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339 NE 100 St (5)Date Legal Description 2.4T / ? * 1 R B (k � )20t ill I E 0A-DtvAIA,A-iDert- 3 b Phone6� /cg a-7 Contracting Co. B� k (36 r, Jz L 4-4D RiC 1) 1..14. Address /COO PC; S T / , 1f 1 SS# Phon(30 538- 5 State # Si2o [ a / i i Ca Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Owner/Lessee / Tenant Owner's Address Qualifier obi) Permit Type (circle one): BUILDING ELECTRICAL(UMBING>IECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 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 OF 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 compli: i •th all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do • . 'or s : ted. f'7 1: � owner an Condo President Ns to 1.. i�i'<! My Commissio Expir GLADYS J V(LLAR :D'I'ARY PUBLIC STATE OF FLARILA COMMISSION NO. CC7IA103 TY COMMISSION EXP. MAR. 1? 002 FEES: PERMIT APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 0 Job Address 339 NG /00 5T► Tax Folio /1,3)(,) 0 1 5 C m 360 ili D, - M,U - 7 e/D Estimated Cost (valueA 3 RADON Building Plumbing te .2000 —0 0 Historically Designated: Yes or Owner J VILLAR RiTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR.1 002 D Signs Notary My o ontract nunission Exp Electrical No Master Permit # 0 te Date C � � C.C.F. ' v NOTARY J BOND 3 2 t� TOTAL DUE 3 ) b Structural Engineer STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR• [$)] New System UN Existing System [ Repair [ I`+' Abandonment APP ICANT: SYSTEM DESIGN AND SPECIFICATIONS D R A I F I E L D SQUARE FEET PRIMARY DRAINFIELD SYSTEM SQUARE FEET SYSTEM TYPE SYSTEM: (1] STANARD [/4] FILLED CONFIGURATION: ] TRENCH ( 4 BED [ NJ LOCATION OF BENCHMARK: ELEVATION OF PROPOSED SYSTEM SITE BOTTOM OF DRAINFIELD TO BE FILL REQUIRED: [ N INCHES O rS-b ?ht.1 gt 6 t P*4 T 4-4 S rs eI :)v fJ E R [INCHES e /FT EXCAVATION REQUIRED: pt. 1: Health Department pt. 2: Applicant pt. 3: Installer/Contractor pt. 4: Building Department MOUND [ABOVE [ABOVE TEM [04 Holding Tank [4.1 Temporary C W /HI [ PERMIT NO. O(6, s r .a t 4 DATE PAID: 1 - 1 g - O FEE PAID: . A� RECEIPT #: [ y� Innovative PROPERTY ADDRESS: a 1 �/ ( 0 0 TRESS: A LOT: 11 If BLOCK: SUBDIVISION: + [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #4 ! f ( °� -*r 0 0>" 6 0 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY 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. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. T [I O ] GALLONS / GPD '" /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 DOSING TANK CAPACITY [ ]GALLONS @ [ ] DOSES PER 24 HRS # PUMPS [ ] BENCHMARK /REFERENCE POINT BENCHMARK /REFERENCE POINT INCHES c J R9 TAPIli g° OF [LOAMY COARSE SAND UNDER BOTfflMl L)RAIN °IEW suompr BEN'OC"fAG`3IK EIEFQF INZPEOTION SPECIFICATIONS BY: TITLE: -- ° TITLE: %o F ` CBD APPROVED BY: DATE ISSUED: g �� �I F 5;.i jai <;j;�a// SHALL z pppp - 1111( -. = 6 � c �i �L its Sn7A L Wel EXPIRATION DATE: G 4JCb�Gu �li "✓ �tr'�y 5'i R -, • DH 4016, 12/99 (Page 1) (Pr= ious �10 E•161 Page 1 of 3 � Uu����V �? INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. CONS1 RUCTION PERMIT FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent AGENT: Property owner's legally authorized representative. ;MAILING ADDRESS: P.O. Box or street mailing address for applicant or agent. LOT, BLO('K, SUBDIVISION or PROPERTY ID #: 27 character id number for property. (CHD may require property appraiser ID # or section/township/range/parcel number) SYSTEM DESIGN AND SPE('Ii 'CATIONS: 'YANK: Minimum specifications from Chapter 64E-6, FAC. DRAIN FIELD: IELD: Minimum specifications from Chapter 64E-6, FAC. OTHER: Other specifications, sne'l as c ^ere ^_ r.g permit requirements, low - volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. T.f designed by a registered engineer must be sealed. APPROVE.!) 13V: County Health Department (CHD) personnel reviewing and approving g r:-` ^. DATE ISSUED: Date permit is issued by CHD EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. Notes: STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PEWIT/ Ty Permit Application Number ,PART II - SITE PLAN- ( Scale: Each block represents 5 feet and 1 inch = 50 feet. L E -- 3o �o GA- 41c. rA1 - D/F 'F)4;LEA DoE - ro 1-1-yokhoio Site Plan sumqted by: AP 'A?: Sipa In4- Plan Approved Not Approved "le By ALL CHAN3ES MU 1 DH 4015, 1W96 (Replaces HRS-H Form 4015 which may be used) (Stock Number: 5744 -002. 4015.6) 1 TBEA ,I( D BY THE COUNTY HEALTH DEPARTMENT County Health Department Page 2 of 3 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ i ELECTRICAL ❑ DATE 1 196 PLUMBING © PERMIT N? 9860 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permi _ Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ �. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough k n wledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications that he assumes responsibility for work done by his agents, servants or employees. Signed• , INSPECTOR '`► In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all 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 Permit No Date 2/15/60 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. Cadwallader 339 N.E. 100th St, Owner's Name and Address j* No _.- _._.._ Street. Registered Architect and /or Engineer ..... __ ___— _._....... ______._______r_� Employing Plumber's Name Rose Sept 1 C Tank Location and Legal Description Lot _._____.______.__..___________. Street and Number where work is to be performed —No 339 State work to be performed and purpose of building (By Floors) New Building —.. Remodeling_-___ —_ Addition. Size Septic Tank .......... - - - -- Type of Tank Feet of Drain Tile 2i5 r Relay - - __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ...._..__ _— .--_Size of Soakage Pit Amount of Permit $_ .......... ____ - -. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r..1,iivirr Block_. Subdivision .___..,___.._...._ Street N,B. 100th St, Capacity Gals ( Signed) No. 2552 Repairs No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his • • igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors 'mployed 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 : ' ch public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be ;erformed under this permit, as are !,?tensed by Miami Shores Village. (Signed). _ ._� ,y� 01_ STATE OF FLORIDA, 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. 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 TUSB SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK __ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DELP WELL SPRKLR. SYSTEM SWIM'o POOL CONTR. LIST X - CHECK Permit No Date 2/15/60 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. Cadwallader 339 N.E. 100th St, Owner's Name and Address j* No _.- _._.._ Street. Registered Architect and /or Engineer ..... __ ___— _._....... ______._______r_� Employing Plumber's Name Rose Sept 1 C Tank Location and Legal Description Lot _._____.______.__..___________. Street and Number where work is to be performed —No 339 State work to be performed and purpose of building (By Floors) New Building —.. Remodeling_-___ —_ Addition. Size Septic Tank .......... - - - -- Type of Tank Feet of Drain Tile 2i5 r Relay - - __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ...._..__ _— .--_Size of Soakage Pit Amount of Permit $_ .......... ____ - -. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r..1,iivirr Block_. Subdivision .___..,___.._...._ Street N,B. 100th St, Capacity Gals ( Signed) No. 2552 Repairs No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his • • igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors 'mployed 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 : ' ch public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be ;erformed under this permit, as are !,?tensed by Miami Shores Village. (Signed). _ ._� ,y� 01_ STATE OF FLORIDA, 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. 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. ML DING CAL PLUMBING Owner of Building Architect Contractor or Builder 1 Legal Description Address of Building Lot �^ / j COM' OR OR BUILDER MIAMI SHORES VILLAGE, FLORIBt DATE •✓ ` � / ' / - 1950 Contractor's License No PERMIT N° 9343 p _ 00 ., Work to be performed under this Permit ,4 kose Bl. /( 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 Inay 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 fop a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or,Arawings or in the statement3rdr specifications and that he assumes responsibility for work done by his agents, servants or employees. i NSPECTOR In consideration of the issuance to me of this permit I agree erform the work covered hereunder in compliance with, all 'ordinances and regulations thereto and in riot conformity wi h the plans, drawings, ents or specifications submitted to the proper authorities of Miami Shores Village. g this permit assume responsity fqr a rk done by either, myself, my agent, servant or employee. , �'fr /'.. `/ l Signed' r Subdi- vision Value of Project $ BY Amt. of Permit $ / BY AUTHORITY REQUEST FOR INSPECTION (v,npany PHONE J Address 6 Inspection Time Ready_ —___ A• P.M. Date Ready PERMIT NO. WILL GET INSTALLED BY: f.,, -. / e t c >�.«.�r�* �� DATE � OWNER'S NAME LOT BLOCK SUBDIVISION MISCELLANEOUS INSPECTIONS ADDRESS j C INSPECTION A. M. P. M. RELAY DRAINFIELD `¢�� WELLS GAS APPLIANCES WATER PIPING SOLAR MISCELLANEOUS APPROVED BY: CONDEMNED BY: REMARKS