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440 NE 94 St (13)Permit No ?'! 2 Size Septic Tank Feet of Drain Tile_ /tO Nature of Water Supply: City —Well. 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. II ---- --------- - -.__— F. _---- --------__-_-- Owner's Name and Address ___L�° No. Registered Architect and /or -- ---- ___ - -- Employing Plumber's Namel?t1.711M ° _- ' l' I _ .r /C � No. - - - -. / Location and Legal Description Lot____ _____ ._________ _______— Block_ Street and Number where work is to be performed —No State work to be performedi and purpose of building (By Floors)_._____ New Building Building------ _ -_ - -- _ -- Remodeling------ - - - - -- _ _._ Addition_ Amount of Permit $. ____ -- ---- (Signed) _ _Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Street Repairs Date -- Street! Street_ -' - --_ Capacity Gals _ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he rstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen 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 ar required by the Act. The undersigned agrees to employ only such sub - contractors, — work t -`be • rformeed under this permit, as are licensed by Miami Shores Village. (Signed)._ STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 No. of Stories_ 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 Tues SHOWERS LAVA. TORIES SINKB SLOP SINKS LAUNDRY Tuea 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 CHECK Permit No ?'! 2 Size Septic Tank Feet of Drain Tile_ /tO Nature of Water Supply: City —Well. 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. II ---- --------- - -.__— F. _---- --------__-_-- Owner's Name and Address ___L�° No. Registered Architect and /or -- ---- ___ - -- Employing Plumber's Namel?t1.711M ° _- ' l' I _ .r /C � No. - - - -. / Location and Legal Description Lot____ _____ ._________ _______— Block_ Street and Number where work is to be performed —No State work to be performedi and purpose of building (By Floors)_._____ New Building Building------ _ -_ - -- _ -- Remodeling------ - - - - -- _ _._ Addition_ Amount of Permit $. ____ -- ---- (Signed) _ _Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Street Repairs Date -- Street! Street_ -' - --_ Capacity Gals _ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he rstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen 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 ar required by the Act. The undersigned agrees to employ only such sub - contractors, — work t -`be • rformeed under this permit, as are licensed by Miami Shores Village. (Signed)._ STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 No. of Stories_ 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. Owner's Name and Address __ Registered Architect and /or Engineet- Employing Plumber's Name ____,: Location and Legal Description Lot_ Nature of Water Supply: City —Well. ss. My Commission Expires 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 c• .splied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work No. Street Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) D . 9 No Street � � ~ Dates -- L Subdivisions CLI " y 2 Street___ _ ,_ ____±_T________ �. 1.' W! ti 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 Well f ize of Pit. Plumb Inspector. o l ) Amount of Permit $_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6if'1igations as an Aefiployer 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 emplo ed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on site of the ork such blic notice r notices as are required by the Act. The under signed agrees to employ only such sub - contracto . •n w• to e pe,rfor d under t s ermit, a re licensed by Miami Shores Village. ✓A 1 '--' Master Plumber. STATE OF FLORIDA, 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. Notary Public. State of Florida 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 CONTR. LIST CHECK Permit No. Owner's Name and Address __ Registered Architect and /or Engineet- Employing Plumber's Name ____,: Location and Legal Description Lot_ Nature of Water Supply: City —Well. ss. My Commission Expires 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 c• .splied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work No. Street Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) D . 9 No Street � � ~ Dates -- L Subdivisions CLI " y 2 Street___ _ ,_ ____±_T________ �. 1.' W! ti 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 Well f ize of Pit. Plumb Inspector. o l ) Amount of Permit $_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6if'1igations as an Aefiployer 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 emplo ed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on site of the ork such blic notice r notices as are required by the Act. The under signed agrees to employ only such sub - contracto . •n w• to e pe,rfor d under t s ermit, a re licensed by Miami Shores Village. ✓A 1 '--' Master Plumber. STATE OF FLORIDA, 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. Notary Public. State of Florida 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. APPLICATION FOR PLUMBING PERMIT .r. Permit No.___A' _'_'__ Q. Date _ __W Application is hereby made for the approval ol 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 • i .lied widh, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well.________ Amount of Permit $- 6 fit.___ MI/�.MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Owner's Name and Address Registered Architect and /or Engine Employing Plumber's Name _ Location and Legal Description Lot_ Street and Number where work is to be performed —No My Commission Expire 7 .1". No. Street a N _ Block_ State work to be performed and purpose of building (By Floors) ____ New Building Remodeling Addition Repairs Type of Tank Capacity _ Dist. Feet of Tank or Drain Field from Well .(Signed) -. (Signed No Street Street Subdivision— QQ ze of ..akage Pit No. of Stories_ _ Notary Public. State of Florida The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an player 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 . peat of 'cause to be posted for inspection on • site of the ork such • ' blic notice • r notices as are required by the Act. The under signed agrees to employ only such sub - contractor w. k to •e p for under t . rmit, licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. 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 lias 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. 9:1>ik`29;isr- CLOSETS BATH TUBS SHOWERS LAVA- SINKS TORIES SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE GREASE PIT TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT .r. Permit No.___A' _'_'__ Q. Date _ __W Application is hereby made for the approval ol 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 • i .lied widh, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well.________ Amount of Permit $- 6 fit.___ MI/�.MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Owner's Name and Address Registered Architect and /or Engine Employing Plumber's Name _ Location and Legal Description Lot_ Street and Number where work is to be performed —No My Commission Expire 7 .1". No. Street a N _ Block_ State work to be performed and purpose of building (By Floors) ____ New Building Remodeling Addition Repairs Type of Tank Capacity _ Dist. Feet of Tank or Drain Field from Well .(Signed) -. (Signed No Street Street Subdivision— QQ ze of ..akage Pit No. of Stories_ _ Notary Public. State of Florida The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an player 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 . peat of 'cause to be posted for inspection on • site of the ork such • ' blic notice • r notices as are required by the Act. The under signed agrees to employ only such sub - contractor w. k to •e p for under t . rmit, licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. 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 lias 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. 9:1>ik`29;isr- lr 0U... 1 (Ark aiami Shores Ilage ' Received Payment by OWNER F L 0 R I D A PLUMBING PERMIT N? 730 Date Issued to 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. For a__story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Permit No. / --+ C Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn)kted 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address Registered Architect and /or Engin er &" Employing Plumber's Name._ -- No. yd / ll`e'v Street % Location and Legal Description Lot_ _ ___ -- - .----- --- --- -- •--- __ lock Subdivision Street and Number where work is to be performed —No State work to be perforned and purpose of building (By Floors ) - . _ _ _ _ _ _ � , f t - — f 71 - 42a '41-e New Building Remodeling Addition Repairs No. of Stories Nature of Water Supply: City —Well f ri Z Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ -� No V Pd f!__ Street 9 v Size Septic Tank Type of Tank_ — Capacity Gals Feet of Drain Tile _- Dist. Feet of Tank or Drain Field from WeIL .Size of Soakage Pit (Signed)._ z _ Date - - --r -- -:___ . 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 pernnit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss_ COUNTY OF DADE. 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 fac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT'N5 TOTAL FIXTURE: CONTR. LIST -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. / --+ C Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn)kted 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address Registered Architect and /or Engin er &" Employing Plumber's Name._ -- No. yd / ll`e'v Street % Location and Legal Description Lot_ _ ___ -- - .----- --- --- -- •--- __ lock Subdivision Street and Number where work is to be performed —No State work to be perforned and purpose of building (By Floors ) - . _ _ _ _ _ _ � , f t - — f 71 - 42a '41-e New Building Remodeling Addition Repairs No. of Stories Nature of Water Supply: City —Well f ri Z Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ -� No V Pd f!__ Street 9 v Size Septic Tank Type of Tank_ — Capacity Gals Feet of Drain Tile _- Dist. Feet of Tank or Drain Field from WeIL .Size of Soakage Pit (Signed)._ z _ Date - - --r -- -:___ . 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 pernnit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss_ COUNTY OF DADE. 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 fac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. Permit No 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 Size Septic Tank_ Feet of Drain Tile____- Nature of Water Supply: City -Well Amount of Permit $ / 2.0Q STATE OF FLORIDA, 1 COUNTY OF DADE. J u. R, X._ Leith__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 490 Date Dec. 16,_ 1954. Street__ 94th , St. Registered Architect and /or ��----- __- -_- --____ -- Employing Plumber's Name No..___.-___---- -.__ -- Street_ ----•---_--.. Location and Legal Description Lot_.__.__..__. _ ._.__...__ __ _ _ Block_ Street and Number where work is to be performed -No 490 N. E. 94th St. Street State work to be performed and purpose of building (By Floors) ___ -- ------------------ __ -_ -_ New Building _ Remodeling —__ —.___ _ Addition_________._._________ Repairs___ No. of Stories. One Type of Tank Capacity Gals _-__Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit Sep) a n t ne aolar_Tank_.- �e (Signed)_ Plumb Inspector. pector. The undersigned plicant 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 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 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. GIFFEN I fa US T RI ES, I NC . (Signed) — . - _Y VJ• Fleming, Trea • 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 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 Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIKTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR DEEP HEATER WELL SPRKLR. SYSTEM SWIM'G POOL. C o m • IST 100 -Gal. Tank CHECK Permit No 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 Size Septic Tank_ Feet of Drain Tile____- Nature of Water Supply: City -Well Amount of Permit $ / 2.0Q STATE OF FLORIDA, 1 COUNTY OF DADE. J u. R, X._ Leith__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 490 Date Dec. 16,_ 1954. Street__ 94th , St. Registered Architect and /or ��----- __- -_- --____ -- Employing Plumber's Name No..___.-___---- -.__ -- Street_ ----•---_--.. Location and Legal Description Lot_.__.__..__. _ ._.__...__ __ _ _ Block_ Street and Number where work is to be performed -No 490 N. E. 94th St. Street State work to be performed and purpose of building (By Floors) ___ -- ------------------ __ -_ -_ New Building _ Remodeling —__ —.___ _ Addition_________._._________ Repairs___ No. of Stories. One Type of Tank Capacity Gals _-__Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit Sep) a n t ne aolar_Tank_.- �e (Signed)_ Plumb Inspector. pector. The undersigned plicant 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 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 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. GIFFEN I fa US T RI ES, I NC . (Signed) — . - _Y VJ• Fleming, Trea • 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 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. For aLstory Fixtures Fixtures Sewer Septic Tank c1iami cfhores9llage F L O R ID A ,r _` .p , PLUMBING PERMIT N° 771 Date__ / Issued to ir to insta 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 Total $ l 6" r Village Plumbing Inspector '- f Received Payment by ?'f/ OWNER . LOT BLOCK SUBDIVISION G: '/ J ,i.- -L. } 1 /-;" 45 / 'it/ d; For aLstory Fixtures Fixtures Sewer Septic Tank c1iami cfhores9llage F L O R ID A ,r _` .p , PLUMBING PERMIT N° 771 Date__ / Issued to ir to insta 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 Total $ l 6" r Village Plumbing Inspector '- f Received Payment by ?'f/ SIM of f' ADDRII PLUMBING Owner of Buildin Architect and /ot Engineer__ Contractor Proposed Loca This permit is issued the building above described, that all facts stated in the ap and compliance with the bud regulations of the bedding laws, online or toles and re OUNT e :s In consideration of the issuance plans and seppecilicadnas thereof humdrum building', oedinaices and zoning laws of Data— OWNER LOT BLOCK SUBDIVISION 'Al I r � rrr ~ lir iami Jhores9 lla F L 0 A 1 D A LUMBING PERMIT she fff Issued to it / ( / -tom`% Z N9 771 to inst411 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 stor c, building at ),' f .,4 / Y � ld g �� e Fixtures Fixtures $ Sewer $ ptic Tank 1 $ r0 • Total $ / ' Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION PLUMBING PERMIT N9 730 • Issued to C dt t L t (014 - I Fixtures ' a . Fixtures Tank iami cShores91l1age F L 0 K 1 D A Total $ Village Plumbing Inspector Received Payment by 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 ' . Lj . �� a �. , � building at � � � • � , � ' _� � � - � ui (: iL t.. i $ 7' i CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIIXXTTURES A•244 5M 3-38 Employing Plumber For a I herewith submit the following plan of plumbing for approval: i New ❑ Dwelling ❑ Owner or Agent Builder or Contractor is DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA ! - 4 'Work executed by Store ❑ .�� ( / +. • Old ❑ Story ❑ Garage ❑ Lot No. 1 _ Block No. � 1 Subdivision r � _ Address � �� �' /1 i (i f f Lt Sewer Connections At center of St. ❑ Date ROUGH -IN INSPECTION Ground Rough -In AM f P M Approved by L Condemned by 9- 5 r REMARKS Rain Leader At curb ❑ Apartment ❑ Hotel ❑ Address Address To septic tank Date SEWER INSPECTION Plan No. : Sewer Permit No Addition ❑ Remodeled ❑ At property line ❑ Existing in alley ❑ Office Bldg. ❑ Existing bldg. sewer ❑ Existing bldg. drain ❑ To dry well ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date FINAL INSPECTION AM P M. AM P M Approved by Approved by Condemned by Condemned by REMARKS REMARKS THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETCI In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. PROVIDED THE WORK C -e. r t / • ri` 6 fr 1 WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH AN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref- erence to same. Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. W EST NORTH A EAST Remarks: NORTH SOUTH s Description lLi p Owner / Lessee Owner's Address Contracting Co. Legal Qualifier State �k`b "� D! Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address l' 9€ Sr Tax Folic0 JQZS f 1 # t9 / Tenant Master Permit # . ;_ 'e * Phone /7,015 iG� p 4.cc..- /./ ' < Vi// Address // y, ���� it fal l SS# - - Phone � — ffj7 � � T' Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL LUUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION V�7M WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in ompliance wit all applicable laws regulating construction and zoning. Furthermore, I authoriz- he a ove- 1?_,contractor do the work stated. _ rest en Signarp of owner an or Condo Date : /f/�C% S `f • N•4F ry .s to Owner My Commission Expir • at/ B ig ;t•' Na CC197546 .w• Estimated Cost(value) / dd'0 t * FEES: PERMIT ..../a ®V RADON C.C.F. / ' g NOTARY S": D0 * * * APPROVED: Mechanical Zoning Buildin !� / s0r2 Signatu a 9Vontractor or Owner- Builder Date: a#P as to C y Commission ** 4. OB TOTAL DUE Fire Other Electrical I �.E'ngineering CONSTRUCTION PERMIT FOR: [ ] New System [ ] Existing System [fir] Repair [ ] Abandonment APPLICANT: PROPERTY STREET ADDRESS: LOT: BLOCK: PROPERTY ID #: SYSTEM DESIGN AND SPECIFICATIONS N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: [ 0 T H E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: _ STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC ] INCHES q() ✓,: SUBDIVISION: [ ] Holding Tank [ ] Temporary /Experimental [ ] Other(Specify) AGENT: [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. 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. T [ ) [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D [ 3 '(}] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x.] STANDARD [ FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [/ l] BED [ ] ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ ] INCHES S 1 v TITLE: TITLE: HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 - 0) INSTALLER /CONTRACTOR PERMIT# r 73 f / DATE PAID 'I FEE PAID $ RECEIPT # EXPIRATION DATE: CPHU Page 1 of 2 INS InRUCTit INS: PERMIT NUMBER: AS'PLI!'ATKON FOR ANT: TEL( "HONE: Agra;: MAILING ADDRE L{ i , BLOCK. SUBDP.' ISP "• PP -PI P.TY ID# SYSTEM DESIGN AND SPECIFICATIONS. TANK. DRAINIIELD: SPECIFICATIONS BY APL \•ED L T L iaSUED: ':.; i ili.. DATE. •4Y 1 ea 1 •O• `r` ±irb - - J • - -- - I - 1 - - ti� r, L -- I J 1 •••• 1 s 41 a - • � I +o I 1_1 Li LEL' - I ■ I 1 1 ! ►� _ (" I •,• 1-LC II - LI LL - ! 1 _ �_. r� :m 7 1 1 ,. f. Ifs ri - -- O i_ 1 I [ I I • 1 dl i ■ 1 • �J► I� 1 - ,AGi I e". -- 1 I • i� :. n • ■ • • rr+ A 1 le (� J - 'wow I ■ • (I' G 3 rmrrro� 1 •• • 1• 1 I _ r J L Zol 1,1 0 . 111 1 a if I nr _ I g I 1J! J Ag 4P ' 1 �_.�1_= ! ! �?�__i i 1 __ - � J- L t• 1 _ -I • WI onus •• ' i 1 r " .. i �►� 1 1 1 I: 1 I l I 3 -1_ of II•• • • [ -i L - 1 1 T I 1 ' -, I I , ' ! L IP f 0_r I. a _ , 171 - � 1 - r r, 1....Lf,_! I 1 - - CT - 1 1- 1 i L 1 I II _ _ _ 1 I J 6 _ _ rl,r I r1r r o U• I I ,rrrr , r• J 4 t - 4 III f•• I1 I J U, I I a II 1 I L1 � - - • Il • -� I • . LI __ • ( _I I 1 : � _ I_� _ 1_ _ I TI I . l I I_ _ i 1 i fir I Li � . ad -1�> J ■�_� N•• ••• #� • � - I I... 1 ...1 n_ _ I 1 A ,A � r i 1 J_L n 1 I „- • I r L.� ra1�, y � I 1 _,1 - • ._L LU I rrTT n 7 i L! J - - 01 I 11 •_■ , l i • - - - - 1 1 - - 1 -- I •• 1 1_ _ I - T r L 3 I rl 1 1 I I LLI 1 I n Ti 1 I _I=C 11 I — r — I f -- I f 1 LI „ ! __- -. � ..... I"1 UJ ■ LO T, ri 11 _1±±r71.. _ _ .,. .,.... > ... .., 1.. ..1 . ,,_. 1 77. 1 ......, - -- Plan Approved HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744-002-4015-6) STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION 4 ' PART II - SITE PLAN Notes' Site Plan Submitted by /dat�..514sz.- S • I d R I /O•( .-1.(, LE% Date - f `` �7 By j .. , , County Public Unit ALL CHANGES MUSK BE APPROVED BY TH 'COUNTY OGBLIC HEALTH UNIT Not Approved Permit Application Number Page 2 of 3