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571 NE 94 St (12)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ DATF 195 PERMIT 11 T9 3591 Contractor s License No. LI CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit Bl. Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construc 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 v�ork done by his agents, servants or employees. { — . r Signed. Amount of Permit $ 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 for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 po PERMIT N° _ 3578 Contractor's License No. ❑ Work to be performed under this Permit__ Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building Bl. 1 Subdi- vision Value of Project $ Amount of - -- r - --- 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 app:ication 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 regt:lotions pertaining to the work covered hereby whether shown on the plans or drawings cr 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 regt.lations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village, In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA P RMIT N? 6067 CONTRACTOR OR BUILDER BY DATE `f . Contractor's License No. Work to be performed under this Permit Owner of Building —— 194.1.. Architect -- Contractor or Builder Legal Lot BI. Subdi- Description vision Address of Value of j Amt. of Building _ _ _ `•r Project Permit t t This permit is grairted 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 wil 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 m the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this pennit 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. AUTHORITY BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING Gl .PERMIT N9 9498 Contractor's License No. ROOFING ❑ Owner of Building Architect Contractor or Builder__ Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. Work to be performed under this Permit— Subdi- vision Sq. Ft Value of Project $ 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 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 an/ 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 rermit 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 17 BUILDING ELECTRICAL PLUMBING ROOFING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description Bl. Address of Building N9 6277 Work to be performed under this Permit_ DATE Contractor's License No. 19 Subdi- vision Value of II Amount of Project $ II 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 .iny plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances mad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ••■••,7 7If fr4z CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT I1T? 11058 Bl. Subdi- vision Value of Project $ DATE — Work to be performed under this Permit 195 Contractor's License No Amt. of Permit BY AUTHORITY 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 e stat ents pecifications and that he ass mes nsibility for work done by his agents, servants or employees. �� Signed • s BY INSPECTOR In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawin s tatements or specifications submitted to the proper th rities of Mi r-Shores Village. In accepting this permit I assume responsibility for all work doneliy either, myself, my agent, servant or employee. `i ,, / - / v -.�- (Vtlage of Shores JOB 7. ADDRESS INSPECTION TIME READY / • / -/ REMARKS 6 . :2z ( 7 . N? 4194 INSPECTOR DATE _ CLOSETS BATH TUBE fiHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS IA URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES COHYi2. LIST CKvZCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW1M'O POOL CONTR. LISV CNaCK Permit No c Location and Legal Description Lot. Street and Number where work is to be performed —No 0 71 Stcto woais to be performed and purpose of building (By Floors) ____ ' J New Building Remodeling___ -- __ Addition__ Sire Septic Tank _ Type of Tank Feat of Drain Tile. Natare of Water Supply: City —Well. Amount of Permit $ [ AMI SHORES VI_ PLUMBING INSPECTION DEPARTM 's'<" APPLICATION FOR PLUMBIRIS ate O ,r t �_...- - -- r - - • - ' Application is hereby made for the approval of the detailed statement of pins and speci l.:ztioats herewith submitted for the building or other structure herein described. This application is made in compliance and co nR:.a::. '_' with the T-;.'ilding Ordinance of Miami Shores Village, Florida, and ail provisions of the Laws of the State of Florida, all ordinances of Miena ;u ses Viiiaroa ar all rules and regulations of the Building Division of Miemi Shores Village shall be codaplied with, whether herein spesif='.ee •^r`. A cop; If approved plans and specifications must be hcpt at buildirs during progress of work. Owner's Name and Address `��^_'� __ -- v �'p No._ 6 Street Regis2�red RrchLect and /or Engineer__ - ____ —__ _ Empooytag Plumber's Name 4 ��c� _ — No.. Street__ Block — __ -- _---------- -_ -_ -- Subdivision.- _...___.. Street IV E . z � / Repairs No. of Stories. Capacity Gals..._ ___Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit t 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 r faired 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. STATE OF FLORIDA, COi1im OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_. _ _ -- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. he Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when such re-inspection is made•neoessary by improper notice for inspection, or faulty materiels and /or workmanship. MIAMI SHORnS VIE. ',ACisg: PLUMBING INSPECTION DEPARTM' APPLICATION FOR PLUMBING Permit No Application is hereby made for the approval of the detailed statement of em, plans and speciiieations herewith submitted for the building or other structure herein described. This application is made in compliance and confor with the Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Minn! ::;i1ores VtiIae aid all rules and regulations of the Building Division of Miami Shores Village shell be complied with, whether herein specific!. . A cop: 31: approved plans and specifications must be kept at building during progress of work. , Owner's Mune and Address 1 ) No ' Street. 2..L. Registered Architect and/or Enifing;el----r— Employing Plumber's Name 1 /1 ' / b" , Location and Legal Description Lot. Mods- Subdiv4on Street and Number where work is to be performed—No (. Street State work to be performell and purpose of building (By Floon) A 'h / New Building Remodeling Addition Repaks.. No. of Stories . ., Feet of Drain Tile_______ Feet of Tank or Drain Field kola Well Nature of Water Supply: City—WeL_L v Lt 4.., ________...Size of Soakage Pit- ......... -....---------.- ..... _______ _______ ...... Amount of Permit $ ik Id, ik 9 • ( • WOO. Capacity Gab. (SO) Plum•istg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and lets com- plied with the provisions thereof, and will require similar compliance from all contractors or sub.contracton 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 week 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. (Sped )—............—. Muter Plumber. STATE OF FLORIDA, I to. OGUNTir OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, moon* appeared to me well known, and who, being by me first duly sworn, upon oath deposes andes that he is the of tho above described construction, that be has carefully read the foregoing and that be did nips the sense, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Fled& NOTE: A re lee of $1.00 will be made when such re-inmeetion is mode by improper notice far inspection, or faulty materials and/or workmanship. CLOSETS BATH TULA ,.______. '''""ww''' LAVA. TORIES S SLOP SINKS LAUNDRY TUIPS UMNAL. CATON BASIN noon MAIN DRINKING ream-row TOTAL FIXTURES CONTR. 2 *--"--."--- CHECK ........ ■....m.,■,... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT Gasser TRAP SOLAR HATE yaw WELL SPIt KLX. SYSTEM SW W 0 POOL . ' ' _......._,,......, CONTR. LIST , ----"' CHECK MIAMI SHORnS VIE. ',ACisg: PLUMBING INSPECTION DEPARTM' APPLICATION FOR PLUMBING Permit No Application is hereby made for the approval of the detailed statement of em, plans and speciiieations herewith submitted for the building or other structure herein described. This application is made in compliance and confor with the Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Minn! ::;i1ores VtiIae aid all rules and regulations of the Building Division of Miami Shores Village shell be complied with, whether herein specific!. . A cop: 31: approved plans and specifications must be kept at building during progress of work. , Owner's Mune and Address 1 ) No ' Street. 2..L. Registered Architect and/or Enifing;el----r— Employing Plumber's Name 1 /1 ' / b" , Location and Legal Description Lot. Mods- Subdiv4on Street and Number where work is to be performed—No (. Street State work to be performell and purpose of building (By Floon) A 'h / New Building Remodeling Addition Repaks.. No. of Stories . ., Feet of Drain Tile_______ Feet of Tank or Drain Field kola Well Nature of Water Supply: City—WeL_L v Lt 4.., ________...Size of Soakage Pit- ......... -....---------.- ..... _______ _______ ...... Amount of Permit $ ik Id, ik 9 • ( • WOO. Capacity Gab. (SO) Plum•istg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and lets com- plied with the provisions thereof, and will require similar compliance from all contractors or sub.contracton 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 week 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. (Sped )—............—. Muter Plumber. STATE OF FLORIDA, I to. OGUNTir OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, moon* appeared to me well known, and who, being by me first duly sworn, upon oath deposes andes that he is the of tho above described construction, that be has carefully read the foregoing and that be did nips the sense, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Fled& NOTE: A re lee of $1.00 will be made when such re-inmeetion is mode by improper notice far inspection, or faulty materials and/or workmanship. Amount of Permit $ g'•!a; OP FLORIDA, ( as. CD;IN!r'SP OF DADE. GijAAA1 SHORES VC:- PLUMBING INSPECTION DEPARTMZK AMLICATION FOR PLUMBINS Penn; No Application is hereby made for the approval of the detailed statement of ti:•.. structure herein described. This application is made in compliance and cob f, t and at.; provisions of the Laws of the State of Florida, all ordinances of Mir' of Miami Shores Village shall be coa.epli.ed with, whether herein specifies building during progress of work. C %°rn a Narne and Address Registered Architect and /or Engineer ..... ____ — _ Employing Plumber's Name Location and Legal Description Lot__ — Street 7-if-1 Number where work is to be performed —No State wo: to be performed and purpose of building (By Floors)_ NOW Blii1C123 Remodeling — --- _ - - -__ ___ Addition No. No._ (Signed)- (Signed) Date jians and specif;cations herewith submitted for the building or other with the x: gild ng Ordinance of Miami Shores Village, Florida, :_acdes Villa;;. aid all rules and regulations of the Building Division A CO p if approved plans and specifications must be kept at Street__ Block_ Subdividon.. Street Street Repairs No. of Stories Type of Tank__- Capacity Gals S" a aspic Tank Feet of Drain Tile_ — ___..Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit 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 rcga,ieee. ay tune Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are llc vnscd by Miami Shores Village. 32fnce 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 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 .riI40WER8 LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CON e:I. LIST CH2Ct2 ..7.___ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S; POOL. CONTR. LIM C:vac:a - . - - Amount of Permit $ g'•!a; OP FLORIDA, ( as. CD;IN!r'SP OF DADE. GijAAA1 SHORES VC:- PLUMBING INSPECTION DEPARTMZK AMLICATION FOR PLUMBINS Penn; No Application is hereby made for the approval of the detailed statement of ti:•.. structure herein described. This application is made in compliance and cob f, t and at.; provisions of the Laws of the State of Florida, all ordinances of Mir' of Miami Shores Village shall be coa.epli.ed with, whether herein specifies building during progress of work. C %°rn a Narne and Address Registered Architect and /or Engineer ..... ____ — _ Employing Plumber's Name Location and Legal Description Lot__ — Street 7-if-1 Number where work is to be performed —No State wo: to be performed and purpose of building (By Floors)_ NOW Blii1C123 Remodeling — --- _ - - -__ ___ Addition No. No._ (Signed)- (Signed) Date jians and specif;cations herewith submitted for the building or other with the x: gild ng Ordinance of Miami Shores Village, Florida, :_acdes Villa;;. aid all rules and regulations of the Building Division A CO p if approved plans and specifications must be kept at Street__ Block_ Subdividon.. Street Street Repairs No. of Stories Type of Tank__- Capacity Gals S" a aspic Tank Feet of Drain Tile_ — ___..Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit 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 rcga,ieee. ay tune Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are llc vnscd by Miami Shores Village. 32fnce 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 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. 1 // Date i ,<. c; �f 6.7 Application is hereby toade 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 Owner's Name and Address No. 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 Size Sep i s of Tank Amount of Permit 3- _ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Sloth Addition (Signed) _ (Signed)._ /� Street Street___ Subdivision e Street �2 Repairs No. of Stories 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 1 I . Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understandsd 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 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 perfo under this permit, as are licensed by Miami Shores Village. 4 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 /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 S INKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST -.- CHECK 1 // Date i ,<. c; �f 6.7 Application is hereby toade 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 Owner's Name and Address No. 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 Size Sep i s of Tank Amount of Permit 3- _ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Sloth Addition (Signed) _ (Signed)._ /� Street Street___ Subdivision e Street �2 Repairs No. of Stories 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 1 I . Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understandsd 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 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 perfo under this permit, as are licensed by Miami Shores Village. 4 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 /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. Owner's Name and Address CLOSETS I I CONTR. LIST CHECK CONTR. LIST CHECK BATH SHOWERS LAVA - TUBS TORIES SEPTIC SEWER DRAIN TANK CONN. FIELD SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No _. Date Application is Lereby made for the approval of the detailed statement of the plans and specifications hcrcw ith 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. Registered 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 No. of Stories SINKS GREASE TRAP SLOP LAUNDR SINKS rues SOL4R HEATER 1 DEEP WELL 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 _ __ Amount of Permit S _. - — _ - - - - -- (Signed) ss. (Signed) _ J _ (__ ( _ Street /. URINALS CATCH FLOOI': DR;N :UNC fAsIr: DRAIN FOUNT NS SPRKLR. SWIM•C SYSTEM POOL . Capacity Gals. TOTAL FIXTURES Plu nhing Inspector. The undersigned applicant for this building permit does hereby certify that lie understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ceneral Laws of Florida Perloaro 111 Sni'plhin& nt. and has cenr plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him 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 ire required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 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; ilu Name, ;aril that all fa its therein by hint stated are true. My Conunission Expires Notary Public, State of Florida Master Plumber, NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Gi i _ Permit No._ -- `-�' -_c!_ -- :- Application is hereby made for the approval of the detailed statement of ti.. plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf :r:.ity with the Building Ordinance of Miami Shores Village, F1or_'da, 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 nat. A copy of approved plans and specifications must he kept at building during progress of work. b g C5 t ��d ° - SZ Yit.�"g & Ad Oc'�� Oivna.;'s Name and Address------ -- --- - -- � - -- --- _ -' •'------- ___ - :� _ No.--- — ......... Street Location and Legal Description Lot__.. — _______— .________ __ _ Block Street and Number where work is to be performed—No-571 N ° E ° 9) th S t _— Street State ,, cork to be performed and purpose of building (By Floors) _._____ relay New Building — -_ Remodeling Registered Architect and /or Engineer__________ Employing Plumber's Name - ___A -- c e -pt c '�' � g- N¢,2��_ -� - �g� Street - y. ? x ii s� S',a Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well Amount of Permit $ BOO STATE OF FLORIDA, COUNTY OF DADE. d PniAMI SHORES VIL:JaGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING " ,,.itS� Addition_______._ Repairs No. of Stories. Type of Tank_ _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed) Capacity Gals (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 bus 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 c al by the Act. The undersigned agrees to employ only such sub- contractors, o . ork to be perfon ed unde s 1 permit, as are 1Ica zd by Mai Shares Village. �/ Date - 313: L5 Subdivision Tuo 7-76 lisafcore 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 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 S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS INAS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES LIST CHECM e SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONVTR. LIST CH3C _ Gi i _ Permit No._ -- `-�' -_c!_ -- :- Application is hereby made for the approval of the detailed statement of ti.. plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf :r:.ity with the Building Ordinance of Miami Shores Village, F1or_'da, 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 nat. A copy of approved plans and specifications must he kept at building during progress of work. b g C5 t ��d ° - SZ Yit.�"g & Ad Oc'�� Oivna.;'s Name and Address------ -- --- - -- � - -- --- _ -' •'------- ___ - :� _ No.--- — ......... Street Location and Legal Description Lot__.. — _______— .________ __ _ Block Street and Number where work is to be performed—No-571 N ° E ° 9) th S t _— Street State ,, cork to be performed and purpose of building (By Floors) _._____ relay New Building — -_ Remodeling Registered Architect and /or Engineer__________ Employing Plumber's Name - ___A -- c e -pt c '�' � g- N¢,2��_ -� - �g� Street - y. ? x ii s� S',a Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well Amount of Permit $ BOO STATE OF FLORIDA, COUNTY OF DADE. d PniAMI SHORES VIL:JaGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING " ,,.itS� Addition_______._ Repairs No. of Stories. Type of Tank_ _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed) Capacity Gals (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 bus 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 c al by the Act. The undersigned agrees to employ only such sub- contractors, o . ork to be perfon ed unde s 1 permit, as are 1Ica zd by Mai Shares Village. �/ Date - 313: L5 Subdivision Tuo 7-76 lisafcore 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 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. Permit No • ( ' a Application is hereby mad 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 New Building_ _ Amount of Permit $ STATE OF FLORIDA, COUNTY F DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (22.j'__I_C`v _ _ _ — Street Registered Architect and /or Engineer_-_---- ____ __ _� _ I p r � � Employing Plumber's Name A; �(. „° '> r . 6 No y Street/ • V" i Location and Legal Description Lot____, ______ Block_ Subdivision Street and Number where work is to be performed —No '- - /L Street cc State work to be performed and purpose of building (By Floors) ______ _ Addition_______ _ Repairs No. of Stories. Remodeling_ Size Septic ..... of Tank_ Feet of Drain ........... __________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.___ __ ________.__________Size of Soakage Pit 7,60 (Signed) - Capacity Gals Date My Commission Expires Notary Public, State of Florida �- ° - - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 1's obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida ennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contra ors 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. 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 workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS r G. B.f TOTAL FIXTURES LIST '.< CHECK -r s;, J;( 9i �l >��. J 'L j am = l 'i' . - t/ �` - 1, , SEPTIC TANK . SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CHECK _ Permit No • ( ' a Application is hereby mad 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 New Building_ _ Amount of Permit $ STATE OF FLORIDA, COUNTY F DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (22.j'__I_C`v _ _ _ — Street Registered Architect and /or Engineer_-_---- ____ __ _� _ I p r � � Employing Plumber's Name A; �(. „° '> r . 6 No y Street/ • V" i Location and Legal Description Lot____, ______ Block_ Subdivision Street and Number where work is to be performed —No '- - /L Street cc State work to be performed and purpose of building (By Floors) ______ _ Addition_______ _ Repairs No. of Stories. Remodeling_ Size Septic ..... of Tank_ Feet of Drain ........... __________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.___ __ ________.__________Size of Soakage Pit 7,60 (Signed) - Capacity Gals Date My Commission Expires Notary Public, State of Florida �- ° - - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 1's obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida ennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contra ors 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. 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 workmanship. Permit No. / 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 D ision of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications nmst he kept at building during progress of work. P' Owner's Name and Address No. Registered Architect and /or Engineer Employing Plumber's Name No Location and Legal Description Lot Block 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__ CONTR. LIST CHECK CONTR. LIST CHECK -ter Amount of Permit $ }' ' BATH CLOSETS TUBS SHOWERS SEPTIC TANK STATE OF FLORIDA, f COUNTY OF DADE. SEWER DRAIN CONN. FIELD s s. LAVA- TORIES SOAKAGE PIT SINKS GREASE TRAP SLOP SINKS SOLAR HEATER LAUNDRY Tuas DEEP WELL URINALS SPRKLR. SYSTEM t' CATCH BASIN SW IM '0 POOL Street Repairs _ . 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 � r Date Capacity Gals. Street Street Subdivision No. of Stories FLOOR DRINKING DRAIN FOUNT' N5 (Signed) , / Plumbing Inspector. Tile undersigned applicant for this building permit does hereby certify that he understands and accepts his o igations 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 bv llinl in the work to be perfomied tinder 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 :Ire licensed by Miami Shores Village. t (Signed), Master Plumber. TOTAL F1 CTUR ES 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 saute, and that all facts therein by hint stated are true. My Comniission Expires Notary Public, State of Florida NOTE: A re- inspection tee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault materials and /or workmanship. Company Job -- Address Inspection REQUEST FOR INSPECTION PHONE Time Ready _ A.M. P.M. Date Ready APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address. Street and Number where work is to be done Disapproved Date ( Signed) iyllding Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Registered Architect and /or Engineer Name and address of licensed contractor and legal description of lot to be built on: Lot Block Subdivision / //- / � , 19 No Street State work to be done and purpose of building (by floors) n 1 'c , r , 'i and for no other u P rpo se. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Root Covering Estimated Total cost of improvements $ Amount of Permit $ e „>_(`(- Zone cubage required -Plan Cubage Distance to next nearest building._.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 complied 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. o /�, Remarks ( Signed ) __ L--�. � ' ' , iv F � r % ± vl( _ Read, No._ __�___� Date �:-- ,Sworn to and Subscribed before me. 7 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 PLANNING BOARD DATE Chairman Member Member Member Member .. - -. - Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No. _ CONTR. LIST CHECK CONTR. LIST CHECK BATH CLOSETS TUBS SEPTIC TANK SHOWERS SEWER DRAIN CONN. FIELD ss. LAVA- TORIES SOAKAGE PIT 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 he 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 Architect and /or En ineer __ _ . - J X Employing Plumber's Name -_ � .- *.'t� No. Street 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 No. of Stories - - SINKS GREASE TRAP Block Subdivision SLOP SINKS HEATER LAUNDR TUBS DEEP WELL. URINALS SPRKLR. SYSTEM 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 —Well. ._.Size of Soakage Pit Amount of Permit $ - - — ( 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 corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him iii 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) CATCH BASIN SW M• G POOL FLOOR DRAIN Date DRINKING FOUNT' NS My Commission Expires Notary Public, State of Florida TOTAL FIXTURES Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that 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 fat materials and /or workmanship. BUILDING ELECTRICAL FLUMBING 1 RMIT N2 6067 Work to be performed under this Permit Owner of Building MIAMI SHORES VILLAGE, FLORIDA Architect Contractor or Builder j° Legal Lot Description Address of Building This permit -is to the'coiifractor or udder 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 w th the understanding that the work wil 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 • w a B INSPECTOR — Bl. Subdi- vision Value of Project DATE , 194 Contractor's License No Amt. of Permit In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and segulations 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. "" �"r= t iii7/lL ' s f S .1 iO 1 / t� T AC:'1 5, r w L OAF R OR OR BUILDE ; � ; �: BY AUTHORITY •1", I • d t tl%. r ��� Permit No .' Owners Name and Address.AX .1 .. MIAMI SHORES VOLLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION +. R 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 regulation of the Building Division of Miami Shores Village shall be complied with, whethes herein specified or not. A copy of approved plan and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Eutploying Plumber's Name ... -.-.._ Location and Legal Desct1ption Lot. 21 & 22 Bkkok 55 Sufbdivlslon Mi, Shrs. Sec, 2 Street and Number where work is to be performed —No 971 Street_ State work to be performed and purpose of building (By Fhoors)__..So1ar Water System Residential New Building —_ __- - _ Remodeling—__.._._._..___ Addition.. ___ ..__ Repairs No. of Stories........ Size Septic Tank_- -Type of Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well...-.—_..Y—_-._- Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and Ilar com- piled with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to h 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, R'. k to be performed underthls permit. as are licensed by Miami Shores Village. (Si STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorizexl to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly , upon oath deposes a d says of the above described construction, that he c fully read the fEoo appll therein by him stated NOTARYIATE OF FLORIDA AT LARG MY Sti a EXPIRES e OCT. 1985 INS ,i�lliiiiscon Expires No 571 S 94 St. _Capacity Gals Notuy Pudic, State cf Plumbing Inspector. Master Plumber. he is the and that he did sign - and that all facts NOTE: A re- inspection fee of $1.06 will be made wheat wok nolaspeotlan is snede by £npmper notice fee inspection, or faulty materials and /sir wort nanship. CI-eau BATH Tu s SMOW¢WS LAVA. TORIES aINKS SLOP SINKS 6AUaIO Y Tugs URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL PIKTURt• CONTR. LIST CHECK a _� SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAGE PIT CREASE TRAP SOLAR HEATER DEEP W[LL BPRKLR. SYSTEM eW IWO POOL CONTR. LIST .- CHECK Permit No .' Owners Name and Address.AX .1 .. MIAMI SHORES VOLLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION +. R 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 regulation of the Building Division of Miami Shores Village shall be complied with, whethes herein specified or not. A copy of approved plan and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Eutploying Plumber's Name ... -.-.._ Location and Legal Desct1ption Lot. 21 & 22 Bkkok 55 Sufbdivlslon Mi, Shrs. Sec, 2 Street and Number where work is to be performed —No 971 Street_ State work to be performed and purpose of building (By Fhoors)__..So1ar Water System Residential New Building —_ __- - _ Remodeling—__.._._._..___ Addition.. ___ ..__ Repairs No. of Stories........ Size Septic Tank_- -Type of Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well...-.—_..Y—_-._- Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and Ilar com- piled with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to h 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, R'. k to be performed underthls permit. as are licensed by Miami Shores Village. (Si STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorizexl to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly , upon oath deposes a d says of the above described construction, that he c fully read the fEoo appll therein by him stated NOTARYIATE OF FLORIDA AT LARG MY Sti a EXPIRES e OCT. 1985 INS ,i�lliiiiscon Expires No 571 S 94 St. _Capacity Gals Notuy Pudic, State cf Plumbing Inspector. Master Plumber. he is the and that he did sign - and that all facts NOTE: A re- inspection fee of $1.06 will be made wheat wok nolaspeotlan is snede by £npmper notice fee inspection, or faulty materials and /sir wort nanship. -- SPECIAL INSTRUCTIONS -- LOT: SOLAR SURVEY and INSTALLER INFORMATION SURVEY FOR: ADDRESS: CITY: NPC -1060 ,.�J NATIONWIDE POWER CORPORATION ( / 7•r 7 �1nr r COUNTY: STATE: ZIP: (H O U S E D E S C R I P T I 0 N, FOR OFFICE USE ONLY LEGAL DESCRIPTION EXISTING TANK IS LOCATED IN: GARAGED UTILITY ROOM [J CLOSET[] OTHER[] WILL TANK BE RE- LOCATED? YES O NO 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[ NOD HOW MANY FEET FROM TANK? FEET 110 VOLT OUTLET: YES O NOD HOW MANY FEET FROM TANK? FEET BLOCK: SUB - DIVISION: 1300 SW 12th AVENUE • POMPANO BEACH, FL • 33060 • (305) 785 PROFANED OIL 0 NATURAL GAS IF TANK IS TO BE RE- LOCATED INFORM CUSTOMER OF $ RE- LOCATION CHARGE. HOME WORK TYPE: ONE (1) STORY[] TWO (2) STORY 0 OTHER[] ROOF: TILE 0 ASPHALT SHINGLED TAR & GRAVEL 0 BAHAMA 0 BARREL TILE[] OTHER E1 1 (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) THE LEADER IN THE FIELD OF ALTERNATIVE ENERGY 1 METROPOLITAN DADE COUNTY • FLORIDA 909SOUTMEASTISTAVENUE 13 UILDING AND ZONING DEPARTMENT BRICKELL PLAZA BUILDING MIAMI, FLORIOA 33131 TEL 579 -2612 A. T. Bliss Co., Inc. 1300 South West 12 Avenue Pompano Beach, Fla. 33060 ACCFFTANCE No.: APPROVED EXPIRES PRODUCT CONTROL NOTICE OF ACCEPTANCE 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 80 -214.6 Oct. 20. 1980 April 14, 1983 BOARD OF RULES AND APPEALS N TICE OF ACCEPTANCE APPROVED: October 20, 1980 - 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 Jf Dade County under the conditions set forth above. Thomas M. Black, P.E. Deputy Secretary Metropolitan Dade County Board of Rules & Appeals NPC -1070 Number: 4 5. LICENSEE: Equinox Solar, to merchandise 6. Acceptance No. NOTICE OF ACCEPTANCE: SPECIFIC IC CC ITIONS Fasteners (per bracket) All roof penetrations must be through pitchpans. 80 -060.2 is hereby superseded 80 -214.6 ACCITT ACE NO. APPROVED: WI : pri , 198 1. This covers a solar heater system for the production of domestic hot water comprising Modal 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 in conformance with Chapter 45, Electrical Section, of the South Florida Building Code and NFPA 70. 3. Single /Multiple collectors may be installed up to elevations of 35 ft. above grade, using the following components: Collector Panel Frame (Enclosure Box) Size: 10' -1/2" x 4' -3/8" x 3k" deep Wall Construction:. 3/4" x 3/4" xl /16" x Bottom: 0.020" emboss, aluminum sheet secured to aluminum frame, four h" x h" x h" x 1/16" channels at 24" 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 o.c. Connection of Collector Panel to the Roof of the Building Mounting Brackets: 3" x 3" x k" x 4' -6 3/32" aluminum alloy 6063 -T6 4. Applications for solar heater permit must be accompanied by two duplicate secs 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. 3 k" 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 Inc. of 3350 N.W. 60th Street, Miami, Fla. 33142 is authorized the Model SMSP -410 collector under the trade name of Equinox Solar. Vip .n N. Tolac, ?.'. ? -vduc: Con:o l Suoe -v:sor -2- Metrzpolitan Jade C:.ur1^ 3tLld'nz Zcni=se Jeoa_ .e_t SUMMARY INFORMATION SHEET 4. FLORIDA SOLAR ENERGY CENTER 300 STATE ROAD 401, CAPE CANAVERAL, FLORIDA 32920, (305) 783 -0300 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 Kra = 1.0 - 0.20 1 1 dose Efficiency Equations n= 66.6 - 586 (Ti -Ta) /I n= 64.4 - 331 (Ti -Ta) /I Units of Ti -Ta /I are Watt/ °C•m 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 mI /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 71= - 3686 [(Ti- Ta) /I]2 n= RATING Reference 800150 + 79015 NPC 81113012A 66.6 - 103 (Ti -Ta) /I 64.4 - 58 (Ti -Ta) /I - 114 [(Ti- Ta) /I] Units of Ti -Ta /I are Btu / °F•ft 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 /ft') distributed over a 10 hour period. Output energy ratings for this collector based on the second -order efficiency curve are: Collector Temperature Low Temperature, 35 °C (95 °F) Intermediate Temperature, 50 °C (122 °F) High Temperature, 100 °C (212 °F) 41,000 31,500 4,500 Energy Output Kilojoules /day Kilojoules /day Kilojoules /day November 1981 FSEC # 811850 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 38,900 Btu /day 29,900 Btu /day 4,300 Btu /day ■ N. NPC 81113011A 1. Solar Collector 2. Sensors 3. Air -Vent 4. Pressure -Temp Valve 5. Drain Valve 6. Gate Valve 7. Solar Water Tank 8. Circulating Pump 9. Controller 10. Check Valve 4' X 10" COLLECTOR s To 110 Outlet ®® e TYPICAL PIPING & WIRING DIAGRAM II iI I I it I I 1 I 00 it 1, 11 I I I 1 It IJ 11 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 comp ' -- th, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engin _U h2Cul Employing Plumber's Ntune Location and Legal Description Lot Street and Number where work is to be performed —No New Building - -__. _ _ _ _ . Remodeling— _.__.- .___.__ Addition..._..__.___. Repairs Amount of Permit 8 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Si No 31 D Date..._ e _ / art Subdivision Street. Ai )E. State work to be performed and purpose of building (By Floors)_______ — J. G 0 - - ' 3c Size Septic Tank__. _Type of Tank Feet of Drain Tile t. Feet of Tank or Drain Field from Wen .- Nature of Water Supply: City—Well. I Size of Soakage Pit. (Si _ _�_...� streec.�"" J"' /��.. _.. .Capacity Cals..._._ No. of Stories.. 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 hxr com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -contr ,• • employed by him in the worn to be performed under this permit; and will post or cause to be posted for inspection on the site of the ork + ch public notice or notices as our required by t1 a Act. The undersigned agrees to employ only such nub -contr • • - on work be . • ti • er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..___.._ .. -. - •------ -....- - - .•-• —• of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when nob MnsromM n r asade by )improper notion for inspection, er halty materials and /or workmanship. CLOacra BATH BS Tires BHOW[Rg LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS IA CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NO TOTAL •111TUR[S Copan. LIST CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER D[ci WELL BPRKLR. B SW IM'G POOL COH'TR. LIST CHICK 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 comp ' -- th, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engin _U h2Cul Employing Plumber's Ntune Location and Legal Description Lot Street and Number where work is to be performed —No New Building - -__. _ _ _ _ . Remodeling— _.__.- .___.__ Addition..._..__.___. Repairs Amount of Permit 8 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Si No 31 D Date..._ e _ / art Subdivision Street. Ai )E. State work to be performed and purpose of building (By Floors)_______ — J. G 0 - - ' 3c Size Septic Tank__. _Type of Tank Feet of Drain Tile t. Feet of Tank or Drain Field from Wen .- Nature of Water Supply: City—Well. I Size of Soakage Pit. (Si _ _�_...� streec.�"" J"' /��.. _.. .Capacity Cals..._._ No. of Stories.. 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 hxr com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -contr ,• • employed by him in the worn to be performed under this permit; and will post or cause to be posted for inspection on the site of the ork + ch public notice or notices as our required by t1 a Act. The undersigned agrees to employ only such nub -contr • • - on work be . • ti • er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..___.._ .. -. - •------ -....- - - .•-• —• of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when nob MnsromM n r asade by )improper notion for inspection, er halty materials and /or workmanship. BAMI SHORES VILP,AGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r Permit No ______ d____ ____: - -_ Date 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 ell 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 1 l!G_ No. _ _�C- G __4___._ Street 2.mploying Plumber's Name _ Registered Architect and /or Engmee — c // -z- - - -- -- — -- -- -- _ - F� ), Str eet_ Subdivision y 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) g c-- ___ -_ Nees __ ___ ___ _ ____ -- Remodeling Size Septic Tank ____ —__ - -- _ Type of Tank_ Feet of Drain Tile____ `1 !, ° _________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ ______ _ ____Size of Soakage Pit Amount of Permit $---= -__ - -- Addition._.____._.._____.... Repairs No. of Stories (Sled)__ _ u ° 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 li ased by Miami Shores Village. (Signed). Capacity Gals.__ -- r Plumbing Inspector. Plumber. ST.A,TE OF FLORIDA, t es. �' CA CCT1NTF DADE. Befo:e me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to the well known, and who, being by me first duly sworn, upon oath deposes and says that he is the c¢ dm above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 2,".*. ;.11! 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. CLOSETS BATH TUBS S LAVA- TORIES INKS SINKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES V'ONTR. LIOT CWICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST co-stick BAMI SHORES VILP,AGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r Permit No ______ d____ ____: - -_ Date 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 ell 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 1 l!G_ No. _ _�C- G __4___._ Street 2.mploying Plumber's Name _ Registered Architect and /or Engmee — c // -z- - - -- -- — -- -- -- _ - F� ), Str eet_ Subdivision y 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) g c-- ___ -_ Nees __ ___ ___ _ ____ -- Remodeling Size Septic Tank ____ —__ - -- _ Type of Tank_ Feet of Drain Tile____ `1 !, ° _________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ ______ _ ____Size of Soakage Pit Amount of Permit $---= -__ - -- Addition._.____._.._____.... Repairs No. of Stories (Sled)__ _ u ° 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 li ased by Miami Shores Village. (Signed). Capacity Gals.__ -- r Plumbing Inspector. Plumber. ST.A,TE OF FLORIDA, t es. �' CA CCT1NTF DADE. Befo:e me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to the well known, and who, being by me first duly sworn, upon oath deposes and says that he is the c¢ dm above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 2,".*. ;.11! 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.