PLUMBING•
Street and Number where work . is to be perfotic edg- 11, :
State work to be performed and purpose of ti • dl g
Permit No:
Application is bpreby made for the 1ppreval of the c et e aw n of the p6 . tnt :speaifaiaatfoi s
structure herein described. This application is Ot de if. t ( .1.54 1( ikith 4t9,
and all provisions of the laws of the St of r' rgia: 4. 4 ,, y , afttfiaini ShOt tit* '
of Miaan Shores Village shall be:eoinplie eegie4 or sof. A �f
building during progress; of worms
Owner's Name and Addres .. :. ..` :: :�.
Registered Architect and /or Eng' .er. _ w �.., „ 4 ,. . ..,;o
Employing Plumber's Nance_.
Location and Legal Description Lot...... :,....::k .....l4aok...
sentc :SSSN£R F?RAON SO'.a(t44
TANK CONN. Fart.??
CONTR.
CHECK
Size Septic Tank....1/ iif r..,.r e a .�:.•:i�":..:w::.::. .
Feet of Drain life. ..... �.Y.. ..,.. � ." t t of`
Nature of Water Supply: City — ell ..
m.:. >,.:.
to me well known, and who, b by rice iitstic44y •� r,F .
of the above described construction,.• that 110 � A 4t'
therein by him stated are true,
rti };.n
g �' i,i �i�xc�1 3ate
The undersigned applicant for this butte irrr�t. ct„� � Y
under the Florida Workinen's. Co eiisatio . , , A v t > Ce *'ed
plied with the provisions thereof,:and welt t ±ttt me tt�t+x w= ° „ t of
performed tinder this perrint; and wiW post" Si ma
required' by the Act. The undersigned; agreed e e i ,• y; Fir F? .. ±%act $toea, -
licensed by Miami Shores Village:
Signe
Before me, the undersigned cl e . t3a rk� : I t + +F ;?„ ttoT z • to d3t
Klepos'es and Ys tois'
t ga g. 4. 0 ..:, .:,
NOTE A re -iris�pectio�i tee of $1.00 wilt b bade: wd l'1 swe te4aspeetioik ry e i 4OSS•
materials and /or workmanship.
44145' , 1OsP44 . Al
Y
G; ON OS: a
•
• - -
--77) "
MIAMI SHORES VILLAG
BUILDING DEPARTMEN
305- 795 -2204
BB i ding Inspection Request
Date( 2S
�
Type Insp'n � y��;/� ,P,
I
Permit No. t V / ` ' ^ a3 4
Name
Address
Compan��J�
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
2c
a
— ^—
CLOSETS
BATH
TUBS
W [
SHOWERS
LAVA.
TORIES
61NK6
SLOP
SINKS
LAUNDRY
Tue.
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
1 I'O� a
SE 6b,
3
TOTAL
FII(TUR[I
CONTR.
LIST
3
Z
3
CHECK
a 5
/ so
41.7C
.r
7 -4
{
7J
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
- SOLAR
HEATER
DEEP
WELL
SPRKL•R.
SYSTEM
SWIM'O
POOL
_
e
S` IQ I.
N'tjoika
CONTR.
LIST
, 1
` ,r
1
...ID
.
-
CHECK
1
/ //�� J•
k
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. -JJ_7 K7_. Date f / 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owners Name and Address OR • S 1 M Q e _ -- - - -..- _. No. 0-C' _ -_ ._ . Street Ale t s 46 S
Registered Architect and /or Engineer - . _ L
Employing Plumber's Name M.4...00 le MJ t' [ �_CJQ _�rL___. P_1 'Q�tf._. _ No._-_.._._-._.._._ Street._ --
Block -
Location and Legal Description Lot
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
Size Septic Tank. -.
Feet of Drain Tile
Nature of Water Su
Amount of Permit $.
.Type of Tank_ _
Dist. Feet of Tank or Drain Field from Well
—Well. j - -- Size of Soakage Pit__.. _ --
/Pa--
(Sign
Subdivision
Capacity Gals.
No. of Stories . ....... _. .
(Signed)
ZeLtit-.. /s7 ' Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understan• .nd accepts his obligations as all employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has coin -
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 der this permit, ` � are
licensed by Miami Shores Village. p
STATE OF FLORIDA, �.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare
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 tac
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re ' spection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lel
materials and/ workmanship.
•
MIAMI SHORES VILLAGE \Q
BUILDING DEPARTMENT
305- 795 -2204
Bt4ildingInspection Resuest
Date
Type Insp' n f �j
Permit No. 1� {� ! V q— c 5 3
Name �, 1 e
Address J c� 5c r % s
Company Y C ) €f C
J
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 12 /22/2004
Applicant: JOHNATHAN
Owner: ROSE
JOB ADDRESS: 1259
Contractor MR C'S SEPTIC TANK
Local Phone: 305 - 651 -7859
Parcel # 1132050090250
Fees:
FEE2004 -13087
FE E2004-13088
FE E2004-13089
FEE2004 -13090
FEE2004 -13091
FEE2004 -13092
FEE2004 -13099
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$175.00
$1.20
$5.00
$0.40
$4.37
$3.00
$300.00
$488.97
Total Fees: $488.97
Total Receipts: $488.97
Permit Status: APPROVED Permit Expiration: 6/13/2005 Construction Value: $2,200.00
Work: TO REPLACE DRAINFIELD
Signed:
NE 98
(INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder)
Plumbing Permit
Permit Number: PL2004 -353
ROSE
JOHNATHAN
ST
Contractor's Address: P 0 BOX 693239
Legal Description: EARLETON SHORES PB 43 -80 LOT 14
Page 1 of 1
BLK 2 LOT SIZE 75.000 X 109
BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: PL2004 -353
Printed: 12 /22/2004
Applicant: JOHNATHAN ROSE
Owner: ROSE JOHNATHAN
JOB ADDRESS: 1259 NE 98 ST
Contractor MR C'S SEPTIC TANK
Local Phone: 305 - 651 -7859
Parcel # 1132050090250
Signed:
(INSPECTOR)
Plumbing Permit
Contractor's Address: P 0 BOX 693239
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 LOT 14 BLK 2 LOT SIZE 75.000 X 109
Fees: Description Amount
FEE2004 -13087 Building Fee $175.00
FEE2004 -13088 CCF $1.20
FEE2004 -13089 Notary Fee $5.00
FEE2004 -13090 Training and Education Fee $0.40
FEE2004 -13091 Technology Fee $4.37
FEE2004 -13092 Scanning Fee $3.00
FEE2004 -13099 Builders Bond $300.00
Total Fees: $488.97
Total Fees: $488.97
Total Receipts: $488.97
Permit Status: APPROVED Permit Expiration: 6/13/2005 Construction Value: $2,200.00
Work: TO REPLACE 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:
Miami Shores Village
10050 NE 2nd Avenue
Printed: 12 /22/2004
Applicant: JOHNATHAN ROSE
Owner: ROSE JOHNATHAN
JOB ADDRESS: 1259 NE 98 ST
Contractor MR C'S SEPTIC TANK
Local Phone: 305 - 651 -7859
Parcel # 1132050090250
Plumbing Permit
Phone: 305 - 795 -2204 Permit Number: PL2004 -353
Contractor's Address: P 0 BOX 693239
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 LOT 14 BLK 2 LOT SIZE 75.000 X 109
Fees: Description Amount
FEE2004 -13087 Building Fee $175.00
FEE2004 -13088 CCF $1.20
FEE2004 -13089 Notary Fee $5.00
FEE2004 -13090 Training and Education Fee $0.40
FEE2004 -13091 Technology Fee $4.37
FEE2004 -13092 Scanning Fee $3.00
FEE2004 -13099 Builders Bond $300.00
Total Fees: $488.97
Total Fees: $488.97
Total Receipts: $488.97
Permit Status: APPROVED Permit Expiration: 6/13/2005 Construction Value: $2,200.00
Work: TO REPLACE DRAINFIELD
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
• Miami Shores Village
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Name (Fee Simple Titleholder)
Owner's j / l " 7'o
Address JZ
City�` ' " State
Tenant/Lessee Name T 4/2-
Certificate or Registration No. cG
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Total Fee Now Due $ Ags R ��,� \
(Continued on opposite side)
Is Building Historically Designated YES NO
Job Address (where the work is being done) `1 A"f, / 7
f Z. S/
City Miami Shores Village County Miami-Dade
Permit No. P1 Q4 — 553 ,
Master Permit No
Permit Type (circle): Building Electrical CPlumbing Mechanical Roofing
Phone #
Phone # ' 3a'• '.
Zip
RECEIVED
DEC 1 5 2004
Zip
Certificate of Competency No.
2 77 z
Contractor's Company Name /e C. is __4p,,.., f ,�,f.. Phone # - C y 7 f '
Contractor's Address /9932 A✓ 2, G
City /f-44Ac4; _ / State Zip 77/41 `
Qualifier J C /eolet ` .4- /%10
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit S2 2 a'e' Square Footage Of Work: f
Type of Work: ['Addition DAlteration New 0 Repair/Replace 0 Demolition
Describe Work: La- ./ ice..- Ief
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 1-13 t + -00 CCF $ 1 • 0 CO /CC
Notary $ 5.00 Training/Education Fee $ L 0 Technology Fee $ LI -3
Scanning $ 3.O . Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
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
Owner or Agent
The foregoing instnunent was acknowledged before me this
day ofe / , 20eq, by 7, •. ' A-r.JAJ /Z
who is personally known to me or who has produced
As identification and who did take an oath.
Chc 05/13/03
Stn
NOT PUBLI
Sign:
Print:
My Conunission Expires:
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
NOTARY PUBLIC:
Sign:
Print:
* * * * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to me or who has produced
as identification and who did take an oath.
-/e/ -07
Plans Examiner
Engineer
Zoning
Ch'.STRUCTION PERMIT FOR:
]New System [ ]Existing System [
[t ]Repair [ ]Abandonment
LOT: 14
APPROVED BY: Andre, Paul
DATE ISSUED: 12/6/04
STATE OF FLORIDA
DWARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
APPLICANT: Rose, Jonathan W. AGENT: SR0931119, COCKING MSTEPHEN
PROPERTY STREET ADDRESS: 1259 NE 98 St Miami FL 33138
BLOCK: 2 SUBDIVISION: Earleton Shores
[Section /Township /Range /Parcel No.]
PROPERTY ID #: 11- 3205 - 009 -0250 [OR TAX ID NUMBER]
SY,:,TEM DESIGN AND SPECIFICATIONS
T [ 750 ]Gallons SEPTIC TANK
A 0 ]Gallons
N 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0
THIS PERMIT IS NOT FOR AN ADDITI
DI- 03/97 (Obsoletes previous editions which may not be used)
(St "ck Number: 5744- 001 - 4016 -0) [ ostds_cons_4016 - 11
CENTRAX #: 13 -SG -23088
DATE PAID:
FEE PAID : $
RECEIPT .
OSTDSNBR : 04 -4038- -R
]Holding Tank [ ] Innovative Other
]Temporary [ NA ]
OT ?iER REMARKS:
Install 200 sq. ft. of drainfield in bed configuration.
2. Install 12" of slightly limited soil under the bottom of drainfield.
3 Perimeter of excavation area shall be at least 2 ft. wider than the proposed absortion
be' d
4. Existing 750 gal. septic tank to be inspected for an appropriate pump -out and a solid
vertical deflector installed on the outlet device. The pump -out receipt shall be provided
prior to the granting of the final approval.
5. Invert elevation of drainfield be no less than 4.57' NGVD.
6. Bottom of drainfield elevatio' to •= no less than 4.07' NGVD.
EXPIRATION DATE: 3/6/05
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 ]
D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ 0 ]SQUARE FEET SYSTEM
A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED [ N ]MOUND [ N ]
I CONFIGURATION: [ N ]TRENCH [ V ]BED [ N ]
N /
F LOCATION TO BENCHMARK: Existing Finished Floor Elev.: 8.20 Ft NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.8 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 3.5 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 40.0 ] INCHES
SPECIFICATIONS BY: Andre, Paul '' TITLE:
TITLE: Professional Engin Dade CHD
Page 1 of 2
Scale: Each block represents 5 feet and 1 inch = 50 feet.
By
STATE OF FLORIDA
DEPARTMENT OF HEALTH - ( 1
1 .
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUC
Permit Application
Notes:
Site Plan submitte
Plan Approved
DH 4015. 10/96 (Replaces HRS-H Form 4015 which may be used)
(Stock Nurrter: 5744-D32-4015-6)
TO'
PART II SITE PLAN
1.4.11'
=
IPAR:
.4 (
1. I
1 2
11 1
p"-■ v
! ;
4 e* Q,_A-4.( Ca •
.........■•••11111110301111=111111.
Signature
Not Appr ved
4 4-
1 I ;
ALL CH NGES BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
/ \t
Title
Date
County Health Department
Page 2 of 3 1
et
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
2 Z - /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewit 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 ordlnances 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 Dopy of approved plans and specifications must be kept at
building during progress of work. n /
Permit No
Owners Name and Address
Registered Architect and /or Er(' eer
..�.......®�..�. : mss..:'•
Employing Plumber's Name . -... L!. °.l�� `-�=� =!� "^ MO NO,. � street..
Location and Legal Description Lot_
Street and Number where work is to be performed —No 70 s 9
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ __ ___ - -_._ Addition
Size Septic Ten1c_----- - - -• - — — - - - -- T ype of Tank__
Amount of Permit $
No.—/ O 4 —9
Street . )2.f'yCf '
9 , i Street.
(Signed)
Repairs ' No. of Stories
p Capacity Gals.
Feet of Drain Tile. - -/ 4 fit. Feet of Tank or Drain Field from Well. -
Nature of Water Supply: of Soakage Pit
(Sig►ed)- Z
aster Plumber.
Pl -bing Inspector.
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 Su6lement, 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.
STATE OF FLORIDA, t sa.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expo Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re•insp.ctlon is made by improper notice for inspection, or faulty
materials and /cr workmanship.
CLOSETS
BATH
TU•S
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
G
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
-
CorrrR.
_
LIST
CHECK
et
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
2 Z - /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewit 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 ordlnances 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 Dopy of approved plans and specifications must be kept at
building during progress of work. n /
Permit No
Owners Name and Address
Registered Architect and /or Er(' eer
..�.......®�..�. : mss..:'•
Employing Plumber's Name . -... L!. °.l�� `-�=� =!� "^ MO NO,. � street..
Location and Legal Description Lot_
Street and Number where work is to be performed —No 70 s 9
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ __ ___ - -_._ Addition
Size Septic Ten1c_----- - - -• - — — - - - -- T ype of Tank__
Amount of Permit $
No.—/ O 4 —9
Street . )2.f'yCf '
9 , i Street.
(Signed)
Repairs ' No. of Stories
p Capacity Gals.
Feet of Drain Tile. - -/ 4 fit. Feet of Tank or Drain Field from Well. -
Nature of Water Supply: of Soakage Pit
(Sig►ed)- Z
aster Plumber.
Pl -bing Inspector.
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 Su6lement, 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.
STATE OF FLORIDA, t sa.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expo Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re•insp.ctlon is made by improper notice for inspection, or faulty
materials and /cr workmanship.
Permit No. _.- I J " 14
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ... _ _ No Street •
Registered Architect and /or Engineer
Plumber's Name - ---- - - - - -- - - - -- M odern Septic Tank Irmo.
Location and Legal Description Lot Block -- ._ _. -_ . Subdivision -
Street and Number where work is to be performed —No
State work to be performed and purpose of. building (By Floors)-
New Building _._ X Remodeling Addition_
Size Septic Tank 7 0.0 — Type of Tank._ _ Fi c.a&t Capacity Gals. _ ._'ZJ)
Feet of Drain Tile ______ ._ __- 12.5_ _ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well.
o0
Amount of Permit $- _ - -_ -- _ __ -- _ — - - - -- -
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—,_ (Signed)_
(Signed) v ... :' 4 - 12 '
Repairs.
Date 2/2/54_ ._....
Street._ -.... - ...- .92th--- S-t-reet - -
No. of Stories
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 5968, Compiled General Laws of Florida Pennanent 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 an
licensed by Miami Shores Village.
l./
- -.16!/ ........
Master Plumber.
STATE OF FLORIDA, f as.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NQTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd
mat s and /or workmanship.
CLOSETS
BATH
TUBS
S HOWERS
LAVA.
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUN7•NS
TOTAL
FIXTUREI
-_
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No. _.- I J " 14
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ... _ _ No Street •
Registered Architect and /or Engineer
Plumber's Name - ---- - - - - -- - - - -- M odern Septic Tank Irmo.
Location and Legal Description Lot Block -- ._ _. -_ . Subdivision -
Street and Number where work is to be performed —No
State work to be performed and purpose of. building (By Floors)-
New Building _._ X Remodeling Addition_
Size Septic Tank 7 0.0 — Type of Tank._ _ Fi c.a&t Capacity Gals. _ ._'ZJ)
Feet of Drain Tile ______ ._ __- 12.5_ _ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well.
o0
Amount of Permit $- _ - -_ -- _ __ -- _ — - - - -- -
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—,_ (Signed)_
(Signed) v ... :' 4 - 12 '
Repairs.
Date 2/2/54_ ._....
Street._ -.... - ...- .92th--- S-t-reet - -
No. of Stories
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 5968, Compiled General Laws of Florida Pennanent 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 an
licensed by Miami Shores Village.
l./
- -.16!/ ........
Master Plumber.
STATE OF FLORIDA, f as.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NQTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd
mat s and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
j efti -.4
Owner of
Building
Architect
0
0
MIAMI SHORES S VILLAGE, FLORIDA may/ , L
DATE ' .• 1' ° ' y.
PERMIT N 5138
CONTRACTOR OR BUILDER
Contractor's
License No
Work to be performed under this Permit -e
Signed. -"!.t �. -101 A,.
Contractor !!
or Builder w .�; +c . . p / 5 _ '1. i ?
Legal Lot Subdi-
Description 131. vision
Address of f , , 3 J , Value of Amount of JP
II 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 applica-
tion 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 SPA which this
permit is granted is the understanding that the contractor or builder nand, above assumes the responsibility for a thorough knowledge al the ordittanices 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 respon-
sibility for work done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me of this permit 1 agree to perform the work covered hereunder in compliance vA 'l r dinonces and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori ties 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 AUTHORITY AssoT 4111010.
r
r.
el Vomit
$
e
«
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 J v � No._ Street
Registered Architect and /or Engineer_A -X-CEr i TAB .Kc.- C_- --------------- - - -. —_
Employing Plumber's Name 224Q I�1�_��tl� _ �: -, -4 1 No.----- _-- _ - - - - -- Street--.___
Location and Legal Description Lot__ // / c�
Street and Number where work is to be performed —No L/"J / e Street_
State work to be performed and purpose of building (By Floors) __
New Building Remodeling ____ __ ___._ Addition________ Repairs No. of Stories.
Size Septic Tank Type of Tank_____ Capacity Gals
Feet of Drain Tile__iZ4 / 1 1`-�S�i _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r b MiT
(Signed)_
Date S • l , ` 0
Subdivision _----------- .-------- -__ - --
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.
(Signed ).._L
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 worlcmnnship.
CLOSETS
BATH
TUBS
S
LAVA-
TORIES
I
SINKS
SLOP
SINKS
LAUNDRY
Tuff
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
PIELD
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 J v � No._ Street
Registered Architect and /or Engineer_A -X-CEr i TAB .Kc.- C_- --------------- - - -. —_
Employing Plumber's Name 224Q I�1�_��tl� _ �: -, -4 1 No.----- _-- _ - - - - -- Street--.___
Location and Legal Description Lot__ // / c�
Street and Number where work is to be performed —No L/"J / e Street_
State work to be performed and purpose of building (By Floors) __
New Building Remodeling ____ __ ___._ Addition________ Repairs No. of Stories.
Size Septic Tank Type of Tank_____ Capacity Gals
Feet of Drain Tile__iZ4 / 1 1`-�S�i _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r b MiT
(Signed)_
Date S • l , ` 0
Subdivision _----------- .-------- -__ - --
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.
(Signed ).._L
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 worlcmnnship.