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600 NE 97 St (12)SOLAR SURVEY and INSTALLER INFORMATION SURVEY FOR ADDRESS: � (7 COUNTY' CITY: VIA 1 V �h n►�1Q TYPE: ONE (1) STORY ROOF: TWO (2) STORY ❑ OTHER ❑ ** SPECIAL INSTRUCTIONS ** ROOF TANK Age Type Flat Shade rig:Wand— 24" ? Clearance Wattage Gals. Access IF YES, HOW FAR FROM EXISTING TANK? FEET RE- LOCATED TO WHAT AREA? LOT: d , \O BLOCK: (O C7 FOR OFFICE USE ONLY NATIONWIDE C F POWER CORPORATION v. HOUSE DESCRIPTION ASPHALT SHINGLE ❑ TAR & GRAVEL TILE PHONE # 7CY re25 y HOME 40G ?WORK STAT ZIP BAHAMA ❑ BARREL TILE ❑ OTHER ❑ rya (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) TANK) CATION EXISTING TANK LOCATED IN: GARAGE UTILITY ROO CLOSET ❑ OTHER ❑ WILL TANK BE RE- LOCATED? YES ❑ NO • PROPANE 0 IF TANK IS TO BE RE- LOCATED - INFORM CUSTOMER OF $ WHAT ELECTRICITY IS AVAILABLE AT XISTING OR NEW LOCATION? 220 VOLT OUTLET: YES bN s HOW MANY FEET FROM TANK? 110 VOLT OUTLET: YES ■ NO ❑ HOW MANY FEET FROM TANK? LEGAL DESCRIPTION OIL NATURAL GAS RE- LOCATION CHARGE. FEET FEET SUB - DIVISION I vl t t & k c - y lAwlvvl • Inspector ` X 1,45 ORM 2018/FL CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 ev. 09/15/83 lUILDING =LECTRICAL 'LUMBING GOOFING homer of wilding architect contractor Jr Builder .egal )escription lddress of wilding Lot MIAMI SHORES VILLAGE. FLORIDA 0 ❑ DATF 195 ❑ PERMIT N9 3414 Contractor's License No. Work to be performed under this Permit Bl. Subdi- vision Value of Project $ 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 application ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ;me 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 !ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations 'ertaining 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 one by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations 'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e Permit No ./ Application is hereby m�e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Engineer _____ _ _�_. Employing Plumber's Name__ No._ _ Street_ No. Location and Legal Description ___ __. __ Block__ Street and Number where work is to be pMformed—No-____Zso OG j4J_ 97 State work to be performed and purpose of building (By Floors) _______ New Building ________ Remodeling_--_ _____ Addition._-_ Size Septic Tank d -- -- -1 - - -- -- -- -' Type of Tank_ -- g,�` Date / --6 Street___ Subdivision...___.. Capacity Gals d C% 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 $ / a under the Florida Workmen's Compensation Act, being Section 5966, Compiled General plied with the provisions thereof, and will require similar compliance from all contra performed under this permit; and will post or cause to be posted for inspection on required by the Act. The undersigned agrees to employ only such sub -contra licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. mmission Expires (Signed)_. ( Sign Street Repairs No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor aws of Florida Pennanent Supplement, and has core- r sub - contra 'tors employed by him in the work to be of the o. suc publ' notice or notices as are work Notary Public, State of Florida der this permit, as are Master Plum . er. 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: A4 - inspection fee of $1.00 will be made when such re inspection is made•necessary by improper notice for inspection, or faulty materials an or worlcrosnship. CLOSETS BATH TU88 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK ! — Permit No ./ Application is hereby m�e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Engineer _____ _ _�_. Employing Plumber's Name__ No._ _ Street_ No. Location and Legal Description ___ __. __ Block__ Street and Number where work is to be pMformed—No-____Zso OG j4J_ 97 State work to be performed and purpose of building (By Floors) _______ New Building ________ Remodeling_--_ _____ Addition._-_ Size Septic Tank d -- -- -1 - - -- -- -- -' Type of Tank_ -- g,�` Date / --6 Street___ Subdivision...___.. Capacity Gals d C% 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 $ / a under the Florida Workmen's Compensation Act, being Section 5966, Compiled General plied with the provisions thereof, and will require similar compliance from all contra performed under this permit; and will post or cause to be posted for inspection on required by the Act. The undersigned agrees to employ only such sub -contra licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. mmission Expires (Signed)_. ( Sign Street Repairs No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor aws of Florida Pennanent Supplement, and has core- r sub - contra 'tors employed by him in the work to be of the o. suc publ' notice or notices as are work Notary Public, State of Florida der this permit, as are Master Plum . er. 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: A4 - inspection fee of $1.00 will be made when such re inspection is made•necessary by improper notice for inspection, or faulty materials an or worlcrosnship.