DRAINFIELDPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 12 -16 -92 Job Address 1225 NE 101 STREET Tax Folio 1/ 5:Z1-6 O b
Legal Description ' i �S 9 /B
/
Owner / Lessee / Tenant SNYDER Master Permit #
,/-.(
Owner's Address 1225 NE 101STREET Phone 754 -5086
Contracting Co. NORTH DADE SEPTIC TANK
Qualifier DENNIS NEVILLE
3S4t
Phone 754 -3375
State # 0258368 Municipal # Competency # 12842 Ins.Co. AFCO
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION INSTALL DRAINFIELD
Square Ft. 300 Estimated Cost(value)
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
Date'
** *
ommission E s:
APPROVED:
as to Own . a d/ Condo resident
'ndo President
ART PUBLIC; STATE OF FLORIDA AT LARGE
COMMISSION EXPIRES JUNE 19, 1995
BONDED THRU HUCKI BERRY 4 ASSOCIATES
FEES: PERMIT 3 .a 0" RADON C.C.F.
Signature of Contractor or Owner- Builder
Da . •
ry as to •ont :cto or Owner - Builder
y Commissio Ex.ire
8 ,4d/YCi :! L._ yi_ Jr rLOtTIDA AT LARGE
MY COMMISSION EXPIRES JUNE 19, 1SV5
BONDED THRU HUCKLEBERRY & ASSOCIAM
* * * * * * * **
NOTARY TOTAL DUE 3 '. fZ
Fire Other
Zoning Building ey lectrical
Mechanical Plumbin g
Engineering
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
L (pre r
Legal Lot I Bl.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA /AT DATE 7 195
Contractor's
License No
PERMIT IT? 13166
(i Work to be performed under this Permit
7 11.
iz I La. es
/ N / i'J
This permit is granted to the contractor or builder named above to
herefor in strict compliance with all ordinances pertaining thereto and •
drawings, statements or specifications that may have been submitted to
time if the work is not done in compliance with such ordinances or if the
granted is the understanding that the contractor or builder named above
pertaining to the work covered hereby whether shown on the plans
done by his agents, servants or employees.
In consideration of the issuance to me o this permit I agree to p
pertaining thereto and in strict conformity with; e plans, drawings, state
In accepting this permit I assume responsibility for all work done by .
CONTRACTOR OR BUILDER
Signed:
Subdi-
vision
Value of
Project $
Amt. of
Permit
nstruct the building or to install the equipment or device described in the appl c
the understanding that the work will be performed in compliance with any plans,
nd approved by
lans are cha
ssumes the
wings or i the sta e
form the work covered hereunder in compliance wi ordinances a regulations
ents or specifications submitted • •roper au ties of Miami S ores Village.
er, myself, my agent, aerva s .r. p oyee.
HY
e proper municipal authorities. This Permit may be revoked at any
hout authorization. A further condition upon which this permit is
ility for a thorough knowledge of the ordinances and re lations
or spe • • . tions and that he assumes responsib• •y r work
AUTHORITY