DRAINFIELD & SEPTIC TANK PERMITSPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Job Address 801 NE 100 STREET, MIAMI SHORES Tax Folio � 0 /1/S/
Legal Description Master Permit #
Owner / Lessee / Tenant
Owner's Address
Contracting Co. NORTH DADE SEPTIC TANK Address 800 NW 111 STREET, MIAMI 33168
Qualifier DENNIS NEVILLE SS# phone 754 -3375
State# 00- 0258368 Competency# 12842 Ins. Co. MARYLAND CASUALTY
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION INSTALL DRAINFIELD
Square Ft. 200 SQ FT Estimated Cost $850.00
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. 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 authoriz y the above -named contractor to th. work st
Sig ature of Owner and /or Condo President
Date:
PERMIT FEE:
801 NE 100 STREET
(OWNER TO RETAIN COPY)
PCM ROBERT HAAS -AGENT
Nota s to Own a n Lor Condo d E p;T.7: eht, c'
ICi s T /ATEAF FLORIDA AT LARGE M
My Commission Ex�lires MY COMMISSION EXPIRES -JNE 19, 1 S y
* * * *EONDED TI*U HUCKLEE 2RY & A'SS6tIATTS
N
tart'
0
APPROVED:
Zoning Building
Mechanical Plumbing
phone
Fire Other
Electrical
Engineering
542 -8151
or or Owner- Builder
as to Co r" tor or Owner - -Bui de
i s s i o p i re s NOTARY PUBLIC: SiAi! or noRIDA AT LARGE
* * MY COMMISSION EXP11E3 ow 19, 1995
tONDRD Mau mucKulinv JL- AS*)CIATPS
1.==€
Permit I•Ici.
Owner's Name and Address.
Amount of Permit $ __________
STATE OF FLORIDA, 1
as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
February 7, 1969
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildng 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 thl 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.
Village of Miami Shores 801 No. N.E. 100 Street
— Street_ •
Registered Architect and/or Engineer . .
Employing Plumber's Name An uric Tfl SERVTG.E No.312111..w.. Street__ Stith St
Location and Legal Description Lot__ ___
Street and Number where work is to be performed—No Sta
State work to be performed and purpose of building (By Floors).
New Building Remodeling Addition__ ___ _ Repair&
7 A
Size Septic Tank._ _Type of Tank
Feet of Drain ______________ Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. . Size of Soakage Pit.
(Signed) ‘,.....5)
Plumbing Inpecto;
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent Supplement, and Las 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
perfonned under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or nolces as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perfo: fled under this per nit, as are
licensed by Miami Shores Village.
( Signed
Subdivision.
Capacity Gals.. _
_ No. of Stories _ _ .
Aid
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all •acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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 worlcmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
S
SLOP
SINKS
• • •
LAUNDRY
TUBS
URINALS
CATCH'
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' N5
TOTAL
F,XTURES
CONTR.
LIST
CHECK
---
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M • G
POOL
CONTR.
LIST
--
CHECK
1.==€
Permit I•Ici.
Owner's Name and Address.
Amount of Permit $ __________
STATE OF FLORIDA, 1
as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
February 7, 1969
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildng 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 thl 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.
Village of Miami Shores 801 No. N.E. 100 Street
— Street_ •
Registered Architect and/or Engineer . .
Employing Plumber's Name An uric Tfl SERVTG.E No.312111..w.. Street__ Stith St
Location and Legal Description Lot__ ___
Street and Number where work is to be performed—No Sta
State work to be performed and purpose of building (By Floors).
New Building Remodeling Addition__ ___ _ Repair&
7 A
Size Septic Tank._ _Type of Tank
Feet of Drain ______________ Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. . Size of Soakage Pit.
(Signed) ‘,.....5)
Plumbing Inpecto;
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent Supplement, and Las 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
perfonned under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or nolces as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perfo: fled under this per nit, as are
licensed by Miami Shores Village.
( Signed
Subdivision.
Capacity Gals.. _
_ No. of Stories _ _ .
Aid
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all •acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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 worlcmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILD
MIAMI SHORES VILLAGE, FLORIDA
0 DATE ° / (V AJ 9
° PERMIT N9 6 217 Contractors
License No.
i li3 2 ,
B1
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amount of
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 statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed ° INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordfnces 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 ac.
cepting this permit I assume responsibility for all work done by either, myself, my ag rvant or employee.
BY , � AUTHORITY A. /OT
Permit No.___ �i 7 _ �
New Building .___ —__ Remodeling
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__SL
STATE OF FLORIDA, }
COUNTY OF DADE.
Location and Legal Description Lot �y�j
Street and Number where work is to be performed —No Q 1[_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Eng' ee ________ _—
^
Employing Plumber's Name-__ - __LAV dr✓` - _ ` o,_ Street_- _ - _ - __ -- --- ---- -- --- - --
I Block Subdivision
!Li Street
State work to be performed and purpose of building (By Floors ) _
Addition._._.__:_.__ Repairs No. of Stories.
Size Septic Tank -- - - -- - - ype of Tank.
Feet of Drain Tile %i��� - - a st eet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____ -_____ ..... _____________ ..... __________Size of Soakage Pit
Amount of Permit $ (Signed)
Capacity Gals.
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).
Date.- -- ---- --- -•---- -- -•---- - -- -• - •- - -•--
— Street_ -_
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
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
$LOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
Comm
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CoNTR.
LIST
CHECK
Permit No.___ �i 7 _ �
New Building .___ —__ Remodeling
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__SL
STATE OF FLORIDA, }
COUNTY OF DADE.
Location and Legal Description Lot �y�j
Street and Number where work is to be performed —No Q 1[_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Eng' ee ________ _—
^
Employing Plumber's Name-__ - __LAV dr✓` - _ ` o,_ Street_- _ - _ - __ -- --- ---- -- --- - --
I Block Subdivision
!Li Street
State work to be performed and purpose of building (By Floors ) _
Addition._._.__:_.__ Repairs No. of Stories.
Size Septic Tank -- - - -- - - ype of Tank.
Feet of Drain Tile %i��� - - a st eet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____ -_____ ..... _____________ ..... __________Size of Soakage Pit
Amount of Permit $ (Signed)
Capacity Gals.
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).
Date.- -- ---- --- -•---- -- -•---- - -- -• - •- - -•--
— Street_ -_
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
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.
CLOT {BTk:
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'
CON : R.
LIST
-
-
-
CHECK
'
r
Peiimit N o 1 t .. Date 1/9/60
• 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___ Miami Shores Country Club, Maintmiance Sho
Street...
Registered Architect and /or Engineer _
.Employing Plumber's Name Rose Septic Unt • _ • No. 2552 Street._ W'_ 3 Ave.,Hialeah
Location and. Legal Description Lot-.._ _._______.+:..___.___._.__.____ _ _ Block_ • Subdivision ....... ____ .................
Street and Number where work is to be performed —No._1 � _ ._ Streqt
State work to .be performed and purpose. of building (By Floors) _... \ _.. _��: [s
``� Biscayne Blvd.
New Building • • Remodeling Addition Repairs No. of Stories ..................... . . .. •
Size Septic Tank ______ Type of . Tank_ Precast
Feet of Drain TIIe____321 Blk. Dr. __ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well. - -- ......... _______Size of Soakage Pit
Amount of Permit
MIAMI SHORES . VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
Capacity Gals
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his . • gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per - ent Supplement, and has corn -
plied with the provisions thereof, and will require similar compliance from all contractors or. sub-contractors nployed 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 s ch 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.
STATE OF FLORIDA,
COUNTY OF DADE.
NOTE: A re- inspection fee of $L00 will be made when such re- inspecti
materials and /or workmanship.
700 Gal.
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
made necessary. by improper notice for inspection, or faulty