PL05-1266 i
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd amores,
y 2d AMiami Shores,FL III
Pho : (305)795-2204 Fax: (305)756-8972
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Inspection Date: 01/26/2006 Permit Type: Plumbing - Residential
Inspector: Levrack,James
Inspection Type: Final
Owner: WING,JAMES Work Classification: Sprinkler System
Job Address: 1200103 Street NE
Miami Shores Village, FL 33138- Phone Number (305)754-6024
Parcel Number 1132060340290
Project: <NONE>
Block: Lot:
Contractor. AFFORDABLE IRRIGATION, INC Phone:305-681-6322
Building Department Comments
Inspector Comments
Passed
Failed
a
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Tuesday,January 24,2006 Page 1 of 2
II�
1
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: 12/20/2005 Expires: 12/19/2006 Permit Number: PL-12-05-1266
Owner's Name: JAMES WING one:
Permit Type: Plumbing-Residential Parcel#: 1132060340290
Work Classification: Sprinkler System Block: Lot:
Job Address: 1200 103 Street NE Section: PB:
Miami Shores Village, FL 33138-
Contractor(s) Phone Primary Contractor Total Square Feet: 0
AFFORDABLE IRRIGATION, INC 305-681-6322 Yes Total Valuation: $ 2,000.00
Comments: Reguired lnsR@ctions
LAWN SPRINKLER INSTALLATION Underground SprinklerFinal
Additional Information
Type of Work:SPRINKLERS Type of Piping:
Additional Info:
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 Invoice Number Amt Due Amt Paid
CCF $1.20 PL-12-05-23181 $178.60 $178.60
Education Surcharge $0.40 Total: $178.60
Miscellaneous Fee $70.00
Permit Fee-Additions/Alterations $100.00 DEC 21 PAID
Scanning Fee $3.00
Technology Fee $4.00
Total: $178.60
Building Department File Copy 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.
Ap ' nt Signature
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fag:(305)756.8972
BUILDING R - 'E NE ID Permit No.pt-05—126b
PERMIT APPLICATION ®EV d ,905 Mq ter Permit No.
FBC 2001
Permit Type(circle): Building Electrical/ Plumbin Mechanical Roofing
Owner's Name(FeeSimpleTitleholder) Colleen Wl Y?faPhone#
Owner's Address 1 2W 1)S 10 3 S1`t-ee-4-
city 1rn,1 psrn 1 State F L zip 33) 3
Tenant/Lessee Name Phone#
.lob Address(where the work is being done) -�-
city Miami Shores YfflUe County Miami-Dade zip 331
Is Building Historically Designated YES NO
Contractor's Company Name
� A46N�i�6e l (29-�CIC�L"one# 3'S- 69�r(,Q �ZZ
Contractor's Address `-'I p �� 13G S Wee-
City M AM( n State t L Zip 33 CD d
Qualifier r(�C,rQQ Roskots
State Certificate or Registration No. �— Certificate of Competency No. % i"=
Archited/Engineer's Name(if applicable) Phone#
v'
$Value of Work For this Permit 1,201010 Square Footage Of Work:
Type of Work: DAddition bUteration []New Demolition
Describe Work: Nu, -
fau�0 Sodin-k1er MST�Tal t
,os .
1.�OuA
acsasuaeama.m
**********fie********fUdfi*$t7kdt4tshFp�.finRdt4paR**fY**1D****91f*dt**de********7Pf
Submittal Fee$ Permit Fee$_� CCF$ CO/CC.
Notary$ TraininglEducation Fee$ Technology Fee$
Scanning$ Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$ , ( �Q • �3�.
(Continued on opposite side)
i
Bonding Company's Name(if applicable)
Bonding Company's Address
City State zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO. OBTAIN 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$2500, the applicam must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certifted copy of the recorded notice of commencement must be posted at the jab site
for the first inspection which occurs seven (7) days after the building permit it issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
Owner or Agent Contractor
The foreg ing instrument was acknowledged before me this�� The foregoing instrument was acknowledged before me this
day of 20 AJCby /i n ci day of 2 GG 20- - �, A;CV o J10c,
who is personally known to me or who has produced ho is persona1VMWs ho has produced_T_
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUB NOTARY PUBLIC:
Sign: Sign. F'
Print pmt v 6`c �`�'j-�
My Commission Expir My ion Expires: o'`��'r p''�., 0 @ Toledo
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......p��o Handed Thm
�nnn�•' Atlantic Bonding Co.,Ire.
��*&k�*kaseR+S+kk8kkdkkkkstk$kk&+R8*e$4Rk864s&Bk► �i# s#a �IrBb#+R&&&kkses�kkffi8R#*$+B+Rs'#Bt�`88*B*tP*+B#+R#BkBM#e8
APPLICATION APPROVED BY: / O plans Examiner.
Engineer
chc 05/13103 Zoning