The URL can be used to link to this page

PLUMBINGe APP :i0VED BY DATE ZONING — — — -- o . . STRUCTURAL -- — — - -- -- - - -- ELECTRICAL __ - = '!. - 1 "fri v-r b PLUMBING — — MECHANICAL - -- _ - -- ROOFING ROOFING — — BLDG. OFFICIAL SUBJECT TO MIAMI SHORES COMPLIANCE WITH MIAMI SHORES CONTRACTORS REGULATIONS WHETHER COMPLIANCE WITH All FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY Of OR RESULTS FROM THESE PLANS. THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING OR NOT SPECIFICALLY INDICATED HEREIN. S TILLAGE New Service Mounted on the rear brick perimeter wall behind house next to FPL pole Brenda J. C:rteA Notary PUl7dV 1 -1/2" UG PVC Conduit w \3 #3 thwn & 1 #6 grd to reconnect cottage MARY NEWMAN RESIDENCE NEW SERVCIE ELECTRICAL RISER DIAGRAM 3 #2/0 N.T.S. Thhn \Thwn cu in 2" Nipple C 120/240V Single Phase 100 2P 100 NEMA 3R Fused Disc Switch FPL Hand Hole Base of Pole Wayne uizenga EC000540 State of Florida Cou' r •f Dade 3 #3 Thhn \Thwn cu in 1 -1/2" Nipple J I 300AMP SINGLE PH METER Twin Barrel Load Lugs in Meter Can #2 Grd Electrode Conductor in 3/4" PVC Sleeve 8' CC Grd - Rod #250 Thhn \Thwn cu in one 2 -1/2" Conduit e E - day of ?t ), 194 • Cottage P -1 250V 1 PH 200A MAIN Circuit Breaker in Nema 3R Enclosure Water onnection Existing Cottage Main (C) Reconnected to new service • • eNt BRENDA J. CARTER MY COMMISSION # CC 825961 EXPIRES: 04 /13/2003 ' 'F or 0 1. 800- 3-NOTARY Fla. Notary Service & Bonding Co. New Panel Located on rear Exterior Wall of House 3 #2/0 CU Thhn \Thwn �8.1#6cu Grd in Underground 2" Conduit • • i 2" Conduit P -2 P -3 s a INIMO s s s 2' UG Conduit P -2 120240V Single Phase 200A PANEL NEMA 3R 8 CIRCUIT PANEL with Feed Thru Main Lugs Connect Feeders to Feed Thru Lugs on Main Bus P -2 Existing 1 -1/4" Rigid Conduit - W 3 THW cu conductors Connect to 70A CB in Panel P -2 P -4 100A MLO Panel Inside Utility Rm. East Side 3 #2/0 CU Thhn \Thwn cu Grd in 2" Conduit SITE HOUSE MI Existing UG Conduit Rear Property Brick Wall P -3 120/240V Single Phase 200A MLO PANEL NEMA 1 40 CIRCUIT PANEL New Panel Located on South Exterior Wall in Garage P-4 meter FPL0 .FPL Poles Hand Hole Plans by: Luzer Electric, Inc. 3371 N.W. 154th Terrace Miami, Florida 33054 Phone: (305) 681 -9531 ignature of »' er and/or C Notary `:. o O wn 0 e My Commission Expire PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 11/09/99 Job Address 140 N.E. 95th St. Tax Folio 11- 3206 - 013 -2850 Legal Description Lot 10 &12 Inc . Block 21 Subdivision: Owner/Lessee / Tenant Mrs . Mary Newman Master Permit # 145320) 93 /3 Owner's Address 140 N.E. 95th St., Miami Shores, FL 33138 Phone ( 305) 754 -9345 Contracting Co. Luzer Electric, Inc. Address 3371 N.W. 154th Terrace, Miami, FL 33054 Qualifier Wayne N. Huizenga SS# Phone ( 305) 681 -9531 State # EC0000540 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECT:': CAL PLUMBING MECHANICAL ROOFING PAVING ]FENCE SIGN WORK DESCRIPTION Change and upgrade one electrical service for house Square Ft. Estimated Cost (value) $5,400.00 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 O': TAW FINANCING, CONSULT WITH YOUR LENDER O!` 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 perfonned 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 . ork stated. r °red BRENDA J. CARTER � 4 ,4 93 MY COMMISSION # CC 825961 o � o ei ° EXPIRES: 04/13200 l.8063N0TARY Fla. Notary Service & Bonding Co. Historically Designated: Yes No Miami 5h Sec ES L. ' : '' "' ° ROA Notry 1 ^:ate of Ftt kta My C:Irn E ."..+� . p/ /,�s Feb. 23, ' q,,� bat CIC },p' Ostst � &ITt1Zd at OCi cfa1 Sp, 9 eg.c 1 -030 723 -0121 Notary as to C My Commissi // /fft Date TOTAL DUE / /4 - ate FEES: PERMIT)1,i 4) 4 RADON C.C.F. NOTARY BOND APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2002 -329 O Printed:12 /5/2002 Applicant: MARY NEWMAN Owner: NEWMAN MARY JOB ADDRESS: 140 NE 95 ST Contractor MR C'S SEPTIC TANK Contractor's Address: P 0 BOX 693239 Local Phone: 305 - 651 -7859 Parcel # 1132060132850 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 10 TO 12 INC BLK 21 LOT SIZE °'4 Fees: Description M FEE2002 -6955 Building Fee FEE2002 -6957 CCF FEE2002 -6958 Buildier's Bond FEE2002 -6962 Notary Fee Total Fees: PAY TO THE ORDER OF FOR MR. C'S SEPTIC & DRAIN, INC. OPERATING ACCOUNT P.O. BOX 693239 305 -651 -7859 MIAMI, FL 33269 -0239 Washington Mutual Washington Mutual Bank, FA Miam&199th Street Financial Center 1719 175 NW. 199th Street 1 -800- 798.7000 Miami, FL 33169 24 hour Customer SUMce ('/ I' C. 9 l41 11 °0000006 L L 50' .. I: 26 ?Oa L 3 L': 38 30 308 4 20 Plumbing Permit Amount $80.00 $1.20 $300.00 $5.00 $386.20 Permit Status: Approved Permit Expiration: 6/3/2003 Construction Value: $2,000.00 Work: TO REPLACE SEPTIC TANK & DRAINFIELD If there is no permit package accessible on the iob -site f nr incno•fnrr +rs ••�•:s.• •�� -- DATE /Zf / 0-z_• VII . ((( $ v.7,•24; 6115 tplication herefor in strict compliance with all 3cifications that may have been submitted to :es or if the plans are changed without 63 8413/2670 ?sponsibility for a thorough knowledge of the id that he assumes responsibility for work done DOLLARS Total Fees: $386.20 Total Receipts: $0.00 Page 1 of 1 I. Re- inspection tions pertaining thereto and in strict conformity e responisibility for all work done by either LOT: 10 BLOCK: 21 STATE OF FLORIDA DEPARTMENT OF HEALTH ON8ITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT r CONSTRUCTION PERMIT FOR: ( ]New System [ ]Existing System [ X ]Repair [ ]Abandonment APPLICANT: Newman, Mary T. PROPERTY ID #: 11- 3206 -013 -2850 SYSTEM DESIGN AND SPECIFICATIONS OTHER REMARKS: NEWLY INSTALLED Sd t LE SEPTIC IAN SHALL Dom: SPECIFICATIONS BY: Icaza, Carlos APPROVED BY: Icaza, Carlos DATE ISSUED: 11/21/02 PROPERTY STREET ADDRESS: 140 NE 95 St Miami FL 33138 DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) (oatds_cons_4016 -1) ]Holding Tank [ ] Innovative Other [ ] Temporary [ NA ] AGENT: SR0931119, COCKING MSTEPHEN SUBDIVISION: Miami Shores No. 1 [Section /Township /Range /Parcel No.] (OR TAX ID NUMBER] T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 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 F LOCATION TO BENCHMARK: Top of Bottom Floor, 12.60' NGVD. I ELEVATION OF PROPOSED SYSTEM SITE [ 2.4 ] [ FEET ] E BOTTOM OF DRAINFIELD TO BE [ 4.4 ) [ FEET ] L D FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ TITLE: TITLE: Engineer I CENTRAX #: 13 -SG -14739 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 02 -3349- -R 24.0 ] INCHES This permit is not for addition(s). *Replace existing septic tank by a new 900 gl. C -1 septic tank with its approved outlet filter. *Install 300 sq.ft. of drainfield. *Invert elevation to be no less than 8.70' NGVD. *Bottom elevation to be no less than 8.20' NGVD. EXPIRATION DATE: 2/19/03 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 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. MULTI- CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: [Y ] JDOSES PER 24 HRS # PUMPS( 0 ] [ N ]MOUND ( N ] [ N ] [ BELOW BENCHMARK /REFERENCE POINT [ below BENCHMARK /REFERENCE POINT TIES PERMIT IS Nat' FO.' ADDI i ON(S) LVVERT ELEVATIO N •? O J.+c --1 BOTTOM OF DREuN r iELD ELEVATION ZO H G Dade CHD Page 1 of 2 IPPLICANT: STATE OF FLORIDA DEPARTMENT OF HEALTH ON$ITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS l ' g / / e iai- OT: BLOCK al SUBDIVISION: ��a/tA4 ROPERTY ID # //' 3�JC -• 0/ 3 -� o__ [Sectio /Township /Range /Parc 0 BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST ROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. 20PERTY SIZE CONFORMS TO SITE PLAN: --m-- --2.1..., lOPE ESTIMATED SEWAGE FLOW: LA N: [ ) YES 1 [ ) NO NET USABLE AREA AVAILABLE: o GALLONS PER DAY 0T tE -T JTHORIZED SEWAGE FLOW: /// p• GALLONS PER DAY [RESIDENCES-TABLE 1 / OTH TRE— AB 70 BSTRUCTED AREA AVAILABLE: .its - 3 S FT [1500 GPD /ACRE OR 2500 GPD /ACRE) Q UNOBSTRUCTED AREA REQUIRED: ` /�� p-E ' SQFT / :NCHMARK /REFERENCE POINT LOCATION: EVATION OF PROPOSED SYSTEM SITE IS dD _4;24_ [ / BENCHMARK /REFERENCE POINT E MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURE : RFACE WATER: (Go O FT `7r LLS: PUBLIC: DITCHES /SWALES: 0" FT NORMALLY WET? P FT LIMITED USE: n0,6 FT PRIVATE: ' [ ) YES [ FT ILDING FOUNDATIONS: _ FT PROPERTY LINES: T W: ,r/�/�, FT _IL__ FT FT P PO OTAABLE WAATETE LINES � � _ FT rE SUBJECT TO FREQUENT FLOODING: [ ) YES [r NO YEAR FLOOD ELEVATION FOR SITE: 10 YEAR FLOODING? [ ] YES [14 NO FT MSL /NGVD SITE ELEVATION: •3 FT MSL /NGVD SOIL PROFILE INFORMATION SITE 2 EL PROFILE INFORMATION SITE 1/4741,7 9.'4/ :nsell ; Color Texture Depth - ! r to vM��'t�'' 1Le__ - 75 4— to -- TT - . to DA SOIL SERIES: /,,mss, EVALUATEW,BI: to to to to to to !RVED WATER TABLE: ,i /,t., INCHES [ABOVE / EMATED WET SEASON WATER TABLE ELEVATION: 1 WATER TABLE VEGETATION: [ ) YES [ 440 TEXTURE /LOADING RATE FOR SYSTEM SIZING: NFIELD CONFIGURATION: [ ] TRENCH [ RKS /ADDITIONAL CRITERIA: 5. 10/96 (Replaces HRS -H Form 4015 (Page 3] which may be used) lumber: 5744- 003 - 4015 -1) /' G AGENT: c Cs J - BE OW) EXISTING GRADE. TYPE: [PERCHED / APPARENT) ? INCHE [ ABOVE EXISTING GRADE. MOTTLING• T YES [� OW NO DEPTH: INCHES BED r 1 OTHER (SPECIFY) U_ PERMIT #C):-)/C 3� C lca iVic. No. or Tax ID Number) L DEPTH OF EXCAVATION: .1. z CH DATE: Page of 3 scale: tacn DIOCK repres 3 Tee1 ana 1 'non = ou wet. , 1 T. • ---- 1 t 1 -4 .„ _,.._,._:..._...._ I _ , ._......_ : . _ . • .,, ',-- 4 L _ ; 11 -7 1 +: '• : -,- .4 :11 7+1 r" ' 1 --- 1 - : ::: ! :'--- : : -.-.1. 4. ...- -4 .-.4 -1 1 -' . .1 I .....4- 1 T I I ' - ..- -, di '_!...: J-...1_ 4 •---'` - i 1. ,,-i i- - -1 '. t 4 i• 4. , i , 1 . i .1 - t4 ....t I : ...4_4_: .._., ,...,_.__-_....,__._ _ •, I • ..„ , ., , . .. , ..,,. ..._. . --- t ! 1 ..1 1 _.,... _i_ : I ___Li - ! 1 ,-. 1 1 ' I .. , .. , I 1 : ' '' --,...- -.. I.-- .-1.- I I -1- ...... - -. - . .. 4 1. ' ; - ; : . . , 4 ..4 ' - ■ -1 -+ _."1....- , 4 , , - _. . • . _4. 1_1 ,...., .1,__1_.., - ...: ; - ' - I i---I- , . '4 - -1 1 r 1 - 7 1 1 -1 t , . , , : , 1 • .. f-..-- ..i..-.1 - r 1:7-1 __ ;•.--- -.4 ,----- ; • ; -4 ft ' • 4 r . --+. - , « i I I , t --- ' - r - t - . --- 7- '- ■- i - f 7 --; -- 1 - ' L . . - 1 _4:4.. 4._,..... .4 ., . .- 1- • *, ,. rrnt r . _ I - 1 111 1,4 1 '; 0 . ' . ____1_,..._ . .' 1 ! .- . . I- : : I ! - 1171 H -- f ------ h! [. T-F .1 i • • • •t -"•• - t I t - • t I -4 - 7.4_ 4T : : ! ' 7 I . ! • ; ! • i " - r -- i • ' • • • • • : - - I - t • - , ,, . .,.. . I. 4 ... ..,.! . , • 1 -- I t . ' - 1 ‘ .. ' • 1 : " • • t I t 4 4 4 • 4 , i : ' ' t *- • • Nana -- Ellall _i__,: • _ ! •••• , , • . ; ...LI__ ; ; • , -•.- - ; -• . • :.--1- .4 4 , . • - , •••• ;-- i . , . . • 1 , _. i . , .i- I . • • 1-1-- 7 • • '• 5• • i• • • '• i - • _ -;• . -. • , -1 '' t ( r- Il L - - I 1 --I-- - , 1- ti. 1 1 III ' la ii -4-t--1,. - mar gm _,_ ' • ' i / -1 - t - _ - tr i I r , P I ar / .. • t f . I II t I• Il -; i; 4. ; . •, .1 ..... 1.-4... 1 - , 4- ; .. .; _, ,..,__ .._ .., ... _ _... ......:,;__. .. . . . ; • .•;,- • , 4 _,. • f . .. !... + , • , . ..... : f : 1....4 .. . . . i , . • , • • . . . •• -4 4 4 "."' i • '' ' • " • ....I . -r- I .1 i - a .4.--4-... • NM - V•11 - - 4- Ea - r - t 1 r 7 ■ 1 4- t , - -r r. - , - - , f 1 . i : • I ; , . f . "-r j ....1 I _ , , 1 , 141 ---t...-.,-- L.., , i , ____ ',--- -. 1" f . ''' " : '''""" 1 y• ., t '.'T ;' t , i • _ • .,...:.• . . s S .S--s I ...i.-J , .., I : . , „ ..,..- ; . • -- r -- +-H- • i - - t - -4 - - • - . . .1 •.. . t. •- - T - :± ± -t-t -;•-•i-1-,.. t- ........ r 1 1 . . I- -4- • i r , - , 1- • - -1 - f-t-4. ..t' i • ..... 'I' ' I '-' -• l'fr . . ..- . '' ' ' ' t • ' '! I - I i. : - .t. • • I- - +. . ; -.: - 1- -- ■ . I F 7 - 7 : 1 . ,' -... -: - T• :, --• 'f" 4 I j j ! i . ..-' F.... 1 - ',....4 + ..1. - ...... ' . if -17 h -.---1- . , . .-.. I- 17 ..--4-- • .4...4 -4- I -- +-- F t ii 1- I-- 4.• -i- -.- rt - -' •! :' I- I t i i i . ■ . ' - I -- I - -I - -. +-4. 1 i • i -*•-• -L -.- - ---t-t- . t...-1- 1 : T 1 i -.1-. - 'E.- -4. i-.1 I I ■ t -1 , I . t --1-4 ' ' • . . . r --' 7 .. l - 7. ] t t-- . ''' . ., • t r-s --. : r . T ilt t-7 1.. T ' ;it It, 1 i '''- - - r t t .-- 4.. "4, -- . I i LI-. , ' 4 1 - . . .7 t,.._ ••;----.;•-•- 4 __,-. 4 . 1 4 ..I , t . I ....4. ; ,_ t _f 7 .4_ i ■.. 4 ---+ Li 4_4_ 1 : i t L.. t-- ' - - I . -i-4 • I-4- .,:--;--,-- ..- • - ,•4 , . -...--..... . 4- I : i___ r - r • ! I T 1 I ' 441: ! -..t.....-eL----.--..:---_ . , ........,-! ..----....--....,-...- - ' Site Plan submitted b Plan Approved By • STATE OF FLORIDA . ... _i• DEPARTMENT OF HEALTH .. 2)1 \, - _J...:-• t. . / APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERAT • ---- •••-/ )T3 ):-/ - }3 / i . . ' Permit Application Numbe.,_ • ' ' - - _._ (-, , ' • : . PART II - SITE PLAN- i 1 DH 4015, 10/96 (Replaces HRS-H Font 4015 which may be used) (Stock Hunter: 5744-002-4015-6) • Signature Not Approved /Wa4 Title Date County Health Departnie LL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT : Page 2-o IrM - 1 1 1111111 I 111= 11 El t I's II ii sihnini imm a•••••••••••••• immommimmlninsmis 11Taroc 7 nalims. mosulas Irma --- , ,ill -1-- en . l'aliiammults. •••••... i_ a 1 • • __, , • as ..__1 i L..,_ ,,, , .,,_ , , , , ., 1 I I. L 0 __„. 1 • • , . , A _ XS 4 ME - musgataihmenliiiiiii 0•11•11111111•1111•111•11 1111111.111111111MINO r III 111•1•11••11111 mil im Mil plum um nom. • Nos. s• IIIIII•1111111 RN MEIN NI ggewmaguNgisam muul•millfommi 1311 11 111 1 1 1 1 111.41114 .... 11111 all sammumujunnasna 1111EMETWI 11 an III m l I go soma 11111,1311 II 1_4_ II • MIL Sum -1-- , t ' , II RR • i i I - -41 . AI 4-4- t • tit.. .. - - - - 1 , , i . , I , i I 1 - 1 - - __I 1 a r 1 --; _ _ , sIBI'" 11 / • lops • 1 _ ‘!: , i 1. ', , moil Nu • i t . , • a -— 4— - 11 ill ic i i 11111111118 NE • • •II F I II REIP I S mum IIEWRIMEMIIIIMIIiin J±I±ELL 1 gleUrreN SS Si . i mmamiillaamai .....• munaffla •IIIMMEMI Wits i nn 1 imam • •••43 i. odamt a t 1 ____,O•••••• r 11• _ , IIIII•••••• :- MAI • -- SIM p: • -- in MUM 1 .- IP • •• -t- -- t t , t— - 1--L- _ , --- ----1- • • --IL-- 1 i a 1 - •-i- 1 4- -- - , • • r 1 e •• . . t II MU t -- 1 q i ••••• m ii i imi ••••• mo sm ariminu .danim . • Ium 1 • • q t min al .' r • 1 i ••■ . 1 1 EL • i um 1 -- t_i . 1 55 : 5 1 • i t L I i 1 . 1 Ern um • Miummie i, r - 1 r • HIM .... ma 't imnirom IR - liman•••• MSS WM ONIIERIIIII 11 sammva maw ir IIIIIIIIIE5 WNW 1111•17=6.7417arZar::::arm 1111111111.•••••11•11. III 111 a , 4 ! i . -'-. '-' -- i: - 21 rl • 1 1 bi 7 l 1 ' ' . WM a 1 -1 i , MINI al • — 4_ -- 1 _ all al _ _ - _ ., i 't., LLJ . _ _ _, . _ • , 1.47.71_ t OILS 1 -2- SIM &mice 562:61m I m i 1 / 1 ' 1 •rsammaugs I - NB Ing11111,118 • ii • I . 1111•111111111 WHIM _ _ _}. . Illi w- 2111111=111111 1:ril -Li :- min:Lasr. t ' Inn BIESTIErn I 1 ti nir" , , , i . il IWO' umungsla.IN t ..mme. annam. gatuanillaa - i Iligillartall 11 , , natamensemensamouiiiiiiime , 11 , . , I r t I , AIM _ _ _ _. 1111111111_111.11 MIMI' MI 111111111111111111 NUM MUM . 111111 11 11211111161NRIIIIIIIWIII I MIIMINIIIIra a 0 1•114 4_ 111011111111Wen sminsinnil •R._______ a illIMAIIIII mummummossai ORIUMEN:habi_... smmmmmmmmwgwmm............_ ___,____ r !T=__ t „ STATE OF FLORIDA DEPARTMENT OF HEALTH I 1 )!..— APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PEWIT -,. , _ - I )-- )r ; ) (../ Permit Application Numbe ' .-- :- • Scale: Each block represents 5 feet and 1 inch = 50 feet. Site Plan submitted b Plan Approved By ) DH 4015, 10/98 (Replaces HRS-H Rem 4015 which may be used) (Stock Hefter: 5744-002-4015-8) LL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT PART II SITE PLAN Signature Not Approved i• • / 1 . 1 . ; /11 Date rlue County Health Department Page 2 of 3 ELECTRICAL TYPE. Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of 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 Low -volt, Television Service, Number of Amps / Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY TY'1'E QTY Generator TYPE QTY Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture Q'fY. TYPE Soakage Pit QTY. 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. 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 2 NI PO RTA NT NOT 1 C ES 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 FLORIDA, COUNTY OF MIAMI -DADE ii g gn of 0 / Print Name Sworn to and subscribed before a this day of 7 Signature of Notary Public - State of Florida SEAL: 1 Personally known OR, Produced Identification • PERMIT APPLICATION STATE 0 ORIDA, COUNTY OF MIAMI -DADE ature of Contractor / Qualifier 'nt Name om to and subscribed before me this day of 11/ .../ ._. i ' r. s ature o ry Public State of .rida or • Angela M Becker SEAL: ° �I. ` My Commission [)D150048 or n Expires November 15. 2006 Personally known Produced Identification Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: CONTRACTOR New Construction Name , A !t 7 N. /IA 4 /� Name /'" //C., C 3 /w_/'T!c� r c j License No. S e , i 0 'S L1--" 3 Business Telephone Address i 59 ti, ,� 4-/.. Z /� 1 A "`^". r.}. Telephone °' C Fax }°; S ?� s, 5 -CS I_s /a Qualifier Name PROPERTY OWNER // New Construction Name , A !t 7 N. /IA 4 Enclosure Address / t i „sig. ,I.__ Alteration Exterior Home Telephone 3 05 15"V - 9 3 y Business Telephone Alteration llnterior Fax Demolish TYPE OF MANAGEMENT (,/ ) New Construction Enclosure Alteration Exterior Repair Alteration llnterior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'1 Detachment Other Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) r'PERMIT FEES $ Y t./ rE0 $ c 600 $ / r ( sq.ft. = x/1000 x2.60) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (¢.005 /sq.ft.) (2.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 3F6� DATE: CONDITION Of API'ROK Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL e (305) 795 -2207 c FAX (305) 756 -8972 a http : / /www.miamishoresvillage.com Master Permit No. Subsidiary Permit No. pi,. ;W-1 IN STRU C TIONS - The following steps inust be taken to obtain a permit from the 1141ami Shores Village: Step 1. Job Address: PERMIT APPLICATION 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 submitted 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 Address Folio Number Lot Block Subdivision PB PG PERMIT TYPE ('1 ) uilding Electrical Mechanical Plumbing LPGX Roofing Fence Other (Ye) ,,/E. I Apt. PERMIT CHANGE (J ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax , t1eM. City Zoning Units State Description of Work / Zip Linear Feet Floors Current Use of Property Square Feet ". Proposed Use of Property Value of Work .-2-(17 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax -EEECTRIME PERMIT A N° 620 PLUMBING Owner of Building_Z Architect and /or Engineer Contractor or Builde s Proposed Location /1: 1 $ AMOUNT Dated NAME LOT i ' t MINEMMIIMI NAME NAME //ff BLOCK SUB - DIVISION RECD. PAYM T ACCT. DEPT. _, 1 9, ADDRESS ADDRESS 7 ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMEN This permit is issued to . '' :: i ,�.°' ..._ : *._a`__i - " " ° -"' 'x 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 Mi i hores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or porf any change 'in th ` p and specifications un u ho ized by the buildipt inspeptor. , .� w: "f X1 i•, 4 x , In consideration of the issuance to me of thisslpermit I hereby agree to the proposed construction in strict confor ity 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 and all rules and regulations of the b ilding department of Miami Shores Village. f' — / (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been 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. NO. f ! STREET s LICENSE NO. t. INSPECTOR BUILDING ELECTRICAL PLUMBING ROOFING Owner of ,,,. ••" Building Architect Contractor or Builder Legal Description Address of Building Lot 1 ❑ DATE PERMIT 'NA 12681 ❑ Work to be performed under this Permit CONTRACTOR 15R BUILDER it' r MIAMI SHORES VILLAGE. FLORIDA BL f Signed • Subdi- vision Value of Project $ 195 Contractor's License No Amt. of Permit $ 1 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 the plans or drawings or in the statements or. specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 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, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6748 Work to be performed under this Permit DATE 194_ Contractor's License No. Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi Description vision Address of Value of Amt. of Building Project Permit This permit is granted to the contractor or builder amed above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances p taining thereto and w'th 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. 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 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, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY OWNER LOT BLOCK SUBDIVISION ' // - ! =ihores9illage R I D A PLUMBING PERMIT N9 765 Date Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. building at For a story Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plurnbing Inspector Received Payment by BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder A-- Legal Description Address of Building Lot W ok This permit is granted to the contractor or builde cation herefor in strict compliance with all ordinances plans, drawings, statements or specifications that may at any time if the work is not done in compliance wi CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6748 to be performed under this Permit Bl. Subdi- vision Value of Project DATE - y H 1/- 1T r Contractoi!''s License No L Amt. of Permit 1 amed above to construct the building or to install the equipment or 4 Vice described in the appli- rtaining thereto and w th the understanding that the work will be performed in compliance with any ave been submitted to and approved by the proper municipal authorities. This Permit may be revoked such ordinances or if the plans are changed without authorization. A further condition up which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge 9f the o d and regulations pertaining to the work covered hereby whether shown on the plans ordrawing or 'n the statements,or specifications and that he; assumes respon- sibility for work done by his agents, servants or employees. e Signed. ia ° _ ri�-�� r By INSPECTOR 194 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances andire 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, servant or employee. BY AUTHORITY Date Issued to OWNER ciami cJhores FL OR ID A PLUMBING PERMIT N9 729 LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story _building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION For a ' story r' building at Fixtures eiami cShores91llage F L O & 1 D A PLUMBING PERMIT N9 729 oe Issued to _ to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. sa Fixtures Sewer / $ d •ic Tank $ Total St 41 a,. Village Plumbing Inspector Received Payment by BUILDING ELECTRICAL PLUMBING Work to be performed under this Permit Owner of Building Architect Contractor or Builder �' _. z ' ; „, ' Legal Lot Subdi Description vision Address of 1/ ! Value of _ Amt. of ,, ,/ /� , 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 condipan which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledgeAT the o !'.lnces and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in tIi oaks,,or_sp ations- andoitItat'h'e, 5y s respon- sibility for work done by his agents, servants or employees. t J. ' Signed. ! .r'.g :' / / , " /. By ...,� , INSPE .' ‘,/ 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 per3pjt ]r��assumme r 'Uty for all work done by either myself, my agent, servant or employee. r CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE f ( PERMIT N° 6117 //4" f uct ": t B1 . BY 'r' � t= Contractor's License No. t rs f f f f . / , t L 1 .... se e _r t ice AUTHORITY • 194-2 s BUILDING ELECTRICAL PLUMBING PERMIT N? 6116 Work to be performed under this Permit Owner of Building Architect Contractor or Builder w ' Legal Lot Description Address of l Building MIAMI SHORES VILLAGE, FLORIDA DATE �E u . 1 Bl. • Signed: r INSPECTOR ' Cnritractor's License No By ✓ ▪ • BY AUTHORITY '' (` Value of 1 Amt. of 4 f .' r ,? .-! Project t Permit �., o This permitis granted to the contractor or budder 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 w th the understanding that the work wil 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 dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he as s respon- sibility for work done by his agents, servants or employees. 194S 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 conformit with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepty(j� this it snre resporility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 - 7859 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 12 /5/2002 Applicant: MARY Owner: NEWMAN JOB ADDRESS: 140 NE 95 Parcel # 1132060132850 Legal Description: Permit Status: Approved Permit Expiration: Work: TO REPLACEI SEPTIC TANK PAY TO THE ORDER OF FOR MR. C'S SEPTIC & DRAIN, INC. OPERATING ACCOUNT P.O. 80X 693239 305-651 -7859 MIAMI, FL 33269 -0239 Fees: FEE2002 -6963 FEE2002 -6964 Description Building Fee Notary Fee Total Fees: - PYI rt,,! ./%0),A0 V Washington Mutual Wash nggccoon Mutual Ba FA Mlamy199tn Street Flnanclal Center 1719 175 NW. 199th Street L.800488 - 7000 Mlamf, F1.33169 24 hour tk+raner Service Plumbing Permit Permit Number: PL2002 -330 6/3/2003 ( L L So' , t :26 ?084 i 3 L': 38 30 308 4 20!1' NEWMAN MARY ST Contractor's Address: P 0 BOX 693239 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 10 TO 12 INC BLK 21 LOT SIZE Amount $80.00 $5.00 $85.00 Construction Value: DATE /L/ i/ CL - $1,500.00 � $ 5‘7/.z:: 6115 63- 8413/2670 DOLLARS B Page 1 of 1 Total Fees: $85.00 Total Receipts: $0.00 ':- inspection anon herefor in strict compliance with all :ations that may have been submitted to or if the plans are changed without msibility for a thorough knowledge of the sat he assumes responsibility for work done ns pertaining thereto and in strict conformity •esponisibility for all work done by either ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPI'. Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs AJC Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel 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 Low -volt, Television Service, Number of Amps / Water Heater New NIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE AJC Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. 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. Lavatory ' Septic Tank flxt..rdp,c f/ / 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 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 FLORID/ COUNTY OF MIAMI -DADE Signature of Notary Public - State of Florida SEAL: Personally known • FL STATE Signature of Owner Signature of Contractor / Qysiifier Print Name Print Name Sworn to and subscribed before me this day of 5� and subscribed before me th� day ature of N SEAL: OR, Produced Identification Personally known PERMIT APPLICATION IDA, COUNTY OF MIAMI -DADE tary Public - .too R da m Becker My Commission 00150048' .,1 I:xoires November 15, 2008 OR, Produced Identification Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: CONTRACTOR Name 07i. , ' 6/77" L-- i 4.... License No. . p. O G 3-(/ — 3 Address 45;' G 31, r j t,f ' 2 Ce -- Telephone -4/. p S Fax S, 6.c/ — 5e/ el. // Qualifier Nac 4- / �C J, /, (ma 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 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) 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 $ 0 SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (X .ft. = x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. 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. 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. A PPLICATION Address Apt. City Folio Number Description of Work Lot Block Subdivision PB PG Zoning PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax J PROPERTY OWNER Name / (..i Address Home Telephone Business Telephone Fax State PERMIT APPLICATION Master Permit No. Subsidiary Permit No. a Zip f -Ctf irl 1 ..."; 41 tr 4 0 Linear Feet Current Use of Property Square Feet Units Floors O� �` Proposed Use of Property Value of Wot /S 1 / Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone ,Fax Permit No .37/C MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 No. 9 --- Street ^ i Name and Address.. ____ -_--- ---- ____ -- N • C s' S / Registered Architect and /or Engineer -- ---- -- -- ---- -- -- - - -°------___---- Em to Plumber's Name Nu 57 Alf is No.- a _GG 7� - _A t • 6 V ' S7 • Employing —__— S ___ -- __ -- -- Z ' Z__ Street. - -_- -- 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)_ New Building Amount of Permit $ Block Remodeling____ __ __ Addition_______.__________ Repass___ No. of Stories. _ Size Septic Tank _ Type of Tank__ Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ _Size of Soakage Pit - R19 i"./ Fi tlig C -- re Lock 7 EtH 66-z (Signed) Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo performed under this permit; and will post or cause to be posted for inspection on the site of the work such p required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed)._ Subdivision ---- ___ ---_- Street Date ‘c 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 umbin_ nspector. s as an employer of labor pplement, and has coin- by him in the work to be c notice or notices as are under this permit, as are Master Plumber. 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 U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL Fl TURFS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST -- CHECK Permit No .37/C MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 No. 9 --- Street ^ i Name and Address.. ____ -_--- ---- ____ -- N • C s' S / Registered Architect and /or Engineer -- ---- -- -- ---- -- -- - - -°------___---- Em to Plumber's Name Nu 57 Alf is No.- a _GG 7� - _A t • 6 V ' S7 • Employing —__— S ___ -- __ -- -- Z ' Z__ Street. - -_- -- 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)_ New Building Amount of Permit $ Block Remodeling____ __ __ Addition_______.__________ Repass___ No. of Stories. _ Size Septic Tank _ Type of Tank__ Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ _Size of Soakage Pit - R19 i"./ Fi tlig C -- re Lock 7 EtH 66-z (Signed) Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo performed under this permit; and will post or cause to be posted for inspection on the site of the work such p required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed)._ Subdivision ---- ___ ---_- Street Date ‘c 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 umbin_ nspector. s as an employer of labor pplement, and has coin- by him in the work to be c notice or notices as are under this permit, as are Master Plumber. 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. ermit No. _____ .____ application is icapcfrat the approval tructure herein described. This application is .nd all provisions of the Laws of the State of cf Miami Shores Village shall be complied building during progress of work. Owner's Name and Address ___ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Feet of Drain Tile Amount of Permit $ appeared Size Septic Tank ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of the detailed statement of the plans and specifications herewith suted forbtifng'or other made in compliance and conformity with the Building Ordinance of�MMiami res 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 No My Commission Expires fi l o _J The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. U d OV , N. `. �� ' Street and Number where work is to be performed— No .!_ _ Street f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 404(0 Type of Tank _____ ._ Dist. Feet of Tank or Dram Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit 4 (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to 2 / (Signed) d- aE-T 1.4_ ?;y 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is materials and /or workmanship. Street Date Notary Public, State of Florida Street Fi Subdivision___ Z' Capacity Gals. ,�t, a ling Inspector. rtify that he understands Snd accepts Ins ob s fi employer of labor Compiled General Laws of Florida Per nent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are ester Plumber. administer oaths and take acknowledgments, personally the same, and that all facts made necessary by improper notice for inspection, or faulty 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 /O OH ECK , 6( c A. ermit No. _____ .____ application is icapcfrat the approval tructure herein described. This application is .nd all provisions of the Laws of the State of cf Miami Shores Village shall be complied building during progress of work. Owner's Name and Address ___ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Feet of Drain Tile Amount of Permit $ appeared Size Septic Tank ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of the detailed statement of the plans and specifications herewith suted forbtifng'or other made in compliance and conformity with the Building Ordinance of�MMiami res 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 No My Commission Expires fi l o _J The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. U d OV , N. `. �� ' Street and Number where work is to be performed— No .!_ _ Street f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 404(0 Type of Tank _____ ._ Dist. Feet of Tank or Dram Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit 4 (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to 2 / (Signed) d- aE-T 1.4_ ?;y 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is materials and /or workmanship. Street Date Notary Public, State of Florida Street Fi Subdivision___ Z' Capacity Gals. ,�t, a ling Inspector. rtify that he understands Snd accepts Ins ob s fi employer of labor Compiled General Laws of Florida Per nent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are ester Plumber. administer oaths and take acknowledgments, personally the same, and that all facts made necessary by improper notice for inspection, or faulty i Q Owner's Name and Address„..4 9 ' Nature of Water Supply: City - -Well STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Street Subdivision v My Commission Expires Notary Public, State of Florida 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. No /9 _,L_ Registered Architect and /or Engineer pp ,� / /� Employing Plumber's Nam e�/_.."..1P_( ie & No i-37 ' dice. Street____ -_ f 1 Location and Legal Description. Lot ' f Block Street and Number where work is to be performed —No .7 C C. State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition Repairs v No. of Stories Size Septic Tank Type of Tank_ Capacity Gals.____ Feet of Drain Tile 7 fria Dist Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $___ ;, (Signed) Plumbing Inspector. The undersign d 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed ) _ 9,44em f Master Plumber. co 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. 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 SW IM'G POOL CONT ?. LIST CHECK Owner's Name and Address„..4 9 ' Nature of Water Supply: City - -Well STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Street Subdivision v My Commission Expires Notary Public, State of Florida 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. No /9 _,L_ Registered Architect and /or Engineer pp ,� / /� Employing Plumber's Nam e�/_.."..1P_( ie & No i-37 ' dice. Street____ -_ f 1 Location and Legal Description. Lot ' f Block Street and Number where work is to be performed —No .7 C C. State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition Repairs v No. of Stories Size Septic Tank Type of Tank_ Capacity Gals.____ Feet of Drain Tile 7 fria Dist Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $___ ;, (Signed) Plumbing Inspector. The undersign d 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed ) _ 9,44em f Master Plumber. co 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. 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. BL NG ELEC,< 'ICAL PLUMBING Owner of Building PERMIT N2 6116 Work to `he i. fi Architect Contractor or Builde 1 � et a .44/��.et if , e -ef'-,f a Legal r Lot Bl. Description tf Address of �^ Building /i i j.— +.�d This permi is granted to the contractor or b 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 wil 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 • rdinances and regulations pertaining to the work covered hereby whether shown on the plans r drawings or in statemepts or specifications and t i • es respon- Signed ) /: ;/ w _,..»� By INSPECTOR` In consideration of the issuance to me of this permit I agree to perform the work covered here ender in compliance with ail ordinances and reguI Lions pertaining thereto and in strict conformit with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accep g this mitt Jraest ne respo tility for all work done by either myself, my agent, servant or employee. sibility for work done by his agents, servants or employees. rF; y o• f CONTRACTC3R OR BUILDER erformed under this Perini .JRES VILLAGE, FLORIDA- Value of Project BY Amt. of Permit DATE re tractor's License No. AUTHORITY 1942 1 ELECTRICAL PLUMBING Owner of Building Architect Contracto or Builde CONTRACTOR OR BUILDER 1 SHORES VILLAGE, FLORIDA DATE 194 ' PERMIT N° 6117 Work to be performed under this Permi -11(v Subdi- vision Value of Project BY �"Lc ense ammus Legal Lot Description Address of Building This permit is granted to the contractor or builder n. ed 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 w th 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 con n which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowled of the ances and regulations pertaining to the work covered hereby whether shown on the plans or dra in s or in sibility for work done by his agents, servants or employees. Signed. CTOR,P �� A� By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all' Erdinances 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 acce. _•4_ this per it rume responsi 'ty for all work done by either myself, my agent, servant or employee. Amt. of Permit 0 AUTHORITY Permit No (ci l Amount of Permit $ Nature of ,Water Supply: City —Well STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Date %LL Application is hereby made for the approval of the detailed statement of the plans and specifications herew /f 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, Florid 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 Divisio of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work / e6 Owner's Name and Address'. j * ,. 2 __ r No Street Registered Architect and /or Engineer _ `r i' ..- ' __, _.�..�_ Employing Plumber's Name t- ,./--, i*-.A...__LL.Pe_i_ No. -IdiTZ. Ala' _ Street f Location and Legal Description Lot Subdivision 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 i! Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida Master Plumber. Plumbing Inspector. The undersigned applican t 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 undersigned 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 oaths and take acknowledgments, personally appeared .o me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the fo regoing 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 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 v . :SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST ,r r �. _ Zoo"' 'oo ` . jit P'' ?, ).' i / CHECK Permit No (ci l Amount of Permit $ Nature of ,Water Supply: City —Well STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Date %LL Application is hereby made for the approval of the detailed statement of the plans and specifications herew /f 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, Florid 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 Divisio of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work / e6 Owner's Name and Address'. j * ,. 2 __ r No Street Registered Architect and /or Engineer _ `r i' ..- ' __, _.�..�_ Employing Plumber's Name t- ,./--, i*-.A...__LL.Pe_i_ No. -IdiTZ. Ala' _ Street f Location and Legal Description Lot Subdivision 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 i! Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida Master Plumber. Plumbing Inspector. The undersigned applican t 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 undersigned 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 oaths and take acknowledgments, personally appeared .o me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the fo regoing 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. Pennit No._4l Date , , f 1 c / _,'�°°! 1 ,�. } Application is hereby made for the approval of the detailed statement of the plans and specifications hrrewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Otdinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miarni Shores Village and all rules and regulations of the Building Division of Miami Shores Village s}rall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept' building during progress of work. Owner's Name and Address ° d 4 ( .Z,_ .4 No i Street Registered Architect and /or tg ineer , � i te r__ _ Employing Plumber's Name_ _ —1 _i_id'i_ 4 -z.._-, + +'' c " r*. Street Location and Legal Description Lot Block I Subdivision Street and Number where work is to be performed —No / £y" Street — State work to be performed and purpose of building (By Floors) New Building Remodeling Addition .r . Amount of Permit $ ___ �— STATE OF FLORIDA, + COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Size of Soakage Pit (Signed) ( Signed Repairs My Commission Expires Notary Public, State of Florida k No. of Stories Plumbing Inspector. 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. 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. 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 € ' J , CONTR. LIST s' 1 t, CHECK i , ✓e `°� Pennit No._4l Date , , f 1 c / _,'�°°! 1 ,�. } Application is hereby made for the approval of the detailed statement of the plans and specifications hrrewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Otdinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miarni Shores Village and all rules and regulations of the Building Division of Miami Shores Village s}rall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept' building during progress of work. Owner's Name and Address ° d 4 ( .Z,_ .4 No i Street Registered Architect and /or tg ineer , � i te r__ _ Employing Plumber's Name_ _ —1 _i_id'i_ 4 -z.._-, + +'' c " r*. Street Location and Legal Description Lot Block I Subdivision Street and Number where work is to be performed —No / £y" Street — State work to be performed and purpose of building (By Floors) New Building Remodeling Addition .r . Amount of Permit $ ___ �— STATE OF FLORIDA, + COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Size of Soakage Pit (Signed) ( Signed Repairs My Commission Expires Notary Public, State of Florida k No. of Stories Plumbing Inspector. 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. 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. 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 �I r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 compllance 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. kedzemikiti- Owner's Name and Address No Registered Architect and /or EnAginee Employing Plumber's Name MI-- and Legal Description Lot Bloch Su — Street and Number where work is to be performed —No / `7 NN - 0 Street__. ! _ v. ._ .gySS State work to be performed and purpose of building (By Floors) _. -- � 3 5 jQ- I( •.. •/Nil A -t 1,!a 7 1 New Building.___._ - ___ _ _.. Remodeling______._ -_.__—_._ Addition -- ____..._ Repairs_ l./ No. of Stories ...... . Size Septic Tank__ Type of Tank Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit 0 (Signed) - My Commission Erpirs Date..._ (signal) Notary Public, State of Florida Plumbing Inspector. 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 8988, Compiled General Laws of Florida Pennanent 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 . . • ce or notices as are required by the Act. The undersigned age to employ only such sub - contractors, on • ik , be pert 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 aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath dap deposes and says than be 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 81.00 will be made when wa)t riispeotba is mad.. necessary by bnproper notice for inspection, or faulty materials and /cr weriananship. CLOaRa BATH Tue• "" LAVA• TORIES SIN" SLOP LAUNDRY Twos IJRINAU CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Comm. L1eY CHECK SWIM'0 POOL SEPTIC TANK S[W[R CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DRIP WELL SFRKLR. SYSTEM CONTR. LIST IST CHECK Permit No �I r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 compllance 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. kedzemikiti- Owner's Name and Address No Registered Architect and /or EnAginee Employing Plumber's Name MI-- and Legal Description Lot Bloch Su — Street and Number where work is to be performed —No / `7 NN - 0 Street__. ! _ v. ._ .gySS State work to be performed and purpose of building (By Floors) _. -- � 3 5 jQ- I( •.. •/Nil A -t 1,!a 7 1 New Building.___._ - ___ _ _.. Remodeling______._ -_.__—_._ Addition -- ____..._ Repairs_ l./ No. of Stories ...... . Size Septic Tank__ Type of Tank Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit 0 (Signed) - My Commission Erpirs Date..._ (signal) Notary Public, State of Florida Plumbing Inspector. 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 8988, Compiled General Laws of Florida Pennanent 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 . . • ce or notices as are required by the Act. The undersigned age to employ only such sub - contractors, on • ik , be pert 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 aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath dap deposes and says than be 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 81.00 will be made when wa)t riispeotba is mad.. necessary by bnproper notice for inspection, or faulty materials and /cr weriananship. �e f Is sued to PLUMBING PERMIT N9 765 ,9„ - to install the following describe plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores VillageFlorida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story /it ° building at / t: A/ t Fixtures Fixtures $ Sewer $ o ptic Tank / $ / ,e Total $ Village Plumbing Inspector Received Payment by aiami Jhores 9l llage • F L 0 A D A OWNER LOT BLOCK SUBDIVISION .1. 4 / c /01/ 41 �e f Is sued to PLUMBING PERMIT N9 765 ,9„ - to install the following describe plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores VillageFlorida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story /it ° building at / t: A/ t Fixtures Fixtures $ Sewer $ o ptic Tank / $ / ,e Total $ Village Plumbing Inspector Received Payment by aiami Jhores 9l llage • F L 0 A D A JOB: . BUILDING • Inspector's Report: ELECTRICAL ; PLUMBING • • . • • • • • 6 AD: The following is ready for Inspection: ,-/ : REQUESTED G • • • • , • (\../ WORK DONE BY: : WILL BE READY • • • • • • • • • • • Permit No. Nature of Water Supply: City —Well Amount of Permit $ 2- q/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe, 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a1 building during progress of work. Owner's Name and Address e C " P No ./ 0 Street Registered Architect and /or Engineer Employing Plumber's Name___ ,, pr^' - - -- — 7 /sAl i/ E_eA _____ No Street__ Location and Legal Description Lot______' + ? - __ _ ________ _ _ Block _ Subdivision Street and Number where work is to be performed —No __ -___ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile __Dist. Feet of Tank or Drain Field from WeJL Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor adder 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 undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. (Signed) _ Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac therein by him stated are true. ----------------------------- My Commission Expires Notary Public, State of Florida OTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faul aterials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURE: CONTR. LIST I CHECK 66 � -/ /� - /` O SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / CHECK Permit No. Nature of Water Supply: City —Well Amount of Permit $ 2- q/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe, 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a1 building during progress of work. Owner's Name and Address e C " P No ./ 0 Street Registered Architect and /or Engineer Employing Plumber's Name___ ,, pr^' - - -- — 7 /sAl i/ E_eA _____ No Street__ Location and Legal Description Lot______' + ? - __ _ ________ _ _ Block _ Subdivision Street and Number where work is to be performed —No __ -___ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile __Dist. Feet of Tank or Drain Field from WeJL Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor adder 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 undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. (Signed) _ Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac therein by him stated are true. ----------------------------- My Commission Expires Notary Public, State of Florida OTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faul aterials and /or workmanship. Work done b Address of work PP Aetze: Owner Received by Date Time 2 PLUMBING - - ISPECTION p I/ Ail /9/ct Permit Septic Tank 2.0" Drainficld 4/' /177 44 eX Q/ awer ; ‘ Plumbing - Final - fough Top ou When ready Gas al (\ r 4 • • reik PM Permit No Size Septic Tank ° 0 _ + Type of Tank 9 My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. ✓ 4" Street Registered Architect and /or Engineer . Le l : a fli ' uI!L . a O / ( ' Street __C_A Employing Plumber's Name _l rLt r, Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /4 Street- Z � 5/E,' State work to be performed and purpose of building (By Floors) New Building ,2,2 Remodeling Addition Repairs No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well Size of Soakage Pit. Amount of Permit $_ (Signed) Plumbing Inspector. 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 osted 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 ty such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. s. r �pp, ( _x_1111 I �If '' c.1 L y L' . � y 4/16 - L�.0.00'..", STATE OF FLORIDA, as. 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. –Capacity Gals. Date e g Notary Public. State of Florida Master Plumber. 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 z / z / / 7 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 1 CHECK Permit No Size Septic Tank ° 0 _ + Type of Tank 9 My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. ✓ 4" Street Registered Architect and /or Engineer . Le l : a fli ' uI!L . a O / ( ' Street __C_A Employing Plumber's Name _l rLt r, Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /4 Street- Z � 5/E,' State work to be performed and purpose of building (By Floors) New Building ,2,2 Remodeling Addition Repairs No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well Size of Soakage Pit. Amount of Permit $_ (Signed) Plumbing Inspector. 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 osted 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 ty such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. s. r �pp, ( _x_1111 I �If '' c.1 L y L' . � y 4/16 - L�.0.00'..", STATE OF FLORIDA, as. 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. –Capacity Gals. Date e g Notary Public. State of Florida Master Plumber. 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. A o • y d , . W.17eker7∎79 — /4o /1 /, .947* S7' AA? /. 54 'Ore.5, -4 /sii r ft fresenz Coena alit)? /veto G(/or, / �P,r 1 • .4 I / Type Insp' — .Permit No. i1 . Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reqitest / . 7 Dates Tyne A Address / U Company Phone # / 03 For Inspecto : Name & Date Approved Correction C ❑ Re -Insp' n Fee ❑ AA)--ki/Le dAg)-e_ Le, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT �� APPLICATION FOR PLUMBING PERMIT Permit No. _6S ff JJ 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 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot / 0 1 — / 2 °' 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 Size Septic Tank Feet of Drain Tile 4.4 1' t Type of Tank.____1 No Date Street 7 •?- _____ Street 2•2' J — ) � — / _a +_!_!'__ 1 ' Street r-_ te* : -- --------- -__ --- No. of Stories Capacity Gals 4t 3t Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. ...Size of Soakage Pit SS. (Signed) aC My Commission Expires Notary Public, State of Florida Amount of Permit $ -- �'- --- — (Signed) Plumbing Inspector. 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. �I► s J4aster Plumber. STATE OF FLORIDA, COUNTY OF DADE. IF 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. 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 ER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT �� APPLICATION FOR PLUMBING PERMIT Permit No. _6S ff JJ 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 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot / 0 1 — / 2 °' 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 Size Septic Tank Feet of Drain Tile 4.4 1' t Type of Tank.____1 No Date Street 7 •?- _____ Street 2•2' J — ) � — / _a +_!_!'__ 1 ' Street r-_ te* : -- --------- -__ --- No. of Stories Capacity Gals 4t 3t Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. ...Size of Soakage Pit SS. (Signed) aC My Commission Expires Notary Public, State of Florida Amount of Permit $ -- �'- --- — (Signed) Plumbing Inspector. 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. �I► s J4aster Plumber. STATE OF FLORIDA, COUNTY OF DADE. IF 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. 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 IQo 60 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 /La ri Q J Size Septic Tank '47.-1 Type of Tank Feet of Drain Tile _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. Size of Soakage Pit Amount of Permit $__ APPLICATION FOR PLUMBING PERMIT Date The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT _(Signed) No. 140 . Street_ 1_' L ?s #? • Registered Architect and /or Engineer Employing Plumber's Name _ ' . _<_?4_ ilige:11 I, _ L Location and Legal Description Lot__ Block 9+ r�Lx Subdivision_ �_ `, C /___________ Street and Number where work is to be performed —No L /__Y__1 Street___ _ e"• __ 1 State work to be performed and purpose of building (By Floors) C!_IG1,12z_1_?_1 New Building g�:�, Remodeling Addition Repairs No. of Stories / /1 24 Notary Public, State of Florida Street_l Y`!_el__ dam. I /� _ L�SC apacity Gals __ ___ ___ Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) IJ V14 � _ l a ✓ . L62. I Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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. authorized to administer oaths and take acknowledgments, personally 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 CL ST LIST 2 / Z / / 7 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit IQo 60 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 /La ri Q J Size Septic Tank '47.-1 Type of Tank Feet of Drain Tile _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. Size of Soakage Pit Amount of Permit $__ APPLICATION FOR PLUMBING PERMIT Date The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT _(Signed) No. 140 . Street_ 1_' L ?s #? • Registered Architect and /or Engineer Employing Plumber's Name _ ' . _<_?4_ ilige:11 I, _ L Location and Legal Description Lot__ Block 9+ r�Lx Subdivision_ �_ `, C /___________ Street and Number where work is to be performed —No L /__Y__1 Street___ _ e"• __ 1 State work to be performed and purpose of building (By Floors) C!_IG1,12z_1_?_1 New Building g�:�, Remodeling Addition Repairs No. of Stories / /1 24 Notary Public, State of Florida Street_l Y`!_el__ dam. I /� _ L�SC apacity Gals __ ___ ___ Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) IJ V14 � _ l a ✓ . L62. I Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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. authorized to administer oaths and take acknowledgments, personally 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.