COUNTY OF DADE. 1 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 .r of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that 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, materials and /or workmanship. `_" all facts or faulty Permit No / 7 Owner's Name and Address ... Registered Architect Employing Plumbe Location and Legal and /or En s Name Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building— Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7 } Date 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 Buil • .; I r. u oT T 311Tt • 9hsaes. Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Villa g , all rules and regulations of the Buil i 'vision of Miami Shores \fillage shall be complied with, whether herein specified or not. A s of approved plans and specifications must be kep building during progress of wor !� Addition._ Permit \ . Owner's Name ari d Address Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot Street and Number State work to be Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /APPLICATION f OR PLUMBING PERMIT 7 Date Application is hereby made for the approval of the dets3led 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 wo where work is to be performed —No erformed and purpose of building (By Floors) New Building___ Remodeling Addition_ _B , k No. (Signed) Street__ My Commission Expires Notary Public. State of Florida a gfrts Repairs __ -- No. of Stories______........ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 1 �Ifor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Generar Laws of Florida Permanent ,,Su`pplement, and has com- plied with the provlisions thereof, and will require similar compliance from all contractors or sub- contractors emptb "qed 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 under signed agrees to employ only such sub -co : ctors, on work to be rformed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared I _��__ to me well known, an d 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. 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 wo kmanship. CLOSETS BATH TUBS* SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS \ TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DR .J Fl SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Size Septic Tank Type of Tank Gals -_ _ __—_— __— ______— __—______ ____ ______ _ _____ _____–___–____ —__ -- ___—_Capacity _ Feet of Drain Tile_ Dist. Feet of Tank or Drain 'Fie from Well__ __— ________--__--- __ -___ Nature of Water Supply: City —Well Size of Soakage Pit - Permit \ . Owner's Name ari d Address Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot Street and Number State work to be Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /APPLICATION f OR PLUMBING PERMIT 7 Date Application is hereby made for the approval of the dets3led 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 wo where work is to be performed —No erformed and purpose of building (By Floors) New Building___ Remodeling Addition_ _B , k No. (Signed) Street__ My Commission Expires Notary Public. State of Florida a gfrts Repairs __ -- No. of Stories______........ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 1 �Ifor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Generar Laws of Florida Permanent ,,Su`pplement, and has com- plied with the provlisions thereof, and will require similar compliance from all contractors or sub- contractors emptb "qed 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 under signed agrees to employ only such sub -co : ctors, on work to be rformed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared I _��__ to me well known, an d 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. 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 wo kmanship. Permit No.. Application is structure herei and all provisio of Miami ShoeI building durin appeared Owner's Name Size Septic Tanis PLUMBING INSPECTION DEPARTMENT A PLICATION FOR PLUMBING PERMIT ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, s of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division s Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at progress of work. and Address STATE OF FLO IDA, COUNTY OF D E. Registered Architect and /or Engineer Employing Plumber's ber's Name _ Location and Legal Description Lot__ My Commission Expires MIAMI S-1O RES VILLAGE No. J -Block (Signed) A*144-414."r r Street___ Street_ Type of Tank . _. Feet of Drain Til __ �__ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well. Size of Soakage Pit Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building I Remodeling Addition Repairs No. of Stories_ Capacity Amount of Permit $_ _ (Signed) •1 b I The undersig applicant for this building permit does hereby certify tha�,t� understands and accepts bis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil . 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 tta s 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 AACt: The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, tie undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. Notary Public. State of Florida u s ing nspector. Master Plumber. 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 wol,rkmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No.. Application is structure herei and all provisio of Miami ShoeI building durin appeared Owner's Name Size Septic Tanis PLUMBING INSPECTION DEPARTMENT A PLICATION FOR PLUMBING PERMIT ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, s of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division s Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at progress of work. and Address STATE OF FLO IDA, COUNTY OF D E. Registered Architect and /or Engineer Employing Plumber's ber's Name _ Location and Legal Description Lot__ My Commission Expires MIAMI S-1O RES VILLAGE No. J -Block (Signed) A*144-414."r r Street___ Street_ Type of Tank . _. Feet of Drain Til __ �__ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well. Size of Soakage Pit Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building I Remodeling Addition Repairs No. of Stories_ Capacity Amount of Permit $_ _ (Signed) •1 b I The undersig applicant for this building permit does hereby certify tha�,t� understands and accepts bis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil . 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 tta s 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 AACt: The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, tie undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. Notary Public. State of Florida u s ing nspector. Master Plumber. 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 wol,rkmanship. BUILDING ELECTRICAL PLUMBING, Owner of Building Architect Contractor. or Builder Legal Lot Description Address of Building r� In consideration of th tions pertaining thereto and in Village. In accepting this. Work to be performed under- this - hermit RM IT N° 3064 MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No. 194_ • ii This permit is gran to the contractor or builder named above to construct the building or to inst all the equipment ooc�,,device - dsserib in the ^- • application herefor in strict Compliance with all ordinances pertaining thereto and with the unr erstandih th that the work vt<1U bdperformEd in c pliance with any plans, drawings, staltements or specifications that may have been submitted ro and approved by e proper municipal authorities. 'This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is grunted is the understaeding that the contractor or' builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on th plans r d -, is the * ..„ or sp ica ons and 4r - that he assumes responsibili'ty for work done by his agents, servants or employees. ••' - Signed. ALrmo rrr PBCrOR - is pe rmit I agree to perform the work covered hereuncIer in compliance with all ordinances and regula- with the plans, drawings, st cements or specifications su mined to the proper authorities of Mimi Shores for all work done la either myself my agent, rant or employee. BY BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING E PERMIT N° 9534 ROOFING ❑ 0 Owner of Building 0. 6 ot'4 Architect Contractor or Builder © r4 :: •'t it C aft w Si..�,a. ' Legal Lat I 1 Description 1 I B1 Address of Building ' r i t F et r C i f �i t_ ) f CONTRACTOR or BUILDER BY 1 PECTOR) BY Date_i_livw 'IV 19 CI Contractor's License No. Work to be performed under this Permit it G i Subdi- vision Sq Ft 3 Value of Amount of Project $ I I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether s..wn on the plans or dj wings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or zployees. / f Signed •t S In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, st In accepting this permit I assume responsibility for all work done by orm the work covered hereunder in compliance with all ordinances and regulations ents or specifications submitted to the proper authorities of Miami Shores Village. er, myself, my agent, servant or employee. AUTHORITY Permit No is MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i- hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di ' sion of Miami Shores Village shall be complied W th, 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- -- -- --• -____ - !_ No. __ _ , _ — __ Stree `_ ' . Registered Architect and /or Engineer - . Employing Plumber's NameSe C �C_!1!__Y _ cL No.1_3 6 L . ! 1 ' ' Street . 7-L? Location and Legal Description Lot_______ ________.____._____ —_ -- _Block__ Subdivision_ -- Street and Number where work is to be performed —No. State work to be performe8 and purpose of building (By Floors). _ New B - - - - -- - - - - - -_ - - - - -- -- - - - - -- Remodeling- ____ -- _ -- -- _ -- - Addition - - -- _ _ _ -- __ -- _ Repairs_ H O Street No. of Stories - - Size Septic Tank_._ Feet of Drain Tilg / - -� Nature of Water Supply! City—Well. Amount of Permit $ -_ STATE OF FLORIDA, COUNTY OF DADE. -_ _Capacity Cies. ___Dist. Feet of Tank or Drain F i e l d f r o m W e l l . . _ _ __ _ Si of Soakage Pit (Signed)- - ....... 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 5968, Compiled General Laws of Florida Permanent Supplement, 'nil 1 ay 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 n , as are licensed by Miami Shores Village. (Signed) PLmb rig In:pecto. 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 worlananship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUGS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU TOTAL F XTUREB CowrR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD / r SOAKAGE PIT — GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL — _— CONTR. LIST CHECK Permit No is MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i- hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di ' sion of Miami Shores Village shall be complied W th, 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- -- -- --• -____ - !_ No. __ _ , _ — __ Stree `_ ' . Registered Architect and /or Engineer - . Employing Plumber's NameSe C �C_!1!__Y _ cL No.1_3 6 L . ! 1 ' ' Street . 7-L? Location and Legal Description Lot_______ ________.____._____ —_ -- _Block__ Subdivision_ -- Street and Number where work is to be performed —No. State work to be performe8 and purpose of building (By Floors). _ New B - - - - -- - - - - - -_ - - - - -- -- - - - - -- Remodeling- ____ -- _ -- -- _ -- - Addition - - -- _ _ _ -- __ -- _ Repairs_ H O Street No. of Stories - - Size Septic Tank_._ Feet of Drain Tilg / - -� Nature of Water Supply! City—Well. Amount of Permit $ -_ STATE OF FLORIDA, COUNTY OF DADE. -_ _Capacity Cies. ___Dist. Feet of Tank or Drain F i e l d f r o m W e l l . . _ _ __ _ Si of Soakage Pit (Signed)- - ....... 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 5968, Compiled General Laws of Florida Permanent Supplement, 'nil 1 ay 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 n , as are licensed by Miami Shores Village. (Signed) PLmb rig In:pecto. 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 worlananship. Legal Square Ft. • p on Owner/Lessee / Tenant Owner's Address WORK DESCRIPTION / Sign of owner and/¢r`Condo President Notary as to Owner and/or Condo President My Commission Expires: APPROVED: Zoning Building Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date d ?I / Job Address 2- 7 N �- q 1 -ALI Tax Folio rgeW ,TI N A 96 p 2 s 7d6"- , dr,c � Contracting Co. 11A. C S EP/7 44-i /' Address Qualifier State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Dat 1 /11/ Date Historically Designated: Yes No ?o 2 32 3 4 ss # Phone 3S'id Z ∎7 /7 • Electrical Ins. Co. Estimated Cost (value) lt 71s2" WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. X �r poae, AONFFIGCEILAAL MTBECKER n COMMSMON NUMBER w ¢ CC78669 -7j. N 0 MY COMMISSION EXPIRES F O F E` O ,NOV. 15,2002 FEES: PERMIT D RADON C.C.F. 1 N o� 0 NOTARY _S 00 BOND Dr) D. to TOTAL D 0 ?n /n Date Structural Engineer PAY TO THE ORDER OF FOR MR. C'S SEPTIC & DRAIN, INC. OPERATING ACCOUNT P.O. BOX 693239 MIAMI, FL 33269 -0239 op. o 4970 63- 8413/2670 / DATE / 0 'h 3830308420 /v</ m,u 7 � (/! // 1 n`r $ �3 3 • L DOLLARS 8 Seeman - � Washington ut 1 Mutual Washington Mutual Bank. FA Miami/199th Street Financial Center 1719 24 hour 175 NW. 199th Slreat 89400D p Miami, FL 33169 24 hour pntomer Service 0 00 . 49 . 7011' 1:267084 i311:3831'103084 211011' 4 STATE OF FLORIDA , DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPgs L SYSTEM CONSTRUCTION PERMIT � I L �: U L' U CENTRAX #: 13 -SG -11596 DATE PAID: FEE PAID : RECEIPT . OSTDSNBR : 02 -0203- -R CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ X ]Repair [ ]Abandonment [ ]Temporary [ NA ] APPLICANT: Francis Harnage AGENT: SR0931119, COCKING MSTEPHEN PROPERTY STREET ADDRESS: 257 NE 91 St Miami FL 33138 LOT: 17 -19 BLOCK: 25 T [ A [ N [ K [ D R A I N F I E L D [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 - 013 -3450' [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS 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 COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS SUBDIVISION: Miami Shores 900 ]Gallons SEPTIC TANK O ]Gallons O ]GALLONS GREASE INTERCEPTOR CAPACITY O ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS [ 400 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ 0 ]SQUARE FEET SYSTEM TYPE SYSTEM: [ ]STANDARD [ N ]FILLED CONFIGURATION: [ ]TRENCH [ q]BED OTHER REMARKS: APPROVED BY: Andre, Paul LOCATION TO BENCHMARK: Finish Floor ELEVATION OF PROPOSED SYSTEM SITE BOTTOM OF DRAINFIELD TO BE FILL REQUIRED:[ 0.0 ]INCHES Existing 900 Gallons Septic Tank to remain. Install 400 Square feet drainfield. Invert Elevation of the D/F to be NLT 8.14' NGVD. Bottom elevation of the D/F to be NLT 7.64' NGVD This permit is not for addition. SPECIFICATIONS BY: Andre, Paul DATE ISSUED: 1/7,/02 r-1 DH 4016, 03/97 (Obsoletes previous editions which may (Stock Number: 5744 - 001 - 4016 -0) [ostds_cons_4016-1) EXCAVATION REQUIRED: [ 26.0 ] INCHES TITLE: 't" ` G MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] @ [ 0 ]DOSES PER 24 HRS # PUMPS( 0 ] [ N ]MOUND [ N ] [ N ] of E / idence Elev. 11.9' NGVD 2.1 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT 4.3 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT TITLE: Professional Engin Dade EX U U not be used) DATE: 4/23/02 CHD Page 1 of 2 APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT N , Permit Application Number Scale: Each block represents 10 feet and 1 inch = 40 f • Plan Approved By Site Plan submitted bV ` 1 DH 4015, 10/96 (Replaces HRS -H Form 4015 which may be used) (Stock Number: 5744-002 - 4015 -6) STATE OF FLORIDA DEPARTMENT OF HEALTH PART II - SITEPLAN ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Date f ,V / • Hlth Not Approved 9 :, . 0.a 2 County County Page 2 of 4