Loading...
PLUMBING PERMIT- _� CLOSETS CO NTR. � LI T BATH TUB[ SHOW [Rt LAVA• TORIES SIN SLOP SINKt LAUNDRY TU {t URINAL{ CATCH eA•IN FLOOR DRAIN DRINKING FOUNT'Nt ( T07..L FI XTI RES CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL ( 1 - - CONTR. LIST CHECK •- Perini, Nu. .!"� - ; •phi. +tllnl is Lercby made for the approval of the detailed statement of the plans and specifications herewith subr st' ,-1 for the building or other Structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi..; ! Shores Village, Florida, 4,1d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic• of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at ')uilding during progress of work. 7fri 'Mt% 52 )wner's Name and Address _ . - -_ .._. No. 1 Street }t . .cgist red Architect and /AAr Engineer �-- N D tAMt lAgeleen °P7t` /AN)f, ? mploying Plumber Name N0.• - - -•_ r - - ',.., eat N n ..,! Location and Legal Description Lot. Block Subrion._ Street and Number where work is to be performed -No L Street ' k % Q Z _ `S2 State work to be performed and purpose of building (By Floors) y� Qf'kY._ ._ - .. .. Ei!O P7' ` s . New Building Remodeling --_ ..... Addition Repairs v No of Stones Size Septic Tank__.--- .•- •- •-- •----- • - - - - -- ..____._...Type of Tank Feet of Drain Tile.._.__ __ -_ -__ —Dist. Feet of Tank or Drain Field from Well ..._...._....__. — .._.._ .. Nature of Water Supply: City - Well..---- ---- •._...._-- ---- •---- -_ -__ -- ._Size of Soakage Pit Amount of Permit $ / STATE OF FLORIDA, i ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Capacity A .als. (signed) _ N . S. (Signed)._ Plurpbinr; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;,loye1 of /Oho, under the Florida WVorkinen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent rum lenient, and has • -o ,- t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in r •AI rk o b performed under this permit; and will post or cause to be posted' for inspection on the site of the work su publ: notice x no iccr +s a: required by the Act. The undersigned agrees to employ only such sub - contractors, on � to be •rmed tjs tills 11r 1. sit in . licensed by Miami Shores Village. lumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclosowledgments, periprrt ,, I ppramc. 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 tint all acts, therein by hin, stated are true. My Commission Expire 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 insperton, tie souk) materials and /or workmanship. Amount of Permit $ a'ATE OF FLORIDA, COUNTY -OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :AL „Tli N... w cm Date. - - s/ / 40 ,,ppiication is hereby 1110 6'2 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, ,ad 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 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at kuildiog during progress of work. ' p p Ownei s Name and Address ___ Lf�_RQ(_.______._ No. J �_. Street_ 4 9.2.- Registered Architect and /or Engineer — ------ ----- - - -- -_ -- u _-.---_---------.--.----------.--_-._-- Employing Plumber's Named .lcf1� -- 1 f'�.14•�10No.- __.__._- - -- Street-_ -- _ - -•- Location and Legal Description Lot._._. __.___ __.__.._ ._ —Block Street_ 9& l 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 No. of Stories. Size Septic Tank �*�- j — ..- __ -_ -- -Type of Tank Feet of Drain Tile `� I Rik -1-� _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well ._.._______..______.______.___ ______Size of Soakage Pit Capacity Gals (signed) - ()numbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' obligations as an employer of labor u?sdei the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida er anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contras r e nployed 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 wo such public notice or notices as are „ ,tirezt by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are Ityensed by Miami Shores Village. (Signed) - L-__25-O Y Z r 77c VA/K ( Master Plumber. 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. CLOSltTf BATH TUBS - SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FI %TURES CONTR. LIST -_ 'HZCIC SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM $W IM'G POOL CON. R. LIST CHECK Amount of Permit $ a'ATE OF FLORIDA, COUNTY -OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :AL „Tli N... w cm Date. - - s/ / 40 ,,ppiication is hereby 1110 6'2 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, ,ad 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 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at kuildiog during progress of work. ' p p Ownei s Name and Address ___ Lf�_RQ(_.______._ No. J �_. Street_ 4 9.2.- Registered Architect and /or Engineer — ------ ----- - - -- -_ -- u _-.---_---------.--.----------.--_-._-- Employing Plumber's Named .lcf1� -- 1 f'�.14•�10No.- __.__._- - -- Street-_ -- _ - -•- Location and Legal Description Lot._._. __.___ __.__.._ ._ —Block Street_ 9& l 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 No. of Stories. Size Septic Tank �*�- j — ..- __ -_ -- -Type of Tank Feet of Drain Tile `� I Rik -1-� _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well ._.._______..______.______.___ ______Size of Soakage Pit Capacity Gals (signed) - ()numbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' obligations as an employer of labor u?sdei the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida er anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contras r e nployed 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 wo such public notice or notices as are „ ,tirezt by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are Ityensed by Miami Shores Village. (Signed) - L-__25-O Y Z r 77c VA/K ( Master Plumber. 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. Dat Compan Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bulding Inspection Request Tim • Type Insp'n Permit No. P )— Z.0 O '3 0 Name 1 Address . C • a3 ate MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request "°tv Y D - Time Type Insp' nAAMA. f� Permit No. ' a d ) 9 Phone# '3 0-r - J 2k`t" - 1 - 1�j� For Inspecto 7 )7/ rName Name Address ) 9 Compa la3�!iC , ))45,.,Likstti Approved Correction Re- Insp'n Fee csib4A MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date )? )I )ft _ Time Type Insp'n Permit No Name Address Company Phone # For Inspecto & Date Approved Correction Re- Insp'n Fee Phone # For Inspector: 1 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time ���� Type Insp'n 1 „��, J -oo 'Jo Permit No. P n Name <K Address f Q NE` Company � l �� 70,0 ( /';- 09 V Name & Da 6 ��. Date Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request For Inspector: j Approved/ u' 1 Correction Re- Insp'n Fee ❑ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 7'"/5' 4 Date � ob Address /o147 it,Jf e, r p Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee/Tenet -y � I./ ems.^ PTA Master Permit # ) 1 `. ) % / 7 � Owner's Address /)--2- l / '2-- Phone ;t4 -r,/' gol l' 4e Contracting Co. 44 , /61' ddress / 1 10.3---r /tJ /iii' Qualifier ,A111-42-- SS# P ‘ 02 0 — g 0.4 f State # Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: Signat c Square Ft. -5 C 6 PLUMBI 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. ;tt lill,, Notary . s Owner and/or , :'�� My Commission Expires t// / .„%%• ��tllllli� 00 RADON Plumbing /29/2 FEES: PERMIT APPROVED: Zoning Building Mechanical Date C.C.F Competency # Ins. Co. Estimated Cost (value) Date Signa MECHANICAL ROOFING as to Contra My Commission Expi n NOTARY /llllltt V Date Date BOND C. ° (PC) TOTAL DUE 3X /. Electrical Structural Engineer CONSTRUCTION PERMIT FOR: [, ] New System [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental [ ] Repair [ ] Abandonment [ ] Other(Specify) APPLICANT: AGENT: PROPERTY STREET ADDRESS: LOT: PROPERTY ID #: .BLOCK: SUBDIVISION: SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD -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. DEPARTMENT OF HEALTH 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 STATE OF FLORIDA PERMIT 0 DEPARTMENT OF HEALTH DATE PAID ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID• $ CONSTRUCTION PERMIT RECEIPT 0 Authority: Chapter 381, FS & Chapter 10D -6, FAC [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] T [ ] [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 [ ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R ( ] SQUARE FEET SYSTEM A TYPE SYSTEM: [- ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: ( ) TRENCH [, J BED [ ] 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 O M$TAkL dry r" l 41-1 T U1NEA 1011* 0tZ1Rl1mtitu H E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: DH 4016, 10/96 (Replaces HRS -H Form 4016 ]page 1] which may be used) (Stock Number: 5744- 001- 4016 -0) WENT ELEVATION__.. ° , Ib1TOr OF QRA ifIELO ELEVATION ,. PEAMEI _ J Of UCAVAIIO$ MLA S 4Aii PE AT LEANT L. FEET WIDER . LOPWE$ THAN THE 0 TITLE: CHD EXPIRATION DATE: Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser 1D# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D -6, FAC. DRAINFIELD: Minimum specifications from Chapter IOD -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by County Health Department. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. • APPLICANT: LOT: PROPERTY ID #: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS BLOCK: SITE EVALUATED BY: i /c . (f1v‘ Pr 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. PROPERTY SIZE CONFORMS TO SITE PLAN: [ ] TOTAL ESTIMATED SEWAGE FLOW: 76149'W C Y AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM 1 ?gi -otg— 2 0 SITE THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE SURFACE WATER: `� FT DITCHES /SW ES: WELLS: PUBLIC: FT LIMITED USE: P�� FT BUILDING FOUNDATIONS: FT PROPERTY LINES: SITE SUBJECT TO FREQUENT FLOODING: 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 Munse}l, 4 /Color Texture USDA SOIL SERIES: ) 01 0 Depth t. to to 8 to to to to to to OBSERVED WATER TABLE: A /A INCHES [ABOVE / BELOW EXISTING GRADE. TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: Z.. INCHES [ ABOVE / WATER TABLE VEGETATION: [ ] ,YES ( i0 MOTTLING: [ ] YES [ SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH ( BED, [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: DH 4015, 10/96 (Replaces HRS -H Form 4015 (Pape 31 which may be used) (Stock Number 5744- 003 - 4015 -1) SUBDIVISION: [ ] YES ,'S Awn FAOENT: f /M2 OiC e (Section /Township /Raage /Pr l No. YES [ NO NET USABLE AREA AVAILABLE :off OU 7 ACRES GALLONS PER DAY [RESIDENCES -TABLE 1 •, HER -TABLE 2] GALLONS PER DAY [1500 GPD /ACRE OR '00 D ACRE] SQFT UNOBSTRUCTED AREA REQUIRED: cl 0 SQFT /Lye) T IS [INCHES /FT] [ABOVE / k E [V 10 YEAR FLOODING? [ ] YES [ X10 FT MSL /NGVD SITE ELEVATION: Zap FT MSL /NGVD PROPOSED SYSTEM TO THE FOLLOWING FEATURES: FT NORMALLY WET? [ ] YES [11,4a PRIVATE: PX FT NON- POTABLE: AM FT FT POTABLE WATER LINES: p() FT SOIL PROFILE INFORMATION SITE 2 PERMIT # �" e" 2 () O ?an or Tax ID Number] BENCHMARKOEFERENCE PO N Mu Q 1, `'�. V/3 r Arit USDA SOIL .- ERIES: Texture Depth 5LA.,.d "0 to to to Ars 1 to to to to to p , b ERCHED / APPARENT] ] EXIS ING GRADE. EPTH: M'/- INCHES DEPTH OF EXCAVATION: 341 INCHES DATE: Page 3 of 3 INSTRUCTIONS: • PERMIT NUMBER: Permit tracking number by County Health Department. APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. LOT, BLOCK, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY ID NUMBER: 27 character number for property (property appraiser ID number or section /township /range /parcel number). PROPERTY SIZE: Check if property at site conforms to submitted site plan. Record net usable area available - lot area exclusive of all paved areas and prepared road beds within public rights -of -way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. SEWAGE FLOW: UNOBSTRUCTED AREA: Record the estimated sewage flow for the establishment from Table 1 (residence) or Table 2 (non - residential), Chapter 10D-6, FAC. Record the authorized sewage flow for the lot based on net usable area and water supply (150(1 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the application must be denied. Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at (east 2 times as large as the drainfield absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter 10D -6, FAC. The unobstructed area must be contiguous to the drainfield. BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. MINIMUM SETBACKS: Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. FLOOD INFORMATION: Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site elevation. SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth. SOIL TEXTURE: Record soil texture or loading rate for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION: Check drainfield configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature of evaluator, title, and date of evaluation. Professional engineers must seal all documents submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE I SITE 2 SITE 3 [ + ] SHOT H.I. H.I. H.I. H.I. [ - ]SHOT [ - ]SHOT [ - ]SHOT Scale: Each block represents 5 feet and 1 inch = 50 feet. , r • • 4'1 A r • 1 1 ! • • - • t Notes: 1 ! STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number • . — 1 1 T - , ■ • ' ti) i V ' r • •- : ; ' VO, ,,, , , ‘f , , ,, t . • ; J ;• P't Site Plan submitted by: Plan Approved DH 4016. UM Replaces HRS-H Form 4015 which may be used) Medi Minter S41 PART II SITE PLAN- — — — — • I ' • r I r r P t I • _ r , • r:k Signature 12 • i , Not Approved L. ' !=••• H H LL ei4 1 1 t • .!„ • • • 1 • • r Air ' • , r 4 ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT • "!1 • 1 Title Date By County Health Department Page 2 of 3 Miami Shores Village 10050 NE 2nd Avenue ('NJ) Phone: 305 - 795 -2204 Printed: 7/16/2002 Applicant: ANNA Owner: LEON JOB ADDRESS: 122 NE 92 Contractor WALLACE PONDER SEPTIC Local Phone: 305 - 620 -8320 Parcel # 1132060133280 Permit Status: Approved Permit Expiration: 1/12/2003 Work: INSTALL DRAINFIELD AND SEPTIC TANK WALLACE PONDER 12 -99 D /B /A WP SEPTIC TANK CO. 305 - 620 -8320 17235 N.W. 12 CT. MIAMI, FL 33169 PAY //� OR THE / /J . ORDER OF 1/#4.44.41 Plumbing Permit Permit Number: PL2002 -179 LEON ANNA ST Contractor's Address: 17235 NW 12 CT Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & W1/2 LOT 11 BLK 24 LOT SIZE Fees: FEE2002 -3929 FEE2002 -3930 FEE2002 -3931 Description Building Fee CCF Buildier's Bond Total Fees: Amount $80.00 $1.80 $300.00 $381.80 Total Fees: $381.80 Total Receipts: $0.00 Construction Value: $2,500.00 ° - - -- ., ' rifv. there will be no inspections. Re- inspection Look tin: blue background on the front of this check, and the intageSafe© logo on back. If not presese nt, do not cash. 1 I 2072 DATE _1�7 63 Ft . 994 • • • $ 3f• DOLLARS B Page 1 of 1 ltion herefor in strict compliance with all rations that may have been submitted to or if the plans_ are changed without msibility for a thorough knowledge of the ; iat.he assumes responsibility for work done • NafjonsBank Nations Ban k, N.A. E 'AC 003100277 !IKI FOR H.00 207 211' 1 :063100 2771: 003665659356e 1s pertaining thereto and in strict conformity esponisibility for all work done by either Date -1 1 I i L? Job Address 13 Tax Folio i � ' l � C ( 1 / :2) t Le Description PAS S(C 1 �1 �Y' L r� , I t; ( � I ; isf rically Designated: Yes Owner /Lessee/Tenet 1 I y 9 A (I ✓ i ( (�` te, f Master Permit # Owner's Address Contracting Co: ' Qualifier Ct State # er� 170, t Y (t f he I77 O'r- es L ef G T Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): B f ELECTRICAL 1F WORK DESCRIPTION: ! J Y 4 (AA .1 ' e `)(2 t' Vi C Square Ft. (; Cr✓G l( 4 74- 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. J S,ig tature of owne d/or do President Date Signature ti) 7J )jD 1 > Notary as to gwner and/or �ondo President te Not as to C ontra or My Cop Fvp res My Commission Expire PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 FEES:IIERMIT%- RADON APPROVED: Zoning Building Mechanical Plumbing LY Phone No r • e;LC)C) c S C �t ` a - .. )1 -1 (c -31 Address 30/ flai �'-c ;z)fr. • / 47/' S SS# . Phone fC ` L � /- / (f /` / Competency # ('C.)/ Z k3 Ins. Co. , PLUMBING MECIIANICAL ROOFING Estimated Cost (value) / 4 00' " Contractor wner Builder Date 1 Date C.C.F C, NOTARY - L ) BOND TOTAL DUE G' Electrical Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS - UNIT FEE ITEM SPACE HEATERS - UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN _ SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY _ OVEN ABOVE GAMIN) TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS.. CLOTHES WASHER MOTCRS 0- 1 HP STEAM BOILERS - SHOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 if ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP ' VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS . A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE . SWIMMING POOL OUTLETS COMAERCIAL WATER SERVICE 1 SIGN TLBES ;EWER CONNECTIONS SIGN TRANSFORMERS rTILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTURES EPTIC TANK ANTENNA ' ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION Ulf & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL JMESTIC WELL REA DRAIN )OF INLET ]LAR WATER HEATER IRE STANDPIPE )OL PIPING 1WN SPRINKLER SYSTEM 1S RANGE :TER SET (GAS) S PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATIQN,FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERHIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2002 -186 Printed: 7/25/2002 Applicant: ANNA LEON Owner: LEON ANNA JOB ADDRESS: 122 NE 92 ST Contractor DOUGLAS ORR PLUMBING INC Contractor's Address: 101 FLAGLER DRIVE Local Phone: Parcel # 1132060133280 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & W1/2 LOT 11 BLK 24 LOT SIZE Permit Status: Work: 75 SQUARE FT WATER SERVICE Sign Approved Permit Expiration: 1/21/2003 Plumbing Permit Construction Value: $1,000.00 Page 1 of 1 215. 4, Total Fees: MOO Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 application 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 regulation pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or mployees. (INSPECTOR) BY: In consid • of 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: t0 ( ()--Q (Contractor or Builder) BY: ,./ ,,, i A 7 , BRYAN PYKE ' - i . '-. 6 V41 854 ANNA PYKE 122 NE 92 ND ST. 310579Ss_o MIAMI, FL 33138 DATE PAYTO i I ain Li \11110- .e.... 1 $ <g5 ( the orde - - - r vi fik r- -r c.(26110) ,---- DOLLARS ...ad Dazsta on f.k. citiban CITIBANK, F.S.B. BR. #41 1790 BISCAYNE BOULEVARD MIAMI, FL 33132 MEMO 7efrW A:2660865544 3L05790306o 0854 NP LOPEVIII f 5582 N.W. 7th STREET, SUITE 202 MIAMI, O (3 5 264 N' uua f FELEPHONE 264.2660 / FAX: (305) 264 -0229 ) LAND SURVEYORS SURVEY NO. 62_ Cgo SHEET NO. OF 4 22 pw 06.4 7 /* CL; P [fr -l(o ilook BOUNDARY SURVEY scale l' 1 //. 0, ( s 1 • ' .' ' a�a�c. t, 2"-1 0:Mk 24- 76.00 �P 11,40 f� 15,40► i ;. •• K 0 � 100 oa , , 3 J X JJ x N 16 eJMT 0 6-10 c�P) 40, !S 1010 LDr-ie 0)1661 24 ,r v-t4ce -it horse 131:10 01064_24- ja /9 / X I V UCAi' io% 4 h1T (l•Jr -1g • ti 5582 N.W. 71h STREET, SUITE 202 MIAMI, FLORIOA 33126 . TELEPHONE; (305) 264-2660 FAX: (305) 264-0229 roue fitrutijors LAND SURVEYORS SURVEY NO. SHEET NO OF 22 pw 1 ) BOUNDARY SURVEY Scale 1" LfD1" -17 L� 24 x75 • 1X8/' LDr-i0 aocil 24 is 252p4 RiMT ' (?JO Q P) OP( Q&K 24- FROM : UINSON EXTERMINATING ROOf'ING C FAX NO. : 305 6812443 OI F9 2. Z6E9e hi ON3SN3O • 1:11314; • L£Z '0N 1.1 a d • • . l3 `80111 dldd 1 '16C S d� CNvisnv . o , r' ,�'� 3NI ONI ADC' 1C d`+ H t•.OS Qa7Md0i ION 00 nmOV 1NCD ¶NIC1InG ONI S'NIaOCi nnO i VcC ,i 2£C ` iNnc ONI 1.0 iV: NOSNIA Nolv3o1ia - 8 5 £1 a L891 (SO£) aao SV10110a 991E8 VOIaO1d 'SJNIadS IWVIW 3AI80 8310Vlj TOE '3N1 `9N18Wflld ado SV19fOa L89I188 (S0E) aao sviDnoc Jul. 22 2002 03:05PM P1 1.11a u-n �.. ■d0103 XVl 03A1303 1NIMAVd .. l.I011 v3I4r1 rno s.3a y�I0 S1 LL MVI 19 0 31IIflD3d L PItl3d NO 3SNn alto AN 1d WO1u 33SN30■1 3141 $300 tlQN 3311 1:30 AJ 0 3141 d0 SM ONIN0 d0 Ali01V'1no NLLSIK3 ANV 31 01 a SN30n 3 141 11W ' k13d ION E� 30 1fl0 0 11 'flN 714 IVNOLLVdfl00 NY 51 31)1 tt n - i -� w I = q a dr ( 9' , 3 L S ssautsns ) .r NQSNI U3NMO 99IEE V01801d 'S9NI8dS IWVIW 3A180 83l9vlj IOC '3N1 `9N181Alflld 21210 SV19n00 £94ZI0o - 33 ZSVIZO a3anSNl a3SN3011 894Z100 ZSPIZO a3anSNl 03SN3311 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /\ ` /g— ob Address / 22"/ E # 9,2 S7 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 1f,14, 4 f. j er #A.' �y�L Owner's Address Contracting Co. / 2 2 ,1 /. C 72. 57 Master Permit # ( (O 6 3g Phone A 3 o r- . • 73 - e ,>0 A z-01 Zz1',9 . Address /9PM Qualifier ,/I/f1i a n .j',o SS# Phone 3 0 J ' 6IA- 3 22- State # Municipal # Competency # 74,00 o,Z/ ? Ins. Co. 1 t 6e le 1 Lf U Tale/ Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /l/1- S ".' ■" l GGCA- fAt-Mv 7") (S Zo nes) Square Ft. Estimated Cost (value) S � � 0 O 0 • 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 contra •r to do the work stated. Signat y� 'o o � er and/or Condo President Date f/ /0 otary as to Owner and/or Condo President to My Commission Expires: "''�., Edward D. Elliott Commission #00 8664406 .1 Expires Thru 003 At1antio 041, Ina. FEES: PERMIT / 5 RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. / ° NOTARY BOND TOTAL DUE / aZ 40 ado r or Owner- Builder to otary as to Contractor or Owner- Builder Date My Commission Expires: Electrical " Edward D. Elliott �•, 4,•- Commission #00 866406 Enpir9e Ckt. 11. ' 41 Atteutt Cm, Inc Engineering p fief ,ePSid8Nec.: itAd- 1770 S Pt/ 4102 govo,e1 ri See; n► kC e,t.- J e c e.• n. uei> . RA /A/ 2 !/•' /vG 7oito 5- )o' ,e4d1•' P41 SenSo I' /y PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date — C?) Job Address 112 M F _ Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Pi i 4 4 "F Owner's Address /7-.1 /1/1 G 9 9 . 5- Contracting Co. i i I ��� �.�� ��' �� - ddress O riai c —' / / Qualifier P/9 o L 11-ii t ss# - Phone 3(5) State # , ct,,/ 3) 9 q19 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION SPA iei h - �i- Square Ft. Estimated Cost (value) _ '/r' 0 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 wi l be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRIC. PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and • • g. F ermore, I authorize the above -named contractor to do the work stated. Signature - of Notary as My Comm F, k 4. Dagoberto F Guardia * ; =9 * Commission CC750345 M me Expires June 11, 2002 FEES: PERMIT k_D RADON APPROVED: Zoning Building Mechanical Plumbing Signature of Contractor Notary as to Con My Commission C.C.F. 6C NOTARY Master Permit # Builder 1 -1.55/19 rdia # " on CC750345 �►a no" Expires June 11, 2002 BOND PO Date TOTAL DUE 35---a ‘' C 9 Electrical Structural Engineer Permit No - -I_.__ ._.__._ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 0 Application 1 1 ereby 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 Div'sion 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. Registered Architect and /or Engin- -r Employing Plumber's Name __- Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Location and Legal DescriptioT •t__-__-___ —_ ____ —Bloc_ Subdivision - __. Street and Number where work is to be performed —No 12 ° 2 - A 92-__ Street State work to be performed and purpose of building (By Floors)_ _ New Building ___ -- _ _ • -• - _ - -_ -- Remodeling_____ -- - -- -- -- - _ Addition.___ Repairs_ Size Septic Tank.. _ _. ._ -- - -- Feet of Drain T i l e- - - - - -- - - - -- _Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply. City —Well. -- _ - - - _- - Si .n of Soakage Pit No. - - (Signed) - -- -- -- - ( Signed)._ nv treat • Capacity Gals. No. of Stories - -. . P In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinane Supplement, end 1 as ..om•- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the woik to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no ices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo.. ed under this per nit, as are licensed by Miami Shores Village. aster 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 apphcation, and that he did sign the same, and that all .acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made . necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CAYC:i BASIN FLOOR DRAIN DRINKING FOU ^:T•NS TOTAL F XTUREB CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP ciGRMIwl HEATER DEEP WEAL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK -- Permit No - -I_.__ ._.__._ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 0 Application 1 1 ereby 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 Div'sion 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. Registered Architect and /or Engin- -r Employing Plumber's Name __- Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Location and Legal DescriptioT •t__-__-___ —_ ____ —Bloc_ Subdivision - __. Street and Number where work is to be performed —No 12 ° 2 - A 92-__ Street State work to be performed and purpose of building (By Floors)_ _ New Building ___ -- _ _ • -• - _ - -_ -- Remodeling_____ -- - -- -- -- - _ Addition.___ Repairs_ Size Septic Tank.. _ _. ._ -- - -- Feet of Drain T i l e- - - - - -- - - - -- _Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply. City —Well. -- _ - - - _- - Si .n of Soakage Pit No. - - (Signed) - -- -- -- - ( Signed)._ nv treat • Capacity Gals. No. of Stories - -. . P In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinane Supplement, end 1 as ..om•- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the woik to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no ices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo.. ed under this per nit, as are licensed by Miami Shores Village. aster 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 apphcation, and that he did sign the same, and that all .acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made . necessary by improper notice for inspection, or faulty materials and /or workmanship. r 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 ' `" J __� � ., = No. Street. Registered Architect and /or Engineer_ . ____ /1-:?//' �_ _ , Employing Plumber's Name ...I. • • . • -.: Street Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed —No. / ' f !__ •• / Street State work to be performed and purpose of building (By Floors) New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. A MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Addition Repairs Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit --- (Signed) - , Capacity Gals. ( Signed) Date --- ..._ -____- No. of Stories 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 arc licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida • 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 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 SWIM'G POOL r�- T it fp 7:4 / i. � / J � - CONTR. LIST CHECK r 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 ' `" J __� � ., = No. Street. Registered Architect and /or Engineer_ . ____ /1-:?//' �_ _ , Employing Plumber's Name ...I. • • . • -.: Street Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed —No. / ' f !__ •• / Street State work to be performed and purpose of building (By Floors) New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. A MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Addition Repairs Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit --- (Signed) - , Capacity Gals. ( Signed) Date --- ..._ -____- No. of Stories 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 arc licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida • 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 workmanship. A Permit No. J 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 he 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 Street Registered Architect and /or Engineer Employing Plumber's Name /./ No Street Location and Legal Description Lot Block_ � Subdivision___. - Street and Number where work is to be performed —No. / 1 �. • ` , .�' '"'` Street State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs 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 $ J ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) e k- l's' '' 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) Date No. of Stories : y Master Plumber. STATE OF FLORIDA, , COUNTY OF DADE. I 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 r TOTAL FIXTURES CONTR. LIST 3 / ` / j / ! / ! J I ' i P CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL sax. COCKS vm / CONTR. LIST t) — CHECK A Permit No. J 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 he 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 Street Registered Architect and /or Engineer Employing Plumber's Name /./ No Street Location and Legal Description Lot Block_ � Subdivision___. - Street and Number where work is to be performed —No. / 1 �. • ` , .�' '"'` Street State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs 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 $ J ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) e k- l's' '' 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) Date No. of Stories : y Master Plumber. STATE OF FLORIDA, , COUNTY OF DADE. I 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. a 1 I i t , : ,--'. ■,.._:, _..., • 4 f 4. BVILDING 1LECTRICAL " PLUMBING Owner of Arcttect Contractor r 6r Builder lldf ` ' " Legal Lot BL Description Address of Building_ 2_ 'L ! . ey 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 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 p per 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 an • - thout authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass the sponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . n: s . � the statements or specifications and that he assumes respon- ' sibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance t9 me of this permit I agree to perform the ork covered hereunder in compliance wide rdinances and pertaining ther. • strict /•nfornfity ith the plans, drawings, statements or specifications submitted to the proper auth6s of Miami ShdresWitiage. In accep !j +t sum responsib" "ty for all work done by either myself, my agent, servant or employee. ��Al► ILDER CONTRACTOR OR B MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5526 Work to be performed under this Permit � Signed. Subdi- vision Value of Project DATE 1f • Contractor's License No. Cieice;4:11 1942_ Amt. of Permit • By BY AUTHORITY BUILDING ELECTRICAL PLUMBING • Owner of Building Architect Contractor or Builder Legal Description Work to be performed under this Permit I/6. AJ(•tkrIA A Lot •e / ^' MIAMI SHORES VILLAGE, FLORIDA DATE - 7- - 2. Y 1941 PERMIT N2 5523 CONTRACTOR OR BUILDER t`� Bl. fL Subdi- vision BY - La1i lcic: 5� Contractor's License No IL Address of °>r , ,� le 1 Value of Amt. of a s /� Building .4 . 9 1 Project Permit �0 /l 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 ordinances 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 shown on the plans or awings or ip the statements or specifications at he umes respon- sibility for work done by his agents, servants or employees. �. Signed i!I i ' B y "'� INSPEC R In consideration of the issuance to me of this permit I agree to perform the work covered here der in compliance with a ordinances and re y]ations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au t 'es of Miarl S1 r 11age. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY 7 BUILDING ,' • ELECTRICAL s. PLUMBING • Owner of Building Arc1iitect Contractor 6 'or Builder Legal Description Address of Building g). r Work to be performed ) L ` Z� GU `1 11 91 g 9( MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5520 17 It Bl. 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 ordinances pertaining thereto and w th 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 knowle of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans awing or • e Itatements or specificatio ssumes respon- sibility for work done by his agents, servants or employees. � � � 1' ;' Signed. '' • �,�� l A "e - .0', BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wit ordinances and IguOtions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author ti s of Miami Shores Village. In accepting t is permit I assume responsibility for all work done by either myself, my agent, servant or employee. /r v dpi 3 C RACtO under this Permit Subdi- vision Value of Project BY DATE Contractor's j(,1t k License No 91 2.4.4 7- 2-'3 Amt. of / J f' Permit AUTHORITY 19q� It Street and Number where work is to be performed —No Amount of Permit $___ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot 1 ` Block .2 7 Feet of Drain Tile 1- 2- Q Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) ( Signed) State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition Repairs __ Street - -- - Type of Tank ,L� (' f r Size Septic Tank - - - i ..-- �- _._ -__ Capacity Gals My Commission Expires Notary Public, State of Florida 4 � � ; Date. ! - Permit No. 1 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. 1 1 ) / , ., Owner's Name and Address i ' No. c ,'`- Registered Architect and /or En ineer Employing Plumber's Name _)t- t �/.. , ' y,,_ No ,. r ' . A. "', Street jl C. - -' - -, _ No. of Stories Subdivision Subdivision____) '__.:__,i _,_ I 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. Master Plumber. STATE OF FLORIDA, t 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 fo regoing 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 SWIM'G POOL CONTR. LIST CHECK Street and Number where work is to be performed —No Amount of Permit $___ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot 1 ` Block .2 7 Feet of Drain Tile 1- 2- Q Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) ( Signed) State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition Repairs __ Street - -- - Type of Tank ,L� (' f r Size Septic Tank - - - i ..-- �- _._ -__ Capacity Gals My Commission Expires Notary Public, State of Florida 4 � � ; Date. ! - Permit No. 1 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. 1 1 ) / , ., Owner's Name and Address i ' No. c ,'`- Registered Architect and /or En ineer Employing Plumber's Name _)t- t �/.. , ' y,,_ No ,. r ' . A. "', Street jl C. - -' - -, _ No. of Stories Subdivision Subdivision____) '__.:__,i _,_ I 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. Master Plumber. STATE OF FLORIDA, t 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 fo regoing 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. IJILDING 4ECTRICAL LUMBING • owner of ;finding PERMIT N2 5526 Work to be performed under this Permit / . , v - rchitect ?ontTactor Builder ' ( r -u .. legal Lot B1. d escription MIAMI SHORES VILLAGE, FLORIDA c• DATE 1944_ Contractor's License No. /15" i . Subdi- vision 7 address of Value of Amt. of ( s :wilding a Z v .° 1 t Pr oject 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 appli- ition herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any fans, drawings, statements or specifications that may have been submitted to and approved by the pr er municipal authorities. This Permit may be revoked t any time if the work is not done in compliance with such ordinances or if the plans are ciiRhge out authorization. A further condition upon which this j °rmit is granted is the understanding that the contractor or builder named above assn the r onsibility for a thorough knowledge of the prdinances and Lgulations pertaining to the work covered hereby whether shown on the plans or a statements or specifications and that he assumes respon- lbility for work done by his agents, servants or employees. Signed: iV/'�. -+''"" "� By INSPECTOR ce to me of this permit I agree to perform the Vork covered hereunder in compliance with all ordinances and regulations formity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami, Shores Village. esponsibi • y for all work done by either myself, my agent, servant or employee. In consideration of the issu ertainin there trict c u acce pting t I me CONTRACTOR OR BU DER Alf/oP"" BY AUTHORITY ';UILDING LECTRICAL 'LUMBING )weer of funding rf _rchitect ontractor r Builder regal )escription Lot J address of , Value of funding __ / _ .' i t f ? 4 k t� rl ' Project 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- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ,lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans orjrawings or in the statements or specificationsnd at he�umes respon- ibility for work done by his agents, servants or employees. 4`�' f; g f 1 Signed. 1 Ye 11 t=i B y �' e , i • INSPEC R In consideration of the issuance to me of this permit I agree to perform the work covered here der in compliance with all ordinances and regulations •ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE % `f 1942 PERMIT N° 5523 Work to be performed under this Permit Subdi- vision BY Contractor's License No. Amt. of Permit c if AUTHORITY UILDING LECTRICAL LUMBING lwner of uilding rchitect : ontractor r Builder .egal )escription ddr f Lot 1 f0 / CO ' RA • R OR • I LDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5520 t; Work to be performed under this Permit 9, .'C 0 Bl. Subdi- vision Value of Project DATE ess o r_ uilding his 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- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any f drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ernlit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowled of the ordinances and Lions pertaining to the work covered hereby whether shown on the plans oE.- drzw ;� t ings or P statements or specifications the umes respon- billl for work done by his agents, servants or employees. Signed. " . %' ° -•" "9:/ B INSPECTOR 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 twining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n aCceptinn • ermit assume responsibility for all work done by either myself, my agent, servant or employee. 12 acceptin / BY Contractor's License No. Amt. of Permit -2. 3 194 /q/ AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II BI. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 15954 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of 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 application hereior 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 shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed { " BY INSPECTOI. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY