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PLUMBING PERMITDate 12/13/95 authorizeAi PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 490 N.E. 91 St. Tax Folio 11- 3206- 019 -0010 Legal Description Owner / Lessee / Tenant Claude Laroche Master Permit # ����- Owner's Address 490 N.E. 91 St. Phone 757 -7491 Contracting Co. Douglas Orr Plumbing, Inc. Address 301 Flagler Dr., Miami Spgs. Qualifier Douglas Orr SS# Phone 887 -1687 State # 021452 Municipal # Competency # 0012463 Ins.Co. 8/2/96 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL G MBING) MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION replace existing water closet Square Pt. Estimated Cost(value) $100.00 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 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 compl'ance with all applicable laws regulating construction and zoning. Furthermore, I e -named contractor to do the work stated Signature of owner and /or Condo President Date: otary as to Owner a d' or My Commission Expires: OF7;C LAL. C<O A V SEP :. <i DONNA P FRANTZ fg 7 1` ' - Q . rxr COtailiSSION CO E)P. es OF F\ OCT. 17,1 c.,97 ti ** * * * * * * * * * 7:::::: • Contractor_ �r - Owne.r- Builde C.w l7'a ,C L � 9 ` ' Csst e:�_�:Cv r, Notary as to Contrrctd a , � e, - gyp �i , , . My Commission Expire6- -- _�_r ('�_ '` �.. TG * * * * * * ** FEES: PERMIT 3,C RADON C.C.F. 0 NOTARY TOTAL DUE :',`i: tt ; APPROVED: Fire ! Other Zoning Buildin / Electrical Mechanical Plumbin': 1 Engineering Date l QuC Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGiL 16,06_ I kOc- Owner's Address 4q3 , • E . 1 Contracting Co. OLJ/4 State # Oc2/ 1 1 1 5a Municipal # Competency # 0 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle on. : BUILDING ELECTRICAL CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1A3 1LA. ) 0-( `)P, Lessee / Tenant Zoning Job Address z---I t) A J- f a 91 j14 Tax Folio A ���. C a G/ CJ 0 Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * Master Permit # G JP✓ 1 Phone305 ° /'. y AddressjO/ fla / Phone Buildin Address Square Ft. Estimated Cost(value) j S •` J C D 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 - 3 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 .umpli -nce with all applicable laws regulating construction and zoning. Furthermore, I authorize above -named contractor to do the work stated. My A Signature o9 Contractor or Owner - Builder Date: l 9 - i'r /) <: � •�titt��y'SS \��� \SR «Ste « «i�i�ii�KtKK � t 6 lam G!/ DOt°13 pl r r Notary as to Con L a$ Con_ �s1 Commission EX151r4si==gtm < 1 -1 - NOTARY - FE. Ra;Ly Sim vic2 I1 3a: ‘,t -E Co. * * * * * * * * / NOTARY TOTAL DU E-5 u ,� : FEES: PERMIT, / RADON C.C.F. r APPROVED: Fire Other Electrical [Mechanical Plumbin: _ 11 _ G Engineering of r t - or Lot BI Subdi- ion vision of Value of Amt. of Project $ Permit $ i BUILDING ELECTRICAL PLUMBING ROOFING Owner Building Architec Contract or Build Legal Descript Address Building Li PERMIT N? 13685 MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No Work to be performed under 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. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed: BY \ . BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner Building Architec Contract or Build Legal Descript Address Building Li PERMIT N? 13685 MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No Work to be performed under 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. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed: BY \ . BY AUTHORITY Permit No. . t Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure he :'e'_ra described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florde and all prov.`sions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address . ' _ l:. __ No. Street_._ Registered Architect and /or Engineer Employing Plumber's Name ___- Location and Legal Description Lot ---_-----__-_ -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition___ ___________ _ _._.. Repairs _. - ___ . No. of Stories Size Septic 'I'aank. ___ -- ._Type of Tank_ Feet of Drain Tile __• --- -- -- - - - - -- -- - - - - - -- Dist. Feet of Tank or Drain Field from Well_ ____.__._ Nature of Water Supply: City —Well _ -_._ Size- of Soakagc Pit._ Amount of ?emit $. STATE OF FLORIDA, f COUNTY CF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Street Block_ _ Subdivision Street.- (Signed (Signed)„._ Capacity Gals My Commission Expires Notary Public, State cf Florida Plumbing r Dili: ;o .h.stcr : ?dumber. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a., employer ul 1. under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ., :.- plied with the provisions thereof, and will require similar compliance from all contractors or sub' contractors employed by him in the we. 1 •o 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 i:.o?ice-3 ::s are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this vomit, as are lied by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .`.ppeare 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 ail tan therein by hint 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 f. .u) materials and; /or workmanship. CLt)SZTl BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY "r URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS j TOTAL FIXTUREI LIST CNXwK ms s ' �__ ...._. I - ..... SEPTIC TAKE SEWER CONN. DRAIN FIELD '� r SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM �. ,� SWIM 'G POOL. CONTR. �CXECX Permit No. . t Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure he :'e'_ra described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florde and all prov.`sions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address . ' _ l:. __ No. Street_._ Registered Architect and /or Engineer Employing Plumber's Name ___- Location and Legal Description Lot ---_-----__-_ -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition___ ___________ _ _._.. Repairs _. - ___ . No. of Stories Size Septic 'I'aank. ___ -- ._Type of Tank_ Feet of Drain Tile __• --- -- -- - - - - -- -- - - - - - -- Dist. Feet of Tank or Drain Field from Well_ ____.__._ Nature of Water Supply: City —Well _ -_._ Size- of Soakagc Pit._ Amount of ?emit $. STATE OF FLORIDA, f COUNTY CF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Street Block_ _ Subdivision Street.- (Signed (Signed)„._ Capacity Gals My Commission Expires Notary Public, State cf Florida Plumbing r Dili: ;o .h.stcr : ?dumber. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a., employer ul 1. under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ., :.- plied with the provisions thereof, and will require similar compliance from all contractors or sub' contractors employed by him in the we. 1 •o 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 i:.o?ice-3 ::s are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this vomit, as are lied by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .`.ppeare 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 ail tan therein by hint 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 f. .u) materials and; /or workmanship. Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date_____A 9th 194.5 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 &.ring progress of work. Owner's 1\'ame and Address . e,T) T . Er, NP ,S°-_r No Street Registered Architect and /or Engineer Employing Plumber's Name No. 46 ___— Street - Location and Legal Description Lot_ s 2 Block 1 Subdi ��!!S Street and Number where work is to be performed—No._ State work to be performed and purpose of building (By Floors) New _______________ Remodeling __ Addition____ Repairs No. of Stories._.__ 1 Size Septic Tank_____ —_ —_ — ___— _— _ —_____ Type of Tank _ Feet of Drain Tile______— _— ______._— ________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well —_— — Size of Soakage Pit. -- ______- -- ----(Signed) (Signed) Street _Capacity Gals __________ ____________________ �_ 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. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by .Miami Shores Villaste. TILTITFIll Cr COT,T".iT My Commission Expires Notary Public. State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and %or workmanship. CL OSETS BAT 4 't'U8S SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST ` 1 , CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR, SYSTEM SW IM'G POOL CONTR. LIST CHECK Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date_____A 9th 194.5 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 &.ring progress of work. Owner's 1\'ame and Address . e,T) T . Er, NP ,S°-_r No Street Registered Architect and /or Engineer Employing Plumber's Name No. 46 ___— Street - Location and Legal Description Lot_ s 2 Block 1 Subdi ��!!S Street and Number where work is to be performed—No._ State work to be performed and purpose of building (By Floors) New _______________ Remodeling __ Addition____ Repairs No. of Stories._.__ 1 Size Septic Tank_____ —_ —_ — ___— _— _ —_____ Type of Tank _ Feet of Drain Tile______— _— ______._— ________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well —_— — Size of Soakage Pit. -- ______- -- ----(Signed) (Signed) Street _Capacity Gals __________ ____________________ �_ 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. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by .Miami Shores Villaste. TILTITFIll Cr COT,T".iT My Commission Expires Notary Public. State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and %or workmanship. BUILDING -ELECTRICAL PLUMBING Owner of Building _ Architect Contractor or Builder r/: Legal Lot Description CONTFtACTO1 OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3735 Work to be performed under this Permit BI. $ Subdi- vision DATE 194 Contractor's License No. r Address of , ,,, 0 ..,. Value of , Amt. of 1 Building . i. / l • :,„ Project . Permit This perinit 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 compliancy 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 hat he assumes responsibility for work done by his agents, servants or employees. Signed • By INSPECTOR • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a11 and sygul1 pertaining thereto al-te. in strict conformity with the plans, drawings, statements or specifications submitted to the proper authdrilies of Miami ghtfies•-•' ge. In accepting till:, permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHOR:Li: Y. BUILDING ELECTRICAL PLUMBING 6 Work to be performed under this Permit Owner of Building -- Architect Contractor or Builder Legal Lot Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3782 Subdi- vision Value of Project DATE 194 Contractor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device de 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 knowledyc of the ordinances and regulztions 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. I i 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 regula- C.ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth�iitics of .71/4/lien-Ili Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY — At LIOki1TY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3735 Work to be performed under this Permit _. DATE 194 Contractor's License No. Legal Lot BI Subdi- Description vision Address of Value of Amt. of Building Project 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- By 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 regula- tions 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, servant or employee. CONTRACTOR OR BUILDER 3Y AUTHORITY No / Pczalit Applicati made for the approv: of the eletailed statement of the plans and specifications herewith submitted for the building or other structure herein desmibed. This application is made in compliance mid conformity with the Building Ordinance of Miami Shores Village, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations cf the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications ut be l _cept at building during proy: ass of work. Ckyner's Name and Address Registered Architect and/or Engineer___ Employing Plumber's Name mnato oN©nin, PLIUMENNO NSPECTION DEPARTMENT' n,PPL,Ca4M FOE PLUMBONO LDEFSMV Location and Legal Description Lot. —I V ' Z Sea and Number where work is to be performed—No /I 'FC) LC", Spat® work to be En eformea and purpose of building (3y Floors) - New 3tailding_ Remodeling Addition Repairs Street. 7! / Date_ .;.' Street_ No. of Stories _ Sim, Sept c TPs:qc of Drain Tile Nature of Water Supply: ... of Soakage Pit Amount of ?emit S_ STATE OP' FLORIIDA, COUNTY OF DADE. _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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and I:a9 emn- plied With the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be perform=1 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 by tlis Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Shomn --, - (Sign M tor Plumber. Before ire, the undersigned authority, a notary public, duly an orized to administer oaths and take acknowledgments, personally appeared to me well !mown, and who, being by me first duly sworn, upon oath deposes and rays that he is the of the above described construction, that he has carefully mad 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 Floe& NOTE: A re-inspection fee of $)1.60 will be 101/86 Wb eh re-inspecticrn ie niede•nviensary by improper notit. for ins 1, or faulty materials and/og vYanIltrtnnal.Pip. DLO3T70 BATH TUBS SNOWERO LAVA- T omaa SiN:113 SLOP SINKS LAUNDRY TUBS ' SABIN FLOOR DRAIN DRINKING FOUNT•NS 4,' ,, , .,!, . ., :- -■ ,,. /J , .-: -, TOTAL FIXTURES w,,,,.,....,-* -....-•°.`• ..“°*""' CONTD. !JOT . ‘ e:_•,) ct: SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTD. LIST DNEC:i No / Pczalit Applicati made for the approv: of the eletailed statement of the plans and specifications herewith submitted for the building or other structure herein desmibed. This application is made in compliance mid conformity with the Building Ordinance of Miami Shores Village, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations cf the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications ut be l _cept at building during proy: ass of work. Ckyner's Name and Address Registered Architect and/or Engineer___ Employing Plumber's Name mnato oN©nin, PLIUMENNO NSPECTION DEPARTMENT' n,PPL,Ca4M FOE PLUMBONO LDEFSMV Location and Legal Description Lot. —I V ' Z Sea and Number where work is to be performed—No /I 'FC) LC", Spat® work to be En eformea and purpose of building (3y Floors) - New 3tailding_ Remodeling Addition Repairs Street. 7! / Date_ .;.' Street_ No. of Stories _ Sim, Sept c TPs:qc of Drain Tile Nature of Water Supply: ... of Soakage Pit Amount of ?emit S_ STATE OP' FLORIIDA, COUNTY OF DADE. _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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and I:a9 emn- plied With the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be perform=1 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 by tlis Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Shomn --, - (Sign M tor Plumber. Before ire, the undersigned authority, a notary public, duly an orized to administer oaths and take acknowledgments, personally appeared to me well !mown, and who, being by me first duly sworn, upon oath deposes and rays that he is the of the above described construction, that he has carefully mad 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 Floe& NOTE: A re-inspection fee of $)1.60 will be 101/86 Wb eh re-inspecticrn ie niede•nviensary by improper notit. for ins 1, or faulty materials and/og vYanIltrtnnal.Pip. Size Septic Tank-- C\1 Feet of Drain Tile Nature of Water Supply: City—Weal N.1 C4, Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT •■•■■■•■■•11■ 42-v Sipsed) c-z? C 4 fr Permit No ''''' DECEMBER 13 , 1984 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 Nrunc and Address No Stmt..— 490 NE 91 T. Katheryn Nielsen Rlistrl --- E l'AT:micer Name ?C .W • W ch-y) cr Location and egal Description Lot. _l_l_.2..._ Bl il _. s 1 r Po tal Street and Number where work is to be performed—No 0 7/ -.'.) fl - street. 490 NE 91 State work to be performed and purpose of building (By Fl Water Heating System New Building________ ...... ____ Remodeling____________ Addition. Repairs No. of Stories .. ...... ...... _Type of Tank 0 invar o ar an capacity Gas_ • C nist. Feet of Tank or Drain Fled freers Well . _.__._______________ Size of Soakage Pit - • - 7 . ("7-- • (Signed)2- Plumbing specter. 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 It corn- plie4 with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor o tx. 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 am 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. " (((' , Master Plusnber. STATE OF FLORIDA, COUNTY OF DADE. Before aze, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgntents, 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. Notary Publics, State of Florida NOTE: A re-inspection foe of $1.00 will be suede whoa mob re-lospectios medelosessaery by Improper notice for inspection. or fealty material, and/or worbmanshiP• — CLOSKTS BATH rues — - SHOWER• LAVA. Tomas SINK• SLOP SINKS LAUNOIY TUSII — • URINALS CATCH BASIN FLOOR DRAIN ___ _ DRINKING FOUITT'NS _ _ _ __ TOTAL FIXTURES CONT.. LIST CHECK SEPTIC TAKK SSWM CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER Mar wau. .•■.• ISSRKI.R. SYSTEM SW 114 • 0 Pool. . _ — Comm LIST .----___,--- ,._ .-----..••••• CHECK Size Septic Tank-- C\1 Feet of Drain Tile Nature of Water Supply: City—Weal N.1 C4, Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT •■•■■■•■■•11■ 42-v Sipsed) c-z? C 4 fr Permit No ''''' DECEMBER 13 , 1984 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 Nrunc and Address No Stmt..— 490 NE 91 T. Katheryn Nielsen Rlistrl --- E l'AT:micer Name ?C .W • W ch-y) cr Location and egal Description Lot. _l_l_.2..._ Bl il _. s 1 r Po tal Street and Number where work is to be performed—No 0 7/ -.'.) fl - street. 490 NE 91 State work to be performed and purpose of building (By Fl Water Heating System New Building________ ...... ____ Remodeling____________ Addition. Repairs No. of Stories .. ...... ...... _Type of Tank 0 invar o ar an capacity Gas_ • C nist. Feet of Tank or Drain Fled freers Well . _.__._______________ Size of Soakage Pit - • - 7 . ("7-- • (Signed)2- Plumbing specter. 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 It corn- plie4 with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor o tx. 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 am 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. " (((' , Master Plusnber. STATE OF FLORIDA, COUNTY OF DADE. Before aze, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgntents, 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. Notary Publics, State of Florida NOTE: A re-inspection foe of $1.00 will be suede whoa mob re-lospectios medelosessaery by Improper notice for inspection. or fealty material, and/or worbmanshiP• Tank LdRIDA SOLAR ENERGY CENTER J 300 State Road 401. Cape Canaveral. Florida 32920. Telephone: (305) 783-0300 Approved Solar Energy System FSEC #, S4171 DISTRIBUTOR SYSTEM 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 OD Direct ❑ Int. Heat Exch. Pump Controller • ❑ Differential Temperature ❑ Absoluee Temperature O Thermosiphon I)9 Other Phntnvnitair Other Major Components in addition to above Merrill Energy Systems, Inc. 1225 Broken Sound Pkwy., N.H. Boca Raton, Florida 33431 Model 1, Merrill Fnprgy MFS -39 2, Merrill Energy MES -40 3 Cornerstone CSC -32 4 Cornerstone CSC - 40 Model Lochinvar FTA -082 -K 2 State Industries SBV - - ITSI 3 , Rheem 81V- 80 -TC -1 4 , Model 1 HartP11 CP- 3R -12 -HF 2 March 809 -2 3. 4 , 1 2 3 4 . Units 1 1 Capacity 80 gal_ 82 gal. 89a Power Draw 35 Watts 19 Watts Model 1, Solarex SX -10 /Solec S- 1136 /Solar Electric SL - 10 (Use only with pump option #1) . 2 , Snlarex SX -20 /Solec S3136 (Use only with pump option #2. PV module must be installed with a 5° to 10° tilt to the east.) • Nov 84 1 freez- valve and manual draindown capabilities. MD 13208/14008 -A • Total Rating 3n,lnn Rtu 38.000 Btu 30.700 Btu 38.100 Btu Rated Power 1 /inn H P 1/100 H.P. • , • - •; � If further information is required you may contact the Florida Solar Energy Center at the above address. .g S 4 row Z1'; i , ; 2 a = > a Oil f� 5� 3 a 1 op a as lg 0>LL ' 144®® O ' 1: i 01 C . Merrill Energy Systems, Inc. PV Systems • 7 • F At LORIDA SOLAR ENERGY CENTER -.1 300 State Road 401. Cape Canaveral. Florida 32920. Telephone: (305) 783 -0300 , C Approved Solar Energy System FSEC # S3126 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 rank Model Capacity Direct 1 Lochinvar FTA -120 -K 120 gal 7 Int. Heat Exch. 2 3 4 'ump :ontroller Model ] Differential Temperature 1 Solarex SX -10 (Use only with pump option) 1 Absolute Temperature 2 Solarex SX -20 or Soled S3136 (Use only with pump option 2 1 Thermosiphon 3 PV module must be installed 1 Other Photovoltaic 4 with a 5° to 10 tilt to the east.) Freeze protection by thermal freeze valve and manual draindown capabilities. )they lajor Components addition to above September 1933 Revised November 19u4 DISTRIBUTOR SYSTEM Merrill Energy Systems, Inc. 1225 Broken Sound Pkwy, N.W. Boca Raton, Florida 33431 Model Units Total Rating 1 Cornerstone CSC -26 2 48.400 Btu 2 Cornerstone CSC -32 2 61,400 Btu 3 Merrill Energy MES -26 2 47,600 Btu 4 Merrill Enerav MES -32 2 60,600 Btu Model Power Draw 1 Hartell CP- 3B -12HE 35 Watts 2 March 809 -2 12 Watts 3 4 1 2 3 4 MD 26412 ic 7 17 ^ ^ Rated Power 1/100 H.P. 1 /100 H.P. further information is required you may contact the Florida Solar Energy Center at the above address - J JV V� FLORIDA SOLAR ENERGY CENTER 300 State Road 401. Cape Canaveral. Florida 32920. Telephone: (305) 783 -0300 3 r • Approved Solar Energy System ;EC # 53125 SEPT 83 Revised Nov 84 Dilector ink Direct Int. Heat Exch. imp Differential Temperature Absolute Temperature Thermosiphon Other Pfnnlnvn1 tai c her ajor Components addition to above DISTRIBUTOR le system listed below was evaluated by the Florida Solar Energy Center (FSEC) in accordance with the orida Standards Program for Solar Domestic Water and Pool Heating Systems (FSEC- GP -80 -7) and was and to meet the minimum standards established by Description )ntroller Model Merrill Energy Systems, Inc. 1225 Broken Sound Pkwy., N.W. Boca Raton, Florida 33431 • Model 1 Morning Star MSC -26 2 Merrill Energy MES -26 3 Cornerstone CSC -26 4 Model 1 Lochinvar FTA -081 -K 2 State Industries SBV -82 -ITSI 3 Rheem 81V- 80 -TC -1 4 Units 2 2 2 2 3 4 Capacity An gal 82 gal. 80 gal. . SYSTEM MD 22608 reeze protection by thermal freeze valve and manualaindown capabilities. Total Patin 47,&nn Rtu 47,60f1 Rtu 48.400 Btu Model Power Draw Rated Power 1, HartPll ('P- 3R -12HF 15 Watts 1 /100 H.P, 2 March 809 -2 12 Watts 1/100 H.P. 3 4 1 Sn1areY_SX- 10 /Solec S- 1136 /Soar Electric SL -10 (Use only with pump option #1) 2 Solarex SX -20 /Solec 53136 (Use only with pump option #2. PV module must be installed with a 5° to 10° tilt to the east.) urthnr information is required you may contact the Florida Solar Energy Center at the above address h �oN tiu 4 � 6 .4.TAU.t 11T4 1 4 VA . 4.4. L.sy. 4 V' taxw644 pc 4 4 Va ' 14ex rcT4 - 4.s 4 -litt" x I4 FsMCGe \VAcume St COW. 4 Hoc 14JT- 461 -Ae. • - ge--.4/2m4k SN 1•F I 3O80 Lot LECTOe MOUNTING 171,1' N1. 11ERRILL FIJ2IZGY 6-16 F MS, ING• 122.5 P2 O E1J 40UND Pke OVA' NW. . Ver RATQN,in... I • 9 -a' IO DQ NL� �Y 3 Pt* icenczeilS LJHP LHLJ NAME gQ I" 9 I1 I eb e i Address 4 0 0 E 5� HOUSE TYPE: ❑ CBS ❑ FRAME ❑ STORIES ROOF TYPE: ❑ FLAT ELDfTCHED ROOF MATERIAL: ❑ ASPHALT SHINGLE I FILE ❑ BARREL ❑ SHAKE ❑ BAHAMA ❑ TAR /GRAVEL ❑ OTHER TANK LOCATION LAI 1` 4( rob 15 TANK TO BE RELOCATED& ❑ YES Lm' NO 110 0 YES ❑ NO HOW MANY FEET FROM TANK'S 220 ❑ YES ❑ NO HOW MANY FEET FROM TANK? NUMBER OF OCCUPANTS: DATE OF HOME OWNERSHIP: LOT l ° BLOCK ' SUBDIVISION ""P5 qr - 1 FP &L ACCOUNT # 5 e U 51-9 03 vo 0 I PHONE CONTACT # FOR FPL AUDIT STREET` / HOME PHONE { s--7- / / BUSINESS �/ PHONE City /06 C4.4 • I a v 1 I c_,c Y C G f f CM.+ K. f (A c:( , pv,. Zip 3 6 MERRILL FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR PLANNING & ZONING BOAPU VILLAGE COUNCIL PRELIMINARY: REMARKS: APP;RC19 %Z. THESE PLANS ARE APPROVED FOR ISSU[ NC'; OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITN VARIANCE(S) LISTED IN "RE.MARKS" NO OTHER DEVIATIONS FROM THE MIA M! SHORES BUILDING AND ZONING ORDINANCES WILL DE PERMITTED, UNLESS SPrC!FICALLY US"VED BELOW. ALL OTHER APPLICABLE STATE AND GOUTY :..AWS MUST BE COMPLIED Vl'ITH BY ALL PARTIES. t':: ).-;: S'grigtur3 Dlte EEAL COMPLIANCE WITH THE SOUTH FLORIDA CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. '''.! I CHITECT, BUILDER & SUB CONTRACTORS ARE nrrr { , r ; !Z C':•!tEnOE OF All ?IIl!D- ING REGULATIONS WHETHER CR NOT SPEC ? :. G ! !CATED HEREIN. -.---- - et- 03373 DAM TU511 LAVA- TORIE® Smote SLOP SINKS LAUNOR TUSS URINAL® CATCH BASIN - - FLOOR DRAIN DRINKING FOUNT ' NS ------- 7GYAL GilititILICIO CONTR. LAST - CHECK SEPTIC 7,0a1 — _ — SEWER Comm. ---_—_ DRAIN PigLo SOAKAGE Pr r GREASE TRAP SOLAR HEATER DEEP man. SPPIKLR 8 Sit IP4 • 0 POOL I 1 — Cc. LIST - — __ Cm8C8 Permit No 2 Application is hereby made for the opproval e detailed statement of the pi., r and specifications herewith submitted for the baildizg elbaz structure herein described. This sophcation is made compliance and conformity with the Building Ordinance of Miami Shores Village, Koecia, and di provisions of the Laws of the State of Florida, ail ordinances of Miami Shores Village and all rules and regulations of the urding Division of Miami Shores Village shall be comp-.-; with, whether herein specified or not. A copy of approved plans and specifiaitions cunt t ag building during progress of VIC7h. Of s Nemo cad Address -.Loth ieed Architect and/or Engineer S to work to be performed /Ind purpoe of building (y Floors) Amount of nes-mit $ 25000 STATE OF FLOr :DA, 03UNTIr OF DADE. efore me, the undersign ,aivA S.-OR E5 VILLAGE PLU'< 2 NG NSFECTGOikl DEPARTMENT APPLC FOR PLUMBING PERMIT •■■■••••■ Nro 114--Batle•--.S•e--- • ••• ---• e 0 30 . 800 N street 1 J. "itert:41372 ana gal Description Lo'3_ subdivkionee:019e, Stsce3 and Num_kia3 where work is to be performed— 9D__Er Street__ 9 J. st St New Remod® g--__ Addition. Repairs No. ef Stories Stu Septic Tank— Type of Tank---- Feet of Dmin Tilo.3°0 sg_Oftc, 1:ft.. Feet of Tsar& or Drain Field .1. Well Nature of Watx Supply: City—Well. Size of Soakage t. (S authority, a [weary public, duly authorized (Si No. 490 N 0E 0 s st St . _ Imbing Enspecac7. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an einploys-r of tabor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and ilaq can.)- plied with the provisions thereof, and will require similar compliance from all otractors or sub-contractors employed by hint in ahe 'or iN) per under this permit; and will post or cause to be posted' for inspection on the site of the work su h ublic notice or notices E2 ara required by die Act. The undersigned agrees to employ only such sub-contractora, k to be under perrEL'a, Mf3 220 Sht2133 VOW& administer oaths and take taITE8V Muter r patents, persana2:y to me well known, and who, being by me first duly sworn, upon oath depose. and says that li the of the Qbove closor.bed construction, has carefully read the foregoing appliaition, and that ", , . ; *me SOPA t'.2 efl L3'2•0 tharc otata ago Qsvo. y Commissism Expkos Notary PuFState el Maids NOTE: A re.flaspection fee e‘ 911.0 will be awls is nob re•Isapoodeas anade by *Improper ice inapectiow, C3 Czuliv materials kr wash"