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461 NE 93 St (7)Employing Plumber's Name ____ Size Septic Tank__ Feet of Drain Tile___ Nature of Water Supply: City - -Well Amount of Permit $___/ V 0 STATE OF FLORIDA, COUNTY OF DADE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 t - hyrks a PA Registered Architect and /or Engin r _ C Street -- ...... ______________ Location and Legal Descri Lot 2 ption - ______� B Street and Number where work is to be performed —l\l',o 4e' L ( State work to be performed and purpose of building ,(By Floors) New Building_________ _____ Remodeling Addition Repairs —___ No. of Stories____— _______ Type of Tank A The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly 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 MIAMI SHORES VILLAGE Date_ Di, ,. .Feet of Tank or Drain Field from Well Size of Soakage Pit 9"/ 111; Street____ n_ Capacity Gals.__— ______ ____ � - -__ – - -- — (Signed) – — Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 1 (Signed) 1 ' �- Notary Public. State of Florida Master Plumber. authorized to administer oaths and take acknowledgments, personally 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'N5 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Employing Plumber's Name ____ Size Septic Tank__ Feet of Drain Tile___ Nature of Water Supply: City - -Well Amount of Permit $___/ V 0 STATE OF FLORIDA, COUNTY OF DADE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 t - hyrks a PA Registered Architect and /or Engin r _ C Street -- ...... ______________ Location and Legal Descri Lot 2 ption - ______� B Street and Number where work is to be performed —l\l',o 4e' L ( State work to be performed and purpose of building ,(By Floors) New Building_________ _____ Remodeling Addition Repairs —___ No. of Stories____— _______ Type of Tank A The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly 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 MIAMI SHORES VILLAGE Date_ Di, ,. .Feet of Tank or Drain Field from Well Size of Soakage Pit 9"/ 111; Street____ n_ Capacity Gals.__— ______ ____ � - -__ – - -- — (Signed) – — Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 1 (Signed) 1 ' �- Notary Public. State of Florida Master Plumber. authorized to administer oaths and take acknowledgments, personally 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. 7 77 7 State work to be performed and purpose of building', (By Floors) New Building. Remodeling ! Addition J� Size Septic Tank. L. r �peank STATE OF FLORIDA, 1 COUNTY OF DADE. Amount of Permit $________ ss. elm MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ Date apa a - P -1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted /r the uilding or er structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F rida, 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 ivision 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 1 "£s 'r LF`>L.[z a7 No ‘- / 7 Street 7 Registered Architect and /o ineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivis' n Street and Number where work is to be performed —No m`' Street a.» -*-.e.— Repairs No. of Stories___________..____ s Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well / Nature of Water Supply: City —Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida lambing ctor. 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) - 7Z- '4'e' U Maiter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LI1ST ST / / / J —_ CHECK / 50 - 7S "15 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK _ ..- �t C_ 1` !► — /�� C 1 Permit No. 7 77 7 State work to be performed and purpose of building', (By Floors) New Building. Remodeling ! Addition J� Size Septic Tank. L. r �peank STATE OF FLORIDA, 1 COUNTY OF DADE. Amount of Permit $________ ss. elm MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ Date apa a - P -1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted /r the uilding or er structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F rida, 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 ivision 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 1 "£s 'r LF`>L.[z a7 No ‘- / 7 Street 7 Registered Architect and /o ineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivis' n Street and Number where work is to be performed —No m`' Street a.» -*-.e.— Repairs No. of Stories___________..____ s Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well / Nature of Water Supply: City —Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida lambing ctor. 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) - 7Z- '4'e' U Maiter 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. 3" BUILDING ELECTRICAL PLUMBING. Owner of Building MIAMI SHORES VILLAGE, FLORIDA Architect Contractor j �j l e; . :4, or Builder l Legal Lot Description PERMIT N° 7877 Work to be performed , �,Jt: l t under this Permit d Bl. Subdi- vision Value of Project DATE )11 / / 194i_ Contractor' License No Address of Building This p rmit is granted to the contra or or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- - a ) £i sibility for work done by his agents, servants or employees. INSPECTOR By In consideration of the issuance to me of this permit I agree to perform jhjwork covered hereunder in compliance with all or . na es and regulations pertaining thereto and in strict conformity with the plans, drawings, statement or specifications submitted to the proper authorities o iami Sholillage. In accepting this permit I assume responsibility for all work done by either mys�e my anent, servant or employee. CONTRAerOR'OR BUILDER Yom ,. • BY 1 Amt. o Permit AUTHORITY 0d Permit No Application is hereby made for the approval of the detailed statement of th,, plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and coufax rw.y 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 A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address t 'z. .------ _- _----------------- - - -_ -. • - - -- No...__ _1.------ - - - - -- Street_ 7 12_ •_ • c" Registered Archliect and /or Employing Plumber's Name •.. ••° ........... - _ - - -__ Subdivision.-- _ -__ -- Location and Legal Description Lot Street and Number where work is to be performed —No cg State work to be performed and purpose of building (By Floors) New Building Remodeling___ —_____ Addition. Size Septic Tank. Feet of Drain Tile Dist. Feet of T Nature of Water Supply: City —Well.. , - -- / Amount of Permit $ ` A:7 MIAMI SHORES VI'. _ADZ- PLUMBING INSPECTION DEPARTMEk APPLICATION FOR PLUMBING ( Signed)._ Street Repairs No. of Stories. Type of Tank Capacity Gals. in Field from Well _._Size of Soakage Pit Date 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 5968, 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. o B ( Signed) , r4 I Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 3efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS TUBS LAVA- TORIES SINKS S SLOP SINKS LAUNDRY TUBS UR 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'O POOL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of th,, plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and coufax rw.y 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 A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address t 'z. .------ _- _----------------- - - -_ -. • - - -- No...__ _1.------ - - - - -- Street_ 7 12_ •_ • c" Registered Archliect and /or Employing Plumber's Name •.. ••° ........... - _ - - -__ Subdivision.-- _ -__ -- Location and Legal Description Lot Street and Number where work is to be performed —No cg State work to be performed and purpose of building (By Floors) New Building Remodeling___ —_____ Addition. Size Septic Tank. Feet of Drain Tile Dist. Feet of T Nature of Water Supply: City —Well.. , - -- / Amount of Permit $ ` A:7 MIAMI SHORES VI'. _ADZ- PLUMBING INSPECTION DEPARTMEk APPLICATION FOR PLUMBING ( Signed)._ Street Repairs No. of Stories. Type of Tank Capacity Gals. in Field from Well _._Size of Soakage Pit Date 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 5968, 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. o B ( Signed) , r4 I Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 3efore 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. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /9 (FC(3 - 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 tarot. A copy of approved plans and specifications must be kept at building during progress of work. �/� Owner's Name and Address 5 / 2 -S // �' ,Q c A T No g / Street/ ' �• Y_ -S Registered Architect and /or Engineer Employing Plumber's Neune / J t " AS .S ).C ..... ®.�m. itrt � ., T • Location and Legal Description Lot_ Bleck Subdivision Street and Number where work is to be performed —No y‘ / Street. 3 .. -5 T . State work to be performer and purpose of building (By Floors)_______ New Building.__..__ _.._..........._.. Remodeling —_._ _ __ Addition Repairs No. of Stories............... Size Septic Tan Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ crio Type of Tank__ — — -- — t)lst. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed ) - - - -- ---.� ( Signed) --` LPL_ -Capacity Gals- I Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts *Obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 59138, Complied General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor 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. Muter Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be b the Y_._ --- .._..-- • -_ - -. _ _... __ _.. of the above described construction, that he bas 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 sea srlagpaetlen is madarososwry by improper notice for hapsdion, or faulty materials and /or workmanship. BATH CL0S S TUS• KNOW [RS LAVA• TORI[s 61NKa 860/ a1NKe LAUNDRY TUBS U RINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS,L AOO g P 7� ... �C 1 TOTAL FIXTURES GL I•T LIST 1s cp. CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKADI PIT ORIGAMI TRAP SOLAR NEATER DEEP WELL SPKKL . SYSTEM SWIM'S POOL CONTR. IFT LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /9 (FC(3 - 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 tarot. A copy of approved plans and specifications must be kept at building during progress of work. �/� Owner's Name and Address 5 / 2 -S // �' ,Q c A T No g / Street/ ' �• Y_ -S Registered Architect and /or Engineer Employing Plumber's Neune / J t " AS .S ).C ..... ®.�m. itrt � ., T • Location and Legal Description Lot_ Bleck Subdivision Street and Number where work is to be performed —No y‘ / Street. 3 .. -5 T . State work to be performer and purpose of building (By Floors)_______ New Building.__..__ _.._..........._.. Remodeling —_._ _ __ Addition Repairs No. of Stories............... Size Septic Tan Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ crio Type of Tank__ — — -- — t)lst. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed ) - - - -- ---.� ( Signed) --` LPL_ -Capacity Gals- I Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts *Obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 59138, Complied General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor 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. Muter Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be b the Y_._ --- .._..-- • -_ - -. _ _... __ _.. of the above described construction, that he bas 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 sea srlagpaetlen is madarososwry by improper notice for hapsdion, or faulty materials and /or workmanship. n PEOPLES GAS COANY Date Permit Taken: Permit No. Account Name Installation Address P ' CmusxnttY Joh Order .. Type of Account: 1✓JResidential '. r Commercial Industrial • Appliances to be used:` •Total Connected Load: e 7 Therms SZETCH 07 INSTALLATION SITE: • 1. Indicate North. 2. AI,1 property linos. 3. 79=tion of structure 4. Distance of structure all property lines. L.P. GAS It S ALt .TTC "d tlOatt ORDER. Show the following: A Dual Exchange Cylinders Saies 1 presentative: +istrict 1!c ger: %letercd Non Metered Remote TsrAk Installation aPECZAL Fr3STRUCTIONS : THE 'AI -IP i ' ED GAS COO ANY CapLta . ,No. ._ Customers Acct. ado.' 7 Phone No.: - ' :,7 Job Order Date Service Required - /P - 7 -1 , -- 7 7— ' 7 771 5. location of LP storage &c ft.of fill hove reluire*:. .6. Location and size of houso line' stub aut. , ' on property._ 7. instance from L.P.. atoragcttoo the heuac 1 r,e. from ' 8... Location of all electric bores or 'equipz such ae pumps and air conditioning units. ' Does thin account ha a present suppUicr : 7.T.Yos No M'Above Ground 7 perMb.ca Gas Cc t : - r 1y ut1f i 5,/,i`5' Namc :� ,. �; rr�� r :�- Time / /�/ By t • TYPE INSTALLATION Horizontal Tank(e) Storage Cap. Vertical Tan1z(o).4 _p }_-�: Storage Cap.,' ti ' Two Stage 1:cguQ ion ' rate: ' P - � s Lpprcved L.P. Installation. Supervisor: Not A Droved By: Returned To: Znstsnation to be made by:. ® Distribution ri Installation 5Twr)V01 t on 6cheauled Ear: CoMplot A ®n: , Date Date Returned :�_ Service " L.�'. D1p1.;e -. . b ...a..a.t a..� :.,s,ta..:..e;.... a ..... a - ��.•M..l a:l"es... -.,r .ra4e.-- - -'-'- q -_^ GLOaxTa BATH Tua• SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUSS URINALS CATCH SAWN FLOOR DRAIN DRINKING FOUNT' NO TOTAL FIXTURES CONTR. LIST CHECK SWIM'O POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT AREAS[ TRAP SOLAR HATER DEEP WELL SPRKLR. SYSTEM CLI ST LIST ■ CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer £atploYinB Plumber's Nano ® c' - .ain'� N a,,....,..L.7.zza_.,.,... /tr.st_4(.....w..../2.2.d -t,.. Location and Legal Description Lot Block SubdivWon._.--_....- — Street and Number where work L to be performed —No �t / Street.._._ f..e ._ �/._ State work to be performed and purpose of building (By Floors)._ - -- ------ _— .----- •• -.. -_ New Building.. _ _------- .....__.___ Remodeling_— _____ -____— -- Addition.. - - - -- _—_... Repairs Size Septic Tank_. Feet of Drain Tile /2 Nature of Water Supply: City- Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent u pplement, and has can - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ b y 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank---._ — Feet of Tank or Drain Field from Well Size of Soakage Pit_ (Signed )- (stoma) D a t e _ No 4 /‘ ( Street. - -.M No. of Stories. STATE OF FLORIDA, 1 COUNTY OF DADE. r 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 oses and says that he is the Y.._ .._.._...- - -_ - -• - -... _._.._ . of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all fads 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 wham seek srrispeetioe is merie.aaoemery by improper nodes for impaction, er freaky materials and /or walaaanahip. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder 114 i•/� 7 Legal Lot i.: Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE / 'I ''1 / 194_ PE R lei IT N? 1765 Contractor's 6 3 . License No. Work to be performed under this Permit Bl.j / Address of , dr ► Value of I Amt. of Building "'1 k f . ,1. * ,,,,,7 Project Permit ■ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with al ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specific Lions 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 b his agents, servants or employees. if / Signed: 1 ` 4 By INSPECTOR In consideration of the issuance to me of this permit I agree to perform re work covered hereunder in compliance with all ordinances And regula- tions pertaining thereto and in strict conformity with the plans, drawings, star eats or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by etcher myself, my agent, servant or employee. ', �,/ . toti Subdi- vision L . 844A OW. Date `i/Ov /.T 93 Job dys y / Al , f' , 9,3 Tax Folio 3cz& 'm' Legal Description _ V / Owner / Lessee / Tenant 3 / f,4e /e Master Permit g 7 6y 9 `� Owner's Address '/ Q A" f% / ,1 J / , Phone e7S ///3 Contracting Co .to // A( Co,•?* e ✓ a y Address 770 A•✓- C /62 joi . Qualifier (42 c2 I (de ✓14 SS# / Phone tf 9-5 // /J. State itP Municipal # /' Competency # i ' Ins.Co. 0»-' 62, . Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL LUMB 'CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 0 r,q..,, �� „d ee- / Square Ft. Estimated Cost(value) 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. r ( Art-Q Sign Lure of owner Pate:. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /4, f r, #" /3 P s or Cordo PrPc 4 r1Pnt .... ANNA QUINONES Itre MY COMMISSION 1 CC 147711 $ EXPIRES: September 29, 1995 .,; ha• � �,�.: NIISRderwriters Notary as to Owner ... -__ -_ my Commission Expires: � CP44-4 ** * * * * * * * FEES: PERMIT J ' ' RADON APPROVED: Zoning Buildin Mechanical Signature of Contractor or Owner-.Builder ` DO: '''•o, ANNA QUINONES *' MY COMMISSION 1 CC 147711 � �• OF ` FXPrPES• sep tembcr 28, 1885 NBts F� ,' B3d vmu Nbbpe ubdioriter • 1 r Owner - Builder •.f y mmission 1vxpires: 'Uov. /S 93 * * * * * * * * ** C.C.F. • S NOTARY TOTAL DUE r Fire Other Electrical Engineering CONSTRUCTION PERMIT FOR: ] New System [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental ] Repair [ ) Abandonment [ ] Other(Specify) APPLICANT: PROPERTY STREET ADDRESS: LOT: PROPERTY ID #: APPROVED BY: DATE ISSUED: //.....y_ °'/ t' ‘....2_ STATE OF FLORIDA ' y ` , PERMIT # +' DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID If . - t ® • � ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ 'O . CONSTRUCTION PERMIT RECEIPT # 33.;.s Authority: Chapter 381, FS & Chapter 1OD -6, FAC ( JLJ E 3 BLOCK: SUBDIVISION: AGENT: I Th [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE 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 ) [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ A [ ) [GALLONS / GPD] CAPACITY MULTI-CHAMBERED/IN IES:[ ] N ( ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 ALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PS: [ ] BENCHMARK/REFERENCE D SQUARE FEET PRIMARY DRAINFIELD SYSTEM A TYPE SYSTEM: [ ] STANDARD [, ] FILLED [ ] MOUND [ ] F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES/FT] [ABOVE/BELOW] POINT BENCHMARK/REFERENCE E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES/FT] [ABOVE/BELOW] POINT T r... --#n' / , 54-11 I { / 4 ) . 0 , - '+ - - '�' " V \ . / V L Q t/ 1 t ) -3".. s a . . H 1 ✓ U . - / fN 4m H i E R SPECIFICATIONS BY: TITLE: HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 -001- 4016 EXCAVATION REQUIRED: [ ] INCHES TITLE: APPLICANT CPHU EXPIRATION DATE:, /7l N Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: • Permit tracking number assigned byt CPHU. APPLICATION FOR: Cneck type of permit, if "Other` specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone rwmber for applicant or agent. AGENT. pc -y awrcr'r lagcil, authorized repre5ent.tivw MAILING ADDRESS: P.O. sox or street 'nailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID#: 27 character id number for property. (CPHU may require property appraiser ID N 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 Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPHU. 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. .;! ■■! 1, f I . ' I I I I 11 I I ,1 11 I 11 I I tFI / 1 , • / . • , Site Plan Submitted by STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION Pc179/1IT Permit Application Number ff - - - I I I ' I 11 I , . _ II ! iRS-H Form 4015, Feb 85 (Obsoletes orevious editions which may riot be used) Stock Number. 5744-002-4015-6) PART II SITE PLAN ' I i Not Approved Plan Approved ./". ' ■ By ALL CHANGES MUST BE APPROVE IA TH COUNT Notes SIGNATURE 1T1LE 7)1j 2 gBLIC HEALTH UNIT Date ' County Public Unit Page 2 of 3 APPLICANT: PROPERTY STREET ADDRESS: LOT: PROPERTY ID #: T __.L i H E R SPECIFICATIONS BY: * i, • STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC DATE ISSUED: BLOCK: SUBDIVISION: APPROVED BY: HRS-H Form 4016, Mar 92 (Obsoletes previous editions which may not% (Stock Number: 5744 - 001 - 4016 - 0) �j AGENT: f ,,(4 SYSTEM DESIGN AND SPECIFICATIONS T [r.�� ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT A [ ] [GALLONS /*GPD] N [ ] , GAI, ,,ONS- e t INTERCEPTOR CAPACITY K [ ] \ *05 A * DOSE DOSING TANK CAPACITY D [-t SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED I CONFIGURATION: [ ] TRENCH [k] BED N !1 F LOCATION OF BENCHMARK: L' TITLE: TITLE: 4 — ri l)kci BUILDING DEPARTM 411 PERMIT # DATE PAID / 1 FEE PAID $ Li RECEIPT # --; 7 CONSTRUCTION PERMIT FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental („ ] Repair [ ] Abandonment [ ] Other(Specify) [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ [ ] MOUND [ ] [ I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ ] INCHES / 1 CPHU EXPIRATION DATE: B ,z / Page 1 of 2 INSTRUCTIONS: SYSTEM DESIGN AND SPECIFICATIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. 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. (CPHU may require property appraiser ID # or section/township /range /parcel number) TANK: Minimum specifications from Chapter 10D-6, FAC. DRAINFIELD: Minimum specifications from Chapter 1OD-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 Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPHU. 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.