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445 NE 93 St (7)0) 0 fir Vorj Trul Y Yours, 1440 SOUTH DIXIE HIGHWAY o HOLLYWOOD o 33020 NO. MIAMI 945.6421 SO. MIAMI 665 -5434 City of Miami Shores Building Department Miami Shores, Florida TO UHON IT MAY CONCERN: Thio letter is to authorize Phyllis Wentz to apply mid ai3.i for Air Conditioning permits in roq names Thank you for your cooperation regarding this Witten Zion Hector bagomatino Shorba Bros Inc. making 0 JOectiroc1fl 0 71111Embang CONTRACTORS Nay 9 1975 HOLLYWOOD 927.3277 BOCA RATON 391 -4740 ''CONFIDENCE I S OUR MOST IMPORTANT PRODUCT' ' 3 D (Li; City of Ni€4 Shores Building Department Miami Sheross Florida Vic Patron *�'� 6 Sherba oo , bet, Air Conditioning o CDectrioEl ?Qunding 1440 SOUTH DIXIE HIGHWAY o HOLLYWOOD o 33020 NO. MIAMI SO. MIAMI 945.6421 665.5434 CONTRACTORS D14 12 1975 HOLLYWOOD 927 -3277 BOCA RATON 391.4740 TO WHO XT NAY CONCERN: This letter is to authorize Phyllis 1V :,.tz to apply cad sign foggy Electrical posits in iv nwea Th you for your cooperation regarding this matt3r Very Tray Yo rs$ 'CONFIDENCE IS OUR MOST IMPORTANT PRODUCT' Is- �-01:;N &NDD COONNCN©0AL 0 5G•QLL5 AND 5LNM0CE Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miaml 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 the work. PSI IAM O SHORES VI LLAECG E BUILDING INSPECTION DEPARTMENT APPLICATION FOR . - — PERMOT ` _ / Date ..�?Y 1 �° _ , 19 Owner's Name and Address irk k �i �1S?(f.11/-P/h1 .... No 1 VS Street.... £ 7 Sl Registered Architect and /or Engineer ! y / � - -. ,- ,. ... / ._......, .�.. , , .,_ -, Name and address of licensed contactor. - Z S ide �c �-f'L /z` * P S 1 �l . . /7Lt / 1 l ci.-2 .......... Location and legal description of lot to be built on: J' !1 Lot..-..1a 7 Block ,37/ Subdivision -Sea 32/ .. ?If/6 /O -/ Street and Number where work is to be done 1 � Al E 9 Si: State work to be done and purpose of building (by floors). 7.Q �� 0 _.g _...T�1 ..___.. f� c T ...._. £ ,r /s7iNG rer - s} TeAk _..._ .__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of f undaga Roof Covering Estimated Total cost of improvements $ 1 Amount of Permit $. 7 1 � Zone cubage required plan Cubage Distance to next ne.uest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 complied 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 st contractors, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 ar /7S-2 sr 20– Permit No.. Date Disapproved . D (Signed) uilding In ector My Commission Expires Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, PLANNING BOARD DATE Chairman Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oa faulty materials and /or workmanship. 'armit No Owner's Name and Address _ Registered Architect and /or Engineer Employing Plumber's Name_MJA.nti.t_ ` eit_ Location and Legal Description Street and Number where work is to be performed —No New Building Amount of Permit $ 11 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 11 /1 5 JI;A 41 No. _L Street ME? 3 s 7 1caG_ "� No. _________,�_ Block Street A X93 6 State work to be performed and purpose of building (By E! &i4 � -1 1:..4110: C1 C Remodeling Addition Repairs jr No. of Stories. Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ..______ _ __- __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto performed under this permit; and will post or cause to be posted' for inspection on the site of the work required by the Act. The undersigned agrees to employ only such sub-contractor work to b licensed by Miami Shores Village. Date JA Street _ A 6 Subdivision_ My Conunission Expires Notary Public, State of Florida Plumbing Inspector. ations as an employer of labor Supplement, and has corn - by him in the work to be is notice or notices as are s permit, as are STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administ 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. CLDfiETN .� BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS I NALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIt14 _ ® SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CORITR. LIST - CHECK 'armit No Owner's Name and Address _ Registered Architect and /or Engineer Employing Plumber's Name_MJA.nti.t_ ` eit_ Location and Legal Description Street and Number where work is to be performed —No New Building Amount of Permit $ 11 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 11 /1 5 JI;A 41 No. _L Street ME? 3 s 7 1caG_ "� No. _________,�_ Block Street A X93 6 State work to be performed and purpose of building (By E! &i4 � -1 1:..4110: C1 C Remodeling Addition Repairs jr No. of Stories. Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ..______ _ __- __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto performed under this permit; and will post or cause to be posted' for inspection on the site of the work required by the Act. The undersigned agrees to employ only such sub-contractor work to b licensed by Miami Shores Village. Date JA Street _ A 6 Subdivision_ My Conunission Expires Notary Public, State of Florida Plumbing Inspector. ations as an employer of labor Supplement, and has corn - by him in the work to be is notice or notices as are s permit, as are STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administ 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. [ - , 6,, 3 ,r APPLICANT: C" c(9 /4_S' C� � AGENT: I 0 PROPERTY STREET ADDRESS: L.yb //1 5 LOT: 1/4-- BLOCK: / ,(4_ , SUBDIVISION: PROPERTY ID #: ] CHECKED (X] ITEMS ARE NOT IN COMPLIANCE WITH CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. TANK INSTALLATION ] [04] MULTI- CHAMBERS 1 [05] LEGEND 1 [06) WATERTIGHT [07] LEVEL ] (08] DEPTH OF LID STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Authority: Chapter 381, FS & Chapter 10D -6, FAC (,/r [01] TANK SIZE [1] (2] CS [02] TANK MATERIAL CO IC..-- -e [ / r [03] OUTLET DEVICE DRAINFIELD INSTALLATION )) [ [09] AREA (1pl/ )(IS: (2 ]3 V_ r l [ 10 ] ISTRIBU /HEADER 1,./1 [ (11) OF DRAINLINES (,/f [12] DRAINLINE SEPARATION 23 4.. [� [13] DRAINLINE SLOPE ( .-1 [14] DEPTH OF COVER [ [15] SYSTEM ELEVATION [/ ] [16] SYSTEM LOCATION l a) 417 ] DOSING pumps [i-1 [18] AGGREGATE SIZE [/] [19] AGGREGATE SOURCE [-.-/) [20] AGGREGATE WASHEDGGREGATE WASHED [/ ] [21] AGGREGATE DEPTH i FILL /EXCAVATION MATERIAL [22] (23) [24] [25] [26) FILL AMOUNT C/'r FILL TEXTURE EXCAVATION DEPTH EXCAVATION AREA REPLACEMENT MATERIAL 0 " EXPLANATION OF VIOLATIONS: [ (' 1 [ 1 Ndet S 9 -9 3 SQFT [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] (27) ( [ 1 ( (1/r- (30] (1 1 [ [ ✓j 1 1/ 1 [ [✓J' [34] [ 1 [35] [ r°L ICANT SETBACKS FINAL SYSTE [APPROVED h ISAPPROVED] : `' �`"7 )"-t E 1, HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 -002- 4016 - 4) - e 7 N PERMIT # RECEIPT # FEE PAID DATE PAID CONSTRUCTION [APERVVE ,(DISAPPROVED]: /J - P c SURFACE WATER DITCHES PRIVATE WELLS PUBLIC WELLS IRRIGATION WELLS POTABLE WATER LINES C Yom'' 5b BUILDING FOUNDATION PROPERTY LINES /O � OTHER FILLED /MOUND SYSTEM [36] DRAINFIE • •VER [ ] [37] SH••' •ERS ] SLOPES [39] STABILIZATION MATERIAL DITIONAL INFORMATION [ ] (40) UNOBSTRUCTED AREA [41] STORMWATER RUNOFF [42] ALARMS [43] MAINTENANCE AGREEMENT [4,41 BUILDING AREA [45] PLUMBING FIXTURES [46) FINAL SITE G [47] CONTRACTOR [48] OTHER ING / / 4 r� e ABANDONMENT [49] TANK PUMPED // [50) TANK CRUSHED AND FILLED CPHU DATE: CPHU DATE:/.-2 Page 2 of