PLUMBINGPermit No Vst —
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 C ALTON
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)__. —
New Building - - - - -. - _ -- •---- .- ......_.. Remodeling_____.____ --.___ Addition
Gfi5 200, LB TTF rnvrt3ivr. '
Size "L"4 Tan GA M1(E6 gP ; `AD't INSTAL
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well ..._._ -
Nature of Water Supply: City—Well. Size of Soakage Pit.
(Signed)
IN FRANKLIN
,3 / / /d/
'/- (139.;
Date. - -- - --IO /-47_L_O 7
La 1 e ft 1. rm�o r-nr9-A
No. S treet_ . .— .. ..._..— ..
Registered Architect and /or Engineer 11 n N F. 99 ST . MT AMT SHORES
ACME GAS CORP. 1491 N.r. .130 . - NO.MI*
£m lane Plum s
i L cart on a d / Legal �0es pror°Lot- 7-4-8- Moab 141 S SHORES
ST M IAMI SHO rY 73 APf DFD PLATT
Street and Number where work is to N.E. to be performed —No. 99 t . ._..._.._..._.. BK...1O...PAGE
Repair No. of Stories... .........
(Signed)_'! t CpG _B
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 IIa' con-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort 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 tiie Act. The undersigned agreds to employ only such sub- contractors, on work to be performed under permit, as are
licensed by Miami Shores Village.
Muter Plumber.
STATE OF FLORIDA, i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
t,2LAS VA A, IA/
to me well known, and who, being by me first d�� Avowal, upon oath deposes and says that be is the •__ - -_ .. _ .-- •- •-- -..... - - . -- - -.-
of the e. by him above stated are ��
constructionta�,theothi b mull,► read the foregoing implication, and that he did sign the same, and that all facts
t1155�O f.X4. F1AR
GEHERpL IgS. UND. A
PN C
My emirs Nktl F Notary Public, State of Florida
NOTE: A re- inspection fee of OM will be made when me r • asQeotiaa Y made.neosaary by Improper notice for feepection, re faulty
materials and /or workmanship.
1 .''
±
I4ri.�3Q,
:.I:af
LAUNDR
TURF
URINALS
CATCH
IMIN
FLOOR
DRAIN
DRINKING
FOYNT'NS
TOTAL
FIXTURES
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
Du"
WELL
SPR KLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHECK
T A T Tf
Permit No Vst —
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 C ALTON
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)__. —
New Building - - - - -. - _ -- •---- .- ......_.. Remodeling_____.____ --.___ Addition
Gfi5 200, LB TTF rnvrt3ivr. '
Size "L"4 Tan GA M1(E6 gP ; `AD't INSTAL
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well ..._._ -
Nature of Water Supply: City—Well. Size of Soakage Pit.
(Signed)
IN FRANKLIN
,3 / / /d/
'/- (139.;
Date. - -- - --IO /-47_L_O 7
La 1 e ft 1. rm�o r-nr9-A
No. S treet_ . .— .. ..._..— ..
Registered Architect and /or Engineer 11 n N F. 99 ST . MT AMT SHORES
ACME GAS CORP. 1491 N.r. .130 . - NO.MI*
£m lane Plum s
i L cart on a d / Legal �0es pror°Lot- 7-4-8- Moab 141 S SHORES
ST M IAMI SHO rY 73 APf DFD PLATT
Street and Number where work is to N.E. to be performed —No. 99 t . ._..._.._..._.. BK...1O...PAGE
Repair No. of Stories... .........
(Signed)_'! t CpG _B
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 IIa' con-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort 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 tiie Act. The undersigned agreds to employ only such sub- contractors, on work to be performed under permit, as are
licensed by Miami Shores Village.
Muter Plumber.
STATE OF FLORIDA, i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
t,2LAS VA A, IA/
to me well known, and who, being by me first d�� Avowal, upon oath deposes and says that be is the •__ - -_ .. _ .-- •- •-- -..... - - . -- - -.-
of the e. by him above stated are ��
constructionta�,theothi b mull,► read the foregoing implication, and that he did sign the same, and that all facts
t1155�O f.X4. F1AR
GEHERpL IgS. UND. A
PN C
My emirs Nktl F Notary Public, State of Florida
NOTE: A re- inspection fee of OM will be made when me r • asQeotiaa Y made.neosaary by Improper notice for feepection, re faulty
materials and /or workmanship.
5
T.
E• 6L A S CO R 1? •
I E
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s
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310 N.E.99
M!/\ M( s HaF F s._
.20o L 6
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1
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Old A/Er?
C7 s
r\
E:11 §„.
f fi_.
Amount of Permit
Permit No. ! ° ?'
Registered Architect and /or Engineer
Employing Plumber's Name
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._ No Street
No Street
Location and Legal Description Lot____________ ________ Block_ Subdivision____
Street and Number where work is to be performed—No _____ _____.;4__ / * Street I____!
St teork to be per f an orme purpose of building (�By Floors) _ = `• c2 q 4 C) L rc='k
No. of Stories__________
Q..e. • �'
ew Buing _ Remo eling Addition Repairs
Date____ _______( J ;7_ __L
Size Septic Tank_ Type of Tank___ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed) - ,�a-
rO 17"
Plumbing Inspecto .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ss.
(Signed)
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
•
CHECK
Amount of Permit
Permit No. ! ° ?'
Registered Architect and /or Engineer
Employing Plumber's Name
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._ No Street
No Street
Location and Legal Description Lot____________ ________ Block_ Subdivision____
Street and Number where work is to be performed—No _____ _____.;4__ / * Street I____!
St teork to be per f an orme purpose of building (�By Floors) _ = `• c2 q 4 C) L rc='k
No. of Stories__________
Q..e. • �'
ew Buing _ Remo eling Addition Repairs
Date____ _______( J ;7_ __L
Size Septic Tank_ Type of Tank___ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed) - ,�a-
rO 17"
Plumbing Inspecto .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ss.
(Signed)
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
II
lam}`
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor r
or Builder
Legal Lot
Description.
Address of
Building xf , `. t' • y
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT le 12369
t
BL
Subdi-
vision
Value of
Project $
DATE
# 4/ 195
Contractor's
License No
Amt. of
Permit
AUTHORITY
4
$ sy
This permit is granted to the contractor or builder named to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • /F j ,. ± `` w % BY . . , s
I$ PECTOR
In consideration of the issuance to me of this permit I agree to )ferform 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 MiamirShores Village.
In accepting this permit I assume responsibility for all work done by either, yself, .. y agent, servant or employee.
- -'
TOTAL
FIRTUR[S
SE
CLOTS
BATH
TU[[
SHOWER[
LAVA.
TORIES
SINK[
SLOP
SINK[
LAUNDRY
Tuns
URINALa
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
BOAKAG[
PIT
GREASE
TRAP
SOLAR
MEAT
Mar
WELL
1 .
SYSTEM
SWIM•O
POOL
CL IST
LIFT
CHECK
— '
Permit No. ..74_1 o°
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 specification must be kept at
building during progress of work. ^ i1 (� 1, T� Q Q
Owners Name and Address 10141, 11 N t� / 0 s _ Street-33_
Registered Architect and /or Engineer a
Employing I i Plumber's Name iaVnil. cS,\C>2 - I ,,... Na a6L_..... . /lnrlA. . ".........,e.,,..._ •
Size Septic Tank._
Feet of Drain Tile
Nature of Water Supply: City—Well.
Location and Legal Description Lot_ Bloch Subdivision._ —
Street and Number where work U to be performed —No .? f O ?JE 7 p 9 ..4/7-
State work to be performed and purpose of building (By Floors)_ Y - -- ----- ... ............. .. -
New Building--__.._._.._ _ _ - Remodeling___ .—__ Addition.. ___- -__... Repairs. No. of Stories
Type of Tank
not. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
Amount of Permit S —k =fX (Signed)_ 5P1010 -1�
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 Central Laws of Florida Pennanent Supplement, and ha's 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 sit - the work such pub ' • ar notices as are
required by the Act The undersigned agrees to employ only such sub- contractors, on to be perf /u . - snit, as are
licensed by Miami Shores Villages
(Si
STATE OF FLORIDA, l
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 fads
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 who► sari wilaspeotIon r mode.nsoasamy by Improper Dona for inspection. or lanky
materials and /or worlonanship.
Date Iply-_,119.
.Capadty Gals..._.._...__.
Plumbing Inspector.
Muter Plumbelr. ...
Date
41'
4 3
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ?/' 4< 9� Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant j)ii►,lli el Ci�i�/ /!Q /4/1<0 Master Permit # 7 l ( 9 - 7
Owner's Address .3/a C 99 Phone 7.5 d '7' 0
Contracting Co. �r��4 �✓/ Address -) 4t,
Qualifier � E t . � 2�'% %F —� SS# - Phone 7g 5 9 c 5 e
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL ' LUMBING ME CAL ROOFING PAVING FENNCE SIGN
WORK DESCRIPTION iGv2--N — 57 L' -- ( /[- v��i1 G- '"'�e%
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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 zoo g., ermo I authorize the above -named contractor to do the work stated.
gnature of owner and/or Condo President Date
2
tary as to Owner and/or Condo President . Date
My Commission Expires: 6/7
APPROVED:
Zoning
Mechanical
Building
Plumbin
Estimated Cost (value) 4a
Signature of Contractor or Owner - Builder
Date
Notary as to Contractor or Owner - Builder
My Commission Expires:
FEES: PERMIT 35 • RADON C.C.F. ` O NOTARY 5- r BOND 34
U
TOTAL DUE 3 '/`) �
Electrical
Date
z tv /
Engineering
7
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application NumberY /t- i9S
Scale: Each block represents 5 feet and 1 inch = 50 feet.
Notes:
By
P
Site Plan submitted by:
Plan Approved
HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used)
(Stock Number. 5744 - 002 - 4015 -6) -
PART II - SITE PLAN
v11/
e
SI 'TURE
Not Approv
Ai A
"#',"
TI
Date
County Public Unit
ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT
Page 2 of 3
CONSTRUCTION PERMIT FQR:
[0V] New System [A/ xisting System [7J ding Tank [b/Temporary/Experimental
[y] Repair ( Abandonment [ sI Other(Specify)
APPLICANT: ' ( ,/ AGENT: 11
PROPERTY STREET ADDRESS: 3/o ,, f ? 5
LOT: 4J4 BLOCK: / SUBDIVISION: 4 ) A._
PROPERTY ID #:
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD -6, FAC
REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS
EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY
PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. 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.
SYSTEM DESIGN AND SPE;CPFICATIONS
T [y GALLO S / GPD SEPTIC T AN_ A ROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ]
A [ ] [GALLONS / GPD]
CAPACITY MULTI- CHAMBERED /IN SERIES:[ ]
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ]
0
T
H
E
R
D [ e�' ] UARE FEE RIMARY DRAINFIELD SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM:\ [ ] STANDARD [ ] FILLED
I CONFIGURATION: [ ] TRENCH q [ ] BED
F LOCATION OF BENCHMARK: / a• ,- R9k4 1.�9 4fl e"� �� `P � 75;i/-2%
I ELEVATION OF PROPOSED SYSTEM SITE ( T ] [INCHES /FT] t[ ABOVE /BELOW] BENCHMARK /REFERE '•IN
E BOTTOM OF DRAINFIELD TO BE [ 37K [INCHE' /FT] [ABO BELOW BENCHMARF REFERENCE POI
L
D FILL REQUIRED: [
SPECIFICATIONS BY:
APPROVED BY: ) S •
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 1OD -6, FAC
DATE ISSUED:
•
J
[SECTION /TOWNSHIP /RANGE /PARCEL NUMBER]
[OR TAX ID NUMBER]
] INCHES EXCAVATION REQUIRED: [ 3 ] INCHES
APPLPOANT
TITLE:
TITLE:
HRS-H Form 4016, Mar 92 (Obsoletes previous editions which l'ay not be used)
(Stock Number: 5744 - 001 - 4016 -0)
PERMIT #
DATE PAID >
FEE PAID $ eAle
RECEIPT # 413
] MOUND
]
CPHU
EXPIRATION DATE:/
Page 1 of 2
1 r.
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 Dopy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address Richard Carl No. 31 StreeL.L..A...99th. Street
Registered Architect and /or Engineer ---
Employing Plumber's Name. 0° Ne &1.-$,D.p -tii Tank Co.
Location and Legal Description Lot. Block
Street and Number where work is to be performed —No 310 N.E.
State work to be performed and purpose of building (By Floors) _._ ._ .- - -_ - •.
New Building - Remodeling____ _ ..._.- Addition
Size Septic Tank_•.__._.._ gal. - - -- __._...Type of Tank._s+eptiC ---------- ._.---- ._... • - - - -..
Feet of Drain Tile.-75
ile._ 75 ' ____-- _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: of Soakage Pit
Amount of Permit $ 4
STATE OF FLORIDA, µ
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed )- - -- --
( Signed) -
P.O. BOX - 6 9 Tamiami Station Miami, Fla.
Street. 99th...S tre a t:
Repairs No. of Stories
Capacity G ga
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .Iigations 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.
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.
Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- tnapection is made necessary by improper nodes for fnspection, or faulty
materials and /or workmanship.
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CLOSETS
BATH
TUB[
SHOWERS
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H
DEEP
WELL
6
SYSTEM
SWIM'O
POOL
CONTR. X
r�
LIST
CHECK
Permit No •_. -- • - - - - --
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address Richard Carl No. 31 StreeL.L..A...99th. Street
Registered Architect and /or Engineer ---
Employing Plumber's Name. 0° Ne &1.-$,D.p -tii Tank Co.
Location and Legal Description Lot. Block
Street and Number where work is to be performed —No 310 N.E.
State work to be performed and purpose of building (By Floors) _._ ._ .- - -_ - •.
New Building - Remodeling____ _ ..._.- Addition
Size Septic Tank_•.__._.._ gal. - - -- __._...Type of Tank._s+eptiC ---------- ._.---- ._... • - - - -..
Feet of Drain Tile.-75
ile._ 75 ' ____-- _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: of Soakage Pit
Amount of Permit $ 4
STATE OF FLORIDA, µ
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed )- - -- --
( Signed) -
P.O. BOX - 6 9 Tamiami Station Miami, Fla.
Street. 99th...S tre a t:
Repairs No. of Stories
Capacity G ga
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .Iigations 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.
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.
Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- tnapection is made necessary by improper nodes for fnspection, or faulty
materials and /or workmanship.
OWNER
LOT
BLOCK
SUB DIVISIO
•te
Issued to
iami �hores9llage
F L O N D A
PLUMBING PERMIT
to it$ta11 the following descfibed plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a #story
Fixtures
Fixtures *° $
Sewer $
O ptic Tank $
/ L i
t..rr 1 ..
N9 1021
Total $
Village Plumbing Inspector ,;��"... `' �r .. ", °"` • t - '' '"�"
Received Payment by
OWNER i .
LOT
BLOCK
SUBDIVISION
19 ,i
Date
Issued to
.or
aiarni jhores
F L 0 R 1
PLUMBING PERMIT
N9 1021
Ar
,.,
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For afstory /ti _ building at i ,
' -, i f
-.4.... -' 1 I a i
Fixtures 4 ' / ,'i /' ' .1
Fixtures $
Sewer $
Septic Tank $
Total $ / ...i.
Village Plumbing Inspector
Received Payment by
Permit No / 0,3
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_
New Building ____ Remodeling
Amount of Permit $_i
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 ET _ Ifl a___________- No._____ /J'/��' Q P __ � �/ � _�1!_1�.� Street_ L____.
Registered Architect and /or Engineer � �__ —._ _ —__— ___ _ �______�_
Employing Plumber's Namet e- frla i 4/ -- _.- - - -- No. � Street__ ? $ j — j.. .._ --
Location and Legal Description Lot.. _ _________- _-- _______________,__ Block__ Subdivision
Addition._._____._ Repairs No. of Stories.
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
(Signed) _
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed ���__'
Dateldsi. .L 42-.l 6 5t"
Street
STATE OF FLORIDA, 1
COUNTY OF DADS. 1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOEETa
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
I NAS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
SOAKAGE
PIT
GREASE
TRAP
e/r �E
SOLAR
HEATER
1-.4
DEEP
( WELL
I
SPRKLR.
SYSTEM
SWIM'G
POOL
1___--
CONTR.
WET
CHECK
''� F � IELD
A
#G. I�
Permit No / 0,3
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_
New Building ____ Remodeling
Amount of Permit $_i
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 ET _ Ifl a___________- No._____ /J'/��' Q P __ � �/ � _�1!_1�.� Street_ L____.
Registered Architect and /or Engineer � �__ —._ _ —__— ___ _ �______�_
Employing Plumber's Namet e- frla i 4/ -- _.- - - -- No. � Street__ ? $ j — j.. .._ --
Location and Legal Description Lot.. _ _________- _-- _______________,__ Block__ Subdivision
Addition._._____._ Repairs No. of Stories.
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
(Signed) _
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed ���__'
Dateldsi. .L 42-.l 6 5t"
Street
STATE OF FLORIDA, 1
COUNTY OF DADS. 1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty
materials and /or workmanship.