991 NE 93 St (6)CONTRACTOR
l
Name 808 SE p 0
License No. 1 (I ( Q
/s ^ J n �
Address
1vg0 A)6 1309 - r L, 1
Address
got luve.
Telephone 55-y t
O /g • Fax rn OA [ (,
Qualifier Name
BOA 77��' U-11-
PROPERTY OWNER
New Construction
Name JO h 1 V \
V �
It)626
Address
got luve.
5 i
Home Telepho e/, R C)
� CC (CE:LL)
Business Teleph
Alteration Interior
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Job Address:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
*mrAI�z -sou,
ress e 11 C Apt. City State Zip
Folio Number' 1-3D.0(6-
d3 J _ 0 0 S O Description of Work } j 0 0 6 -9 (LA; )0 1 e IL 1 us-r-4, LA..-
Lot 5 Block A) 1 Pr
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet G U nits Floors
Proposed Use of Property Value of Work ■`--"- Bldg Value
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
License No.
Name
Address
Telephone
Fax
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No.
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Address
Name
License No.
Telephone
Fax
Page 2
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF RIDA, C� O��S�it -DADE
Signapet4f Owner
Print Name
worn to and subscribed before me this 23 day o flr'
ignature of i tary Pubh�- Ste of Florida
SEAL:
Type of Identification Produced:
1 A
STATE
Signature
Print Name
PERMIT APPLICATION
A, COUNTY
tor / Qualifier
S . to and subscribed before me thi
Si . ture of # i#rp' Mc tate.'of . orida
f
SEAL:
tz;
P o .ci., O.
o ; E , /`te2 ._. �.
Personally known I OR, P roduced Identification Personally known v OR, Produced Identification
r
6 • ! pe of Identification Produced:
ELECTRICAL
TI'P1:
Minimum Fee
Q"I'I'.
TYPE
Dryer
QTY.
'I'YPI':
Outlet, Appliance
Q'i'I'.
"I'I 1'I ,
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
f/
Low -volt, Television
Service, Number of Amps
Water Heater New
PLUf 1B1NG
TYE:
A/C Condensate
()Ty.
TYI'F
Drains, Roof
QTl'
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
Q
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
/ eaundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
f/
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. I
i\IECHANICAL
TYPE
Minimum Fee
A/C Central, Tons
A/C Wall/Win. Tons
Air Handler, Tons
Barbecue
Bath Fan - Vented, #
QTY. 'I :YPF.
Condensate Drain
Cooling Tower
Dryer Vents, Number of
Ductwork, Cost of
Fire Sprinkler System
Fireplaces, Number of
Q TY'. 'rl'rt.
Generator
Heating Strips, each
Paint Booth
Piping, Flammable Liquid
Process/Pressure Piping
Pressure Vessel
Refrigeration, Tons
Vent Hood, Cost
Ventilation, Cost
Periodic Inspections
Q N.
RECEIVED AND REVIEWED BY:
DATE:
Page 4
OFFICE USE ONLY
CIIECKL1ST
❑ OWNER - BUILDER FORM
(Attach)
O FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
0 PROOF OF OWNERSHIP
(Attach)
O HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee)
— Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
rt O
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
(X .ft. = x/1000
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
0 BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ ` � g(P
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
TO THE
ORDER OF
FOR
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /25/2002
Applicant: JOHN MICHEAL
Owner: WEBER
JOB ADDRESS: 991 NE 93
Contractor BOBS SEPTIC & DRAIN INC
Local Phone: 305 - 558 -5818
Parcel # 1132060350050
If th
ere is no nPrrr+i�
Permit Status: Approved Permit Expiration:
Work: 300 SQ FRAINFIELD INSTALL
BOB'S SEPTIC H
IC &DRAIIN INC. N
1020 NE 130TH ST.
NORTH MIAMI, FL 33161 -42
/5 VIP&
Plumbing Permit
Permit Number: PL2002 -285
4/23/2003
WEBER
JOHN MICHEAL
ST
Contractor's Address: 1020 NE 130 ST
Legal Description: MAGEE & HAWKINS SUB PB 51 -5 LOT 5" & El 2FT OF LOT 6 LOT SIZE IRREGULAR
Fees:
FEE2002 -6055
FEE2002 -6056
FEE2002 -60
FEE2002 -6058
Description
Building Fee
Buildier's Bond
CCF
Notary Fee
Total Fees:
Amount
$80.00
$300.00
$1.80
$5.00
$386.80
Total Fees: $386.80
Total Receipts: $0.00
Construction Value:
c tibank
CITIBANK, F.S.O. BR. #37
2750 AVENTURA BOULEVARD
AVE►yTURA, Fl 31 0 ( _
•
•
3
21,0
• OB6554
11 540 10 �. 266
70606
•
DATE
$2,200.00
5401
63- 665537
2660
$ 38- 4 4 )
DOLLARS UJ °• -"
Page 1 of 1
Re- inspection
cation herefor in strict compliance with all
- fications that may have been submitted to
a or if the plans are changed without
lonsibility for a thorough knowledge of the
hat he assumes responsibility for work done
s pertaining thereto and in strict conformity
sponisibility for all work done by either
x
The Sunshine State
UCEHSE HUMBER
W160-47346463-0
JOHN MICHAEL WEBER
991 NE 93RD ST
MIAMI SHORES, FL 33138-2912
BIM DATE SEX HOT. REST. INDORSE
12-23-613 M 6-0T A
issueo
EXPIRES DUPLICATE
- 12-29-01 12-23-07 00-0000
SAFE DRIVER
sw nacos
Operation of • motor vehicle constitutes consent to any sobriety test required by law.
10/22/2002 12:23 3055133472
CONSTRUCTION PERMIT FOR:
( ]New System [ ]Existing System
( X ]Repair [ ]Abandonment
APPLICANT: Weber, John Michael
LOT: 5 BLOCK: N/A
PROPERTY ID #: 11- 3206 -03S -0050
SYSTEM DESIGN AND SPECIFICATIONS
T
A
N
K
D
R
A
I
N
F
I
( 300 ]SQUARE
[ 0 ]SQUARE
TYPE SYSTEM:
CONFIGURATION:
DATE ISSUED: 10/2202
APPROVED BY Tessa, Carlos
STATE OF FLORIDA '
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
1110 VitrT)T. ,F. ;r-�:
DEFLECTION DE MME VAIIi eLLES f�ta �W7 "is �Ll' "L'Et
SPECIFICATIONS BY: Lease, Carlos
REP
MI 4016, 03/07 (Obeoletes previous editions which may not
(stock Number: 5711- 001 - 1116 -0) L ocesa_eena , ... -17
OSTDS P4GE 01
r "tis
PROPERTY STREET ADDRESS: 991 NE 93 St Miami Shores FL 33138
[ JHoiding Tank [ ] Innovative Other
[ ]Temporary ( NA ]
AGENT: SR0 92117.6 , PARILLA ROBERT
SUBDIVISION: Magee & Hawkins
(Section /Township /Range /Parcel No.]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CTLk.PTF'R 64E -6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECI ?IC TIME
PERIOD. .ANY, CIHANGE 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.
900 ]Gallons SEPTIC TANK
0 ]Gallons
0 ]GALLONS GREASE INTERCEPTOR CAPACITY
0 1GALLONS DOSING TANK CAPACITY [ 0 3GALLONS
FEET PRIMARY DRAINFIELD SYSTEM
FEET SYSTEM
(y. ]STANDARD ( N ]FILLED
[ N ]TRENCH (Y' ]BED
LOCATION TO BENCHMARK: Top of Bottom Floor.. 1,3.70' NGYD.
ELEVATION OF PROPCSED SYSTEM SITE ( 2.4 ] ( TEST
BOTTOM OF DRAINFIELD TO BE [ 4.9 ] [ TEST
FILL REQUIREED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [
OTHER REMARKS:
This permit is not for addition(a }.
*Existing 900 gl. septic tank to remain.
*Install 300 oq.ft. of drainfield or its equivalence of
*Invert elevation to be no leas than 9.30' NGVD>
*Bottom elevation to be no leas than 8.80' NGVD.
TITLE:
TITLE: Engineer I
be v.sed )
CENTRAX #: 13-SG
DATE PAID:
FEE PAID : $
RECEIPT
OSTDSNBR : -02 -3042- -A
MULTI-CHAMBERED/IN SERIES: [I'
MULTI- CAMBERED /IN SERIES: [ Y
(0 ]DOSES PER 24 - FIRS
[ N ]MOUND [ N
( N ]
[ BELOW ) BENCHMARK/REFERENCE POINT
( BELOW]BENCHMARK /REFERENCE POINT
30.0 ] INCHES
12 EQ -36 Infiltrator chambers.
# PUMPS ( 0 )
IRIS PERMIT IS NOT FOR ADDITION(S)
TNVE RT ELEVATION a �,
'BOTTOM OF r;RATNFIFL.I? ELEVATION
Dade CED
EXPIRATION DATE: 1/20/03
Page 1 of 2
CONTRACTOR
Name
JO h tuE26,e_
Name 0 8 S
License No.5 2 0 9 1 1 1 (
'�f
Address
(0c)-0 It-)6 3& s1 L), Irl a a ,
Fax
Telephone 55y /g . Fax V? M ()(2, 7
Qualifier Name BO 6 P/9-it % a-A
PROPERTY OWNER
Name
JO h tuE26,e_
ess
C O lU vE. gi35i
Home Telephone/] J
(
v R iy�. ! 'S CCU.
✓1
Business Teleph ,
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
Step 1.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
License No.
Name
Address
Telephone
Fax
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No.
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
Job Address: 1 a ( _
n � � Apt. City State Zip
–
Folio Number' 1 3 D( O J J fl ?e_ 00 S O Description of Work j 6174; - - ' 1 e 16(. 1 U$TQ LL.
Lot 5 Block A,) I fl-
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet 6 v nits Floors
Proposed Use of Property Value of Work ■.'— Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone
Base Floor Elev.
ENGINEER
Name
Address
License No.
Telephone
Fax
Page 2
1 NI PORTA NT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1•' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF �RIDA, C OF 1V�A1�fI -DADS
v1.rS`�1 -
Signat . of Owner
T� ) Irs / ► &Qj We.be
Print Name
Sworn to and subscribed before me this 23 day o
gnature of
SEAL:
Personally known t pOR, Practiced identificAtioh
Type of Identification Produced:
,' Ci�l V
S oo Florida
� PO o 7cr�,' o
• I111:
u '1
ctor / Qualifier
STATE
Signature o
Print Name
A, COUNTY
S • to and subscribed before me thi
[ill
SEAL:
PERMIT APPLICATION
blic Statcatf f1orida E�
e(:, d .a C.
na v rn . .. .
nr Ft.
Personally known OR, Produced Identification
6 . y pe of Identification Produced:
ELECTRICAL
T Y P E
Minimum Fee
Q.I'Y
TYPE
Dryer
Qi ' '
TYPE
Outlet, Appliance
Q.Q.Y.
TN PE
Service Repair
QT\
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
V/
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
T1'Pr.
Minimum Fee
QTY.
TYPE.
Condensate Drain
QTY.
TYPE:
Generator
QTY.
TYPE:
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
'FIT.:
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY
TYPE
Miscellaneous Fixture
()Ty.
' m.:
Soakage Pit
vi v.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
,Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
V/
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. I
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERNIIT FEES
$3.00 per page (Scanning Fee)
— Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
° (sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
00
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ 31( F
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
PAY
TO THE
ORDER OF
FOR
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
�Q Printed: 10 /25/2002
Applicant: JOHN MICHEAL
Owner: WEBER
JOB ADDRESS: 991 NE 93
Contractor BOBS SEPTIC & DRAIN INC
Local Phone: 305 - 558 -5818
Parcel # 1132060350050
Permit Status: Approved Permit Expiration:
Work: 300 SQ FRAINFIELD INSTALL
If there is no nprm;#
BOB'S SEPTIC & DRAIN, INC.
1020 NORTH MIAMI, FL 33161-4211 5818
1110 540 to 1 : 26 6086 5 5 4X
Plumbing Permit
Permit Number: PL2002 -285
4/23/2003
2 L0
WEBER
JOHN MICHEAL
ST
Contractor's Address: 1020 NE 130 ST
Legal Description: MAGEE & HAWKINS SUB PB 51 - 5 LOT 5 & E12FT OF LOT 6 LOT SIZE IRREGULAR
Fees:
FEE2002 -6055
FEE2002 -6056
FE E2002 -60
FEE2002 -6058
Description
Building Fee
Buildier's Bond
CCF
Notary Fee
Total Fees:
Amount
$80.00
$300.00
$1.80
$5.00
$386.80
Total Fees: $386.80
Total Receipts: $0.00
Construction Value:
$2,200.00
c tibank'
CITIBANK, F.S.B BR. 137
2750 AVENTURA BOULEVARD
AVE TURA,F (
3
Pr L
•
•
70606
I
DATE
"4 p
5401
63- 665537
2660
DOLLARS 8
Page 1 of 1
Re- inspection
cation herefor in strict compliance with all
fications that may have been submitted to
or if the plans are changed without
Ionsibility for a thorough knowledge of the
`hat he assumes responsibility for work done
s pertaining thereto and in strict conformity
sponisibility for all work done by either
The Sunshine State
mese MASER
W160-47346-463-0
JOHN MICHAEL WEBER
091 NE 93RI3 ST
MIAMI SHORES, R. 33138-2912
BIRTH DATE SEX HOT REST.
12-23-66 M 6-07 A
ISSUED EXPIRES
- 12-26-01 12-23-0T
SO30112280061
Operation of a motor vehicle constitutes consent to any sobriety test required by law.
ENDORSE.
CUPUCATE
MOO-00
SAFE DRIVER
LOT: 5 BLOCK: N/A
SYSTEM DESIGN AND
T
A
K
�)
R
A
I
N
F
I
D
. 10/22/2P02 12:23 3055133472
DATE ISSUED: 10/22/02
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
CONSTRUCTION PERMIT
PROPERTY ID #: 11- 3206 -035 -0050
SPECIFICATIONS
( r .
iF46 3 frgc TAM r.7,
DEFLECTION DEVICE: t aSi:bLLED f;;a co-1:. C',rTU:i sc
SPECIFICATIONS 3Y: Ieasa, Carlos
APPROVED B. Ionise, Carlos
DH 4016, 03/01 (Obeoletee previous editions which may not
lctock number: 571.4- 001- 4'r16 -0) tott30_001 au,Ar-l;
JD DISPOSAL SYSTEM
CONSTRUCTION PERMIT FOR:
[ ]New System ( ]Existing System [ ]Noising Tank ( 1 In.ravative Other
( X ]Repair C ]Abandonment [ ]Temporary [ NA
APPLICANT: Weber, John Michael AGENT: SR0921116, PARILLA ROBERT
PROPERTY STREET ADDRESS: 991 NE 93 St Miami Shores FL 33138
SUBDIVISION: Magee & Hawkins
(Section /Township /Range /Parcel No.]
(OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER. 64E -6,FAC
DEPARTMENT APPROVAL OF SYSTEM DCES NCT 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 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.
900 ] Gallone SEPTIC TANK
0 ) Gallons
0 )GALLONS GREASE INTERCEPTOR CAPACITY
0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS
C 300 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
[ 0 ]SQUARE FEET SYSTEM
TYPE SYSTEM:
CONFIGURATION:
[ N ]FILLED
]STANDARD
( N :TRENCH ] BED
LOCATION TO BENCHMARK: Top. of Bottom F1ocr, 13,70' F76VT3.
ELEVATION OF PROPOSED SYSTEM SITE [ 2.4 ) ( TZET )
BOTTOM OF DRAINFIELD TO BE [ 4.9 ] ( TZET l
FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: (
OTHER REMARKS:
Thin permit is not for addition(s).
*Existing 900 gl. septic tank to remain.
*Install 300 aq.ft. of drainfield or its equivalence
*Invert elevation to be no leas than 9.30' NGVD>
*Bottom elevation to be no less than 8.80' NGVD.
OSTDS PAGE 51
of 12 EQ -36 Infiltrator chambers.
THIS P E R M I T IS NOT FOR AE Di Q' S
INVERT ELEVATION G .
BOTTOM 01 r ;RAINFrELI? rLEVATION �—
TITLE:
TITLE: Engineer I
be used)
CENT'RAX #: 13 -SG -14421
DATE PAID:
FEE PAID : $
RECEIPT
OSTDSNSR : - -3042- -R
MULTI-'CHAMBERED/IN SERIES: ( Y
MULTI- Ck:AMBERED /IN SERIES: (Y
(0 ]DOSES PER 24 ERS # PUMPS( 0 )
1 N ]MOUND
[ N
[ BELOW]BENCHMARK /REFERBNC.E POINT
[ BELOW ] EENCHMARK /REFERBNCE POINT
3Q.0 ] INCHES
Dade CHD
EXPIRATION DATE: 1/20/03
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