PLUMBINGlUILDING
:LECTRICAL
'LUMBING
GOOFING
MIAMI SHORES VILLAGE. FLORIDA
Li
❑ PERMIT N? 6 614 Contractor's
❑ License No.
- Jwner of
�uildinq .� c"
irchi tect
ontractor -
,r Builder
Lot
)escription
�ddress of �, r�
wilding �- 6
CONTRACTOR OR BUILDER
B1
Work to be performed under this Permit
Value of
Project $
'
DATE r" 195 `•-
1 Amount of
Permit $
4 4'
Subdi-
vision
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
:erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
:rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
;me 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
:ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
'ertaining to the work covered hereby whether shown on the plans or drawings fr in the statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees. Q
, k
_ ¢ r K # '13Y.---
Signed.
INSPECTOR y >`
In consideration of the issuance to me of this permit I agree to perform the work covered h reunder in compliance with all ordinances and regulations
'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications subnt tted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY `-` 'x~ AUTHORITY
Permit No
id L / 1
Owner's Name and Address
F, Hatton
Registered Architect and /or Engineer_.______.
Size Septic Tank
Feet of Drain Tile._
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING €"`•(MIT
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.
Location and Legal Description Lot_--_.- ._ ........ _...... _______.______ __--... Block_
Street and Number where work is to be performed— No.___ -1Q3
State work to be performed and purpose of building (By Floors)__.__. Heating
New Building _. Remodeling ------- .----------- _ - -_ -- Addition -- •__ -_
2.00 (Sigma)-
- --- - -- ---
Amount of Permit $
(Signed).
Installed
Date
No._-._. 10a Street N • E. 99 St.
1 -9 -58
Employing Plumber's Name s.�l�_G s C Q ' �.____ _ _,______.__ No._ 599 N • W €treet___ Ave.
... Subdivision
Subdivision
Street 99 S t •
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 obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, 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.
Lade Gas gm);
Master Plumber.
STATE OF FLORIDA, } ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that 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
KS
SINKS
SLOP
SINKS
LAUNDRY
Tuee
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
Lo
TOTAL
FIXTURES
CONTR.
LIST
1
1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No
id L / 1
Owner's Name and Address
F, Hatton
Registered Architect and /or Engineer_.______.
Size Septic Tank
Feet of Drain Tile._
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING €"`•(MIT
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.
Location and Legal Description Lot_--_.- ._ ........ _...... _______.______ __--... Block_
Street and Number where work is to be performed— No.___ -1Q3
State work to be performed and purpose of building (By Floors)__.__. Heating
New Building _. Remodeling ------- .----------- _ - -_ -- Addition -- •__ -_
2.00 (Sigma)-
- --- - -- ---
Amount of Permit $
(Signed).
Installed
Date
No._-._. 10a Street N • E. 99 St.
1 -9 -58
Employing Plumber's Name s.�l�_G s C Q ' �.____ _ _,______.__ No._ 599 N • W €treet___ Ave.
... Subdivision
Subdivision
Street 99 S t •
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 obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, 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.
Lade Gas gm);
Master Plumber.
STATE OF FLORIDA, } ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that 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.
Permit No ../ S
Owner's Name and Address. _ ..
Registered Architect and /or En er___._
Employing Plumber's Name
Location and Legal Description Lot-- _ __ —____
Size Septic Tank_
gg
Feet of Drain Tiles 3_01_ _____
Nature of Water Supply: City -Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sutmi td 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.
4 O
s
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
_ No._ /DJ . ___ Street PP'
Type of Tank__ Capacity Gals
____moist. Feet of Tank or Drain Field from 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 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.
Repairs
Date__. _!c .- 41,1?.<574 woo
Subdivision_ - - - - -:
My Commission Expires Notary Public, State of Florida
Street
No. of Stories - .- --- -• .. ....... ....
Master Plumber.
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 workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
i
-
SEPTIC
TANK
SEWER
CONN.
- DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
`!-
-
Permit No ../ S
Owner's Name and Address. _ ..
Registered Architect and /or En er___._
Employing Plumber's Name
Location and Legal Description Lot-- _ __ —____
Size Septic Tank_
gg
Feet of Drain Tiles 3_01_ _____
Nature of Water Supply: City -Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sutmi td 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.
4 O
s
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
_ No._ /DJ . ___ Street PP'
Type of Tank__ Capacity Gals
____moist. Feet of Tank or Drain Field from 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 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.
Repairs
Date__. _!c .- 41,1?.<574 woo
Subdivision_ - - - - -:
My Commission Expires Notary Public, State of Florida
Street
No. of Stories - .- --- -• .. ....... ....
Master Plumber.
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 workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9728
Work to be performed under this Permit
J
Bl.
Subdi-
vision
Value of
Project $
. A-
DATE 195
Contractor'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 gr specifications and that he assumes responsibility for work
done by his agents, servants or employees. ,/`
Signed: j s BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with allit5r inances 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
Owner of
Building
Work to be performed under this Permi
CONTR T• sR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractds
License No.
PERMIT N? 8103
Architect
Contractor
or Builder
Legal Lot Bl. Subdi
Description vision
Address of f ,, • - d l,1 Value of Amt. of
Building / C 3 f r; e Project Permit I a 6 1..- -
,,
This permit is granted to the contrac •r or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 drawin s or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. �
Signed. � k " _ . +,,E4,c.': By J` %' N,,,.,,.
INSPECTOR
l '/
In consideration of the issuance to me of this permit I agree to perform th work covered hereunder in compliance with ordinances andd reggµµ]]
pertaining thereto and in strict conformity with the plans, drawings, statemehtsfor specifications submitted to the proper authffitles of Miami ShdrdsWillagd5
In accep • • g is permit I . ,.0 ponsibility for all work done by either myself, my agent, servant or employee.
BY
AUTHORITY
Permit No /`
Owner's Name and Address
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications her ith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Or ance 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.
Registered Architect and /or Engineer , `
Employing Plumber's Name_ 11/)4" - ' t No // F Street_ _ .7 / ?�'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / 0 0 Al ' Street 9 ‘
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition 4 epairs No. of Stories
Type of Tank Capacity Gals
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $ '' 2 `) ( Signed)________'> •\.^-
The undersigned applicant for this building permit does hereby certify that he unde tands and accepts his obligati
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Getier 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)
Date_
No Street
My Commission Expires Notary Public, State of Florida
Master Plumber.
umbing Inspector.
s an employer of labor
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.
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
TOTAL
FIXTURES
CONTR.
LIST
1
/
/
CHECK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
Permit No /`
Owner's Name and Address
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications her ith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Or ance 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.
Registered Architect and /or Engineer , `
Employing Plumber's Name_ 11/)4" - ' t No // F Street_ _ .7 / ?�'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / 0 0 Al ' Street 9 ‘
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition 4 epairs No. of Stories
Type of Tank Capacity Gals
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $ '' 2 `) ( Signed)________'> •\.^-
The undersigned applicant for this building permit does hereby certify that he unde tands and accepts his obligati
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Getier 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)
Date_
No Street
My Commission Expires Notary Public, State of Florida
Master Plumber.
umbing Inspector.
s an employer of labor
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.
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.
Permit No._ _____ --
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 44-1 -
Registered Architect and /or Engineer
Employing Plumber's Name " _ L « t g' it _ No.__ _3 __I Sheet_
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) _ ___
New Building Remodeling Addition Repairs No. of Stories
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
a No. - -J T__
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile/ � , �E s Dist Feet of Tank or Drain Field from Well
Nature of Water Supply: City—WelV Size of Soakage Pit
Amount of Permit $___4 o t')
ss.
Plumbing Inspector.
- (Signed) (- __ - -
Date
treet
a 44 .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati 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.
(Signed) / 41 -
4
ster Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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
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
Permit No._ _____ --
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 44-1 -
Registered Architect and /or Engineer
Employing Plumber's Name " _ L « t g' it _ No.__ _3 __I Sheet_
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) _ ___
New Building Remodeling Addition Repairs No. of Stories
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
a No. - -J T__
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile/ � , �E s Dist Feet of Tank or Drain Field from Well
Nature of Water Supply: City—WelV Size of Soakage Pit
Amount of Permit $___4 o t')
ss.
Plumbing Inspector.
- (Signed) (- __ - -
Date
treet
a 44 .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati 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.
(Signed) / 41 -
4
ster Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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.
INSTA
NEW DRAINF
6
ELD
I
j '-
1 3 y 7
''5
: 1 4 lk, ,
In
aComments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Inspection Date: 02/13/2007
Inspector: Levrack, James
Owner: FISHMAN, GEORGE
Job Address: 103 99 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: A AARON SUPER ROOTER
Building Department Comments
Monday, February 12, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060132180
Lot:
Phone: 305 - 944 -8886
Page 1 of 1
1
[
APPLICANT:
AGENT:
PROPERTY ADDRESS: /c 3. y
LOTs / BLOCK: i6 SUBDIVISION:
==zsssa =s ==11MM
TANK
( 1 [01)
[ ) (
[ 1 [03]
[ ] [0 4]
[ l
I
[ l (
[ l [
[ l [08] LEVEL /14441.
[ ] (09] DEPTH TO LID r
1
1
I
1
[10]
(11]
[12]
[13]
[14]
[15]
[16]
(17]
[18]
[19]
(20]
[21]
CONSTRUCTIO
FINAL SYS
DB 401
FILL / EXCAVATION MATERIAL
(22] FILL AMOUNT 2 7 /)
(23 ] FILL TEXTURE
[24] EXCAVATION DEPTH
(25) AREA REPLACED
(26] REPLACEMENT MATERIAL
EXPLANATION OF VIOLATIONS / REMARKS:
STATE OF FLORIDA
DEPARTMENT OF NEALTE
ONBITE SEWAGE TREATMENT AND
CONSTRUCTION INSPECTION AND
1
DEPOSAL SYSTEM
FINAL APPROVAL
PROPERTY ID
PEEWIT NO.
DATE PAID:
FEE PAID:
RECEIPT Is
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST HE CORRECTED.
ACM
z
INSTALLATION
TANK SIZE [ -4 (
TANK MATERIAL
OUTLET DEVICE
MULTI - CHAMBERED [ Y /
OUTLET FILTER
LEGEND /✓ I6tr
WATERTIGHT fi
DRAINFIELD INSTALLATION
AREA [ 1 1 /zx u,6 (212 s/.,&QFT
DISTRIBUTION BOX _ HEADER � [
NUMBER OF DRAINLINEB
DRAINLINE SEPARATION
DRAINLINE SLOPE •
DEPTH OF COVER foe- y J
ELEVATION (ABO ( 8 [
SYSTEM LOCATION (
DOSING PUNS t
AGGREGATE SIZE2q -4
AGGREGATE EXCE S FINES
AGGREGATE DEPTH /y ) 4
(Previous Editions May Be Used)
[
1
1
t
1
1
l
1
1
l
1
1
1
1
1
l
1
1
1
1
l
SETBACKS
(27] SURFACE WATER
[28) DITCHES
[29] PRIVATE WELLS
(30] PUBLIC WELLS
(31] IRRIGATION WELLS /V LQ
(32] POTABLE WATER LINES /0
(33] BUILDING FOUNDATION 5.-
[34] PROPERTY LINES
(35] OTHER
FILLED / MOUND SYSTEM
(36] DRAINPIELD COVER
(37) SHOULDERS
[38] SLOPES
[39) STABILIZATION
ADDITIONNAL INFORMATION
(40] UNOBSTRUCTED AREA
(41] STORIIMATER RUNOFF
(42] ALARMS
(43] MAINTENANCE AGREEMENT
[44] BUILDING AREA
(45] LOCATION CONFORMS MITE
[ 461 FINAL SITE ' NG
(47 ] CONTRACTOR
(48] OTHER
4=7 3 —2 Fro If&
/OM. r► O
S,
ABANDONMENT
] [49] TANK PUMPED 1/410C
1 (50] TANK CRUSHED & FILLED
�
A.40 S
l
[ )
[ )
[ )
[ l
ISAPPROVED] : C.Q••..A— /7 .t7 C_. CUD
DISAPPROVED] : Gk.._.3.
CHD
PL Q�-?6.5
FT
FT
FT
FT
FT
Fs
FT
Fs
FT
SITE PLAN
DATE e -2 v-os'
DATEsv "'2 7 i
Page 2 of 3
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING _ . . _ ---- -- Permit No. PL—OS "210E
PERMIT APPLICATIO$P Ell ' Master Permit No.
FBC 2001 i AUG 2
1
Permit Type (circle): Building LEI Mechanical Roofing
ri ,Ski"neii,
Owner's Name (Fee Simple Titleholder) G •Pct'. - No ►n Phone #
Owner's Address , C 3 N E r
City NS Are State rZ Zip asi
Tenant/Lessee Name Phone #
Job Address (where the work is being done) ' 0 J
City Miami Shores Village County Miami -Dade Zip ?..73I
Is Building Historically Designated YES NO
Contractor's Company Name A Ac + r . 3"\J p C. ' Phone # � *4 --&S g
Contractor's Address (C2 Z S•-$3 . Gt
City Y cm/v., 0 -i State Zip 330J 3
Qualifier _GLoro
Architect/Engineer's Name (if applicable) PS Phone #
$ Value of Work For this Permit
Type of Work: ❑Addition ['Alteration ['New i2 ❑ Demolition
Describe Work: t ca y i N f1
3oZ
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ - SO Permit Fee $ 1 � CCF $ { ° Oa CO /CC
Notary $ Training/Education Fee $ 0 ' C,C
Scanning $ -3.00 Radon $
(Continued on opposite side)
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ 484
e •
Zoning
Square Footage Of Work: 1 100
c-4-4k 14 4-
Technology Fee $ 4.40
Bond $ 300 . (�Q
Bonding Company's Name (if applicable) p�
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 exceedin_ $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure w be delivered to the per.;on
whose property i bject to attachment. Also, a certified copy of the recorded notice of commenceme must be posted at the job site
for the first in #ecti n which occurs seven (7) !.'ys after the building permit is issued. In the a,:ence of such posted notice, the
inspection wi not be i pprov a s. 'fee will be charged.
er or Agent
The foregoing instrument was acknowledged before me this i
day of
who is is personal
NOTARY PUBLIC''
��r
M „••
: lets
ww o i1� is#lfl$'d�'c��d )v% t;
l l ll7CRation, tuber el
Sign: (
Print: ..
My Commission Expires: < �"
APPLICATION APPROVED BY:
Chc 12/15/03
t
e an oath.
Contractor
The foregoing 1 ry I d ed before me this
- ,
day of � J L OMON
CO SSION # DD 50437
•
who is petsorf not ►tts;_s arfaxA pro a) 'r l J.
• O7Agy FL N Disc
,� 'b' �ho
did take an oath.
NOTARY PUBLIC:
Sign:
l �1
Print:
My Conunission Expires:
f'?a;
4 `
f� ?a
j u ;
* * ** * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **' ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
CONSTRUCTION PERMIT FOR:
[ ]New System [ ]Existing System [
[ X ]Repair [ ]Abandonment
APPLICANT: Fishman, George & Nancy AGENT: SR091112, Tuffy John
PROPERTY STREET ADDRESS: 103 NE 99 St Miami Shores FL 33138
LOT: 15
N
F
I
E
L
D
APPROVED BY: Milian, Jorge
DATE ISSUED: 8/18/05
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
BLOCK: 16 SUBDIVISION: Miami Shores
[Section /Township /Range /Parcel No.]
PROPERTY ID #: 11- 3206 - 013 -2180 [OR TAX ID NUMBER]
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ]Gallons SEPTIC TANK
A [ 0 ]Gallons
N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0
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
THIS PERMIT IS NOT FOR " ADDITION (s) ".
]Holding Tank [ ] Innovative Other
]Temporary [ NA ]
FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 42.0 ] INCHES
SPECIFICATIONS BY: Millan, Jorg
TITLE: E
TITLE: Engineer I
CENTRAX #: 13 -SG -26235
DATE PAID:
FEE PAID : $
RECEIPT .
OSTDSNBR : 05 -2804- -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.
MULTI - CHAMBERED /IN SERIES: [Y ]
MULTI - CHAMBERED /IN SERIES: [Y ]
]DOSES PER 24 HRS # PUMPS[ 0 ]
[ N ]MOUND [ N ]
[ N ]
LOCATION TO BENCHMARK: Existing Finished Floor El.:12.70'NGVD
ELEVATION OF PROPOSED SYSTEM SITE [ 2.2 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE
BOTTOM OF DRAINFIELD TO BE [ 4.7 ] [ FEET ] [ BELOW] BENCHMARK /REFERENCE
OTHER REMARKS:
1.- Install 300 sf of drainfield in trench configuration.
2.- Install 12" of slightly limited soil @ the bottom of drainfield.
3.- Perimeter of excavation area shall be at least 2 ft. wider and longer than the proposed
absortion trench.
4.- Existing 900 gal. septic tank, certified by "A Aaron Super Rooter" to remain.
5.- Invert elevation of drainfield to be no less than 8.50' NGVD.
6.- Bottom of drainfield elevation to be no less than 8.00' NGVD.
Dade CHD
EXPIRATION DATE: 11/16/05
POINT
POINT
DH 4016, 03/97 (Obsoletes previous editions which may not be'used)
(Stock Number: 5744- 001 - 4016 -0) [ostds_cons_4016 - 1] Page 1 of 2
By
Notes:
STATE OF FLORIDA
" DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PER
Permit Application Number
Scale: Each block represents 5 feet and 1 inch = 50 feet.
DH 4015, 10/98 (Replaces HRS-H Form 4015 which may be used)
(Stodc Number: 5744-0O2-4015-8)
PART II - SITE PLAN-
41'
tt; -`1 u t
a �
tr' 4'7 —, RSA;
�.Y d
Site Plan submitted by: F 4�
Signature
Plan Approved z� Not Approved : -
1
'>
i f I
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
.v
Date
Title
ounty Health Department
Page 2 of 3
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: PL2005 -265
Printed: 8/23/2005
Applicant: GEORGE FISHMAN
Owner: FISHMAN GEORGE
JOB ADDRESS: 103 NE 99 ST
Contractor A ARON SUPER ROOTER
Local Phone: 305 - 944 -8886
Parcel # 1132060132180
Signed: (INSPECTOR)
Plumbing Permit
Contractor's Address: 6022 S.W. 35 CT.
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 16 LOT SIZE 105 X 115 OR
Fees: Description Amount
FEE2005 -11582 Building Fee $175.00
FEE2005 -11583 CCF $1.80
FEE2005 -11584 Training and Education Fee $0.60
FEE2005 -11585 Technology Fee $4.40
FEE2005 -11586 Scanning Fee $3.00
FEE2005 -11587 Builders Bond $300.00
Total Fees: $484.80
Total Fees: $484.80
Total Receipts: $484.80
Permit Status: APPROVED Permit Expiration: 2/18/2006 Construction Value: $2,300.00
Work: INSTALL NEW DRAINFIELD
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: