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357 NE 97 St (4)APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE � a Date'-/- 4 i � S Job Address S; dv E q s - r Qualifier () U l l C � t - k rz SS4# ��' ? _ ei (-7 / — .P c1' 72 State # ' ; Municipal # (qt Competency # 11 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION � � L C • � " �� L f ' 1' Square Ft. Estimated Cost(value) 01e&Oj WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accu :te and that all work will be done in compliance with all applicable laws regulating constructio and oning. Furthermore, I authorize the above -named contractor to do the work stated. ature of Con ac I � FEES: PERMIT "[S RADON C.C.F. 5r1D NOTARY Owner- Builder ry as to Con xaatar ; or t nert.Bakider My Commission Ex+piri '.._ * * * * * * * * * * * ** TOTAL DUE Fire Other Electrical Engineering BUILDING ELECTRICAL PLUME*NG Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA / DATE PERMIT N? 5090 Work to be performed under this Permi Legal . Lot Description Address of (� Building G.• BL Subdi- vision Contractor's License No. J , v i 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 ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra s or in- tberstatements or specifications :n• hat ssumes respon- sibility for work done by his agents, servants or employees. �w . _. —. - Signed. + � irrsP>iTOR C- By R C In consideration of the issuance to me of this permit I agree to perform the work covered he in compliance with- ordin .. an pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mi mi Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR 4R BUILDER r Value of Project BY Amt. of Perm' AUTHORITY 194_ t 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__ -__`_ ' t_. - No _ Street_ Permit N S� STATE OF FLORIDA, t COUNTY OF DADE. Nature of Water Supply: City —Well Amount of Permit $ _1 ' ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Date Registered Architect and /or Engineer r r Street Employing Plumber's Name Location and Legal Description Lot •�{ _B ock__ * _ � } Subdivision Street and Number where work is to be performed—No t ✓ ��v� n State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Street No. of Stories___ _ ft Size Septic Tank__ �: Type of Tank Capacity Gals. Feet of Drain Tile t Dist. Feet of Tank or Drain Field from 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. -- s' - -�' -- -tea • __A !__titi, Ma er Plumber. , My Commission Expires Notary Public, State of Florida 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 fo regoing 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' N5 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 t 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__ -__`_ ' t_. - No _ Street_ Permit N S� STATE OF FLORIDA, t COUNTY OF DADE. Nature of Water Supply: City —Well Amount of Permit $ _1 ' ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Date Registered Architect and /or Engineer r r Street Employing Plumber's Name Location and Legal Description Lot •�{ _B ock__ * _ � } Subdivision Street and Number where work is to be performed—No t ✓ ��v� n State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Street No. of Stories___ _ ft Size Septic Tank__ �: Type of Tank Capacity Gals. Feet of Drain Tile t Dist. Feet of Tank or Drain Field from 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. -- s' - -�' -- -tea • __A !__titi, Ma er Plumber. , My Commission Expires Notary Public, State of Florida 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 fo regoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Application is hereby made for the approval cf the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at buil • ..., during wogs= cf work. Owne7 0 Name and Address - ; e ' ---= No Street__ 7 ` Registered Aschite t and/or Engineer E mploying Plumber Na / • te ��...,, 11 " strget ..� , . ...... ”...12 /_ s Locatian and Legal Dveriptten Lot._ !loek Street cuz$ Number wheie crest is to In pmf —loo CONTR. LIST Cam. LIST CHECU CLOSET6 ©Q4w TuoQ SKOWERS LAVA• :'CRIES My M A :',S SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLECT!ON FOR PLUMBING PERMIT SINKG SLOP s : 'AK9 CEPYIC 8SWIG•7 DRAIN SOAKAGE GREASE SOLAR DEEP TANK CONN. FIELD PIT TRAP HEATER WELL Typo of Tank LAUNDRY Tuns URINALS SPRKLR. SYSTEM Ski Septic Tae le_ Feet of Drain Ti,?e f Nature of of Water Supply: City —Wel Size of Soakage Pit. _S(/ 111. ( S Amount of Kermit 8 °d) — `± "6 (Sigoad) CATCH B ASIN Sw IM'O POOL FLOOR DRAIN Date... - - . f Street ._.._. _..._._ State wma to be 904c2smr::s Raed pusirce of building (By ' )— 'kk.o... J..Y._. _..___._ ..................._ ....._....... New 1 wilding. _ ____.._..........._.. Remodeling .__ Addition.. — ___.__ Repairs G No. of Stories. ..... DRINKING FOUNT' NS Capadty TOTAL FIXTURES Feet of Tank or Drain Field from Wel1.__ __ — — ___ .. _ ___..._ - -- -- .....__— Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 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- contractor., • , „ k to be performed under this permit, as are licensed by Miami Sham Villages Muter Plumber. STATE OF FLORIDA, COUNTY OF DADE. Zefose me, the undersigned authority, a notary y -bltc, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath oses and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Plaids NOTE: A fee 51.E VI made when each is mada•naoaauy by improper not for tnspecdon, err faulty materials a /or wor 0 (.4 111, n (D 2. i p> , q 4, 1 ti ,<� VCS .cl L'C) C ?;n %p 7U:,? ©�' U)C;_�.,C; YCw� �aZ�, " � ._ ;7 � ') 'ACS F� p 1 J� L �I3r� Cu r F 1 C1V ) 1 J.i; r� r'�) C c •��` F,C;Ln O © 22° on 'i: <;C Jalt'�,c jJ 7A(3 sErfs 0 7 " 7,o ,. C' 7 fl Ci ) „rl o /r n L;,(fl() o A ) r m'i' c )1?, � „ , „ � Fm(D(,: nC .C3 ;`?Clt;0 ) ) CJ S F,ca r sS 0 0 1 J ;,ro 9 • er i :1 , 0 p a MTAIZ.M.rlAkt ;71. Rpm rimywyana:' X lo.tr Hnc. 3S0 MN. 60 Strcot non..1. 2 Film 3Z 142 CiUtiONC ZViti#140 tigloArkiteif v‘iit W431,01-1 kIi-AP.1" 11T AVeilk411 „ft ZA ell.)%1-004/11 '-41■Vi ',...C141t7,,,s 131 Ittalt cAppL go7g Sei Cznecs.lc fy< ta.'48SCIl1 ad 1 f-AA Cqkif.1 vc (DC, \ CE1 11 kL' i3 )2 vhh 711 0)41 17 avt t x _ M .Center nnd ?:rf. n(579 ',`Yy bor ry Vert 10§t *Ai& _ • \ F.) C.P1W'f 4e•4 1,1 •• Wr cit : <-1 (4 3422.2 cCI? la=7-AVINEreseVe..;e1T.:_,41WIS. 9,0, 100S- -- ebzikary 14, • • Ki),/9T (r NV:4) 14.1'cl:VP agwor mttxtuAt A ratt,c5 eozotpc.Ad, e'2.A MAY",72W Lttiia% 7.t14 40,,timoss E:7•2k'.3 ftvg nkt.e.0 'Iotetarr ti Me". P t. ITSA't4V 90 : tiAr4 LW* Coun', Re,;„om PA, „ Orionis -61 0 pq fly Llg MVra Teb® °,4, 19; II J me • 1 z _ i9e 6e Applica o s N ;Ot 0 taw heater p®rmflt cmat be accmmpaae W two uplicat �nate ci the a • +od dst s ngR along 1f! th pt otas ® mhew ng tiwi location ear bo cm tr2c roog se AM f 3 teLe !Aping diagram ©PP, the nct Iva0, i+asta , ati +a. 5. Abt a .d commactlI®w to potabn U&ttf20 Own bn psei :AAA4 Wal ift *L G. `vME1 TMd000 rand mocvledad PTcde ct ppvwcogaR 0024422.2 616c6 r SJU`1WM 14, ieL .....-___ Y,t`'1! A ltd Dftdm Commti ti 4sA.,A? 3 � 'v C /"../‘4 /;\ f /\ — vssu+ve *.V x4 j M 5'8 /LSJUnso C t /G /.✓/ PMKT 0120 4 5T: :.E� O E Ge<37 S4 61, x .1.064 ., e z4 - T4 1 /-Ex /3[u. rAw r N /3 /.Y. C.4sj Z 3r,['EF + / r5 Gory MOd�TT /ors CNA,vivI/ 4x 2 .1s. (C9.e4 /xice LILT 7'75 r73 -Q[ ✓a) /e416 2 - rn,4_ AU/iff //v',V 5044.e.2=394' Lam_ Sc�L� / %2 • = /.e2 VN 5 ‘47 . '00 5- A%° �8 w 7 C- c C11N/Vecr/a /v 5/oe AISLE Mao.vT ScACC %t /.0 " /0 Pq.ve L .000f /+/aces f'4 : •/ 4 /\ AODF,(J 3 /13")( "'Mc" /3oZT.O 7 9'Gt /,/TO z�c ¢ Ghqu4E, /V4Av /Nl�LE - 4 / K /D / /170I4/T /4/c 27ETA /LS f/N0 SGf'Pr`RT SG/94 45 5.0daV. APP SAAR P9NEL sr,wcTIQAC wp,,00.er e a taa `L o e /oO rAre Ave E0- /30X //7/ OG�7CA FZ e' 9 J2G70 • 0q;t /`20/f o 1124-1/G4/ ✓.'1. CAB -e41, ✓.4. C. 4 9t,iss.9w0 God' 33etd /boo 5:04 /2 �! or / JO6 c/e gai4 c. fLE c%. go /4 z - / SPSS . 5 2356 Tank FLORIDA SOLAR ENERGY CENTER JJVVi,L 300 State Road 401. Cape Canaveral. Florida 32920. Telephone: (305) 783-0300 Approved Solar Energy System ' FSEC # S1172 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 Collector ® Direct D Int. Heat Exch. Pump Major Components in addition to above December 1981 DISTRIBUTOR SYSTEM Nationwide Power Corp. 1300 S.W. 12th Avenue Pompano Beach, FL 33060 4 Model Units Total Rating 1 Equinox Solar, Inc_ FP410 1 29,900 Btu 2 Equinox Solar, Inc. EP408SC 1 27,500 Rtu 3 Model Capacity 1 Equinox (Mor -flo Ind.) EQ -82SS 82 gal. 2 (SSTA 82ES) 3 Rheem Mfg. Co. 668h -82 -1 82 gal. 4 Lochinvar Water Heater Corp. 80 gal. FTA082 -K EQ -82 -1 Model Power Draw Rated Power 1 March Mfg. Co. 809 20 watts 1 /100 H.P. 2 3 4 Controller Model • Differential Temperature 1 HI Square, Inc. 1503 D Absolute Temperature 2 Independent Energy C - 30 D thermosiphon 3 D Other 4 Freeze protection by automatic recirculation and manual draindown during power failure. Other 1 2 3 4 If further information is required you may contact the Florida Solar Energy Center at the above address. NPC -818 - um: • TrrfLZ70 • .�ab�.�19 i1t...��i-� . I.Tank sensor 2. Electric element 3.Check valve 4.Gate valve 5.Drain valve 6.P&T valve 7. A. i r vent valve 8.Collector sensor 9.Fr'eze sensor 10.Differential control I I . Pump 10 Hot out r J•.., t Cold in 4' X lo" COLLECTOR CD 1. Solar Collector 2. Sensors 3 kir- 't 4. 5. Dr .7a Valve 6. Gat_ Valve 7. Solar Water „ank 8. Circulating Pump 9. Controller 10. Check Valve To 110 Outlet WIRING DIAGRAM _7PICAL 11 11 11 HOT OUT 11 NPC 81113011A COLD "G) IN Permit No...._ "1.' - 4/63 MIAMI SHORES VILLAGE / 3 ?-z 6 /3 PLUMBING INSPECTION DEPARTMENT " APPLICATION FOR PLUMBING PERMIT / %' V r , _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submftted 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 w 1 'l No 3 S7 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Q' Location and Legal Description Lot. / —/ 2 Bkxb / Subdivlslcnq 2 ,� Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors )___ . New Building..__.._.__-- •---- .... -• -_ -- Remodeling .._. __..__ Addition. - - -__ ....__ Repairs No. of Stories ................ Size Septic Tank— Type of Tank___ Feet of Drain Tile Dist- Feet of Tank or Frain Field from Well .__.___ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ .. ... _...___.._Capacity (Si (Signed) -' Street ._ ?., iy 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 5968, Compiled Ceneral Laws of Florida Permanent Supplement, and he% com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the worn,. to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to :. , - under permit, as are licensed by Miami Shores Village Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. f 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 be is the of the above described construce heshq serpflik foregoing application, and that be did # n the same, and that all facts therein by him stated are true. My Comm.ss.on t xpires January 26. 1986 aseded by Stan Avery & Modem fa/ My Commission Expires � Public, to of Florida NOTE: A re- fee of $1.00 will be mad* wises as mob so~- jaotlaw is made.. "' by bumper Dodos for iespeetlon, es faulty material and/or worlonen hi CLO[[TS BATH Tugs SNOW[RS LAVA. TORIES SINK[ SLOP SINK• LAUNDRY Tuas U RINALS CATCH B ASISIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST —.- CHICK a SEPTIC TANK SIWLA CONN. DRAIN FIELD SOAKAOL P IT G TRAP SOLAR H EATER DEEP WELL SPRKLII. SYSTEM SW IM' P001. CoHTR. 1 LIST CHICK Permit No...._ "1.' - 4/63 MIAMI SHORES VILLAGE / 3 ?-z 6 /3 PLUMBING INSPECTION DEPARTMENT " APPLICATION FOR PLUMBING PERMIT / %' V r , _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submftted 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 w 1 'l No 3 S7 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Q' Location and Legal Description Lot. / —/ 2 Bkxb / Subdivlslcnq 2 ,� Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors )___ . New Building..__.._.__-- •---- .... -• -_ -- Remodeling .._. __..__ Addition. - - -__ ....__ Repairs No. of Stories ................ Size Septic Tank— Type of Tank___ Feet of Drain Tile Dist- Feet of Tank or Frain Field from Well .__.___ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ .. ... _...___.._Capacity (Si (Signed) -' Street ._ ?., iy 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 5968, Compiled Ceneral Laws of Florida Permanent Supplement, and he% com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the worn,. to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to :. , - under permit, as are licensed by Miami Shores Village Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. f 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 be is the of the above described construce heshq serpflik foregoing application, and that be did # n the same, and that all facts therein by him stated are true. My Comm.ss.on t xpires January 26. 1986 aseded by Stan Avery & Modem fa/ My Commission Expires � Public, to of Florida NOTE: A re- fee of $1.00 will be mad* wises as mob so~- jaotlaw is made.. "' by bumper Dodos for iespeetlon, es faulty material and/or worlonen hi 4 11110 SOLAR SURVEY and INSTALLER INFORMATION SURVEY FOR: ADDRESS: CITY: -- SPECIAL INSTRUCTIONS -- LOT: NATIONWIDE POWER CORPORATION `HOUSE DESCRIPTION) TYPE: ONE (1) STORY IM TWO (2) STORYED OTHERED ROOF: TILED ASPHALT SHINGLE D TAR & GRAVELED BAHAMA D BARREL TILE[] OTHER :3 CT L O C A T I O N ) EXISTING TANK IS LOCATED IN: GARAGE[] 'UTILITY ROOMED WILL TANK BE RE- LOCATED? YES D 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 CO NO ❑ HOW MANY FEET 110 VOLT OUTLET: YES D NOD HOW MANY FEET IF TANK IS TO BE RE- LOCATED ■► INFORM CUSTOMER OF $ FOR OFFICE USE ONLY LEGAL DESCRIPTION COUNTY: STATE: PHONE # ZIP: (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 CLOSET ED OTHER ED FROM TANK? FROM TANK? PROPANE :3 OIL D NATURAL E D GAS FEET FEET RE- LOCATION CHARGE. BLOCK: SUB - DIVISION: HOME WORK THE LEADER IN THE FIELD OF ALTERNATIVE ENERGY NATIONWIDE POWER . CORPORATION Inspector I / TM CSM 2080 .),43/ -)g �c� NATIONWIDE' POWER CORPORATION *10 0P SOLAR SURVEY and INSTALLER INFORMATION TYPE: ONE (1) STOR TWO (2) STORY OTHERD ROOF: TIL '! ASPHALT SHINGLE ® TAR 8 GRAVELED AHAMA BARREL TILE SURVEY FOR: O‘' ADDRESS: CITY: -- SPECIAL INSTRUCTIONS -- 220 VOLT OUTLET: YES 110 VOLT OUTLET: YES LOT: EXISTING TANK IS LOCATED IN: GARA WILL TANK BE RE— LOCATED? YES= N 1F YES, HOW FAR FROM EXISTING TANK? ET RE— LOCATED TO WHAT AREA? WHAT ELECTRICAL XS AVAILABLE AT IF TANK IS TO BE RE— LOCATED 2110400 INFORM CUSTOMER OF $ RE- LOCATION CHARGE. NG OR NEW LOCATION? LEGAL DF FOR OFFICE USE ONLY Inspect CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 COUNTY: 'STATE: ZIP: PHONE 1) C1 HO ML� (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) a w- op.. Y.. ....... - .R. .N*...,. air.► w. w. r ,,,,.• .. CLOSET OTHER im 'PROPANE 1:3 OIL O NATURAL in GAS NO HOW MANY FEET FROM TANK? _ FEET NO 0, HOW MANY FEET FROM TANK? ,r,�.r.....r FEET CRIPTION------ --- ®s — // .., ---------------- SUB — DIVISION: THE LEADER IN THE FIELD OF ALTERNATIVE ENERGY t l 1 NATIONWIDE POWER CORPORATION WORK OTHER M TM CSM 2050 • M:LIMI SHORES VILLAGE FLA. PLUMING PERMIT DATE NO. ISSUED TO %• to install the following described ph_unbing, in accordance with the laws, statutes and regulations of Miami S'. Village, Florida and the State of F1 opi.da, gc.vepn .: ; plumbing and drain- age work done in Miami Shores Village, IP::_orf.da, FOR A STORY . �. AT : F. SEWER SEPTIC TANK 3 i . d TOTAL 4 Village Plumbing Inspector FIXTUR?S Payment Rec By ;, 4 4i72 BUILDING This permit issued subject to approval of County Plumbing Inspector_ Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date___ / (! 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. Owner's Name and Address No. I Street _ / Registered Architect and /or Engineer Employing Plumber's Name _ ---- - - - - -- ---- -- -- _ -. -- No. G 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 Size Septic Tank . Type of Tank________ Feet of Drain Tile Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. ( Signed) I of Stories My Commission Expires Notary Public, State of Florida Capacity Gals Dist. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Signed Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 7", 4 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP '!1elR'R HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date___ / (! 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. Owner's Name and Address No. I Street _ / Registered Architect and /or Engineer Employing Plumber's Name _ ---- - - - - -- ---- -- -- _ -. -- No. G 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 Size Septic Tank . Type of Tank________ Feet of Drain Tile Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. ( Signed) I of Stories My Commission Expires Notary Public, State of Florida Capacity Gals Dist. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Signed Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. MIAMI SHORES VILLAGE, FLORIDA DATE 194 BUILDING ELECTRICAL PLUMBING Work to be performed under this Permit y' , Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot d PERMIT N? 7203 • Bl. Subdi- vision CONTRACTOR OR BUILDER BY Contractor's License No. 1 ,/ - 4. Value of 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 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- ot'dniances and regulations pertaining to the work covered hereby whether shown on the plans or drawings -of in the statements or specifications and that he mes respon- sibility for work done by his agents, servants or employees. Signed:. , y ! INSPECTOR h -By .i In consideration of the issuance to me of this permit I agree to perform a work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, st is or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY J CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES (. . 1 A -244 5 -35 5M Employing Plumber For a Lot No. Address I herewith submit the following plan of plumbing for approval: New Dwelling j Owner or Agent Builder or Contractor is Date ROUGH -IN INSPECTION Ground Rough -In Rain Leader AM PM. Approved by Condemned by REMARKS DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Old ❑ Story Store ❑ Garage Block No. Subdivision Work executed by Apartment ❑ Address Address Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank 0 Existing bldg. drain ❑ To dry well ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date— SEWER INSPECTION A M P M. Approved by Condemned by REMARKS Plan No Sewer Permit No Date FINAL INSPECTION Approved by Condemned by REMARKS _ Addition Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ A M P M. THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. t1✓ - "� 1- C A PERSPECTIVE SKETCH PROVIDED THE WORK CA WILL BE SUFFICIENT BE CLEARLY SHOWN THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. F 11) WEST Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. NORTH A SOUTH EAST Remarks : NORTH SOUTH t*1 DAL ISSUED TO r FIXTURES i r SEWER / P SEPTIC '?'AYL TOTAL f t' Village Plumbing _Lnspector MIAMI SHORES VILLAGE FLA. PLUMBING PERMIT C ao KXi'UR"S By to install the following described plumbing, the laws, statutes and regulations of Miami Fior3.da and the Stat:c, of F ay ida, governing age work done in Miami Shores Village, Flori FOR A f STORY d . ,. j. kfre...-C AT / .A ? t,• i . !it t / u Payment Received NO. 5 in accordance' with Shores Village, plumbing and drain - da. BUILDING This permit issued subject to approval of County Plumbing Inspector UILDING LECTRICAL LUMBING •weer of uilding rchitect , ontractor Builder egal escription ddress of (Aiding Lot MIAMI SHORES V1L GE, FLORIDA PERMIT N° 7203 Work to 'be performed under this Permit t Bl. r Signed. i Subdi- vision DATE 194. Contractor's License No. f , e'''t »4.1 Value of Amt. of Project Permit This peraaiC'is granted'to the contractor or build named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 =rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or speci and that he assui}es respon- .ility for work done by his agents, servants or employees. f INSPECTOR In consideration of the issuance to me of this permit I agree to perform tl;p'work covered hereunder in compliance with all ordinances and regula ns xtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores VlJage. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. t CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot Description Address of Building C3NTRAdTOR 9R BU MIAMI SHORES VILLAGE, FLORID PERMIT N? 5090 Work to be performed under this Perini Signed: BY DATE Contractor's /sir" License No. AP . 194_ This permit is granted to the contractor or builder nam - . above to construct the building or to install the equipment or . evice 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 a re .onsibility for a thorough knowl =.:e of ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra ' •. o ' . - -.tir - u is • specifications :jk• , : t : .. es respon- sibility for work done by his agents, servants or employees. - P By • 1 INSP In consideration of the issuance to me of this permit I agree to perform the work covered h • der in compliance with all ordinan pertaining thereto and in strict conformity with the plans, drawings, statements or specifications bmitted to the proper authorities of Mi In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY And regulations Shores Village. Permit No 4 1_ IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION 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 applications 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 progrer.s of work. Ay s Nnarr.� and Add ess �^' Registered Architect and /or En M i Pssnl 1 16ri w -P,,c pg.( Employlag Fluauber °s Nr we Location and Legal Desctiption Lot Street GOA Number e harp work do to ere p rformrm .i — No _ 337 S l4" stoic wet tm pesfct�r:d pa�rpa of building (By moon a/� Regain M/ New Building. C. LILT CHECc cLosns SEPTIC TANK Size Septic Tank__ Amount of Permit BATH TUBS SZWIR CONN. Feat of Drain Tile SNOWERS My Commission Ezeiros Remodeling____._. -. _____ Addition LAVA- TORIES aINX5 SLOP SINKS DRAIN SOAKAGE GREASE SOLAR FIELD PIT TRAP MUTER _ Type of Tank Dist Feet of Tank or Drain Field from Well Nat» of Water Supply: City —Well Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and 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 . the work public notice or notices as are license by Miami Shares Village. 411 required by the Act. The undersigned agrees to employ only such sub - contractors, „ to onned and this permit, as are STATE OF FLORIDA, COUNTY OF DADE. efore me, the undersign d authority a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to ma well known, and who, being by me first duly sworn, upon oath dep oses and says that he is the .._._.._ .._.._.--- _ -_ - -• - - ...._._.._ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated aro true. ale-2./L.— No _ 12 Street..._ 9'7L B r� LAUNDRY Tuts DEEP WELL Block_. (Si URINALS SPRKLR. SYSTEM (Signed) CATCH BASIN SW 1M'G P001. FLOOR DRAIN DRINKING FOUNT'NS No. of Stories. .Capacity Gals..._.._...__ gai Notary Public, State of Florida TOTAL FIRTURRS Plumbing Inspector. Master Plumber. NOTE: A re-1E1spectioa fee : 41 , : :_ be sat& wheel seek wiespareien is wad. necessary by improper notice for inspection, or faulty materials and /err w s ona s BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER Work to be performed under this Permit___ Bl. N9 5837 DATE _ 19 Contractor's License No. BY AUTHORITY Subdi- vision Address of Value of 1 Amount of Building Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. 4 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi idttcea - and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Work to be performed under this Permit_ Bl. N° 5837 Value of Project $ DATE 19 Contractor's License No. Subdi- vision I I Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. _' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ord regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY AIEOT "°' 1Permit No. __S Size Septic Tanlc Feet of Drain Tile 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. K irs. James R 557 1\T.E. 97 St. (Owner's Name and Address___- - - - ___ - -- -------- ---- ----- ---- -• ---- No._-- -- ----- _ -_ - -- Street Registered Architect and /or Engineer ----------- _---- __ —_ -- —__ -- Employing Plumber's Name Tropes s Inc, _._ FLa A _ No._________ 5 Street ': • i • 21 St* Location and Legal Description Lot__- - -- __ - - -__ _ __. —_. Block Subdivision ----- -- ------ ------ --- •- - - -.. _.... Street and Number where work is to be performed —No 35_7 Street N ,31 97 St x_.__.- State work to be performed and purpose of building (By Floors)_____ ...... ____ _.____. New Building —_ - -- --- Remodeling Addition._ TNSTA_UM System 8 2 - Be Heaters Date 7 S Oct. 28,, 3.954 Repairs No. of Stories _Type of Tank_ Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .------- _______ _..... -- - - - - -- .... ______.-_--____Size of Soakage Pit Amount of Permit $ -- g° -- (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 un ' this permit, as are licensed by Miami Shores Village. (Signed 28876 0 - 3tber. STATE OF FLORIDA, es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re sp ction 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 INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIOT CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST `— - CHECK 1Permit No. __S Size Septic Tanlc Feet of Drain Tile 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. K irs. James R 557 1\T.E. 97 St. (Owner's Name and Address___- - - - ___ - -- -------- ---- ----- ---- -• ---- No._-- -- ----- _ -_ - -- Street Registered Architect and /or Engineer ----------- _---- __ —_ -- —__ -- Employing Plumber's Name Tropes s Inc, _._ FLa A _ No._________ 5 Street ': • i • 21 St* Location and Legal Description Lot__- - -- __ - - -__ _ __. —_. Block Subdivision ----- -- ------ ------ --- •- - - -.. _.... Street and Number where work is to be performed —No 35_7 Street N ,31 97 St x_.__.- State work to be performed and purpose of building (By Floors)_____ ...... ____ _.____. New Building —_ - -- --- Remodeling Addition._ TNSTA_UM System 8 2 - Be Heaters Date 7 S Oct. 28,, 3.954 Repairs No. of Stories _Type of Tank_ Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .------- _______ _..... -- - - - - -- .... ______.-_--____Size of Soakage Pit Amount of Permit $ -- g° -- (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 un ' this permit, as are licensed by Miami Shores Village. (Signed 28876 0 - 3tber. STATE OF FLORIDA, es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re sp ction 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 ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot zr 0 MIAMI SHORES VILLAGE, FLORIDA ,PERMIT 'N° 13286 Work to be performed under this Permit Bl. 1 i Subdi- vision Value of Project $ DATE Contractor's License No Amt. of Permit 195 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 "� a INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, draw' gs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume rgppona fility for all work ne by either, myself, my agent, servant or employee. bONrRACTOR OR BUILDER BY AUTHORITY