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520 NE 92 St (8)ACCOUNT e i . r■ , , ( PAYMENT .,.' BAL. DUE 4 ■ . • ‘ ij DATE No. / RECEIVED FROM ()FOR RENT OFOR , . —; (, •-• / •• DOLLARS CASH FROM CHECK O MONEY ORDER BY 1182 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue.• Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 . 4 A ` _ ) Date - � - DI )` Job Address •i10 , v ��'1 � Tax Folio Legal Description Historically Designated: Yes No AY Owner /Lessee/Tenet Lucre & i "1 P� 4 d q t4 4 Master Permit # 6 p v I OO t Owner's Address SO v Ai F Q a S . d,oin. / v - ` G Q Pi , 0 3 JG Contractin Co. 4 / ( o o Y ) . o See C I vi ri K L ®f • Address ' . q I ) 3 {H S Qualifier �q1 ) rlt ( 0 � f �a 17 SO — 97,hone3owQ/ 4 7`2 "/ State # FI G Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: 1 O S -Qe/C L• K t v "t S71 5 70re 4 f dvc , 6»e fd• Square Ft. (oco 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 ANY 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). 1 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 all disciplines. OWNERS 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. S ignature of owner and/or Condo President Notary as to Owner and/`or My Commission Expires FEES: PERMIT `?5 Date on � o j� si' ent ,Date. TERESA J. SOLOMO MY t^MMISSION # CC 854606 tt. IRO; Jul 1E, 2003 1 TA q`4 F . tVm etty teNk* a bandlQ O0. RADON C.C.F APPROVED: Zoning Building Mechanical Plumbing Competency # Estimated Cost (value) Ins. Co. MECHANICAL ROOFING 0 Or "f% /' � ri ,\ 1At, Lir No as�o Co tra w Date fit My Commissio MY CO MMISSION # CC i. 8 t TERESA J. ' SOLOMON r ,d C EX PIRES: JJuice, 18, 2 rg 8 1 4043NOTAgY Fta. N otary�� $ ` 50 NOTARY e°'wl co. 4. / `' B• �O TOTAL DUE q / 1 iJ 6) Electrical Structural Engineer BPEI CLINICAL LA6 305 326 3175 DEPARTMENT OF HEALTH ONSITZ SEWAGE TREATMENT ANL DISPOSAL SYSTEM CONSTRITOTION Pax .- r. . • CFZCATIC•?N$ P;Y RRAM, TED J3'X: ,, _�! x 3GTJE0: 0 ., b z ;, 03/97 rbaolota, previous edition, which may not be used.! Nymaar: 6774.003,•.f016.C) lottz %:or.n_4o1e,4 TITLE; 04/15 '03 07 :15 N0.129 02/02 CENT { 44:_24.:S917.1.4_131 DATE PAID FEE PAID : $ RECEIPT ; _ OSTDSN$R : 02 -27 5~ ,N CO th '?rJCTION PERMIT ?'OR: r x )New System j ; Existing System I [ ) Repaiz' [ )Aba.n.donment 1 Hoidir g Tank i [ ;Temporary 1 Innovative Other APPLICANT: [ NA ) Adesm, LLucr c i a - -- may AGENT ; _ OWNER , PROPERTY STREET l�dr:DR6Sa: 520 !hg — ~�^"� "� ""`-- 9Z --- Ys# -boas FL LOT: 4 BLOCK' g - - � .�.. , sum: M /ON: Piiama, Shores S•Ba ti 1 PROPERTY ID . _ -OZ4 -1190 .Sect I �-� [OR TAX ID Ftan� ®/ k�azcel N. ) ' NVME313R) SPEC 3XSTEM M'J$T - CONSTRII CTED IN ACCORDANCE WIT:3 =0 7BD ARZ?NrN"!' Z1APF., SYSTEM .,VAL SYSTEM bCES NOT GUARANTEE 'EF ART ANY C RWAL OP Mi�Tf:R D ES NS WHICH SF rORY PERFORMANCE A R CN spa E ric 'MICE. A APPLICANT , rT�C :SQUIRE L+ MADE I TO MODIFY THE PERMIT APBRICATk A BASIS S H OD IICATIC'EFOF ANY v TIME EIA7G M D NULL AND VOID. ISSUANCE OF ^v SUCH MODIFICATIONS THIS PERMIT, 1 N. , T , 'OMPLIA,N_E; WITH OTHER FEDERAL, STATE OR LOCA FE,RMIT' IE Q U IRED FOR PROPERTY VE IN TS3?S :..IS PERMIT DUES NOT EXEMPT THE APPLICANT FROM YSTEM DESIGN AND S PECIFICATIONS "'^ '-'~-� -- L�TY DPVELOBI2Ep1T I 1050 ) Gall cros SEPTIC TANS I 0 ; Gaa,i .)>"6 h'JULTT -CFI n 0 ) C %ALLRC NS C INTERCEPTOR ��N IN SFsR> E;g : y ) { 0 1 GAi.L ;N3 UpSINC 'IABIRCI[IX.�,PACITY MULTI-CHAMBERED/IN SERIES! [ X ) I 0 f GAL:.::>N;, ry j 0 l DaSES PER 24 HR., 0 PUMPS( C ] i 571 )SQUARE PEET PRIMARY DRAINFTELD SYSTEM t 0 ) SQtTARF, FEET TYPE SYSTEM; [ Y ) STpND Rb SYSTEM CONF'7GUZATION: [ N ) raNCH [ N FI,LLirL [ L N )MOUVD I N ) Y )BED [ N ) LOCATION TO BJ•;NC:H ARE , E PI fiLEIVAT1OI; OF -- 4 . NGVI) Ci g St & )F rROF0uE2D SYSTEM SITE [ 4.1 BOTTOM LVAT OF I) PR IELD TO BE INCHB LOW~ C [ BE MARX REFEP.i,� *C>r POINT I 34 ) I INCHES ) [ EIE UN I B ENCHMARKiREFEE CE PO -TNT FILL REQUIRED: [ 0.0 )INCHES EXCAVATION REQu IR rD ; [ 72.0 ) INCHES ER REMARRE3 • new black water eyste�n �l ,-_ e existing system will world E txe entire roefde ,ce [e�:istin stall IOSO gala aew, abandoned. S 9I�s add..t�,on! and proved filter. • dual-chambered and min. category 2 septic tan)t a existing septic tank ghal3 be, equipped with an 'vide(' the ' Pied, crushed the bottornl, felled �ritb R stall 572 s P � c ut' sae�ipt. tzitakrle soil and q. ft. drainfield, replacing tha,unsJ•itable moil in the cite them 7.11a , with ,ghtly limihe8 and at the bottom the require area. 'e , extended 12 ^wide as a, barrier all around he rt elev. of dratnf:ield no lees than 7. the Perimeter tom of drniafield elev. no leis IQx, -Nwt vD TITLE: _ Sneer, Dade CHID EXPIRATION DATE: SZ ��� -2 Page 1 of 2 i FOR Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 4/28/2003 Applicant: LUCRECIA Owner: ADAMS JOB ADDRESS: 520 NE 92 Parcel # 1132060141190 �f. Plumbing Permit Permit Number: PL2003 -112 ADAMS LUCRECIA ST Contractor ALFONSO SEPTIC TANK CONTRACTOR COQDntractor's Address: 1391 W. 36TH ST. Local Phone: 305 - 889 - 2959 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 4 & 5 Fees: Description FEE2003 -2500 Building Fee FEE2003 -2501 CCF FEE2003 -2502 Builders Bond Total Fees: Amount $160.00 $1.80 $300.00 $461.80 Total Fees: $461.80 Total Receipts: $0.00 Permit Status: APP OVED Permit Expiration: 10/25/2003 Construction Value: $2,500.00 Work: 1050 SEPT TANK WITH 571 SOFT OF DRAINFIFI n R C =I:rn• Ti A .. • • •- - • a PAY RD OF - ALFONSO SEPTIC TANK CONTTR _LCORP ST 38TH SEET 1391 HIALEAH, FL 33012 AMNION PLANTERS t • gra 6097 63-841/870 - 03 nn 8 P. 0 1000609 ?a' x:067008 L44: p' &0895 L 1 3 LOH' .v?Un "..+'n.•- "-- lciJira.W F+A1PLi.n.inms5� �i*..att • -. - _ •miaini2 )FT :4uTFslaFitlF.�.- �TR!i =V�. -� - Page 1 of 1 BLK 58 LOT SIZE 100.000 X pertaining thereto and In strict assume responlsibility for all work BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE: (305) 795 -2204 FAX: (305) 756 -8972 GENERAL INFORMATION • HAVE PERMIT CARD & APPROVED PLANS ON SI'Z'E • PLEASE CALL FOR ALL INSPECTIONS AT (305)795 -2204 Leave a message in our voice ALL PERMITS REQUIRE INSPECTIONS • • „:•••••,.... Applicant: LUCRECIA N Owner: ADAMS JOB ADDRESS: 520 NE 92 x f FOR , Miami Shores Village 1 10050 NE 2nd Avenue Phone: 305-795-2204 Printed:4 /28/2003 Parcel # 1132060141190 ,UNION PLANTERS A / /. 1: 11u10895LL3 11'00609711' 1.0670084 L4 . Plumbing Permit Permit Number: PL2003 -112 ADAMS LUCRECIA ST Contractor ALFONSO SEPTIC TANK CONTRACTOR COBBntractor's Address: 1391 W. 36TH ST. Local Phone: 305 - 889 -2959 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 4 & 5 Permit Status: APP OVED Permit Expiration: 10/25/2003 Construction Value: $2,500.00 Work: 1050 SEPT (TANK WITH 571 SQFT OF DRAINFIFI n R. Q DTicc Ti % . Page 1 of 1 ac ALFONSO SEPTIC TANK CON 9 R I A CTORS _ HIALEAH, FL 33012 A I I, k. I 1 # TO THE ORDER OF . / • 0 DATE I - 03 63-841/670 BRANCH 82,5E $ a 691. SO DOLLARS 6097 ei Se curity BLK 58 LOT SIZE 100.000 X Fees: Description FEE2003 -2500 Building Fee FEE2003 -2501 CCF FEE2003 -2502 Builders Bond Total Fees: Amount $160.00 $1.80 $300.00 $461.80 Total Fees: $461.80 Total Receipts: $0.00 pertaining thereto and in strict assume responisibility for all work BUU.DING ELECTRICAL PLUMBING Contractor t_ or Builder tt% • Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 5152 4 Work to be performed under this Permit - 6 ' -® a {fit fi • Owner of Building Architect Address of Value of Building Project This permit is granted to the contractor or builder named above to construct the building or to install the equipment ordevice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assume a resp.. • .ility foy a tltorpugh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawl g or in,1t : statemeit s or, specifications and that he assumes respon- sibility for work done by his agents, servants or employees. .4 r: . PEG$R 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 s 'et conformity with the plans, drawings, statements or specifications obmitted tall* proper authotjltigs p(v1iami Shores Village. In accepting this permit I ume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed. Subdi- vision BY 4 P � DATE Contractor's License No fs' t .3 Amt. o€ Permit By 7 AUTHORITY 194 loof BUILDING ELECTRICAL PLUMBIN9 A ttfO • Buildin JJ / . Owner of A J Architect Contractorf) /j '` a ' if' 6 or Builder d, ` U Legal Description Address of Building Lot 77 *�. Value of Amt. of t �,; .`' , I Project Permit p / This pe it is granted to the contractor 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 muni *pal 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 hanged without aiarization. A further conditiork upon which this permit is granted is the understanding that the contractor or builder named above ass , s the .onsrhility,,''''for a thorough knowled a Wtho orduujj noes and regulations pertaining to the work covered hereby whether shown on the plans or . : • �ecifications and a es respon- gsfi sibility for work done by his agents, servants or employees. —. - In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with dinances and a ns pertaining thereto nd • ict conformity with the plans, drawings, statements or specifications submitted to the proper autho rlof Miami ShoS�ge. In accepting' hii it responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OIWBUILDER MIAMI SHORES VILLAGE, FLORID ERMIT N9 5276 Work to be performed under this Permit } r Ne4 Se?", Bl. Subdi- vision BY DAT r y 1 194_7 / Contractor's License No. Signed t <, F „�r " il' By IT$�CTOR AUTHORITY