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1279 NE 97 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE C i ) 5 Tax FolioJ/ ° j ' , 9 o q ' e Date _ Job Address Legal Description /9 /tAf.��1 ai/!.l Owner / Lessee / Tenant lam : 6U r /(e- Master Permit it 5jrgt / Contracting Co. iWenAj 1 Nel` i' ate SS41 � - - Phone 6o27 -- Owner's Address Qualifier �i lin State lk Municipal # 7 Bonding Company Mortgagor Permit Type(circle one WORK DESCRIPTION Signature of owner and /or ondo esident Date: No • : ry as • My Commi: siItp4A ,/• • :giYF` •w Y+ • an4A1COOPIWEresident yres ®ILLY C. COWINS p My Commission Expires Jan. 21, 1996 ";;;';. •` Comp. No. OtI * * FEES: PERMIT 36 = fro RADON C.C.F. { / 1 P ** * APPROVED: Zoning cry Mechanical Phone Address l/ Nice aZ9 4/EiA/cCp Competency #/ Ins.Co. Architect /Engineer 1 7/ °' Address Address ress • BU LDING ELECTR AL P UMBING " CHANICAL ROOFING PAVING FENCE SIGN 1 A.) id Fire Buildin Square Pt. Estimated Cost(value) Sig Date: otary s My Commis P 4 4 1 . * 1R • NOTARY . _war' /I/ 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 info tion is accurate and that all work will be done in compliance with all applicable laws regulati._ co struction and zoning. Furthermore, I authori the above -n ed contractor to do the work s ture of Contrac'.a. or er- Builder ntractor or Owner- Builder ires(DFFICIAL SEAL BILLY C. COWINS My Commission Expires *an. 21, *996 * ** Comm. No. CC 171522 �y TOTAL DUE ,1/4 ®L/ Other Electrical Engineering 'Authority: Chapter 381, F.S. & Chapter 10D -6, F.A.C. Application is For: New System: Repair: /Tank Abandonment: NOTE: PERMITS EXPIRE ONE YEAR FROM THE EXPIRE 90 DAYS FROM DATE OF ISSUANCE. SPECIFIC PERIOD OF TIME. TO BE COMPLETED BY APPLICANT. Owner: c A STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES' • APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEI�P ^�� CONSTRUCTION PERMIT T v Building Permit ;/ /: Application /Permit Number Date Application Received Fee Amount Paid xisting System: Experimental System (Temporary): Receipt Holding Tank: Other (Specify): Date Paid GENERAL INFORMATION Telephone: (Work) Owner's Mailing Address: I2 P6 c 7 IP City: � �p�1 StbrP5 Owner's Agent: ]o4tA S +L ��-A.--L Telephone:(W) 2q 40 2_ City: 1279 pc 57 ^ , /( pr)r.-1 Agent's Mailing Address: Property Street Address: Exact Directions to Property: Lot # Block Section: Township: Property size: Is Sanitary Sewer Available: Yes Is Public Water Available: Y Typo of Establishrnont Commercial /Rosldential (circlo one) cc Plumbing Fixtures: BUILDING PLANS MUST CHAPTER 10D -6, F.A.C. DIMENSIONS, BUILDI Applicant's Signa ure: # Of Units Subdivision: Unit: Date Subdivided: Range: Square Feet /Acres If No, approximate the distance to the sewer line closest to your property: es If No, approximate the distance to the water line closest to your property: , Garbage Grinders /Disposals: Ultra -low volume Flush Toilets: BE ATTACHED SHOWING OFFICES, BEDROOMS, DDITION, A DETAILED SITE PLAN AND/ LO* TIONS, AND PERTINENT F ' URES C�ol Parcel Number: Zoning Designation: BUILDING INFORMATION Building Area (Square Foot) 11 Of Persons & Number of Bedrooms Water Supply: Private: Public: # Of Seals Date: 'T( (H) State:-( Zip: State: (Home) Limited Hours of Operation: DATE OF ISSUANCE AND ARE NOT RENEWABLE. REPAIR PERMITS AND HOLDING TANFC: PERMIT1. APPROVAL OF A SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCLiFO135•gN1 01i t�r i ,i, • ,G iS 1 of Spas /Hot Tubs: Floor /Equipment Drains:_ Other: Fd,tsd a N:i TOTAL BUILDING AREA, AND ANY PERTINENT FEATURES REQUIREgi,l3Yq RVEY, DRAWN TO SCALE,MUST BE ATTACHED SHOWING PROPERTY, TO BE SUBMITTED PER CHAPTER 10D- 6.046, F.A.C. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATIONPRMIT Permit Application Number _ �3',P PART II • SITE PLAN Scale: Each block represents 5 feet and 1 Inch — 50 feet. Notes* Site Plan submitted by: Plan Approved By .County Public t ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT'', IIRS -H FORM 4015 -A January 1992 (Obsolete' Al Previous Editions) - �3 10 A1uAE of Approved Date FOR OPTIONAL USE AS AN ATTACHMENT TO HRS -H -FORM 4015 I / �/ 1 ��! -0/) `�'I c�S(J; 4-)ir lriee :2 -7j ) 5,4--- n � rit l.A4i' ' i. 0 l I - -o Offfr7 4D.e..aci P 4.-I r yr T ef' 4 .a $I 6)( i '747 1 d 414 4 4� � ens �. 0 /4401 (LHt2 t IO . 04/2 '( 4' . orm— 0 6 1.0 N2 IA T J ut CG e ,-le_s /fig, ;7A, 3 e,t ID INIC2 r ti le / at/ 6 U -.. a �� e 3 /4 11 z I Lp' rop'wwAv7 /; ifrki (et '04 114 G ri G AL, eti I2'O.L.4 .F.— .fir,— ��•_. . — Frao....- .. ,,;�,,. x eNcth r orre, 40.4.6iiiris,41194 r•Pffo 0/1461. 4`I ( 6r � i6 IVE1 ,Pik -1O 4/ 065 tgxI woos, wo v. 0.,0N 044, W,, r��Y�� Imo r-i, ty2otra 4,. Agit' 4A4 0 . fi a`1,..Ati 4 6 T —^ CLOSIrrS SAM Tullis 6MOW[R• LAVA Tama. RINK[ SLOP SINK LAUNDRY Tuv[ U RINAL/ CATCH DRAIN FLOOR DRAIN DRINK NO FOUNT •NG TOTAL PoxrualS CONTR. LIST CHICK _ —_ SEPTIC TANK S[W ER CONN. DRAIN FIELD SOAKAG[ PIT G TRAP SOLAR HEATER DRIP W[ll SPRKLR. SYSTEM SW IM•O POOL Comm. LIST CHICK Permit No A f r14 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 grogreess of wor.kk.. Owner o Name and Address e.O.EI /t , Registered Architect and /or Engineer ! . C - pi 1 /t sM t e � J i l. �� .. �,JS Employing Pluaubees Natne.- ON A-- A- 4- - ` t . „ t l®., e . ..2....�.... itrNt.®..644 ,.a6 ..... .tIg:. Luca o ndo al ' -I Block . subdi d3i?c _ / // greet and Nu where wort) be performed —No 1 S .471..7 _ State work to ba performed and purpose of building (By Floors)-- .__ —.. New Building-._ - -._ _-- ----- ..... -- - -.. Remodeling_ —_ —. — .__ Addition.. - .. —_.. -- Repairs I� No. of Stories... .. ...... ... ... NOTE: A re•b>ospection fee of 01.00 will be Moll when snob materials and /or workmanship. MIAMI SHORES VILL.'.GE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMING PtERMOT (5I ail rt.1.i.' No _11 - 7_2 Street rV E 17:1 a Size Septic Tank -Type of Tads- - -_ Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well ..._._------- _- - -._ -- _ -• Nature of Water Supply: City — Well ''�,, Size of Soakage Pit a � (Sighed) —J r LgafCi ) 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 Permanent Supplement, and liar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor', ao he 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 -con ractore. on work to " owned under this permit, as are licensed by Miami Shores Village. Date ... - c7 _I ..I ' 6 Master Plumber. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, penonally 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 be did sign the same, and that all facts therein by him stated are true. My Commission Esping Notary Public, State of Pkeida Is smlda'nsesm ary by improper na io, for Inspection, or falsity Installer Total = Other findings: Inspected by STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant #®g/I/E --- i z 771/, 77 - -PART 1 SYS EM NSTALLATION I Proper tank legend: Yes Tanks watertight: Yes Proper tank outlet device: 1.agtb Width feet feet feet feet feet feet ft Systems located as permitted: Systems including plumbing stub -outs installed at proper elevation: Average depth to drainpipe invert from fini hed grade: inches Average depth of drainfield gravel, Proper gravel size: Yes No Backfill or fill material s required: (Quality) Yes oiz/e.a/F2 ,� o/p y - Tank size: Yes o Drainfield Trench Yes _t/No inches HRS—H Form 4016, Feb 85 (Obsoletea previous editions which may not be used) (Stock Number. 5744. 002. 4016 -0) " it Number gg - 2 - d x` 8 / NSPECTDON AND FINAL INSTALLATION APPROVAL Tank Manufacturer ///' Tank material - Tank level: Yes Litngtb Wldth feet feet feet feet feet feet Total = ft gallons gallons Manhole or marker to grade: Yes Absorption Bed Length 3 feet x 9 0 ' Cfeet =� ft .3p0e Length feet x feet= ft Proper No. drainlines: Yes V N Proper pipe separation: Yes ( / Distribution box level: Yes o �4 Minimum depth of gravel: � inches Gravel is suitable quality Yes ' No No •------------------ «-------------- - --- -- T III -FIN L AL P OVAL Date I V pproved by �� IL Yes /v/4 - - Maximum depth•24' Inches (Quantity) Yes AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Date //6.. Z. ` q COUNTY PUBLIC HEALTH UNIT Note: Completed copies of this form will be provided to the applicant, installer and the building department. Page 2 of 2 Permit No. -_1..--: s Size Septic Tank Feet of Drain Tile Nature of Water Supply :(City —Well ) Amount of Permit $ { ' My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ (Signed) Z Date Notary Public, State of Florida /3 _5.a 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address 44.i No._ _. __7 Street. a., __ r --- f_x. __—� Registered Architect and /or Engineer , l�/ Employing Plumber's Name_ L� , No. __ ---- -- ----- - ___ -- - _ e -, _ __ V Location and Legal Description Lot_.__ _ _ _ Block____ _..____..._.____._ Subdl;vision .____..________ Street and Number where work is to be performed— No.__---___- _____._ -/_ I. f _____ Street - NE_ 7 2 -- -4- -1 State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition_ Repairs No. of Stories Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well i 0 ® _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. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the o the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fay erein by him stated are true. NOTE: GTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRIP, KING FOUNT•NS TOTAL FIXTURE CONTR. LIST c �'' /� _____'.i' _— _ '"" CHECK \ � S / \ / S --) ✓.' /1 i P SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT REASE TRAP SISCJtR HEATER EEP WELL SPRKLR. SYSTEM SWIM'G . POOL CONTR. L 1 / a0 CHECK /6 -41L-O--- _ Permit No. -_1..--: s Size Septic Tank Feet of Drain Tile Nature of Water Supply :(City —Well ) Amount of Permit $ { ' My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ (Signed) Z Date Notary Public, State of Florida /3 _5.a 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address 44.i No._ _. __7 Street. a., __ r --- f_x. __—� Registered Architect and /or Engineer , l�/ Employing Plumber's Name_ L� , No. __ ---- -- ----- - ___ -- - _ e -, _ __ V Location and Legal Description Lot_.__ _ _ _ Block____ _..____..._.____._ Subdl;vision .____..________ Street and Number where work is to be performed— No.__---___- _____._ -/_ I. f _____ Street - NE_ 7 2 -- -4- -1 State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition_ Repairs No. of Stories Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well i 0 ® _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. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the o the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fay erein by him stated are true. NOTE: GTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be 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 4e _ /_el q 7f __ /vim Street_ 7 11.-577- Registered Architect and /or Engineer .._----------- - - - - -_ _ Employing Plumber's Name _ No.______________ -- Street___ -__ Location and Legal Description Lot Block_. - ._— .-------- ____ -- Subdivision i , Street and Number where work is to be performed -No 77 i1/E Street � 7 State work to be performed and purpose of building (By Floors)- i!t!S7�.LL ,q x9'5 / � /Z OPZ , IC'4- ) New Building______ _ _ -__ , Remodeling_ -__ - ____ Addition_______ Repairs No. of Stories. _ .. Size Septic Tank_ ___-__ _ ----- - - - - -- -Type of Tank_ Capacity Gals Feet of Drain Amount of Permit $ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- Well. __ -_...... -- ...... ---------... ---- __ —_ -- -Size of Soakage Pit (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 bus 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. ,9G / 1 i E 4 / 2 5 /r G eta g2 it/ 61ti � «.S - G%L 9 ' S� / Master Plumber. ( Signed) __ STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well knows, and who, being by me first duly swom, 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 sion Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made • necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERD LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be 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 4e _ /_el q 7f __ /vim Street_ 7 11.-577- Registered Architect and /or Engineer .._----------- - - - - -_ _ Employing Plumber's Name _ No.______________ -- Street___ -__ Location and Legal Description Lot Block_. - ._— .-------- ____ -- Subdivision i , Street and Number where work is to be performed -No 77 i1/E Street � 7 State work to be performed and purpose of building (By Floors)- i!t!S7�.LL ,q x9'5 / � /Z OPZ , IC'4- ) New Building______ _ _ -__ , Remodeling_ -__ - ____ Addition_______ Repairs No. of Stories. _ .. Size Septic Tank_ ___-__ _ ----- - - - - -- -Type of Tank_ Capacity Gals Feet of Drain Amount of Permit $ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- Well. __ -_...... -- ...... ---------... ---- __ —_ -- -Size of Soakage Pit (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 bus 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. ,9G / 1 i E 4 / 2 5 /r G eta g2 it/ 61ti � «.S - G%L 9 ' S� / Master Plumber. ( Signed) __ STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well knows, and who, being by me first duly swom, 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 sion 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. APPLICATION NO. APPLICATION FOR PERMIT TO FUMIGATE WITH CYANIDE I;ETHYL BROMIDE ACRITET X DATE Ally 28, 1962 1. Location of building to be fumigated 1279 N.E. 97th Street 2. Name and address of owner of premises 3. Type, size and construction of building ta. Is entire building to be fumigated? Yes 5. If not, state what portion John RLgg 1. Story, C.B.S. Res. 6. Approximate number of cubic feet of space in building or in portion to be fumigated 35, 000 7. Kind and quantity of fumigant to b used and manner of application and lengt:a of fumigation period Acritet, 1 7t- Galva. Nylon Toni, 36 hours 8. Distance of nearest building and direction from building to be fumigated 10 Feet 9. In what manner will vents to exterior of building be sealed? Nylon Tent 10. Date when fumigation will be begun August 1, l962ime Approx s; 5 :00 P.11. 11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at each entrance into the building bearing the following words in letters at least two inches by one inch in size: "DANGER - THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS ". 12. It is hereby agreed to make such provisions that all openings into the build- ing may be opened from the outside after the period of fumigation is over and to take such other precautions as may be necessary to insure that all of the fumigant is removed from the building before anyone is permitted to enter. 13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation. FIRM NAME Pan American - Elgterminati n Co. ADDRESS 275 S.W. 6th Street City of Miami Shores Police Dept. Miami Shores Fla. Signature OF Certified Pest Control Operator in charge of this fumigation Job. BUILDING ❑ DATE ' - 195 ELECTRICAL P1 PERMIT N? 13 718 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BI. Subdi- vision Value of Project $ Amt. of 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORrTY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ 195 PERMIT I11T° 13866 Contractors License No I ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER BL Subdi- vision Value of Project $ 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 : :u:ther 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 • E3Y 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 proler authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY Amt. of Permit $ AUTHORITY ❑ PERMIT N? 14015 Er BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II BI. Description Address of Building ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE 3 195 Contrctctor's License No Amt. of 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORrrY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA n n PERMIT N° 13760 n Work to be performed under this Penult BI. Subdi- vision Value of Project $ DATE__ -. 195 Contractor's License No Amt. of Permit $ / This permit is granted to the contractor or builder named above to const uct 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 ale changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assume, 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 e.nd that he assumes responsibjjty_ for work done by his agents, servants or employees. Signed • E.Y 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect - Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA n PERMIT 'N° 13563 n Work to be performed under this Permit BI. Subdi- vision Value of Project $ DATE 195 Contractor's License No I I Amt. of I Permit $ This permit is granted to the contractor or builder named above to const uct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with thy_ 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 • E3Y 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder 0 0 MIAMI SHORES VILLAGE, FLORIDA Legal Lot /' Subdi- Description Bl. vision Address of , r Value of �� f Building 7\ '' ,. r / / ---e ` Project $ Permit $ This permit is granted to the contractor or builder am/ above to cons c . the building or to install the equipment or device described in the app/ttion herefor in strict compliance with all ordinances pertaining thereto and with a understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and ap oved 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 g the plan are'` hanged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named gbove assifines t e responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the planslor digs o in the std ,tS'�bt"speeifiwliwpsig 4a„Gssumes responsibility for work done by his agents, servants or employees. . - I. 7. r INSPECTOR In consideration of the issuance to me of this perm rt agree to perform the work covered hereunder in o mplicmce w all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorit s of Miami Shores Village. In ac- cepting this permit I assuthe responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER PERMIT Work to be performed under this Permi . N9 2778 Signed. ' ° , '< BY DATE v 195_1...,,2 Contractor's License No. Amount of AUTHORITY Permit No.....- ` - 3.7.7.-6D 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 Divisior 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. gg Owner's Name and Address. ____..t,2 Registered Architect and /or Engineer // __._. Employing Plumbei s Name._- __t,l_ �Zo,., Location and Legal Description Lot-__ ... Block 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 Size Septic Tank Feet of Drain Tile Amount of Permit $ b o a Nature of Water Supply: City -Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No la 7Y/Yet-7 Street No..C40? Capacity Galls. Type of Tank__ .Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Date CPC f 5" Subdivision Street 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 c n- 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. (Sfgned) r_.- _� -� - -.. • - -- - - -- - ---- - - - - -_ ._... Master Plumber. STATE OF FLORIDA, a sg. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all Lie 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 f,,ul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUN DIIY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURID 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.....- ` - 3.7.7.-6D 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 Divisior 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. gg Owner's Name and Address. ____..t,2 Registered Architect and /or Engineer // __._. Employing Plumbei s Name._- __t,l_ �Zo,., Location and Legal Description Lot-__ ... Block 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 Size Septic Tank Feet of Drain Tile Amount of Permit $ b o a Nature of Water Supply: City -Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No la 7Y/Yet-7 Street No..C40? Capacity Galls. Type of Tank__ .Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Date CPC f 5" Subdivision Street 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 c n- 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. (Sfgned) r_.- _� -� - -.. • - -- - - -- - ---- - - - - -_ ._... Master Plumber. STATE OF FLORIDA, a sg. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all Lie 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 f,,ul materials and /or workmanship. tt rcif ,:•C) 1lY76;;; *.''f)rii.'W W,T 0 Lwn tt is or,;:i EH - - NOT MITER HEATER r101f.,A H °JA FZ HEATI.P Crops r" 7,7 U9P SNKS TUBS XASHIN0 ?/CHINE ' 13A, k f of 7p) ef tvm tL Add tic ......— -- biL : t?,le JoQc thg plk-za of vif/ op DYY0,8 UR k TRAPS - t r t.'• • LA 'V; 2 2 21. ; ri,11 Uk.:= ( 173NA TO TJ2 . 1. I 1 — a ..11.h k - 1 i - IR% TER ; CRS OUTI,,Z'e,:•, 1! i OAS APPL1.A..0,...7& # y 4 ..........., __.... ,.., ....., .,......,.„,,,,,......„•••• . , .. . , f 1 •Ir ; • ., ,„. `r • i .')'' . , , , 1, .. ■ q • - i ' ,; • • - -, , ' •VLN aRA1W1.5 , ■.1 i . .., .„..... _, • , • .,•. ... ....• f 77 kJ 0 !:.. 111 Tit. 1. _ ••• •••• • .,•CC h :■■■ • • ••• •M • ••••■ - L. WASTIT, PSPFS L Wit•.;q1 op 1G SVSTEM, & 'ORA: LO 311Ek;„7., • DJ • 1J '4 • r; ..!•• 7-) SAL , / O T,1 ••• ';; ,e p A,"..'E ik37,"! -'1,`“T P. 71 , 1, 11 -41. 3 4NOt t th3 OIoL ag, plan c"f t7+ 2 0'0 k op 0.-x ADDRT.:3,5 g=ca 77 N\ 4. 9 O T Th TER HEA TER OAR WA TER HEA TER 411,( tR rf,oliFTs TUBS AU A DR Y TUBS IftrASHI N VIP, OHINF3 ct b I dl.ng Type oT tr12'r.'; tiet. ci 1 P';,.),\J•ciNG fiiviATAAws rs - 1; VPTk P !.; • w N C P TARP, Y..11 TT 7 '; WA TER 074-. _ .• . r, GAS OUTi.,31,.-, OAS i'kPVLIAN;.,, OIL 1 ,1 • - • - • 1 ri 1 ',( 1 ••• ' -' ... ._ I.., , e - • a i - , C , , „ .. ■ ....„....,..„. 4,,..... , 11 • —• . U4 X LAW 0 i•' nur31 'KEW EPT J DR• ii 1 17::,1„) OA BI; Permit No g' 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 s or rent. 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 En_ine Employing Plumber's N. „a /. A!_ Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_____/- Size Septic Tank Feet of Drain Tile___ Nature of Water Amount of Permit $- New Building Remodeling__ ______ Addition._______._ ss. M@AMP SHORES VOLLAG PLUMBING INSPECTION DEPARTMECi ?' APPLICATION FOR PLUMBING " ":.•, i�� Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well ell -- ____Size of Soakage Pit igned) 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- contract. • on work p be •erfon ed un• this permit, as are licensed by Miami Shores Village. Date No. ._/.._- --.f Street 7 No. -_. Street_ �j t Subdivision Street My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 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 his, stated are true. NOTE: A re- inspection fee of 81.00 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 U CATCH BASIN FLOOR DRAIN DRINKI NCi FOUNT' NS TOTAL FIXTURES CONTR. LIST CHRCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LI07 ® — — CHUCK ef®e) k. Permit No g' 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 s or rent. 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 En_ine Employing Plumber's N. „a /. A!_ Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_____/- Size Septic Tank Feet of Drain Tile___ Nature of Water Amount of Permit $- New Building Remodeling__ ______ Addition._______._ ss. M@AMP SHORES VOLLAG PLUMBING INSPECTION DEPARTMECi ?' APPLICATION FOR PLUMBING " ":.•, i�� Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well ell -- ____Size of Soakage Pit igned) 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- contract. • on work p be •erfon ed un• this permit, as are licensed by Miami Shores Village. Date No. ._/.._- --.f Street 7 No. -_. Street_ �j t Subdivision Street My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 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 his, stated are true. NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship.