Loading...
344 NE 102 St (4)Inspection Number: Inspection Date: 12/13/2005 Inspector: Levrack, James Owner: None, None Job Address: 344 102 ST Project: <NONE> Miami Shores Village, FL Contractor: LLOYD NORTH DADE SEPTIC TANK SERVICE I "" Building Department Comments FINAL SEPTIC AND LANDSCAPING Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, December 13, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Type Insp'n Permit No. Name Addres3 Compan Phone # Inspection Date Approved Correction Re- Insp'n Fee Permit Type: Imported Permit Inspection Type: Landscaping Work Classification: <NONE> Phone Number Parcel Number 1132060135140 Lot: MIAMI SHORES VILLAGE BUILDING DEPARTME 3 05- 795 -2204 Building Inspection Request T Dat FINAL SEPTIC AND LANDSCAPING Passed I , - • ector C • / ments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 12/13/2005 Inspector: Levrack, James Owner: None, None Job Address: 344 102 ST Project: <NONE> Miami Shores Village, FL Building Department Comments Tuesday, December 13, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: 11 Permit Nurnberg PL20 -246 Contractor: LLOYD NORTH DADE SEPTIC TANK SERVICE INC Block: Permit Type: Imported Permit Inspection Type: Landscaping Work Classification: <NONE> Phone Number Parcel Number 1132060135140 Lot: Phone: 305- 754 -3375 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/9/2005 Applicant: MARTHA Owner: LAVENDIER JOB ADDRESS: 344 Parcel # 1132060135140 NE 102 Contractor LLOYD NORTH DADE SEPTIC TANK SERVIOadNteactor's Address: 750 NW 107 ST Local Phone: 305 -754 -3375 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2005 -246 LAVENDIER MARTHA ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 Permit Status: APPROVED Permit Expiration: 2/1 /2006 Construction Value: $1,200.00 Work: REPAIR DRAINFILED BY: Page 1 of 1 BLK 38 LOT SIZE 50.000 X Fees: FEE2005 -10722 FEE2005 -10724 FEE2005 -10725 FEE2005 -10726 FEE2005 -10727 FEE2005 -10728 FEE2005 -10729 Description Building Fee CCF Training and Education Fee Technology Fee Notary Fee Scanning Fee Builders Bond Total Fees: Amount $175.00 $1.20 $0.40 $4.37 $5.00 $3.00 $300.00 $488.97 Total Fees: $488.97 Total Receipts: $488.97 qu9 0 9 PAID )� 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. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/9/2005 Applicant: MARTHA Owner: LAVENDIER JOB ADDRESS: 344 Contractor Local Phone: 305 - 754 -3375 Parcel # 1132060135140 NE 102 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2005 -246 LAVENDIER MARTHA ST LLOYD NORTH DADE SEPTIC TANK SERVIOldtWactor's Address: 750 NW 107 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 Permit Status: APPROVED Permit Expiration: 2/1/2006 Construction Value: $1,200.00 Work: REPAIR DRAINFILED Page 1 of 1 BLK 38 LOT SIZE 50.000 X Fees: FEE2005 -10722 FEE2005 -10724 FEE2005 -10725 FEE2005 -10726 FEE2005 -10727 FEE2005 -10728 FEE2005 -10729 Description Building Fee CCF Training and Education Fee Technology Fee Notary Fee Scanning Fee Builders Bond Total Fees: Amount $175.00 $1.20 $0.40 $4.37 $5.00 $3.00 $300.00 $488.97 Total Fees: $488.97 Total Receipts: $488.97 AUG 0 9 PAID 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 4 IPPLICANT: A 4 Tc.. AGENT: t /- .... J .-- 0 c- (4. e. - I - i L PROPERTY ADDRESS: 3 LI Li ,,, ./ ,..k/-1 ir) 4 k, ,4 s-i- LOT: 7 BLOCK g::: i i i i - ow: , ' An . / ri , 54. rj 0 ; f PROPERTY ID # / /3 1 04 ... ..: L..: PERMIT NO.r it ORIDA . 40! DATE PAID: waii .` : 'OtTRRATKENT'AIW, DIPOSAL SYSTEM i.r1111;41PAIDe O .. ' f ' 1:7 ' . - -"CONS,TII1NTION . I . I•20IPECTION AND FINAL APPROVAL tiZaiiiii'lt . raidi i 1 ., ri- r 4 t r- Ir i.n...' ==4..... CHECKED [X] ITEMS ARE NOT IN COMPLIANCE TANK'INSTALLATION [01] TANK SIZE [1114)K0 [2] [02] TANK MATERIAL rtti [03] ouTrziipuvres A [04] MULTI-CHAMBERED [ N ] [05] OUTLET FILTER'Pione [06] LEGEND 70-1V7.o D-te k [07] WATERTIGHT [08] LEVEL Pin t (09] DEPTH TO rap FILL / EXCAVATION MATERIAL I'Vre FILL AMOUNT - [v] [23] FILL TEXTURE )4. le tp,A1/4124] EXCAVATION DEPTH ] [25] AREA REPLACED [ [26] REPLACEMENT MATERIAL EXPLANATION OF VIOLATIONS / REMARKS: 114 --0 444 -A- 1 4-e 441--4 4 --4A1-14,...1 [ I CONSTRUCTION [APPROVED/DISAPPROVED) : FINAL SYSTE44AZEROW/DISAPPROVED] 13 DRAINFIELD INSTALLATION [ ] [10] AREA [14.2)05 [ 3 [11] DISTRIBUTION BOX HEADER ( 0412] NUMBER OF DRAINLINES 6e [ (0 [13) DRAINLINE SEPARATION-f/ A [14] DRAINLINE SLOPE [15] DEPTH OF COVER " (16] ELEVATION [ABOVE/BELOW] BM • [17] SYSTEM LOCATION [18] DOSING PUMPS [19] AGGREGATE SISE11 [20] AGGREGATE EXCESSIVE FINES [21] AGGREGATE DEPTH) Z WITS STATUTE OR RULE AND MUST BE CORRECTPZI. SETBACKS [ . [27] SURFACE WATER w VT [ ti I [28] DITCHES FT (•,,, j [29] PRIVATE WaS4 FT [ d j [30] PUBLIC WELLS FT. [ ,,,, 1 [311 attittaaTiosilitms ,,,,,„, .,Iii [ 1121- POTABLE WATER LI. A FT 10 [33] BUILDING FOUNDATION ; FT Ey) -134] PROPERTY LINES 5 FT (.J [35] OTHER. FT .1 DE 4016, 10/97 (Previous EditiOus_May Be Used) • FILLED / Mom ] (36] DRAIN? [37] 510 2005 1 [ 1 [39 ADDITIONAL INFORIIATION. Qv] (40] UNOBSTRUCTED AREA (d) [41] STORMWATER RUNOFF 4--4-1424--ALARNS - 1,......-1-4.471a_LAMEMIAIICE [ 1 [] 44 BUILDING AREA Pk] bkl t- 9 P p C_ 1 f? .e1- .;* E (45) LOCATION CONFORMS WITH SITE PLAI ] [46] FINAL SITE GRADING ; p [47) CONTRACTOR ( A, (jda.eLQ ( ] (48] OTHER ABANDONNENTJ (49] TANK raw= L/31 /3 S (50), CRUSHED & riEsu 8'131 lc' icaS749 CHB DATE CND DATE? ° 5/-t Page 2 of E EN ®52O BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address 344 C. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical ri 1 L/v /a:Dick> City . ► / i '1 / 5HL2 i State / p,72 /Dn Zip 331.3-,e Tenant/Lessee Name Job Address (where the work is being done) 3 N, C / O .2 4JD City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name 1. L-DYD 11k)277-/ Contractor's Address 7,S b N• fit). / t 7 / ieEL;:7 City !11 /Aifl) State FLOW Qualifier L 158 L CkoCk 1T Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit " OV 00 Type of Work: Describe Work: ['Addition ❑Alteration ['New 72t7 ' .D /i i /E-th * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ tri5:cra Notary $ -CXD Training/Education Fee $ ycD Scanning $ CDC-) Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Structural Plan Review. $ Permit Nu. p (03- ZLic Master Permit No. Mechanical Roofing Phone # 7 Po - 73 95 Phone # Phone # Zip 35 /3d" 9S/ - 7(74 Zip /t' Y1 Square Footage Of Work: Repair/Replace v-J7/ ❑ Demolition CCF $ CO /CC . .. . Technology Fee $ -4 `37 2q Zoning Bond �C k� I S Fr) Gc . I' • A 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 Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I 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: I 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 82500, 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 ism In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature)Adk a 3\ Owner or Agent The foregoing instrument was acknowledged before me this trig day of PilC 7 , 203 by &WPM LigW9 A1D /Lid , NO ��"" Sign: 4.v.,! Print: L «T My Commission Expires: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * State Certificate or Registration No. Chc 12/15/03 r who has produced As identification and who did take an oath. ry Public State of Florida .aster E Crockett 4teommission DD425603 Ypires 0500/2009 Signature NOTARY PUB Sign: Print: My Co Certificate Contractor The foregoing instrument was acknowledged before me this] f day of )-1 , 20 rby m iden who is personally known Competency No. or who has produced scation and who did take an oath. IC: 0 `-� U . x i : * * ** *;tc se , s ic : �� y * ; � c � t y * R�t (Certificate of Competency Holder) ' '„ Mantic :nOnhInlg *'* * * * * * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** * * * * * * * * * * * * * * * * * * * * ** * * * * * *. * * * * * * * * ** APPLICATION APPROVED BY: � , ` . /�( / / �d . "lans Examiner Engineer Zoning JOHN H. WEAVER MARTA LAVANDIER 344 N E 102ND STREET MIAMI SHORES, FL 33138-2429 PAY TO THE k ,c5P ORDER OF FOR Soul:Rust Bank= mEmo c-427. P ria2-ed 1:063 L09430 49 031 05?" 3052 1 LLOYD NORTH DADE SEPTIC Serving South Florida Since 1948 750 NW 107TH ST. MIAMI, FL 33168 (305) 751-7676 PAY TO OF 711 a 4 ," 2_6 V 74444 [d 94 Washington Mutual Washington Mutual Bank, FA Telephone Banking: 1-800-788-7000 63-943 3052 95-232 4 6 9 41 $051..... Jett DATE *I 1 -(... t 2_ Doi rv t; 5o.c) N- 0. 2,-, DOLLARS 8 -14 lis00311390 1: 2670E141,3 LI: 193 2009 2 3 SP DATE or $ Pr9 94-- - DOLLARS 8 3189 618413/2670 , , . STATE OF FLORIDA , DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number 51F a ch -- "rtr epresen s aT ch = ti,PF 1 \ - - A/1-- 7t.) 7.)Y7/11.41 0 6 tic e 14 Pek.'1,4_1(y 4 //0/- 2 /}4.12:.: tWitiP 0 77 744) RI-4&c17- .D&J n?okr.i3r it /31"0/ 7) ;;T4://k)6.- 0 I/L:4 '50/9//9 te Plan submitted by: [ Cd> an Approved Not Approved PART II - SITE PLAN '1 7-C 7 7",:t.7 ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT c5t-Prie 5.1 'me Date County Health. Department .OT : 'ROPERTY ID #: w. HE MINIMUM SETBACK WHICH URFACE WATER: A) , /? , FT ELLS: PUBLIC: AJ. At ' FT UILDING FOUNDATIONS: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: ' ?/ae'71 A1V/•A.I %; Jo, =J vio, / �tL -/1 ) AGENT: BLOCK: E SUBDIVISION: fn? (Y , z, -^ 'O BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST 'ROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. 'ROPERTY SIZE CONFORMS TO SITE PLAN: [ ' YES [ ] NO NET USABLE AREA AVAILABLE: ACRES 'OTAL ESTIMATED SEWAGE FLOW: f5p) GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] UTHORIZED SEWAGE FLOW: 2' GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] NOBSTRUCTED AREA AVAILABLE: YO 7) SQFT UNOBSTRUCTED AREA REQUIRED: (or'"Fe) SQFT , ENCHMARK REFERENCE POINT LOCATION: //4.) f'', LEVATION OF PROPOSED SYSTEM SITE IS .j ..e.." 4 NCHES. [ABOVF2E034J BENCHMARK /REFERENCE POINT CAN BE MAINTAINED FROM THE DITCHES /SWALES: LIMITED USE: Ai 4. FT • FT PROPERTY LINES: ITE SUBJECT TO FREQUENT FLOODING: [ ] YES [""NO O YEAR FLOOD ELEVATION FOR SITE:, (FT OIL PROFILE INFORMATION SITE 1 Munsell # /Color Texture L0 / 4 41)15 10 /9R tRnnlarw6 RRR_H Fnrm anic Marto 71 a.nirn ma.. 1)e ..earl% 0.1G1)1 Depth 0'' to to to to to to to to rr to -z ,7u1 USDA SOIL SERIES: [ ?� 'l f _)/ / RJ1) OIL TEXTURtLOADING RATE FOR SYSTEM SIZING: �. RAINFIELD [ ] TRENCH [ f BED EMA R } KS y /ADDITIONAL CRITERIA: ' ''/ A},C`a/`�. Cyr °i, /36 w/< / : J art /- 7?31 '-/. ITE EVALUATED BY: '� •..; ��`, q` r" ✓,.. c- [Section/Township/Range/Parcel No. ok _') / - "),r PROPOSED SYSTEM TO THE FOLLOWING FEATURES: /111/ FT NORMALLY WET? [ ] YESAA -4 ] NO PRIVATE: A)" FT NON- POTABLE: D FT FT POTABLE WATER LINES: JO FT 10 YEAR FLOODINGG? [] YES [ ] NO SITE ELEVATION: ;t / (FT MSL /MGVD SOIL PROFILE INFORMATION SITE 2 Munsell # /Color Texture Depth , 0 `14 .(:// L C 7) ( to , /4,r1.1_? to / !: `.JP 7/_` . Df7A.3 i to (..2. Y s 7<t!L' to to / r� t1 USDA SOIL SERIES: rr r d? ' ,17/0Z. )R•• /0 to to to to 74i s' BSERVEI WATER TABLE: AJ /- 7 INCHES [ABOVE / BELOW] j EXISTING GRADE. TYPE: .., / APPARENT] STIMATED WET/SEASON WATER TABLE ELEVATION :r - 14 1 ,L4 (TNCHES .. DABOVE, BELOW EXISTING GRADE. IGH WATER TABLE VEGETATION: [ ] YES [ .{NO MOTTLIN `•( ) - YES [ NO DEPTH: '0/ INCHES /, e) DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) Y DATE: /)> or Tax ID Number] Page 3 of 3 INCHES THER REMARKS: • STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT ONSTRUCTION PERMIT FOR: ]New System [ ]Existing System [ X ]Repair [ ]Abandonment PPLICANT: Marta Lavander & John Jay We AGENT: SR0001343, Crockett Lester ROPERTY STREET ADDRESS: 344 NE 102 St Miami FL 33138 OT: 7 BLOCK: 38 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] ROPERTY ID #: 11 - 3206 - 013 - 5140 [OR TAX ID NUMBER] YSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC EPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME ERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, EQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS ERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM OMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. YSTEM DESIGN AND SPECIFICATIONS [ 1050 ] Gallons SEPTIC TANK [ 0 ]Gallons [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ 0 ]SQUARE FEET SYSTEM TYPE SYSTEM: [ )STANDARD [ N )FILLED CONFIGURATION: [ ]TRENCH [ TBED LOCATION TO BENCHMARK: FFE: 12.4' NGVD ELEVATION OF PROPOSED SYSTEM SITE [ 2.7 ] [ FEET BOTTOM OF DRAINFIELD TO BE [ 5.2 ] [ FEET FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 66.0 ] INCHES 1. Install 300 sf of drainfield in bed configuration. 2. Install 36" of slightly limited soil at the bottom of drainfield. 3. Perimeter,of excavation area shall be at least 2 ft. wider and longer than the proposed absortion bed. 4. Existing i050 gal. septic tank has to remain. 5. Invert elevation of drainfield to be no less than 7.70' NGVD. 6. Bottom of drainfield elevation to be no less than 7.20' NGVD. This permittis not for additi s) . CENTRAX #: 13 - - 26024 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 05 - 2593 - - ]Holding Tank [ ] Innovative Other )Temporary [ NA ] MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] @ [ 0 ]DOSES PER 24 HRS # PUMPS[ 0 ] [ N ]MOUND [ N ] [ N ] ] [ BELOW] BENCHMARK /REFERENCE POINT ] [ BELOW ] BENCHMARK/REFERENCE POINT PECIFICATIONS BY: Andre, Paul' TITLE: PPROVED BY: Andre, Pau � TITLE: Professional Engin Dade CHD VTE ISSUED: 8/3/05 EXPIRATION DATE: 11/1/05 • STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT ONSTRUCTION PERMIT FOR: ]New System [ ]Existing System [ X ]Repair [ ]Abandonment PPLICANT: Marta Lavander & John Jay We AGENT: SR0001343, Crockett Lester ROPERTY STREET ADDRESS: 344 NE 102 St Miami FL 33138 OT: 7 BLOCK: 38 ROPERTY ID #: 11 3206 - 013 - 5140 YSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC EPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME ERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, EQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS ERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT. EXEMPT THE APPLICANT FROM OMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. YSTEM DESIGN AND SPECIFICATIONS [ 1050 ]Gallons SEPTIC TANK [ 0 ]Gallons [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ 0 ]SQUARE FEET SYSTEM TYPE SYSTEM: [ \ ]STANDARD [ N ]FILLED CONFIGURATION: [ ]TRENCH [ f ]BED LOCATION TO BENCHMARK: FFE: 12.4' NGVD FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 66.0 ] INCHES THER REMARKS: SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] [OR TAX ID NUMBER] CENTRAX #: 13 -SG -26024 DATE PAID: FEE PAID : $ RECEIPT : OSTDSNBR : 05 - 2593 - - ]Holding Tank [ ] Innovative Other ]Temporary [ NA ] MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] @ [ 0 ] DOSES PER 24 HRS # PUMPS [ 0 ] [ N ]MOUND [ N ] [ N ELEVATION OF PROPOSED SYSTEM SITE [ 2.7 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ 5.2 ] [ FEET ] [ BELOW]BENCHMARK /REFERENCE POINT 1. Install 300 sf of drainfield in bed configuration. 2. Install 36" of slightly limited soil at the bottom of drainfield. 3. Perimeter,of excavation area shall be at least 2 ft. wider and longer than the proposed absortion bed. 4. Existing f050 gal. septic tank has to remain. 5. Invert elevation of drai - d to be no less than 7.70' NGVD. 6. Bottom of drainfield ele ation to be no less than 7.20' NGVD. This permitiis not for addi PECIFICATIONS BY: Andre, Pau W " TITLE: PPROVED BY: Andre, Paul TITLE: Professional Engin Dade CHD kTE ISSUED: 8/3/05 EXPIRATION DATE: 11/1/05 DEPAH I MEN I OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number ale: Each block represents 5 feet and 1 inch = 50 feet. 5tes: &W • 0 ,5D • PART II SITE PLAN- PAiV ciptote 72f) 21c1IW r 7 P (2 251' sw,lanng.1 PRR,r) P • Z . • . '''K' -•- .r) ' i 4 7 I, ....., ti , r . '*---) •' -":= t.. e4. i ,' L./ - c t. . 1 4 - ,= , 1 4 i- t_-.4".`A/LE-'- CA." C„: "..';',/ I 1. U-A-}A --- .. 144 (,.# :-f/ ..-(! 1 #: , 4 r A 4 I '''' • i. 1 i --1: ' "'..-- / I ' .4" . . f ..1- ,,;._ .. 4 .„„, , ,, I .,,,;,,,,,--, / ',,,, ' , , , ,, r, , i',3 - /:, jf ,.,,- ,...„ , : ` , .. 1.....■ 4 1 j I '''. 1":&.,, i, j l 4 4' #,-; i 7,. ' It ,,„,,;<::.,A .44/14., , : i -.; '" (,.'4,/‘ 4-1,121 i./...-E .1/1_ 1 .--1.: . i/14';' r` -.1.4. ' +L(... •,4- .4, , f , , , , : ,. J., , P submitted by f ' .---......--;_e-': ,..r. -• ik„ k,.,,.. •.,,-...„- , 7. 'ff I , --i ( .., .: , ., ...-_ -.-_ ..-- , .?. _ ,_ - .‘ .• ,, .• .;;•:, ,..)- z.: ,::::: Title. - . ... i .•.. an Approved Not Approved Date i'.7", .! ,----, ! ,,.' 1 • County Health Departmer ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/9/2005 Applicant: MARTHA Owner: LAVENDIER JOB ADDRESS: 344 Contractor LLOYD NORTH DADE SEPTIC TANK SERVIONcINVactor's Address: 750 NW 107 ST Local Phone: 305 - 754 -3375 Parcel # 1132060135140 NE 102 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2005 -246 LAVENDIER MARTHA ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 Permit Status: APPROVED Permit Expiration: 2/1/2006 Construction Value: $1,200.00 Work: REPAIR DRAINFILED & SEPTIC TANK BY: Page 1 of 1 BLK 38 LOT SIZE 50.000 X Fees: FEE2005 -10722 FEE2005 -10724 FEE2005 -10725 FEE2005 -10726 FEE2005 -10727 FEE2005 -10728 FEE2005 -10729 FEE2005 -10938 Description Building Fee CCF Training and Education Fee Technology Fee Notary Fee Scanning Fee Builders Bond Building Fee Total Fees: Amount $175.00 $1.20 $0.40 $4.37 $5.00 $3.00 $300.00 $175.00 $663.97 Total Fees: $663.97 Total Receipts: $488.97 AUG 0 9 PAID a 4 , 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. 17ata. Type Insp'n 4 Permit No. LO vood Name 2 )/—)c-1., N 102_34- Address Company i \o d j . Phone # Inspection Date t` 1 0 • Approved Correction Re-Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2004 -73 Printed: 3/8/2004 Applicant: Owner: JOB ADDRESS: 344 NE 102 ST Contractor LLOYD NORTH DADE SEPTIC TANK SERVIONdNftactor's Address: 750 NW 107 ST Local Phone: 305 - 754 - 3375 Parcel # 1132060135140 Signed: (INSPECTOR) Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 BLK 38 LOT SIZE 50.000 X Fees: Description Amount FEE2004 -2292 Builders Bond $300.00 FEE2004 -2293 Building Fee $175.00 FEE2004 -2294 CCF $1.20 FEE2004 -2295 Notary Fee $5.00 FEE2004 -2296 Training and Education Fee $0.40 FEE2004 -2297 Technology Fee $4.37 Total Fees: $485.97 Total Fees: $485.97 Total Receipts: $485.97 Permit Status: APPROVED Permit Expiration: 8/30/2004 Construction Value: $1,800.00 Work: REPAIR DRAINFIELD MAR 0 3 MTh 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: Miami Shores Village BUILINGJ ' =a PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Phone # Job Address (where the work is being done) 34 /UC / e).A✓D Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit /. Code Enforcement $ Structural Plan Review. $ (Continued on opposite side) Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. L, �' 73" Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Jay tiJ H, foL290JL Phone # - -137 -+3/41 O Owner's Address 4L ,4J / o tiD 5-T C-4- City 114 11404/ .5f1OL State FZ-Cs/Dig Zip 33" /Jr City Miami Shores Village County Miami -Dade Zip 3 k --/ Contractor's Company Name LLOYD NO2 7 Grt Phone #.S q37- q4 Contractor's Address q"j? /U-14J - /D ? rff i 7 Cit 111 1 I%'1'7/ State F Zip 33/6,V Qualifier L47. 5 -r4E L. C72 OCKC"T r Square Footage Of Work: .2ezi 7D -2v z 4. FT Type of Work: ['Addition ❑Alterati "e on ❑ New Repair/Replace ❑ Demolition Describe Work: RE P/4// r b,�A //1 F /L[2 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ) � S� 0 v CCF $ / (� CO /CC Notary $ S.. !) f2 Training/Education Fee $ , Cr 0 Technology Fee $ Scanning $ Radon $ Zoning Bond $� Total Fee Now Due $ LIT t 9alci O \c-4 3o0 ` 00 g' ' A WG OL gS Bonding Company's Name (if applicable) 11 1( Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I 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: I 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. NOT Sign: Print: Chc 12/15/03 Signature 01444 4— I ' GO-kZIALIZIU Owner or Agent The foregoing instrument was acknowledged before me this L day of Migrg , 20 , by J0, 1tl0 qh/W)? who is personally known to me r who has produced As identification and who did take an oath. LL -r/ , My Commission Expires: MI/ y .. O .2 r State Certificate or Registration No. ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** APPLICATION APPROVED B • LESTER E CROCKETT MY COMMISSION # n0 Ot4752 EXPIRES: May 20, 2005 ' o"ird Para Budget Notary Signature My Commission E'ltpireg69y Commission 00150048 ie ******************************************************** * * * * * * * * * * * * * * * * * * * *19 MMA#* e * * M* * * * * * ** ** (Certificate of Competency Holder) Contractor The foregoing instrument was acknowledged before me this 3b day of n/ / 'C.I/ , 2004 by LCD L= 0'00 w`iio s personally known to m r who has produced as identifica 'on and who did take an oath. Certificate of Competency No. Plans Examiner Engineer Zoning STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment APPLICANT: Weaver, John H AGENT: SR0001343, Crockett Lester PROPERTY STREET ADDRESS: 344 NE 102 St Miami Shores FL 33158 LOT: 7 [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 - 013 -5140 [OR TAX ID NUMBER] 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 WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 1050 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ N ]BED N F LOCATION TO BENCHMARK: Finished Floor of Existing Res. I ELEVATION OF PROPOSED SYSTEM SITE [ 2.7 ] [ FEET E BOTTOM OF DRAINFIELD TO BE [ 5.2 ] [ FEET L D FILL REQUIRED: [ 0.0 ]INCHES OTHER REMARKS: BLOCK: 38 SUBDIVISION: Miami Shores 1- Existing 1050 gals. septic tank to remain. 2- Install 300 sq. ft. or available, but no less than 200 sq.ft 3- Invert elevation of drainfield to be no less than 7.70' NGVD. 4- Bottom elevation of drainfield to be no less than 7.20' NGVD. THIS PERMIT IS NOT FOR ADDITION. SPECIFICATIONS BY:Andre, Paul APPROVED BY: Andre, Paul DATE ISSUED: 3/3/04 DH 9016, 03/97 (Obsoletes previous editionrt15'ii tc�.... t, et.....t- ,... -• M _n 01 c_ EXCAVATION REQUIRED: [ 30.0 ] INCHES TITLE: f`■ n 'n 41t cha usg111' luVJB��Sn Obii CENTRAX #: 13 -SG -19849 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 04 -0819- -R ]Holding Tank [ ] Innovative Other ]Temporary [ NA ] MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ) [ N ]MOUND [ N ] [ N ] Elev. 12.4' NGVD ] [ BELOW] BENCHMARK /REFERENCE POINT ] [ Below] BENCHMARK /REFERENCE POINT TITLE: Professional Engin Dade ..E XgIR F API © N? TE: 6/1/04 CHD Dorvim 1 of 9 APPLICATION FOR: [/✓) New. Sys tem [ y) . Repair APPLICANT: AGENT: LLv ?) AG %? i /� eV MAILING ADDRESS: - TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT, SYSTEMS RUST BY A PERSON LICENSED P TO 48 9.105(3) {m) OR 48 9.552, FLORIDA STATUTES. IT CONSTRUCTED IS THE APPLICANT'S RESPONSIBI7AITY TO PROVIDE DOCUMENTATIOF THE,DATE THE LOT WAS CREATED OR I NO PLATTED - (MM /DD /yy) -IF- REQUESTING CONSIDERATION OF STA 0TORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION - - - - - -- BLOCK: je SUBDIVISION: MIN / <5/10-4-7-a jkZ...1 /9710PLATTED: LF71;K__ LOT: PROPERTY ID #: //- J 2Dc - p ! I/M OR EQUIVALENT: ' [ Y / N ) PROPERTY SIZE: -ACRES WATER SUPPLY: ( ) PRIVATE PUBLIC / ( ✓j <= 2000GPD [ ] >2000GPD IS SEWER AVAILABLE AS PER 36 1.0065, FS? ( Y / DISTANCE TO SEWER: PROPERTY ADDRESS: 4..).L. rr % II /c70,4.0 T 7 14/4 -w/ S J-/ c ? F . `9Q /L rTt?TZ- DIRECTIONS TO PROPERTY: C-k I T ar i D n1L _ i o v T / / 7 /LIE J i p j , i 7 i 7 L` 77ST To l' � ��L- S • BUILDING INFORMATION Unit Type of No Establishment 2 1 c5 &J&z e / 9[4 (L / / 7 3 4 [A, F1oor/ quipme SIGNATURE: Lt_ .7L DU 4015, 10/97 (Previous STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT (il [ Existing System Abandonment 1 J p Al t JL i/ rai [,X RESIDENTIAL [ ] COMMERCIAL No. of Building Coumiercial /Institutional System Design Bedrooms Area Sqft Table 1, Chap ter 64E -6, FAC 410 ZONING: a tic r Editions flay De Used) [ Holding Tank (4.1 Temporary ther (Specify) PERMIT NO_ O U DATE PAID: FEE PAID: RECEIPT #: r 3.3G -_ 1960 [ Ali Innovative ( ) / / C L : TELEPHONE: -T /- "7/,7 To /U. c4_ /03 DATE: /3 Page 1 or f. FT APPLICANT: CONTRACTOR / AGENT: LC-0Y2) /Uv j / / 1 F P 1 /G LOT: 7 BLOCK: 3. SUBDIV: r'] /l -'/41/ ,4 ID #: TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR ATTACH LETTER FROM A PERMITTED SEPTAGE DISPOSAL SERVICE. .EXISTING TANK INFORMATION [ JD d) GALLONS SEPTIC TANK /GPD ATU LEGEND: /0..1' MATERIAL: et L6Z -7 -72 BAFTIED [y / N) [ ] GALLONS SEPTIC TANK /GPD ATU LEGEND: MATERIAL: BAFFLED:[Y / N] [ ] GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL: [ ] GALLONS DOSING TANK LEGEND:. MATERIAL: SIGNATU�E.- EXISTING DRAINFIELD INFORMATION [.:501p) SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: /6 X .- [ ) SQUARE FEET,, SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: X TYPE OF SYSTEM: r') STANDARD [ ]/ FILLED [ ] MOUND [ ] , 1/FILLED .BED - E )... - ::......_ DESIGN: [ ] HEADER [ ] D -BOX [ 1 GRAVITY SYSTEM [ ] DOSED SYSTEM ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE 5'. INCHES [ ABOVE / BELOW] SYSTEM FAILURE AND REPAIR INFORMATION [ /9.4 [ 3ov SITE CONDITIONS: NATURE OF FAILURE: FAILURE SYMPTOM: IFY THAT Y S 6TATZ OE FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION ABOVE NOTED TANKS WERE PUMPED ON .3 / / /O-4 HAVE THE VOLUMES SPECIFIED, ARE - TE [ SOLIDS DEFLECTION DEVICE / OUTLET FILTER DEVICE ] INSTALLED LL0 �.0 4/j -J <P/7C 3 -4- SED CONTRACTOR BUSINESS NAME DATE SYSTEM INSTALLATION DATE GPD ESTIMATED SEWAGE FLOW BASED ON [ ] DRAINAGE STRUCTURES [.] POOL [ ] SLOPING PROPERTY [ ] D/ HYDRAULIC OVERLOAD [ ] DRAINAGE / RUN OFF [ ] TANK [ ] D BOX /HEADER [,/(DRAINFIELD [ REMARKS /ADDITIONAL CRITERIA Lv/ /A RE-7) Li /2E-D • 6 Acz1z") Aim /L/G cc- (01,E 77 AJ Q [ ] SEWAGE ON GROUND [ ] PLUMBING BACKUP i SUBMITTED BY: f� A O _ DH 4015, 10/96 (Previous Editions may be used) [ ] PATIO / DECK [ ] SOILS [ ] MAINTENANCE [ ] ROOTS [ ] WATER TABLE PERMIT # TYPE OF WASTE [ ] DOMESTIC [ ] METERED WATER TABLE # PUMPS : [ [� PARKING COMMERCIAL 4E -6, FAC [ ] SYSTEM DAMAGE [ TITLE /LICENSE )77 � }�J/ � DATE: Page 4 of 4 THE MINIMUM SETBACK WHICH SURFACE WATER: A t -M . WELLS: PUBLIC: /1).,0 BUILDING FOUNDATIONS: APPLICANT: J oF! /J IAZ7(/ AGENT: LLaf AjCI "!L! dL=G LOT: BLOCK: SUBDIVISION: /Y1 /ii`Y1/ �t � [ sz7e :2 / PROPERTY ID #: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS FT FT 0 CAW [ ] AW GALLONS /GALLONS 0 SQFT CAN BE MAINTAINED FROM THE DITCHES/SWALES: AJ LIMITED USE: I?. FT FT PROPERTY LINES: SITE SUBJECT TO FREQUENT FLOODING: . [ ]'YES NO 10 YEAR FLOOD. ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 Munsell # /Color ` /O 7 S_/ I GF�:�1 s 1l I ) . USDA SOIL SERIES: Texture Lb4m"f firlittn iiAJ1) e 7AM /) Depth 0 to /D" to to to to �! to to T) 1! to �) SITE EVALUATED BY: If J L 2 7 (Lr L1. • DH 4015, 10/96 (Replaces HRS -H Form 4015 )Page 3) which may be used) (Stock Number: 5744- 003 - 4015 -1) [Section /Township /Range /Parcel No. or Tax ID Number] PERMIT # 0 /� g / 5? / \ NO NET USABLE AREA AVAILABLE U,<, ACRES PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2) PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] UNOBSTRUCTED AREA REQUIRED: (W) SQFT 3j, u t['IWCHS E FT] [ABOVBELOW]) BENCHMARK /REFERENCE POINT PROPOSED SYSTEM TO THE FOLLOWING FEATURES: /U .A 1 . FT NORMALLY WET? [ ] YES N4[ ] NO PRIVATE: /IJJ7. FT NON-POTABLE: -SD FT FT POTABLE WATER LINES: /D FT 10. YEAR FLOODING? [ ] YES [ 1 FT MSL �., JNGVD SITE ELEVATION: 7 `�F'T MSI:JNGVD Aluri SOIL PROFILE INFORMATION SITE 2 Munsell # /Color /n ` i7 .S%/ ,ti? /1 Texture Depth L DA - 41 0/1 /n USDA SOIL SERIES: U?v3114J/14ALD to to //)" to to to to to to to OBSERVEL''WATER TABLE: ALI). INCHES [ABOVE / BELOW] EXISTING RADE. TYPE: [PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: 7 . Li (`INCHES) ABOVE EI ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [0f/NO MOTTLING: — ( -- ( YES [ - ] 'ENO DEPTH: 'U./-? INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: / ' 7 DEPTH OF EXCAVATION: 250 DRAINFIELD CONFIGURATION: [ ] TRENCH [ di) BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITWA: INCHES DATE: 3 J O'7" Page 3 of 3 L I. a _.1 - I ---- 1 _ i I I 1 i 1 111.111 u J.. ..,,,,,‘ -+ 4.--1 1 '. IIIIIIII ' , 4 . 4 , 1 i 1 ' 1-_4 4 4 r , , ' ri i I - •- 1 -"- - 1 .. -; - - -t .._.! ..�- --r .,..,....„--4.--i-----i,-.-! r="7"71 -1-- ..... __1_,_ -.-1-i —4-4--1 . , i , , .__ _ _i__..4__;4 PK 0-R 6 1 4 4 /4- ( cl 1-64- I ,, E Li_Lt.44,4, ' r.L.L.11_/- 0 I II L--(4-' trio i I , 4 Tr r i ; 1I 1-. , , , ,,, ._k , , 1 _i• ' .... I ,,,t. . , 1.... ' .' 1 .. 4 , , 1 t--1 i v ... IL , .. , 1 TI - J -11 , 11 i 4 �. 9 ._. I E ! ,, , , i 77-7- 7- 4-• Hzr i T 1 : , . ' ! : ! '- , '.'.: 1: -,-4 ,• - i -- ... - :,:++4_ - _tiiti .,- •• , _,........_;_....;__1,._ , ; . • , .- -‘;-- - I I 1 1 1 t -$ , f-- L '; 4- ' 1 ' 4 4 , ' ....4.. rio , 4 T 4 4 i , i . ---, i , "; " ---1 F a w.L; rt '- # -_1_1 L , : , , iftrP ..,.,, :.' : i Na 11111117 Ulm_ *15 AM NMI Ran II • - r - ---4, . 1 IIMRII _..._ IIIII >__,_ • 111 : i ' _4_4_, t .---, -,,, i . ! ! I • 1 : : -1 . - . • ; 't '-••• 1 , I 1 ; , ,- „.. • • ,i ' , , ,....--..„.„...• ; -t---t 1 t L _1 .. . - 5 ._, - i ---t--r-t- M - MEM . --44--4 I NU 7! .„ i I i 4 4 - t I r , T F 1 - } I - x TT- - • 4- -.1- i 1,- -,- 4 , , -- 4';4 i •t --- - , , 1 ; t-4 ; - 1-,-..' 1 , • . 4- ,---, 1 .;_.t .k -- L. ■ , ---, --7-4,- 't , t ; t , ,- , 4-4 • I -÷, - 1 -- r - :-t-t -,- . t - 4- -.4 4 4 : : .4 - 1 - t . - 1 Th h" ---1 , - i- : ...1 4 1.4_ - — - -- 4—, 1 - , I 1 7 4 ; -,- ' .4- t i INN ' i t 11111111.10 f i I 1 -1 . i 1 1 1--4-t- 4 j. , ---- --+--! h.. - , , -r--) -- t - t 1 . - - 1 L._ ; I , , .i--4 , ..' ..1 I ; 7 ' 4 -4-4 i ••11.11 • • 1 j a i l 1 } • 1__ H 1. t f i i i_..t. ± .. In t r -t---t i 7 i ' L-L- ' t t a III -f la : -1-4-4 • - i , 4 i 1 1 • r :- ' I : • ' , : ' 1 ! FT -4-' i- 't 1 - I' _ t- !: 1 1 1 i ' • • • • ,.I - I ^,1 -F-1---,- . Ir i i : ! 7 , ■. 4 , 1 171 ' : ! : __, i - i ; , i 1 1 r , 1 7 T - ' I ; I , 1 +_, 1 1 , - i r 4 , „ -1 ■ : : 1 , ' ' ' LT- ,I li t L_ .17 ' '. - t ' l I 1 , 111.11111111 I : 't 1 .,........- , r - , - , IIIIIIIIII 11111111111 IMMO Room simm 1111111111 On -11111O1111111MINTionanum 11111111111111 aq II 41, ay E Iwo • _ _ i 4 Ir 1 i T 4 ,..1,.. i -, 1 f T_ L.... IM O NEM iiaulanuana 11•11011 • .._ 1 ...,„...... 4 ,-- r • 11111111111111 1 ■ 1 -. 4 : .. 1 ''' ••• T. I I 1- H4-1-;-.1.- ""%e7Rt-likihtlEPt-"f. , -4.--H .1 I 1,-1 l• ili a Min I L , ' 1 i 1 II 1 i I 3 . , -- t _ .1 _ 2 _ 1.. _ i _ i ___ 44 _,... r r- 3_ , f Imam , i, 1 1 1 - 1 - 4 1 --t-- -1 1 i 1 i - 1 - i - t - _ t - 1---1- 11 i ..' : t I -t- 1 i f I— 4 1 4- ; • i I I / 4 1 Fil r .„... T _ T __„_, , i : : - -I4- - 4 I I ■ I t } 1 l',!i . --ill , -f + " 1 t t , r , DH 4015, 10196 (Replaces HRS-H Form 4015 which y be oiled) (Mod' Number: 5744-002-40154) STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION. FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT . Permit Application Number 0S-Dei Scale: Each Each block represents 5 feet and 1 inch = 50 feet. PART II -SITE PLAN ..S Notes: 251/1•46144 0744, 7, ._.Z, in/AL-et U44,de., - . /-j4:4 -edTfvi/e;-AiALtT (/.), acA.f,a_) /Art a4.&114-6l-e Cliu(A44 3 730. ,2ze, v azge A/u, -64e co/bdiat6 0 IA ii,24.47%/4/1,fri a /". Site Plan submitid7byz.----L.y.e_____ 7er Plan Approved Not'Approved LE r.,; Cc-00 i By -r' ALL CHANGESMUST BE APPROVED BY TH Title Date Asiehui - - beounty Health Department COUNTY HEALTH DEPARTMENT 5 • Page 2 of 3 TOP OF BOTTOM FLOOR: TOP OF NEXT HIGHER FLOOR: ATTACHED GARAGE (at the door GRADE @ DRAINFIELD AREA CROWN OF THE ROAD: Field Date: 3/1/04 ELEVATION CERTIFICATE c Owners Name: MARTA B. LAVANDIER & husband JOHN H. WEAVER Property Address: 344 NE 102 STREET MIAMI SHORES, FL. 33138 1 LEGAL DESCRIPTION: FOLIO #: 11- 3206 - 013 -5140 Lot 7, Block 38 of "MIAMI SHORES SEC 1 AMD" according to the plat thereof as recorded in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida. SURVEYOR'S NOTES: 1) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. 2) Additions or deletions to this certificate by other than the signing party or parties are prohibited without written consent of the signing party or parties. 3) This certificate elevation is for the purpose of septic and drains repair and /or construction. 4) This certificate elevation must not be use for the purpose of acquiring flood insurance 5) Elevations are based on the National Geodetic Vertical Datum of 1929. 6) Flood Zone: N/A Base Flood Elev.: N/A as per Dade County, Florida. FEMA Panel Number: 120652 - 0093 - J - MARCH 2, 1994 12.4' N/A N/A 9.7' 9.7' RI:711f/A. 11.c ENT Pablo J. Alfonso P.S.M. Professional Surveyor & Mapper State of Florida Reg. No.5880 LAND S U R V E Y O R S , I N C. 6175 NW 153 STREET, SUITE 103, MIAMI LAKES, FLORIDA 33014 Phone: 305 - 822 -6062 "" 305 - 698 -9468 "" Fax: 305 - 827 -9669 A. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date �� /g 9-7 Job Address 3 4 . /off c Tax Folio 11 - 32o& - 013-5 P#}0 Legal Description / 1 bLoQt 3 8 /.4(0011 s ott ricall Designated: Yes No Master Permit # / 3 Owner/Lessee / Tenant 11414,P LA/144-J EA?- W V}V L�i�J Owner's Address 5 46,t_ Contractin co. L L o YD cYEPTIC Qualifier DEW Mfs ofEvic_c..E State # 025836-8 Municipal # Competency # /284.2 Ins. Co. E5 I P / �I Liu 09.S Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL UMBLN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f 1 T L L - I o SO 0)-1- 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 I CAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accur and : 1 wor will be done in compliance with all applicable laws regul ting construcppn and zoning. Furthermore, I authorize the above - work stated. asto°O • Commissi • p s: of owner and/or Condo President Date ia-qi or Condo President Date Teresa 1. Felder Notary Public, Nee of F:arida 67 Commission Pia. CC 480807 °F S' My Commission Expires 07 /16/99 It 4 800.3- NOTARY . Fta Notary TATyice R Boding Co. eeeeteeemeeffeeteeeeteareeeertereereettrateeeere APPROVED: Zoning Building Mechanical Plumbing FEES: PERMIT ° RADON C.C.F. SS# phone 751 — U2 76 ceP77 "MA( K Estimated Cost (value) Ill (7 . op. 00 Phone 157 -3 f 4 . &40 eu Address otary as o Contract ssion Exp NOTARY Electrical 5 -12 -97 Date ChA Own - Builder Date Teresa J. Felder e' Notary. Public, Sl ate of Floric'.a Commission tio. CC 480807 or Or My Commission Expires 07/16/99 1400.) NOTARY • Fla Netny &vice & Bonding Co. etemeeeeeeetteetweeeeeteeeeeteeeeetotatere BOND e!3 TOTAL DUE 3 3 _ Engineering CONSTRUCTION PERMIT R: VV] New System [!�`�Existing System [ / olding Tank [Temporary /Experimental [v ] Repair pa ] Abandonment [/ Other(Specify) APPLICANT: PROPERTY STREET ADDRESS: 3 c r j AJ 6: 02 LOT: BLOCK: 38)- SUBDIVISION: PROPERTY ID #: // ,z 61‘ a 0f s - f c_, t [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS T [/G.119 ] [GALLO / GPD, SEPTIC TANK /AE;OBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES: A [ ] [GALLONS / GPD] — CAPACITY MULTI- CHAMBERED /IN SERIES: N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D _ ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [a..a BED [ ] N � F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: [ ] INCHES H E R SPECIFICATIONS BY: TITLE: APPROVED BY: DATE ISSUED; ° /3_. 1 - STATE OF FLORIDA PERMIT # 1 7 1 G. DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ ,. CONSTRUCTION PERMIT RECEIPT # 2/ 0 Authority: Chapter 381, FS & Chapter 10D -6, FAC tiE AGENT: HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) EXCAVATION REQUIRED: [ ] INCHES TITLE: INSTALLER /CONT 07011 6.7> - 1e-i/ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT 22 16 Q c PHU EXPIRATION DATE F,,s3 Page 1 of 2 L L f.s.mbes assigncsi by Chech type of ?ermit, if "Ciller" specify type. ln hlart's. APPL.CAN Property owner's full name. TISE.7.?}EONIF.: Teleohone number for applicant or agent. AC SINT: Property owner's legally authorized representative. ADDeZZSS: P.C. box or street mailing address for applictrt or cgent. /!. SUDDIVIS/ON or 27 coaracter id number for pro?er (CP:EU rosy require propc..ty ry.praiser o: section/township/range/parcel numb sT DSCN AND SPEC.:fl:.0 AT IONS: Minimum: specifications from Chapter 10D-6, FAC. Minimum specifications from Chapter 10)-6, FAC. Other spzcifleations, such as operating cerrait requirements., low-volume flush toilets, vari-nee. provisos. S21. LON:: 3Y: Name of individual p. specifications. le:designed 'ay r. registere'l engineer must bc sealed. APP:t0 13Y: County .1-Mblie Health Unit (CT. personnel reviewing rad approving permit. Y.SSUED: Date permit is issued by CP-U. Z.: On y.f from date- issued if the system hes no: been installed. Per. :or system repair., . void 90 days from l.h.c t issued. • Site Plan submitted by Plan Approved By • STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVIC.ES°. APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number 7 ! '7' ' L_- / 7 ' PART I I - SITE PLAN 6 t) 4 3 - 1 - 1 : - Scale: Each block represents 5 feet and 1 inch = 50 feet. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■ ■ ■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■■MMii ∎: : i iiniii�iiiirii ■�.��.:ir:�� =_may r..:7 ■ ■ ■ ■ ■■ ■■ ■■■■■uw!M=Niiiii ■■■■■■■■■■•■■ I■■■■■■■■■■■■■•■■■■ ■■ ■■ ■■■■■■■■■■■■■ ■ ■■■ ■ ■w■■■ ■■■■ ■■■■■■,■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■■■■■■ ■ ■ ■ ■ ■■■ ■ ■■■ ■■■1i ■ ■ ■ ■ ■■ ■■■■■■'■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■AINIM■■■ ■■■■■ E'■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■f1 ■ ■ ■ ■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■ ■ ■■■■ ■■■ ■■■ ■ ■ ■ ■ ■ ■■■■t•l ■ ■ ■ ■ ■■ ■■■■■r■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■■■ ■ ■ ■ ■ ■■ ■■■■■■ ■ ■i'1■■■ ■■■ ■■■■■ i■■■■■■■■■■■■ Ii■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■ ■■■■ ■■■■■II■ ■ ■■■■■r:I■■■■■■ ■■■■■ 1 i,■■■■■■■■■■■■■■■■■■■■■■■■■■■!! ■ M1i■ E■■■■■■■■■■ ■■■■■■■■■■E■■■■■■■■■■■■E■■t■>n ■■■■■ ra ■■■■■■■■■■■■■■■■■■■■■■■■■Irumu cull■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■id■■■■■■ ■■■■■1 7.■■■■■■■■■■■■■■■■■■■■■■■■ I+ l■ ii7■■■■■■■■■■■■■■ ■■ ■ ■■ ■ ■ ■ ■ ■ ■■ ■ ■■ ■■■■ ■■■ ■■a■■ ■ ■ ■■ ■■■■■ i1■■■■■■■■■■■■■■■■■■■■■■■■ rJE:l 4■!_! A■■■■■■■■■■■■■ ■■■■■■■■■■fi■■■■■■■■■■■ ■L■ ■■■■■ ■■■■■ I+ i■■■■■■■■■■■■■■■■■■■■■■■■ 1'. lmn nm!■ Ii1■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■1•■ ■■■■ ■■■■■ N■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■\■■■■■■■■■■ ■■ ■■ ■ ■ ■■■■■■■ ■■■ ■■ ■■■ ■ ■ ■d1 ■■ ■ ■■ ■■■■■ ll■■■■■■■■■■■■■■■■■ N■■■■■■■■■■■■■■ r r...... , ■■■■ ■■■■■■■ ■■■■■■■■■■■■■■ ■■■li■■■■■ ■■■■■id ■ ■■■ ■■■■■■■ ■■■ ■■ ■■■■■■■MIPEn!==■■■I1 ■■■1!! Rl■■ ■ ■■ ■■■■ ■ ■ ■ ■ ■■■■■■■■■■■ ■ ■ ■f r ■ ■■ ■■ ■■■ ■ ■r9 ■ ■ ■■ ■ ■ ■ ■ ■ ■■ ■■■MEW=.lili■■■■■■■■ ■■■ Ilf;' r' SIOJJ, llif■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■LI■ ■ ■ ■■ ■■■■■Ii■■■■■■■■ EMI■■■■■■■■■■■■■■■■■■■■■ i■■■! Fln■■■■ ■■■ ■ ■■■■■ ■■■■■ ■ ■■■■■■■■11I■ ■■■■ ■■■ ■■ III■■■■■■■■ I: 1■■■■■■■■■■■■■■■■■■■■■■■■ r'■■■ LGiUIi■■■ ■■ ■ ■ ■■ ■ ■■■■■■■■■■ ■■■■■■ ■fl ■ ■■ ■■ ■■■■■I aI■■■■■■■■ Ei■■■■■■■■■■■■■■■■■■■■■■■■ E■■■■■■ I. l■ ii■ ■■■■■■■■■■■■■■■■ ■■■■■■■■U1 ■■ ■ ■■ ■■■■■ il■■■■■■■■ tl ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■■■ ■ ■■ ■ ■ ■ ■ ■■ III■■■■ ■ ■■ ■■■■ ■■■ ■■■ ■■ ■ ■ ■ ■ ■ ■ ■ ■Ial ■ ■■■■ ■■■■■ 1° 1■■■■■■■■!;i■■■■■■■■■■■■■■■■■■■■■ i•■■•■■■■■P I; i■■■■■ ■■■■■ ■ ■■u ■ ■ ■■■■■ ■■■ ■ ■ ■lil ■■M■■ ■■■■■ isl■■■■■■■■ A■■■■■■■■■■■■■■■■■■■■■■■■■ MaiMME M■■■■■■ ■■■■■■ ■■ri■ ■■■■■■■■■■■ ■ial ■ ■■ ■■ ■■■■■ I?i■■■■■■■■`■■■■■■■■■■■■■■■■■[ q■■■■■■■■■■■■■■■■■■ ■ ■■■ ■ ■■■■•■■■■ ■■ ■ ■ ■■■ ■MA■ ■ ■■■ ■■■■■ il■■■■ N■■■■■■■■l!■■ ■■■■■■■OJM■■■■ ■ ■ ■■■■■■■■■■■■■■■ ■iii ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■17■ ■■■■ ■■■■■■■■■®■■■■■■■■■■®■■■■■■■:.' e■' il■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■fi■■■■■■■■ ■■■■ ■f9■■■■■ ■■■■■■ ■Ii ■® ■ ■ ■■'■■ ■■■■i1f■ ■■■li(J,E Jr■■■■■■■■■■■■■■■■■■■■■■ ■■■■■ ■■■ri■■■ ■C■■■■■=■■Iil■■■■■ ■■■ EMOMM■ 0■■■t:■■■■■■■■■■■ c■ IT7■■■■■■■ ■■■ ■ ■■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■■ ■■■■■■■ ■■ ■ ■■ ■■[ti ■ ■■ ■■ ■ ■ ■V ■Z1■''■ ■•I■■•!.■■ ■ ■i ■M. % %: 1■■■■■■■■■■ M■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■• ■ ■ ■■■ ■ ■ ■■■■ ■ ■Ii ■ ■ ■■■ ■■■CG■ir■■■■Y.■I: ■■■■■■s■1■It /J■■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■ ■ ■■ ■■ ■ ■ ■■■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■17 ■■■■■ ■■■■■■■■■■• 4I■■ ?■■■■■■ Jil■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■fi■ ■ ■ ■■ ■■■■■ ■a■■ ■■! ■■■ ■■ ■■■ ■■■■■■■■■■■■■■■!• i■■■■■■■■■■■■■ ■■ ■ ■ ■ ■ ■■■I•■■ ■■ ■A ■■■■■■ ■ii ■ ■ ■ ■■ ■■■■■■■■■■■ UI■■ 7■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■■■ ■ ■ ■ ■■{'i ■ ■ ■ ■■ ■■■■■■■■■■■ 11■•'■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■O■■■■■ ■■(I ■ ■ ■ ■■ ■■■■■■■ ■■■■f.1 ■■ ■■■ ■ ■■■■■■ ■ ■ ■ ■■■ ■ ■ ■■■■ ■■■■■■■■■■■■■ ■ ■ ■ ■■ ■■■ ■ ■■■ ■ ■■■ ■ ■■■■■■■ ■1 ■ ■ ■ ■■ =MUM ■■■•IM■.■■■■■■■■■■■■■■■■■■■■■■ 7■■■ ii■ m■■■i■ ■ ■■ ■■■■■ ■■■•■■■■■■■■■■iu■•■ ■■■■ ■ ■ ■ ■ ■! ■ ■ ■ ■ ■IiI■■ ■■■■■■■■■■■■■■■■■■■■■■ 6■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■■ ■■■■■ f!■■■■■ f! I■■ hi■■■■■■■■■■■■ ■■■ ■■■■■■■ ■ ■■■■■■■■ ■■■■ ■u■■ ■■ ■■ ■■■■■■'■■■■■ rd■ i■■■■■■■■■■■■■■■■■■■■■■ i. i..u■■■■■■■■■ ■■ ■ ■ ■ ■ ■ ■■■■■■ ■ ■ ■ ■ ■ ■■■■ ■ ■I■ ■ ■ ■ ■■ ■ ■ ■ ■■■:■■ ■ ■ ■I J■ il■■■■■■■■■■■■■■■■■■■■■■ 17■■■■■■■■■■■■ ■ ■■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■7■ ■■■■ ■■■■■ fi■■■■■ L■ iy■■■■■■■■■■■■■■■■■■■■■■ II■■■■■■■■■■■■ ■■ ■■ ■■ ■■ ■H■■■■ ■ ■■ ■■■ ■■■ta ■ ■■■ ■■ ■ ■ ■ ■■ MMIUi•i :i•■■■■■■ ■I•■■ ■■■■■■ ■■■■ fill■■■■ uiu•iu ■■■■i•■■ ■i■■ ■ii•• ■ ■■ ■■■u•■■■ ■ ■■ ■■■■■■ 7■■■■■■! a■■■■■■■■■■■■■■■■■■■■■■ il■■■■■■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■■■■■il ■■■■ ■■ ■ ■■■■■'■ ■■■ ■`■ ■■■■■ ■■■ ■■■ ■■■■■■ mmenlum mi■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■■■■ ■■■!d■■■■■■ mommummilmumaraiaAmmikaiminummommoaimummommummumummommummommommommummorm ■■■■■■■■■■■■.■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■rr■■■■■■■■■■■ ■fl■■■■■■ ■■■■■■■■■■■■ I) t■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■ ■ ■■■■ ■ ■■■Iri ■■ ■■ ■■ ■ ■ ■ ■■ ■■■■■■■ 1611■■ 11► 1■■■■■■■■■■■■■■■ I!!■■■■■■■■■■■■!■■ i■ ®■■■■■■■■■■■■■■■■■■■■■■ia■■■■■■ ■■■■■■ 1■■■■■ Ml7lu■■■■■■■■■■■ A■■■■■■■■■■■■■■■■®■■■ iJ■■ ■■ ■■ ■■■■ ■■■■ ■ ■ ■ ■■■■ ■ ■■M■ ■ ■ ■ ■■ ■■■■■■,,■■■■■■ 1■ i!!■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■!■■■ ■ ■■ ■ ■ ■■■■ ■■■■■■ ■■■■ ■ ■ ■ ■i1 ■ ■ ■ ■ ■■ ■■■■■■ I■■■■■■ isli' 1■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■6i 13C1.'-' ETMW IR■EIAAilIigA■ ■ ■■■■■■■ ■il■■■■■■ ■■■■■■LIMMEMU r r�iai -- __ - - -_ __ -- --- __ ilrm : i■& IC• pi ■■■•■■ ■ ■■■■ ■■■■■■■ ■ ■ ■■MMUM ■ ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ li■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■ ■■■ ■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■■ ■ ■■■■■■ ■■ ■ ■■■ ■ ■■ ■■■■■ ■■ ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■ ■■■■■■■■■■■■■ ■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■■■ ■■■■ ■ ■■ ■ ■■■■■■■■ Notes: 1..01N VER- D 02. d a SIGNATURE Not Appro ed 2/ - / I Pi / 0 l d TITLE I ..J Date Count ty y .Put51i Unit ALL CHANGE MUST BE APPROVED Y 7HE COUNTY PUBLIC HEALTH UNIT . MRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be use y"% Pd de 2 of 3 (Stock Number. 5744- 002 - 4015.6) g I/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No . 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. Owners Name and Address Registered Architect and/or Engineet Amount of Permit $ $25.00 My Commission Expires Pat Allen ' - — EIng 1,Iber;s-rne Description Lot Street and Number where work is to be peril:3%44—N° iz 102 State work to be performed and purpose of building (By Floors) New Building. Remodeling Addition. 344 NE 102 St No Street._ (Signed) -Type of Tank_ Size Septic Tank__ Feet of Drai Tile 200 sa, Feet of Tank or Drain Field from Well . n Nature of Water Supply: City—WelL Size of Soakage Pit 11104, subamzionAried_LRA19 Street. Repairs XXXXX..... No. of Stories .. (Signed)._ • LEVEROCK 0'1 Plumbing Inipector. 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 liax com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wort. 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 to be nder this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida •••---- • Master 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 to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that be has carefully read the foregoing application, and that be 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 mob roinspeodos ie mede.nemneery by Improper notice for inspection, er faulty materials and/or workmanship. CLOSETS BATH TU• II SHOWERS LAVA. TORIES BIN" SLOP SINKS LAUNDRY Twos .. NIHAU! u CATCH EIASIN FLOOR DRAIN DRINKING FOUNT'AIS TOTAL FIXTURES CONTR. LIST -- ..■.■....■ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER Day WELL 8 . SYSTEM Swswo POOL Comm LIST . CHECK I/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No . 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. Owners Name and Address Registered Architect and/or Engineet Amount of Permit $ $25.00 My Commission Expires Pat Allen ' - — EIng 1,Iber;s-rne Description Lot Street and Number where work is to be peril:3%44—N° iz 102 State work to be performed and purpose of building (By Floors) New Building. Remodeling Addition. 344 NE 102 St No Street._ (Signed) -Type of Tank_ Size Septic Tank__ Feet of Drai Tile 200 sa, Feet of Tank or Drain Field from Well . n Nature of Water Supply: City—WelL Size of Soakage Pit 11104, subamzionAried_LRA19 Street. Repairs XXXXX..... No. of Stories .. (Signed)._ • LEVEROCK 0'1 Plumbing Inipector. 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 liax com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wort. 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 to be nder this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida •••---- • Master 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 to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when mob roinspeodos ie mede.nemneery by Improper notice for inspection, er faulty materials and/or workmanship. APPLICANT: AGENT: PROPERTY ADDRESS: LOT: sasses:= = =a=ri= =aaaaasasassasasaracnusa: sassa sssssassss :ssssaasaasassaaaa =a= asses = = = = =___ CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. = = = = seses== =a ===se ==== =sas=s== 1 l l l l l l l ] l l l STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DIPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL BLOCK: 3Y SUBDIVISION: TANK INSTALLATION i [01] TANK SIZE (1] /.•' L j (i [2) [02] TANK MATERIAL Lda.'t.,°k4-4 [03] OUTLET DEVICE P I [04] MULTI - CHAMBERED ( Y /(W 1 (05] OUTLET FILTER NO Le, [06 ] LEGEND [07] WATERTIGHT [08] LEVEL [09] DEPTH TO LID DRAINFIELD INST ION ,, [10] AREA [ 1 ]% ; (2J( L () BUT [11] DISTRIBUTION BOX HEADER ./ [12] NUMBER OF DRAIMLINES `4 [13] DRAINLINE SEPARATION [14] DRAINLINE SLOPE [15] DEPTH OF COVER [16] ELEVATION [ABOVE /BELOW] BM [17] SYSTEM LOCATION [18) DOSING PUMPS [19] AGGREGATE SIZE [20] AGGREGATE EXCESSIVE FINES [21] AGGREGATE DEPTH x FILL / EXCAVATION MATERIAL [22] FILL AMOUNT �2 [23] FILL TEXTURE [24] EXCAVATION DEPTH [25] AREA REPLACED (26] REPLACEMENT MATERIALIO < „•;; EXPLANATION OF VIOLATIONS / REMARKS: CONSTRUCTION ![APPROVEb /DISAPPROVED }s JO/AA );b" V [All [ [ ; ] [ [(1 [ [ i l ( [- ] [ [ 1 [ [ ] [33] [ ] [ [ ] [ SETBACKS FILLED / MOUND SYSTEM DRAINFIELD COVER SHOULDERS SLOPES STABILIZATION [36] [37] [38] [39] ' FINAL SYSTEM [$P PROVED/DISAPPROVED] : NJ 6 /;t,= DH 4016,'10/97 (Previous Editions May Be Used) Installer / Contractor SURFACE WATER DITCHES PRIVATE WELLS PUBLIC WELLS IRRIGATION WELLS POTABLE WATER LINES BUILDING FOUNDATION PROPERTY LINES f OTHER PERMIT NO. DATE PAID: FEE PAID: RECEIPT #s CHD DATE: J • PROPERTY ID is I/ 0 / -5- / , s == ==== = == = == = = = x === ADDITIONAL INFORMATION [40] UNOBSTRUCTED AREA [41] STORNWATER RUNOFF [42] ALARMS [43] MAINTENANCE AGREEMENT [44] BUILDING AREA [45] LOCATION CONFORMS WITH SITE [46] FINAL SITE GRADING f [47] CONTRACTOR ;j_ f v u , 0-, i "',1. [48] OTHER ABANDONMENT [49] TANK PUMPED _ / / [50] TANK CRUSHED & FILLED _ / FT FT FT FT FT FT FT FT FT PLAN CHD )ta o Page 2 of 3 Permit No. eSCJ___ Owner's Name and Address__ Registered Architect and /or Engin Employing Plumber's Name _______ f__�, Location and Legal Description Lot_____ Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. State work to be performed and purpose of building (By Floors ) _ No. — - 3 1. � - - - - - -- Street , / 0 07,4- __ Block____ New Building —_ ___ Remodeling__ __ — _______ Addition Repairs Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 _ (Signed)_ (Signed) G Date 3- I (4,5 24 - o.c d 0 J _-- Street_ 7z2 o _l / V 2 .�� Subdivision / `/ Street_ ' -( 6 No. of Stories Type of Tank--- __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi) a ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennai a Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em yed 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, — work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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 TUB6 U 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. eSCJ___ Owner's Name and Address__ Registered Architect and /or Engin Employing Plumber's Name _______ f__�, Location and Legal Description Lot_____ Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. State work to be performed and purpose of building (By Floors ) _ No. — - 3 1. � - - - - - -- Street , / 0 07,4- __ Block____ New Building —_ ___ Remodeling__ __ — _______ Addition Repairs Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 _ (Signed)_ (Signed) G Date 3- I (4,5 24 - o.c d 0 J _-- Street_ 7z2 o _l / V 2 .�� Subdivision / `/ Street_ ' -( 6 No. of Stories Type of Tank--- __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi) a ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennai a Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em yed 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, — work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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 ROOFING Owner of Building Architect Contractor or Builder Legal Subdi- Description Bl vision t r'./ '':P Value of 1 Amount of - ---- Project $— I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 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 statem nfs or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. f , Address of , Building Lot MIAMI SHORES VILLAGE, FLORIDA o PERMIT N? 3893 0. - Signed• •(t -A sl I ,, . .. a._ . ` -• 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 as cepting this permit it I assume responsibihty,.for all work n . by either, myself, my agent, servant nr employee ' 4` CONTRACT6 OR BUILDER° BY Work to be performed under this Permit DATE Contractor's License No. AUTHORITY ABBOT PRINT 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,_ e No.- – L' Street_,l _ L_yC� Owner's Name and Address _ Registered Architect andTor ngi'neer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I - _'c Employing Plumber's )� ____� y!,�i_�_r _ = _ �_— Location and Legal Description Lot________.___ _ _ — L_________— ______Block_ Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition__ Size Septic Tank _ — __— ______ Type of Tank . __________Capacity Feet of Drain Tile________ ___________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $_ My Commission Expires / ,c Size of Soakage Pit., �� �. (Signed 6 Street Repairs —___ No. of Stories______________ X � _ Subdivision_ - (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 sl of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub-contractors. wor to be Terformed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida ArIFT Master Plumber. STATE OF FLORIDA, 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL - ' CONTR. LIST CHECK 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,_ e No.- – L' Street_,l _ L_yC� Owner's Name and Address _ Registered Architect andTor ngi'neer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I - _'c Employing Plumber's )� ____� y!,�i_�_r _ = _ �_— Location and Legal Description Lot________.___ _ _ — L_________— ______Block_ Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition__ Size Septic Tank _ — __— ______ Type of Tank . __________Capacity Feet of Drain Tile________ ___________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $_ My Commission Expires / ,c Size of Soakage Pit., �� �. (Signed 6 Street Repairs —___ No. of Stories______________ X � _ Subdivision_ - (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 sl of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub-contractors. wor to be Terformed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida ArIFT Master Plumber. STATE OF FLORIDA, 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. 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 Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 1- 7 Contractor License No. - 3 PERMIT N9 3668 Work to be performed under this Permit - � - --- . Architect Contractor p or Builder f'•'�= ' Legal Lot Bl. Description Address of y Building Subdi- vision Value of Project 5 ' r�Cr9i 1 inrn.ls,r,ic . r �, �d Lil i•rt ' u {i(!Qf�F.® to consult your War ProduciiOn ?mid ot!cc before starting the work authorized in this permit. • This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough 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. Signed. r� ��' 3 ' 3I INSPECTOR In consideration of the issuance to me of this permit I agre to„ perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans sawings, statemn�pfs or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for al work done byt4thei. yself, my agent, servant or employeer-- . •,) riftra f� Amt. /. 00 Permit t B 7.t,..� CONTRACTOR OR BUILDER BY AUTHORITY 194 5" /OWNER LOT BLOCK SUBDIVISION Fora Fixtures 4.4' err G '�; �r�:�► Fixtures $ Sewer $ is Tank $ / C2 Total $ Village Plumbing Inspector Received Payment by aiami chores F L O & ID A PLUMBING PERMIT N9 739 0' 4 '- f to i3 t all 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 dfainage work done in Miami Shores Village, Florida. story i / • , building a .3/ / i) / ; s� a Date 1/191X) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address SYY Ne /0 a S T Tax Folio Legal Description Lo! 7 &°Oce' H'44 SMoeirs Sge74o L Owner/Lessee / Tenant it/Av L` ,� Master Permit # Owner's Address / . 3 6 / N /0.2 5 /y /Nj/ � 5,4 4'S Phone (3x5) j 7 - -3/ +'a Contracting Co. (�`J �C.V LEE / /OR E7 Address72 0 SGO 133 - 7 - 5,0_ .YA O t £ F7, 3 33 2 S 1 Qualifier State # d,QCO 9'O Q'/ y Architect/Engineer Bonding Company Mortgagor Permit Type (circle one(BUILDIN % ELECTRICAL WORK DESCRIPTION Municipal # Competency # Address Address Square Ft. a?a? WARNING TO OWNER: YOU MUST RECORD A`NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above-named contractor to do the work Mated. J 1' gnatur L'' f owner and/or C Presiden Date APPROVED: Zoning Buil Mechanical i (�/2 00 tary as to Owne'pe,dielftegeRMRY SEAL e My Commission Expires: GLADYS J VILLAR NOTARY PUBLIC STATE OF FIARIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR 1 ,2002 5- FEES: PERMIT S I ' RADON Historically Designated: Yes No Address C.C.F. /. d NOTARY Estimated Cost (value) / 7 7 v - 0 0 Electrical ss# Pho: ; P5 ') Tar- C'!.7' s Ins. Co. , PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ®7f- ! Gv Signature of Co; ctor or Owner - Builder .1 ,I fi otary as to Contractor or Owner -Buil ` non E. 8 1 G Date My Commission Expires: S.•j�tpN •• �� t� 28 � '•• • �� • X922947 / �499i •••7•' Q■ / � . /9/ 111..1 O 111 y \ �� \ TOTAL DUE /n �✓ Plumbing Structural Engineer Hurricane 5ecurit.q 5huLers Manufac urinq Corporx,ion 240 South West 32 Court Fort Lauderdale, FL 33315 Phone (954) 760 -4440 * Fax (954) 760 -4441 Sincerely, Eli Halava Sectary SHUTTER PRODUCT APPROVAL AUTHORIZATION FORM Building Official Dept. To Whom It May Concern: We are the Miami -Dade County Notice of Acceptance Holder for 20 GA. STEEL STORM PANEL approved under product acceptance No. 00 -02- 01.04. This letter authorizes GARY LEE MOREY to use our 20 GA. STEEL STORM PANEL approved under number 00 -02 -01.04 to be used at the following job. JAY & MARTA WEAVER 344 N.E. 102 STREET MIAMI SHORES, FL HSS Authorz 20 GA STAINLESS.doc 4" r' " "2,. Donna L. Bricker • i = C ommission # CC 887922 - j Expires Dec. 17, 2003 - ' Bonded T ''�'','`' Atlantic Bonding Co., Inc. • r MIAMI -DADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Hurricane Security Shutters Mfg. Corp. 240 SW 32 Court Fort Lauderdale FL 33315 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375-2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305) 372 -6339 20 ga. Galvanized Steel Storm Panels Shutter under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:00- 0201.04 (Revises No.: 97- 1023.02) Expires:08 /14 /2000 Approved: P3 /17/2000 1 of3 Internet mail address: postmaster @buildingcodeonline.com ad BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375-2908 CONTRACTOR LICENSING SECTION (305) 375-2527 FAX (305) 375-2558 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. •rancisco J. Quintana. R.A. Director Miami -Dade County Building Code Compliance Oftict Homepage: http : / /www.buildingcodeonline.com qt. Hurricane Security Shutters NIfg. Corp. ACCEPTANCE No. : 00- 0201.04 APPROVED MAR 1 7 2000 EXPIRES 08/14/ 2000 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. SCOPE This revises the Notice of Acceptance, No. 97- 1023.02, which was issued on March 19, 1998. It approves a 20 gauge galvanized steel storm panels shutter, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami - Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION This 20 gauge galvanized steel storm panels shutter and its components shall be constructed in strict compliance with the following documents: Drawing No. 00 -013, titled "20 ga. Galvanized Steel Storm Panel ", prepared by Knezevich & Associates, Inc., dated January 18, 2000, last revision - 1 dated January 18, 2000, sheets 1 through 6 of 6, bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS All permanent set components, included but not limited to embedded anchor bolts, threaded cones, metal shields, headers and sills, must be protected against corrosion, contamination and damage at all times. 4. INSTALLATION This 20 gauge galvanized steel storm panels shutter and its components shall be installed in strict compliance with the approved drawings. 5. LABELING Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies ofthe following: 6.1.1 This Notice of Acceptance. 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Buildin Code (SFBC) in order to properly evaluate the installation of this system. 1 1-Ielmy A. & fakar, P.E.- Product Control Examiner Product Control Division 2of3 Hurricane Security Shutters i\ifg. Corp. I Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (3) years. 2 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the .Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product,. for sales, advertising or any other purposes. 6. The Notice of Acceptance numberpreceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The engineer needs not reseal the copies. .S. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages I, 2 and this last page 3. END OF THIS ACCEPTANCE ACCEPTANCE No.: 00- 0201.04 • APPROVED MAR 1 7 2000 EXPIRES 08/14/ 2000 Helmy A. Iakar, P.E. - Product Control Examiner Product Control Division 3 of 3 OWNER: WEAVER ADDRESS: 344 NE 102 ST. MIAMI SHORES, FL 33138 LOT: 7 BLOCK 38 MIAMI SHORES SEC. I PHONE: (305)757 -3142 CONTRACTOR: GARY LEE MOREY PHONE: (954)472 -6873 PURPOSE: INSTALL NEW STORM PANELS OVER 8 OPENINGS. DECK LOCATIONS 1 THRU 8 L -aN Ron /(/ f/ / NORTH FRONT DOORS COVERED ENTRANCE UP n l CHIMNEY u»