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375 NE 102 St (7)/ .3.111 / .\,() i t) ; \o 0 A c / P : omments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 2=06 -485 Inspection Date: 0511012006 Inspector: Levrack, James Owner: ATEN, ONA Job Address: 375 102 Street NE Project: <NONE> Contractor: / -�; ATEWIDE SEPTIC CONNECTIONS Buildirf'Q De . a Miami Shores Village, FL 33138 -2304 Tuesday, May 9, 2006 Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number Parcel Number 1132060135100 Lot: Phone: 305 -661 -6633 Page 1 of 2 5 Oi ‘ Inspector omments / Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number lI 1072 Inspection Date: 05/1012006 Inspector: Levrack, James Owner: ATEN, ONA Job Address: 375 102 Street NE Project: <NONE> Miami Shores Village, FL 33138 -2304 Contractor: STATEWIDE SEPTIC CONNECTIONS Building Department Comments Tuesday, May 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: perm Number 'PL2- 06=485 Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Drainfield Phone Number Parcel Number 1132060135100 Lot: Phone: 305 - 661 -6633 Page 2 of 2 APPLICANT: AGENT: PROPERTY ADDRESS LOTS �. CONSTRUCT! FINAL SYST STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DI CONSTRUCTION INSPECTION AND FINAL APPROVAL J • BLOCK 3 7 SUBDIVISION• 71 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION [01] TANK SIZE [1] 90 [2] [02] TANK MATERIAL [03] OUTLET DEVICE [04] MULTI - CHAMBERED [Y N ] [05] OUTLET FILTER ..5 /�/- [06] LEGENDA' d'" [07] WATERTIGHT [08] LEVEL [09] DEPTH TO LID DRAINFIELD INSTALLATION [10] AREA [1] J S X 2121 3O G' SOFT [11] DISTRIBUTION BOX HEADER [12] NUMBER OF DRAINLINES r [13] DRAINLINE SEPARATION 34 y [14] DRAINLINE SLOPE [15] DEPTH OF COVER [16] ELEVATION [ABO [17] 'SYSTEM LOCATION [18] DOSING PUMPS [19] AGGREGATE SIZIZt *. [20] AGGREGATE EXCESSIVE FINES [21] AGGREGATE DEPTH 42 FILL / EXCAVATION MATERIAL [22] FILL AMOUNT [23] FILL TEXTURE [24] EXCAVATION DEPTH [25] AREA REPLACED [26] REPLACEMENT MATERIAL EXPLANATION OF VIOLATIONS / REMARKS: [ [ 1 [ ] [ 1 [APPROVED /DIS PPROVED]• � -�^'� O Q /DISAPPROVED] DH 4016 (Page 2), 10/97 (Previous Editions May Be Used) Stock Number: 5744- 002- 4016 -4 07—g ;sr, — BM 5 / OSAL SYSTEM 0645 PERMIT NOCk- 5 DATE PAID -2 FEE PAID Jam- RECEIPT #• PROPERTY ID #• SETBACKS [27] SURFACE WATER FT [28] DITCHES FT [29] PRIVATE WELLS FT [30] PUBLIC WELLS FT [31] IRRIGATION WELLS FT [32] POTABLE WATER LINES /a FT [33] BUILDING FOUNDATION FT [34] PROPERTY LINES _3 FT [35] OTHER FT FILLED / MOUND SYSTEM [36] DRAINFIELD COVER [37] SHOULDERS [38] SLOPES [39] STABILIZATION ADDITIONAL INFORMATION [40] UNOBSTRUCTED AREA [41] STORMWATER RUNOFF [42] ALARMS [43] MAINTENANCE AGREEMENT [44] BUILDING AREA [45] LOCATION CONFORMS WITH SITE PLAN [46] FINAL SITE GRADI [47] CONTRACTOR GC/4.e [48] OTHER ABANDONMENT � ,, / [49] TANK PUMPED _1/ -2//ro [50] TANK CRUSHED & FILLED CHD DATE 7- \ r /✓ Q CHD DATE ~ Page 2 of 3 PT 1: Applicant PT 2: Installer /Contractor PT 3: Building Department PT 4: Health Department Mcssa e . 3 '•� � 3�1 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (30 ;' 04 Fax: (305) 756.8972 Permit Type (circle): Building Elect ical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) QY10. Phone # Owner's Address 3'1S NE ■o2 Sf City NkShOreS State 'FL— Zip 3 i 38 Tenant/Lessee Name Phone # Job Address (where the work is being done) 31'S / G I c) CI-SEE-7 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name StkTt t 0E S VT G CI- Phone # C 30 GC, i -66 33 Contractor's Address '659.0 S- ST 'P-D 1 26 City t pa �- State W- Zip ,53az.- Qualifier l T.ES Pt & Z L cil• -t , State Certificate or Registration No. Si-b 1 1 2G 2. Architect /Engineer's Name (if applicable) j y $ Value of Work For this Permit Type of Work: ❑Addition ['Alteration New X Repair /Replace ❑ Demolition Describe Work: Total Fee Now Due $ (Continued on opposite side) ster Permit No. Certificate of Competency No. Phone # Permit No. --�� Square Footage Of Work: W b 'Z1 N F( e * * ****************************F * ** * ** Submittal Fee $401 . BOPermit Fee $ 1 00 CCF $ • SO CO/CC CO Notary $5 , Training /Education Fee $ 0 • EDO Technology Fee $ 4 .40 Scanning $3 - Radon $ Zoning Bond $ SOO . CO Code Enforcement $ Structural Plan Review. $ 4-3a go t✓ 4 o FEB 27PAID r_. Bonding Company's Name (if applicable) ‹ Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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. Signature %> Signatu Owner or Agent ', PP The foregoing instrument was acknowledged before me this '2-4' The foregoing instrument was acknowledged before me this day of ¶ . t7 , 20 06, by D V\A , day of , 20 , by who is personally known to me or who has produced 1'i'rvv, who is personally known to me or who has produced U C NOTARY P BLIC: NOTARY PUBLIC: Sign: C Sign: Print: re.../re.. SC, &O(0 O.- Print: chc 05/13/03 My Commission Exp As identification and who did take an oath. State Zip Contractor as identification and who did take an oath. 1 TERESAI.g * * * * * * * * * * * * * * * ** *t�, * **yy> * * *g *►4° ** * * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** � 1/f It L'Xpl rS1 ON # DD25U137 t• "^ HES: ce p t embe 1, 2007 0 . 0 ' 1 �rAHY �Not aryDf acou 6ntq�oc. r, i APPLICATION APPROVED BY: ` �, / ` ` � ✓/ , My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** e l Plans Examiner Engineer Zoning CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ X ]Repair [ ]Abandonment [ ]Temporary [ NA ] APPLICANT: Aten, Ona AGENT: SA0021074, Solomon PROPERTY STREET ADDRESS: 375 NE 102 St Miami Shores FL 33138 LOT: 22 BLOCK: 37 SUBDIVISION: Miami Shores Sec 1 A [Section /Township /Range /Parcel No.] PROPERTY ID #: 11 - 3206 - 013 - 5100 [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 [ A [ N [ K [ D [ R [ A I- N F I E L D 900 ]Gallons SEPTIC TANK O ]Gallons O ]GALLONS GREASE INTERCEPTOR CAPACITY O ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM O ]SQUARE FEET SYSTEM TYPE SYSTEM: [ y ]STANDARD [ N ]FILLED CONFIGURATION: ( N •)TRENCH [ '>1 ]BED LOCATION TO BENCHMARK: F.F.E.: 13.9' NGVD ELEVATION OF PROPOSED SYSTEM SITE ( 2.4 ] BOTTOM OF DRAINFIELD TO BE [ 4.9 ] FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: OTHER REMARKS: 1.- Install 300 sf of drainfield in bed configuration. 2.- Existing 900 gal. septic tank, certified by "Statewide Septic Connections 02/24/2006" to remain. 3.- Invert elevation of drainfield to be no less than 9.50' NGVD. 4.- Bottom of drainfield elevation to be no less than 9.00' NGVD. THIS PERMIT IS NOT FOR "ADDITTON(s) ". APPROVED BY: Andm STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT' DATE ISSUED: 2/27/06 [ FEET [ FEET TITLE: Professional Engin CENTRAX #: 13 - - 28131 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 06 - 0574 - - [ ] Innovative Other ' Teresa MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] @ [ 0 ] DOSES PER 24 HRS # PUMPS[ 0 j [ N ]MOUND [ N ] [ N ] ] [ BELOWJBENCHMARK /REFERENCE POINT ] [ BELOW]BENCHMARK /REFERENCE POINT [ 30.0 ] INCHES Inc. on SPECIFICATIONS BY: Andre, Pa 1, TITLE: Dade CHD EXPIRATION DATE: 5/28/06 cale: Each block represents 5 feet and 1; inch = 50 feet. STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number (JL� to Plan submitt an Approved f otes: a - k X72 fit b PART I1 - SITE PLAN Signature Not Approved N Sj 3"D r3ef clvo‘h -Plc) o 4 ( \Ni t^ 3 ALL CHANGES ST BE PPROVED BY THE COUNTY HEALTH DEPARTMENT ( 4 4 f L• l/ Title Date County Health Department Issue Date: 3/1/2006 Owner's Name: ONA ATEN Permit Type: Plumbing - Residential Work Classification: Drainfield Job Address: 375 102 Street NE Contractor(s) Phone STATEWIDE SEPTIC CONNECTION 305 - 661 -6633 Primary Contractor Yes Comments: INSTALL NEW DRAINFIELD Additional Information Miami Shores Village, FL 33138 -2304 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/28/2007 Type of Work: DRAINFIELD Additional Info: 300 SQ FT Classification: Residential Type of Piping: Bond Return : In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Bond Type - Contractors Bond CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $300.00 $1.80 $0.60 $5.00 $175.00 $3.00 $4.40 $489.80 Building Department File Copy Applicant Signature Parcel #: Block: Section: Lot: PB: Total Square Feet: Total Valuation: Required Inspections Permit Status: APPROVED Permit Number: PL- 2- 06-485 Phone: 1132060135100 300 $ 2,300.00 Rough Landscaping Final Invoice Number PL - 2 - 06 - 23944 Total: MAR 01. PAID Amt Due $489.80 Amt Paid $489.80 $489.80 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 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. //�� —_ - - -_ No.�_ — ___ _,_— Street Owner's Name and Addressl'!� • __���.1�� Q? -_ --- -- 37.7 L ©2- .. - - Registered Architect and /or Engineer Employing Plumber's Name gt ' 1 �!�! E� R t (e_tL6 - - - - -- No.__ /1.93 N C4) Location and Legal Description Lot. Blodr Subdivision_. - _,________.___ __ Street and Number where work is to be performed—No ' og A-43 o VC S4reett _ — State work to be performed and purpose of building (By Floors)_______ _ �-/Qi c 4_ _,414.'w_ New Building_- _-- ____ -- - -- Remodeling - -_ ____ Addition__ -_ Repairs No. of Stories. ... .... ..._ Size Septic Tank___ __ — _ - _-- - Feet of Drain Tile________ Nature of Water Supp � DO Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin ent Supplement, and has com- plier 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 , - der this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. _ - _ -- --- .__ - __- - Type of Tank _ __ —Dist. Feet of Tank or Drain Field from Well Well._---- _--------- _ - - - -- -- - .... _ _______Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals. (Sed)- L.er / Y` (Signed) 'r.1 /f Date___ . 71 Notary Public, State of Florida Master Plumber. Plumbing Inspect r. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp: ` •n or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS OWERS LAVA- TORIES INKS SINKS SLOP SINKS LAUNDRY TUe6 U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP � SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK EE EE - - - -- 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. //�� —_ - - -_ No.�_ — ___ _,_— Street Owner's Name and Addressl'!� • __���.1�� Q? -_ --- -- 37.7 L ©2- .. - - Registered Architect and /or Engineer Employing Plumber's Name gt ' 1 �!�! E� R t (e_tL6 - - - - -- No.__ /1.93 N C4) Location and Legal Description Lot. Blodr Subdivision_. - _,________.___ __ Street and Number where work is to be performed—No ' og A-43 o VC S4reett _ — State work to be performed and purpose of building (By Floors)_______ _ �-/Qi c 4_ _,414.'w_ New Building_- _-- ____ -- - -- Remodeling - -_ ____ Addition__ -_ Repairs No. of Stories. ... .... ..._ Size Septic Tank___ __ — _ - _-- - Feet of Drain Tile________ Nature of Water Supp � DO Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin ent Supplement, and has com- plier 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 , - der this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. _ - _ -- --- .__ - __- - Type of Tank _ __ —Dist. Feet of Tank or Drain Field from Well Well._---- _--------- _ - - - -- -- - .... _ _______Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals. (Sed)- L.er / Y` (Signed) 'r.1 /f Date___ . 71 Notary Public, State of Florida Master Plumber. Plumbing Inspect r. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp: ` •n or faulty materials and /or workmanship. Permit No 1 ©C° o App)ication 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. John S. Carroll In Owners Name and Address _- ------- _---- •- .---- - - -- -_ -- --- --__ -- No. _______---_ - _ Street. Registered Architect and /or Engineer _______ Sprinkler Co. _ _ _ 880 NW 54th St. Employing Plumber's Name __ —___ _ _ ____ -___._ No.. Street_ Location and Legal Description Lot__ Block_ Subdivision ...... ____ ........... Street and Number where work is to be performed —No 3 7.5 i. .St reet 102nd St. State work to be performed and purpose of building (By Floors)- -___ - ---- - - - -_ - - _ - -- N Remodeling __ _._____ Addition Repairs No. of Stories of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ Date 12/5/6 0 Size Septic Tank Type of Tank Feet of Drain ................. _____Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._ ____ 2 " we ll _ Size of Soakage Pit Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor der the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has com- pel ;d 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 penult, as are licensed by Miami Shores Village. STATE OF FLORIDA, t 88, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon' oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts • therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary . by improper notice for inspection, or faulty materials and /or workmanship CC.t:sB:TS I BATH Tt,BS SHOWERS LAVA. TORT es SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DR INK I NO FOUNT' N5 TOTAL FIXTURES CoNTr.. LIST CHOCK 1 ��—, SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONRR. LIST - CHECK X Permit No 1 ©C° o App)ication 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. John S. Carroll In Owners Name and Address _- ------- _---- •- .---- - - -- -_ -- --- --__ -- No. _______---_ - _ Street. Registered Architect and /or Engineer _______ Sprinkler Co. _ _ _ 880 NW 54th St. Employing Plumber's Name __ —___ _ _ ____ -___._ No.. Street_ Location and Legal Description Lot__ Block_ Subdivision ...... ____ ........... Street and Number where work is to be performed —No 3 7.5 i. .St reet 102nd St. State work to be performed and purpose of building (By Floors)- -___ - ---- - - - -_ - - _ - -- N Remodeling __ _._____ Addition Repairs No. of Stories of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ Date 12/5/6 0 Size Septic Tank Type of Tank Feet of Drain ................. _____Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._ ____ 2 " we ll _ Size of Soakage Pit Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor der the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has com- pel ;d 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 penult, as are licensed by Miami Shores Village. STATE OF FLORIDA, t 88, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon' oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts • therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary . by improper notice for inspection, or faulty materials and /or workmanship A/ad: 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. Owner's Naine and Address 1� Registered Architect and /o ngineer Employing Plumber's Name 9 : i� ; � _ Street_- _- - - -_ - _ - - -- -- _ Location and Legal Description Lot__ y _ _ Block Subdivision Street and Number where work is to be performed -No 2 ! 45- -&-*---/-- 42 Street State work to be performed and purpose of building (By Floors) New Building _- ._.... _ _._.. Remodeling______ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Addition-- •-- ---- .__.__.- - --_ -- Repairs Date__ f/(,s Street No. of Stories Size Septic Tank 7? - -- -Type of Tank_ Capacity Gals. Feet of Drain Tile 4 • t. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ ______Size of Soakage Pit Amount of Permit $ (Signed) robing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Su lement, 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)_ 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 be 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 d Master Plumber. NOTE: A re- inspection fee of $L00 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 URIN CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NB TOTAL FIXTURES CONTR. LIST CHECK J SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CON. TR LIST — CHECK A/ad: 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. Owner's Naine and Address 1� Registered Architect and /o ngineer Employing Plumber's Name 9 : i� ; � _ Street_- _- - - -_ - _ - - -- -- _ Location and Legal Description Lot__ y _ _ Block Subdivision Street and Number where work is to be performed -No 2 ! 45- -&-*---/-- 42 Street State work to be performed and purpose of building (By Floors) New Building _- ._.... _ _._.. Remodeling______ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Addition-- •-- ---- .__.__.- - --_ -- Repairs Date__ f/(,s Street No. of Stories Size Septic Tank 7? - -- -Type of Tank_ Capacity Gals. Feet of Drain Tile 4 • t. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ ______Size of Soakage Pit Amount of Permit $ (Signed) robing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Su lement, 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)_ 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 be 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 d Master Plumber. NOTE: A re- inspection fee of $L00 will be made when such re- inspection is made .necessary by improper notice for inspection, or faulty materials and/or workmanship. 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. Owner's Name and Address a. 1 _ _____ Registered Architect and /or Engineer___ _ Employing Plumber's Name 17.1.W Location and Legal Description Lot______________________ _ ___— Bl _ ,- Subdivision----- ,-- -__.-- •-- ---- --__ -- _ Street and Number where work is to be performed—No. _ 2 /e *! 'r /4. street State work to be performed and purpose of building (By Floors) _______ New Building ___ Remodeling___ _________ Addition Repairs No. of Stories. _ Size Septic Tank Feet of Drain Tile _____ __._ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Tyne of'T No._Z -- _ Street_..! _S ?_.._!o Street_ e oT Tank or Drain Field from Well Date - Capacity Gals. Nature of Water Supply: City — Well.__ ____________________ _ Size of Soakage Pit (Signed) ieiley 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 ) - -di e= Zi�'-!I-31�C 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 worlmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS 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 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. Owner's Name and Address a. 1 _ _____ Registered Architect and /or Engineer___ _ Employing Plumber's Name 17.1.W Location and Legal Description Lot______________________ _ ___— Bl _ ,- Subdivision----- ,-- -__.-- •-- ---- --__ -- _ Street and Number where work is to be performed—No. _ 2 /e *! 'r /4. street State work to be performed and purpose of building (By Floors) _______ New Building ___ Remodeling___ _________ Addition Repairs No. of Stories. _ Size Septic Tank Feet of Drain Tile _____ __._ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Tyne of'T No._Z -- _ Street_..! _S ?_.._!o Street_ e oT Tank or Drain Field from Well Date - Capacity Gals. Nature of Water Supply: City — Well.__ ____________________ _ Size of Soakage Pit (Signed) ieiley 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 ) - -di e= Zi�'-!I-31�C 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 worlmanship.