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30 NE 100 StDate Job Address 3'a Z/ E /OO , s'7 1-- Tax Folio Legal Description / / �) Lessee / Tenant �e�—a , S q/�1,�',- / , Master Permit �� 9Z .5143 Owner's Address J i G v i ' / T / 0 0 _5'' Phone 2 S Q' - 1" 7 9 S Contracting Co. Qualifier State # Municipal # Competency # Ins.Co. e9 ®72 Architect / n gineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING 'CHANICAL ROOFING PAVING FENCE SIGN ignature o Date: ** * • APPROVED: WORK DESCRIPTION OWNER'S AFFIDAVIT: I be done in compliance authorize the abov - PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ur r_ir and /•! tt L e; r /1 Agar iclz470- Condo esident LORRAINE J. ZERO Notary Public. State of Florida NotarPYSlmtoeft Condo President My Commissl&F . Q 's: Zoning Buildin Mechanical Plumbin ss# Phone e_5; 9 S' /S Square Ft. '2 G O 3 Estimated Cost(value) / 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, ROOPING and MECHANICAL WORK. certify that all the foregoing information is accurate and that all work will with all applicable laws regulating construction and zoning. Furthermore, I med • tractor to do the work stated. Signature Date: FEES: PERMIT RADON C.C.F. 1, R Q Address 770 / vr/ / � )6hzf Notary as My Co ission Expi s: * o� tractor or Owner- Builder LORRAINE J. ZERO Notary Public, State of Florida My cnmm evplres Oct 24,199G to ContractoNo.685Qiifltr- Builder * Engineering NOTARY TOTAL DUE .3e Fire Other Electrical D R A I N F I E L D 0 T H E R 41' ATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: [/J'] New System [ (j Existing System [ t`1 Holding Tank [ Repair [ /.) Abandonment [J.1) Other(Specify) APPLICANT: PROPERTY STREET ADDRESS: LOT: J 8 FILL REQUIRED: I w J F. . IL; 1 7 1 J (C SPECIFICATIONS BY: APPROVED BY: DATE ISSUED:4-i I • BLOCK: s [ 1,41 } � 4 Ir c3 3 SUBDIVISION: AGENT: PROPERTY ID #: I r v ; J /.:-; / 1 > `� [OR TAX ID NUMBER] LOCATION OF BENCHMARK: 4- Q F ELEVATION OF PROPOSED SYSTEM SITE [ BOTTOM OF DRAINFIELD TO BE [ • • ) • 1 I � < i' HRS -H Form 4016, Mar 92 (Obsoletes previ us editions which may not be used) (Stock Number: 5744- 001- 4016 -0) PERMIT # 7 Q K - / 3 r DATE PAID $ / Z . 7 FEE PAID $ RECEIPT # y 7 / 6) 1 Temporary /Experimental • [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] TITLE: , TITLE: A cm Clv -, - �z r• Y L �l-Ca1r �l�,�'v�� SHALL P:.:sey.n: i IRATIOK DATE: ''CPt/N .DEVICE IWSTALLED t7 ' _ ! 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. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS T [ 771] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD) CAPACITY MULTI- CHAMBERED /IN SERIES:( ) N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS) K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] [ 347:)]• SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ ] SQUARE FEET SYSTEM.. TYPE SYSTEM: [ TT STANDARD [ €j FILLED [ MOUND CONFIGURATION: 1 TRENCH [ BED ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT •[INCHES /FT) [ABOVE /.BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ .. INCHES INSTALL 12" OF LOAMY COARSE SAND UNDER EOT T O„4 CUC r WI • 7$T C PPP SL::ChEC:,\ ♦ �. � � ( 1 - - �5C ' A, •I , 1 INVERT ELEV•i4TIO -. ( o BOTTOM` OF i:: -',N IEi D C.'_ ''.: , ::';:' 7 ' CPHU CONSTRUCTION PERMIT FOR: [,) New System [ ('j Existing System [ N ] Holding Tank [ Temporary /Experimental [ ] Repair [ l.'] Abandonment [,4] Other(Specify) APPLICANT: txjc rJ _ \ i (. J,i ci AGENT: PROPERTY STREET ADDRESS: . LOT: 0 BLOCK: SYSTEM DESIGN AND SPECIFICATIONS D FILL REQUIRED: [ im .)( NCHES O ' 11:1 C O - 3 P. , ,1 t T "'T " ,J C H +, r1 <•. y' ,l E f..1 - r ( R / SPECIFICATIONS BY: . APPROVED BY: DATE ISSUED: J ( I f s HRS -H Form 4016, Mar 92 (Obsoletes,prev (Stock Number: 5744-001- 4016 -0) STATE OF FLORIDA PERMIT # DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID CONSTRUCTION PERMIT "RECEIPT # Authority: Chapter 381, FS & Chapter 10D -6, FAC a3 (a ( , ous editions which may not be used) APPLICANT TITLE: 18R - #30b S_ /z -7 $ o oO cfr 0/ SUBDIVISION: PROPERTY ID #: [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] `�' 0 / r [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAt REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMIT: 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. SUC1 MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. T [ /- ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS, K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ) D [ 3 c ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYS EM A TYPE SYSTEM: [7 STANDARD [04 FILLED [ MOUND [ Ai I CONFIGURATION: (O] TRENCH [ BED [] F LOCATION OF BENCHMARK: 4- 6 F [Lb r / 43 3 ( 1 - rt-4 1/\ I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE.POINJ E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ j ( INCHES INSTALL 12" OF LO.Af'..1Y COARSE SAND UNDER BOTTOM 0:: DRAINFIELD SUBMIT BENCHMARK ni -ORE INSPECTION I M:b etMPJII I lb IVO rUrt *Jet l`.JNlbl Q - , 0'1 . INVERT ELLV, T;G;J 1 BOTTOM OF CR�A ELU ELEVATION 1.7 5 TITLE: EXPIRATION DATE: iiE SEPTIC TAW1t SHALL SE PUMPED AND A SOLID DEFLECTION DEVICE INSTALLED ON THE OUTLET TEE CPH1 Page 1 of : LOT: THE MINIMUM SETBACK WHICH SURFACE WATER: /%'`> FT WELLS: PUBLIC: 1G'' i i FT BUILDING FOUNDATIONS: c i " 1 - --- (7y/ __C BLOCK: SUBDIVISION: PROPERTY ID #: ) G ✓/ /0 r" 3 . 3 (Section /Township /Range /Parcel No. or Tax ID Number] 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: ( YES ( ] NO NET USABLE AREA AVAILABLE: I7f" ACRES TOTAL ESTIMATED SEWAGE FLOW: ''',2 s U GALLONS PER DAY (RESIDENCES -TABLE 1 / OTHER -TABLE 2) AUTHORIZED SEWAGE FLOW: Z ICJ GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] UNOBSTRUCTED AREA AVAILABLE: 7 O a 'SQFT UNOBSTRUCTED AREA REQUIRED: BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS / a '/1[INCHES /FT] [ABOVE&ELOW] BENCH E- POINT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES ( NO 10 YEAR FLOODING? [ ] YES ['.1 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NGVD SITE ELEVATION: /2' 7 FT MSL /NGVD SOIL PROFILE INFORMATION SITE 1 STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS Mun ell # /Color Texture Depth / j G " /v to } .:/ / 0 to - 7 - m to USDA SOIL SERIES: to to to to to to OBSERVED WATER TABLE: /Z- INCHES [ABOVE / ELO ESTIMATED WET SEASON WATER TABLE ELEVATION' HIGH WATER TABLE VEGETATION: [ ] YES [NO SITE EVALUATED BY: CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWII i FEATURES: DITCHES /SWALES: FT NORMALLY WET? [ YES [ ] NO LIMITED USE: FT PRIVATE: FT NON-POTABLE FT FT PROPERTY LINES: . S FT POTABLE WATER LINES: FT HRS-H Form 4015, Mar 92 (Obsotetes prev'ioss - editions which may not be used) (Stock Number: 5744 -003- 4015 -1) . AGENT: 1/ 7 c, v!_(,/ SOIL PROFILE INFORMATION SITE 2 Mun # /Color Texture ll� �li USDA SOIL SERIES: Depth Ci to 2 2_ to to to to to to to • to PERMIT # ( 6 0 c. TYPE : /.APPARENT - INCHES [ ABOVE / BELOW J EXISTIN RAQE. MOTTLING: [ ] YES [ ABOVE DEPTH: 2,9 INCHES T 4% a SQFT SOIL TEXTURE /LOADING FOR SYSTEM SIZING: Y H- G/ / DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ' BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: Page 3 of 3 g DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCT N PERMIT Permit Application Number 1 d A- 1; 0 6 Notes: Site Pla submitted by: Plan Approved '✓ By STATE OF FLORIDA PART II - SITE PLAN Scale: Each block represents 5 feet and 1 inch = 50 feet. ■.■■■■■■■■■■ oi■ w ■i ■li■■■■■■■■■■■■■m■■■■iliii ■ orno ■■r /1 .■...■..� --- e rr ^■■rmonf'■ ■■11.111■ ■■■■■ ■■■■■■■ ■Inumu•c■■ ■■■ ■ ■■■■■■■■e- -- _..:: ntmero ■mpagcaz■c I gym■ 11011111111111111111111111111 - ■■■■■■■■■■■■■■ U■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■I■■U■■■■•u■■■■■■ • ••••••••••••••••••••••■••••• r k I� ■rrs■ ■■ ■■ ■■il ■■■■ ■ ■ ■■ llIIllllllIIliI - - -- i 1 IMO n� ■ mn mm� a n �ye OI 1 OIAn r" 1 IIIIIIIIIIIII II ll I OIIiUh11iIiilHHiUiiiiIiIIIIIiiiii iliNi i H IIiIIIi , 1 f /Q/9 ;` K RL%QJ \N, \"C 7 r - ) SIGNA Not Approved Date C1 /2 ��� J TITLE ALL CHANGES MUST 'BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) • Page 2 of 3 County Public Un Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. (( EV .I4.-■.1 eu Owner's Name and Address.____ .fit __ _ — - _.________._________ No. . 1 0 N C / Street Registered Architect and /or Engineer _______,-- _______ _ Employing Plumber's Name !4 ©lv --- rI{-ce— 02 -•...__ No._1_C(. D Street4/ 4 .740 - e - _ Location and Legal Description Lot Block Subdivision _____,_____________________ _ ___ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)._ New Building Remodeling 4.0 Addition__ Date i ° 6z. Repairs No. of Stories Amount of Permit $ - (Signed)_ (Signed). Capacity Gals. Size Septic Tank Type of Tank Feet of Drain Tile___________--------------- __---- _______moist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._._____ _ _ ____Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida tions as an employer of labor t Supplement, and has conv- oyed by him in the work to be Plumbing Inspector. AS As Master Plumber. are are STATE OF FLORIDA, as. COUNTY OF DADE. j 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. 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 SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS (h Lt/ TOTAL FIXTURES CONTR. LIST LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. (( EV .I4.-■.1 eu Owner's Name and Address.____ .fit __ _ — - _.________._________ No. . 1 0 N C / Street Registered Architect and /or Engineer _______,-- _______ _ Employing Plumber's Name !4 ©lv --- rI{-ce— 02 -•...__ No._1_C(. D Street4/ 4 .740 - e - _ Location and Legal Description Lot Block Subdivision _____,_____________________ _ ___ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)._ New Building Remodeling 4.0 Addition__ Date i ° 6z. Repairs No. of Stories Amount of Permit $ - (Signed)_ (Signed). Capacity Gals. Size Septic Tank Type of Tank Feet of Drain Tile___________--------------- __---- _______moist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._._____ _ _ ____Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida tions as an employer of labor t Supplement, and has conv- oyed by him in the work to be Plumbing Inspector. AS As Master Plumber. are are STATE OF FLORIDA, as. COUNTY OF DADE. j 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. 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. Permit No 9* d r/ Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bding 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. a o _ .NE/0 d Registered Architect and /or Engineer ti._ /� ` � Employing Plumber's Name_Mlh In 1 Vow a e�Jl_ + ef 71; ir No._ / Street-_ Location and Legal Description Lot_______________________ ________ Block Subdivision Street and Number where work is to be performed —No t -W S eet ,4/E J® 0 State work to be performed and purpose of building (By Floors)_____ _ R / 14-4 eV fg' D Q 0 3.. New Building Remodeling_ Addition__ Repairs Size Septic Tank __ _ Type of Tank_ Capacity Gals. Feet of Drain Tile.___? r t Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. — ____: Amount of Permit $._ STATE OF FLORIDA, COUNTY OF DADE. (Signed)- (Signed)._ My Commission Expires Notary Public, State of Florida No. of Stories_ _.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 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 w. 'suc public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contra on work t ormed under this permit, as are licensed by Miami Shores Village. aster Plumber. 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. 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. CLOfR6 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK _ SEPTIC TANK SEWER Comm DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G P001. CONTR. LIST CHECK -- _ Permit No 9* d r/ Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bding 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. a o _ .NE/0 d Registered Architect and /or Engineer ti._ /� ` � Employing Plumber's Name_Mlh In 1 Vow a e�Jl_ + ef 71; ir No._ / Street-_ Location and Legal Description Lot_______________________ ________ Block Subdivision Street and Number where work is to be performed —No t -W S eet ,4/E J® 0 State work to be performed and purpose of building (By Floors)_____ _ R / 14-4 eV fg' D Q 0 3.. New Building Remodeling_ Addition__ Repairs Size Septic Tank __ _ Type of Tank_ Capacity Gals. Feet of Drain Tile.___? r t Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. — ____: Amount of Permit $._ STATE OF FLORIDA, COUNTY OF DADE. (Signed)- (Signed)._ My Commission Expires Notary Public, State of Florida No. of Stories_ _.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 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 w. 'suc public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contra on work t ormed under this permit, as are licensed by Miami Shores Village. aster Plumber. 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. 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. Permit No •b """ 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, COUNTY OF DADE. gs. MIAMI S H O RESLV1tLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) 4_ Date - 1 ;. 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 7.� _w ± _ r .` a __�_'_ _ No Street Registered Architect and /or Engineer Employing Plumber's Name - • L No* Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building __________________________ Remodeling Addition Repairs No. of Stories Street___ Size Septic Tank_�� _ —_! "�__________ _ ._____ Type of Tank Capacity Gals.___ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that l e understands and accepts hi§ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 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 CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No •b """ 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, COUNTY OF DADE. gs. MIAMI S H O RESLV1tLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) 4_ Date - 1 ;. 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 7.� _w ± _ r .` a __�_'_ _ No Street Registered Architect and /or Engineer Employing Plumber's Name - • L No* Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building __________________________ Remodeling Addition Repairs No. of Stories Street___ Size Septic Tank_�� _ —_! "�__________ _ ._____ Type of Tank Capacity Gals.___ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that l e understands and accepts hi§ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 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. { APPLICATION FOR PLUMBING PERMIT Permit No t 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 a_. Registered Architect and /or Engineer _ Employing Plumber's Name ___ �__t Pffo Street Location and Legal Description Lot______ BIock Subdivision____________________ Street and Number where work is to be performed —No 3 Street ______W_�_�_�________W_____�_ 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 Feet of Drain Tile__ ____:::_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Size of Soakage Pit Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT '"No._________ -- Street _(Signed) The undersigned applicant for this building permit does hereby certify tha#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 be 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 d are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as \pte licensed by Miami Shores Village. (Signed) – – ti My Commission Expires Notary Public. State of Florida Plumbing Inspector. / 1 Master Plumber. 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. 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 HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No t 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 a_. Registered Architect and /or Engineer _ Employing Plumber's Name ___ �__t Pffo Street Location and Legal Description Lot______ BIock Subdivision____________________ Street and Number where work is to be performed —No 3 Street ______W_�_�_�________W_____�_ 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 Feet of Drain Tile__ ____:::_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Size of Soakage Pit Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT '"No._________ -- Street _(Signed) The undersigned applicant for this building permit does hereby certify tha#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 be 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 d are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as \pte licensed by Miami Shores Village. (Signed) – – ti My Commission Expires Notary Public. State of Florida Plumbing Inspector. / 1 Master Plumber. 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. 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. JOB: BUILDING ELECTRICAL : WORK PLUMBING : DONE BY: Rcpt ra f The following is ready for Inspection: 5Kid Inspector's Report: • • • AD: a 0 REQUESTED • • • • • • • • • • • • • • • • • : • • . WILL BE READY APPLICATION FOR PLUMBING PERMIT Permit No.. 2- 2 D 45 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 woFk Owner's Name and Address 4 Registered Architect and /or En:ineer Employing Plumber's Name _ Location and Legal Description Lot__' Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building______________ Remodeling Addition Repairs Size Septic Tank o O _ Type of Tank Feet of Drain Tile________________ _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well Amount of Permit $_ __1__ �_ Q MIAMI SHORES VI LLyA►G E PLUMBING INSPECTION DEPARTMENT No. �-- 1 Street________ Block_______] _ __ �____ ___ S ubdivision Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that );e understands and accepts hi 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed t Date Street________ ______ _W__- -- Capacity Gals.__ _ `! Notary Public. State of Florida No. of Stories E LI _ tai2lt Master Plumber. 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 be 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 $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 HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No.. 2- 2 D 45 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 woFk Owner's Name and Address 4 Registered Architect and /or En:ineer Employing Plumber's Name _ Location and Legal Description Lot__' Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building______________ Remodeling Addition Repairs Size Septic Tank o O _ Type of Tank Feet of Drain Tile________________ _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well Amount of Permit $_ __1__ �_ Q MIAMI SHORES VI LLyA►G E PLUMBING INSPECTION DEPARTMENT No. �-- 1 Street________ Block_______] _ __ �____ ___ S ubdivision Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that );e understands and accepts hi 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed t Date Street________ ______ _W__- -- Capacity Gals.__ _ `! Notary Public. State of Florida No. of Stories E LI _ tai2lt Master Plumber. 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 be 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.