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1218 NE 95 St (8)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address C.� -E�L. .S- -. 0` No.-1Y 8 street. _ii,2 ret....2 / Registered Architect and /or Engineer �I2 5ii /1h 4:5 5' ® C Employing Plumber's Name .. - .. - - (': Al .- _ ii-le e g . NO... .,, ,e.,..m.,.....m. ,..... 8fleeL..a,....,.,..� .<.... �...,..... ,..�.. Location and Legal Description Lot. f 2 13 — ! `I ,, Blloat — 8 S Subdivision. - iii, br -L .5 C= C 3 Street and Number where work is to be performed —No / ( S / v' 6 9. 7 "* Street State work to be performed) and purpose of building (By Floors) _ P ®`? L_--- P1(a! A-) 6 — I _Ha ATg. . : . New Building __ Remodeling___— — __. - -._ Addition. Size Septic Tank_ --- --- ----- ••- --------- -----T of Tank___ Feet of Drain Tile. —.— — - - - -- .Dist. Feet of Tank cr Drain Field from Well. Nature of Water Supply: City — Well.— _------------ - - - - -- -- -- -Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed)- (Signed) Repairs No. of Storixs Capacity Gals. •-- .-- _- -• - -.- -- -- -- Date.._.._.- _- _-- • - - -... __ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5996, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 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. 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 worst 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 Flcrfda NOTE: A re- inspection fee of $1.90 will be made when se•inspecdon is mede•neoessary by improper notice for lnspcstion, or faulty materials and/or workmanship. TOTAL FIXTURE[ CLOSET[ BATH TUBS SHOWLR• LAVA- TORIES 61NKS SLOP SINKS LAUNDRY Tug[ URINALS CATCH 'mg IN FLOOR DRAIN DRINKING FOUNT •Ne CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD S(DAKAOL PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. 5 SW IM•O POOL 4* cc,: (f- CONTR. li — t \ GJ \ � C.— LILT --\ hN _(7, 7. ' c � CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address C.� -E�L. .S- -. 0` No.-1Y 8 street. _ii,2 ret....2 / Registered Architect and /or Engineer �I2 5ii /1h 4:5 5' ® C Employing Plumber's Name .. - .. - - (': Al .- _ ii-le e g . NO... .,, ,e.,..m.,.....m. ,..... 8fleeL..a,....,.,..� .<.... �...,..... ,..�.. Location and Legal Description Lot. f 2 13 — ! `I ,, Blloat — 8 S Subdivision. - iii, br -L .5 C= C 3 Street and Number where work is to be performed —No / ( S / v' 6 9. 7 "* Street State work to be performed) and purpose of building (By Floors) _ P ®`? L_--- P1(a! A-) 6 — I _Ha ATg. . : . New Building __ Remodeling___— — __. - -._ Addition. Size Septic Tank_ --- --- ----- ••- --------- -----T of Tank___ Feet of Drain Tile. —.— — - - - -- .Dist. Feet of Tank cr Drain Field from Well. Nature of Water Supply: City — Well.— _------------ - - - - -- -- -- -Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed)- (Signed) Repairs No. of Storixs Capacity Gals. •-- .-- _- -• - -.- -- -- -- Date.._.._.- _- _-- • - - -... __ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5996, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 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. 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 worst 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 Flcrfda NOTE: A re- inspection fee of $1.90 will be made when se•inspecdon is mede•neoessary by improper notice for lnspcstion, or faulty materials and/or workmanship. a__ -_ -.. � (1 Cl Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No yI� Date.iZ&itL_....4 1 J 9 - -- 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. .4�- �- �..g.ith. ,10.1 No. .A Owner's Name and Address ., � �� Street � . .7 4 Registered Architect and /or Eng eer /iy. ' Employing Plumber's Name /Z <A7/_c_ - /.4 H. k ,- No-74...r............„ 8treeti ..1......., 1- . i ?_ -... Location and Legal Description Lot B1OCL. Subdivlaion.._..._...-._-._ / Street and Number where work is to be performed —No / g ,sz. J E. ° Street., State work to be performed and purpose of building (By F00) _.-_ - -� � e b 0 ...... 5 New Building —_ Remodeling__._ __..-_ Addition (Signed) Repairs. Size Septic Tank_- r:— e© � (9 /.5 of Tank,_ j-/ -i.L�__ Capacity Cals... - - - - -- � -� Type Feet of Drain Tile-- - YLL -O s —Dist. Feet of Tank or Drain Field from Well- ------.. .-- _�--- ....-- .------ .._.._.___ Nature of Water Supply: City Well _ _ _---- _ -__ -- - - - - -Si of Soakage Pit aha4dat, No. of Stories 1 : �' fry•,. G' �� 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 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. My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ....._- - -- - --- ---- ---- - -• - - -• -- -- -.._ _.. of the above described construction, that he has carefully tread the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $L00 will be made when cs re-inspection is made by improper notice for inspection, or faulty materials and /or workmanship. TOTAL. FIXTURES CLOSET. BATH TUBS SHOWER) LAVA. TORIES SLOP SINK) LAUNDRY TUBS URINALS CATCH DAAIN FLOOR DRAIN DRINKING FOUNT'NR CONTR. LIST GREGG SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DRIP WELL SPRKLR. SYSTEM SWIM •G P001. w SEPTIC TANK CONTR. . LIST CHECK (1 Cl Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a__ -_ -.. � (Signed) Repairs. Size Septic Tank_- r:— e© � (9 /.5 of Tank,_ j-/ -i.L�__ Capacity Cals... - - - - -- � -� Type Feet of Drain Tile-- - YLL -O s —Dist. Feet of Tank or Drain Field from Well- ------.. .-- _�--- ....-- .------ .._.._.___ Nature of Water Supply: City Well _ _ _---- _ -__ -- - - - - -Si of Soakage Pit aha4dat, No. of Stories 1 : �' fry•,. G' �� 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 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. My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ....._- - -- - --- ---- ---- - -• - - -• -- -- -.._ _.. of the above described construction, that he has carefully tread the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $L00 will be made when cs re-inspection is made by improper notice for inspection, or faulty materials and /or workmanship. Permit No ` C Amount of Permit $ 2.00 STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Charles Bradshaw No._ 1218 Street N.E.95 St. Registered Architect and /or Engineer_ Employing Plumber's Name Tropigas Inc. Location and Legal Description Lot_ BlorlY Street and Nantbor where work is to be performed —No State work to be performed and purpose of building (By Floors) _ New Building __ -_-__-_—_______.. - - - -__ Remodeling.________- _ -_ -___ ddition- _ - - - - -_ 1 Repairs No. of Stories.... .......... - - - -' Size Septic Tank____------------- - - - - -- -Type of Tank. Feet of Drain Tile__ _______________ ___ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: of Soakage Pit Date Subdivision 1218 s N.E.95 St. Capacity Gals.._ (Signed)- -= — -- -= - -/ ' lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige t1 ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has coal- 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) `,„ 7570 S treet _ N. W .14 St . 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 er Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessery by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBB U CATCH BASIN FLOOR DRAIN DRINKING DRINK FOUNT' NS POOL leater TOTAL FIXTURES CONTR. LIST 2.00 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE FIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. Lin - CHECK Permit No ` C Amount of Permit $ 2.00 STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Charles Bradshaw No._ 1218 Street N.E.95 St. Registered Architect and /or Engineer_ Employing Plumber's Name Tropigas Inc. Location and Legal Description Lot_ BlorlY Street and Nantbor where work is to be performed —No State work to be performed and purpose of building (By Floors) _ New Building __ -_-__-_—_______.. - - - -__ Remodeling.________- _ -_ -___ ddition- _ - - - - -_ 1 Repairs No. of Stories.... .......... - - - -' Size Septic Tank____------------- - - - - -- -Type of Tank. Feet of Drain Tile__ _______________ ___ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: of Soakage Pit Date Subdivision 1218 s N.E.95 St. Capacity Gals.._ (Signed)- -= — -- -= - -/ ' lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige t1 ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has coal- 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) `,„ 7570 S treet _ N. W .14 St . 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 er Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessery by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ELECTRICAL ® Date 19 19 ( 4.'7 PLUMBING ❑ PERMIT Np 9226 Contractor's 5 3, o ROOFING ❑ License No. .> ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building V r. •� „t� t, ._� !''►�.�( C it ` 'L " — j c > /f1ic ?!J Lat 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. ` f Signed4) l ` ` ' 4 e. (INSPECTOR) BY In consideration of the issuance to me of this permit I afire 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 work4lone by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER Bl. /(. l e; Subdi- vision — -- - Sq. Ft. Value of 11 Amount of Project $ I Permit $ BY - AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA � D DATE_ F PERMIT N9 6 820 Contractor's License No. 0 0 BI CONTRACTOR OR BUILDER BY Work to be performed under this Permit— Subdi- vision Address of Value of 1 Amount 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 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 P. INSPECTOR In consideration of the issuar.ce to me of this permit I agree to perform the work covered hereunder in compliance with all grdinanc d regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores dtp. In ac- cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. AUTHORITY All BOT PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building 11 Owner of Building `•J Lot • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1' 1 S� 195 BUILDING n ELECTRICAL C°1 PERMIT 'N? 11929 Work to be performed under this Permit /. Bl. Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ / BY CX i....f 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 wor=k 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 regulatios 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: t° : �. _ _ ►+...... 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. BY -- AUTHORITY 0 0 .p SWITCH 'OUTLETS LIGHT OUTLETS PLUG RECG•P•T'S FIXTURES NO. LAMPS REFRIG. OUTL ." IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATCR W. HEAT. CONN. SPAC;: HE. ER STRIP HEATErl TOTAL 5e0 T 4 3 4 3 1 15 CHi3CK ENT. SW. DIST. CAB. ICC:VICE T. P. SERV IC" PERM. MOi0 :`.. 0.1 HP ` .,;. TORS 1.8 HP id N eC TRANC. RADIO TOTAL CON . R. LIST CHECK Lof Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT D_.te Sept. 29,1967 Application is hereby made fo: the approval of the detailed statement of the puns and specifications herewith submitted for the building or other structure herein described. This application is made in complianc 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 Co 3 , Bradshaw Registered Architect and /or Engineer _ No I.E.Horsey 1218 Street NE 95th Street Employing Electrician's Name Frank Schafer t ine. N 10210 Street NW 7th Ave. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1218 Street NE 95th Street State work to be performed and purpose of building (By Floors) efr New Building Remodeling Addition.._...... X j, Repairs.... No, of Stories Service Overhead Size Feeders. Conduit Main Sw Amps Main ?uses Amps Underground Type Installation— Conduit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 1? S S. T. b rg. -. X ...... .B.X.L .Metal Moulding. (Signed)._.... �. `......_ . .. Elcctr,cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the ..lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F1oriPermanent Suppler'ent and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 .r otices as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork ti bf.oerformed under this pe • as al licensed by Miami Shores Village. / � % (Signed) Master, ' 'ectrician. 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, a..d 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. Permit No. Dat Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sulnnitted 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 Stay 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 Registered g -._ g> tered Architect and /or Engineer Employing Plumber's Name — No. Street__ -_ Location and Legal Description Lot _ Block Subdivision Street and Number where work is to be performed—No. _ Street___ State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition ._. Repairs __ . \o. of Stories CONTR. LIST CHECK CONTR. LIST CHECK BATH CLOSETS TUBS SEPTIC TANK Size Septic Tank _ Feet of Drain Tile Nature of Water Supply: City—Well Amount of Permit $ SEWER CONN. STATE OF FLORIDA, COUNTY OF DADE. SHOWERS ss. DRAIN FIELD LAVA• "ORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS GREASE TRAP SLOP SINKS SOLAR HEATER LAUNDRY TUBS DEEP WELL URINALS Type of Tank Dist. Feet of Tank or Drain Field from Well _- Size of Soakage Pit (Signed) (Signed) _ _ SPRKLR. SWIM'G SYSTEM POOL CATCH FLOOR DitINK!NG BASIN DRAIN , FOUNT'NS .Capacity Gals. My Commission Expires Notary Public, State of Florida Master Plmnber. v TOTAL FIXTURES 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 Compensl.tion Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and h com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors cmploycd l,y in in the work to he 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 nie well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. _ - -^ CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tugs UR INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N. TI OTAL •IxTURtt CONTR. LIST CHICK + SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE P:T G TRAP SOLAR HEATER DIET WELL 8 SYSTEM SWIM'0 POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE 15 ' ' ' 2. < y >; / / >; PLUMBING INSPECTION DEPARTMENT t � . fi r (.•,) j APPLICATION FOR PLUMBING PERMIT �, < dy • Date_______ : Permit No. ... — �__...._ .r._._. Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ r B lock Type of Tannk — •----- ___ -.. __Dist. Feet of Tank or Drain Field from Well.. Size of Soakage Pit (Signed) _ (Signed 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 regulatiow of the Building Division of Miami Shores Village shall be complied wdth, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Street ,. sl Ls� Owner's Name and Address Registered Architect and /or Engineer EmploYhsg Flumbees Name Location and Legal Description Lot. d Street and Number where work is to be performed —No ,� /v J,� ,n/ Street ?�'._ .._S� r. State work to be performed and purpose of building (By Floors)__ - __L!1l _ . . New Building.___. -- _ - Remode'dng— __..-_.._._____ Addition..-- __ —..__ Repairs Subdivision My Commission Expires Notary Public, State of Florida No. of Stories ............ 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 5988, Compiled General Laws of Florida Permanent Supplement, and llac com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• re he performed under this permit; and will post or cause to be posted' for inspection on the site of the .. k such public notice or notices as an- required by the Act. The undersigned agrees to employ only such nub -oontr on ormed u this permit, as suro licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .._ ... •--- ...... - - . -- - -. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when seLk ra-lupaodoB V snedo.nsoaaaary by Improper maim for inspection, or faulty materials and /or workmanship. J 4NAT ION POWER CORPORATI 4 1 NATIONWIDE ■ SOLAR SURVEY and INSTALLER INFORMATION SURVEY FOR: PHONE 1! HOME ADDRESS: COUNTY: WORK CITY: STATE: ZIP: -- SPECIAL INSTRUCTIONS -- (HOUSE DESCRIPTION) TYPE: ONE (1) STORY[M TWO (2) STORY D OTHER[ ROOF: TILE CI ASPHALT SHINGLED TAR & GRAVEL E3 BAHAMA[D BARREL TILE[] OTHER E1 (TANK LOCAT IQ /t) EXISTING TANK IS LOCATED IN: GARAGED UTILITY ROOM ❑ WILL TANK BE RE— LOCATED? YES ❑ NOD IF YES, HOW FAR FROM EXISTING TANK? FEET RE— LOCATED TO WHAT AREA? WHAT ELECTRICAL IS AVAILABLE AT EXISTING OR NEW LOCATION? 220 VOLT OUTLET: YES ❑ NO ❑ HOW MANY FEET 110 VOLT OUTLET: YES E3 NOM HOW MANY FEET IF TANK IS TO BE RE— LOCATED }, INFORM CUSTOMER OF $ RE— LOCATION CHARGE. LOT: FOR OFFICE USE ONLY (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) LEGAL DESCRIPTION FROM TANK? FROM TANK? BLOCK: SUB — DIVISION: CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 CLOSET ❑ OTHER[] PROPANE D OIL[] NATURAL a GAS FEET FEET 1 TIE LEADER IN THE FIELD OF ALTERNATIVE ENERGY NATIONWIDE POWER CORPORATION Inspector TM NPC 4'D -. NATIONWIDE POWER CORPORATION SOLAR SURVEY and INSTALLER INFORMATION SURVEY FOR: lO(T o Co ADDRESS: CITY: m !� 1 TYPE: ONE (1) STORY ® TWO (2) STORY ROOF: TILE Q ASPHALT SHINGLED TAR b GRA -- SPECIAL INSTRUCTIONS -- P ot) OAW6fg- peAsi. (, &L EXISTING TANK IS LOCATED IN: WILL TANK BE RE- LOCATED? YE IF YES, HOW FAR FROM EXIT TANK? RE- LOCATED TO WHAT AREA? WHAT ELECTRICAL IS AVAILABLE AT 220 VOLT OUTLET: YES 110 VOLT OUTLET: YES NO® IF TANK IS TO BE RE- LOCATED INFORM CUSTOMER OF $ LOT: BLACK: FOR OFFICE USA ONLY t S ex i s -n Cc-cr -e i ca S@-f o C e- c ge, cA COUNTY: STATE: OTHE UT ITT ROOM® CLOSETED OTHER FEET OR NEW LOCATION? HOW MANY FEET FRO HOW MANY FEET FR LEGAL DESCRIPTION E 1 .e. S DIVISION: CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 ZIP: / 3 5 (NOTE: BE SURE TO INDICATE SOUTHERLY I RECTION) P ONE Hp WORK PROFANED OIL ED NATURAL GAS TANK? FEET TANK? FEET RE- LOCATION CHARGE. THE LEADER IN THE FIELD OF ALTERNATIVE INEROY NATIONWIDE POWER CORPORATION Inspector TM 4.11 ( TW METROPOLITAN DADE COUNTY • FLORIDA 909 SOUTHEAST 1ST AVENUE BRICKELL PLAZA BUILDING MIAMI, FLORIDA 33131 TEL 579 -2612 A. T. Bliss Co., Inc. 1300 South West 12 Avenue Pompano Beach, Fla. 33060 Your application for Product Approval of Solar Water Heater System Model SMSP -410 under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Joseph Martone, P.E.; along with dwg. No. 80142 -1 dated February 1980 and Florida Solar Energy Center Report No. 80015D dated 2 -28 -80 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, and the Standard Conditions on Page 3 ACCPFTANCE No.: 80 -214.6 APPROVED Oct. 20. 1980 EXPIRES April 14, 1983 APPROVED: October 20, 1980 BUILDING AND ZONING DEPARTMENT PRODUCT CONTROL NOTICE OF ACCEPTANCE BOARD OF RULES AND APPEALS NOTICE OF ACCEPTANCE -1- Vipin N. Tolat, P.E. Product Control Supervisor Metropolitan Dade County Building & Zoning Department 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 Dade County under the conditions set forth above. Thomas M. Black, P.E. Deputy Secretary Metropolitan Dade County Board of Rules & Appeas NPC -1070 NOTICE O ACCEPTANCE: SPECIFIC CC DTTIONS 1. This covers a solar heater system for the production of domestic hot water comprising Model SMSP -410 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 29,900 BTU /day. 2. All electrical work shall be is conformance with Chapter 43, Electrical Section, of the South Florida Building Code and NFPA 70. 3. Single /Multiple collectors may be installed up toy elevations of 35 ft. above grade, using the following components: Collector Panel Frame (Enclosure Box) Size: 10' -1/2" x 4' -3/8" x 3k" deep Wall Construction:. 3/4" x 3/4" xl /16" x 3k" Bottom: 0.020" emboss, aluminum sheet secured to aluminum frame, four 1" x x 1" x 1/16" channels at 24" o.c. Cover Plate: 0.040" thick reinforced plastic sheet Method of Assembly: Channel secured to main frame with #10 x 3/4 Tek screws to back panels with six pop rivets per channel. Insulation: 1" thick rigid foam insulation Connection of Collector Panel to the Roof of the Building Mounting Brackets: 3" x 3" x -" x 4' -6 3/32" aluminum alloy 6063 -T6 Number: 4 Size: 21" x 3 13/16" x 11" bent steel plate at low side 11" x k" x 6" steel angle at high side One 3/8" bolt Fasteners (per bracket) All roof penetrations must be through pitchpans. 6. Acceptance No. 80 -060.2 is hereby superseded 7i ACCEPTANCE :i0. APP40VID : ... il EXPIRES : Apr 1 , 1983 5- LICENSEE: Equinox Solar, Inc. of 3350 N.W. 60th Street, Miami, Fla. 33142 is authorized to metchandise the Model SMSP -410 collector under the trade name of Equinox Solar. 80 - 214.6 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. All piping and connections to potable water shall be performed by a qualified plumbing contractor, and all electrical work shall be by a qualified electrical contractor. 7ip:n N. io ia:, ? . E. Product Control Supe -7:sor -2- Met:ropoi'_ n ;ade Coon^ 3ui1di.z j Zoni Seca: __e_. SUMMARY INFORMATION SHEET _114VV`� FLORIDA SOLAR ENERGY CENTER 7 i � 300 STATE ROAD 401. CAPE CANAVERAL. FLORIDA 32920. (305) 793 -0300 f ^^r r Nationwide Power Corporation 1300 S.W. 12th Avenue Pompano Beach, Florida 33060 Gross Length Gross Width Gross Depth Gross Area Transparent Frontal Area Volumetric Capacity Weight (empty) Recommended Flow Rate Maximum Operating Pressure Maximum Wind Load Number of Cover Plates Flow Pattern Number of Flow Tubes Enclosure Glazing Absorber Absorber Coating Insulation Tested per ASHRAE 93 -77 Incident Angle Modifier K TO = 1.0 - 0.20( 1 cosB Efficiency Equations n= 66.6 - 586 (Ti -Ta) /I 77= 64.4 - 331 (Ti -Ta) /I Units of Ti -Ta /I are Watt/°C•m Reference 80015D + 79015 MANUFACTURER This solar collector was evaluated by the Florida Solar Energy Center (FSEC) in accordance with prescribed methods and was found to meet the minimum standards established by FSEC This evaluation was based on solar collector tests performed at DSET Laboratories Phoenix. Arizona. The purpose of the tests is to verify initial performance conditions and quality of construction only The resulting certification is not a guarantee of long term performance or durability. DESCRIPTION 3.065 meters 1.237 meters 0.083 meters 3.791 square meters 3.489 square meters 5.3 liters 49.9 kilograms 69 ml /s 552 kPag 2394 Pa One Parallel Eight MATERIALS Aluminum frame Fiberglass reinforced plastic Copper tubes soldered to copper sheet Flat black paint Polyisocyanurate, 2.5 cm thick THERMAL PERFORMANCE - 3686 [(Ti Ta) /I)P RATING NPC 81113012A n= n= November 1981 FSEC # 81185D Collector Model SMSP 410 10.06 feet 4.06 feet 0.27 feet 40.81 square feet 37.56 square feet 1.4 gallons 110.0 pounds 1.1 gpm 80 psig 50 psf 66.6 - 103 (Ti -Ta) /I 64.4 - 58 (Ti -Ta) /I - 114 [(Ti- Ta)'lY Units of Ti -Ta I are Btu''F•ft' hr The collector has been rated for energy output on measured performance and an assumed standard day Total solar energy available for the standard day is 5045 watt - hours /m' (1600 Btu /1t distributed over a 10 hour period. Output energy ratings for this collector based on the second -order efficiency curve are Collector Temperature Energy Output Low Temperature, 35=C (95`F) 41,000 Kilojoules' day Intermediate Temperature, 50 (122'F) 31,500 Kilojoules'day High Temperature, 100`C (212`F) 4,500 Kilojoules'day 38,900 Btu /day 29,900 Btu /day 4,300 Btu /day NPC 81113O11A 4 X 10" COLT.el ; o I. Soler Collector 2. Serscrs ?. 4. PrEcE'� -T p Valve 5. Drain Valve 6, Gate Valve 7. Sola• Water .ank 8. Circulatirg Funp 9. Controller 10. Check Valve To 110 C«uI.1et . 5a . Y• I ii t1 t9 l9 11 1! tl '11. DIAGRAM I I li I I 1 i HOT OUT Yve.4 re° _V_ 4 1_ ;5 /11 A vssoro - .9 — - /0 /!v( oc 3. 5,'"Er4. 0,e 606 rz. 4z , /04.114•2• . ,4O 42x 0.06f 20 tlt -74 Air 161111111 frvex.80,,_r/vor 5 •4 3 74( z.a c4 "- 5 CE/44,vo• Z' 9 (51 • x 2 *".1. ,e4R4 f 8Pc". 7 70/5 r73.4.cv<i) Per" . _ - _ _ "_••••_ 1/ -eoef 1 . 1 04E5 f -5 /9' • - 4 k 7- A.-; z.:- /4 5 /LA' 0 'PCfT R C- C /74N4/0"cr/e/v DE 41_ Alog e e■-e2-c.-_e_2-. _ __I _ 7/\ LIN ....:/7 i/4,' 6" /1 -4:•.'..N.N.V k , •..--‘', 1.01,% , ..tfc; - 4, • c- -- 4 ' • ' 0' 4 L. • : , .. ., .. - :. ' e ,...! , •:. - " r • 0' - -- !'4 • : .... .: f. .=...N. ',...... _._ e ...v. • • . • •• r t • :- -. • • • • • SrArzr S /A/c j/ 7 / c7C<Pc..c,,F.eae/‘ _72C70 v 12'4 ,9/1/a p2,jfa 1 JJ1 .'/.4' c 4,7: dwc, 4014 /2 r. 41/ oft a 44 fier/Br- . 8 a -/ 5cv-.94' s7W'4,4/Q(. tJMO T -5/ SS' BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 0 ❑ DATF 195 p�-- PERMIT 11T° 2631 Contractor s License No. ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. 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 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 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 fir all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6' 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 inade 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 ___:J._'___) No. L_ Ste, Street Registered Architect and /or Engineer Plumber's Name No Street Location and Legal Description Lot > >. _ Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ Size Septic Tank ; E Type of Tank_____;_ Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $___' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - 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. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) ( Signed ) Date____, Subdivision T"" My Commission Expires Notary Public, State of Florida No. of Stories Fiy umbing Inspector. 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. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS TOTAL. FIXTURES CONTR. LIST •i 1 CHECK CONTR. LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAK 4GE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL '.. — __ 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 inade 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 ___:J._'___) No. L_ Ste, Street Registered Architect and /or Engineer Plumber's Name No Street Location and Legal Description Lot > >. _ Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ Size Septic Tank ; E Type of Tank_____;_ Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $___' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - 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. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) ( Signed ) Date____, Subdivision T"" My Commission Expires Notary Public, State of Florida No. of Stories Fiy umbing Inspector. 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 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE r PERMIT N? 7683 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building f 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 appli- cation 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. Bl. Subdi- vision Value of Project Contractor's License No. Amt. of Permit : !" BY AUTHORITY 194_ Signed. By INSPECTOR • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wii3rlll ordinancetaAl re5jr atiohis 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 a work done by either myself, my agent, servant or employee. 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 Charles Bradshaw Registered Architect and /or Employing Plumber's Name_- RQae___ epti_�Z_'allk 4. • Inc. No. _ _ _ __ _ Street__ -_W' __ 3rd Ave. ,Hialeah, Fla Location and Legal Description Lot Block Subdi vision __ - - --_- _____- - - -_ -- Street and Number where work is to be performed- No.___-__ 1 _____ — Street N.E. 95th St. State work to be performed and purpose of building (By Floors)_____ New Building __ Remodeling___ ______ Addition__. Size Septic Tank _-- _ ---- -- -- _-___ -_ Type of Tank-- Capacity Gals t Block drain_x , j� Feet of Drain Tile_ eet of Tank or Drain Field from Well Nature of Water Supply: City -Well Amount of Permit $ 3.00 STATE OF FLORIDA, } as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. ___ Street ___N.E. 95th St. Repairs No. of Stories. (Signed)_ ( Signed ) __ _Size of Soakage Pit 10/14/63 Date My Commission Expires Notary Public, State of Florida Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.. ga ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per n Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors p oyed 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. -L49. 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. 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 worlananship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL C ONTR. 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 Charles Bradshaw Registered Architect and /or Employing Plumber's Name_- RQae___ epti_�Z_'allk 4. • Inc. No. _ _ _ __ _ Street__ -_W' __ 3rd Ave. ,Hialeah, Fla Location and Legal Description Lot Block Subdi vision __ - - --_- _____- - - -_ -- Street and Number where work is to be performed- No.___-__ 1 _____ — Street N.E. 95th St. State work to be performed and purpose of building (By Floors)_____ New Building __ Remodeling___ ______ Addition__. Size Septic Tank _-- _ ---- -- -- _-___ -_ Type of Tank-- Capacity Gals t Block drain_x , j� Feet of Drain Tile_ eet of Tank or Drain Field from Well Nature of Water Supply: City -Well Amount of Permit $ 3.00 STATE OF FLORIDA, } as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. ___ Street ___N.E. 95th St. Repairs No. of Stories. (Signed)_ ( Signed ) __ _Size of Soakage Pit 10/14/63 Date My Commission Expires Notary Public, State of Florida Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.. ga ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per n Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors p oyed 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. -L49. 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. 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 worlananship. Date -- •4/ °�� ;- 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. Permit No 4 Owner's Name and Address Registered Architect and /or Engineer --- ------- -_�- - -- Employing Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)_ New Building_--- __ -- Remodeling Addition.- -_ ---_ Repairs Size Septic Tank Feet of Drain Tile____-____ Nature cf Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHQRES, VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.___ —` _ - - Street - - .' )7t` No.__ Block Street , J - = = _f�' e No. of Stories_ Type of Tank —Dist. Feet of Tank or Drain Field from Well _•-- --- ____ -- _ Size Size of Soakage Pit ( 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 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). 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. Notary Public, State of Florida My Commission Expires TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty aterjls and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES C0 SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES Corms. LIST CHICK ,.61. __ -- SEPTIC TANK SEWER CONN. DRAIN FIELD :SOAKAGE PIT GREASE TRAP -SOB*f H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Dhy J (C1",l -' ---/-- -- CONTR. LIST / CHECK W r �� Date -- •4/ °�� ;- 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. Permit No 4 Owner's Name and Address Registered Architect and /or Engineer --- ------- -_�- - -- Employing Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)_ New Building_--- __ -- Remodeling Addition.- -_ ---_ Repairs Size Septic Tank Feet of Drain Tile____-____ Nature cf Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHQRES, VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.___ —` _ - - Street - - .' )7t` No.__ Block Street , J - = = _f�' e No. of Stories_ Type of Tank —Dist. Feet of Tank or Drain Field from Well _•-- --- ____ -- _ Size Size of Soakage Pit ( 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 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). 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. Notary Public, State of Florida My Commission Expires TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty aterjls and /or workmanship. UILDING LFCTRICAL LUMBING :OOFING )caner of uilding chitect n tractor wilder i gal Lot JescriptiorL Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE - f PERMIT IT? 11275 Work to be performed under this Permit Bl. 1 CONTRACTOR OR WILDER BY Subdi- vision Value of Project $ 195 Contractor's License No •Ad Amt. of Permit $ This permit is granted to the contractor 4 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 Apd regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statement dr specifications and that he assumes responsibility for work done by his agents, servants or employees. • t Signed • c • ' ElY 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 wo, clone by either, myself, my agent, servant or employee. �� AUTnORrrY Company REQUEST FOR INSPECTION job Addresses Inspection Time Ready A.M. P.M. Date Ready PHONE 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 ccmplied 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 Plumber's Name New Building Amount of Permit $ -- -- 1 'L MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling___ Addition Repairs Size of Soakage Pit Date No.____ __ Street No. Street Location and Legal Description Lot Block_ Subdivision Street and Number where work is to be performed —No. , Street___ ._1 ,.1 '' ' ,I r „' , / s: State work to be performed and purpose of building (By Floors) / 1 z, n J 4 • i'4 A ( /c tVo. of Stories Size Septic Tank Type of Tank_ Capacity Gals. Feet of Drain Tile . Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Wel.. (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this perniit; and will post or cause to he 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. 7/ rf STATE OF FLORIDA, ) COUNTY OF DADE. s s. (Signed) My Commission Expires Notary Public, State of Florida 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 satin', and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS �/r, '�- .., TOTAL FIXTURES CONTR. LIST _ / CHECK / ^, , r I 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 ccmplied 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 Plumber's Name New Building Amount of Permit $ -- -- 1 'L MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling___ Addition Repairs Size of Soakage Pit Date No.____ __ Street No. Street Location and Legal Description Lot Block_ Subdivision Street and Number where work is to be performed —No. , Street___ ._1 ,.1 '' ' ,I r „' , / s: State work to be performed and purpose of building (By Floors) / 1 z, n J 4 • i'4 A ( /c tVo. of Stories Size Septic Tank Type of Tank_ Capacity Gals. Feet of Drain Tile . Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Wel.. (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this perniit; and will post or cause to he 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. 7/ rf STATE OF FLORIDA, ) COUNTY OF DADE. s s. (Signed) My Commission Expires Notary Public, State of Florida 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 satin', and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLYING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE Az, 2,4 1954.. O Contractor's License No PERMIT IT 11165 Architect .,ontractor 1c) Work to be performed under this Permit or Builder Legal Description Address of Building This permit is granted to the contractor or builder • ed above to herefor in strict compliance with all ordinances pertainin ereto and wi drawings, statements or specifications that may have been .ubmitted to and a time if the work is not done in compliance with such ordinances or if the plan granted is the understanding that the contractor or builder named above assu pertaining to the work covered hereby whether shown on the plans or drawin done by his agents, servants or employees. Lot In consideration of the issuance to me of this permit I agree to perf pertaining thereto and in strict conformity with the plans, drawings, stateme In accepting this permit I assume responsibility for all work done by eithe CONTRACTOd t R BUILDER BL Signed• Subdi- vision Value of Project $ Amt. of Permit $ struct the building or to install the equipment or device de in the a ' Lion the undereta l that the work will be performed in compliance with any p . prova(by the pro municipal authorities. This Permit may be revoked at any ar changed withou authorization. A further condition upon which this permit is the responsibility+ for a thorough knowledge of the ordinances and re:ulations r in the stateme s or specifications and that he assumes responsibility or work R the work covered hereunder in compliance with all or specifications submitted to the proper authori myself, my agent, servant or employee. BY AUTHORITY ncee and gulatione Miami S . Village. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date // Job Address f & I is A) e RS /- Tax Folio /1/ d�P i / i47 Legal Description / &,, / 5 #I7 6 , i - j `i. 2 Owner / Lessee / Tenant Z.1' //11 4712 Master Permit I�J /�/ Owner's Address Le u f-S.S e �� � Phone ` �'� IBC Contracting Co. 6 La A: Ccx.e L1 AA6 co Address 1 I 1 'U 4) - 4 f Qualifier j L EL.siek4' ss# Phone '77 6 (�r� '���4�"CI State 0 1L Municipal I Competency # i?: 3 /t / Ins .Co. i <f / Cs t i j..1 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING ';MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION LQ` le-1 (' Rcp ;< Square Ft. Estimated Cost(value) %e), e e 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 compliance with all applicable laws regulating construction and zoning. Furthermore, I au ize the above -named contractor to do the work stated. of o t K Ai ondo President k,� • 1SSION �,p / : Signature Date: Notary as icy Owner.and /or 4ondo President My Commiss:Expires: #CC 192123 :a ** * * AB/7 n la S A .) , o FEES: PERMIT 30,060 RADON C.C.F. • �/ APPROVED: Fire Zoning Building Mechanical i,' $ignatur e of Contractor or Owner- Builder Date: Notary as to Contractor 4 94 My Commission Expires ; ,' • •ca * * * „ am'• #tC 19212& 0 NOTARY (/( e ®Z '/ 5 ' Other ctrical sneering fig Inspection Date: 08/29/2006 Inspector: Levrack, James Owner: LEVASSER, PHILIP Job Address: 1218 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Monday, August 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 r r ( Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)756 -6214 Parcel Number 1132060144090 Lot: Phone: 305 - 608 -5400 Page 1 of 2 Passed Inspector Comments J Failed J Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until fig Inspection Date: 08/29/2006 Inspector: Levrack, James Owner: LEVASSER, PHILIP Job Address: 1218 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Monday, August 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 r r ( Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)756 -6214 Parcel Number 1132060144090 Lot: Phone: 305 - 608 -5400 Page 1 of 2 ... ..... ... •. • Inspection Date: 08/29/2006 Inspector: Levrack, James Owner: LEVASSER, PHILIP Job Address: 1218 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Monday, August 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)756 -6214 Parcel Number 1132060144090 Lot: Phone: 305 - 608 -5400 Page 2 of 2 Passed in - • • c orj omments c/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until ... ..... ... •. • Inspection Date: 08/29/2006 Inspector: Levrack, James Owner: LEVASSER, PHILIP Job Address: 1218 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Monday, August 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)756 -6214 Parcel Number 1132060144090 Lot: Phone: 305 - 608 -5400 Page 2 of 2