PL-10-1095I
BUILDING
PERMIT APPLICATION
FBC 20
Address: 20 5 Ne a
City: 1lA.l' 1 &In Ores
JOB ADDRESS: $ as NL -1 el s-1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
State:
•
City: Miami Shores County:
Folio/Parcel #: a90 (e °- oZC:.b
Ls the Building Historically Designated: Yes NO
Miami Dade
10(M7FIEn
Ait JUN ti 6 LP
BY:
Permit No 1 0 °' ICR
Master Permit No.
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): &Z T G J1'G X+ Phone#: 30J '751 O,
Zip: ro
Tenant/Lessee Name: Phone #:
Email:
zip: 3S i 5e.
Flood Zone:
CONTRACTOR: Company Name: N1 G •5 TU•L 1 t + - 1 -, G Phone#: 4..$ / - 7 2 S9
Address: I C 'el 3 1(i. a Prv
City: 1Q-M t State: "Pt— . Zip: 35 f 09
Qualifier Name: . 0 . 0k-K , "T a -r* le. Phone #: 5 G I ' _ S9
State Certification or Registration #: C L 1 l 675 1 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ D '0 • C3 Square/Linear Footage of Work:
Type of Work: El Address DAlteration ❑New 7Repair/Replace ❑Demolition
Description of Work:
f�ep14c -e q sae fz 11 -t 51s s. y- . ) , e.
* * * * * * ***** * * * * ** *:non * * * * * * *** * * * ** * ** *F ** * * * **** *: *** * * *** * * * * ***** ** * * ** *** *h * ***
Submittal Fee $ Permit Fee $ 9 CCF $ 1 (0 CO /CC $
Scanning Fee $ %.1'00 Radon Fee $ DBPR $ Bond
Notary $ Training/Education Fee $ Mi2j0 Technology Fee $ 2 '40
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 551' 1
a Binding Company's Name (if applicable)
•
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a rein ection fee will be charged
Signature
Owner or A
The foregoing instrument was acknowledged before me this
day oI (/l Y■ , 201 -, by 40".
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
APPROVED BY
*OLEECiRIC
t' '••6'. MY COMMISSION # 0O 8912P"
Ended September U dersin s Thru Notary
Fx $ Bonded
(Revised 07 /10/07)(Revised 06/1O/21019)(Revised 3/15/09)
il***filelei*****i*%W.** Ale *********** **** *** **fi****
Plans Examiner
Structural Review
NOTARY PUBLIC:
Zip
Contractor //��
The foregoing instrument was acknow,Jedg before me_ this� 16
day of C3 , 20\ 0 , by Q k r �w" —" >Q C.►
who is personally known to me or who has produced
as identification and who did take an oath.
Sign:
Print:
My Commission p KEMBLE EITRICK
•• MY COMMISSION # 00 891340
EXPIRES: September bIi 14, 2013
v1 ' ;�y e cy o • Bonded Wu Willy ' ; l
Zoning
Clerk
Scheduled Inspection Date: July 30, 2010
Inspector: Hernandez, Rafael
Owner: STEAD, MARC
Job Address: 825 NE 97 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MR C'S PLUMBING SEPTIC INC
Building Department Comments
July 29, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 146245 Permit Number: PL -6 -10 -1095
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number
Parcel Number 1132060142600
Phone: (305)651 -7859
REPLACE 900 GAL SEPTIC TANK & 375 SF DRAINFIELD
Passed
ri
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 7 of 11
CONSTRUCTION PERNQT FOR: OSTDS New
APB: Marc Stead
PROPERTY ADDRESS: 825 NE 97 St Miami, FL 33138
LOT: 15 +18
PROPERTY m 9: 11- 3208 -014 -2800
SYSTEid MUST BE CONSTRUCTED IN ACCORDANCE WITH $PECIFwATIONe AND STANDARDS OF SUCTION
381.0085, F.S., AND CHAPTER 64E -8, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GDAPANTEE
SATISFACTORY PERFORMANCE FOR AMY SPECIFIC PERIOD or miss. ANT CHANGE IN MATERIAL FAcTD ,
WHICH SERVED AS A BASIS FOR ISSUANCE OF TUTS PERMIT, REQUIRE TBE APPLICANT TO MODIFY TEE
PERMIT APPLICATION. 9UCU MODIFICATIONS NAT RESULT IN TR19 PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF TBri$ PERMIT DOES NOT EXEMPT TEE APPLICANT FROM COMPLIANCE WITH' OTHER FEDERAL,
STATE, OR LOCI, PERMITTING REQUIRED FOR banal M0 7T OF THIS PROPERTY
SYSTEM DESIGN AND $PRCIFICATIONB
A
N
D
A
I
N
F
I
E
L
0
0
[ 900 ] GALLONS / GPD , _Seotlo Tank CAPACITY
L 1 aaLL0Ns / GPp N /A CAPACITY
[ 1 GALLONS GREASE INTERCEPTOR CAPACITY LIGUCMGMK CAPACITY 91NGLE TANX :1250 GALLONS]
[ ] GALLONS DOSING TANK CAPACITY L ] LL0N$ 9[ )DOSES PER 24 ERB #PtmtFis [ 1
[ 375 1 SQUARE FE= Trench cxlnfiauratian SYSTS24
L 1 SQUARJL FENR'r
TY@S SYSTEM: [$1 aTSNrARD [ ] FILLED L] 10UND [ ]
CONFIW1RATrON> [X1
I.e7cATION of BENCHMARIe• FFE.,.,..,12,12'NGVD
ELEVATION OF PROPOSED SYSTEM SITE
BOTTOM OF DRAINFIELD TO BE
FILL REQUIRED: [30.001 amaze
SPECIFICATIONS BY: Gerard L Philiaaire
APPROVED BY:
ZOO / LOGI I
EP FLORIDA APPLICATION #: AP966628
DEPARTMENT OF ? MALTS
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
BLOCS: n
( 6'g so /
- 1 1,4
SUBDIVISION:
NIA SYSTEM
[ 1 RED [ 1
[ 32.40 1
[ 20.40 1
TITLfI ; £ngin •
EXCAVATION : [ 30,30 ]
1.- Install 900 gel. category-3 septic tank equipped with an approved fitter.
2. -The licensed contractor is responsible for Installing the minimum category of tank sec, 64E-B4O13(3)(t)-
3.- Install 375 sf of dralnfleld In TRENCH configuration.
4,-11164611 42" of slightly limited soil at the bottom of the dralnfietd,
5.- Perimeter of excavation arms shall be at least 2 ft wider and longer than the proposed absorption bed.
6,-Invert elevation of dralnfleld to be no Ness than 7,42 ft NGVD.
7.- Bottom of dralnfield elevation to be no less than 8.92 ft NGVD.
DATE ISSUED: 06/11/2010
DS 4016, 00/09 (Obsolete■ all previous editions vhieh may not be used)
Incorporated: 64$- 6.003, VAC
PJ' IIh1.:H
TITLE:
Specialist II
.KI , q , +'
PST # =13 -SC- 1145187
ears PATO:
FEZ PAID:
RECEIPT #: -
DOCUMPBT #: PR813153
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NWT]
INCHES F°1' 3 [ ABOVE/ DENCS4aRR /RESPRENC$ POINT
' F' 1 [ ABDVE; 1 LIENCIDIARR/REFERENCE POINT
Dade
EXPIRATION DATE: 12/11/2
Page 1 of 3
CND
itt+� 4Z:i OI.0 /9L/90
APPLICANT
AGENT:
PROPERTY ADDRESS:
STATE OF FLORIDA PERMIT NO ,r >: r
DEPARTMENT OF HEALTH DATE PAID
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID
CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT #•
LOTS` `: r_/ BLOCK:/'/ , - 1 SUBDIVISION PROPERTY ID #.
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[011 TANK SIZE [1] L [2]
[02] TANK MATERIA
[03] OUTLET DEVICE
[04] MULTI - CHAMBERED V")/ N ]
[05] OUTLET FILTER
[06] LEGEND { @ /9`
[07] WATERTIGHT !`
[08] LEVEL =,
[09] DAPTH TO LID 4-1
44 ;°
DRAINFIELD INSTALLATION
[10] AREA [1] [2] - CSSQFT
(11] DISTRIBUTION BOX HEADER
[12] NUMBER OF DRAINLINES 5
[13] DRAINLINE SEPARATION
[14] DRAINLINE SLOPE
[15] DEPTH OF COVER `
[16] ELEVATION [ABOVE/BELOW] BM
[17] SYSTEM LOCATION
[18] DOSING PUMPS
[19] AGGREGATE SIZE, Pt / .P--j
[20] AGGREGATE EXCESSIVE FINES
[21] AGGREGATE DEPTH j:
/ —7
FILL / EXCAVATION MATERIAL
[22] FILL AMOUNT
[23] FILL TEXTURE
[24] EXCAVATION DEPTH
[251 AREA REPLACED
[26] REPLACEMENT MATERIAL
;:,
SETBACKS
[ ] [27] SURFACE WATER FT
[ ] [28] DITCHES FT
[ 1 [29] PRIVATE WELLS FT
[ 1 [30] PUBLIC WELLS FT
[ 1 [31] IRRIGATION WELLS FT
[ ] [321 POTABLE WATER LINES ' FT
[ 1 [33] BUILDING FOUNDATION - FT
[ ] [34] PROPERTY LINES FT
[ ] [35] OTHER FT
FILLED / MOUND SYSTEM
[36] DRAINFIELD COVER
[37] SHOULDERS
[38] SLOPES
[39] STABILIZATION
ADDITIONAL INFORMATION
[40] UNOBSTRUCTED AREA
[41] STORMWATER RUNOFF
[42] ALARMS
[43] MAINTENANCE AGREEMENT
[44] BUILDING AREA
[45] LOCATION CONFORMS WITH SITE PLAN
[46] FINAL SITE GRADING ,
[47] CONTRACTOR `' z ' ( `
[48] OTHER
ABANDONMENT
[,7 [49] TANK PUMPED /
] [501 TANK CRUSHED & FILLED /
EXPLANATION OF VIOLATIONS / REMARKS:
I 1
(
I
[ 1
FINAL SYST
CONSTRUC PPROV _! .ISAPPROVED] 3
DISAPPROVED]: 4
DH 4016 {Page 2), 10/97 (Previous Editions May Be Used)
Stock Number: 5744 - 002 -40164
PT 1: Applicant
PT 2: Installer /Contractor
PT 3: Building Department
PT 4: Health Department
CHD DATE r -°{ f` '
CHD DATE O = �_°
Page 2 of 3
Qecrol y 1
PL- -(0 tO°t5
07/20/2010 11:14 3056515610
LICENSE
ITEM
CITY OF MIAMI. GARDENS
2009 CERTIFICATE OF USE 2010
EXPIRES September 30, 2010
MUST BE DISPLAYED AT PLACE OF BUSINESS
DESCRIPTION / RESTRICTIONS
CU- 004892 Ail Gend Bus/Whiz/Reg Uses
MR C'S PLUMBING AND SEPTIC INC.
19932 NW 2ND AVE
MIAMI GARDENS, FL 33169
MR C PLUMB SEPTIC PAGE 02/02
Business Name/Looatiort 002
MR C'S PLUMBING AND SEPTIC INC.
• 199.32 NW 2ND AVE
MIAMI GARDENS, FL 33169
Owner/Corp. Name
MICHAEL COCKING
Use as pem fitted within zone.
City of Miami Gardens Enfor emerlt Department 1515 NW 167th ST, Building 5 Suite 200, Miami Gardens FL 33169
cu
' r y e ! : b i , . + C ffi S OF 4 W t s : P . . r , V C E ;ATE) SELOArr4AVE B E E N t S ` e v E D TO T 1iE'tkS.U1L) LAMED R a c e g °03 n t : P o
ANY. HtODIREJAE//T. TEEM O1? i ONDITIQN CW ANT CONTRACTOR 04 Mt cOecimiV WITH T4tita-1:CT TO 14•1.:34
MAY PLR (Mt ;HL. wyUWA NGL /4•6ORt2tD 1'r •11e Prn.N:ftaGE€CHroty owe'tn is vuts.tG1 1'17 ALL rt *. 'MARS.
POI 1C $. AGGREGATE t,NITSutl AR: WAY 14AYEBEtT4 Ramat, tsYPM r1ATM;;
L i ( ' , Y w e n u o i n 0 T - A I
THIS CERTIFICATE 4SAr
Mi. MONO ANO CPtgnYNNF
Ma—
• _ , - ( ? ,
Z NO A I etsiAV.. P,c
HE tSSEtEOOF
or cr /6 H
LTR
'.' 4; TYPE OF INSURANCE
POLICY HUMBER CDR !>0 v ° • )
LtMlti s
A
GENERAL Lti1t UTY
X ' C MERV/4 GENERAL I.Pa ITT
1
SCP0720863 1 01 /11/10
i
1
0/./11/11•
'
Earl OGrURRERCE s 1, 000., 000
mime • oa 142) S 00 b
L J
!
Q..< klAr r in di el a
MED Fes tart' WV Ur$0 ' $ 1. 000
zflRsomAk. amok im.+w r ; t 1 A 000 , 000
=ERA. AGGREGATE I $ 2 ,.000., 000
•0E1
ASREYATE LLHTT ft
PRODUCTS•COMPtOPvw`ift 1 s 1 A 000 , O00 ■
AuTomovaLeLIAGAffit
/sir Ausu
W i c*wf ED A1 1T4.9
`n tEOULL•D ADTOS•
m:vtG AUTOS
tia *F• - - _
s
1
f,'QMENED tun Cr LIMIT
Es ecaleatl + 6
&IDLY IN.,uRT i $
We mom) .
4 •
+'PBti MYJn'i:1f; I
!
PROPERTY DAMAGE + •
(pot tiddsr4)
GARAGE
UAIRLITT
AYtlY AUTO
NAT, ORGY E.A£.0 IPEAtr ! $
. r
°THEU TRU/ EA Al :L t 8
A%RO ONLY PSrC i V..r --.. T^
81(CI?55
/ 1
t UMBRELLA LIARRRTIY
OC.CDR 0 CI A.11'ns•IMAOE
ovcE
RCT*. TtON Z
i
+
•
e •! OCCURp4NCE : $ •
AGC-PEOATF • $
13
. 3
.
_........,._ ._•
$ •^-^ —T
WQ -
A ND Eb1PLOYER8'
•4NY PROPME
DINGER1AEEMF3E.R
U
$114.14, f?0N$
C .1• MUM .,, N
LIA8lIJ Y Y nu
Th?PPNED:i61':i ^•+!
- W �f
S'
ROVI$9 b�4x..
1
., 1 1-
•' Y LW • 1 - R 1
&L.E44 . MY..>r`£NT ; s
I .
r1.1..AFE - EA FiMt'lA� M S Y.
E 1 DSEASt • POLtCY•LE4r; , $
OTHER
!
DESCRIPTION OF OPERATIONS I LOCATIONS / ratan / EXCLtISIQNS ADDED ST ENDOEG Qr /SPECIAL FROYEARS
Septic Tank Systems- lastallatiote, Certificate holder is listed as additional
Insured,
07/20/2010 11:23 3056515610 MR C PLUMB SEPTIC PAGE 02/04
Rem L-eptis CaTmosta At Cotnhir+ed•L*iderwfiter of Wand Fog Coratrined:tinderw TO MI'. C?J FTLETTOR19 a atspncumae:,RSmow iu uc. t : rm rye, s r
AebRi ` CERTIFICATE OF LIABILITY INSURANCE oPo Lc 1 OATC 1 0
sass -1 03/19
'/1:0
raossices
Combined Underwriters of Miami,
8240 $.W. 62 Terr, Suite 408
Min& FL 33164
Phone:205 -477 -0444 Fax:305- 599 -2343
MORRO
COVERAGES
DIr. C S Plumbing 6 Septic Inc.
' .!
P. i ,
CERTIFICATE HOLDER
Village of Miami Shores
19631 NW 6th Ct
Miami Shores, FL 33169
ACORD 25 (2009101)
T}IsCER11RCATEtS 1SSVE,D A ► A IAA. OF DWORiIATION
ONLY AND GONFER9 NO R11sHTS UPON THEE CERTIFICATE
HOLDER :1W5.0 RIIFICATE DOES NOT AMEND, EXTEND OR
ALTEF! 111E COVERAGE AFFORDED BY THE 0E141C1E8 BELOW,
INStURERG AFFORrm4G COVERAGE M!I!C
7+iSURt R * rFSS117plt mummy poweAsca co.
r tdR B•
NSUPERG
NsLia o;
CANCELLATION
VnteLP my OF THE *BOW Demme 9E Crovcemeo tic lee COMMON
DAT! THEREOF. THE RWRAPREAREIR RILL toweAYP1a•To MAUL 30 osh•8 MAtrr r ti,
mica TO•'I+N.t a ms Haman mum TOTHE LEFT. SOT FAILURE TO OO BaSfrAkiL
Uti?O5 P40 oat *mom OR LIABILITY OI<AFYY ROO OPONT E MOM ITS MEMOIR ■
REPR5S5NTARvea
AvolonomesPassoro
1988,2009 "CORP dpRPoRADON. • Atl rights resarred.
Tlva ACORb name and'Iago ette•registared marks otACORTI
07/20/2010 11:23 3056515610 MR C PLUMB SEPTIC
1
Acci •
CERTIFICATE OF LIABILITY INSURANCE tcAlt (AVAPOP6r)
mis CERTIMATI 19 UMW AS A MATER OF INFORMATION ONLY AND &PIFER'S NO RIGHTS UPON 'nil CERTIFICATE HOMER, TIES
• • i DMA 0 •
CERTIFICATE IMPS NOT APPRMATIVELY OR NEGATIVELY i‘MEND,EXTEND OR ALTER THE COVERAGE :WORDED BY THE POLICES
BELOW- THIE DENTIFIORTEOP INSURANCE DOES NOT DONSTITIrtE A CONTRA& SIMMER ThE MUMS 1NSORERn ALMIORIZED
REPRESENTATIVE OR PROMS:LK AND IFIE CERVICATE BOLDER.
laeForaikrr: ets.consscate holder Is in ADOITIOMAISLINED, the pollaylies1 must De endeeme0. 9111111032ATION TAANID, ste4eat to
tIte emus end CurendOna air seepokyi aselaln paean may news se eISIOSSOment. A statement on Vas Ortifises Sat ewer OW, 10 030
Molder In Nee 4stofl 10001130nantts).-
P*0040011
DangYnRurnmal Agony
WO Stale Road 04East
OrInftstlork P1 34203
Phone (941) 748-8555 • Ps n (pm ) 748.953
SWIM
Mr. VG I: & Septiti
FO Ban 093239
Mani. FL 332E943239
'SO
TY.PE.Cir INSURWE
ammo% uoikury
0' Oossaencea. seem& UnStov
. 0 euessadeDE 0 oomia
la
1 GEm. AS0SE9A1E LW APKISS PM
. 0 FM= EaSic .
stermonsivessurry
.
O WY Auto
lal ALL CAMIMMITO3
LI socois smog
0 mew AWCIS
O 14040%4185 AMOS
O
trafi
eiz
tliallt El =CUR
13 =Ws ME 0 cuim
0 1 CEPUI LC
MIEL
WON 1 • .,—,--
WalitagASCCUPSISATAIte
AND ISRTLOYORS' LIASAJTV
tsradsletaii cxj
L.
ACORD 261200SAIS) GIF
TONS belga
CEA HOLDER
Village of Miami Shores
1 OM NE 2hd Ave
Miami Shores, FL 33138
1:7'71m71
N IA
1
seasnER
WC9243023
..1••■•11M■111.111••••••111.0.,
13raritani
MASSY UP
941 7484gas.
Tani
•
07/01/2010 10741/2011
DIFASPTAgi oF gr9NATdmis acconn0NSAIINISUES 1000010.0psn 181,1401ml Itetsaila mem. arse Mao iNgluiros?
numessoffAINE
...0.1013131ERE32L_
AFF2110 CONSuiP NAM
— 11 18m suisat a; Star inatoarrce
COVERAGES T REVI62011 NUMBER: •
THS 18 TOMMY THAT op govRANce IMED BELOW I. IN YE BEEN ISSUE0 TO mDis MP NAMSDABOW FOR ma POUCCir PERIOD
INclPATED,NOMMITFrosteANY.RECONENIEIrr, TERM OR COMMON WANT CONTRACT CIN avec SOCUSSEHr 3/0111 RE:91 To WHIGH1146
=mem MAYES 0%1E0 CR MAY PERTA11,1)4E 6161.1RANC2 WORM ay THE POUDIES 03:SCRIBED MEIN IS SOUS* tro ALL ThE TIMM.
stoLtisioNs AND CONLSTIONS OF SUM POLICIES. MATS SHOWN MAT NAVE BEEN REDUCED BY PAID CLAW
UM=
0c0t0easca
-1 0Art i t 'WnW eeemageoes
WP (Any eau mom) $
PEROmAiALS ADVSCAS:ff
IMMO&
PROMOS ctefitA?.0 s
031401S104001.4 LOAN
Ism
201LY8:01ST wervezad . s
MIXT WAY Warm:wen
PROPERTY DANA&
• (PorsectdeffS
•
PAGE 03/04
EL ?ACM ACCIOSNT $ 1
EL 0101EASE - EA swims --Ant
EL PS g res,347. $ 1O 836
cANCELLATION
SHOULVAPIT OF Tie mow rascluBED MUM% BE =MLLE, Iss
TI4E. =MOTION nnTs THMEOF, Idancning,L13000mems$0,
ACCORMACE SW111 ME POLICY POSIVISIONS:
1
TO* AC dips riSRVall.
name and Imo ilegiscoraa Mosta of ACORD
07/20/2010 11:23 3056515610 MR C PLUMB SEPTIC
LICENSE
CU- 004892
ITEM
DESCRIPTION / RESTRICTIONS
All Gerr1 Bus/Whits/Reif Uses
MR C'S PLUMBING AND SEPTIC INC.
19932 NW 2ND AVE
MIAMI GARDENS, FL 33169
4
CITY OF MIAMI GARDENS
2009 'CERTIFICATE OF USE 2010
EXPIRES September 30, 2010
MUST BE DISPLAYED AT PLACE OF 5USINESS
Owner/Corp. Name
MICHAEL COCKING
Use as parrrt within zone.
City of Miami Gardens Enfo cement Department 1616 NW 167th ST, Building 5 Suite 200, Miami Gardens' FL 53159
PAGE 04/04
Business Name/Location 002192
MR C'S PLUMBING AND SEPTtC INC.
19932.NW 2ND AVE '
MIAMI 'GARDENS, FL 33169
CU