Loading...
SEPTIC TANKMIAMI SHORES VILLAGE BU!LDiNG DEPARTMENT 305- 795 -2204 Building Inspection Req Date __ Of) Time Type Insp'n _t T /Y1 k. Permit No. P L C� _ 2.52 Approved Correction Re- Insp'n Fee Name ( U a , 0 1 /22 t Address 1 097 LiE 9967 / Company WeeT /aid ,-/03 4L Phone # SOS 557 - 9 ' 03 ,/ / For Inspector: PL 120, Nam & / ate -'. Type lnsp'n Permit No. MIAMI SHORES VILLA BUILDING DEPARTM 305- 795 -2204 Building Inspection Request Date iC q `3'°0 7 Company Phone # Inspection Date Approved Correction Re- Insp'n Fee c' aeL k /pL J oD3 - y r Name C� 1, Address ) of 9 /V e 9/5i" IECE ,ED OCT 1 7 2003 j Permit No. Master Permit No. P1 Permit Type (circle): Building Electrical Plumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) o Owner's Address City Tenant/Lessee Name Phone # BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) /� f �-! e q9 S� City Miami Shores Village Is Building Historically Designated YES NO SSl �� Contractor's Company Name C' S 7G7/g/--- 0 S t 4-(1;1.4 Phone # 3ZSS 63 Contractor's Address l<2//() S; Z'° q / City �7i / , State_GL Zip 3 3 /7 5 Qualifier O<o .54 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit ,�fCI i' fb Total Fee Now Due $ (Continued on opposite side) State 43$ , 59 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 5,9 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Phone # Zip County Miami -Dade Zip Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: /•im �1 Q. t. 3sget . ` 2 Submittal Fee $ 50 . CX) — Permit Fee $ 1 } S •(0 • CCF $ ZO Notary $ 5 .00. Training/Education Fee $ 1 20. • Technology Fee S 2 '. 431 Scanning $ Radon $ Bond $ 30 to . Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced APPLICATION APPROVED BY: Chc 10/14/03 Signature As identification and who did take an oath. NOTARY PUBLIC: NOTARY P Sign: Sign: Print: Print: 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. ontractor The foregoing instrument was acknowledged before me this( day of ON- , 20 by \ (.xfl tel: \ � S who is personally known to me or Wo has produced n (L LLL It rI ■ identification and who did take an oath. My Commission Expires: . 'Q; xPlres: My Commission Expirr ' 1 3, 2007 02 Mod Thru (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning TEM 4Th TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WHO) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) SINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTCA RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 FP 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 RINAL MOTORS OVER 25-100 HP COOLING TOWERS LATER CLOSET MOTORS OVER 100 HP VIOLATION NDIRECT WASTES - A/C WINDOW REINSPECTION 'ATER SLPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COWERCIAL r WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY- SEWER SIGN TIME CLOCK TILITY -WATER FIXTURES EPTIC TANK f ANTENNA ELAY , TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UMP S ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. ATCH BASIN IISCHARGE WELL _ DOMESTIC WELL REA DRAIN AOF INLET 1 OLAR WATER HEATER IRE STANDPIPE COL PIPING AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION 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 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SfE AT TIME OF FIRST INSPECTION ERMfT NO. 2. Description of improvement: Notary Public Print Notary's Name My commission expires: TAX FOUO NO TATE OF FLORIDA: . OUNTY OF MIAMI- DADE:: HE UNDERSIGNED hereby gives notice that improvements will be made to certain real roperty, and In accordance with Chapter 713. Florida Statutes. the following Information s provided in this Notice of Commencement 1. Legal description of property and street/address: Interest in property Name and address of fee simple titleholder. 7 9. Expiration date of this Notice of Commencement: (theexphati different date Is specified) Signature of Owner Print Owners Name Prepared bye. s �v \ h P L f • Sworn to and subs - f • before me this 2 day y of OCT . 201Z MM, ._.a. unm1 I flan 111111111111111111111111111111111111 CFhi 200380812640 OR Bk 21779 Ps 4273; (1PS) RECORDED 10/30/2003 12 :15:21 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond S a. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.1S(1)(a)7.. Florida Statutes; Nertie and address: r • - ' rovided 8.in addition to himself, Owners designates the following person(s) to receive a copy of the Uenors Notice as p in Section 713.13(1)(b), Florida Statutes. Name end address: date is 1 year from the date of recording unless a 4 Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2003 -290 Printed: 10 /22/2003 Page 1 of 1 Applicant: CHRISTINE O'NEIL Owner: O'NEIL CHRISTINE JOB ADDRESS: 1099 NE 99 ST Contractor WESTLAND SEPTIC TANK CORP. Contractor's Address: 12110 SW 41 DRIVE Local Phone: 305 - 551 -9303 Parcel # 1132050180040 Legal Description: REV PL MIAMI SHORES SEC 8 Fees: Description Amount FEE2003 -6324 Building Fee $175.00 FEE2003 -6325 CCF $3.00 FEE2003 -6326 Notary Fee $5.00 FEE2003 -6328 Training and Education Fee $1.20 FEE2003 -6329 Technology Fee $4.37 FEE2003 -6330 Builders Bond $300.00 Total Fees: $488.57 Permit Status: APPROVED Permit Expiration: 4/19/2004 Construction Value: $5,000.00 Work: INSTALATION OF A SEPTIC TANK Signed: (INSPECTOR) Total Fees: $488.57 Total Receipts: $0.00 PB 43 -69 LOT 15 BLK 178 LOT CL 5 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: 7 4'1 Permit No 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 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 Edward Swan N 1099 N.E. st St Registered Architect and/or Engineer Ej,,p)oyineirjoe;1 North Dade Septic Tank Na, ._ 800 NW "L ......_ .. .._ . 5 , 9 , 2 No r. Locaten andVegal Desaiption Lot_ .......1- Block i_Ye Subdivision._*4)Si..e._ Street and Number where work is to be performed-No 1099 N.E. 99th St. Street State work to be performed and purpose of building (By Floon) _ _ _ New Building Remodeling__. Addition _ .__ Repairs XXX No. of Stories Size Septic Tank— Type of Tank__ Feet o f D Tile 2 0 0 S. Feet of Tank or Drain Field from Well____ Nature of Water Supply: City-Well. Size of Soakage Pit Amount of Permit 71 00 My Commission Expires ( Signed )_ (Signed) Plumbing In vector. 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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Itov com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the woe.- 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on to be under thh permit, as are licensed by Miami Shores Village. 1.2 STATE OF OF FLORIDA, 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 be is the ._ of the above described construction, that he has carefully read the foregoing application, and that he did sign the mune, and that all facts therein by him stated are true. Notary Public, State of Florida ister Plumber. .. NOTE: A re-trupection fee of OM will be owls when mob rolsrproaos mods soosaory by Improper soda for Inspection, er faulty material, artd/ar warlosoarhip. CLOCKS BATH T1./•S SNOWER• LAVA. TORIES •IPE. S L 0 P SIN KS L AU u N e l D o n T URINALS II A•IPI N FLOOR DRAIN DRINKING FOUNT'NS TOTAL PIETURES Comm. LIST Cmccic — SEPTIC TANK SEINER CONN. DRAIN FIELD SOAKAGS PIT G TRAP SOLAR HEATER MEP WELL B SYSTEM SWIWO P001. I CONT. Lin CHECK .-.—, 7 4'1 Permit No 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 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 Edward Swan N 1099 N.E. st St Registered Architect and/or Engineer Ej,,p)oyineirjoe;1 North Dade Septic Tank Na, ._ 800 NW "L ......_ .. .._ . 5 , 9 , 2 No r. Locaten andVegal Desaiption Lot_ .......1- Block i_Ye Subdivision._*4)Si..e._ Street and Number where work is to be performed-No 1099 N.E. 99th St. Street State work to be performed and purpose of building (By Floon) _ _ _ New Building Remodeling__. Addition _ .__ Repairs XXX No. of Stories Size Septic Tank— Type of Tank__ Feet o f D Tile 2 0 0 S. Feet of Tank or Drain Field from Well____ Nature of Water Supply: City-Well. Size of Soakage Pit Amount of Permit 71 00 My Commission Expires ( Signed )_ (Signed) Plumbing In vector. 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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Itov com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the woe.- 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on to be under thh permit, as are licensed by Miami Shores Village. 1.2 STATE OF OF FLORIDA, 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 be is the ._ of the above described construction, that he has carefully read the foregoing application, and that he did sign the mune, and that all facts therein by him stated are true. Notary Public, State of Florida ister Plumber. .. NOTE: A re-trupection fee of OM will be owls when mob rolsrproaos mods soosaory by Improper soda for Inspection, er faulty material, artd/ar warlosoarhip.