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PLUMBING
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp' Permit No. Name •- Address Company Phone # For Inspector: Approved Correction Re -Ins Time 1 Permit No • ( "1 N -2 - Date far- 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 n7 ”ot. 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 Engiinee • C - C1 Ti"- Employing Plumber's Name ........... Location and Legal Description Lot_ .... Street and Number where work is to be performed—No f5 3 7 74 5 :: /- Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition_ Size Septic Feet of Drain Tile p25 elli.r.12 _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well ._____.--- ....... Amount of Permit $_ 2 Type of Tank MIAMI SHORES VILA PLUMBING INSPECTION DEPARTMEN': APPLICATION FOR PLUMBING 1i11 No Repairs Capacity Gals 6 __Size of Soakage Pit (Signed)_ 64) — Plumbing Inspector (Signed)zei Street No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and,a(Ccepts 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 pennit, as are licensed by Miami Shores Village. c e 7";# 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, personally appeared ----------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELO • SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM' 0 POOL CONTR. LIST --- CHECK 1 Permit No • ( "1 N -2 - Date far- 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 n7 ”ot. 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 Engiinee • C - C1 Ti"- Employing Plumber's Name ........... Location and Legal Description Lot_ .... Street and Number where work is to be performed—No f5 3 7 74 5 :: /- Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition_ Size Septic Feet of Drain Tile p25 elli.r.12 _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well ._____.--- ....... Amount of Permit $_ 2 Type of Tank MIAMI SHORES VILA PLUMBING INSPECTION DEPARTMEN': APPLICATION FOR PLUMBING 1i11 No Repairs Capacity Gals 6 __Size of Soakage Pit (Signed)_ 64) — Plumbing Inspector (Signed)zei Street No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and,a(Ccepts 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 pennit, as are licensed by Miami Shores Village. c e 7";# 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, personally appeared ----------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. • CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tubs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS jj . 14 TOTAL FI %TURES CO TR. 1 CHECK f _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER tl -wo Uv; O DEEP WELL SPRKLR. SYSTEM SW IM'G POOL At ✓ � �.. iZ .�i� __ —_ - CL LIST CHECK CHECK Permit No Si ( 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__..: ( 2__.... _ No.________ Street Registered Architect and /or Engineer: ...... ____ — Employing Plumber's Name___ a. = i T-_ -�^ - No ' t Street. "'" ! " . - , Location and Legal Description Lot - - ... _ _ -_ _ __ Subdivision_--_------- .......... _____________ Street and Number where work is to be performed -No L f Street !- State work to be performed and purpose of building (By Floors)__ New Building _ -_ c . __. Remodeling Addition.- -___ -_ Repairs Size Septic Tank Feet of Drain Tile_____ Nature of Water Supply Amount of Permit $ J 2 - 2 s- Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r' .MIT Date - 7 _ No. of Stories. _Type of Tank_ — _ _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Capacity Gals. ( Signed)- - -! Plumbin - Iiispectoi: 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 has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ___ "' -! MufePlumber. STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. 3 Z Peraiir, No Owners Name and Address My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer _ _ Employing ._-- - - -�.. _.._.. Emplo Plumber's Name /�-./ �'�- Street ��- Nature of Water Supply: City — Well.__ _ -_ ____________________ _ ___._Size of Soakage Pit Amount of Permit 3___ ........ -- - -- - —_- - — (Signed )_ ( Signed) Date Application is hereby uiarie 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. ► No.__— Street Location and Legal Description Lot Block Subdivision--_-_-___.-. ..... -. ........ -.-- Street and Number where work is to be performed —No �L ��rr S Z i ,6 Street Stato work to be performed and purpose of building (By Floors)___ ..... __ .... ______ __- ----- - - - - -_ New Building -- •----- - - -• -- - _ -.___ Remodeling- -___ -- -- ___ -._ Addition-- _---- _.__.__.- - -._.. Repairs No. of Stories. Size Septic Tank , y Type of Tank._ Capacity Gals Feet of Drain Tile____, 1 2/14 (.--Dist. Feet of Tank or Drain Field from Well robing Ins The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent St p1ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors einployed`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, 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 him stated are true. Notary Public, State of Florida Mas NOTE: A re- inspection fee of 31.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CVS6CCG BATH TUBS SHOWERS LAVA- TORIES SINKB SLOP SINKS LAUNDRY TUBB U RINALS CATCH BASIN FLOOR DRAIN DRINK! NG FOUNT' NS TOTAL FIXTURES CONTR. LIST - �� - C HItCK r I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHSCK _ Z Peraiir, No Owners Name and Address My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer _ _ Employing ._-- - - -�.. _.._.. Emplo Plumber's Name /�-./ �'�- Street ��- Nature of Water Supply: City — Well.__ _ -_ ____________________ _ ___._Size of Soakage Pit Amount of Permit 3___ ........ -- - -- - —_- - — (Signed )_ ( Signed) Date Application is hereby uiarie 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. ► No.__— Street Location and Legal Description Lot Block Subdivision--_-_-___.-. ..... -. ........ -.-- Street and Number where work is to be performed —No �L ��rr S Z i ,6 Street Stato work to be performed and purpose of building (By Floors)___ ..... __ .... ______ __- ----- - - - - -_ New Building -- •----- - - -• -- - _ -.___ Remodeling- -___ -- -- ___ -._ Addition-- _---- _.__.__.- - -._.. Repairs No. of Stories. Size Septic Tank , y Type of Tank._ Capacity Gals Feet of Drain Tile____, 1 2/14 (.--Dist. Feet of Tank or Drain Field from Well robing Ins The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent St p1ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors einployed`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, 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 him stated are true. Notary Public, State of Florida Mas NOTE: A re- inspection fee of 31.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Archi tect Contractor or Builder Legal Description T Lot MIAMI SHORES VILLAGE. FLORIDA DATE 14 . /1 1952_ ❑ PERMIT N? 5478 Owner of Building ? ,� 6 Bl. Address of 1 Building CONTRACTOR OR BUILDER Work to be performed under this Permit 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 fur condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kno edge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in theptatements or specifications aid that he assumes responsibility for work done by his agents, servants or employees. Signed INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered' hereunder in compliance with all nances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, thyme gent, servant or employee. BY S Contractor's License No. Amount of Permit $ AUTHORITY MIAMI SHORES VILLAGE, FLA. • JOB ADDRESS /3 /L e. / 6 — INSPECTION 214,9, ,.emu j A, . s /Lk " / ,,a° TIME READY REMARKS: INSPECTOR w/P4 N° 5793 DATE 3���' MIAMI SHORES VILLAGE, FLA. N° 613' 1013 -0 -4∎ J ADDRESS Cr%S. 3 iti G . ?t INSPECTION g L_ 6 TIME READY REMARKS: INSPECTOR DATE • MIAMI SHORES VILLAGE, FLA. JOB 4 ADDRESS INSPECTION TIME READY N? 5782 REMARKS: f0e INSPECTOR t,Nfe3 DATE 3-1I - 47 MIAMI SHORES VILLAGE, FLA. JOB ' t( ADDRESS 7: INSPECTION TIME READY REMARKS • N? 6151 INSPECTOR DATE i4IAMI SHORES VILLAGE, FLA. N ( e JOB ADDRESS i<; INSPECTOR 69 Adf,Pe< N? 5756 INSPECTION 47: r B Alt TIME READY C /r? REMARKS: DATE - -' CLOitETd BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS N AS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHICK / SEPTIC TANK SEWER CONN. DRAIN FIELO SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ` CONTR. LIST _ CHECK ;Permit Nt7 — — Date ( Appiication is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted 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 'W -_-S [w + Street Registered Architect and /or EE�ngineer -- - - -- ------------- --_.._ - _-_--_-____ _._____ .----- ___ -__ Employing Plumber's Name'r' ` P ii ____ No.. _!_ _3 _1 a ........ 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)_ (Sign Location and Legal Description Lot_____ _____— ________..____.__ __ __ — Blast. Street and Number where work is to be performed —No Z / Street State work to be performed and purpose of building (By Floors) Ce z-�za� __HIS !get C C.JIL / A+ 4 71 * j New Building __. ..__._.. Remodeling____________________ Addition...___.__. tits, Repairs No. of Stories. _Type of Tank _ __Dist. Feet of Tank or Drain Field from Well _______.Size of Soakage Pit Capacity Gals. / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: .ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane, Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl yed 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 w. to be perfo7 der this permit, as are I .6.- licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Mast - Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r Permit No Date August 6 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 E. H. Mathis No._ Street_ 853 NE 96th St. Registered Architect and/or Engineer Brooks Sprinkler Co. N 88o NviS4 St. Employing Plumber's Name Street_ Location and Legal Description Subdivision_ Street and Number where work is to be performed—No 853 N.E. 96th St. Street Sprinic• State work to be performed and purpose of building (By Fl Lawn leSystem Sc 2" supply well. New Building Remodeling____ Addition. Repairs No. of Stories. Size Septic Tank_ Type of Tank_ Capacity Gals. Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: .......... ____Size of Soakage Pit -------- .......... Amount of Pennit $ 8 My Commission Expires (Signed) Notary Public, State of Florida (Signed)._ C.A.Ire arid, ty=frIlNitter. Plumber. Plumbing Inspector. / The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli talons as an employer of labor the under e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors etiployed 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 • er this permit, as are r licensed by Miami Shores Village. Broo STATE OF FLORIDA, SeS. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worlcmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M G POOL CONTR. LIST X X - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r Permit No Date August 6 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 E. H. Mathis No._ Street_ 853 NE 96th St. Registered Architect and/or Engineer Brooks Sprinkler Co. N 88o NviS4 St. Employing Plumber's Name Street_ Location and Legal Description Subdivision_ Street and Number where work is to be performed—No 853 N.E. 96th St. Street Sprinic• State work to be performed and purpose of building (By Fl Lawn leSystem Sc 2" supply well. New Building Remodeling____ Addition. Repairs No. of Stories. Size Septic Tank_ Type of Tank_ Capacity Gals. Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: .......... ____Size of Soakage Pit -------- .......... Amount of Pennit $ 8 My Commission Expires (Signed) Notary Public, State of Florida (Signed)._ C.A.Ire arid, ty=frIlNitter. Plumber. Plumbing Inspector. / The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli talons as an employer of labor the under e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors etiployed 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 • er this permit, as are r licensed by Miami Shores Village. Broo STATE OF FLORIDA, SeS. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worlcmanship. BUILDING ❑ ELECTRICAL ❑ DATE' 1954_ PLUMBING ❑ PERMIT N° 7646 Contractors Z .� License No ROOFING ❑ 5 , ' 40 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot E. I CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bi. 01 t '4. 9 "4. -rs/ ...,... + ,1 .,.J Subdi- vision Ae Sq. Ft 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 furthe - condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowle�ge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or sp ;cifications and at he assumes responsibility for work done by his agents, servants or employees. o"f Signed INSPECTOR t x..1 l Amt. of Permit $ .-/. - * 7 a -, ••• . 0 c: BY In consideration of the issuance to me of this permit I agree to perform the work covered'lhereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificatiop 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, serval-li or employee. BY AUTHORITY 7 HUILDING ! LECTRICAL PLUMBING HOOFING Owner of _ Building to-/ L o e_ MIAMI SHORES VILLAGE. FLORIDA ❑ DATE ,J 195 PERMIT N? 5152 Contractors 2•-• License No. Architect Contractor — or Builder E + Legal Lot Description Address of Building CONTRACTOR OR BUILDER Work to be performed under this Permit f BY 1Rl n Subdi- vision Value of I Amount of ---- Project $ 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 krpwledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra gs or in th tatements or specificcpion d that he assumes responsibility for work done by his agents, servants or employees. ` S. Signed. '>• aw INSPECTOR In consideration of the issuance to me of this permit I agree to perform the rk covered here der in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or fi gifications submitte to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, mys, #rgent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING ❑ Bu lding of 1 ":" ` \J Architect Contractor } Vt or Builder • .' -L C".r= Legal Lot 11 Bl Description Address of Building ( _?y MIAMI SHORES VILLAGE. FLORIDA ❑ DATE PERMIT N° 5166 Contractor's j License No. a CONTRACTOR OR BUILDER I r. Signed Work to be performed under this Permit 71 Subdi- vision Value of Project $ This permit is granted to the contractor or builder named abov■ 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. / INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work coved hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY t ' Amount of Permit $ BY: AUTHORITY 195 Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE Oi; FLORA, COUly YQF MIAMI -DAD Signature of Owner / �, L 5' l4E/ VV V Print Name Sworn t subscri Signature of Nota SEAL: before me this day blic - State of 1ti Notary Public - State of Florida Commission Expires Apr 25, 2003 Commission # CC829911 Personally known OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION 1 STATE OF " •RIDA, CO F MI I -DADE Aft ''% Signature Contractor / Quali Print Name Sworn to Signature of SEAL: Personally known ©Syv Ike O,ar subscribed before me this ( 7 day of / , Public - Sta Notary Public - State of Florida My Commission Expires Apr 25, 2003 Commission # CC829911 • OR, Produced Identification Type of Identification Produced: PROPERTY OWNER Name L I -- �L../� #seitoY(/17g v L&p D PIVW fir Address g53 N.e 9 S , 4 (A-7-n, syleirn. C Home Telephone 3!J S - 7 Sy eat Business Telephone 36 5 i�3 y° D 0 D Fax R ^/ .5 (177* CONTRACTOR Name v L&p D PIVW fir License No. / S L1, 3 ,. Address Repair Telephone 5c,f —(0 3 Fax Fax Qualifier Name ocm / )✓ d 442 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION �Is b Address: Folio Number Lot 2-3 4 2 -4 Block 1 4 Subdivision 4. 3 PB10 PG a r" S FiZ Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 2 -.3 NE_ 6 1 . 51 -- Address Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. P t. e DO a. 4 Y1'.(P->n % Sh City escription of Work Zip Pr?)i Nice -rziz_ SLLS 7,41 -\ State PERMIT APPLICATION Zoning Linear Feet Square Feet Units Floors Value of Work e7 65 0, 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 5/20/2002 Applicant: Owner: JOB ADDRESS: 853 NE 96 Contractor TOLEDO PLUMBING CORPORATION Contractor's Address: 10825 SW 84 AVENUE Local Phone: 305 - 551 - 4735 Parcel # 1132060142820 Permit Status: Approved Permit Expiration: 11/18/2002 Construction Value: $2,600.00 Work: SPRINKLER SYSTEM ` -1 ) r�1,,,;.t,t /Sa • co t go If there is no permit package accessible on the job-site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 : , • This Pemnft 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 , , is the understanding that the contractor or builder named above assumes the responsibility for a thorough lccwledge of the ordinances and regulations pertaining to time work covered hereby 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. Plumbing Permit Permit Number: PL2002 -124 F ' ST Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10-37 LOTS 23-24 BLK 74 LOT SIZE l S /• St) Total Fees: $0.00 Total Receipts: $0.00 Signed: (Contractor or Builder) BY: 9 2 ! ?^ ^ o r .�., , _•L.. vtilil( ?t7i nn (INSPECTOR) BY: to VIOY In .. • 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 submltted to the proper authorities of Miami Shores Village. In accepting this permit I assume respontslbUriy for all work done by either myself, my agent, servants or employes. WOOS) t\`!C t2 L.F. ,r) t 1-4010 F .1. r • y r, i, P V2'' f �3ao,m' • ..••,. • •v. • • • ••• • •• • • • • • • • • • • ••• • •,• • • • ••• •• •• • • • • • • • • • • • . ... Property address: • • • • • • 853 N.9' 96 Street Miami Shores, Florida 33138 /1/6 w s� 142/l� �y rE cot.;c. GUT e.5/ ; t 9E x/ //m - ;n /6/V 3// /- I/9Cvverl 6 6A, / " ., - 5 .01d A) pad I//3 A I/E • .kill er- I,d.LT P,svabelENIT O f ) CL) 10 . o CM) 7,, •. y! t 2B rEFJGE ✓ • Accepted By: w000 to\ /C2 01-1r.7 11..Q I H • • • • • • • • •• • • • • •••• • • •••• • • • • • • • • • • 1••• • ••• • • , •••• • I • • • • •. • •d... • •• - • • • ' x • • • • • •••• • • •••• • •• • • • • or •_. • • • • • •• • • • • •- •••• • • • • .• • • •-0 0 w u) 'tJN z�J P• ,r. v 2 - • , 50,scpoi c ? } zr1) ., 15,i..LB 0. I� 1 24. -� Property address: 853 N.E. 96 Street Miami Shores, Florida 33 138 C to'.,r1=1•-Ld.LT FA.vsmaNiT) _ (c . W co lGb, co' cm) oN 1 STo 12-E, I C2E t--10E. 1 1, 22. V 22 r • .. /. . GOT Co la.a • 0 . r - • 12.0 .odcr) 5.0) • _ 0 'IE\i ELECTRICAL TYI'I: Minimum Fee QTY. 'I'YI'I: Dryer QTV. T\I'I': Outlet, Appliance Q'I'V'. TN 1 Service Repair Q'I'V. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) / A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL 7 Minimum Fee QTY. TV,l,l,: Condensate Drain Q.I.V' .l.ypE Generator Q.LV TVI'I Refrigeration, Tons Q . I . V . A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections / Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYI'F, A/C Condensate QTY. TYI'E Drains, Roof QTY. TVI'l? Miscellaneous Fixture QTY. TvI'I: Soakage Pit Q'rY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System / Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory . Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ (=`-' (s .6. x/1000 $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com BUILDING PERMIT APPLICATION FBC 2001 City ( A Sl• , a z r State 7 Tenant/Lessee Name ,t) / 4 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit •/0 d .0 o (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) NeCm /Pri cl e) h. K i s Phone # cue - 7 '.2.2T-4. .2_00 Owner's Address //5 L 9 6 5 7 z Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name De A te ; L H A 5 r F 0 - s Phone # 3 D 5 — d f' 1-y.c ' Contractor's Address 6 3/ 1 76/ ii e Q 4 C City /!7J/ 4 '70,. State / . - - Zip J,340/f Qualifier Type of Work: ❑Addition DAlteration ❑New jg Repair/Replace ❑ Demolition Describe Work: /9) e,ln 0 0 Fl 5e CTI b iJ a - A X iS T i C 5 7n o zc e o Ut e. -1 e C R. CO 014_ c('Ctuc? L. C\ && o!t_ C , eI to GASn1 k 1"0 2 RAkd o� E kie;z 300m (2•niN��etd A ore H. .S. p iint; 11) ( rl t � - 1 iCJ y'j.3 /re,— Submittal Fee $ Permit Fee $ l 11 S -CO - CCF $ 1 • OO • Notary $ -.a Training/Education Fee $ • (20 . Technology Fee $ 4.3i Scanning $ S ,OU Radon $ Bond $ C •C)CD. Code Enforcement $ St ctural Plan Review. $ Total Fee Now Due S 410 rd 0J- 101 • Permit N Master Permit No. Zip ,5 3i3 9 6 Phone # Phone # 4ECEVIED1 Zip — fi e j Square Footage Of Work: .30 d `b CitA,:v fi ecL. Bonding Company's Name (if applicable) /1 �h Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first .inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature c! / Signature Owner or Agent v Contractor The foregoing instrument was acknowledged before me this 3 The foregoing instnunent was ackno v edged before me this i () day of IO -E— , 20 °) by - 3weZ /atiA.,'vG ( , day of i/ f , 20( ' by , pc_,„,44 who is personally known to me or who has produced tom' lg." who is personally known to me or who has produced L As ide '.i cation and who did take an oath. as identification and who did take an oath. NOT ' ' : L NOTARY P oa Luis Hernandez 5 My Comrorn" l rumeiefig Si Print: wP Expires April 29, 2007 My Commission Expires: APPLICATION APPROVED BY: Chc 10/14/03 1. aiPs. �e, Artnela Mker t i r k .Mw ?runrnher` s,"Ill06 My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. ,� Certificate of Competency No. ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * '* * ** ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning [EM ATN TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE • IDET LIGHT OUTLETS CENTRAL HEATING 'SWISHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) SINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOCK GRAIN SERVICE REPAIRA TER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GRCUND TANKS AUNORY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS R0WER MOTORS OVER 1- 3 HP HOT WATER BOILERS :INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES :INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS. . IRIS MOTORS OVER 25-100 HP COOLING TOWERS iATER CLOSET MOTORS OVER 100 HP VIOLATION NDIRECT WASTES A/C WINDOW REINSPECTION LATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 'HEATER -NEW INST. GENERATORS TRANSFORMERS _ HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE . SWI)V WING POOL OUTLETS COMMERCIAL , WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY -SEWER SIGN TIME CLOCK JT I L L TY -WATER F I XTIRES TANK ANTENNA (ELAY .300 4 TELEVISION OUTLETS IELO, 4' TILE/RES. VIOLATION 'LIMA & ABANDON SEPTIC TANK REINSPECTION ;OAKAGE PIT CU. FT. :ATCH BASIN )ISCHARGE WELL ]OMESTIC WELL AREA DRAIN 100F INLET t SOLAR WATER HEATER ` =IRE STANDPIPE 'OOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE kTER SET (GAS) 3AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION •v0 ,1 AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT'APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other X [ ]Abandonment [ ]Temporary [ NA ] ILICANT: Hernandez, Luis PERTY STREET ADDRESS: 853 NE 96 St Miami FL 33138 LOT: 23 BLOCK: 74 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT PROPERTY ID #: 11- 3206 -014 -2820 AGENT: SR0961241, PRENDERGAST DAVID SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] [OR TAX ID NUMBER] CENTRAX #: 13 -SG -18847 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 03 -3760- -R SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 1050 )Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ N ]BED N F LOCATION TO BENCHMARK: Existing Finished Floor Elev.:12.3 Ft Ngvd. I ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.8 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 40.0 ] INCHES OTHER REMARKS: 1.- Existing 1050 gallons septic tank to remain. 2.- Install 300 square feet drainfield in bed configuration. 3.- Install 12 inches of slightly limited soil @ the bottom of the drainfield. 4.- Invert elevation of the drainfield to be no less than 8.00' NGVD. 5.- Bottom elevation of the drainfield to be no less than 7.50' NGVD. 6.- Perimeter of excavation shall be 2 ft wider and longer than the proposed absorption bed. fl -- THIS PERMIT IS NOT FOR ADDITION. - SPECIFICATIONS BY: Andre, Paul MULTI- CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: [Y ] [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] [ N ]MOUND [ N ] [ N ] T LF van E� [ � L c� APPROVED BY : Andre, Pau nq {?�4 �' �( ����' L_(E P En in Dade DATE ISSUED: 12/10/03 DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [ostds_cons_4016 -1] CHD EXPIRATION DATE: 3/9/04 1 � I Page 1 of 2 Na e MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Reque Date 0 , 4 . 7 . I ' 1 11.4. " ►4. I _ A _ I �.►. 1 OP Type Insp'n Permit a b Address ' FS 3 � . Company Phone # - 303- S k3 , Inspection Date Approved Correction Re- Insp'n Fee 2 4/ 03 —11)6 /JO oi' v Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2003 -324 Printed: 12 /15/2003 Applicant: Owner: JOB ADDRESS: 853 NE 96 Contractor DRAIN MASTERS Local Phone: 305 - 828 -8454 Parcel # 1132060142820 Signed: (INSPECTOR) Plumbing Permit ST Contractor's Address: 6317 NW 174 TERR Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOTS 23 - 24 BLK 74 LOT SIZE Fees: Description Amount FEE2003 -8220 Builders Bond $300.00 FEE2003 -8221 Building Fee $175.00 FEE2003 -8222 CCF $1.80 FEE2003 -8223 Notary Fee $5.00 FEE2003 -8224 Training and Education Fee $0.60 FEE2003 -8226 Technology Fee $4.37 FEE2003 -8227 Scanning Fee $3.00 Total Fees: $489.77 Total Fees: $489.77 Total Receipts: $489.77 Permit Status: APPROVED Permit Expiration: 6/1/2004 Construction Value: $2,400.00 Work: REMOVE A SECTION OF THE EXISTING TAMPED CONCRETE CIRCULAR DRIVEWAY IN ORDER TO GAIN ACCESS TO 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: Page 1 of 1 Miami Shores Village, Florida BUILDER'S BOND KNOW ALL MEN BY THESE PRESENTS, that I, DRAIN MASTERS of DRAIN MASTERS 6317 NW 174 TERR in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings at the following address: 853 NE 96 ST do hereby deposit with Miami Shores Village, Florida, the sum of: $300.00 and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction withing the meaning of such ordinances, the Village may clear and repair the same and pay the cost of such clearance and repairs out of the aforesaid Builder's Bond, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said Builders Bond shall be returned to me. Final: WITNESS MY HAND and Seal at Miami Shores Village, Florida this date: 12/15/2003 Signature INSTRUCTIONS TO BUILDER: When above mentioned construction is completed and the premises are cleared and repaired, take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction WHEN CLEARED AND REPAIRED BY THE VILLAGE: Amount of Bond: $ Cost of clearing and repairs done by Village: $ Balance due Builder: $ MIAMI FL Bond refund payable to applicant only. ($10.00 CHARGE IF BOND IS LOST OR DAMAGED) Cancelled: By: Issued: 12/15/2003 Amount: $300.00 Bond #: FEE2003 -8220 Permit #: PL2003 -324 Village Building Inspector, Miami Shores (Date)