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PLUMBINGBUILDING ELECTRICAL PLUMBING Owner of Buildin PERMIT N? 7983 Work to be performed under this Permit Architect Contractor 7 Builder Legal Lot Description Address of Building This permit is grantee to e contractor or ilder named above to construct the building or to install the equipment or device described in the appli cation herefor in strict cotpliance 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 "revolmd 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 tlds permit is granted is the understanding that the contractor or builder named above assumes the respo nsibility 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. MIAMI SHORES VILLAGE, FLORIDA Bl. ye Signed: In consideration of the issuance to me of this permit I agree to perform th pertaining thereto and in strict conf•rmity with the plans, drawings, statement In accepting this pe • 't assume � • onsibility fo 11 work done by either my SrQSdi- ion Value of Project DAT Amt. of Permit rk covered hereunder in compliance with all pecifications submitted to the pier authoriti ent, servant or emplo ee. tractor's icense No. 1947 AUTHORITY ens and regulations litres Village. Address of Building Contractor L or Builder BUILDING ❑ ELECTRICAL PLUMBING � ° , PERMIT ROOFING 0 • c ! er,.71 1,.. t.. Legal Lot Description MIAMI SNORES VILLAGE, FLORIDA DATE I lair Owner of Building Architect L. (1. tot rit N9 7357 Signed: 14. ce In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth opting thi* perm as res> sibility f9r all work done by either, myself, my agent, servant or employes. CONTRAC'laOR OR BUILDER BY Contcaclor's Ir 7 St License No Work to be performed under this Permit i - PO etb Subdi- vision Value of 1 Amount of Project $ Permit $ 111...a�s.. N /// A. s This permit is granted to the contractor or builder named above to construct the building or to install the equipment or devke described in the tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the Work will be performed ht plans, drawings, stilt meets or specifications that may have been submitted to and approved by the proper mu pal authorities. Tide at any time if the work it not done in compliance with such ordinances or if the plans are changed without authoriaadon. A further permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough regulations pertaining to the work covered hereby whether shown on the plans or drawings oi the statements speciflcattonii sibility for work done by his agents, servants or employees. adds Gad Miami Shores Villa" la AUTHORITY ABM? 300 building at $ Total $ Village Plumbing Ins Receive Payment by etQTili cJ hOreS 11e_ i L Q • I D A PLUMBING PERMIT Nt ' 1116 pitl►ing plumbing, in accordance tltith the laws, statutes and regu- ' i11a , Florida and the State of Florida, governing plumbing and done i y ami Shores Village, Flojdae , atom ems Now MMVE IrMSE ErTIIIME NWEE SEW IFIraran— i OWNS& LOT BLOCK SUBDIVISION • yy��r Llama/ 'fit✓ \ " -.1.1. A? Ait ,. j I , Q 1 ' . wrr - e at— e e K! 'co building at $ Total $ Village Plumbing Ins Receive Payment by etQTili cJ hOreS 11e_ i L Q • I D A PLUMBING PERMIT Nt ' 1116 pitl►ing plumbing, in accordance tltith the laws, statutes and regu- ' i11a , Florida and the State of Florida, governing plumbing and done i y ami Shores Village, Flojdae , atom ems Now MMVE IrMSE ErTIIIME NWEE SEW IFIraran— Ling Permits i108E3 - 1116 Incl. mace by c nc l lr tion of `er: tzt DETACH BEFORE DEPOSITING MIAMI SHORES VILLAGE AMOUNT T (970 ) N? 2191 LESS NET AMOUNT 46.13 Issued to aiami cfhores9llage F L O R 1 D A PLUMBING PERMIT ITT° 109 BLOCK 4703 SUBDIVI to install the followiKig described plumbing, in accordance with the laws, statutes and refit lations of Miami Shores Village, Florida and the State of Florida, governing plum drainage work done in Miami Shores Village, Florida. f49/ For astory b uilding at e 271 ^ Fixtures � Fixtures /1 $ eR " l / wer / $ i �¢ s , e is Tank $ Total $ Village Plumbing Inspector Received Payment by OWN; ' LOT BLOCK SUBDI ON iami Jhores F L O E I D A PLUMBING PERMIT to install the following d : cribed plumbing, in accordance with the laws, statutes and regu- lations of Miami Sho • s ilia e, Florida and the State of Florida, governing pl sel drainage work done a Shores Village, Flo For a_Lstory building at fi) Fixtures Fixtures $ Sewer $ tic Tank $ � Total $ Village Plumbing Inspector Received Payment by N? 11 ZQnti cJ [torte /•� t L O � i !1 ' A PLUMBING PERMIT to install the foll described plumbing, in accordance with the lations of Miami Shores Village, Florida and the State of :Florida, drainage work dos as Sipes Village, Florida. For ao n► + build . Olt Fixtures Fixtures Sewer $ PI Septic Tank $, Total $ Village Plumbing Inspector Received Payment by - Permit No __? J Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT t Location and Legal Description Lot Bloorllr Su — _______ _ Street and Number where work is to be performed -No (Pi � Street Ai y State w o r k to be performe8 and purpose of building (By Fl ) _ - -- - - G . i7-.. _e ' : New Building ___ Remodeling_ - ______ Addition________._ Repairs No. of St Ct My Commission Expires Notary Public, State of Florida (P/f/K 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. Registered Architect and /or Engin _____________ _ Employing Plumber's Name __ ___ V- /_v!7 '3 /& Z'_�___ No. /3 Street_4 "L"_ 13 Street- t/ 1 4i 4i i7 .3 T ` 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 Cam! tubing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent : • pplement, 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 )a- .perfor ed under this permit, as are licensed by Miami Shores Village. 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. 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 I NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES Co. NTR LIST / / CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONrR. LIST CHECK Permit No __? J Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT t Location and Legal Description Lot Bloorllr Su — _______ _ Street and Number where work is to be performed -No (Pi � Street Ai y State w o r k to be performe8 and purpose of building (By Fl ) _ - -- - - G . i7-.. _e ' : New Building ___ Remodeling_ - ______ Addition________._ Repairs No. of St Ct My Commission Expires Notary Public, State of Florida (P/f/K 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. Registered Architect and /or Engin _____________ _ Employing Plumber's Name __ ___ V- /_v!7 '3 /& Z'_�___ No. /3 Street_4 "L"_ 13 Street- t/ 1 4i 4i i7 .3 T ` 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 Cam! tubing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent : • pplement, 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 )a- .perfor ed under this permit, as are licensed by Miami Shores Village. 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. 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. APPLICATION FOR PLUMBING PERMIT Permit No. o t C'r 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. %%'',rr�� Owner's Name and Address 2214/4 �l Se�Lf Registered Architect and /or Engine Employing Plumber's Name Location and Legal Description Lot • Street and Number where work is to be performed —No. New Building Remodeling Amount of Permit $ e____ (""4/ MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT B lock ,No Size of Soakage Pit (Signed) licensed by Miami Shores Village. i (Signed) f c T _._ s treet ) Dist. Feet of Tank or Drain Field from Well Date Street St Size Septic Tank Type of Tank . Capacity Gals. Feet of Drain Tile Nature of Water Supply: City —Well. Notary Public. State of Florida Subdiv'sion__4_ _ ____t_____ State work to be performed and purpose of building (By Floors) Addition ________________________ Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts (s 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 e .toyed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the .•ce of the work . public notice or not as are required by the Act. The under signed agrees to employ only such sub - contractors, }vo o be • r o ed and r �•'; a4 are aster • i .. ber. STATE OF FLORIDA, 1 i 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. 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. _ 3 7kg 7. 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 SWI 'G OL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No. o t C'r 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. %%'',rr�� Owner's Name and Address 2214/4 �l Se�Lf Registered Architect and /or Engine Employing Plumber's Name Location and Legal Description Lot • Street and Number where work is to be performed —No. New Building Remodeling Amount of Permit $ e____ (""4/ MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT B lock ,No Size of Soakage Pit (Signed) licensed by Miami Shores Village. i (Signed) f c T _._ s treet ) Dist. Feet of Tank or Drain Field from Well Date Street St Size Septic Tank Type of Tank . Capacity Gals. Feet of Drain Tile Nature of Water Supply: City —Well. Notary Public. State of Florida Subdiv'sion__4_ _ ____t_____ State work to be performed and purpose of building (By Floors) Addition ________________________ Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts (s 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 e .toyed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the .•ce of the work . public notice or not as are required by the Act. The under signed agrees to employ only such sub - contractors, }vo o be • r o ed and r �•'; a4 are aster • i .. ber. STATE OF FLORIDA, 1 i 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. 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. _ 3 7kg 7. �?�: Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sn structure herein described. This application is made in compliance and conformity with the Building Ordinance of and kapervisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r .of Waled Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and building during progress of work. Owner's Name and Address 4 1.g. C B/40 No— S Registered Architect kuid/or Engineer_ Employing Plumber's Name 11. /,/ Al/rfrS No. /.7 Street Location and Legal bescription Lot_ Block________________ Subdi Street and Number Where work is to be performed—No. g Ya Strect_____ State work to be performed and purpose of building (By Floors )______ifiatit_40 New Building Remodeling Addition Repairs CONTR. LIST . CHICK CONTR. LIST ctiacx Size Septic Tank______ae ________Type of Tank Capacity Feet of Drain Feat of Tank or Drain Field from Nature 0 Water Supply: Size of Soakage Pit Amount of Permit $. 0 The undersigned applicant for this building permit does hereby certify that he ds and accepts his ob under the Florida Worlonen's Compensation Act, being. Section net enmigled Laws of Pkorkla Permanent. lied vrith the provisions thereof, and will require similar complhakee from isif contractors or sub-contractors craned ender this permit; and will Pi* or came to be posted for itestection on the site of the work such by the Act. The undersigned agrees to employ only inch sob-contractors, on work to be ceased by Miami Shores Vilbge. TE OF FLORIDA, as. NTY OF DADE. ore me, the undersigned authority, a notary public, duly authorised to administer oaths and take actrow ON, CLOSETS ell known, and who, being by me first duly sworkk_upon oath deposes and says that he is the above described construction, that he has caratelly read the horegoing application, and 'that he did sign the by hire stated are true. MIAMI SHORES VILLAGE PLUMING IMPLIION DemettAgra APPLICATION POO PLUMING prim (Signed ) _ (Signed) Date_ fee of $1.00 will be made when such re-inspection is made necessary by improper notice foe My Commission Expires Notary Public, State of NOW- Job Address Inspection Time Ready Date Ready 1 Permit No.. -_!` Size Septic Tank Feet of Drain Tile Amount of Permit $ Owner's Name and Address Nature of Water Supply: City —Well 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 Kuilding or othei 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept al building during progress of work. /10 No. aio Street A/E ? FS r Registered Architect and / or Engineer. _._ __ Employing Plumber's Name M'kM_!_-__t o'!? � - ° el 4. 't'` V No / 76 Street__ Location and Legal Description Lot Block Subdivider Street and Number where work is to be performed —No ,_ State work to be performed and purpose of building (By Floors ) __ New Building__-. Remodeling Addition_--_ ‘c1 _ Type of Tank_ _ Capacity Gals Dist. Feet of Tank or Drain Field from W (S rmit does hereby certify Section 5988, Compi compliance from sted for inspection on the site The undersigned applicant for this building under the Florida Workmen's Compensation Act, be plied with the provisions thereof, and will require sim performed under this permit; and will post or cause to be required by the Act. The undersigned agrees to employ only such sub- contracto licensed by Miami Shores Village. Date 1 14: /95Z 79 ------ - -__ -- Street___ L- _EE L}44/4, it 4 p Size of Soakage ( Signed )____ _ Repairs _- __ _ ___ No. of Stories understands and accepts neral Laws of Florida ntractors or sub- contrac of the wor ork to mbing Inspector. ligations an employer of labor ermanent Su • .lement, and has com- loyed b him in the work to be public notice or notices as are this permit, as are er Plumber. STATE OF FLORIDA, i �, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to adminis r oaths and take acknowledgments, personally appeare 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 far 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH B ASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE: CONTR. LIST __ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 0 TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No.. -_!` Size Septic Tank Feet of Drain Tile Amount of Permit $ Owner's Name and Address Nature of Water Supply: City —Well 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 Kuilding or othei 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept al building during progress of work. /10 No. aio Street A/E ? FS r Registered Architect and / or Engineer. _._ __ Employing Plumber's Name M'kM_!_-__t o'!? � - ° el 4. 't'` V No / 76 Street__ Location and Legal Description Lot Block Subdivider Street and Number where work is to be performed —No ,_ State work to be performed and purpose of building (By Floors ) __ New Building__-. Remodeling Addition_--_ ‘c1 _ Type of Tank_ _ Capacity Gals Dist. Feet of Tank or Drain Field from W (S rmit does hereby certify Section 5988, Compi compliance from sted for inspection on the site The undersigned applicant for this building under the Florida Workmen's Compensation Act, be plied with the provisions thereof, and will require sim performed under this permit; and will post or cause to be required by the Act. The undersigned agrees to employ only such sub- contracto licensed by Miami Shores Village. Date 1 14: /95Z 79 ------ - -__ -- Street___ L- _EE L}44/4, it 4 p Size of Soakage ( Signed )____ _ Repairs _- __ _ ___ No. of Stories understands and accepts neral Laws of Florida ntractors or sub- contrac of the wor ork to mbing Inspector. ligations an employer of labor ermanent Su • .lement, and has com- loyed b him in the work to be public notice or notices as are this permit, as are er Plumber. STATE OF FLORIDA, i �, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to adminis r oaths and take acknowledgments, personally appeare 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 far 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 faul materials and /or workmanship. CLOSETS BATH TUBS s LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES 3 2- 1 7 17 1 1.1 Sketch position of building and lot lines in square (which represents an entire city block), sh the building and lot faces: also show exact locations of "Y" in street and position of lateral sewer and any change in direction same may make. The purpose of this plan is to have an underground pipes for future references. NORTH A Remarks: NORTH SOUTH . • . . , • .• g on which street ptic tank. Show rate layout of all J.tq ge17 00 Store 0 lock No. 73 cU Sewer Connections At center of St. 0 Address 5' c;/,: /vE, 9s Address 4/1 A-244 5M 3-38 Employing Plumber For a Owner or Agent Builder or Contractor is Lot No. / Address Ground A M PM Approved by ( Condemned by REMARKS I herewith submit-the following plan of plumbing for approval: New 0 Dwelling DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Old 0 Story 0 Garage 0 At curb 0 executed by At property line 0 Existing in alley 0 Existing bldg. sewer 0 To septic tank Existing bldg. drain 0 To dry well A charge of $ 1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date ROUGH-IN INSPECTION Rough-In Rain Leader *t Date SEWER INSPECTION AM P . M. Approved by Condemned by REMARKS Addition 0 s?- Apartment 0 Hotel 0 REMARKS , 1 9 t - Remodeled Office Bldg. CI Date FINAL INSPECTION AM P Approved by Condemned by '' . '"1 - 0 r rTL' ■nf" or Polak, No, „tik, a THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. A PERSPECTIVE SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref- erence to same. / \1 .7-c • (H k • • \ • " e i ' A ., - t.T• ti ' -\\ .L , ,--,. s , ,, // , - PERMIT APPLICATION FOR MIAMI SHORES � VILLLA / GE f C� Date �Q - ,R0 C) e Job Address Al 3 f 5/ >' Tax Folio 1 1 ' �/ DoYo • (/(`T v L// 4O Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address 5 %C. 11Z • Contracting Co. ,447c' Po " , , !,o Qualifier c u (! State # `jG r 0c0 (, Sic? Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDINGELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN J� r WORK DESCRIPTION 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 m compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work : t= • - td/o Po, President Date 6 _ - Notary as to 1 an' , • do President My Commission xpires: FEES: PERMIT Date 0000 Master Permit # c'<'/ 2 , .2 6 V 43421 Phone G , y''�CL� Address l� o 5 LL `•, >" C,t - p , te a SS# / .„ - /?Phone iG- Estimated Cost (value) COO O Signature of C RADON C.C.F. (- a 0 NOTARY BOND 2 ao c -)O -111 Date ao - rd� Notary as to Contrac •r or Owner- Builder Date My Commission Expires: YP efd , Wm. MARK WOODARD co. .1.4 # CC 625712 14, L KPIRE :OAP 2, 2001 BONDED THRU OT F% ATLANTIC BONDING CO., INC. �.a TOTAL DUE .7.3@ APPROVED: Zoning Building Electrical M Mechanical Plumbing � Engineering 0 T Ij! STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS &`Chapter 10D -6, FAC C0NpTRUCTION PERMIT F DV) New System [ ) E isting System c y) Repair ( Abandonment APPLICANT: PROPERTY ID 1: A J- SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: OH 4016. 10146 (Replaces HRS-H Form 4016 )peps 1) which may be wad) v (Stock Number: 5744. 001 - 4016 -0) [ /1"Y Ho ( 1 T F"` AGENT: ,�1 el /c0 N Sc-i f PROPERTY STREET ADDRESS: g � � 9 G LOT: /4_ BLOCK: / SUBDIVISION: [SECTION /TOWNSHIP /RANGE /PARCEL. Wit; ( `TAI ID'' s=ac=s = =c=ame===_ aMMMMies m=ssssasssmssm SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D4, FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF 28tr.R PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OV NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. 'ANY CHANGE IN:NATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS HERMIT REQUIRE APPLICANT TO MOOP,T PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. _ _===== r== as s== a =sssss = ============ =ma=mas= ==s mssssmssssssssssasmm SYSTEM DESIGN AND SPE.CIFICATIONS T i / GP4:ii UNIT CAPACITY MULTI-CHAMBERED/IN SCRIM( ) N [- ) GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK1 ouzo's' K ( . ) GALLONS PER DOSE DOSING TANK CAPACITY DOSE .RATE ( ) PER 24 HRS NO. OF PUMPStj 1 D ($ ' SOUARE F ,T.P IMARY DRAINFIELD SYSTEM R ( ) SQUARE FEET SYSTEM A TYPE SYSTEM: [ ) STANDARD [ ) FILLED I CONFIGURATION: ( j TRENCH [ F LOCATION OF BENCHMARK: ,t/ F F Ce ,» I ELEVATION OF PROPOSED SYSTEM SITE [ /6'') INCHES /FT) [ABOVE /BELOWI BENCHMARK E BOTTOM OF DRAINFIELD TO BE ( w ) ) (ABOVE BENCHMARK L D FILL RE t p , ( j It(CHES, FXCAVA TION REQUIRED: (-3l) INCHES • D OTT O:vi A L... ing Tank ( Temporary /Experimental tber(Specify) TITLE: TITLE. • APPLICA PERMIT # DATE PAID *HE , PAID $ RECEIPT # ( ) MOUND [ ) ( ) _ ■ EXPIRATION DATE: //. Q ,qf Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser ID# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 1OD -6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by County Health Department. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued.