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795 NE 95 St (6)Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 ' Buildi Inspection Request (1/23 74 5 'tie 9 MIAMI SHORES 1TAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 0 . Type Insp'n Permit No. Name (1 Address r7Q 46 Company ( Phone # E 6 , 0 q / � q - a / ( 6 �. Inspection Date 74 Approved ❑' Correction Re- Insp'n Fee e_ 000V �� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING w tip . �I e).- Permit No. PERMIT APPLICATION " FER 3 gltil Mister Permit No. D92 i3 - 7(j FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) j/ ?y +r i C i 0 Phone # A Owner's dress i/ 1 G 5 K.) C- Q S sF - City i c.j i % 4 - SState / FL Tenant/Lessee Name / $ Value of Work For this Permit 000- 00 CC, Submittal Fee $ 50 • UU Permit Fee $ /6 0 Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department Type of Work: ❑Addition ❑Alter on Describe Work: hC5± (i' a+eir k ectip r an Code Enforcement $ Structural Plan Review. $ zip / 3.3 (3 Phone # Job Address (where the work is being done) ) 9s !J t_ City Miami Shores Village County Miami -Dade Zip 33 \ 3 e Is Building Historically Designated YES NO Mechanical Contractor's Company Name + rO t ) d .60)oek, ai$hone Contractor's Address (3-D-1 (,p . C ")0 -7j i epay -- City Q .Q V 1 State FC, / Zip J CO Qualifier 010 u r\ Con 107r)f e2 Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ew ❑ Repair/Replace ❑ Demolition ****************************W***************************** Roofing CCF $ I -2,0 ^ CO /CC `) L 4 Notary $ • 0 0 Training/Education Fee $ • V Technology Fee $ -00. Scanning $ 3, 00 Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not approved and a reinspection fee will be charged. Signature (4)4, 6 ( Owner or Agent 0 " Contractor The foregoing instrument was acknowledged before me me this 1L The foregoing in u t was acknowledged before me this g day of � 20 , by Racr/ c j a. / % ilA0 I , day of Ft , 20 0q, by 11 (ilia Ipq�� who is personally known to me or who has produced 4 ' I>L_ who is personally known `\ `` , .i ted as i tiflp ` erg @' o di�'ike an oath. ar ,Q� � : i o � w • r NOTAR Sign: Pri - bp77DAs identification and who did take an oath. . T. iy:cleO My Commission E • i y , ', ; ********************************************,********* * * * * * * ** * * * * * * * * * * * * * * ** * * * P ik *obk,i.� * * * * * * * ** * * ** My Commission Expires: State Certificate or Registration No. Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** ** *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 G(A`iY SEAI Apvh J V■'LLAP nl to r6ION 4U+ D0091094 (Certificate of Competency Holder) Signature NOTARY PUBLIC: Sign: Print: Plans Examiner Engineer Zoning 0 �v n S geA - -ck y(p.c_ c v i p e ck fc n i 202 rve1 • - Z 0( - 1-2 ` -S (.J a -o - c�n L 04k. s 0 I o T h -P -r - S�'!S �� V- Inri fal �� F) So 000 Around The Clock Gas Services LPG017356 / CCN 02P000359 2216 West 80th Street, Bay # 3 Hieah, Fl. 33016 Phone: (305) 231 -36321 Fax: (305) 231 -4180 Installation done in accordance with FBC 2001, NFPA 54 & 58 regulations as well as all local codes Job Address: I C5 & c s 51. Q2 Around The Clock Gas Services LPG017356 / CCN 02P000359 22'16 West 80th Street, Bay # 3 Hialeah, FL 33016 Fiione: (305) 231 -36321 Fax: (305) 231 -4180 Installation done in accordance with FBC 2001, NFPA 54 & 58 regulations as well as all local codes Job Address: ` 19 5 1■1,L 95 S4. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/26/2004 Applicant: PATRICIA Owner: CALANDRA JOB ADDRESS: 795 NE 95 Plumbing Permit Permit Number: PL2004 -65 CALANDRA PATRICIA ST Contractor AROUND THE CLOCK GAS SERVICE Contractor's Address: 2216 W. 80 ST Local Phone: 305 - 231 -3632 Parcel # 1132060142180 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 20 & E1/2 LOT 19 BLK 68 LOT SIZE 75.000 Fees: Description Amount FEE2004 -2037 Building Fee $160.00 FEE2004 -2038 CCF $1.20 FEE2004 -2039 Notary Fee $5.00 FEE2004 -2040 Training and Education Fee $0.40 FEE2004 -2041 Technology Fee $4.00 FEE2004 -2042 Scanning Fee $3.00 Total Fees: $173.60 Total Fees: $176c0�p Total Receipts: $ 00 . C Permit Status: APPROVED Permit Expiration: 8/21/2004 Construction Value: $2,000.00 Work: RUN 45 FEET OF TRACK PIPE TO INSTANT HOT WATER HEATER AND STOVE Signed: (INSPECTOR) Page 1 of 1 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Permit No _____ _�J_ 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 Engin Employing Plumber's Name___ - - - - - -- -- � - � Street____ Location and Legal Description Lot Block Subdivision._ -_ _____________ ,[L Street Street and Number where work is to be performed —No Z Size Septic Tank_ raideta Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of Tank No. (Signed)- ( Signed) _ &L_ Date State work to be performed and purpose of building (By Floors) New Building----- _ - -__ -- - -• -_ -- Remodeling _ _ -.__ Addition _._ - -. Repairs _- Street -- — - -- ---- - Capacity G a l s . . _ Feet of Drain Tile_ -- _Dist. Fe of Tank or Drain Field from Well Nature of Water Supply: ..... of Soakage Pit No. of Stories.... .... ....... ... Plumb sj 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 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. , -t Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall;- 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. CLOBITB BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U 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 CONTR. LIBT CHECK Permit No _____ _�J_ 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 Engin Employing Plumber's Name___ - - - - - -- -- � - � Street____ Location and Legal Description Lot Block Subdivision._ -_ _____________ ,[L Street Street and Number where work is to be performed —No Z Size Septic Tank_ raideta Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of Tank No. (Signed)- ( Signed) _ &L_ Date State work to be performed and purpose of building (By Floors) New Building----- _ - -__ -- - -• -_ -- Remodeling _ _ -.__ Addition _._ - -. Repairs _- Street -- — - -- ---- - Capacity G a l s . . _ Feet of Drain Tile_ -- _Dist. Fe of Tank or Drain Field from Well Nature of Water Supply: ..... of Soakage Pit No. of Stories.... .... ....... ... Plumb sj 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 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. , -t Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall;- 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. rir u-T APPLICATIQN FOR MUNICIPALITIES of DADS COUNTY (OWNER TO RETJIN COPY) Date_ ri ' Job Addreae s N - S SL _ Tax Folio legal Desoription_U ° , /L Li. tc•(. 11/1 ' SL4re SeC4 3 � - Mpater Porinit, p / Lessee / Tenant 5 G h e- F��, L f-( L . s- 4 2 L -F ct 5 iv E o. 5 M; 0,4 ; S 4ir-‹ phone - 751- - -7q 4 0/ -1 Address 8 C/t 7 r /1'Gv g/07//1/ ' 77 /4 tualilier 05L • / . G-. &'1//�}/ 89q I/2 - /d - 4446 Phone / - 99.,i Owner's Address Contracting Co. State 0 Architect /Engineer Address Bonding Company Mortgagor Permit Type (oirol• one 1>1ORK DESCRIPTION Square E. WARNING TO OWNER! YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO $0 MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO ODTA :IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT): Application in hereby made to obtain a permit to do irork and installation as indicated above, and on the attached addendum (if applicable).: 1 certii r that all Mork will be performed to, meet the ltandards of all laws regulating constrruation in t11id jurisdiction. I understand that separate Permits are required for ELECTRICAL, PLUHBIiG,'SI NS POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT! =certify that all the lord going. information is accurate and that ail work will be done in compliance with all appiiaabii, laws regulating construction and zoning. Furthermore, I authorize the above -named conttaator to do the Work t Signet Date Nota as My Commies * * PERMIT rap 'x'3 1991 � 0 Compe �l /j `G , x r ,-7P y`� ino. Co. do President Ok to Owner end /or Condo President ion Expirest *, * APPROVED: Zoning Mechanical g1e nlda marm * Address Address Building wnbing )1 .rr: J '� ' Y) 5;�� U!•'n }�� y °I�r(':4. i'tY ".(DICTA!Jfi;'"2P}i15G07f:S � "::i`!:•T� ? Ac r'fzZ "C Efi Cfl:� 1 )9 Electrical co CTRICAL PLUHBINi MECHANICAL PAVING FENCE' SIGN sta-, ' 0.4 4 . A Estimated Cost .25 Signs ure of Con ' or or OWnet- Builder *Si ITALIC STATE .F FLU IDA MY COMMISSICH F.IP. OAA.28.1 ' RAL I tjotary as to Contractor or Owner - =Builder Hy Commiaeion Expires: * * * * * *t m Col ms *onl6ionia.A Othe . re Fngirkeering SU ^T 1f7 7 7‘.:C7 r- '' r r Date - 9 3 Job Address 29 Legal Description �4 1 ,V ( d- 0/0 ,4' c. —Owner / Lessee / Tenant 6/-- b ( -e Master Permit # Owner's Address 7 ,- '2 Ss - ST Contracting Co. f P iC5 o?` cr Address Qualifier, u fly � y SS4 #, Phone 9VG O j' State #(C 4,2,-0 S /Municipal # Competency # Ins.Co. 'i/f/ FALL Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION 1;a-A L ,( 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, POOLS, ROOFING and MECHANICAL WORK. Date Notary as My Commiss ** * APPROVED: 8 _ z i ggiaa AYI %'r:r Yes: CC255237 ck s �..n �� MY COMMISSION EXP. OF �^.O AN. 26 1997 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Address 4) a O IP Estimated Cost(value) 0 9 / rtify that all the foregoing information is accurate and that all work will applicable laws regulating construction and zoning. Furthermore, I rector to do the work stated. nd /or C• -ident OFFICIAL NOTARY SEAL ident FEES: PERMIT RADON * * C.C.F. Tax Polio � /. � � /5 W/ 0 ignature Date: 6 NOTARY S®© Phone er- Builder vrrI 1MI. N,UU,IAn♦ CAi or ��'l°I^tY"SAl COMMISSION NUMBER C255237 Notary as to (0i My Commissio7 ' ��` ▪ ' q" MY COMMISSION EXP. OF O JAN. 26 199 r TOTAL DUE - :∎%.52: * * Fire Other Zoning Building Mechanical Plumbing 4 )-- Engineering Electrical CONSTRUCTION PERMIT FOR: [.X,] New System [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental [ ] Repair [ ] Abandonment [ ] Other(Specify) APPLICANT: PROPERTY STREET ADDRESS: 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 A N [ K [ D [- 0 T H E R BLOCK: SUBDIVISION: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH (V] 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: [ ] INCHES EXCAVATION REQUIRED: [ ) INCHES ■ AGENT: TITLE: HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) UILDING DEPARTMENT PERMIT # ,DATE PAID 'FEE PAID $ RECEIPT # [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] EXPIRATION DATE: TITLE: «- CPHU Page 1 of 2 0 1 APPLICATION FOR: p.. New System ( J Repair ; APPLICANT: AGENT: p r.-0 AP NAILING ADDRESS: / , s - STATE OF FLORIDA DEPARTMENT OF EZJULTE AND REHABILITATIVE SERVICES ONSITE 'SEWAGE DISPOSAL' SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D-6, FAC ] Existing System ) Abandonment PROPERTY INFORMATION [IF LOT IS NOT G /6 a L LOT: (1 2. 6 BLOCK: `SUBDI PROPERTY ID #: PROPERTY SIZE: ACRES [Sqft/43560] PROPERTY STREET ADDRESS: 1 2 3 4 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of • No Establishment • ( ] Garbage Grinders/Disposals [ ] Ultra-low Volume Flush Toilets Holding-4ank Other(Specify) 1 3 PERMIT # DATE. PAID FEZ PAID $ RECEIPT / 23(36 IS I Temporary/Experimental TELE PHONE: c'‘" to 20 BE .COMPLETED BY APPLICANT,.OR' APPLICANT'S' AUTHORIZED AGENT... ATTACH. BUILDING . PLAN .AND. TO -SCALE SITE PLAN SHOWING PERTINENT FiATURES-REQUIRED.BY CHAPTEK.10D-6.,,FLORIDA ADMINISTRATIVE CODE. RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] ISION: • DATE OF SUBDIVISION: [Section/Township/Range/Parcel No.] ZONING: 7 5 <t PROPERTY WATER SUPPLY: [ ] PRIVATE ( ] RESIDENTIAL. [ A' COMMERCIAL HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744-001-4015-1) II/ PUBLIC No. of Building # Persons Business Activity Bedrooms Area Saft Served For Commercial Onlv C O I f Lo )7 6-1 ] Spas/Hot Tubs [ ] Floor/Equipment Drains [ ] Other (Specify) DATE: Page 1 of 3 APPLICANT: PROPERTY ID #: l 1 r SITE EVALUATED BY: STATE OF FLORIDA . - • • DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES . ONSITE SEWAGE DISPOSAL SYSTEM _ .. SITE EVALUATION AND SYSTEM SPECIFICATIONS !R /3"ce; BLOCK: G 8 s Ai/A- SOIL PROFILE INFORMATION SITE 1 PROPERTY SIZE CONFORMS TO SITE PLAN: ['/) YES [ ] TOTAL ESTIMATED SEWAGE FLOW: .550 GALLONS AUTHORIZED SEWAGE FLOW: AF D I GALLONS UNOBSTRUCTED AREA AVAILABLE: 0 O, QFT BENCHMARK/ E POINT LOCATION: �NrS1�c F ELEVATION •F PROPOSED SYSTEM SITE IS / 7. [I AGENT: HRS -N `For. -015. Na' 92•10bsoletes;previous editions which may not be used) - PERMIT # tllt o Roo R_. / 2.4 c.. . SUBDIVISION: i Sf- l e ec.nd..) 3 ;(Section /Township /Range /Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH UNIT. EMPLOYEE, OR OTHER QUAI ED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE. OF SUBMITTAL. COMPLETE ALL ITEMS. NO NET USABLE AREA AVAILABLE: 0.34 ACRES PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] PER DAY (100 GPD /ACRE OR 2500 GPD /ACRE] UNOBSTRUCTED 'AREA REQUIRED: 7,24 SQFT A�mF E x.:.S /FT] [ABOVE /B S . ( 9'. 8. 'A4se. ) BENCHMARK /REFF DE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: .5 O O DFT DITCHES /SWALES: /.J /73. FT NORMALLY WET? [ 3 [ ] NO WELLS: PUBLIC: At /j -- FT LIMITED USE: A.- FT PRIVA : &) j.FT NON -POT . /J FT BUILDING FOUNDATIONS: 5 , a *FT PROPERTY LINES: 6,0 1 FT POTABLE WATER LINES: „a,, /. FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [yr NO 10 YEAR FLOODING? [ ] YES (y' NO 10 YEAR FLOOD ELEVATION FOR SITE: 5 .17 F 9 /NGVD SITE ELEVATION: R, , L F M L /NGVD SOIL PROFILE INFORMATION SITE 2 Munsell #!Color Texture Depth GP•■y rr 1 I t 1r I to ALA 5 • S7 y tj c _ — to �r T7 P7) ► • L GS "rte \to 72 USDA SOIL SERIES: � x 1 � .6, S ) i! OBSERVED WATER. TABLE: /J ) INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: 52,e INCHES [ ABOVE / = 0 ] EXISTING GRADE. N! HIGH WATER TABLE VEGETATION: [ ] YES 1 NO MOTTLING: [ ] YES [V NO 'EPTH: A/ /j1. INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: _c L_ L/ 1' 2if �R DEPTH OF EXCAVATION:_ INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH -[ tT BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: ...{ , -Sc cE i €. 1 DATE: Page •3-"of 3 BUILDING ELECTRICAL PLUMBING ROOFING Owner of 3uilding Architect Lot MIAMI SHORES VILLAGE, FLORIDA ; , ,,,1f DATE c� _ t "" !Q 1 19 Contractor's j License No. ) !Cy PERMIT Contractor - - - 1 or Builder Legal Description N9 6078 Work to be performed under this Permit :,1 "7..) Subdi- B1 vision Address of 4. - �- Value of I Amount of :-....;00. Building L 1 t C 2 4 c: 't i Project $— I 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 applica- tion 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 respon- - =tiility for work done by his agents, servants or employees. Signed. i V j ' P . d INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o anc es ms regulations rrtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao 'piing this pe it I assume res •nsibility for all work done by either, m self, my aget,oglsraror employee. "."77; CONTRACTOR OR :: ILDER BY AUTHORITY ABBOT PERMIT A N° 737 PLUMBING 1 . Owner of Nrne Architect and /or NAME Contractor or,lluilider x�l NAME AMOUNT Proposed for . BLOCK This permit is issued In consideration of the issuance to me of thi•'aermit I he plans and specifications thereof heretofore by me s : mined, and building ordinances and zoning laws of Miami Shores Village / Dated , 19 ADORE:ES r if; ADORE' NT ACCT. DEPT. B- DIVISION MIAMI SHORES VILLAGE BUILDI INSPECTION DEPARTMENT, 1 NO. 7 f To r Amiliimmorrei NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval n fee of $1.00 will be made when such re- inspection is made necessary by impropef notice for insp or faulty the building above described, as per application, Plans and Specificatio& 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 ordina>ces and zoning laws of Miami Shores Village, and roles and regulations of the building department o iami Shores age. This permit may be oked at any time upon the violation= any provisions of said laws, ordinances or rules and regulation Wage. upo any re ns and specifi ttans u = . rued the buling i the Planni and /or wor INSPECTOR y agree to the proposed c nstruction in strict con y with the application and compliance with all provisl ons of all bit _' laws of the State of Florida, all the d all rules and regulations o t he buildin• =ft rtmen of Shores Vilpger. S s• � e s ,,fig BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 2500 0 0 DATE,f ,. 195 Contractor's License No. Work to be performed under this Permit Bl Subdi- vision Value of Amount of Project $ Permit $ ■ S c ...... 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. 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 ac- cepting this permit I caesurae responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY e,� / PERMIT APPLICATION FOR MIAMI SHORES VILI GE Date — 2 WORK DESCRIPTION APPROVED: Job Address 79f27 e Legal Description 7 e 97— c; 2 0 72-9 4,,e7 di Owner / Lessee / Tenant / del,/ i2(„dii--6- 4t Owner's Address _6• Yr.t Contracting Co. . !i , / / Qualifier e, t��. , ___..../.0././...f. State #02/4 Municipal #00 -10 -Of ?Competency # /34's,/ Ins.Co. di Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost(valuer b 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 compliance with all applicable laws regulating construct.i.•n and z ing. Furthermore, I authorize the above -named contractor to do the work Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: My Commission Expires: PEES: PERMIT "P ` tn RADO C.C.F. f 044 / 1 NOTARY Zoning Buildin Mechanical Plumbin Qom© Master Permit # ✓ T� Phone 7s 7 Address 426 r /3v `°/ SS4 Phone f937// Tax Folio //// Signature of'L Contr ctor or Owner- Builder Date: Notary as to Contractor or Owner- Builder 41,42 CHRISTINA PORRAS ,, Al 'S MY COMMISSION 8 CC 282573 S• rmi 1 EMPIRES: Meyl0,1957 * ** ¢' Bonded Thni Notary Pubee Unde,wdnro TOTAL DUE 7 ' 64 Fire Other Electrical Engineering_ I " EllsreetNICAL P RMIT' A N? PLUMBING Owner of Building___,, Date AMOUNT 6 Architect and /or Enginee NAME Contractor or Builder NAME Proposed Location26 This permit is issued to_ • _._ the building above described, as per application, Plans and Specifications that all facts stated in the application are tree and that the construction and compliance with the building laws o t the State of Florida and regulations of the building department of iami Shores illage. T ' laws, ordinances or rules and regulation or upc$e any range In consideration of the issuance to me of this plans and cation thereof heretofore by me sub building or inan RECD. PAT M CT. MOT. MIAMI S ORES VILLAGE BUILDING 1 .PECT(ON DEPARTMENT To heretofore filed in this office. This permit is granted upon the express condition complies strictly with the plans and specifications submitted, and in accordance with the building ordinances and zoning laws of Miami Shore$ Village, and rules and per` it may be yoke at a +y time up n the 'olation 4j 'any provisions of said nd speci Lio buil =`= -: inspe rmit I hereby agree to the proposed construction in strict confo ' ity with the application tted, and in • mpliance with all provisions of all building laws of the State of Florida, all d zoning laws of Miami Shores Village all rules and regulations of the building,*depa . of Miami Shores Village, A , 19 ►, a __' (SEAL) NOTE: A charge of $1.00 will be made for snaking corrections or changes to this applic ion after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improet notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. :1 ` 2 f) t Date c Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sfibmitted 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 benco plied 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 No 7 77 Street__ � 9m Registered Architect and /or Engineer „,C Employing Plumber's Name i_ No./ SCE V ... /__�___�� ___ �� • -- -- -- - - -- Location and Legal Description Lot__Z AE __ . _ Block (! Street and Number where work is to be performed —No 7 State work to be performed d 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 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 posted for inspection on the site of the work such public notice notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on w to be performed under tl s permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, k COUNTY OF DADE. ss. (Signed)aC__Y 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. My Commission Expires Notary Public, State of Florida CLOSETS BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST t T / / CHECK SEPTIC TANK SEWER 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. :1 ` 2 f) t Date c Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sfibmitted 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 benco plied 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 No 7 77 Street__ � 9m Registered Architect and /or Engineer „,C Employing Plumber's Name i_ No./ SCE V ... /__�___�� ___ �� • -- -- -- - - -- Location and Legal Description Lot__Z AE __ . _ Block (! Street and Number where work is to be performed —No 7 State work to be performed d 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 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 posted for inspection on the site of the work such public notice notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on w to be performed under tl s permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, k COUNTY OF DADE. ss. (Signed)aC__Y 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. My Commission Expires Notary Public, State of Florida Permit No 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 wor �" S' Owner's Name and Address lit I. c No i ___ 2 Street Registered Architect and /or Engineer, Employing Plumber's Name y "" No i1 Location and Legal Description Lot- �.:s3__� e Block Street and Number where work is to be performed —No • ....T.. _ r 5. a" - f ' ' -- --, S" -- — '`f _ " - - - --- - -- Subdivision — r St ;eo fi State work to be performed_ and purpose of building (By Floors) ____ _}„_?__ New Building Remodeling Addition 4epairs No. of Stories 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. Amount of Permit $__ _ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts its 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 w rlc to be performed under tl s permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires (Signed) t ' 4 / 7 Plumbing Inspector. 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. 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 !✓ ,q {g F� / ' 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 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 wor �" S' Owner's Name and Address lit I. c No i ___ 2 Street Registered Architect and /or Engineer, Employing Plumber's Name y "" No i1 Location and Legal Description Lot- �.:s3__� e Block Street and Number where work is to be performed —No • ....T.. _ r 5. a" - f ' ' -- --, S" -- — '`f _ " - - - --- - -- Subdivision — r St ;eo fi State work to be performed_ and purpose of building (By Floors) ____ _}„_?__ New Building Remodeling Addition 4epairs No. of Stories 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. Amount of Permit $__ _ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts its 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 w rlc to be performed under tl s permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires (Signed) t ' 4 / 7 Plumbing Inspector. 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. 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. Permit No Application is hereby made for the approval of the detailed statement structure herein described. This application is made in compliance and and all provisions of the Laws of the State of Florida, all ordinances of of Miami Shores Village shall be complied with, whether h ;rein spe building during progress of work. <_ Owner's Name and Address ______ ?_1i_Sr___�. Registered Architect and /or Engineer - -- - CA/ !±Q. C Employing Plumber's Name ? - Location and Legal Description Lot Et 6 Size Septic Tank_ _ Feet of Drain Tile.. 1__ APPLICATION FOR PLUMBING PERMIT ss. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT of the plans and specifications herewith sub fitted for the building or other conformity with the Building Ordinance o Miami Shores Village, Florida, Miami Shores Village and all rules and regulations of the Building Division cified or not. A copy of approved plans and specifications must be kept at 6 No. Block (Signed) No. l /3 New Building J Remodeling Addition Type of Tank `dry Size of Soakage Pit Street_ 0 Street Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) Nature of Water Supply: City— weii.' Amount of Permit $_ _ (Signed) Swet Date_ Repairs Subdivision_ TT' dfr No. of Stories____f Dist. Feet of Tank or Drain Field few rairell_____ Capacity Gals hi ? / 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 ermit, as are licensed by Miami Shores Village. 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 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 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 Application is hereby made for the approval of the detailed statement structure herein described. This application is made in compliance and and all provisions of the Laws of the State of Florida, all ordinances of of Miami Shores Village shall be complied with, whether h ;rein spe building during progress of work. <_ Owner's Name and Address ______ ?_1i_Sr___�. Registered Architect and /or Engineer - -- - CA/ !±Q. C Employing Plumber's Name ? - Location and Legal Description Lot Et 6 Size Septic Tank_ _ Feet of Drain Tile.. 1__ APPLICATION FOR PLUMBING PERMIT ss. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT of the plans and specifications herewith sub fitted for the building or other conformity with the Building Ordinance o Miami Shores Village, Florida, Miami Shores Village and all rules and regulations of the Building Division cified or not. A copy of approved plans and specifications must be kept at 6 No. Block (Signed) No. l /3 New Building J Remodeling Addition Type of Tank `dry Size of Soakage Pit Street_ 0 Street Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) Nature of Water Supply: City— weii.' Amount of Permit $_ _ (Signed) Swet Date_ Repairs Subdivision_ TT' dfr No. of Stories____f Dist. Feet of Tank or Drain Field few rairell_____ Capacity Gals hi ? / 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 ermit, as are licensed by Miami Shores Village. 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 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. Permit No X 37 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 r ' // Employing Plumber's Name 2 ! Location and Legal Description Lot_ eta STATE OF FLORIDA, ss. COUNTY OF DADE.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Site Septic Tank__ 41 i Type of Tank !__ "CAA, Feet of Drain Tile 74 Dist. Feet of Tank or Drain Field freriraf tll Nature of Water Supply: City— QPEIT," (Signed) Date___: No. __9_ /2 NE._. Street__Pr — Subdivision_____ &sat 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 No. of Stories�__� Capacity Gals 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 posted for inspection on the site of the work such public notice or notiices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this ermit, 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 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 /)4 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 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 X 37 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 r ' // Employing Plumber's Name 2 ! Location and Legal Description Lot_ eta STATE OF FLORIDA, ss. COUNTY OF DADE.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Site Septic Tank__ 41 i Type of Tank !__ "CAA, Feet of Drain Tile 74 Dist. Feet of Tank or Drain Field freriraf tll Nature of Water Supply: City— QPEIT," (Signed) Date___: No. __9_ /2 NE._. Street__Pr — Subdivision_____ &sat 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 No. of Stories�__� Capacity Gals 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 posted for inspection on the site of the work such public notice or notiices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this ermit, 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 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 /)4 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. MORTGAGE LOAN DEPARTMENT 609 Congress Building MIAMI, FLORIDA Mr. A. H. Nichols 727 N. W. llth St. Miami, Fla. Dear Sir: We are enclosing herewith FHA Form No. 2218 a Certificate of Inspection of Private Sewage Disposal System. Will you kindly exeotite this form in duplicate and return to this office in the self addressed stamped envelope enclosed. We shall appreciate your prompt attention to this matter. Very truly yours, INVESTORS SYNDICATE INVESTORS SYNDICATE E S T A B L I S H E D 1894 MINNEAPOLIS, MINNESOTA In re: Case No. 09- 022871 Joseph P. Shaw 799 N. E. 95th St. April 13, 1940 Permit No. 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 suliiitted 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 Engine Employing Plumber's Name - - Location and Legal Description Lot_._. _ ________.____ _ ______ Block Street and Number where work is to be performed —No ° a' V State work to be performed and purpose of building (By Floors)._ New Building Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. J Remodeling Size Septic Tank. Feet of Drain Tile_______ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. — (SiSned)- �.�' / Date_ ` �� C� Street Subdivision. Addition------ -_.__---- _ -•- -- Repairs No. of Stories.... ............ Type of Tank_ Capacity Gals My Commission Expires Notary Public, State of Florida _ Size of Soakage Pit 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. (Signed) — 7 A / 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 relnspeetion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBB 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 i 0.% Z--e C I G7 ��`^, iu f,/, " . !(), (J ) .7Q CONTR. LIST CHECK — . , Permit No. 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 suliiitted 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 Engine Employing Plumber's Name - - Location and Legal Description Lot_._. _ ________.____ _ ______ Block Street and Number where work is to be performed —No ° a' V State work to be performed and purpose of building (By Floors)._ New Building Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. J Remodeling Size Septic Tank. Feet of Drain Tile_______ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. — (SiSned)- �.�' / Date_ ` �� C� Street Subdivision. Addition------ -_.__---- _ -•- -- Repairs No. of Stories.... ............ Type of Tank_ Capacity Gals My Commission Expires Notary Public, State of Florida _ Size of Soakage Pit 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. (Signed) — 7 A / 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 relnspeetion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. moo. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY rues 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 $W IM'G POOL CONTR. LIST " -- CHECK Permit No C'S" 3 MIAMI SHORES V1L UNG PLUMBING INSPECTION DEPARTM €K: APPLICATION FOR PLUMBING 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 conforzizy 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. k.. . Owner's Name and Address 1'' r d 1 le y No. ____._ 74 Street N E 5 \ r' S- ' . Registered Architect and /or En ineer _._______.� +I'M Employing FLJjer's Name - _ 01-1 t s N /elev. C4 No.._ 3 7d I — ,,// op:. s - -- — — - �-- -- - - _ — Street.l� '' - — Location and Legal Description Lot_._ — ___ -- Block_ 4 _- - - -- -- ---- - - -- -- Subdivision Street and Number where work is to be performed —Nor N Street / S S y State work to be performed and purpose of building (By Mors). C/' rams J 151ar S 7 s7t y New Building __ ___ Remodeling____ __._._ Addition.______. ✓ __._ Repairs No. of Stories. Type of Tank Feet of Tank or Drain Field from Well Nature of Water Supply: x!!!_�!! ________ _____Size of Soakage Pit Size Septic Tank Feet of Drain Tile "Se'le Plumbing Inspecto 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 coin - 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. _ -- — - -- - - - - - ----- 77/5'75 Amount of Permit IL_ ______( STATE OF FLORIDA, } COUNTY OF DADE. ( Signed)_ . (Signed) Capacity Gals. Date ik56.4.21.4./ My Commission Expires Notary Public, State of Florida 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. • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (. ' Q1 Time ((�� Type Insp'n � M e Pe)U9(.L • Permit No. PC., t3 - D-S Name pa 3a Pok P - Address 71S /d c. 9 5 T Company P Phone # - S4? — For Inspector:_ Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLA BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date Type Insp'n PL - Op woler. Permit No. P1 200- 2,57 Name Address 1 3 NE v6 5+ Compan k C gyp' Phone # J i '4 31 G -� Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT �� 305- 795 -2204 L B ing Inspection Request DatA Q ^� T lnsp'n Hid ��I /�/� I Pfui Add 4 Permit No. P I 63- 257 Name DO b ) Address - 705 NE Qs 3 Company Ai OS Phone # Inspection Date II Approved Correction Re- Insp'n Fee ❑ I -.5 pry