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PL08-1490 Miami Shores Village Building Department ' 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BUILDING RECEIVED Permit No.1 W� —149V PERMIT APPLICATIOT AUG, 1 1 2008 Master Permit No.. FBC 2004 Permit Type: Plumbing Owner's Name(Fee Simple Titlehdlder)%-TX1W1?4/VA9-56-Q�/l--'-phone# 30-5�� o 7 Owner's Address Z02 Ciel AA215;� M/ State Zip .. / q�` Tenant(Lessee Name Phone E-MAIL:(9Z C&C10/IfL5 �G/��/l�® LDIJ � Job Address(where the work is being done) /�7� zS .7 City Miami Shores Villaee County Miami-Dade Zip3 8" FOLIO/PARCEL# 40-3 102,_tg �s�i�+ Is Building Historically Designated YES NO Contractor's Company Name hone Contractor's Address- city ddress City State-ZZip s' Qualifier Name Phone State Certificate or Registration No _Certificate of Competency No. E-MAIL. , Architect/Engineer's Name Pf applicable) Phone Value of Work icor this Permit S � � � Square/Linear Footage Of Work: Type of Work: DAddition - " []Alteration []New E Repair/Replace El De olition Describe Work: �. 9Tf$f L1t$Pdt 7Y fk97nit1414 tt9Ytk4rdnYlb 91tdt 9Y 9fil't df 9Y7Y7Ydt9kdt&9Y 11t9t9k tYdttY tY �5.149Y sY7Tf7PttY1k f411ttk9ktYtnktYlkW1Y$t&tkdt tY dtlP�r t4st tYfYfr�dt74&9'Pdf t'P#7k9t tfrx'tk Submittal Fee$ Permit Fee$ CCF$ LZD CO/CC Notary S Training/Educatio $ Technology Fee$. Scanning Radon$ DPBR$ Zoning$ ` . Bond$ Code Enforcem„ngt$ 1 Double Fee$ r Structural Review.$ �ee Now Due$ t U t-lb MIA dAav 65 See Reverse side-+ Bonding Company's Name(if applicable) t "A. Bonding Company's Address City State Zip . Mortgage Lender's Name(if applicable) Mortgage Lender's Address :1 Y 3; Zip Cit Stat6 ,b�j• ` Application is hereby made to obtain a permit to Ilo the work''iid instaflatidns 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 RECORDINGYOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant roust 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 commencemevet 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 Signatur �� '��o Signatur Owner or Agent Contractor p The for instrument was acknowledged be a me thii{s L� The fore_ ' g instrument was acknowledged before me this 48 day of 20 by i'1 05��h�i�� day of ,20 by w� ��L�dL�S•— who i nally known a or who has produced who is nal nown to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY P YC: NOTARY PU Sign: Sign: Print: .elf My Commission Expires: MA111HAD.CM80 ►'' y WMy Commission Expire 't'►��ks�;- OLt#11LPB�Z $OD885,�4 WCOMMIS4OMD407143 ot* Thru N4Wy APPLICATION APPROVED BY: ! 2 '-olop—Plans Examiner F_ Engineer Zoning (Revised 02108/06) 1� ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM.IF A MASTER PERMIT HAS BEEN OBTAINED,THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE O DISCIPLINE APPLIED FOR: PERMIT# PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C(CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F.PRESSURE VESSELS SINK.POT/3 COMP. MOTORS 0-1 HP STEAM BOILERS SINK,RESIDENCE. MOTORS OVER 1-3 HP HOT WATER BOILERS SINK,SLOP. MOTORS OVER 3-5 HP MECHANICAL VENTILATION TEMPORARY WATER'CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8-10 HP ELEVATORS/ESCALATORS WATER CLOSET MOTORS OVER 10-25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTESMOTORS OVER 25-100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNITAIC WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER-NEW INST. STRIP HEATER HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS JOUTLETS COMMERCIAL UTILITY-SEWER SIGN TUBES UTILITY-WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY IFIXTURES FAINFIELD,4"TILE/RES. ANTENNA PUMP&ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU.FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET(GAS) GAS PIPING °ns$ic~' Miami Shores Village :•>:<:;;�•.:•. •:. *..:• : .:...:•: F� f�> , 10050 N.E. 2nd Avenue r >, ff .a i - Miami Shores,FL 33138-M >. ••''3� .::<' �''�� >'<: # �� •'�:>:>::::::>�::>�::`::::>:> ::>::>::>::>:::»::<:::>:::::<<::'::.�:>::»:�<::s:><:>'>?::::::�:i<::»>::<: <:: :: : ::> ::::.. :.:.;:.:.::::.3:.3:......... .: .....:..;;:. .. >:;<:: ijKi . / Phone. 305 795- ., 2204 e w i ExP iration• 1 . 02 1 12009 Project Address................... ParcelNumber Applicant .................................................................................................................................... 1200 103 1132060340290 Miami Shores Village, FL Block: Lot: GARY GENTILE :..•.•.•..:.•.•.•x:.•.,,,•.•...•.•.Y•3•.•..:.v.,:•>:•..•...•.•.•.•.•.•.:•333;:✓✓...•✓.•.'•..•.•.•.•.•.'.3 r.•✓rc✓�.•F.✓f•Y.r•r.•.,•:..✓�.•...�m ..,,•« .✓n..•.•.•.•n...,,,, .•�.v.•n..✓ ............ ...... .>Y>35...::.f.f,✓•'.. .va✓..»..•h.....°�:.i.•.....a.�,f.. f�%n,,,vlvva✓..✓..;•eia?✓$A`A.vL,`See`c•..»»a✓....•..•.•?..•p3»,4.v✓✓✓✓✓3.3u'S......h�........::.•:e�P3.t:.o}:::::}::$ii$::::i::y: ::{{::::i is{2i{::2i::+ti::::::•::i ....R!!Yngr.lllf.Q[IIIiQfl..........................................................Address..................................................................................Phone...................................................Celi.............................. GARY GENTILE 1200 NE 103 Street 305-754-6024 MIAMI SHORES FL 33138-2002 :...:.::.,.rt✓,..,3.,».,,,,,..,..,..3 -......a°.�. a>:....:.: 'wa✓:.:.:✓:.:i:.-:3�.a..w✓..::via,.twa»a✓a✓v.✓".�35�,.:::::<::..✓a'S,.,,...✓aasaa.�a:.ra.T:a",... c: a<.>,..✓✓ a3?a,�..:: ,::.•<si: -..a✓.. F✓..•.•.•...v.•.,..va✓..... .... ..................... .aa...aa....44 ...........,.,.:ir,.3:.;.:G•✓:'.;?:.;.,}}y::Y::..::..:......re .. ...a an4.....n............nom...... .. ..................................................................................♦ Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 AM SOUTH PLUMBING INC _ ....._ ...... ..................._ ._ ... ....... Totaleet Sq F 0 Type of Work: Available Inspections: Type of Piping: Inspection Type: Additional Info: Re Pipe Bond Return: Lavatory Classification:Residential Top Out Main Drain Final Water Service Heater Underground Rough Water Main Fees Due Amount Total Amt Paid Amt Due CCF $1.20 Education Surcharge $0.40 $0.00 $0.00 $ 0.00 Permit Fee-Additions/Alterations $180.00 „.,.,•...••••::; 3� Scanning Fee $3.00 Payment Type: Technology Fee $4,50 Total: $189.10 SEP 18 2008 MIAMI SHORES VILLAGE 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 . August 15, 2008 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Friday,August 15,2008 1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 ow Inspection Date: 10/01/2008 Permit Type: Plumbing - Residential Inspector: Levrock,James Inspection Type: Underground Rough Owner: GENTILE,GARY Work Classification: Addition/Alteration Job Address: 1200103 Miami Shores Village,FL Phone Number 305-754-6024 Parcel Number 1132060340290 Project: <NONE> Block: Lot: Contractor: AM SOUTH PLUMBING INC Building Department Comments REMOVE BATHTUB AND INSTALL SHOWER. ADD ONE LAVATORY AND CHANGE WATER CLOSET 1. a or Comments PassedEPL VCONTACT CLIFT BEFORE ARRIVAL(786)229-9728 Failed El Correction Needed Re-Inspection it Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday,September 30,2008 Page 2 of 2 * . r Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shorey,FL Phone: (305)795-2204 Fax: (305)756-8972 so Inspection Date: 10/01/2008 Permit Type: Plumbing - Residential Inspector. Levrock,James Inspection Type: Top Out Owner: GENTILE,GARY Work Classification: Addition/Alteration Job Address: 1200103 Miami Shores Village, FL Phone Number 305-754-6024 Parcel Number 1132060340290 Project: <NONE> Block: Lot: Contractor. AM SOUTH PLUMBING INC Building Department Comments REMOVE BATHTUB AND INSTALL SHOWER. ADD ONE LAVATORY AND CHANGE WATER CLOSET &PLE omments Passed ONTACTCLIFT BEFORE ARRIVAL(786)229-9728 Failed El Correction Needed w Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday,September 30,2008 Page 2 of 2 i