716 NE 92 St (6)Date 12/7/94
Legal Description
Owner / Lessee / Tenant SHORES PLAZA EAST CONDO Master Permit #
Owner's Address 716 NE 92 STREET MIAMI SHORES 33138 Phone 757 -2602
Contracting Co. NORTH DADE SEPTIC TANK Address 800 NW 111 STREET
Qualifier
DENNIS NEVILLE SS#
Phone 754 -3375 4'939- y;�J
-
State # 025836 -8 Municipal # Competency 4k 12842 Ins.Co.TAVELERS & ESIF
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION INSTALL DRAINFIELD
Square Ft. 400 Estimated Cost(value) $1700.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature o owner and/4-Condo President
Date:
APPROVED:
j
Nota to Owner
My Commission Expi
** * * *
FEES: PERMIT 3 RADON
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 716 NE 92 STREET
Condo President
IO TARY PUBLIC; STATE OF FLORIDA AT LARGE
MY COMMISSION EXPIRES JUNE 19, 144!
BONDED TMRU* UCKLE *RRY & AiSOCIATES*
Buildin
Mechanical Plumbin
Tax Folio
Signature of Contractor or Owner- Builder
Date:
* *
C.C.F. ) NOTARY TOTAL DUE T
Fire Other
CI ( ath
act as to Co � act or Owner- Builder
ission
reSHOTARY FL'al►CI STATE Cr f rrIDA AT L_
MY COAIROSSIuN OrPUif5 J'Jr , 1 ?, I 495
* *
EC matt) 1H* NUCr t ▪ 4 , . .,
Electrical
ngineering
r-;"?./15
RECEIVED OF
LOCATI
FOR:
$
DADE COUNTY DEPARTMENT OF PUBLIC HEALTH
SEPTIC TANK RECEIPT a
19
BY• o •
This receipt not valid unless doted, filled in and signori by authorized employee
of department.
N2 7308
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PA9MIT
Permit Application Number A- ?V‘
PART 1I - SITE PLAN
Scale: Each block represents 5 feet and 1 inch = 50 feet.
■rimU.■.....U•■■.sl....u.■U•.■ m on ■■.■.■■■.. ■■■.....■ ■ ■ ■■■•.u.■■■■u■■.■....
■
...u.....
. ■■ .a " .::. " ' ::
■
■. ■ ■■■ ' i _■ �■SI = 1111111191111111111111191111191111119111
■ _ uuu ■ ■
. uU■■lC■■ U ■■U■■IUImin - ■ ■■■
mom pp IIIMMUMENEMMOMME MIMI 11 II
pommummoppgui
oilimolii Iiim III IIIIIIIIirli Is um
ii ■�i ■"fiYi ■'■ _i ■ -1 ■■■ ammilmom
■■.■ al as
■. -
.►u. ■. � . um wirm
■ ■ ■. • . ■. ..
Cl ■ :.C _ ■ _...■.... ■..... _■
A ta.. .. �� - r - ■p■ �■� ill ■■.■■ ■■ ■ ■ - c U■ I■■■� G■■ ■.0 ■ ■ ■■ . . Ern r■... ■■ �_ U■■ 111111119111111114.91111111111
■''
p
11-Ft- i = 7 t 1 .I
JiI.i (t I I l i IIiINI H HIliIpIii ■1■■ ■■ _ ■ ■ u ■ . ' i u■ _ ■■ ■■ ■■l ■ ■ ■ ■ ■
91: _ 1 1 . _1 J
.■ • 'i :■■pl ■p ■ ■ 1 ■■ ■■ ■■■
� ■I ■CC■I 11 IT C -
. ACC=:" ' - '�' r �l
I
_i I � i 111 i, i Ci -
1 _ •� I i11l 64
A l ' $ ( itj 1 ;t � D TI0 Mills _ L „�p ■ I :� :"_ �:: �i �; ■■C■•� A AU* * Asp
• ■ ■II IU II I• ■ ■ C=C■� ■�i■� . . JC ._J ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■■■ ■■ . ■■ ' 1' ■' ' ' " ""' Maw ■■ Ci Amp" It IC ■iii■■■ ■. I' .■■■■.■.■ II ■■
■■ •
�. .■ ••:'UU■Up' ■.. C� p ■= p, C .■ ■ ■ . ■ � ■.
porn= � = ■ ■ . ■ ■■ ■ ■Ili■ ■I■i■:■■■■=■■II m ■.■■I.■■ ■ ■■■..
mum C U'■ .n • =■■■■.
pC■■ ■C■ E ■■■■■■■ ■C■■■■■■
■■■■■■■■■ ■■■■■■■■■ ■. R ■■I■■ I .. I I. ■...■■■_■ N ■.■■■■■■ ■■ •■■■ ■■■■■I■■■ ■p.■■ UI■■■..■■■■.■.■■■
Notes: SHORES PLAZA EAST: 716 NE 92 STREET, 33138
OLD SYSTEM OVERFLOWING.
Site Plan submitted by:
SI ' ATURE
Plan Approved
B County Public Unit
ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT
HRS-H Form 4015, Feb 85 (Obsoletes previous editions which may not be used)
(Stock Number. 5744.002- 4015 -61
TITLE
Not Approved Date
Page 2 of 3
APPLICATION FOR:
[N ] New System
[ Y ] Repair
APPLICANT:
AGENT:
ATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D -6, FAC
[M J Existing System
[ N] Abandonment
SHORES PLAZA EAST COND
NORTH DADE SEPTIC TANK
MAILING ADDRESS:
800 NW 111 STREET, MIAMI 33168
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE
SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE.
PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED]
LOT:
PROPERTY ID #:
PROPERTY SIZE:
BLOCK:
SUBDIVISION:
ACRES [Sqft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [al PUBLIC
PROPERTY STREET ADDRESS: 716 NE 92 STREET, 33138
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION [ x] RESIDENTIAL
Unit Type of No. of
No Establishment Bedrooms
a APARTMENT COMPLEX 4 BEDROOMS
2
3
4
[ N ] Garbage Grinders /Dispos
[N ] Ultra -low Volume Flus
APPLICANT'S SIGNATURE:
[N ] Holding Tank
IN J Other(Specify)
[
[N ]
] COMMERCIAL
PERMIT 1 9 F.SW-
DATE PAID
FEE PAID $
RECEIPT #
Temporary /Experimental
TELEPHONE:
757 -2602
754 -3375
DATE OF <83
SUBDIVISION:
[Section /Township /Range /Parcel No.] ZONING:
Building # Persons Business Activity
Area Sgft Served For Commercial Only
NOD Spas /Hot Tubs [N] Floor /Equipment Drains
Other �
12/7/94
DATE:
HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) Page 1 of 3.
(Stock Number: 5744- 001 - 4015 -1)
APPLICATION FOR:
[ X] New System [N ] Existing System [N ] Holding Tank [N ] Temporary /Experimental
[ y] Repair [N ] Abandonment [N ] Other(Specify)
APPLICANT: SHAW
AGENT:
STATE OF \- • RIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D -6, FAC
NORTH DADE SEPTIC TANK
MAILING ADDRESS: 800 NW 111 STREET, MIAMI 33168
PERMIT #
DATE PAID
FEE PAID $
RECEIPT #
TELEPHONE: 932 -8126
754 -3375
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE
SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE.
PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED]
LOT:
PROPERTY ID #:
PROPERTY SIZE:
BLOCK:
SUBDIVISION:
PROPERTY STREET ADDRESS: 2620 NE 213 STREET, 33180
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION
Unit Type of No. of
No Establishment Bedrooms
1
2
3
4
SFR
APPLICANT'S SIGNATURE:
ACRES [Sqft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [xx] PUBLIC
[X ] RESIDENTIAL [ ] COMMERCIAL
4 BEDROOMS
EN ] Garbage Grinders /Dis osa ' [ N] Spas/ Tubs AN ] Floor /Equipment Drains
EN] Ultra -low Volume Fl sh Tolets 1[ N] Oth (Specify)
HRS -H Form 4015, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 001 - 4015 -1)
DATE OF
SUBDIVISION:
[Section /Township /Range /Parcel No.] ZONING:
Building # Persons
Area Sqft Served
Business Activity
For Commercial Only
QQO_
DATE: 12/7/94
Page 1 of 3