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490 NE 94 St (8)Permit No ?f 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 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. �1 Owner's Name and Address -___ - 77° _ - - - - -- — _- •---- - - - - - No.__ _ Registered Architect and /or Engineer__ — — _ _-- -- -- --------- ---- _ --_ -- _ G ir /cc� /VI L .` . .. Employing Plumber's Name/`)- .E1.k" -- ' _ == -- -- -____- No. -_ �_� —� Street -- - - -__- _ . _...... __ - -.- New Building_ Nature of Water Supply: City —Well Amount of Permit $ __. Size Septic Tank Feet of Drain Tile. 4) ''- - - -- -Dist. Feet of Tank or Drain Field from Well Location and Legal Description Lot____— ____— _______ — Block Street and Number where work is to be performed —No 1-- C State work to be performed and purpose of building (By Floors)_____ �1 ____ � t i eL ' a/ Street Street 6 ✓/ ' ___ Remodeling—__-... ______ ___ Addition_______ __________ Repairs v No. of Stories _Type of Tank__ Capacity Gals. Size of Soakage Pit (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he `•2 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 are required by the Act. The undersigned agrees to employ only such sub - contractors, . n work7 be performed under this permit, as are licensed by Miami Shores Village. ` ,i - / = .„ (Signed)___ 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. 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 •n- ssary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES S INKS 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 ?f 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 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. �1 Owner's Name and Address -___ - 77° _ - - - - -- — _- •---- - - - - - No.__ _ Registered Architect and /or Engineer__ — — _ _-- -- -- --------- ---- _ --_ -- _ G ir /cc� /VI L .` . .. Employing Plumber's Name/`)- .E1.k" -- ' _ == -- -- -____- No. -_ �_� —� Street -- - - -__- _ . _...... __ - -.- New Building_ Nature of Water Supply: City —Well Amount of Permit $ __. Size Septic Tank Feet of Drain Tile. 4) ''- - - -- -Dist. Feet of Tank or Drain Field from Well Location and Legal Description Lot____— ____— _______ — Block Street and Number where work is to be performed —No 1-- C State work to be performed and purpose of building (By Floors)_____ �1 ____ � t i eL ' a/ Street Street 6 ✓/ ' ___ Remodeling—__-... ______ ___ Addition_______ __________ Repairs v No. of Stories _Type of Tank__ Capacity Gals. Size of Soakage Pit (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he `•2 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 are required by the Act. The undersigned agrees to employ only such sub - contractors, . n work7 be performed under this permit, as are licensed by Miami Shores Village. ` ,i - / = .„ (Signed)___ 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. 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 •n- ssary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address Registered Architect and /or Engineer- s State work to be performed and purpose of building (By Floors) ss appeared My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.___ ? Date 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 plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work l Employing Plumber's Name - 1 i / No Location and Legal Description Lot Street and Number where work is to be performed —No Block a fl No Street •J �'" Street _ "# +—' — street_ -- e__ - -- New Building Remodeling Addition Repairs Amount of Permit $- - (Signed) Capacity Gals (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his 61Rigations as an under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement plied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors emplo ed by him in performed under this permit: and will post or cause to be posted for inspection on •' site of the ork such ublic notice required by the Act. The under signed agrees to employ only such sub - contracto n w. t i perfor d under t licensed by Miami Shores Village. Notary Public. State of Florida No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well , $i ze of pakage Pit. Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 therein by him stated are true. Inspector. ployer of labor , and has com- the work to be r notices as are ermit, a re Master Plumber. personally all facts 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer- s State work to be performed and purpose of building (By Floors) ss appeared My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.___ ? Date 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 plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work l Employing Plumber's Name - 1 i / No Location and Legal Description Lot Street and Number where work is to be performed —No Block a fl No Street •J �'" Street _ "# +—' — street_ -- e__ - -- New Building Remodeling Addition Repairs Amount of Permit $- - (Signed) Capacity Gals (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his 61Rigations as an under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement plied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors emplo ed by him in performed under this permit: and will post or cause to be posted for inspection on •' site of the ork such ublic notice required by the Act. The under signed agrees to employ only such sub - contracto n w. t i perfor d under t licensed by Miami Shores Village. Notary Public. State of Florida No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well , $i ze of pakage Pit. Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 therein by him stated are true. Inspector. ployer of labor , and has com- the work to be r notices as are ermit, a re Master Plumber. personally all facts 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 �... Permit No _ Date__ — 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 • .lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address Registered Architect and /or Engine Employing Plumber's Name __ �'w'. Street Location and Legal Description Lot " Block rr..t__ Subdivision. Street and Number where work is to be performed —No. Street___ _1)4_'�___� State work to be performed and purpose of building (By Floors) `�!_,___i�!_ New Building Remodeling Addition Repairs No. of Stories__________ Size Septic Tank Type of Tank Capacity Ga1s.______ Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit $ appeared ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Dist. Feet of Tank or Drain Field from Well ze of akage Pit - (Signed) (Signed No. Street.- The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an e>Rfployer 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 ernployed 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 or notices as are required by the Act. The under signed agrees to employ only such sub - contracto w n w. k to " e p for . d utrder t • rmit, re licensed by Miami Shores Village. My Commission Expires Notary Public. State of Florida � 1J 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 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 SI KS 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 APPLICATION FOR PLUMBING PERMIT �... Permit No _ Date__ — 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 • .lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address Registered Architect and /or Engine Employing Plumber's Name __ �'w'. Street Location and Legal Description Lot " Block rr..t__ Subdivision. Street and Number where work is to be performed —No. Street___ _1)4_'�___� State work to be performed and purpose of building (By Floors) `�!_,___i�!_ New Building Remodeling Addition Repairs No. of Stories__________ Size Septic Tank Type of Tank Capacity Ga1s.______ Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit $ appeared ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Dist. Feet of Tank or Drain Field from Well ze of akage Pit - (Signed) (Signed No. Street.- The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an e>Rfployer 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 ernployed 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 or notices as are required by the Act. The under signed agrees to employ only such sub - contracto w n w. k to " e p for . d utrder t • rmit, re licensed by Miami Shores Village. My Commission Expires Notary Public. State of Florida � 1J 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 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. --- Date OWNER dd�ia►ni ShoresCillage F L 0 R i D A PLUMBING PERMIT N9 730 Issued to Total $ Village Plumbing Inspector Received Payment by LOT BLOCK :,. rk 3'11'y 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 $ ' Permit No. .___. Date - - -1 -- _ y - `S -S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ted 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 Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engin er �__._. __ - .---- _--------- -.__ -_ s /o Employing Plumber's Name ` __?"'� No. __/_} d 01 Street .I Location and Legal Description Lot___ __ lock___ yy _.____._____ ______ Subdivision Street and Number where work is to be performed —No _. _U !1_ _ Street_ ft - - State work to be performed and purpose of building (By Floors )___ - - -_- __ ..- No 9.0 Street 95 adf 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 We1L Nature of Water Supply: City—Well ............... -........... _________________ __ ____Size of Soakage Pit (Signed) - -_ -_ /6 5-6 U. 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 5968, 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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t 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. 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 IN CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NS 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. .___. Date - - -1 -- _ y - `S -S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ted 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 Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engin er �__._. __ - .---- _--------- -.__ -_ s /o Employing Plumber's Name ` __?"'� No. __/_} d 01 Street .I Location and Legal Description Lot___ __ lock___ yy _.____._____ ______ Subdivision Street and Number where work is to be performed —No _. _U !1_ _ Street_ ft - - State work to be performed and purpose of building (By Floors )___ - - -_- __ ..- No 9.0 Street 95 adf 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 We1L Nature of Water Supply: City—Well ............... -........... _________________ __ ____Size of Soakage Pit (Signed) - -_ -_ /6 5-6 U. 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 5968, 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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t 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. 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. Owners Name and Address Rs_ Leith___ -- No. 490 street. N. E. 94th *St . Registered Architect and /or Engineer -- -- _ - -�----- . - - --- --_ - - -_ __ -- -- Employing Plumber's Name No.___..__ _______.__ Street.._._--.___ ...... ______ --_--- Location and Legal Description Lot Block Subdivision ...____— .____--___ - -_ - 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. 0n0 Size Septic Tank. Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit .... _2_.QQ___ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank___ Capacity Gals -_Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)- Plumbing Inspector. The undersigns ' pplicant 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 5968, 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. GIFFEN II US TRIES, INC. (Signed) -_!�_� Date Dee. 16 1954. Notary Public, State of Florida STATE OF FLORIDA, t - W. Fleming, Trea 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. 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 SINK• LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR DEEP HEATER WELL SPRKLR. SYSTEM SWIM•G POOL LIST CONS. 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. Owners Name and Address Rs_ Leith___ -- No. 490 street. N. E. 94th *St . Registered Architect and /or Engineer -- -- _ - -�----- . - - --- --_ - - -_ __ -- -- Employing Plumber's Name No.___..__ _______.__ Street.._._--.___ ...... ______ --_--- Location and Legal Description Lot Block Subdivision ...____— .____--___ - -_ - 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. 0n0 Size Septic Tank. Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit .... _2_.QQ___ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank___ Capacity Gals -_Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)- Plumbing Inspector. The undersigns ' pplicant 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 5968, 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. GIFFEN II US TRIES, INC. (Signed) -_!�_� Date Dee. 16 1954. Notary Public, State of Florida STATE OF FLORIDA, t - W. Fleming, Trea 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. 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. aiami fhores9 llage F L 0 R 1 D A LUMBING PERMIT N9 771 i d to t ' Ism: 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 d k d M' Shores Village, Florida drainage work in Miami ores 1 age, . For aj_story *Id building at y, ' ty r 7 Fixtures Fixtures $ Sewer $ • Ptic Tank / $ / ' Total 464-15" Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION .e! 1 , ve /-,? , ;2iii $ aiami fhores9 llage F L 0 R 1 D A LUMBING PERMIT N9 771 i d to t ' Ism: 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 d k d M' Shores Village, Florida drainage work in Miami ores 1 age, . For aj_story *Id building at y, ' ty r 7 Fixtures Fixtures $ Sewer $ • Ptic Tank / $ / ' Total 464-15" Village Plumbing Inspector Received Payment by aiami cJhoresc llage F L 0 R 1 D A PLUMBING PERMIT N9 730 Issued to Ciitt,ZSrl .- t\ 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. ' For a story '� � at'� building at , •---• �- Fixtures a Q l• � .t i '' 'ik ) ,34. t t; X Q jtl ,,t t ( i :, i ce` tih Sewer OWNER LOT BLOCK SUBDIVISION t � . L j' J`/ /lttrtiat i ' - • aiami cJhoresc llage F L 0 R 1 D A PLUMBING PERMIT N9 730 Issued to Ciitt,ZSrl .- t\ 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. ' For a story '� � at'� building at , •---• �- Fixtures a Q l• � .t i '' 'ik ) ,34. t t; X Q jtl ,,t t ( i :, i ce` tih Sewer aiami cSbores llage F L O R ID A PLUMBING PERMIT /17'cre Date Issued to /t' to instl 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 ,4 building at 1t''4 7 / / & '' `? Fixtures Fixtures $ el f 0' ) . Sewer $ Y\ / Ct I P\ Septic Tank / $ / -419 Total $ if I & Village Plumbing Inspector Received Payment by N9 771 OWNER . LOT BLOCK . SUBDIVISION I ;. . , ._ e c 1' ..1 / d; i a. aiami cSbores llage F L O R ID A PLUMBING PERMIT /17'cre Date Issued to /t' to instl 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 ,4 building at 1t''4 7 / / & '' `? Fixtures Fixtures $ el f 0' ) . Sewer $ Y\ / Ct I P\ Septic Tank / $ / -419 Total $ if I & Village Plumbing Inspector Received Payment by N9 771 MOUNT (RECD 4 A r SUR.DIV ADDRESS nd Specifications h- tofore filed in this the construction ies strictly with of ; Florida and with the building • , .n V This permit may be k and ,.eci LICRNra O. is granted upon the express condition dons submitted. and in accordance f Miami Shores Village, and rata and violation of any of ding inspecto E t ' AL PERMIT PLUMBING Owner of Building / Architect and /or Engineer_ Contractor sereelftret_.._ Proposed Location A This permit is issued to___ the building above described. as appiicatio% Plans that all facts stated in the application are true and and compliance with the building laws .f the regulations of the building department Mi laws, otdinagcesor rules and reg In consideration of the issuance to me of `s° peanut. plans and specifications thereof heretofore by ime submitted, building ordinances and zoning laws of Miakni Sh ores Vill Dated__ ,r NOTE: A ehasge j of $ 1.00 will be A re- inep.aion fee cif 11.00 'On be 0 866 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPAFITME 1 the proposed construction in strict conformity the appliattioa aid pliance with all provisions of uilding laws of the State of Florida. all 1 rules and regulations of the , g departm of Miayli Shores V' application after al ' as '; , from: do improper bier Inc ids and/ CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES - ff l ! A -244 5M 5.38 I herewith submit the following plan of plumbing for approval: Employing Plumber : ,+ .; { Work executed by For Address Plan No New ❑ Dwelling ❑ Owner or Agent Builder or Contractor is Sewer Connections ROUGH -IN INSPECTION Ground Rough -In REMARKS DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA x r1 19 3 Store ❑ Old ❑ Story ❑ Garage ❑ Apartment ❑ Address Address Lot No. 'ti' Block No. Subdivision 1 ' 6 At center of St. ❑ At curb ❑ Date r Rain Leader AM P M Approved by " Condemned by Sewer Permit No At property line ❑ Existing in alley ❑ Date SEWER INSPECTION Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ REMARKS REMARKS Existing bldg. sewer ❑ To septic tank ( 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 PM. AM PM Approved by Approved by Condemned by Condemned by THIS SPACE FOR ELEVATION SKETCH 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. A PERSPECTIVE SKETC: PROVIDED THE WORK C 4 t ) • • , ,"„ / . 04_ 4/.0 : WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH °N 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. SOUTH W EST NORTH A SOUTH EAST Remarks: NORTH s Date �J Legal Description /-4. l - J ,2 Owner / Lessee / Tenant eoait Master Permit # ,;3‘,7e Owner's Address 4 * O �y Phone Contracting Co. j��,' 9146v Address /,! � 7 � fir/ /v� — � het 6' � r ���� 33/61 Qualifier ����� £I S S4� - - Phone State # 4 T' Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL �UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 6 Job Address 4704), / 6-1" Tax Foliq// Jai f 7 NA° Square Ft. Estimated Cost(value) /G i 'i t 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 above- �?-A contractor do the work stated. !. � L. — Signat rp qfowner an • /or Condo e' resi n en Date : //9/. Z / ` JOSEPHINE CMQGI _ , �.� . _4 e t4 . • . N.4r ry • s to Owner 1 . “ ---1 : 6 i0ONBMANAA0401130. My Commission Expi S • '� at91s16 APPROVED: Zoning Mechanical Signa ontractor or Owner- Builder Date::'? /P/ as to C y Commission ** * * * * * * * * * * * * * * * ** FEES: PERMITJ a B0 RADON C.C.F. /' NOTARY 5 a TOTAL DUE" L 0 B Fire Other Electrical CONSTRUCTION PERMIT FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental [`] Repair [ ] Abandonment [ ] Other(Specify) PROPERTY STREET ADDRESS: 4 APPLICANT: LOT: PROPERTY ID #: 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. SYSTEM DESIGN AND SPECIFICATIONS 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(r ()] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ = STANDARD [ , ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH ] BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT 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 BLOCK: SUBDIVISION: T' I L ] INCHES AGENT: [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] EXCAVATION REQUIRED: [ ] INCHES 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 3 - DATE PAID FEE PAID $ RECEIPT # A A p EXPIRATION DATE: CPHU Page 1 of 2 INSTRUCT': PERMIT" NUMBER APPLICATION FOR APPLICANT. TELEPtior\;. AGENT MAILING ALA BL(■ci: U; PPOPIIRT1 SYSTEM i rSIGN D SPECIFICA.TIt TANK: DRAINFIELD. ()TFIER. APPR ()\.'F: LATE 15_L1 ). FA( FA(• • J 1 i_ " 1_ J - - L /17 \ \// , , , ■ 1 i � d_ ' - I . e_ it is .. ( 1 I I I .. Lzal_ J ' --1 _� - _ _ L 0 - t �r J=1_ _ J - I l -1f" r — _1 _I_I I - '__C1 1._ 1 " I - - _ rJ �I - 1 �,� - .�iF I I_ i 1 - � I_ I I 1 ■ a -- 1 _RUI I I - ` iJ_J__ r 1 - 1] 1-( i I I 1 I - r - m r J_, _ I I T1 I. a. • � I 1 I � : C 1 _ - C , - �SCc (-Qv- : _ LLH - r' 1 1 " - -_ 71__! _i 1-C-1-1_1-- r ' _ 1 _,J_1 17 L 1 1 i i 1 I - , - ' - 1 - - _- •>r ^ _y I r ' n I - ja ( ! �� I 1 V 1 1-_!_11_1(__ - •. 1 I� I l _ I I . _I- 1 - - L 1 _ lJ 11 -- _ 1 ... 1-11- }a ( LI I 1 1 I J - I L 1 IJ I 1 I i .1 I !_ __L_ _ _ -- _ - ` 1 1 a i. i% 1 = � I 1 ': ` ► W J I I 1 I 1 I I .. � I Flii 1 ' of • ._ _ I 1 1 1 ! 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I 1 I J I I f 111 Li L I _.4 II - I JI 1_ _ I 1 - - II I J� - r 0 _ i 1 1 i - r7 [I I - E I I__ 1 -1J 1 1 I (� ( -:_ 1 1_I_1 r ; I E ! r 1 - I 7-- ' 1 I 1 - r r I 1 I 1 C _ I II i '_ 'J - I I J 1. / S ` i I J �i 1 . (JJ ■ M - xx ,__J,..,,__„ ' l- „ ( 1 1� 1 I 1 - 1 Ci f l_f rJ ; - r 1 1 ,.„,...,.L, _ I 0= 71_1_7 1 _ ,- . . a,,, .. 1 �, 1 - I i ; _ 7 _ . , _ I STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number 4 4 PART II - SITE PLAN Notes' Site Plan Submitted by Kda4/eord--e-s Plan Approved By ALL CHANGES MUS BE APPROVED BY T COUNTY r CJBLIC HEALTH UNIT HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number 5744-002-4015-6) r ; Not Approved Date -. Jg ,5 f c ar/. . County Public Unit Page 2 of 3