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950 NE 100 St (6)Owner/Lessee / Tenant Owner's Address 950 NE 100 STREET Contracting Co. NORTHDADE SEPTIC TANK FEES: PERMIT APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2/1/96 Job Address 950 NE 100 STREET Tax Folio Legal Description Historically Designated: Yes SYDOW Qualifier DENNIS NEVILLE SS# Phone 754 -3375 State # 025836 -8 Municipal # Competency # 12842 Ins. CoTRAVELERS /ESTF Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): Il[IDEBENGXEDEMR) L : P.TJUMBIN { MEIC ]JNAL}BQO NAK X l9RX WORK DESCRIPTION INSTALL DRAINFIFT,D Square Ft. 200 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and a ork will be done in compliance with all applicable laws regulating constructi., and z. ing. Furthermore, I authorize the above -name. . actor o do the w Date iq 6 Not ,ds to Owner an e r (Condo President ate My Commission Expi c«<<<<<, <c<<<<n <<<ttt<<c. « «aWe5 cz. PUB Teresa J. Felder * Q Commission Public State of Florida :,. o Conission No. CC 480 307 <e ` rt.e My Commission Expir;,s 07/16/99 :, 1- 200- 3•1∎OTARY. Fla. Nc:ary re vjc. & aorcGng Co.. c RADON C.C.F. Estimated Cost (value) $1000.00 M Building Plumbing 4 Master Permit # Phone 751 -3949 No 3 cq 7 Address 800 NW 111 STREET, MIAMI 33168 to Contractor, mmissio t E t xn ) t tt i p,pY PV NOTARY ilder Date ,c-edeA ji# uilder Date wttttatttt« %mtm%st tt4 Teresa J. Felder Notary Public, State of Florida 3 31 ‘,14 Commission No. CC 480307 +'oF FLO My Commission Expires 07/16/39 .; 1.8CO.3. OTARY - Fla. No & northing Co. �< TOTAL DUE 3—L' Electrical e Engineering CONSTRUCTION PERMIT FOR: [N ] New System [ N ] Existing System [ Y ] Repair [ N ] Abandonment APPLICANT: SYDaW PROPERTY STREET ADDRESS: 950 NE 100 STREET, MIAMI SHORES 33138 LOT: N/A BLOCK: N/A SUBDIVISION: N/A PROPERTY ID #: 950 NE 100 STREET 33138 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 STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC EXISTING T [.750 ] [GALLONS / 0: SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:( ] })^_, .; [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 [ 200 ] SQUARE FEET ' DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: EX ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ F LOCATION OF BENCHMARK: F..F_F_:9om„G.1. I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ 30 ] INCHES DATE ISSUED: O INSTALL 12" OP LOAMY COARSE SAND TINDER BOTTOM T OF DRAINFIELD SUBMIT BENCHMARK BEFORE INSPECTION H THIS PERMIT TS NOT FOR AT)DTTTON(S). E INVERT ELEVATION (MTNTMTTM) ! /4 1. T d 1. 1 ,94 g_ 4 R BOTTOM OF DRAINFIELD ELEVATION tfMTNTMTTM) : , 5 s SPECIFICATIONS BY: TITLE: APPROVED BY: - , r TITLE: . U TM SEPTIC TANK DEFLECTION DEVICE !METALLED ON THE ADD A OUTLET SOLID TI E. HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744-001- 4016 -0) APPLICANT PERMIT # DATE PAID FEE PAID $ RECEIPT # [N ] Holding Tank [N] Temporary /Experimental [N ] Other(Specify) AGENT: NORTH DADE SEPTIC TANK [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] EXPIRATION DATE: CPHU Page 1 of 2 INSTRUCTIONS: P,E'Wse NUMBER: - Permit tracking number assigned by CPHU. APPLICATION 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. BLOCK, SUBDIVISION or :.'ROPER T Y Mt!: 27 character id number for property. (CPHU may require property appraiser ID (1 or section /township /range /parcel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D -6, FAC. DRAINFIE D: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low - volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. if designed by a registered engineer must be sealed. APPROVED BY: County Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPHU. 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. APPLICATION FOR: [ N ] New System [ N ] Existing System [ Y ] Repair [ ] Abandonment APPLICANT: SYDOW AGENT: MAILING ADDRESS: 800 NW 111 STREET, MIAMI 33168 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] LOT: PROPERTY ID #: PROPERTY SIZE: PROPERTY STREET ADDRESS: 950 NE 100 STREET, 33138 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No. of No Establishment Bedrooms 1 2 3 4 NORTH DADE SEPTIC TANIC SFR BLOCK: [N ] Garbage Grinders /Dispo [N] Ultra -low Volume Flus APPLICANT'S SIGNATURE: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC SUBDIVISION: ACRES [Sqft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [XX] PUBLIC CX ] RESIDENTIAL [ ] COMMERCIAL 2 BEDROOMS ets HRS -H Form 4015, Mar 92 (Obsoletes previous editions � whicr!ay not be used) (Stock Number: 5744 - 001 - 4015 -1) @ �? [ Holding Tank [ Temporary /Experimental [ ] Other(Specify) b DATE OF ORE 72 SUBDIVIS [Section /Township /Range /Parcel No.] ZONING: Building # Persons Area Scift Served [N ] Spas /Hot Tubs N ] %ther (Specify) PERMIT # DATE PAID FEE PAID RECEIPT # 90-. s 4 0Pe,z) TELEPHONE: 751 -3949 754 -3375 DATE:2 /2/96 Business Activity For Commercial Only [N ] Floor /Equipment Drains Page 1 of 3 INSTRUCTIONS: APPLICATION 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, city, state and zip code mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION: DATE OF SUBDIVISION: Official date of subdivision recorded in county plat books (month /day /year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. PROPERTY MP: 27 character number for property. (CPHU may require property appraiser ID 11 or section/township /range /parcel number. PROPERTY SIZE: Lot, block, and subdivision for lot (recorded or unrecorded aubdivision). If lot is not in a recorded subdivision, a copy of the lot legal description or deed must be attached. Net usable area of property in acres (square footage divided by 43,560 square feet) exclusive of all paved areas and prepared road beds within public rights -of way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Contiguous unpaved and noncompacted road rights -of -way and easements with no subsurface obstructions may be included in calculating lot area. WATER SUPPLY: Check private or public. PROPERTY ADDRESS: Street address for property. For lots without an assigned street address, indicate street or road and locale in county. DIRECTIONS: Provide detailed instructions to lot or attach an area map showing lot location. BUILDING INFORMATION: Check residential or commercial. TYPE ESTABLISHMENT: List type of establishment from Table II, Chapter 1OD-6, FAC. Examples: single family, single wide mobile home, restaurant, doctor's office. NO. BEDROOMS: Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for occupants. BUILDING AREA: Total square footage of enclosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. # PERSONS: Number of persons residing, using, or working in establishment. For residential establishment, 2 persons per bedroom are assumed. BUSINESS ACTIVITY: For commercial applications only. List number of employees, shifts, and hours of operation, or other information required by Table II, Chapter I0D -6, FAC. FIXTURES: Mark each listed fixture with number installed or "NA" if not applicable. SIGNATURE: Signature of applicant or agent. Date application one day submitted to the CPHU with appropriate fees and attachments. ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of property, any existing or proposed wells, drainage features, filled areas, obstructed areas, and surface water. Location of wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a floor plan showing the square footage of the establishment, all plumbing drains and fixture types, and other features necessary to determine composition and quantity of wastewater. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANTS SYDOW AGENT: NRTH DADE SEPTIC TANK LOT: BLOCK: 1 .4 p SUBDIVISION: PROPERTY ID #: 950 NE 100 STREET, 33138 A 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 P • [ ]YES [ ] NO NET USABLE AREA AVAILABLE: 9401 ACRES TOTAL ESTIMATED SEWAGE FLOW: -4 -G 0 GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] UNOBSTRUCTED AREA AVAILABLE: ,.4 00 SQFT UNOBSTRUCTED AREA REQUIRED: 4 0 0 SQFT BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS ` i) [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: 100+ FT DITCHES /SWALES: — FT NORMALLY WET? [ ] YES [ NO WELLS: PUBLIC: 100 FT LIMITED USE: "- FT PRIVATE: FT NON - POTABLE: ! FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: ID FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [xl NO 10 YEAR FLOOD ELEVATION FOR SITE: wZ 3 . 0 FT MSL /NfW 'SOIL'PROFILE INFORMATION SITE 1 Munsell # /Color Texture brown saady USDA SOIL SERIES: Sandy Depth 0 to 72" to to to to to to to to SITE EVALUATED BY: [Section /Township /Range /Parcel No. or Tax ID Number] 10 YEAR FLOODI G? SITE ELEVATION: SOIL PROFILE INFORMATION SITE 2 PERMIT # 7 4e 4 . 31 6 YES F NO FT MSL/Piglff Munsell # /Color Texture Depth brown sndy U" to /2„ USDA SOIL SERIES: Sandy to to to to to to to to OBSERVED WATER TABLE: .. INCHES [g180Y71 / BELOW] EXISTING GRADE. TYPE: [D / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: 108 INCHES [ A'KIIt1I5 / BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [X] NO MOTTLING: [ ] YES [X4 NO DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: 1.25 DEPTH OF EXCAVATION: 30 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH X[ X4 BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: DATE:2 /2/96 HRS -H Form 4015, Mar 92 (Obsoletes previous edi ons which may not be used) Page 3 of 3 (Stock Number: 5744- 003 - 4015 -1) PROPERTY SIZE: Check if property size at site conforms to submitted site plan. Record net usable area available - lot area exclusive of all paved areas and prepared road beds within public rights -of way or easements and exclusive of creams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. INSTRUCTIONS: PERMIT 1): Permit tracking number assigned by CPHU. APPLICANT: Property owner's full name. AGENT: Property owner'° legally authorized representative. LOT, BLOCK, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY ID/I: 27 character number for property. (property appraiser ID 11 or section/township /range /parcel number) SWAGE FLOW: UNOBSTRUCTED AREA: MINIMUM SETBACKS: Record the estimated sewage flow for the establishment from Table 1 (residences) or Table 2 (non - residential), Chapter I0D -6, FAC. Record the authorized sewage flow fo• the la1 based on net unable area and water oupply (1500 gallons per day per acre for private water supplies and 2500 gptJ per acre for public water cupp1ies). f authorized a ;wage flow does not equal or exceed the estimated sewage flow, the application must be denied. Record the square feet of unobstructed rise available and the amount required. Unobstructed area muct be ct least 2 times as large as the drainfield absorption area and at least 75 percent of the unobstructed area must net minimum setbacks in Chapter 10D -6, FAC. The unobstructed area must be contiguous to the dreinfield. BENCHMARK INFORIMMATION: Record the location of the benchmark. if using a cterveyor'o benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded er °NA" for non applicable features. Features on site plan or within 75 feet of the applicant lot muct be meceured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. FLOOD INFORMATION: Record information on lot's subject to flooding. For Iota subject to flooding record 10 yecr flea elevation for cite and actual site elevation. SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal ter,. required. Soil identification will use USDA Soil Classification methodology (Musical! colors and USDA coil textures). Refusals meet be clearly documented. Provide USDA coil series if available, record 'UN(' if the eerier) cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched' or "apparent' as appropriate. Record the estimated wet season water table elevation bared on site evaluation, USDA coil mapa, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth. SOIL TEXTURE: Record soil texture or loading rate for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record °NA° if not applicable. DRAINFIELD CONFIGURATION: Check drainfieid configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature of evaluator, title, and date of evaluation. Professional engineers must seal all documentation submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE 1 SITE 2 SITE 3 [¢] SHOT: H.I. H.I. i9.11. H.I. [ -] SHOT [ -] SHOT [ -] SHOT �Q NE /6 S • /• ■ VIM •� _ .. IN moil ■ _ >._r MUM ■.. . . ai 1HI ( , EX 11 • . ■OVIMem ■nr1■■■■■■■■■■■■■■ ■1a1■■m■■■■ ■i■■■■■■■■■■ 1m...r •••lu••uu• ■' ■E•u •uuau ■Nuu\Ra %%■• \ r .' . . ' :. ..:...:...•••••• .I.•m ■m • � .... 0•11••• ■mom ■s mammommumnsimmummamme ■mmm/ ■Mama mummommommonmmommummommommommimm IMO ONMUX .1J ••• ■m l■■■■ /mmmm■ ■■ a■ ■/m ■ � MI'MX a ■ ■ ■m am ■ MXXXOIii a i a . iMM ME ..M E ■ ■l / m ■ ma m ■m ■umu ■.mm ■mm / ■m ■m ■w mmmmmomm■ m ■amt ■ Y ■ m am ■ ' . 0 / ■a.■ m m om . I _ ri ' / ■ mom mmx ... • m■a■. ■a ■m ■ Xm I �.. L■ ■ ■ %° m UMW II X ■m■■■■■ • . ■' m mo m EM I 1u■ aim m ■ ■ u u. ■... X0 a ...• ammo ma ad Hii% ■ • t mmmmm ■ ■mm e ■ • • ■1m /' MX ■ ■u... ■■ 1 ■u ■. ■M a ■ 0111 m mom - m• _ I� H c U r mom nOmmom . • _ii mammon /a/ a ■ ■a t r • f i Q ■m i m ■ - ' _-J ■■ • ■m • CiJ J ■ ■L ■I.■■■■i■'■■ ■ ■.■1■�. Mama■ ■ai.wa. ■■....■ .. ■■ ■Nairn •■ ■■io■ ■■ ■/■ . i n .Aa i •••••• m ■■ umallTh al ma MUM m lux mu ..f I ■ ■m ■ ■ • liwo, mum ■� :.. L H - i l t I - _ J � EL �■� c ' 0 , _i ^i OVUM XJJ -� i MEM ME InjnialWIMIIIIIIIIIVIII KUM Mg am. al ma la ma 'a �i / 1 ■ L I � co J _ L �rr_n, f t_ f r JJ t _L i :1 f 1 I 1 J J_I I Y1 L ! J� _ 1 1 ■ Mimi waft mommom e au ■ ■■m" rJ • ••, ,--1-71-1 ' L.° '. ■a■■ -, I /. ■/. ■,■■ [ Ai moll ELI 1 ■uu i 1 , • 11.11 J T1 ' _ I n_ r ■X■■■, c 1 . —L'J_ —� J U I _U i t;_ mi.m■ b_ _ OMB _ t _ I ° �_t 1��1 �I 1 t_ I . H /m ■ • / 1 l___r -. j Cr � iJ �, �_J l t m /■■■.■ - _i °� I L mamma I I J' _1 _ __ Notes SYDOW: 950 NE 100 STREET, 13138 OLD SYSTEM OVRRPT,OWTNC. e [J t OCAS (ltO / K%4-1.C, C.f. T S (/�/J e a ;j9 OA/ 0,- io el ( c iTg Site Plan Submitted by SIGNATURE Plan Approved I;/ By STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION IT,/ 6 Permit Application Number l J PART I1 - SITE PLAN ,9/ KUM m_t.mr 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) (Stock Number: 5744-002-4015-6) . 7S8 TITLE _ I Not Approved Date J / County Public Unit Page 2of3 I LE I * - - t L i alle 11 ■ I II - 11 C, _E 1"3._l_L I. _ J LI ...1 - �Q NE /6 S • /• ■ VIM •� _ .. IN moil ■ _ >._r MUM ■.. . . ai 1HI ( , EX 11 • . ■OVIMem ■nr1■■■■■■■■■■■■■■ ■1a1■■m■■■■ ■i■■■■■■■■■■ 1m...r •••lu••uu• ■' ■E•u •uuau ■Nuu\Ra %%■• \ r .' . . ' :. ..:...:...•••••• .I.•m ■m • � .... 0•11••• ■mom ■s mammommumnsimmummamme ■mmm/ ■Mama mummommommonmmommummommommommimm IMO ONMUX .1J ••• ■m l■■■■ /mmmm■ ■■ a■ ■/m ■ � MI'MX a ■ ■ ■m am ■ MXXXOIii a i a . iMM ME ..M E ■ ■l / m ■ ma m ■m ■umu ■.mm ■mm / ■m ■m ■w mmmmmomm■ m ■amt ■ Y ■ m am ■ ' . 0 / ■a.■ m m om . I _ ri ' / ■ mom mmx ... • m■a■. ■a ■m ■ Xm I �.. L■ ■ ■ %° m UMW II X ■m■■■■■ • . ■' m mo m EM I 1u■ aim m ■ ■ u u. ■... X0 a ...• ammo ma ad Hii% ■ • t mmmmm ■ ■mm e ■ • • ■1m /' MX ■ ■u... ■■ 1 ■u ■. ■M a ■ 0111 m mom - m• _ I� H c U r mom nOmmom . • _ii mammon /a/ a ■ ■a t r • f i Q ■m i m ■ - ' _-J ■■ • ■m • CiJ J ■ ■L ■I.■■■■i■'■■ ■ ■.■1■�. Mama■ ■ai.wa. ■■....■ .. ■■ ■Nairn •■ ■■io■ ■■ ■/■ . i n .Aa i •••••• m ■■ umallTh al ma MUM m lux mu ..f I ■ ■m ■ ■ • liwo, mum ■� :.. L H - i l t I - _ J � EL �■� c ' 0 , _i ^i OVUM XJJ -� i MEM ME InjnialWIMIIIIIIIIIVIII KUM Mg am. al ma la ma 'a �i / 1 ■ L I � co J _ L �rr_n, f t_ f r JJ t _L i :1 f 1 I 1 J J_I I Y1 L ! J� _ 1 1 ■ Mimi waft mommom e au ■ ■■m" rJ • ••, ,--1-71-1 ' L.° '. ■a■■ -, I /. ■/. ■,■■ [ Ai moll ELI 1 ■uu i 1 , • 11.11 J T1 ' _ I n_ r ■X■■■, c 1 . —L'J_ —� J U I _U i t;_ mi.m■ b_ _ OMB _ t _ I ° �_t 1��1 �I 1 t_ I . H /m ■ • / 1 l___r -. j Cr � iJ �, �_J l t m /■■■.■ - _i °� I L mamma I I J' _1 _ __ Notes SYDOW: 950 NE 100 STREET, 13138 OLD SYSTEM OVRRPT,OWTNC. e [J t OCAS (ltO / K%4-1.C, C.f. T S (/�/J e a ;j9 OA/ 0,- io el ( c iTg Site Plan Submitted by SIGNATURE Plan Approved I;/ By STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION IT,/ 6 Permit Application Number l J PART I1 - SITE PLAN ,9/ KUM m_t.mr 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) (Stock Number: 5744-002-4015-6) . 7S8 TITLE _ I Not Approved Date J / County Public Unit Page 2of3 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot e" ere) CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE I�"'� PERMIT N° 10461 Work to be performed under this Permit en Bl. Subdi- vision 6 Signed • — liPhriari.....imaisit BY INSPECTOR BY /3 Contractor's License No -tio • -140a,, Value of Amt. of Project $ Permit $ t 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 the st ment . specifications and that he assumes responsibility for work done by his agents, servants or employees. 195 In consideration of the issuance to me of this permit I agree .erform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings tements or specifications submitted to the proper authorities of Miami Shores Village. In ac epty this permit I ass_, e responsibility f.. all ork dpne'.y either, myself, my agent, servant or employee. AUTHORITY °'r te MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No./ 0 4 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ -:: Registered Architect and /or Engineer yy Employing Plumber's NameL._ ��� , " • "�____ No Location and Legal Description Lot Block Subdivision____ Street and Number where work is to be performed —No r % 2 • Street STATE OF FLORIDA, ss. COUNTY OF DADE. t No - Street Street '' / My Commission Expires Notary Public, State of Florida Date State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank 2 -' Type of Tank Capacity Gals Feet of Drain Tile _-_Li Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ (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. 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 SW IM'G POOL .-- CONTR. LIST CHECK °'r te MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No./ 0 4 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ -:: Registered Architect and /or Engineer yy Employing Plumber's NameL._ ��� , " • "�____ No Location and Legal Description Lot Block Subdivision____ Street and Number where work is to be performed —No r % 2 • Street STATE OF FLORIDA, ss. COUNTY OF DADE. t No - Street Street '' / My Commission Expires Notary Public, State of Florida Date State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank 2 -' Type of Tank Capacity Gals Feet of Drain Tile _-_Li Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ (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. 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.