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PLUMBINGBUILDING PERMIT APPLICATI FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address / / S ? /Q C % 1 2 ► City / ! rn A 5 hg State Tenant /Lessee Name 1l / / =all mores village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida, 33138 (305) 756.8972 11 , EC SIVE FE3 2 05 N I . 0. P Elect Plumb' g I/ I Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO / Contractor's Company Name Contractor's Address / /V r () City /'l ) Qualifier /3o sr State j "! i State Certificate or Registration No. ' 51 'i-/ //C. Certificate Architect/Engineer's Name (if applicable) sb $ Value of Work For this Permit d, Type of Work: DAddition Describe Work: Submittal Feed, Permit Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) ❑Alteration Training/Education Fee ❑New to- a-0 Radon $ Zoning Structural Plan Review, $ Phone # Square Footage Of Work CCF$ Teel>Inoia Permit No. .° Master Permit No. ne # Zip 3 3/ FX Mechanical Roofing /f sC7 42 y %9 S . County Miami -Dude Zip 6 ZIP 3 l ) Competency No. 5 � Phone # ! Repair/Replace 0 Demolition • Bonding Company's Name (if applicable) 4///q. 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. 1 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 Hurst promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment: Also, a certified copy of the recorded notice of commencement must he 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 .proved and a reinspection fee will be charged. / / Signatur Owner or The foregoing instrument was ac day of , 20 O by who is personally kno n to me who has pro 5c --o et c - identi 'cation and who did 1' NOTARY PUB1 IC: Sign P My Commission Expires: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 d e an oath. Signature Contractor The for oing instrument was acknowledged ay of b , 206< .( yb who is personally known to me o who has produced as identification and who did lake an oath. Ginn Commission #DD3 �• ay 2 00 Bonded Thr nt: • nding Co., Inc. My Commission E * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** xpires_' stop #D onded ��008 tic Bonding Co., Inc. * * * * * * * * * * ** **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CJ Plans Examiner Engineer Zoning STATE OF FLORIL)A DEPARTMENT OF HEALTH ONSXTE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ ]New system [ 1Existing System [ x 1 Repair. [ 1 A,bandaament SYSTEM DESIGN AND SPECIFICATIONS T [ Al N [ )Holding Tank ] Temporary [ NA 1 750 ]Gallons SEPTIC TANK 0 1Gallons 0 1 GALLONS GREASE INTERCEPTOR CAPACITY 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS OTHER REMARKS: 1. Install 200 of of drainfield in bed configuration. 2. Existing 750 gal. septic tank has to remain. 3. Existing 750 gal. septic tank to be inspected for vertical deflector installed on the outlet device. 4: Invert elevation of drainfield to be no lees than $ . Bottom of drainfield elevation to be no leea than THIS PERMIT IS NOT FOR AN ADDITION(a). SPECIFICATIONS BY:Andre, Pau APPROVED 39Y 1 Andre, Paul DATE ISSUED: 2/25/05 TITLS : DH 4316, 03/97 (ObaoleteS previous editions •.ikich may noz. be used) (stock sumbes: 974.1- 001 - 4016 -0) k. d n_cur a 4cs•11 TO 39Vd SI1SM 5.60' NGVD . 5.10' DTGVD . CEN'TRA2 #: 13 -SG -24007 DATE PAID: FEE PAM : 3 RECEI ?T . OSTDSNDR : 05- 059'4- -R [ ] Innovative Other APPLICANT: Freeman, Patricia AGENT: ER0921116, PARILLA ROBERT PROPERTY STREET ADDRESS: 1151 NE 99 St Miami Shores FL 33138 LOT': 1 8 BLOCK: 178 Miami Shores Sec. a Se:.tion /Township /Range /Parcel No.) PROPERTY ID #: 11 -3205- 018 -0070 OR TAX ID NUMBER) SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY P RFCRMANCE 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 VCID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. D .:[ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A .:,TYPE SYSTEM: [ V 1 S•.".Af3DARD 1 N 1 FILLED 1 CONFIGURATION: [ 1 TRE37CH [ VBED N F - LOCATION TO BENCHMARK! 73 9.90 ie L' N VD I ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ) 1 PRET E BOTTOM OF DRAINFIELD TO BE [ 4. 1 [ PR MT L D FILL REQUIRED: [ 0.0 1fN'CHES EXCAVATION REQUIRED: [ 30.0 ] INCHES @ (0 3 DOSES PER 24 HRS # PcD PS ( 0 1 N ]MOUND [ N N ] [ BELOW 1 BENCHMARK /F.EFERBNCE ?OINT an appropriate pump -out and a TITLE: Professional Engin MULTI-CHAMBERED/IN SERIES: [Y 1 MULTI-CHAMBERED/IN SERIES: [ Y ) BELOW) BENCHMARK /REFERENCE POINTT bade solid EXPIRATION DATE: 5/26/05 Page 1 of 2 7LbEE X55 ©E Et :9t -OOZ /S? /Zip 1 1 Notes: Site Plan submitte Plan Approved By OH 4016, 1p'1i8 (R40ice1 NASN Fawn 401610101+ may In used) ' reu,.ti Nl,nh,Y• RTK.([p•I016- l Z0 SJyd STATE OF FLORIDA DEPARTMENT OF HEALTH 'Signature {_ v ► Not Approved . j r r.� APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PE T• .- P ;I " 44-7 � . t Permit Application Number tt r 1 •, { T N • 1 , 1 1 777P111 1 ` - Lt . , � ...I 1 d • . I _ ._1 ... • 'i i •i • i1 i , . • Ji 4 PART II SITE PLAN- r.. ale: Each block represents 5 feet and 1 Inch - 50 feel. sc. 1 rsr r• 1 11, t ! � ... I ' ,. ..... .��.._ t ... t.. � ... � . C) ( ; 1 7 4 1 cA. 1 L / ':., --r• ;, r . '' 2 IT 1, 1 J .. ! F' `'.1 _,_ ! f + ! ) '_ ^ x , 1 , 1 f ..,, T . L .- ' , r^� r " - " ' " ` " – • --T r r li i; o Tide - ---u - Date County Health Department ALL CHAN4ES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Page2of3 SCLSO Zlb08T`9O. C17 :9i SOOZl9Z/Z0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/7/2005 Applicant: FRANCES FREEMAN Owner: FREEMAN FRANCES JOB ADDRESS: 1151 NE 99 ST Contractor BOBS SEPTIC & DRAIN INC Local Phone: 305 - 558 - 5818 Parcel # 1132050180070 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2005 -70 Contractor's Address: 1020 NE 130 ST Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $2,500.00 Work: INSTALL 200 SQ /FT OF NEW DRAINFIELD Page 1 of 1 CCT 2 0 PAID Legal Description: 5 53 42 PB 43-69 REV PL MIAMI SHORES SEC 8 LOT 18 BLK 178 LOT SIZE 75.000 X Fees: Description Amount FEE2005 -2910 Building Fee $175.00 FEE2005 -2911 CCF $0.60 FEE2005 -2912 Notary Fee $5.00 FEE2005 -2914 Training and Education Fee $0.20 FEE2005 -2915 Builders Bond $300.00 FEE2005 -2916 Technology Fee $4.38 Total Fees: $485.18 Total Fees: $485.18 Total Receipts: $0.00 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: APPLICANT' AGENT I PROPERTY ADDRESS' ( ) EXPLANATION [ 10 ] AREA [ 11 ,r >: 2, ,S (2 ) '` �� � SQFT [ 11] DISTRIBUTION HEADER [ (12 ] NUMBER OP Fc ' [ (13 ] DRAINLINZ SEPARATION "aj(,• [14 ] DRAINLINE SIAPZ y. & . (15] DEPTH OF COVER r [161 ELEVATION (ABOV / BELOW] BII (17] SYSTEM LOCATION (18) DOSING PUMPS [19] AGGREGATE SIZE Ad. [20) AGGI[EGATE EXCESSi [21] AGGREGATE DEPTH - /,(„ FILL / EXCAVATION MATERIAL [221 ?ILL AMOUNT /2' 2 [33] FILL TEXTURE a "' [24) EXCAVATION DEPTHad [25) AREA RLPL,ACED ' ` [261 REPLACEMENT MATERIAL /) OF VIOLATIONS / MARES] A CONSTRUCTION '(APPROVED /DTSAPPROVID]t yrINAL SYSTF,1( [APPROVED /D PROVED]t DS 4016, 10/97 (Previous Editions Nay Be Used), - I/ INSTALLER J CONTRACTOR ? S - 0 STATE OF FLORIDA DEPARTMENT OF REALTH ONSITE SWAGE TREATMENT AND DIPORAL SYSTEM CONSTRIICTION INSPECTION AND FINAL APPROVAL PERMIT NO. ‘ 7.- "' --61 ? ( - 7 , 41 i DATE PAID:~ • ' • - z -' - PTA PAID ' j9 — *ICZIPT: r 4 _ " � c j7 r `e 1 LOT' f u.oCK: / !' ( SUBDIVISION'' �! �� -r-c• � u -(EIS. X PROPSRTT ID I ' //' Jt*asssas==m____ = => = =seesmesaaasssa = :wa. =_srgltle m=mm =:m7i'lta71 m =as = :>•.m.eam momm.. .=Qmmmm= =a CHECKED [I) ITEMS ARK NOT IN COMPLIANCE WITS SIAM= OR RULE AND MUST ME CORRECTED. TANK INSTALLATION �.v j . IETDACES [ - 1 [01] TANK SIZE [1 ] % f:; e.' ( ] ( (r ) (273 SURFACE WATER ( ] ( TANI MATERIAL :;C ; (4) (28] DITCHES ( c") [03] OUTLET DEVICE y ( -' ] [04 ] MULTI - CHAMBERED ( Y • /. N. • ] [05] OUTLET FILTER [ 1 [ LEGEND [ •'1 [07] WATERTIGHT [ / 1 [08] LEVEL [ ] (09] ,DEPTH TO LID r/ b fNSTeLLATION [ ] [29] PRIVATE BLS ( ) (30] PUBLIC WELLS [A [31] IRRIGATION WELLS ( ] [32) POTABLE WATER LINES BUILDING FOUNDATION ( ] (34] DRAINIIELD COVER T ] ( ] ILO PES r 1 (39] STABILISATION 1 [ SHOULDERS PT 1: Applicant PT 2: lnstalt,r /COnlwlrr PT 3: Building Peperh+erl PT 1. Health b4Denrnenl `( )!!/r...: 4 / ( -1 [33] [ 2 ] [34] PROPERTY LIMES [ ] (353 OTHER r- -1 3 PILLED / MOUND SYSTEM FT rr FT FT FT FT FT FT FT ADDITIONAL I1IFORMATION [40) UNOBSTRUCTED AREA (41 ] STORMWATER RUNOFF (4 2) ALAR11s [43] MAINTENANCE AGREEMENT [44) BUILDING AREA [45] LOCATION CONFORMS WITH SITE PLAN [ 46) FINAL SITE 0) .D1110 . [47) CONTRACTOR / ' . • ( , 1 [48] OTHER ABANDONMENT ] (49] TANK PUMPED _ / /_,,, ) [50] TANK CRUSHED & PILLED _ / / CND DATE' /, CHD DATE'' Page 1 of 3 • Date e' 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. Permit No .......... __...... Owner's Name and Address (1 a. Registered Architect and /or Engineer ' f � . A k l,J e 11 D K,� - 11 Employing Plum� be r s ame. -- --- - - - ..� ._ .. '�a�,.�l.Q ....1a1.,..._ „Q„ 8f�t...�w,�l:�i9 �L,...•,. -• ,...•l Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _.------- ........ -• -__ Remodeling __ Size Septic Tank_ .Type of 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 $ �� v ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT e rnAA1 t-S A/. £ — _ �/� Street Addition.. _...__. Repairs (Signed) _ No.LS I N 92_ street Capacity Cals. tubing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent . pplement, and lids com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ . 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. No. of Stories STATE OF FLORIDA, COUNTY OF DADE. Before me, the and signe uthority, 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 t same, and that all facts therein 1' hire stated are true. NOTARY PUBLIC STATE OF FI.O ^!DA AT LARGE MY COM' • `N EXPIRES FEB. 14, 1975 �CNCRAL ItSY e mrp Notary Public, State Muter Plumber. NOTE: A re inspection fee of $1.00 will be made when such relasp.otloo is mede•aeeessary by improper notice for inspection, or faulty materials and /ar workmanship. CLOSETS BATH T SHOWING LAVA. TORE[• SINKS SLOP SINK• LAUNDRY Twos URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWLR CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H Dm" WILL SPRKLR. SYSTEM SW IM'O POOL CONTR. .90 LIST y A CHICK Date e' 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. Permit No .......... __...... Owner's Name and Address (1 a. Registered Architect and /or Engineer ' f � . A k l,J e 11 D K,� - 11 Employing Plum� be r s ame. -- --- - - - ..� ._ .. '�a�,.�l.Q ....1a1.,..._ „Q„ 8f�t...�w,�l:�i9 �L,...•,. -• ,...•l Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _.------- ........ -• -__ Remodeling __ Size Septic Tank_ .Type of 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 $ �� v ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT e rnAA1 t-S A/. £ — _ �/� Street Addition.. _...__. Repairs (Signed) _ No.LS I N 92_ street Capacity Cals. tubing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent . pplement, and lids com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ . 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. No. of Stories STATE OF FLORIDA, COUNTY OF DADE. Before me, the and signe uthority, 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 t same, and that all facts therein 1' hire stated are true. NOTARY PUBLIC STATE OF FI.O ^!DA AT LARGE MY COM' • `N EXPIRES FEB. 14, 1975 �CNCRAL ItSY e mrp Notary Public, State Muter Plumber. NOTE: A re inspection fee of $1.00 will be made when such relasp.otloo is mede•aeeessary by improper notice for inspection, or faulty materials and /ar workmanship. Permit No /Cr.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 Division of Miami Shores Village shall be complied Oher 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 4 A A Registered Architect and /or Engineer Employing Plumber's Name. M_u?+ -, j_J Location and Legal Description Lot_ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)_ STATE OF FLORIDA, t sa. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT O ct — � — -------- - - - - -- - - - - - - __ - ._ Amount of Permit $ 1 (signed )_ r ( Si 7/7/7 No. __225 Street _ - & C7 7 37 AFL SS S $lock Subdivision_ _J Al /S/ _ Street ._ 1 / .' R C - ■ _.. - - - -- 7- __----- -• - - - New Building __ Remodeling____.._ Addition________ Repairs L No. of Stories Capacity Gals. Size Septic Tank_ - -- - - ---- -- - - - -- - Type of Tank - — •---- -___ --- Feet of Drain Tile_ ___.___- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well, _-_______—_ ___Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennane plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em. . performed under this permit; and will post or cause to be posted for inspection on the site of the work such . required by the Act. The undersigned agrees to employ only such sub - contractors, on • . to be • •rm licensed by Miami Shores Village. , i► al "ter 'tor. s as an employer of labor Supplement, and has com- by him in the work to be notice or notices as are this permit, as are er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer • the 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 fads therein by his, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when welt re- inspection is mede.neoessary by improper notice foe inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS 6 LAVA- TORIES SINKS SLOP SINKS LAUND RY 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 CONTK. • - LIST CHECK Permit No /Cr.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 Division of Miami Shores Village shall be complied Oher 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 4 A A Registered Architect and /or Engineer Employing Plumber's Name. M_u?+ -, j_J Location and Legal Description Lot_ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)_ STATE OF FLORIDA, t sa. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT O ct — � — -------- - - - - -- - - - - - - __ - ._ Amount of Permit $ 1 (signed )_ r ( Si 7/7/7 No. __225 Street _ - & C7 7 37 AFL SS S $lock Subdivision_ _J Al /S/ _ Street ._ 1 / .' R C - ■ _.. - - - -- 7- __----- -• - - - New Building __ Remodeling____.._ Addition________ Repairs L No. of Stories Capacity Gals. Size Septic Tank_ - -- - - ---- -- - - - -- - Type of Tank - — •---- -___ --- Feet of Drain Tile_ ___.___- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well, _-_______—_ ___Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennane plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em. . performed under this permit; and will post or cause to be posted for inspection on the site of the work such . required by the Act. The undersigned agrees to employ only such sub - contractors, on • . to be • •rm licensed by Miami Shores Village. , i► al "ter 'tor. s as an employer of labor Supplement, and has com- by him in the work to be notice or notices as are this permit, as are er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer • the 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 fads therein by his, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when welt re- inspection is mede.neoessary by improper notice foe inspection, or faulty materials and/or workmanship. '- Permit No ..... ...___.. Amount of Permit $ .5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - — ( Sign Date. 7 T . 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. r te Owners Name and Address _'E1 I/ ...... Registered Architect and /or Engineer Employing Plumber's Name 7)E 0(1 Z, �� ��� Q • No ' •%v �t .L Location and Legal Description Lott. Block p Street and Number where work is to be performed —No / / -/ y2` 9 / Street State work to be performed and purpose of building (By F7oon)__. _.��1 !f /F� 5 ... /L . ..... _ .- ..___.. New Building ___.__.._- -....• ._..___ Remodeling.__ ___.___ Addition.- ._---__ Repairs No. of Stories Size Septic of Tank._.___.. -- •-----.... _.— •--------- •------ •-- •- • - -• -- Capacity Gals...____ ..... ... Feet of Drain Tile._-_ _ — _____Dist. Feet of Tank or Drain.F1pld from Well . _._...._ _ __.._.- .---- •--- ...--- __��_.. _ / Z �zrt� " Nature of Water Supply: City—Well. .Y/vJ E'� „ l�� Size df Soakage Pit 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, u. 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 be 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- Inspeotioo is soade.neoeuary by improper notleu for inspection, or faulty materials and /or workmanship. CLOS[T5 BATH Tuts [ SNOW[Rts LAVA- TORIE[ SIN/CO SLOP SINK[ LAUNDRY Tull' to U RINAL/ CATCH FLOOR DRAIN DRINKING FOUNT•N• TOTAL FIXTURE[ CONTR. UST CHICK SEPTIC TANK Sewn CONK. DRAIN rIELD SOAKAGE PIT G TRAP SOLAR HEATER DRIP WILL SPRKLR. SY[TCM SWIM•G POOL CONTR. LIST CHECK '- Permit No ..... ...___.. Amount of Permit $ .5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - — ( Sign Date. 7 T . 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. r te Owners Name and Address _'E1 I/ ...... Registered Architect and /or Engineer Employing Plumber's Name 7)E 0(1 Z, �� ��� Q • No ' •%v �t .L Location and Legal Description Lott. Block p Street and Number where work is to be performed —No / / -/ y2` 9 / Street State work to be performed and purpose of building (By F7oon)__. _.��1 !f /F� 5 ... /L . ..... _ .- ..___.. New Building ___.__.._- -....• ._..___ Remodeling.__ ___.___ Addition.- ._---__ Repairs No. of Stories Size Septic of Tank._.___.. -- •-----.... _.— •--------- •------ •-- •- • - -• -- Capacity Gals...____ ..... ... Feet of Drain Tile._-_ _ — _____Dist. Feet of Tank or Drain.F1pld from Well . _._...._ _ __.._.- .---- •--- ...--- __��_.. _ / Z �zrt� " Nature of Water Supply: City—Well. .Y/vJ E'� „ l�� Size df Soakage Pit 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, u. 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 be 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- Inspeotioo is soade.neoeuary by improper notleu for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT Buildin Inspection Request Date Type Insp'n Permit No. Name Address 1.51 Company Phone # Inspection Date Approved Correction Re- Insp'n Fee Dat Type Insp'n na L (Cr>0 Permit No. P 16,S 10 Name nn 0\-) Address f N� /c 51 Company Zs 3p 1 Phone # Inspection Date , Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 4 Size pUe E. BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8177 Work to be performed under this Permit DATE 1947_ Contrac License `o Architect Contractor or Builder Legal Lot Description Address of /I/ r Building I .5 , (� This permit is granted to The contractor df 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 with the . understanding that the work wil 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 plansy drawings or in the tatements or specifications' and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: s -' _ �. �.�` - By SECTOR In consideration of the issuance to me of this permit I agree to perfo e work covered hereunder in compliance with all o pertaining thereto and in strict • , .ity with the plans, drawings, statem s or specifications submitted to the proper autho In accepting permit I a +r a respo ,ibility for all work done by either myself, my agent, servant or employee. CONTRACTOR-AR ' ELDER Subdi- vision Value of Project BY Amt. of Permit AUTHORITY ces and regulan iami o e A