315 NE 95 St (8)1' .
Date ?" g.-95 Job Address 31 - / 6 9",r fr Tax Folio// goo 6 `� 619/6g
Legal Description /G �-'I a°S 1/ `
Owner / Lessee / Tenant /-7 77_ ,,rte & ai6L/ / r'?
Owner's Address 3 /.S /V qc-- s i
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Contracting Co.
CC OW Fe) �1 Address
Qualifier 1DUfs � SS4� �� �
State # 460° Municipal # ;17/ 7k/ Competency #
Phone
Master Permit # 13751
Phone 751' G /21S
41 AI /Q •�' 4
Ins . Co . Diu 46r
Architect /Engineer Address
Bonding Company Address
Mortgagor 1ddress
Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION ._0!'l.4 A!3 4 ' 1 elD
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, ?OOLS, ROOFING and MECHANICAL WORK.
** *
3&o
OWNER'S AF'IDAV I certi that all the foregoing information is accurate and that all work will
be do _ i., comp ance wit • all applicable laws regulating construction and zoning. Furthermore, I
aut •riz the =•o a -n contractor to do the work stated.
Signa ur' ''� Q" ' a adipr C SEo President
Date' - •.1 CtRLES D. PRINCE
ry Commission Expires
Notary •; �• � .: • . ju. 4 j esident
My Commissi • �
*
* * *
FEES: PERMIT t ,6O RADON C.C.F. e h
APPROVED:
Zoning
Mechanical
Fire
UC)
Esti.ma' :ed Cost(value) /, of i
/signature of Contractor or Owner- Builder
)ate: . M�ti�.p *y..
4 k
*
lotary:a
dy Commi
Atikr o or Owner - Builder
••.....:i` //
*
*
*
*
*
NOTARY TOTAL DUE 9 ' c
**
Other
Building _ Electrical
Engineering
E
CONSTPUCkaON PIRMil r'oR:
ii
Slvt.en
AbL
1 New SyGteta
X 3 Repair
APnICAMT:
PRO2ERTY L #:
SPECICAI:"-ONS BY:
APPROVE?) Ble
DATE ZSSULD:
3
STACK; W' :1,0k2DA
OE!'ARrilLN': O;1' tct-tyyn AND ::n Y7 nn;IVYCEU
ONi;7 DISnVIAJ,
IMAMYT
A!A:Fm41c VL4:ts ZMD-5,
PROPERTY SlRE ADDREc.,5:
LOT: BLOCK;
SYSTEM DFI:iN AND . 4-IVTIONS
IA_ Mt%
SUBDIVISION:
sYSTEm MIST BE cONSTKUCTED IN ACCORDANCE WITH i;PLATXONS AND OTAWDAR.5i2 -
PEPAIR PERkTS AND Moi.%)kt/G TANK ?EMITS 1 91 nvo DAB pTir.
EXPIRE ONE YEAR FROM 7.11E; - ,IATE OF Xt•SUE. FKFI OP SYS DOE3 2Zo't nup
PERFORMANCE FOR AmY st:›1:c FT_RX1D or rin
BASfc.; FO PNC O 2 1AIMIT, REW.J1R':, Tr: NODZ;, _
mcDXFICAT'LuNs At.:1.2 21!T ?VINO L`! h-\!1.g.- AND VOXD,
i tGALnuNC / ot :1,...., XAVRiAeriOBC 1 .;:\:',. ,ACITY MULV,i-U
( C,1:I-EONS / CPD; _
nALLoils CA(0:A''4E APt'ERCLTTOR CAF.AC:':n L.Pir%
) (LALLONS PER DOSE ,JosINe TANK CAPA,Th ')9SE KATV, (
D ge SQUARE FEET PRYtAARY DRAKRFIELD SYS'..SA
R ( ) SQUARE FEET
A 'AYPE SYSIE!4! [ ) STANDARD
I Va'NFIGURAT!_ON: ; a'RENrii
N
• LiAIXoN C OAMAXX:
El.e.VATIOM OF PROPOED S7S1T7 SITE;
• r,0110M or 11.RAINFIELD TO ZIE [
D FXL RA): [ 1NCVES
,
TITLEI
Forio 4016, Mdr 92 r"Cv i0b; Odit ly
(stock Number : 5744. 001-40i6-C)
(7v
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LALC,1-21:1”,' 0 .-,
TLImh
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,C=11
ICA TAA ZE NUMBIER)
; (INrNES/H !Asov./nIn:sw) -/
le,XV.AVAT%0N REIRED: ; j XINCNUO
APPLOCANle
MOUND
a ,
--W
•
APPLZCATION FOR
( ] 4Tow S,pC.en
Rop4Ale
g1,17PART C Y2A:,TtE
0213X Ki kq,E1
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Ac Ec (.„ ir
L4..41 E.. I NO ADDAESS a ,
X0 BE COMPX,EIED AY APPIZXANX OX AOKT. ATTACO
SITE ?LAB 6110.1 IncAr.mLN'r 2?-0,4 Itgv,Jao us.inrocu
: -
PRO?ERTY
X 1TX F LOT IN A kr,,r7.1
LOT.
LOU:
PROPERTY XI) n
PlaoPLillY
PROPER1Y OTAZET ADORLSq
nRECTIONS TU PROPERIY:
tOWtIEW iE
nit Type of
2
3
4
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TFACUiT'S ZOFIAtt4Te:
SODDIVISZOMI DWit'6 OP
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1-1CP.C1
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at.!A Tc.,10z
at12)11)(cA.01
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gHtabshment
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S-tt or 4095, Nor 92 (ely,oictec wv." :Ni!t!cis 101 Itiry not t›. csc?d)
toe; UumbQr: 744-001-4015-1 )
COlira0A(c2AL
PE,,M
E-12e1,0 0
• , 1" ?..," • £'
'.
• - •
72 4 1 :U11 , 0
•
LOTs
PROPERTY ID Os
THE MINIMUM SETHAC
SURFACE WATER:
4ELLS: PUBLIC:
WXLDO FOUNDA ONS:
iITE SU
10 YEAR
TL EVALUATED Dill
0;1.E P.JORIDA
DEPARTNENT CIP lEALTO 4.%PmaDgw2m d2R1nCgO
(CSICT2 SEWAGE ■.:1j2CL 1.31f00:2Z-3
LIXT EVALUATMN AND OITZM ??1,AL
noLmo - -9
BLOCK: oulaDxnuaows
[non.LozA/Towan1 '2.c
20 BE COMPLETED BY ENGINEER, REALM UNIT 14/PLOIN2 ,vg,17,2;Ja VALEPAED -
PROVRY3 REGISTRAT/ON MAZER AND SXON ARID Z.42:AL 2AUE 1p4E C-rL c
PROPERTY OX2C COWES TO CITE PLA1\;: I YES PiC Me uaL11-zs A.ROA A
TOTAL ESTIMTED SEWAG LOW Q 4.CILOM IP= DA7 D-1.213XDRINCP,b-37_
AUTUORnED SEWAGE PLOW: f:p CALMM PER DAY (A500 023/ACRL 2c;)
UNOBS2NOCTED AREA AVAILABLE: /)____ bnoiasRun ut
BENCHMARK/REFER2N1jE 20XNT LOCATION: 4_
ELEVATION OF PROPOSE SnTEM SITE IS
MUCH CAN 3E MAYNTAXNEi; mck TN? - nATEM TO ',.<'E
FT DITCRPS/SWALEWs _________ FT LIGRE.UY
VT FAMITEEi USE: PT PRAVAT2s PT''
PROPERTY L2NW,e) -') PT PUTA1
-
jECT TO MEQUENT VLOODING: [ j YES
FLOOD ELEVATION FR SITE: PT tlIS',..i,NOVFP
;OXL PROFILE INFORMAT2ON SXTE 1
Munsell aicnior Tturs
t o
to
, to
to
USDA SOIL SERIES:
-
BSPIZVED WATER MULE .1> y jAB0 n-n( GRAEL.;.
5TIM1A';;ED WET S',..:ASON VA 7. :1,1,, 3) -!
KOH ■,4ATER TARIX,2 EOP3 TAT Ord 7 7 1 10 T
)XL TEXTURE/LOADING RATE .0.J DEPTM OP E
tAXIMP7,2LD na j Cii: E OTHER (OPECICPtX_____
MAUS/ADDITIONAL CRITERIA: _
von] 4015, or 92 (Gtosie2E. previaull Elh;:.1) qts.ty nu1 1;* vicM
:ask Ni.ut*r: 5744-003-4015-1)
10 YEAR VYAPOI
OXTE U,EVATZD'ils
240KLE ENPORM2
awo\ rs-) ./21c9
" 47
ccs
`La
. - - • - ,
I
!USDA 0020L SERIES:
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ALL CH.,- t ;:aPPi-'10J't,' toralk_,IC rtIrtkiit‘l!TrA
TITLE
; •
•
MIAMI SHORES VILLAGE, FLA. N? 2080
JOB
ADDRESS �: � / � Y
INSPE IO � � -C;
TIME READY //,', ),/ /� �� ` v‘
f
REMARKS: