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301 NE 96 St (3)1 ' C4 Lj BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Is Building Historically Designated YES Contractor's Company Name �rZocE i$ L-& 1 , .per Contractor's Address 51 14.c0. 610-' - 51-(ir City iniAM Qualifier $ Value of Work For this Permit Miami Shores Village Building Department NO )C State FOQ1DA Zip 3 3 I So Number of: Bays Stories Families Bedrooms * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * ** 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ? I X _ Z(0 Master Permit No. Mechanical Roofing Owner's Name (Fee Simple Titleholder) 3 }<,' %€Q ''3CHic.b Phone # 305- '? 53 -c335 Owner's Address 3 01 W , E. 96" 'T Off City M; qM: SoatS State �� �7i A Zip 3 Tenant/Lessee Name Phone # Sot O 6Tr Job Address (where the work is being done) �M`.� l '7AS � �r+1` :02 S wO£. e MtN"t� &s , S t' 3S):57 City Miami Shores Village County Miami -Dade Zip 3 3 % Phone # 3 c - 51 Z.,O N ry 55* 66 Z.1 Phone # Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State Zip Square Footage Of Work: Baths Type of Work: DAddition DAlteration ❑New f ❑ Repair/Replace ❑ Demolition Describe Work: ,( �0 % /'A 6 / ' Lr /17 F /2. (4a_5 f� - County Escrow Fee $ . (o O Permit Fee $ IV) Notary $ S co ` Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) ?G+iCi 30/0 eaSn. Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCLNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs -ven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will ap an inspection fee will be charged. i .. L " i Contractor The forego g instrument was acknowledged before me this ' The foregoing ins ment was acknowledged before me this . day ofse rO r , 2043, by J /K • l fLb day of (mot , 20 (a, byll U who is personally known to me or who has produced bC-fr S4 at ..ip(o. 6 Q - `t As identification and who did take an oath. NOTARY PUB �._� ` � • ��`''��G\oria Me s 'NOTARY OTARY P � ... Sign: Print: ` N., /'i 1Na; * % o • m : * ? P f ; #DD063525 ; Q °_ •. • °= r******* * * * * * * * * * * * ** * ** **** * * * * * * * * * ** ;9 :M , ' ' it******************* * * * * * * * * * * * * * *sY * * * * * * * * * * * * * ** State Certificate or Registration No. Certificate of Competency No ilp 0000r77 My Commission Expires: APPLICATION APPROVED BY: chc7/7 /03 Owner or Agent ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature who is personally known to me or who has produced 9alpetency Holder) My Commission Expires: sA'414gentiti4alibilalitirtaglid take an oath. Commission #D023 i 984' 1 13, 2007 Plans Examiner Engineer Zoning Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the uilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shore 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 ho Owner's Name and Address _________ 61 No. . ____ % Street } Registered Architect and /or Engineer____._-__. / Employing Plumber's Name No._ Location and Legal Description Lot_ _____ Street and Number where work is to be performed —No State work to be performed and purpose of building By Floors)____. Addition______ _' New Building ____ Remodeling Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. j _- - - - = -' Block Size Septic Tank_ _---------------------------- - - - - -_ Type of Tank Feet of Drain Tile__.__ _______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___-- ....... ___ ___ ___-- __-.... _________ Size of Soakage Pit Capacity Gals (Signed)_ The undersigned applicant for this building permit does hereby ce that he underst nds and accepts his obligations as an employer of la under the Florida Workmen's Compensation Act, being Section 5966, Compil 6e aws of Florida Perinanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work •. 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 s are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this perm' as are licensed by Miami Shores Village. Street_____..___ Subdivision.._ Street. Repairs No. of Stories. Plumbing1 Spector. I (Signed)_ , %! ° •/ CQ z) 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made .necessary by improper notice for inspection, or faulty materials and /or workmanship. CLO$ET5 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 TOTAL FIXTURES CONTR. LIBT 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 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 uilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shore 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 ho Owner's Name and Address _________ 61 No. . ____ % Street } Registered Architect and /or Engineer____._-__. / Employing Plumber's Name No._ Location and Legal Description Lot_ _____ Street and Number where work is to be performed —No State work to be performed and purpose of building By Floors)____. Addition______ _' New Building ____ Remodeling Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. j _- - - - = -' Block Size Septic Tank_ _---------------------------- - - - - -_ Type of Tank Feet of Drain Tile__.__ _______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___-- ....... ___ ___ ___-- __-.... _________ Size of Soakage Pit Capacity Gals (Signed)_ The undersigned applicant for this building permit does hereby ce that he underst nds and accepts his obligations as an employer of la under the Florida Workmen's Compensation Act, being Section 5966, Compil 6e aws of Florida Perinanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work •. 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 s are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this perm' as are licensed by Miami Shores Village. Street_____..___ Subdivision.._ Street. Repairs No. of Stories. Plumbing1 Spector. I (Signed)_ , %! ° •/ CQ z) 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. 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. BUILDING ELECTRICAL P LUMBING Owner of Building Architect Contracto or Builder Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERIVI1T DATE Co ntractor' s Lynse No. N° 7310 ork to 14 performed under this Perini c 11 B1 Subdi- vision Address of Value of Building Project This permit is granted to the contracto or • uilder named above to construct the buildin or to install the e quipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comli at any time if the work is not done in compliance with such ordinance or if the plans are changed ithout • plans, drawings, stateme or specifications that may have been submitted to and approved by the proper municipal authorities • permit is granted is the understanding that the contracto or builder named above assumes th e sibility for work done by his agents, servants or employees. auth ization regulations pertainin to the work covered hereby whether show on the Plan or ifigs vith any is P pan ce ermit m ay be revoked . A further T con 'on upon which this ,the staterneut or specifications h onsibility for a' thorough knovvledg of the ordinances and "h In co nsideration of the issuance to me of this permit I agree to perforin the work covered hereunder in compliance with all ordinances and regulations In acc ting this permit pertaini thereto and in ste t conforrnity with the plans, drawin,gs, statement or specifications submitted to the proper authoritie of Miami Shores Village . e responsibili r all work done by either myself my agent, servant or employee. IN SPECTOR Signed: By FIV AUT HORITY assumes respon- 194 BUILDING ELECTRICAL PLUMBING Owner of Building e 1 : PERMIT N? 7313 Work to be` erformed under this Permit ',a. • i = / � / v Architect Contractor ,,, % z ` `; or Builder ' Legal Lot 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawinpt+tatements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if' 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 rgonsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o drags or in statements or specifications and the statemeificati that ,he assumes respon- sibility for work done by his agents, servants or employees. t 4 .s' ", Signed:- o._ 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 lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assumeres�$nsibility for all work done either Myself, my agent, servant or employee. /7 g esW MIAMI SHORES VILLAGE, FLORIDA DATE • 1 � 194 Bl. Subdi- vision Value of Project CONTRACTOR OR BUILDER BY Contracijor's j License o Amt. of Permit AUTHORITY Permit No Owner's Name and 'Address Size Septic Tank Feet of Drain Tile __. S- , Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. r ss. ll MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applicatio is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure erein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engin Employing Plumber's Name - Block___ No Street T _ Location and Legal Description Lot _,3 9 � N.2 Subdivisio Street and Number where work is to be performed —No ?__/ __ Street 9_i i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) (Signed) No Street Date 11 - O ^ C� Type of Tank Capaci Gals f Dis in ie om e " 41.44,4 • a Nature of Water Supply: City —Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida Plu bing Inspect/r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s an employer pf labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS 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 Size Septic Tank Feet of Drain Tile __. S- , Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. r ss. ll MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applicatio is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure erein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engin Employing Plumber's Name - Block___ No Street T _ Location and Legal Description Lot _,3 9 � N.2 Subdivisio Street and Number where work is to be performed —No ?__/ __ Street 9_i i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) (Signed) No Street Date 11 - O ^ C� Type of Tank Capaci Gals f Dis in ie om e " 41.44,4 • a Nature of Water Supply: City —Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida Plu bing Inspect/r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s an employer pf labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r , Permit No._ t _._��_ Application 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 Lis 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. f .i Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street No. (Signed) (Signed) ->r New Building ____!+ Remodeling Addition Repairs Date Size Septic Tank Type of Tanlc Cap city Gals Street My Commission Expires Notary Public, State of Florida f " _ Block ' .7 C/ Subdivision Street and Number where work is to be performed— No—__— / Street. State work to be performed and purpose of building (By Floors) No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well .___ ��'' Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 FOU NT' NS : '�. e.2 ' c %,,c rE - / 4. , TOTAL FIXTURES T / / ! // CL LIST C2 Grl� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ! J(- , ! `• ' .l 2 :A . ,.� CONTR. LIST / / 1 a / CHECK r , Permit No._ t _._��_ Application 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 Lis 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. f .i Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street No. (Signed) (Signed) ->r New Building ____!+ Remodeling Addition Repairs Date Size Septic Tank Type of Tanlc Cap city Gals Street My Commission Expires Notary Public, State of Florida f " _ Block ' .7 C/ Subdivision Street and Number where work is to be performed— No—__— / Street. State work to be performed and purpose of building (By Floors) No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well .___ ��'' Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBINGsr Owner of Building MIAMI SHORES VILLAGE, FLORI94 • r DATE'`''• J 1 94 PERMIT N? 7550 Work to be performed under this Permit Architect Contractor or Builder Legal 0( Lot Descripti J Address of , Value of B 0 1, n Project CONTRA OR OR BUILDER Bl. Subdi- vision cze Signed. 44 �./ By ntractor's License No. Amt. of Permit This permit is granted to the contrac .r or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perfo work covered hereunder in compliance with al rdi an s an�1 ti pertaining thereto and in strict conformity with the plans, drawings, state en or specifications submitted to the proper authorities of iami Shore 11 e. In accepting this permit I assume responsibility for all work done by myself, my agent, servapt o employee. i ,1 AUTHORITY METROPOLITAN DADE COUNTY • FLORIDA NMSOUTMEASTISTAVENUE BUILD ING ANO ZONING DEPARTMENT SRICKEL. PLAZA BUILDING MIAMI, FLORIDA »131 TEL: 579 -2612 A. T. Bliss Co., Inc. 1300 South West 12 Avenue Pompano Beach, Fla. 33060 ACCEPTANCE No.: APPROVED EXPIRES PRODUCT CONTROL NOTICE OF ACCEPTANCE Your application for Product Approval of Solar Water Heater System Model SMSP -410 under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Joseph Martone, P.E.; along with dwg. No. 80142 -1 dated February 1980 and Florida Solar Energy Center Report No. 80015D dated 2 -28 -80 has been accepted by Product Control to be used in the Unincorporated areas of Dade County under the Specific Conditions set forth on Page 2, and the Standard Conditions on Page 3 80 -214.6 Oct. 20. 1980 April 14, 1983 BOARD OF RULES AND APPEALS N TICE OF ACCEPTANCE APPROVED: October 20, 1980 -1- Vipin N. Tolat, P.E. Product Control Supervisor Metropolitan Dade County Building & Zoning Department This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas Jf Dade County under the conditions set forth above. Thomas M. Black, P.E. Deputy Secretary Metropolitan Dade County Board of Rules & Appeals NPC -1070 ACC..�2TNYCE a0. APPIOVID : F.V3RES : NO IC4 OF ACCT 1ANC!: S !Cir C CC tTIC1\J 80 -214.6 9An 1 1 9 83 1. This covers a solar heater system for the production of domestic hot water comprising Model SMSP -410 collector panel and UL, NSF or other recognized agency approved hot water tank, filter, piping, sensors and valves. Energy output at intermediate temperature of 122 °F as recorded by Florida Solar Energy Center is 29,900 BTU /day. 2. All electrical work shall be in conformance with Chapter 45, Electrical Section, of the South Florida Building Code and NFPA 70. 3. Single /Multiple collectors may be installed up toy elevations of 35 ft. above grade, using the following components: Collector Panel Frame (Enclosure Box) Size: 10' -1/2" x 4' -3/8" x 3k" deep Wall Construction:. 3/4" x 3/4" xl /16" x Bottom: 0.020" emboss, aluminum sheet secured to aluminum frame, four 1" x 1" x 1" x 1/16" channels at 24" o.c. Cover Plate: 0.040" thick reinforced plastic sheet Method of Assembly: Channel secured to main frame with #10 x 3/4 Tek screws to back panels with six pop rivets per channel. Insulation: 1" thick rigid foam insulation Connection of Collector Panel to the Roof of the Building Mounting Brackets: 3" x 3" x k" x 4' -6 3/32" aluminum alloy 6063 -T6 Number: 4 Fasteners (per bracket) All roof penetrations must be through pitchpans. Size: 21" x 3 13/16" x 11" bent steel plate at low side 11" x k" x 6" steel angle at high side One 3/8" bolt 4. Applications for solar heater permit must be accompanied by two duplicate secs of the approved drawings along with plot plans showing the location of the panels on the roof, and an isometric piping diagram of the actual installation. All piping and connections to potable water shall be performed by a qualified plumbing contactor, and all electrical work shall be by a qualified electrical contractor. 5• LICENSEE: Equinox Solar, to merchandise 6. Acceptance No. 3 " Inc. of 3350 N.W. 60th Street, Miami, Fla. 33142 is authorized the Model SMSP -410 collector under the trade name of Equinox Solar. 80 -060.2 is hereby superseded OLpi= N. To ia:, ?.I. ?-vduc: Ccnczmi Sune -i:sor -2- Met:raoa 11 =n :ade C.:::n _, Builditz 1 Zoni:.¢ Leta= erlt SUMMARY INFORMATION SHEET ,,,v /L" FLORIDA SOLAR ENERGY CENTER 300 STATE ROAD 401, CAPE CANAVERAL, FLORIDA 32920, (305) 783 -0300 1/1^r• Nationwide Power Corporation 1300 S.W. 12th Avenue Pompano Beach, Florida 33060 This solar collector was evacuated by the Florida Solar Energy Center (FSEC) in accordance with prescribed methods and was found to meet the minimum standards established by FSEC. This evaluation was based on solar collector tests performed at DSET Laboratories, Phoenix, Arizona. The purpose of the tests is to verify initial performance conditions and quality of construction only. The resulting certification is not a guarantee of long term performance or durability. Gross Length Gross Width Gross Depth Gross Area Transparent Frontal Area Volumetric Capacity Weight (empty) Recommended Flow Rate Maximum Operating Pressure Maximum Wind Load Number of Cover Plates Flow Pattern Number of Flow Tubes Enclosure Glazing Absorber Absorber Coating Insulation Tested per ASHRAE 93 - Efficiency Equations n= 66.6 - 586 (Ti - Ta) /I 77= 64.4 - 331 (Ti -Ta) /I Units of Ti -Ta /I are Watt/ °C•m MANUFACTURER DESCRIPTION 3.065 meters 1.237 meters 0.083 meters 3.791 square meters 3.489 square meters 5.3 liters 49.9 kilograms 69 ml /s 552 kPag 2394 Pa One Parallel Eight MATERIALS Aluminum frame Fiberglass reinforced plastic Copper tubes soldered to copper sheet Flat black paint Polyisocyanurate, 2.5 cm thick THERMAL PERFORMANCE Incident Angle Modifier Kra = 1.0 - 0.20 1 1 ) cosB - 3686 [(Ti- Ta) /I) RATING Reference 80015D + 79015 • NPC 81113012A 7 1= n = Energy Output Kilojoules /day Kilojoules /day Kilojoules /day November 1981 FSEC # 81185D Collector Model SMSP 410 10.06 feet 4.06 feet 0.27 feet 40.81 square feet 37.56 square feet 1.4 gallons 110.0 pounds 1.1 gpm 80 psig 50 psf 66.6 - 103 (Ti - Ta) /1 64.4 - 58 (Ti -Ta) /I - 114 [(Ti- Ta) /I) Units of Ti -Ta /I are Btu / °F•ft The collector has been rated for energy output on measured performance and an assumed standard day. Total solar energy available for the standard day is 5045 watt - hours /m' (1600 Btu /ft distributed over a 10 hour period. Output energy ratings for this collector based on the second -order efficiency curve are: Collector Temperature Low Temperature, 35 °C (95 °F) 41,000 38,900 Btu /day Intermediate Temperature, 50 °C (122 °F) 31,500 29,900 Btu /day High Temperature, 100 °C (212 °F) 4,500 4,300 Btu /day 1 1. Solar Collector 2. Sensors 3. Air -Vent 4. Pressure -Temp Valve 5. Drain Valve 6. Gate Valve 7. Solar Water Tank 8. Circulating Pump 9. Controller 10. Check Valve 4' X 10" COLLECTOR CD p To 110 Outlet TYPICAL PIPING & WIRING DIAGRAM it 11 it 11 11 11 11 11 1 11 H II 11 11 II O � II i1 I I I I ROT OUT COLD IN 3 w rsvores e.oca U � 93� Sri PL7r ASSUr/a0 Zn4 5�p 455erso rgA,aQ€i2 - '� /8.r5 C.yy- .loo /t ,. o - cr/ x/o 5 ,c / vr'G Z i4 "/�aoFJo /ST. A(7 of; 34 stet - o e Go3r6 9cv s .+ /.y.vnru; . /4O.ox O.OGt //[uH. i✓ .s,geR 2dZ4 -Tt NEX /304 Iwo" S / /j /8.2.2 "Qs-S. LB •.ee - e .Z 0 og" / t I /'X/i. %gx5 MOd vT /•vs CNANivCL� %x 2 ¢�'laeQ /�yE ,G3ozr 70,757 / QA1E Pe /G Ga 3 T-lo ifkafi/N!/N some J?9Vv .. / %Z ° -/. 0" • S / /0 (1, S /ic/po V • /O P9yr / C - C (:4A/4/Cr/ O /V H /QN 5/ OE NCLE Moa.vT 5c.vice A1l1240 3/g " S''lnc" /3oLT,7c57 /Ls Gh.yvyc.D G , o ., v £L HOLES 5 - p 6 /Q , 9NEc. COLtS SDA � 1 7 i9Nt - 4 / r /D / /11lXr vr••v%' D�T.9aL ,4A/o 5&PPC SG9cr' /O5 Sf/ew! OA/ /` /9Td APP 7 / s " f6o� /off 5rs�re .E.v4 . O. /3DU //7/ OGp[.9, FLOQ/oA 3ZC7' Ipes.c.v ✓./1. 11'Av/N ✓/mil. C X'V ✓ A. C. 4.7" 8Iss 4kD c Ay 4'y . /shoo sa /2r� 9` b /A/C, 1.l0 4/e gof /4 c. FLE.44. 5O /4z-/ S —...4 P9NEL STZ Xra4nc 5(4L oo er Permit No. 3 D 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. • _� 3 Ci / uG. - FG5 Owner's Name and Address _�r Cs`n (\ . __^-.�a No 3 c'J___ Street.-_ 1 14 Av., , ..57 r -eS Registered Architect and/or Engineer N C, `'t o try ► . ) ‘ CA Q Pow el- Cl- Employing Plumber's Name Cdl ` rte 7 .. Ar ... ,, N0. f Location and Legal Description Lot- / 31 1 Li Block 4 3 Subdivlsion._L`� ! . S h o ie S Sc Street and Number where work L to be performed —No 3c-)1 N . E . q G 54-. street_ .._..___ _..._.... State work to be performed and purpose of building (By Floors)__-_-_, ckV_ ____ L.LC. ..- -_..i: `T New Building..__.._ _ ------- ..- ....._.. Remodeling--. - Addition.- ____. -.-- Repairs No. of Stories... 1.... Size Septic Tank Type of Tank______ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well ._._.__.___ Nature of Water Supply: City —Well. Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ 1 BE (Signed) to me well known, and who, being by me first duly sworn, upon oath deposes and says that of the above described construction, that beAtas carefully read the foregoing applies.. therein by him stated are true: . MY IN S S RED B STAN I AVERY C & ASSOC. AI/ My Commission Expires (Signed The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and logy com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work co 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, �qm or to be perf ect under this permit, as are licensed by Miami Shores Village. Date.._ is the - and that be did sign- Nagy Public, Slate ef Florida Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 u COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and that all facts NOTE: A re - inspection fee of WOO will be mods when is misspection is wsdurneameary by baproper.notice far inspection, or fealty materials and /or workmanship. CLosrra BATH Tull/ SNOWERa LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• T OTAL PIXTURE• -- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM 'G POOL ' CONTR. LIST CHECK Permit No. 3 D 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. • _� 3 Ci / uG. - FG5 Owner's Name and Address _�r Cs`n (\ . __^-.�a No 3 c'J___ Street.-_ 1 14 Av., , ..57 r -eS Registered Architect and/or Engineer N C, `'t o try ► . ) ‘ CA Q Pow el- Cl- Employing Plumber's Name Cdl ` rte 7 .. Ar ... ,, N0. f Location and Legal Description Lot- / 31 1 Li Block 4 3 Subdivlsion._L`� ! . S h o ie S Sc Street and Number where work L to be performed —No 3c-)1 N . E . q G 54-. street_ .._..___ _..._.... State work to be performed and purpose of building (By Floors)__-_-_, ckV_ ____ L.LC. ..- -_..i: `T New Building..__.._ _ ------- ..- ....._.. Remodeling--. - Addition.- ____. -.-- Repairs No. of Stories... 1.... Size Septic Tank Type of Tank______ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well ._._.__.___ Nature of Water Supply: City —Well. Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ 1 BE (Signed) to me well known, and who, being by me first duly sworn, upon oath deposes and says that of the above described construction, that beAtas carefully read the foregoing applies.. therein by him stated are true: . MY IN S S RED B STAN I AVERY C & ASSOC. AI/ My Commission Expires (Signed The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and logy com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work co 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, �qm or to be perf ect under this permit, as are licensed by Miami Shores Village. Date.._ is the - and that be did sign- Nagy Public, Slate ef Florida Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 u COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and that all facts NOTE: A re - inspection fee of WOO will be mods when is misspection is wsdurneameary by baproper.notice far inspection, or fealty materials and /or workmanship. li A' TYPE: ROOF: SURVEY FOR: ADDRESS: CITY: a -- SPECIAL INSTRUCTIONS -- LOT: NPC -1060 ,JJVV�L NATIONWIDE POWER CORPORATION { 7.r � ^nor SOLAR SURVEY and INSTALLER INFORMATION COUNTY: STATE: ZIP: `HOUSE DESCRIPTION) ONE (1) STORY El TWO (2) STORY OTHERD TILE D ASPHALT SHINGLE 0 TAR & GRAVEL 0 BAHAMA ED BARREL TILED CT LOCAT I01t' EXISTING TANK IS LOCATED IN: GARAGED UTILITY ROOM D WILL TANK BE RE— LOCATED? YES 0 NOD IF YES, HOW FAR FROM EXISTING TANK? FEET RE— LOCATED TO WHAT AREA? WHAT ELECTRICAL IS AVAILABLE AT EXISTING OR NEW LOCATION? 220 VOLT OUTLET: YES IM NOD HOW MANY FEET FROM TANK? FEET 110 VOLT OUTLET: YES P NOD HOW MANY FEET FROM TANK? FEET 7 IF TANK IS TO BE RE— LOCATED ■O INFORM CUSTOMER OF $ _„ RE— LOCATION CHARGE. LEGAL DESCRIPTION BLOCK: FOR OFFICE USE ONLY (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) SUB— DIVISION:, 1300 SW 12th AVENUE • POMPANO BEACH, FL • 33060 • (305) 765 PHONE it f„ CLOSET OTHER 0 PROFANED OIL 0 NATURAL 0 GAS Ho `r`s` WORK OTHERD THE LEADER IN THE FIELD OF ALTERNATIVE ENERGY NATIONWIDE - POWER . CORPORATION I CI 1 TM TILDING ❑ .UMBING ❑ PERMIT N9 8493 •UMBING )OFING ❑ veer of ilding chitect ntractor Builder gal scription (dress of ilding Lot r i , / MIAMI SHORES VILLAGE. FLORIDA ryA f rt.r f � CONTRACTOR OR BUILDER B1. Work to be performed under this Permit "•4 4 Subdi- vision Sq. Ft Value of Project $ BY 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 efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining to the work covered hereby whether shown on the plans or drawings or in the sta ents or specifications and that he assumes responsibility for work le by his agents, servants or employees. Signed INSPECTOR e �. DATE Contractors License No Amt. of Permit In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my ent, gervant or employee. AUTHORITY 195_ 7 BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ,� PERMIT N9 8532 5 3 2 Contractor's License No. ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building .. ` CONTRACTOR OR UILDER MIAMI SHORES VILLAGE. FLORIDA Bl. Work to be performed under this Permit Signed- Subdi- vision BY Sq. Ft Value of 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 thlkhe assumes responsibility for work done by his agents, servants or employees. X , r Amt. of Permit $ 4 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance d regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami res Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, %malt or employee. Permit No. ___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. , Owner's Name and Address r' 't___� `<' '` _� "' - f� No. .5 << '' Street Registered Architect and /or Engineer Employing Employing Plumber's Name e- ('_'� L am' 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 Nature of Water Supply: City —Well. Size of Soakage Pit . " r 4 2_4(.2 - 1 Amount of Permit $ Q v --------- - - - - -_ ( Signed) -' ",bing Inspector. - The undersigned applicant for this building permit does hereby certify that h understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Feet of Drain Tile STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank__ Date ih //y Capacity Cals Dist. Feet of Tank or Drain Field from Well ( Signed) 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 lie 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 T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS UR 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. ___ 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 r' 't___� `<' '` _� "' - f� No. .5 << '' Street Registered Architect and /or Engineer Employing Employing Plumber's Name e- ('_'� L am' 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 Nature of Water Supply: City —Well. Size of Soakage Pit . " r 4 2_4(.2 - 1 Amount of Permit $ Q v --------- - - - - -_ ( Signed) -' ",bing Inspector. - The undersigned applicant for this building permit does hereby certify that h understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Feet of Drain Tile STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank__ Date ih //y Capacity Cals Dist. Feet of Tank or Drain Field from Well ( Signed) 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 lie 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor d or Builder 1 Legal Lot Description Address of Building i -• CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORID. DATE PERMIT N? 7965 Work to be performed under this Permit O L-4 1 .4.-ACC Bl. Subdi- vision Value of I Amt. of ' '`/ Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawi gs or in the statements or specifications an that he assumes respon- sibility for work done by his agents, servants or employees. \ , / � � ) � - ,> Signed• ^ ° ' 7 1 By �.."}' INSPECTOR i PD In consideration of the issuance to me of this permit I agree to perfo e work covered hereunder in compliance with tritprdindnces and ttgea{iibn is pertaining thereto and in strict conformity with the plans, drawings, statements or X45 p g y � g , specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility fora work done by either myself, my agent, servant or employee. BY ontractor's License No. t.r AUTHORITY 19 9f Permit No -.S-3 Z 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. , n Owner's Name and Address.. Registered Architect and /or Engin ._ —_ Employing Plumber's Name.' / - -! _.. — . ! �c _ - - -- No..___._..---- -__... _ Street-- - --. _ Location and Legal Description Lot Bl Subdivision . ___.___— __._._ Street and Number where work is to be performed —No " C treet_ 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 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 1" ;azMiT Feet of Tank or Drain Field from Well Type of Tank_ (Signed)_ No._ Street ( Signed) _.—___ Capacity Gals Size of Soakage Pit Plumbing Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. 'gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performe` der this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the 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 S HOWlRE LAVA- TORIES SINKS SLOP SINKS LAUNDRY TusB U RINALS 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 SW IM'G POOL CONTR. LIST - -- CHECK 9f Permit No -.S-3 Z 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. , n Owner's Name and Address.. Registered Architect and /or Engin ._ —_ Employing Plumber's Name.' / - -! _.. — . ! �c _ - - -- No..___._..---- -__... _ Street-- - --. _ Location and Legal Description Lot Bl Subdivision . ___.___— __._._ Street and Number where work is to be performed —No " C treet_ 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 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 1" ;azMiT Feet of Tank or Drain Field from Well Type of Tank_ (Signed)_ No._ Street ( Signed) _.—___ Capacity Gals Size of Soakage Pit Plumbing Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. 'gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performe` der this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the 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. Amount e# Permit $ 0. To> MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN',' APPLICATION FOR PLUMBING 'till' (Signed)- (Si Repairs Size Septic Tank ----- •-- -. —__. ___.___ _ _...Type of Tank-_ Feet of Drain Tile. _- . __.Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ _ __ -. -._ _ .___. - -__ - ..Size of Soakage Pit 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 Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami S;,ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifies. a:r :Y A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - _- -- •----- .- _---- _- - -_ - -� No Registered Street ._ Registered Architect and /or En _ _ _ Employing Plumber's Name / 1 �®A'oa �p ee ' _ 046 ! # No.•__ `s Str • A e pre e/v - Location and Legal Description Lot. Biotic Subdivision..._.:__- ...- ..-_.__ Street and Number where work is to be performed —No 3` / Street. - State work to be performed and purpose of building (By Floo s)_. _ New Building_ _.__ _ __ _- Remodeling _ __ _.._. _ _ _. Addition_ ,,rMf No. of Stories .Capacity Gals. Muter Plumbing ispector. The undersigned applicant for this building permit does hereby certify that he underrtands and accepts his ' gations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5988, Compiled General Laws of Florida P manent Supplement, and hus 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I sa 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. M Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS 5/4"1". 5/4"1". RS LAVA TORIES SINK{ SLOP SINKS LAUNDRY Tula URINALS CATCH BASIN FLOOR DRAIN DRINKING FOYNT'NI TOTAL FIXTURES CONTR. LIST / r� _ CHECK - SEPTIC TANK SEWER CONN. DRAIN IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SW IN' O POOL - _ LIST CNECK Amount e# Permit $ 0. To> MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN',' APPLICATION FOR PLUMBING 'till' (Signed)- (Si Repairs Size Septic Tank ----- •-- -. —__. ___.___ _ _...Type of Tank-_ Feet of Drain Tile. _- . __.Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ _ __ -. -._ _ .___. - -__ - ..Size of Soakage Pit 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 Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami S;,ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifies. a:r :Y A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - _- -- •----- .- _---- _- - -_ - -� No Registered Street ._ Registered Architect and /or En _ _ _ Employing Plumber's Name / 1 �®A'oa �p ee ' _ 046 ! # No.•__ `s Str • A e pre e/v - Location and Legal Description Lot. Biotic Subdivision..._.:__- ...- ..-_.__ Street and Number where work is to be performed —No 3` / Street. - State work to be performed and purpose of building (By Floo s)_. _ New Building_ _.__ _ __ _- Remodeling _ __ _.._. _ _ _. Addition_ ,,rMf No. of Stories .Capacity Gals. Muter Plumbing ispector. The undersigned applicant for this building permit does hereby certify that he underrtands and accepts his ' gations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5988, Compiled General Laws of Florida P manent Supplement, and hus 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I sa 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. M Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made by improper notice for inspection, or faulty materials and /or workmanship. k Type Insp'n Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 At-VS B ilding Inspection Request Date 1 (O Time For Inspector: I - 3 Approved Correction Re- Insp'n Fee 1 Cocs Permit No. P 1 D - Name SC-h4 Address 1�'� c=tco J+ Company Pi i MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 10 Time Type Insp'n P ICU n - Permit No. PI a-ca Name 50,110 Address 301 QE q(0 Company ' Pr v f G GCS' Phone # 1S") SOD-O. Correction For Inspector: 1' 1 1 110 e Date Approved ❑ Re- Insp'n Fee ❑