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PLUMBING24hrs. State Certified Plumbing Contractor # CFC- 056693 Remodeling & Repairs New Construction Gas Detectors & Heating Sewer & Drain Cleaning LIFT STATIONS Sump. Pumps Booster Pumps Septic Tanks Grease Traps Dram Fields (305) 558-0410 (786) 251-0821 (305) 382-8914 i nspection Number: INSP -7894 Inspection Date: 01/26/2006 Inspector: Levrack, James Owner: YAHR, ALEXANDER Job Address: 234 92 Street NE Miami Shores Village, FL Project: <NONE> Contractor: PULLES PLUMBING COMPANY Building Department Comments Thursday, January 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P . (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL2005 -160 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 786 - 299 -3609 Parcel Number 1132060133410 Lot: Page 1 of 2 Passed hs ` cto ,G ments i C/ 4 D # ) ' 2 _�,- a Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -7894 Inspection Date: 01/26/2006 Inspector: Levrack, James Owner: YAHR, ALEXANDER Job Address: 234 92 Street NE Miami Shores Village, FL Project: <NONE> Contractor: PULLES PLUMBING COMPANY Building Department Comments Thursday, January 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P . (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL2005 -160 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 786 - 299 -3609 Parcel Number 1132060133410 Lot: Page 1 of 2 'Inspection Number: INSP -7894 Permit Number: PL2005 -160 Inspection Date: 01/26/2006 Inspector: Levrack, James Owner: YAHR, ALEXANDER Job Address: 234 92 Street NE Project: <NONE> Miami Shores Village, FL Contractor: PULLES PLUMBING COMPANY Building Department Comments Thursday, January 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 786 - 299 -3609 Parcel Number 1132060133410 Lot: Page 2 of 2 / Passed l i In r e • r r� ' , ` i r, ments ni i /� 2- 9 — ° E C/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -7894 Permit Number: PL2005 -160 Inspection Date: 01/26/2006 Inspector: Levrack, James Owner: YAHR, ALEXANDER Job Address: 234 92 Street NE Project: <NONE> Miami Shores Village, FL Contractor: PULLES PLUMBING COMPANY Building Department Comments Thursday, January 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 786 - 299 -3609 Parcel Number 1132060133410 Lot: Page 2 of 2 PL2005 -160 Scheduled Insp # Inspection Type 05/31/2005 INSP2005 -2258 Plumbing CAN'T GET IN WENT 3 TIMES 06/09/2005 INSP2005 -2375 Septic Tank SEPTIC LID 07/15/2005 INSP2005 -2998 Plumbing CAN'T GET IN WENT 3 TIMES 07/21/2005 INSP2005 -3043 Plumbing CAN'T GET IN WENT 3 TIMES 07/25/2005 INSP2005 -3088 Plumbing SEPTIC LID 01/27/2006 INSP -7894 Final Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Status Imported Permit Project: <NONE> Owner: ALEXANDER YAHR Phone: 786 - 299 -3609 Job Address: 234 92 Street NE Parcel: 1132060133410 Miami Shores Village, FL Block: Lot: Inspector Date Completed APPROVED None None 5/31/2005 APPROVED None None 6/9/2005 DENIED None None 7/15/2005 APPROVED None None 7/21/2005 APPROVED None None 7/25/2005 Pending Inspection James Levrack Not Complete Thursday, January 26, 2006 Page 1 of 1 Lq9! � 'D MIAMI SHORES VILLAGE Z%s BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Type Insp'n Permit No. PIUS 0o Name viQY Address 2 3 N e q L s- Company Phone # qty S“ t%p g C I Inspection Date Approved Po1eS Plan n Th Correction ❑ Re- Insp'n Fee ❑ 3OL(3 *4, MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 0 Akv Type Insp'n " ,k/1 Permit No. 1(^0S (t0 Name Address \( a w Company ?AIL IIU' &bIll CA Phone # 1 . I Inspection Date 0 ; A , i ill Irk INK , Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building IInsspection Request Date 01. Z 05 Type Insp'n AV) 1 008 1'( Permit No. ZOOS ® I 6 Name 70kAr Address z IV f q z " ' Company lle✓ 'IV✓ O/YL�( C() � Phone # 0(541/ b ( v Inspection Date V ((Z - 05 Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 a-7 /O Type Insp'n P1 Permit No. � ' I i6)C Name Vci Address g 3`I co s4- Company (18k: sI- Phone # Inspection Date Approved Correction Re- Insp'n Fee 2:Y75/ tios ' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildiyig Ipspection Request Date Type Insp'n 5P ( [CO . Permit No. e t Us- " I GO Name � (( 1� Address 1 "F q 1 i Q V L' Company Phone # Inspection Date Approved Correction Re- Insp'n Fee Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) 19 le' x' ' Owner's Address City /19/V - 4Or2Atate Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village $ Value of Work For this Permit A(70 de 3 Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) SSB. 13 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P 1 OS - ( (d: Zip y County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name / 4, s P� 4 Contract 's Address BUN/ S"' 4J la� 1. City State PC Qualifier l� terY Master Permit No. Mechanical Roofing Phone # 5/7/J G/ Gt Phone # Architect /Engineer's Name (if applicable) Phone # Zip /►J Square Footage Of Work: Zip State Certificate or Registration No. C (C— Sci' Certificate of Competency No. Type of Work: ['Addition / ['Alteration ['New 1:1 Repair/Replace 6f' Describe U 9 f 5 r+/ )' �i¢„r c /e coee - e/i/I. (4.4: �2rtc- �.«t ,- G/e c letrz c Watose r * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ fa? CCF $ . Notary $ Training /Education Fee $ Technology Fee $ CO /CC /3./3 Scanning $ Radon $ Zoning Bond $ -� Structural Plan Review. $ ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signatur Owner or Agent day of APPLICATION APPROVED BY: chc 05/13/03 , 20 , by , day of Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this__ _ ,20,by who is personally known to me or who has produced who is personally known to me or who has produced__ _ _ As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: • ******************** t******************************************************** * * * * * * * * * * ** * * * * * * * * * * * * ** * * * ** ****** * * * * * * * * * * * * * * * * * * * * * * * * * ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - Th , Plans Examiner Engineer Zoning We hereb propose to furnish the materials and perform the labor necessary for the completion of . ADDRESS 0 J 7 /r/i.. _ 1z_„ PIS 4 Avi I (S' /42E PHONE 1r5/ Iii 6/)9 i Blip -ir�! A .3 g 11�� O .......... .----. i 41 ASH" V / // A I 4. � O► / 41 /D, , - .� ■ rzozziorm 1 �.,1 ,.. g� A ' � specifications --,-r- ' s v < /..5' .o - ' ; z0Z All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and submitted for above work, and completed in a substantial workmanlike manner for the sum of Dollars ($ with payments to be made as follows: rT' 67- g / . ' ' 0 L � +� i- c77' /o \ 57;5721:2, .L'sP w �' y , .� ��Fie� ully submitted AMP _ � _ �/ Aw //� p / s Any lftt;rati or deviation frdm above specifications involving extra costs - - will be executed only upon written order, And will beco 1. - : = - �: ` ' over and above the estimate. All agreements co r • ent upon strikes, ac- be withdrawn days. cidents or delays beyond our control. C A-) -�, / �� / �-- �� ote - This proposal may / by us if not accepted within / -■,. NAME /� ADDRESS 0 J 7 /r/i.. _ 1z_„ PIS 4 Avi I (S' /42E PHONE 1r5/ Iii 6/)9 Serv. 24 Hr. SUBMITTED TO: . -R -. GARCIA SERVICES Plumbing Good Service and Guarantee YOU CAN COUNT ON US. Licensed & Insured The Best Under The Sun State Certified # CFCO37110 2641 W 12 Ave Hialeah, FL 33010 (786) 251 -0821 WORK TO BE PERFORMED AT: ADDRESS 1 PROPOSAL NO. N°_ 0141 SHEET NO. DATE DATE OF PLANS ARCHITECT ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions • re satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outli ab• e. Dat LG PRIMING 305-828-3333 Signatures Signature 14 Sfi"' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/23/2005 Applicant: ALEXANDER YAHR Owner: YAHR ALEXANDER JOB ADDRESS: 234 NE 92 ST Plumbing Permit Permit Number: PL2005 -160 Contractor PULLES PLUMBING COMPANY Contractor's Address: 8541 SW 133 PL Local Phone: Parcel # 1132060133410 Signed: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9 BLK 25 LOT SIZE Fees: Description Amount FEE2005 -6453 Building Fee $525.00 FEE2005 -6454 CCF $9.00 FEE2005 -6455 Training and Education Fee $3.00 FEE2005 -6456 Technology Fee $13.13 FEE2005 -6457 Notary Fee $5.00 FEE2005 -6458 Scanning Fee $3.00 Total Fees: $558.13 Total Fees: $558.13 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/16/2005 Construction Value: $15,000.00 Work: ROUGH SET FIXTURES ACORDING TO PLAN 3 (INSPECTOR) E aril 2 ri PAM tv 1 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 S ::-50— q4 Job Address 034 f\I a qZ %t i t, /1 Tax Folio Legal Description Historically Designated: Yes No Owner/Les.�e / Tenant M(ilf,c I PA ripz, Master Permit # ` � I L[7 3 i_05 Owner's Address gnu Biour(d7 D,rikuf Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN WOpS DESCRIPTION C\h Square Ft. Estimated Cost (value) Signa tuure /f o Condo President 6 Z4q1 Notary as to Owner and/or Condo President Date My Commission Expires: tjFkICIAL IOTA 1f � SHARON L WILLANT NUTARY PUBLIC STA i OL 1 SIU\ COMMISSION NO. CO? MY COMMISSION VP. SEPT 22,1a5 FEES: PERMIT L, (Alacon0 RADON APPROVED: Zoning Building Mechanical Plumbing at C.C.F. Phone NOTARY Contracting Co. III A g1,10 P(wnb( Qualifier f f UC 7 M k ekag )) t I State # v` C D (9 20 Municipal # C, (R2O Competency # CFC-oigWG Ins. Co. la, Address "[co N RU 144 9 ' SS# - 751 - Electrical Address Address Address MECHANICAL ROOFING PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 6-3o -41. Signature of Contractor or Owner - Builder Date 9',,c 'n G` . e- s /q7 Notary as to Contractor or Owner - Builder Date My Commission Expi s: OFFICIAL NOT "_ SHARON L WILAANIM o , � ti+ NCrrARY PUBLIC Mrs OP COMMISSION . SW ° MY COMMISSION I BOND TOTAL DUE Engineering BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMWING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY GRAINFIELD, 4' TILE/RES. PUMP E ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ITEM PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN O TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMdERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTLRES VIOLATION RE INSPECTION UNIT ANTENNA TELEVISION OUTLETS FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCTWORK REFRIGERATION UNIT PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION RE INSPECTION FEE PERMIT APPLICATION E R MIAMI SHORES VILLAGE Date f 6 Job Address 2 3`. if v e 9 2 S l Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant e- it- G .c Master Permit # 410 6 ci Owner's Address 2, 3 g N /g 2 it Phone 7 c 6.2 Contracting Co. Ora a A i"'1 4 /� �ei c - -� .. - Address 7 7 O / L A, / /a �- -r /o/ I j; Q u a li f i e r V . / G d I - c / r. ' , r / 1 r v 5 o N SS# Phone T S - `r` $' State # ' /G Municipal # DWOd 196If y Competency # Ins. Co. Grca n- Cir A Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): , UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION i2 - a, ev - Z... a R „ Square Ft. 7 G o hsbvy, Z4,0, SignaTure of owner and/or Condo President Date LORRAINE J. ZERO Notary Public, Stat of Nota $Gbi119. � Io •. • esident Dat My Commisn'�t� �•. ..e�j / � FEES: PERMIT 3. S RADON APPROVED: Zoning Building Mechanical Plumbin Estimated Cost (value) / ? Ci O WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. fir Signature of Contractor or Owne - B}frlder Date No My LORRAINE J. ZERO Bt1i ii ESeo F ommie" 86, 30 c) C.C.F. 1 . NOTARY TOTAL DUE 3,6 336). '6 Electrical Engineering APPLICATION FOR: � )�� [/V ] New System V �] Existing System V] Holding Tank 04 Temporary /Experimental V) Repair [V/J Abandonment ['(/ J Other(Specify) APPLICANT: AGENT: MAILING ADDRESS: 7 7 a / TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 1OD -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF / LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] A- BLOCK: 1) 1- SUBDIVISION: x //4 DATE OF J '6/ SUBDIVISION. LOT: [Section /Township /Range /Parcel No.] ZONING: PROPERTY ID #:// PROPERTY SIZE: PROPERTY STREET ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION 2 3 4 APPLICANT'S SIGNATURE: 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 r /i4/ al //.e irl/ / fl 1 ai /ti e PERMIT # DATE PAID FEE PAID $ RECEIPT # TELEPHONE: ACRES [Sqft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [PUBLIC 2 3/1 f1= 3,/3fr S, Sy le 9z 1 RESIDENTIAL [ ] COMMERCIAL 1eg - DATE: Unit Type of No. of Building # Persons Business Activity No Establishment Bedrooms Area Sqft Served 1 Lsii-e/i,/ ., -4it2t 2 2 For Commercial Only [ ] Spas /Hot Tubs [ ] Floor /Equipment Drains ] Garbage Grinders /Disposals J Ultra -low Volume Flush filets [fl) Other (Specify) HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) Page 1 of 3 (Stock Humber: 5744- 001 - 4015-1) LOT: SITE EVALUATED BY: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS �- r 2 I eRc BLOCK: SUBDIVIS 0 PROPERTY ID #: a71 /V 9 Section /Township /Range /Parcel No. or Tax ID Number] PROPERTY SIZE CONFORMS TO SITE TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: SOIL PROFILE INFORMATION SITE 1 00 30c3 BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS i 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. Munsell # Color USDA SOIL SERIES: Texture Depth 0 to s_ to to to to to to to to SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [-] NO 10 YEAR FLOOD ELEVATION FOR SITE: , Z FT MSL /NGVD [ ] YES [ ] NO NET USABLE AREA AVAILABLE: la GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] SQFT UNOBSTRUCTED AREA REQUIRED: o SQFT AGENT: A- 1) 42 0 1 n -A° h' I ) T I C 1 2. 3 (e PERMIT # [INCHES /FT] (ABO ENCHMARK /REFERENCE POINT • • ACRES THE MINIMUM SETBA9I{ WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: FT DITCHES /&WALES: f� FT .NORMALLY WET? ; [ ] YES [] NO WELLS: PUBLIC: FT LIMITED USE: // FT PRIVATE: !V FT NON POTABLE : FT BUILDING FOUNDATIONS: FT PROPERTY LINFS: st i FT POTABLE WATER LINES: FT SOIL PROFILE INFORMATION SITE 2 V 10 YEAR FLOODING? [ ] YES [ ] NO SITE ELEVATION: ' FT MSL /NGVD Munsell # /Color Text re Depth 674 Y �, rn!y p to to to USDA SOIL SERIES: to to to to to to OBSERVED WATER TABLE: 7a I NCHES [ABOVE /] EXISTING GRADE. TYP - ERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: 6° ' INCHES [ ABOVE BELOW - ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [V] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING 541 i� 1 :i DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: DATE: HRS-H Form 4015, Mar 92 (Obsoletes previous ed ions which may not be used) Page 3 of 3 (Stock Number: 5744-003- 4015-1) Scale: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTI P R Permit Application Number /� Each block represents 5 feet and 1 inch = 50 feet. tes: Fe" c/J 12111eMEMOVIIIIMI1 IIYIU_ W� ! ■ 11.111I_4i u1M 11111111 LM11111i1111If111I11' 1 111111 w oomm..11.1...u... 1 I ' NM! �— / ■.1 i•i• !. ■ ■�� ■ ■ s_ss•ns_ rdisi■■■••■s_ immEmpjm) _r/IMMENIM i,... .1 .. ... .■■. MIIIIIMINIMININI.■IMINIMiNINIcNIIIIIMM■I■■■■ 3 I/ MN MI 11 N GG/ ' 7 Site Plan submitted by: Plan Approved By O HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 - 002 -4015-6) PART DD o SITE PLAN SIGNATURE ALL CHANGES MUST BE APPROVE G Not Approved / O o- - P/c0.44 D ' fa0 W( (5 TITLE Date County Public Unit Y THE COUNTY PU` -LDC HEALTH UNIT Page 2 of 3 CO,STRUCTION PERMIT FAR: ] New System [ 4/ Existing System Holding Tank Temporary /Experimental [j ] Repair [6] Abandonment �] Other(Specify) APPLICANT: l fl° `" � g AGENT : &A 1 A M 4TI C- ! `iec PROPERTY STREET ADDRESS: 3 iv p g26J P _ LOT: n j BLOCK: SUBDIVISION: A) PROPERTY ID #: [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] < [OR TAX ID NUMBER] 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 S ECIFICATIONS T V 00 ! ALLONS G D SEPTIC TAN /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] OMS / 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: [ ] £1'? A- V D ‘3 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET A TYPE SYSTEM: I 'CONFIGURATION: N F LOCATION OF BENCHMARK: A°� .3 I ELEVATION OF PROPOSED SYSTEM SITE 37 2 ]4 NCHES'FT] [ABOqgiLia BENCHMA'< REFERENCE P E BOTTOM OF DRAINFIELD TO BE [ 6 i /EL ] BENCHMA >. REFERENCE E9 FT] [ABO B � D FILL REQUIRED:,,[ ] , INCHES , . . , , . ];XCAVATION REQUIRED: [ j ] INCHES e 'n5�.. -') LTT SPECIFICATIONS BY: DATE ISSUED• STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC SYSTEM [ ] STANDARD [ ] ILLED [ ] TRENCH [ BED 0 T H R TITLE: APPROVED BY: TITLE c HRS -H Form 4016, Mar 92 (Obsoletes previous editions whichmay not be used) (Stock Number: 5744 - 001 - 4016-0) QppdOMMT PERMIT # ff C I�7 DATE PAID e - ,�7 FEE PAID $ ,eg® RECEIPT # /C4. - a 67 [ ] MOUND [ ] [ EXPIRATION DATE: CPHU ( f g% • 1. �J (ALL; 'Page 1 of 2 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DATE_ 195 p =' P E R M 1 T �T° 2 4 4 5 Contractors License No. ❑ Work to be performed under this Permit Bl Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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 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 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e Permit No �0 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 `. Owner's Name and Address Registered Architect and /or E :ineer ..... ____— ______�____� Employing Plumber's Name Location and Legal Description Lot._______ Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors)______________ New Building —____ Remodeling_ Addition__ Size Septic Tank_------------------ __ - - -- -- Feet of Drain Tile Nature of Water Supply: City — Well._______ Amount of Permit $___ STATE OF FLORIDA, I as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.. ock_ Type of Tank _Dist. Feet of Tank or Drain Field from Well ------- _ -__ -- _ Size of Soakage Pit (Signed) _ 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 / ° D - ' ;) — ..... ___— __.... --- - -- Street Street_ Subdivision Street Repairs No. of Stories. Gals My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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. 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. CLOBQTO BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No �0 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 `. Owner's Name and Address Registered Architect and /or E :ineer ..... ____— ______�____� Employing Plumber's Name Location and Legal Description Lot._______ Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors)______________ New Building —____ Remodeling_ Addition__ Size Septic Tank_------------------ __ - - -- -- Feet of Drain Tile Nature of Water Supply: City — Well._______ Amount of Permit $___ STATE OF FLORIDA, I as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.. ock_ Type of Tank _Dist. Feet of Tank or Drain Field from Well ------- _ -__ -- _ Size of Soakage Pit (Signed) _ 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 / ° D - ' ;) — ..... ___— __.... --- - -- Street Street_ Subdivision Street Repairs No. of Stories. Gals My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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. 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. Architect Contractor or Builder Legal Description Address of Building Lot BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building II CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT In 11242 ❑ Work to be performed under this Permit 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 herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this 'permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether 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 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 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 Permit No._ // - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. c ) �/ Owner's Name and Address d No. Street __ ___ _'_. Registered Architect and /or Engineer • , Employing Plumber's Name' ou ° " -' No.__ ' ' Street Nature of Water Supply: City—Well Amount of Permit $ ss. Block__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition ( Signed) c /7 , Date 6 Subdivision Location and Legal Description Lot Street and Number where work is to be performed —No Street • Repairs My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile d Dist. Feet of Tank or Drain Field from 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. ( Signed) �� a i !` Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH T U85 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS ALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No._ // - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. c ) �/ Owner's Name and Address d No. Street __ ___ _'_. Registered Architect and /or Engineer • , Employing Plumber's Name' ou ° " -' No.__ ' ' Street Nature of Water Supply: City—Well Amount of Permit $ ss. Block__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition ( Signed) c /7 , Date 6 Subdivision Location and Legal Description Lot Street and Number where work is to be performed —No Street • Repairs My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile d Dist. Feet of Tank or Drain Field from 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. ( Signed) �� a i !` Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR PLUMBING PERMIT Permit No./ Date ■ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the 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 _ Registered Architect and /off En ne _____ Employing Plumbers Name �' ' ,Y - - -- � � - -= = =- =- +�--- � ��= .– __�.a- No Street Location and Legal Desc ' ion Lot____ Street and Number where -work is to be performed —No State work to be performed and purpose of building (By Floors) Size Septic Tank— ______—_ Feet of Drain Tile___ Nature of Water Supply: City —Well Amount of Permit $_ o -- - - - - -- ___Block_ - �� - - - -j fir__ New Building — _________________ Remodeling Addition ---- ___ Type of Tank _____._____ . ___ _____________________ _Capacity Gals Dist. Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Size of Soakage Pit r• � J r Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are __(Signed) sub - contractors, on work to/ be performed under this permit, as are / . 9 ,% ` ' Master Plumber. (Signed) 1 Subdivision _____________— ____— _____.__. 'rrStriet j /2 -2' Y/ " epairs Notary Public. State of Florida No. of Stories 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 be 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No./ Date ■ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the 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 _ Registered Architect and /off En ne _____ Employing Plumbers Name �' ' ,Y - - -- � � - -= = =- =- +�--- � ��= .– __�.a- No Street Location and Legal Desc ' ion Lot____ Street and Number where -work is to be performed —No State work to be performed and purpose of building (By Floors) Size Septic Tank— ______—_ Feet of Drain Tile___ Nature of Water Supply: City —Well Amount of Permit $_ o -- - - - - -- ___Block_ - �� - - - -j fir__ New Building — _________________ Remodeling Addition ---- ___ Type of Tank _____._____ . ___ _____________________ _Capacity Gals Dist. Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Size of Soakage Pit r• � J r Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are __(Signed) sub - contractors, on work to/ be performed under this permit, as are / . 9 ,% ` ' Master Plumber. (Signed) 1 Subdivision _____________— ____— _____.__. 'rrStriet j /2 -2' Y/ " epairs Notary Public. State of Florida No. of Stories 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 be 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. Location and Legal Description Lot_ Amount of Permit $_____ 4° '*° My Commission Expires MIAMI SHORES VILLAGE • PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. .sk✓ ____ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the 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 __'t_ .: —t_"j "`? g Registered Architect and /onffneer Employing Plumber's Name ,1 No _ Street___ _ - - ; : Street and Number where work is to be performed —N d.: _ __ ________________ter —_ -2.. - l State work to be performed and purpose of building (By Floors) '.s- Repairs ____ —___ No. of Stories__---_- _.---. t � S et New Remodeling Addition _Capacity Gals Notary Public, State of Florida 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) Via' - /1 :•a " �' "� �� .j 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 under signed agrees to employ only such sub - contractors, on work too be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, ss. 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 SWIM•G POOL CONTR. LIST CHECK 1 Location and Legal Description Lot_ Amount of Permit $_____ 4° '*° My Commission Expires MIAMI SHORES VILLAGE • PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. .sk✓ ____ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the 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 __'t_ .: —t_"j "`? g Registered Architect and /onffneer Employing Plumber's Name ,1 No _ Street___ _ - - ; : Street and Number where work is to be performed —N d.: _ __ ________________ter —_ -2.. - l State work to be performed and purpose of building (By Floors) '.s- Repairs ____ —___ No. of Stories__---_- _.---. t � S et New Remodeling Addition _Capacity Gals Notary Public, State of Florida 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) Via' - /1 :•a " �' "� �� .j 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 under signed agrees to employ only such sub - contractors, on work too be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, ss. 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. BUILDING ELECTRICAL PLUMBING Owner of Building _ Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2535 Subdi- vision DATE 194_._ Contractor's License No. Work to be performed under this Permit Legal Lot Bi. Description 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 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 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 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 regula- tions 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. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY aUFtEtifsts ELECTRICAL PERMIT A N° 717 PLUMBING NAME ADDRESS Contractor or Builder_ Proposed Location AMOUNT RECD. PAYMENT ACCT. DEPT. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT , 19 Owner of Building NAME ADDRESS LICENSE NO. Architect and /or Engineer NAME ADDRESS LICENSE NO. LOT BLOCK SUB - DIVISION -- NO. STREET This permit is issued to — ____________________ ____ - -_ _ ________— ________ _____ To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ord:nances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. ?" ; _t_ Dated_ , 19 — - -r — — — — -_ -- — (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the. Planning Board. 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 Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 1003 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Bl. Description 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 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 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 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 regula- tions 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. Subdi- vision Value of Project DATE 194__ Contractor's License No. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... /r 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 Registered Architect and /or Engineer fe F.l,fi�J�.� 7 _ '___ j)I� V Location and Legal Description Lot Block Subdivision __a Street and Number where work is to be performed—No._ fr' Street__ Employing Plumber's Name __ _ No. /44 4.1 Streety_'h__F� No. Date State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs____ Size Septic Tank Type of Tank Capacity Gals Amount of Permit $__ (Signed) My Commission Expires (Signed) Street,/ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. The undersigned applicant for this building permit does hereby certify that he understands and accep is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori . 0 Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Mai er Plumber. STATE OF FLORIDA, ss. . 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. Notary Public, State of Florida No. of Stories_ __/ Plumbing Inspector. 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 U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... /r 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 Registered Architect and /or Engineer fe F.l,fi�J�.� 7 _ '___ j)I� V Location and Legal Description Lot Block Subdivision __a Street and Number where work is to be performed—No._ fr' Street__ Employing Plumber's Name __ _ No. /44 4.1 Streety_'h__F� No. Date State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs____ Size Septic Tank Type of Tank Capacity Gals Amount of Permit $__ (Signed) My Commission Expires (Signed) Street,/ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. The undersigned applicant for this building permit does hereby certify that he understands and accep is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori . 0 Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Mai er Plumber. STATE OF FLORIDA, ss. . 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. Notary Public, State of Florida No. of Stories_ __/ Plumbing Inspector. 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 Registered Architect and /or Engineer _ Employing Plumber's Name _______ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, - whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address t , r = No . c______.., Street Size Septic Tank Type of Tank _ No Location and Legal Description Lot l � Block T Subdivision_ _____ f 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 Capacity Gals Feet of Drain Tile ___________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Ci€y —Well Size of Soakage P,t'f,/ Amount of Permit $_________ _ (Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. j Date Street ' __ Street- -- -- ----- -- - - -- — — —•— — —_— My Commission Expires Notary Public. State of Florida - - - - - -- --------------- - 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 under signed agrees to employ only such sub - contractors, on work to be performed nder this permit, as are licensed by Miami Shores Village. - -- Si ned n! ( g ) � -- c-- - --r � .�,�r _ , r , �--- ---- ---- '!-- -- 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. 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 DEEP SPRKLR. HEATER WELL SYSTEM SWIM'G POOL CONTR. LIST ,,------� - CHECK Permit No Registered Architect and /or Engineer _ Employing Plumber's Name _______ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, - whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address t , r = No . c______.., Street Size Septic Tank Type of Tank _ No Location and Legal Description Lot l � Block T Subdivision_ _____ f 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 Capacity Gals Feet of Drain Tile ___________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Ci€y —Well Size of Soakage P,t'f,/ Amount of Permit $_________ _ (Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. j Date Street ' __ Street- -- -- ----- -- - - -- — — —•— — —_— My Commission Expires Notary Public. State of Florida - - - - - -- --------------- - 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 under signed agrees to employ only such sub - contractors, on work to be performed nder this permit, as are licensed by Miami Shores Village. - -- Si ned n! ( g ) � -- c-- - --r � .�,�r _ , r , �--- ---- ---- '!-- -- 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • PLUMBING INSPECTION DEPARTMENT Permit No._!__- _________ _- APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /�/� Owner's Name and Address j �� _ 4t{�4_ 4 No 2 Registered Architect and /or Engineer "A Employing Plumber's Name ___ 2244.V_ ft d 2 Location and Legal Description Lot Block Subdivision 0n Street and Number where work is to be performed —No._ 7._ _ Street____ ' ' � State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_____�� Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept ,$is 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / Amount of Permit $_ (Signed) My Commission Expires MIAMI SHORES VILLAGE No. (Signed) _Capacity Gals. Date Street_ Street _��_G�� - - No. of Stories -__/ c / 7 STATE OF FLORIDA, ) ss. 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. Notary Public. State of Florida r Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST CHECK • PLUMBING INSPECTION DEPARTMENT Permit No._!__- _________ _- APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /�/� Owner's Name and Address j �� _ 4t{�4_ 4 No 2 Registered Architect and /or Engineer "A Employing Plumber's Name ___ 2244.V_ ft d 2 Location and Legal Description Lot Block Subdivision 0n Street and Number where work is to be performed —No._ 7._ _ Street____ ' ' � State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_____�� Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept ,$is 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / Amount of Permit $_ (Signed) My Commission Expires MIAMI SHORES VILLAGE No. (Signed) _Capacity Gals. Date Street_ Street _��_G�� - - No. of Stories -__/ c / 7 STATE OF FLORIDA, ) ss. 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. Notary Public. State of Florida r 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. APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 Flori , all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied wit1( whether herein specified or not. A copy of approved plans and specifications must be kept at^ building during progress of work. `' , ' 4/ i /i. , No. -- - -- -°a Street__ a.._- rr ti-- �� f � -- _ 0 , ' /, y in Owner's Name and Address Registered Architect and /or En'i> er Employing Plumber's Name • Block r Subdivisift Street and Number where work is to be performed —No _ ^:__� _�' Streeter "_ Location and Legal Description Lot State work to be performed and purpose of building (By Floors) New Building Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. Remodeling Addition Repairs Size Septic Tank Type of Tank Feet of Drain Tile v ___________ Dist. Feet of Tank or Drain Field from Well__ J Nature of Water Supply: —Will Size of Soakage My Commission Expires Capacity Gals Plumbin4nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an efrtployer of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed ,u,nder this permit, as are licensed by Miami Shores Village. 1 it (Signed) _P'_ Date Notary Public, State of Florida No. of Stories rtr � , MasteerPlutSfiie 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 a SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR DEEP HEATER WELL SPRKLR. SYSTEM. OOL .t CONTR. LIST �� CHECK APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 Flori , all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied wit1( whether herein specified or not. A copy of approved plans and specifications must be kept at^ building during progress of work. `' , ' 4/ i /i. , No. -- - -- -°a Street__ a.._- rr ti-- �� f � -- _ 0 , ' /, y in Owner's Name and Address Registered Architect and /or En'i> er Employing Plumber's Name • Block r Subdivisift Street and Number where work is to be performed —No _ ^:__� _�' Streeter "_ Location and Legal Description Lot State work to be performed and purpose of building (By Floors) New Building Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. Remodeling Addition Repairs Size Septic Tank Type of Tank Feet of Drain Tile v ___________ Dist. Feet of Tank or Drain Field from Well__ J Nature of Water Supply: —Will Size of Soakage My Commission Expires Capacity Gals Plumbin4nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an efrtployer of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed ,u,nder this permit, as are licensed by Miami Shores Village. 1 it (Signed) _P'_ Date Notary Public, State of Florida No. of Stories rtr � , MasteerPlutSfiie 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. PLUMBING - I1TSPECTION Permit No Address of work c--- .0 Work done by Owner Septic Tank Drainfield Plumbing - Final When reaqy Date Time _!1 Rough Received by AM PM I` THIS SPAC; FOR ELEVATION SKET In alterations to existing work show the old work in red ink and the new i� black ink. Letter each stack to correspond with the opening shown in floor pan or ground plan on opposite ,page. A PERSPECTIVE SKETCH WILL BE SUFFICIENT PROVIDED THE WORK CAN BE CLEARLY SHOWN 1 ,THIS SPACE FOR PLAN SKETCH Show location of sltacks and horizontal drains inside building, lettering each opening to correspond with the stock connections av shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of buildi ,ig showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes in reference to same. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES d / ' F " / F Sketch position of building and lot lines in square (which rep street the building and lot faces; also show exact location of tank. Show sewer and any change in direction same may make. layout of all underground pipes for future references. WEST NORTH A SOUTH EAST Remarks: NORTH SOUTH is an entire city block) , showing on which in street and position of lateral or septic purpose of this plan is to have an accurate A -244 5 -35 5M DIVISION OF PLUMBING INSP DEPARTMENT OF PUBLIC SER rCE; MIAMI, FLORIDA I herewith submit following plan of plumbing for approval: � � Employing Plumber y / , ,; >- / - Work executed by jj For a Dwelling C Owner or Agen' Builder or Contractor is Lot No. y ' Block No. Address Sewer Connections At center of St. ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Plan No. New [1-1--- Date ROUGH -IN INSPECTION Ground Rough -In Rain Leader A M ' P M. u - 1f Approved by a / ✓ Condemned by REMARKS Old ❑ Store ❑ Garage ❑ Subdivision Story SEWER INSPECTION Address Address • At curb ❑ At property line ❑ isting in alley ❑ Existing bldg. sewer ❑ To septic tank Existing bldg. drain ❑ To dry well ❑ Date_ AM PM. Approved by Condemned by REMARKS Sewer Permit No Addition ❑ Apartment ❑ Hotel ❑ FINAL INSPECTION Remodeled ❑ Office Bldg. ❑ Date A. M. P M. Approved by Condemned by REMARKS I `..,-,._../ 0 1 . r r 7 Mr) c vl • • • '1( aiami chores9llage F L 0 A 1 D A PLUMBING PERMIT N9 791 Date Issued to %' LOT BLOCK Fixtures OWNER Fixtures " �' $ �' ' Sewer "" $ Septic Tank $ Total $ 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 SUBDIVISION building at Village Plumbing Inspector Received Payment by ; (1 , ' OWNER LOT BLOCK SUBDIVISION I /, aiami Jhores9611age F L 0 fl 1 D A PLUMBING PERMIT at . "rV , I l i ssued / tci'• -;-::,2,, ,, ,..:,,,,,., , ,^,,,,/,‘/- , - .,,, 4 - 1::,' cr / e ■ „■ to install the following described plumbing, in accordance with the laws, statutes and regu- lappns of Miami Shores Village, Florida and the State of Florida, governing plumbing and clinage work done in Miami Shores Village, Florida. i , z For a / story 1.,.%..-:" ' , building at 6 ` Alte y. ,,-' k , A"'" Fi xtures ‘..› ' ...-, -.,,. ,'" • .r. /7 , if 1 Fixtures $ Sewer $ eptic Tank - $ y.'*K .. Total $t Village Plumbing Inspector Received Payment by ' / j ,",, 2 C::: [ • C ( . *(,.. - : ' N 4/ .. 1. ,:. ,,, --",--, ,- N9 822 ddliami fhoresYllage F 1. 0 A 1 D A PLUMBING PERMIT N9 791 ssued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story building at Fixtures �� Fixtures / a $ G',� Sewer 1 $ , ✓ ® * o !' ‚ tic Tank $ 6 - ' Total $ 5 s 6. Village Plumbing Inspector Received Payment by /: /1//(n4 0 OWNER LOT BLOCK SUBDIVISION r tibz��J \ i� � Ci "F 1 1r g ' / Y / .f c hi Cl ® G ddliami fhoresYllage F 1. 0 A 1 D A PLUMBING PERMIT N9 791 ssued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story building at Fixtures �� Fixtures / a $ G',� Sewer 1 $ , ✓ ® * o !' ‚ tic Tank $ 6 - ' Total $ 5 s 6. Village Plumbing Inspector Received Payment by /: /1//(n4 0 1 Size Septic Task _-- -- --- --- • - - - - -- - --- -_._Type of Tank -- Amount of Permit $ 5000 M AMO SNORES VDUUAGE PLUMBING INSPECTION DEPARTMENT QPPLBCU i POE PLUMBING PERMIT ( Ds ]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 opezified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Wma .A1aY-ander No._1' N P1fhreatICAlt$ ..._.. _. Registered Architect and /or Engineer -- T - - Employing Plumber's Name Bro Yli _Sceptic _ Tank �$A o Hia3. eah 'la.p...�3012 Location and Legal Description Lot. Blom Street and Number where work is to ba performed —No 23 R E t<._2and Street. State work to be performed and purpose of building (By Fleora) __..____ --.-_ New Building Remodeling__ __ _ ... -_ -- Addition -. Feat of Drain Tile. - -- — — . . Dist. Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —Well. — _- __.._ - - -- -Size of Soakage Pit 3Z® relay Repair° X (Sined)_._. -`-` (Sited Capacity Gala._ No. of Stories lumbin. spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig . a as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane - Supplement, and her 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, work to be performed under this permit, as are licensed by Miami Shor®a Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath dzpo eo and says that he is the - . -- __ - --- ---- --------- --- - -• -- ....._ _.. of the above described construction, that he has carefully mad the fforages:1g application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Ezpireo Notary Public, State of 1a�c tlda NOTE: A re- inspection fee of 01.00 will be madh who b unliztitscsassay by Brig s atica for bspocdon, or faulty matmiala and /ca workmanship. CLOoa TO BATH TUBO SHOWQRO LAVA. TORIO0 SINRO SLOP SINK° LAUNDRY Tuoo URINAL() CATCH OAOIH FLOOR DRAIN DRINKING FOUNT' NO TOTAL FIATURa® CONTA. LIOT CMRCK — � SRPTIC TANK SOW MR CONN. DRAIN ILO SOAKAma PIT GRRAOa TRAP SOLAR HL+ATaR DEW WALL SPRKLR. SYGT6M SWIM'S POOL Corm. LIOT X CM6CR 1 Size Septic Task _-- -- --- --- • - - - - -- - --- -_._Type of Tank -- Amount of Permit $ 5000 M AMO SNORES VDUUAGE PLUMBING INSPECTION DEPARTMENT QPPLBCU i POE PLUMBING PERMIT ( Ds ]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 opezified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Wma .A1aY-ander No._1' N P1fhreatICAlt$ ..._.. _. Registered Architect and /or Engineer -- T - - Employing Plumber's Name Bro Yli _Sceptic _ Tank �$A o Hia3. eah 'la.p...�3012 Location and Legal Description Lot. Blom Street and Number where work is to ba performed —No 23 R E t<._2and Street. State work to be performed and purpose of building (By Fleora) __..____ --.-_ New Building Remodeling__ __ _ ... -_ -- Addition -. Feat of Drain Tile. - -- — — . . Dist. Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —Well. — _- __.._ - - -- -Size of Soakage Pit 3Z® relay Repair° X (Sined)_._. -`-` (Sited Capacity Gala._ No. of Stories lumbin. spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig . a as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane - Supplement, and her 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, work to be performed under this permit, as are licensed by Miami Shor®a Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath dzpo eo and says that he is the - . -- __ - --- ---- --------- --- - -• -- ....._ _.. of the above described construction, that he has carefully mad the fforages:1g application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Ezpireo Notary Public, State of 1a�c tlda NOTE: A re- inspection fee of 01.00 will be madh who b unliztitscsassay by Brig s atica for bspocdon, or faulty matmiala and /ca workmanship. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194_ Contractor's License No. PERMIT N? 4368 Work to be performed under this Permit Legal Lot Bl. Subdi- Description vision Address of Value of Aunt. of Buildin - Project 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 a appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compllnc with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper mun i c ip a l authorities. This Permit m ly, e 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 ord:nances 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 respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an 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, any agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY