Loading...
750 NE 96 St (12)(OWNER TO RETAIN COPY) Date y .Job Address 7 O NE $6 ,Fh s-- M,s� pm 3314fflax Folio/J-3,204, 0/41,g09,0 7 Legal Description to f v (. C/IL 1 .41/ 3 Master Permit # Owner / Lessee / Tenant cfr r2 i FL RO,D 2/ CGthe Owner's Address 751 /11If /U ? Phone C� .24 Contracting Co. 4x 4 P (lAn ihi; Address /70 / I 7 7E2/ Nt /V1 //j)v ; 7'L Qualifier 4 714 Q�/ V E (J 1/Fz ss# Phone ' -.5 73 q_$E 4/36 State# Competency #_6 1 V(% Ins. Co. Architect /Engineer Bonding Company Mortgagor 43,4ni/r,r073 S4kt.).17s ',AAA Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION Drew; 'F �" " 375 SZ Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. 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. Furthermore, I authorize the above -named contractor to go the work stated. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY PERMIT FEE: APPROVED: Zoning Mechanical aPt> (0b C4b T / n a al Address Address Address Sign ure ARY PUBLIC; STATE OF FLORIDA AT LAA>ai �Y COMMISSION EXPIRES APRIL 10, 1994 BONED THRU AGENT'S NOTARY BROKE048 Fire Notary as to Owner and /or Condo President Notar My Commission Expires: * . * . * * * * * * * * * Building Plumbing R3 a,5- sa ,,4I DI r / 1441/. MECHANICAL PAVING FENCE SIGN Estimated Cost r1A7U Contractor or Owner- Builder NOTARY PUBLIC; STATE OF FLORIDA AT LARGE Y COMMISSION EXPIRES APx1L 10, 1994 DED THRU AGENT'S NOTARY BROKERA411 as to Contractor or Owner - Builder My Commission Expires: Other * * * �,'� ectrical �( 16 ) EngJneering STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ON TE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant G R r L '` O n R (G a 6 Z Permit Number /87/ 8 7 50 �� c- 9 6 PART I - SYSTE CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL ---- ---- -- Treatment Tank Septic tank or Grease aerobic unit gallons interceptor gallons Septic tank or aerobic unit gallons Dosing tank gallons Graywater tank Laundry waste tank Other Requiremen gallons (e) Fill quality and quantity: o / Fomi 4018. Feb 85 (Obsoletes previous editions which may not be used) k Number•.5744-001- 4018-0) Authority: Chapter 381, FS Chapter 100-6, FAC (a) Installation must be in accord with requirements of chapter 10D -6, FAC. (b) A system construction permit is valid for p riod of one calendar year from date of issue. (c) Final installation inspe �Lion and approvsquired before the system is covered. r (d) Invert of stub -e ut F ) / , c4.4 to . to be .ST J — 4/_S `- benchmark Invert of stub -out for to be benchmark. Invert of stub -out for to be benchmark. Invert of stub -out for to be benchmark c4 2 • (f) Other: Minimum Draintrench OR Minimum Absorption Size Bed Size p Square Feet 7J Square Feet Square Feet Square Feet Square Feet Square Feet Square Feet Square Feet System design and specifications by Title Construction authorized by l ,,... Date 3 County Public Health Unit te: Completed copies of this form will be provided to the applicant, installer and the building department. DITCONTROLNO. 64747 r . y Page 1 of 2 .7 ! Y6 T'^?.�'lc ;'7ti! •.... ' T.. + :"f Z�°ST � : �!L..y�'+. d ,; 4 STATE OF FLORIDA cPEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT i Date of Application 6 • 91 Authority: Chapter 381, FS Chapter 10D -6, FAC j;,"7-77.1)7777:77::-.7.777 .,.i.- -.-.�• --�- Permit Application Number 9 7- 47/ PART 1- APPLICATION----« ------- «----«-«-«----------- « «««« «----- «- _._ --.__ Name of Owner C t * - r 3 R I E - ( R03 Q 4 C Telephone Number 63 5 24 -O4I- Mailing Address of Owner 75 /l/E Owner's Agent / /oPE Ow/ `J E Builder Agent's Mailing Address n• 0 "617( E0 On /14 R-7141 s� Property Street Address -7 N F 9 M' too Lot No. 6 Block No Subdivision M/414; S t 11)176-- 3 " 3 Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION This Application is for: New System >7 Repair Existing System Type of Establishment u,; / &5 ;CCU -.Xe ' TOTAL FLOW = Telephone No 4 S 4 - J 3 ( Sewage Flow Sewage Flow (Gallons per day) Based On Type of No. Bedrooms Heated or Cooled Area No. Dwelling Sewage Flow Residential. (each dwelling unit) (each dwelling unit) Units (Gallons per day) • 4 ice /14.41 I l.`J DIT CONTROL NO. Applicant's Signatu S Form 4015, Feb 85 (Obsoletes previous editions wh1Eh may not be used) Number. 5744-001- 4015 -1) ft Exact Directions to Property G oo Page 1 of 3 • 131:IN1V�G 20 x^:01108 3H1 `d3GNf1 '•:�S _O S��'.CN LFl tCl N)VitI x13. V -, S NVHL In � I.:,. .: i�n�� v�J SS31 1CN • • 01 G - 13LIN• 12:13ANI C�'II3d1`BTI usIv )I'J 1 a r ) ' 2011.1313 /L- E /19 a }ea / C.$ / " / . 'ow leliOS A1NO 1/131S) S IVSOdSIO 3DVM3S 31ISNO NOi133S 0':123'P;ION3 A VIINVS HllW'?H 011011d 3Q 1N? ';l di+3a AlNflO3 30V0 S30IA233S 3AI!VI TOVH38 '8 HilV3H 30 1N314118Vd30 V0121O13 30 31d1S a3AOIddd BEARINGS HEREON (IF ANY) ARE REFERRED SKETCH OF BOUNDARY SURVEY SCALE 1" = 20 - Al e. 6 " /s/3 I X9'9. eta' CRS s 5/dc vva c5 R � O. to c/Qir gee 3 a .� a cfcere- 0 h 1 1 o. /6. 60 0 \ 5 4 I /3'9° N 6 6 9 ` 6 ,5r/ ' D53 c, 63. s. 3.60• w1 k 1 0 • 4 /4,50 126.00• /6. a aNT. � ?.�Il'Id Q3I3IZH :d35 , T r rII '=$ ZZ�iH5 TId3ZSxS �A ST OI �3Zd�H^ xS (o F1 1 : C T,;,�i'dyi�IOo g13`d "NJ7,3 C�3'I11..a �(' - 7,3111V1IQ GiTsl �ti�3. 7iZd3 S3H3' - - 9 • gi k • "a"e L To AN ASSUMED V LUE OF FoR . SAID BEARING IS IDENTICAL WITH THE ACCORDING To THE N.F.I.P. THE SUBJECT PROPERTY FALLS WITHIN FL000 ZONE: /G .7 D..StJ c % r '1,NSIA?1,IKIOddd O3 KGS'OLt TWO 1AI. .SAS 'Its SOdSIQ SDVA13S :. IS �- . C• \OLLOSdS` NV 2103 _mot T_O. - 'au Zsfl I j'1.aac Ai :n00 a axt PLAT OF RECORD LEGAL DESCRIPTION LOT 60 4e` ,E L L0' - 7 BLOCK G 5 SUBDIVISION: /q/aer . 1 2000 .567.47./41"e/if 3 ACCORDING To THE PLAT THEREOF AS RECORDED IN PLAT BOOK /cam AT PAGE 3 7 OF THE PUBLIC RECORDS OF I)D. .e� COUNTY. FLORIDA. LOCATION SKETCH SCALE 1" = i SURVEYOR'S NOTES. Elevations are referred to N.G.V.DATUM. Benchmark No B- 50,Elevation 10.02 feet Locator- index.3250 S. ABBREVIATIONS. C.B.S....Concrete block structure. C/L Center line. SURVEY CERTIFY TO: 1 HEREBY CERTIFY THAT THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS As SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 21HH -6 FLORIDA ADMINISTRATIVE CODE. PURSUANT To SECTION 472.027. FLORIDA STATUTES. FOR: GABRIEL RODRIGUEZ. Jos NUMBER: J5 s F.B. No — / MANUEL FELIPE PROFESSIONAL LAND SURVEYOR 9525 S.W. 15th. ST., MIAMI, FL 33174 PHONE: (305) 554 -6592 DATE OF THE FIELO SURVEY: REVISION DATE: SURVEYOR'S NOTES: LEGAL DESCRIPTION WAS FURNISHED BY CLIENT. EXAMINATION OF THE ABSTRACT Or TITLE WILL HAVE To BE MADE To DETERMINE RECORDED INSTRUMENT, IF ANY AFFECTING THIS PROPERTY. THERE ARE No VISIBLE ENCROACHMENTS OTHER THAN THOSE SHOWN LEGAL DESCRIPTION SUBJECT To ANY DEDICATION. LIMITATIONS. RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORDS. .NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED. EXCEPT As NOTED. NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL MANUC ELIPE PLS 4146 STATE OF FLORIDA ~^ ` ROCESS NO: X91101617 ABRIEL R0DRIGUEZ 50 NE 96 STREET *lAMl SHORES, REVIEW TYPE DERM D056 FEE CODE M E __~~_~__~-~-___~_ �- 4-91 0010 SLOG/20SrrIG BOi $35.0G TOTAL $35.00 *CHEM $35.00 FEE DESCRlPTION TUTAL: UNI T UNITS DESC 0000001 06/24/91 FEE AMOUNT 35.00 35.00 30 9968 001 062491 000003500 - '-. - - _ _-__ ' __--~_-.~_'--.�-' '___._ __-�~_'-' /m`��'�,�vr�,*�:�� ~�� 5*:;, ~ 010 04 O?9110161?0 000003500 JIF MIAMI SHORES VILLAGE DRAINFIELD RELAY BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. December 15 9 59 Owner's Name and Address.. HOFFMAN No 75 Street N. E. 9 St. State work to be done and purpose of building (by floo Date Registered Architect and /or Engineer Sun Gold Septic Tank, Inc. b S W Avenue j . 7 Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 750 N • E. 96 Street and for no other purpose. New Building Remodeling. Addition._ Repairs No. of Stories To be constructed of Kind of foundation R of Covering ...r -- Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 1 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 complied 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 subcontractors, n work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed ) _ �Q STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Date December 15 59 Owner's Name and Address HOFFMAN No 750 Street N. E. 9 St. MIAMI SHORES VILLAGE Subdivision._..._. 750 N. E. 96 Street Notary Public, State of Florida DBAINFIELD BELAY Registered Architect and /or Engineer Name and address of licensed contractor Sun Gold Septic *Tank , Inc. 4450 S. W. 74 Avenue Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building- Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 complied 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.