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955 NE 92 St (6)APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, 963 L 92 Legal Description: Lot: ' -01l Block to re- occupy the single family residence known as : (address) , Miami Shores, Florida. I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Date Print Name *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: / fgeiS Telephone: 9 7g 7 / � l Buyer Seller Realtor Company Name �j /� l// v� �� l� vG ' Application Fee ($50) paid: Cash Check No. Inspected by: F . LUB I EN Comments: PAGE 1 OF 2 , hereby apply for a certificate PB &PG: 7- 6 4 Approved X Denied Date 6/14/00 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single- family residential purposes. THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 MIAMI SHORES VILLAGE, FLORIDA By: Date of Certification: 6/14/00 . .• - k 4 jf ( ".1 404*, r 7 c "I Applicant - C(L)p Permit Number 85 ^ //gel 15 - n E. T.),, S it.z,.4 PI* 6j? PART II - SYSTEM INSTALLATION INSPECTION AND FINAL INSTALLATION APPROVAL rr�� Installer W't Q © ■ 1 ►r 2- oar - 117 - c '4 01,E Tank Manufacturer Proper tank legend: Yes No Tank material Tank level: Yes No Tanks watertight: Yes No Tank size• gallons gallons gallons Proper tank outlet device: Yes No Manhole or marker to grade: Yes No Absorption Bed Length Width Length Width Length 3/ feet x� feet —3/0 ft feet feet feet feet Length feet x feet= ft feet feet feet feet Proper No. drainlines: Yes 1 No feet feet feet feet Proper pipe separation: Yes V No' L t Total = ft Total = ft Distribution box level: Yes No Systems located as permitted: Yes g- No Inspected by: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Date/ 7 Approved by: Drainfield Trench Systems including plumbing stub -outs installed at proper elevation: Yes No Average depth to drainpipe invert from finished rade: p -.Z `� g p g �_ inches Maximum depth I nches Average depth of drainfield gravel:/ 0 inches Minimum depth of gravel' f 2 - 4 " inches Proper gravel size: Yes No Gravel is suitable quality: Yes ✓ No Backfill or fill material as required: (Quality) Yes No (Quantity) Yes No Other findings >af sir,"_ , ..S 2 - 21 .y co 6 r^ra.,i c0 (SS PAR FIN HRS —H Form 4016, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 -002- 4016 -0) LATION APPROVAL AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Date COUNTY PUBLIC HEALTH UNIT Note: Completed copies of this form will be provided to the applicant, installer and the building department. Page 2 of 2 VINCENT D. PATTON ZGCUTIVG DIRCCTOR DhS :r r CHARLES M. DAVIS CC: Dear Y.r. Well Driller: L3: SUIT= 400. TALLA :J _21U:LDii`.G 315 SOUTH CALHOUN STREZT. TALL :—: `s =E. FLORIDA 32301 TELEPHON: (004) ' '/�X i = 224 -9226 February 25, 1970 Dade County John Sheer 13- 78o9 -7o Your application for a drainage well at the address shown on the attached form has been approved under the provisions stated on the form. Please notice :hat .the form you are receiving is in two parts; the upper being the drilling permit and the lower one being a permit to operate drainage well. The provisions stated on the drilling permit are intended to guide you in drilling the well in accor- dance with the regulations of this office. The provisions stated on the opera- ting permit inform the owner of the purpose for which the well is permitted, and of any special treatment which must be provided before waste can be discharged into the drainage well. After the well has been completed in accordance with the provisions of the drilling permit, you should fill in the blank spaces in the operating permit so that this form w:11 show the actual depth to which the well is drilled instead of the esti- mated ciameter and depths as given in the upper permit, which is for your files, and forwarded to the appropriate Department of Air and Water Pollution Control gecional Engineer or County Engineer in Order that they may inspect the well and countersign the permit before delivery to the owner. Information copies of oo::- drilling and operating permits have been furnished to the owner,to the GJUt,,;, -iate regional or county engineer, and State Geologist. You are required to make a record of the log of the well, one copy of which must be furnished to the State Geologist and the other copy to this department ac th,: time of the inspection. The State Geologist may also require that you save cuttings from the well for his use. You are requested to notify this office of any change from the provisions of this permit•priot to placing them into effect. JOHN P. ROE ERTS Very truly yours, David H. Scott, Chief Bureau of Permitting JAY E. SCHENCK N`ATHANI =L P. REED CHAIR .(.&N A. D. VINCENT n FLOR: ;A J._ :'ART.MENT OF AIR AND WATER OLL UT: CN CONTROL - TALLAHASSEE, FLOR:DA . ER>',I T TO DRILL DRAT MACE WELL - Permit - No. 13- 7809 -70 I to: Charles Sheets 19930 N.W. 2nd Avenue Miami, Florida I n accordance w i t h drainage well at Proposed Diameter Permission 1. The well driller shall use the enclosed form for submitting a well log to the Florida Department of Air and Water Pollution Control. 2. Well casing to extend to an aquifer yielding water having a chloride content of not less than 1500 ppm as C1: 3. The well casing shall extend to a depth of 40 feet as stated in the application. 4. Drainage well to be located minimum of 25 feet from septic tank and drain field. 5. A water sample with the required chloride content shall be taken by a recognized chemist and the results sub- mitted to this office. 6. The drainage well shall not be located within or under the swimming pool structure or within any building or under the roof or overhang of any building or structure. Upon its completio this well shall in no case be placed in service until the attached permit to operate has been completed, signed by a duly authorized representative of the Department of Air and Water Pollution Control, and delivered to the owner. This permi: Is revokable at any time for failure to comply with the provisions as stated herein. Granted: February 25, 1970 (Date) Issued by: FLORIDA DEPARTMENT OF Al R AND WATER POLLUTION CONTROL PERMIT TO OPERATE DRAINAGE WELL In accordance with the provisions of Chapter 403, Florida Statutes, permit is granted John Sheer (Owner) 955 N,E. 92 Street to operate a drainage well located at 955 N.E. 92nd Street - Miami Shores, Florida _ subject to the following provisos: 1. Well to be used for drainage of a public swimming pool only. 2. Pool to be operated in accordance with Department of Air and Water Pollution Control regulations. 3. Well shall be preceeded by a 600 gallon settling tank. This drainage well is inches in diameter, feet deep, cased to a depth of feet d :flied by This permit is revokable at any time for failure to comply with the provisions stated herein, or if this drainage .ell should at any time contaminate or otherwise affect other waters in the vicinity, or for other cause. Granted: the a :ovisions of Chapter 403, Florida Statutes, permit is 955 N.E. 92Street - Miami Shores, Florida 2" Proposed Well Depth 45' Proposed Casing Depth is granted or drilling the well with the provision that: FLORIDA DEPARTMENT OF AIR AND 1ZATER POLLUTION CONTROL Tallahassee, Florida (Date) (Not valid until signed by a duly authorized representative of the Florida Department of Air and Water Pollution. Control.) Issued by: FLCR...A DEPARTMENT OF AIR AND WATER 'OLLLTION CONTROL Chef, Bureau of Permitting (Name of Driller) (Driller) For John Sheer (Address) 955 N.E. 92 Street Miami Shores, Florida Chief, Bureau of Permitting (Address of Driller) granted for drilling 40' (Owner) (Address (Addres r- 1, Legal Description: Lot: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY to re- occupy the single family residence known as : (address) Block I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Mani Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant PP 1 12 A u nee W LEY Date PAGE 1 OF 2 , Miami Shores, Florida. hereby apply for a certificate PB & PG: Print Name ************************** 1******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: TelephonecT) 7 f q I 5��6 0 , Buyer Seller Realtor Company Name • Application Fee ($50) paid: Cash Check No. PP ( ) P Inspected by: F . LUB I ENi%i Approved X Denied Date 12/2/98 Comments: CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the M Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. PAGE 2 OF 2 MIAMI SHORES VILLAGE, FLORIDA By: .1" , USA" Date of Certification: 12/2 /3 THIS CER'1'1h1CATE. VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHOES VJT ,TAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOJ.FT.Y TO THE REQUIREMENT THAT EACH ONE- FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER LFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON TEE PREMISES DESCRIBED HEREIN, OR ANY ASPECT cF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDTTI!ON, THEREOF. 1