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06/16/2009 11:53 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 9001/002 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Lp V '"cbRinP Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 16, 2009 Inspector: Devaney, Michael Owner: HARDIMAN, ALETHA Job Address: 107 NE 103 Street Miami Shores, FL 33138 -2328 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Building Department Comments Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration `� 1f Phone Number I Number 1121360130800 Inspector Comments Passed Ez �- Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid June 15, 2009 Page 1b of 31 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL LF Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: IN06 - 114$47 ermit Number. EL $56 Scheduled Inspection Date: May 29, 2009 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: HARDIMAN, ALETHA Job Address: 107 NE 103 Street Miami Shores, FL 33138 -2328 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Building Department Comments Inspector Comments Inspection Type: W. W. Work Classification: Addition/Alteration Phone Number Parcel Number 1121360130800 Passed �� Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. n4w Miami Shores Village 10050 N.E. 2nd Avenue t Miami Shores, FL 33138 -0000 a ry Phone: (305)795 -2204 Projec!A ddress Parcel Number Applicant ....................... ........... ,,....,. ......... . ...,,.. ............................ _ _......... .......... -, ....._......... 107 103 Street 1121360130800 Miami Shores, FL 33138 -2328 Block: Lot: ALETHA HARDI MAN Owner Information Address Phone Cell ALETHA HARDIMAN 107 103 Street MIAMI SHORES FL 33138 -2328 Contractor(s) Phone Cell Phone LONGMAN ELECTRIC INC of Work: UNDERGROUND SERVICE onal Info: Residential Fees Due Amount CCF $1.20 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee - Additions/Alterations $160.00 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50,00) Technology Fee $4.00 Total: $173.60 IV Valuation: $ 1,500.00 Total Sci Feet: 0 Invoice # Total Amt Paid Amt Due EL -5 -09 -34887 $ 50.00 $ 50.00 $ 0.00 EL -5-09 -34915 $ 123.60 $ 123.60 $ 0.00 Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. :J:::— In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with ail 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. May 28, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy May 28, 2009 Aletha Hardiman 107 NE 103 Street Miami Shores, FL 33138 METER Main Existing w11 11/2 PANEL 1 Phase 120/240 80 PVC 1 30 CKT #4 Ground F--- FPL 2" Sch. PVC ROD 8' X 518 ROD 8'X 518 Cold Water 1 SN0UVlf1JJ}J UNV S.3lflU l�1Nf jo UNV 3LV1S 1VU3033 -11V f Ift 30W -IdW0:D O..L MgrgnS �it�Jys�L ld3® O ®`18 ld3® ONINOZ 31V AG a3AOUddV o6e111A S—Lizi Iwelw 107 NE 103 Street Miami Shores, FL 33138 ;1 Aletha Hardiman LOAD CALCULATION 2375 sqft x 3VA Small Appliance Laundry Dishwasher Water heater Disposal Dryer Range Pump 7125 3000 1500 1200 4500 1000 5000 10000 1200 34525 • • ••• • • • •• :t►i° t4 • e 2 ?Co. lie ••• • • •• • • • • • ••• •• -10000 24525 x 40% 9810.00 29810/240 10000 9810.00 19810 10000 air conditioning 29810 full VA 0 volts= 124.2083 amperage ��qll- v6yr MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ..........1. riJ.�...... Date .....1.61a »......... . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fludda, 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/ 1...11. ®. " ..................N........1.9. 1: 4 193... Street ...... A / /.I!Ll: t.... l.l'd.l t .... RegisteredArchitect and/or Nam Engineer ...... ....................y ............... .............e.� .............................................................................,.. ............................... g � Ein QBr►�' e..... No....d..N 4%.-- Street..'... l.A..i..L 33)yg ,p 1• �(Yi�U!<I ....�Ilr�3. ... ...... .... 1h.. ............... // LocatiOt and�ZcgaDesOcnpti Lot�........�. 1 kQ ..... ......:........................ Block:....!...''.... ....._........Subdivision.....M ��?1 ! StDi��Pl�� Street and Number where work is to be performed— No..... .t.. ®............. Ch.........,0 ?............... Street.......... ^1A...0 74A O ...................... State work to be performed and purpose of building (By Floors)..... J►: ��l .I�.� ::........................ New Building ................................ Remodeling ................................ Addition .. ............................. Repairs. ........ SK.04 ......... No. of Stories........I.......... verhe Service erground SVItiTCM - LIDMT :PLUG - FIXTURES REFRIO. IRON RANGE RAMOS WATER W. MEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S No. LAMPS - OUTLET OUTLET OUTLET CONN. MEATIER CONN. NEATER NEATER CONTR. LIST CHECK ENT. MST. SERVICE SERVICE MOTORS MOTORS NEON TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.5 Mr TRANS. ,RADIO CONTR. LIST CHECK verhe Service erground q �� Site Fieders.* ........ Conduit..11*: ..... Main Sw.....k o........... Amps . ..........................Main Fuses.. Amps Type of Installation—Conduit ..... . ................ Tubing ..... ... . ............ B. X .L ......................... Metal Moulding....................................... ..............................: _ ..... .................................................. ............................... ........................................................................................................................ ............................... ............................ ............................... .................... mss- .. ........ Amount of Permit S....�`I .� Mike Devaney ..... 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 subcontractor. , on work to be performed u der this permit, as are licensed by Miami Shores Village. (Signed)..... ' ............... .........................Av4t .. ................. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. Jj as Before me, ��IIth undersigned authority a notary public, duly authorised to administer oaths and take acknowledgmenu, personally appeared... �.l� y........ Z......�a.* ! A....... ......... ............................................. ............................... ^ ...... �........` ......^ ...... �.i... J a to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.111.R.S� of the above described construction, and he has carefully read the foregoing application, and that he did sign the therein by him stated are true. e A WrMY KWIX STATE OF nom ATung DT1iR NOTE: A re-inspection fee of $1.00 will be made materials and /or workmanship. that all facts when such re-inspection is made necessary by improper notice -for �inspt�%ion, o; faulty MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT �' APPLICATION FOR PLUMBING PERMIT Permit No._ ! Date..__. • 0 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 Sham Village and all riles 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 spedfkations must be kept at building during progress of work. /� l Owner's Name and Address— �� r.�.L1lLL._ .._ — No�01 Street_...L ZkE /- ©� V g> .z,, Street and Number where work is to be State work to be performe8 and purpose of building (By Floim) New Building.._ .__........._._ Remodeling Addition..._.___...._..... xTa Size Septic Tank... - —Type of Tangy _. ____...--.----.Capacity Feet of Drain Tile a�?�!�4c I n1.+ Feet of Talc cc Drain Field from Well--- Nature of Water Supply: City —We1L _.Size of So%}Mge Pit -•- . -- - -... �._�._ -- Amount of Permit : (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 8988, Compiled Cenral Laws of Florida Permanent Supplement, and hux com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor& to be performed under this permit; and will post or cause to be posted for inspection on the site of the ch public notice or notices as or required by the Act. The undersigned agrees to employ only scab sub tractors, y work to under this permit, as are licensed by Miami Shales Village. Plumber. STATE OF FLORIDA, SL I f COUNTY OF DADE. Before me, the undersigned authority, a notary public. duly anthorb I to administer oaths and take aclmowledgments, 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 rsgeing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Nolan► Public. State of Fladda NOTE: A re- bopection fee of $1.00 will be wade wh= Moak sr.isapaottom Y asslde•maosssar3 IV impeoF. maim for lropeetloq, or haft matudals and /or wrorlamaaship. CLOi BATH Tusf LAVA- LAVA. Topics SINKS BLOT SINKII LAUNDRT URINALS Tues CATCH DAAIN FLOOR DRAIN DRINKING FOUNTINS TOTAL FIATuRze CONTR. LIST CHLCK BLPTIC TANK BLWL11 CONN. DRAIN FIELD SOAKAOL PIT BRAS[ TRAP SOLAR MLATIER Deep BPRKLR. WaLL STSTRN 9W1N'0 POOL CONTR. LIaT �- CHECK Size Septic Tank... - —Type of Tangy _. ____...--.----.Capacity Feet of Drain Tile a�?�!�4c I n1.+ Feet of Talc cc Drain Field from Well--- Nature of Water Supply: City —We1L _.Size of So%}Mge Pit -•- . -- - -... �._�._ -- Amount of Permit : (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 8988, Compiled Cenral Laws of Florida Permanent Supplement, and hux com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor& to be performed under this permit; and will post or cause to be posted for inspection on the site of the ch public notice or notices as or required by the Act. The undersigned agrees to employ only scab sub tractors, y work to under this permit, as are licensed by Miami Shales Village. Plumber. STATE OF FLORIDA, SL I f COUNTY OF DADE. Before me, the undersigned authority, a notary public. duly anthorb I to administer oaths and take aclmowledgments, 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 rsgeing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Nolan► Public. State of Fladda NOTE: A re- bopection fee of $1.00 will be wade wh= Moak sr.isapaottom Y asslde•maosssar3 IV impeoF. maim for lropeetloq, or haft matudals and /or wrorlamaaship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... Date Application is hereby made for the approval of the deWW statement of the pleas and specifications herewith submitted for the budding or other structure herein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores Village, Fkdda. and all provisions of the Laws of the State of Florida, all ordinances of Miami Sham Village mid all ruin and regulations of the BuIlIllig. DWhi► of Miami Shores Village shall be complied with. whether herein spedW or not. A copy of approved *= and spedficolkins must*. kept ak. building during progress of work. Owner's Nam and No. Registered Architect and/or .,- Employing Plumber's 1,ocatim and t. eW D6scliotim f Street and Number where work is to be performed—No-1 07 State work to be performea and purpose of building (By.Flom)— . .. . ............... Now Building—____ Addition._—_. Repaira__ No. of Stories. ..... Size . Septic Tank---- —Type of Tau __-__ »__--_ -------Ckpwky Feet of Drain TOO-- Fed of Tank or Drain Field from Well— Nature of Water SUPPIY: City —{1 -_Size of Soakage Amount of Permit (Signed n itar x", mmw The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Qf).P*; General of Florida Permanent Supplement, and under the Florida Worlmen's Compensation Act. being Section 5W Compiled C IAWX plied with the provisions thereof. and will require similar compliance from all contractors or sub tractors employed by him in 0io *oi'P! 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 as required by the Act. The undersigned agrees to empty only such su unda)'. this ARI"_'. 0! "A licensed by Miami Shares Villa6ft STATE OF FLORIDA. l 0. COUNTY OF DADE. j . . . . . . . . . . . Before me, the undersigned authority, a nab" public, tidy autbarized to administer oaths and take to me well Imown, and who, being by me first duly swan. upon *a& dopaoss and says tba he is the----* of the above described construction. that be has carefully read the [oeegaislg apphoation. and that he &d s1V 69 therein by him stated are true. My coinn"ou Expires NOTE: A to-ins pection fee Of 41AD Wdl be MR& whm W&I 10`411811000d= is mm"MMMY by " I '11 no materials and/or wariisouship. CLOSrTa AT" BAT" TUB$ SHOWafts LAVA• 11,0111190 SLOP SINKS L.Aumonv Twos URINALS CATCH OWN FLOOR DRAW 04114KI"o FOUNTING jOfAL CONTR. LIST CN9CK 69PTIC B 69wan DRAIN 60AKA09 GRZA59 SOLAR D99P SPAKLM. SWINIG TANK CONN. FigLD PIT TRAP h9AT9R W9LL SYST9111 POOL CONTR. LIST L: C%zcK Size . Septic Tank---- —Type of Tau __-__ »__--_ -------Ckpwky Feet of Drain TOO-- Fed of Tank or Drain Field from Well— Nature of Water SUPPIY: City —{1 -_Size of Soakage Amount of Permit (Signed n itar x", mmw The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Qf).P*; General of Florida Permanent Supplement, and under the Florida Worlmen's Compensation Act. being Section 5W Compiled C IAWX plied with the provisions thereof. and will require similar compliance from all contractors or sub tractors employed by him in 0io *oi'P! 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 as required by the Act. The undersigned agrees to empty only such su unda)'. this ARI"_'. 0! "A licensed by Miami Shares Villa6ft STATE OF FLORIDA. l 0. COUNTY OF DADE. j . . . . . . . . . . . Before me, the undersigned authority, a nab" public, tidy autbarized to administer oaths and take to me well Imown, and who, being by me first duly swan. upon *a& dopaoss and says tba he is the----* of the above described construction. that be has carefully read the [oeegaislg apphoation. and that he &d s1V 69 therein by him stated are true. My coinn"ou Expires NOTE: A to-ins pection fee Of 41AD Wdl be MR& whm W&I 10`411811000d= is mm"MMMY by " I '11 no materials and/or wariisouship. l �_ Oct 'NATIONWIDE - POWER - COMPOrRATION SOLAR SURVEY and INSTALLER INFORMATIOI SURVEY FOR: IA `'e PHONE # HOME ADDRESS: /ai "�L - (o% — COUNTY: .�� WORK CITY: %a` S '��C STATE V\ ZIP: HOUSE DESCRIPTION TYPE: ONE (1) STORY ROOF: G TWO (2) STORY ❑ TAR & GRAVEL_ OTHER ❑ TILE ❑ 'SPECIAL INSTRUCTIONS ** BANANA IREL TILE ERE] S (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) TANK LOCATION EXISTING TANK LOCATED IN: GARAGE ❑ UTILITY ROOM ❑ CLOSET ❑ OTHER ❑ WILL TANK BE RE- LOCATED? YES ❑ NO ❑ PROPANE O OIL 0 IF YES, HOW FAR FROM EXISTING TANK? FEET NATURAL 0 RE- LOCATED TO WHAT AREA? GAS IF TANK IS TO BE RE- LOCATED - INFORM CUSTOMER OF $ RE- LOCATION CHARGE. WHAT ELECTRICITY IS AVAILABLE AT EXISTING OR NEW LOCATION? 220 VOLT OUTLET: YES 13 NO 11 HOW MANY FEET FROM TANK? FEET 110 VOLT OUTLET: YES 1 NO 0 HOW MANY FEET FROM TANK? FEET LEGAL DESCRIPTION LOT: BLOCK: SUB - DIVISION: FOR OFFICE USE ONLY Inspector CORPORATE OFFICES: 1300 S.W. 12th Ave., Pompano Beach, Ft 33069 -4619 FORM 2018/Ft Rev. 09/15/8) M@TmpouirmaAaF=4NTY' CIA I UNUMM &MN1146 011PAM MMr 80MCILL PLAZA MALDING • 1. 1 i MIAMI. MOMMA 39131 ram 579 -26 METRO�ADE '' -r,-- r Equinox Solar, Inc. 3350 N.W' 60 Street Miami, Fla. 33142. + 1 • P�CVM -r CON' MOL NOTICE O8' ACt; fTANCE +' f and A.T. Bliss A Company '1300 S.W. 12 Avenue Pompano Beach, Fla. 33060. Your application, for •Pro4mr. Appal of Solar' Collectors Ep46SCIH, EP48SCIS and noder 6"tions•203 ;a'204 of the South Florid:. 1 Code govetatax the use of Altesaate Materials and T"" of Construction, and d $ Y 11w a g 2 �� Fargo rts� . P. ch, FSEC X812375 3o la ,' r 10 79 ' a Teat L,abo' ata ��/�� • • __i_�r - r 0-4-2-v M NIl�/� 1• QQ1IIC0� "LYi tad Of Yrr County undez Sp+�i.���jtio� s�st fot�t o>d and th e S t � CoOt j pails i ACCEPfA�' No.: 83- 0422.2 (82)8 APPROVED June 13, _1983 SUM Eff June 14•. 1985 MEMOMMOMMOM 2 thru • 2a ne�l.e 019nn, P. I. product Control SupervisoT metzopolitan Dade County B134,ld i>sg & Zoning Depart= This application For Product Approval has ban accepted by the Metropolitan We Count Board of ftlw and Appeals• to be used in the Iacosporsted and Qniacorporatad areas of Dods • County under tha conditions set forth above. APPROVED: 7 ' Tiaas M. Black, F. E. Deputy Secretary Xstropolitan Dada County Board of Inles A APPda13 CSM 002 16 , 1 .i n PSuinox Solar, Inc /A.T. Bliss 6 Co. ACCEPTANCE go,: 83-0422.2 (82) APPROVED June 1� 3, 1989T„ y Expn= June 14, 1985 NOTICE OF ACCEPTANCE: APE MC CONDXONS 1. this approval covers a solar heater system for the production of domestic hot water comprising Model EP463CIR, EP48SCIR and EP413SCIR collector panel and -UL NO or other recognized agency approved hot water tank, filter.. piping, sensors and valves. Fhergy output at intermediate temperature of 122oF as recorded by Florida Solar Energy Center is EP48SCIR - 22,300 BTU /day EP48SCIR 28,800 of EP410SCIR - 35,400 is 2. All electrical work shall be in conformance with Chapter 45, Electrical Section, of the South Florida Building Code and NFPA 70. 3. Single'lNultiple collectors may be installed up to elevations of 33 ft. above grade, using the following components: Collector Panel Frame (Faclos_ u_ree!W Size: EP46SCIR - 46" x 761j" x 3.3/8" EF48SCIR - 40" x 96 5/8" x 3 3/8" Frame co "t ted of 01.0 i k wall ext ad aluminum �li with mitered aorness. ,. � unit glazed with 3/16 "' tempered, pattern glass. A 0.019" thick embossed nu alumim sheet used as a (back panel w/1" foil covered foam insulation absorbent.plata constructed of 8 5/8" o.d. copper tubes. Connection of Collector Panel to the Roof of the Building tloaattax Brackets EP46SCIH EP48SCIII EF410SCIR Number 4 4 6 Size: IV x IV z 1/8" or A" x 6" x 1/8" Fasteners (per bracket) One 3/8" z 3" lag screw (for Brood) or le" z A' wedge anchor (for metal roof) All roof penetrations Duet be through pitchpans incline mount frame constructed of 1}" x IV z 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 eleettical contractor. 6. This revises and supersedes Product Approval 1183- 0422.2 (82) dated February 140 1983 to include A.T. Bliss 4 Company as distributor. Olson, P. E. Product Control Supervisor Metropolitan Dade County -2. Building & Zoning Department { FLORIDA SOLAR ENERGY CENTER L 300 State Road 401. Cape Canaveral. Florida 32920. Telephone: (30S) 783-0300 Approved Solar Energy System FSEC # S1172 December 1981 DISTRIBUTOR SYSTEM Nationwide Power Corp. 1300 S.W. 12th Avenue Pompano Beach, FL 33060 ty -82 -1 The system listed below was evaluated by the Florida Solar Energy Center (FSEC) in accordance with t Florida Standards Program for Solar Domestic Water and Pool Heating Systems (FSEC- GP -80 -7) and w found to meet, the minimum standards established by FSEC. Description Collector Model Units Total Rating 1.FQuinox Solar- Inc- Fp470 1 ,29,900 Btu 2 Equinox-Solar.—Inc E2408SG 3 4 Tank Model - Capacity- (3 Direct 1 Equinox (Mor -flo Ind) E0 -82SS _8_? gal- 0 Int. Heat Exch. 2 (SSTA 82ES) 3 Rheem Mfg. Co. 668h -82 -1 82 gal. 4 Lochinvar Water Heater Corp. 80 gal. FTA082 -K Num Model Power Draw Rated. Power 1 March Mfg. Co. 809 _ 20 09-R.P. 2 - ------ 3 4 ---- -- Controller Model IN Differential Temperature 1 HI Square, Inc. 1503 O Absolute Temperature 2 Independent Energy C -30 O fhermosiphon 3 0 Other 4 Freeze protection by automatic recirculati Major Components in addition to above 2 3 If further information is required you may contact the Florida Solar Energy Center at the above addre 1 c �q rl 1/ i i 1 � r f RID .tom- � --�- -- s.. 3 Hot out i— 1.Tank sensor I 2.Electric element i 3.Check valve ! 4.Gate valve :_ 5 . Dra i n valve 6.P&T valve _ �'.- 7.A,ir vent valve P . !`,01 I ector sensor 9.Fr -eze sensor IQ.Oifferential control 1 1 . Pump Cold in CSM 2020 4 *1.V.IWAfe.0 -mewc P44,w f xe.d.-4, PA7&�dr IL, k'asu"Yeo 'dwees 5z :L7 . A I -fo o93 -I/TL-Z- 6A-- 60zg3re- 'fZ Olf~v 14 IOAfv"-Ce PAIKT 0120 NEXfjocrNUT Z —T-41 IFF 2�0,4 r 7010,r7 -7r- 04 Lf4 7--z9 yo 63/44-" cis fit` Moav I(. Arm. / i & 7 THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIONS FROM THE MIAMI SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED. UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Auftd7ed Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR PLANNING & ZONING BOARD VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED., THE ARCHITECT BUILDER & SUB OR NOT SPECIFICALLY INDICATED HEREIN re6 -- ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No....& �............. l ..,/.� ..... Date»......... ... ».... /»...�/'- / °.. /.v....... Application is hereby made for the approval of. the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This !application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flw:ida, 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/ Owners Name and Address. �ol...A.... e!71 ............ ...................No.. l D3.. Streec. ............................................ ...... Registered Architect and /or Engineer...ae.:�.%' ... >< ......................... ............................... Employing Electriciaft's Name...�-.!w.-Q�C. ...........No. i i✓LJ. t �. A.P. St. .......... ................................... d� Location and Legal Description......» ......... I, � ............... ......g.....'e— los�.........1 -2 ....._ ........ Subdivision. . .. Street and Number where work is to � rmed— No..�Q Nor... / ..... ....... ................................ Street........ ............................... ........ State work to be performed and purpose of building (By Floors) ............................................... ........................� .._� .. .............. NewBuilding ................................ Remodeling ................................ Addition .............................. Repairs ............................. ........ No. of Stories.................... Service Underground Site Feeders .................... Conduit ................ Main Sw ............................... Am ...Main Fuses.. ...Am s ps ........................ »....... »..... ». p Typeof Installation — Conduit ..... .................. Tubing ..... ... .............. B.X.L .......................... Metal Moulding ........ ...... » .................. ..................................... ............................................... �......... ............................... ............................................................................................ �.....................»..... ............................... Amount of Permit i. ..r.,.l.c..�Jr ................. .....................................( Sigacd)............. »...........:41...'r`r ..................... Electrical .Inspector. The undersigned applicant ''for this building permit does hereby certify that he undersnd accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ..............I/....... �'...... STATE OF FLORIDA. Master Electrician. � D COUNTY OF DADE. tl°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................. ..................... ..... ...... ....... ... .... _ ....... . .... .. ..................... ..................... .. ....................... ............ ..... ..... »................................... toto me well known the above described and who, g � me first duly sworn, upon oath deposes and says that he is the ..............................»,...»... .......................... .. ... don, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ... . .......... ... ............... ...�� .�.mmi.................... i r ..... »......................... ........................ »Notary »Pub1Ic, State of Florida....... . »............. NOTE: A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES Rarnie. IRON RANGE RANGE WATER W. NEAT. SPACE STRIP /J TOTAL OUTLETS OUTLETS RECE'P'T'S No. LAMPS OUTLET OUTLET OUTLET CON ". NEATER CONN. NEATER NEATER CLISTR CHECKfJ ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. MP. TEP i PERM. 0.1 NP 1.6 H TRANS. CONTR. LIST CHECK Service Underground Site Feeders .................... Conduit ................ Main Sw ............................... Am ...Main Fuses.. ...Am s ps ........................ »....... »..... ». p Typeof Installation — Conduit ..... .................. Tubing ..... ... .............. B.X.L .......................... Metal Moulding ........ ...... » .................. ..................................... ............................................... �......... ............................... ............................................................................................ �.....................»..... ............................... Amount of Permit i. ..r.,.l.c..�Jr ................. .....................................( Sigacd)............. »...........:41...'r`r ..................... Electrical .Inspector. The undersigned applicant ''for this building permit does hereby certify that he undersnd accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ..............I/....... �'...... STATE OF FLORIDA. Master Electrician. � D COUNTY OF DADE. tl°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................. ..................... ..... ...... ....... ... .... _ ....... . .... .. ..................... ..................... .. ....................... ............ ..... ..... »................................... toto me well known the above described and who, g � me first duly sworn, upon oath deposes and says that he is the ..............................»,...»... .......................... .. ... don, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ... . .......... ... ............... ...�� .�.mmi.................... i r ..... »......................... ........................ »Notary »Pub1Ic, State of Florida....... . »............. NOTE: A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. DEP�W ONSITE SE WA Applicant.:e° 10 '7 - -PART III Installer W� Proper tank legend: STATE OF FLORIDA MENT OF HEALTH AND REHABILITATIVE SERVICES iE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT. .o °^ !1. ®. `Z. Permit Number 6— Z *ER z- nl 10 /�i So -7® 0r*STA LATI Iti PECTION AND FINAL INSTALLATION APPROVAL --- --- ---- I (> n Tank Manufacturer o Tank material W__04 Tank level: Yes Tankswatertight: Yes,1_i Y N, Tanksize: Vgaflns gallons gallons Proper tank outlet devi e: Yes __4 Manhole or marker to grade: Yes -L Drainfield Trench ' I Longo LAMM Width feet eet feet feet feet eet Allj)�:_feet feet 'Absorption Bed Lengthfeetx 1� feet�I 30o( Length feet x feet = ft2 Proper No. drainlines: Yes ZNo feet set feet •feet Proper. pipe separation: Yes V No Total = T ft2 Total = ft2 Distribution box level: Yes Systems located as permitted: Yes No - Systems including plumbing stub -outs installed at proper elevation: Yes s� . Average depth to drainpipe invert from.finished grade: 2- K inches Maximum depth:_ Inches Average depth of drat field gravel: inches Minimum depth of gravel: %L' inches Proper gravel size: Yes No Gravel is-suitable quality: Yes No Backfill or fill material its required (Quality) Yes No (Quantity) Yes No Other findings: Inspected by: Date PA I1- INAL rT LATIO P OVAL- Date "'Appr!oved . by: - COUNTY PUBLIC HEALTH UNIT AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this .form will be provided to the applicant, installer and the building department. HFIS- -H Form 4078, Feb 88 (Obs"es (Stock, Number 8744002. 4018.0} previous eMons which may not be used Page 2 of 2 Permit No.- �' Z Application is hereby mad structure herein described and all provisions of the La of Miami Shores Village sl MIAMI .SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT for the approval of the detailed statement of the plans and specifications herewith submitted for a building or other his application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, ,s of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division U be complied with, whether herein apecified or not. A ropy of approved plans and specifications must be kept at building dnrtrg progress of worx. Owner's Name and Addres�___ / n i C%/04 ��,� No 1®7 Street " " `' Registered Architect andh Employing Plumber's Nan Location and Legal Descr Street and Number where State work to be performe No F � � Street Al �� ! Lot Block S»bdiv[sion htobe and purpose of building (By Floors) 2- ^ AL, Now .Builring _ Remodeling Addition. __ Repairs -- . No. of Stories -_- - ..._.— __. - -� -- Size Septic Tank Type of TaA __ - - - - -- Capacity - - - -- Feet of Drain Tile nUL Feet of Tank or Drain Field from Well__ Nature of Water Supply: City—We1L -Size of Soakage Pit__._ Amount of Permit $ (Signed) P bing Inspector. The undersigned appli for this building permit sloes hereby certify that he understands and accepts his obligations employer of labor under the Florida Workm 's Compensation Act, being Section 5988, Compiled General Laws of Florida P . ent Su 1 ent, and has com- plied with the provisions ereof, and will require similar compliance from all contractors or su ors em oyed im in the work to be performed under .this t; and will post or cause to be posted for inspection on the site of work sus public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -con on to be ed under this permit, as are licensed by Miami Shares go. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well ]mown, and ydio, being by me first duly sworn, upon oath oses and-says that he is the of the above described coon, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated areue� Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when 811ch re- inspection is made neoassary by improper notice for inspection, or faulty anatsrials and/or CLOSETS. B ATH Tuns SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns 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 $WIM'6 POOL CONTR. LIST CHECK Size Septic Tank Type of TaA __ - - - - -- Capacity - - - -- Feet of Drain Tile nUL Feet of Tank or Drain Field from Well__ Nature of Water Supply: City—We1L -Size of Soakage Pit__._ Amount of Permit $ (Signed) P bing Inspector. The undersigned appli for this building permit sloes hereby certify that he understands and accepts his obligations employer of labor under the Florida Workm 's Compensation Act, being Section 5988, Compiled General Laws of Florida P . ent Su 1 ent, and has com- plied with the provisions ereof, and will require similar compliance from all contractors or su ors em oyed im in the work to be performed under .this t; and will post or cause to be posted for inspection on the site of work sus public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -con on to be ed under this permit, as are licensed by Miami Shares go. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well ]mown, and ydio, being by me first duly sworn, upon oath oses and-says that he is the of the above described coon, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated areue� Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when 811ch re- inspection is made neoassary by improper notice for inspection, or faulty anatsrials and/or MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for tite approval of the detailed statement or ure plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Pillage, Florida, ,ujid 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 daring p?pgrestt of the work. Date..._.......»..` Owner's Name and Address ......3_Q...6...l j....0 .r»«��. :.�.Q »«».... No. _,.:x... Sftxr ,- RegisteredArchitect and /lor Engineer ........ «...... ...................................... .......„y,.....,t,... :,:,x :e,t, rte„ r,• n,,, n, ez, r. sr ....................,.......... Name and address pt licensed contractor.... ..°«.�.�.._1 t . ...... ............._«»»»««....... ««.. «.. , .. «...._ ........... ,»«.... Location and legs description of lot to be built on: Lot....... . �. .......I........ . ........ Subdivision. ..i ._.. . �• a ► ..».. «........ «... . »... ««». Street and Number where work is to be done... -.I State work to be done and purpose of building (by . . ............. _ --------- « «_..., _ «»«»...._.. » ............... «....., «.....,.. ..__ ......................................... ............... . .....«. ............_........ «......... ..... ...».......... __ ... ....«........ ........ .... ....................... «.. _ »... «... - ...... G e_. _........__.. « ............ . ».. »...... «.. «. «. «.... «�.«.«.« «........ and for no other purpose. New B ........ Remodeling Repairs. ... No. of Stories... ...... . .... To be constructed of .�.......... land of / n.. »..... �-° «.Covering ..... %`. ®..®t.;.. ®� Estimated Total cost of improvements $• • .........•�•�.- �........ «....•• .•.•Amount of Permit &.10— .... »...__. ...... ... ...... ___ ............. . «.. «.... Zone cubage required ........... ......................... ...... ._ «..._ .« - «...plan Cubage.................. Distance to nex t nearest s uilding ........................................... ------ — ....Size of Buildin g Lot ............ ...... ».» ..... -« ........ . ...... ................... ».., ...._ Maximum live load to be borne by each floor ........................... _ ...................................................... ,__......._ ....... _ ....... ....... , ......... ...................... .... I hereby submit AU the plans and specifications for said building. All notices with reference to the building and its construcligp may besent to.. ...' ... ................................................................................... .......................................................... The undersigned app'�licant for this building permit does hereby certify that he understands and accepts his obligations as an employedr of Labor under the i:lorda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup rolent, and has complied %, ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe him in the work to be prrformcd under this permit; and will post or cause to be posted for inspection on the site of the work such ul�lic rfotice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. . Remarks... ................... _ ............... .« ..._ «,.... «,. »..._ (Signed)- �� --- ,--- �•—_•- STATE OF FIrORIDA,' 1 COUNTY OF DADS. j ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persorsally ap- peared------- ------_-------------------..- ------------------------------------------------ - --- -- ------------------------------------------------ .......... _. —............................. .... » ....... _ ...... _..«_«.._. ._.__ .... ................... ... ._ ....._.......... , ._ —.. -tp me well b{tgwn, and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. ............................................................... ........ - of tl:e above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. Permit No.. »._ ........1 Date.....�1 .._�... __ Read, Sworn to and Subscribed before me. Disapproved....... 1.._...._.._.. Date..__..--- -- ......... ....._....._....... ............................................... ........................_...... R' Notary Public, State of Florida ( Signed) ......... ,.......................... _.............. Building Inspector My Commission Expires,.......»».._..... PLANNING BOARD........ ............. .......... ...-_.. ---..----_._DATE Chainnan ........ ................. _ , ...... _..._......... ...... _........ Member ..... «_ ............... « ..... � .. »_ ».. «._.......« ... , �....- . . - - Mcrnbcr................................ ............................... _. ...... ... ...- ....... _ _ Member _ ..... . .... ..._..... ».. «_...... , «..«. ... . ........ .,.- ................. .. Member.. ........ . ................_.........._.. «..._._. ._..._._..... _ Member .... _ ............ « .__.« ......» . «..«...._ , ...._... . _- Council Council Approved ............................................. _---- -------- .. _.....Date Disapproved .._.. .......... .... ........ .......................... ......pate .................. NUTF.: A charge Of $1.00 will be made for making corrections or changes to this application After approval has kern obtained from the 1'l.innirr_ Board, A re- inspection fee of $1.00 will beacharged when such re- inspection is trade necesmry by improper notice for inspection oT faulty materials and /or workr7an� hip. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereb�. wade for the appro%•al of the detailed statcmient us ute plans and specifications herewith submitted for the build inc or other structure. herein described. This application is made in compliance and conformity with the Building Ordinance of Miami shores Village, 1'lt+rid�, :ind all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the t}uildiing Division of Miami Shores Villagge shall be complie� with, whether herein specified or sot. A copy of approved Plans and specifications i�tust be kept at building during pipgress of the work. Date.._»........»._.. _._......... ,19 .._.,. Owners Name and AdIA Y1 �.... ». « »...._._. No.,»..i.. ........ Streat.......�� f« ...» .... , Registered Architect and /or En ince S r.... .... ..... .. «......»...«...«.....« .............. t ------ •.. nttr...., t,... tn+* tttn+ eetwwe• tnmttonnnt ................. ........ « «« Fame and address of lice nsed contrgctor...........» ».... ,.«»......».».«....«»........ «» .«....». .» ....,...»............»»........ «»«... «...... »« ...... Location and legal descri;tion of lot to be built on: ...i........ «........ subdi vision._ «.2 _A__�i'i.J.... © . r.2.l..s�.t��.......F .�.� Street and Number whet♦ ' e work is to be done ... _..... j..Q.-2.. «..�4«�...»./..Q..J ...�.la...._.« ..,»... State work to be done and purpose of building (by floors). SS�.....A.1. �•.-� Z �--—� �..1•'�,.. »�8...[,i'dG � :e...`:�.4:1t�..3�...t...�i.�.d �..._.�..�'�.ts.�.......� t�l... �. L. Q�...... �. �».. �i. �.1.1..�.�...i...:4�'«:�.�:1«�� «..«,. «.�...1!.....:.�`? .....«..« .............. . ».. —"-....and for no other purpose. New Building ............... ......... Remodeling ................. .... __ Addition ...... ....Y............ Repairs.... ................. No. of Stories.. ........ «...._ To -be constructed of 6 v.G -Rerc. Kind of fotindatio «..�i ll�!.tc t -..... ....... «............. Roof Covering.. .!11. �.J i. «....... , ... Estimated Total cost of improvements $... «..... ..... « «L :...Amount of Permit S.««.........,»»».«...... .«.««.... ..... »_. .............. . . «. Zone cubage required .. ........... «:r .... -- .........plan Cubage.............. « «. «...«...... ........... «_....._ Distance -to next neares� building......... .Q... :.. «... «. « »..... »...._«...Size of Building Lot.. «...a �.._A.....� . ..1� .... ........ . Maximumlive load to be borne by each floor ......................«..........«.... ..............................« .. «....«.«..._.. «... «....... «.... «.................... I hereby submit all the plans and specifications for said building. AU notices with reference to the building and its construction may besent to. :...... .................................. ................................................................................................... ..................: :........... ...'.. .... ...:....... The undersigned i of iabur under the Flo and has complied with in the work to be perfi or notices as are requir permit, as are licensed !ant for this building permit does hereby certify that he understands and accepts his obligatioi Workmen's Compensation Act, being Section 3066, Compiled General Laws of Florida. Perin: provisions thereof, and will require similar compliance from all contractors or sub - contractors 3 under this permit; and will post or cause to be posted for inspection on the site of the work e the Act. The undersigned agrees to employ only such bcoatractom As work, to be�perf Miami Shores Village. STATE OF FLORIDA' s� CO (.✓W ' COUNTY OF DADE. as an employer .nt Supplement. notice ��this .Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared...._ ..... _ .... ... ........ . ............ . ...... ..... «.«......_....,«« « «.. ................«. «........« ..._..._ «_.._..»� .»...._ _... :.. »... ««, . .. «._« _r...«. ------ .... «.« «... «..........«.... . «. «............. «« ... _.......r« «« ....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 all true.. Permit No. Read, Sworn to and Subscribed before me. Disapproved »« .... ».. Date.._««».«. «« _«».. ...... «...... Not ... «.��.. Notary Public. State of Flotida► ( Signed) ... Chairman .......... .Herr ber ................ Building Inspector.......». « ............... »..«. «•,.. My Commission Expires..»».»«»......»»_.»».. ..�..»,:..._. PLANNING BOARD...... ...... ........... .......:.......««...DA'Z'E « ..........._.....» ..» .............. Member .««,._.. «.. .... _ .... .«» »......».....»...... »..._....... «. «_ _.....»«....... »... . « ..«... Member « ... ». «.,..«.« .. .«..... .».. ««««..._ »...«.... « «.... «_ :Member ..... ............ �».._....«««......... «... ,......»._«».. »._«..._ Membea «... «......... .»« ._ «... «_.. ..... CouncilApproved .........«...........« ......:.. ...... «.. «_«...............««.« Date Disapproved .._..«..«.. «... «... ...... .......................... .... ... ............ Date NU F.: A -ch.trge, of $1.00 will be made for making corrections or changes to this application after approval has herb obtained front the Plannin„ lluard. A re- inax•ction f of $1.00 will be charged when such minspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. i T�1E4E t'L4N3 ARE ^yPP ,'gVED FOR ISSU,%Zi ZE 0' '{ BUILDING PERMIT p wf P. V.O VAVt '= y [3 :"{rtt VARIA" �:F( ", ` %TED IN "REMARKS" NU ar#!ER �i'`lA1�''L :'RRP4 I ' =MIAMI S' `� " 81111nt 'IG A' 0 ZONING �" SP icICAL:Y tl?TED BELOW. ORD4,A'{ 'ES W"..! RE PF.RMITlF0- UNLEV' AL►. OTS':ER - VP*.twaB'E ST''F !1140 COU. ;'1 LN'-JS MUST BE COMPLIED :1tTH BY ALL PARTIES• Date Pusuc WORD POLICE DEPARTMENYI BUILDING DIRECTOR PLANNING 6 ZONING BOARD VILLAGE COUNCIL APPROVAL PRELIMINARY: Rm REMARKS: COMPUANCE WITH THE SQUrH FLORIDA t3UILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUBCONTRACTORS ARE CHARGED WITH T14F KNOWLEDGE OF ALL BUILD• ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. air 16 r-j • 7T- I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. __ Date_.. a.4 Application is hereby a for the approval of the detailed statement of the plans and specifications herewith submittid 1 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula ` of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans specil building during progress of work. r�*� , Owner's Name and Address _ J, –_C w _21�_ Registered Architect and /or Engineer• _. __ ._.— - -__- r Employing Electrician's Name' ___ _x__ __, _ - ' " No..� G__.�.__ _ Strtet_dJ� ... —_ —_ Location and Legal Description 1Z_ 2 r___�____ Subdivision-." 1:_C � .-- AAii � _ Street and Number where work is to be performed— No.____�__ Q_..___. _...._.. —_... ___ Street_1�,__JE.._ . i_S State work to be performed and purpose of, building (By Floors) ___________ — ------ New Building __`___:°sI__-- ____-------- Remodeling---- _____ - -_ ----------- Addition ---------- _- Repairs _- ---------- No. of Stories_... —�. �5 or other r.• � ottda. the vision tans kept at e ) i / , Se Over Size Feeders_ � L —__ - -_ Conduit___ _ __ Main Sw.______— U-6 Amps.. —. Main- Fuses....»_...».�...Amps B.X.L._ _____ _________ Metal Mouldin Type of Installat'to�Conduic_____--_. � Tubin�,..,.------ M_ ---- -- ---- -- ----- ---- -- Amount of Permit lec clot. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer r under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ZZ to bo,,. 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 61 required by the Act. The under signal agrees to employ only such sub- contractors, on work to be performed tinder this permit, as are licensed by Miami Shores Village. (Signed) Master Electricaa. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 tad the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............. ......... ...... .... I. ..........._............ .. __ .__.. ... ..................... State of Florida...--- ........ My Commission Expires Notary Public. ..� NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notke for inspection, or fsolty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECKWT•S FIXTURES NO.LAMPS REFRIG. OUTLET IRON RANGE RANGE OUTLET OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTRI LIST CHECK ENT. SW. DIST. CAB.. SERVICE TEMP. EsM, - PERM. hk MOTORS 0-1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CLIST LIST - CHECK - e ) i / , Se Over Size Feeders_ � L —__ - -_ Conduit___ _ __ Main Sw.______— U-6 Amps.. —. Main- Fuses....»_...».�...Amps B.X.L._ _____ _________ Metal Mouldin Type of Installat'to�Conduic_____--_. � Tubin�,..,.------ M_ ---- -- ---- -- ----- ---- -- Amount of Permit lec clot. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer r under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ZZ to bo,,. 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 61 required by the Act. The under signal agrees to employ only such sub- contractors, on work to be performed tinder this permit, as are licensed by Miami Shores Village. (Signed) Master Electricaa. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 tad the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............. ......... ...... .... I. ..........._............ .. __ .__.. ... ..................... State of Florida...--- ........ My Commission Expires Notary Public. ..� NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notke for inspection, or fsolty materials and /or workmanship. 7oNy s;;%"e _ ICA �PoGO Q.orav,, r�- 33�3� 1613 f._J G`i„secr,/ 19, /Q�H i i J Si9-0G 04--e Aa4,e Ake R A�l V4144-211 T1002o,15 Wj-�C 14.q R-ff-44 IT-f-iftesi O-ee-W De?( or- (440k- I?CVCf4LZ, 63 o ���� PROPOSAL Page -'�;o. of Pal op ov C E -Z (T'# 3506 S; F., 9k, 4201-hTS iiXT I.Jr� ( ,rte 1 e � i�)cT LA�c-* SzKl L.}z x 5*-K t, PROPOSAL SUBMITTED TO: PHONE oATE NAME ' 3 . A JOB NAME STREET A) O ' 3 ; d i STREET CITY CITY STATE STATE _ L ov C E -Z (T'# 3506 S; F., 9k, 4201-hTS iiXT I.Jr� ( ,rte 1 e � i�)cT LA�c-* SzKl L.}z x 5*-K t, Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 12112/2006 Expires: 06/10/2007 Permit Number: PT -12 -06 -2910 Owner's Name: ALETHA HARDIMAN one: Permit Type: Paint Work Classification: New Job Address: 107 103 Street NE Miami Shores, FL 33138 -2328 Contractor(s) Phone Primary Contractor HOME OWNER Yes Additional Information Type of Work: Exterior Color. Additional Info: Classification: Residential 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 Building Department File Copy Applicant Signature Parcel #: Block: 1121360130800 Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 800.00 Final Invoice Number Amt Due Amt Paid PT -12406-26901 $67.30 Total: (\ ti'!O DEC 1 RPAI NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Yl�� iipDh'•� Inspection Date: May 21, 2009 Inspector: Bruhn, Norman Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756 -8972 Owner: HARDIMAN, ALETHA Job Address: 107 NE 103 Street Miami Shores, FL 33138 -2328 Project: <NONE> Contractor: HOME OWNER Buildino Deoartment Comments Permit Type: Paint Inspection Type: Final Work Classification: New (. L Phone Number Parcel Number 1121360130800 May 20, 2009 Page 1 of 1 CLIOCd Inspector Comments Passed r Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 20, 2009 Page 1 of 1 Miami Nhores Village Paint Color Approval and Agreement Owner's Nam Phone Job Address (where the work is being done): City: Miami Shores Village County: Miami -Dade Zip: Is Building Historically Designated ?: *,AYES NO Contractor's Company Name (if applicable): / Phone #: ■■.... rr.... r. rr........ r..... rr.. r ............. .....r.rr■■........rr.rr..r..r■ All elements on the site must be listed and indicate the color to be painted Walls: Fascia: Drip Cap/Drip Edge: Soffit: Roof: Flower Bins: Shutters: Awnings: Chimney: r Doors and Door Jams: Garage Doors: Railings: Fences: Decorative Metal: All brick (simulated or regular): Stucco Banding: Any other Stucco Features: Accessory Buildings: Other: cn w V PD O CD j7 �w o = 3 C, Black RM* Mndow Tdm & Railings *Ready Mix Black (RM) may not be availabl( . ............................................... ............................... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature: Date: Owner or Agent APPLICATION APPROVED BY: Date: a P& Z OFFICIAL "MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION" R3 OWNER,a PRESENT ADDRESS LICENSE NO. PHONE NO. a� I�. C . NL=OLZ 6 X1` 78 -0767 JOB L.QCATION Tr AVE.) LOT BLOCK SUBDIVISION - 107 N E 103rd 8-tre I 1 and 16 22 GENERAL CO A R .Same ADDRESS(. PHONE NO. .LICENSE NO. Owner =r I c BUILDER'S BOND 1,BU1LDING PERMIT NO. 6806 ) � IDATE ry A3/ PERMIT FEE T$ -I 22.00 NO. 724 ' DATE 2,n 3448 ' E REQUIREMENTS 17,500 CU. FT. PLAN CUBE 232409. CU. FT. EST. COST S 18,G00.00 DATE_.._,,,, IIDRAWINGS, I SPECIFICATIONS 'RESTRICTIONS AND CUBE CHECKED BY: JDH 6/25 &S TYPE STORIES ROOF CONSTRUCTION I I Frame; INTERIOR CONSTRUCTION . _ NEW CONSTRUCTION 'per S CB 1 Tile Oak Floors = porch — the Y DESCR IPTION REPAIRS I Liv Rm t,., — Jalousie„_. porch —_ kit-- 3 BedRooms 3 Baths;Fireplac%t,;,, DESCRIPTION ` ALTERATION I I ADDITION APPROVED - REJECTED REFERRED TO COUNCILS REASONS I SUBMITTED TO 6/2 8 �RE-SUBMITTED TO PLANNING BOARD -- REMARKS :SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. 633 ISSUED ll 26 OBY I TO J C M8V8rh0 Z 107 ICE 101rd Ct BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE E3UILUIMG INSPECTIONS /J PERMIT NO. 60 5 DATE 7 -21-48 INSPECTIONS DATE REPAIRS RE- INSPECT BY RE- INSPECT BY FOUNDATION 772 2 TTBy JD H -8 SEPTIC TANKO'Nen.. l 68 57 BEAMS &LINTELS 8Z2 H 9 74 JD SOLAR HEATER FRAMING $ GAS RANGE CONN. $ $ MOTORS `` INSPECTIONS DATE 8Y RE- INSPECT FINAL r° BY ROUGHING ��gg.. O 5 48 JDH $ CLEAN -UP GAS INSPECTIONS PLUMBING PERMITS X INf4oRCT1f%1uc CONTRACTOR & W Plwnbi Sery Inc PHONE /J PERMIT NO. 60 5 DATE 7 -21-48 FEE $ l3.50 y' X NEW BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE PERMIT NO. DATE $ SEPTIC TANKO'Nen.. l 68 57 $1.00 SEWER $ $ SOLAR HEATER $ GAS RANGE CONN. $ $ MOTORS `` INSPECTIONS DATE 8Y RE- INSPECT BY RE- INSPECT BY ROUGHING ��gg.. O 5 48 JDH $ GAS INSPECTIONS DATE . r.. RE- INSPECT SEWER RE- INSPECT BY TEMP. SERVICE SEPTIC TANK �} 7 28 L,.8- a�,, �I:m ROUGHING SOLAR HEATER H. W. HEATER CONN FIXTURES r RANGE CONN. ELEQTRIC ®L PFOmrm R INGOFATJIIIUC CONTRACTOR H CY E Electric PHONE PERMIT NO. �Co, p DATE 8/27&8 FEE $ 12♦ NEW BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS `` $ FIXTURES $ INSPECTIONS DATE . r.. RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL /17/48 JDH APPROVAL TO POWER CO. FOR SERVICE OAT. 11/17/48 sy eJ E MIAMI SHORES VILLAGEr FLORIDA, BUILDING DYE- 4M*�191k Y-epl Subdi- W"sion Description Address of V Amt. of Buffling ect permit permit the contra ctor or build named above onstru P"it the ouilding or to ins m—t or dff-P desMI appli- al -This- cation at com ce with all ordinances pertaining theret d with pL%nr,, dra=, statemen specifications that may have been sub ' to and ,�h� fpr�� el derstanding that the work �vill be performed in ( M1311 CA any ed pr e municipal authorities. This Permit may be revoked at any time i the work is not done in compliance with such ordinanc r if the ans are c 9 -!P-,rt authorization. A further conditioqf upon wl-Ach this permit is granted is the understanding that the contractor or builder named abo assumes the, r bih for,a knowledgqe of A9 or4inancj�s and- jegulatjons� pertaining to the work covered hereby whether shown on thej2lgas e espon- drawin s asim r sibility forwork done by his agents, servants or employees. Signedd. INSPECrOR 01 consideration of the issuance to me of this pernlul 11111, t )erfor—m work covered hereunder in compliance Oi� r an Iming dwetol and, in strict- conformity, with the )=It i e ents res bih f y el - specifications submitted to the' proper authorities of hkami:Sh my agent, servant or emptoyee. CONTRACTOR OR BUnMEA BY AUTHdWF MIAMI SHORES VILLAGE, ;FLORIDA BUILDING Z DATE � g ELECTRICAL PERMi l lv? 6806 Contractor's i t ` PLUMBING License No. R York be performed under this Permk_�" r Owner of Building Ar Architect CEZ P-A" a Contractor' or Budder al Lt>t� BL Subdi- vi ` ug Description sion Address of Value of Building Project , _ permit f { This perTemc ed. to the contractor orb ' er named Bove to construct the building or the equipment or device described in cation herefor ipliance with all ordinances pertaining thereto and with the understan ' work will be performed in compliance with an plans, drawings or specifications that may have been submitted to and approved b proer unicipal authorities. This Permit may be revolj�i at any time if the work is not done in compliance with such ordinances or if the plans are g with o authorization. A ther condition upon which this permit is anted is the understanding that the contractor or builder t named above p S assumes, a res o 't for a or u � P Y � o owledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawin or " t is or spec* . ons and that he assumes respon si&hty for work done by his agents, servants or employees. Signed: Y INSPECTOR eonsderation of the issuance to me of this permit I agree to per o ork covered hereunder in complian with ordinances bpd a ulations p this o and in strict conformity with the plans, drawings, statements or specifications submitted to the pr r auth s of Miami+�h6t latiou; Tn t as responsibility for all work ne by either myself, my agent, servant or employee. 1 CONTRACTOR OR BiTIf BY -. AUTHd(JRITY a MIAMI SHORES VILLAGE, FLORIDA '� - ,BUILDING DATE 19 k �,� _� r ERMIT N. 6996 � ELECTRICAL O Contr r' PLUMBING Lice he perform er this Perm! Owner of hAdO AP Ali /MO. Building .Arc}utect .. Coniraetor or Builder INA Legal Lot I) Bl Subdi Description vision Address of value of Amt. of Building "'" Project [Permit This permit i§ toa to the contractor or boil ern above Itonstriact th wilding or to ' all the equipment or device described in the app cation herefor in stri mpliance with all ordinances pertaining thereto with "the erstandin t the work will be performed in compliance with;any plans, drawings, state ents or specifications that may have been submitt and app d by th open municipal authorities. This Permit may be revoked at any time if the wor is not done in compliance with such ordinances the plans' Chang i out authorization. A further condition -upon which this permit is granted is the uhderstanding that the contractor or builder named above as es the r nsibili ty a knowledge of the ordinances and regulations pertaining to the work covered hereby wheth shown on the plans or dr gs or in tatem is s res . n- sibility for work done -by his agents, servants or employees. igned: INSPECTOR In consideration of the issuance to me of this permit I agree to perform w covered hereunder in compliance will r ' an 0-s r ons pertaining- thereto and in strict conformity with the plans, drawings, statements o ecifications submitted to the proper an ties of Mi Slip ge. In this I e ty for all work done by either myself, my agent, servant or employee. t}NTRAG"rOR BUIIEit BY AUTHORITY ADDRESS 107 N. E. 103rd $t. LEGAL Lots 15 -16, Blk.. 122 RECORD GARBAGE TAX PAID BY !� �(• YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1948 $12.00 1 -1 -8 1 11-26-48 • i / !' 5Z - 4 /..'I . N O U . "r lZi BUILDING ' MIAMI SHORES VILLAGE, FLORIDA DATE lo194 N? 6806 Contractor's o�WAK02, ELECTRICAL PERMIT PLUMBING Work 'Owner of Building 94�/ Architect Contractor or Builder — Legal Lot Description Address of 101" A A- License No. be performed under this Permi 4&% — M, Subdi- vision ✓ .1 Value of I Amt. of 'w 0 ov u Project Permit This permit is tanted to the contractor or builder named lbove to construct the buildir cation herefor in strift compliance with all ordinances pertaining thereto and with the understa plans, drawings, statements or specifications that may have been submitted to and approved by at any time if the work is not done in compliance with such ordinances or if the plans are ch permit is granted is the understanding that the contractor or builder named above assumes the- regulations pertaining to the work covered hereby whether shown on the plans or drawing1h sibility for work done by his agents, servants or employees. or to install the equipment or device described in tf'ie ppli- ding that 'the work will be performed in compliance with any phb proper municipal authorities. This Permit may be revoked red without authorization. A further condition upon which this responsibility for a thorough 4owledge of the ordinances and in the Statements or specifiq�tns and that he assumes respon- Signed: . '.,�• V -.. -W— INSPECTOR d In consideration of the issuance to me of this permit I agree to perform the, work covered hereunder in corn pertaining thereto and in strict conformity with the plans, drawings, statements or specifics ions submiUed to t In accepting this permit Y( assume responsibility for all work done by either myself, my age s rn 333333 CONTRACTOR OR BUILDER BY e' wit ordinances reg ons r autho , ie�4 , Mi AUTHORITY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 633 Miami Shores Village, Fla. Owner, .1'ding_ Lot -' ` Block Subdivision Street Address Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92,4 93, 94 and 7, known as the Zoning, Electrical, Plumbing and Building Ordinances of M*mi Sherds Vil ge pertaining to the erection, construction, alteration or remodeling q buijg ngs or u s r e BUILDING ELECTRICAL PLUMBING Owner of Building _ MIAMI SHORES VILLAGE, FLORIDA DATE 194- PERMIT N? 6845 Contractor's License No. —_ Work to be performed under this Permit r I� Architect Contractor or Builder Legal Lot BL Description Address of Subdi- vision Value of Amt. 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: Isar.^`{ — By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY � AUTHORITY MIAMI SHORES VILLAGE, FLORIDA �; BUILDING DATE 194 ELECTRICAL PERMIT N° 6996 License t ctNoe PLUMBING CONTRACTOR OR BUILDER nY BUILDING ELECTRICAL PERMIT Nn 6845 PLUMBING V Work to be perforne, under t s P mit Ownefrof wilding /t MIAMI SHORES VILLAGE, FLORIDA] } , f DATE / '`✓ 194_ A ehlite � 4 Pontrac or pr Builder ` r Wal tot Bl. Subdi- vision Contractor's License No._ ddress of / �, yam^ 4Vject of II Amt. t ,;]ding �•' o Permit f �, This permit is granted toe contracioor or builder named above to construct the building or to install the equipment or device described in the appli- �ation herefor in strict complian with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Mans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the Iesponsi 'lity_ for a thorough knowledge of the pqdinances and e6lations pertaining to the work covered hereby whether shown on the plans or drawi ' gs Yn s tements or specifications and that h es respon- ibility for work done by his agents, servants or employees. ✓ F - - - - -- Signed: By ' In consideration of the issuance to me o this permit I agree to perform Ne covered hereunder in compliance with all or gces and regitlationsr- ing thereto a in strict confor t the p1 ns, drawings, stat r pecificatio;as sub itted to the proper authorities of iami Shores Village- -pting this per it I a$egn respO4si for all work dgpg by ei tjtgr myselVmy, agent,,Jervanypr employee. OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect __ Contractor or Builder _ Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE — 19 PERMIT N° 7226 Contractor's License No. Work to be performed under this Permit — Bl. Subdi- vision Address of Value of 11 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: __ -- 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- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 4680T aV MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT el APPLICATION FOR PLUMBING PERMIT Permit No. - - - --- - - -- Date--- - - - --- - -- -- -- - --- Application is hereby made forte approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Employing Plumber's No. - - - - -e - o -- — -- � —�- Street - - - -/ _ Location and Legal Description Lot ___1___, ''_ �____________________________ _-- _- ___-- _- _- _- - - - - -- Sub( Street and Number where work is to be performed—No ----- __ ___7__'_ _ _ __ Street._:- < - 0_. State work to be performed and purpose of building (By Floors) ---------------------------- New Building ----------- — --- _ ____ Remodeling ----------------- ...__--- _ -_ - --- Addition ---------- ) Repairs------------------ - ---- -- No. of Stories------------------- - - - - -- Size Septic Tank ------ - d-- - - - - -Q - -- -Type of Tank--------------------------------------------- // �` Feet of Drain Tile ---- L-- --c�2--Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ------------------------- — --------- — ----------------------- Size of Soakage Amount of Permit Gals--------------- - - - - - - - - --- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an'tSployer of lab f, under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corfi- 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) .0 ----------------------- - - - - -- -- ------------------- - - - - -- ------------------------- Master Plumber. ------ STATE OF FLORIDA, ss. '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- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FoUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE" SOLAR DEEP SPRKLR. SWIM 'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank ------ - d-- - - - - -Q - -- -Type of Tank--------------------------------------------- // �` Feet of Drain Tile ---- L-- --c�2--Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ------------------------- — --------- — ----------------------- Size of Soakage Amount of Permit Gals--------------- - - - - - - - - --- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an'tSployer of lab f, under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corfi- 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) .0 ----------------------- - - - - -- -- ------------------- - - - - -- ------------------------- Master Plumber. ------ STATE OF FLORIDA, ss. '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- 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 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle)- Buildin Owner's Name (Fee Simple itieholder) Owner's Address /0 7 /d% /�(�L-_5 !� City Tenant/Lessee Job Address (where the work is being done) D M C M 94UM Permit NJT q DEC 0 4 ZO ster Permit No. B Y. ----------- trical Plumbing Mechanical Roofing Phone #- Zip /3g Phone # City Miami Shores Village___ County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name l Phone # Contractor's Address City. Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $_N90 Type of Work: Describe Work% ll'kj State Zip Phone # Certificate of Competency No. Phone # Square/ Linear Footage Of Work: ; Jew ❑ Repair/Replace El Demolition Submittal Fee $ Permit Fee $i CCF $O- CO /CC Notary $ Training/Education Fee $ Technology Fee $ Torn Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ DPBR $ Zoning $ Double Fee $ r/ "2 Total Fee Now Due $ l ' See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and 'reinspection fee will be charged. Signature Signature Owner or Agent //jj Contractor The foregoing instrument was ackn wledged before me this 04 The foregoing instrument was acknowledged before me this____ day o�� by ( I day of , 20 _, by — who is personally known to me or who has produced ✓! �ho is personally known to me or who has produced w nine n As identification and who did take an oath. NOTAR Sign: Print: My Con fission Expires: APPLICATION APPROVED BY: (Revised 02/08!06) identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 98 My Commission Expires: l o / C//0}4 Plans Examiner Engineer 1 Z / U (` i,4:, Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date-'/ `' '76 Job Address Ze 7 AI E ) 0? Tax Folio Legal Description Historically Designated: Yes No �1 ssee / Tenant S% Master Permit # 3 C L/ c7 Rs Address Phone—/ Contracting Co', _ /� t,9 OZ' Address Qualifier SS# - - Phone State # Municipal # Competency # Ins. Co.' Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION�1�` Square Ft Estimated Cost (value) 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner ' andlor Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date No a, ctor or Owner- Builder Date My Commission Expires: My Co rr a fi iWFPpclAL N A� SSION NUMBER ` C C 40 1261 c;0MISSION EXP. --_ 17 i 9 n g FEES: PERMIT '"7 O. RADON C.C.F. `5 NOTARY TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering i PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7- ' Job' Address 107 -W, Gc /0S Tax Folio Legal Description Owner / Lessee / Tenant Master Permit #, -0,. Owner's Address 7 /f% %� � Phone MsZ_ !z2&IR2 Contracting Co. _d270e-. Address l ?CLt 4/. &2 LJ Qualifier b&,A2ie 'Alli laitJ SS# Phone 7- 7: 1:! State # M nicipal # Competency # Ins.Co. jecu4 1 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK ? -- -� Square Ft. Estimated ost(value). s acp 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 requiredlfor ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: be done in c is authorize he aboi Signature of owner Date: Notary as to Owner My Commission Expi certify that all the foregoing information is accurate and that a k will th all applicable laws regulating constr = tion and zo ur rmore, I Ime contractor to do the work stated o� l /or Condo President ignature of Contractor or tmer-Builder Date: 7 11016 v Al A- BARBARA ANN FUGAZZI COMMISSION NUMBER CC360191 sF .. M *MI ^,1O dho F it FEES: PERMIT 37 s v RADON C.C. APPROVED: Fir Zoning Bui Mechanical Plt Notary as to Cant My Commission Exp NRY FUO OFFICIAL NOTARY SEAL BARBARA ANN FWMI COMMISSION NUMBER CC360191 ➢-' � 1IY CouftSION L*. OFF`O MAR 90 ionn Other ink -MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r Permit No. --- Date - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm d for the gilding or other structure herein described. This application is made in compliance and conformity. with the Building Ord1pance of Miami Shores Village,, Florida, a" 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 he kept at building during progress of work. �/ Owner's Name and Address_: - — r"--------------------------------- No ---- ------- — ----- - -- ------ Street - -- - - - -- Registered Architect and /or En ' eer - - - -_ _ ___ -- � Employing Plumber's Name - +_- _a" i! !! _ - -__!� _G? .f'� -- - -f _ ___o. —!t±'- ` eet --- - - - - -- - -- -- Location and Legal Description Lot_____J --- _1-- ------- - - ---------------- - Block_ - -- --- - - - - -- - - - - -- Subdivision_ - -_-- Street and Number where work-is to be performed— No: - -_./ L -) - - -__ �-A, ___ - - - _ -- _Street___ _----------------------- -- - - - ----------- - - - -- - - - - - -- f State :work to be performed /and purpose of building (By Floors New Building Remodeling -__ - -__ - - -_- _____ - -____ Addition --- - --------------------- Rep,4rs ----------------- No. of Stories ---------- k' -- _ Size Septic Tank--- - - - - -- - - - -- - - -- - - - -- - - -- - - - -- -Type of Tank --------------- - - - - -- - - - -- -- - - - - -- - - - - -- Capacity Gals.- - -- ;Feet of Drain Tile-- ----- -- - - -- - - - -- - - - --------- - ---- - ---- Dist. Feet of Tank or Drain Field fr om Well ------------------ - -- ------- _ ------------------ - -_ -- ----- - -_-�_ -- -- _ -__ -- Nature of Water Supply: City — Well .----- - - - - -- =-- ------------------ - - -- - - - - -- - -Size of Soakage Pit------------------ - - - - -- - - - - - — -- - - - - -- ---- --- - -- -- -- -- - - - - -- - -- _ -- - -- -- --------------------------------------- - - - - - -- - - - -- - - - — - - t,� - -- -- -- - - Amountof Permit $- - -- - -- -- - - - - -- - - - - -- - -- - - - -- - — - — - - ( 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; o-ltu( �� v Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. EL 01 npFE LDVE': PERM IT APPLICATI Master Permit No. FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) Aa` 4c-4-tc iY•[�ophone # ZC) :S - 72 -5 -' �YZ(o Owner's Address Q /� (d?jnr-i City !l ,,n_M; Skorc g State �L Zip 331.3 Tenant /Lessee Name Phone # E -MAIL: Q �,cLr- i y►�at�> Q� 1 G.!✓�bb • �!� Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO /PARCEL # �, — aJ_3 ( 0 Is Building Historically Designated YES NO� Contractor's Company Name Contractor's Address City —&LamZ _ Qualifier Name --M--1 State Certificate or Regi E -MAIL: �i9rr6M. State Architect /Engineer's Name (if applicable) Phone # Rigs— 7SX -- I g) t Zip _313,0 Phone # 30S' -.S�g— Certificate of Competency No. Phone # Value of Work For this Permit $ DO. QD Square / Linear Footage Of Work: Type of Work:. ❑Addition . XAlteration ❑New Q Repair'/Replace [; Demolition Describe Work: NG/yI�✓u ®I/��'�j �G�'//�l "}" r � xxxxxrx xxxYxrxxYxnx xxx x � Fees*** Submittal Fee $ u/ Permit Fee $ /60144 ,10, CCF $ tzo CO /CC Notary $ 5. Training /Education Fee $ I, Technology Fee $o _ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City S tate Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 0 ktek-at A An Q Owner or Agent The foregoing instrument was acknowledged before me this day of G(Lr 120 0q, by who is personally known to me or who has produced j)yt'ue k 14GC4/'.`c As identification and who did take an oath. NOTARY PUBLIC: 14- X355 — ®P5� 5 - '- 5`eLt--® Si Print: My Commission Expires: y �g) Zt APPLICATION APPROVED BY: (Revised 02/08/06) Signature ` Contractor The foregoing instrument was acknowlle /dged before me this fly day of o 20M , by %i1i�1;e) *#W4, who is ersonally kno n to me or who has produced as identification and who did take an oath. NOTARY .PUBLI Engineer Zoning