PLUMBING PERMITAPPL CANT,
• AGENT:
PROPERTY ADDRESSs
4 TANK INSTALL&TION � ,r''
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ILL
STATE OF 'FLORIDA P sR � i I T No. " J• I * '`i‘
DEPAt, REALM' DATE PAID*
'ONSX TXE 1T • + JY : #3i ► .n. ;.
CONST : INSPECTION • AND. -FINAL 'APPROVAL'' ' RECEIPT #s t-f ":+' 211 )
CREED [XI ITEMS ARE.IIOT Dt COMPLIANCE WITE STATUTE
f.
Isj
cy
4016 10/97 t vious : Rations 1, a
t
136) ; DRAINIIELD COVER
.1371 £E0 ' .dE r i ..
l
13,21 . ELOPES •
138 J : STRBILizATrok
ADDI*IONAL INroRI TIok
E .14E1 O1roBSTROcTED AREA
[41]
1
(40 11
' 1441 'BUILDING AREA ,
• 14 I • LocftI#Er6
•
4E
• r fk ,
Atha AND NDST . Ea CORRECTED.
] t
i71 •SURrAci 1 `
] ` [ 4 E 1 DITCHES ' -tl „t*T
129 j PRIVATE WELLS •• ,;?J - ,}
] [30j PUBLIC WELLS s
l : [311 . -AR '!'
I . [33} PoTASI+E `WATER LIRAS C a�
] (33) ',.rioiltioisoltroOthii.XiOit
] 1 34) • PROPERTY LINES . r
135] OTHER
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50
PROPtRTY
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Account #
Inspection Date: /U/ 7/D3
Initial Treatment Date: /0/ 7/ 03
Business Phone
Aerotech Pest Control Inc. is hereby authorized to treat the premises described above
.. for the control of:
, • ■ CHEM CONTROL - See Reverse Side
... ubterranean termites ® Ti Bor Treatment
® Moisture Control Wail Treatment
FUMIGATION
A Drywood Termites A Vikane Gas
al Wood Borers Q Methyl Bromide Gas
® Powder Post Beetles A Tim • Bor
On the basis of
wive Int
DIE
ation
ce of infestation
evention
rn No Inspection
Fungi
0 Mechanical Correction
® Sodium Borate
to issue the type df guarantee as checked below:
Compan
y ear control (CO)
0 Lifetime Limited Guarantee
m None
Aerotech Pest Control
Z WOOD DESTROYING ORGANISM AGREEMENT
g. 5 . IM i t l X z S AND N f tt.>.c too s. TAK„
Buyers Name " ; Name (Agent)
Street Address (Treating Address)
f rl I P1 r1n i r-
City State Zip Code City
� S4 - 377 •o210 7$1 • X C3 +6 k07 FLaA4I1.) SII
Home Phone Type Structure _1() y 9, S� .
Street Address (Mailing Address)
7. This will acknowledge that Buyer has read, understands and agrees to abide by the HOMED
FUMIGATION PROCEDJ4 ES as set forth on the attached form.
State
Month
Aerotech Pest Control Inc.
2099 NW 141 St Bay 16
Miami Fl. 33054-4170
Phone 305 -622 -PEST (7378)
Fax : 305 - 623.1644 /
Day
Zip Code
Year
1. INITIAL TREATMENT AND $ J 7 3, 00
ONE YEAR LIMITED GUARANTEE
2. LUMBER REPLACEMENT $
MECHANICAL. CORRECTION
3. ADDITIONAL YEARS $
OF LIMITED GUARANTEE
4. OTHER FEES $ t
5. TOTAL: CASH PRICE $ .S 73 00
6. LESS: CASH DOWN PAYMENT $ 6 l• Od
7. UNPAID BALANCE OF CASH PRICE $
GENERAL PROVISIONS
1. During the term of this Agreement, Aerotech Pest Control will reinspect periodically upon the reasonable request of Buyer, and any
necessary fiuther treatment will be provided for at no additional charge. Buyer agrees to make the premises available for reinspection.
2. Aerotech Pest Control will renew this service annually for the premises for $ /I< 0 C) per year payable on or before each annua
renewal date, provided that the company shall have the right to revise the annual renewal charge beginning the sixth (6 year from the
date of initial treatment.
3. Aerotech Pest Control shall not be responsible for present or future damage to property or contents, or for repairs or compensation
therefore. The only obligation of Aerotech Pest Control shall be to provide necessary additional treatment to the premises, at no extra
cost, if live infestation of the above wood destroying insect is found on the premises during the term of this agreement.
4. This agreement covers the premises diagrammed on the graph as of the date of actual treatment, and in the. event the premises are
structurally modified, altered or otherwise changed after date of initial treatment, this agreement shall terminate unless a prior written
agreement shall have been entered into by the Buyer for Aerotech Pest Control to reinspect the premises, provide additional treatment
and/or adjust the Annual renewal Fee.
5. This agreement shall be effective only upon payment of the charge provided for herein.
6. In the event Buyer defaults on any installment, the entire balance due hereunder shall become immediately,due and payable with interest
at the rate fixed by law, and Buyer shall reimburse Aerotech Pest Control for it's cost of collection, including reasonable attorney's fees.
Accepted B
TIONS FOR
Date:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder) \ C \ \A ( ' A
Owner's Address C 1(• C "I , ��9 _ l 2 SA-
City \\':\ • " ) \i1 ca'. ek State f i ,
Tenant/Lessee Name
Job Address (where the work is being done)
a ,
Miami Shores Village County Miami -Dade Zip a
City
Is Building Historically Designated YES NO
M7 `
Contractor's Company Name l 1 ' f� % "' - -�Ph
Contractor's Address 2.> g 5 Li 2
City 1 411 t '"''t State
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit
Describe Work:
Number of: Bays Stories ^ Families Bedrooms
Type of Work: ❑Addition DAlteration ew ❑ Repair/Replace
County Escrow Fee $ : J, .
Education/Training Fee $
Code Enforcement $
Minus Plans Check Fee $
Miami Shores Village
Building Department
Permit Fee $
Tech $
` Plumbin
Zip
Bond $ Struct. $
Phone #
Zip 7/ 3
- Phone #
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees *, * * * * * * * * * ** * * * * * * * * * * * * * * * **
E( C) 00•
Scanning $
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. PLa003 - c� V
Master Permit No.
Mechanical Roofing
3;2 -
i
Square Footage Of Work:
Baths
Demolition
Notary $
Radon $
Total Fee Now Due $ , ( Continued on opposite side
V : A. 'leak $ VAStar
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 infotmation 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 ch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *gyp * **
APPLICATION APPROVED BY:
chc7/7 /03
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission
Owner or Agent
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by day of /.-4)320 by
i
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
xpir
Cron ct
as identification and who did take an oath.
aax
or
JOSE P. ORTEGA
Commissign * DD0226040
r*********************** ******************************************************* **** ** * * * ** * * * * * * * * * * , r * * ** **
(Certificate of Competency Holder) - °
State Certificate or Registration No. - / Certificate of Competency No.
******************************* * * * * * * * ** * * * * * * * * * ** * * * ** * * * ***
Plans Examiner
Engineer
Zoning
STATE OF FLORIDA
UL''YAI TI'I NT OF HEALTH — -
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT..FOR ;. _....
[ 8 ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other
] Repair [ ]Abandonment [ ] Temporary [ NA ]
APPLICANT: Meyer, Michael AGENT: OWNER,
PROPERTY STREET ADDRESS: 969 NE 92 St Miami Shores FL 33138
LOT: 3 BLOCK: N/A SUBDIVISION: Golden Gate
(Section /Township /Range /Parcel No.]
PROPERTY ID #; 11-3206- 006 -0031 [OR TAX ID NUMBER]
v
- 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 PACTS 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 I 900 ]Gallons SEPTIC TANK
A [ 0 ]Gallons.. _ _ -. -
N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K I •- 0 ] GALLONS - DOSING TANK CAPACITY [ 0 ]GALLONS 0 [ 0 ] DOSES PER 24 HRS # PUMPS( 0 ]
D [ 429 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ 0 ]SQUARE FEET SYSTEM
A . TYPE .. SYSTEM: [ Y ]_STANDARD I N ]FILLED 1 N mum [ N ]
I CONFIGURATION: - [. N ]TRENCH [ Y )BED [ N ]
N
F LOCATION TO BENCHMARK: 9.62'NGVD CI NE 9a St & W P1
I ELEVATION OF PROPOSED SYSTEM SITE [ 9.0 .] [ INCHES ] [ BELOW jEENCHMARK /DEFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 39.0 ] [ INCHES ] [ BELOW] BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED :( 0.0 ]INCHES EXCAVATION REQUIRED: [ 72.0 ] INCHES
OTHER REMARKS:
•SSE SPECIFICATIONS ON REVERSE SIDE"
CENTRAX #: 13 -SG -14305
DATE PAID:
FES PAID : $
RECEIPT :
OSTDSNBR : 02 -291.6- -N
MULTI - CHAMBERED /IN SERIES: [Y )
MULTI - CHAMBERED /IN SERIES: (7 )
APPROVED BY•:• Arrieta; Ro
DATE ISSUED: l 21 i3/ 0L
SPECIFICATIONS BY: RAN, -- (L�[ /p 2 TITLE:
Td WJIP:60 £003 60
ando
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(5COCk NjufO @r: 0744- 001 - 4916-0) lostds_coes 4016 -11
•das
TITLE: Eaglneer I Dade./�ji CHD
Ergo AU
'ON XIJ
EXPIRATION DATE: 4:/ <3/04
Page. 1 OZ 2
3N1 2Q I f1U1 DILL I WWf 1S : WONT
weas peem.it :bs _rov a unique black water, standard, gravity bed. system to serve the '
entire new residence.
Install 900 gals. new, dual- chambered and minimum category 2 septic tank, equipped with
an approved filter.
The tank like the rest of the septic system shall comply with 5' min. setback to
building foundation including isolated foundations for elevated structures [columns].
Install 429 sq. ft. drainfield, replacing the unsuitable soil in the site with 42" of
slightly limited and at the bottom, extended 12 wide as a barrier all around the....
perimeter of the required area.
The entire septic system [septic tank, the transmission line and the drainfield] shall
comply with 15' minimum setback to swale designed to contain standing or flowing water for..
less than 72 hour after rainfall.
Invert elev. of drainfield no..lege than 6 -
Bottom of drainfield elev. no less than 6.37'NGVD
SPECIFICATIONS BY: RAM,
APPROVED BY: Arrieta, Rolando
I /13102 TITLE:
TITLE: Engineer I Dade CFD
DATE ISSUED: 'EXPIRATION DATE:
DH 4016, 03/97 (Obsoletes previous editions *Etch may nvi; be used) -
(stock Number: 5744 -001- 4016 -0) (ost413.eees_4016.1]
Td Wd9b:60 2002 60 'das : 'ON Xdd
Page I of 2
DN I 3Q I MC180M1 I WWf 1S : W083
iEM
ATH ?1B
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
IDET
LIGHT OUTLETS
CENTRAL HEATING
ISHWASHER
RECEPTACLES
A/C (WIND)
ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
1INKI% FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
_OCR DRAIN
SERVICE REPAIRNETER CHASE
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
AVATORY
OVEN
ABOVE (ROUND TANKS
AJNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
HOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
INK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
INK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
EhPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
TONAL
MOTORS OVER 25-100 HP
COOLING TOWERS
CATER CLOSET
MOTORS OVER 100 IP
VIOLATION
NDIRECT WASTES
A/C WINDOW
REINSPECTION
LATER SUPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
•
SWIMdING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
;EWER CONNECTIONS
SIGN TRANSFORMERS
!TILITY -SEWER
SIGN TIME CLOCK
ITILITY -WATER
FIXTLRES
■EPTIC TANK
ANTENNA .
IELAY
___L_
TELEVISION OUTLETS
)RAINFIELD, 4' TILE/RES.
1
VIOLATION
'UM' & ABANDON SEPTIC TANK
REINSPECTION
OAKAGE PIT CU. FT.
:ATCH BASIN
)ISCHARGE WELL
30MESTIC WELL
AREA DRAIN
100F INLET t
30LAR WATER HEATER `.
=IRE STANDPIPE
'O0L PIPING
_AWN SPRINKLER SYSTEM
3AS RANGE
AETER SET (GAS)
3AS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL