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PLUMBINGPermit No. _l __._L__� Application is hereby made for the approval of the detailed statement of the plans and Specifications herewith sub lifted 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 Divisior 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 wor Owner's Name and Address - -_ ° ...... ____ -- ----- ___ _. No.__.__.__. - -_ -- -- ------ - - - -_- _ -- Street Registered Architect and /or Engineer - -- - -- - ---- -- ___ -- Employing Plumber's Name - -_ -- . �1^�O'__ __------ _ -.�_ - -_ No. Y S S 6___ __ Street -_- -C, Location and Legal Description Let _-- _-- ._._-_.-.. ------ ......... ______ New wilding MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ -____ Subdivision Street and Number where work is to be performed -No. —__ __ ____ __ __ q . Street_ _ _VV 4— fi t State work to be performed and purpose of building (By Floors) _ Remodeling Addition. Size Septic Tank - -__lt `- - - r '"` Type of Tank_ _ Feet of Drain Tile __..f Al2. j _+ _ ______ _ ...... Feet of Tank or Drain Field from Well_ ..... _ - -•- .............. Nature of Water Supply: City- Well 1i----- -_ - - -- - - - - - -- - - -- - - -- Size of Soakage Pit ._ .... Amount of Permit $- // - - — — - - - - —_ ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acc'pt`s his obligations as all employer of labor under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and Man - plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 art licensed by Miami Shores Village. Repairs Date •Z 6 1 y s� Capacity Gals My Commission Expires Notary Public, State of Florida No. of Stories .._ /. . .. ....... .. Master Plumber. STATE OF FLORIDA, u, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat. therein by him stated are true. NO E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or LW materi and /or workmanship. CLOSETS BATH TUBS ue. SHOWER. LAVA- TORIl6 SINKS SLOP SINKS LAUNDRY Tuff URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS 6 441 . 5 ‘ 6 441 . 5 ‘ 0/003 TOTAL f1ET CONTR. LIST / / 3 CHECK S-1-3 - - - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SfiIRR HEATER DEEP WILL SPRKLR. SYSTEM SWIM - G POOL CONTR. LIST / / / CHECK J p V /0 O S O Permit No. _l __._L__� Application is hereby made for the approval of the detailed statement of the plans and Specifications herewith sub lifted 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 Divisior 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 wor Owner's Name and Address - -_ ° ...... ____ -- ----- ___ _. No.__.__.__. - -_ -- -- ------ - - - -_- _ -- Street Registered Architect and /or Engineer - -- - -- - ---- -- ___ -- Employing Plumber's Name - -_ -- . �1^�O'__ __------ _ -.�_ - -_ No. Y S S 6___ __ Street -_- -C, Location and Legal Description Let _-- _-- ._._-_.-.. ------ ......... ______ New wilding MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ -____ Subdivision Street and Number where work is to be performed -No. —__ __ ____ __ __ q . Street_ _ _VV 4— fi t State work to be performed and purpose of building (By Floors) _ Remodeling Addition. Size Septic Tank - -__lt `- - - r '"` Type of Tank_ _ Feet of Drain Tile __..f Al2. j _+ _ ______ _ ...... Feet of Tank or Drain Field from Well_ ..... _ - -•- .............. Nature of Water Supply: City- Well 1i----- -_ - - -- - - - - - -- - - -- - - -- Size of Soakage Pit ._ .... Amount of Permit $- // - - — — - - - - —_ ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acc'pt`s his obligations as all employer of labor under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and Man - plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 art licensed by Miami Shores Village. Repairs Date •Z 6 1 y s� Capacity Gals My Commission Expires Notary Public, State of Florida No. of Stories .._ /. . .. ....... .. Master Plumber. STATE OF FLORIDA, u, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat. therein by him stated are true. NO E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or LW materi and /or workmanship. Job Address t PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Qualifier LOU tf /U 1 State # Legal Description 'eJee / Lessee / Tenant l /NCis Trio fY) Owner's Address 7'1S IV. e , 2 j■ / phone 7 c7-616 Contracting Co. 4T[0M0 £do /aZ Architect /Engineer A/' / Address Bonding Company Address ,Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCF SIGN WORK DESCRIPTION t YL4 I N Fa A) i Square Ft . -SOO Goa q Estimated Cost � O ` - WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I author the above -named contractor to .• the work stated. e Signatute of Owner and /or C,pndo President ( Date , Notary/ as co Owner and /or President My Commission Expires: ,� �TATr mOA. * * * r T�., �._ � ,, , * A*. 2.0, 1993* EhMUL[ ' .0 il, ∎14h, 1'4.131-1C; UN'I:RWRITER PERMIT FEE: APPROVED: Fire 3 o. (OWNER TO RETAIN COPY) Tax Folio'? .O ' / Master Permit # Address 05 /L v(/. /2 sr 32r /hiI9111 i SS# phone 5-76--ado ✓ � /�� Competency# - - Lt ? Co. OI1/ ; C. tT ' Signa'ure of Contr ctor or Owner - Builder Da Not ry as to Contra My 'Commission Expires: .),1 Other r Owner-BuSlder Zoning Building Mechanical � � Plumbing F ring Electrical ECONO-000FEO WE DO DRA /NF /ELDS SEPTIC TANK CLEANING PAT HOSLER Manager •Authority: Chapter 301, F.S. & Chapter 10D -6, F.A.C. Application Is For: New System: Repair: Existing System: Experimental System Tank Abandonment: olding Tank: Other (Specify): NOTE: PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUANCE AND ARE NOT RENEWABLE. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM DATE OF ISSUANCE. APPROVAL OF A SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE SPECIFIC PERIOD OF TIME. TO BE COMPLETED BY APPLICANT: GENERAL INFORMATION Owner: L / /1i0 s / >2C mY) Owner's Mailing Address: t?' Y5 /v 74 Owner's Agent: ELc /tJ) , LC' ilk, Telephone:(W) ?( -woo (H) Agent's Mailing Address: 3-3 N tA,/ / ) 7 City: `i/ //9i7t / State: Zlpt' i Property Street Address: Exact Directions to Property: Lot // Section: Property size: Is Sanitary Sewer Available: Yes No� If No, approximate tho dlstanco to the sewer Tine closest to your property; Is Public Water Available: Yes ,� No If No, approximate the distance to the water Ilne closest to your property: !?r Typo of 1ablithiRont Commerci Rostdontlal c ono) ono) Plumbing Fixtures: BUILDING PLANS MUST CHAPTER 10D -6, F.A.C. Block # l T ` ownship: Y DIMENSIONS, BUILDING LOCATIO ' Applicant's Signature: r i STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT ?y.5 ti E yr s Telephone: (Work) /V (Home) 95 74 f i Unit: Date Subdivided: r City: i mn / Tito/US State: Subdivision: Rango: Parcel Number: Zoning Designation: ;. .' ,, Squarr� -F o /l ;res" Wator Supply: Private: Public: V Limited Usk ''' '� i BUILDING INFORMATION # Of Units Building Aron (Square Foot) 0 01 Porsons M Of Soots & Num +or of Bedrooms Building Permit #: Application /Permit Number , z —/. - /7 Date Application Received / / �' Fee Amount Paid (Temporary): Receipt # Date Paid / Date: Yti .1� _; l ; I ill,al I, 7;. Flours of O eral on 4 I; I 's; Zi Garbage Grinders /Disposals: Spas /Hot Tubs: FIQor /Equipment Drains: '1V! I Ultra -low volurpo Flush Toilets: Other: BE ATTACHED S OWING OFFICES, BEDROOMS, TOTAL BUILDING AREA, AND ANY PERTINENT FEATURES REQUIRED p IN ADOITIO A DETAILED SITE PLAN AND /OR SURVEY, DRAWN TO SCALE,MUST BE ATTACHED SHOWING 1 t 1OPE tTY ND PERTINENT FEATURES REQUIRED TO BE SUBMITTED PER CHAPTER 10D- 8.048, F.A.C. "' • STATE OF FLORIDA • � ry� DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES • ��r:�/ ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Permit Application Number gel Notes: 36O l Site Plan submitted by: PART II • SITE PLAN Scale: Each block represents 5 feet and 1 inch = 50 feet. Otp tic ��✓� LuoiVL Jac/1(k- t o /9i s dor 7b q TITLE SIGNATURE Plan Approved B County Public U ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT HRS -H FORM 4015 -A January 1992 (Obsolotos All Previous Editions) FOR OPTIONAL USE AS AN ATTACHMENT TO HRS -H FORM 4015 Not Approved Dale APPLICATION FOR PLUMBING PERMIT Permit No ___ i Date - (.2 - G Appl cation i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described This application is made in compliance and conformity with the Building Ordmance 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 th Building Di ' sion of Miami Shores Village shall be comphed 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. t .._ Registered Architect and; or Engineer .. Employing Plumber's Name Location and Legal Description Lot____ -- --_ _ �+— — _ _ Block 7 __ � Street and Number where work is to be performed —No `r " t State work to be performed and purpose of building (By Floors). New Building - __ —_ . - - -- _ -- _ -- Remodeling - -_ ___ __ - . _ Addition__-- Size Septic Tank__ _ _. __ __ _ — Feet of Drain Tile. '# a _ _ __ - -- _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City—Well. __ __ __ _ _ _ - __ - Si . of Soakage Pit Amount of Permit $ _ y" 0 STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. 9V 5 E el Street No.. a /,t 3 S treet . (Shed)- Subdivision. Repairs_ ✓- . _ _ ___ No. of Stories - The undersigned applicant for this building permit does hereby certify that he understands and .;cc is hi ga•ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pei anent Supplement, ^nE1 I a om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Capacity Ga " +s. Ph.mb rig In.pecto. Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall 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 foregomg apphcation, and that he did sign the same, and that 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 is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY Tim; URINALS U RINALS CATC,I FLOOR DRAIN DRINKING FOU• r NS TOTAL F XTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE -L SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No ___ i Date - (.2 - G Appl cation i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described This application is made in compliance and conformity with the Building Ordmance 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 th Building Di ' sion of Miami Shores Village shall be comphed 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. t .._ Registered Architect and; or Engineer .. Employing Plumber's Name Location and Legal Description Lot____ -- --_ _ �+— — _ _ Block 7 __ � Street and Number where work is to be performed —No `r " t State work to be performed and purpose of building (By Floors). New Building - __ —_ . - - -- _ -- _ -- Remodeling - -_ ___ __ - . _ Addition__-- Size Septic Tank__ _ _. __ __ _ — Feet of Drain Tile. '# a _ _ __ - -- _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City—Well. __ __ __ _ _ _ - __ - Si . of Soakage Pit Amount of Permit $ _ y" 0 STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. 9V 5 E el Street No.. a /,t 3 S treet . (Shed)- Subdivision. Repairs_ ✓- . _ _ ___ No. of Stories - The undersigned applicant for this building permit does hereby certify that he understands and .;cc is hi ga•ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pei anent Supplement, ^nE1 I a om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Capacity Ga " +s. Ph.mb rig In.pecto. Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall 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 foregomg apphcation, and that he did sign the same, and that 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 is made necessary by improper notice for inspection, or faulty materials and /or workmanship.