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PLUMBING
Miami Shores Village EPE® 0C� k 2003 g Department De artment i � , BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ?12N3 2q2 Master Permit No. Mechanical Roofing Owner's Name (Fee Simple Titleholder) &AJN.r??' earktyg / N# ,9 Phone # 3 ©S 7$? -'s Y7S Owner's Address / / 7 /III" q 7 r. / Cityy?i/ q/ riAgi ,C State 1C1. Tenant/Lessee Name Job Address (where the work is being done) // 7 HI' q'? sr City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO X Contractor's Company Name , /U% 1).t 6v it fIi oirvC, Phone # Contractors Address 9--1/4/1/4/ - /V City /tA /-O M I State ?/ /. Zip 3 3/ 7 Qualifier /) /LX Total Fee Now Due $ tt (Continued on opposite side) 131. a� s� off) Zip 33/ 3R Phone # Zip 3 - 773e- ,9 / /?J 3 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 3 30 o Square Footage Of Work: Type of Work: ['Addition ['Alteration ❑New 121 Repair/Replace ❑ Demolition Describe Work: ,e.,rD4/0 E "!- rirrgh - 1C /4)/471E4 4fFririt. /�ourr f 1,) CRAM ,144C( C . * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ (56 . OC) Permit Fee $ f dD CCF $ , Or- Notary $ S . 0 0 Training/Education Fee $ . 0 Technology Fee $ 3 , D () Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Niq 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 CONDMONERS, 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 ab ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. State Certificate or Registration No. APPLICATION APPROVED Chc 10/14/03 Signatur Owner or Agbnt Contract The foregoing instrument ��11 as acknowledged before me this The foregoing instrument w. acknowledged bbefore me this L I day of 00 , 20 c8, by ,nll4-- leh(� , da ofOQ , 20 . by Lb S her f �. who is personally known to me or who has roduced ,who � ho rs personally known to me or who has produced As ideligcatioikagyialivIS an oath. as identification and who did take an oath. '; NOTARY LIC: 1 ' r on #DD231984 NOTARY PUB IC: i tf ul 13 2007 Sign: .1 1 f . Sign. il la Print: ,_' + —`mot C. — Print: My Commission Expires: My Commission Exp • ****************************************************** ** * * * * * * * *** * * ** ** * * * * * * ** * : * ** * * *AtlxiEis kroaciing EA* Intl ** (Certificate of Competency Holder) Certificate of Competency No. C arkg 'scion #DD19 4 s: Jul 13, 2007 Bonded Thru * * ** * 4444 ** *4444 * * * * * * * * * *4 ** * ** * * ** ************************************ * * * * * * * * *44 * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning FEM ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEhFORARY A/C (CENTRAL) TINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES , INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET MOTORS OVER 100 HP VIOLATION NDIRECT WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS CatERCIAL WATER SERVICE / SIGN TUBES EWER CONNECTIONS ' SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA ELAY .... TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN IISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET 1 OLAR WATER HEATER c IRE STANDPIPE OOL PIPING • AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) AS PIPING AN'APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL NOTICE OF COMMENCEMENT A RECORDED COPT MUST BE POSTED ON THE JOB MEAT TIME OF FIRST INSPECTION FERMI* NO( f 2 O glga TAX FOLIO NO.313. 1 33 CO ■ _ STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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 Corhmencement. • 1 . Legal description of property and street/address: /7 4/197-7 11111111111111111111111111111111111 C.= FM 2OOa' RO819523 OR Bk 21791 Ps 0787; (1Ps) RECORDED 11/03/2003 11:43:35 HARVEY RUVIN? CLERK OF COURT 11IA1I -DADE COUNTY, FLORIDA LAST PAGE 3. Owner(s) name and address: 2. Description of improvement Interest in property Name and address of fee simple titleholder. 4. Contractor's name and address: , ✓ (m s s 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ B. Lender's name and address: 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, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: ;ration date is 1 year from the date of recording unless a Ye 9. Expiration date of this Notice of Commencement (the expiration different date Is specified) Signature of Owner Print Owner's Name 127.01.!2 PMG! 4 8002 'bed before me this day , .tf7 ,� 1jG GJ x' 4X Sworn to and su i •1 Notary Pubiic Print Notary's • t • , My comrrtisslon expires: �: •, o } e Jul 13, 20 01 :_Exp a.a.mni bosif .Si' 4r2o4. ^ -,�v� Prepared by p� -1 1 ' M 20 L Address: 1/ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/31/2003 Applicant: BENNETT KENNEDY Owner: KENNEDY BENNETT JOB ADDRESS: 117 NE 93 ST Contractor LUIS QUALITY PLUMBING Local Phone: Parcel # 1132060133010 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2003 -292 Contractor's Address: 245 NW 59 COURT Permit Status: APPROVED Permit Expiration: 4/21/2004 Construction Value: $3,800.00 Work: REPLACE PLUMBING FROM WATER METER TO HOUSE AND IN CRAWL SPACE Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18 BLK 22 LOT SIZE Fees: Description Amount FEE2003 -6726 Building Fee $120.00 FEE2003 -6727 CCF $2.40 FEE2003 -6728 Notary Fee $5.00 FEE2003 -6730 Technology Fee $3.00 FEE2003 -6731 Training and Education Fee $0.80 Total Fees: $131.20 Total Fees: $ 1.2 a P� C " -C - Total Receipts: 0.$0 • 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: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' .261 ` Job AddressY / /7AJf q3 S/ Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant y 7/(J41 /7 Master Permit # 1 /4 1. 5 Owner's Address Phone }(7 ,5) 251 .- 7 ?5 (/ Contracting Co. © W 4 f, v— Address (`\ Qualifier State # Municipal # Architect/Engineer Bonding Company Mortgagor Address APPROVED: Zoning Building Mechanical Plumbing SS# Competency # Address Address Permit Type (circle one): BUILDING ELECTRICAL PLU BING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1�� li G-N t ,t1 f ' "44164_ Cron Square Ft. Estimated Cost (value) l 230 - 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 perfonned 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. Signature of owner and/or Condo President Date Signature o - �n tracto or Notary as to Owner and/or Condo President Date Notary My Commission Expires: My G 11 4 ,-0 4P FEES: PERMIT hl i RADON C.C.F. g 1O t NOTARY BOND Electrical Phone Ins. Co. er- Builder / —O " o lt ry .�vi, `, i ' / 's• _213 - `i; fC STATEOFF1ORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR 1,2002 Date �p v TOTAL DUE Structural Engineer Date Legal Description )7 V' /g gel KG Owner's Address 1 1 7 s E 9 3 Contracting Co. I COjU® T O O T Z Qualifier LOWS R Lgita SS# - State !i 1:5437g Municipal # #,.,7 7/W Compet Architect /Engineer Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL WORK DESCRIPTI / a./ 4 63) 0 al. Square Ft. 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 c;••. ction and zoning. Furthermore, I authorize the above - named contactor to do the work stat Signature of owner ° and/or Cond• Preside Date_' Notary as to Own and /or Condo President My Commission Expires: U' 5' 9 rM DWAYNED. HANNA State of Florida 11 ** * * * * * -'* * * * FEES: PERMIT „O. a RADON C.C.F. O APPROVED: / Lessee / Tenant (Y) Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /1 - 7 N6 93 S Tax Folio /' J 2b /3 34I ° 3' P Buildin Vgy4'/ - Phone Estimated Cost(value)/D 6'6 Master Permit it,f (9 rt Phone 7 . ld Address k733 ./ (2, A 4# 5 ins.co. Address MECHANICAL ROOFING PAVING FENCE SIGN wilder ETAHANNA e of Florida Notary as to 'ontractor=or Owner- .'ilder My Commission Expires: `` -<3 S) 44-) LO NOTARY TOTAL DUF 3O? G � ** Fire Other Electrical Mechanical Plumbin: ! L Engineering APPLICANT: LOT: PROPERTY ID #: BETTER eusmniss FORMS Ta liEdumee, FL —190 _ .._ _ 78 1201808 STATE OF FLORIDA PERMIT # 6 13 -267o DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID '- ONSITE SEWAGE DISPOSAL SYSTEM. FEE PAID., $ )) / 0 CONSTRUCTION PERMIT RECEIPT # ,z, 1 Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: - [ New System [ J Existing System [ ] Holding Tank [ ] Temporary /Experimental E ] Repair [ ] Abandonment [ ] Other(Specify) (tvit4 PROPERTY STREET ADDRESS: t BLOCK: SUBDIVISION: AGENT: SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. 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. SYSTEM DESIGN AND SPECIFICATIONS T [NA ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD) CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D a" "1 SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND ( ] I CONFIGURATION: [ ] TRENCH ° \ ] BED [ 1 N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE ( ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ ] INCHES T ' ‘'""-k fl (1)21 ij �a -J (/ ( t "-r H E R SPECIFICATIONS BY: TITLE: APPROVED BY: DATE ISSUED: TITLE: E 1 HRS-H Form 4016, Mar 92 (0bsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] (OR TAX ID NUMBER]•.. CPHU EXPIRATION DATE: J Page 1 of : APPLICATION FOR: [ ] ew System [ t!J Repair APPLICANT: eah'UF:I0 I AGENT: Cr OD/ MAILING ADDRESS: x w /2.. s ? ' TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] LOT: PROPERTY ID 1: PROPERTY SIZE: PROPERTY STREET ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of :o Establishment 1 Si/U6 2 3 4 .PPLICANT'S SIGNATURE. 16 STATE OF- FLORIDA - - DEPARTMENT OF HEALTH`AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC BLOCK: [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental [ ] Abandonment [ ] Other(Specify) SUBDIVISION: DATE OF SUBDIVISION: [Section /Township /Range /Parcel No.] ZONING: ACRES [Sqft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE O PUBLIC [ RESIDENTIAL No. of Bedrooms 76v 3 Building Area Saft RS -H Form 4015, Mar 92 (Obsotetes previous editions which may not be used) Stock Number: 5744- 001 - 4015 -1) ] COMMERCIAL PERMIT 1 DATE PAID FEE PAID $ RECEIPT ,# 1-• TELEPHONE: 72q Persons Business Activity Served For Commercial Only ] Garbage Grinders /Disposals [ ] Spas /Hot Tubs. [ ] Floor /Equipment Drains ] Ultra -low Volume Flush -' -ets [ ] Other (Specify) DATE: 7 -'2 / 3 Page 1 of 3 Mg BLOCK: Pv PROPERTY ID PROPERTY SIZE CONFORMS TO SITE PLAN: [-] TOTAL ESTIMATED SEWAGE FLOW: 46r2) AUTHORIZE SEWAGE FLOW: UN OBS TR UC T ED ARE AVAI LAB LE: A406 BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS SUBDIVISION: + °or :HEALTH AND REHABILITATIVE SERVICES `SEWAGE DISPOSAL SYSTEM • =Tg EVALUATION AND SYSTEM, SPECIFICATIONS MEMMEMMEMMEMMEMEMMIlvw AGENT: &OIVO PERMIT • F 5 / 2.= [Section /Township /Range /Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. YES [•] NO NET USABLE AREA AVAILABLE: ACRES GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] S,QFT UNOBSTRUCTED AREA REQUIRED: 4;60 SQFT [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: FT DITCHES /SWALES: FT NORMALLY WET? [ ] YES [ NO WELLS: PUBLIC: T IMITED USE: FT RIVATE: FT NON - POTABLE: FT BUILDING FOUNDATIONS: k FT PROPERTY LINES: FT POTABLE WATER LINES /6 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ NO 10 YEAR FLOODING? [ ] YES [ 44; 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NGVD SITE ELEVATION: FT MSL /NGVD SOIL PROFILE INFORMATION SITE 1 Munsell # /Color Texture Depth to to tom to 5`7PL 2Ezt USDA SOIL SERIES: to to to to to OBSERVED WATER TABLE: A INCHES [ABOVE ESTIMATED WET SEASON W ER TABLE ELEVATIOyd HIGH WATER TABLE VEGETATION: [ ] YES [4'N° HRS-H Form 4015, Mar (Obsoletes previous editions which may not be used) (Stock Number: 5744- 003-4015 - 1) SOIL PROFILE INFORMATION SITE 2 Munsell # /Color Texture USDA SOIL SERIES: Depth to to to to to to to to E :ISTING GRADE. TYPE: [PERCHED / INCHES [ ABOVE ] EXIS RADE MO TTLING: [ ] YES [ DEPTH: INCHES / / DEPTH OF EXCAVATIONZV INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [ ! ]BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: SITE EVALUATED B DATE: 9---2-9J Page 3 of STATE OF FLORIDA DEPARTMENT OEHEALTH AND REHABILITATIVE SERVICES ! 1 APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT V G d Permit Application Number '3' '7 a!!!S!!!!!! 11iiiiiai•ii i S� ■SiiSSiS • =mum twain SIMON ISIMISSIMMI 111111 i!•iiii rt smismionsimmersumnimmium /ISI� /1111! .■t... 1111 + . ■iiioS t � i ■!!l :.Sii■ ■ !u!!>n!!!N !!!!!!!!,a! �!!!!!!!!!i! iiiliN UURU•• Uiii•iiuSSSS !!!� !! l IUI s! !!!!!!!!!!!!!1Mll 1�WfSS_ l saaim>� ass maissam an @iSiiiSi minim iSii ummitSiii Iiiiiiiiiiiimuusa Waif _!! ili! A!i!!!!!!!!!M!!!!!!!OO!! !!i! !!!!l1 11111 l M�!! !!!llrrt�!!!!!!!!!!!•a!!!!!!!!!• na!!!! 111.11 !!!!!l= =MI MUNIlsl�! ISSIIM ! IUM' 1 I ■ !!!!!!! VS ■SSiliiiiiiiiiiliiSiltSiiit�il u-' 1,,iSiii•Sisii SW SSi iimmu uass.uuU ■iiiitiiSii � SSii !!!!!! ! ■;Siii.Siiiii =UM 11iiiiiiiiji�1' J i�i•SiiiiSiui !f 1 .SU UI {- NN/ 1 N i •� ' j ii iii im I ! ! IIIIII !! ` M IMISIMMINIIIIIII 1 gr '.11111111111111111I •!!ll ii ■iS!■SiilI i! 1 , 1111===iiii,ii RUm ii ili=iii!!=1111 ISIMI■SMISI !i!!!iH Q S t ■SiSiiSi�iiiSii S itti itis! 9ii!l iil iiiiiS lililiiiiiiiiiiiililliiiiii i siiiiituiiirnsumasim i uummot uhis iilit as tammu !!!!i!l ssmam e O RRIMMIHISSIM= 111111 MINVIIIILIIIIMMIUNIMMIUMEIS================ / UNISSI liii 'iiiiiiiii ■!!! i! S!!!!l Si!! SSl Ol 6 !!! H!!!!!!!!!!!!l S !!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! t! !!!!!!!!!t Notes: 360 S Site Plan Submitted by Plan Approved By OLD PART II - SITE PLAN SIGNATURE Not Approved 120077 (904)878 -5401 2 - _ �E t 61-4 r' f r C +c E"' 7D ay • Date y -3-7? County Public Unit BUILDING ELECTRICAL PLUMBING 1 El PERMIT N? 9339 Work to be performed under this Permit Owner of ---- Building Architect 'Oontractor or Builder Letgal eeri / /Lot Address of i el. Value of I Amt. of %lilting 2 _ - ! . /-.0 Project $ This per is graned to the contractor or builder named above to construct the building or to install the equipment or device described in the application herder in ric compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comptianee with any plans, --.! dravdass, ~mew or specifications that mar have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any day the worlt k **done in complimeee such ordinances or if the plans am changed without authorization. A further condition up which this permit is graterd is the nod ..—g that the contractor or budder mimed above assumes the responAility a thotonith knowledne of the ordiaace and tegulanons pertaining,: the work covered herebi shown on the plans the specifications and that he 'responethility for work done by ' agents, servants or em %Mod: — EiY In consideration of the issuance to me of this permit I agree pertaining thereto and in strict conformity with the plans, drawings, In accepting this permit I assume responsibility for all work done CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATP)), ( Contractorie: License No Art°' Subdi- vision ‘41' „' . • orm the work covered hereunder in compliance with ents or Z. ications submitted to the proper audio • my agent • 4 , ant or employee. and regulations ami Shores Village. AUTHORITY Permit No •--q y. 2 , 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. �j,�/ ��-- 4. 4":7 Street _ A--r_L___ /f Owner's Name and Address____i_h /' /1__f' / � � .„ No // 7 Registered Architect and /or Engineer r r'n Employing Plumber's Name/l/ ' L'_ t =1 /k i �__ s___ - &-C ___ No.___ Street t Location and Legal Description Lot Block Subdivision / 2? Street__ // �-- Street and Number where work is to be performed —No i-i .� State Work to be performed and purpose of building (By Floors) New Building Remodeling Addition__ Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) ' Date/ Repairs No. of Stories Notary Public, State of Florida 1) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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. ( Signed ),:•` --"Master umber. STATE OF FLORIDA, 1 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 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 CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No •--q y. 2 , 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. �j,�/ ��-- 4. 4":7 Street _ A--r_L___ /f Owner's Name and Address____i_h /' /1__f' / � � .„ No // 7 Registered Architect and /or Engineer r r'n Employing Plumber's Name/l/ ' L'_ t =1 /k i �__ s___ - &-C ___ No.___ Street t Location and Legal Description Lot Block Subdivision / 2? Street__ // �-- Street and Number where work is to be performed —No i-i .� State Work to be performed and purpose of building (By Floors) New Building Remodeling Addition__ Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) ' Date/ Repairs No. of Stories Notary Public, State of Florida 1) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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. ( Signed ),:•` --"Master umber. STATE OF FLORIDA, 1 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 workmanship. Permit No.1 (� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn>tfted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mianli 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. , ,,ae Owner's Name and Address____;; 0.. 1 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No 1 Size Septic Tank OD Cam/¢- / 21'4 Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 2.1",‘ 11 No No Type of Tank ___!r t?_ C • ( Signed) ( Signed) Block F State work to be performed and purpose of building (By Floors) Date Street Street Subdivision eigt Street c New Building Remodeling Addition /^ Repairs No. of Stories Capacity Gals Feet of Drain Tile /n -Q Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit . - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. J 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 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 CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No.1 (� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn>tfted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mianli 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. , ,,ae Owner's Name and Address____;; 0.. 1 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No 1 Size Septic Tank OD Cam/¢- / 21'4 Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 2.1",‘ 11 No No Type of Tank ___!r t?_ C • ( Signed) ( Signed) Block F State work to be performed and purpose of building (By Floors) Date Street Street Subdivision eigt Street c New Building Remodeling Addition /^ Repairs No. of Stories Capacity Gals Feet of Drain Tile /n -Q Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit . - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. J 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 workmanship. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder L gal Lot . Description Address of " Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA P' - MIT N° 5456 Work o be performed under this Perini Owner of Building This permit is _ranted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 he revoked at any time if the work is not done in compliance with such ordinances or if the plans changed witho author ation. A further condition upon wgich this permit is granted is the understanding that the contractor or builder named above a es t sponsi i!ty fo horough knowledge finances and regulations pertaining to the work covered hereby whether shown on the p . M` t .ecifications and sibility for work done by his agents, servants or employees. r Signed % /�� '/ :' 41 A • CTOR In consideration of the issuance to me of this permit I agree to perform the work co . • i ereun in compliance with aordinances and e� ons.:1 pertaining thereto and in strict conformity with the plans, drawings, statements or specific. ions submitted to the proper autho s of Miami Show i ge.3 In accepting this permit I assume responsibility for a work done by either myself, my ag- • t, servant or employee. Subdi- vision BY DATE C s tractor's License o By 4 4 AUTHORITY mes respon- UIIDING ECTRICAL UMBING wner of Aiding ontractor Builder 3gal escription ddress of Aiding Lot /1 Work t be performed under this Permi le t MIT N? 5456 rchitect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project DATE Co ractor's License o. f This permit is g anted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal autho Thi Per ma he rPvnked ny time if the work is not done in compliance with such ordinances or if the plans a • hange withou uthori tion. A further condition upon which this it is granted is the understanding that the contractor or builder named above as -s th. onsi. ; fo orough knowledge e . ; ances and ations pertaining to the work covered hereby whether shown on the p1. , _ cifications and t e s es respon- )ty for work done by his agents, servants or employees. Signed: 1'' . / .. Ir'i By BY Amt. of Permit •0 In consideration of the issuance to me of this permit I agree to perform the work cov. . ereund in compliance with all ordinances and regulations •taining thereto and in strict conformity with the plans, drawings, statements or specifi ons submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my age , servant or employee. • AUTHORITY UILDING LECTRICAL LUMBING )wner of uilding rchitect ; ontractor r Builder MIAMI SHORES VILLAGE, . FLORIDA f DATE 6..` 1947 PERMIT N° 5446 License • Work to be performed under this Permit a delL ' .egal Lot I Bl. )eseription ddress of f 7 7 9 3 adding 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 appli- +tion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ;ens, drawings, statements or specifications that may . have been submitted to and approved by the proper municipal, authorities. This Permit may be revoked 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 -unit is granted is the understanding that the contractor or builder named above assumes responsibility for a thorough knowledge of the ordinances and v' lt st or in the statements: or specifications an u respon- M. :gulations pertaining to the work covered hereby whether shown on the plans bility for work done by his agents, servants or employees. Signed. Subdi- vision Value of Project ECTOR Amt. of s j P Permit 7 4 By 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 -'rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. i accepting this I assume respn ib i ify for all work done by either myself, my , sery • nt or - • loyee. r` * gip^ CONTRACTOR OR BUILDER` AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building PERMIT N? 5446 Work to be performed under this Permit • Architect f . 9e Contractor or Builder Legal Lot BL Subdi Description vi Address of Building 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 appli- cation herefor in strict compliance with all ordnianCes pertaining thereto and w th'the understanding. that the.work wil 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 sliownOn the plans drawi s. or iii.the.$tatements or specifications a at he ass s respon- sibility for work done by his agents, servants or employees.` • , By ))4-,3 4.1,L MIAMI SHORES. VILLAGE Value of Project' FLORIDA DATE Contractor's License No Signed. W. PECTOR • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance withrdinances and regi pertaining thereto and in strict' conformity with the plans, drawings, statements or specifications submitted to the proper auth tl�l�s of Miami She.r'e get, In acceptmg this permit I assume re • o i}�}lit + for all work dorie by either myself, m .'1 t, se ant ' .,ployee. CONTRACTOR 6 Amt. i t ' Q Aix s • Permit' r " AUTHORITY 19 Date % - * / f Issued to 4/2 - • • t c aiarni cJboresllage F L 0 It I D A PLUMBING PERMIT Village Plumbing Inspector Received Payment by / r d.47 N? 752 OWNER LOT BLOCK SUBDIVISION r S . f j 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 i Fixtures Fixtures $ � Sewer $' Septic Tank $ f $ / G v Total - 0 to .4 , ,„ . '. -,-,. d 1,` j e-,. ,..:,/. 'bWNER aiami cJhores9llage F L A 1 D A PLUMBING PERMIT N9 691 Received Payment by LOT 7 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 'I:,. _' ' • building at / I / ,,I / 4 / Fixtures G .' / P-• c '' e • ,, / i - ti P''�^ rP Fixtures 4 $ 4- -:? Sewer $ f r. tic Tank $ Total $ Village Plumbing Inspector_z r ' BLOCK • SUBDIVISION P ,N 1. - "0, V ti !ed to ›,./ 41iami cf F L O R 3 D A PLUMBING PERMIT N9 752 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. 4 I f For a_story / building at / / 7 1f / Fixtures J Fixtures $ Sewer $ , tic Tank $ ` P Total $ D O Village Plumbing Inspector CI ' I Received Payment by ' OWNER LOT BLOCK SUBDIVISION -44 7th it ti /pi A . !ed to ›,./ 41iami cf F L O R 3 D A PLUMBING PERMIT N9 752 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. 4 I f For a_story / building at / / 7 1f / Fixtures J Fixtures $ Sewer $ , tic Tank $ ` P Total $ D O Village Plumbing Inspector CI ' I Received Payment by '