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PLUMBING
building during progress of work. cf'1. ti h i tv tk + tj Cj Owner's Name and Address T• B• G 1 e n d iin 1 ng Registered Architect and /or Engineer Size Septic Tank. Feet of Drain Tile. Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, sib COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL =CATION FOR PLUMBING PERMIT Permit No. Date. - — --9 7 > -- - - - - - 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 Employing Plumber's NameR OS - a -- --Sept 3.C- T- B.pk-- CCh -P-; O- - State work to be performed and purpose of building (By Floors)___.___________ :$0X — H-3 a-1 e-a-1 t Location and Legal Description Lot. Block Subdivision it Street and Number where work is to be performed —No 913 N.E. 98th strgg New Building____ -- _ ____ -- Remodeling_ __ ,____ -- Addition_- -- Repairs_ __Type of Tank__ ______Dist. Feet of Tank or Drain Field from Well - - -- -- - - --- - - - - -- - -- Size of Soakage Pit (Signed)_ Street_ __Capacity Gals f No._ 9 theeE No. of Stories 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. }} �i Master Plumber. 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 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 nota.. for intii n, or faulty materials and /or worlonanship. CLOSITS BATH TUB6 S LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS U 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 32' -- — CHECK building during progress of work. cf'1. ti h i tv tk + tj Cj Owner's Name and Address T• B• G 1 e n d iin 1 ng Registered Architect and /or Engineer Size Septic Tank. Feet of Drain Tile. Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, sib COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL =CATION FOR PLUMBING PERMIT Permit No. Date. - — --9 7 > -- - - - - - 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 Employing Plumber's NameR OS - a -- --Sept 3.C- T- B.pk-- CCh -P-; O- - State work to be performed and purpose of building (By Floors)___.___________ :$0X — H-3 a-1 e-a-1 t Location and Legal Description Lot. Block Subdivision it Street and Number where work is to be performed —No 913 N.E. 98th strgg New Building____ -- _ ____ -- Remodeling_ __ ,____ -- Addition_- -- Repairs_ __Type of Tank__ ______Dist. Feet of Tank or Drain Field from Well - - -- -- - - --- - - - - -- - -- Size of Soakage Pit (Signed)_ Street_ __Capacity Gals f No._ 9 theeE No. of Stories 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. }} �i Master Plumber. 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 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 nota.. for intii n, or faulty materials and /or worlonanship. CLoarra BATH TUB• SHOWIER• LAVA• TORTE. SINKS SLOP SINK, LAUNDRY Tuns URINAL. CATCH 8A•IN FLOOR DRINKING DRAIN FOUNT - Ns TOT..L FIKTI. RIa C LI TR. Li T — + - T — -� ---- CHICK -- . SEPTIC TANK SIWLR CONN. DRAIN FILLD SOAKAGE PIT GREA•E TRAP SOLAR HEATER DEEP WELL BPRKLR. SYSTEM SWIM POOL I LIST Ir--r-- F+-- +-T - ll CHICK �-_ . Perrni, Nu. `.! 11. Is hereby made for the approval of the detailed statement of the plans and specifications herewith eubri. . i for the building or other tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of ML $ Shores Village, Florida, 4,;d all pros isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at 'mudding during progress of work. '.hvnei s Name and Address. No.__. 918N> "_98 U .-_.. .egist. red Architect and /or Engineer ?mploying 1 Name Acme -- Gas- • o-rp No.. .14.9.1. street. NZ, 130... .1...._. . Location and Legal Description Lot. Block 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 Repairs Size Septic Tank_-.-- -.-- ----- •-•---------- -- - - - - -- ._Type of Tank__ Capacity .ala Feet of Drain Tile. - - -- Nature of Water Supply: City— Well. Ins tall_ 120 gal tank Amount of Permit ; -.. -1° My Cnrnmission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Same Date Street 3.- 23 -8 No of Stones _ —Dist. Feet of Tank or Drain Field from Well. __._- __.___.___. -Size of Soakage Pit for ckg_log (Signed)_ ' ttR.,0 Plumbinglnspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n,lloyet os i ibo, under the Florida Workinen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent f upi lement, -nt; lia, , rh 1 Led with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in • :k R' b- perferrned under this permit; and will post or cause to be posted' for inspection on the site of the work such pnhl: notice -r no icrr 45 11‘ required by the Act. The undersigned agrees to employ only such sub - contractors on wor o . . . •• d r'a this � rl lit, r; yt licensed by Miami Shores Village. (Sign rwin F r ..- Mast z Plumber STATE OF FLORIDA, i u . COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per.;or.a; : a ppeareu to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the inns TL1 2 of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all acts therein by hin, stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of ;1.00 will be made whoa such re—inspection is madarneoessary by improper notice for inspection, or t.utty materials and/or workmanship. • 'bE PLY ICME GAS Cca t' t4g NE MO Ste' Nowt.%Mtp ,E'Lckn» re' ; , r • cA6 - • - --I— REcilE q'T'/o iJ' Ari° Pal ti bib 4 t h "R. E. tVa.L 913 Me.. 98 sr 141414 1 S NoRFS CEfriFwr F14 T !e t Fa Iq A/c ,gGIfS TA.ac c ErrI.v f 10‘PCK. rvw c i1, • MIN D Iffil FIRE DEPART;;IEa1 PO 1. E DEPARTMEI:° BUILDING DIRECTOR cskiNvvr omms. PUBLIC WO42:tS PLANNING II: ZONING i:O. VILLAGE COUNCIL THESE PLAINS ARE :.PP +Eli 1• R :: •+u,':.:. 0•. A BUILDING PERMIT CI WITH P :0 /. ^, !: '' : ' 0 1'iH VP A ; E(')'. STED IN "REMARKS" NO OTHER ^E"!P,T :0 S r r.c • , ` ' • , p. ! D9! LDING A`:0 ZONING ORDINAPICE;'VJII.L BE K '''f;'. Us2!.F =S SPE" I::O'.DLLY LISTED BELOW. ALL OTHER APP! PCASI E : i•'iE AND :0'J: iY LANS MUST BE COMPLIED WITH BY ALL PARTIES. PRELIMINAM ENALo REM KS: t. e►.a °�9 e ;f1,1°619P4 Dade COMPLOANCI; NE SOWN FLNDA MOM rotOE AS Anne BY C'JIAM8 SHORES VILLAGE IS AVM. VIE AsC 1BECY, BLIMWER b SUB CONTRACTMS ARE DEG U 1613 WHET OR Of V © L V O C N ED QED, APPROVAL •0 *•oe••=•o o•• Permit No. /7 Dates Application is hereby made for the approval of the detailed atitement of the plans and specifications herewith structure herein described. This application is made in end maternity with the Building Ordinaice and all provisions of the La of the State of Florida, all lot l *arse .Village and all rules ate' of Miami Shores Village shad be complied with, whet> er cr not A ropy of aped plane building during progress of SINKS URINALS SwIM'o POD SOAKAGE Prr Owner's Name and Address__.__ ••u - .. No Street__ Registered Architect and /or Employing Plumber's Name Location and Legal Description Lots Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floots)___. New _____ Remodeling-__._ Addition. VILLAGE osommisa MOW WO Septic Tani —_ - -- '�'� ___ Feet of Drain Feet of Tank or Drain Field firm Well__ Nature of Water Supply: City— Well. - -- Sire of Soakage Pit applicant for this building hereby certify and amts hta obligations as Wodoaen's Compensation Act, being Cosn iLed Cenral Laws of Florida Peresaniat the proviMons thereof, and will require simdle* iyvm all contractors or sub- contractors employed by fit•, emit; and will post or cause to be postl`d` for illetteltita an the site of the work such' public notice The undersigned agrees to employ only such iut on work to be performed under tb lions Village. of Permit • 4 -__- ( Signed) STATE OF FLORIDA, t COUNTY OF DADE. Before me, the rmdersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 reed the "Ongoing application, and that he did sign the therein by him stated are true. My Commission Expires Notary Public, State of NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice materials and/or workmanship. VILLAGE Application is hereby suede for the approval of the detailed statement of the pions and specifications herewith sul structure herein deer:ribs& 'This application is made n jI1ea and conformiky with *he Buikling Ottlitissnee of and sal provisions of the Lawi of the State of Florida, afli, 01 Wing Soto Vetge and alt ra1s of Miami Shores Village shell be with, ishstber hecIfied or A copy of approvedl 7/1 building dcubsg prowess of 1 aalr Owner's Name and Adchuss______.-- P Permit No.:7 LI (1 Coterie. I1T CHECK LIVT CHUM STATE OF FLORIDA, COUNTY OF DADE. • Size Septic Twide Type of Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Wet Size of Soakage Nature of Water Supply: City—Well. MIAMI OltE-S numatte APPLICIOGIC Date_ Registered Architect and/or E Employing Plumbs?. Name Location and Legal Description Street and Number where work is to be performed— State work to be perfiturd and purpose of bnilang (By Flooss)-III—S_ -New Building PI d Remodeling No. of • Amount of Permit $_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati** under the Florida Workmen's Compensation Act, being Section 5006, Compiled General Xeols of Florida Permanent inf,;. 1 ; 1 ; t 4:''''''' - ' plied with they:9+,61°ns thereof, and will require similar conngianco from all contractorf or ,sub-contractors employed b ` performed under this permit; and will post or cause to be posted for iespection on the site of the stork such public , , .3* :- ,-' L •• • 4 required by the Act. The undersigned agrees to employ only such to be undsr licensed by hand Shores Village. °I4°°. ., (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgMents, , 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 711 the same, 1 therein by hies tesasslate Vele. NOTE: A re-Inspect1o fee of $1.00 will be nadewb such rembssoiection is made necessary by *popes i materials and/or woramaniaap. My CgalMiSS1011 Expire. • Notary Public, Stint c Compa Job Address Inspecti Time Read Date Ready s ; REQUEST FOR INSPECTION PHONE A.M. P.M. r BUILDING ELECTRICAL PLUMBIN ' -c' Owner of Building Architect Contractor or Builder Legal Description Worl be performed under this � VM G L)13 t 3 Lot Bl. Tip / ` , , v 111116 — w..r fil !NM WI& Subdi- vision w4 ! '4' MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8116 Permi Address of Building This permi is : ted to the con actor o •uilder named above o construct cation herefor in strict compliance with all ordinances pertaining theret a and with plans, drawings, statements or specifications that may have been submitted to a at any time if the work is not done in compliance with such ordinances or if th permit is granted is the understanding that the contractor or builder named ab regulations pertaining to the work covered hereby whether shown on the plan sibility for work done by his agents, servants or employees. Value of Project BY DATE Contract License Amt. of Permit IN PECTOR In consideration of the issuance to me of this permit I agree . . . e work covered hereunder in compliance with pertaining i ereto and ` strict conformity the plans, drawings, statements or specifications submitted to the proper autho 's permi l ass r; . o. for all work done by either myself, my agent, servant or employee. 0 AUTHORITY 194 the building or to install the equipment or device described in the appli- understanding that the work will be performed in compliance with any proper municipal authorities. This Permit may be revoked ithout authorization. A further condition upon which this onsibility for a thorough knowled • e of the ordinances and ments or specificatio. - - assumes respon- nances and r�gg of Miami Sho•s• na'D �e;1S Penni, No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT is hereby made for the approval of the detailed statement of the plans and specifications herewith subr u• .1 for the building or other Aructure herein described. This application is made in compliance and conformity with the Building Ordinance of ME: Shores Village, Florida, 4, all pro % isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division ot Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications most be kept at 'iuilding during progress of work. JJolia ..)' reo ')wner's Name and Address uc —..—.-. No • • - • Street..2.' " " . ,egist2red Architect and/or Engineer L;e Lank . Jo. Street, 56 jtreet, 1:mploying Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed-No 913 Block Subdivision_..._. street 98 :Jtreet, State work to be performed and purpose of building (By Floors) New Building . Remodeling Addition Repairs r al. Size Septic Tank__ 750 Type of Tank Feet of Drain Tile. 2 mi. Feet of Tank or Drain Field from Well. Nature of Water Supply: City-Well._ ...... of Soakage Pit aJ Amount of Permit $ ...... CCC • STATE OF FLORIDA, } as. COUNTY OF DADE. capacit , Als_z— 75.p _al. Plumbinl Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an enoloyei of lobo under the Florida WorInnen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Cum lement, find has eorl. lied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in • ‘;.■ ri v b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub': notice no icer is a- reqtered by the Act. The undersigned agrees to employ only such sub on work to be performed this , ri us, . licensed by Miami •Shores Village. Date 1241'1 • _ • • • • - • - • - . • - - • ... No of Stones Mast a Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perinr4; opearec, 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 he did sign the ssune, and mat all acts 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 le mede•neoessary by Improper notice for inspvtion, ter unlit) materials and/cr workmanship. CLOSETS BATH TUBS SHOW ER• LAVA- TORIES SINKS SLOP SINK• LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT' N• TOT,L FI X TI. RES CONTR. LI T — CHICK ....... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM ISW I M '0 POOL L --- 1 ..... 1 ■.... C O N T . LIST 2 CHICK Penni, No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT is hereby made for the approval of the detailed statement of the plans and specifications herewith subr u• .1 for the building or other Aructure herein described. This application is made in compliance and conformity with the Building Ordinance of ME: Shores Village, Florida, 4, all pro % isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division ot Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications most be kept at 'iuilding during progress of work. JJolia ..)' reo ')wner's Name and Address uc —..—.-. No • • - • Street..2.' " " . ,egist2red Architect and/or Engineer L;e Lank . Jo. Street, 56 jtreet, 1:mploying Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed-No 913 Block Subdivision_..._. street 98 :Jtreet, State work to be performed and purpose of building (By Floors) New Building . Remodeling Addition Repairs r al. Size Septic Tank__ 750 Type of Tank Feet of Drain Tile. 2 mi. Feet of Tank or Drain Field from Well. Nature of Water Supply: City-Well._ ...... of Soakage Pit aJ Amount of Permit $ ...... CCC • STATE OF FLORIDA, } as. COUNTY OF DADE. capacit , Als_z— 75.p _al. Plumbinl Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an enoloyei of lobo under the Florida WorInnen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Cum lement, find has eorl. lied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in • ‘;.■ ri v b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub': notice no icer is a- reqtered by the Act. The undersigned agrees to employ only such sub on work to be performed this , ri us, . licensed by Miami •Shores Village. Date 1241'1 • _ • • • • - • - • - . • - - • ... No of Stones Mast a Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perinr4; opearec, 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 he did sign the ssune, and mat all acts 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 le mede•neoessary by Improper notice for inspvtion, ter unlit) materials and/cr workmanship. Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /Xi90 Date..._.. !,L_ Z...__..._ — 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 Shares 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 et building during progress of work. �'� y� Owner's Nam DOL./C./A. and Address O � . / C. / A' No � rti3 Street.tv .' Vi.` • . Registered Architect and /or Engineer E iploYing Plumber's Name - •Rs4L."'L,.=1 /i Pi 61..6 C c? Na i a ' M.._....••.. ttrtet..-4/.. .2"- . Block SubdivWon. ___ -- Street and Number where work is to be performed —No q/ 3 /V 0"► ! r State work to be performed and purpose of budding (By Floors)___ _._________ New Building- Addition. Repair No. of Stories.... �........ Size Septic Tank_ Type of Tangy Feet of Drain Tile fled- Feet of Tank or Drain Field from Well ..._ --_ Nature of Water Supply: City —We1L Size of Soakage Pit. Capacity Gals.-._.. Amount of Permit $ 4156 ° (Signed) —NI ".. ~ Plumbing Inip ctor. 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 hie com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort N 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 err* required by die 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. (Sly) My Commission Expires Notary Pub& State of Florida Master Plumber. STATE OF FLORIDA, I µ 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 be did slips the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when snob rwi sig ectio a is reade'neoaesery by improper notice for impaction, or fealty materials and /or workmanship. CLOSETS BATH SHOWERS LAVA TORI[/ SINKS SLOP /INKS LAUNDR TuSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'M. 14//t/ / 60 r TOTAL FIIITuRs _ CONTR. LIST It 3 / J / / CHECK !^' ' 1 4 11: _ /L/ 9, SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL SPRKLR S •WIM'G POOL 445 W CONTR. LIST CHECK �. / , � . �/ 7 (J�— $ l t° Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /Xi90 Date..._.. !,L_ Z...__..._ — 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 Shares 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 et building during progress of work. �'� y� Owner's Nam DOL./C./A. and Address O � . / C. / A' No � rti3 Street.tv .' Vi.` • . Registered Architect and /or Engineer E iploYing Plumber's Name - •Rs4L."'L,.=1 /i Pi 61..6 C c? Na i a ' M.._....••.. ttrtet..-4/.. .2"- . Block SubdivWon. ___ -- Street and Number where work is to be performed —No q/ 3 /V 0"► ! r State work to be performed and purpose of budding (By Floors)___ _._________ New Building- Addition. Repair No. of Stories.... �........ Size Septic Tank_ Type of Tangy Feet of Drain Tile fled- Feet of Tank or Drain Field from Well ..._ --_ Nature of Water Supply: City —We1L Size of Soakage Pit. Capacity Gals.-._.. Amount of Permit $ 4156 ° (Signed) —NI ".. ~ Plumbing Inip ctor. 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 hie com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort N 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 err* required by die 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. (Sly) My Commission Expires Notary Pub& State of Florida Master Plumber. STATE OF FLORIDA, I µ 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 be did slips the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when snob rwi sig ectio a is reade'neoaesery by improper notice for impaction, or fealty materials and /or workmanship. ? MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING " 4,MIT # Permit No Date 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. Street A .... Owner's Name and Address No. Registe.red Architect and/or Engineer_ Employing Plumber's Name No._ Street_ — Location and Legal Description Block Subdivision Street and Number • ber where work is to be performed—No Street ' State work to be performed and purpose of building (By Floors) .. _ New Building_ . ........ Remodeling__ Addltion.L Repairs No. of Stories... .. ..... ....___ Size Septic Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Amount of Permit $ Type of Tank__ Capacity Gals (signed)_ t--'. P um mg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his qbligations as an employer of labor eilder the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pernianent 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). ....." — ‘... * 7 Master Plumber. STATE OF FLORIDA, t u. 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 $L00 will be made when such re-inspection is made by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Twos URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FOUNT' NS TOTAL FIXTURES CONTR. LIST . j-- Fr CHECK rt A Y L / 2 — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M G POOL CopaR. LIST CHECK _— ? MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING " 4,MIT # Permit No Date 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. Street A .... Owner's Name and Address No. Registe.red Architect and/or Engineer_ Employing Plumber's Name No._ Street_ — Location and Legal Description Block Subdivision Street and Number • ber where work is to be performed—No Street ' State work to be performed and purpose of building (By Floors) .. _ New Building_ . ........ Remodeling__ Addltion.L Repairs No. of Stories... .. ..... ....___ Size Septic Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Amount of Permit $ Type of Tank__ Capacity Gals (signed)_ t--'. P um mg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his qbligations as an employer of labor eilder the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pernianent 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). ....." — ‘... * 7 Master Plumber. STATE OF FLORIDA, t u. 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 $L00 will be made when such re-inspection is made by improper notice for inspection, or faulty materials and/or workmanship. 6 cA MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami res Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and ,ulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved ms and specifications must be kept at building during progress of the work. Owner's Name and Address . . ..�L..__4. !L .Q,Yd B. Registered Architect and /or Engineer _ -.aht R7 n, Name and address of licensed contractor._ .LIJ rLe v Location and legal description of lot to be built on: rC ( Lot Block ./ 3 /. F A Subd Street and Number where work is to be done 1.3 • State work ko be done and p rpose of building (by floors) New Building Remodeling J To be constructed ofc:3 Kind of foundation ' Estimated Total cost of improvements $ -" Amount of Permit $_. Zone cubage required Plan Cubage., e c- Distance to next nearest building _._. Size of Building Lot A.1 No No 1 .3 Street • r? s tr Yi Y • and for no other purpose. r — Repairs No. of Stori ss Roof hovering._ �.i._f4 f tie. it. Date / j '1 Read, Sworn to and Subscribed before me. 157 Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 complied 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 sybkdntractors, on work tq performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) — - / STATE OF FLORIDA, COUNTY OF DADE. J Ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 tree. Permit No Disapproved Notary Public, State of Florida (Signed) ilding Inspector My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS Village THIS LICENSE EXPIRES I� " 74 ' 1 ' 7-3.4 ``' In consideration of the sum of ` „ . i -, � Paid to Miami Shores Village, Dade County, State of Florida, is hereby licensed to engage in or operate the business of Tte Issued Oct. License N? 2264 Dollars ($ 2f;„',/ MIAMI SHORES VILLAGE, , FLORIDA By 'IS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. APC 6 coeSelBado Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VIL :AG PLUMBING INSPECTION DEPARTMEi' ' APPLICATION FOR PLUMBING Permit No _. ,:� Date 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 no. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No.. �__.-- 9.1__• -./.V£ Street. Registered Architect and /or / Employing Plumber's Name u':` s s_ - -' �'� No..__.11 Gam.___. �% Street_ : :5 ) 1 1. r... ....._... - - -- 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 Foors) -. tip New Building---- _------- . ......... ... . -_ Remodeling ____ - - - - -- __ __ Addition- -• - - -_ _ -_ -._ R Bloei 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 (Slimed) ( Slimed) Street_ Capacity Cals No. oY Stones ................. . ...... Phunbing 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 lcensed by Miami Shores ViBage. 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 Ccnunission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re -inspection b made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUSS eNOWERE LAVA. TORIES SIN KS SLOP SINKS LAUNDRY TUGS URINALS CATCH SASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G - TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SW IM' POOL CONTR. LIST CHECK Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VIL :AG PLUMBING INSPECTION DEPARTMEi' ' APPLICATION FOR PLUMBING Permit No _. ,:� Date 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 no. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No.. �__.-- 9.1__• -./.V£ Street. Registered Architect and /or / Employing Plumber's Name u':` s s_ - -' �'� No..__.11 Gam.___. �% Street_ : :5 ) 1 1. r... ....._... - - -- 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 Foors) -. tip New Building---- _------- . ......... ... . -_ Remodeling ____ - - - - -- __ __ Addition- -• - - -_ _ -_ -._ R Bloei 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 (Slimed) ( Slimed) Street_ Capacity Cals No. oY Stones ................. . ...... Phunbing 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 lcensed by Miami Shores ViBage. 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 Ccnunission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re -inspection b made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. • Permit No.. ,S -S; 7 Date 5 - Z g'- S 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. •• P Owner's Name and Address -',/ y ,�' . - "`'c t" s -- - - -- No. — - - - - - - -- Street d Registered Architect and /or Engineer_ ______ _ ____ ,_____ _ Emplcying Plumber's Name Location and Legal Description Lot -___- ___-___--_--.__-_.__-_ Street and Number where work is to be performed- No.--__-____ ____ St.te work to be performed and purpose of building (By Floors)__ --•- New Building _--------- _ - -. -- •__ -_._ Remodeling__ -_ Addition - Size Septic Tank ----- - - - - -- Feet of Drain Tile Nature of Water Supply: City -Well Amount of Permit $ Z' - - -. Type of Tank__ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well. — __ __Size of alcage Pit My Cc emission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING . ° ":r,dWiT No._ ' 7 6 Street__ _lY !_ ' Zi!_ 777 Block _ Subdivision Street Repairs No. of Stories ... .......... __ - . (Signed)_ . (Signed) Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his • •ligations 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. S LATE OF FLORIDA, f u. CDLNTX OF DADE. Ee`nre 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 abov ; described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therfin by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBE SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' N5 TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL VI � - -- ✓ CONTR. LIST CHECK • Permit No.. ,S -S; 7 Date 5 - Z g'- S 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. •• P Owner's Name and Address -',/ y ,�' . - "`'c t" s -- - - -- No. — - - - - - - -- Street d Registered Architect and /or Engineer_ ______ _ ____ ,_____ _ Emplcying Plumber's Name Location and Legal Description Lot -___- ___-___--_--.__-_.__-_ Street and Number where work is to be performed- No.--__-____ ____ St.te work to be performed and purpose of building (By Floors)__ --•- New Building _--------- _ - -. -- •__ -_._ Remodeling__ -_ Addition - Size Septic Tank ----- - - - - -- Feet of Drain Tile Nature of Water Supply: City -Well Amount of Permit $ Z' - - -. Type of Tank__ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well. — __ __Size of alcage Pit My Cc emission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING . ° ":r,dWiT No._ ' 7 6 Street__ _lY !_ ' Zi!_ 777 Block _ Subdivision Street Repairs No. of Stories ... .......... __ - . (Signed)_ . (Signed) Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his • •ligations 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. S LATE OF FLORIDA, f u. CDLNTX OF DADE. Ee`nre 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 abov ; described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therfin by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. 4 MIAMI 4HORES VILLAGE, FLA. JOB ADDRESS INSPECTION (. - La { c 4 l.t r ( /• E ":. U TIME READY , "` r / * __z REMARKS: INSPECTOR ) N? 5922 DATE "C) MIAMI SHORES VILLAGE, FLA. JOB ADDRESS INSPECTION TIME READY REMARKS: INSPECTOR (A 2 C' N? 5921 c,E ztr..t_ DATE - 11 - !L ?ALP__ ( BUILDING ELECTRICAL PLUMBING EOOOFING Dwner of Building krchitect Dontractor )r Builder ..egal D escription 4ddress of 3uilding MIAMI SHORES VILLAGE. FLORIDA + �' D V ❑ DATE # - 195 ® PERMIT N? 6306 Contractor's 3 ; �r License No. Lot ❑ Work to be performed under this Permit C,• - J CONTRACTOR OR BUILDER -ft f - ... / 1 J' Subdi- vision Value of Project This permit is granted to the contractor or buildernamed above to construct the building or to install the equipment or device described in the application h erefor in strict compliance with all ordinances pertaining - thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any h me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further,aendition 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 aertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specification and • t he assumes responsibility for work lone by his agents, servants or employees. f �, Signed. W INSPECTOR Amount of Permit $ In consideration of the issuance to me of this permit I agree to perform the work covered reunder in compliance with all o • inances and regulations aertaining thereto and in strict conformity with the plans, drawings, statements or specifications s tied to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility f r all work done by either, myself, my agent, se •+ t or a loyee. BY AUTHORITY ell ' G'Ili� t ' ' 4,, ,,,411 1 s),-■ 0-4 rO Architect k DAV EC -^ ChNakadee. UMW No. 10 19 r Wire BUUIDING ELECIIIICAL PLUMBING ROOFING 0 Owner of Building fn PERMIT N? 9049 0 MIAMI SHORES VILLAGE. FLORIDA DATE 740 Contractor's s 2 0? License No. Architect Contractor or Builder Legal Description Address of 1 tst" - . Building Lot 110 . ris• C"- 1. Bi. 1 - • Work to be performed under this Permit dA.-7 1 ' s a r " A e gib Subdi- vision In considetation of the 'manes to me of this permit I agree to rirform the work pertaining thsr end M strict conformity the plane, drawings, statements or me.a' 00 done by either, myseff, m In accepting dals park Iligaint Ekl. Ft. Value of Project $ herefor in strict with all ordinances pertaialng thereto and with the understanding that the work be performed in compliance with any plans, This permit is ted to the contractor or builder named above to construct the building or to install the equipment or device described in the application drawings, statenieets or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit moik be revoked at any time if the work is not done in compliance wtth such ordinances or if the plans are changed without authorization. Condllion upon Which this permit is granted is the undemanding that the contractor or Wrier named above assumes the responsibility for a thorough edge of the ordinan�. and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the - - - ts oV Apecifiaitions - *kb assumes responsibility for work 40 done by his ages*, 'manta or employee*. Signed: hereunder in compliance with all ordinances and reguitions submitted to the proper authorities of Miami Shores Village. gent, servant or employee. 411 W.A` Amt. of Permit $ 111 • ■ E - -- Permit No. ....... - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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 TomGlend n g_ - -• -- No 5treet.__.-__--.._..-_-_-. Registered Architect and /or Engineer Employing Plumber's Name Rose Septic Tank Co; - P.O.6)� .3, ifialeaiBtreet. Location and Legal Description Lot- Block Subdivision Street and Number where work is to be performed —No 913 N. E _ 98.t.h street Street. State work to be performed and purpose of building (By Floors) ___.- -_—. -_ - -__ _____.__ New Building _ _._. Remodeling — — -- Addition_.__.__ -_. Repairs Size Septic of Tank Feet of Drain Tile.------ •------ - - - - -- — — ._._Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City —Wall. _ _ _—_..Size of Soakage Pit Amount of Permit $ 4.00 (signed)_ (Signed) > t Capacity Cals.___._._._. 11 -13 -7 No. of Stories umbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as licensed by Miami Shores Village. Master Plumber. are are STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - • - _ - - -- -- - .._._. — _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when as re-inspection is mede by improper notice fox inspection, or faulty materials and /or workmanship. CLOSETS 1 TUBE BATH SHOWER• LAVA• TORIES SINK. SLOP litmus LAUNDRY TUTU.. URINALS CATCH FLOOR DRAIN DRAIN DRINKING FOUNT'N. TOTAL FIXTURES CONTR. LIST — CHECK -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G I SOLAR TRAP HEATER DEEP ! WELL SPRKLR. S SWIM'O POOL CONTR. LIST I CHECK 35' I f j E - -- Permit No. ....... - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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 TomGlend n g_ - -• -- No 5treet.__.-__--.._..-_-_-. Registered Architect and /or Engineer Employing Plumber's Name Rose Septic Tank Co; - P.O.6)� .3, ifialeaiBtreet. Location and Legal Description Lot- Block Subdivision Street and Number where work is to be performed —No 913 N. E _ 98.t.h street Street. State work to be performed and purpose of building (By Floors) ___.- -_—. -_ - -__ _____.__ New Building _ _._. Remodeling — — -- Addition_.__.__ -_. Repairs Size Septic of Tank Feet of Drain Tile.------ •------ - - - - -- — — ._._Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City —Wall. _ _ _—_..Size of Soakage Pit Amount of Permit $ 4.00 (signed)_ (Signed) > t Capacity Cals.___._._._. 11 -13 -7 No. of Stories umbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as licensed by Miami Shores Village. Master Plumber. are are STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - • - _ - - -- -- - .._._. — _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when as re-inspection is mede by improper notice fox inspection, or faulty materials and /or workmanship. BOWING ❑ ELECTRICAL PLUMBING ROOFING ° PERMIT N? 8279 a -Owner of ';Building MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this P DA !Contractor's Licea N 19 Architect Contractor or Builder Description Legal Lot (1 Bi. Subdi- vision 8q. Ft Addre s of ► F " 1 Value of r rid Amt of 7, 1._A"d f 7/ Buildin This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the , application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with' any plans, drawings, states pr or specifications that may have been submitted to and approved by the proper municipal authorities, : This Permit ms revoked at any time if the wo'k is not done in com ce with such ordinances or if the plans are changed without authorisation. A further condition +i d i'this permit is granted is the en ding that the contractor or builder named above assumes the responi ility for a . thorough knowledge of the p pOte and regulations pc to the work covered hereby whether shown on the plans or drawings or • . the statements or fi : one and that he simian tesponsibihty for work soots, done by his a, servants or employees dr ' Signed- In consideration of the issuance to me of this permit I agree to perform the work - ' in strict conformity with the plans, dra statements or . . eft I assume .. 'ty for all work done either, m BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder 't Legal Lot Description Bl. to Address of _ 3 � - r Building i t MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5570 "�. r to be performed under this Permit fl t 6 DATR ' 195 Contractor's License No. > 1 " Subdi- vision Value of Project $ Amount of Permit $ 2 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal auth = time if the work is not date in compliance with such ordinances or if the plans are changed without authorization. granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificatf done by his agents, servants or employees. INSPECFOR In consideration of the issuance to me of this permit I agree to perform the work covered h er in compliance with all • • • and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi to the proper authorities of Miami Shores Village. In ac- cepting permit I res • • • ty for all work done by either, myself, my agent, servant or employee. This Permit may be revoked at any further condition upon which this permit is owledge of the ordinances and regulations s - + d he assumes responsibility for work AUTHORITY fLDING ECTRICAL UMBING , c40FING Owner of Building ` Architect Contractor or Builder Legal Description Address of Building Lot tr MIAMI SHORES VILLAGE, FLORIDA (._` , , ; r PERMIT N? 5544 Work to be performed under this Permit e' r . t PI * Ct., .,a J/ Value of'_ Project $ Z" i O This pei', to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict cCatpliance 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 o ne 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough know ge of the ordinances and regulations staining to the work covered hereby whether shown on the plans or drawings or in the statements or specfficat' s d that he assumes responsibility for work e by his agents, servants or employees. Signed. 114 '" In consideration of the issuance to me of this permit I agree to perform the work covered , ereunder in compliance with all ordinances and regulations fining thereto and in strk conformity with the plans, drawings statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- qq this pgimit I INSPECTOR t _ afl York 4 W t1 myself, my agent, servant or employee. C 4..- -11 f BY AUTHORITY DATE MA- Z Z 195 Contractors License No. Subdi- vision Amount of Permit $ BUILDING ELECTRICAL PLUMBING ROOFING Owner of : Building Description Address of Building MIAMI SHORES VILLAGE. FLORIDA DATE _ 3 l 195 PERMIT NQ 5586 Contractor's / 7i Li cense No. 04-4i1 /2d— o-Pi Architect or Contractor Builder fi 5 AA or Builder tf � (� - 1* -0 - 41 eCy Legal Lot Bl. 3 7/ Work to be performed under this Permit 7 1 / 0 - T.#4 - 4ee -e4P'e Subdi- vision Value of I! Amount of 00641' Project $ 11 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 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 pitms are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above comes 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 ents or s• - •r •and that he assumes responsibility for work done by his agents, servants or employees. / j ist _sly - p r INSPECTOR BY: 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, st or a. doiic Bt?tit?ER AUTHORITY Ail .�'NaJ'! s y a.. ,� � k 4 y Aga '�1ey mow- ..,�. —� �.'s'`e «.... �;: no * Permit No. ._ 7 3 Date- Application is hereby made for the approval of the detailed statement of the plans and specification herewith s structure herein described. This application is made in comp met and conferin�+ with the Build's( Ordinance a n d all p r o v i s i o n s of t h e L a w s o f t h e S t a t e of Mild L, an Oi of Mina Sees VOW uld an 40 mind >t of Miami Shores Village *all be complied with, whir Wain specified at A Dopy of, tontved "piens building during pustule of week. j ` • Owner's. Name and ;Adoirms t "" ' rfa. a �lSP I , l�Street . Registered Architect and /or Engineer_ __ _ _ Employing Plumber's Name_ ..._ i � � - • ill_ _____ No. 7-S 3 6 Location and Legal DescsiptiOn , Nook ari _ app • Street and Number where work is to be performed -No.. .3 4/0- 78 _ 9traet _ �_. to be performed and purpose of building (By Thou) Remodeling _ — --- Size Septic Tank -- • Feet of Drain Tile -r _Dist. Feet of Nature of Water Amount of Permit S 7 The undersigned applicant for this building permit does hereby certify that he understands and aeeepb his under the Fled* Workmen "! Compensation Act. Is BO 18, G i e sa Lawn paled with the ' s thereof, and will WOW perforated wait die posit and will post or muse to be requhed by the Act. 'The eiPoes to licensed by d Shoals Mud MIAMI 4MORES VILLAGE fl41 A16401l,11 ''11 111 ' morose Affil O ! (Signed STATE OF FLORIDA. is. COUNTY OF DADE. Before me, the underdgned authority, a notary public. duly authorized to administer oaths and bake mow My Cainmission Expires to me well known, and who being by me first duly oath dap ohs and 'SYS that he is the- __..._, of the above .:deepi ed . that he hes _read 'tie ' erg shoo, and the did therein by Notary Public, State NOTE: A re-inspection fee of $1.00 will be made when suck le -inept is made necessary by improper nothre materials and /or wcrkmsnsbip. ' r t y? (, BUILDING ELECTRICAL k ' Work to be performed under Owner of Q• t Building Architect Contractor or Builder Legal ,Lot f it. y f Description • Address of 77./.9f 9�3 Building 7 CTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA /; DATE 7 _ y PERMIT N° 5673 this Permit 242.4N & d Subdi- Chit S vision Value of 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 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 knowle • ge of the dinances and regulations pertaining to the work covered hereby whether shown on the plans awin . t the ate,. ents or specification �i i at h sumes respon- sibility for work done by his agents, servants or employees. Signed. CTOR BY Contractor's / 3 7 License No. Amt. 7 76- Permit By 1947 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witlydinances antltrionsk pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorilns of Miami Shores Village. In accepting permit) assume responsibility for all work done by the se i y a' t, s : nt or employee. AUTHORITY building Peueit dOss,bwebY eritlfY Drain Sim of &Asia Pit.._ Permit No.../ Application is hereby structure hes$n described. and all prevalent of the of Miami Shaw building dPoejtem of Owner's Name and Registered Architect and/or Employing Plembet's Name Location and Lased Description Street and Minden ae we j State work to be Ni Sine Septic Tank- 0 - _ Type of T Feet of Drain Tile- ---- -- 24---- --Dist. Fast of Took ' Nature of Water Su ply: tx y --WeIl. Amount of Permit $— The Wirt the raid Ivathe peatoravid rationed by Bowed by Mod STATE OF FLORIDA, 1 cowry ,OF DA DE., Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tam ac w oft therein by bins My G ominission Expires NOTE: A repinspecdon fee of $1.00 will be mole -whew loth styli materials and /as wallonanshiP, is made necessary by • BUILDING - ELECTRICAL .., PLUMBING Owner of • Building L/7 MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 5647 Wor performed under this Permi • Bl. Subdi- vision Value of Project DATE Contractor s License No 1947_ /5` Architect Contractor ® r J J (!J or Builder Legal Lot Description Addrs of Building This permit is granted to the contra or or b 'lder 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 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 permit is granted is t e understanding that e contractor or oi ot done in compliance with such ordinance or if the pla changed with, authorization. A further c • ndi ' . Inch this er named above at at}y time if thew • build es the respo , f ji` y for a thorough knowled nces and regulations pertaining to the work covered hereby whether shown on the plans .s : wi r in tl! atements or specifications and sibility for work done by his agents, servants or employees. mes respon- Signed: PECTOR By • In consideration of the issuance to me of this permit I agree to perform the work covered ereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authors of Miami Sh Gil101ge.r In acceptin th permit : responsi • ;. for all work do . by either myself, my agent, servant or employee. AUTHORITY ermit No. .__ Date Application is hereby made for the approval of the detailed statement of tht, 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 nnt. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address. _________________ --- ____________ ___________ —___ -- _ No./_7- / Registered Architect and /or Engineer ..... _____ — / " Employing Plumber's Name. ? // , t.G' , — — -- - - -- -- No.___- - - - - -. __._ Street-. Block_ 9 3 Subdivision Location and Legal Description Lot Size Septic Tank Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "' 4,44IT Street/ i 7d J' Street and Number where work is to be performed— No.-___ —_ —_..____ -_ Street State work to be performed and purpose of building (By Floors)__ New Building -_- Remodeling —___ —____ Addition._._____ Repairs No. of Stories. _Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well. Size of Soakage Pit -t A. _ Plumbing Ins 'tor. The undersigned applicant for this building permit does hereby certify that he understands and a ts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has coin - 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 perfo j nder this permit, as are licensed by Miami Shores Village. ( Signed) - My Cor•mission Expires Notary Public, State of Florida M asts . Plum -r S' : OF FLORIDA, i j ss. AL ?'JD ?T Y 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 GI the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts t- !^rein by I-!;Tn 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 TUBS SHOWERS LAVA- TORIES SLOP SINK[ LAUNDRY TUBS IA URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK ermit No. .__ Date Application is hereby made for the approval of the detailed statement of tht, 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 nnt. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address. _________________ --- ____________ ___________ —___ -- _ No./_7- / Registered Architect and /or Engineer ..... _____ — / " Employing Plumber's Name. ? // , t.G' , — — -- - - -- -- No.___- - - - - -. __._ Street-. Block_ 9 3 Subdivision Location and Legal Description Lot Size Septic Tank Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "' 4,44IT Street/ i 7d J' Street and Number where work is to be performed— No.-___ —_ —_..____ -_ Street State work to be performed and purpose of building (By Floors)__ New Building -_- Remodeling —___ —____ Addition._._____ Repairs No. of Stories. _Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well. Size of Soakage Pit -t A. _ Plumbing Ins 'tor. The undersigned applicant for this building permit does hereby certify that he understands and a ts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has coin - 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 perfo j nder this permit, as are licensed by Miami Shores Village. ( Signed) - My Cor•mission Expires Notary Public, State of Florida M asts . Plum -r S' : OF FLORIDA, i j ss. AL ?'JD ?T Y 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 GI the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts t- !^rein by I-!;Tn 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. Permit No Application is hereby ma, for the approval of the detailed statement of the plans and specificatkais structure herein described application is made in and co with the Enilt i and al ProaislOtal of th Laws of the State of Floritlak ' f ii Vim a of Miami Shams Wage shall be complied with, whether .eTr n A copy of builder doh gerogress of work. / Owner's Name and Address- - -_4-t Lu .yswsu►ew Registered Architect and /or Engineer • ymplopine slim':- Name_ Z a .r) R ,' 'ft/444 te+ 4_S No. - Lwatharend Legal Descrintion Lot r !Mork Street and Number w here work is to be performed p —No. / Y5 XXI r State work to be perform and purpose of building (By Moon) New Building - -- Remodeling_ to me well known, and who, of the above by him`>trteed are true. CHECK LIST CHICK Size Septic Teak s ___-___- _____Type Of 1'slAk _ _ _ — - - - - - -- * Cls, • Feet of Drain Tile 7f -- -Dist. Feet of Teak or Dram Field from Weil__ —_ Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ (SOW) The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Warkmien't Compensation Act, baiog Section Mt Conwiled General Laws of F! r° F ro plied with the provisions thereof, and will 'require ceisplimuse from ten moors or su performed under tide permit:, and will poet or ca to be pelted for inspection on the site of required by the .Act. The r ed agrees' to eMploy eely such on work hceoesd by lama 'Shares STATE OF FLORIDA, } u. COUNTY OF DADE. Before me, the undyed authority, a notary public, duly authorized to administer oaths and take acknowledge, me first duly upon oath deposes and says that he is _ __ _ that he has reed the Foraged* won, and that he did sign " the a My Commission Expires Nobly Witt State of NOTE: A fee of 41.00 will be made when such re- inspection is made by improper notice for materials and /or e 1 CITY OF PF,RiST` t1 / 4/1 DADE COUNTY, FLORIDA DIVISION OF PLUNBING INSPECTION Date 4 Name of employing 19 S Name of journeyman plumber ( New Old Remodeled Repaired Fora ( Residence Duplex Business Hotel Restaurant Apartment House Name of Owner RL Address 9 / `‘m C 1 • CI , 9 g Name of General Contractor Address where work is to be done 9 /3 . C L Septic Tank Drainfield (Capacity) (Length) Mater Heater Drainage Well (Type) Number of fixtures as shown on attached plan of proposed plumbing Permit No. it 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. n Owner's Name and Address., ? ` r' Registered Architect and /or Engineer Employing Plumber's Name 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 —___ Remodeling Size Septic Tank ______ Type of Tank_ Feet of Drain ....... _________Dist. Feet of Tank or Drain Field from Well._ --- _______ Nature of Water Supply: City — Well.___-_—__ ____ _______ _____— _____ ________ Size of Soakage Pit Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT c c- 1.,. No. __9 /_ /1 ' L: _ Street-..91 _. Block Addition._______._ Repairs C e G (Signed)- (Signed 7 I /V L' Street__ 2 — Capacity Gals /C 3c/ Date / `1 /� d A h Subdivision Street No. of Stories. _ . _._ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida MasterP! er. 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 worlonanship. CLOSETS BATH TOSS 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. it 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. n Owner's Name and Address., ? ` r' Registered Architect and /or Engineer Employing Plumber's Name 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 —___ Remodeling Size Septic Tank ______ Type of Tank_ Feet of Drain ....... _________Dist. Feet of Tank or Drain Field from Well._ --- _______ Nature of Water Supply: City — Well.___-_—__ ____ _______ _____— _____ ________ Size of Soakage Pit Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT c c- 1.,. No. __9 /_ /1 ' L: _ Street-..91 _. Block Addition._______._ Repairs C e G (Signed)- (Signed 7 I /V L' Street__ 2 — Capacity Gals /C 3c/ Date / `1 /� d A h Subdivision Street No. of Stories. _ . _._ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida MasterP! er. 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 worlonanship. MIAMI SHORES VILLAGE • BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement tit ute plans and specifications herewith submitted for the build ing 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 the work. ` b Name and address of licensed contractor °. peared NUTE: A charge of $1.00 will be made for the 1'I,mnir.;; Board. A re-inspection fce of $1.00 will be charged materials and /or workmanship. t Owner's Name and Address - �iA-' 11 Registered Architect and /or Engineer . ...i��' Location and legal description of lot to be built on: Lot ' 14- 1<3 Block Street and Number where work is to be done State work to be done and purpose of building (by floors) Date Chairman \Icrr.ber Member .. Council Approved _. No...._ _ . Street_ ivision...... u r■ ( y3 New Building Remodeling To be constructed of Kind f foundation Estimate Total cost of improvements $ Zone cubage required Addition Repairs No. of Stories /-_. Roof Covering Amount of Permit $,.1! /.i Plan Cubage It PLANNING BOARD DATE Member Member Member Date Disapproved making corrections or changes to Date ..._..._.. . ... i I .._. �l_� ......__..._... ,19.._._ rn• •• e,.•e,nnn <r»,.e•nnn:. . Disapproved , _ Notary Public, State of Florida (Signed) Buil tog Inspector My Commission Expires and for no other purpose. Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. 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 complied «ith the provisions thereof, and will require similar compliance fro' all contractors or ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted •r s spection on the to of e w rk such public notice or notices as are required by the Act. The undersigned agrees to employ only suc su • ntra . •rs, on to • p � e rformedounder this pcnnit, as are licensed by Miami Shores Village. Remarks..._ (Signed) - STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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. . ii yy Permit No .._ :LE t Date qj. \. t/ Read, Sworn to and Subscribed before me. ...................Date this application niter approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty vir Permit No Owners Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or E eer Employing Plumber's Name ta u.) tJ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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, - . herein specified or not. A copy of approved plans and specifications must be kept at building during progress of w i \a& No 13- . ` " Street.._ and Le al Desch lion Lot Subdivision Street and Number where work is to be performed -No 1 13 S _.._..._ State work to be performed and purpose of building (By Floors) __..�.e„ I�.L !m 1 _N J <) Q�,: New Building. . Remodeling____-_._.____ Addition.. _..__..._.- .._... Repairs No. of Stories Location g P 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 Amount of Permit $ (Signed 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 Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and hj. com- plied with the provisions thereof, and will require similar compliance from all can • ctors . sub - contract s . ployed by him in the wori o ;)e performed under this permit; and will post or cause to be posted' for inspection • the site of the work h . ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contr • ori k to be . - . und`x this permit, as are licensed by Miami Shores Village. 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 Communion Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be :Wade whoa am* swhapeot as Y asads•asossemy by improper nodal for impaction, or faulty materials and /at workmaashcp. CIOSRS OATH Tows SHOWERS LAVA• Tonics S I NKS SLOP SINKS LAUNDRY Tuaa U RINAL[ CATCH DAMN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAO[ PIT G TRAP SOLAR NEATER DRIP WILL SPRKLR. SYSTEM SW1M 00 CONTR. LIST LIST CHICK I _ vir Permit No Owners Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or E eer Employing Plumber's Name ta u.) tJ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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, - . herein specified or not. A copy of approved plans and specifications must be kept at building during progress of w i \a& No 13- . ` " Street.._ and Le al Desch lion Lot Subdivision Street and Number where work is to be performed -No 1 13 S _.._..._ State work to be performed and purpose of building (By Floors) __..�.e„ I�.L !m 1 _N J <) Q�,: New Building. . Remodeling____-_._.____ Addition.. _..__..._.- .._... Repairs No. of Stories Location g P 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 Amount of Permit $ (Signed 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 Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and hj. com- plied with the provisions thereof, and will require similar compliance from all can • ctors . sub - contract s . ployed by him in the wori o ;)e performed under this permit; and will post or cause to be posted' for inspection • the site of the work h . ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contr • ori k to be . - . und`x this permit, as are licensed by Miami Shores Village. 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 Communion Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be :Wade whoa am* swhapeot as Y asads•asossemy by improper nodal for impaction, or faulty materials and /at workmaashcp. BUILDING PERMIT APPLICATION FBC 2001 $ Value of Work For this Permit Miami Sh5is Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Permit No. 2oO Master Permit No. Permit Type (circle): Building j�, / Electrical (Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) / 4 � t (l ti Phone # Owner's Address 9/, / C ? ` / ` � 7 K cl-e4 City /Ltd .c State gam/ Tenant/Lessee Name 1 ewg Pot 9.1 Du. c.•.. SY 3e • Phone # Job Address (where the work is being done) qI ' City Miami Shores Village County Miami -Dade Zip 33, �e Is Building Historically Designated YES NO Contractor's Company Name '4 - /7 `r i 't 4 - 7 Phone # 36 (5 '‘S f 734 Contractor's Address // 3 2 /41. Z u / . A. City ,/,/€ P ■t4 State r 1 Zip 73h '� • Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Type of Work: ['Addition IDAlteratiln ❑New pair/Repl El Demolition Describe Work: - 7a ' ry l/!♦ , if' /FJ >r� ?-era r /iJ C w G •cam' Submittal Fee $ Permit Fee $ (1 .0 0 CCF $ 1 i ZO CO /CC Notary $ 5 00 Training/Education Fee $ ' 40 Technology Fee $ 4-- - Scanning $ 60 Radon $ Zoning Bond $ .500 .00 • Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ .. 1 7)10 (Continued on opposite side) Bonding Company's Name (if applicable) Bondin Company's Address Ci C A c( c� 1 C a 'I Chc 05/13/03 My Commission Expires: APPLICATION APPROVED BY: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. ** o > 5 4 b co o 0 o co a 0 co co for the first inspection which occurs seven ( inspection will not be approved and a reinspection fee will be charged. r Sign. Print: z 3 co My Co : ssion Expires: Contractor C7 bd CY v i i i C7 1ao c , , , - ) 5 L A C b o n O v, 0 ' N y Cr) PD ril a Signature Owner or Agent The foregoing instrument was acknowledged before me this 1L/ ' The foregoing in ent was ckns edges before me day of 20d9 , by , day of , by 1, I 1 1J I&/ who is personally known to me or who has produced who is personally to me or who h: produced - 7 0 ' NOTARY PUBL , ■1 j _ . ' entification and who did take an oath. As identification and who did take an oath. � 1 - * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ( -Plans Examiner Engineer Zoning Et st )n Ito he STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT . CONSTRUCTION PERMIT FOR (J ] New System [, '] Existing System [A9 Repair [] Abandonment l APPLICANT: C3 (f r ( <' 1 cJ C f Cc PROPERTY ADDRESS: P =� LOT: 1 f t:° , I `' BLOCK: g 0 PROPERTY ID # : ' ? 61,1 . ' 0 ° 0 14 �� ' 2 0 SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, [+.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY 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. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS EN l s ! E ._r, P [ 7. fI] 141411% / GPD SEPTIC TANK/AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] [ ] GALLONS / GPD CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] 1 [ .. 1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] [ " y ] GALLONS DOSING TANK CAPACITY [ ]GALLONS 0 [ ] DOSES PER 24 HRS # PUMPS [ ] [2:o 0 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ — ] SQUARE FE T SYSTEM TYPE SYSTEM: [. ] STANARD (,] FILLED [ ] MOUND [ 1 CONFIGURATION: [ ] TRENCH Pi] BED [ 1 LOCATION OF BENCHMARK: ! O $ P O o ki ;( X` . ELEVATION OF PROPOSED SYSTEM SITE [(!1J f.INCBR,S,(jTi.. BOTTOM OF DRAINFIELD TO BE [a o (J [INCHES /FT] • FILL REQUIRED: ] INCHES EXCAVATION REQUIRED: [ - ] INCHES PECIFICATIONS BY: PPROVED BY: ATE ISSUED: 4 f ' �1 P a 9 / SUBDIVISION: r / ! � xa _ :2 > Fir ti S ' ,`' • [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] Holding Tank ( :) ] Innovative [¢0] Temporary I ] • TfT`.t:ii L s iivA a .: j 5 4016, 12/99 (Page 1) (Previous Editions May Be Used) pt. 1: Health Department PERMIT NO. 0 1 - ' ' / ` DATE PAID: c l - 1 - % f FEE PAID: )O f1 t RECEIPT #: e_. C) '-f 0 i / - ".:)01 .1 - - L; % t' [ABOVE /BELOW] BENCHMARK /REFERENCE POINT [ABOVE BELOW] BENCHMARK /REFERENCE POINT i . k 1 c l f2a2 1' lea" V ILISi$ 3 i ! } �, ° j i1 ta I PROPOSED ABSORPTION 1 J Uit 1; f "a , . tire` TITLE: J .?p CND - i t EXPIRATION DATE: Page 1 of 3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Budding Inspection Req Date Type Insp'n 51a, Pan. f� C! Permit No. 1 y — �� Name �� Address Gl3 Company Ll v/ se10 Phone # 565 Inspection Date Approved Correction Re- Insp'n Fee c Address Phone # Dat Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Type Insp'n l tN Of 3PPF Permit No. T 1 ( L Name ((JCC& C M 3 kit ��— Company tt r G t � 9\ 2r o APPLICATION FORS [ y New Systea [ 1 ,4 Repair APPLICANT: 0. '.s ii.107.,e I J4.,a Z jc T AGENT s NAILING ADDRESS: Pa L ""P7 / 7 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(a) OR 489.552, FLORIDA STATUTES. PROPERTY INFORMATION LOT: BLOCK: od SUBDIVISION: fhayA e' PROPERTY ID #s 1! " 3�06." - 3 9 so PROPERY SIZES PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: Unit Type of No Establishment 1 2 3 4 [ ] Floor /Equipment Drains SIGNATURE 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT [ ] Existing System [ 1 Abandonment BUILDING INFORMATION [ RESIDENTIAL DH 4015, 10/97 — Page 1 (Previous editions may be used) Stock Number: 5744 - 001 - 4015 -1 I l Holding Tank I l Temporary ZONING: - -,J t/ [ ] t:OON8RCIAL A/ PERMIT NO. DATE PAID: FEZ PAID: � IPT #: [ 4'1g A) E. 1/8 s - 33/3' DATE: ] Innovative I TELEPHONE: Tt6 -6s /_- 76 PLATTED: //SG I/N OR EQUIVALENT: [ Y / N ] •.i'5/ ' WATER SUPPLY: [ ] PRIVATE PUBLIC [fref<s2000GPD [ ] >20000PD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y Argh DISTANCE TO SEWER: FT moo . ikt- 4 ,kri ems No. of Building Commercial /Institutional System Design Bedrooms Area Sgft Table'l, Chapter 64E -6, FAC aD [ ] Other (Specify) 1/ I /y/Dy Page 1 of 3 ox° STATE OF FLORIDA DEPARTMENT OF HEALTH AND ;ILITATIVE SERVICES APPLICATION OR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION P Permit Application Number --� � is - 1 L PARTtI - SITE F1... AN----------- . ........... .........................�..... Dotes: Site Plan Submitted by: 'Ian Approved 3y 750 ? ,i 1l 40✓ Ia m_x. r erg, 2n-vi "p .tr;GR- / 4 c.,.Q-' er Not Approved County Public Unit .■ • 1 1 1 A • IA AA ■A seer !.r • rtrimna A F I%J'E9 Ir. /►A. MITV M I II I I 1 Ir Al T7 t 1 nnT /..;? d Date 1 / / =7.7 1 '12,114 , If +__�._} 1 i I � ' :l ; r1111i4 _ r l ry l ��}r I�* t-` - 4 1 , s I t 11! r r,r L LL I� _sue 1 I Y 4- J _r-;- -7 - . � r} 1 1 _ - I I - r i ! j I f _ r I , - r 1 _ . r } + r l k r , - - a SARI ' � L . i 1 i I E i l I a a t T i�� t . _ - -1 . _I r 1 1 ,':- i 1_ � 1 1 , t 1 r F r" tt - f , , , a d`t r1 1 � � F _i Milli } _L II t Y - 1 - t r _ __ j 3 + --1-i- • { � H:� UL' i.:a(II ' Ir. MID - ! -_ t 1 �_ , I _ r • _ �/ •• -� } !I - r . ir- :ilk -- mo i \ t. . - i , 1 t - ', _ - ' - awn a ••1110"!:-.1::" Ca41111111161i.. !� r-�- Aurr t■ ; t .. _ isws j 1:0111 . iE 11f4 i ■ r + t i -1 L a L - �i wi r� l _. ' , (J rl 1 i � X1101 + - »-t t t i 1 -, -t S \�r " air I n I t!t,•1 4.:ri: w dUE V 14141 r ► 4f GMllEE 'A 1 _, � Il lid �. ; It s r , . r •� — � - � -1 • i l _t _ ■ �' r'1 I Fr _.. Li ;•_r ■! r 1 / / /�;/ II l _ .{ $-r L i -,-.� . t i ± � . 1 1 1_ t .. i 1 _�1 1 �.: i -� -t- �� _. . 'I i u ' t. ' t II;1,'t i il! irs:WA I I ' f _.. ¢. I " 1 = - I g g at II w 3~ _�. w L i 1 y a ox° STATE OF FLORIDA DEPARTMENT OF HEALTH AND ;ILITATIVE SERVICES APPLICATION OR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION P Permit Application Number --� � is - 1 L PARTtI - SITE F1... AN----------- . ........... .........................�..... Dotes: Site Plan Submitted by: 'Ian Approved 3y 750 ? ,i 1l 40✓ Ia m_x. r erg, 2n-vi "p .tr;GR- / 4 c.,.Q-' er Not Approved County Public Unit .■ • 1 1 1 A • IA AA ■A seer !.r • rtrimna A F I%J'E9 Ir. /►A. MITV M I II I I 1 Ir Al T7 t 1 nnT /..;? d Date 1 / / =7.7 APPLICANT: LOT: _ ____ STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS BLOCK: rot SUBDIVISION: 4 4/.4, PROPERTY ID #: -r L,, _ == PROPERTY SIZE CONFORMS TO SITE PLAN: [ ] TOTAL ESTIMATED SEWAGE FLOW: P /era AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: d`:.6:, BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS 0 THE MINIMUM SETBACK WHICH SURFACE WATER: ;/' ° FT WELLS: PUBLIC: ,�.: i FT BUILDING FOUNDATIONS: 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 Munsell # /Color /o iA ; /1 �l Fri Ir, y f :h a i USDA SOIL SERIES :f. dC 4i Texture Depth to to' y to to tsi /to t ( 'o r o — 7 - 10 to SITE EVALUATED BY: nu an•C •nson iDe..ee..e. 'Jac -141 Car... AMC !De,.. v...t.t.o. ..e., h. ...At AGENT: ; [Section /Township /Range /Parcel No. or Tax ID Number ______ = = === sox== = = == = = = ================== TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUS PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. YES [ ] NO NET USABLE AREA AVAILABLE: '3S/ ACRE GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2 GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] SQFT UNOBSTRUCTED AREA REQUIRED: L:` SQF PERMIT i [ INCHES/R [ABOVE/ T) BENCHMARK /REFERENCE POIN CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: DITCHES /SWALES: /roll FT NORMALLY WET? [ ) YES [, LIMITED USE: ;v :A FT PRIVATE: trt FT NON - POTABLE: - i F { FT PROPERTY LINES: /5 FT POTABLE WATER LINES: F 10 YEAR FLOODING? [ ] YES ( 1 N SITE SUBJECT TO FREQUENT FLOODING: [ ] YES ( ]+ NO FT MSL /NGVD SITE ELEVATION: FT MSL /NOV SOIL PROFILE INFORMATION SITE 2 Munsell 9 /Color Texture Depth /02 ,[ / to rtlt r �l`L ' 'LJ '' * 4 a s to T t0 to, to Ti to to to /A USDA SOIL SERIES: B 1 l OBSERVED WATER TABLE: /4,a :'d- INCHES [ABOVE / B W] EXISTING GRADE. TYPE: [PERCHED / APPARENZ ESTIMATED WET SEASON WATER TABLE ELEVATION: tC°+; INCHES [ ABOVE / BELOW ) EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES (:1 NO MOTTLING: ( 1 YES [ NO DEPTH: INCH' SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: ,` 1714."- DEPTH OF EXCAVATION: INCHE DRAINFIELD CONFIGURATION: [ ] TRENCH [ BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: DATE: 1/ , t // r , Page 3 of Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2004 -270 Printed: 9/23/2004 Applicant: CARLOTTA DELUCIA Owner: DELUCIA CARLOTTA JOB ADDRESS: 913 NE 98 ST Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 - 7859 Parcel # 1132060143420 Contractor's Address: P 0 BOX 693239 Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 13 -14 & 15 BLK 80 LOT SIZE Fees: Description Amount FEE2004 -9330 Building Fee $175.00 FEE2004 -9331 CCF $1.20 FEE2004 -9332 Notary Fee $5.00 FEE2004 -9333 Training and Education Fee $0.40 FEE2004 -9335 Technology Fee $4.37 FEE2004 -9336 Scanning Fee $3.00 FEE2004 -9337 Builders Bond $300.00 Total Fees: $488.97 Total Fees: $488.97 Total Receipts: $488.97 Permit Status: APPROVED Permit Expiration: 3/19/2005 Construction Value: $2,000.00 Work: Replace drainfield only 200 IN SOME AREA Signed: (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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: