PLUMBING PERMIT�--
CLOSETS
TUBS
TUBS
SHOWERS
TORIES
SIN"
SLOP
SINKS
LAUNDRY
TB
URINALS
CATCH
BASIN
B
FLOOR
DRAIN
NO
FOUNT'
FOUNT'N8
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHICK
-
Perreit No. - - -- / Z
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 No.__.__ -- ___ -__ Street. A E. 7f fr
Registered Architect and /or Engineer.____ __ _�..
Employing Plumber's Name 4/c90 a` ___ _�_EI°_L���!�4. No._.____________ __________ Street__
Location and Legal Description Lot ---__.__..___-_-_-_-_-__-_-_
Street and Number where work is to be performed —No _.0. .
State work to be performed and purpose of building (By Floors)__. ` l ".__ _v. a .
New Building
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City— Well.- __- ___________.. ... _.___.____Size of Soakage Pit
Amount of Permit $
-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
S Subdivision
h
1 I Street C Z ' . s� - -....... -......
...._ — - -
Remodeling_._ __ ___ Addition_.______.___.___ __..._ Repairs No. of Stories
Type of Tank_
__Dist. Feet of Tank or Drain Field from Well
(Signed)
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli_at dns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinan 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 !_ L
Master Plumber.
STATE OF FLORIDA, !
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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.
ELECTRICAL
PLUMBING
The following is rhea
Inspector s Report:
REQUEST
•
r Inspectton
4
WORK
DONE BY:
F
-. 4 A
•■■■
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__
Registered Architect and /or E
Employing Plumber's Name
New Building.
Amount of Permit $—_
STATE OF FLORIDA, }
COUNTY OF DADE.
Location and Legal Description Lot__
Street and Number where work is to be performed —No
Remodeling
Size Septic Tank_
Feet of Drain Tile__
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N o . Aiktn—tire
State work to be performed and purpose of building (By Floors)____
Date
N O __ - - / >3 4. Street_S
lock_ S ,
Street_ -_t / j t L
Addition__ _____ Repairs No. of Stories.
Type of Tank_
st. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Capacity Gals
(Shed) -- = ) .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e Foyer 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.
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
Plumbing y pector.
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
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__
Registered Architect and /or E
Employing Plumber's Name
New Building.
Amount of Permit $—_
STATE OF FLORIDA, }
COUNTY OF DADE.
Location and Legal Description Lot__
Street and Number where work is to be performed —No
Remodeling
Size Septic Tank_
Feet of Drain Tile__
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N o . Aiktn—tire
State work to be performed and purpose of building (By Floors)____
Date
N O __ - - / >3 4. Street_S
lock_ S ,
Street_ -_t / j t L
Addition__ _____ Repairs No. of Stories.
Type of Tank_
st. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Capacity Gals
(Shed) -- = ) .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e Foyer 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.
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
Plumbing y pector.
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No X 4 9 ( Date . -• ` 1 - •- • -- ..--. -•_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stricture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
% Owner's Name and Address
Registered Architect and /or Engineer
Ev1 Land Plu s Nior�niq�„..
` Loca�t3" and De�scf!IptiO Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) 42 — I ._.. - - -- -- ••- -•• - -_
New Building- - - - - -- — - •-- ........_._.. Remodeling__ ___.. -_ Addition.. _ Repairs No. of Stories
Amount of Permit $
e nv
wk
No
tt,4
Street
Subdivision
Size Septic Tank_. Type of Tank_
Feet of Drain Tile Dist Feet of Tank or Drain Field from Well...--__- -- ______
Nature of Water Supply: City —We1L Size of Soakage Pit
Street .( qt $. .
(Signed)- - — - - .. ing In s, or.
Plumbing Insp
(Signed)
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 hry awn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b
performed under this permit; and will post or cause to be posted for inspection oo the site of the work such public notice or notices as ar►
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.
Muter Plumber.
STATE OF FLORIDA, 1 so.
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be Banda wham snob m sspswfos r ineda•aaoassnrr by Improper notice for lespection, es faulty
materials and/or worl®anship.
CLOSETS
BATH
TUBS
a
LAVA•
TORIES
III".
SLOP
SINKS
LAUNDRY
Tuve
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
F17TUR[S
Comm.
LIST
CHECK
._
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
0
TRAP
SOLAR
, HEATER
DEEP
WELL
SPRKLR .
SYSTEM
SIM'0
W
POOL
Comm.
LIFT
.--
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No X 4 9 ( Date . -• ` 1 - •- • -- ..--. -•_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stricture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
% Owner's Name and Address
Registered Architect and /or Engineer
Ev1 Land Plu s Nior�niq�„..
` Loca�t3" and De�scf!IptiO Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) 42 — I ._.. - - -- -- ••- -•• - -_
New Building- - - - - -- — - •-- ........_._.. Remodeling__ ___.. -_ Addition.. _ Repairs No. of Stories
Amount of Permit $
e nv
wk
No
tt,4
Street
Subdivision
Size Septic Tank_. Type of Tank_
Feet of Drain Tile Dist Feet of Tank or Drain Field from Well...--__- -- ______
Nature of Water Supply: City —We1L Size of Soakage Pit
Street .( qt $. .
(Signed)- - — - - .. ing In s, or.
Plumbing Insp
(Signed)
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 hry awn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b
performed under this permit; and will post or cause to be posted for inspection oo the site of the work such public notice or notices as ar►
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.
Muter Plumber.
STATE OF FLORIDA, 1 so.
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be Banda wham snob m sspswfos r ineda•aaoassnrr by Improper notice for lespection, es faulty
materials and/or worl®anship.
Owners Address
Contracting Co.
1 EES: PERMIT RADON
Job Address j t ( N L
Date
Legal Description
Owner/Lessee / Tenant
+ pip► &e)
lZ -/ -9s
ture of and/or eondo President Date
Notary as to Owner and/or Condo P esident Date
My Commission Expires:
1 01Y P06 OFFICIAL. NOTARY SEAL
O z � <� JOAN ANNE NUGENT
4. f * COMMISSION NUMBER
4"`111', 4 CC412171
7l E Q MY COMMISSION EXP.
e. MY
FAO • CT. 5 1998
APPROVED:
Zoning Building
Mechanical Plumb 01
Tax Folio
Notary
My Co
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Historically Designated: Yes
Pet --LCQ e j t..) d
No Jt
(
Master Permit # 7 C'S 7 9 e
/v 9/
pfo of T O PL u M ig io
Qualifier 4 12.! R ►J i /Fol-
State # e FC o .5'S ' 7S Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
SS# Phone
Permit Type (circle one): BUILDING ELECTRIC LUMBING�MECHANICAL ROOFING PAVING
WORK DESCRIPTION f I ,v sr k L L i L C C T 2' c' ,
Phone
Address i 2-13 S /06
Square Ft. Estimated Cost (value) 7
W)9-T II ZA - <f R
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all worwill be done in co hen with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named ontractor to theork stated.
Sign lure of Contractor or er- Builder
0. '__ . MY COMMISSION ,CC 278595
y EXPIRES: April 14, 1997
"P Banded Pun Notary Public Underwriters
Electrical
/1 ill A)- mlfivvi
Ins. co./ J S - /; p1,577eJES
FENCE SIGN
l
Date
C.C.F. NOTARY ■.> • TOTAL DUE
ate
J
Engineering
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owners Name and Address .4./.. No No J4/7
V /
Registered Architect and/or Engineer � '�'�
/� , �.- . e ice c/ 9 le 1' Na �� ��„
Employing Plumber's Nano ,/,�.� O ��
Location and Legal Description Lot. Block 2
Street and Number where work is to be performed —No 2111 A /I --Street..
ors _
State work to be performed and purpose of building (By Flom) _ .__ _.. t.,.� - • •• ......._...
New Building- -_..._ __•-- -. - - -- - - - - -.. Remodeling____.. —__ Addition..
Repair
101D r7rei „ A) 47
Date..._..Z
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 compllance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and au 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.
Street..._..
!�/ e
No. of Stories ...../....
Size Septic Tank —
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit 3
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 Worlaneo s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent 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 u are
required by the Act. The undersigned agrees to employ only such sub- contra performed under this gnnit, as are
licensed by Miami Shores Village.
_Type of Tank_—_ _ _.__..---- .- •--- •---- .-- Capacity GaL..._..._...__ _.�.._ __.._
—Dist. Feet of Tank or Drain Field from
Size of Soakage Pit
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclasowledgments, personally appeared
to me well known, and who, being by me fiat duly sworn, upon oath deposes and says that he is the ...__.._ .. _ ....- - -... —. _..
of the above described construction, that he has carefully read the foregoing appUatku, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires ?henry Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be scads wham sneh slrlmapeedom ie •de se. Pry by hupopsr antic* for Inspsctoo , er faulty
materials and/or workmanship.
CLO$ET[
BATH
Tulsa
aN Ra
LA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tune
UR
CATCH
•A[IN
FLOOR
DRAIN
DRINKING
IOUNT'N[
TOTAL
FIXTURE[
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CON..
DRAIN
IIILD
SOAKAOI
PIT
G
TRAP
SOLAR
HEATER
DRIP
WELL
SPRKLR.
$Y[TIM
SW IM•O
POOL
COHTR.
LIST
I
CHICK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owners Name and Address .4./.. No No J4/7
V /
Registered Architect and/or Engineer � '�'�
/� , �.- . e ice c/ 9 le 1' Na �� ��„
Employing Plumber's Nano ,/,�.� O ��
Location and Legal Description Lot. Block 2
Street and Number where work is to be performed —No 2111 A /I --Street..
ors _
State work to be performed and purpose of building (By Flom) _ .__ _.. t.,.� - • •• ......._...
New Building- -_..._ __•-- -. - - -- - - - - -.. Remodeling____.. —__ Addition..
Repair
101D r7rei „ A) 47
Date..._..Z
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 compllance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and au 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.
Street..._..
!�/ e
No. of Stories ...../....
Size Septic Tank —
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit 3
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 Worlaneo s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent 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 u are
required by the Act. The undersigned agrees to employ only such sub- contra performed under this gnnit, as are
licensed by Miami Shores Village.
_Type of Tank_—_ _ _.__..---- .- •--- •---- .-- Capacity GaL..._..._...__ _.�.._ __.._
—Dist. Feet of Tank or Drain Field from
Size of Soakage Pit
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclasowledgments, personally appeared
to me well known, and who, being by me fiat duly sworn, upon oath deposes and says that he is the ...__.._ .. _ ....- - -... —. _..
of the above described construction, that he has carefully read the foregoing appUatku, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires ?henry Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be scads wham sneh slrlmapeedom ie •de se. Pry by hupopsr antic* for Inspsctoo , er faulty
materials and/or workmanship.
NATIONWIDE - /
POWER
CORPORATION „ AD r
SOLAR SURVEY and ,INSTALL R INFORMATION
SURVEY FOR• 1 69 - 6 / ZZ i l /VQ
ADDRESS: 5 ��/ �. - PHONE #s{OME
SS. � � St-CCOUNTY. WORK j
CITY: q �-/
STATF � ZIP: /3/5.
TYPE: ONE (1) STORY
TWO (2) STORY
OTHER ❑
** SPECIAL INSTRUCTIONS **
, g1frZe./OW
ROOF: ASPHALT SHINGLE ❑
TAR
TILE ❑
I HOUSE DESCRIPTION 1
EXISTING TANK LOCATED IN: GARAGE ❑ UTILITY ROOM ❑
WILL TANK BE RE- LOCATED? YESJJ NO
NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION
TANK LOCATION
BAHAMA ❑
BARREL TILE ❑
OTHER ❑
CLOSET OTHER ❑
PROPANE 0
OILO
NATURAL 0
GAS
IF YES, HOW FAR FROM EXISTING TANK? FEET
RE- LOCATED TO WHAT AREA?
IF TANK IS TO BE RE- LOCATED - INFO M CUSTOMER OF $
WHAT ELECTRICITY IS AVAILABLE EXISTING OR NEW LOCATION?
220 VOLT OUTLET: YES 0 / NO 0 HOW MANY FEET FROM TANK?
110 VOLT OUTLET: YES LJ' NO 0 HOW MANY FEET FROM TANK?
LOT:
BLOCK:
FOR OFFICE USE ONLY
LEGAL DESCRIPTION
7
Inspector
CORPORATE OFFICES: 1300 S.W. 12th Ave., Pom
SUB-DIVISION
RE- LOCATION CHARGE.
no Beach, Fl 33069 -4619
FEET
FEET
FORM 2018/FL
Rev 09/15/83
METROPOUTAN•DAOECOUNTY, FLORIDA
METROCADE
Equinox Solar, Inc.
3350 N.W. 60 Street
Miami, Fla. 33142.
PRODUCT CONTROL NOTICE OF ACCEPTANCE
and A.T. Bliss & Company
1300 S.W. 12 Avenue
Pompano Beach, Fla. 33060.
Your application for Product Approval of Solar Collectors EP46SCIH, EP48SCIH and
EP410SCIH under Sections 203 and 204 of the South Florida
Building Code governing the use of Alternate Materials and Types of Construction, and
completely described is the plans, specifications and calculations as submitted by
H. Farooq, P.E.; Knezevich, Farooq and Associates along with drawing #82 -32 and Reports
FSEC #812375 by Solar Energy Center and MTL 10679 by Miami Testing Laboratory
has been accepted by Product Control to be used in the Unincorporated areas of Dade
County under the Specific Conditions set forth on Page 2 thru 2a
and the Standard Conditions on Page 3
ACCEPTANCE No..
83 0422.2 (82)R
APPROVED • June 13, 1983
WIRES. June 14'. 1985
This application for Product Approval has been accepted by the Metropolitan Dade County
Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of
DadeCouaty under the conditions set forth above.
APPROVED:
BOARD OF RULES AND APPEALS NOTICE OF ACCEPTANCE
-1-
BUILDING &ZONING DEPARTMENT
909 SOUTHEAST 1ST AVENUE
BRICXEL. PLAZA BUILDING
MIAMI. FLORIDA 33131
(3O1 579 -2612
•Ada 6h.am--
Olson, P.L.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
! Thomas M. Black, P.E.
Deputy Secretary
Metropolitan Dade County
Board of Rules & Appeals
CSM 0020
Equinox Solar, Inc /A.T. Bliss & Co.
ACCEPTANCE No.:
APPROVED
EXPIRED
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. This approval covers a solar heater system for the production of domestic hot
water comprising Model EF46SCIH, EP48SCIH and EP413SCIH collector panel and UL
NSF or other recognized agency approved hot water tank, filter, piping, sensors
and valves.
Energy output at intermediate temperature of 122 ° F as recorded by Florida
Solar Energy Center is EP48SCIH - 22,300 BTU /day
EP48SCIH - 28,800 "
EP410SCIB -. 35,400 "
2. All electrical work shall be in conformance with Chapter 45, Electrical
Section, of the South Florida Building Code and NFPA 70.
3. Single/Multiple collectors may be installed up to elevations of 35 ft. above
grade, using the following components:
Collector Panel Frame (Enclosure Box)
Size: EP46SCII1 - 461/2" x 76 % ",x 3 3/8"
EP48SCIH - 461/2" x 96 5/8" x.3 3/8"
EP410SCIR - 46h" x 120}" x 3 3/8"
Frame constructed of 0.056" thick wall'extruded aluminum channel with mitered
corners.
Unit glazed with 3/16" tempered pattern glass. A 0.019" thick embossed
aluminum sheet used as a back panel w /1" foil covered foam insulation
absorbent plate constructed of 8 5/8" o.d. copper tubes.
Connection of Collector Panel to the Roof of the Building
Mounting Brackets EP46SCIH EP48SCIH EP410SCIH
Number 4 4 6
Size: 1 x 1 }" x 1/8" or 1 }" x 6" x 1/8"
6. This revises and supersedes Product Approval #83- 0422.2 (82) dated February
14, 1983 to include A.T. Bliss & Company as distributor.
- -
83- 0422.2 (82)
June 13, 1983
June 14, 1985
Fasteners (per bracket) One 3/8" x 3" lag screw (for wood) or }" x 3}" wedge
anchor (for metal roof)
All roof penetrations must be through pitchpans
Incline mount frame constructed of 1h" x 13/4" x 1/8" angles.
4. Applications for solar heater permit must be accompanied by two duplicate sets
of the approved drawings along with plot plans showing the location of the
panels on the roof, and an isometric piping diagram of the actual installation.
5. All piping and connections to potable water shall be performed by a qualified
plumbing contractor, and all electrical work shall be by a qualified
electtical contractor.
Olson,' P. E.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
FLORIDA SOLAR ENERGY CENTER 10 4,
300 State Road 401. CapE Canaveral. Florida 32920. TEIEphonE: (305) 783 -0300
Approved Solar Energy System �^n�
FSEC # S1172
The system listed below was evaluated by the Florida Solar Energy Center (FSEC) in accordance with the
Florida Standards Program for Solar Domestic Water and Pool Heating Systems (FSEC- GP -80 -7) and was
found to meet the minimum standards established by FSEC.
Description
Collector
Tank
129 Direct
❑ Int. Heat Exch.
Pump
Major Components
in addition to above
DISTRIBUTOR
Nationwide Power Corp.
1300 S.W. 12th Avenue
Pompano Beach, FL 33060
Model Units Total Rating
1 Equinox Solar, Inc_ FP410 1 29,900 Btu
2 Equinox Solar, Inc. EP408SC 1 27,500 Rtii
3
4
Model Capacity
1 Equinox (Mor -flo Ind.) EQ -82SS 82 gal.
2 (SSTA 82ES)
3 Rheem Mfg. Co. 668h -82 -1 82 gal.
4 Lochinvar Water Heater Corp. 80 gal.
FTA082 -K
Model Power Draw Rated Power
1 March Mfg. Co. 809 20 watts 1 /100 H.P.
2
3
4
Controller Model
Ig Differential Temperature 1 HI Square, Inc. 1503
❑ Absolute Temperature 2 Independent Energy C -30
O
thermosiphon 3
❑ Other 4
Freeze protection by automatic recirculation and manual draindown during power failure.
Other
1
2
3
4
If further information is required you may contact the Florida Solar Energy Center at the above address.
December 1981
SYSTEM
EQ -82 -1
3dhX3rL'....:a4a�
I.Tank sensor
2.Electric element
3.Check valve
4.Gate valve
5.Drain valve
6.P&T valve
7•Air vent valve
8.Collector sensor
9.Fr "eze sensor
IQ.Differential control
I I . Pump
10
3
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THESE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
M! \M S" )RES BUILDING AND ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Aut "o•i'e-.9 S gn ture Date
• WITH NO VARIANCES I] WITH
NO OTHER DEVIATIONS FROM THE
ORDINANCES WILL BE PERMITTED
ALL OTHER APPLICABLE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
—
ii
POLICE DEPARTMENT
BUILDING DIRECTOR
1 �� I
PLANNING & ZONING LO:1 ; ;,.
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. T!:E ARCHITECT, BUILDER &
SUB CONTRACTORS ARE r" ' '''' ' K "OWLEDGE nrF 41.' Rf
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / — '30"1, Job ddress 1 / / • L > 7'. Tax Folio \ \ 3 Q' 0 � � V
g•A l
Legal Description El Vn rci'e- J ? C Historically Designated: Yes No
Owner/Lessee / Tenant 1 2 I4 /LJ ' ` 0,4 2G � - ..'o Master Permit #
Owner's Address Phone x J S- - ' 70 —,_70 —7 3
Contracting Co. / Z/4 it e4 r/ • s
No
My
•
and/6?
x rres FLORIDA
NOTARY PUBLIC STATE COMMISSION NO.00C714103
Y COMMISSION EXP. MAR. 1 CO2
e
as to
)(i
tL L 4 -I4 ( —o (
of owner
3/-0/
to
ommission
FEES: PERMIT PS, RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Address
My C
Address
Qualifier SS# Phone'
State # G "C O.-/Z %7f Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICA
WORK DESCRIPTION
�.✓v ;o.✓ f ro 2 !� ArtH Zoom ;L s7AC.0 N/ oci
Square Ft. Estimated Cost (value) ) / 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 MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be d e in compliance with all applicable laws regulating
construction and zoning. Furthermoje, I authorize the above -named contractor to do the work staff
as to Contrac or or Owne *; r ION t1 CC3
- ��- EXPIRES: November 4 2002
: BondedrimNoterya„ u „
MECHANICAL ROOFING PAVING FENCE SIGN
`�of Contractor or Owner- Builder
No. a
'ssion Expires:
C.C.F. I T NOTARY S 0 BOND
Electrical
TOTAL DUE
Structural Engineer
ITEM
BATH TUB
UNIT
•I
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIOET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
1
MOTCRS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
2..
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
_
MOTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
Z.
MOTCRS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE •
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
i
.
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
1TILITY -SEWER
SIGN TIME CLOCK
JTILITY -WATER
FIXTLRES
;EPTIC TANK
ANTENNA
IELAY
TELEVISION OUTLETS -
)RAINFIELD, 4' TILE/RES.
VIOLATION
'UtiP & ABANDON SEPTIC TANK
REINSPECTION
:OAKAGE PIT CU. FT.
ATCH BASIN
•ISCHARGE WELL
OMESTIC WELL
REA GRAIN
OOF INLET
OLAR WATER HEATER
IRE STANDPIPE
301 PIPING
AWN SPRINKLER SYSTEM
AS RANGE
:TER SET (GAS)
AS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
MEN
l
PLUMBING CONTRACTOR
SEPTIC TANKS INSTALLED AND REPAIRED
ALSO SOLAR HEATERS
7631 N. W. 2ND AVENUE
MIAMI, FLORIDA
410.2
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