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PLUMBING
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 2/ Type Insp'n Permit No. PLO — 214 Name J CX� r-1 /4 +'t'b Address (44 1-E- (2 K:4. S Company Cc-4—) L Phone# C % - 8/44 Inspection Date Approved Correction Re- Insp'n Fee '12,6 MIAMI SURFS VILLAGE BUILDING DEPARTMENT '� 305- 795 -2204 Building Inspection Request Dat�! 2.1 Type Insp'n Permit No. PIo 5 —2-1 Name Address 14L4 ?J & q G Si- Company 51C .,k J rlJL, Phone # Inspection Date Approved Correction Re- Insp'n Fee APPLICANT: AGENT: PROPERTY ADDRESS: LOT: •'*; : ' BLOCK: •-TANK [ l' (A [ 1 [A [ J- -103] [ 11 ( - -] [ • [ - � [06] ( [ .w ] - " [ 0 ] STATE OF FLORIDA DEPARTMENT OF HEALTH ONEI'T?- ,_;EWAGE TREATMENT AND DIPOSAL CONSTRUCTION INSPECTION AND FINAL AP - 1 === =aae = s aaasic= esFz aIMsss ffi Ses3 = a=========m ss == = =a CRECTe D [] ITEMS ARE NOT IN CODPL%ANCE WITLETATUTE OR R i ST HE CORRECTaD . _ �__ ��_ c�a= �s�as.�..,R.,r.- .�,,..,��. - .-� - . , . , - -- •">�aaa °aa� - �. �.. ,v.��._.�...�.�a�.:�......_r_.o INSTALLATION „ TANK SIZE [1] [2] TAME MATERIAL q"" UTLET DEVICE wLTls, ::.- OUTLET FILTER LEGEND WATERTIGHT LEVER. DEPTH TO LID DRAINFIELD INSTALLATION TION AREA [1] / . :[ a ] SQFT DISTRIBUTION BOX ,f HEADER NUMBER OF DRAINLINES DRAINLINE SEPARATION DRAINLINE SLOPE ( DEPTH -.0F. COVER- .' lA7 too [IIEoVE'::t� �nm] Em SYSTEM LOCATION DOSING PUMPS AGGREGATE SIZE AGGREGATE M? SSIVE P AGGREGATE DEPTM PILL / EXCAVATION MATERIAL [ _] . [ FILL AMOUNT [ .1 .,[ FILL TEXT Q ..) [26] EECAV i XO Q ... - [ REPLACEMENT ;; EXPLANATION VIOLATIONS / REMARK LRCM sU13DIVISIOW: - ` :. Ick, - - PROPE T "ID I: it 32.1.)G- 01 -°2 C7 [ COUSTRUCTX0i [APIPRO /DISAO1Pb3OVBD,] 8 l 6010, 10/99 provicuo Reitz© 3 Imp Do Joo 1 ) [ [ Q Q 1 1 1 Q6 YSTEM PERMIT NO o O } -- ( . DATE PAID: WO MD: OVAL N,CE %P51' O SETBACKS [ ] [27] SURFACE WATER [ ] [28] DITCHES [ ] [2] PRIVATE WELLS [ ] [30] PUBLIC WELLS [ ] [31] IRRIGATION WELLS [ '-i [32] POTABLE 'LT 1! MESE [ 4- BUILDING FOUNDATION [ ,AY- [34] 11116PERTl( L% 4;r s [ 1 [ 'OTHER FILLED / MOUND SYSTEM [36) IUL AINVIEIIcD COVER [37] SHOULDERS [38], SLOPES 439] BTAHILI ZATI ADDITIONAL %L amm% ®E.'! .,,,[ 40 ] BPL`50 ST RBUCTED ama (41) STORNWIATER RUNOFF [42] ALARMS [43] I CE ACRE BUILDING AI LocaTzam COMM Ct%TFI MITI MAW FIIAL OMB eaaDme CONTRACTOR 2 OTHER ABANDONMENT 1 [4] TANK PUMPED _ / / 1 PO] ] CRUSHED 6 F!LLmio ® 9®1 1 DASD: ! l FINAL BUSTS 3 (APIPROWD/DBSFNPR ^V WD]: CED DATE: PT 1: Applicant PT 2: Installer /Contractor PT 3: Building Department PT 4: Health Department 9 05 Ingo 2 off 3 . Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2005 -214 Printed: 7/11/2005 Applicant: JOANNE HATTON Owner: MONTILLAUD -JOYEL DIANE JOB ADDRESS: 144 NE 99 ST Parcel # 1132060132260 Permit Status: APPROVED Permit Expiration: 1/4/2006 Construction Value: $2,000.00 Work: REPLACE BROKEN DRAINFIELD Signed: (INSPECTOR) Page 1 of 1 Contractor STATEWIDE SEPTIC CONNECTIONS Contractor's Address: 3590 SOUTH STATE ROAD 7, SUITE 26 Local Phone: 305 - 661 - 6633 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 9 & LOT 10 LESS W25FT Fees: Description Amount FEE2005 -9412 Building Fee $175.00 FEE2005 -9413 CCF $1.20 FEE2005 -9414 Training and Education Fee $0.40 FEE2005 -9415 Technology Fee $4.40 FEE2005 -9416 Scanning Fee $3.00 FEE2005 -9417 Builders Bond $300.00 Total Fees: $484.00 Total Fees: $484.00 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: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel; (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Type of Work: Addition Describe Work: Total Fee Now Due $ 484 . GO (Continued on opposite side) Miami Shores Village Building Department Structural Plan Review. $ Plumbing Zip Phone # Permit No. Master Permit No. hanical Roofing & - 00 3 Owner's Name (Fee Simple Titleholder) Phone J Owner's Address ( Rq &A-reef City V t Qr✓' S W S State rt.- Tenant/Lessee Name 3313E Job Address (where the work is being done) I y N E A St City Miami Shores Village County Miami-Dade Zip 7 31 3R Is Building historically Designated YES NO Contractor's Company Name S- a-le..MT de, S Cytiv.,2 ($Phone # C � 66 ( --G631 Contractor's Address 59O S- . SF- C it 2 City `fcL-v \CV State rt... Zip 63023 Qualifier l ef t S \ -Non State Certificate or Registration No. 5 PSOO221 07 1 4. Certificate of Competency No. Architect /Engineer's Name (if applicable) N Phone it $ Value of Work For this Permit 4' 2000 J Square Footage Of Work: 200 Sq 42+ ['Alteration ❑New [ Repair /Replace 111 Demolition v Repko Cej b o — v etd1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** � >w Submittal Fee $ Permit Fee $ / < j �.) CCF $ 1 , 20 coicc Notary $ ••■■ Training /Education Fee $ 0 • 40 Technology Fee $ 4 •40 Scanning $ *J. 00 Radon $ Zoning Bond $ 3C1 ► Code Enforcement $ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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. 1 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 COMMENCEM ENT." 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. ' 'object to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the; flist inspe tion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n be approyerl a rei ispection fee will be charged. 'gnat& The foregoing instrument was a knowledged before me this 7 day of , 200 by Joanne a n - , who is persona chc 05 /13/03 State Zip �� •_l t P�'1R_ As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: nown to me or who has produced NOTARY PUBLIC: S L Te.Ir SG c O t,o Ism 0 e, My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: S A �a r P4 k., TERESAJ. SOLOMON � EXPIRES: S'ptcmher1A ;MP 1.800-3- NOTARY FL Notary Discount Assoc Co Zip *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature SQLQ,rv-I 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. Sign: Print: My Commission Expires: ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning SPECIFICATIONS BY: Andre, Paul APPROVED BY: Andre, Paul DATE ISSUED: 7/7/05 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment APPLICANT: Joanne Hatton AGENT: SEPTIC CO, Solomon Teresa PROPERTY STREET ADDRESS: 144 NE 99 St Miami Shores FL 33138 LOT: 9 -10 BLOCK: 17 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 - 013 -2260 [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 PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ ]STANDARD [ N ]FILLED I CONFIGURATION: [ ]TRENCH [ TEED N F LOCATION TO BENCHMARK: FFE: 12.50' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 1.8 ] [ FEET E BOTTOM OF DRAINFIELD TO BE [ 4.3 ] [ FEET L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES OTHER REMARKS: 1. Install 900 gal. category -1 septic tank equipped with an approved filter. 2. The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f), FAC. 3. Install 200 sf of drainfield in bed configuration. 4. Existing 900 gal. septic tank to be inspected for an appropriate pump -out and properly abandonned. 5. Invert elevation of drainfield to be no less than 8.70' NGVD. 6. Bottom of drainfield elevation to be no less than 8.20' NGVD. THIS PERMIT IS NOT FOR ADDITION(s). DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016 -0) (ostds_cons_4016 -1] CENTRAX #: 13 -SG -25683 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 05 -2259- -R ]Holding Tank [ ] Innovative Other ]Temporary [ IN ] MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] ] DOSES PER 24 HRS # PUMPS [ 0 ] [ N ]MOUND [ N ] [ N ] ] [ BELOW BENCHMARK /REFERENCE POINT ] [ BELOW BENCHMARK /REFERENCE POINT TITLE: TITLE: Professional Engin Dade CHD EXPIRATION DATE: 10/5/05 Page 1 of 2 - -�' Cu:mgr. BATH Tu[[ SHOWER[ LAVA. TORIES sINKi SLOP SINK[ LAUNDRY TUSS URINALS CATCH SASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL IN CONTR. LIST CHECK ' SWIM'G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR MIAMI DELP WELL SPRKLR. SYSTEM GDNTR. LIST CHECK New Building. /976 / Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name 1l'vrn eeil Location and Legal Description Lot. Street and Number where work is to be performed —No. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City—Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors)_____ Type of Tank___ _ T)Lt. Feet of Tank or Drain Field from Well Size of Soakage Pit.. plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp performed under this permit; and will post or cause to be posted' for inspection on the site of the work suc required by the Act. The undersigned agrees to employ only such sub - contractors, on ' gto be licensed by Miami Shores Village. ( Si 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. SrIfw3ARL,F(. No , 4— Street.._! " l - 91/4, °s7 ... SubdivWon.._ __ Blots pp-- e / 4 str•et_. ... �[^_ q $2 Remodeling —_ _ ._._ N Addition...____.. __ Repairs L'. No. of Stories ........ Plurrrbing 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 coin- ed by him in the work to be is notice or notices as are permit, as are aster Plumber. STATE OF FLORIDA, 1 µ COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oa 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 flat all facts therein by him stated are true. M Commission Expo Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be mad. whoa amok w•spaotlas! M mad..usm sery by Improper notice for tusPectloet, or faulty materials sad /or wrodoaanshtp. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor, or Builder Legal Description MIAMI SHORES VILLAGE. Lot PERMIT N9 3976 Work to be performed under this Permit 14 '2 Bl. Subdi- vision Address of d , ,, r- Value of Amount o C. � Building / 7"'" 7` 1/./.L.....,7 7 � Project $ Permit �'-,[ This permit is granted to the contractor or builder named above to construc 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 statements or specifications and at he assumes, responsibility for work done by his agents, servants or employees. \ ' Signed. ! f / `� ^'' ? r'' /1 "''''., "'frr 4 , - - r t ,g INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covers ereunder in compliance with all ordinances and regul ors pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY FLORIDA / A DATE Contractor's License No. 7+ - /0 r +_ 195 A UTHORITY u 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 ll ances o Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, w ► .h f rrerein s .fled 07 rot. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addres Size Septic Tank MIAMI SHORES VI'L 2AE PLUMBING INSPECTION DEPARTMEr APPLICATION FOR PLUMBING " Registered Architect and /or Engineer -- _ Employing Plumber's Name- �f\ __. atz Location and Legal Description Lo Street and Number where work is to be performed— No.__--_ State work to be performed and purpose of building (By Floors)_. New Building Remodeling Street Street__ Street Addition____ Repairs No. of Stories _Type of Tank__ Capacity Gals Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $ 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 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 requirRd 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. My Commission Expires Size of Soaka e Pit Signed) ( Signed Date Subdivision Master Plumber. STATE 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 swam, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida 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 INAS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DELP 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 ll ances o Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, w ► .h f rrerein s .fled 07 rot. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addres Size Septic Tank MIAMI SHORES VI'L 2AE PLUMBING INSPECTION DEPARTMEr APPLICATION FOR PLUMBING " Registered Architect and /or Engineer -- _ Employing Plumber's Name- �f\ __. atz Location and Legal Description Lo Street and Number where work is to be performed— No.__--_ State work to be performed and purpose of building (By Floors)_. New Building Remodeling Street Street__ Street Addition____ Repairs No. of Stories _Type of Tank__ Capacity Gals Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $ 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 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 requirRd 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. My Commission Expires Size of Soaka e Pit Signed) ( Signed Date Subdivision Master Plumber. STATE 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 swam, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida 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. deration of and Work to MIAMI SHORES VILLAGE, FLORIDA DATE k . - �,' -� / 195_L PERMIT N° 9201 Architect ; ontractor brr Builder F)eecri ption ddress of uildinq ire 'This permit is to the contractor or builder nam . above for in strict com with all ordinances pertaining thereto and awing., statements or specifications that may have been submitted t e if the work is not done in compliance with such ordinances or i ted is die understanding that the contractor or builder named to the work covered hereby whether shown on the pia ne by his agents, servants or employees. INSPECTOR e issuance to me of this per I agree to perform the work covered hereunder in compliance wi nformity with the a drawings, statements or specifications submitted to the proper ility fo f work done by either, myself, my agent, servant or employee. BUILDER e performed under this Permit ign Contrat#or's License No. ct the building or to install the equipment or device described in the application e understViding that the work will be performed in compliance with any plans, pproved b 'the proper municipal authorities. This Permit may be revoked at any s are ged without authorization. A further condition upon which this permit is tunes, a responsibility for a thorough knowledge of the ordinances and regulations or in the statements or specifications and that he `gssumes responsibility for work ordinances a regulations ores Village. 'ties of Miami BY AUTHORITY Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubritted for the byIlding 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 C No Street Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No Registered Architect and /or Engineer Employing Plumber's Name - 0-2--c { ,--- No Street Location and Legal Description Lot Block Subdivision 1 4 Street____ j __�L State work to be performed and purpose of building (By Floors) New Building Remodeling Addition ( Signed) _ Date_ Repairs 2iL (1- My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank___— Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Tabor 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, gn work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t 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 fo regoing 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 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 ubritted for the byIlding 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 C No Street Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No Registered Architect and /or Engineer Employing Plumber's Name - 0-2--c { ,--- No Street Location and Legal Description Lot Block Subdivision 1 4 Street____ j __�L State work to be performed and purpose of building (By Floors) New Building Remodeling Addition ( Signed) _ Date_ Repairs 2iL (1- My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank___— Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Tabor 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, gn work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t 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 fo regoing 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 Tug. ""g" LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL •IATUKES Comm. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW 114•0 POOL Comm. L IST CHECK -- ,--- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 ��& �: ,+ </Y,, „Q �t No / 4 e Street.._Ff Registered Architect and /or Engineer Employing Plumber's Name/ EP/9 / s 5 �t,.�LS � mnet Location and Legal Description Lot. Street and Number where work is to be performed -No /5/g Size Septic Tank_. -Type of Tank— __ ._._ Feet of Drain Tile __Dist Feet of Tank cc Drain Field from Well ..---__-- - Nature of Water Supply: City-Well. Size of Soakage Pit Blorle Subdivision._____ Street. State work to be performed and purpose of building (By Floors)— SE7_`._-- _/__2 3 ...._... 5 T /l% ...__. . New Building.___._ ---------- ... - - - -.. Remodeling___. _____ Addition.. -__ ....__ Repair No. of Stories.......... Amount of Permit $__/.6 (Signed) -. Li - -1-' 1J .- g'- - -_ -. . 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 5986, Compiled General Laws of Florida Permanent Supplement, and lids com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor}r 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. (Si ' a'- - Master umber. STATE OF FLORIDA, 1 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 Commisalon E:pins Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when stsei sr•aspeotion la made neoseinry by improper notice for inspection, or fealty materials and /or workmanship. per. No. )tiLl- Location and Legal Description Lot. Street and Number where work is to be performed—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 subraiKed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi6.7ti Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatioa) 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 lmilding during progress of work. Owner's Name and Address lielen__StiPnharger____ No-144 hiegistered Architect and/or Engineer Employing Plumber's N Sprinkler Co. N 2430 New Building Remodeling Addition Block 144 State work to be performed and purpose of building (By Floors)_ Lawn Sprinkler Installation Repairs No. of Stories Size Septic of Tank _ Feet of Drain Tile. Feet of Tank or Drab Field from Well Nature of Water Supply: of Soakage Pit Amount of Permit $ 5,00 (Signed)_ STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed) Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent V. upi.lement, and has mr-i- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in :Le wcrk performed under this permit; and will post or cause to be posted' for inspection on the site of the ork such publf notice is noicer as as required by the Act. The undersigned agrees to employ only such sub-contractors, on work be perform. • :. -1cA this wriaii, , licensed by Miami Shores Village. Date.. August 9 1978 ..... .... ___..._ Stree.t. N W 79th .. Street 1211”7. Street.S.21"71tan. .e Subdivision__ ...... street N.E. 99th Street My Commission Expires Notary Public, State of Florida ... ..... _ Plumbing Inspector Mast Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:r ppearee, 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 :acts therein by him stated are true. NOTE: A re-inspection fee of *1.00 will be made when such re4nspection Is made•neoeuary by improper notice for inspection, ter hooky materials ancl/sw worlcmanship. BATH SHOWERS LAVA. TORISS 6IN SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR I DRAIN DRINKING FOUNT'NS TOTL .E. FIETt RIES CONTR. LIST CHECK — -.=m■ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEAVER DEEP WELL SPRKLR. SYSTID4 SWIWO POOL .... CEIFTt. LIST 5.00 CHECK per. No. )tiLl- Location and Legal Description Lot. Street and Number where work is to be performed—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 subraiKed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi6.7ti Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatioa) 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 lmilding during progress of work. Owner's Name and Address lielen__StiPnharger____ No-144 hiegistered Architect and/or Engineer Employing Plumber's N Sprinkler Co. N 2430 New Building Remodeling Addition Block 144 State work to be performed and purpose of building (By Floors)_ Lawn Sprinkler Installation Repairs No. of Stories Size Septic of Tank _ Feet of Drain Tile. Feet of Tank or Drab Field from Well Nature of Water Supply: of Soakage Pit Amount of Permit $ 5,00 (Signed)_ STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed) Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent V. upi.lement, and has mr-i- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in :Le wcrk performed under this permit; and will post or cause to be posted' for inspection on the site of the ork such publf notice is noicer as as required by the Act. The undersigned agrees to employ only such sub-contractors, on work be perform. • :. -1cA this wriaii, , licensed by Miami Shores Village. Date.. August 9 1978 ..... .... ___..._ Stree.t. N W 79th .. Street 1211”7. Street.S.21"71tan. .e Subdivision__ ...... street N.E. 99th Street My Commission Expires Notary Public, State of Florida ... ..... _ Plumbing Inspector Mast Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:r ppearee, 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 :acts therein by him stated are true. NOTE: A re-inspection fee of *1.00 will be made when such re4nspection Is made•neoeuary by improper notice for inspection, ter hooky materials ancl/sw worlcmanship. Amount of Permit $ Size Septic Tank__ ) Feet of Drain Tile _____ Nature of Water Supp1jty- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date...)gq a' 0 e P N"ti 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 ) 1 - 4 " - 4 No Street Registered Architect and/or Engineer Employing Plumber's Name .-1.--" 4 " 4 """ 11-46 # ° _,.."?.., 406 d No Street en ,.. kr /2 17 Location and Legal Description Lot _) 2 / ' Block i 7 Subdivision ■ ..... / Street and Number where work is to be performed—No—I...e.g.__ ), (i ii af Street State work to be performed and purpose of building (By Floors) New Building ,e0e Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his ob1igais 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 su b- c o n tr ac to rs , .n work to be performed under this permit, as are licensed by Miami Shores Village. 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. Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FouNT•Ns i TOTAL FIXTURES CONTR. LIST / -I---- "... / ,• d CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SwiwG POOL CONTR. LIST / CHECK !! / Amount of Permit $ Size Septic Tank__ ) Feet of Drain Tile _____ Nature of Water Supp1jty- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date...)gq a' 0 e P N"ti 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 ) 1 - 4 " - 4 No Street Registered Architect and/or Engineer Employing Plumber's Name .-1.--" 4 " 4 """ 11-46 # ° _,.."?.., 406 d No Street en ,.. kr /2 17 Location and Legal Description Lot _) 2 / ' Block i 7 Subdivision ■ ..... / Street and Number where work is to be performed—No—I...e.g.__ ), (i ii af Street State work to be performed and purpose of building (By Floors) New Building ,e0e Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his ob1igais 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 su b- c o n tr ac to rs , .n work to be performed under this permit, as are licensed by Miami Shores Village. 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. Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. 1 / 2 2 sr of B ding Architect Contractor or Builder 1✓ Legal Lot Description Ad ss of 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 plane, dra • ge, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time ' the work is not clod! in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is gran is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations perta g to the work covered hereby whether shown on the plans or drawings or in the statements oOpecifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9141 Work to be performed under this Permit t Bl. Subdi- vision Value of Project $ BY DATE Contractor's License No Amt. of Permit $ , AUTHORITY Signed: r { i BY ' ....ter r INSPECTOR consideration f the issuance to me of this permit I agree to per rm the work covered hereunder in compliance with all ordinances and regulations to and , j strict conformity with plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. do lpsoe respoosibili ty/!6r all work done by either, myself, my agent, servant or employee.