PLUMBING PERMITInspection Date: 08/28/2006
Inspector: Levrack, James
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
fitO
Owner: ASTRALAGA, IVAN AND MARCELA
Job Address: 254 101 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: A LEAGUE CONTRACTORS, INC.
Building Department Comments
Friday, August 25, 2006
Block:
Permit Type: Plumbing - Residential
Inspection Type: Landscaping
Work Classification: Septic
Phone Number (305)773 -0577
Parcel Number 1132060134620
Lot:
Phone: 305 - 256 -0306
a'
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Inspector Comments
Page 2 r
APPLICANT: Astralaga, Ivan b Mareala AGENT: SM890867
PROPERTY STREET ADDRESS:254 :fE 101 St Miami Shores FL 33138
LOT: 6
PROPERTY ID #: 11
CHECKED [X) ITEMS ARE NOT IN COMPLIANCE WITH CHAPTER 64 :er, FLORIDA ADMINISTRATIVE CODE.
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TANK INSTALLATION
[01] TANK SIZE [1]14.00 [2]
[02] TANK MATERIAL Concrete
[03) OUTLET D'VICE
[04] MULTI -C BERS
[05) LEGEND 13045 -20DC
[06? WATERTIGHT
[07) LEVEL
[08] DEPTH OF LID
DRAINFIELD INSTALLAT::ON
(09) AREA `[1] 512 [2]
[10) DISTRIBUTION BO:;: /HEADER
[11) NUMBER OF DRAINII,INES
( 12) DRAINLIN: E SEPAR!,T ION
[13] DRAINLINE SLOPE
[14)
[15]
[16]
[17]
[18]
[19]
[20]
[21]
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE: TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
BLOCK: 3
DEPTH OF COVER
SYSTEM ELEVATIO::I
SYSTEM LOCATION
DOSING PUMPS c:
AGGREGATE SIZE
AGGREGATE SOURC
AGGREGATE WASHE::1
AGGREGATE, DEPTH
FILL /EXCAVATION MATE
[22) FILL AMOUNT
[23] FILL TEXTURE
(24] EXCAVATION DEPT::
[25] EXCAVATION AREA
(26] REPLACEMENT MATERIAL
SUBDIVISION: Miami Shores No. 1
[[Section /Town: hip /R
[OR TAX ID NU BER]
P.O
0 [
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0 SQFT
4
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FINAL SYSTEM [ APPROVED ] have, Ronald
CONSTRUCTION [ DIS.APPROVIIIO ] Geoffrey, Kiug Dade
OF 4016, 03/97 (Obsoletes previous :ditions which may not be used
( StOCk Number: 5744 - 002 - 4016 -4) (::,tds_cin _4016 -21
CENTRAX #:13 -SG -27114
DATE PAID:
FEE PAID :
RECEIPT :
OSTDSNBR :05 3681 -
ge /Parcel No.)
SETBACKS
[27] SURFACE WATER
[28] DITCHES
[29] PRIVATE WELLS
[30] PUBLIC WELLS
[31] IRRIGATION WELLS
[32] POTABLE WATER LINES
[33] BUILDING FOUNDATION
[34] PROPERTY LINES
(35) OTHER
FILLED /MOUND SYSTEM
[36] DRAINFIELD COVER
[37] SHOULDERS
(38] SLOPES
[39] STABILIZATION MATERIAL
ADDITIONAL INFORMATION
[40] UNOBSTRUCTED AREA
[41] STORMWATER RUNOFF
[42] ALARMS
[43] MAINTENANCE AGREEMENT
(44] BUILDING AREA
[45] PLUMBING FIXTURES
[46] FINAL SITE GRADING
[47] CONTRACTOR A- LEAGUE
[48] OTHER
ABANDONMENT
[49] TANK PUMPED 6/15/06
[50] TANK CRUSHED AND FILLED
XPLANATION OF VIOLATIONS:
[31] Setback to irrigation cell not met.
[40] Unobstructed area, Building area, pending construction
[49] Tank not pumped,, [50] Tank not crushed and filled. 06/15/06 reinspected system.
found all items are correct :id. gave approval.
Dade
6/15/06
CHD Date: 5/23/06
CHD Date: 6/15/06
Page 2 of 2
(AO. rd
(
St' P rl eV19
/ s•2(16 6 e c( - 1) d
Amount of Permit $
$700.00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
December 23 1983
Permit No.... Dete..._.•- •--- _ -.._.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.._- J Van Zyc1 __, ._. No. 254 NF,
Registered Architect and /or Engineer
Employing Plumber's Name 0, G ,Lloyd Septic' Ta311c Ilt eet- 1 —i :..3
Location and Legal Description Lot_ Bloom Subdivision.______
Street and Number where work L to be performed -No 254 NE 101 Street Street..
Miami Shores
State work to be performed and purpose of building (By Floors)__
New Building..__ _ __-•- •--........_.. Remodeling____ _- ._.____ Addition.
Size Septic Tank— -Type of Tank__
Feet of Drain Tile. _.. 0 gig .XFeet of Tank or Drain Field from Well
Nature of Water Supply: City-WelL Size of Soakage Pit
(Signed)
CC #12842
Insurance expires 12/10/84,
.. 6$
Repairs No. of Stories. .....
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 ham com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work te 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 die 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.
( Signed)
Master Plumber.
STATE OF FLORIDA, ss.
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 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
NOTE: A re- inspection fee of $1.00 will be made when snob re-Inspection Y mode•neoemery by treproper notice for Inspection, or faulty
materials and /or workmanship.
CLOSETS S
BATH L
SHOWERS S
LAVA• S
SINKS I
SLOP L
LAUNDRY U
URINALS C
CATCH F
FLOOR O
ORINKINO T
TOTAL
CONTR.
LIST
CHECK
SEPTIC S
SEWER D
DRAIN S
SOAKAGE 0
0 S
SOLAR D
DEEP S
SPRKLR. t
thy I1y
CONTR.
LIST ,
,-
St' P rl eV19
/ s•2(16 6 e c( - 1) d
Amount of Permit $
$700.00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
December 23 1983
Permit No.... Dete..._.•- •--- _ -.._.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.._- J Van Zyc1 __, ._. No. 254 NF,
Registered Architect and /or Engineer
Employing Plumber's Name 0, G ,Lloyd Septic' Ta311c Ilt eet- 1 —i :..3
Location and Legal Description Lot_ Bloom Subdivision.______
Street and Number where work L to be performed -No 254 NE 101 Street Street..
Miami Shores
State work to be performed and purpose of building (By Floors)__
New Building..__ _ __-•- •--........_.. Remodeling____ _- ._.____ Addition.
Size Septic Tank— -Type of Tank__
Feet of Drain Tile. _.. 0 gig .XFeet of Tank or Drain Field from Well
Nature of Water Supply: City-WelL Size of Soakage Pit
(Signed)
CC #12842
Insurance expires 12/10/84,
.. 6$
Repairs No. of Stories. .....
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 ham com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work te 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 die 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.
( Signed)
Master Plumber.
STATE OF FLORIDA, ss.
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 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
NOTE: A re- inspection fee of $1.00 will be made when snob re-Inspection Y mode•neoemery by treproper notice for Inspection, or faulty
materials and /or workmanship.
•
Owner's Name and Address
Registered Architect and /or Engineer____—_
Employing Plumber's Name_
Size Septic Tank
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
is -rte}
ime
Type of Tank_
(Signed) _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLIC .TION FOR PLUMBING PERMIT
Permit No — Date_
----- -_ - -_•
Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el
performed under this permit; and will post or cause to be posted for inspection on th . the work s
required by the Act. The undersigned agrees to employ only such sub- contra • on work to be
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
/1/ -- --- - - -._. No. 2,-S __ /____ Street .__ C...:__ ki
3/C 77 kNo _1 7
f41�I Street.._- _
Location and Legal Description Lot.
Street and Number where work is to be performed —No �4 Street _ 4 / W , s7
State work to be performed and purpose of building (By Floors)._ _ _ . s ,2 - -_ -- L.Cp J(
New Building - Remodeling —_ Addition..._ Repairs 1.....---' No. of Stories_ ......
Block Subdivision ._._..____..__._____.___
Capacity Gals
Nature of Water Supply: City— Well..__.-_ ....... ___ ... _______..... _.________ --Size of Soakage Pit
Plumbing Inspector.
as an employer of labor
ement, and has corn-
m in the work to be
Lice or notices as are
as are
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 insp ' m, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
- - --
•
Owner's Name and Address
Registered Architect and /or Engineer____—_
Employing Plumber's Name_
Size Septic Tank
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
is -rte}
ime
Type of Tank_
(Signed) _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLIC .TION FOR PLUMBING PERMIT
Permit No — Date_
----- -_ - -_•
Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el
performed under this permit; and will post or cause to be posted for inspection on th . the work s
required by the Act. The undersigned agrees to employ only such sub- contra • on work to be
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
/1/ -- --- - - -._. No. 2,-S __ /____ Street .__ C...:__ ki
3/C 77 kNo _1 7
f41�I Street.._- _
Location and Legal Description Lot.
Street and Number where work is to be performed —No �4 Street _ 4 / W , s7
State work to be performed and purpose of building (By Floors)._ _ _ . s ,2 - -_ -- L.Cp J(
New Building - Remodeling —_ Addition..._ Repairs 1.....---' No. of Stories_ ......
Block Subdivision ._._..____..__._____.___
Capacity Gals
Nature of Water Supply: City— Well..__.-_ ....... ___ ... _______..... _.________ --Size of Soakage Pit
Plumbing Inspector.
as an employer of labor
ement, and has corn-
m in the work to be
Lice or notices as are
as are
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 insp ' m, or faulty
materials and /or workmanship.
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
•
Lot
MIAMI SHORES VILLAGE, FLORIDA / DATE / 01 • /, .� r 195
Contractor's
License No
Work to be performed under this Permit
PERMIT ANA 12474
.�. , . mat ...,..�.�.
•
This permit is granted to the co tractor ofi 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 o • the statements or specifications and that he assumes responsib' '
done by his agents, servants or employees.
, • BY y,
INSPECTOR
In consideration of the issuance to me of this permit I agree to pe orm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statemor specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I ass 1ne respo ility or all wtk done by either, myself, my agent,, servant or employee.
CONTRACTOR OR BUILDER
Bl.
14
Signed.
r
Subdi-
vision
Value of
Project $
0d
Amt. of r Co/
Permit $ 1
AUTHORITY
Permit No
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
7 /r/ l , /
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. his 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. l
Owner's Name and Address 1 6 'VA ` No. 6- / Street /V
Date__
Employing Plumber's Name// :. r" (, ...:_,___l f___. _ -' ______ __ _ �____
� ______ "__ No Street_
Location and Legal Description Lot _ Block______ Subdivision
" zi
Street and Number where work is to be performed —No �__— __ Street i
State work to be performed and purpose of building (By Floors) L._r__. , r r
New Building. Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply: City—Well ..
Amount of Permit $
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
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 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.
(Signed)
• Master Plumber.
STATE OF FLORIDA,
ss.
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 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
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
SW IM'G
- POOL
CONTR.
LIST
CHECK
Permit No
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
7 /r/ l , /
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. his 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. l
Owner's Name and Address 1 6 'VA ` No. 6- / Street /V
Date__
Employing Plumber's Name// :. r" (, ...:_,___l f___. _ -' ______ __ _ �____
� ______ "__ No Street_
Location and Legal Description Lot _ Block______ Subdivision
" zi
Street and Number where work is to be performed —No �__— __ Street i
State work to be performed and purpose of building (By Floors) L._r__. , r r
New Building. Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply: City—Well ..
Amount of Permit $
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
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 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.
(Signed)
• Master Plumber.
STATE OF FLORIDA,
ss.
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 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
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.
BUILDING
ELECTRICAL
PLUMBING
Legal Lot Bl.
Description
Address of
Building
CONTRACTOR OR B,UILAER
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
Contractor's
License No.
PERMIT N9 2352
Work to be performed under this Permit
Owner of
Building,
Architect
Contractor
or Builder
Subdi-
vision
Value of
Project
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 specificatiot, 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 mg:
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Sh;
V,,illage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
14
Amt. of
Permit
BY AUTHORITY
-r
JOB: AD: �� 1 414 � / /_ �! —
BUILDING
•
•
ELECTRICAL
PLUMBING
Inspector's Report:
•
•
•
•
•
•
• :
::
•
•
WORK
DONE BY
REQUESTED
The following is ready for Inspection:
: WILL BE READY
OWNER a LOT
BLOCK
SUBDIVISION
,i/ ( /1', fl a.. 144,44 644.
*24
t. 6/, Q,
PLUMBING PERMIT N9 _1121
ape
Issued to
to in the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida. �`
For a I story U t ac .
4 '• building at r 2 v 1 )/l G /0/ It
r
Fixtures
Fixtures $
Sewer $
•tic Tank
Total
c 71.iami cJhores9llage
F L 0 A I D A
$ J e- L2
Village Plumbing Inspector
Received Paymnnt b
el
•
I herewith submit the following application for a permit covering
the installation of a Septic Tank 1/ .
Soakage Pit: Relaying: New: 4- '
Feet of drain tile:
Installed by: Address:
y
(NEW: // Old:
For a (Store:
(Res:
Building has:
Bedrums ,5
Owner or Agent:
Lot No.4 '
Address of work:
No. of Plumbing Fixtures: Laundry Tubs: Floor Drains:
Nature of water supply: City: Y Well: Feet Distant from all
wells:2i :sa Type of tank installed: / e .a , Tank capacity in
gallons: g0
Size of Soakage Pit:
Additional information:
MIAMI SHORES VILIAGE, FLA.
APPLICATION FOR SEPTIC TANK PERMIT
DIVISION OF PLUMBIN•NSPECTION
Date:
Story: / Addition: Remodeled:
Garage: Apt:
Garage wash floor:
Stores; Offices;
•
Hotel: Office Bldg.
Waste water from a:
Address:
Block No. SUBDIVISION
„2 $c‘.
Purpose of same:
Apts; Hotel Rms;
Ready for Inspection: Date: r°\ Time:
APPROVED BY: -et r CONDEMNED BY:
Remarks:
PERMIT NO. /Pk/
a;
Permit No.- Z 1 -70 -90 .-- ..._ Dnte..._.--- .---
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of, Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Rafael Gartez
Owner's Name and Address No Street.._
Registered Architect and /or Engineer
EmnIov1n$ Plumber's Namo Del Amo Plumbing Inc.
Location and Zeg D Lott t—
Street and Number where work is to be performed —No 254
State work to be performed and purpose of budding (By Floors)__._ Residential_______,
New Building- -__.._ _ _.._ _.. Remodeling____ X Addition.. - - -_ __ Repairs No. of Stories ............
Size Septic Tank_ -- —Type of Tan
Feet of Drain Tile Dist- Feet of Tank oc Drain Field from Well ..._.__.
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
254 N.E. 101 Street
7323 ... N.W. 8th Street
Subdivlslog
N.E. 101 Street
Street. ._..._.._...- -• -_ --
d ee4asele/C 5 7
D /
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 5968, Compiled General Laws of Florida Permanent Supplement, and Isar ccm-
piied 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 err
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
lionised by Miami Shores Village.
Muter Plumber.
STATE OF FLORIDA, i ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Roberto Perez
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...__.._ Master P11rrtbr-
of the above described construction, that be has carefully read the foregoing application, and that be did sign the'same, and that all facts
therein by him stated are owe. -
May Pubic, State of Florida � ��
Mr C i;sien Fxrirec Ort. 14 1
yf rrwAresb Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 wlU be made when emi rritsapaotion le oade•eeoaseary by Improper notice for Inspection, er balky
material and /or worlmaaaship.
c
BATH
Tr.:
aNOW[R{
LAVA
TORIES
SINKS
SLOP
SINK[
LAUNDRY
TUSK
URINALS
CATCN
B ASIN
ILOOR
D RAI N
DRINKING
FO NNT'N {
W /machl.l
le
TOTAL
FIXTURES
Corr .
LIST
1
2
1
1
1
cmgcs
CNECK
ir
✓
) . _
q
V
g
SEPTIC
TANK
SEWER
CONN.
DRAIN
EL
r1D
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
5 •
5
eW 1N'3
POOL
GVYi1 E
M
CONTR.
LIST
1
1
�-
CHECK
a;
Permit No.- Z 1 -70 -90 .-- ..._ Dnte..._.--- .---
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of, Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Rafael Gartez
Owner's Name and Address No Street.._
Registered Architect and /or Engineer
EmnIov1n$ Plumber's Namo Del Amo Plumbing Inc.
Location and Zeg D Lott t—
Street and Number where work is to be performed —No 254
State work to be performed and purpose of budding (By Floors)__._ Residential_______,
New Building- -__.._ _ _.._ _.. Remodeling____ X Addition.. - - -_ __ Repairs No. of Stories ............
Size Septic Tank_ -- —Type of Tan
Feet of Drain Tile Dist- Feet of Tank oc Drain Field from Well ..._.__.
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
254 N.E. 101 Street
7323 ... N.W. 8th Street
Subdivlslog
N.E. 101 Street
Street. ._..._.._...- -• -_ --
d ee4asele/C 5 7
D /
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 5968, Compiled General Laws of Florida Permanent Supplement, and Isar ccm-
piied 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 err
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
lionised by Miami Shores Village.
Muter Plumber.
STATE OF FLORIDA, i ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Roberto Perez
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...__.._ Master P11rrtbr-
of the above described construction, that be has carefully read the foregoing application, and that be did sign the'same, and that all facts
therein by him stated are owe. -
May Pubic, State of Florida � ��
Mr C i;sien Fxrirec Ort. 14 1
yf rrwAresb Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 wlU be made when emi rritsapaotion le oade•eeoaseary by Improper notice for Inspection, er balky
material and /or worlmaaaship.
$2.00
Permit No. J.... _ I_ v .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 3-21 -69
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. Lake
No._ 254
_ Street N.E. 101 St.
Registered Architect and /or Engineer _ _ _
Employing Plumber's Name Dade naS _Company No._ — 1180 Street._ ®.73 St. Miami
Location and Legal Description Lot _____ .... - ___________ Block__ Subdivision.. -- _-- _-- - - - - --
Street and Number where work is to be performed —No 254 Street _ _ N . E . 101 S t .
State work to be performed and purpose of building (By F l o o r s ) .
New Building _. Remodeling__ ___ _.__ . __ Addition_
Repairs. No. of Stories _
Size Septic Tank_ _ _
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Type of Tank
_Dist. Feet of Tank or Drain Field from Well
_ __ - _ . Size of Soakage Pit
(Signed)
.. _Capacity Gals..
Plumbing In :pecto:
•
The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ennanent Supplement, and his 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 no'ices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo;ared under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personal) ' 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 .acts
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 worl®anship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT - NS
Range
TOTAL
F'XTURES
CONTR.
LIST
X
CHECK
-_
2.00
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHECK
$2.00
Permit No. J.... _ I_ v .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 3-21 -69
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. Lake
No._ 254
_ Street N.E. 101 St.
Registered Architect and /or Engineer _ _ _
Employing Plumber's Name Dade naS _Company No._ — 1180 Street._ ®.73 St. Miami
Location and Legal Description Lot _____ .... - ___________ Block__ Subdivision.. -- _-- _-- - - - - --
Street and Number where work is to be performed —No 254 Street _ _ N . E . 101 S t .
State work to be performed and purpose of building (By F l o o r s ) .
New Building _. Remodeling__ ___ _.__ . __ Addition_
Repairs. No. of Stories _
Size Septic Tank_ _ _
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Type of Tank
_Dist. Feet of Tank or Drain Field from Well
_ __ - _ . Size of Soakage Pit
(Signed)
.. _Capacity Gals..
Plumbing In :pecto:
•
The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ennanent Supplement, and his 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 no'ices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo;ared under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personal) ' 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 .acts
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 worl®anship.
—_�—
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
$ INKS
SLOP
SINKS
LAUNDRY
Tuns
I NALS
URINALS
CATCH
BABIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURE!
CONTR.
LIST
CHECK
__
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM' O
POOL
CONTR.
LIST
CHICK
a I I
Permit No. .._._
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otht•i
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 al
building during progress of work.
111t U
Owner's Name and Address. ( Ni . "'"' ' No. __a2_5 __i -_.._Yi . e..- _ Street • / d I
Registered Architect and /or Engineer
•
Employing Plumber's Name. __�. -- to ---- .. PlZi.a.
Location and Legal Description Lot- __-___- _- ____. ....... _________________Block—_____ _ Subdivision_
Street and Number where work is to be performed -No . '- C • Street. 1 0 / 4 •
State work to be performed and purpose of building (By Floors )
New Building Remodeling __ Addition
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) _
(Signed)-
Date 1 - vt ,
trees •
Repairs No. of Stories
Size Septic Tank Type of Tank- _ Capacity Gals. -
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from We1L
Nature of Water Supply: City -Well. 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 5988, Compiled General Laws of Florida Pennanent Supplement, and has ;Nun-
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 an
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackpowledgments, personally appeare
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
II
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 13734
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot II Bl.
Description.
Address of
Building
Signed• � BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
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.
DATF
Amt. of
Permit $
BY AUTHORITY
195
Contractor's
License No
v
OWNER +
LOT
BLOCK
SUBDIVISION
v.
i
r /
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumb ng and
drainage work done in iami Shores Village, Florida.
building at
For a_story
cJ d 11QTf11 Shores
PLUMBING PERMIT N9 1046
F L 0 R I D A
Fixtures ,►
Fixtures $ if 4
Sewer $ e
•tic Tank $
Total $ r,•<
Village Plumbing Inspector
Received Payment by
2eitor //
1
OWNER
LOT
BLOCK
SUBDIVISION
i
.of -
y �
dd1iarni �hores9llage
F L O R D A
PLUMBING PERMIT N9 1121
Date c 4
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story building at
Fixtures
Fixtures $
Sewer $
Septic Tank $ /
Total $ f
Village Plumbing Inspector ' "
Received Payment by
OWNER
LOT
BLOCK
SUBDIVISION:
yea
4 +
J
.
s
,
f. .
!
, ", �
aianit cJhores9llage
F L R I D A
PLUMBING PERMIT N9 1046
1
Date
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
f
For astory ' ter` building at
Fixtures
Fixtures $
s k k � qO L
Sewer $
Septic Tank $
Total $
Village Plumbing Inspector
Received Payment by
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUND NS
TOTAL
FIXTURES
OS
Sketch position of building and lot lines in square (which represents an entire city block) , showing on which street
the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show
sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all
underground pipes for future references.
W EST
NORTH
A
SOUTH
EAST
Remarks:
.2.4-y (14 0 (9.,A.
NORTH
SOUTH
0
A -244 9M 9 -98
Employing Plumber
For a
I herewith submit the following plan of plumbjng for approval:
Work executed by ga,,,
i
Owner or Agent
Builder or Contractor is
Address
Sewer Connections
Date
Ground RoughIn
New
Dwelling
vt. z9
ROUGH -IN INSPECTION
DIVISION OF PLUMBING INSPECTION (41 V
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
Store
�r�?s
�- - /:,, -' 4
At center of St. ❑ At curb ❑
Rain Leader
A M -' P M
Approved by
Condemned by
REMARKS
Garage ❑
�
Lot No.6 41Iee $' Block No.. -� ,Subdivision
Date
SEWER INSPECTION
AM P M
Approved by
Condemned by
REMARKS
Plan No c� ' Sewer Permit No
Remodeled ❑
Apartment ❑ Hotel ❑ Office Bldg. ❑
Address 9 7 ? /
Address �.
Addition ❑
t
/
19 f
At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tank Existing bldg. drain ❑ To dry well ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION PLUMBING INSPECTION ONLY.
Date
FINAL INSPECTION
AM P M
Approved by
Condemned by
REMARKS
THIS SPACE FOR ELEVATION SKETCH
In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond
with the opening shown in floor plan or ground plan on opposite page.
A PERSPECTIVE SKETCH WILL BE SUFFICIENT
PROVIDED THE WORK CAN BE CLEARLY SHOWN
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con-
nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build-
ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref-
erence to same.