PL-05-303Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /12/2005
Applicant: CARL
Owner: GRAY
JOB ADDRESS: 10204 NE 2
Contractor ALL PRO SEPTIC & SEWER INC
Local Phone: (305)635 -3002
Parcel # 1132060131720
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2005 -303
GRAY
CARL
AVE
Contractor's Address: 2700 NW 27 AVE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5
BLK 13 LOT SIZE
Fees:
FE E2005-13424
FE E2005-13425
FEE2005 -13426
FEE2005 -13427
FEE2005 -13428
FEE2005 -13429
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$350.00
$3.60
$1.20
$7.50
$3.00
$300.00
$665.30
Total Fees: $665.30
Total Receipts: $665.30
Permit Status: APPROVED Permit Expiration: 4/5/2006 Construction Value: $6,000.00
Work: TANK AND DRAINFIELD REPLACE
FAlb
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 responlsibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:.
Approved
Correction
Re- Insp'n Fee
4461 NOV 0 1 2005
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date CIZ 1 I c8
Type Insp' n"� 1 SA L
Permit No.
/ :1 - 05 - 303 2,41-/N
Name � -�'
Address 10204 NE Z
Company's -L- 'PAO C. 4
Phone# 1. '-
Inspection Date I®
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Buildin' Electrical
Tenant/Lessee Name
Describe Work: `
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
PECER D
OCT ij 15
Plumbing
Owner's Name (Fee Simple Titleholder) 6,det. 6€007e/0 4hone #
Owner's Address /0201 c9
€ State
Zip
Phone #
)O-
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO ,
Contractor's Company Name C� ne # Lam ° -
Contractor's Address ( 21-A1Q
Cit A4073; State Zip
Qualifier B �- g- CA-
State Certificate or Registration No. S ®Ft' S Certificate of Competency No.
Architect/Engineer's Name (if applicable) �1o'� Phone #
$ Value of Work For this Permit g2
Type of Work: ❑Addition ['Alteration ONew Repair/Replace O Demolition
- P t• 91 1 Nee
****************************F
* * * * *, Fees * * *, * * * * ** ** * ** * **** * * * * ** * * **
Submittal Fee $ Permit Fee $ 1 1 CCF $ 3 f , CO /CC --
Notary $ Training/Education Fee $ 1 . 2 O
Scanning $ . � Radon $ Zoning
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Permit No OS 3
aster Permit No.
Mechanical Roofing
Zip 3 I
Square Footage Of Work:
Technology Fee $ .
Bond $ 3C0 • D0
CCT 0 7 PAID
1
Bonding Company's Name (if applicable) k
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Own or Agent Contractor
The foregoing instrument was acknowl dged before me this r-"Th The foregoing instrument was acknowledged before mthis7
day of ° , 2 by day of l+ ° , 2O(, by �ci;�-�,
who is personally known to me or who has produced who is personally known to me or who has produced °'®
as identification and who did take an oath.
NOTARif ,'UBLIC: / ' NOTARY PUBLIC-
Sign: ( 1 A , 1 /1 Sign:
Print: 11 R (� S Print:
�mvE9S�AivS
My Commission Expires: * t * MY COMMISSION 8 DD 28132€ My Commission Expires:
EXPIRES; January 14,2008
*136111M$dagtst'N half fi
As identification and who did take an oath.
* * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ofF%
* MY COMMISSION 8 0D 281326
EXPIRES: January 14, 2008
*IRMA Ithlitteeftirf &Vices
********************)1******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/010"' 0 lans Examiner
Engineer
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
-PERMIT NO.
TAX FOLIO NO. V ` 3'
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and stre
,
2. Description of improvement:
3. Owner(s) name and address:
I,C)'). / _S /49 s,F. 3 3 ) 3
Interest in property: 043--
Name and address of fee simple titleholder:
4. Contractor's name and address:
Signature o 'Ow er
Print Owner's Name
123.01 -52 PAGE 4 10/04
Notary Public
Print Notary's Name
My commission expires:
ddress: OaO1t 1 -YE- e
• 3313Y
Sworn to and subscribed before me this 1 day of 0
' 'N, MARIANEA RA
MY COMMISSION # DD 241470
CFN 2005R1n4
OR Bk 23844 Ps 3579; tips)
RECORDED 10/05/2005 15:33 :37
HARVEY RUVINr CLERK OF COURT
I'IIAMI -C' C'E COUNTYp FLORIDA
LAST PAGE
C.
--t. '3
5. Surety: (Payment bond required • owner from contractor, if any)3Ta OF FLORIDA, COINITY OF CADE
Name and address:
Amount of bond $
6. Lender's name and address:
A
crgice
WITNESSrryh..., -.,,, c A �
AfOr
alGODV
7. Persons within the state of Florida designated by Owner upon whom not
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address: I i .'
6-e-44-c(
EXPIRES: August 13, 2007
Bpi Thee Bret Notary Services
I HEREDY RTIE1'thzitth s 'opye^ +"f=
rr +vJa► ' - Y
31111111111111111111111111111
s or other documents may be served as
8. In . addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
c 74, 44 1eri
' 20 66) /T"'
Address: ,
� � 3J" ��