383 NE 97 St (11)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Jontractor
or Builder
L egal
Description
0
0
MIAMI SHORES VILLAGE. FLORIDA
Lot
CONTRACTOR OR BUILDER
PERMIT N? 5066
Owner of
Building
Architect
B1
Address of
Building
Signed.
DATE f ' 195 L_
Contractor's / / t*/
License No.
Work to be performed under this Permit
Subdi-
vision
Value of ' Amount of
Project $ H Fermit $
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 perfcrmed 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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees,
/ ' �. " i r r
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
,epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY:
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Address of
Building
In consid
pertaining
cepting this
Lot
CONTRACTO OR
MIAMI SHORES
D
PERMIT N°
0
/ 7/1" r
/ .tLr
Legal
Description
2 /.
7
o
Work to be performed under this Permi
VILLAGE, FLORIDA
5175
DATE l - -- 195
Contractor's
License No.
Subdi-
vision
Value of Amount
Permit $ of
Project $ �,7�
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 ordinan 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 =.pon .ility for work
done by his agents, servants or employees.
Signed. `, / yr c -° "' BY •
I j PECTOR
ration of the • . ncil3 to me of this permit I agree to perf4m the/ cork covered hereunder in compliance with
in confarmit with the plans, rags, statemen or a rfications submitted to the proper authori
ass . • responsib ity w f Rio either, m y gekt, ant or emplo
l _ l ` �.�........ Vet l F f l 1 tv �� — - - - 4 1 " .
UILDER BY AUTHORITY
1
all ordinances and- sr all Qns
Miami Shores Village. In
6
Permit No
Application is hereby made for the approval of the detailed statement of gas, plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conf, T cy with the wilding 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 o* nrt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ____���°
Registered Architect and /or
Location and Legal Description Lot------- _---- _.___ -- - - -- -- — Block Subdivision_
----- _._... - - -_ --
Street and Number where work is to be performed —No.._ _r8 _ C 4 -p-,7. . Street_ Y I c 2-L
State work to be performed and purpose of building (By Floors)
New Building_ __s Remodeling___-__ — _______ Addition________ Repairs No. of Stories_ _) '
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN-
APPLICATION FOR PLUMBING ' '
Date
: Street_ 7 7
str
•
e/itfi
Size Septic Tank - --
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA,
CCUNTY OF DADE.
__ - -- - Type of Tank Capacity Gals. ------- _•--- - -__ -
__Dist. Feet of Tank or Drain Field from Well . " C.: 5f
_._ __Size of Soakage Pit
(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 5966, Compiled General Laws of Florida Permanent Supplement, and bus com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
raquired 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) ___
Plumbing Inspector. -
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 worlananship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
NKS
SINKS
SLOP
SINKS
LAUNDRY
Tuns
U RINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING DRINK
FOUNT' NS
TOTAL
FIXTURE[
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HE ?TER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CoNTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of gas, plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conf, T cy with the wilding 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 o* nrt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ____���°
Registered Architect and /or
Location and Legal Description Lot------- _---- _.___ -- - - -- -- — Block Subdivision_
----- _._... - - -_ --
Street and Number where work is to be performed —No.._ _r8 _ C 4 -p-,7. . Street_ Y I c 2-L
State work to be performed and purpose of building (By Floors)
New Building_ __s Remodeling___-__ — _______ Addition________ Repairs No. of Stories_ _) '
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN-
APPLICATION FOR PLUMBING ' '
Date
: Street_ 7 7
str
•
e/itfi
Size Septic Tank - --
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA,
CCUNTY OF DADE.
__ - -- - Type of Tank Capacity Gals. ------- _•--- - -__ -
__Dist. Feet of Tank or Drain Field from Well . " C.: 5f
_._ __Size of Soakage Pit
(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 5966, Compiled General Laws of Florida Permanent Supplement, and bus com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
raquired 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) ___
Plumbing Inspector. -
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 worlananship.
0
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS -
INSPECTION Pe
TIME READY Ale7 - - ?, 7
REMARKS:
INSPECTOR
N? 6022
DATE "
• J
MIAMI SHORES VILLAGE, FLA.
JOB IV
N? 5739
ADDRESS
INSPECTION
TIME READY
REMARKS:
\SPECTOR DATE
Permit No I
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address #.41.4
A Registered Architect and /or Engineer
Employing Plumber's Name. aC! -2 62-.Z
Location and Legal Description Lot- 1 / 2 - - '2 Block-- q
Street and Number where work is to be performed —No 3 Street
State work to be performed and purpose of building (By Floors)_.__!r ?.�..- D 1 -..�"_ `-
New Building Remodeling_ _ _....__ Addition..- _...__. 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
Amount of Permit $
My Conunission Expires
(Signed)_
Capacity Gals.
(Slim)— AL 2 .
Date E = . • - - -- ..�._._.
Street.. :......�... a�
1.
No. of Stories
Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5968, 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, I
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 be has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such rsainspeotion 1. made by improper notice for inspection, or faulty
materials and /or workmanship.
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tulle
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
_-
Cowrie.
d✓
LIST
CHECK
Permit No I
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address #.41.4
A Registered Architect and /or Engineer
Employing Plumber's Name. aC! -2 62-.Z
Location and Legal Description Lot- 1 / 2 - - '2 Block-- q
Street and Number where work is to be performed —No 3 Street
State work to be performed and purpose of building (By Floors)_.__!r ?.�..- D 1 -..�"_ `-
New Building Remodeling_ _ _....__ Addition..- _...__. 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
Amount of Permit $
My Conunission Expires
(Signed)_
Capacity Gals.
(Slim)— AL 2 .
Date E = . • - - -- ..�._._.
Street.. :......�... a�
1.
No. of Stories
Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5968, 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, I
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 be has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such rsainspeotion 1. made by improper notice for inspection, or faulty
materials and /or workmanship.
Application i Lereby made for the approval of the detailed statement of the plans and specifications herewith subs fitted for the build ng 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 th Building Di ' lion
of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at
building during progress of work.
Permit No _______ .___
Owners Name and Address_ __
Registered Architect and /or En —
Employing Plumber's Name _
Location and Legal Description
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__-_
Size Septic Tank_ _
Feet of Drain Tile_ _- - - -___ -
Nature of Water Supply. City—Well.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
....... No
_ _ _ Block
Type of Tank __ _ --- -- _ -- ...
_ _Dist. Feet of Tank or Drain Field from Well-.
_ __ - Si pf • age Pit
3fo
Street
Date
- Street
Subdivision.
_ ___ ____ - . Repairs_ __ -. - - _ ___ No. of Stories .
__ Capacity Ga ;s.
_ (Signed) - --` '- ,_\. /� _ _ r((
Ph.mb pest
My Commission Expires Notary Public, State of Florida
The undersigned applicant for this building permit does hereby certify that he understands and ace: pts his obligeions as an e nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled Gencra1 Laws of Florida Perlr.,anent Supplzment, 1 I a = om
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are
required by the Act. The undersigned agrees to employ only such sub contractors, work to be perfo. ed under this per nit, ,T is are
licensed by Miami Shores Village.
(Signed '..A. K�f \ ' 62/1 //r
akt`er Plum er.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknawledgn ents, personall 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 foregomg apphcation, and that he did sign the same, and that all . acts
therein by hun 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.
CLOSET.
BATH
TUBS
SHOWER.
LAVA-
TORIES
SINK.
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CAYCf4
BASIN
FLOOR
DRAIN
DRINKING
FOU::T'NS
TOTAL
F XTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GRASE
TRAP
SOLAR
HEATER
DEEP
WE.L
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHECK
Application i Lereby made for the approval of the detailed statement of the plans and specifications herewith subs fitted for the build ng 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 th Building Di ' lion
of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at
building during progress of work.
Permit No _______ .___
Owners Name and Address_ __
Registered Architect and /or En —
Employing Plumber's Name _
Location and Legal Description
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__-_
Size Septic Tank_ _
Feet of Drain Tile_ _- - - -___ -
Nature of Water Supply. City—Well.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
....... No
_ _ _ Block
Type of Tank __ _ --- -- _ -- ...
_ _Dist. Feet of Tank or Drain Field from Well-.
_ __ - Si pf • age Pit
3fo
Street
Date
- Street
Subdivision.
_ ___ ____ - . Repairs_ __ -. - - _ ___ No. of Stories .
__ Capacity Ga ;s.
_ (Signed) - --` '- ,_\. /� _ _ r((
Ph.mb pest
My Commission Expires Notary Public, State of Florida
The undersigned applicant for this building permit does hereby certify that he understands and ace: pts his obligeions as an e nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled Gencra1 Laws of Florida Perlr.,anent Supplzment, 1 I a = om
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are
required by the Act. The undersigned agrees to employ only such sub contractors, work to be perfo. ed under this per nit, ,T is are
licensed by Miami Shores Village.
(Signed '..A. K�f \ ' 62/1 //r
akt`er Plum er.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknawledgn ents, personall 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 foregomg apphcation, and that he did sign the same, and that all . acts
therein by hun 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.
1J ?1
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name ...14 4_ain.L— - e e,
Location and Legal Description Lot
Street and Number where work is to be performed -No
Size Septic Tank_ - - -- - -Type of Tank__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Feet of Drain Tile.-._ -- - — •---Dist. Feet of Tank or Drain Field from Well -
Nature of Water Supply: City - Well.- ------ .- --- -.-- -- - ----- .._Size of Soakage Pit
Amount of Permit $
fp
(Signed)_
(
Si
Permit No /7 - 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.
Street. .,
State work to be performed and purpose of building (By Floors)_._..,, e=4- - ___ . 2 ..- , ® e /Ls..
Repairs Y s No. of Stories
New Building - Remodeling____ _ . - -_ Addition
Capacity Gale .----- •--- •• -. - -- - - -._
7.S7
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and her com-
P lied with the provisions thereof, and will require similar compliance from all contractors or b- contractors el • • by him in the work to be
p lic notice or notices as are
performed under this permit; and will post or cause to be posted for inspection on the sit . • the work
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be f Permit, as are
licensed by Miami Shores Village.
aster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .--- -_ -• -. -- - .•------- - - - - -- -- -- - - -- of the above described construction, that be 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 le mede by improper notice for inspection, or faulty
materials and /or workmanship.
TOTAL
FIXTURES
CLOSETS
BATH
TUB•
SHOWERS
LAVA-
TORIES
S INKS
SLOP
SINKS
LAUNDRY
Tus•
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
CONTR.
LIST
CHICK
�•
- SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGC
PIT
G
TRAP
SOLAR
H
DEEP
WELL
BPRKLR.
SYSTEM
SWIN'O
POOL
--.
CONTR.
LILT
CHECK
1J ?1
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name ...14 4_ain.L— - e e,
Location and Legal Description Lot
Street and Number where work is to be performed -No
Size Septic Tank_ - - -- - -Type of Tank__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Feet of Drain Tile.-._ -- - — •---Dist. Feet of Tank or Drain Field from Well -
Nature of Water Supply: City - Well.- ------ .- --- -.-- -- - ----- .._Size of Soakage Pit
Amount of Permit $
fp
(Signed)_
(
Si
Permit No /7 - 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.
Street. .,
State work to be performed and purpose of building (By Floors)_._..,, e=4- - ___ . 2 ..- , ® e /Ls..
Repairs Y s No. of Stories
New Building - Remodeling____ _ . - -_ Addition
Capacity Gale .----- •--- •• -. - -- - - -._
7.S7
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and her com-
P lied with the provisions thereof, and will require similar compliance from all contractors or b- contractors el • • by him in the work to be
p lic notice or notices as are
performed under this permit; and will post or cause to be posted for inspection on the sit . • the work
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be f Permit, as are
licensed by Miami Shores Village.
aster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .--- -_ -• -. -- - .•------- - - - - -- -- -- - - -- of the above described construction, that be 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 le mede by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
•
Size Septic Tank —
Fed of Drain Tile.
Nature of Water Supply: City —We1L
Amount of Permit $
0
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)__._._ _..___M...__
Dace..._..
d eev
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. 11
Owners Name and Address , 4 , 1 0 blue -?.3 j c97 ST No
Registered Architect and /or Engineer. _ /f- //OA) `c e
Employing plumber's Name 0 /?a.4.1) _ No, y� �� ...... Itrwl...� 5� / ».._�..............
Location and Legal Description Lot_ Blor4 V 2- Subdivision.! %� o'es s ("E l
Street and Number where work is to be performed —No
,83 As Street. y 2.? . _.._._
New Building- -_..._ __.._......._.._.. Remodeling_____._.... _ __ Addition...___ ...__..... Repairs No. of Stories....
Type of Tank
_—._Dist. Feet of Tank re 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 hay com-
piled with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work eo b
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 amp* only such sub-contractors,. oawnr�c -ie- performed under this lnit, as are
licensed by Miami Shores Village
Hester Plumber
STATE OF FLORIDA, 1 µ
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 be is the _ .__.._ .. _ ...._ _ _..
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same` and that all facts
therein by him stated are true.
My fission Expires Notary Public, State of Fiends
NOTE: A re- inspection fee of $1.00 will be made when snob as•8aspeotica is mads by improper endow for fib, at faulty
materials and /or worlonaoship.
CLeIRa
BATH
TUS•
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINK•
UDR
LA Tul
URINALS
CA TC H
•AKIN
FLOOR
DRAIN
DRINKING
FOUNT'N/
TOTAL
FIXTURES
CONTII.
LIST
CHECK
SEPTIC
TANK
SEWER
Comm.
DRAIN
FIELD
SOAKAO[
PIT
G
TRAP
SOLAR
HEATER
DEEP
WILL
BPRKLS.
SYSTEM
SW1M'G
PCOL
I
CONTR.
LIST
`-
CHECK
Permit No
•
Size Septic Tank —
Fed of Drain Tile.
Nature of Water Supply: City —We1L
Amount of Permit $
0
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)__._._ _..___M...__
Dace..._..
d eev
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. 11
Owners Name and Address , 4 , 1 0 blue -?.3 j c97 ST No
Registered Architect and /or Engineer. _ /f- //OA) `c e
Employing plumber's Name 0 /?a.4.1) _ No, y� �� ...... Itrwl...� 5� / ».._�..............
Location and Legal Description Lot_ Blor4 V 2- Subdivision.! %� o'es s ("E l
Street and Number where work is to be performed —No
,83 As Street. y 2.? . _.._._
New Building- -_..._ __.._......._.._.. Remodeling_____._.... _ __ Addition...___ ...__..... Repairs No. of Stories....
Type of Tank
_—._Dist. Feet of Tank re 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 hay com-
piled with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work eo b
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 amp* only such sub-contractors,. oawnr�c -ie- performed under this lnit, as are
licensed by Miami Shores Village
Hester Plumber
STATE OF FLORIDA, 1 µ
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 be is the _ .__.._ .. _ ...._ _ _..
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same` and that all facts
therein by him stated are true.
My fission Expires Notary Public, State of Fiends
NOTE: A re- inspection fee of $1.00 will be made when snob as•8aspeotica is mads by improper endow for fib, at faulty
materials and /or worlonaoship.
SOLAR SURVEY and INSTALLER INFORMATION
SURVEY FOR' .% -G e o PHONE #
ADDRESS: ` P �.b�• -e
e_-71
CITY: ! CdC ze2. L-':!f STAT F'' ZIP'3�
TYPE: ONE (1) STORY ❑
TWO (2) STORY
OTHER ❑
** SPECIAL INSTRUCTIONS **
ROOF:
EXISTING TANK LOCATED IN: GARAGE
WILL TANK BE RE- LOCATED? YES ❑
LOT:
NATIONWIDE -
POWER
HOUSE DESCRIPTION
LE�
TAR & GRAVEL ❑
TILE
TANK LOCATION
IF YES, HOW FAR FROM EXISTING TANK? FEET
RE- LOCATED TO WHAT AREA"
BLOCK:
FOR OFFICE USE ONLY
UTILITY ROOM ❑ CLOSET 0
NO ❑
LEGAL DESCRIPTION
Sz
Inspector
-Fediv r
SUB - DIVISION'
1J107(g) 7 S
7 J 3 E
CWORK
BAHAMA ❑
BARREL TILE ❑
OTHER ❑
(NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION
OTHER ❑
PROPANE 0
OIL
NATURAL 0
GAS
IF TANK IS TO BE RE- LOCATED - INFORM CUSTOMER OF $ RE- LOCATION CHARGE.
WHAT ELECTRICITY IS AVAILABLE EXISTING OR NEW LOCATION?
220 VOLT OUTLET: YES NO 0 HOW MANY FEET FROM TANK'? FEET
110 VOLT OUTLET: YES 8 NO 0 HOW MANY FEET FROM TANK? FEET
CORPORATE OFFICES: 1300 S.W. 12th Ave., Pom . ano Beach, FI 33069 -4619 FORM 205/83
METROPOUTAN•DADE COUNTY, FLORIDA
•
METR0DAOE
ACCEPTANCE' No
APPROVED
EXPIRES
APPROVED:
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Equinox Solar, Inc. and A.T. Bliss & Company
3350 N.W. 60 Street 1300 S.W. 12 Avenue
Miami, Fla. 33142. Pompano Beach, Fla. 33060.
83- 0422.2 (82)R
June 13, 1983
June 14.. 1985
BOARD OF RULES AND APPEALS NOTICE OF ACCEPTANCE'
-1-
BUILDING &ZONING DEPARTMENT
909 SOUTHEAST 1ST AVENUE
BRICKELL PLAZA BUILDING
MIAMI, FLORIDA 33131
(3O1 579 -2612
Your application for Product Approval of Solar Collectors EP46SCIII, EP48SCIH and
EP410SCIH under Sections 203 and 204 of the South Florida
Building Code governing the use of Alternate Materials and Types of Construction, and
completely described is the plans, specifications and calculations as submitted by
H. Farooq, P.E.; Knezevich, Farooq and Associates along with drawing #82 -32 and Reports
FSEC #812375 by Solar Energy Center and MTL 10679 by Miami Testing Laboratory
has been accepted. by Product Control to be used in the Unincorporated areas of Dade
County under the Specific Conditions. set forth as Page 2 thru 2a
and the. Standard Conditions. on Page 3
4.02 69/‘""%11.441 " .. "
Olson, P.E.
Product Control Supervisor
Metropa 4tan Dade County
Building & Zoning Department
This application for Product Approval has been accepted by the Metropolitan Dade County
Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of
Dada County under the conditions set forth above.
Thomas M. Black, P.E.
Deputy Secretary
Metropolitan Dade County
Board of Rules & Appeals
CSM 0020
Equinox Solar, Inc /A.T. Bliss & Co.
ACCEPTANCE No.:
APPROVED
EXPIRED
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. This approval covers a solar heater system for the production of domestic hot
water comprising Model EP46SCIR, EP48SCIR and EP413SCIH 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 as recorded by Florida
Solar Energy Center is EP4BSCIH - 22,300 BTU /day
EP48SCIR - 28,800 "
EP410SCIR - 35,400 "
2. All electrical work shall be in conformance with Chapter 45, Electrical
Section, of the South Florida Building Code and NFPA 70.
3. Single/Multiple collectors may be installed up to elevations of 35 ft. above
grade, using the following components:
Collector Panel Frame (Enclosure Box)
Size: EP46SCIR - 46 x 76 x 3 3/8"
EP48SCIR - 46 x 96 5/8 "-x,3 3/8"
EP410SCIR - 46 x 120 x 3 3/8"
Frame constructed of 0.056" thick wall extruded aluminum channel with mitered
corners.
Unit glazed with 3/16" tempered pattern glass. A 0.019" thick embossed
aluminum sheet used as a back panel w /1" foil covered foam insulation
absorbent plate constructed of 8 5/8" o.d. copper tubes.
Connection of Collector Panel to the Roof of the Building
Monatiag Brackets EP46SCIH EP48SCIR EP410SCIR
Number • 4 4 6
Size: 1 x 1 x 1/8" or 1 x 6" x 1/8"
Fasteners (per bracket) One 3/8" x 3" lag screw (for wood) or l" x 3t" wedge
anchor (for metal roof)
All roof penetrations must be through pitchpans
Incline mount frame constructed of 1 x 1 x 1/8" angles.
4. Applications for solar heater permit must be accompanied by two duplicate sets
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.
5. All piping and connections to potable water shall be performed by a qualified
plumbing contractor, and all electrical work shall be by a qualified
electtical contractor.
6. This revises and supersedes Product Approval #83-0422.2 (82) dated February
14, 1983 to include A.T. Bliss & Company as distributor.
-
83- 0422.2 (82)
June 13, 1983
June 14, 1985
Olson, P. E.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
1
4' R 10" COLLECTOR
()
NPC 81113011A
•
1. Solar Collector
2. Sensors
3. Air -Vent
4. Pressure -Temp Valve
S. Drain Valve
6. Gate Valve
7. Solar Water Tank
8. Circulating Pump
9. Controller
10. Check Valve
To 110 Outlet
1":PICAL
PIPING 5 WIRING DIAGRAM
1 1
11
1
it
11
11
11
11
11
It
11
I
TT
11
11
I I
—r ROT
OUT
�'- COLD
IN
1 i
11
11
1 1
11
FLORIDA SOLAR ENERGY CENTER
300 State Road 401. Cape CanavEral. Florida 32920. TElEphonE: (305) 783 -0300
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
Pump
Controller
Major Components
in addition to above
Approved Solar Energy System
DISTRIBUTOR
Nationwide Power Corp.
1300 S.W. 12th Avenue
Pompano Beach, FL 33060
Model Units Total Rating
1 Equinox Solar, Inc_ FP410 1 29.900 Btu
2 Equinox Solar. Inc. EP408SC 1 27,500 Rtu
3
4
Tank Model
I21 Direct 1 E uinox Mor -fl o Ind,) E.Q BASS
O Int. Heat Exch. 2 (SSTA 82ES)
3 Rheem Mfg. Co. 668h -82 -1
4 Lochinvar Water Heater Corp.
FTA082 -K
Model
1 March Mfg. Co. 809
2
3
4
Model
1 HI Square, Inc. 1503
2 Independent Energy C -30
1 Differential Temperature
O Absolute Temperature
O rhermosiphon 3
O Other 4
1
2
3
4
Capacity
8 ?gi1_
82 gal.
80 gal.
Power Draw
20 watts
December 1981
SYSTEM
EQ -82 -1
Rated Power
1 /100 H.P.
Freeze protection by automatic recirculation and manual draindown during power failure.
Other
If further information is required you may contact the Florida Solar Energy Center at the above address.
..�;.�:a ��:r:;;��ktvw;L�= utF;� >b�.'_ �:.u..�•�;;Cz;!r:�iw °�.: -s
I.Tank sensor
2.Electric element
3.Check valve
4.Gate valve
5.Drain valve
6.P &T valve
7,Air vent valve
8.Collector sensor
9.Fr ''eze sensor
10.Differential control
11.Pump
I0
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