PLUMBINGType of Work: DAddition
Describe Work:
Miami Shores \Tillage
4 '
$ Value of Work For this Permi
uilding Department
10 50 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
BUILDING :: ...
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Mechanical Roofing
Owner's Name (Fee Simple Titleholder) NI u) 4 S Va f M n S dl el 'hone #
Owner's Address 'IOU NE qo ,ie•e9
City CZ1 ln^1 S i'vo►tJ State &
Tenant/Lessee Name ( S A w-.el
Job Address (where the work is being done) , 0 9 a W r `tG
City Miami Shores Village County Miami -Dade Zip 3, '3e
Is Building Historically Designated YES NO ' V
Contractor's Company Name MY C g 41 Phone # C.15 GS 8 - 76 S q
Contractor's Address 1 od Qi ? RI 1 A
City EA M to a State ft Zip '53 D 6
Qualifier
COC-g- `
Architect/Engineer's Name (if applicable) NA Phone #
Permit Fee $
Total Fee Now Due $ 4-Sti-
(Continued on opposite side)
111) iPve
Master Permit No.
Zip 33t'38
Phone #
Square Footage Of Work:
DAlteration ❑New /j Repair/Replace ❑ Demolition
11 €' )1\1 _t CQ l (4i{et d
**************************,** F * * * * * * * * * * * * * * * * * * * * * * * * * * **
r i S CCF $ - � •
0a-)63 — aye
Permit No.
Submittal Fee $ 1
Notary S,., V'b Training/Education Fee $ Technology Fee $ //'�`` , - 2
Scanning $ ? • 0 6 Radon $ Bond $ HOC 1C( )
Code Enforcement $ Structural Plan Review.. $
t
er bg7S
Bonding Company's Name (if applicable) AJ4 1 4.•
Bonding Company's Address
City State Zip
NOT
Sign.
Print:
My Commission Expires:
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
who is personally known to m
riA fl. u
NOTARY PUBLI
ign:
Print: -
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.
" WATNINv '1'0 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 i Id/ ng permit is issued. In the absence of such posted notice, the
inspection will no e approved an a reinspection fee will be charged.
Si '
atu e 1 m Si&mature
Owner or Agent
The foregoing instrument was acknowledged before me this •
day
of 9� 2 b 5k
Y t/t"•� � �, Y 0
� U
who is personally known to me or who has produced la
As identification and who did take an oath.
el V
Contractor
The foregoing instrument was acknowledged before me this 1
day of Df C , 20 C by 51" ten (Lx k t ,
an oath.
My Commission Expires: q (,((, fo 7
***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * **
APPLICATION APPROVED
Chc 10/14/03
******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
CONSTRUCTION PERMIT FOR:
t )New System ( ]Existing System
( A )Repair ( gAbaadonment
APPLICANT: Noahblm, Paul
PROPERTY STREET ADDRESS: 1098 NE 96 St Miami FL 33138
LOT: 1 BLOCK: 81
PROPERTY ID 0: 11 -3206- 014 -3460
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E- 6,FFC
DEPARTMENT APPROVAL OF SYSTEM DORS NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TINE
PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A EASIS FOR ISSUANCE OP THIS PERMIT,
REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIE
PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT TAP APPLICANT FROM
COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT.
SYSTEM DESIGN AND SPECIFICATIONS
T t
A
N
It (
STATE OF FLORIDA
DEPARTMENT OF HEALTH
NSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
900 )Gallons SEPTIC TANK
0 )0allons
0 )GALLONS GREASE INTERCEPTOR CAPAC
0 3QALLONS DOSING TANK CAPACITY [
D ( 400 (SQUARE FEET PRIMARY DRAINFIRLD SYSTEM
R ( 0 l SQUARE FEET SYSTEM
A TYPE SYSTEM: () 1 STANDARD ( N ]FILLED ( N (MOUND ( N 1 e
I CONFIGURATION : ( N ) TRENCfi (y l Ben ( N 1
N
F LOCATION TO BENCHMARK: 13.3 ° • ►d
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIBLD TO BE
L
D FILL REQUIRED:[ 0.0 IINCHES
OTHER REMARKS:
House 4 bedrooms: Built in 1925.
Install 12" of slightly limited soil under the batten of drain field
Site elevation: 10.0' ngvd
RENT contour map: 3.0' aril
Invert elevation: 8.0' ngvd
Bottom of drain tield:7.5' ngvd.
SPECIFICATIONS BY:Solomon, mesa
APPROVED BY: Alves, es, Walfrido
DATE ISSUED: 12 /11/03
SUBDIVISION: Miami Shored Sec 3
(Section /Towns p Range farce No.
(OR TAX ID NUMBER)
TITLE
TITLE:
DM 4016. 03/91 (Obsoletts oraviana asicinno Which •. *' .+..r k. +.amAl
CENTRAX 0: 13- S0- ].8864
DATE PAID:
PEE PAID : $
RECEIPT :
OSTDSNBR : 03 377 ? - -A
t ]Holding Tank ( I Innovative Other
( )Temporary ( NA 1
AGENT: SA0021074, Solomon Teresa
MULTI- CHAMBERED /IN SERIES: ( 1
MULTI - CHAMBERED /IN SERIES: (_ 1
ITY
0 1QALLONS a (0 ]DOSES PER 24 HRS # PUMPS( 0 1
At S.F. og Exist. Bldg.
[ 2.3 3 t mil 1 t BELOW ]BENCHMARK /REFERENCE POINT
[ 4.8 I [ ?LET 1 [ BE ON 1 BENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: ( 36.0 ) INCHES
de It P Dade
EXPIRATION DATE: 3/10/04
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1141i110•••Ws■ ,
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/26/2003 Page 1 of 1
Applicant: PAUL
Owner: MOSHEIM
JOB ADDRESS: 1098 NE 96
Contractor MR C'S SEPTIC TANK
Local Phone: 305 - 651 -7859
Parcel # 1132060143460
Fees: Description Amount
FEE2003 -8391 Building Fee $175.00
FEE2003 -8393 Notary Fee $5.00
FEE2003 -8394 Training and Education Fee $0.60
FEE2003 -8395 Technology Fee $4.37
FEE2003 -8396 Scanning Fee $3.00
FEE2003 -8397 Builders Bond $300.00
FEE2003 -8585 CCF $1.80
Permit Status: APPROVED Permit Expiration: 6/15/2004 Construction Value: $2,400.00
Work: NEW INSTALLATION DRAINFIELD
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2003 -348
MOSHEIM
PAUL
ST
Total Fees: $489.77
Contractor's Address: P 0 BOX 693239
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 1 BLK 81 LOT SIZE IRREGULAR
Total Fees: $489.77
Total Receipts: $489.77
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:
Installer /I / Aid ? -� v,yA ;,L, 6
Tanks watertight: Yes
Length
feet
feet
feet
Total =
Other findings
Inspected by:
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
Applicant N. 104 /za I% Permit Number lr 1/ 76
q 96 a< C 76 51 R a)6 2�"o
PART 1I - SYSTEM INSTALLATION INSPECTION AND FINAL INSTALLATIIO APPROVAL
Width
feet
feet
feet
ft
Proper tank legend: Yes A No
No
Proper tank outlet device: Yes No
Drainfield Trench
Systems located as permitted: Yes ‘
Average depth of drainfield gravel: / -D
Backfill or fill material as required: (Quality) Yes No
�i re. « ey
.R/ /1. 4
mi y/ ..P/'c
?y7or -e cJ L 5 b / 7, v'
Date 1/ `1`P by
P
Length
feet
feet
feet
HRS —H Form 4016, Feb 85 (Obsoletes previous editions which may not be used)
(Stock Number. 5744- 002 - 4016 -0)
Tank Manufacturer
Tank material
Tank size L gallons
Total =
anr rr, o y .e-
it
Tank level: Yes
gallons
Manhole or marker to grade: Yes
Width
feet
feet
feet
Systems including plumbing stub -outs installed at proper elevation: Yes No
Absorption Bed
Length /SCD feet x feet ej1)
3o0
Length feet x feet= ft
Proper No. drainlines: Yes V No
Proper pipe separation: Yes ✓ No3'a
ft Distribution box level: Yes No
Average depth to drainpipe invert from finished grade O'O inches Maximum depth:9
0 d Inches
inches Minimum depth of gravel /0(• inches
Proper gravel size: Yes No Gravel is suitable quality: Yes No
No
gallons
No
/ (Quantity) Yes No
1;;, .4 /
C SAN .
ram .ice �
ctax, f"52 24)
LLATION APPROVAL
Date O///1/7
AN APPROVED NSTALLATION DOES NOT GUARANTEE PERFORMANCE
N P
COU HEALTH UNIT
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
Page 2 of 2
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 5 -21 -91 Job Address 1098 NE 96 STREET Tax Folio / 3�D, /I/ r
Legal Description J
Owner / Lessee / Tenant BARON
Owner's Address 1098 NE 96 STREET, MIAMI , 33138 Phone 893 -2535
Contracting Co. -NORTH DADE SEPTIC TANK Address 800 NW 111 STREET, MIAMI 33168
Qualifier DENNIS NEVILLE SS# Phone 754 -3375
State # Competency # ,/'// Ins . Co. WAUSAU
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION INSTALL 400 SQUARE FEET DRAINFIELD
Square Ft. 400 SQ FT Estimated Cost $1350.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO 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 construction and zoning.
Furthe ore, I authorize the above -named contractor to wor
Signature o
Dat L /
ner and /.r Cond
v
/1 g . .�
dent
•, , :AOIR
Notary : s to 0 aL� .. • . ent
Commission Ex 1.�(
My o ., L rAVd'
Y Pt t{r Bc cz ai3P. A9II.9o,Ma
* * * DaNDMIVEN1 GEM*1. 7A3. 1i .
Fire
Building
Si of C.ntracto for Owner - Builder•,
Date:
Master Permit #
as to Contractor or Q wner - Builder
y Commission Expires: i///(' f 9-
* * * * * *
PERMIT FEE: APPROVED:
Zoning
Mechanical Plumbing 1111 , ,t' 0 /74 ?) gineering
Other
Electrical
*
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 0
Type Insp'n
e. ? L 0 3- 3 15?
Na
Address
Compa
Phone #
Inspection Date /
1111 1 I
Approved u'
Correction ❑
Re- Insp'n Fee 71
nspection Number: I NSP -15377
Inspection Date: 04/21/2006
Inspector: Levrack, James
Owner: MOSHEIM, PAUL
Job Address: 1098 96 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: REGENCY POOL & SPA OF FLA INC
Building Department Comments
Thursday, April 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone x -2204 Fax: (305)756 -8972
Block:
Perrra Number: PL2005 -239
Phone Number
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Parcel Number 1132060143460
Lot:
Phone: 954 -424 -0134
Page 2 of 2
2o
Passed
V Comments
Failed
c Z 5
Corr ection
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection Number: I NSP -15377
Inspection Date: 04/21/2006
Inspector: Levrack, James
Owner: MOSHEIM, PAUL
Job Address: 1098 96 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: REGENCY POOL & SPA OF FLA INC
Building Department Comments
Thursday, April 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone x -2204 Fax: (305)756 -8972
Block:
Perrra Number: PL2005 -239
Phone Number
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Parcel Number 1132060143460
Lot:
Phone: 954 -424 -0134
Page 2 of 2
Pt No lir5(a { Date__ / . / / 9 /f 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 17 (e_A.A, 5
Registered Architect and/or Enginmi
Emit:Ting Number's Name ( .3 Lk) cr- , Not 1
ilkw4
Subdivision
01 Q.4—
Street. ..
State work to be performed and purpose of building (By Floors)__L.12(... III .
New Building. Remodeling-- Addition.. Repairs No. of Stories. ...
Location and Legal Description Lot.
Street and Number where work is to be performed—No
Size Septic Tank-- Type of Tank___
Feet of Drain Tile __Dist Feet of Tank or Drain Field from Well___ .
Nature of Water Supply: City—WeIL Size of Soakage Pit.
Amount of Permit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No
(si iat(PAC
Plumbing Inspec tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and haw 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.
-•-• •
STATE OF FLORIDA,
U.
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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
thereinbyllifilMatlkiiilfettaig OF FLORIDA
flY CONNISSIO;1 EXP. OCT 20,IO87
BONDED THRU GECIEL INS. UND
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made whoa mak Meowed= is matiwasamusry by hamper notice, for Inspecdon, or faulty
materials and/or worlonanship-
CLoscrrs
BATH
Tuss
5
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLoon
DRAIN
DRINKING
FOUNT'NE
TOTAL
FIXTURE'
CONTR.
LIOT
CHECK
_
—
SEPTIC
VIER
SE TANK CONN.
DRAIN
FIELD
SOAKAGE
PIT
G R
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWI W 0
POOL i•elt
t
/ t 0 r"
.
1
CONTR.
LIST
CHECK
Pt No lir5(a { Date__ / . / / 9 /f 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 17 (e_A.A, 5
Registered Architect and/or Enginmi
Emit:Ting Number's Name ( .3 Lk) cr- , Not 1
ilkw4
Subdivision
01 Q.4—
Street. ..
State work to be performed and purpose of building (By Floors)__L.12(... III .
New Building. Remodeling-- Addition.. Repairs No. of Stories. ...
Location and Legal Description Lot.
Street and Number where work is to be performed—No
Size Septic Tank-- Type of Tank___
Feet of Drain Tile __Dist Feet of Tank or Drain Field from Well___ .
Nature of Water Supply: City—WeIL Size of Soakage Pit.
Amount of Permit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No
(si iat(PAC
Plumbing Inspec tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and haw 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.
-•-• •
STATE OF FLORIDA,
U.
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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
thereinbyllifilMatlkiiilfettaig OF FLORIDA
flY CONNISSIO;1 EXP. OCT 20,IO87
BONDED THRU GECIEL INS. UND
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made whoa mak Meowed= is matiwasamusry by hamper notice, for Inspecdon, or faulty
materials and/or worlonanship-
]
CLosrra
Tr.".
Smowano
To:i
SIN"
SLOP
SINKS
LALINOR
Tuns
URINALS
CATCH
BASIN
FLOOR DRINKING
DRAIN FOUNT'NO
To
FIXTl RES
CONTR.
LIT
—
CHICK
-.....
SEPTIC
TANK
SEW
CONN.
DRAIN SOAKAOIL
FICLO PIT
GREASE
TRAP
SOLAR
1.1
OUP
WELL
SPRKLR.
SYSTEM
SWIWO
POOL
,_......
1
.....,
CONTR.
LIST
3P
---
H
----
CHICK
6— .......... ...m.
Penru No..g.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
is hereby made for the approval of the detailed statement of the plans and specifications herewith subr for the building or other
;tructure herein described. This application is made in compliance and conformity with the Building Ordinance of Miz- t Shores Village, Florida,
d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatie of the Building Division
ot Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and sped Elution, must be kept at
Imilding during progress of work.
,
`..)wner's Name and Address t( Street / 11 bi 7,6
grit ired Architect and/or Enguieer -. ---,......„_...
ii
: Plumber's siame . / 1 1-- Ph/ ... ....; All4d.. 9. 5. :
Loft on end Legal escript n Lot. / Block /L.__ Subdivision.PLS
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 Stones
Size Septic TanIc_________ ...... .Type of Tank
Feet of Drain Tile__ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City-Well__ ..... of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My ConunissionEzpiree
Capacity
(Signed)_
Signed )_
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en endioyei of why)
under the Florida Workrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent rum lenient, and has ocn.l.
11;4.d with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in ' e b-
performed under this permit; and will post or cause to be posted for inspection on the site of the work such nob!: notice T. no leer 43 a:
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed ji this Is Ili P1 .
licensed by Miami Shores Village.
Street
pz/z
Notary Public, State of Florida
......... ••
Masts. Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackowled3ments, perior-i; .ppearec.
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 be has carefully read the foregoing application, and that he did sign the same, and tnat all acts
therein by hill. stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-lbaspeedeo is mede•neoesamy by improper notice for inSpeet0M, or limit)
materials and/or workmanship.
Permit No
Size Septic Tank._
Feet of Drain Tile—
Nature of Water Supply: City —Wells
Amount of Permit $ `6
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares 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 Natalie Baron No 1098
Registered Architect and /or Engineer
Employing Plumber's Name .E0
Location and Legal Description Lot. 1lork Subdivision
Street and Number where work is to be performed —No 1098 LS, Street. 9_6 St,.
State work to be performed and purpose of building (By Floors)
New Building ..__._.__----- .........._.. Remodeling___ _ _.._.__ - -- Addition. . ___ - -..__ Repairs No. of Stories ..................
_Type of Tank__
—Dist. Feet of Tank ar Drain Field from Well. .._.__ --
Size of Soakage Pit-
(Signed) _
Street.._— M._st,
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 5989, Compiled General Laws of Florida Permanent Supplement, and hay 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 an-
required by the Act. The undersigned agrees to employ only such sub- amtractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Plumber.
STATE OF FLORIDA, 1 ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the •__ -._ .__ ._...._..._... - - . -. - -.
of the above described construction, that be 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 wlU be made wham snob reAmpeodos nix aade•maoessery by improper nodos fa inspection, or faulty
materials and/or wort tranship.
CLO[R•
BATH
TUBS
SNOW[RS
LAVA•
TORIES
SINKS
SLOP
gums
LAUNDRY
TIJS[
URINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT'N[
TOTAL
PIIITUR[S
CONTK.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
PI[LD
SOAKAO[
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
a M
thy IM'O
POOL
COarw.
LIST
1< NA
S Meter, .S'Pt'_
CHECK
Permit No
Size Septic Tank._
Feet of Drain Tile—
Nature of Water Supply: City —Wells
Amount of Permit $ `6
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares 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 Natalie Baron No 1098
Registered Architect and /or Engineer
Employing Plumber's Name .E0
Location and Legal Description Lot. 1lork Subdivision
Street and Number where work is to be performed —No 1098 LS, Street. 9_6 St,.
State work to be performed and purpose of building (By Floors)
New Building ..__._.__----- .........._.. Remodeling___ _ _.._.__ - -- Addition. . ___ - -..__ Repairs No. of Stories ..................
_Type of Tank__
—Dist. Feet of Tank ar Drain Field from Well. .._.__ --
Size of Soakage Pit-
(Signed) _
Street.._— M._st,
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 5989, Compiled General Laws of Florida Permanent Supplement, and hay 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 an-
required by the Act. The undersigned agrees to employ only such sub- amtractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Plumber.
STATE OF FLORIDA, 1 ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the •__ -._ .__ ._...._..._... - - . -. - -.
of the above described construction, that be 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 wlU be made wham snob reAmpeodos nix aade•maoessery by improper nodos fa inspection, or faulty
materials and/or wort tranship.
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 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 A) No /O 3 /c)P, .&_E Street..__ T ._.._ ..
Registered Architect and /or Engineer P. AMOF 5
Employing Plumber's Name DL &_Es .,
I�xticnn and Legal Description //� L --L-- floc t & l Subdivlsion-.Mite_69l� 15._5 ' 3
Street and Number where works is to be performed —No JO 9e A)6 _W9 Street--- .-- _---- ._..._._ ......... ......-- - - - - --
State work to be performed and purpose of building (By Floors )__....2-N :?Qr`R. ._ AT __..
New Building..__.._ — _.._..........._.. Remodeling__—__ � -- Addition _ Repairs No. of Stories
Size Septic Tank_ Type of Tank
Feet of Drain Tile Dfzt Feet of Tank or Drain Field from Well..._.—__ ___ --___...___
Nature of Water Supply: City —Well. ' T� Size of Soakage Pit
`J pp Y�
Amount of Permit 1 t
(Signed )-
(Signed)
Date..._cs/ ...�.. • •- • --
/ //
Plumbing Inspec
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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the word 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 alb - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
® Muster Pitiiaskfer.
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and nays that he is the .____.._ .. _ ------- •_ -._.. _ _.... —.
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires , Notary Public, State of Florida
NOTE: A re- inspection fee of 11.00 will be made whoa stsob swine henna is made.neosssary by hepseper notion for inspection. or fatally
materials and /a workmslanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA •
TORIES
aINK•
SLOP
.INKS
LAUNDRY
Tuaa
URINALS
CATCH
B ASIN
FLOOR
DRAIN
ORINKI NO
FOUNT •NL
TOTAL
FIXTURES
CONT11.
LIST
t/
,/
CHECK
v
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
CONTIt.
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 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 A) No /O 3 /c)P, .&_E Street..__ T ._.._ ..
Registered Architect and /or Engineer P. AMOF 5
Employing Plumber's Name DL &_Es .,
I�xticnn and Legal Description //� L --L-- floc t & l Subdivlsion-.Mite_69l� 15._5 ' 3
Street and Number where works is to be performed —No JO 9e A)6 _W9 Street--- .-- _---- ._..._._ ......... ......-- - - - - --
State work to be performed and purpose of building (By Floors )__....2-N :?Qr`R. ._ AT __..
New Building..__.._ — _.._..........._.. Remodeling__—__ � -- Addition _ Repairs No. of Stories
Size Septic Tank_ Type of Tank
Feet of Drain Tile Dfzt Feet of Tank or Drain Field from Well..._.—__ ___ --___...___
Nature of Water Supply: City —Well. ' T� Size of Soakage Pit
`J pp Y�
Amount of Permit 1 t
(Signed )-
(Signed)
Date..._cs/ ...�.. • •- • --
/ //
Plumbing Inspec
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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the word 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 alb - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
® Muster Pitiiaskfer.
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and nays that he is the .____.._ .. _ ------- •_ -._.. _ _.... —.
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires , Notary Public, State of Florida
NOTE: A re- inspection fee of 11.00 will be made whoa stsob swine henna is made.neosssary by hepseper notion for inspection. or fatally
materials and /a workmslanship.
I
CLO•ET•
BATH
TUBE
SHOWER•
LAVA•
TORIES
SINK•
SLOP
SINK•
LAUNDRY
Tve•
URINALS
CATCH
OA•IN
FLOOR DRINKING
DRAIN FOUNT•NB
r
TOT - L
FixTRTIR[6
CONTR.
LI'T
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
W ELL
6PRKLR.
SY•TI M
SWIM'O
POOL
—�
I
—
CoOR11.
LIST
1r —
I
! M__ _
111
CHECK
Perri, No.. .o`.17W(.!...L 131-
b; p111..tIIn, i% hereby mode for the approval of the detailed statement of the plans and specifications herewith gubr r: .1 for the building or other
;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: ! Shores Village, Florida,
end all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatir • of the Building Division
ot Miami Siwres Village shall be complied with, whether herein specified or not A copy of approved plans and spec ficatlons must be kept at
'3uilding during progress of work.
'..)wner s Name and Address... 4. _
.cgist:red Architect and /or Engine' 'OP"
?mploying Plumber's Name
Location and Legal Description Lot. 1 Bloch PZ. Subdii one%,[4i • Qf�Cl Jf ��
Street and Number where work is to be performed —No �_s e ∎ Sts 4 "YT
State work to be performed and purpose of building (By Floors) td
New Building Remodeling— _....._._ Addition
Size Septic Tank__.__.__ ..Type of Tank_ _____.
Amount of Permit $. .....
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No /s 961" S
ea &sLC.I RA)
4 RIO,.
(Signed)__
Repairs
Date..._. — /)
60
No of Stones
Capacity A ,als.
Feet of Drain Tile.__._ — ___Dist. Feet of Tank or Drain Field from Well. ..------- •---- • - -_ - -
Nature of Water Supply: City—Well .--- _ -- •- �•_-- -_ -____. -_Size of Soakage Pit
a
(Signed)_!.. }\ \.LO:1 V.( q
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ndloyer of Ia1Kn
under the Florida Workrnen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Cum learnt, and lids th'�•
1 lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' xl rk v b
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such puhl' notice - r. no leer is a:
required by the Act. The undersigned agrees to employ only such cub- contractors, on work to be performed 'a this ,) ul u., , .
licensed by Miami Shores Village.
•
Mast a Plumber
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclorowled3ments, perwrrt ppearec.
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 carne, and teat all acts,
therein by his, stated are true.
Notary Pubilo, State of Florida
NOTE: A re- inspection fee of 31.00 will be made when ouch relnspeetina is moade•neoessary by improper notice for insper•t/on, (r touit)
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 1460-
Application is hereby made for the approval of the detailed statement of the piens 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 `- ,( E ; No ' t Street --. 1 /6 - 7 L' S ...
Registered Architect and/or Engineer ..(3n /CX C /360 C i ..-ty, 71 i C '
Employing Plumber': Name . . ' r .-- .. Na `
... / .o.. . ®. ...... Gi q' .�i // '-
Location and Legal Description Lot. Mkxi _ SubdivWon.— _____. _ _ __
Street and Number where work is to be performed—No /U �� /�/ Street-._.. `' /: ._
State work to be performed and purpose of building (By Floors) __-_.
New Building._ _ __ -------- •- '- - - - - -- Remodeling___--_- ._. - -- Addition.. __— ..__..... Repairs
Sine Septic Tack__
Feet of Drain Tile
Nature of Water Supply: City —We1L
Type of Tank — — -- — ,0/6V(' flirt. Feet of Tank or Drain Field flan Well
Size of Soakage Pit.
Amount of Permit $ 4p t9 (Signed)_ _ •
.Capadty Cale._
No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plier 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 as the site of 59 work such public notice or notiees as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on /to be pert under this permit, as are
licensed by Miami Shores Village. L
(Signed)
M Plumber.
STATE OF FLORIDA, 1 µ
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 ale 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 fads
therein by him stated are true.
M Commission &pine Notary Public, State of Flasda
NOTE: A re inspection fee of $1.00 will he mede when mob swhspactlam it mede•neocssery by improper notice for inspection, or lanky
materials and /or warlomanship.
GLOSrrs
BATH
TUG ®
BHOWBRS
LAVA.
TORIEtfl
(bINKS
GLOP
Sumo
LAUNDRY
Tugs
t1RINAU
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOYNT'N•
TOTAL
FIXTURES
o
CONTR.
LIST
CNaCK
slime
TANK
86v/ER
CONN.
DRAIN
F16L0
DOAKAG6
PIT
GREASE
TRAP
BoLAR
MEATIER
DEEP
WELL
8PRKLR.
SYSTEM
SWIM '0
root.
CON R.
LIOT
/�
��`
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 1460-
Application is hereby made for the approval of the detailed statement of the piens 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 `- ,( E ; No ' t Street --. 1 /6 - 7 L' S ...
Registered Architect and/or Engineer ..(3n /CX C /360 C i ..-ty, 71 i C '
Employing Plumber': Name . . ' r .-- .. Na `
... / .o.. . ®. ...... Gi q' .�i // '-
Location and Legal Description Lot. Mkxi _ SubdivWon.— _____. _ _ __
Street and Number where work is to be performed—No /U �� /�/ Street-._.. `' /: ._
State work to be performed and purpose of building (By Floors) __-_.
New Building._ _ __ -------- •- '- - - - - -- Remodeling___--_- ._. - -- Addition.. __— ..__..... Repairs
Sine Septic Tack__
Feet of Drain Tile
Nature of Water Supply: City —We1L
Type of Tank — — -- — ,0/6V(' flirt. Feet of Tank or Drain Field flan Well
Size of Soakage Pit.
Amount of Permit $ 4p t9 (Signed)_ _ •
.Capadty Cale._
No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plier 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 as the site of 59 work such public notice or notiees as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on /to be pert under this permit, as are
licensed by Miami Shores Village. L
(Signed)
M Plumber.
STATE OF FLORIDA, 1 µ
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 ale 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 fads
therein by him stated are true.
M Commission &pine Notary Public, State of Flasda
NOTE: A re inspection fee of $1.00 will he mede when mob swhspactlam it mede•neocssery by improper notice for inspection, or lanky
materials and /or warlomanship.