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46 NE 101 St (4)NEW DRIANFIELD t #65' d, MAR 0 2 nu Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspection N u m ber: INSP -416 !ermit Number: PL2005 -126 Inspection Date: 03/01/2007 Inspector: Levrack, James Owner: None, None Job Address: 46 101 ST t4 Project: <NONE> Miami Shores Village, FL Contractor: STATEWIDE SEPTIC CONNECTIONS Building Department Comments Wednesday, February 28, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060131360 Lot: Phone: 305 -661 -6633 Page 1 of 2 BUILDING PERMIT APPLICATION - FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address MCO °E 1 t City AS (•xchoe State 'I'enant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Address 35/0 S• ' Rd i if 14 City re r G rnext Qualifier 1 erf Sa lo rI o r, State Certificate or Registration No. Architect /Engineer's Nanie (if applicable) $ Value of Work For this Permit IS € 90- Type of Work: EAddition Describe Work: Submittal Fee $ Notary $ 5.cX) Scanning $ 5 co Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Training /Education Fee $ Miami Shores Village Building Department 10050 N.E.2n91 Auenue Florida 33138 Tel: 305) 1D95,220 4 `63) 756.8972 Permit Fee $ Electrical State S 024 O1 L N Structural AK' 2 Cti 9" W, County Miami -Dade NO e/ aster Permit No. Mechanical P Phone # zip 33j38 Phone # 1 44, Ne lol STgeeT ElAlteration ENew cJ� vt) $F LO (,-MC Permit No. 9 l v : 12G. Zip 3 &I 38 Contractor's Company Name S T A T E r► i .Dg S E pT'C Con► r.CT hone # ( 3o.0 66 I— 6 6 33 Z 5 302 Certificate of Competency No. Phone # Square Footage Of Work: ZOO Repair /Replace Roofing ❑ Demolition * ** * * * *,r * * * * * * * * * * * * **1 2 * f **** * * * * ** * * * * * * * * * * * * * * * * * * * ** 1 5 • CCF $ I , 20 CO /CC 4o Technology Fee $ � _ 37- Zoning Bond $ .?"'00 • 00 Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State l " Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ■ Signature (,�p Signature Contractor The foregoing instrument was acknowledged before me this ICI The foregoing instrument was acknowledged before me this 20 day of Q . 20 by ta day of ''/l'l , 20 by SQ 1 V who is personally known to me or who has produced 0. L; C who is personally kno n to me or who has produced si dentification and who did take an oath. NOTARY PUBLIC: Sign: Print: no 05/13/03 Owner or Agent As identification and who did take an oath. MY C:' MN':ISSION # DD250437 .1' My Commis�'or� Fes: OF N. EXPIRES: e ptember 16, 2007 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: NOTARY PUBLI i Sign: FA 1.46161e140 Print: My Co mission Expire i RondedThr'L ; 1►lanf is Bonding Co , In * * * * * * * * ** *144 11e4 •* 4 * * ** *r *14,'v,i * * * * * * * * * * * * * *.. ********************* * * * *,r * * * * * * * * * * * * * * * * * * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/27/2005 Applicant: KAREN Owner: PUMA JOB ADDRESS: 46 NE 101 ST Parcel # 1132060131360 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2005 -126 PUMA KAREN Page 1 of 1 Contractor STATEWIDE SEPTIC CONNECTIONS Contractor's Address: 3590 SOUTH STATE ROAD 7, SUITE 26 Local Phone: 305 - 661 -6633 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & E1/2 OF LOT 8 BLK Fees: Description Amount FEE2005 -5250 Building Fee $175.00 FEE2005 -5251 CCF $1.20 FEE2005 -5252 Notary Fee $5.00 FEE2005 -5253 Training and Education Fee $0.40 FEE2005 -5254 Technology Fee $4.37 FEE2005 -5255 Scanning Fee $3.00 FEE2005 -5256 Builders Bond $300.00 Total Fees: $488.97 Total Fees: $488.97 Total Receipts: $488.97 Permit Status: APPROVED Permit Expiration: 10/17/2005 Construction Value: $1,800.00 Work: NEW DRIANFIELD 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT lin: :ONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment kPPLICANT: Puma, Lawrence 6 Karen AGENT: 8A0021074, Solomon Teresa ? ROPERTY STREET ADDRESS: 46 NE 101 St Miami Shores FL 33138 LOT: 7 BLOCK: 10 PROPERTY ID #: 11- 3206 - 013 -1360 SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS QHICH 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 Oft LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T A N D R A I N F I E L D SUBDIVISI)N: Miami Shores See N 1 [Section /Township /Range /Parcel No.] [OR TAX ID NUMBER] 900 ]Gallons SEPTIC TANK O ]Gallons O ]GALLONS GREASE INTERCEPTOR CAPACITY O ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ 0 ]SQUARE FEET SYSTEM TYPE SYSTEM: [ ]STANDARD [ N ]FILLED CONFIGURATION: [ N ]TRENCH [ •.. ' ] BED LOCATION TO BENCHMARK: FFE: 12.6 Ft NGVD ELEVATION OF PROPOSED SYSTEM SITE [ 2.0 ] [ FEET BOTTOM OF DRAINFIELD TO BE [ 4.5 ] [ FEET FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ OTHER REMARKS: 1. Install 900 sf of drainfield in bed configuration. 2. Existing 900 gal. septic tank has to remain. 3. Existing 900 gal. septic tank to be inspected for an appropriate pump -out and a solid vertical deflector installed on the outlet device. 4. Invert elevation of drainfield to be no less than 8.60' NGVD. 5. Bottom of drainfield elevation to be no less than 8.10' NGVD. THIS PERMIT I8 NOT FOR ADDITION(®). SPECIFICATIONS BY: Andre, Pa ul APPROVED BY: Andre, Paul DATE ISSUED: 4/20/05 TITLE: DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [oetde cons_4046 -11 ZO 'd Z800£96b96 CENTRAX #: 13- SG-24762 DATE PAID: FEE PAID : $ RECEIPT ] [ l [ n� TITLE: Professional Engin OSTDSNBR : 05 -1349- -R ]Holding Tank [ ] Innovative Other ]Temporary [ NA ] MULTI - CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: (Y ] 0 [ 0 ]DOSES PER 24 HRS # PUMPS( 0 ] [ N ]MOUND ( N ] [ N BELOW]BENCHMARK /REFERENCE POINT BELOW 1 BENCHMARK/REFERENCE POINT 30.0 ] INCHES Dade EXPIRATION DATE: 7/19/05 CHD Page 1 of 2 SNOI1O3NNOO OI,LddS Wd z0;£0 5002- 8Z -Hdd MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B lding l Inspection Request , � 5 Date I Type Insp' n T C , 0 5eP4CC Permit No. P I O - 1 `4 O Name Porn ci . Address 4(0 NE 101 5 Company c e u t c, Leo Phone # Inspection Date Approved Correction Re- Insp'n Fee 17IO1h10 APPLICANT: AGENT: PROPERTY ADDRESS: LOT: n BLOCK: 1 1 1 1 ] 1 1 1 1 STATE OF FLORIDA DEPARTMENT OF HEALTH .ONBITE SEWAGE TREATM D 'DIPOS L SYSTEM CONSTRUCTION INSPECTION AND FINAL T .��- rt ,te r.•= - >.' >•::,: ... mama CHECKED [X] ITEMS ARE NOT IN a xssmas _� ITS STATUTE OR RULE AND MUST BE COMdECTEb . xsa:�sxmsa>Qa>� COMPLIANCE WITS o���a = = ==sass == sue g gTgA css [ 27 l SURFACE WATER SIZE [01] TANK [1122 [Z ] d . • , TANK INSTALLATION [28] DITCHE8 [02) TANK MATERIAL 14SE -A 6'(fi, S'!. c. [ ] PRIVATE WELLS [03] OUTLET DEVICE Ok da -1 [ , r [04] MULTI - CHAMBERED ( [05] OUTLET FILTER �. [06] LEGEND [07] WATERTIGHT [08] LEVEL [09] DEPTH TO LID ] [11] DISTRIBUTION BO NUMBER OF DRAINLINSS DRAINLINE SEPARATION DRAINLINE SLOPE DEPTH OF COVER [ABOVE/BELOW] ELEVATION [ABU / SYSTEM LOCATION DOSING PUMPS AGGREGATE SIZE j f)Of AGGREGATE EXCESSIVE FINES AGGREGATE DEPTH FILL / EXCAVATION MATERIAL [ ] [ 22] FILL AMOUNT l: :: [ 1 [23] FILL TEXTURE [ ] [24] EXCAVATION DEPTH [ 1 [251 AREA REPLACED EXPLANATION OF VIOLATIONS / [ 1 [ 1 [ 1 [ 1 BM rn 1 ] 1 1 1 1 1 [29] [30) [31] [32] [33] [34] [35] �r1 'DISAPPROVED] CONSTRUCTION PPRY9V8R/ . ; � DISAPPROVED] FINAL SYSTEM - VAPACATf}/ / DH 4016, 10/97 (Previous Editions May Be Used) r'r MMTP r:Tf R PERI[IT NO. DATE PAID: Fat PAID: RECEIPT 0t PT t: Applicant PT 2: lnstaIler/Contractor PT 3: Building Department PT 4: Health Department FT PUBLIC WELLS F , $ IRRIGATION WELLS FT POTABLE WATER LINES !__�-____ BUILDING FOUNDATION ___:;__.__ FT FT PROPERTY LINES 1[5 O FT ' THER FILLED / mum [ 3 ] DRAZNFIELD COYPR '[.371 BBOULU$RS -.. [38] SLOPES [39] STABILIZATION ADDITIONAL INFORMATION [40] UNOBSTRUCTED AREA [41] STORMWATER RUNOFF [42] ALARMS AGREEMENT [43) MAINTENANCE [44] BUILDING AREA [45) LOCATION CONFORMS WITH SITE PLAN 46] FINAL-SITE GUmR¢ ff r' [47] CONTRACTOR -"'� t ' [48] OTHER • AB ANDOmmiNT / FT FT FT DATES ' 0 t' -N DATE: t/ 1 -0 i P 2 of 3 Amount of Permit $ Size Septic Tank._ _ -- 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 Ls 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 wo Owner's Name and Address ,.l Registered Architect and /or Employing Plato,' _ - Location and Legal Descrip . n Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_____ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT .Type of Tank - (Signed) No. Dis Feet of Drain Tile_ t. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. Size of Soakage Pit (Signed) .. (.I2 • Subdivlaton. —.__ � !G� Street. -. New Building.__ -- __ _._ _.. Remodeling__ - - - - ._ Addition.- .___._ : Repairs No. of Stories. Capacity Gals Street . /' _ E / 0 / lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati a as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen - upplement, 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 Rerformed 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. an - d that - a t a s therein by him stated are true. at all ll facts My Commission Expires Notary Public, State of Florida materials NOTE: Axrelrozkmctio fee of $1.00 will be made when such re inspection L made'neoessary by improper notice for inspection, or faulty CLOSETS BATH TUBE SHOWERS LAVA. TORIES SINK6 SLOP SINK/ LAUNDRY TUBE 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 DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST CHECK Amount of Permit $ Size Septic Tank._ _ -- 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 Ls 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 wo Owner's Name and Address ,.l Registered Architect and /or Employing Plato,' _ - Location and Legal Descrip . n Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_____ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT .Type of Tank - (Signed) No. Dis Feet of Drain Tile_ t. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. Size of Soakage Pit (Signed) .. (.I2 • Subdivlaton. —.__ � !G� Street. -. New Building.__ -- __ _._ _.. Remodeling__ - - - - ._ Addition.- .___._ : Repairs No. of Stories. Capacity Gals Street . /' _ E / 0 / lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati a as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen - upplement, 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 Rerformed 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. an - d that - a t a s therein by him stated are true. at all ll facts My Commission Expires Notary Public, State of Florida materials NOTE: Axrelrozkmctio fee of $1.00 will be made when such re inspection L made'neoessary by improper notice for inspection, or faulty New Building -- Remodeling Size Septic Tank. Feet of Drain Tile___..___ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. __ - _ . Size of Soakage Pit Amount of Permit $_ STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - - -- - - - - -- -Type of Tank - - - - -- - -- - -sue -- - --- - - - - -- ---- -__._- - - - -- . (Signed)_ ( Signed -_.. Date / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th? 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 _ - No. 1 ('‘_ Street Registered Architect and /or Engineer __. _ . -_— — �. Employing Plumber's Name Location and Legal Description Lot__---_..__ ___________ Block_._ Subdivision. Street and Number where work is to be performed —No Street _ . _.. _ -- -- - -- -•- -- - - _.._. State work to be performed and purpose of building (By Floors)_. _ . N c E _ _ 7 S 7E�z No. Street.___ _ _ Addition-___ - _.__- ___ -.___ Repairs_ __... _ . _ ___ No. of Stories - Capacity Gals. Plumbing In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations 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 no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo::cted 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 acknowledgments, personall 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 workmanship. CLOSETS BATH TUBE OW SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES Comm. LIST _ T- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. / t LIST 1../ -- CHECK - - p 7..;-- 7 a. - - _ . New Building -- Remodeling Size Septic Tank. Feet of Drain Tile___..___ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. __ - _ . Size of Soakage Pit Amount of Permit $_ STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - - -- - - - - -- -Type of Tank - - - - -- - -- - -sue -- - --- - - - - -- ---- -__._- - - - -- . (Signed)_ ( Signed -_.. Date / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th? 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 _ - No. 1 ('‘_ Street Registered Architect and /or Engineer __. _ . -_— — �. Employing Plumber's Name Location and Legal Description Lot__---_..__ ___________ Block_._ Subdivision. Street and Number where work is to be performed —No Street _ . _.. _ -- -- - -- -•- -- - - _.._. State work to be performed and purpose of building (By Floors)_. _ . N c E _ _ 7 S 7E�z No. Street.___ _ _ Addition-___ - _.__- ___ -.___ Repairs_ __... _ . _ ___ No. of Stories - Capacity Gals. Plumbing In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations 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 no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo::cted 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 acknowledgments, personall 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 $1.00 will be made when such re- inspection is made• necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING p MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date 3 PLUMBING ii PERMIT N? 10494 Contractor's 0 ROOFING ❑ License No Owner of Building Lc . Architect Contractor or Builder (,) W i4 r tL Legal Lot Description Bl Address of 1. Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further cor' Lion upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge -••.nces and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and t sibility for work done by his agents, servants or employhes. Signed t ' / L &$L(INSPECTOR) BY In consideration of the issuance to me of this permit I ak ee to perform the work covered hereunder in compliance with all of pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of In accepting this permit I assume responsibility for all work °dine by either, myself, my agent, servant or employee. ',% . els CONTRACTOR or 'BUILDER BY AUT ❑ Work to be performed under this Permit , '7 c Subdi- vision Sq. Ft. Value of Project 0 Gam I Amount of II Permit $ Y BUILDING ELECTRICAL PLUMB! MIAMI SHORES VILLAGE, FLORIDA — DATE �- / c 194 ERMIT N° 6178 k to be performed under this Permi Owner of Building Architect Contractors` or Build(r Legal Lot Description Address of - Building This perm' is gran ed to the contractor or builder named above to \ onstruct the building or to install the equipment or d•vice described in the appli- cation 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 responsib' ity for a`thorough knowledge of "ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing or °st•tement or specif ations and tha " e.ass respon- sibility for work done by his agents, servants or employees. Signed. Subdi- vision Contractor's License No. By /6' CY INSP CT In consideration of the issuance to me of this permit I agree to perform the work covered hereund in comp . ante with Ardinances and,regglatlions i rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submi ed to the proper author tics of Miami ShoFes Wige. Incep this permit I assume res onsibility for all work done by either myself, my agent-servant or employee. f ! ( s j t �tl i� f J- i . .; � L' J CONrI CTOR R``R ILE•E12"::." L ! i . r° anE / AUTHORITY Permit No • MIAMI SHORES- VILLAGE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ACME SEPTIC TANK CO. P. O. BOX 1000 HIALEAH. FLORIDA Z , ,? e ' Date � • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 1.:1__C -h"r / 0 No r O Street / 0 / 4 Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block �I Subdivision Street and Number where work is to be performed —No � ° n ' £ ' Street / State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories t Type of Tank. Capacity Gals J Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 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. (Signed) 7 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. 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No • MIAMI SHORES- VILLAGE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ACME SEPTIC TANK CO. P. O. BOX 1000 HIALEAH. FLORIDA Z , ,? e ' Date � • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 1.:1__C -h"r / 0 No r O Street / 0 / 4 Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block �I Subdivision Street and Number where work is to be performed —No � ° n ' £ ' Street / State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories t Type of Tank. Capacity Gals J Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 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. (Signed) 7 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. 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.