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597 NE 93 St (4)Date iami Jhores9llage F L O A 1 D A PLUMBING PERMIT N9 734 Issued to OWNER LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. building at For a story Fixtures Fixtures $ Sewer Septic Tank $ Total $ Village Plumbing Inspector Received Payment by Contractor or Builder Legal Description Address of Building e Lot BUILDING ELECTRICAL PLUMBING ROOFING Owner of ... , Building tr \ 4»� +e *Aku .. Architect 1 ° Value of Amt. of . Project $ Permit $ _ This permit is granted to the contractor or builder named above ,to costruct the building or to install the equipment or device described in the applica t n herefor in strict compliance with all ordinances pertaining thereto and with the undng that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to a *d approved joy 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 chinged authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumerthe " responsibility for a thorough knowledge of the ordinances and :regulations pertaining to the work covered hereby whether shown on floe plans or drawings or inthe stateirnents or specifications and that he assume s responsibility for work done by his agents, servants or employees. {,, INSPECTOR ' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No PERMIT N? 11878 I Work to be performed under this Permit In consideration of the issuance to me of this permi gree to perf m the work covered hereunder in comp • with all ordinan s and regulations pertaining thereto and in strict conformity with the plans, draw ts or specifications submitted to the pro er authorities of Mi i Shores Village. In accepting this penit I)ssume responsibility for all work done by either, myself, my agent, servant or employee. Bl. Signed • Subdi- vision ti BY AUTHORITY 1954 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address S 6 1 7 E _q3 Tax Folio //— 1d (0 -0 (C( ! o (/ 0 Legal Description 44 GIr4 ( 'Stir* 9 S Historically Designated: Yes �j No Owner/Lessee / Tenant C �(( 51 r T! P t Master Permit # 4/ I J9 Owner's Address . q-7 - ^ Q 3 Phhone�, ,l Ili Contracting Co. i 0 �'� NsT IQ Address Ca (t) — 1 • Qualifier Rk? 7F' 4 sS# - 305 7S 7 - S Z State # Architect/Engineer Bonding Company Mortgagor FEES: PERMIT APPROVED: Zoning Mechanical Municipal # Permit Type (circle one): BUILDING ELECTRICAL PLUMBING. MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ti/ A \ � e t� �� e � - Square Ft QO Estimated Cost (value) ( la / WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T 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. Notary as to Own and/or ondo President Date My Commission Expires: LESTER E. CROCKETT My Comm Exp. 5/20/2001 Bonaed By Service Ins No. CC649326 I I Personally Known 1 I Other 1 Competency # Address Address Address RADON C.C.F. Notary as to Con . ctor • Owner- Builder Date My Commission Expires: LESTER E. CROCKETT My Comm Exp, 5/20/200/ Bonded By Service Ins No CC649326 I 1 Personae , Known I 1 Other ' NOTARY BOND Electrical Engineering Ins. Co. TOTAL DUF STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: � ( J New System [ / j x isting System [ Ho ng Tank [ 1 Temporary /Experimental Repair [ G Abandonment [ 4 ther(Specify) APPLICANT: a R S � r �� °()`ENT: / O(/ PROPERTY STREET ADDRESS: 5 A) L 3 3 LOT: 2 BLOCK: 6 SUBDIVISION: / in qI PROPERTY ID #: ill_ 20c, Q 0 ION /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. a SYSTEM DESIGN D SPEgJ CAATIONS T [ [GALLONS GPD] `EROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] •: / 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 [ 33 `" OIIS ARE FEE P RIMARY DRAINFIELD SYSTE R [ ] SQUARE FEET I E L D 0 T H E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND I CONFIGURATION: [ ] TRENCH [ ED [ ] N F LOCATION OF BENCHMARK: 1. 26 p s Cfo 0i4 O F ELEVATION OF PROPOSED SYSTEM SITE [ ' ] cxyglupir, [ABOVE BOTTOM OF DRAINFIELD TO BE [ .3 3, / 4 NC%FT] [ABOVE/ ELO FILL REQUIRED: . 1 . 1 INCHES EXCAVATION REQUIRED:. [ 3 " ._: '7 '. `:��,:,,..� :.2),0 CI Ir ©A Y f, aT,T� 2h ; N1 i :s NOT Yak P" : 3l l'7,JkS1 ,cur ;tr.0 ,•, k',' _ 7 .6 Al r( CI ';' i3LEVATle1.! � ' - - a'. 5 ' 0 F( TITLE: TITLE: HRS-H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) -.(Stock Number: 5744- 001-4016-0) (�f PERMIT # DATE PAID FEE PAID $ RECEIPT # INCHES EXPIRATION DA i< g Sz-) [ 66 / FERENCE POINT FERENCE POINT 'Pe:..,it. tznhr y Cr.,11.11. CT. or appiicvsr.. or agert. !•,;7,aily w ".••••• ••'. I:1 • u • Cilcpt::: . • , 71, .•. •, " • '••••: , !7""I : • by :7' •. • J • . • '; MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ____f �, Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bidding 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,^ y'_ - _ No._ ✓v� 'i \� No._ L 2. Registered Architect and /or Engineer Employing Plumber's Name _ _' �' : f _ No._ Location and Legal Description Lot____ _ Block Subdivision Street and Number where work is to be performed —No t eet < State work to be performed and purpose of building (By Floors) N Building Remodeling Addition__ Amount of Permit $ (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. ss. p airs C- (Signed) My Commission Expires Notary Public, State of Florida Street f `-t- - -- ------ - - - - - I o. 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 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ____f �, Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bidding 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,^ y'_ - _ No._ ✓v� 'i \� No._ L 2. Registered Architect and /or Engineer Employing Plumber's Name _ _' �' : f _ No._ Location and Legal Description Lot____ _ Block Subdivision Street and Number where work is to be performed —No t eet < State work to be performed and purpose of building (By Floors) N Building Remodeling Addition__ Amount of Permit $ (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. ss. p airs C- (Signed) My Commission Expires Notary Public, State of Florida Street f `-t- - -- ------ - - - - - I o. 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 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. 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. OWNER LOT BLOCK SUBDIVISION r G/ / �te ssued to iami cJhores9' llage F L O B D A PLUMBING PERMIT N9 707 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story Fixtures building at Fixtures $ "� Sewer $ 1 ii eptic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION S e Issued to iami �ltores9llage F L O R D A PLUMBING PERMIT N9 734 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at -7 / Fixtures Fixtures $ Sewer $ •tic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER liami fhores91llage F L 0 R I D A PLUMBING PERMIT N° 707 Date Issued to LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by