PL-03-343Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/16 /2003
Applicant: BARRY
Owner:
JOB ADDRESS: 11300 NE 2
Contractor MARLIN PLUMBING OF MIAMI INC
Local Phone: 305 - 652 -6108
Parcel #
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2003 -343
UNIVERSITY
AVE
Contractor's Address: 20145 NE 16 PL
Page 1 of 1
Legal Description: 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS W4OFT LOT SIZE 1740400
Fees:
FEE2003 -8369
FEE2003 -8370
FEE2003 -8371
FEE2003 -8372
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$380.00
$4.80
$1.60
$9.50
$395.90
Total Fees: $3 ®0
Total Receipts_
Permit Status: APPROVED Permit Expiration: 6/9/2004 Construction Value: $8,000.00
Work: RUN 75' OF GREASE LINE, 130' WATER LINE 4 FLOOR DRABS. ROUGH AND SET 7 FIXTURES (SODA DISPENSORS,
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:
•` PERMIT APPLICATION FOR MIAMI SHORES V
Date 12 — 12 Job Address // /VI 2 /7 Ue
Legal Description
Owner/ Lessee / Tenant ,t��rrr at, v2,'
Owner's Address Phone
Contracting Co. A d/ n //am dfnL / �� Address 20/v5 /f/e % /l ee
Qualifier &W O X /O(/a /IP-.- SS# ; Phone Ar-6Sa —
State # (? O 9P f Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address -
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUM ROOFING PAVING FENCE SIG=
WORK DESCRIPTION hp 7S J / ?0 1 A44, �it / V /fUu✓ �iT. i�,•.
4 1 be 7 /641A rev- (4/4 1 7 e r -"/�4e Mli 44i+9 } ' c ' ctn.) &/- Godee 4
Square Ft. Estimated Cost(value) f 0 oo®• 00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO IN
50 MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU IZTEN1
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI
NOTICE OF COMMENCEMENT).
Application is hereb made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat
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 wil
be done in compliance with all applicable laws regulating c• = ruction and zoning. F thermore,
authorize the above-named contractor to do the work stat
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** *
Zoning Buildin
a • y
/7-4
ra,s nca r is
ti o-
N } * COMMISSION NUMBER
D0054320
�
F• C�
�` MY COMMISSION EXPI S
*OF Fl * ' SEP1�22,2005
'Ill'
INES MONTERO
*
Sign
Date:
Tax Folio
N. ary as to
y Commission
ONE D
DEC 1 2 2003
4 z '2 00 3 kt3
Master Permit #
ractor or Owner- Builder
der
FEES: PERMIT.,
el
RADON C.C.P. ( ))D NOTARY TOTAL DUE
- SO, 00'd( 5 (1 7 IZ, z•�3 ' A . 6Q"4\ ( 1,-5"
o
APPROVED: Fire Other
**
Electrical
Mechanical Plumbin_r Engineering
ITEM U
UNIT F
FEE I
ITEM U
UNIT F
FEE I
ITEM 1
1241T F
FEE
BIDET L
LIGHT OUTLETS C
CENTRAL HEATING
DISh1VASHER R
RECEPTACLES A
A/C (WIND)
DISPOSAL S
SERVICE TEWORARY A
A/C (CENTRAL)
DRINKING FOUNTAIN S
SERVICE SIZE IN AMPS D
DUCT WORK
FLOOR GRAIN y
y S
SERVICE REPAIR/METER alANGE R
REFRIGERATION
GREASE TRAP A
APPLIANCE OUTLETS P
PROCESS AND PRESS PIPING
INTERCEPTOR R
RANGE TOP U
U CERGROUNt1 TANKS
LAVATORY O
OVEN A
ABOVE GROUND TALCS
LAUNDRY TRAY W
WATER HEATER U
U.F. PRESSURE VESSELS
CLOTHES WASHER M
MOTORS 0- 1 if S
STEAM BOILERS
EWER )
) OTCRS OVER 1- 3 If H
HOT WATER BOILERS
SINK, POT/3 COMP. M
MOTCRS OVER 3- 5 P M
MECHANICAL VENTILATION
SINK, RESIDENCE M
MOTORS OVER 5- 8 If T
TRANSPORTING ASSEMBLIES
SINK. SLOP M
MOTORS OVER 8- 10 FP E
ELEYATORS/ESCALATORS
TEMPORARY WATER CLOSET M
M)TCRS OVER 10- 25 HP F
FIRE SPRINKLER SYSTEMS
URINAL M
MOTORS OVER 25-100 HP C
CODLING TOWERS
WATER CLOSET M
MICAS OVER 100 HP V
VIOLATION
INDIRECT WASTZS A
A/C WINDOW R
REINSPECTION
WATER SUPPLY TO: A
AIR COIU I T I ONERS
A/C UNIT S
STRIP HEATER
FIRE SPRINKLER G
GENERATORS TRANSFERS
HEATER -NEW INST. G
GENERATOIS TRANSFORMERS
HEATER- REPLACE G
GENERATORS TRANSFORMERS i
ilinliii
LAWN SPRIKER- -WELL I
I S
SPECIAL PURPOSE
SWIMMING POOL O
OUTLETS CIMERCIAL
WATER SERVICE S
SIGN TUBES S
SEWER C S
SIGN TRANSFORMERS
UTILITY -SEWER ■
■� S
SIGN TIME aaac .
UTILITY -WATER F
FIXTURES
.�
SEPTIC TANK A
•
RELAY T
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES. V
VIOLATION
PUMP & ABANDON SEPTIC TANK =
=� R
REINSPECTION 1
SOAKAGE PIT CU. FT,
11111 `
`_
CATCH BASIN
DISCHARGE WELL M
ME
DOMESTIC WELL ■
■ I
A
III
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE -
-
METER SET (GAS)
GAS PIPING -
-
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
I ce Di s d
ix/0(e4 o M e
Tee e rea. y c-42
c0 F fe e r et"e. Y
ELECTRICAL
MECHANICAL
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. Pi- 09 3 '/ 3
PERMIT _ APPLICATION Master Permit No. 8i 3- / A5
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Phone #
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City State
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this ,000
0
Type of Work: ❑Addition `` ❑ Alteration
Describe Work P�l®.roilk� `y`e
Phone #
** ************************** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 350 CCF $ t f' 9 ®
Notary $ �'— Training/Education Fee $ l r 6® Technology Fee $ %j S O
Scanning $ Radon $ Bond $
Code Enforcement $ "— Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Zip
Square Footage Of Work:
['New l] Repair/Replace ❑ Demolition .
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 FT:FCTRICAL 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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20 , day of ,20by
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 PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print
My Commission Expires: My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
Chc 10/14/03