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310 NE 97 St (6)BUILDING ELECTRICAL PLUMBING Owner of Building Architect. Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N9 2150 Work to be performed under this Permit Subdi- vision Contractor's License No. Legal Lot Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. f CONTRACTOR OR BUILDER BY AUT ITY Value of Project Amt. of Permit Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address � ?, - -- .� - - - - -- — - - No t Street_ 7 - Registered Architect and/ Employing Plumber's Name Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. Q MNAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - No. Date Street__ Location and Legal Description Lot- --- _- - - - - -_ _ .__— ______ Block- -- — ___ -- Subdivision--------__.__--------------__---- Street and Number where work is to be performed —No -3 i Q 1 � Street_ State work to be performed and purpose of building (By Floors _---------------_-- New Building-- - -_ -_— _ _-- Remodeling_ - -- Addition_-•_ -_-_._ Repairs No. of Stories. Sires Septic Tank____ - -_ - -_ _ — Type of Tank_ _ 1 . Capacity Gals. Feet of Drain Tile___ � _ 4 t. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. _Size of Soakage Pit 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 obligat' n`as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen applement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as required by the Act. The undersigned agrees to employ only such sub- contractors, on w. .' be performed r this permit, as licensed by Miami Shores Village. are are C s a -=- Master Plu ber. 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•neoessary by improper notice for inspection, or faulty materials and /or wcrlananship. CLOSING TUBS TUBS SNOWERfl LAVA- TORIES SS INK SLOP SINKS LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTtd. LIST CHECtt SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CCNr1@3. Lwr -- - CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address � ?, - -- .� - - - - -- — - - No t Street_ 7 - Registered Architect and/ Employing Plumber's Name Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. Q MNAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - No. Date Street__ Location and Legal Description Lot- --- _- - - - - -_ _ .__— ______ Block- -- — ___ -- Subdivision--------__.__--------------__---- Street and Number where work is to be performed —No -3 i Q 1 � Street_ State work to be performed and purpose of building (By Floors _---------------_-- New Building-- - -_ -_— _ _-- Remodeling_ - -- Addition_-•_ -_-_._ Repairs No. of Stories. Sires Septic Tank____ - -_ - -_ _ — Type of Tank_ _ 1 . Capacity Gals. Feet of Drain Tile___ � _ 4 t. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. _Size of Soakage Pit 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 obligat' n`as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen applement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as required by the Act. The undersigned agrees to employ only such sub- contractors, on w. .' be performed r this permit, as licensed by Miami Shores Village. are are C s a -=- Master Plu ber. 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•neoessary by improper notice for inspection, or faulty materials and /or wcrlananship. Permit No — Owner's Name and Address J Amount of Permit $___ — ! STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ X Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sutf lsitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance 0 Miami Shores Vi age, 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 __ ____,_. ,,,e :AY Employing Plumber's Name _,r__f _._ 4____ "IL _ —_ —_ No. _ ____ �_Street"'_ 1 Location and Legal Description Lot,: — __j __________________Block s1 Subdivision ____s__ Street and Number where work is to be performed—No.–______,:___2___ s,. __<_L_f__ ______, .________-- _______ Street__ State work to be performed and purpose of building (By Floors) New Building— _____— ____— ______ Remodeling Addition Repairs No. of Stories_________ No Street Size Septic Tank_ Feet of Drain Tile_ i� __"- _— ___ - -__ Dist. Feet of Tank or Drain Field from Well_ Nature of Water Supply: City - Well ._________________________ -- t Type of Tank .__ -` 4+�'"`_' � p City Gals.___— �___ —'" Size of Soakage Pit ._____ _____ ____________ _______ oaths and take Notary Public. State of Florida - (Signed) .■•+•._ - -=----- - - - - -- - -- - -- - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify thaf 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 performe4 rrttQpr this permit, as are licensed by Miami Shores Village. 2 �' S ig ned 4 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer 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. acknowledgments, personally 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 TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. Li ST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKL R. SYSTEM SWIM•G POOL CONTR. LIST L CHECK F Permit No — Owner's Name and Address J Amount of Permit $___ — ! STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ X Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sutf lsitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance 0 Miami Shores Vi age, 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 __ ____,_. ,,,e :AY Employing Plumber's Name _,r__f _._ 4____ "IL _ —_ —_ No. _ ____ �_Street"'_ 1 Location and Legal Description Lot,: — __j __________________Block s1 Subdivision ____s__ Street and Number where work is to be performed—No.–______,:___2___ s,. __<_L_f__ ______, .________-- _______ Street__ State work to be performed and purpose of building (By Floors) New Building— _____— ____— ______ Remodeling Addition Repairs No. of Stories_________ No Street Size Septic Tank_ Feet of Drain Tile_ i� __"- _— ___ - -__ Dist. Feet of Tank or Drain Field from Well_ Nature of Water Supply: City - Well ._________________________ -- t Type of Tank .__ -` 4+�'"`_' � p City Gals.___— �___ —'" Size of Soakage Pit ._____ _____ ____________ _______ oaths and take Notary Public. State of Florida - (Signed) .■•+•._ - -=----- - - - - -- - -- - -- - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify thaf 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 performe4 rrttQpr this permit, as are licensed by Miami Shores Village. 2 �' S ig ned 4 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer 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. acknowledgments, personally 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. 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 regula- tions 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATIo1 FOR BUILDING PERMIT Date______ Owner's Name and Registered Architect and /or ...____— Name and address of licensed contractor Location and legal description of lot to be built on: Lot " ,; Block , _ _ —__ Subdivision Street and Number where work is to be done ' State work to be done and purpose of building (by floors) _and for no other purpose. New Building ,� _�____ Remodeling_____ __ Addition Repairs No. of Stories To be constructed of______— ___________ Kind of foundation _ _ Roof Covering_ Estimated Total cost of 'improvements $________�_� _ .,-____=__Amount of Permit $ /) s Zone cubage recuired_— _Plan Cubage «y 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 5966, 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 perforated 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. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the unc:rsignecd authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Notary Public, State of Florida Building Inspector My Commission Expires to me well known, __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, ; \• 22 S \ 2 c MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Owners Name and Address 1��.� I P P ' �' k a & No a 1 Street -.. 41 ° 7) Registered Architect and /or Engineer Employing Plumbor Nt m A ( �u i Location and Legal Description Lot !noel Subdivision.____ Street and Number where work is to be performed —No / 0 State work to be performed and purpose of building (By Floor)_ _SS..d..l —_ 1z- /1�.. -.._ ...._...- ........_ .. New Building-- _- _.._ -.__ _ - Remodeling— __-_-___ Addition.- _-- _....-- --.... Repairs No. of Stories. Size Septic Tank_. _Type of Tank Feet of Drain Tile Di Feet of Tank or Drain Field from Well Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit $ ( Signed) g_.s. 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 5888, 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 worn- 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 err 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, (Sim) acgs:j, Master Plumber. STATE OF FLORIDA, 15. COUNTY OF DADE. 1 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whin as miaspaatios Y soade.neosesery by bmproper soda for impaction, or faulty materials and /or workmanship. CLOiRa BATH Tull* aNOW(Re LAVA• TORI[S SINKS SLOP SINK[ LAUNDRY TuvS U RINAL, CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N( TOTAL •IxTYN([ CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP Wm.'. SPRKLR. SYSTEM SW 1111 POOL CONTR. LIST r- CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Owners Name and Address 1��.� I P P ' �' k a & No a 1 Street -.. 41 ° 7) Registered Architect and /or Engineer Employing Plumbor Nt m A ( �u i Location and Legal Description Lot !noel Subdivision.____ Street and Number where work is to be performed —No / 0 State work to be performed and purpose of building (By Floor)_ _SS..d..l —_ 1z- /1�.. -.._ ...._...- ........_ .. New Building-- _- _.._ -.__ _ - Remodeling— __-_-___ Addition.- _-- _....-- --.... Repairs No. of Stories. Size Septic Tank_. _Type of Tank Feet of Drain Tile Di Feet of Tank or Drain Field from Well Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit $ ( Signed) g_.s. 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 5888, 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 worn- 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 err 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, (Sim) acgs:j, Master Plumber. STATE OF FLORIDA, 15. COUNTY OF DADE. 1 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whin as miaspaatios Y soade.neosesery by bmproper soda for impaction, or faulty materials and /or workmanship. SURVEY FOR• '� P t►�• ADDRESS: k I° 175T. COUNTY CITY: 1"AAsP'tvv■. S ..Acar2 -e5 TYPE: ONE (1) STORY TWO (2) STORY OTHER ❑ •* SPECIAL INSTRUCTIONS** QAP{ ZSOo t►asrte, LOT: o S C 3Lt- go 220 VOLT OUTLET: YES NO 0 110 VOLT OUTLET: YES NO 0 FOR OFFICE USE ONLY HOUSE DESCRIPTION ROOF: ASPHALT SH TAR & G TANK LOCATION EXISTING TANK LOCATED IN: GARAGE UTILITY ROOM ❑ WILL TANK BE RE- LOCATED? YES ❑ NOX IF YES, HOW FAR FROM EXISTING TANK? FEET RE- LOCATED TO WHAT AREA'S IF TANK IS TO BE RE- LOCATED - INFORM CUSTOMER OF $ WHAT ELECTRICITY IS AVAILABLE AT EXISTING OR NEW LOCATION? �f a `HAVE �} itqf • 0 I SUN PO - ON �- A*)- � 5� � SOLAR SURVEY and INSTALLER INFORMATION BAHAMA ❑ BARREL TILE ❑ OTHER ❑ AVEL ❑ IL /i# u..J1� (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) CLOSET ❑ HOW MANY FEET FROM TANK? HOW MANY FEET FROM TANK? PHONE # 7 S -- IQOME 15 t — 14 -4 41 - 1 4 WVORK STATE 1 ;L ZIP. 33(.32 OTHER ❑ PROPANE OIL NATURAL 0 GAS RE- LOCATION CHARGE. Inspector CORPORATE OFFICE : 12605 N.E. 7TH AVENUE • NORTH MIAMI, FLORIDA 33161 s FEET rt. FEET �.D test' oc Lori LEGAL DESCRIPTION BLOCK: a� Pr z OF �� � SttoQarS t` METROPOLITAN DACE COUNTY, FLORIDA METRO CIADE Solar Systems by Sun Dance, Inc. 13395 N.W. 107 Avenue Hialeah Gardens, Fla. 33016. ACCEPTANCE No.: APPROVED EXPUES APPROVED: PRODUCT CONTROL NOTICE OF ACCEPTANCE Your application for Product Approval of Sun Dance Solar Collectors Models 32 -MTF and 40 - MTF 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 Morton S. Rifkin, P.E., along with drawing No. 212231 and 310241, Reports No. 11257 by Miami. Testing Laboratory and FS 83075 and 83126 C by Florida SoI.• Energy Center has been accepted by Product Control to be used in the Unincorpor Ni areas of Dade County under the Specific Conditions set forth on Page 2 thru 2a and the Standard Conditions on Page 3 84- 1116.1 (83) Feb. 13, 1984 Feb. 13, 1987 BOARD OF RULES AND APPEALS NOTICE OF ACCEPTANCE February 13, 1984 BUILDING & ZONING DEPARTMENT _ 909 SOUTHEAST 1ST AVENUE BRICKELL PLAZA BUILDING MIAMI, FLORIDA 33131 (305) 579 -2512 clt✓ 01son, P.E. Product Control Supervisor Metropolitan Dade County Building & Zoning Department This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of Dade County under the conditions set forth above. Thomas M. Black, P.E. Deputy Secretary Metropolitan Dade County Board of Rules & Appeals ..e FSEC f# S4036 Collector Tank Pump FLORIDA SOLAR ENERGY CENTER JJ:' 300 State Road 401. Cape Canaveral. Florida 32920. Telephone: (305) 783 -0300 ® Direct ❑ Int. Heat Exch. Controller ❑ - Differential Temperature ❑ Absolute Temperature ❑ Thermosiphon ® Other Photovoltaic Approved Solar Energy System DISTRIBUTOR Solar Systems by Sun Dance Inc. 13395 W.W. 107th Avenue Hialeah Gardens, Florida 33016 The system listed below was evaluated by the Florida Solar Energy Center (FSEC) in accordance with the Florida Standards Program for Solar Domestic Water and Pool Heating Systems (FSEC- GP -80 -7) and was found to meet the minimum standards established by FSEC. Description Model Units Total Rating 1 Solar Systems by Sun Dance 40 -G 1 32,100 Btu 2 Solar Systems by Sun Dance 40 -MTF 1 36,200 Btu 3 4 Model 1 Lochinvar FTA -82K 2 A.O. Smith SEH -82 3 Mor -Flo ST -82 -EV 4 Ruud RSPE -80 -1 5 Rheem 81V -80 -1 Capacity 80 gal. 80 gal. 82 gal. 80 aal. 60 gal. March 84 SYSTEM Sunlight Systems B Model Power Draw Rated Power 1 Hartell CP- 38 -12HE • 7 Watts 1 /100 H.P. 2 March 809- BR -24DC 15 Watts 1 /100 H.P. 3 Sol - Lectric PV 7 Watts 1 /100 H.P. 4 Model 1 ARCO Solar M -81 (use with pump 1 above) 2 Solarex SX -7 (use with pump 2 above) Solarex SX10 (use with pump 3 Sol- Lectric SL -10 (use with pump 3 above) above 4 Solec S1136 (use with pump 1 above) Freeze protection by bleed valve with manual draindown capability Option: Manual draindown Other alone. Option: Manual draindown with bleed valve as backup. Major Components 1 in addition to above 2 3 4 If further information is required you may contact the Florida Solar Energy Center at the above address. ® k.l . 1k1 b L- /g -I 10 C.cc«1.. ...aL SC44 SC.pa • \.___._ lls.� YQv.t f�A��e.s sy Po A 0 0 b 0 ta,, A:vva..4 Kvdluc Qawa 0 -{34— G.4% Vttv. © % tI uL v.jvt (oft C l 0 — Rass...144value r C114 • - .1->- CLc Volvo. 0 0 3/4" N.PT HOT OUTLET 1) 3/4" N.PT. COLLECTOR SUPPLY TITRE 2 ) 3/4" N.P. T. COLD INLET TUBE 3) 3/4" N.P. T COLLECTOR RETURN TUBE 4) RETURN ...tom FEED 0 • SHUT OFF VALVE 0 CHECK VALVE O -{}- RELIEF VALVE O 1, DRAIN VALVE THOSE BIBB) O S -1 ::=D - PIPE INSULATION O .J a DIFFERENTIAL CONTROLLER O - V�J - MIx NG VALVE J� IOptlonol ll O L ( I PUMP O ELECTRIC ELEMENT 1 10 —G- 220 VOLT I I 0 DRAIN 13 _0)115 VOLT 14 GA COLLECTOR IS COLLECTOR SENSOR 16 • TANK SENSOR 17 COPPER TUBE MANIFOLDING FOR MULTI -PANEL SYSTEM ROOF PENETRATION CONTROL WIRE AIR VENT FREEZE PROTECTION VALVE (O•lionol) rr d t p. WI p ots • • .tp.nl i.• collector 1• •119ht slop* to 114.0 1I manifold. ldae TO COLLECTOR OUTLET SENSOR TO TANK BOTTOM SENSOR 1) 3/4" N. P T. COLLECTOR SUPPLY TUBE 2) 3/4" NP. T. COLD INLET TUBE 3) 3/4" N.P. T. COLLECTOR RETURN TUBE 4) 3/4" N.PT. HOT OUTLET LOCHINVAR WATER HEATER DRAIN TO OUTSIDE 091 0 • 11 M a O W SHUT OFF VALVE 2O UNION O -- f>13 - RELIEF VALVE O BOILER GRAIN 0 PIPE INSULATION MANN' 01 DING FOR MULTI - PANEL SYSTEM VACUUM BREAKER ROOF PENETR AIR VENT 0 0 DRAIN COPPER TURE ___ra a 115 VOLT 12 COLLECTOR 13 n 14 v M IS 16 r — O 220 VOLT 0 AF 1 19 PUMP CHECK VALVE ELECTRIC ELEMENT MIXING VALVE (Oplionol) Ill CONTROLLER TANK SENSOR SUMMARY INFORMATION SHEET J FLORIDA SOLAR ENERGY CENTER 300 STATE ROAD 401, CAPE CANAVERAL. FLORIDA 32920. (305) 783 -0300 Solar Systems by Sun - Dance, Inc. 13395 N. td. 107th Avenue Hialeah Gardens, Florida 33016 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 MANUFACTURER DESCRIPTION MATERIALS Tested per ASHRAE 93 -77 Incident Angle Modifier K ra = 1.0 - 0.111 1 / \ COSH I Efficiency Equations = 77.8 - 535 (Ti -Ta) /I 75.2 - 257 (Ti -Ta) /I - 3850 [(Ti- Ta) /I) Units of Ti -Ta /I are Watt / °C•m RATING n = 3.060 meters 1.176 meters 0.084 meters 3.602 square meters 3.428 square meters 4.2 liters 75.1 kilograms 73 ml /s 552 kPag 2633 Pa One Parallel Eleven THERMAL PERFORMANCE 77.8 - 94 (Ti -Ta) /I October 1983 FSEC #83075 Collector Model 40 -MTF This solar collector was tested by the Florida Solar Energy Center (FSEC) in accordance with prescribed methods and was found to meet the minimum standards established by FSEC The purpose of the tests is to verity initial performance conditions and quality of construction only The resulting certification is not a guarantee of long term performance or durability 10.04 feet 3.86 feet 0.28 feet 38.77 square feet 36.90 square feet 1.1 gallons 165.6 pounds 1.1 gpm 80 psig 55 psf Forced circulation Aluminum frame, aluminum back Tempered low iron glass, 0.48 cm thick Copper tubes welded to copper fins Black chrome selective coating Fiberglass, 2.5 cm thick; Foil faced polyisocyanurate, 2.5 cm thick n= 75.2 - 45 (Ti -Ta) /I - 119 [(Ti- Ta) /I1 Units of Ti -Ta /I are Btu / °F'ft hr The collector has been rated for energy output on measured performance and an assumed standard day Total solar energy available for the standard day is 5045 watt - hours /ml (1600 Stu/f1 distributed over a 10 hour period Output energy ratings for this collector based on the second -order efficiency curve are Collector Temperature Energy Output Low Temperature, 35 ° C (95 °F) 46,500 Kilojoules /day 44,100 Btu /day Intermediate Temperature, 50 °C (122 °F) 38,200 Kilojoules /day 36,200 Btu /day High Temperature, 100 °C (212 °F) 9,900 Kilojoules /day 9,400 Btu /day 'ta • Y ? a''.7.;;'!la,: .• c'eFW.f.:',.:1 - .::.• .,4; , " .7..;•.:17,..'•: CiVI:li:016(.a ,V5Rita.0:414 01 i .46 , a I li:XXiielt :?',140ilf,PE51.41.41Airj4itrin'*Itiiiit*Vii • Solar Energy Center (FSEC-GP-1O-82 February) . . Florida , SImpilliod Sizing trocedure`ForiSolar.DomestIcHoi 'Wciler SyitetriV.9.. . colij.,. ..‘ . .. , ;a0)(11.1 •es:' athsa trial' 4 . 4. :•3 ) Hot Water Demand and Size .:4:1! Step 1. Using Table 1. estimate daily kawa ter toXLioNS) • ......" . and select o nominal tank size(TANKSIZE).yrv•,c.; .-;;;•.::., • . .,...; r •,- ..c ,. .r.1 , ..; !! % efl!.:i tV11 :!i,':,:.) k i • • ;•':-•., ;1;4; t 0 "- - • ." ." TANK SIZE Stop 2. Using Figure 1. determine the proper cold water temperature (COLDTEMP) for location. e?, ': 17 • :. °F o. • , . . COLDTEMP • • • (2) Step 3. Calculate how much energy Is needed (BTUNEED) Aoheat the water to 131°F I .. BTUNEED = 8.34 x • x (131 - 26 )x - sx • '-. — BTUNEED = 8.34 x G LONS x (131 - COLDTEK41 x?tficlr Loss Factor I' : .7 2 : Btu/day : .....!.: (Step 1) ,• .• -,:.,-,...%. (Step 2)locz able : )4 3 .e.i 1„..q:. ... . . . t BTUNEED (3) __Collector Sizing Step 4. Penalty faCtors tharoffect sizing must bedetermined:. • , • Select the System Factor from Table 3. .• b. Select the proper Tilt Factor from Toble'4. c. Select the Orientation Factor from Table.S. Calculate the overall penalty factor (PENALTY) for the combination of II three individual effects: PENALTY = Syye,mFactor y Tat F-actor *Orientation Factor PENALTY = _ 0 _ x Vdr 6k 11 x - 3 (Step 4a) (Step 4b) (Step 4c) . . stop 5. Calculate the energy requirements of the solar system (BTUSOLAR) • using the formula: BTUSOLAR BTUNEED x 0.70 x PENALTY BTUSOLAR = 3 7. )--10 (Step 3) ; (Step 4) Step 6. For the collector selected.,record the thermal performance rating at the intermediate temperature (BTURATING) In Btu/day and the gross collector area (GROSSAREA)J squarateet from the required FSEC label. Collector Manufacturer r9,1J Model No. 5/ c) # Step 7. Estimate the number of collectors needed using: NUMBER = Bilisot-Arz (Step 5 ) - a /AP, BTURATING (Step 6O) 3 cps-a-6' • Select the actual number of collectors to be used. This Is the nearest whole number to (6c). ,,• The total area of the collector array Is: TOTAL AREA = NO. COLLECTORS x GROSSAREA TOTAL AREA = x r; )") - (Step 7o) (Step 6b) • : ..•. •••" ' ,•••• • • . . : • .• - • v. 0 1 76 z gol/day ( gal System Fac (4o) Tht F eret ootors (4b) 7,.. . . Orientationkfctot (4c) 0. • N) ' • ft • • PENALTY - • 4) .• Btu/day • • • •• ''srusaAn-, (5) . ..• .•,•.. , Thermal Performance Rating at the Intermediate Temperature (BtU/daY) Btu/day •• • ; • . • • t- „TING . . .(6a) Gross Collector Area (ft?) • • • • • til • ............GROSSAREA.J •'(6b) • NUMBERitli (6c) • • '.1.,•ot Ft). • • •• • 0, NO. COLLECTORS (7o) P i)) • • • 6r,, ' • (7b) Form 3112 (Non-Stocked) Rey. 4/8: Based upon the actual number of collectors to oo used. compute the solar fraction (SOLAR FRACTION): // 0.70 x ___..L__- t/ SOLAR FRACTION = 0.70 x NO. COLLECTORS . . Step 70) a t ,_L .L_ SOLAR FRACTION (7c) (Step 6c) If tho solar fraction (Stop 7c) Is loss than 0.65. tho collector array Is undorslzed. Consider elther adding another collector or o ditterent modol /size colloctor. TABLES AND FIGURES NUMBER • TABLE 1. HOT WATER DEMAND and TANK SIZE Average GALLONS and minimum TANK SIZE based upon number of people: People GALLONS Minimum TANK SIZE (Gallons) 1 2 3 4 5 6 7 20 40 55 70 85 100 115 40 • 40.` •66 80 80...: . 100 '120 (Add 15 gallons per person for each additional person.) FIGURE 1. COLD WATER TEMPERATURES Region COLDTEMP 68 ° F 72 °F 76 ° F COLLECTOR TILT Collector Orientotion South or nearly south Southeast or southwest East or west North Florida (1. 2. 3)' Central Florida (4.5.6)' South Florida (7.8.Q) ' • Corresponding regions for the Florida model energy building cod TABLE 4. TILT FACTORS 1.00 1.15 1.40 30 37 36 TABLE 2. STANDBY HEAT LOSS FROM STORAGE Type of Tank Insulation •• Standby Loss Factor 1 -In. foam or 2.5 -In. fiberglass (R = 8 - 9) 1.20 2 -In. foam (R = 16 - 17) 1.12 (Use linear Interpolation to obtain standby toss factor for Insulation materials having other R - values.) TABLE 3 SYSTEM FACTORS System Configuration . • Direct system with no heat exchanger. Indirect system with a heat exchanger between collector and storage tonk. System Factor 1.20 1.30 Tilt Angle 0 to 3 3° to 7° 7° to 12° 12 to 16 16° to 20 20 to 25 25° to 30° 30° to 37° 37° to 43 43 to 50 Roof Pitch 0 . 1 In 12 2 In 12 3 in 12 4 in 12 5 in 12 6 in 12 8 in 12 10 in 12 12 in 12 Roof Tilt 0 4.8 9.5 14.0 18.4 22.6 26.6° '33.7 39.8° 45.0 North Florida Central Florida 1.25 1.22 1.15 1.14 1.09 1.08 1.05 1.04 1.02 1.01 1.00 1.00 1.00 1.00 1.01 1.01 1.04 1.05 1.08 1.10 South Florida 1.19 1,12 1•.06 1.03 1.01 1.00 1.00 1.02 1.06 1.12 TABLE 5. ORIENTATION FACTORS 07 64 Orientation Factor as III. 63 TILT FACTORS 67 to IILDING LECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 2063 Work to be performed under this Permit Bl. Subdi- vision Contractor's License No. Address of Value of Building Project This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY 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 Mimi 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 Owner's Name and Address 1/ �v GG ? - - f No. Street Registered Architect and /or E g9ne ' Employing Plumber's Name Location and Legal Description Lot_ ..___________— _--_._ ...... __ - __ Street and Number where work is to be performed —No STATE OF FLORYDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street. State work to be performed and purpose of building (By Floors)___ _ New Building __ Remodeling____ -- _ -- Addition Amount of Permit $____ ...... _____________________ — -- (Signed) Size Sep3sc Tank- ... Type of Tank Feet of Drain Ti!a__ _ ______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___.-__ ________ --------------- __________ - __ —__. Size of Soakage Pit Date Subdivision Street Repairs No. of Stories. Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to bW 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, _� are licensed ed by Mir Shores Village. / / s //. (Signed)- - -— Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, end 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 woriminnship. CLOSL°TO BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTS. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IMO POOL CONTR. CONTR. LIST ~! CHECK Permit No._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Mimi 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 Owner's Name and Address 1/ �v GG ? - - f No. Street Registered Architect and /or E g9ne ' Employing Plumber's Name Location and Legal Description Lot_ ..___________— _--_._ ...... __ - __ Street and Number where work is to be performed —No STATE OF FLORYDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street. State work to be performed and purpose of building (By Floors)___ _ New Building __ Remodeling____ -- _ -- Addition Amount of Permit $____ ...... _____________________ — -- (Signed) Size Sep3sc Tank- ... Type of Tank Feet of Drain Ti!a__ _ ______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___.-__ ________ --------------- __________ - __ —__. Size of Soakage Pit Date Subdivision Street Repairs No. of Stories. Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to bW 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, _� are licensed ed by Mir Shores Village. / / s //. (Signed)- - -— Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, end 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 woriminnship. JOB: BUILDING ELECTRICAL . PLUL.BING • • • Inspector's Report: • l'VCRK DONE BY: AD: The following is ready for Ins.)icti on: • REQUESTED WILL BE READY • • JOB: r BUILDING PLULBING • • • • ELECTRICAL . Inspector's Report: WORK : roNE BY: • RE. UESTED : 'WILL BE READY • The following is ready for Inspection: • • • • • • • • • • • • • • Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMITr Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 'sgl/mitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance Miami Shores Vi age, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r ulations of the Bui ding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Amount of Permit $_ —L appeared Street and Number where work is to be per ormed— No. .... l(__ _� ___�__, _ Street__ 77 No. .' __ Street_ Subdivision 7 /../' — t------- - --- -- -Block .. (Signed) No Street State work to be performed and purpose of building (By Floors) New Building__.____ _— ______ Remodeling Addition Repairs Size Septic Tank %! __ ________ Type of Tank 41 ( - acity Gals._ Feet of Drain Tile___ _(1 __ — ___ —__ Dist. Feet of Tank or Drain Field from Well _______— ___________________. Nature of Water Supply: City. We11 _— ___.Size of Soakage Pit ' (Signed) — ... �- i- ° �- �- - -�— �- -- -- -- - - -- ---- -'�- -- ---- /- � - ° - -- 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 this permit, as are licensed by Miami Shores Village. ` Da My Commission Expires Notary Public. State of Florida No. of Stories L Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths a'ndl take acknowledgments, personally 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. BATH CLOSETS 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 4./ CHECK Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMITr Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 'sgl/mitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance Miami Shores Vi age, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r ulations of the Bui ding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Amount of Permit $_ —L appeared Street and Number where work is to be per ormed— No. .... l(__ _� ___�__, _ Street__ 77 No. .' __ Street_ Subdivision 7 /../' — t------- - --- -- -Block .. (Signed) No Street State work to be performed and purpose of building (By Floors) New Building__.____ _— ______ Remodeling Addition Repairs Size Septic Tank %! __ ________ Type of Tank 41 ( - acity Gals._ Feet of Drain Tile___ _(1 __ — ___ —__ Dist. Feet of Tank or Drain Field from Well _______— ___________________. Nature of Water Supply: City. We11 _— ___.Size of Soakage Pit ' (Signed) — ... �- i- ° �- �- - -�— �- -- -- -- - - -- ---- -'�- -- ---- /- � - ° - -- 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 this permit, as are licensed by Miami Shores Village. ` Da My Commission Expires Notary Public. State of Florida No. of Stories L Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths a'ndl take acknowledgments, personally 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.._ 1 t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ,`44 _ _4..2:?!_ No. _ ) r 0 " A- t4- s S treet__ ___ Location and Legal Description Lot___'�' ' . "fir _Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs______. u____ No. of Stories Size Septic Tank_ STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $---- - - -.=- My Commission Expires Date____ - -- _ No .. Street 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 _— _(Signed) (Signed) r). Notary Public. State of Florida Plumbing Inspee r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe' 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. s /.s": 2,3,1 k `6•'t, t / 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 TOTAL FIXTURES CONTR. LIST L "� [„� I 4 + i ' CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. IST LIST CHECK Permit No.._ 1 t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ,`44 _ _4..2:?!_ No. _ ) r 0 " A- t4- s S treet__ ___ Location and Legal Description Lot___'�' ' . "fir _Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs______. u____ No. of Stories Size Septic Tank_ STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $---- - - -.=- My Commission Expires Date____ - -- _ No .. Street 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 _— _(Signed) (Signed) r). Notary Public. State of Florida Plumbing Inspee r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe' 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. s /.s": 2,3,1 k `6•'t, t / 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. 1 • MIAMI SHORES VILLAGE Permit No 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. Owner's Name and Address t. No. Street_ Registered Architect and/or Engineer Employing Plumber's Name _IV . 4 _ N I / / 1 t Street_ Location and Legal Description Lot_ Block Subdivision_ ' 1 Street and Number where work is to be performed—No. _— State work to be performed and purpose of building (By Floors) Size Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City—Well. STATE OF FLORIDA, ss. COUNTY OF DADE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ./‘ / Street ,-0 7 Type of Tank . Capacity Gals. Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit. (Signed) r My Commission Expires Notary Public. State of Florida - New Building Remodeling Addition Repairs No. of Stories / Amount of Permit _________(Signed) Plumbing Inspectgir. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employee 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 connectors 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. 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 fee of $1.00 will be made when such re is made necessary by improper notice for inspection, or faulty materials and/or workmanship. p. CLOSETS B AT H TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FOUNT NS TOT AL FIXTURES CONTR. LIST 4-- CHECK SEPTIC TANK SEWER CONN. DRAIN F I ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 1 • MIAMI SHORES VILLAGE Permit No 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. Owner's Name and Address t. No. Street_ Registered Architect and/or Engineer Employing Plumber's Name _IV . 4 _ N I / / 1 t Street_ Location and Legal Description Lot_ Block Subdivision_ ' 1 Street and Number where work is to be performed—No. _— State work to be performed and purpose of building (By Floors) Size Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City—Well. STATE OF FLORIDA, ss. COUNTY OF DADE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ./‘ / Street ,-0 7 Type of Tank . Capacity Gals. Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit. (Signed) r My Commission Expires Notary Public. State of Florida - New Building Remodeling Addition Repairs No. of Stories / Amount of Permit _________(Signed) Plumbing Inspectgir. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employee 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 connectors 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. 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 fee of $1.00 will be made when such re is made necessary by improper notice for inspection, or faulty materials and/or workmanship. p. • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING 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 regula- tions 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 STATE OF FLORIDA, COUNTY OF DADE. Registered Architect and /or Engineer_ Name and address of licensed' contractor Remarks Disapproved Date (Signed) Building Inspector Location and legal description of lot to be built on: Lot Block_________ Subdivision___ Street and Number where work is to be done___ State work to be done and purpose of building (by floors) Date_ (Signed) - -- -- — -- _and for no other purpose. New Building___________________ Remodeling_______________ Addition__ Repairs No. of Stories = - -- To be constructed of_____ —_ __ Kind of foundation te r:_ Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 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 5966, 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Permit ) 1 ` Date _ ( Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires___________________ -- — — 19 —__ Street — / to me well known, PLANNING BOARD . - 6 ® 4 I DATE Chairman Member Member Member Member Member Council Approved— Date Disapproved *)ate 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.