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PL2005-163 MIAM"HRES VILLAG"C� BUILDING DEPARTMENT & " CO, ep Building Inspection Request ( Date q 1 U 145 Type Insp'n FAA �yW Permit No. t?LUW-ILL °° Name ._�, 1 WA W%U Address Company 1�OO�S Phone# lye Inspection Date 105 Approved Correction ❑ Re-Insp'n Fee ❑ 3-3 8Q �,4 MIAMI SHORES VILLAGE �� BUILDING DEPARTMENT ` 305-795-2204 Building Inspection Request Date `lVS Type Insp'n�)6d j l Permit No. _L Name C-6 i'UVI Address I M e I�C3 ST Company,4M lool Phone# I U1 I 'b01 -0`l 5 Inspection Date 31 0-LI Approved b/ Correction ❑ Re-Insp'n Fee ❑ t�t MIAMI SHORES VILLAGEe BUILDING DEPARTMENT 305-795-2204 Building Inspection Request I Date— WI QS— Type Insp'n %A-U61(k k Permit No. !p L C.WS-\ -� Name C dl�AZ 1A/V ft Address Iza) vF S-T Company NYS R7()l S Phone# -7 Inspection Date U 4 Approved Correction U Re-Insp'n Fee ❑ Miami Shores Village Plumbing Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: PL2005-163 Printed:7/20/2005 Page 1 of 1 Applicant: COLLEEN WING Owner: WING COLLEEN JOB ADDRESS: 1200 NE 103 ST Contractor MARS POOLS Contractor's Address: 1000 E. ATLANTIC#11 Local Phone: 954-214-2844 Parcel# 1132060340290 Legal Description: MIAMI SHORES SEC 8 PB 14-33 LOT 7 BL 186&TR 186-A OF PB 31-41 LOT SIZE Fees: Description Amount FEE2005-9921 Building Fee $160.00 Total Fees:$117.80 FEE2005-9922 CCF $0.60 FEE2005-9923 Training and Education Fee $0.20 Total Receipts: $0.00 FEE2005-9924 Technology Fee $4.00 FEE2005-9925 Scanning Fee $3.00 FEE2005-9926 Submittal Fee ($50.00) Total Fees: $117.80 Permit Status: APPROVED Permit Expiration: 11/20/2005 Construction Value: $1,000.00 Work: POOL PIPING AND MAIN DRAIN JUL 2 0 PAI® Signed: (INSPECTOR) Cile:- # 2 �. 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 responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Huilding Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fag:(305)756.8972 BUILDING ° - Permit No. PIO5— K65 PERMIT "PLICATI *4 -- �� Master Permit N6.50®5=110 FBC 2001 �® Permit Type(circle): Building Elec ° 1 umbing echanical Roofing Owner's Name(Fee Simple Titleholdery:3 f �'� coL o C� W skP`' one# 50S • Owner's Address 1a.0 0 of, 103 S-T ' City, �!oe-%,► SI►a l.e s State IF t.. Zip '3'013 Tenant/Lessee Name Phone# Job Address(where the work is being done) J->,00 LW, ttl>) ST City Miami Shores Village-- County Miami-Dade Zip 'a31 Q Is Building Historically Designated YES NO Contractor's Company Name /�?'Q'0 1 `®/ /f Phone# �� s Contractor's Address /000 City *000%40,06W d ew G�1/ State jor Qualifier State Certificate or Registration No. �aSS�75� Certificate of Competency No. Do ' Architect/Engineer's Name(if applicable) Phone# 00— $Value of Work For this Permit f0 O Square Footage Of Work- Type of Work: []Addition ❑Alteration 01 e/w ❑ Repair/Replace ❑Demolition Describe Work: A o / e%R ilOF �L/ A'�I�l ,��1 ,�✓B f`J Submittal Fee$ -00 Permit Fee$ /N 6F CCF$ 0• CO/Cc= Notary$ Training/Education Fee 0.20 Technology Fee$ 4•CO Scanning$ 3.00 Radon$ Zoning - Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ t (Continued on opposite side) c Bonding Company's Name(if applicable) Bonding Company's Address City State Zip a " 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature C Signature "4�11 Owner or Agent Contractor The foregoing instrument was acknowledged before me this t The foregoing instrument was acknowledged before me this 2,0 day of #41OX 20-by� A i h day of d 20 rby 14, who is personally known to me or who has produced `' who is personally known to me or who has produced As identification and who did take an oath, as identification and who did take an oath. NOTARY PUB ptpexq,�./...../ /GARYKILO/ORS •o r vp • Commtsaton OD0103� ARY PUBLIC: Sign: EVJr!s 4/8/2008 Sign: cnFt'v`KILGORE o, ppa�.r Print: h'""�-a25a1 Flea NotaryAIr�o. ... Print: metres 4/enoo6 Bonded My Commission Expires: My Commission ,' �azsa� Ftodda Notary Asan.,Inc. ../.t........././ • *t�ttti'�t iit$tit t$f't tit 9iP tiP Sit SfT'a1P$flit 9't iTt 9Q 91P Sit tiP 9ittiP 7iP 4t tit tit 9lt tiP dP tiPtiP lif t'P 71691 dt 91Ptti'dt liPtit 4ttit9ittiP 4t4P dttY9t 4t&dt dtdt 7F 4t 1TP 9t 71P 9Y tit tiPdt tV 1iPdt TTP 9Y tiP9Yaktitt4 dt&ff tit4t t8tiP7F4tt4aY ft dttSt9ttF 314t9P df 7iP 4t dt 4t 9tdi tY tY tlP 1@ APPLICATION APPROVED BY: �'��J plans Examiner Engineer Zoning chc 05/13/03 r ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM MIT FEE BATH TLE SWITCH OUTLETS SPACE }EATERS LIGHT OUTLETS CENTRAL HEAT IIO BIDET 01SHWASIER RECEPTACLES A/c (WIND)DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/bl£TER CHANE REFRIGERATION GUSE TRAP APDLIANCE OUTLETS PROCESS AND PRESS PIPIM 1 NI MEPTM RANGE TOP UIOER&MM TANKS LAVATORY OVEN ABOVE GROW TANKS XY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHDMyER . MOTORS OVER 1— 3 W HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3— 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8— 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEW URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 W VIOLATION 1 t0 IRECT WASTES- AJC W I MOOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 4 f$ATER—t�EW INST. GENERATORS TRANSFORMERS HEATER—REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER—WELL SPECIAL PURPOSE SWIM MING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY—SEWER SIGN TIME CLOCK UTILITY—WATER FIXTU RES SEPTIC TANK AHTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4` TILE/RES. VIOLATION PUMP A ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL NEST IC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL P IP i tau LAWN SPRINKLER SYSTEM GAS RAh1GE I ME'T'ER SET (GAS) GAS PIPINa I I f