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PLUMBING
4 `� 5to 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. n' Owner's Name and Address d.e_fi� _!�____ A Registered Architect and /or Engineer Employing Plumber's Name__ _lTf' Q 0 .0 Location and Legal Description Lot______ 0 46 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 — Type of Tank__- Capacity Gals. Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well . __Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 88. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r -;kMIT pool p ice -- B 01/_ 7 -- --- No. ve .A-44/ street__ 4 G __Block 4 - - e� 0 32 fie4 - -- ( Signed) _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: ' .ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane /Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl, ed 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 per notices . are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to b perform e this permit, as are licensed by Miami Shores Village. (Sign Date AAAIL Repairs No. 33 5 Street 9 My Commission Expires Notary Public, State of Florida eet. No. of Stories. 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$1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS W LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAL CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS , r ✓ 7 ✓ VV TOTAL F IXTURES CONTR. LIST , 2 0 ,Q ` // / �f D CHECK SEPTIC TANK SEWER CO NN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL `�— CONTR. LIaT CHECK _ 4 `� 5to 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. n' Owner's Name and Address d.e_fi� _!�____ A Registered Architect and /or Engineer Employing Plumber's Name__ _lTf' Q 0 .0 Location and Legal Description Lot______ 0 46 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 — Type of Tank__- Capacity Gals. Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well . __Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 88. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r -;kMIT pool p ice -- B 01/_ 7 -- --- No. ve .A-44/ street__ 4 G __Block 4 - - e� 0 32 fie4 - -- ( Signed) _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: ' .ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane /Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl, ed 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 per notices . are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to b perform e this permit, as are licensed by Miami Shores Village. (Sign Date AAAIL Repairs No. 33 5 Street 9 My Commission Expires Notary Public, State of Florida eet. No. of Stories. 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$1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. v f P. ll �^ ri p�� u Permit No �: 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING a>,MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. J E.McDonald 333 N • E . 92nd St. Owner's Name and Address ----- •------------- .---- .- . - -..__ No._- _ — _---- .- _--- .___ -_ -- Street. ' Registered Architect and /or Engineer .__.._____. Employing Plumber's Name ROSE? Sept _ ' axi S�, -� � • -_ No._____-___.________ Street.--_ _. Location and Legal Description Lot_ -._-_. ______— ._._._.__._____— Block Subdivision. Street and Number where work is to be performed— No... — 333 Street N.B. 9 2nd St. 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 ai. 45 • B 1 k, Dr .__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit -- -- 10' Bik. Dr. — — de, ----------- - - - - -- - -- - - -- - - — - - --- - - - - - - -- — ( Signed)- Amount of Permit $ Date 111 _Type of Tank_ P rE' C as t Capacity Gals. ( Signed )_. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ' .nnanent 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 wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to b performed under this permit, as are licensed by Miami Shores „ZiC_sl) STATE OF FLORIDA, 1 89. 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Master Plumber. CLOSaTB BATH TUBS SHOWERS LAVA- TORIES SINKS NKS SLOP SINKS LAUNDRY TUBE INAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CoNTR. LIOT - CHECK Permit No �: 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING a>,MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. J E.McDonald 333 N • E . 92nd St. Owner's Name and Address ----- •------------- .---- .- . - -..__ No._- _ — _---- .- _--- .___ -_ -- Street. ' Registered Architect and /or Engineer .__.._____. Employing Plumber's Name ROSE? Sept _ ' axi S�, -� � • -_ No._____-___.________ Street.--_ _. Location and Legal Description Lot_ -._-_. ______— ._._._.__._____— Block Subdivision. Street and Number where work is to be performed— No... — 333 Street N.B. 9 2nd St. 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 ai. 45 • B 1 k, Dr .__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit -- -- 10' Bik. Dr. — — de, ----------- - - - - -- - -- - - -- - - — - - --- - - - - - - -- — ( Signed)- Amount of Permit $ Date 111 _Type of Tank_ P rE' C as t Capacity Gals. ( Signed )_. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ' .nnanent 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 wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to b performed under this permit, as are licensed by Miami Shores „ZiC_sl) STATE OF FLORIDA, 1 89. 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Master Plumber. 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 Engineer O� p aC/� iti No._7 Ye Employing Plumber's Name Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. A 1 ss. 6iN /V / Do, /1) N 3 �� Location and Legal Description Lot Block • Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling Addition Before me, the undersigned authority, a n My Commission Expires (Signed) Size of Soakage Pit Street_ Street /YE Date Street /-/-7.- ZI A n Subdivision f 6c _ s'7 Repairs No. of Stories Size Septic Tank of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— 'Vott1 ' ° 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. U l (Signed) 6 1/7 - '` 4.- er Plumber. 'bQ 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 T L/ 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 `,ail �i CHECK o f (a / 1 , SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP . HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Se 5* /� B CONTR. LIST / ` / CHECK i G \\ e /' / Ali 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 Engineer O� p aC/� iti No._7 Ye Employing Plumber's Name Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. A 1 ss. 6iN /V / Do, /1) N 3 �� Location and Legal Description Lot Block • Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling Addition Before me, the undersigned authority, a n My Commission Expires (Signed) Size of Soakage Pit Street_ Street /YE Date Street /-/-7.- ZI A n Subdivision f 6c _ s'7 Repairs No. of Stories Size Septic Tank of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— 'Vott1 ' ° 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. U l (Signed) 6 1/7 - '` 4.- er Plumber. 'bQ 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 T L/ 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._______ -___ 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 r : �[ -• r �� _ -- = __._._:_ �� No.-- .-------- .- _-- - - - - -- Street __ Registered Architect and /or Employing Plumber's Name Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Block - Subdivision._____: Street and Number where work is to be performed —No 3 .P. �ci Street State work to be performed and purpose of building (By Floors)______ New Building ______ Remodeling Addition No._________________ Street_ 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 d CT (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date My Commission Expires Notary Public, State of Florida Capacity Gals Repairs No. of Stories 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 TUBE 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. R. LIST CHECK ;, 5 4 __ 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 r : �[ -• r �� _ -- = __._._:_ �� No.-- .-------- .- _-- - - - - -- Street __ Registered Architect and /or Employing Plumber's Name Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Block - Subdivision._____: Street and Number where work is to be performed —No 3 .P. �ci Street State work to be performed and purpose of building (By Floors)______ New Building ______ Remodeling Addition No._________________ Street_ 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 d CT (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date My Commission Expires Notary Public, State of Florida Capacity Gals Repairs No. of Stories 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. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT N9 9538 ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address 195.' DATE Contractor's License No N 1 Work to be performed under this Permit 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 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. CONTRACTOR OR BUILDER BY AUTHORITY r n Lot Bl Subdi- vision ,f Sq. Ft Amt. of Permit $ Value of Project $ MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT N9 9538 ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address 195.' DATE Contractor's License No N 1 Work to be performed under this Permit 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 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. CONTRACTOR OR BUILDER BY AUTHORITY Permit # Tax Folio # 99R5174-83 1999 OCT (17 10:34 NOTICE OF _COMMENCEMENT State of Florida, County of Broward The undersigned hereby gives notice that Improvement will be made to certain real property. and In accordant. with Section 713.13 of rr Fiorlda Statutes, the following Information Is provided In this Notice of Commencement. 1. Description of Property: Legal Description: Lot 515 + 14 11lock 117 Subdivision A /J /l WI .e N O e ce p14 e Oth., Se cm o r A/ o 1 l Street Addra.: 33 s+ • T. General O.aiptlon of Improvement: N 2�J p L - i— ,� ■re 3. Owner Information: Full Nam.: g NN it u)Ithenl P1.1 r Phone ( 3 1 7 _S r1 7 - 02_ S MailingAddress: 3 3 N C q 5- { vl r ,a,,,,,,' z s 17Al/ - e interest In Property: (t.) es simple ( ) y Nam. and Address of f.e simple tlll.holder (If othor than owns): C A.4 4 u -1-e S Y o C o r►-r 4. Contractor Name and Address: 7/ b N 7 0 % °lw v, ;—/ • 3 3 b vim 6. Surety Nem. and Addr.se: Amount of Bond d, lender Name and Address: 7. Persons within the State of Florida (Norms and AdOrease.) designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) 7., Florida Statutes: , 8. In addition to /himself. Owner de.lgnates of to reo.Ne a copy of the !Jew's Notice u provided In Section 713.13(11(b), Fiorlda Statutes. P r-e ?A ae • C p z t-e s W• yOcov> 14I Go °, R 3 3.0 Z ,al OF FLORIDA, COUN.i 0= DADE. HEREBY CERTIFY than this is a true copy of tho rieinot filod in t onficn on , A 0. 19 • NY TNESS my h •nd and Official Seal. HARVEi RUVIN.CLE Circuit andCountycou 0.0 . Expkation date of Notice of Commencement; (titw explratbn data le one yaw homage of recording unless • different date Is apec Signature of Owner: Printed Nam.: VAC1 *MIN A.AV' 10116 DO. aeC0801 a Signature of Owner: Printed Name: RN TO AND SUBSCRIBED before me this a 7 ay 19 99, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date F ' 3 0 — 9 9 Job Address 3 3 3 /J 9 Tax Folio Legal Description Lo -l- 5 15 + / ( 8 /o c-k 5, 7 Historically Designated: Yes No Owner/Lessee / Tenant a wit s + - 4A10 � ° 1,J i I 1 e 1.i i3 o ° Master Permit # /5 owner's Address 333 N E. 9 Z 5 - f State # C pCO5 to 3 / Architect/Engineer -e 1c-VA VA. SO I u P Bonding Company Mortgagor Permit Type (eirele one) WORK DESCI1ON er and/or Condo y Co ion Expires: ?c ot q o FEES: PERMI+ P APPROVED: I Qom'° Zoning Mechanical Municipal # OFFICIAL NOTARY SEAL LINDA M YOCOM NOTARY PUBLIC STATE OF FLORIDA COMMISNON NO CC634G54 _.,VMOAlkliMIOALEX Alt. 31 001 RADON C.C.F. No stoCo':c,ror My Commission Expires: NOTARY Phone 305 7 5 R - 0 2-,5 / Contracting Co. Ck A- rt. (e S W Y o co vv, Address 71 b /1 7 0 % Qualifier O k .A vc (.p 5 (Ai Y o c_ o SS# Phone Y 9 Co N / 9L Z) Competency # Ins. Co. Address /o 17 0 tt, /es 20-4 s S Bee 6 Address ELECTRIC A PLUMBIN4 MECHANICAL ROOFING PAVING FENCE /30Z cc Pi/e4 /9 6{° l4 `e P , ' p r, Square Ft. Estimated Cost (value) 2 ac.917 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 OF 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 pennit 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 AlkIDAVIT: 1 certify that all the foregoing information is accurate and that all work . ted. •11 be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the • r ., ANGELA MASSIMO TANI My Comm Exp. 5/26/2001 No. CC 767554 rsonally Known I 1 Other 1.0. 0 t ' BOND 3 ©0 Electrical SIGN ate TOTAL DUE �� , ///��J M /� EIEeI / /� � I / � � / /�q 1�/{/ • .//��j� 540 ' °toad &e t V , / €a ,SCoo 5 Ft x 3w 7500w Trvv s"a /i 30ao Dr ye Soo° w ivy /c,f_ 44-. 5 0 o v �. /sod w QUA � o��: �M IZ p4M F-2- O ®i„qi C. c : - 7'/F Oao 374/ L 5 r J c C.9 /et./AI-fives _, ,42r w- Wts. 333 v. y2 //2 -.; ., share ) 0*ril, 17�SI.wAa1Q.r-- </ ,re r 4-0/4 /_ I g00 w 02000 w o2ec0 cv 1 // 80o w / O / voo / 7,2- 0 . y /2 742 1 /7,fGly /7,4/- /0 DL2 000 3, 7az 0 32, o /37, s Se 4f .4eAdLF ,S a2DOAm [ F ► / _ v.- .e�a.a.•...- _- _. __ s_ - - - - ..c. .�fl ... - • •ter ..,..,........... _.. _... t.�r......r..J_ - -. a _ ra w......._ : v -uc _...r....r_. • .•z.ma•v�°P...+.. .e nsear. -m - .- ..ssw..ro.oc .,...•"•.". , -• ,... ati.. e• ry.T-.m...r..ssva..w.�n..s._. /TAM rz LOCATION S 7 • l ' C r; SCALE: N S 1 -'r3 i • _ F. u. - i L:" 1..,.; : e.... ..; ..:. v ,..: c ~ ^ 1 EVISED: NOT %/ALIO UNLESS EM!OSSEu Vrl "H SURVEYOP.'S SEAL • 1 BOUNDARY SURVEY FOR POOL LOCATION ONLY LEGEND : FIP= Found Iron Pipe S.P.C= SET 1/2" PIN & CAP LB4759 F Nir =F S.PCP= SET PERMANENT CONTROL POINT L647c3 q= CENTERLINE. P /L= PROPERTY LINE. 0 /L= ON LINE 'MK= MANHOLE. WM= WATER METER PP= POWER POLE F.C.= FENCE CORNER, R= RECORD, M= MEASUPED CHAIN UNK OR WIRE FENCE WOOD FENCE= MASONRY WALL - CONCRETE= ll . ,:• : •• •• • • . • • • •• .? ?Whi:.\UVCE & EASE" AT = NOTES: UNLESS OTHERWISE SHOWN. THE FOLLOWING NOTES APPLY. ISSURA CE ONLY ON THE VALUE OF TiiE SURVEY 1) Record and measured calls ere in substantial agreement. 2) Bearincs, if shown are based on Plat date. 3) The lands shown'hereon were not abstracted for Easements or other recorded encumbrances not shown On the plat and :he same. if any may not be shown on this sketch. 4) Underground portions of Footings. Founda :ions or other improvements were not located. • 5) Elevations are based on National Geodetic Datum. 6) Fence Ties are to the Centerti .e of the fer,:e. 7) Wall Ties to the face of the Wall. 9 r_ r ;-t� "S ; ;Cf''; = - -- -o 1,24 7S52 v. Nall b Disc E ;.va:i ns " Slav C Ncw Da._.-. Locator Tnde :•: • DESC:tIPT!vy : LEGAL DESCRIPTION: LOTS 15 & 16 BLOCK A7 OF AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOKIQ AT PAGE 70 OF THE PUBLIC RECORDS OF • .: Y'>:./. J= aVJai�\} Yf4•Jf.fl•Cr�f/'1Tt :. <3�Y.i:�t► :l�..VaO•• • y.�_ nJ:^.ti21Y•'•y7:i?.']PS'fl: t 1 HEREBY CERTIFY That the survey represented hereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board o1 Land Surveyors pursuant to Section 472.027 Florida Statutes. The :e are no encroachments. overlaps. easements appearing on the plat or VJS b :e easements Direr than as shown hereon N ADIS N. • NUN'EZ Z F:sist9 :e5La7d Surveyor No. co-)/ ti DADE COUNTY. FLORIDA. (305) 865 - 12 FOR POOL LOCATIONA.L t CERTIFIED TO: JAMES E. WILLENBORG AND ANN MARIE WILLENBORG, HIS WIFE, 333 N.E. 92ND ST., MIAMI SHORES, FLORIDA 33138., CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC., JOSEPH C. FRECHETTE, JR., ESQ., CHASE MANHATTAN MORTGAGE CORPORATION, ITS SUCCESSORS AND /OR ASSIGNS, ATIMA. SINCE 1987 BLANCO, DANIAL & ASSOC. INC. En ngineers Land Surveyors • 0 Planners LB .•"._4789 555 NORTH SHORE DRIVE MIAMI BEACH FL. 33141 Fax (305 865 -7810 FLOOD 'ONE. 3 �2�9 : _ fJ-?i I l SUFFIX: :J DATE: J : GI3 CON4Yr NTTV_f NI 1 - '- DATE: ISCALE: DWN. BY: IJOB No. 1 COMMERCIAL FLORI LIT �� C9gL FLORIDA ORID ILLEGAL STATUTES 403.413 R LAW 16b9PR1S ®� R1 T j�� CAM ®E PU /S p DEGREE' E �9I S FORFEITURE OF BY REE CIVIL pl: ��l1IP � bTl� �Il 4•'; °.fit :-* ?1A 73 VILLAGE SUBJECT TO COMPLIANCE S T.4 E AND CCUW T Y RULES &L) a .1 MIAMI SHORES VILLAGE ASSUiiic; !.::.?ONS' •!!.!T'.rS FOR ACCUR;;i;t OF OR RESULTS COMPLIANCE WITH THE SOUTH FLORIDA ^ " ;:OE AS ADOPTED i3Y MIAMI SHORES VILLAGE IS REQUIRED. (HE ARW:6lTECT, BUILDER & SUB CONTRACTORS ARE CHARGED W Th NZ. KNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER OR ;;:c ; INDICATED HEREIN. • FOOL_ DATA 4 EQUI '1.1 1\1T SIZE . DEPTH: 15' X 30' 3' TO 5' -6" CAPAC11Y :11,619 GALLONS PERIMETER105 LP 553 SF PUMP:2 Hp 2 HP THERAPY FILTER: 150 SF CARTRIDGE QTY RETUWS:4 TILE: 6" STANDARD LIGHTS: (2)100W/1715W,12V COPING: BULLNOSE -BRICK SWIMOUT: 18" CLEANING LINE: YES CHLORINATORAUTO PILOT HEATER:GAS TYPE OF PATIO: PAVERS DOD: NONE EXIT RAILINGS: NONE SCREEN:NONE POOL FINISH: DIAMOND BRITE TURNOVER 12 HOURS ( MAXIMUM) 3 HR MISC: 2 HP BLOWER AIR SWITCH (3) 3' SHEER DESCENT WATERFALLS 2"X8" SPILLWAY OR WALL 2" BELOW BEAM 2 WATER LEVEL NAND HOLD DETAIL NTs 6" WALL W/ 0 12" O/C EACH WAY SEE TYPICAL WALL SECTION FOR DETAILS 8" AUX. POOL DRAIN{ W/ ANTI- VORTEX GRATE SECURER W/ SCREWS. AUX. FOOL DETAIL 1' AUX. BEAM 4 CO TILE 2" TO PUMP N.T.B. TILE - (TYP.) CLEANING LINE W/ VAC -LOCK ELEVATION OF DECK IN RELATION TO HOUSE: MIN. 4" BELOW FIN. FL. SUIMOUT DETAIL N.T.B. z al aLdy 11 1 I/2 WATER LINE 2 � . _ . ._._ X 1 4 4 — . — . — . — — —. +1g"' •— �-�l I I II • '7t` 1 I I u. I I 30' LONG Ii U -G e INOTE:POOL HEATER SHALL BE PROVIDED WITH A THERMOSTATIC OR HIGT PRESSURE CONTROL SWITCH OR OTHER ACCEPTABLE OVER HEATING PROTECTION DEVICE SO POOL WATER DOES NOT EXCEED 110 EGREES F, PER 5005.1 OF 5FB.0 POOL DESIGN BASED ON RATIONAL ANALYSIS. 11' -6," 18" BENCH W/ TILE EDGE 1 SCALE: 1/8" I' - FOOL FLAN HYDRAULIC UPLIFT COMPUTATIONS FLOOD CREST ELV. FOR AREA TOP OF POOL ELV. BOTTOM OF POOL ELV. HYDRAULIC HEAD ALLOWANCE HYDROSTATIC VALVE. NET HYDRAULIC HEAD 1 MIN. 61'WICK CONCRETE FLOOR SLAB n 8 1.0 MO 8.25 MS 2.15 MS 425 -2 .0' 225 '18" . RECESSED SUJIMOUt W/ TILED EDGE 1' X 1' AUX. POOL RAISED 12" W/ TILE BACK AND AIR SWITCH 8/2S/99 YEICTA KAVASQGLU P.E. • 413I0 01: NOTE:NO 90 ELBOWS ON SUCTION PIPING PER $ .FB.0 50063(bX4) PQO1. FILL HOSE 13I13B SHALL HAVE V BREAKER PER SFB.C. x'0042 (c) POOL EQUIPMENT SHALL COMPLY WITH SFBL. 23096 Web) POOL COVER SHALL BE PROVIDER PER F.E.C. 612.IA13C232 SAIL STATEMENT BOIL At SITE IS SANDY AND HAS A 1000 PSF SAFE. BEARING CAPACITY AFTER EXCAVATION AND COMPACTION • 5 -IO,1LD ANY• Mucks, MARL' f3. OR OTHER ORGANIC BQII EiE DISCOVERP QN • , EXCAVATION, THEY SHO<iLb BE REMOVED IN THEIR ENTiwf'; THIS POOL REQ. 1O0 POP BEARING CAPACITY. NORTH I . ALL FLOORS 4 WALLS OF POOL t0 BE PNEUMATICALLY APPLIED CONC. WITH A MIN. 28 DAY COMPRESSIVE STRENGTH OF 2500 PSI. 2. ALL REINF. STEEL TO CONFORM TO A,S.TM. 615 GRADE 40. 3. ALL POOL PIPING TO f3E SCHEP 40 PVC BEARING NSF APPROVAL 4. SOIL STATEMENT: NO POOL CONSTRUCTION 614ALL BEAR ON ANY TYPE SOILS EXCEF'T GLEAN SANDS OR ROCK THIS PROJECT IS IN THE VICINTY OF PROJECTS TWAT THIS FIRM HAS PREVIOUSLY DESIGNED. THE SOIL IS SANDY IN NATURE AND , ADEQUATE TO SUPPORT THIS SWIMMING POOL. IF OTHER CONDITIONS ARE ENCOUNTERED THE CONTRACTOR SHALL NOTIFY THIS OFFICE FOR INSPECTION AND INSTRUCTIONS. 5. THE POOL CONTRACTOR SHALL ALWAYS TAKE ALL PRECAUTIONS TO PROTECT EXISTING STRUCTURES FROM FAILURE BY SHEETING AND /OR SHORING OR OTHER METHODS THE DESIGN ENGINEER ACCEPTS NO RESPONSIBILTY FOR THE SAFTEY OF EXISTING STRUCTURES. 6. THIS DESIGN ENGINEER ASSUMES NO RESPONSIBLITY FOR POOL CONSTRUCTION IN EASMENTS OR REQUIRED SETBACK AREAS. PLOT PLANS NOT PREPARED FROM LEGAL SURVEYS OF THE EXISTING LOT AND RESIDENCE ARE SO INDICATED.THE POOL CONTRATOR SHALL VERIFY ALL DIMENSIONS IN THE FIELD. AND ESTABLISI.4 LOT LINES. 1 . THE POOL CONTRACTOR SHALL ESTABLISH LOCATIONS OF ALL UTILITIES AT THE SITE. MIN. CLEARANCE DIMENSIONS SHALL BE HELD AS REQUIRED BY THE LOCAL, REGULATORY AGENCY. IN GENERAL, HOLD A DISTANCE OF 10 FEET FROM OVERHEAD ELECTRIC LINES To oFEN POOL WATER 8. TEMPERATURE OF THE . WATER SHALL BE SET SO THAT MAX. WATER TEMP. = 102 DEGREES F. 9. MIN. 5' FENCE, . WITH SELF - LOCKING GATES, REQUIRED AROUND ALL UNSCREEN FOOLS. 10. THE CONTRACTOR SHALL BACKFILL THE POOL SHELL WITH CAUTION. THE PLUMBING 31-1ALL NOT BE DISTURBED. BACKFILL SHALL, BE ACCOMPLISHED WITH CLEAN SANDS, FREE OF ORGANIC MATERIAL AND SHALL t3E PLACED IN 12" THICK LAYERS. EACH LAYER SHALL SE COMPACTED TO 90% OF TI-E SOILS MAXIMUM DENSITY BY TAMPING SOLIDLY. SOILS BELOW THE PATIO SHALL BE PLACED IN A SIMILAR MANNER 11. WHERE PATIOS ARE INDICATED BY OTHERS, THE PATIO DESIGN NOTES SHOWN ON THE TYPICAL WALL SECTION DO NOT APPLY.THE PATIO DESIGN; IS BY. OTHERS. 12. WARNING: TO EMPTY POOL AFTER CONSTRUCTION, FOR REPAIRS OR ANY OTHER REASON, THE HYDROSTATIC UPLIFT PRESSURES BENEATH THE POOL MUST BE ELIMINATED TO PREVENT THE POOL FROM FLOATING UPWARD. THE OWNER MUST CONSULT A POOL CONTRACTOR OR POOL REPAIR CONTRACTOR EXPERIENCED IN ELIMINATING UPLIFT PRESSURES. d) W 12" 12" 18" 4 3 12' OC. EA WAY (SEE TYPICAL WALL SECTION) DETAIL OF STEPS N.T.S. 2 -13 CONT. CO! OPING TILE .., 1 1iATER LINE --A - — -- 5" TO 6" MIN VERTICAL 2' -3" 514ALLOW END 3' -0" DEEP END 6" MIN. WELL POINT DETAIL N.7.5. 24' .j. STEELTE)< FORM, KRAFTBOARD OR EQUIV. •3 AT 12" O.G. E.W. BOTT. CENTERED TYPICAL WALL SECTION (FOR DEPTHS TO 6' -0 ") IMPORTANT NOTE: NO DIVING BOARD AND NO DIVING IS ALLOWED ON ANY POOL LESS THAN S' -0" DEEP AND SPECIFICALLY DESIGNED FOR DIVING. THIS POOL IS NOT DESIGNED FOR DIVING. 30' INTERLdCKIN4 g3RIGK PATIO SET IN SAND ON COMPACTED FILL SLOPE 1 1 1 1 1 1 1 1 1 1 1 1 B 1 1 1I� 2" COVER (CENTER) 5" TOP 4 6" BOTTOM W/ •3 AT 12" O.C. EACH WAY. 1:1 MAXIMUM SLOPE WATER LINE - IN SHALLOW END MAIN DRAM LONGITUDINAL POOL SECTION TO SERVICE PANEL WP GFI 10' TO 20' FROM WATER -4 ui ff I Q 1 (2)100 WITT LIGHT (1715 WATT LIGHT W/ LOW WATER BUT OFF DEVICE MIN. QE IIIII= in 1 1 3 6' N.T.S. (4) JUNCT. E10X WP MANUAL STARTER SWI N.T.S. Goo SKIMMER 8" MAN DRAIN AUTO PILOT W/ TIME CLOCK SPST TOGGLE SWITCH: 1" NON - CORROSIVE COND. ELECTRI DIAG RAM POOL PUMP, FILTER AND HEATER ANCHOR POINTE(TYP.) F U'1P FRAME, FILTER TANK MOUNT 1/4" x 1 1/2" LAG SCREWS. FeIN#?ORCED GONG. $LAF. III'� _9 111 NOTES: ANCHOR BOLTS THROUGH BASE (1/4" x 1 1/2") LAG SCREWS FOR POOL PUMP 4 FILTER HEATER SHOWN AS OPTIONAL (4) 1 1/2" ANGLE BRACKETS (GAS HEATER) (4) 2 1/2" ANGLE BRACKETS (NEAT PUMP) WITH (4)1 3/4" x 3/16" TAP CON AND (4) 1/2" SELF TAPPING SHEET METAL SCREWS. POOL EQUIPMENT ANCHORINGT PRESSURE GAUGE AND IR RELIEF VALVE JO BLOWER (2) PUMP' I2 V TRANS. 3 12 IN 1{2 COND. IN POOL AREA GROUND ALL BOXES, RAILS, LIGHT, MOTOR, ECT. W/ 0 8 WIRE FILTER 0 PIPING SCHEMAT N.T.S. S 1- (EATER 1 1/2" �H R 1 LINT STRAINER NOT: ALL ELECTRICAL SHALL CONFORM W/ NEC. ART: 680 8/25/99 YEKTA KAvASOGLU P.E. • 41310 . W Q r W 1 cn OC W d) tfl 2 A PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /95) Job Address 33 3 /1) E 9Q5-6 Tax Folio ) I3 a 0 (P 013 -6570 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant '-- Y) 0-- ocvna d Master Permit # Owner's Address 3.53 n 9 a Phone Contractin Co. J200 h0)"h,t.L`-CLSC) e )T0 -,A)<- Address (QO Qnialifier (P9 0) (.0 I State # S_ � ,pgiO )S q Municipal # Competency # Ins. Co \ C,i, s L d1. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA t PLUMB 1 MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 4k Square Ft. Estimated Cost (value) 1 SO 0 .00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S 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 abo contractor to do the work stated. " -/(- owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT ? • RADON 2 D i C.C.F. � ' NOTARY BOND Signa e •f Contractor or Owner -Bui Date 6- (02- - 00 - (DS - O - d A Ge- - v--v-e ,- -;Z 5)- )-P 7 d Notary as to Contractor or Owner - Builder Date My Commission Expires: o/ /o /i'e C TOTAL DUE 2 4 7 / / APPROVED: Zoning Building Electrical Mechanical Plumbin� Engineering C O TRUCTION PERMIT OR: New System [W] Existing System [j] Holding Tank [Repair [(] Abandonment [ ] Other(Specify) STATE OF FLORIDA PERMIT # ‘'' DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID 1 ! / ";c1 ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT # c5 '" "� Authority: Chapter 381, FS & Chapter 10D -6, FAC APPLICANT:r [��e ) .,_ , (i, gun UU DD �o ��J g AGENT: ` I n1A._ ,3 /UE (', LOT: 4/ /- BLOCK: 4� PROPERTY STREET ADDRESS: APPROVED BY: DATE ISSUED: g SUBDIVISION: Temporary /Experimental PROPERTY ID #: �f /� ,2 ® o LJ /3 - / _ 3 �) [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] d �J �Q C� L ° [OR TAX ID NUMBER] rr� SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS T [ v 0 ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET A TYPE SYSTEM: I CONFIGURATION: F LOCATION OF BENCHMARK: , d° • Gs 4f f- ��- I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE PAINT E BOTTOM OF DRAINFIELD TO BE [ Cc› ] tiIN'CHES FT] [ABOVWBELOW]) BENCHMARK(/REFERENCE POINT, D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [,.,<] INCHES O IINSTAV L 12" OF LOAMY COARSE SAND T U DER BOTTOM Of DRAINFIELD H q? 3:ti1 ?CIIMAT'p( DEFO d E THIS PE M T IS NOT FOR AI JA SYSTEM [ ] STANDARD [ ] FILLED [ ] MOUND [ ] TRENCH [ &„1 INVERT ELEVATION [ ] R N BOTTOM OF DRAINFIELD ELEVATION x SPECIFICATIONS BY: 114 TITLE: HRS -H Form 4016, Mar 92 (0bsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) QPPLO©AMY CPHU EXPIRATION DATE: Page 1 of 2 troi • : Cnecic typ,, , spec' ."; • e2lic 0; ' •Cpry J C.12t.:042C6 fc • rerent. 2 A:7 y7operiy. (L'T •,1 prc 7 neciinattown/:. number) ivllnimur. sp-eci fie n Chapi:. frori Chapt. 1 OperLii, 114. :. :ow-vole: • " vriancs provisos. Name c irdivi,"ea:1 v ichg pcci'ict 117 designed by n. 7 1.7!1 Zt:LiCe. ??:a.n! County ?ublie •iJnit (CPEU) eeviewinj L?PrOVir,'. Date i:iS11■:Li by CPHU. One yk.a, from date issued if the sy. not been insteliNi.. ?err.:': !iyri, -:pair s become void 90 days from the date issued. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: 074k- v'6 Q 4 AGENT: LOT:J5 4 .0, BLOCK: 47 SUBDIVISION: PROPERTY ID #: 4/39.060/36,2570 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 [ ] TOTAL ESTIMATED SEWAGE FLOW: 0 AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: THE MINIMUM SETBACK SURFACE WATER: WELLS: PUBLIC: BUILDING FOUNDATI SOIL PROFILE INFORMATION SITE 1 USDA SOIL SERIES: SITE EVALUATED BY: BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS WHICH CAN BE MAINTAINED FROM THE FT DITCHES /SWALES: FTIMITED USE: FT FT PROPER Y LINES: SITE SUBJECT TO FREQUENT FLOODING: [ ] YES F '�2C MS0 10 YEAR FLOODING? [ ] YES NO 10 YEAR FLOOD ELEVATION FOR SITE: L /NGVD SITE ELEVATION: 77•,()) FT MS /NGVD Munsell # /Color p Texture Depth M e O 1h Ito i to to to to to to/ to SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH REMARKS /ADDITXONAL CRITERIA: ii &L-99/ A - HRS-H Form 4015, Roar 92 (Obsoletes previous editions wl'i (Stock Number: 5744 - 003 - 4015 -1) / [Section /Township /Range /Parcel No. or Tax ID Number] PERMIT 0 YES [O NET USABLE AREA AVAILABLE: ACRES GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] GALLONS PER DAY [1500 GPD /ACRE OR 2500,�CRE] SQFT UNOBSTRUCTED AREA REQUIRED: SQFT [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT PROPOSED SYSTEM TO THE FOLLOWING FEATURES: FT NORMALLY WET? [ ] YES [ 4f NO PRIVATE: FT NON- POTABLE:i FT FT POTABLE WATER LINES: SOIL PROFILE INFORMATION SITE 2 Munsell # /Color Texture Depth to to to to to to to to to USDA SOIL SERIES: 0 OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED /#'- ARENT}i ESTIMATED WET SEASON WATER ABLE ELEVATIO : - INCHES [ ABOVE / BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES 0 /146 LING: [ ] YES NO DEPTH: INCHES DEPTH OF EXCAVATION:`,-._J NCHES BED [ ] OTHER (SPECIFY) I' 1,I 12 ' may not be used)' DATE Page 3 of 3 INSTRUCTIONS: PERMIT 0: Permit tracking number assign 1 by CP6flU. APPLICANT: Property owner's full name. AGENT: ?roperiy cwner'a legally authorized repreeentativo. LOT, 3L OCR(, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY IDi): 27 character number for property. (property appraiser ID 0 e, section/township /range /parcel number) PROPERTY SIZE: Check if property size at site conforms to submitted site plat. Record no: usable area available - lot area exclusive of all paved areas and prepared :cad beds within public ghts -c- way or ec r_^_en :a end exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodice of water. SEWAGE FLOW: UNO3STRUOTED AREA: Record the estimated sewage fow for the establishment frau: Table : (re idences) or Table 2 (non - residential), Chapter 10D -6, Eta^. Record the authorized aewage flow for the lc: b ^csf 03 nal usable area and water supply (1500 gallon per day per acre for private water supplies and 2500 gpd per ace for pudic water supplies). If authorized sewage flow does not equal or exceed the es timated sewage flow, the application n^w_ be denied. Record the square feet of unobstructed area available and the amount reruired. Unobstructed area must be at least 2 times as large as the drainfield absorption area and ct leant 75 percent o"'the unobstructed area must meet minimum setbacks in Chapter 100-6, I AC. The unobstructed area must be contiguous to the drninfield. 3'ENCHMARc( :N FORMATION: ORMATION: Record the locution of the benchmark. If using c surveyor'a benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. MINIMUM SETBACKS: Record minimum setbacks which can be meet to all listed featurea. Ac ual measurements must be recorded or "NA" for non applicable features. Features on site plan or within 75 feet of ti_e applicant lot musi be measured. The location of any public drinking well within 200 feet of the applicant's lot must ciao be verified. FLOOD INFOP.iMMATION: 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 minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. WATER TA3LE: 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 baced on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling in 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 no: applicable. DRAiNFIE .D 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. ELEVAT:ON WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCir€MA ( SITE 1 SITE 2 SITE 3 [ +) SEC:: H.I. H.I. H.L. H•I• [ - 1 SHOT [ -1 SHOT (-I SNOT • r I i =: 1 < S 1 • - c_ e i 3 > NOT MUD UNLESS EMBOSSED WITH SURVEYOR'S SEAL �• o ;EVISED: 1 • eae c a .u.. ___••_ ••••••—.•°."ue •■•••••• • .aa. >n :.. . e.•.. _ ."...nti..e•ss.+c•.m e- rJC.�varn....:.�s•.... _.. .......,........._.� BOUNDARY SURVEY b Disc • LEGEND : FIP= Found Iron Pips �� a - . z i i S.PC = SET 1/2" PIN & CAP LB47S9 S.PCP= SET PERMANENT CONTROL POINT LB47E3 c= CENTERLINE. P /L= PROPERTY LINE • 0 /L= ON LINE frLK= MANHOLE, WM= WATER METER. PP= POWER POLE .. F.C. = FENCE CORNER. R= RECORD. M= MEASURED W11 CHAIN UNK OR WIRE FENCE= - - W00D FENCE= MASONRY WALL - CONCRETE= ..',.• •; . • j • • . • •, • AIhi1AV.'E & LeaL'GE EASL '1 = &D. £. • NOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES APPLY. INSURA.nCE ONLY ON T!:E VALUE OF THE St:RVEY 1) Record and measured calls ere in substantial agreement. 2) Bearings, if shown are based on Plat data. :) The land: shown were not abstracted for Easements or other recorded emcumbrances not shown on the plat and :he same, ii any may not be shown on this sketch. 4) Underground portions of Footings. Foundations or other improvements were not located. • 5) Elevations are based on National Geodetic Datum. 6) Fence Ties are to the Centerline of the fen.:e. 7) Wall Ties to the face of the Wall. 9 ?r3_:I: „: t: s cr , =� ri5-- TO i•22 I.SSir` =.+ %:?_.CT. S;,ID : _ FOR. POOL LOCATION ONLY �•,� ;� -s tweed cr. C -'I Ele ;r. Locator Inds^ :•: I HEREBY CERTIFY Thal the survey represented hereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. - The :e are no encroachments. overlaps. easements appearing on the plat or vis,b:e ea other Than as shown hereon Q .' • �. . . t JR. ... c,_ J.J[t� a rrrt •t .C1+a.tti +O/S_n.1 -v rYC.O Y >.t . —. - ..- t • riv •• C r ADIS N. NUN'EZ Pe_''Slered'L and S::rvevor NO. L O C A L I O N S I: S C A L E : N T S OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. ..! :tV' ='- �f�: I' :.a4: ;t✓Si'.?s.]r+.'r= �.2i.n-:a :V.J.v Wit. • am=s.Y. :..':.! Y..� fl ::CrTIT'n ti FOR POOL LOCATION' Q .FLOOD ZONE: • 93 DATE: I SCALE: LEGAL DESCRIPTION: LOTS 15 & 16 BLOCK OF AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK_ AT FAG': 7f) 4 fl..0;t1914 CERTIFIED TO: JAMES E. WILLENBORG AND ANN MARIE WILLENBORG, HIS WIFE, 333 N.E. 92ND ST., MIAMI SHORES, FLORIDA 33138., CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC., JOSEPH C. FRECHETTE, JR., ESQ., CHASE MANHATTAN MORTGAGE CORPORATION, ITS SUCCESSORS AND /OR ASSIGNS, ATIMA. 47 SINCE 1987 BLANCO, DANIAL & ASSOC. INC. Enr s • Land Surveyors 0 Planners LB .-'•`._4789 555 NORTH SHORE DRIVE MIAMI BEACH FL. 33141 (305) 865 -1200 .Fax- (30S 865-7810 3/2/2' -s- r'nwr1tT / M r =a ;., 2 DF 7= _ DWN. BY: IJOB No. STRUCTURAL ELECTRICAL PLUMBING COM MERCIAL FLORIDA S oRIDA LITTER Fg� C�qC ORID AL STATUTES 40 3.4193 LAW f6lpp��� ��T� G � DUMPING IS D GEE FI Es, PFORFEITURE OF ®QE BY ; r ` , • ® OsM I �Ld'l� `��ElIP��� M I ; ?` ViLLAGE e SUBJECT TO COMPLIANCE Wq' } ;Ni STATE A i% COUNTY RULES Arvii 1 MIAMI SHORES VILLAGE ASSUiri . :=_"PONS' . `:L.IT S FOR ACCU':I OF OR RESULTS Uivi I HES:. ... .. COMPLIANCE WITH THE SOUTH FLORIDA :'. J Lx C;- OE AS ADOPTED ttY MIAMI SHORES VILLAGE IS REOUI ED. IHE AR(: iI ECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH II-1E KNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER OR 01 - o Y INDICATED HEREIN. • POOL_ D 4TA 4E QU I Fr «NT SQ I L STAtEMENT SIZE 4 DEPTH: 15' X 30' 3' TO 5' - CAPACITY : 11,619 GALLONS PERIMETER:I05 LF 553 SF PUMP :2 HP 2 Hb THERAPY FILTER: 150 SF CARTRIDGE QTY RETURNS: TILE: 6" STANDARD LIGHTS: (2)100W,(1)15W,12V COPING: BULLNOSE -BRICK SWIMOUT: 18" CLEANING LINE: YES CI-ILORINATORAUTO PILOT HEATER:GA5 TYPE OF PATIO: PAVERS DOD: NONE EXIT RAILINGS: NONE SCREEN: NONE POOL FINISH: DIAMOND BRITE TURNOVER 12 HOURS ( MAXIMUM) 3 HR MISC: 2 HP BLOWER AIR SWITCH (3) 3' SHEER DESCENT WATERFALLS Pa 2 "X8" SPILLWAY OR WALL 2" BELOW BEAM 2 WATER LEVEL 6" WALL W/+3 O/C EACH WAY SEE TYPICAL WALL SECTION FOR DETAILS GRATE POOL CUR SC REWS VORTEX . NAND -HOLD DETAIL NTS AUX. BEAM 4 COPING TILE AUX. POOL, DETAIL N.T.S. CLEANING LINE W/ VAC -LOCK ELEVATION OF DECK IN RELATION TO HOUSE: MIN. 4" BELOW FIN. FL. G UIMOUT DETAIL N.T.S. 4 L1 WATER LINE NOTE: POOL HEATER SHALL BE PROVIDED WITH A THERMOSTATIC OR HIGT PRESSURE CONTROL SWITCH OR OTHER ACCEPTABLE OVER HEATING PROTECTION DEVICE 50 POOL WATER DOES NOT EXCEED 110 EGREE5 F, PER 5005.1 OF 5F .B.0 - . —• -•Z Z I. POOL DESIGN BASED ON RATIONAL ANALYSIS. 1 =' 111 30' LONG 11' - 6" 8" BENCH W/ TILE EDGE POOL PLAN SCALE: 1/8" = 1' -0" SOIL At SITE IS SANDY. AND HAS A 1000 PSF SAFE BEARING CAPACITY AFTER EXCAVATION ' AND Cb? 1f'AGTIQN SHOYLD ANY. MUCKS, MARLS, .OR OCHER , ORGANIC SOl1.G ISE DISCOVERgp EXCAVATION, THEY 61-1O1ULb BE REMOVED IN THEIR ENTIRETY, THIS POOL REQ. 1000 PSF BEARING CAI'ACIT r. HYDRAULIC UPLIFT COMPUTATIONS FLOOD CREST ELV. FOR AREA TOP OF POOL ELV. ° BOTTOM OF POOL ELV. _ HYDRAULIC HEAD = ALLOWANCE HYDROSTATIC VALVE= NET HYDRAULIC HEAD Ps SSE MIN. 611-IICK CONCRETE FLOOR SLAB 110' • 1.0 MS 8.25 MS 2.15 M8 4 .25 -2.0' 225 '18" ` RECESSED SWJIMOUT 1,u/ TiLED EDGE 1' X 1' AUX. POOL RAISED 12" W /TILE BACK AND AIR SWITCH 8/2S/99 YEKTA KAVASQGLU P.E.•413I0 O g S 8 a ce ce Q et r 41 m e NOTE:NO 90 ELBOWS ON SUCTION PIPING P 043.d 5m0$3fbX4) PQOI,. FILL. HOSE f3I1313, SHALL NAVE VACUUM BREAKER PER SF.B:C. 5042 ( c) POOL EQUIPMENT SHALL COMPLY WIT14 SFa.C. 23095 Nab) POOL COVER SHALL BE PROVIDEb PER F.E.C. 612.1ABC232 NORTH • c i - P41— 11O`> E S I ALL FLOORS 4 WALLS OF POOL t0 BE PNEUMATICALLY APPLIED CONC. WITI -{ A MIN. 25 DAY COMFRESSIVE STRENGTH OF 2500 PSI. 2. ALL REINF. STEEL TO CONFORM TO A.9.TM. 415 GRADE 40. 3. ALL POOL PIPING TO BE SCHED 40 PVC BEARING NSF APPROVAL 4. SOIL STATEMENT: NO POOL CONSTRUCTION SHALL BEAR ON ANY TYPE SOILS EXCEPT CLEAN SANDS OR ROCK THIS PROJECT IS IN THE VICINTY OF PROJECTS THAT THIS FIRM 1-1A5 PREVIOUSLY DESIGNED. THE SOIL 15 SANDY IN NATURE AND ADEQUATE TO SUPPORT THIS SWIMMING POOL. IF OTHER CONDITIONS ARE ENCOUNTERED THE CONTRACTOR SHALL NOTIFY T1-115 OFFICE FOR INSPECTION AND INSTRUCTIONS. 5. THE POOL CONTRACTOR SHALL ALWAYS TAKE ALL PRECAUTIONS TO PROTECT EXISTING STRUCTURES FROM FAILURE BY SHEETING AND /OR SHORING OR OTHER METHODS THE DESIGN ENGINEER ACCEPTS NO RESPONSIBILTY FOR THE SAFTEY OF EXISTING STRUCTURES. 6. THIS DESIGN ENGINEER ASSUMES NO RESPON5IBLITY FOR POOL CONSTRUCTION IN EA5MENT5 OR REQUIRED SETBACK AREAS. PLOT PLANS NOT PREPARED FROM LEGAL SURVEYS OF THE EXISTING LOT AND RESIDENCE ARE 50 INDICATED.THE POOL CONTRATOR SHALL VERIFY ALL DIMENSIONS IN THE FIELD. AND ESTABLISH LOT LINES. THE POOL CONTRACTOR 514ALL ESTABLISH LOCATIONS OF ALL UTILITIES AT THE SITE. MIN. CLEARANCE DIMENSIONS SHALL BE HELD AS REQUIRED BY THE LOCAL, REGULATORY AGENCY. IN GENERAL, HOLD A DISTANCE OF 10 FEET FROM OVERHEAD ELECTRIC LINES TO OPEN POOL WATER. 8. TEMPERATURE OP THE WATER SHALL BE SET SO THAT MAX. WATER TEMP. = 102 DEGREES F. 9. MIN. 5' FENCE, . WITH SELF - LOCKING GATES, REQUIRED AROUND ALL UNSCREENED POOLS. 10. THE CONTRACTOR SHALL BACKFILL THE POOL SHELL WITH CAUTION. THE PLUMBING SHALL NOT BE DISTURBED. BACKFILL SHALL, SE ACCOMPLISHED WITH CLEAN SANDS, FREE OF ORGANIC MATERIAL AND SHALL bE PLACED IN 12" THICK LAYERS. EACH LAYER SHALL BE COMPACTED TO 90% OF THE SOILS MAXIMUM DENSITY BY TAMPING SOLIDLY. SOILS BELOW THE PATIO SHALL BE PLACED IN A SIMILAR MANNER � 11. WHERE PATIOS ARE INDICATED BY OTHERS, THE PATIO DESIGN NOTES SHOWN ON THE TYPICAL WALL SECTION DO NOT APPLY.THE PATIO DESIGN,15 BY OTHERS. 12. WARNING: TO EMPTY POOL AFTER CONSTRUCTION, FOR REPAIRS OR ANY OTHER REASON, THE HYDROSTATIC UPLIFT PRESSURES BENEATH THE POOL MUST BE ELIMINATED TO PREVENT THE POOL FROM FLOATING UPWARD. THE OWNER MUST CONSULT A POOL CONTRACTOR OR POOL REPAIR CONTRACTOR EXPERIENCED IN ELIMINATING UPLIFT PRESSURES. a 12" i 12" 18" 11 L *3 12 "O.G. EA WAY (SEE TYPICAL WALL SECTION) DETAIL OF STEPS N.T.S. HYDROSTATIC VALVE 11/2" WELL POINT 2 -43 CONT. C01i?ING TILE IUATER LINE 5" TO 6' MIN VERTICAL 2' -3" SHALLOW END 3' -0" DEEP END APPROVED s FINISH It 6" MIN. LUELL POINT DETAIL Nis. GRATE TO BE FASTENED WITH SCREWS: Rr20C:J( P3EP 24' 30' INTERLOCKING{ 'BRICK PATIO SET IN SAND ON GOO"iPAGT FILL SLOpE "3 AT 12" O.G. E.W. BOTT. CENTERED TYPICAL WALL SECTION (FOR DEPTHS TO 6 -0 ") 1:1 MAXIMUM SLOPE WATER LINE IN SHALLOW END MAIN --� DRAIN (2)100 WITT LIGHT (1715 WATT LIGHT W/ LOW WATER CUT OFF DEVICE an LONGITUDINAL POOL SECTION • IIIIIIII I 3 IIHIII IIIII III 2" COVER (CENTER) 5" TOP 4 6" BOTTOM W/ *3 AT 12" O.G. EACH WAY. STEELTEX FORM, KRAFTBOARD OR EQUIV. N.T.S. IMPORTANT NOTE: NO DIVING BOARD AND NO DIVING IS ALLOWED ON ANY POOL LESS THAN 8' -0" DEEP AND SPECIFICALLY DESIGNED FOR DIVING. T1-11S POOL 15 NOT DESIGNED FOR DIVING. WP MANUAL STARTER SWITCH TO SERVICE PANEL WP GF 110' TO 20' FROM WATER Zi 48" MIN 6 " MIN. c?04 DE( (3) JUNCT. BOx N.T.S. TO PILOT W/ TIME CLOCK SPST TOGGLE SWITCH :' 1" •ON - CORROSIVE GOND. • ELECTRI DIApRAM PUMP FRAME, FILTER TANK MOUNT I /4!! K 1 1/2" LAG SCREWS. REINFORCED CONC. SLAB POOL PUMP, FILTER AND HEATER ANCHOR POMTaTYPa NOTES: ANCHOR BOLTS THROUGH SASE (1/4" x 11/2 ") LAG SCREWS FOR POOL PUMP 4 FILTER HEATER SHOWN AS OPTIONAL (4) 1 1/2" ANGLE BRACKETS (GAS HEATER) (4) 2 1/2" ANGLE BRACKETS (HEAT PUMP) WITH (4) 1 3/4" x 3/16" TAP CON AND (4) 1/2" SELF TAPPING SHEET METAL SCREWS. POOL EQUIPMENT ANCNOIZINCIKTS. PRESSURE GAUGE AND IR RELIEF VALVE SLOWER (2) • PUMP MOTOR 12v TRANS. 3 12 IN 1(2 COND. IN POOL AREA GROUND ALL BOXES, RAILS, LIGHT, MOTOR, ECT. W/ •8 WIRE PIPING SCHEMATIC N.T.S. NOTE: ALL ELECTRICAL SHALL CONFORM W/ NEC. ART: 680 8/25/99 YEKTA KAvASOGLU PE. • 41310 W 6044 East 7th Avenue (SPECIALIZING IN) Hialeah, Florida 33013 Sewer Connections m Pump Outs ® Drain Fields March 11,1998 Mac Donald Residence 333 N.E. 92 Street Miami Shores F1. To whom it may concern, Attached you will Find a bond For the property mentioned above. We are requesting a refund on this bond due to the Fact that this job was cancelled by the home owner. IF any Further information is needed please don't hesitate to call me. erely, lene Borges Vice. President /contractor Economical Septic Tank Service Inc. Tel.: (305) 696 -0761 Tel.: (305) 685 -5528 Fax: (305) 688 -1469 BUILDING ❑ PLUMBING ELECTRICAL ° PL � PERMIT ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building D This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an■ plans, drawings, statements or specifications that .ay 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 complian with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understand' - th th.'contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the wor cov• red • e eby whether shown on the plans or drawings or in the statements or specifications and that be assumes respon- sibility for work done by his age ts, se vaan f r employees. Sig. . •- d /41AiA L- L (INSPECTOR) BY In consideration of the issue I r' 41P .f • this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict co or •t with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assn responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA 2 _ N° 42445 Work to be performed under this Permit -4 A Subdi- vision Sq Ft Value of Project 2 Date 19 '9" Contractor's License No. BY AUTHORITY ►8 II Amount of & ��1! II Permit $ /J- r/5 + i � )) l � Legal Description � � K. , `Y" 7 Historically Designated: Yes No Owner/Lessee / Tenant TA' PI CS + h >U A) I' 1 / c (.V 1 II & 2 c- Master Permit # Owner's Address 3 3 iU E , 99--s 7 9' Phone 7S °a-S7 Contracting Co. / / / 5E C- 4- , ! 17PC 520 State # 9?-///6, Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Date .b gq Job Address 333 /U £ `7 ST: . Tax Folio Square Ft. 300 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Permit Type (circle one): BUILDING ELECTRIC : L PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION O - 77/9"1,4 0— F � / 1,97 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. R'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in c• .liance with all applicable regulating construction an oning. Furthermore, I authorize the above -name. < ctor to do the work st ?As tc Date g -4 Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT lJ- 3r9 - oc - 9/ —6370 Estimated Cost (value) Notary as to Contractor or Owner - Builder My Commission Expires: RADON C.C.F. NOTARY BOND TOTAL DUE Date APPROVED: Zoning Building Electrical Mechanical Plumbing /1� Engineering Scale: Each block represents 5 feet and 1 inch = 50 feet. ; , N ■' MEMO. : : : :Nn■ I 1 z ^1 - ■ ■ii' :: :. ii .....■■ : •■■ • ■■■ �■i■::I■ ' :: ' ■■■■ ■ lailroum i ' : : : - �_ .■ IU ■■ I ■■ ■■■: ■:. i 1 II ••1011•11111•111 ■E■ ■N III II : ■ ■1 ■5.■ ■ ■■ ■.•.i ._ i■ _ - -J , ■■E •■■ ■■ ■ il■� NMI �� r :I�.. ■ ■■•1 -■ _I - _ ■ .L 1 ■ - I - 1 - 1 - I I L ■■ �� "N - ■■ • ■■ J _ 1111111113511 ■ - : N th en ' - in :■ Iii.iii..r' I 1 U N■:■ TA ■11■■ 11■■ I I I-1 � ■::■■■ m i :::■:: ■ I ■E■■■ ° ■: L M 1 - T :� I • _ ■ xl. _ O M EN • ■ L -. - - - - -- i__-- I -1 - I _ - _ _ I J- I i-t- II ■ ■ g#U. • i 1 1 ■ :■:::: n:' % • . .j■ ; : : : ::: :: : � • � 1 ; - I !... : : : ■ ir - L - . ■ : • •• IN ■ [ !I : ! !! 11.- t I i - II ! : III I F ., r- f ±= `. - I _ I _. � . = t ; �- L r = 1 I - -1 _r _r. • I•. !�/ 1 - • 11 1 - - - - , j It ■ - �_ 1 - L .% ■ _ - : ' - f - j. 1-�i _ _ r ■■ . - NEM p 11 7 _ 1 - - 4 IwA ,Ail 1 1 r _ , �_ a I • i j 1 : ■ 1 I • : b. ob.- _ -- - -- I -- 1 _r l • y i r I -- J_ — 1 q -- i LI • ■ 1 - 1 jI_FII f _ VO mil J L 1 , I I C ■ 1 �__ 1 J I _ Noi li iv I • , t _ L ,_ , ,,_ , - - 1 . • �- - 1 CL ■ 11 I 11 -i- ( - • 1 I � : 1 r1 I 1_ I ; I . I 1 1 I L J.LL - i 1 i J 1 1 1 _ _ 1 Notes: Site Plan submitted b Plan Approved By STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number -'1 O. PART II - SITE PLAN g33 K J HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744- 002 - 4015 -6) Not Approved ALL CHANGES M T BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT Page 2 of 3 TITLE Date G 2- ' - / -- EJ County Public Unit APPLICANT: LOT: PROPERTY ID #: / % .a3_ 63Z? 7O TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SE EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: / 6 BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS [INCHES /FT] [ABOVE' t THE MINIMUM SETBACK SURFACE WATER: WELLS: PUBLIC: BUILDING FOUNDATIONS: SITE SUBJECT TO FREQUENT FLOODING: [ ] YES ( NO 10 YEAR FLOODING? ( ] YES [ NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NGVD SITE ELEVATION: Iv, 7 FT MSL /NGVD SOIL PROFILE INFORMATION SITE 1 Mun _ 11 Co or J/STAI USDA SOIL SERIES: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS 06 ENT i � P /i✓ ��� SUBDIVISION: ) /6 BLOCK: 7 WHICH CAN FT FT Texture P 5A-A1/1 REMARKS /ADDITIONAL CRITERIA: BE MAINTAINED FROM THE ' P / R P SED SYSTEM TO THE FOLLOWING FEATURES: DITCHES /S ALES: /�_ FT I NORMALLY WET? [ ] YES ( NO MITED USE: FT P RIVATE: /'�,� NON - POTABLE: /1i /l,.l�T FT PROPE TY LINES: FT 'POTABLE WATER LINES: /9/ Depth 0 to '7e? // to to to to ""N„to SITE EVALUATED BY: DH 4015, 10/96 (Replaces HRS -H Form 4015 [Page 31 which may be used) (Stock Number: 5744.003.40': -'ti [Section /Township /Range /Parcel No. or Tax ID Number] YES [ ] NO NET USABLE AREA AVAILABLE: C/]/7`7 ACRES GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD ACRE] SQFT UNOBSTRUCTED AREA REQUIRED: i V U SQFT O to >2S ' ,6. / .N li V ' • SOIL PROFILE INFORMATION SITE 2 Muns 11 # /Color Texture Depth !, ( 7 to 7d to to to to to to to to USDA SOIL SERIES: OBSERVED WATER TABLE: v INCHES [ABO BELOW] XITING GRADE. TYPE: [PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ ABOVE / BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [LA—NO -- MOTTLING: ( ] YES [ jNO DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: /, c7 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [BED ( ] OTHER (SPECIFY) PERMIT # tr/ `7)C /51-i I NCHMARK /REFERENCE POINT INCHES DATE: / T v /,r r' / / Page 3 of 3 STATE OF FLORIDA .1 ' 3 _ : .I DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES 41 ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: [ f`) ] New System [J ] Existing System ((3 ] Holding Tank (J ] Temporary /Experimental b( ] Repair 3 ] Abandonment [\) ] Other(Specify) APPLICANT: . 17 � ) 1� a miffs l o y) /4 , l/ / 'ei•) 007 -0 AGENT: 1i 5 PptlG r� t-! PROPERTY STREET ADDRESS: !! t 333 /� ` 1Z s • I"! + `f s ,�I. 33 l3� LOT: S PROPERTY ID #: // _ 3 Z0Cv -O I3 - 6,370 BLOCK: SUBDIVISION: `�7 /U l�ik'o = 6Jcnrs PERMIT # 1 ••■ - ✓ DATE PAID lZ - o -6 / FEE PAID $ RECEIPT 1 0 7 75 :Pce. ( [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] T ,./ c SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS / -Y/ J f r 445 T ( d 0 ] )GALLON) / GPD L SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ _ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D R A I N F I E L D 0 T H E R B Q O ) SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ ] SQUARE FEET TYPE SYSTEM: [ ✓] STANDARD CONFIGURATION: [ ] TRENCH LOCATION OF BENCHMARK: ! Z• 3 0 ' / - • L . 7 6T/9/- ELEVATION OF PROPOSED SYSTEM SITE 15.20 ] INCHE /FT] [ABOV BOTTOM OF DRAINFIELD TO BE [ '-J 3.Z0 ] INCHE /FT] [ABOVFJBEL0WJ FILL REQUIRED: /1 ] INCHES SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: J (1 SYSTEM [ ] FILLED [/ ] BED HRS-H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001-4016-0) EXCAVATION REQUIRED: [3 0 ] INCHES TITLE: APrl : CAN i [ [ �lcT:it ^c f r' .iv nnis+Pc- UNDER C+UCM CF Dt ?1NF'c_D TITLE: ] MOUND [ ] ] BENCHMARVREFFRFNCE POINT BENCHMARK /REFERENCE POINj CPHU EXPIRATION DATE: I/ 4 5 G Page 1 of 2 Date Legal Description Owner/Lessee / Tenant PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 53 Ai e 2i Sb a Tax Folio 11 A Historically Designated: Yes No - Master Permit # Owner's Address "J3 3 � 2 S f ill L Phone 3 cy s* 7) I R 8 7 ( Contracting Co. 7 C✓ s L ��•. 1 aczA J Address 1 G'i 3'i °`i ° ok �`' Qualifier 511 hp C �(i'cx k 7Phone 3S C. 5 V I State # Municipal # Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILD G ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION J rvc.e Cs.�..� &'a. i/ y g Signature of owner and/or Condo President Date 7//e Notary as to Owner and/or Condo President at My Commission Expires: STEPHEN E COCKINC St ate of Florida My Comm. Exp: 08/04/0' Comm #: CC669180 nnq FEES: PERMIT al APPROVED: Zoning Building Mechanical Plumbing /P C.C.F. Competency # Address Address Address Square Ft. Estimated Cost (value) / 4 bv 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. 1/1'7 Signature of Contractor or Owner-Builder D e C x•5 jrS 6/ - /D3 -O 64/. az otary as to C a'tra : r or i caner- Builder Exp r s: OFFICAAL NOTARY SEAL GL DYS I VELAR NOTARY MEM STATE OFEMMA COMMISSION RIO. cCC7141 MY CODAMBSION EXP. MAR. 9,2Qbf My Commission Electrical aY Date NOTARY BOND TOTAL DUE Engineering CONSTRUCTION PERMIT FpR: [ ] New System [&4 Existing System [N] Repair [ Abandonment APPLICANT: 6 1z- PROPERTY STREET ADDRESS: LOT: (t� ll BLOCK: PROPERTY. ID #: T A N K D R A I N F I E L D 0 T 11 E R [ Zogl [ 1 TYPE SYSTEM: CONFIGURATION: SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: STATE OF FLORIDA DEPARTMENT OF HEALTH f h -1 ONSITE SEWAGE DISPOSAL SYSTEM(`'� U� �i CONSTRUCTION PERMIT . J fi t'-' 'H 01 Authority: Chapter 381, FS & Chapter 'ODI'6, `FAC SYSTEM DESIGN AND SPECIF&CA NS LOCATION OF BENCHMARK: ELEVATION OF PROPOSED SYSTEM SITE [ BOTTOM OF DRAINFIELD TO BE [ FILL REQUIRED: [ -\, v) INCHES �� d 11 �( [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] i SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD -6, FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] GALLONS PER DOSE DOSING TANK CAPACITY DOSE•RATE [ ] PER 24 HRS NO. OF PUMPS: SQUARE FEET PRIMARY bRAINFIELD SYSTEM SQUARE FEET SYSTEM [ V] STANDARD [ 61 FILLED [ S TRENCH 1 ] BED [GI/Holding Tank [ C Other(Specify) AGENT: v J [INCHES /FT] ] [INCHES /FT] Applicant TITLE: TITLE: PERMIT # r -- ( / :i DATE PAID • O F' (° FEE PAID $ -i) RECEIPT # rb f`? 4 Temporary /Experimental DH 4016, 10/96 (Replaces HRS -H Form 4016 (page 1) yCh may be used) (Stock Number: 5744- 001 - 4016 -0) [ ) [ Gil ] MOUND. [ ] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT [ABOVE /BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ J INCHES limb A. L i2 Or LOAPJW COI Z t , UNDER DOTTOM or DRAIN ICJ 'z st3BmIT RENcypi,Apjf (k1FFORF INSPE'4TIO? Tats PFINRIT IS NOT FO L IaITIe�°; �, I,,u L. INVERT ELEV�ATIO�9 _ v -_A i - .7?000M OF DRAINFIELD f L EV, r :::, : v!j1 a 1 1/ - t.P o 71, 6/ �5 ' CHD EXPIRATION DATE: Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser ID# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D -6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by County Health Department. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PEMy Permit Application Number 7 Scale: Each block represents 5 feet and 1 inch = 50 feet. 11;11 PART II - SITE PLAN- _ By Signature Not Approved Site Plan submitted-by: Plan Approved ! , 1 ; ; : 1 1 i : 1 1 1 __Li ° I; 1 1 1 H L 1 Hr-,--irr I 1 U 1 1 I i r 1 1 11 _u___1 f 7 1 - ; - ,__ LI ,,,, , , 1 1 1 _J I 1 1 1 1 1 -j ' 1 11, it n I l ' 1 , r , . , . • ir I • , III i r u I ri , n 1 1 r -i-_- J i 1 1j_ i , 1 1 1 11 :111 I 11 ,: i i I , - - - - ---- - - - ---- -,--- - - --- ..- 1 1 I - I _LI . - 1 I u i fl L I u L. 1 _i 1 i ' 1 { 1 , ri 4 1 1 , - I I I I I , r 1 1-1 1 IIII AD6 C1 - 1 p i i . : 1 , .."! ; i f - i '• , . I I , ' ( I : ■ — i I ) I 1 , U 1 J r l i , r ....0-0---'— r r 1 1 - 11 , r , -?-1 . Notes: 1 c 0 1 14/ 1 ,Pc`v9 • LL , 1 1 JJI 111 '1,:iiii 1'1 , 1 , 1 1 ri 4 ; 1 1 _k ,,,_,,,, ;,:„ , ,, 1 1 : ! 1 if LI , i/ 1 1.• ,, 111 1 . 1°1. ,t_1,< 1 I , 1 \_ I 4 0 r _fl 1 1 1 : 1 ' I L. q't i , r 7111;t:11 1 il ; 111 , ; 1 1 ,', u ill 111 - 1 t_ 1 1 1 1 111 1111 11 , I ; in LI 1 n i. 1 U 1 - 1 U - 1 1 r ' I 1 1 1 1 1 F 1 1 - , - 1 1 1 1 11 11 II 11 11111 11 ::_ , ; 1 1 1 ' l i I, 1 11: 11 Ji ' ; 1 1 1 ' , 1 1 1 1" 1 1 1 1 1 1 . ; 1 i 1 1 1 1 : ' 1 1 • 1 , 1 :I L 1 1 1 1 -I 1 I , , , . , ,_, 1 1 i 1 1 1 1 i 1 II: 1011 11, , 1 1 1 1 : 1--3 . , , 1 1 1 , 1 F 1 1 1 ;- . 1 1 1 : 1 . , 1 : ' 1 1 __ 1_,DO:i: - 0111 1 1 J I 1 1 1 1 1 1 111;111 fl ; r_11 - 1 : I ' 1 1 r . I J_ , I , ; 1 1_,_i_j_, J_ILL__ _ ., 1 __, i__, ; 1 , ; : ' : 1 I ' 1 , 1 i ; ; - , I T ' 1 1 1 I 1 I 1 1 1 L 1 , , 1". . . 11 ILI- 11 i i I I 1 I -- 1 i 1 ..... I_; ,---, , d i 1 1 , I — 11 1 I I 1 I r 1 i 1 I I1 1 • r 1 1 1 1 1 1 1 1 ; : ' 1 1T1 1 ' 1 1 ri: II 1 1 1 , _I _, 1 LI 1 1 1 1_1_ 1 ' 1 i 1 1 1 , 1 11 1 I U I I 1 . 1_i 1 L_1 I I . 1 I 1 1 1 - 1 111111 1 'Ei , 1 1 11 11 I 1 11 11 i1 i I ' 1 1 1 1i 11 ‘ 1_4 - 1 -r- 1 , 1 , 1 1 111_l ' 1 i , 1 1 1 ! I 1 I ' . 1 I 1 I r 1 I 1 1 . /1 I 1 , I 1 i , 1 1 1 1 , i , ' -,,,-/:.;,_;„, 4 1-1f ---.-1 :;:1' 1 ;, -;•;:, ,/{---? ;, -- . .; . 1 ,1 _ . I I .. __ _ 1 I ii 4 1 ' Y jr;',,- 1 1 1 ' 1-ir-,1 I -;.._ , J 1 r i., t , 2.; ,i; II,. 1 '1 } / , ; I , [ I I, 1 i . / ef 1: ", AA 7 ' a T le Date / County Health Department ALL CHANG MUST E /0 BY THE COUNTY HEALTH DEPARTMENT A .01419)15. 10/96 (Replaoes HRS-H Form 4015 which may be used) (Stod Number: 5744-002-4015-6) , Page 2 of 3