Loading...
874 NE 99 St (8)Permit No Vol I 1 Application 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 ia 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. Amount of Permit $S MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Si No Owner's Name and Address Registered Architect and /or Engineer r A1Ai1 P ,ONNPA_ PC K /` 3 1rtn lo gin lltmbew o and Legal &sal piton B °Z Subdl L X74- �NF9�s. Street and Number where work L to be performed —No _... .a,, .__ __._.... .. State work to be performed and purpose of building (By Finns) __. c,'1`.,•.... kN I ti New Building.._ -- _....... -.._.. Remodeling —_. - -- Addition. . Repairs (Signed)_ Street. Size Septic Tank__ Type of Tank.____ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —We1L 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 5968, Compiled General Laws of Florida Perinanent Supplement, and hav com- piied with the provisions thereof, and will require similar compliance from all contractors or sub - contract • 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 w• h public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub -contr on work to this permit, Ks are licensed by Miami Shores Village. No. of Stories 6 M Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wham mob rrispeedne to a aade'naoaarary by improper notice for Mapee materials and /or workmanship. Master Plumber. STATE OF FLORIDA, 1 es. 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 he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. CLOSETS BATH Tuse SH LAVA- TORIES SINKS SLOP am,. LAUNORY Tuve U RINAL/ CATCH BASIN FLOOR GRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTu. LIST CHICK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL 5 SYSTEM SWIM'S POOL LIST CHECK Permit No Vol I 1 Application 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 ia 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. Amount of Permit $S MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Si No Owner's Name and Address Registered Architect and /or Engineer r A1Ai1 P ,ONNPA_ PC K /` 3 1rtn lo gin lltmbew o and Legal &sal piton B °Z Subdl L X74- �NF9�s. Street and Number where work L to be performed —No _... .a,, .__ __._.... .. State work to be performed and purpose of building (By Finns) __. c,'1`.,•.... kN I ti New Building.._ -- _....... -.._.. Remodeling —_. - -- Addition. . Repairs (Signed)_ Street. Size Septic Tank__ Type of Tank.____ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —We1L 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 5968, Compiled General Laws of Florida Perinanent Supplement, and hav com- piied with the provisions thereof, and will require similar compliance from all contractors or sub - contract • 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 w• h public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub -contr on work to this permit, Ks are licensed by Miami Shores Village. No. of Stories 6 M Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wham mob rrispeedne to a aade'naoaarary by improper notice for Mapee materials and /or workmanship. Master Plumber. STATE OF FLORIDA, 1 es. 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 he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant 64 / S Kermit Numioer f - toeteere-63 f 71f A y /, : v/ o 6 ���� PART II - SYSTEM INSTALLATION INSPECTION AND FINAL INSTALLATI APPROVAL- Installer /Y7i A� Propertank legend: Yes A No Tankswatertight: Yes A- No Proper tank outlet device: Yes ipt). No Drainfield Trench Length Width feet feet feet feet feet f Total = ft Other findings: Systems located as permitted: Yes J No Inspected by Pa d 17 Date / /674 Approved by: Length feet feet feet PART I - FIN AN APPROVED IN LLATI Note: Completed copies of this form will be pro HRS —H Form 4018, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 -002- 4018.0) Tank materiale-i+"e 4e Tank level: Yes fi- 1 No gallons Tank size Tank Manufacturer l,1la Systems including plumbing stub -outs installed at proper elevation: Manhole or marker to grade: Yes ' / Absorption Bed Width Length co feet x / 4 feet = 3Zo'ft feet Length feet x — feet= — ft2 feet Proper No. drainlines: Yes No feet Proper pipe separation: Yes ✓ No Total= ft TALLATION APPROVAL Distribution box level: Yes NoP/ ' Yes No _EJfi Average depth to drainpipe invert from finished grade , 2° 2 inches Maximum depth: Inches Average depth of drainfield gravel / e3 inches Minimum depth of gravel. / 2--inches Proper gravel size: Yes l/ No Backfill or fill material as required: (Quality) Yes ti No Gravel is suitable quality: Yes d/ No (Quantity) Yes No DOES NOT GUARANTEE PERFORMANCE ided. to the applicant, installer and the building department. gallons %o J gallons COUNTY PUBLIC HEALTH UNIT Page 2 of 2 Ir Company Job Address REQUEST FOR INSPECTION //, PHON E IA Permit No. __ 1 7 k Date 6 ��j't 'off 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.__ __ar_ _r_ e v Registered Architect and /or Engineer Nature of Water Supply: City —Well Amount of Permit $ ss. MIA:;.i SHOES VILLAGE °LUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No 6 7 « Street.__ �i�f' Street_ / Employing Plumber's Name ._ / y,0_ I_/I___� 1XL" `+J '�,f _1__�_'Y Location and Legal Description Lot V Block Street and Number where work is to be performed—No ........ _______ .... _ ?_ Street State work to be performed and purpose of building (By Floors) //_S?'__pt / New Building Remodeling Addition____ / Repairs No. of Stories I _ Size Septic Tank L" Type of Tank___ Feet of Drain Tile l _0 - -Q Dist. Feet of Tank or Drain Field from Well Capacity Gals _ (Signed) 3 „!? e/400,, Subdivision .A,i %v f /e- 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 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) My Commission Expires Notary Public, State of Florida 1' faster 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 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 H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST �1, /oV . - CHECK IA Permit No. __ 1 7 k Date 6 ��j't 'off 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.__ __ar_ _r_ e v Registered Architect and /or Engineer Nature of Water Supply: City —Well Amount of Permit $ ss. MIA:;.i SHOES VILLAGE °LUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No 6 7 « Street.__ �i�f' Street_ / Employing Plumber's Name ._ / y,0_ I_/I___� 1XL" `+J '�,f _1__�_'Y Location and Legal Description Lot V Block Street and Number where work is to be performed—No ........ _______ .... _ ?_ Street State work to be performed and purpose of building (By Floors) //_S?'__pt / New Building Remodeling Addition____ / Repairs No. of Stories I _ Size Septic Tank L" Type of Tank___ Feet of Drain Tile l _0 - -Q Dist. Feet of Tank or Drain Field from Well Capacity Gals _ (Signed) 3 „!? e/400,, Subdivision .A,i %v f /e- 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 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) My Commission Expires Notary Public, State of Florida 1' faster 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 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 � �,a�, ( or Builder ��'` Contractor MIAMI SHORES VILLAGE, FLORIDA DATE y 2 J / 194 rj PERMIT N° 8178 Work to be performed under this Permit );.. �*. Legal Lot Bl. Description Building of ,..i. 7 4/ ) T r" '° / h � ,r'� 4/ -.�': �� Value of Project Subdi- vision BY Contractdr's License No. 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 drawin s or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Si ed• ..# !` . By i — gn . INSPECTOR In consideration of the issuance to me of this permit I agree to perform tii"e work covered hereunder in compliance with all ordirian s and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorittemof mi Shore3VMap _ . D In accepting this permit I assuyh responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER Amt. of Permit AUTHORITY S::TV` BUILDING ELECTRICAL PLUMBING Lot }.4 8 7s/7r .."'le t CONTRACBUILDER MIAMI SHORES VILLAGE, FLORIDA DATE / 194 PERMIT N9 1084 Contractor's Liyense No. A f I t '�- .►�'��• Work " l je performed under this Permit Owner of ,, S Building -- s� -f'"7-- 4-"I' Architect t r j Contractor /; - �f , � J . °.. el e- ,�,r... ,C ti,. > .!r Subdi- vision fir7 0$ 4 C . Legal Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipments 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 responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown' on the ans or draw or in the statemCMseyprJpecifications and that he assumes responsibility for work done by his agents, servants or employees. AI INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in 6mpliance with all ordinances and regula- ¢ions 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. Amt. r ,� 7 • Permit Signed Value of Project / ?) A ,,R�i puup {�[{,++, AUTHORITY