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PLUMBING PERMIT/ A PERMIT APPLICATION-Y R MIAMI SHORES VILLAGE Date &(q Job Address / 4 E 10 ( sf Tax Folio Legal Description Owner/Lessee / Tenant GLudo L D. R Lc AiQD ,Master Permit # l 15 Owner's Address ) L i 3D N l 0 / '�- A 6dp l S ` 65 'phone 3 ei r- 36. »y Contracting Co. 1 1 P S IC�V" Address Qualifier SS# Phone I I 0 '`D 135 X 7 e' a State # Municipal # 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 Iv ec C Sekutce 1 - 1 /1/ e F'e i» Alm/ /Al 101- sfCti.E) Square Ft. Estimated Cost (value) 8a) 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. „.VNER' 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. lye / Y 3 983 YI�ILVILl12".-_ C igna re of owner and/or Condo President Condo Presiden o JOHN Zss7 otary as to Owner My Commission Expires: IAL. NO'fn ) ' 1. JOHN 5 BE y , NOTARY PUBLIC STATE E (' FLORIDA COMMISSION NO. CC591035 MY COMMISS N 21,2000 FEES: PERMIT 9S RADON APPROVED: Zoning Mechanical 6 Building Plumbing 0 vS Historically Designated: Yes No Signature of Contractor . %caner ild . Date Notary as t My Co C.C.F. NOTARY or or wner-Builder MICHAEL A PERALLI My Comm Exp 8/25/00 Bonded By Service Ina 'No. CC570378. • , .214;16*cuy Known 1 i Other 0 Electrical BOND Date TOTAL DUE ' Engineering EXIST. 1/2" PL ATLAS: M -11 SCALE: NTS DRAWN BY: J BOUZA 4' RE-11E C&C NE 101 STREET s. r/w PEOPLES GAS PROP. 1/2" PL RE —TIE 1430 NE 101 STREET MIAMI SHORES 1. LOCATE AND PROTECT ALL UTILITIES IN AREA OF CONSTRUCTION. SUNSHINE /1-800-432-4770 2. RESTORE ALL AREAS ro PRIOR CONDITIONS 3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERMENT AND PCS STANDARDS. DATE: 6/5/97 SHEET 1 OF 1 JO : M- A FE.' 010170006102 EXIST. 1/2 PL 4' RE -11E C&C NE 101 STREET s. r/w 1. LOCATE AND PROTECT ALL UTILITT£S IN AREA OF CONSTRUCTION. SUNSHINE /1-800-432-4770 2. RESTORE ALL AREAS TO PRIOR CONDITTONS 3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERMENT AND PCS STANDARDS ATLAS: M -1 1 SCALE: NTS DRAWN BY: J BOUZA PEOPLES GAS PROP. 1/2" PL RE -TIE 1430 NE 101 STREET MIAMI SHORES DATE: 6/5/97 SHEET 1 OF 1 JO : M -67816 AFE: 010170000102 1 EXIST. 1/2' PL 4' RE -TIE C&C NE 101 STREET s. r/w 1. LOCATE AND PROTECT ALL UTIL177ES IN AREA OF CONSTRUCTION. SUNSHINE /1 -800- 432 -4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS 3. ALL CONSTRUCTON TO FOLLOW JURISDICTIONAL GOVERMENT AND PCS STANDARDS ATLAS: . M -1 1 SCALE: NTS DRAWN BY: J BOUZA PEOPLES GAS PROP. 1/2" PL RE--TIE 1430 NE 101 STREET MIAMI SHORES DATE: 6/5/97 SHEET 1 OF 1 JO : M -87816 AFE: 010170000102 1 ,t• `"` PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3' \ 1- 97 Job Address IL1 Sk Tax Folio . 3 f ,c Qg9 O Legal Description L O- (o Historically Designated: Yes p il No 0 Owner/Lessee / Tenant � aVr Master Permit # ( '� qTr q 'l 3 a q Owner's Address Contracting Co. 7-F' - F .41\ 7\ um1 1 rIr.t Address , 30. \q 3 Qualifier f75.,P ch m Q.S -` Phone 3CS 3/0 - LOA State # Municipal # -33R `Vy 1S Competency # Ftn \I-PAS Ins. Co. 1 l OSL`C('tl('�'CxC'� Architect/Engineer Address Bon Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION lard V', ,e4u (-9.6 Square Ft. 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 Condo President Date APPROVED: Zoning Building Mechanical Plumbin Phone (1 nvnrie y \ c (1('P Estimated Cost (value) l D)C) e of Contractor or Own Electrical uilder 3 - / - 9'7 - Builder Date Notary as to Owner and/or Condo President Date : as to Contra . 1 .! My Commission Expires: My ommission Exp' HARRIET FRASER CARRIS NOTARY PUBLIC STATE OF FLORIDA DOMMI5SJON NO: CC 79997 MY COMMISSION EXP. APR. 26,1997 Date FEES: PERMIT RADON C.C.F. NOTARY BOND TOTAL DUE Engineering t. 7S10 A E (AN A.22 LICATION FOR OBTAINED, THE OWNER ITEM 3Arrl TU3 31OET 3 1 S WAASl ER O I SPCSAL CRINKING FOUNTAIN LCCR GRAIN G E.&SE TRAP I NTE c PTCR L WATERY PLUMBING LAUNDRY TRAY CLOTHES MASKER SHOWER SINK. POT /3 CAP SINK. ,RESIDENCE SINK. SLOP TEWCRARY WATER CLOSET URINAL WA T E.R CLOSET INDIRECT WASTES WATER SUPPLY T0: .,/C UNIT FIRE SPRINKLE HEATER-NETT INST. HEATER-RE°LACE LAWN SPRINKLE? -WELL SHINNING PCCL WATER SERVICE SEWER CONNECTIONS UTILITY-SEWER UT I l I iY- '+'LATER SEPTIC TANK RELAY CRAINFiELD, 4' TILE/RES. PUP 3 A&VOJN SEPTIC TANK SOAKAGE PIT CJ. FT. CATCH 3ASIN OI:RGEE WE'! COrrEST;C 'WE AREA :PAIN RCCF :HUT SCL,M WATER :.EATER FIRE 37AMP NDUM TO BUILDING PERMIT APP BUILDING ?ER IT MUST 3CCONPANT THIS ADDENDUM. 'S NOTARIZE SIGNATURE N7=1 NOT BE ?RESENT ON I4 1 UNIT FEE ITEM swrlTCK anus LIGHT OUTLETS �a RECEPTACLES SERV TEII:RAT( RANGE iCP K 8 OVEN ELECTRICAL SE.RVIC Rata ,a C;AM { WATER 1TE 4 !.flTORS 0- 1 HP 1 MOTORS OVER 1- 3 FP MOTORS OVER 3- 5 HP !+UTCRS OVER S- 3 ;f iOTCRS OVER 3- 10 P MOTORS OVER 10- 25 HP MOTORS OVER 25-100 ,HP MOTORS OVER 100 FP A/C WINCCN AUR CONOITICNERS STRIP NEATER GENERATORS TRAMCSFFCRWyS GENERATORS TRANVCR.MSS GENERATORS TRANSS SPECIAL. P.,RPOSE CUTLETS COAERC 1AL SIGN TLEES SIGN TA4ORYERS SIGN T I>~E CLOCK F IXTLRES I ANTENNA I TE V IS I GN OUTLETS VIOLATION 1 REINS?ECTICN 1' I UNIT FE SERVICE SIZE IN AIRS DLCT NCAK A/C (TrINO) A/C (CENTRAL) REF I GERAT I0N LICATION APPLIANCE CUTLETS PROCESS AMU PRESS PIPING IF A }'ASTER PERMIT _,S 3_-_: SUBSEQUENT APPLICA= =DNS. ) UMUE CUNO TANKS MECHANICAL ABOVE GRQJO was U.F . PREMRE VETS STEAM BOILERS CT WATER 3C I LERS MECHANICAL VENTILATION TRANSPORTING ASSc48LIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION Pte` 'P !!G LAWN 7= NKLER D.S7EM GAS A:4:E GAS P! G } ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7; ; r5 /q• 7 Job Address / ME 1 O ! ' Tax Folio Y Legal Description /— c T 6 ` ! (�R_ z �� , Historically Designated: Yes r " L � 0-� u __ Master Permit # / Tenant / Owner's Address Contracting Co. tltc A- ot_ Municipal # _Sp °3B V9 77 Qualifier State # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION cL ( f),--, S/..� -)t (' ^ C(.2a r 7- 77. 4 2-2asCS7 -- , - Gt-ee - 2 2 2 or i r S Square Ft. Estimated Cost (value) / 70 0 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 la 1406 g construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signat e •f owner an• or Condo President Date 7' 34 ?7 7 Notary as to Owner and/or Condo President Date My Commission Expires: �Nq P4b t Michael Elliott • 4: MY COMMISSION # CC553199 EXPIRES oaN May 7, 2000 me TROY FAIN INSURANCE, INC. APPROVED: Zoning Building Mechanical C. FEES: PERMIT RADON C.C.F. Lam'2l2a/ No ✓ 35? 4 Address e*0,o / er f Phone SS# Electrical Signature of Contractor or Owner -Build Competency #M0000G2 Ins. Co.. moo a fmw6 Notary as to Contractor or Owner -Build My Commission Expires: i).,,m >” )))))))) ))))))))))))))))))))))))))))))Y 1 � ;i• – " •. Naomi M. Vasquez • < ! Notary Public, State of Florida ' ';� ' Commission No. CC 655580 )' -".! -' My Commission Exp.06/15/2001 Bonded Through Fla. Notary Service & Bonding Co. > NOTARY «acccccccccccccccccccc� c c c TOTAL DUE 7-31---- 7 Date Plumbing / �/ Engineering 12- 0 0 e ADDENDUM TO BUILDING PERMIT y/' e l ft w< I M/tee/7`" (_N A22LIC T_ON FUR BUILDING BEAM .IT MST ACCON_: THIS ADDEND 03TAINED, THE 0wNWa' S NOTARIZED SIGNATURE FEED NOT 3E ERESENT ITS( ?A7ri TL8 310ET 3 I SrYfASr1E.R ] I OrAI. CR 1;IK1/C FQI?tTAiN '_SCR tRAIN 2REASE TRAP 'YTECTCR L;VATCRY AMCRY TRAY C"..CTES 'MAST IKWER I'M. POT /3 CD4 . S M . RESIDENCE S I8K. SLOP 7:4 :YATZ CZET , ..R xA L XATER CLOSET INDIRECT I(ASTES :tAiER SUPPLY iQ: =iC UNIT :IRE SPRINKLER =.EA-HEW INST. ,=.z.3,77. SPR1NKLER -NE±L S"dlWdtNG POOL TATER ScRVIG PLUMBING ELECTRICAL Sc IER CONNECT t@6 U'►ILi -S'�EA UT;Liif -RATER SE FT IC TA1O( RELAY tCRAi'EIELD. 4' TILE/RES. PLW S ASAICQ1t SP?T 10 IAA SCR. E ?IT CJ. T. CATO? LLSIN 0 1Sv , .4; z ?(ELL CTzST;C Mai AREA :RAIN RCCF ! 1'L• T ,71.,n .Gt1E.R :VT?, ?XL )'p!NG CTS r; ' Lo Ilt1T FE 1111,1 SR1Tai CUTLETS L tGfT CUTLETS RECEPTACLES sERvic I Y SERVICE SIZE IN ACS Tana 2EEA.IRA€ s. CCANC:c A 'PL 1ANk RANGE TCP SIGN TL&3 SIGN iRI aaveS SIGN Tlt.E CLOD( 1 FIXTtRES TELEVISION TELcV 15 tC?t alilz i S I VIOLATION RE INSFECT IC't OUTLETS IOTCRS OVER I- 3 !f 1OTCRS OVER 3- 3 P JOTCRS GM S- 3 `P .443 CRS OVER 3- :o P 4CTCRS OVER !Q- ,P ACTORS GVER 2S-100 P 143TCRS OVER 103 ,-P A/C 111 NOC1 AIR O1TiMS STRIP FEAZR 04BAiCRS iRAISFCRbES GF:'1E.RA TORS nutamaS G"NERAT= TRAwaties SPECIAL PERM CUTLETS CUASCIAL APPLICATION CM. :: A u!ASTER PERM1 ON Su3SEQ~(T A22LICAT!C-. ;Tv SPACE /EATERS CENTRAL I€ATING A/C (WIN)) ' A/C (CEzffRAL ) i.CT riLRx REr'Rr IGERATION - ••.oa MECHANICAL !N3 PRESS ?!PING UPCERE Qi N3 TANKS ABOVE GROJNO TANKS U.F. PRESSLRE VESSELS STEM MILES HOT /CATER MILERS 4E;;'.ANICAL VENTILATICN TRANSR/ TING ASSc'3€L1ES E? EYATGRS/> SCALA;LRs FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINS?ECTtCN QVE.N A3TCRS 0- I:f UNITY Date 10k2\ Job Address \' \27O N• \O' ' • Tax Folio Legal Description p Owner / Lessee / Tenant Master Permit # 1/ �� Owner's Address Phone Contracting Co. WASTE MANAGEMENT OF DADE COUNTY Address 2303 NW 70 AVE MIAMI, FL 33122 Qualifier JERRY STITH SS# Phone 305 471 -4444 (X -271) State # 00- 157434 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # 18806 Competency # 000014780 Ins.Co. NORTH INS AGENCY Architect /Engineer U/N Address U/N Bonding Company U/N Address U/N Mortgagor U/N Address U/N Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGs WORK DESCRIPTION TEMP WATER CLOSET CUSTOMER NAME & ACCOUNT #: '6\ \)`(Y1 ) \C� Y�01 C OQ fir C Square Ft. U/N Est Cost(value) U/N WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D( SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU! NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construct+• in this jurisdiction. I understand that separatt permits are required for ELECTRICAL4PLUMBING5 SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wil. be done in compliance with all applicable laws regulating construct and zoning. Furthermore, authorize the above -named contractor to do the work stated. Signature of owner and /o: Condo President Date: Signature o Date: Mechanicallumbinp, 1f:rammgiav Notary as to Owner and /or Condo President Notary a to � � ra Q •a o ISSIRASI!ild My Commission Expires: My Commissio ,�•:, : s,� COMM NUYBHR . s�Jgl^ CC 27 1 009 v � F OF F O MY COM !XP MAR. 23 19 * * * PEES: PERMIT 4 RADON C.C.F. NOTARY TOTAL DUE 3.c X tractor t or er- Builder ** APPROVED: Fire Other Zoning Building _ Electrical Engineering Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application h hereby made for the approval of the detailed statement of the plant 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 Shore. 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 Divkion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plant and specifications mutt be kept at building during progress of work. Owner's Name and Address 191C //0 No Azgo Street_.k 5 /V /4 . Registered Architect and /or En eer Employing Plumber's Nume 1 dierfJ !/' � Na.. 3 v `.Z.�X.' Itreet-G. 4. ! r' .. .. . Location and Legal Description Lot. Block Subdivision.--_— . Sheet and Number where work is to be performed -No State work to be performed and purpose of building (By Floor) --- • ---- -- New Building.._..._ — _.._.........._.. Remodeling__ _ . ._._ __ Addition... - - -- ._....... Repair No. of Stories Site Septic Tank_ Type of Tank Capacity Cals..._..._...__ Fret of Drain Tile Dist. Feet of Tank ar Drain Pleld from Well.. _ ._ ..--- __....__._.....- . _ - - -• —. Nature of Water Supply: City-Well. Size of Soakage Pit Amount of Permit $ t0© (Signed) 'd' 1 Date..4. ' - - — Plumbing inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplover of labor under the Florida Workmen's Compensation Act, being Section 5996, Compiled General Laws of Florida Permanent Supplement, end has corn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wort. to be performed under this permit; and will post or cause to be posted for inspection no the rite of . ,rock such public notice or notices a Are required by the Act. The undersigned agrees to employ only such sub-contractors, on to'' be . • u • er this permit, as are licensed by Miami Shares Village. r1 Master. Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgrebts, peraonallj•eppearrd to me well known, and who, being by me first duly meets, upon oath depasee and says that he is the - ' , ` foregoing and that he dl the same;, and that all facts of the above described ca�,rtructioo. that he has carefully read the r'e{'aiof appUcatioo, therein by him stated are true. Notary Public, State of Florida '7 i / ` My Commission Expires May 1 --- I My am • •Insurance Inc. / Notary Public, State Of Florida NOTE: A rs inspection fee of $1.00 will be suede wig mob wispaotb it mad•'a oaaaary by improper notice for inspection. or faulty materials and /a workmanship. - CLOsE'TS BATH TU•e 1HOWERe LAVA• TORIES •INKS SLOP auras LAUNDRY TURD URINALS CATCH DRAIN FLOOR DRAIN DRINKING FOUNT•NS TO'Al. IIiltV •I CONTR. LIST C /IteN _- Septic TANK Styria CONK. DRAIN FIELD 60 PIT a TRAP . 6oLAR WEATIR OUP WELL • • N ar.IN•G Pool. I -_ i CT.NTw. LIST - c53ji -s .-- Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application h hereby made for the approval of the detailed statement of the plant 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 Shore. 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 Divkion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plant and specifications mutt be kept at building during progress of work. Owner's Name and Address 191C //0 No Azgo Street_.k 5 /V /4 . Registered Architect and /or En eer Employing Plumber's Nume 1 dierfJ !/' � Na.. 3 v `.Z.�X.' Itreet-G. 4. ! r' .. .. . Location and Legal Description Lot. Block Subdivision.--_— . Sheet and Number where work is to be performed -No State work to be performed and purpose of building (By Floor) --- • ---- -- New Building.._..._ — _.._.........._.. Remodeling__ _ . ._._ __ Addition... - - -- ._....... Repair No. of Stories Site Septic Tank_ Type of Tank Capacity Cals..._..._...__ Fret of Drain Tile Dist. Feet of Tank ar Drain Pleld from Well.. _ ._ ..--- __....__._.....- . _ - - -• —. Nature of Water Supply: City-Well. Size of Soakage Pit Amount of Permit $ t0© (Signed) 'd' 1 Date..4. ' - - — Plumbing inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplover of labor under the Florida Workmen's Compensation Act, being Section 5996, Compiled General Laws of Florida Permanent Supplement, end has corn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wort. to be performed under this permit; and will post or cause to be posted for inspection no the rite of . ,rock such public notice or notices a Are required by the Act. The undersigned agrees to employ only such sub-contractors, on to'' be . • u • er this permit, as are licensed by Miami Shares Village. r1 Master. Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgrebts, peraonallj•eppearrd to me well known, and who, being by me first duly meets, upon oath depasee and says that he is the - ' , ` foregoing and that he dl the same;, and that all facts of the above described ca�,rtructioo. that he has carefully read the r'e{'aiof appUcatioo, therein by him stated are true. Notary Public, State of Florida '7 i / ` My Commission Expires May 1 --- I My am • •Insurance Inc. / Notary Public, State Of Florida NOTE: A rs inspection fee of $1.00 will be suede wig mob wispaotb it mad•'a oaaaary by improper notice for inspection. or faulty materials and /a workmanship. Permit No r- Size Septic Tank__ _Type of Tank— _ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well.. Nature of Water Supply: City-WeIL Size of Soakage Pit Amount of Permit $ (Signed)_... -- -- ._ ZllA - -1! My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 85 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 spedficatlau must be kept at building during progress of work. Jul Owner's Name and Address MP-. 17-11/1 �� , �> No Street ._ EVE ( Q) ST Registered Architect and /or Engineer 53Lf"L 01�ILQC7�� GA)7�>`� 2191 Sb , 1 (J J . � eltust soNeams 177:) P U / . e...�.�....._....... 1trMt. 00� / L Loca" tion and Legal besot tea( Lot o Block / Subdivision V-.Z Street and Number where work L to be performed -No PI ° :ye ' d I �T Street ................_..... State work to be performed and purpose of building (By Fkrors)- �'LQZ___S. � 2 -..... _ . .................__.. New Building.._..._ ----- ..........._.. Remodeling Addition..._.. - __..... Repairs No. of Stories Notary Public, State of Florda Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and h.T (rm- piied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore 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 perinit, as are licensed by Miami Shores Village. (Signed Master Plumber. STATE OF FLORIDA, 1 u COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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. NOTE: A re- inspection fee of 0.00 will be made wham meth whaspaotiaa Y wade • neoaeary by bnpsoper notice for Mapection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA• TOAIts SINK$ SLOP s s u, LAUNDRY Tu.B URINALS CATCH BASIN ILOOR DRAIN DRINK' NO FOUNT' NS +p i�� r y l W 01 T pTA F To- . L come. LIST / 3 CNLCK _ + SEPTIC TANK SLWLA CONN. DRAIN FIELD SOAKAOL PIT G TRAP SOLAR HCATEA DEEP WILL SPRKLR. SYSTEM SIR IM'O POOL coons. LIST �- CHICK Permit No r- Size Septic Tank__ _Type of Tank— _ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well.. Nature of Water Supply: City-WeIL Size of Soakage Pit Amount of Permit $ (Signed)_... -- -- ._ ZllA - -1! My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 85 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 spedficatlau must be kept at building during progress of work. Jul Owner's Name and Address MP-. 17-11/1 �� , �> No Street ._ EVE ( Q) ST Registered Architect and /or Engineer 53Lf"L 01�ILQC7�� GA)7�>`� 2191 Sb , 1 (J J . � eltust soNeams 177:) P U / . e...�.�....._....... 1trMt. 00� / L Loca" tion and Legal besot tea( Lot o Block / Subdivision V-.Z Street and Number where work L to be performed -No PI ° :ye ' d I �T Street ................_..... State work to be performed and purpose of building (By Fkrors)- �'LQZ___S. � 2 -..... _ . .................__.. New Building.._..._ ----- ..........._.. Remodeling Addition..._.. - __..... Repairs No. of Stories Notary Public, State of Florda Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and h.T (rm- piied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore 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 perinit, as are licensed by Miami Shores Village. (Signed Master Plumber. STATE OF FLORIDA, 1 u COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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. NOTE: A re- inspection fee of 0.00 will be made wham meth whaspaotiaa Y wade • neoaeary by bnpsoper notice for Mapection, or faulty materials and /or workmanship. «Lp.m...-..-...-_ oLoarre OATH rues GM°Vtanli LAVA• roams SLOP SINKS LAuadrpty 'rums URINALS CATCH BArip, FLOOR DRAIN DRINKING ROUPIT'N• TOTAL ITIKTGRIIII CONTR. LICIT CRECI1 ■■■■mo PEPTIC TANK 011WIER tons. - DRAIN itIKLD 60AKAOK PIT °MIAMI TRAP SOLAR HUTU OGRP WULL 8PRKLIC arms 0W110 Pocs. CONTR. LIBT CI41:ICK ■.m.ms. D80-488 01.18 01.380.55000 MIA SNORES VOLL&GE PLUMBING INSPECTION DEPARTMENT APFLICATI*N FOR PLUMBING Puma 11 ?emit No Doto No 1430 N. Ea— Street.. 101 Application is hereby made for the approval of the detailed statement of the pilau (and specifications herewith submitted for the building or other (structure herein described. This application is made hi compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, a ordinances of Miami Shores Village and all rules and regulations of the Building Division of Aiiarni Shores Village shall be complied with, whether herein speziliod or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Noma and Address MARTY'S KRFAS Registered Architect and/or Engineer Employing Ploonbris Name RE.04.ES GASUalat w 125 11..coltion and Legal Description Lot. Mode Street and Number where work is to be performed-No Street. State work to be performed and purpose of building (By Moors)._ _ New Building----- - Remodeling Addition Repair! No. of Stories Size Septic Tank _Typo of Tank._—_- Feat of Darin __Dist. Foot of Tank or Drain Field from ..... Nature of Water Supply: City-Woll. Sins of Soakage Pit 1 cAS OUTLET 1 - GAS METER SET Amount of Permit $ 6,0n (Aped) (Signed)_ Plumbhsg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section MS, Compiled General Lows 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 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. Th© undersigned agrees to employ only such sub-amtractors, on work to ISO ormed under this penult, as aro licensed by Mier* Shores Viilago. Masao' Plaunrottv. STATE OF FLORIDA, I 0. COUNTY OF DADE. Before me, the undersigned authority, a notary pubic, duly authorized to administer oaths and take ackranviedgmenta, peon:zany tipt=red to me well known, and who, being by me first duly sworn, aspen cc dope= and any that be is the of the above described construction, that he bras card* sed to foregoing eguticattm, and that bo did sign the came, and dtgae a1l facb tlacratsa by him stated age true. My Conuitioduat Entices Mtn:7 Plah%, mate e vise& NOTE: A ro-ixtopectigra fee of OM wlI b ma& who) slatx;x: suo hit --. 3tiqucz =too bzztoonm, ta7 Ezatiq snotc7ials end/or socclananship. BUILDING ❑ ELECTRICAL ` ❑ PLUMBING ❑' ROOFING Owner of Building Architect Contractor or Builder Legal Lot II Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 15727 Work to be performed under this Permit Subdi- vision Value of Project $ Amt. of Permit $ / BY AUTHORITY DATE '+ 195 Contractor's License No 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. Permit No.. _.. 1? Application is hereby made ftr 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 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 work Owner's Name and Address Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed purpose of building (By Floors)- New Building Remodeling »»-. Addition_ Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date No._» .3 6 Registered Architect and /or ._. Employing Plumbers Name. ! efr7C A No / L.. Block_ Size Septic Tank Type of Tank_ Feet of Drain Tile ____- _. _... Dist. Feet of Tank or Drain Field from Well Nature of Water Sup • � ell ........ ._______�.. ..... _.-.Size of Soakage Pit (Signed). Street.. Street /i/ Street___ / -- 2.1.r Subdivision `,7C._ � _‘ Capacity Gals Repairs . ... ... ... ...... No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ^I{ employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hLs ;:cm- 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. 'VC> a (Signed) _.... _..._..» � ��' ..._. ................... Master Plumber. STATE OF FLORIDA, l 5 ,. , COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare 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 lac therein by him stated are true. Notary Public, State of Florida STE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or LW erials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES I SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRi/KING FOUNT•N4 / % ' � `n2 O TOTAL FIETUREI C ONTR. LIST - �`��.�_ . CHECK ' ! () J i oJl a.11 .._ SEPTIC. TANK SEWER CONN. DRAIN FIELD SOAKAbE PIT GREASE TRAP AMINr N EATER DELP WELL SPRKLR. SYSTEM SWIM'G POOL. CONTR. LIST CHECK �JJ V _L- /Q Permit No.. _.. 1? Application is hereby made ftr 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 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 work Owner's Name and Address Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed purpose of building (By Floors)- New Building Remodeling »»-. Addition_ Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date No._» .3 6 Registered Architect and /or ._. Employing Plumbers Name. ! efr7C A No / L.. Block_ Size Septic Tank Type of Tank_ Feet of Drain Tile ____- _. _... Dist. Feet of Tank or Drain Field from Well Nature of Water Sup • � ell ........ ._______�.. ..... _.-.Size of Soakage Pit (Signed). Street.. Street /i/ Street___ / -- 2.1.r Subdivision `,7C._ � _‘ Capacity Gals Repairs . ... ... ... ...... No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ^I{ employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hLs ;:cm- 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. 'VC> a (Signed) _.... _..._..» � ��' ..._. ................... Master Plumber. STATE OF FLORIDA, l 5 ,. , COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare 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 lac therein by him stated are true. Notary Public, State of Florida STE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or LW erials and /or workmanship. CO . 6 Co /I Date' " CV"' " ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /1 "7 & 40/S67 -Tax Folio Legal Description Owner / Lessee / Tenant 8 [ / q k-‘ Master Permit #39 ! �7 Q ?a- �� Owner's Address 43 0 )7 __ (.�� 9 Lc. -p. e._) Phone Contracting Co. / o ` J Address (0 / Qualifier 2i/ 1Q1' - Phone CO / L - 6)(0) State # paa9 M u nicipal #3) 0 o �1 mpetency 0(�1�d /O s.Co. n Architect /Engineer Address Bonding Company Address Mortgagor Address WORK DESCRIPTION / (SS° Signature of owner and /or Condo President Date: Zoning Notary as to Owner and /or Condo President My Commission Expires: Permit Type(circle one): BUILDING ELECTRICAL i MECHANICAL ROOFING det/lk Ot' ce; ' 4p t c PAVING PENCE SIGN Square Ft. Estimated Cost(value) qcP00' 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 regula co . ruction and zoning. Furthermore, I authorize the above-named contractor to do the work i tated S'._na re � Qa'r B D = te: 7 "L nPu ii::;'.v ,Itinvfi io,,,, A p.i• J: ;1 ij ?Js'; 9 X7`7' i".1"� Notary as o on ac 'e rfAer My Commission Expire i G. SLi �f k'r otary Public S'ta cif i' l irid Commission No.: CC 0J46/4 &Ay CommissionsExp.: April C, 2 ** * * * * * * * * * * * PEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Building / / Electrical Mechanical Plumbi Engineering APPLICANT: CO STRUCTION PERMIT FO,R: (7) ew System [ i 1 /Xxistiny system V ' i M 1ding Tank 4,1" Repair [41 Abandonment AGENT: IKE e DEPAR'_MENT OF I HEALTH AND S. d DA STATE OF FLOR PE D - ONSIT£ SEWAGE DISPOSAL SYSTEM 1996 FEE PAID $ CONSTRUCTION PERMIT APR ,�O RECEIPT # Authority: Chapter 381, FS & Cha V QCgA0F AC DCPHU•NOpr('H OFF;CE PROPERTY STREET ADDRESS: ( 43 0 t LOT: PROPERTY ID #: SYSTEM DESIGN AND SPECIFICATIONS APPROVED BY: o SPECIFICATIONS BY: BLOCK: DATE ISSUED: 44. 50,_ 17 [ 1 STANDARD [ 1 TRENCH ( it.-JSemporary /Experimental ( /'" Other(Specify) — SUBDIVISION: SYSTEM SYSTEM (FILLED [!4 BED G (44_,K G awe s ���_�- 1 HRS -H Form 4016, Mar 92 CObsc:eres previouri edition, wrich may lct br 1:sCd) (Stock Number; 5744•QO1- 4O C (L ? I( ce [ ) MOUND ( a; 57.4 [SECTIO TOWVS IP /RANG fFARrEL OuMBER) [OR TAX ID NUMBER) SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. S'SCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. T (1-- - 1 (IGALL S � / GPD) ,EPTIC TANJAEROBIC UNIT CAPACITY MLIITI- CHAMBERED /IN SF,RI.F.S: rj A ( ) [GAT r ONS / GPD) _ ____ _ _____ __ CAPACITY MULTI- CHAMBERED /IN SERIES[ i N [ 1 GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS; K ( I GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE ( ) PER 24 HRS NO. OF PUMPS: ( 1 ) k FEED' PRIMARY DRAINFIEI.D 1 1 SQUARE. FEET TYPE SYSTEM: CONFIGURATION: , r 447 NE. y LOCATION OF BENCHt•lARK: __ __( _ 4 __. of s4- -� -- / YK. t- m ELEVATION OF PROPOSED SYSTEM SITE [ INCHES FTI6 BELOW1 ENCHM1►WREFERENCE POINT BOTTOM OF DRA.NFIELD TO BE 1 - Z JIN /FT)CIABOVe OELO ENCHMARX/REFERENC. POINT FILL REQUIRED: ( `-1- INCHES EXCAVATION REQUIRED: 04‘..) . J INCHES EXPIRATION DATE:f CPHU PAGe 1 of APPLICATION FOR: [yr] New System 1>o] Repair MAILING ADDRESS: ; = = '1O BE COMPLETED BY APPLICANT OR APPL/CANT'S AUTHOR/ZED AGENT. ATTACH WILDING PLAN AND TO-SCA SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D-6, FLORIDA ADMINISTRATIVeCODE. ======= PROPERTY INFORMATION (IF LOT IS NOT IN A RECORDED LEGAL DESCRIPTION OR DEM LOT: 10, BLOCK: SUBDIVIsioN: PROPERTY ID lit PROPERTY SIZE: 4/.04 ACRES [Sqft/43560) PROPERTY STREET ADDRESS: DIRECTIONS TO PROPERTY: _ BUILDING INFORMATION Unit Type of No Establishment 1 2 3 :4 STATE OF FLORIDA DEPARTMENT OF HEAL= AND REHABILITATIVE SERVICES P ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, r6 & Chapter 10D-6, FAC 4.3 Egisting System Abandonment 'r' 1 /i ....le) 60 / 4 ,, (, [ ] Garbage Grinders/Disposals [ 1 Ultra-low Volume Flush Toilets PPL/CANT'S SIGNATURE: (2,, 1 .1 •.ORS-H Form 4015, Mar 92 (Obsoletes previous i(Stock Number: 5744-001-4015-1) DATE OF SUED/VISION:— — [Section/Township/Range/Parcel No.] ZONING: k. PROPERTY WATER SUPPLY: [ J PRIVATE ( PUEL [1,/f RESIDENTIAL Building # Persons' Business Activity Area Soft Served.' Fot Commercial Only 0 C \ C 0 No. of Bedrooms [,..4.6 Holding Tank ( Other(Specify) • • 5 ) el Cr editions which may not be used) (Al (-- COMMERCIAL PERMIT # DATE PAID FEE PAID $ RECEIPT # Temporary/Experimental —=== = = ====la DATE: [ 1 Spas/Hot Tubs [ J Other (Specify) As, [ •..1 Floor/Equipment Drai 4 ( Page 1 of ;"'rZee • PROPERTY ID #: *ATE OF FLORIDA bEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES * oNSITE SEWAGE DISPOSAL .SYSTEM ,9 STTE EVALUATION AND SYSTEM SPECIFICATIONS ot- APPLICANT: Abli); t. a)/ irt) Pd,1 LOT: 6 BLOCK: x- /-) TO BE COMPLETED BY ENGINEER,CREAlly UNIT PROVIDE REGISTRATION NUMBER AND SION AND PROPERTY SIZE CONFORMS TO SITE PLAN: f TOTAL ESTIMATED SEWAGE FLOW: 0 0 AUTHORIZED SEWAGE FLOW: 7 (I 8 UNOBSTRUCTED AREA AVAILABLE: 450 DENCHMARiIREFERENCE POINT LOCATION: __4 14.5 o Jor . /,240,*$revi ,I _ fi Eummii6N OF PROPOSED SYSTEM SITE IS E OaTi9FT) CAFEDIELOW1(aggaiNEYWERENCE PO' TUE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURE; SURFACE WATEk: /00 FT DITCHES/SWALES: _Thi4 FT NORMALLY WET? [ YES (t4 NELLS: PUBL/C: 1r\& FT LIMITED USE: b FT PRIVATE: Jqlys4 FT NON e& .... g BUILDING FOUNDATIONS: .0e:) FT PROPERTY LINES: f:0 FT POTABLE WATER LINES: icag SITE SUBJECT TO FREQUENT FLOODING: [ I YES [ 9"NO 10 YEAR FLOODING? ) YES pi 10 YEAR FLOOD ELEVATION FOR SITE: FT(M SITE ELEVATION: f FT(g§gAt SOIL PROFILE INFORMATION SITE 1 60J". OBSERVED WATER TABLb: to ESTIMATED WET SEASON WATER TABLE HIGH WATER TABLE VEGETATION: [ ] to to to to to to _ USDA SOIL SERIES: form 4415, Mar 92 (Obsotetes previous edit on whith may not be used) (Stock NuMbu: 5764-003-4015-1) AGENT: 17 SUBDIVISI,ON:0 f 1441 fSection/Township/Range/Parcal No. or Tax ID Numb /13 = EMPLOYEE,')OR OTHER QUALIFIED PERSON. ENGINEER'S M) SEAL EACII PAGE or SUBMITTAL. COMPLETE ALL ITEMS. YES [ ] NO NET USABLE AREA AVAILABLE t a GALLONS PER DAY [RESIDENCES-TABLE 1 / OTHER-TABLE GALLONS PER DAY [1500 GPD/ACRE OR 52EgEgO SQFT UNOBSTRUCTED AREA REQUIRED: 71_41 S( SOIL PROFILE INFORMATION SITE 2 (ALP /i14 t. 1/4. e 4', der Meme■11. 1. P. 01 Pr.RMIT 1 c'1"4 to •■■•■■••■•■■•••■••• USDA SOIL SERIES4 to tO to - to to_2_2 12 0,0 1.5;,00 )4, 02. 7 13 8.<7 g =TIM Cfnm, T1 (PERCHED /( ELEVATION: 1'1 INunEs 1 aouvm so II YES 1 MOTTLING: [ ] YES pl NO DEPTH: J 4L INC SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 0 07 , DEPTH OF EXCAVATION: .41 INC DRAINFIELD CONFIGURATION: [ ] TRENCH [..") BED ] OTHIR (SPECIFY) REMARKS/ADDITIONAL CRITERIA: 7P■e040e Localldo .r.0 _ 5 t i 4 3 et. - .72pr, SITE EVALUATED BYT— /, T i ei‘ . D . v1 Y!.? ...■•••••••••■•••■■■ ammomm • .•• • j. • 1 DATEt Pagel 3 -lc; BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA 197 ELECTRICAL ❑ vats PLUMBING - PERMIT ROOFING ❑ 0 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Of d Lo®EF�e4 Ce o Lot /93e) CON f OR 6r BU ER N° 39159 // 3ao,S 03-Y 8c0 Subdi- vision Sq. Ft. Value of / S v Project $ Contractor's License No. Amount of II 1 Permit $ BY AUTHORITY 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed iq 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 respon- sibility for work done by his agents, servants or employees. Signed • (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto afd 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE c3 6 /'l1 c /b / 57 Folio bate Job Address Legal Description Historically Designated: Yes No 1/ Owner/Lessee / Tenant 2 7S N g — 9 Z ST r" •e f' Master Permit # 3 / 7 -E. Owner's Address - a\v vy1 'C u %T e tc In a R n . 4 G e.4--at a vo.e._ C 3l v wi Phone Contracting Co. 1t72K1 (� ¢ 2P • Address 4O 7 64c % /�17 -/ 4 Qualifier ., ® — Phone Z 6G ^ 37q Co State # Municipal # Competency # Ins. Co. Architect/Engineer /4VA— Address Bonding Company Al/4 Mortgagor A)7,4 Signature of o FEES: PERMIT Address Address Permit Type (circle one): BUILDING ELECTRICA ► PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � /146 N k Square Ft. Estimated Cost (value) 4 .� sa c) 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.. x.25 9 r and/or Condo President Date ADONAY LI;AICE NM/kW,' PUBLICS STATE OF FLORIDA COMMISSION NO. CC385532 MY COMMISSION EXP. LINE 21,1 / Notary as to Own r and/or Condo My Commissio xpires: RADON C.C.F. T� v otary as to My Commis APPROVED: Zoning Building Mechanical Plumbing Signature of Contrac or Owner - Builder Electrical NOTARY TOTAL DUE 9 A R-e ; - v ) Date P P t I r ( r a �-'�Jyl l P� ?F FL�Cni P a aa PP OFF)C IAI, 74677 .RY ELOY SANNjU t COMMISSION NO. MY COMMISSION Ex(' ; Engineering APPLICATION FOR: (X)) New System EH Repair APPLICANT: AGENTS MAILING ADDRESS: c==warauftwa Waleccu m===anustimumectiammuOmn=6 wwwww ca===ftmwimmumwe wwwww immucKestammowc=mon==mmme== TO BE COMPLETED BY APPLICANT OR APPLICANT!S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO-ScALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED'BY CHAPTER FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION (IF LOT IS NOT IN A RECORDED'SUBDIVISION,' ATTACH LEGAL DESCRIPTION OR Dew) •. LOT, PROPERTY ID #: PROPERTY SIZE, PROPERTY STREET ADDRESS: DIRECTIONS TO PROPERTY: 2 3 4 STATE OP FLORIDA DEPARTMENT OP HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authoritys Chapter 381, FS & Chapter 10D-6, FAC L-- BLOCK: SUBDIVISION: DATE OP SUBDIVIS 0Nr------- (Section/Township/Range/Parcel No.) NINO: ACRES (Scat/43560) . PROPERTY WATER SUPPLY: ( MATE (: PUBLIC < UPLICANT'S SIGNATURE: •• • I. lif.. (d) Existing Sy4tem (I Holding Tank 1 /I4 Temporary/Experimental ( ) Abandonment (K'ottier(SpecLfy) • 02/05/96 17:36 BUILDING INFORMATION 'A -114SIDENTIAL Unit Type of i; • ,,...., No. 131r Building 0 Persons business Activity po . rstatlIshment- nmigo°m1. ' IiitiLtaiLvlair —! 21...PPEM.B.4clal Only 2t 305 266 9825 r • /4 AJ V /0 i!o i f - 1"," I: 1 :'; • • • - 0, ! ' , • :0, "' J , • • . - .1 ' .1•!. • 'AM.... 1 ' tt.f. %C. • t. ( Garbage OrindersiitikePosii'l:e. A 1 ?as 0 3 1 'ultra- . low xi, • DATE: 2 4' 'TELEPHONE: PERMIT i DATE PAID FEE PAID S RECEIPT 0 o . • • • • ",1 i.1 4.4 .4 tfniq 1,1 • , . • I • IRS • N F orm 4015, mar 92 •(Obsolates previous editions which esev list be useo) • . *IP • . 1.0 i • t' • tstock kilter: 5744 • LOPEZ-FRPIXEDAS •••■•■•••■■■•■,...... P. 4 1' Floor/Eguipment Drains Page 1 of 3 DEPARTIVIERIT ;; A STATE OF FLORIDA Lh AND HE MABOL.ITATIVE SERVICES ONSITE SEWAGE DISPOSAL. SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Permit Application Number ■6 ,4 0.9.4 PART II - SITE PLAN Scale: Each block represents 6 feet a vid 1 !rich = 50 feat. 'l i 1 ' .,.. T 1 .- i 7 - 1-... T . , .1 -I 4,- ' I A -!. . p - i i H ..j.T. . i_ Li.4 Tri•iii: I j t i f j ff.Li: - -�i.1 -, -1 J :, i I _II..., ; L. .} .;...1,. _J. I : '_' _!.., __. :171 ..1 7 .1 :, 1 1 .. 17.1 .'__:1 1.1 - i I 1 1 ; ., l - f1 ) t.a._ - 1 . 4 ., . _I - - • 1 r♦ {{ i _ v ;.. • 1 I i- - f. -�- I. 7 ,, h- ' ' l i(1 • 1 .. ■ ;1 -, - i _ : i,I "Doles: Site Plan submitted by 'Ian Approved iy 02/05/96 17;37 a 3r5 266 9225 Not Approved r• L0PE2- FRPXEDPS TITI Date P.62 County Public Unit ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT 118 Porrn 481b, Feb 85 (Obe01e108 previous etlIUone ahl0h may riot b1 UBBd) P6S49 2 r S lock Number. 6744.002.4Q15.8) . APPLICATION FOR: [V] New System [AA Repair 1 2 3 4 STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 1OD -6, FAC ( (A) APPLICANT: _AL _ in / AGENT: �.. I, , MAILING ADDRESS: /7'J //e4? /7 7:- TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY.CHAPTER 10D -6, PROPERTY INFORMATION (IF LOT IS NOT IN A RECORDkD SUBDIVISION, LOT: ) 1 1. ` BLOCK: ��' ` SUBDIVISION: PROPERTY ZONING: PROPERTY. SIZE: ACRES [Sgft /43560] PROPERTY STREET ADDRESS wn �"� A,t-e" DIRECTIONS TO PROPERTY: BUILDING INFORMATION (i RESIDENTIAL Unit Type of No. of No Establishment Bedrooms Existing System (� Holding Tank Gil Temporary /Experimental Abandonment [,.6] Other(Specify) APPLICANT'S SIGNATURE: (1-12.12.5 NRS -N Form 4015, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4015 -1) TELEPHONE: DATE OF SUBDIVISION. [Section /Township /Range /Parcel No.] ZONING: PROPERTY WATER SUPPLY: ( ] PRIVATE [{/1 PUBLI ( ] COMMERCIAL Building 1 Persons Area Saft Served PERMIT i DATE PAID FEE PAID $ RECEIPT 1 /, /-29 Z21- o_4(5 ATTACH BUILDING PLAN AND TO -SCAL: FLORIDA ADMINISTRATIVE CODE. ATTACH LEGAL DESCRIPTION OR DEED Business Activity For Commercial Only DATE: " I s ( ] Garbage Grinders /Disposals [ ] Spas /Hot Tubs [ ] Floor /Equipment Drain [ ] Ultra -low Volume Flush Toilets [ ] Other (Specify) Page 1 of BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING ❑ Owner of Building_ Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 15925 CONTRACTOR OR BUILDER Work to be performed under this Permit Architect Contractor or Builder * . BL 1 Subdi- vision Value of Project $ DATE 1 195 Contractor's License No Amt. of Permit $ f 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. 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. BY AUTHORITY