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94 NE 93 St (8)Date - Type Insp'n - Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 („ Buildi g Inspection Request \'J 4z6 i- ooR� Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request qqN-0- 9 3 It". • �n� 'MIAMI SHORES VILLAGE BUILDING DEPARTMENT ,_ -- 305 -795 =2204 Building Inspection Request Date Type_Insp'n- (; ono. VIA) II�� �ufl� P Jll-10 '. Permit No. t7tOS- V Name Aa • Address "l — 1 N ` S� Company Phone # Inspection Date SUL. � Approved Correction I; `A Re- Insp'n Fee ❑ Miami Shores Village BUILDING PERMIT APPLICATION - FBC 2001 '�'`°` i 4 3 ,�i Permit Type (circle): Building Elect Mechanical Roofing Owner's Name (Fee Simple Titleholder) 49¢ L 93 .ter. City / , siIloteS" State Tenant/Lessee Name Owner's Address State Certificate or Registration No. $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) City P / Slate t/ Qualifier lAt Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) / 93/7 City Miami Shores Village County Miami -Dade Zip 773 Is Building Historically Designated YES NO Contractor's Company Name �7C VA �� Phone # 3 t t _ Y6/:-°418 Contractor's Address 7/7.6 O A4A1 44S7. 9*coJFt'/ Architect/Engineer's Name (if applicable) Of ! fr5 /fit f,ctoo Type of Work: E ddition ❑Alteration [New ❑ Repair/Replace ❑Demolition Describe Work: Pct9/- PN0 Structural Plan Review. $ Master Permit No. 0 ( O — Phone # 30" 71'1= 9102, Zip 33 /7" Phone # Permit No. Zip 3 L3- Certificate of Competency No. Phone # Square Footage Of Work: K ©ta ? ().S. * * * * * * * * * * * * * * * * * * * * * * * * * ** *F *** * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee,_ Permit Fee $ / 1 Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Zoning Bond $ Cg CCF CCF $ CO /CC Technology Fee $ 9s Aizb 0-1 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State -' Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for`ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Sign Owner or Agent The foregoing instrument was acknowledged before me this The day of , 20 , by , day who is personally known to me or who has produced who As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commi sion Expires: - • **** ,,.... APPLICATION APPROVED BY: Chc 05/13/03 regoing inst r Chin actor ent was ackn edg beffo�e me this 20 by i t' ersonally know . me or who has produced ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 'fication and who did take an oath. 13, 2007 h $1 *19A* * * * * * * * * * * * * * ** Plans Examiner . Engineer Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 12 Job Address ¢ kE. g ' Tax Folio ter / , 5 e-(x z 2 /sz2 r Owner/Lessee / Tenant 14 ---1X- 4 7t 144 4(411419-- J57tr� Legal Description Owner's Address q1- g3 571 ' 7 , 33 / ? P i4 R Contracting Co. Qualifier State # C C_a/ZeP// Municipal # Architect/Engineer Of 771$01i),4-,' �o'= Address Bonding Company 4 G 6 " I Address Address Mortgagor Square Ft. FEES: PERMIT r - / 11/3e-e-7 Ve,„ 4 C/ r •) /c2- .2 -0 Signature of owner and/or ondo President Date / o ff /P' /o ce Notary as to Owner and/or Condo President Date My Commission Expires: Dolores Imbert Fk: MY COMMISSION # 0000088 EXPIRES June 14, 2006 SON' u iK ?1' TROY FAIN INSURANCE, INC RADON C.C.F. Historically Designated: Yes No Master Permit # Phone 'W 5' 4072— Address //1/60 if/ki /J?, ) 7 () W SS# ✓ - Phone Competency # Ins. Co. APPROVED: Zoning Building Electrical Mechanical Plumbing 41/0 ✓w 71- i Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE 0 WORK DESCRIPTION /1 SIGN Estimated Cost (value) 1 . — 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 FII`1ANCING, 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 construct 9 h and zoning. Furthermore, I authorize the above -named contraFtet to do the work stated. as to Contractor or -Builder I nano My Commission el mission Expires: , Miriam A ie' oo129g52 my commissi 714' Expires June 30, 2006 NOTARY BOND TOTAL DUE Engineering Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2005 -3 Printed: 1/25/2005 Applicant: SILVIA BOJAHR - Owner: AVILA JOB ADDRESS: 94 NE 93 Contractor REGENCY POOL & SPA OF FLA INC Contractor's Address: 11260 N. W. 14 STREET Local Phone: 954- 424 -0134 Permit Status: APPROVED Permit Expiration: 7/3/2005 Construction Value: $1,400.00 Work: POOL PIPING - MASTER PERMIT BP2005 -13 Parcel # 1132060130150 AVILA SILVIA BOJAHR ST Signed: Plumbing Permit Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 2 LOT SIZE Fees: Description Amount FEE2005 -1037 Building Fee $160.00 FEE2005 -1038 CCF $1.20 FEE2005 -1039 Training and Education Fee $0.40 FEE2005 -1040 Notary Fee $5.00 FEE2005 -1041 Technology Fee $4.00 FEE2005 -1042 Submittal Fee ($50.00) $120.60 Total Fees: Total Fees: $120.60 Total Receipts: $0.00 (INSPECTOR) Page 1 of 1 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 strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: JAN 2 7 PAID ...-.) 67 6)4* r.--- 1 ,9 .' 3° Passed for Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until M nspection Number: #INSP - 1.4402 Inspection Date: 04/07/2006 Inspector: Levrack, James Owner: SERA, WILLIAM AND DANIEL Job Address: 94 93 Street NE Miami Shores Village, FL Project: <NONE> Contractor: NATIONS CHOICE, INC. Building Department Comments Friday, April 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phope: (305)795 -2204 Fax: (305)756 -8972 Block: Permit'Number: PL- 1 -06 -66 Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Drainfield Phone Number Parcel Number Lot: (305)759 -9002 1132060130150 Page 2 of 2 �I �I Passed Ins a for P om ents t Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -5524 Inspection Date: 02/06/2006 Inspector: Perez, JanPierre Owner: SERA, WILLIAM AND DANIEL Job Address: 94 93 Street NE Miami Shores Village, FL Project: <NONE> Contractor: NATIONS CHOICE, INC. Building Department Comments Friday, February 3, 2006 Inspection Worksheet Miami Shores Village 10050 N 2nd Avenue Miami Shores, FL Pho : (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL- 1 -06 -66 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number (305)759 -9002 Parcel Number 1132060130150 Lot: Page 1 of 2 Inspection Date: 02/06/2006 Inspector: Levrack, James Owner: SERA, WILLIAM AND DANIEL Job Address: 94 93 Street NE Miami Shores Village, FL Project: <NONE> Contractor: NATIONS CHOICE, INC. Building Department Comments Friday, February 3, 2006 Inspection Worksheet ami Shores Village 10050 .E. 2nd Avenue Miami Shores, FL Pho, e: (305)795 -2204 Fax: (305)756 -8972 i nspection Number INSP- 5523 . x Permit Number: PL- 1 -06 -66 Block: Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Drainfield Phone Number (305)759 -9002 Parcel Number I 1132060130150 Lot:, Page 1 of 2 i 1 1 1 1 I Inspector Comments V ,2 I) ._.> O ,..,/i, - x, 11 °' 6 / / I I Passed Failed Correction Needed ! Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Date: 02/06/2006 Inspector: Levrack, James Owner: SERA, WILLIAM AND DANIEL Job Address: 94 93 Street NE Miami Shores Village, FL Project: <NONE> Contractor: NATIONS CHOICE, INC. Building Department Comments Friday, February 3, 2006 Inspection Worksheet ami Shores Village 10050 .E. 2nd Avenue Miami Shores, FL Pho, e: (305)795 -2204 Fax: (305)756 -8972 i nspection Number INSP- 5523 . x Permit Number: PL- 1 -06 -66 Block: Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Drainfield Phone Number (305)759 -9002 Parcel Number I 1132060130150 Lot:, Page 1 of 2 BUILDING r PERMIT APPLICATION ��U ;] FBC 2001 Permit Type (circle): Building Electrical Plumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) ' V t%' I W _ ` G �� 757 O 6 � 1 � IQ i .�,�, �v Phone # � Li ' Owner's Address ' /(. f !� &. 93 kA ` , ` U t o re City p (y S State _ »(C. Zip 3 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (U C( ..t_ ,_,(3%, S' _ i CQ Phone # r) , ;I'? �'/ ( 9,i L Contractor's Address i ` "l , ') / v TlJJ 5 (4- - C City NAA \ c. �� j State 1 -( c Zip �-) ) ( 'l k' Qualifier rl \ CJI., Q, I a �E 4 /- State Certificate or Registration No. 5e b e f 25 Certificate of Competency No. Describe ribe Work: oc k. Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ii Z X P ' 1V ster Permit No. Phone # Permit No. cb — b6 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit S29-0 Square Footage Of Work: 3 / 1-2-74. Type of Work: ❑Addition ❑Alteration ("New Ef Repair/Replace 9 Demolition 2 s c, L.) 4, ****************************F Permit Submittal Fee $ Permit Fee $ I � ^^ ��' /J CCF $ 1 . lJ , CO /CC Notary Training/Education Fee $ O `1'O Technology Fee $ 4 . `t�J Scanning $ 3 Radon $ Zoning Bond $_300.00 Code Enforcement $ Structural Plan Review. $ 4.En oeZ Bonding Company's Name (if applicable) Bonding Company's Address ,� s City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the n ' e of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. , o, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whic occurs s (7) days after the building permit is issued. In the absence of such posted notice, the inspection will -. of lea t i v f d and a r . ection fee will be charged. Signature \ Owner or Agent Contractor The fore oing instr was acknowledged led ed before me this The foregoing instrument was acknowledged before me this C I day of, � KI , 20 by 1 �( Om Y Q day of , 20 O , by AfthQ rrn G , who is personally known to me or who has produced �, who is personally known to me or who has produced ,3'/ Ap Ai As identification and who did take an oath. 33O U - 63 - '41 -0 as identification and who did take an oath. NOTAR P BLI e: N PUBLIC �fd NOTARY PUBLIC • Sign: - � � ) E Md • li� ;,. � �. Sign: f4 :� f�Rr: 31 Print: i ! Y ' ', 47. 55 Print: �It CgJP ` I ° .:* MY COMMISSION 0D 483995 ��:astr— 09 My Comm ssion Expires: ,g �,�,, ,;,. lb * * * * * * * *. * * * * * * * * * * * * * ** **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I APPLICATION APPROVED BY: Chc 05/13/03 Signature My Commission Expires 110i, ° Th" Nauy ureeOnem e Plans Examiner Engineer Zoning 2 cA.," AN ArPLICATIOV FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTED. PERMIT HAS E. OBTAINED, 11 OWNS ' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT' APPLICATIONS. ) P L U M I N POOL PIPING LAWN SPRINKLER SYSTEM'. GAS RANGE METER SET (GAS) GAS PIPIN• ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL TEW ATM TUB UNIT FEE 1 ITEM UNIT SWITCH OUTLETS FEE ITEM I SPACE HEATERS UNIT FEE LIGHT OUTLETS CENTRAL HEATING IOET , RECEPTACLES A/C (WIND) I I II ISHWASHER SERVICE TEMPORARY A/C (CENTRAL) 1 I , RINKIIO FOUNTAIN I SERVICE SIZE IN APPS DUCT WORK I LOOK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION I 1 TRAP 1 APPLIANCE OUTLETS PROCESS AND PRESS PIPING I I REASE II RANGE TOP UNDERGROUND TANKS I I I NTERCEPTCR ABOVE GROUND TANKS I I OVEN .AVATORY TRAY WATER HEATER U.F. PRESSURE VESSELS I I _AUNDRY :LOTHES WASHER MOTORS C- 1 HP STEAM BOILERS I I ;HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS I I ;INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION I I SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEPBOES 1 I SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS , I I TEMPORARY WATER CLOSET 1 MOTORS OVER 1C- 25 Ha FIRE SPRINKLER SYSTEMS 1 I URINAL MOTORS OVER 25-100 If COOLING TOWERS I I 'MATER CLOSET I MOTORS OVER 100 HP VIOLATION I INDIRECT WASTES I I A/C W I 'W RE I,NSP,ECT )ON I I WATER SUPPLY TO: 1 1 I AIR CONDITIONERS I I A/C UNIT 1 ( I STRIP HEATER I I FIRE SPRINKLER ( I GENERATORS TRANSFORMERS I I • HEATER -NEW I NST . 1 ( I I GENERATORS 'TRANSFORMERS I I HEATER - REPLACE 1 !I GENERATORS TRANSFORMERS I I LAWN SPRINKLER -WELL 1 , I SPECIAL PURPOSE I I I SWIMMING POOL I OUTLETS COMMERCIAL I WATER SERVICE SIGN TUBES '. I SEWER CONNECTIONS • SIGN TRANSFORMERS ITT I L l TY -SEIER 1 SIGN T I P E CLOCK I I UTILITY -WATER - II FIXTURES 11 ;SEF7rT�EJ ► I ANTENNA II RELAY II TELEVISION OUTLETS II GRAINFIELD, 4 TILE/RES. I VIOLATION II PUMP & ABANDON SEPTIC TANK I REINSPECTION 1 11 SOAKAGE PIT CU. FT. I I CATCH BASIN I I I } DISCHARGE WELL 1 I DOMESTIC WELL I I • I I AREA DRAIN L) I I � 1 ROOF INLET I I II SOLAR WATER HEATER I ` I I _ . i I II AN ArPLICATIOV FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTED. PERMIT HAS E. OBTAINED, 11 OWNS ' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT' APPLICATIONS. ) P L U M I N POOL PIPING LAWN SPRINKLER SYSTEM'. GAS RANGE METER SET (GAS) GAS PIPIN• ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment APPLICANT: Sera, William & Daniel PROPERTY STREET ADDRESS: 94 LOT: 1 BLOCK: 5 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 -013 -0150 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OFtCHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR SPECIFIC TIME PERIOD. 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. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ N ]BED N L • NE 93 St Miami Shores FL 33138 F LOCATION TO BENCHMARK: F.F.E.: 13.1' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ] [ FEET E BOTTOM OF DRAINFIELD TO BE [ 4.0 ] [ FEET D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: OTHER REMARKS: 1.- Install 300 sf of drainfield in bed configuration. 2.- Perimeter of excavation area shall be at least 2 ft. absortion bed. 3.- Existing 900 gal. septic tank, certified by "Nations 4.- Invert elevation of drainfield to be no less than 9. 5.- Bottom of drainfield elevation to be no less than 9. I THIS PERMIT IS NOT FOR "ADDI (s) " SPECIFICATIONS BY: Andre, Paul, AGENT: SR0031425, Petit Michelet TITLE: [ N ]MOUND [ N ] [ 20.0 ] INCHES CENTRAX #:I13 -SG -27599 DATE PAID:' FEE PAID :,$ RECEIPT OSTDSNBR : 0048 - -R ]Holding Tank [ ] Innovative Other ]Temporary [ NA ] MULTI - CHAMBERED /IN SERIES MULTI - CHAMBERED /IN SERIES @ [ 0 ] DOSES PER 24 HPS # PUMPS [ 0 ] 1 ] [ BELOW] BENCHMARK /REFERENCE POINT ] [ ]BENCHMARK /REFERENCE POINT wider and longer than proposed 1 Choice on 01/06 /2006 "ito remain 64' NGVD. 14' NGVD. APPROVED BY: Andre, Paul 4 . TITLE: Professional Engin Dade DATE ISSUED: 1/9/06 EXPIRATION DATE: 4/9/06 DH 4016, 03/97 (Obsoletes previous editions which may • not be used) (Stock Number: 5744 001 - 9016 - 0) [ostds cons 9016 -1] Page : [Y ] • [Y ] CHD 1 of 2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT 1 CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ X ]Repair [ ]Abandonment [ ]Temporary APPLICANT: Sera, William & Daniel AGENT: SR0031425, Petit Michelet SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY SPECIFICATIONS BY: Andre, Pau' • TITLE: APPROVED BY: Andre, Paul DATE ISSUED: 1/9/06 DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [ostds cons 4016 -1] CENTRAX #: 13 -SG -27599 DATE PAID1 FEE PAID : $ RECEIPT :1 OSTDSNBR 1 06- 0048 - -R [ ] Innovative Other [ NA ] PROPERTY STREET ADDRESS: 94 NE 93 St Miami Shores FL 33138 LOT: 1 BLOCK: 5 SUBDIVISION: Miami Shores 1 [Section /Township /Range /Parcel No.)I PROPERTY ID #: 11- 3206 - 013 -,0150 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MOpIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULTIIN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPINENT. 1 MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIE [Y ] K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] 1 D [ 300 ]SQUARE FEET PRI DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET 1 SYSTEM I A TYPE SYSTEM: [ N ]'STANDARD [ N ]FILLED [ N ]MOUND [ N,] I CONFIGURATION: [ N ],TRENCH [ N ]BED [ N ] 1 N F LOCATION TO BENCHMARK: F.F.E.: 13.1' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ] [ FEET E BOTTOM OF DRAINFIELD TO BE [ 4.0 ] [ FEET L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 20.0 ] INCHES OTHER REMARKS: 1 , 1.- Install 300 sf of drainfield in bed configuration. 2.- Perimeter of excavation area shall be at least 2 ft. wider and longer than the proposed absortion bed. 3.- Existing 900 gal. septic certified by "Nations Choice on 01/06/2006 "to remain. 4.- Invert elevation of drainfield to be no less than 9.6.' NGVD. 5. Bottom of drainfield elevation to be no less than 9.14' NGVD. THIS PERMIT IS NOT FOR "ADDITION(s)" ] [ BELOW BENCHMARK/REFERENCE POINT ] [ ]BENCHMARK / REFERENCE POINT EXPIRATION DATE:, 4/9/06 Page TITLE: Professional Engin Dade CHD 1 of 2 0 . APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION 0,ERMIT Permit Application Ilt.imbe ( Scale: Each block represents 5 feet and 1 inch = 50 feet. .., , , , . , , , t , t;LIT ..., ,-, 1,..... , : t i f. I ,,,,,11:17 , , . . , ! ' : 1 i'• , ! , 1-1 ; ,, ,1--i- 1 • ! 1 ! 1 (,,, i -1- 1 J ; I -i--- ---t- 4--i-- 1- t .-- t .--- ; -- 1 - t -- ; ., • i : , . i ■ , . . . . 1 :. ;. . • I__ i 1 , , t • , . 1 I ifi ii; I I 1 _•. ; _ 1_, .... r _.... i.... L ..........,... v ... ;_:, .. 4.. ... ;:,t ...... : ,..., r_c l.. J 1 --IL i-- - -- ,t1;,;::■ 11: : . . - 1 ill I f II 1 I. I i 4 1 .I__,. 1._1... 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Notes: 1 LI Site Plan submitted by: t Plan Approved By STATE OF FLORIDA DEPAR )F HEALTH • APPLICATION FOR ONSITE SEWAGE CIISPOSAL SYSTEM CONSTRUCTIONIPERMIT Permit Application Number ( - r _ / I PART II - SITE PLAN- 74: ( ) PA -,, .1. • „ , :-:Signatere • „, Title , • Not Approved Date ( • • ‘i rit - Health Departmen I - ALL CHANGES MUST APPROVED BY THE COUNTY HEALTH DEPARTMENT OH 4015, 10/96 (Replaces HRS-H Form 4015 which may be used) (Stock Nurrter: 5744-002-4015-6) 11 L••,•• Page 2 of APPLICANT: LOT: a rt PROPERTY ID #: BLOCK:. I PROPERTY SIZE CONFORMS TOTAL ESTIMATED SEWAGE AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAI I • STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE�SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS THE MINIMUM SETBACK WHICH SURFACE WATER: -/f FT WELLS: PUBLIC: , FT BUILDING FOUNDATIONS: -- SITE SUBJECT TO FREQUENT' 10 YEAR FLOOD ELEVATION FOR SITE:. SOIL PROFILE INFORMATION SITE 1 SUBDIVISION: Munsell #/Color e 1 4 Texture Depth ( •- s ;, rz d to I to to , • ; S f. t - -'-' Ckhy 6 ' # I to to f USDA SOIL SERIES: g' i') IN, Z, 1 44: I i c.:r' to OBSERVED WATER TABLE: �_! INCHES [ABOVE / ESTIMATED WET SEASON WATtRTABLE ELEVATION: HIGH WATER TABLE VEGETATION: [ ] YES [] NO SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: I[ ] TRENCH REMARKS /ADDITIONAL CRITERIA: 1 SITE EVALUATED BY: Z k ;, I . DH 4015, 10/96 (Replaces HRS -H Form 4015 (Page 3) which may be used) (Stock Number: 5744 -003 - 4015 -1) l i [ k 4 1 rt r t � ' �` AGENT: [Section /Township /Range /Parcel No. or Tax ID Number TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. E NGINEER'S MUM PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. TO SITE PLAN: be YES ( ] NO NET USABLE AREA AVAILABLE: \ s, =? L ACRE, FLOW: ;`,� GeLL'ONS, 1 [RESIDENCES TABT.E,_1 / THER -TABLE 2 I I GALLONS„ ,,,PER vltTAY = (1500 GPD /ACRE OR 2'500�GPD /ACRE] LABLE: SQFT UNOBSTRUCTED AREA 'REQUIRED* r` ,, t SQF'. - _ , BENCHMARK /REFERENCE POINT LOCATION: • i /# J/ <,y f CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: DITCHES /SWALES: _ ,,L , •` .L >' FT NORMALLY WET? [ ] YES [Al N( F T PRIVATE: / L F T NON- POTABLE* :,,,,- F' LIMITED USE: � / s °f =�? Z. FT PROPERTY LINES: - AFT POTABLE WATER LINES: �' "° F'. ELEVATION OF PROPOSED SYSTEM SITE Ie •51 INEH /FT], [ABOOVE ELOW] BENCHMARKOEF'ERENCE - PO N� ,[ 1-YES • [N'] NO 10 YEAR FLOODING? [ ] F > MSL /NGVD SITE.- ELEVATION: %' / , 0. $ . SOIL PROFILE INFORMATION SITE 2 Munsell # /Color Texture \ Depth if) .a V .1 // ",.a,... 3o.F <Y I is to to to to to to 1 i ~ i Z i e, to . r- a 91. e to l to t0 4 r fio USDA SOIL SERIES: ()V: 1 BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT SYNCH S [ ABOVE / <3510∎ 1: ] " F TSTINGGRAD MOTTLING:] YES [;:] NO DEPTH: . _... DEPTH OF EXCAVATION: - I cy INCHE: BED [ ] OTHER (SPECIFY) 1 1 r: • It PERMIT # ;7 YES k] N( FT MSL /NGV1 DATE: .l r6.47? 4 Page 3 of Issue Date: 1/10/2006 Owner's Name: WILLIAM AND DANIEL SERA Permit Type: Plumbing - Residential Work Classification: Drainfield Job Address: 94 93 Street NE Miami Shores Village, FL Contractor(s) NATIONS CHOICE, INC. 1 Phone Primary Contractor Yes Comments: INSTALL NEW DRAINFIELD Additional Information Type of Work: DRAINFIELD Additional Info: 300 FT Classification: Residential Type of Piping: Bond Return : 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 strict conformity with the (plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Bond Type - Contractors Bond CCF Education Surcharge Miscellaneous Fee Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $300.00 $1.20 $0.40 $75.00 $5.00 $100.00 $3.00 $4.40 $489.00 Building Department File Copy Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/09/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL- 1 -06 -66 i Phone: (305)759 -9002 1132060130150 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 300 $ 1 11,500.00 Rough Landscaping Final Invoice Number PL - 1 - 06 - 23365 Total: Amt Due $489.00 Amt Paid $489.00 $489.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Permit No jr STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 1 APPLICATION FOR PLUMBING PERMIT r 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 ` �_�__— No. t Street_ _____�_______________�_ ______ —___. ss. Registered Architect and /or Engineer Employing Plumber's Name + My Commission Expires No '� Location and Legal Description Lot__________ Block__ ___ -____ Subdivision_— Street and Number where work is to be erformed —No • ___ A p i - - Street r--___%. -'- -, State work to be performed and purpose of building (By Floors) 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. ••h. L=- �" V` Size of Soakage Pit (Signed) -? Date - >--- - Notary Public. State of Florida j." Master Plumber. { -- Street_____ New Building Remodeling Addition to Repairs No. of Stories ,/ Amount -c Permi e ' - (Si ...,ali - T ..'',•" * ' r- � ... . Plumbing I 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oat s atid 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 Permit No jr STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 1 APPLICATION FOR PLUMBING PERMIT r 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 ` �_�__— No. t Street_ _____�_______________�_ ______ —___. ss. Registered Architect and /or Engineer Employing Plumber's Name + My Commission Expires No '� Location and Legal Description Lot__________ Block__ ___ -____ Subdivision_— Street and Number where work is to be erformed —No • ___ A p i - - Street r--___%. -'- -, State work to be performed and purpose of building (By Floors) 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. ••h. L=- �" V` Size of Soakage Pit (Signed) -? Date - >--- - Notary Public. State of Florida j." Master Plumber. { -- Street_____ New Building Remodeling Addition to Repairs No. of Stories ,/ Amount -c Permi e ' - (Si ...,ali - T ..'',•" * ' r- � ... . Plumbing I 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oat s atid 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. Permit No APPLICATION FOR PLUMBING PERMIT L i e t 7lr Application is hereby made for the approval of the detailed statement of the plans and specifications her g o 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 � No Registered Architect and /or Engineer ... .... C _1: _._ Plumber's Name _�_ F 1s// ""2/ s , ♦ � - �JY!�f.w_ Stree��l ����ica'•- j,. -It = S�� Block Location and Legal Description Lot__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) u 2 L Leo New Building Remodeling Addition Size Septic Tank_ ______ —_� Type of Tank Capacity Feet of Drain Til e______— _— ______________ —_ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . = — Size of Soakage Pit __________________ _______ ______ Yr F. • __� Amount of Permit $ - '__1�,�.cc__ - —_ _ (Signed) __ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I 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. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Subdivision__— _________ Y � Street/ ? s.�:_1__._ 1 04 / - Repairs No. of St'ories (Signed) Date f / ., / Z herewith submit for the buil or other Notary Public. State of Florida Street_,t4 .1 4:6 0 Plumbing Inspector. 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 Permit No APPLICATION FOR PLUMBING PERMIT L i e t 7lr Application is hereby made for the approval of the detailed statement of the plans and specifications her g o 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 � No Registered Architect and /or Engineer ... .... C _1: _._ Plumber's Name _�_ F 1s// ""2/ s , ♦ � - �JY!�f.w_ Stree��l ����ica'•- j,. -It = S�� Block Location and Legal Description Lot__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) u 2 L Leo New Building Remodeling Addition Size Septic Tank_ ______ —_� Type of Tank Capacity Feet of Drain Til e______— _— ______________ —_ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . = — Size of Soakage Pit __________________ _______ ______ Yr F. • __� Amount of Permit $ - '__1�,�.cc__ - —_ _ (Signed) __ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I 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. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Subdivision__— _________ Y � Street/ ? s.�:_1__._ 1 04 / - Repairs No. of St'ories (Signed) Date f / ., / Z herewith submit for the buil or other Notary Public. State of Florida Street_,t4 .1 4:6 0 Plumbing Inspector. 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. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Size Septic Tank Feet of Drain Tile Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. Before me, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ss. Date_ of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Owner's Name and Address No Registered Architect and /or Engineer Employing Plumber's Name r 4 Location and Legal Description Lot_ and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Block Subdivision__ Street___ (Signed) _� _ _ <__-_.'- ____ My Commission Expires Notary Public. State of Florida r No ` r _.. Street__ -= -- --- : ----- - - -, - Street - - -- - -- -- - - - — Repairs No. of Stories ----- Type of Tank _ Capacity Gals 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are - licensed by Miami Shores Village. Master Plumber. 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 be 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 V +. CHECK Permit No. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Size Septic Tank Feet of Drain Tile Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. Before me, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ss. Date_ of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Owner's Name and Address No Registered Architect and /or Engineer Employing Plumber's Name r 4 Location and Legal Description Lot_ and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Block Subdivision__ Street___ (Signed) _� _ _ <__-_.'- ____ My Commission Expires Notary Public. State of Florida r No ` r _.. Street__ -= -- --- : ----- - - -, - Street - - -- - -- -- - - - — Repairs No. of Stories ----- Type of Tank _ Capacity Gals 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are - licensed by Miami Shores Village. Master Plumber. 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 be 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. APPLICATION FOR PLUMBING PERMIT 4I , Permit No..____._ ,� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed—No Septic Tank___ Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT '4 ___Block State work to be performed and purpose of building (By Floors) New Building Remodeling Addition :^ Date /1.cr ds /�^' No // Street_,, % __, ..ral�' s '. y C Scree 4/,,cGf�e9t.1..i�'if be� L� Street G _s✓.:;e,r�e! _. --_ -- Repairs e/ No. of ries Dist. Feet of Tank or Drain Field from Well__ _(Signed) Type of Tank Capacity Size of Soakage Pit 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) 4 :_y 't.:_. /4 Plumbing Inspector. aster Mumber. 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- 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 F IELD SOAKAGE PIT GREASE .TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM 'G P001. CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT 4I , Permit No..____._ ,� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed—No Septic Tank___ Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT '4 ___Block State work to be performed and purpose of building (By Floors) New Building Remodeling Addition :^ Date /1.cr ds /�^' No // Street_,, % __, ..ral�' s '. y C Scree 4/,,cGf�e9t.1..i�'if be� L� Street G _s✓.:;e,r�e! _. --_ -- Repairs e/ No. of ries Dist. Feet of Tank or Drain Field from Well__ _(Signed) Type of Tank Capacity Size of Soakage Pit 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) 4 :_y 't.:_. /4 Plumbing Inspector. aster Mumber. 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- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No - -�r� Date � ___` £ ______ I 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 com building during progress of w Owner's Name and Address ___- Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be New Building Amount of Permit $ Remodeling Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary ss. lied with Q My Commission Expires whether herein specified or not. A copy of approved plans and specifications must be kept at 7 V— No Street performed —No. No Ca (Signed) (Signed) Blocky State work to be performed , nd purpose of building (By Floors) ___5�` Addition. Repairs Type of Tank Capacity Gals Dist. Feet of Tank, or Drain Field from Well _________ Nature of Water Supply: City—Well. " ''� 4 ?'- Size of Soakage Pit. on wor Street_ T to \\) 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 therein by him stated are true. Street f /l � '� n 1 Subdvisior_ �f?`: v L'Z 0� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation /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 required by the Act. The under signed agrees to employ only such sub - contractors, ly be performed under this permit, as licensed by Miami Shores Village. y � No. of Stories Notary Public, State of Florida Master Plumber. public, duly authorized to administer oaths and take acknowledgments, personally the same, and that all facts 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. are are CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK / / / I NNN SEPTIC TANK SEWER CONN. DR LD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No - -�r� Date � ___` £ ______ I 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 com building during progress of w Owner's Name and Address ___- Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be New Building Amount of Permit $ Remodeling Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary ss. lied with Q My Commission Expires whether herein specified or not. A copy of approved plans and specifications must be kept at 7 V— No Street performed —No. No Ca (Signed) (Signed) Blocky State work to be performed , nd purpose of building (By Floors) ___5�` Addition. Repairs Type of Tank Capacity Gals Dist. Feet of Tank, or Drain Field from Well _________ Nature of Water Supply: City—Well. " ''� 4 ?'- Size of Soakage Pit. on wor Street_ T to \\) 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 therein by him stated are true. Street f /l � '� n 1 Subdvisior_ �f?`: v L'Z 0� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation /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 required by the Act. The under signed agrees to employ only such sub - contractors, ly be performed under this permit, as licensed by Miami Shores Village. y � No. of Stories Notary Public, State of Florida Master Plumber. public, duly authorized to administer oaths and take acknowledgments, personally the same, and that all facts 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. are are Permit No. _ APPLICATION FOR PLUMBING PERMIT -fi Application is hereby made for the approval of the detailed statement of the plans and specifications herew submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Or . . nce 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 here p specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Nature of Water Supply: City Wei Amount of Permit $ L ' My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT r Owner's Name and Address Registered Architect and /or Engineer :__c Employing Plumber's Name No Location and Legal Description Lot__ .//' Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stoties Type of Tank No. 7/ 4 Street Size Septic Tank I ')// Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit. (Signed) Street Date_ Subdivision Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permardnt 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 under signed agrees to employ only such sub - contractors, licensed by Miami Shores Village. on work to be performed under this permit, as 2 / 7- 2 - Nliktez . Plumber. (Signed) 7-11 STATE OF FLORIDA, COUNTY OF DADE. SS. 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. Notary Public. State of Florida c-.^4 • Street Plumbing Ufspector. are 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 i 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 CQNN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL ° SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST ' CHECK Permit No. _ APPLICATION FOR PLUMBING PERMIT -fi Application is hereby made for the approval of the detailed statement of the plans and specifications herew submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Or . . nce 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 here p specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Nature of Water Supply: City Wei Amount of Permit $ L ' My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT r Owner's Name and Address Registered Architect and /or Engineer :__c Employing Plumber's Name No Location and Legal Description Lot__ .//' Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stoties Type of Tank No. 7/ 4 Street Size Septic Tank I ')// Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit. (Signed) Street Date_ Subdivision Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permardnt 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 under signed agrees to employ only such sub - contractors, licensed by Miami Shores Village. on work to be performed under this permit, as 2 / 7- 2 - Nliktez . Plumber. (Signed) 7-11 STATE OF FLORIDA, COUNTY OF DADE. SS. 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. Notary Public. State of Florida c-.^4 • Street Plumbing Ufspector. are 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. «/ .ELF - AL PERMIT A •9 890 PLUMBING Owner of Building Architect and /or Engineer Contractor o,r,..likwiteloor_ _ — __: '_: Proposed Location _1 LOT NAME ADDRESS NAME 1 ,tir ... BLOCK 4 SUB -DIION RECD. PAYM ACCT. DEP - ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT/ 19 AMOUNT LICENSE NO. L CEN* NP. .` STREET.{ r " In consideration of the issuance to me of this pkmit I hereby agree to the proposed construction in strict conformity wit lf the application and plans and specifications thereof heretofore by me submitted, and i compliance with all provisions of all building laws of the State of Florida, all the building ordinances and .ttoning laws of Miami Shores Village d all rules and regulations of the building department of Miami Shores Village. Dated — __�;:_ �_ 19�� ,,.,,,••■• (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtain>d fr the Planning Board. A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty m2teriaand /or workmanship. This permit is issued to the building above described, as per application. Plans and Specikettions heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the coigtruction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of iami Shores Village. /This permit may be revoked at any time upon the violation of any provisioe of said laws, ordinances or rules and regulations, ulna any hange ill, /tom ,plans ; end specifications un..uthorized by the /wilding inspector. $ - -— — - -- — — — ,.f_ t INSPECT out Luz., ELE-etRrc PERMIT A N 806 PLUMBING Owner of Building Architect and/or Engineer Contractor or- Builder_ Proposed Location AMOUNT Dated_ NAME NAME NAME „.1 -*- RECD. PAYMtNT ACCT. DEPT. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT , 19 ADDRESS LICENSE NO. ADDRESS ' -"' • , Apf ( ' • ADDRESS LICENSE NO. ••• LOT BLOCK SUB-DIVISION NO. STREET -. . pi , ,.., ' .. , .. This permit is issued to -, -.... — To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the „plans and specifications una by the building inspectok.. , , . • INSPECTOR In consideration of the issuance to me of this Opermit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village sd all rules and regulations of the building de mica e. of Miami Shores Villa pc , (SEAL) 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 made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING PERMIT N9 2408 Work to be performed under this Permit . Owner of f Architect Contractor or Builder / t a, i ,, n'" ., Legal Lot Bl. Description Address of Building 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 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 thg plans o> geirawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ; f ,/, } Signed ,/< -'`t` , 8�� �` INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptyr g this permit- I, a responsibility for all work done „by either nayrself, my agent, servant or employee. ' l ,r CONT OR BUILDER i f f . u . * ` , ^' AUTHORITY MIAMI SHORES VILLAGE, FLORIDA DATE Subdi- vision Value of Project J Contractor's License No. Amt. of Permit �F� lUILDING LECTRICAL 'LUMBING strchitect : ontractor ur Builder ega1 Lot Bl. )escription kddress of Iuilding 3wner of iuilding MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N? 4710 Work to be performed under this Permit Subdi- vision Value of Project Contractor's License No. Amt. of 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any )tans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 4 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 iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and,that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By / INSPECTOR 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 lertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUDDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE ;� ,.; 194 —� PERMIT N? 4 710 Contractor's License No. Work to be performed under this Permit = Owner of Building = j`" Bi. Subdi- vision Address of if ;j Value of Amt. of e. 0 Building 2� , i ,.. . 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 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- sibility for work done by his agents, servants or employees. Signed. ... ;%r B l i1 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all dinances and riegu ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti €s� "of Miami ShorFls" V flag e. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY