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PLUMBINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Da4 — D Time Type Insp'n Permit No. Name Addres Phone # For `In Spector) O C l V ame & D e Approv: d n_ Correction ❑ Re- Insp'n Fee ❑ Date' 5 o -- Job Address Legal ssee/Tenet Owner's Address 54 !Y) C. Contracting Co. WORK DESCRIPTION: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 //3o C/ - Yes No Y P aooa- as '6o tic 6 15 Sr escript on LC7 5/N 't9 ress 10o-0 J r, / ` 0 �� Qualifier 7 34 1 Li J SS# ®horgo J .C -.571 State # 5 ' ` l ? i J) "' Municipal # 494) Competency # 11 I) Ins. Co. fl J J IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHE ' . ► _ ' . CTION. Permit Type (circle one): BUILDING ELECTRICAL ,0 ) -Fir/ / 467 Square Square Ft. Estimated Cost (value) 05 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 ANY 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 all disciplines. OWNERS 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. Furthermore, I authoyize the above named contractor to do the work stated. • re of owner and/or Co' Prasideut Date li Not. as to 0 ea' i �: ' 1°f3Yti2flt�' Date .� My Commission ,..• 1➢' -' • e CC766697 0-7 CA is OY:x?ir�S ____f r o o v b,'. r1 FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing RADON C.C.F Historically Designated: Tax Folio / 8o Master Permit # Phone Notary . to Con ommission Ex (IMF: . ,: CC7[..UCI ■ '4: 4 MY CO.i.`.1G OF f . 0 NCV. ", NOTARY ,.'CO MECHANICAL BOND c '90 o ROOFING TOTAL DUE C� gO Electrical Structural Engineer CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment APPLICANT: McCaughan, John PROPERTY STREET ADDRESS: 860 NE 99 St Miami Shores FL 33138 LOT: 6 BLOCK: 72 PROPERTY ID #: 11- 3206 -014 -2421 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 [ 750 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY •• K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 )GALLONS D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ N ]BED N F LOCATION TO BENCHMARK: Top of Bottom Floor, 11.80' NGVD. I ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ] [ FEET ) [ BELOW BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.8 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES OTHER REMARKS: This permit is not for addition(s). *Existing 750 gl. septic tank to remain. *Install 300 sq.ft. of drainfield or its equivalence of 12 chambers of EQ -36 infiltrator. *Invert elevation to be no less than 7.50' NGVD. *Bottom elevation to be no less than 7.00' NGVD. THE SEPTIC TAN!( SHALL BE PUMPED AND A SOLID DEFLECTION DEVICE INSTALLED ON THE OUTLET TEE SPECIFICATIONS BY: Icaza, Carlos /TITLE: APPROVED BY: Icaza, Carlos DATE ISSUED: 7/11/02 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT AGENT: SR0921116, PARILLA ROBERT SUBDIVISION: Miami Shores Sec 3 [Section /Township /Range /Parcel No.] [OR TAX ID NUMBER] REP MR DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [ostds cons_4016 -11 TITLE: Engineer I CENTRAX #: 13 -SG -13462 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 02 -2071- -R ] Holding Tank [ ] Innovative Other ]Temporary. [ IN ] MULTI- CHAMBERED/IN SERIES: [Y ) MULTI- CHAMBERED /IN SERIES: [Y ] @ [ 0 )DOSES PER 24 HRS .- # PUMPS[ 0 ] [ N ]MOUND [ N ] [ N ] TRIS PERMIT IS ROT FOR AD J1 1�� [(� y� TOM p� MEAT ELEVATION_119 !0© OF ORAM`IELD E J i Iek 00 - PC ` b Dade CHD EXPIRATION DATE: 10/9/02 Page 1 of 2 Scale: Each block re • resents 5 feet and 1 inch = 50 feet. rz IliNUINIIIIII111111111111111111111 i IM Mta _ . ■ II k di 1111111111111111 1 111 -4 1-- 1 IMO , G . • i 1 A NA' d r oma lima E� 421 ■ .� r 1 maw .... WIN a.i 111111111111k _ , t - . _ .I { C {, r - T i - ! I 1 1 + -1 L -. I i'7!' -- t I i L -.•-i } z 1 { l 1 a V _ f iii -.- , _■ Y._ ii , 1 --- r . fit�• ®o` 11d1iHh IN NEON /■■ ..... __ I I ' ': �: ® -~ \ r ` i t: ( ���� r __ - c _ � ; �7T-T _ } ...1._. _ -; __ • ■ • ■ ■MENE■ O■■E ■■�, i ■■NS ' .. . iSLi I I r ■ vac ■ EE/ / // ■ I 1 — T a�lr /E � III UM /E / SEE / ■ � ■■ ■■ - 1 , E■ t . , i . , 1 - ._ - i �l - : , :, ••• EMU. ••••• I • • NM F • ■■Ii■ ■ ■111■ ■■I : :■ ■ ■:: i EE •. ■ 11EEE ENE■// i . te 11 ■a ■ nil 'In a mum • ■ ■a m mammommummum a ■i! � • ■ ■ ■ ■ i/>•■ m um u� lEasusa ■ ■■■ i — a/■E/■ as I- l tA in . f- ■ i I I Ii ai -.. ■p ■■■ 11 NOM �� 111•111111110111 i na ruMo ■ summi• /»asaa. ■■■ E■■■/■ /E ENEMIES ••■nWM •••11111111UMLIM pi EP ....... cd ..... i mimilmman Notes: *14015, 1096 (Replaces HRS-H Form 4016 which may be used) Srodc Number: 6744 - 002 -4015- STATE OF FLORIDA s DEPARTMENT OF HEALTH ` -' l �" � i APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PE A�I�� J Permit Application I 'Iumber fl y �- - PART II - SITE PLAN Signature Not Approved Cj - ?,v N e, `'i N l ,(L ' Ti l O Site Plan submitte by: Plan Approved By County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Title Date Page 2 of 3 PLICANT: 1T :OPERTY ID STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS Yr) U A V � �rV GENT: ,c_41.7;2241-4A/ BLOCK: S UBDIVISION: ( I rip !'i; , Sh2S S'g,g,, 3 #: � (�f �( (Section /Township /Range /Parcel No. or Tax ID Number) BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED. PERSON. ENGINEER'S MUST :OVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. :OPERTY SIZE CONFORMS TO SITE PLAN: iTAL ESTIMATED SEWAGE FLOW: �V )THORIZED SEWAGE FLOW: !OBSTRUCTED AREA AVAILABLE: :NCHMARK /REFERENCE POINT LOCATION: ,EVATION OF PROPOSED SYSTEM SITE IS fE MINIMUM SETB IRFACE WATER: .LLS: PUBLIC: )ILDING FOUNDA .TE EVALUATED BY': lIL PROFILE INFORMATION SITE 1 WHICH CAN BE MAINTAINED FROM THE AAN FT DITCHES/ FT LIMITED USE: FT PROPER De to to to to to th 14015, 10/96 (Replaces HRS -H Form 4015 )Pape 3) which may be used) ock Number: 5744 -003 - 4015 -1) YES ( ) NO NET USABLE AREA AVAILABLE: 0 ACRES GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2) GALLONS PER DAY . 0 P SQFT UNOBSTRUCTED AREA REQUIRED: Zrirej0 SQFT 1 F as to to • SDA SOIL SERIES: !Jt WALES: FT Y LINES: :TE SUBJECT TO FREQUENT FLOODING: ( ] YES ['']'N 1 YEAR FLOOD ELEVATION FOR SITE: C i 1„ r(' FT M �Ii/NG� �t�11�� SERVED WATER TABLE: f" INCHES [ABOVE / BELOW] EXISTING GRADE. TY ,TIMATED WET SEASON W ER TABLE ELEVATION: � INCHES [ ABOVE GH WATER TABLE VEGETATION: [ ) YES a NO MOTTLING: [ ] YES [ b5 PERMIT # C1 /1J)I POSED SY TEM TO THE FOLLOWING FEA FT RMALLY WET? . .,. L ] YES ( NO RIVATE: /V ' FT NON - POTABLE. FT . FT POTABLE WATER LINES: ( (). T 10 YEAR FLOODI SITE ELEVATION: SOIL PROFILE INFORMATION SITE 2 NO DEPTH: DEPTH OF EXCAVATION:1jO • ] YES FT MSIINGVD / APPARENT] EXIST NG GRADE. INCHES )IL TEXTURE /LOADING RATE FOR SYSTEM SIZING: AINFIELD CONFIGURATION: [ ) TRENCH [/) BED ( ] OTHER (SPECIFY) ;MARKS /ADDITIONAL CRITERIA: DATE: - 1 INCHES P!a ge . '3 of •3 ,The Sunshine State.'_:= LICENSE NUMBER M2257462 -47 -463 -0 JOHN 8R*AN MCCAUGHAN 5929 NE•,F ,t MIAMI, EL•13137-0000 BIRTH DATE SEX HGT. REST. . ENDORSE 12-23-47 M 5-11 • $SUED EXPIRES DUPLICATE 1' 0 8-14-96 12- 23-03, 00 -00-00 SAFE DRIVER " MOTORCYCLE ALSO 5639603140242 • Operation of a motor vehicle constitutes consent to any sobriety test required by law. Printed: 8/20/2002 Applicant: JOHN Owner: MCCAUGHAN rJ JOB ADDRESS: 860 NE 99 Contractor BOBS SEPTIC & DRAIN INC Local Phone: 305 - 558 -5818 Parcel# 1 132060142421 Q Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2002 -222 Permit Status: Approved Permit Expiration: 2/16 /2003 Work: 300 SQURE FE DRAINFIELD INSTALL If there is no permit package accessible on the lob for inspectors to verify. there will be nn insnentionc. Re- inspection BOB'S SEPTIC & DRAIN, INC. 1020 NE 130TH ST. PH. 305 - 558 -5818 NORTH MIAMI, FL 33161 -4211 TO THE ORDER OF l )' j/)/ ' c i ' // 1 ,e /7 ctibank® CITIBANK, F.S.B. BR. M37 • I 2750 AVE NTURA BOULEVARD AVENTURA, FL 33180 FOR MCCAUGHAN JOHN ST Construction Value: DATE "005322" ':26055'1t: 210 2 ■ 60690 Plumbing Permit Contractor's Address: 1020 NE 130 ST Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 6 & W1/2 OF LOT 5 BLK 72 LOT SIZE A 5322 DOLLARS n Page 1 of 1 ation herefor in strict compliance with all cations that may have been submitted to or if the plans are changed without msibility for a thorough knowledge of the iat he assumes responsibility for work done s pertaining thereto and in strict conformity Isponisibility for all work done by either APPLICAUQ's AGENT: • PROPERTY ADDRESS: LOTs - BLOCK: STATE OF Z•ORIDA DEPARTMENT OF HEALTH.' ONSITE SEWAGE r.TREATJ T, '1W DIPOSAL . :BYBTEI[ CONSTRUCTION INSPECTIOIN AND FINAL APPROVAL cr l0� TANK INSTALLATION [01] TANKSIus [1]7S1 [ [02] TANK MATERIAL _.._• [03] OUTLET .DEVICE S • [04] MULTI- CSAIIBERED [.Y / [05) OUTLET. FILTER [06) LEGEND [07] WATERTIGHT [08] LEVEL [09] DEPTH TO LID DRAINFIELD INSTALLATION [ 10 ] AREA [ 1 ]f v) ; q 1 1 [1 s0 'r [111 DISTRIBUTION HEADER (12] NUMBER OF DRAINLINEB [13] DRAINLINE SEPARATION [14] DRAINLINE SLOPE [15] DEPTEt•OF COVER I C w [ 16] ELEVATION, [ Q B/HELOWPBM• 17,,, ° TEN LOCATION [18] DOSING PUMPS [19] AGGREGATE - [ 20) AGGREGATE EXCESS F [211 AGGREGATE DITB y %r •. r „ • FILL / BZCAVATIONI. MATERIAI: [ l [22] FILL AMOUNT [23] FILL TEXTURE =' :,r [ ] (24] EXCAVATION DEPTH [ ] (25) AREA REPLACED 3w ;': 5t C. ' [ ] [26] REPLACEMENT MATERIAL H EXPLANATION OF' VIOLATIONS °* / s [ ] [ [ ) [ '1 .PERMIT NO. DATE PAIDs FEE PAID: RECEIPT #: rvt SUBDIVISIONi7144 c k y r e s . c e c 5 PROPERTY in # s / l- 370L - 614- 1. ) !ii •ii! CHECKED [X] ITEMS ARE NOT 131 COMPLIANCE MITE STATUTE lost RULE SAD MUST CONSTRU ION [APPROVED /! SAPPROVED]`s • (► (j. FINAL SYS ti ISAPPROVED] s DH 4016, 10/97 (Previous EditionsMayEs Used). SETBACKS . . I I I Z7,]' SURFACE WATHt .. PT (' ]' '' ' DITCHES. • FT [ l [39] PRIVATE WELLS' ,r , -MFT [ [30] PUBLIC WELLS FT .v l l l [31) [32] [33] [34) [35] FILLED./ HOUND SYSTEM IN L [- f.)r•DAAIAFIBLD..COVEA:►...:., ['):1 , (37] SHOULDERS' " [ ( l [38] ' SLOPES [ A- ] [ 39) STABILIZATION . • i ... ti , r i''�.:. 4 i DITI0NSI. INFO ION : ': 'el [40] UNOBSTRUCTED AREA [ ] [ (11TORMNATER RU11OFPti1 [ l [42) ALARMS' • [ ] I ] MiurribilairimistEmozwr 1 1 (44] BUILDING' AREA ( ]• (45] . LOCIITION`• WITH '.. [ . 4 6) ' FINAL SITE INS [ ' ] .. [47] CONTRALR'OR [ ] [48) 'OTHER Installer / Contractor r. .. ABANDONMENT $IRRIGATI,ON'MEL -S\ POTABLE WATER LINES in FT . ' a-- FT PROPERTY. LIMES /" FT OT11ER1 c 7i'r.y + aq ' . FT t;]c, i:`. , , - [41 TANK PUMPED _ / =/ ] (50) TAME CRUSHED & FILLED • Yip n. c SITE'PLAN CND DATE 2 q- /6-/f CUD DATE: . Pags 2 of 3 Permit No.__a 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 bual1ng during progress of work. Owner's Name and Address__d �'- '��'`_'�_ No._ g O_ Street �/ • £ • /J ff.A Registered Architect and /or Engineer Employing Plumber's Name! Amount of Permit $ — O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ ( Signed)._ Location and Legal Description Lot_____.__.._____.__.___.____ r Block Street and Number where work is to be Street State work to be performed and purpose of building (By Floors) _.______ New Building _ Remodeling_.___ _________ Addition Date Repairs T No. of Stories My Commission Expires Notary Public, State of Florida Size Septic Tank __ — type of Tank__ Capacity Gals Feet of Drain Tile di ' =u -Dist• Feet of Tank or Drain Field from Well Nature of Water 'Supply: City— Well.__ _ ____Size of 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 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as • are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 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 NKS SINKS SLOP SINKS LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST - CHECK ...........-...-..1--....---* SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK _ ----- - Permit No.__a 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 bual1ng during progress of work. Owner's Name and Address__d �'- '��'`_'�_ No._ g O_ Street �/ • £ • /J ff.A Registered Architect and /or Engineer Employing Plumber's Name! Amount of Permit $ — O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ ( Signed)._ Location and Legal Description Lot_____.__.._____.__.___.____ r Block Street and Number where work is to be Street State work to be performed and purpose of building (By Floors) _.______ New Building _ Remodeling_.___ _________ Addition Date Repairs T No. of Stories My Commission Expires Notary Public, State of Florida Size Septic Tank __ — type of Tank__ Capacity Gals Feet of Drain Tile di ' =u -Dist• Feet of Tank or Drain Field from Well Nature of Water 'Supply: City— Well.__ _ ____Size of 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 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as • are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 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 Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N° 8791 Work to be performed under this Permit Contractor's License No Legal Lot Bl. Subdi- Description vision Address of Value of Building Project 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility for work done by his agents, servants or employees. Amt. of Permit Signed • By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No 7 J/ 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 `� �" ` No Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot P'G 4 1_.- -1 4 Street and Number where work is to be performed —No Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 3. 4. No Block ( Signed) Street _ „ 3 Date__ ____/ 21 ) • Street r Street ( Subdivision mod' State work to be performed and purpose of building (By Floors) New Building it Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he erstands and accepts his 61rhligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. 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 . ♦F 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 7 J/ 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 `� �" ` No Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot P'G 4 1_.- -1 4 Street and Number where work is to be performed —No Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 3. 4. No Block ( Signed) Street _ „ 3 Date__ ____/ 21 ) • Street r Street ( Subdivision mod' State work to be performed and purpose of building (By Floors) New Building it Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he erstands and accepts his 61rhligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. 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 . ♦F 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. t 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 Hugh Peters Jr. Size Septic Tank 600 Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 100 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT City ( Signed No 860 Registered Architect and /or Engineer Employing Plumber's Name McCaughan Plumbing Co. Inc No 7300 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 new Remodeling Addition Block 860 N. E. 99th St, M r esidence ( Signed)_ - 4 (r Date S treet N. E. 99th St Street N. E. 4th Ct, Miami Subdivision ami , Shores Repairs No. of Stories one Type of Tank Capacity Gals 6 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he erstands and accepts his obligati6ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G. eral 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. 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. 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. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS �( / ' � L ✓ TOTAL FIXTURES CLIST 2 ______,1_____2__— 1 1 / `— CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL yy i • lir ¢f / CONTR. LIST 1 1 CHECK t 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 Hugh Peters Jr. Size Septic Tank 600 Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 100 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT City ( Signed No 860 Registered Architect and /or Engineer Employing Plumber's Name McCaughan Plumbing Co. Inc No 7300 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 new Remodeling Addition Block 860 N. E. 99th St, M r esidence ( Signed)_ - 4 (r Date S treet N. E. 99th St Street N. E. 4th Ct, Miami Subdivision ami , Shores Repairs No. of Stories one Type of Tank Capacity Gals 6 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he erstands and accepts his obligati6ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G. eral 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. 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. 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. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 1941 - PERMIT N9 8861 Work to be performed under this Permit Contractor's License No. Owner of Building f > Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility for work done by his agents, servants or employees. Signed. ' • By l 1 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY