1266 NE 101 St (2)Permit No • "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
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
ski AM/ r i eei 7I C ^N J(
1 b.rr ( 'U scArfc 7n
and gal on Lot_ B /
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)__. Wea.,A_�_-
New Building.._..._ ----- •-- ......._.. Remodeling_____..-- ... —.__ Addition. .._-•__..__
STATE OF FLORIDA, ( is.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
S • _es/ No. X 26 6 �._N� l0/ 47
•tr..t.A/ — ..
SubdivWon
6. ._1 a1.. -,7. -. __ --
Repair ' No. of Stories
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 5986, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compllance from all contractors or tub- contractors employed by him in the wor'w to he
performed under this permit; and will post or cause to be posted for inspection on the site of the work h public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on . .� k to be permit, . permit, as are
licensed by Miami Shores Village.
Size Septic Tank__ Type of Tank__
Feet of Drain Tile. —_—Dist Feet of Tank eE Drain Field from Well .____
..__
Nature of Water Supply: City —Well. Size of Soakage Pit
(Signed)_
(Signed)
Date _ �J1_.� . � /...... ---� - --
Plumbing Inspector.
aster 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 be has carefully road the foregoing application, and that be 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 $1.00 will be made what s wi mimpeodoe Is made•teoeseriry by Improper mike for bispeclion, or frisky
materiels and /or worlema IShnp.
CLO$fTS
BATH
TuTwills
$
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDR
T u.a
URINALS
CATCH
aASIN
FLOOR
DRAIN
DRINKING
FOUNT 'N,
TOTAL
PIIITURES
—'
CONTR.
LIST
CHECK
r
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW 114'0
POOL
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
CONTR.
LIST
CHECK
�-
Permit No • "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
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
ski AM/ r i eei 7I C ^N J(
1 b.rr ( 'U scArfc 7n
and gal on Lot_ B /
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)__. Wea.,A_�_-
New Building.._..._ ----- •-- ......._.. Remodeling_____..-- ... —.__ Addition. .._-•__..__
STATE OF FLORIDA, ( is.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
S • _es/ No. X 26 6 �._N� l0/ 47
•tr..t.A/ — ..
SubdivWon
6. ._1 a1.. -,7. -. __ --
Repair ' No. of Stories
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 5986, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compllance from all contractors or tub- contractors employed by him in the wor'w to he
performed under this permit; and will post or cause to be posted for inspection on the site of the work h public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on . .� k to be permit, . permit, as are
licensed by Miami Shores Village.
Size Septic Tank__ Type of Tank__
Feet of Drain Tile. —_—Dist Feet of Tank eE Drain Field from Well .____
..__
Nature of Water Supply: City —Well. Size of Soakage Pit
(Signed)_
(Signed)
Date _ �J1_.� . � /...... ---� - --
Plumbing Inspector.
aster 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 be has carefully road the foregoing application, and that be 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 what s wi mimpeodoe Is made•teoeseriry by Improper mike for bispeclion, or frisky
materiels and /or worlema IShnp.
Installer
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
Applicantt
zGe6 l / � / Permit Number 67 ` 9 � 1 .577
3:3—
-PART I1 - SYSTEM INSTALLATION INSPECTION AND FINAL INSTA T ION APPROVAL
Proper tank legend: Yes No `/ Tank materialr,ark Tank level: Yes No d/,(
Tanks watertight: Yes_t,L No Tank size � 4 gallons gallons gallons
Proper tank outlet device: Yes ✓ No Manhole or marker to grade: Yes
Inspected by
Date / / %' U (Approved by:
HRS —H Form 4016, Jan 86 (Replaces Feb 85 edition which may be used)
(Stock Number: 5744-002- 4016 -4)
Tank Manufacturer
Dralnfield Trench
�
Length Width Length Width Length L'/ feet / / x r 3 feet ft
feet feet ii'' feet feet Length feet x feet= ft
feet feet A feet feet Proper No. drainlines: Yes -i/ No
Zu
feet feet feet feet Proper pipe separation: Ye� � o
Total = ft / Total = ft Distribution box level: Yes No
1�C1
Systems located as permitted: Yes _C No
Systems including plumbing stub -outs installed at proper elevation: Yes No
u y
Average depth to drainpipe invert from finished grade: 7 inches Maximum depth Inches
Average depth of drainfield gravel: ✓ inches Minimum depth of gravel I/ inches
Proper gravel size: Yes ✓ No Gravel is suitable quality: Yes L/ No
Backfill or fill material as required: (Quality) Yes ✓ No (Quantity) Yes ✓ No
Other findings
PART 111 .1[,, AL INSTALLA ON APPROVAL
Absorption Bed
1‘7/4
AN APPROVED INSTAL 'TION DO S •T PERFORMANCE
Date 7_
p,op .
COUNTY PUBLIC HEALTH UNIT
No cC�j
� ZZ
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
Page 2 of 2
MIAMI SHORES VILLAGE, FLORIDA
;UILDING ❑ DATE S
:LECTRICAL ❑ 195 '
'LUMBING o PERMIT N° 7621 Contractor's
License No
GOOFING ❑
❑ Work to be performed under this Permit
_ owner of j e
wilding 1 i f 1t e t . • .
.rchitect
i ontractor
�r Builder
.egal
)escription
address of
wilding
Lot
°./
• ..I! c /t
CONTRACTOR OR BUILDER 7 -
Bl.
)
Subdi-
vision
Sq. Ft
Value of
Project $
d (..
Amt. of
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
lerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge ,of the ordinances and regulations
,ertaining 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
lone by his agents, servants or employees. r
t x
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
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting t permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
t
BY AUTHORITY
BUILDING ❑
ELECTRICAL ❑ o
PLUMBING ❑ PERMIT N? 7959
ROOFING ❑
❑ Work to be performed under this Permi
Owner of
Building f I i
Architect
Contractor
or Builder
Legal
Description
Lot
f I /
Address of
Building I? //
MIAMI SHORES VILLAGE. FLORIDA
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
DATE
Contractor's
License No
Amt. of
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 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.
Signed • 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 AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Contractor
or Builder.
Legal Lot
Description
Address of
Work to be performed under this Permit
Owner of
Building r
Architect
PERMIT N? 8776
i
MIAMI SHORES VILLAGE, FLORIDA
DATE
CONTRACTOR OR ByDR� « •,- ^""" m '
Bl.
Signed.
Subdi-
vision
i
Contractor's
License No
i 194
/` ` f Value of Amt. of / Building
' c Project Permit '�� r '
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 e been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if tlie 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 respon-
sibility km work done by his agents, servants or employees.
t.
'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 tind regulations
pertaining reto and in strict conformity the plans, drawings, statements or specificati ,submitted to the proper uthorities of Mitimi'Shores Village.
In aoceptidg permit Ike respon ility for all work by ether myself, my agent area 'employee.
Y} Y Y g � �� f f
Permit No. 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or o
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flor,
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 Divisi
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept
building during progress of work.
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/'
r
No Street r
Registered Architect and /or En eer
Employing Plumber's Name 2..-..,__C__.,'" ` .• ( —L___ _ _L__` No - r -` ` "` Street__
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed a purpose of building (By Floors)
New Building ( Remodeling Addition Repairs No. of Stories
Size Septic Tank :., j `
�, �. �:
Type of Tank _- _ ._-_L=__�___� -C__ -
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 $_
STATE OF FLORIDA, t
COUNTY OF DADE.
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,,,-oil work to be yzerforpied unde ,-thus permit, as are
licensed by Miami Shores Village. \ 1
ss.
My Commission Expires
( Signed) / i` r .t I ...• d a ,l ._.
14.s Plumbing Inspector.
(Signed) _.
\ i' ,
t
Capacity Gals.
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
Master Plumber.
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
ONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No. 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or o
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flor,
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 Divisi
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept
building during progress of work.
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/'
r
No Street r
Registered Architect and /or En eer
Employing Plumber's Name 2..-..,__C__.,'" ` .• ( —L___ _ _L__` No - r -` ` "` Street__
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed a purpose of building (By Floors)
New Building ( Remodeling Addition Repairs No. of Stories
Size Septic Tank :., j `
�, �. �:
Type of Tank _- _ ._-_L=__�___� -C__ -
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 $_
STATE OF FLORIDA, t
COUNTY OF DADE.
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,,,-oil work to be yzerforpied unde ,-thus permit, as are
licensed by Miami Shores Village. \ 1
ss.
My Commission Expires
( Signed) / i` r .t I ...• d a ,l ._.
14.s Plumbing Inspector.
(Signed) _.
\ i' ,
t
Capacity Gals.
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
Master Plumber.
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.