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1177 NE 100 St (10)Inspection. Number: I NSP -73 Inspection Date: 02/24/2006 Inspector: Levrack, James Owner: RODRIGUEZ, JUAN CARLOS Job Address: 1177 100 Street NE Miami Shores Village, FL Project: <NONE> Contractor: AFFORDABLE IRRIGATION, INC Building Department Comments Thursday, February 23, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: errs it.Number: PL -1 -06 -178 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Sprinkler System Phone Number (305)754 -3891 Parcel Number 1132050190350 Lot: Phone: 305 - 681 -6322 Page 1 of 2 Passed Inspec l • nts 0 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection. Number: I NSP -73 Inspection Date: 02/24/2006 Inspector: Levrack, James Owner: RODRIGUEZ, JUAN CARLOS Job Address: 1177 100 Street NE Miami Shores Village, FL Project: <NONE> Contractor: AFFORDABLE IRRIGATION, INC Building Department Comments Thursday, February 23, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: errs it.Number: PL -1 -06 -178 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Sprinkler System Phone Number (305)754 -3891 Parcel Number 1132050190350 Lot: Phone: 305 - 681 -6322 Page 1 of 2 Issue Date: 1/24/2006 Expires: 01/23/2007 Owner's Name: JUAN CARLOS RODRIGUEZ Permit Type: Plumbing - Residential Work Classification: Sprinkler System Job Address: 1177 100 Street NE Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Additional Information Miami Shores Village, FL Permit Contractor(s) AFFORDABLE IRRIGATION, INC Phone 305 - 681 -6322 Primary Contractor Yes Comments: LAWN SPRINKLER INSTALLATION Type of Work: SPRINKLERS Additional Info: Classification: Residential Type of Piping: Bond Return : In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -1 -06 -178 Phone: (305)754 -3891 1132050190350 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,500.00 Required Inspections Underground Sprinkler Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $160.00 $3.00 $4.00 $168.60 Invoice Number PL - 1 - 06 - 23577 Total: Amt Due $168.60 FEB 0 7 PAID c_k 4 10733 Amt Paid �o .(o 0 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATION FBC 2001 City , 1 ` \\ Ses State FL, Tenant/Lessee Name Job Address (where the work is being done) Is Building Historically Designated YES NO $ Value of Work For this Permit , c . c) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Type of Work: ❑Addition ARlteration ['New Describe Work: 1QI1,1Y1 5 1)1(I0K e,' 1ns- 4-Q11Q-Hon Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 1 68 . C;) (Continued on opposite side) Permit Type (circle): Building lectrical ' lumbin ' Mechanical Roofing (. C)j 16u� Owner's Name (Fee Simple Titleholder) iunn C aRlos 1 Phone # 535-15q • 38 q Owner's Address 1 f11 IQG 1 1-ree R01 N E kee+ City Miami Shores Villa _e County Miami -Dade Zip 3313' Permit NoPL_ -- 1 - 1E ter Permit No. Zip 33138 Phone # Contractor's Company Name A - Worckalcie I .9� -vio i ' f C. Phone # " OS- (o t -(Q 322 Contractor's Address City vT)' (` ' State t I-- Zip 33 408 8 Qualifier ( C ROSAS State Certificate or Registration No. Certificate of Competency No. qcopocovcit Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * ** * ** * * ** eg * * ** * * * * ** ** * * ** ** * * * * *** * * * ** Submittal Fee $ Permit Fee $ / O CCF $ t - ZQ CO /CC Notary $ Training/Education Fee $ 'd - 40 Technology Fee $ 4. CO Scanning $3. 00 Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) IJ / Jk Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be ; performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be .:. oved and a reinspection fee will be charged. Signature The fore day of chc 05/13/03 Owner or Agent �7 oing i {•umen acknowledged before me this (3 20 Bill, by JC i6u-e ersonal y o /lA w kno r who has produced As identification and who did take an oath. NOTARY PUB Sign: Print: My Commission Expires: APPLICATION APPROVED BY: State Zip Z ntractor The fore: t g instrument was acknowledged before me thisZi f _ ' O • , 204 , by Ll / . c /�aS q5 , ,n I o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: , day o Sign: Print: MARCO ROMS •......•«.S ommission Expires: ` 0 %1 , 1, 4 , My mme Ca 000238491 44 .`ct4Y. U', Jorge Toledo a0 . Bonded t ru tom' 32 4254: . RI, . . " "" ••.; Nota Assn. Inc : fi n\. ; C c : Expires: AUG. 22, 2048 i • •• OF „\ �� ' A t l antic Bonded Bongi Plans Examiner Engineer Zoning S p/Z X04 /f,v L E6 ew aD z % m 72o S7° S ?-11_,2 2 21 it.._ 4isiLy) t- -c S 3 o 6._A/44 u /€O S7' , ec7 _3y CC# 96P000219 • Affordable Irrigation, In 198 NW 139 Street •Miami, FL 33168 ' Tel: (305) 681 -6 o�ea� 9z6 0' Op P � / . d Passed / ( I nspecto Co i . Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection NumberINSP-.14:34 Inspection Date: 05/24/2006 Inspector: Levrack, James Owner: RODRIGUEZ, JUAN CARLOS Job Address: 1177 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Building Department Comments Tuesday, May 23, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 . Block: Permit Number:; PL-4- 06-899 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number (786)251 -7913 Parcel Number 1132050190350 Lot: Phone: (305)957 -3857 Page 1 of 2 BUILDING A" 0 2006 PERMIT APPLICATION B Y: Permit Type (circle): Building Elec ical FBC 2001 Owner's Name (Fee Simple Titleholder) i 2 (t Owner's Address City ,/14 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: 51795.2204 E 5) 756.8972 VEE NO Wrvi Plumbing Mechanical C402los (� s f State Zip ' County Miami -Dade Contractor's Company Name C-O 6 Contractor's Address 1 7 7 7 \v pi x E-- / City N AA 6-Cie/CI State l Qualifier S C., S N e c .30 (9co' Structural Plan Review. $ Phone # Phone # Permit No. Master Permit No. Phone# 7 77 I-3 Phone # l �� Square Footage Of Work: Zip Zip State Certificate or Registration No. Certificate of Competency No. r ( b ype 0 .rk :)M - Addition, . f rf ^, • i. .5. `77 ma /OOD scWg, S nc,ti ,, u« . ❑ Repair/Replace Alteration • Demolition Roofing Submittal Fee $ Permit Fee $ w 0 b0 �r � CCF $ ��C Zv Notary $ Training/Education Fee $ O • Technology Fee $ - Vu Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature gent The foregoing instrument was acknowledged before me this - day of - s)al , 20 (ko, by i v\, 54l65 abg16422 who-is pers own to me or who has produced As identification and who did take an oath. NOTARY PUBL C Sign: Print: My Co * * * * ** * ** * ** * . *.. ** * * * * * * * * * * APPLICATION APPROVED BY: Chc 05/13/03 Signature d itractor The foregoing instrument was acknowledged before me this 3 day of AkPf 20 b (., by 'gscis eGfl who• onalsr ly own to me or who has produced as identification and who did take an oath. NOTARY PUBL Sign: 2010 Print: , xpires: LUIS MONTE' 0 +�4 A Notary Public - State of Florida * I(Sc�iph�ft tllor c' a?, d� Commission a DD 513850 ' '°' g� Bonded By National Notary Assn. linWALITA Notary Public - LUIS MONTERO C.m 'scion E tate Tres Feb 2 201 -AJI.I LUIS MONTERO Dion a rir 513850 duty Commission Expires Feb 2, 2010 Commission IS DO 513850 National Notary Assn. My Commission � • OF *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * f O C Plans Examiner Engineer Zoning • 1 rg C L o ATLAS: M 12 SCALE: NTS DRAWN BY: LM 0 24' X 1v,B /W SWALE GRASS E.O.P 2" SP GAS MAIN SWALE GRASS CONSRUCTION NOTES: PROPOSED RISER (1 177) 1. ALL CAS 'P/FELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE •APPROR /ATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION, UNLESS OTHERWISE SPECIFIED. NE 100 STREET TECO PEO • • • •• .• • • • • • • • • •• • • • • • .• • • •• •. . • • • • • • • ••• • • • • • • • • • • • • • • • ••• ••• •: •• ••• •• W • • • . • • •• PLU6 — s3g9 Ir CIEEV I R � q 7 aous BY: A N c4 C C NEW 3/4" PLASTIC GAS' SERVICE 1177 NE 100TH STREET. MIAMI SHORES, FL ICGING 00- 432 -4770 DATE: 4/1/06 SHEET: 1/1 JO: 13397 Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 4110/2006 Expires: 04/07/2007 Owner's Name: JUAN CARLOS RODRIGUEZ Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 1177 100 Street NE Contractor(s) Phone TECO PEOPLES GAS SYSTEM (305)957 -3857 Primary Contractor Yes Comments: NEW NATURAL GAS SERVICE FROM GAS MAIN LOCATED ON THE SOUTH R/W OF NE 100 ST TO# 1177 NE 100 ST Type of Work: GAS LINE Additional Info: Classification: Residential Type of Piping: 3/4" PLASTIC Bond Return : In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: PL -4 -06 -899 Phone: (786)251 -7913 Parcel #: 1132050190350 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 600.00 Required Inspections Press Test ROW Final Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee - Additions /Alterations $160.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $167.80 Invoice Number PL - 4 - 06 - 24426 Total: APR 13 PAID Amt Due $167.80 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date /0 AD O Time PLO 5- 2?4 Type Insp'n Permit No. `� Name S e ' I.0 osl l 1.$2 Address Ili ! OF 100 • Company Phone # For Inspector: P L (O(! 110 Approved Correction Re- Insp'n Fee ❑ ❑ Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 8 a_ Time Type Insp' n V Y 1 O' Permit No� Name I f Oar I q N € OU,S Compa or Inspector?' /�� i' ame & Date Approved — °' ' 64 Correction U e- Insp'n Fee ❑ 7T7lfr4€ 306 - 7 .59-66 Date 1 Time Type Insp'n Permit No. Name Address Company Phone # For Inspecto7 ( D 3 ame� Date Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Req Re- Insp'n Fee ❑ 1j7.)\ f\J.A4 V 1 ,sc \cu MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 025 103 Time 3 1i Type Insp'n Approved Correction Re- Insp'n Fee Permit No. ? I 003 -1, %J CO Name 4o Yt G 1 � Address 119 I E 10051 Company l J1 cO- - IJ arz ('l Phone # - 9 - G For Inspector: Y I ( 120 I Cme & Date 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 - 2200 - Building Inspection Request Z(.S 0 • Type Insp'n Permit No. Name Address l Company Phone # For Inspector Approved Correction Re- Insp'n Fee Time 0 03 - 16 -� ame & Date MIAMI SHORES VILLAGE \ 8 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 27 Date -03 Time Type Insp'n ��(1 tale Permit No. p L . DD 3 -1647 Name J Address // 7 7 Nj ADO f Company � Phone # 30j 75 - Y476 ' For Inspector: — 2� �3 Approved ❑ Correction Re- Insp'n Fee Name & Date ( 1 1! 0 d e i4- vim s&ri7 1414-v 7 . ��cSrn 7; 7 '9 L ez7 -0? c-_3 931 LJ' 6_ ?6 3 Date - / / -0 Job Address / / 17- NL-Itv•i Legal Description L d [. /.3,4 /-?7 Historically Designated: Yes Owner /Lessee/Tenet J C' Razizs /6E162 Master Permit # Owner's Address 11'77 �` �U�H �T Phone Contracting Co. L LOY? A OR H 7 St c Address Qualifier Li.5 i 0 . oCkz 7- T ss# State # ,gar0 (GL/ • Permit Type (circle one): BUILDING ELECTRICAL Signature of Notary a My Co t to c pxv , ptgl anu U.lt. CROCIEIT pir, COMMISSION # DD 014762 EXPIRES: May 20, 2005 NO lz - oFF S Bonded Thru Budget Notary Services FEES: PERMIT??Q PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • ner and/or Condo President APPROVED: Zoning Building Mechanical Plumbing 0,07.LA Date l B� RADON / 1 / r . 1 Tax Folio /1- .3-2 - as to C s, ractor or My Commissio Expires ?'L 3o._ -7�s�- 31g/ -7 o /1)-14). / 017 7 E4 gray -9J/- ,104 NOTARY'. Phone Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: / L /tOkl- c-/ T(C 1 tq,Uk- Q Z Gil -LLO ) /?'1J. • Square Ft. A-019 Estimated Cost (value) si OD CD WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, 1 authorize the above named contractor to do the work stated. Signatur Date wner Bu der f, Angela M Becker oi • My Commission DD150048 Expires November 15, 2006 Date may/ '� TOTAL DUE A )h ?� `• BOND3Ut/ Electrical Structural Engineer STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT EP [ ]New System [ ]Existing System [ ] HoZd'ing Tank [ X ]Repair [ ]Abandonment [ ]Temporary CONSTRUCTION PERMIT FOR: APPLICANT: Rodriguez, J.C. BLOCK: 177 LOT: 13 PROPERTY STREET ADDRESS: 1177 NE 100 St Miami FL 33138 u) r7 PROPERTY ID #: 11- 3205 -019 -0350 f SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64 -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECI'C TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [V ] BED N F I E L D OTHER REMARKS: LOCATION TO BENCHMARKC: Top of Bottom ELEVATION OF PROPOSED SYSTEM SITE [ BOTTOM OF DRAINFIELD TO BE SPECIFICATIONS BY: Icaza, Carlos APPROVED BY: Icaza, Carlos DATE ISSUED: 6/24/03 AGENT: SR0001343, Crockett Lester SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] [OR TAX ID NUMBER] This permit is not for addition(s). *Replace existing broken septic tank by a new 900 outlet filter. *Install 200 sq.ft. of drainfield. *Invert elevation to be no less than 5.00' NGVD. *Bottom elevation to be no less than 5.50' NGVD. {NEWLY INSTALLED SINGLE S � C TANK SHALL BE TAUS - I AND En� OUTLET � LTER APPROVED 9.70' NGVD. 2.2 ] [ FEET . ] 4.7 ] [ FEET ] [ FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES TITLE: DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) Ioetds_cons_4016 -11 TITLE: Engineer I CENTRAX #: 13 -SG -17010 DATE PAID: FEE PAID : $ RECEIPT OSTDSNBR : 03 -1926- -R [ ] Innovative Other [ NA ] MULTI- CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: [Y ] [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] [ N ]MOUND [ N ] [ N ] BELOW] BENCHMARK /REFERENCE POINT BELOW] BENCHMARK /REFERENCE POINT gl. C -3 septic tank with its apporoved Dade CHD EXPIRATION DATE: 9/22/03 Page 1 of 2 et Scalp: Each block represents 5 feet and 1 inch = 50 feet. i .. . .. .... ■i■ 111111111 ■ ■ ■ ■ ■� ■ owu� ■ ■ 1f► X91 T t _■:..� ■..u...C.■ ■. ■ ■U ■ ■■ ■ ■■ ■ t - ■■■ ■■ ■ /a: •sa. ■E•� C. .■� �,. v.■ ■ I ■ll MaK .. or mu ma unal ■■.'1■ ■ ■ ■■ ■■ :■ MINN ■ ■Nu.■ ..ti. ■ nil MINIM CSC: n �■■■■ ■ i NNION MUNN II —_ ■■ ■ i ■ ■■ ■■ a i ge m i . R I r a■■■ ■ ■■N OOM I i u1►t■w■■ . ■ ► >• i ■ ■■■■ ■ ■ ■ ■■■ ■ r ■ ■t■■■ 6 NUM NENIMON N 1. 1 ■■ ■■ ■ ■ ■ ■■ / ■ ■ ■■■ ■ if •Rs ■ ■ ■ ■ ■ ■ ■ ■■ ■■ ■ Ism I''5U Illmm R MOM ■■■U■ l� ■■■■■lIll urns 7 w■■■ r ,t ■ ■■■■■■ ■ ■■■ gO...... ■ ■■ ■ ■..■ �� ■ ■O■u■■ ■■■ ■■■u■■■■ ft . "• N 1l�Ii - . + ■■■■■ ■■■ ■■■I l� OMMIMMOMMRSMORN Fru morroommom NOM �w� ���: �i ■ � � i� ��i�iir� ■■■■■�■ �iI��■i �i■■■ � ■■ ■■■ �i' i N { T i I iiii ir ii ■■ ■ t _ _ ■■w Il ■�,� ■ ■■■■ zi ■ �I�I■■ amwe in■ mm ■■. ■■■ ■ rallmanomess ■ ■ ■ ■■.■ 1111■ ■. .11111 ■■ins.p.���t.�� �� z lwn■ ■■ ■ ■ ®I� ' ■ Fil�■■i� ii ■. ■■ ■.■■�■■■■�i■iii: �■ ■ iii m■s . ,R� . , MONO �I in■■■fff ■■■■ • ■Q■� ■■■■■_■■�■■■■■l�t ■mall! on n . n stalnla�l�sr .. lawraut�� to ■tr tlaula�rzi mill �� wmi a Notes: i° r JJ1 r P) /z. (L - e3LIL C Z 7 j> AAA 21) 1- Io7?j -Z TI,) P :0/1 Site Plan submitted by: --.f 1. - ( J-,t1 - t T , � . t e ra ;7- Signature Not Approved Plan Approved By ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT 1:111 4015. 10196 (Replaces HRS-H Fain 4015 which may be used) (Stock Number: 5744.002- 4015-8) STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT_, 4 0=)r ° °,, PART II - SITE PLAN / 'Di Permit Application Number P7 as'"%' 1 C'° 1 2 Title Date ` , 1 ' r 1 fit. n) County Health Department Page 2 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APP ICANT: v. C 3prJ1i / tiy.lJ � L s '�zt. ; C % AGENT: L ( n LOT / BLOCK: /7 7 SUBDIVISION: Y,I'1 14fL R`.5, , SLC , "7 /n PROPERTY ID #: /.! ? / 6 - 0 TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK REFERENCE POINT LOCATION: / /A C:7,1 1.f= ' ELEVATION OF PROPOSED SYSTEM SITE IS PY THE MINIMUM SETBACK WHICH SURFACE WATER: A07- FT WELLS: PUBLIC: All* • FT BUILDING FOUNDATIONS: SITE SUBJECT TO FREQUENT FLOODING: [ ] YES 10 YEAR FLOOD ELEVATION FOR SITE: 4,6 SOIL PROFILE INFORMATION SITE 1 Munsell # /Color // USDA SOIL SERIES: Depth w" to to :, /.L `MI to • to to to to to /i Rii.W JLMAZ I r ce OBSERVED WATER TABLE: Jan: INCHES [ABOVE / BELOW] EXISTING .,GRADE. TYPE: .PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATIO s , . L. INCHES'[ ABOVE pBELOW J)EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES I ] NO MOTTLING: "[ "] - YES p —NO— DEPTH: '1/1/ INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: / /t.G. , ? DEPTH OF EXCAVATION: cit./ INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [.a) BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: Cv41Di.4ky A7 7Th J �;Qiy; /�� r /i r YYA)L .kL- CAq/A• (5 x) Z -f - 8 , Z() /A) r /c- -L D Ah i 253 Xi Dm ply/ 14-7/4.7))/ .un 4-)P1) 1/1) F /LLD ', J (74 7) t7(/D,PCiNG lJ. C12 SITE EVALUATED BY: [INCHEWFT] [ABO /BELOW] CAN BE MAINTAINED FROM THE DITCHES /SWALES: LIMITED USE: /'01 - FT FT PROPERTY LINES: ix YES [ ] NO NET USABLE- AREA_AVAILABLE: '•`%t3! ACRES GALLONS PER DAY RESIDENCES -TABLE TX OTHER -TABLE 2] GALLONS PER DAY " 500 OPD]ACRE (5R 2500 GPD /ACRE] SQFT UNOBSTRUCTED AREA REQUIRED: SQFT aric DH 4015, 10/96 (Replaces HRS -H Form 4015 [Page 3) which may be used) (Stock Number: 5744- 003 - 4015 -1) [Section /Township /Range /Parcel No. or Tax ID Number) ' r _r - PERMIT # 1 ) /,': ENCHMARK /REFERENCE POINT PROPOSED SYSTEM TO THE FOLLOWING FEATURES: 049I FT NORMALLY WET? [ ] YES ] NO PRIVATE: ALJA • FT NON-POTABLE: i(,;' FT , FT POTABLE WATER LINES: fa FT 10 YEAR FLOODING? GVD SITE ELEVATION: SOIL PROFILE INFORMATION SITE 2 [ ] YES [ NO GVD Munsell # /Color Texture Depth AD'' r ' z Will U fl W ( (? r � to )5011.4).:; to /O' -,t1/: . ;r(,)r to 6v. A . to • // /' ` //`? `, - to /I ., - / /:, . to /' i // ?, to // USDA SOIL SERIES: / 4 to t r,; 7 DATE: — Page 3 of :3 Owners Name and Address Registered Architect and /or Engineer Employing Plumber's Name Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Blodr My Commission Expires (Signed)- (Signed) No. Street._ S Permit No.. .._...._ -- Application is 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 bowin specified or not. A Dopy of approved plans and specifications must be kept et building during progress of work. Location and Legal Description Lot. Street and Number where work L to be performed —No � � / � .! �6 0�� Street .. - — — - - - . ....._. . State work to be performed and purpose of budding (By Moon)._ _ ------- -----•-• - -_ -- New Building - -_ -- _ - - .._........_._.. Remodeling____.. __ __ Addition... - - -- - •- -..... Repairs No. of Stories ............ Size Septic Tank— Type of Tank Feet of Drain Tile Disc- Feet of Tank or Drain Field from Well.. Nature of Water Supply: City —WeUL Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlaneu's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and Ilav cnm- piie4 with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to by 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 arr 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. Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. .___.._ ......_..._ _ _.... _.. of the above described construction, that he has carefully road the foregoing application,, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made wham snob ram igseottau >r made•naomeary by Improper notice for laipectton, ex faulty materials and /ar worl nanahip. CLO$E?S BATH TUSS SHOW [RS LAVA TORIES sous FINK[ i t DR Y LAUN Tuaa URINALS CA SAA[IN FLOOR DRAIN DRINKI No FOUNT' NS TOTAL P1tTNRES CONTR. LIST CN[CK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER oral. WELL SPRKLR. SYSTEM SWIM' POOL comm. LIST CNECK .-- Owners Name and Address Registered Architect and /or Engineer Employing Plumber's Name Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Blodr My Commission Expires (Signed)- (Signed) No. Street._ S Permit No.. .._...._ -- Application is 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 bowin specified or not. A Dopy of approved plans and specifications must be kept et building during progress of work. Location and Legal Description Lot. Street and Number where work L to be performed —No � � / � .! �6 0�� Street .. - — — - - - . ....._. . State work to be performed and purpose of budding (By Moon)._ _ ------- -----•-• - -_ -- New Building - -_ -- _ - - .._........_._.. Remodeling____.. __ __ Addition... - - -- - •- -..... Repairs No. of Stories ............ Size Septic Tank— Type of Tank Feet of Drain Tile Disc- Feet of Tank or Drain Field from Well.. Nature of Water Supply: City —WeUL Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlaneu's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and Ilav cnm- piie4 with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to by 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 arr 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. Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. .___.._ ......_..._ _ _.... _.. of the above described construction, that he has carefully road the foregoing application,, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made wham snob ram igseottau >r made•naomeary by Improper notice for laipectton, ex faulty materials and /ar worl nanahip. Owner / Owner's Contracting Co. goae, d, L4, ** * * * * FEES: PERMIT 144 RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / / / // / 7 / /v /a Tax Folio 11 5) ‘ 11 O ?O 'f Date Legal Description L Q r < I � if o 11 1 Lessee / Tenant Address %i / .- /2 /v /o a.LA State # CFCQaf unicipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(value) 1JO �pe✓%- WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR ( / FAILURE ) TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or ndo President Date: Notary as to Owner and/ r C6ndo President My Commission Expires: 3 /rfg - Phone 3 (. � ji 1 f {iY PI/ OFFICIAL NOTARY SEAL PI/6, BARBARA ANN FUGAZZI t* COMMI ION NUMBER r >4 Q CC360191 I.) 'WY e MY COMMISSS XP. O ∎. Master Permit # t.6 Ot7 Phone ' Address L /r.7Af Notary as to C Commission APPROVED: Fire Zoning Buildin Mechanical Plumbin Signature of Contr or or Owner- Builder Date: q( NOTARY !! TOTAL DUE 31 gk or sOwnemrBsi tde * COMMISSION NUMBER CC255237 7 , (< • � MY COMMISSION EXP. F OF,PP JAN. 261997 Other Electrical Engineering o 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- 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. Date.. -*..lV -' . ,is (v 3 Owner's Name and Address. -. . -_ -..a .��I '�.. No / /77 Street.i/6 /' Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: '""`""t �! Block Subdivision _ - .S1seeM id Number where work is to be done State work work to be done and purpose of building (by floors) /'4'._C - /ye� /.i/._fp ' et. .--- A2�U/Z' - !� ./4, f7 2� �S � /- -� o mac./ Disapproved {� Date C) (Signed )_ Building spector e' - y c,,e -c . and for no other purpose. New Building Remodeling i Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage 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 with the rovisions 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 subcont ctors, % w!r. to be 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 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. Q Permit No 6 Date u ` �� °r> Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires' PLANNING BOARD DATE Chairman 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. STATE OF FLORIDA, COUNTY OF DADE. ss. Building Inspector MIAMI SHORES VILLAGE' • BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyaYof the detailed statement of the 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. Date.. _vI ' a 9 , 19 3 Owner's Name and Address._../I/�/>?.._.� gEd_,3' No �� / Street 1 / 0 © 3 Engineer e istered Architect and /or En g g ainet:and address of licensed contractor e - oeafioi and legal description of lot to be built on Block Subdivision Street and Number where work is to be done •-? State work. to be done and purpose of building (by floors) ,./4.0 rd4_s! G oeS e e. e.o "LI G Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition Repairs .•o. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage 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 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 subcontr tors, , wo to - performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)_ • :%� "._• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,, personally ap- peared ;,} 1 ' r to me well Down, 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) My Commission Expires PLANNING BOARD DATE Chairman 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description PERMIT N? 8719 Work to be performed under this Permit T N. 7sLt 1 E. Nae.SE MIAMI SHORES VILLAGE, FLORIDA DATE iV 7 Contractor's License No. Lot NAA).Co/y �uN�B. <v• I Bl. ,7 Subdi- vision Address of 1 Value of Project Amt. of i I Building / N Permit / This permit is granted to the contractor or builder named above to on n w struct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto a th the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and ap oved by .. roper municipal authorities. This Permit may be revoked ed without authorization. A further condition upon which this sibility for a thorough knowledge of the ordinances and tements or specifications and that he assum s respon- at any time if the work is not done in compliance with such ordinances or if the plan permit is granted is the understanding that the contractor or builder named above as regulations pertaining to the work covered hereby whether shown on the plans or dr sibility for work done by his agents, servants or employees. C Signed• INSPECTOR In consideration of the issuance to me of this permit I agree to perfo`ir n- .rk covered hereunder in compliance with all .r. finances and r pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER ?f BY st QC) are cha mes th wi.s respp e AUTHORITY lations Village. v BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 8854 Work to be performed under this Permit Owner of Building Architect Contractor or Builder - Legal Lot Bl. Description Address of // 7 Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and reg ulations pertaining to the work covered hereby whether shown on the plans or drawings o in the statement or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi des and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agfnt, servan f employee. CONTRACTOR OR BUILDER tel Subdi- vision Value of Project BY Contractor's License No. • d Amt. of Permit / / 194Z AUTHORITY BUILDING ELECTRICAL PLUMBING P1 MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9004 DATE Work to be performed under this Permit Owner of Building �` r Architect Contractor or Builder Legal Lot Description Address of Y � Building /1 ,Y t , Subdi- 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ,y Contractor's License No Amt. of Permit $ f Signed • ' s, ,. s' a ,' . , . BY INSPECTOR In consideration of the issuance to me of this permit I agree to,>'perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit.I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHO Owner's Name and Addresses ,e!� Registered Architect and /or Engineer_ Employing Plumber's Name ` 6 ss. Amount of Permit $____!__: d—i) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT • APPLICATION FOR PLUMBING PERMIT Permit No. __ & 4 1 Date _e 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. Block Location and Legal Description Lot Street and Number where work is to be performed—No. At _ � _.___ _ �` Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank_ Type of Tank Capacity Gals.____,iD D Feet of Drain Tile______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit t Plumbing Inspector. -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn- 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) No. Street No Street Subdivision C-c / ` er lumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. • My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR .DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST • CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. CONTR. LIST )i I� CHECK Owner's Name and Addresses ,e!� Registered Architect and /or Engineer_ Employing Plumber's Name ` 6 ss. Amount of Permit $____!__: d—i) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT • APPLICATION FOR PLUMBING PERMIT Permit No. __ & 4 1 Date _e 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. Block Location and Legal Description Lot Street and Number where work is to be performed—No. At _ � _.___ _ �` Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank_ Type of Tank Capacity Gals.____,iD D Feet of Drain Tile______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit t Plumbing Inspector. -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn- 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) No. Street No Street Subdivision C-c / ` er lumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. • My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 3 Permit No ' 2 1 / 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. Owner's Name and Address -4-- __11;__s Registered Architect and /or r uC�� 1'1 I t ��. �' �� 5 f y. . No. / Street__.,: / a t/ Location and Legal Description Lot - r 1 Block__ ___L -7 7 Subdivision_ Street and Number where work is to be performed —No Employing Plumber's Name "4; My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 117 No Street __ Street Size Septic Tank Type of Tank Capacity Gals State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories I Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile 1 Size of Soalca Pit Nature of Water Supply City 91 3 e o 7 5tlmount of Permit $ _. C O d Plumbing In pector. o 0 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo r of labor 7 5nder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, an has corn- / a oplied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ork 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 J 0C' ty4uired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pe it, as are I licensed by Miami Shores Village. (Signed)_ t Master Plumber. /'STATE OF FLORIDA, t ss. O &OUNTY 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. Notary Public, State of Florida TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty )nd /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS Iill / TOTAL FIXTURES .g ..., CONTR. LIST LI 1 CHECK S 2 J S CO 1,0 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL vi P,Aeffr / 4 S �' CONTR. LIST 2 CHECK 02�� /� 3 Permit No ' 2 1 / 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. Owner's Name and Address -4-- __11;__s Registered Architect and /or r uC�� 1'1 I t ��. �' �� 5 f y. . No. / Street__.,: / a t/ Location and Legal Description Lot - r 1 Block__ ___L -7 7 Subdivision_ Street and Number where work is to be performed —No Employing Plumber's Name "4; My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 117 No Street __ Street Size Septic Tank Type of Tank Capacity Gals State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories I Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile 1 Size of Soalca Pit Nature of Water Supply City 91 3 e o 7 5tlmount of Permit $ _. C O d Plumbing In pector. o 0 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo r of labor 7 5nder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, an has corn- / a oplied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ork 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 J 0C' ty4uired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pe it, as are I licensed by Miami Shores Village. (Signed)_ t Master Plumber. /'STATE OF FLORIDA, t ss. O &OUNTY 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. Notary Public, State of Florida TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty )nd /or workmanship. •■■••• • 71/4/) irv