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PLUMBING
Date Legal bescription Owner / Lessee / Owner's Address Contracting Co. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one )• UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _ � ( ' 7 L / G "I rf,,,, Q Square Ft. Estimated Cost(value).,, Ro n 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. Signature owner and /or Condo President Date: / - 73 _ SS Notary as to Owner and /or Condo President My Commission Expires: , Legiii FEtidtRA •`• • • 1,ENIAiIDON ?A MONTIEL ;�. * COMMISSION NUMBER '+M.4' Q CC401281 �' 7 ' j MY COMMISSION 'EXP. o * AUG. '97,1998 D FEES: PERMIT RADON APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 'lob Address '/° Tenant //( 4 1 (/4/1, ) 2 ra � g ; ;L In, Zoning Buildin Mechanical Plumbin Signature of- Date: (T X — 72 ota My C Tax Folio / / - 3, 6 - L 1 Master Permit #.3 7�d 9 Phone 2 sz - or Owner- Builder NOTARY 0.0 TOTAL DUE r- Builder * * * C.C.F. 66 Fire Other Electrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date A) 00.. �3 /9,JobAddress 3D /L'? j I JI Tax Folio /1 —3. - 0/ 3- 61'6 n. Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 3 w ) PAS e . Owner's Address 33 a A), 9 . Contracting Co. peP S p‘x_ J' 07 r Address /3 ) . 0- 7 f /! , Qualifier / - 7 e 6 `a/ p r ,✓ e( SS# P h o n e 30 . —,`D - 6a `o, State # SSe Municipal # p Ss . Competency # 4SS'd- Ins. Co. ‘)/- ,), Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL ✓ . J ' U t► ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /2ri 10" i S ture of owner and/or Condo President Date /2 -of -o . Notary as to Owner and/or Condo President My Commission Ex • ires: FEES: PERMIT 35 RADON a 3,voU, If 1 . ANNA QUINONES i =.. ,•., ' ?,: MY COMMISSION / CC 502181 EXPIRES: October 18 1999 d u Notary Pas Oedemata's APPROVED: Zoning Mechanical Plumbing Building Date Master Permit # Phone 3 ,-,,c - 9ya- 6a fr o, Square Ft. Estimated Cost (value) V S' CJ o, 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sigature of Cdfitr�actor or Owner- Builder Notary as to Contractor or Owner - Builder My Commission Expires: C.C.F. /. oiD NOTARY Electrical q3e 23 h) ou_9f . Date .23 -9/ Date BOND 34 TOTAL DUE 3 3 - 2 . c7 Engineering Scale: Each block represents 5 feet and 1 . - 11 LI iH • 1 ' r 1 -7---1 -1-1-!- - ! - -1----1 i--1-1__; 1 ; ; . , : i= i ; 1 i 1! _ 1 L 1 ___ 1 IJI • i 1 • 1 I 1 1 I 1 1 I f : U 17 , 1_1It,11 1111i ' I 1 1 • _ 1 1 ! 1 H 1 1 1 1 17 -- • - ; • n_ .1 ; I 11 '50 _ J_i_ L , L_L_J__I r a M i 1 I H I 1 1_1 I - .1__1 I ILI,1111111 J .1 LIE- i 1 1 Lj i ; j j 1 1 — I _i_ 1 i :-- ' I I 1 1-n t..; ;-- -- - I -I- - 1 - r 1 - 1 -- . - n. - ;-.. - - matitimm, ; :IL11,1• '111111 ;4 ; r' - • j - ( 1 , 1 ! 1 .1 t 1 1 monimelmunirk _lir 1 1_1_1_1 _L__1 1 1 II 1, - 111 . - 1 - 1 - utii H I , 1 1 u _i i 0 _ 1 , - _ 11_51 1 1 1 LI u_ __,_± i 1 C.j 1 ; , li ' 1 • 1 I , _ _ _[ --- .13d._/v96 STATE OF FLORIDA DEPARTMENT. OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PE 5_± inch = 50 fe r - 1 • ' I ill; Li I ! I [I 1 •I 1 •I___I ;Hi; in; PART II SITE PLAN Permit Application Number • _i__I i__ . L__,__:' ._ i L 1 L I r 1 r .1_,1 EL.L....!! ; 1 ; n ;• - , . , ; in ; : ; •-• 1-t-J l• Fr ' 11 U 1 : 1711.111 - 1 1 1 f!H---.1_ J.1.'111;1,11 1 , !! , ,,•,, c • r ,, J . !,! i , , , i , ,. .,, L 1 - , !,, l , 1 1 1 I 1 l . , . 11 :'.... I 1 I 1 1 17,1 . 1 _ ._ 1 1 1,. .. 1 i Li; 1_1__1_1_1__LL 1. __.1 .1.1_1_...! I__U_J- ---f- -.1-; ;_ 1_ '. ') .! I ' i LI I , i__;_l_ _ 1 - _:0 RI ■ , [. _i:111r 11_1_1_1_17:0_1: , 1 1 _t_t 1 J : ■ 1 1 I !` I ; ,-- I • I ' 1 1 1 ' I _, I I 1 - - - --- - 1 •1_ I -,- - 1 CD . 11 i I i 1._ - -; -'---,! 1 I :" ; '•--4- I 1 poL _1 r _l__1 U LC__13 1 1 IJ 1 : ; , ,i • 1 I I r. : 1 • .i, ! 1 ,, 1 - 17 - '•'; 1 ; i ; ; I -; ; 1 ,...:L,J.-1___, J_J__LJ 1_,.:: _.;_;_•_;___,_;_,_;___ __.;.:_ ; 1 1 1+1 :1 1:111,_1,..,,..,k 1 I J 1 1 ''r 1 ic..71-1-1--Flii •_,I ; L I Liar 1 1 13 et. .1 1 1 - 1 - 1 I I 1 1 - U 1 - 27 -- 1 1 1 1 - 1HI I 11_11_11i 1 LH 1.2 1 r LA---; i 1 ' 1 I, 1 Hi L 1 1 0_11_1_1_111iiml H P; "-'-' 1 I ! ; ;:. Iit Lji; j r 1 11 U I 1 11;!'111 1 I - _I__: 1 _0 I J 1„,__„1 1 I - I n ., i_r" i • , ; -- -- - i, 1 1 i i i 1 ; I I_ ; ; . : • • : _ j , I • , _ _____ ,__ , LI__i__i_l i i -1--- ; , j. , i , _ T__ I___!_l__,_ - II•ull If 1 1_1111.1 1;11 -1 (+8 -1 11 ,k 1 i F i t ti - - - 1 ___ ' P 3' IH : •.--'1' 1 I i • - - - r ! _ 1 t 1 . 1__C_I ELI • _ _L_ -i LLI 1 14 1 _I .1 1 By ,: 1 1_1 •. 1 1 in III „Ili* Li 1 Notes: Site Plan submitted by: Plan Approved f II IILII fi - I - 1 1 O ? 1--4 1 1 klAJ d ; I _!, I I I - I. 1 I • 1 , , DH 4015, 10/96 (Replaces HRS-H Form 4015 which may be used) (Stock Nurrber: 5744-002-4015-6) .5w-ecatfri) • ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT I 111,1 II 111; ! n-; ru ; • ; I ; r-- ' " ; ' f ' ' 1 41 ": 1 1 1 - - H. 1 H ; ; • 11 •1111 1_ 11 111 1 __ 1 1_1 _.14 I ' - 1 FT 1 1, U__12r11 - C 1_ _ 1_._1 1 H__J 1 1 1 I I 1 _ I I I 1 I 1 111 --- 1 - 71_1 H 1 1_ 1_ 1 LI I ; __; , ; 1 - 1 _ 1_1_1 _T-1 --1 1 I _ 1 t - i _1_ ; I - 1+ r H • 1 y P Ard kt4t r, Signature Title . Not Approved Date i/— County Health Department Page 2 of 3 STATE OF FLORIDA `tT5 DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS "V" 1 'K ... APPLICANT: -pjet 1 X1 , 0 PA LOT: 4, _ , BLOCK: SUBDIVISION: PROPERTY ID #: // 3aaa. 813._ d;A6o [Section /Township /Range /Parcel No. or Tax ID Number] 33? we' qc?sit' TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [ ] YES [ ] NO NET USABLE AREA AVAILABLE: b,os ACRES TOTAL ESTIMATED SEWAGE FLOW: a o O '- GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] AUTHORIZED SEWAGE FLOW: Q 8- GALLONS PER DAY [1500 GPD /ACRE 2500 GPD /ACRE] UNOBSTRUCTED AREA AVAILABLE: 50 SQFT UNOBSTRUCTED AREA REQUIRED: fro 0 SQFT BENCHMARK /REFERENCE POINT LOCATION: 0 0 , , ELEVATION OF PROPOSED SYSTEM SITE IS /1,0, [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT THE MINIMUM SET ACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: FT DITCHES /SWALES: 1111. FT NORMALLY WET? [ ] YES [✓] NO WELLS: PUBLIC: f) ) gyp. FT LIMITED USE: ,oh., FT PRIVATE: 4 / /2, FT NON - POTABLE: J) 4 FT BUILDING FOUNDATIONS: 21- FT PROPERTY LINES: ;75" FT POTABLE WATER LINES: • FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES (y) NO 10 YEAR FLOODING? [ ] YES [°j] NO F� MSL /NGVD SITE ELEVATION: //o, e c - . FT MSONGVD SOIL PROFILE INFORMATION SITE 2 • SITE EVALUATED BY: 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 Munsell # /Color Textyre USDA SOIL SERIES: Depth ___DELto to to to .to to to to to 72, OBSERVED WATER TABLE: 72 INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ ABOVE / BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ) NO DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: ,36. INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [`]�BED [�] OTHER (SPECIFY) REMARKS /ADDITIONALrCRITERIA: 9 , n p / / , f 1 g HRS-N Form 4015, Mar 92 (Obsoletes previous editions whic (Stock Number: 5744 - 003-4015 -1) • AGENT: /9/J9 e f eiA'' d? AfIA1 .10 r' &/ of be used) i ©9 g,e PERMIT # 91/3/ V 'i / .7tZ rAtei Munsell # /Color TexturQ Depth SA' A 0 to to to to to USDA SOIL SERIES: to to to to 7a, DATE: AU. A) 9/ Page 3 of 3 INSTRUCTIONS: PERMIT 0: Permit tracking number assigned by CPHU. APPLICANT: Property owner's MI name. AGENT: Property owner's legally authorized representative. LOT, BLOCK, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY ID#: 27 character number for property. (property appraiser ID 1/ or section/township /range /parcel number) PROPERTY SIZE: Check if property size at site conforms to submitted site plan. Record net u able area available - lot area exclusive of all paved areas and prepared road beds within public rights -of -way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. SEWAGE FLOW: UNOBSTRUCTED AREA: MINIMUM SETBACKS: Record the estimated sewage flow for the establishment from Table 1 (residences) or Table 2 (non - residential), Chapter IOD -6, FAC. Record the authorized sewage Glow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the application ritual be denied. Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfield absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter IOD -6, FAC. The unobstructed area must be contiguous to the drainfield. BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for non applicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. FLOOD INFORMATION: Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site elevation. SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNE(" if the series cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation preeenl. Indicate if mottling is present and depth. SOIL TEXTURE: Record soil texture or loading rate for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION: Check drainfield configuration required. if other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature of evaluator, title, and date of evaluation. Professional engineers must seal all documentation submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE I SITE 2 SITE 3 [ +J SHOT: H.1. H.I. H.I. H.I. ( -J SHOT [ -I SHOT [ -1 SHOT 0 T H E R STATE OF FLORIDA PERMIT # v ` 3 DEPARTMENT OF HEALTH AND REHABIIUATIVE SERVICES DATE PAID ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT # Authority: Chapter 381, FS & Chapter 1OD -6, FAC CO r STRUCTION PERMIT OR: � ] New System] xisting System L" J H lding Tank [,cam' Temporary /Experimental ] Repair [A •Abandonment ; [ Other(Specify) APPLICANT: . e � iv ) / j , e� � i „ R a - AGENT: j� PROPERTY STREET ADDRESS : i �^ LOT 7 i ( 7 BLOCK: 4, SUBDIVISION: , / / � �� c. / $ �� 4 .) PROPERTY ID #: /0 3 z e G U 0/ 2 6 6c [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SPECIFICATIONS BY: APPROVED BY: �—i DATE ISSUED : / 2 SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE $ATIFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH_SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS T [7rdP J GALL,QMJS / GP SEPTIC T NI /AEROBIC UNI CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD] CAP MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D ?"-ek" R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [ BED [ N F LOCATION OF BENCHMARK: //• Z. F. (€ ;7 •.1cv-e.e a ✓ 7) ei I ELEVATION OF PROPOSED SYSTEM SITE [It ®] [INCHES /FT] [ABOVE /BELOW] B HMARK /REFERENCE ''INT E BOTTOM OF DRAINFIELD TO BE [ 355c (INCHES, FT] [ABOV (/BELO ] BENCHMAR :EFERENCE POI T L D FILL REQUIRED: [- INCHES EXCAVATION REQUIRED: ] INCHES TITLE: TITLE: HRS Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001-4016 -0) APPLICANT 7 CPHU EXPIRATION DATE: 27 f Page 1 of 2 :.=ertnit tracking numb::: assigned by CP''IU. 7O2: Check type of permit, if "Other" specify type in blank. AP?e.::CANf Property owner's full name. T EI.EPHON£: Telephone number for applicant or agent. ACENT: Property owner's legally authorized representative. Iv :it :I.ANC;: ADDRESS: P.O. box or street mailing address for applicant or agent. S`(S 'i W D ES?GN AND SPECEiCAT°ONS: LC.', 3e.00IC, SU3D:ViSION or P3Ci'E Y YDf1: 27 character id number for property. (CP:`:;'U may require property appraiser !D 0 o o_I/ ownship /range /parce! .umber) TANN: Minimum specifications from Chapter 10D -6, FAC. DRAiNc IE'LD: Minimum specifications from Chapter 10D-6, FAC. OTHER: Other specifications, such as operating permit requirements, low - volume flush toilets, 'v ^ : provisos. SPECiwiCATLONS 3u: Name of individual providing specifications. If designed by registered engineer rrtr .: ':c 2led. AP`. ?ROV; D BY: County Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPH'U. a X.X21,2A e IOM DATE: One year from date issued if the system has not been installed. Permits for system r r.' :come void 90 days from the date issued. •.. _.._— CLOSITS DAM Tull' TuS LA TORIES a1NKS SLOP SINKS LAUNDRY TUss URINALS CATCH psalm FLOOR DRAIN DRINKING FOUNT' NS TOTAL •IITURIS CONTR. LIST CHECK SEPTIC TANK S[W[R CONN. DRAIN FiELD SOAKAO[ PIT G TRAP SOLAR HUT[R Dui. WELL 5 . a SWIM'S POOL CONTR. LIST .-- CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spedficatlons mud be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer 1) O Le h/ (N 0-- e S cs /l 7 , 4 l 1 c _ � tatployin Pl ym /, : N e KIEL �/U 4, l /j'e C ��_ , Na. ...- ..- a..�.�......._.. .�.... • p , .. .. / vLocadoz� and Le" �aT llesrription Lot 2 E ' �C�9� ' �,2 floc `�f subdivWon t . 2 4 A L L!09 3 Street and Number where work is to be performed —No 3 street. c7..2 _ p f � State work to be performed and purpose of building (By Floors)_ Cit) LC a el S Zmie . -- - .. 1 . }---- .- _ ._ . —. TJ / o d ��� T�K .1F '/.D Q ONN6 < 7 /4) h !' -4 s ro !s _ ff e. %7 TF /t New Building.._..._ — _.._........ - - -_ -. Remodeling___- -_— Addition.. __— - -_.-- Repairs No. of Stories Size Septic Tank— - _Type of Tank —_ Feet of Drain Tile DIst- Feet of Tank ce Drain Field from Well .. Nature of Water Supply: City—Well. Size of Soakage Pit_ Amount of Permit $ ( 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 5988, Compiled Cenral Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore 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 arr required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed und. e� permit, are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._ .__.._ .._. _ _.... __. of the above described construction, that be has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT G S - 3aod Date. - � °� /y 7. , � 9 q No. Street.._� c.. _1. .. (sped) " -•- -' Plumbing Inspector. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whys soak riispeotfoss it mads.ssonrry by kmproper notice for Inspection, or faulty materials and /ar workmanship. ( ®Y Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Herbert Sopher Owner's Name and Address 332 N. E 92nd St. - - - ------------------- .______ No.----------------- - - - - -- Street_ Registered Architect and /or _—___ -- Employing Plumber's Name_ 1.iCk.PrS No._ 10.83._ Street_ N W . 7th Ave. Location and Legal Description Lot ___. _______ _ _ _______ Block_ Street and Number where work is to be performed —No 332 State work to be performed and purpose of building (By Floors) ______.____.___ New Building_______ —__ ___ Remodeling_ __ _________ Addition.___ Repairs No. of Stories. Size Septic Tank_ Feet of Drain Tile Amount of Permit $_ 5 : 0 0 es. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) CSX ( Signed )-- Date_ March 13, 1972 My Commission Expires Notary Public, State of Florida Subdivision Street N. E. 92nd St. Type of Tank Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.___ - — ____ of Soakage Pit _ — _ 2 11 Irrigation Well 37' - Well only Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o f gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp. ' or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS $LOP SINKS LAUNDRY TUBE RINALS 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 $WIM'G POOL CONTR. LIST CHICK ( ®Y Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Herbert Sopher Owner's Name and Address 332 N. E 92nd St. - - - ------------------- .______ No.----------------- - - - - -- Street_ Registered Architect and /or _—___ -- Employing Plumber's Name_ 1.iCk.PrS No._ 10.83._ Street_ N W . 7th Ave. Location and Legal Description Lot ___. _______ _ _ _______ Block_ Street and Number where work is to be performed —No 332 State work to be performed and purpose of building (By Floors) ______.____.___ New Building_______ —__ ___ Remodeling_ __ _________ Addition.___ Repairs No. of Stories. Size Septic Tank_ Feet of Drain Tile Amount of Permit $_ 5 : 0 0 es. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) CSX ( Signed )-- Date_ March 13, 1972 My Commission Expires Notary Public, State of Florida Subdivision Street N. E. 92nd St. Type of Tank Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.___ - — ____ of Soakage Pit _ — _ 2 11 Irrigation Well 37' - Well only Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o f gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp. ' or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 6676 Work to be performed under this Permit Owner of Building Bl. Subdi- vision DATE i 194? Contractor's License No. Address of „.- / Value of Amt. of Building ,f % ,/ � v ' _, Project Permit `' � ` R,. This permit is granted to the contractor or builde named above to onstruct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition- upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough 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 respon- i” sibility for work done by his agents, servants or employees. d :f ,, B Signed: INSPECTOR By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations 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. _ i ' CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA 4 PERMIT N° 6676 Iri consideration of the issuance to me of this p pertaining thereto and in strict conformity with the In accepting this permit I as CONTRACTOR OR BUILDER Legal Lot Bl. Description onsibility for a Subdi- vision Value of Project INSPECTOR DATE Work to be performed under this Permit Owner of � i' Building Amt. of Permit Contractor's License No. Address of Building This permit is granted to the contractor or builde /named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w'th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper inunicipal 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 conditio on which this permit is granted is the understanding that the contractor or builder named above assumes the,responsibili Y for a thorough knowledge the or antes and regulations pertaining to the work covered hereby whether shown on the plans or drawing or in the a menu o)ecifications and at he tsu es respon- sibility for work done by his agents, servants or employees. • 0 Signed. r' By • d BY AUTHORITY 194 ermit I agree to perform ' the work covered hereunder in compliance with all ordinances aqd regulations Mans, drawings, statements or specifications submitted to the proper authorities of Miami Shore V illage. work done by either myself, my agent, servant or employee. Permit No Application is hereby n{ade for the approval of the detailed statement of the plans and specifications herevfith 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. • f ' Owner's Name and Address ___� ___, _____._t ___ _____.__ __ No Street Registered Architect and /or Engineer Employing Plumber's Name 41 r '4 --L_1,. N o Street -- / � Location and Legal Description Lot. �_t_1_,___;.:_�____ ___, _____ ' - ,;..__` __Block �� � Subdivi sion 7 -�,x. 2 /' �" ` � •• � Street r r. t_ • k r , Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a 1 p t C < Date 4 ,. r New Building _ Remodeling Addition Repairs No. of Stories Size Septic Tank ,t r °.� ft "' Type of Tank____.._ , _ ' — Capacity Gals / "' Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile .- t - ''— Nature of Water Supply: City —Well __,____ Size of Soakage Pit Amount of Permit $____ (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 Lows 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 hint 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. Plumbing Inspector. ( Signed) __ Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that hi has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice fo inspection, or faulty materials and /or workmanship. '. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT'NS 4 TOTAL FIXTURES CONTR. LIST "+ .�.- -- , n ✓"" 1 /"� C- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ff • ti CONTR. LIST ' G/ CHECK Permit No Application is hereby n{ade for the approval of the detailed statement of the plans and specifications herevfith 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. • f ' Owner's Name and Address ___� ___, _____._t ___ _____.__ __ No Street Registered Architect and /or Engineer Employing Plumber's Name 41 r '4 --L_1,. N o Street -- / � Location and Legal Description Lot. �_t_1_,___;.:_�____ ___, _____ ' - ,;..__` __Block �� � Subdivi sion 7 -�,x. 2 /' �" ` � •• � Street r r. t_ • k r , Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a 1 p t C < Date 4 ,. r New Building _ Remodeling Addition Repairs No. of Stories Size Septic Tank ,t r °.� ft "' Type of Tank____.._ , _ ' — Capacity Gals / "' Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile .- t - ''— Nature of Water Supply: City —Well __,____ Size of Soakage Pit Amount of Permit $____ (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 Lows 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 hint 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. Plumbing Inspector. ( Signed) __ Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that hi has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice fo inspection, or faulty materials and /or workmanship. '. / 1) Q. 6 1* t/ 4 P ( c=am f �2 C,1 Date..._._ Z� ( � � 3 Permit No - -- — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address Registered Architect and /or Engin Employing Plumber's Name Location Gad Legal Description Lot_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Bloch Subdivision ; ._ Street and Number where work is to be performed —No 33 Street State work to be performed and purpose of building (By Floors) __._._..... New Building _ Remodeling —___ —. - -- Addition Street. ______._.....- ._._... _ Repairs No. of Stories Size Septic Task --------- • - - - -- — - - -- - T ype of Tank Feet of Drain Tile.__ — -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: __.Size of rge Pit Amount of Permit $ (Signed) (Signed Capacity Gals..._.... ....... ... .. _._.... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation .. s an employer of labor undcr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent S •element, 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 j permit, as are licensed by Miami Shores Village. et STATE OF FLORIDA, t is. 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 hire stated are true. My Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such rs.lnrpeedon it made by hnproper nodes for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tue[ SHOWERS LAVA• TORIES SIN" SLOP SINK[ LAUNDRY TUBS URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURE[ CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN PILLD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SW IM•O POOL Cowls. LIST CHECK f �2 C,1 Date..._._ Z� ( � � 3 Permit No - -- — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address Registered Architect and /or Engin Employing Plumber's Name Location Gad Legal Description Lot_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Bloch Subdivision ; ._ Street and Number where work is to be performed —No 33 Street State work to be performed and purpose of building (By Floors) __._._..... New Building _ Remodeling —___ —. - -- Addition Street. ______._.....- ._._... _ Repairs No. of Stories Size Septic Task --------- • - - - -- — - - -- - T ype of Tank Feet of Drain Tile.__ — -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: __.Size of rge Pit Amount of Permit $ (Signed) (Signed Capacity Gals..._.... ....... ... .. _._.... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation .. s an employer of labor undcr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent S •element, 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 j permit, as are licensed by Miami Shores Village. et STATE OF FLORIDA, t is. 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 hire stated are true. My Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such rs.lnrpeedon it made by hnproper nodes for inspection, or faulty materials and /or workmanship.