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127 NE 97 St (2)�a l' Date Legal Description Owner /Lessee/Tenet Owner's Address 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 795 - 2204 • Fax: 305 756 - 8972 Job Address t 1 . , ( Contractin Co. uvr- G t`'- E'l ' (A - c, Qualifier (1 c it CinC.ef . ' {c. State # ,� , i Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE'PAID IN ADVANCE BEFORE CALLING OR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL, PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: v. / :-- jr� t `r tA � ( 0_,' \�, -C , C ;° ` N e f --- y� '_ ` .1'� \' i 8 , �j ;� : t> \ \) `\ `4 A . c_, � , Square Ft. Estimated Cost (value)',. 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work ,11 be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractory6 do the w k stated. Sign ttre of owner 1 Notary as to Owner-eFwlief-C-endi•-Presit:Iert- My Commission Expires o ,,Rv REBECCA GARCIA F;Y CO " "'ISS'ON u DD 104633 SV « EXFP2S a:h31,2G,3 cISF FEES: PERMIT r RADON APPROVED: ning Building Electric nical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE m Date ' ature oLContr ?L Owner oOiarner Builder C.C.F Historically Designated: Yes No - ( �, Y Master Permit # 2 � )5 SS# Tax Folio � 1 Address C40 y' .� ✓.d c Phone Competency # Ins. Co. Phone / d Notary as to Contractor or Owner Builder My Commission Expires , o� REBECCA GARCIA * t;Y CdMMISSICN # DD 104633 EXPIRES:Mat 31,2c "d f3Cr.c d Tnru Eudget Nt:.iry °efl'",.^8'.a NOTARY acv Jul a163 BOND Date Structural Engineer PLUMBING ELECTRICAL MECHANICAL 4 R 118 UNIT FEE ITEM SM I TC:4 CUTLETS UNIT FEE 1m SPACE HEATERS - UNIT FEE T LIGHT CUTLETS CENTRAL HEATING .I'AgriER RECEPTACLES A/C (WINO) =CSAL SERVICE TEWtRARY A/C (CENTRAL) .q I NG FOUNTAIN SERVICE SIZE IH AMPS a 74 1 DUCT WORK OR DRAIN SERVICE REPAIR/1ETFH CHA,G{ REFRIGERATION &SE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING ESCEPTCR RANGE TOP U�ERCROU?a TANKS ATCR A1CRY OVEN ABOVE GROUOU TANKS TRAY WATER HEATER U.F. PRESSURE VESSELS FrES MASHER MOTORS 0- 1 FP STEAM BOILERS '' R MOTORS OVER 1- 3 FP HOT MUTER BOILERS C. POT/3 01P. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION X, RESIDENCE MOTORS OVER 5- 8 FP MIOTCRS OVER 8- 10 FP MOTORS OVER 10- 15 FP MOTORS OVER 25-100 FP TR,USPCRTING ASSEMBLIES : <, SLOP ELEVATORS/ESCALATORS CRY MUTER CLOSET FIRE SPRINKLER SYSTEMS `AL COOL i HG 70MrERS ER CLOSET MOTORS OVER 100 FP VIOLATION IRECT WASTES A/C WINDOW REItSPECTION E. SUPPLY TO: AIR CO'OITICtuZ S • /C UNIT STRIP HEATER IRE SPRINKLER GENERATORS TRAKFCRIIERS -' EATER -NEVI INST. GENERATORS TRA.'SFCA.ERS EATER-REPLACE GENERATORS TRA,'b'FORMERS AM SPRINKLER-WELL 411MING SPECIAL PLRPC POOL CUTLETS CCA•SCIAL ATER SERVICE SIGN TUBES "R CONNECT I O1S SIGN TRA2SFCR€RS _ITY-SETO SIGN TIME CLOCK _ I TY -MUTER TIC F I XTI.RES ` - TANK ANTENNA - Y INFIELD. TELEVISION WRITS - 4' TILE/RES. & VIOLATION ABANDON SEPTIC TANK REIWECTION (aQE PIT CU. FT. 741 BASIN )URGE WELL :STIC WELL s DRAIN = I --� hLET IA MUTER HEATER STANDPIPE -- PIPING . { —» SPRINKLER SYSTEM R. GE --- :.R SET (GAS) PIPING �--� PLUMBING ELECTRICAL MECHANICAL • 1 \C Sl.teUJ ( a/,7 Cudl m- J h EMT Com l Bak e f Nero. mfterM 'o exis1 N IA in &. Neo oo q °Amp Iel' L db) 1 Wi 3g =c°d l$ d y 4rg id j Alt c t ';tl clirsi be 6 r `clita �/� l'j � �1 � 0 Po_ 1 j A • hies a 14 5itir if ill's 0) 3 'i'a (i) - g croo-cei L9 <9 ® d', &Y" A;iewr Job -4-° Fc4 e& ne w -1. ns o HST- t' J IS N_. OPTIONAL CALCULATIONS FOR ADDITIONAL LOADS ADDITIONAL LOADS: HEATPUMP' H N+AN EXISTING DWELLING (NEC 220.31 4DDRESS : �� CHLORINATOR i37 -4/ 17 D - _ . _.. ......_ POOL. LT( §) ___ / 0 .X c ,3 i 3 ' SPA LT(S) i — POOL PUMP 1. WATERFALL PUMP 0 VA .OLUMN 1 r-- :ALCULATING EXISTING LOADS AQUASMART 8 ;ENERAL LOADS _ , tep 1 General Lighting Load NEC Table 220.3 (A) „,7 Sq.Ft.x 3 VA /Sq Ft. 0 t4- tep 2: Small Appliance and Laund Load.NEC 220.16 A . B A Ckts. 2 X1500VA. 3000 VA _sundry Ckt. 1 X1500VA. 1500 VA Total Step 2 : 4500 VA ;lep 3: Appliance Load NEC 220.30 B 3 ' 4 'ange 1 12000 VA ; dOD V4- ' efrigerator 1 1200 VA _ lishwasher 1 1200 VA 4160 VW ■Isposal 1 800 VA .ornpactor 0 0 VA .ltcrowave 1 1600 VA 'dasher 1 1200 VA 'ryer 1 5000 VA $& J4 later Heater 1 &/ 600 VA 1 6 , 6O ;prinkler pump 1 0 VA qe9 i� )ven 0 0 VA IM" ook top 0 0 VA �ly JO ew Pool Lt (s)a . 0 Zli81. VA 'Jew Spa Lt (s) , 0 0 _ 'Jew Filter Pump 0 0 1920 300 VA VA Jew Chlorinator ' Jew Filter Optics 0 0 VA Jew Pool Pum. s 0 0 VA Total As • •fiance Load Ste. 3 _ Subtotal Ste• 1 +Ste•2 +Ste•3 4 7.0 V4 :step 4 Applying_Demand Load NEC 220.31 First 8000 WATTS @ 100% 8000 VA :000 tf itEMAINDER 4'3730 v. ► 40% t VA / 7 1 a 2 V4' VA. Column 1 Total Load Column 2 LARGEST LOAD BETWEEN HEATING AND A/C LOAD Ste. 5 Selectin. Lar•est Load NEC Table 220.30 (C) (1);(2);(3);(4) A/C Loa 0 (3e V 7CTc Heating Load 100% (NEW) 2 17500 VA New Heat Pump 100% 5700 VA Column 2 Total Load (�,j e` „3 j 4? a _ - TOTALING LOADS ( COLUMN 1+ COLUMN 2 FINDING AMPS FOR PHASES 1 =W./ V, - --. . - -- FXISTING ELECTRICAL SERVICE IS 0 4M,al ADEQUATE,' OR NEW LOAD •t b -e 614 ei R v►`c C I/4 (Pi TEA 46.0e vet., L)e p 1 1 ovo - 4-o/ ie2 (// ec. . 'O Outlets Mors Receptacles Generators Stoves Water Heaters Sign Billboards Other Apparatus Perttyit Fee ELECTRICAL PERMIT i. B. —This Permit must be on display on the premises during the conNtruction. Owner of Building / Contractor or Electrician • NO. STREET Dated , 19 tiami cShzores91llage F L 0 11 1 D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla. 19 - LO CATI 0 N PART OF LOT NUMBER OF LOT BL'K DESCRIPTION OF WORK SUBDIVISION N9 245 • This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized y this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. (Seal) CEILING BRACKETS RECEPTAA SWITCHES STOVES WATER HEATERS BiGNS OTHER APPARATUS ■ OUTLETS MAIN SUBS BRANCHES BASEMENT , /f FLOORS FIXTURES ONLY NUMBER OF TOTAL SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTEN , CEILING BRACKETS OUTLETS MAIN SUBS BRANCHES BASEMENT — FIRST — SECOND THIRD FOURTH A - es H. P. OF EACH MOTOR KIND OF INSTALLATION REMARKS RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY___— DAYS. DATE ISSUED APPLICATION NO DATF 193 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE WILL BE RETURNED. !' LOT NUMBER/ BLOCK NUMBER S BDIVISION STREET AND NUMBE �,. OWNER OCCUPIED As BUILDING —NEW OR OLD (UNDERLINE WHICH) SPECIFICATIONS VOLTS CONTRACTOR-4_ BY ADDRESS f ? ‘ 0 OCCUPANT WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR TOTAL AMPS OPEN OR CONCEALED KNOB. RX., BX., MLDG., CONDUIT. METALLIC TUBING SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED REMARKS INSPECTION WANT O L FEE REMITTED LED OR APPLICATION PHASF INSPECTOR BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 195 o PERMIT N? 15272 Contractor's ❑ License No LI Work to be performed under this Permit Subdi- vision 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Service u Permit No 3 -25 -70 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Pik..:ida, 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. Mrs. Florri B.Little 127 NE 97th Street Owner's Name and Address No Street Registered Architect and /or Engineer Frank Schafer 10210 NW 7th Avenue Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision 127 NE 97th Street 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 Type of Installation— Conduit it ii A oun . I Permit $ � 1 ° Iectric t Inspector. plfe undersigned applicant for this building permit does hereby cei tify that he understands and accepts his obli . +ions as an employer of o4 under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 1e anent Supplement, and s complied with the provisions thereof, and will require similar compliance from all contractors or sub - contra .. s 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 f e wog: such public notice or no as are required by the Act. The undersigned agrees to employ only such subcontractors, work.- performed under this permit, licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 11 ound Size Feeders Conduit Main Sw Amps Main Fuses Amps Ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT a. Tubini B.X.L C- CC" 7 •r' .. cc% "C v .. .. (Signed) • Metal Moulding / , - 4 M I's 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, and he ha:, 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / r J O CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL , CONTR. LIST / —FI-- ola CHECK IJO._. l.∎J1 - 1 •b .54. .... .. .. ... Service u Permit No 3 -25 -70 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Pik..:ida, 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. Mrs. Florri B.Little 127 NE 97th Street Owner's Name and Address No Street Registered Architect and /or Engineer Frank Schafer 10210 NW 7th Avenue Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision 127 NE 97th Street 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 Type of Installation— Conduit it ii A oun . I Permit $ � 1 ° Iectric t Inspector. plfe undersigned applicant for this building permit does hereby cei tify that he understands and accepts his obli . +ions as an employer of o4 under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 1e anent Supplement, and s complied with the provisions thereof, and will require similar compliance from all contractors or sub - contra .. s 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 f e wog: such public notice or no as are required by the Act. The undersigned agrees to employ only such subcontractors, work.- performed under this permit, licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 11 ound Size Feeders Conduit Main Sw Amps Main Fuses Amps Ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT a. Tubini B.X.L C- CC" 7 •r' .. cc% "C v .. .. (Signed) • Metal Moulding / , - 4 M I's 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, and he ha:, 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 APPLICATION FOR MIAMI SHORES VILLAGE Date ',5/61.a ,5 o ido v i Job Address Job /i • G • 97 �% • Tax Folio 1/ - 3 ao 6 — 0 / 3 -a L/60 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ( 4'cb , 12/9Sc.P6 ?� Master Permit # L c,(0 3 Owner's Address /a A.) • . Contracting Co. v x P re'rS Address Zd Co D 0 S- C.U. O S Q u a l i f i e r I L N v Y . • 2 J i C•Av State # & C OS 2 U o g- Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 7L S ' 9 e 4 Ue ) 07 - %usJ / ? c C- �.rirr "9tid- iiC. 7:—)1- ;'9 L C ,' 2 Signature of owner and/or Condo President Date /'77�iJ2 • _s F6- m 33/ 3 / Phone (3c' S `)S - "ZS � r SS# ��.26 - Ze Square Ft. Estimated Cost (value) 9s • 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 authorize the above -named contractor to do the work stated. / o / Notary 4s er and/or o resident Date My Corrmssrorikptlars _' t FEES: PERMIT 6; RADON C.C.F. APPROVED: Zoning Building Mechanical Plumbing 4:2.; Signature of Contractor or Owner - Builder Z r Notary ontr act 'lder My Commi ssion E xpires: a,; IJs! d.. ocatxn .J r. NOTARY r (- BOND TOTAL DUE Date i / //)/ Date - Engineering ITEM BATH TL6 UNIT FEE ITEM SNITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) 0101SAL SERVICE TEM?CRARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN APS DUCT WORK FLOOR DRAIN SERVICE REPAIR/NETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING INTERCEPTCR RANGE TCP UNDERGROUND TANKS LAVATORY ,, OVEN ABOVE [MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER hOTCRS 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTCRS OVER 5- 8 FP TRANSPORTING ASSEh8LIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS _ URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES 1EYIZR CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK - ITILITY -WATER FIXTLRES :EPTIC TANK ANUTE1UA . ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINS?ECTION OAKAGE PIT CU. FT. ti,.(,--- ATCH BASIN f SC'1ARGE WELL OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE JOL PIPING kWN SPRINKLER SYSTEM LS RANGE :TER SET (GAS) LS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION 1 (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL RHVAC - Residemtial & Light Commercial HVAC Loads Program GemaiM Distnbutdrs, Inc. Miami, FL 331f Project Summary Client: Address: City: Phone: Fax: Design Data Project Name: Reference City: Daily Temperature Range: Latitude: Elevation: Winter: Summer Check Figures Total Building Supply CFM: 800 Square feet of room area: 847 Building Loads Total heating required with outside air. Total sensible gain: Total latent gain: Total cooling required with outside air: Notes GRACE ARRAZCAETA 127 NORTHEAST 97 ST. MIAMI SHORES, FL. 305 -757 -7559 NEW PACKAGE UNIT AIR CONDITIONER Miami, Florida Low 45 Degrees 7 Feet Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum. Dry Bulb Difference 40 N/A N/A 72 N/A 92 78 50% 75 58 28,862 Btuh 15,406 Btuh 1,509 Btuh 16,915 Btuh 07 -06-01 Company: Representative: Address: City: Phone: Fax: Comment: CFM per square foot: 0.945 Square feet per ton: 508.002 Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Elite Software Development, inc. NEW PACKAGE UNIT AIR CONDITIONER Page 1 SERVICE EXPERTS, INC. JOSE PEREZ 4600 SOUTHWEST 75 AVE. MIAMI, FL. 33155 305 -264 -2020 28.862 MBH 91 % 9 % 1.41 Tons (based on sensible + latent) 1.667 Tons (based on 77% sensible capacity) Tuesday, July 10, 2001 RHVAC - Residential & Light Commercial HVAC Loads Program Gemaird Distnbut &, Inc. • Miami, F1 331V Total Building Summary Loads Component Description Sensible Gain Total: Temperature Swing Multiplier. Building Load Totals: Check Figures Building Loads Total heating required with outside air 28,862 Btuh Total sensible gain: 15,406 Btuh Total latent gain: 1,509 Btuh Total cooling required with outside air: 16,915 Btuh Notes 07 -06.01 1C Window Clear Glass Metal Frame 102 3,772 0 2,664 2,664 10D Door Wood Solid Core 63 618 0 422 422 13M Part 8" or 12" Block No Insulation Unfinished 188 433 0 257 257 14A Wall 8" or 12" Block No Insulation Unfinished 817 13,334 0 7,209 7,209 16D Ceiling R -19 Insulation 847 1,437 0 2,020 2,020 19A Floor Over Basement/End Crawl Hardwood No Insulation 847 4,228 0 0 0 Subtotals for structure: 2,864 23,822 0 12,572 12,572 Active People: 0 0 0 0 0 Inactive People: 4 0 600 1,000 1,600 Appliances: 0 0 0 0 0 Lighting: 0 0 0 Ductwork: 0 1,374 0 1,401 1,401 Infiltration: Winter CFM: 104.2, Summer CFM: 23.1 165 3,666 909 433 1,342 Ventilation: Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Total Building Supply CFM: 800 CFM per square foot: 0.945 Square feet of room area: 847 Square feet per ton: 508.002 Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent Toads. Elite Software Development, Inc. NEW PACKAGE UNIT AIR CONDITIONER Page 2 Area Sen. Lat. Sen. Total Quan Loss Gain Gain Gain 15,406 X1.00 28,862 1,509 15,406 16,915 28.862 MBH 91 % 9 1.41 Tons (based on sensible + latent) 1.667 Tons (based on 77% sensible capacity) Tuesday, July 10, 2001 RHVAC Residential & Light Commercial HVAC Loads Program Gemaird Distributdrs, lrtc. Miami, FL 331* 07-06-01 Room Load Summary Reports System #1 Room Load Summary Htg Htg Run Clg CIg CIg Zone Clg Air Room Area Sens Nom Duct Sens Lat Nom Adj Adj Sys No Description SF Btuh CFM Size Btuh Btuh CFM Fact CFM CFM ---Zone 1 -- 1 Whole House 847 28,862 800 6-6 15,406 1,509 800 1.00 700 800 System 1 Totals 847 28,862 800 15,406 1,509 800 700 800 Main Trunk Size: 12x12 in. System #1 Cooling System Summary Net Required: 1.410 91 %/9% 15,406 1,509 16,915 Recommended: 1.667 77 %/23% 15,406 4,602 20,008 Actual: 2.000 69 %131% 16,600 7,400 24,000 System #1 Equipment Data Cooling Sensible /Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Heating System Cooling System Type: Standard A/C Model: TCX -024 Brand: TRANE Efficiency: 12.0 Blower CFM: 800 Capacity: 24,000 Btuh Sensible Capacity: n/a 16,600 Btuh Latent Capacity: n/a 7,400 Btuh Erde Software Development, Inc. NEW PACKAGE UNIT AIR CONDITIONER Page 3 Tuesday, July 10, 2001 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ilding Inspection Request Date L) Time Type Insp' Permit No. X. L 0)- v 8 Name -U ) Address Compan Phone For Inspector Z , O Name Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n V V f- No. S Name Address ,, ! Company �" ,. Phone # 7 ;ei. 7 For Inspector: Approved ❑ Correction ❑ `, , ? Name & Date Re- Insp'n Fee ❑ rt ~nf �f t ,i\ w \ "�_ Df '' f ct tor ,. er Subdi- Lot Bl. vision :ion S o f Value of Amt. of Q p : Project $ Permit $ d BUILDING ELECTRICAL PLUMBING Owner Buildin Archite Oontrac or Build Legal Descrip Addres Buildin CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9742 DATE Work to be performed under this Permit BY AUTHORITY 195 Contractor's License No 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner Buildin Archite Oontrac or Build Legal Descrip Addres Buildin CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9742 DATE Work to be performed under this Permit BY AUTHORITY 195 Contractor's License No 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • DATE NO. ISSUED TO FOR A STORY AT FIXTURES • SEWER SEPTIC TANK TOTAL ti p MIAMI SHORES VILLAGE FLA. to install the fcllowing described plumbing, in accordance the laws, statutes and .regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village Florida. Village Plumbing Inspector. PLUMBING PERMIT FIXTURES Payment Received BUILDING By This permit issued subject to approval of County Plumbing Inspector • • DATE ISSUED TO to install the following described plumbing, in accordance'with the laws, statutes and rcgalations of Miami Shores Village, Florida and the State of Floes ida, governing plumbing and drain- age work done in Miami .hares Village, Florida. FOR A STORY BUILDING AT FIXTURES SEWER SEPTIC TANK ' TOTAL ti p MIAMI SIIORES V IT LAGE FLA. PLUMBING PFRIVITT FIXTURE S NO. Payment Received By Village Plumbing Inspector This perzlit issued subject to approval of County Plumbing Inspector ISSUED TO to install the fcllcwing aescribed plumbing, in accordance with the laws, statutes and regalatiorn.s of Miami Shores Village, Florida and the State of F l2 i da, governing plumbing and drain- age work done in ;liar:, Shores Village, Florida. FORA _STORY AT FIXTURES SEWER �A SEPTIC TANK TOTAL ; S MIAMI SHORES VILLAGE FLA. PLUMBING PERMIT FIXTURES NO. By Payment Received BUILDING Village Pi,1 thing _.n.spector This permit issued subject to approval of County Plumbing Inspector. MIAMI - SHORES VILLAGE FLA. PLUiV ING PERMIT DATE NO. ISSUED TO to install the following aescribed plumbing, in accordance the laws, statutes and rcgalations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. FORA AT FIXTURES 6 SEWER SEPTIC TANK ' TOTAL . STORY BUILDING t Village Pirr.lbino Inspector FIXT=S By fa•-J Cif Payment Received This permit issued subject to approval of County Pluubing Inspector Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name 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 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. 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 Size Septic Tank — Type of Tank Feet of Drain Tile Dist. Feel'/:if Tanl or Drain Field from Well Nature of Water Supply: City —Well / Amount of Permit $__ .__ - -. (Signed) f./ Size of Soakage Pit (Signed Capacity Gals 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 his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. rr STATE OF FLORIDA, 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 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 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name 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 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. 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 Size Septic Tank — Type of Tank Feet of Drain Tile Dist. Feel'/:if Tanl or Drain Field from Well Nature of Water Supply: City —Well / Amount of Permit $__ .__ - -. (Signed) f./ Size of Soakage Pit (Signed Capacity Gals 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 his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. rr STATE OF FLORIDA, 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 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 ______ �-_2.�__ 7 Owner's Name and Address. -_ " _ . !«lL' Street and Number where work is to be performed —No Size Septic Tank_ Feet of Drain Tile maw smeICES VILLAGE PLUMBING INSPECTION DEPARTMENT /2\ PPLCaUMM FOE PLUMBING PERMIT Application is hereby made for the approval of the detail • statement of the plans and specifications here 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. o No._ . Registered Architect and /or Engineer_---- -- o) Employing Plumbers Name__ o� C� /�_ -_- No._ / Location and Legal Description Lot_- - -_ _ ------- - - - - -- __ _ Block Street. State work to be performed and purpose of building (By oors)_____ -- ________ ___ - - New ......... Remodeling —_ -- _______ -- Addition. __ -- -_Type of Tank_ _______Dist. Feet of Tank or Drain Field from Well Date-.0l✓ /2/ Subdivision- j " . - « r Repairs No. of Stories.... Capacity Gals Nature of Water Supply: City — Weil. - - -- — ..... of Soakage Pit Plumbing Inspec or. / 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 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Mimi Shy Verge. /1 a (Signed) Master Plumber. Amount of Permit Q 4 • < STATE OIL FLORIDA, p COUNTY OF DADE. J My Commission Expires 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 NOTE: A re- inspection fee of $1.00 will be made whza Latch re-inspection is made•necessary by improper notic' for ins - - or faulty materials and /or workmanship. CLODQTO a ATHHOWERD TUBS LAVA- TORIES .' -vINK6 Q S e it /IM , C7 SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIEN CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK Permit No ______ �-_2.�__ 7 Owner's Name and Address. -_ " _ . !«lL' Street and Number where work is to be performed —No Size Septic Tank_ Feet of Drain Tile maw smeICES VILLAGE PLUMBING INSPECTION DEPARTMENT /2\ PPLCaUMM FOE PLUMBING PERMIT Application is hereby made for the approval of the detail • statement of the plans and specifications here 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. o No._ . Registered Architect and /or Engineer_---- -- o) Employing Plumbers Name__ o� C� /�_ -_- No._ / Location and Legal Description Lot_- - -_ _ ------- - - - - -- __ _ Block Street. State work to be performed and purpose of building (By oors)_____ -- ________ ___ - - New ......... Remodeling —_ -- _______ -- Addition. __ -- -_Type of Tank_ _______Dist. Feet of Tank or Drain Field from Well Date-.0l✓ /2/ Subdivision- j " . - « r Repairs No. of Stories.... Capacity Gals Nature of Water Supply: City — Weil. - - -- — ..... of Soakage Pit Plumbing Inspec or. / 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 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Mimi Shy Verge. /1 a (Signed) Master Plumber. Amount of Permit Q 4 • < STATE OIL FLORIDA, p COUNTY OF DADE. J My Commission Expires 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 NOTE: A re- inspection fee of $1.00 will be made whza Latch re-inspection is made•necessary by improper notic' for ins - - or faulty materials and /or workmanship. pp'Ication is hereby :Jade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other et-tictuze ;^ tin described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisizns of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division ai 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. &a Name and Address No.__._- C__�'7 __ Street_______1_ 9 L� G' — = Qo n �i� `' �� �1 Street . �� _ G ! Employing Plumbers Name -___.N - -- y' __ ____ o. - _ -- — Registered Architect and /or Engineer - - - - - -_ ._------- _- - -____ _ Location and Legal Description Lot__._._ —.____ _________ ___ ____ , Block_ Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _______ .... Remodeling___ ______ Addition_----___. Repairs No. of Stories_ Size Septic Tank.__-___._ Feet of Drain Tile — - Nature of Water Supply: City —Well. r,re Amount of Pert $ - - - -- STA Il OF FLORIDA, .ess, COUN'3i OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank __Dist. Feet of Tank or Drain Field from Well _ __Size of Soakage Pit Capacity Gals (Signed) _ (Signed). Date Street �T -- Plumbing Inspector. The underigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor =del the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- p ed with the pae:icions th -reof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perioiBrs . cinder thin permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are sun - Alai by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are iieurzad by Mie_m9 Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me yell known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. C`,O`eETa� BATH runs SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. P-IeT Cxacni _- SSYPTIC TAN:: SEWER CONN. DRAIN 1 IELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL h e CHaCK pp'Ication is hereby :Jade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other et-tictuze ;^ tin described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisizns of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division ai 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. &a Name and Address No.__._- C__�'7 __ Street_______1_ 9 L� G' — = Qo n �i� `' �� �1 Street . �� _ G ! Employing Plumbers Name -___.N - -- y' __ ____ o. - _ -- — Registered Architect and /or Engineer - - - - - -_ ._------- _- - -____ _ Location and Legal Description Lot__._._ —.____ _________ ___ ____ , Block_ Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _______ .... Remodeling___ ______ Addition_----___. Repairs No. of Stories_ Size Septic Tank.__-___._ Feet of Drain Tile — - Nature of Water Supply: City —Well. r,re Amount of Pert $ - - - -- STA Il OF FLORIDA, .ess, COUN'3i OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank __Dist. Feet of Tank or Drain Field from Well _ __Size of Soakage Pit Capacity Gals (Signed) _ (Signed). Date Street �T -- Plumbing Inspector. The underigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor =del the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- p ed with the pae:icions th -reof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perioiBrs . cinder thin permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are sun - Alai by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are iieurzad by Mie_m9 Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me yell known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name 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. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building b ._ Remodeling Addition Repairs___ No. of Stories Size Septic Tank Feet of Drain Tile ■• . APPLICATION FOR PLUMBING PERMIT Nature of Water Supply: City—Well. ____. Size of Soakage Pit F Amount of Permit $ (Signed) r Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. No. ________________________ Type of Tank Dist. Feet of Tank or Drain Field from Well s ,e (Signed) L,. Date Street ' Capacity Gals. Notary Public. State of Florida Street Street 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 ._. If the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 'erein by him stated are true. TOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty Its 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 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ' CONTR. LIST CHECK Permit No. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name 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. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building b ._ Remodeling Addition Repairs___ No. of Stories Size Septic Tank Feet of Drain Tile ■• . APPLICATION FOR PLUMBING PERMIT Nature of Water Supply: City—Well. ____. Size of Soakage Pit F Amount of Permit $ (Signed) r Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. No. ________________________ Type of Tank Dist. Feet of Tank or Drain Field from Well s ,e (Signed) L,. Date Street ' Capacity Gals. Notary Public. State of Florida Street Street 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 ._. If the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 'erein by him stated are true. TOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty Its and /or workmanship. Permit No. Date Application is hereby made for the approval of the detailed statement of the plans and specifications herew 'submitte for the building or structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fh 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 Div of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kei building during progress of work. Owner's Name and Address . Registered Architect and /or Engineer v`1 � Employing Plumber's Name- ._z_.[_ .% P Street and Number where work is to be performed— No.___ New Building N Nature of.Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No _ Street _. Location and Legal Description Lot Biotic Subdivision ____ State work to be performed and purpose of building (By Floors) * 1. - - % -- -- Street__ 7 Remodeling Addition Repairs. _ Size Septic Tank Type of Tank _ ._ Feet of Drain Tile ________ ____._ - Dist. Feet of Tank or Drain Field from Well _Capacity Gals. Size of Soak i ge Pit ._ _ _ I, t___ e! f t_ ei _cam ' < .:i e r . ti No. of Stories _ c J Let 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 «'orkunen'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 perfoxrd under this permit, as are licensed by Miami Shores Village. - ( Signed) - -- t . /.a M aster 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 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' Ns TOTAL FIXTURES CONTR. LIST CHECK CONTR. LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G• POOL CHECK Permit No. Date Application is hereby made for the approval of the detailed statement of the plans and specifications herew 'submitte for the building or structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fh 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 Div of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kei building during progress of work. Owner's Name and Address . Registered Architect and /or Engineer v`1 � Employing Plumber's Name- ._z_.[_ .% P Street and Number where work is to be performed— No.___ New Building N Nature of.Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No _ Street _. Location and Legal Description Lot Biotic Subdivision ____ State work to be performed and purpose of building (By Floors) * 1. - - % -- -- Street__ 7 Remodeling Addition Repairs. _ Size Septic Tank Type of Tank _ ._ Feet of Drain Tile ________ ____._ - Dist. Feet of Tank or Drain Field from Well _Capacity Gals. Size of Soak i ge Pit ._ _ _ I, t___ e! f t_ ei _cam ' < .:i e r . ti No. of Stories _ c J Let 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 «'orkunen'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 perfoxrd under this permit, as are licensed by Miami Shores Village. - ( Signed) - -- t . /.a M aster 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 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.