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87 NE 93 St (8)Date 7 / Job Address U /7 9,3 57- Tax Folio 1/ " e Legal Description ' 45r 0, Of- tot ? 4/C G l (5 f ).5' /3 l4 3 5 e ' [ sZ ter Lessee / Tenant Ct'or ( 1) l A' 2; Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Contracting Co. Pro l ® 7 h -e 1 C. Address (23 /b /Z v ( (s( Qualifierfl/ Gi „E4 ( ina SS ( Phone 9‘‘ C 775 State #< 6 a' 3 Municipal # 2 77 C 3 ° Competency # � ns.Co. c°T` ( -.1 - `r1U''64c, c o Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICA PLUMEING CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION S e pr 1 k , ( t_ 4 r Co Square Square Ft. Estimated Cost(value) c 4 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: be don autho I certify that all the foregoing information is accurate and that all work will ce with all applicable laws regulating construction and zoning. Furt ermore, I .t,lioi r to-NEtCRuiw the wok stated. , ac ' - 4.74 1+" ° A . . 11 ,0 P N • :Notary Public State of Ronda s ii : • Public., State d FIsnda $NlAIRVAnt Signature of Con :r ,,, !t�3ilo.( 45.Builder Date: 7/Lz // ,2,. ..... / runt type or stamp name of Notary Public ersonally known EOR Produced I.D j- (tar6sto Owner and /or Condo President Commission Expires: ID DID take an oath, or (DID NOT take an oath. ** * * * * * * APPROVED: Master Permit # Phone 75—C 57-2 /S'—' LitPiliderD i rpduccd: di t ' t type or scam n a r__ / i.' �;� .1 so, P mr oEN. { of -'ry as to Contri7 r ;;:; I Ail My Commission Exp / DI oath, or DID ake an oath FEES: PERMIT 3 O v RADON C.C.F. / . J ( 0 NOTARY 3 0 TOTAL DUE -/ ** Fire Other Zoning Buildin l {�( 1LT ■ Mechanical Plumbin 4' 1 11/ ngineering Scale: Each block represents 5 feet and 1 Inch ® 50 feet. e s rl r STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Permit Application Number C/ 7-- j aw PART 1 0 SITE PLAN 0 k 1-2 rt E y3 sr By Site Plan submitted by: l - f SIOPIA1 U►1 E Plan Approved Not Approved DEPT. OF ENVIRONMENTAL R r: RC ES MANAGEMENT METI 0PO'.ITAN DADE COUNTY ENVIRONM ENTAL FACILITIES ONLY APPROVED BY PAT APPROVED =1) -- -: j 6 1 r . O JNTY DEPA R ?YENT OF PU%3LiC I;E/ LTH e c'. rt Notes: Prez TITLt Date County Publ, ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT IIRS -II rofM 4015 -A January 1992 (ObsoMto! AN Provsous Editions) FOR OPTIONAL USE AS AN ATTACIIMENT TO FIRS -II FORM 40 Applicant'S Signatur STATE OF FLORIDA - DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM - CONSTRUCTION PERMIT Authority: Chapter 381, F.S. Building Permit #: & Chapter 10D -6, F.A.C. Application /Permit Number: 2 -Z /G Application Is For: New System [NI Repair [ ] Date Application Received: 7 —/(3 - Existing System [ ] Experimental System [ J (Temporary) [ ] Tank Abandonment (' Holding Tank [ Amount Paid:$ l g [ J Other (Specify): eceipt #: NOTE: PERMITS EXPIRE ONE YEAR FROM DATE OF ISSUANCE AND ARE NOT RENEWABLE. REPAIR PERMIT AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM DATE OF ISSUANCE. APPROVAL OF A SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR A SPECIFIC PERIOD OF TIME. TO BE COMPLETED BY 33PLICANT: Owner: ( `� ! n 4. Z Telephone: (Work) ( Home ) Sy saf' C Owner's Mailing Address: e /7 6 y,3 �� City:M, ter� ' 44'Itate: - 4 7 4 Zip: Owner's Agent: pr) /Q ()t) t r' ,r ( Telephone (W) W�l �'W --(H) Agent's Mailing Address:(2 fr' "76'6 if &c cit �j� J lC� Y State:'�l Property Street Address: 7 71 912, .CY'. Exact Directions to Property: • Lot r Block # 3 Subdivision ." "c /'s'6 , / Unit Date Subdivided Section: Township: Range: Parcel #: Zoning Designation: Property Size: Water Supply: Private [ J Public [ Is Sanitary Sewer Available: Yes [ ] No V(I If No, approximate the distance to the sewer Is Public Water Available: Yes line closest to your property: [ ) No [ ] If No, approximate the distance to the water line closest to your property: BUILDING INFORMATION Square Feet /Acres Limited Use [ ] Type of Establishme # of Units Buildin Commercial esidentia g # of Persons # of Seats Hours of Area (sq ft) (circle on �, .� _ & ?�� B _ r - �_ o � Operation c !ll��� 4•! ' /o •- f4/ 7i Plumbing Fixtures: Garbage Grinders /Disposals Spas /Hot Tubs Floor/Equip. Drains Ultra -low Volume Flush Toilets Other BUILDING PLANS MUST BE ATTACHED SHOWING OFFICES, BEDROOMS, TOTAL BUILDING AREA, AND ANY PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, F.A.C. IN ADDITION, A DETAILED SITE PLAN AND /C SURVEY, DRAWN TO SCALE, MUST BE ATTACHED SHOWING PROPERTY DIMENSIONS, AND PERTINENT FEATURES REQUIRED TO BE SUBMITTED PER CHAPTER 10D - 6.046 F ACING LOCATIONS, p /AE 0.4C et 9 ,50 LL• n N This property described as: The East } of Lot_ 22 and all of,Lot 23, Block 3, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 according to bhe Plat thereof, as recorded in Plat Book 10', Page 70 of the Public Records of Dade County, Florida. ALLEY 1 0 • /0 /0.50 r Jot valid unless embossed vith Surveyor's Seal. 10 510e-1.0 e 3/. 50 ‘, 14,96 0 rPCda/re.e. /2.55 �. SlO,e y RES /DEAJc.0 (- 5 11:001 - , Ei/ce 241,00 n r,fe • - • i ll $ conic 1.3 • •.S7E , r. rn • /4•r(1 A BOUNDARY Stntvi I hereby <evilly that the survey reprr• sented hereon meets the nunnnum technical standards se, forth by ,hr Board of land Surveyors pursuant to Set lion 472.027,11a. Statutes. There are no ent ro.chmenls, overlaps, easements appearin m the Plat, nyher ,hall ,rs Shown ereto. 11.1. KIN. land Surveyor tv,l /1 i 0 0 01 1,61 " f o 54. 50 a 1n (.. 1 —0 Fd' F'F 211 es p,sviv■ 'ROPERTY'OF: Quinaz, 87 E 9 rd Street, Miami, Florida DATE - SC All ►Ll 3 2 ti 2 o 1 J O 5 1 1 - 1 i4 I ! � i2 ! 20 I se i ,, I 0 54460 °,'JRD �1 I,o6{o µa7 , *GALE 1'` : Zoo to LANNES and GARCIA, INC. ENGINEERS - LAND SURVEYORS - I AND PLANNERS Olficr ,iddrt'sti 408(ti W. 84th Avr• nut.. Mi,m,, f lurida 33155 Mailing ,tddless P 0. Buz 561131. Miami, Florida 33156 DRAWN RV [n 4' 1 lUILDING ❑ MIAMI SHORES VILLAGE FLORIDA Datei T 19lc• LECTRICAL ❑ PLUMBING En PERMIT 8161 Contractor's License u icense No. Owner of Building Architect Contractor _ t or Builder ` r — " r Legal Lot i Description 11 BI Address of Building CONTRACTOR or BUILDER t' 1 Work to be performed under this Permit f '') f if c (7.:;f7- ;; / Subdi- vision Sq. Ft. Value of 11 Amount of - Project $ 11 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 applica- tion 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 pr drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or employees. - -. 1 1 4.• ,� ! _ / A e Signed ',I Q • �'` "1. (1NSPECTOR) BY AUTHORITY t. BY In consideration of the issuance to me of this permit I agre l io perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawin ,.§ tatements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do by either, myself, my agent, servant or employee. a 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'S POOL CONTR. LIST CHECK - IPennit 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. Edward H. Terry 87 N E 93rd Street Owner's Name and Address ____________ _-__-__-____-_________ ------ ____- -- .__________.___ No. ____ -- Street_ . -- Registered Architect and /or Engineer _____ - _--- -_--- -. - - -- _----------____ -- Employing Plumber's Name 41aBDQi�....SEgTIC_ -.TANK ..S TC No... 31 23 _ Street_ Location and Legal Description Lot____._ ____-- _________________ Subdivision Street and Number where work is to be performed— No.__— _— ______ _________ Street N. Ea 93rd Street 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 Nature of Water Supply: City —Well Amount of Permit $ 321 MIAMI SHORTS VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR HLUMBING PERMIT Type of Tank___ Capacity Gals __Dist. Feet of Tank or Drain Field from Well - •_ _------ _----- ___ - -- _ of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig .. "i. s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permane . upplement, 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 November 16 1966 Plumbing Inspector. Master 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 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- inspec ion is made•necessary by improper notice for inspection, or faulty materials and /or workmanship Pur,_.i; No.--- _ ...... = ..... � — — Application is hereby wade 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 con:'ormity 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 buil&ng during progress of worrk.. C *t e v� r's Name and Address 1� ... No.. -- - -.!__ Registered Architect and /or n ineer___ Employing Plumber's Name- `.1 �'``� �' Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 6 lo Ake (7, Location and Legal Description Lot_ C _- _.----- __.__._ _ _ B:.oek_ Subdivisf Street and Number where work is to be performed —No Z / a Street. ¶ _a --� ✓ :nos work to be performed and purpose of building (By Floom)_--_____._.._.______.___-----•-_-- N B ........ . - -- - - - - -- - - - - - -- Remodeling_ --_ -_ Addition Repairs Size Septic Tank — - -_ - -_ Type of Tank �Al j' co l�bt n eiv Feet of Drain Tile.___t! __eSE��___. Tjist F of Tank or Brain Field from Well __Size of Soakage Pit Capacity Gals (S:igned) _- — - - Street _�L_z , -' Date e7 Street4 k Plumbing Inspector. The undersigned applicant for this building permit does hereby certify teat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compfed 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 retired by t}ie Act. The undersigned agrees to employ only such sub - contractors, o w9rk to be performed der this perni4 as are licensed by Miami Shores Village. , (Si3ned) __ • My Conunission Expires Notary Public, State of Florida No. of Stories ................... ...... vift,sdr 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 orego:ng 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. CLC>�L�7G BATH TUGS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUDB URINALS CATCH BASIN FLOOR DRAIN DRINK! NG FOUNT' NS TOTAL FIXTURES CONTrl. LIST CHECK SEPTIC TP.MK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Pur,_.i; No.--- _ ...... = ..... � — — Application is hereby wade 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 con:'ormity 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 buil&ng during progress of worrk.. C *t e v� r's Name and Address 1� ... No.. -- - -.!__ Registered Architect and /or n ineer___ Employing Plumber's Name- `.1 �'``� �' Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 6 lo Ake (7, Location and Legal Description Lot_ C _- _.----- __.__._ _ _ B:.oek_ Subdivisf Street and Number where work is to be performed —No Z / a Street. ¶ _a --� ✓ :nos work to be performed and purpose of building (By Floom)_--_____._.._.______.___-----•-_-- N B ........ . - -- - - - - -- - - - - - -- Remodeling_ --_ -_ Addition Repairs Size Septic Tank — - -_ - -_ Type of Tank �Al j' co l�bt n eiv Feet of Drain Tile.___t! __eSE��___. Tjist F of Tank or Brain Field from Well __Size of Soakage Pit Capacity Gals (S:igned) _- — - - Street _�L_z , -' Date e7 Street4 k Plumbing Inspector. The undersigned applicant for this building permit does hereby certify teat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compfed 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 retired by t}ie Act. The undersigned agrees to employ only such sub - contractors, o w9rk to be performed der this perni4 as are licensed by Miami Shores Village. , (Si3ned) __ • My Conunission Expires Notary Public, State of Florida No. of Stories ................... ...... vift,sdr 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 orego:ng 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 j ` BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of . Building I r r Lot ot / „3. 't 2 CONTRACTOR OR BUILDER PERMIT N? 5658 Work to be performed under this Permit Owner of Building 4' 41 Bl. Subdi- vision Value of Project Ji .td '144.F :f r: efi DATE Contractor's 14 1 Amt. of / rte. Permit License No This permit fs granted to the contractor or builder named above to construct the building or to install the equipment oi device described in the appli- cation hercfor in strict coiiipiiauce .viili 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 as umes the responsibility for a thorough kn 1p g of th mances and regulations pertaining to the work covered hereby whether shown on the plan,440r w i i the sta ements or specificati on an d he umes respon- e silyility for work done by his agents, servants or employees. ' S erf igned- f 1, �� By. • f INSP TOR In consideration of the issuance to me of this .ermit I agree to perform the work covered hereunder in compliance witTiqf ordinances an reilulitiotis pertaining thereto and in strict conform i with th f.lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit, asgtin e„sesno y , ork done by either myself, my agent, servant or employee. 141 - BY AUTHORITY