PL-07-204Issue Date: 2/13/2007
Owner's Name: SANDRA ALICE SOUTHMAYD
Permit Type: Plumbing - Residential
Work Classification: New
Job Address: 10538 3 Court NE
Contractor(s)
TECO PEOPLES GAS SYSTEM
Phone
(305)957 -3857
Primary Contractor
Yes
Additional Information
Miami Shores Village, FL
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 08/12/2007
Type of Work: GAS
Additional Info:
Classification: Residential
Type of Piping:
Bond Retum :
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, 1 authorize the above -named contractor to do the work
stated.
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PL -2 -07 -204
Phone:
1122310130310
Lot:
PB:
Total Square Feet
Total Valuation:
Re ' uired Ins ' ections
Underground Rough
Water Main
Top Out
Main Drain
Lavatory
Water Service
Re Pipe
Heater
Final
0
$ 2,500.00
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$0.60
$160.00
$3.00
$4.00
$169.40
Invoice Number
PL - 2 - 07 - 27507
Total:
eeitAr��
Amt Due
$169.40
Amt Paid
FRS 1 5 P
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.
:teturn to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Bill To
SANDRA ALICE SOUTHMAYD
10538 NE 3 CT
MIAMI SHORES, FL 33138 -2010
Date
Fee Name
02/11/2009 Expired Permit Renewal Fee
Wednesday, February 11, 2009
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Invoice Number: PL -2 -09 -33941
Invoice Date: February 11, 2009
Permit Number: PL -2 -07 -204
Bond Number:
Comments:
Fee Type
Calculated
Total Fees Due:
Fee Amount
$160.00
$160.00
Payments
Date Pay Type
02/11/2009 Check
Check Number Amount Paid
1115 $160.00
Change
$0.00
Total Paid: $160.00
Total Due: $0.00 II
BUILDING
PERMIT APPLICATION y.
FBC 2004
Permit Type (circle): Building Electrical Plumbing Mechanical
5ANDI .COU # '36 75
Owner's Name (Fee Simple Titleholder)
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) / 05 3 /�/ e 3 J .
City Miami Shores Village County
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City Nk
Qualifier Name
Architect/Engineer's Name (if applicable)
Notary $
Scanning $ 3'
Bond $
0.24 Miami Shores Village
� )51oi Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
BC c
'
7o( ?
State Certificate or Registration No. Certificate of Competency No. T /
ypetiQ Wok`
g X
1 1
IftlifilA
r S!!P
i! t.°c a �f f( ;•7
r.
[] .ddition
� r
AA' .
Phone #
+i Wo
quark Miaat:� )botage O>�.�4for4:
� '_ -*AO
,S W � e9140.6 LEA' r-,3 9 ` f *
Ne v Repairfll epla
Alteration
Submittal Fee $ Permit Fee $ I 0
5) 756.8972
FEB 0 2 200 Permit No. O — ZL'
Master Permit No.
G4 IC Wg-1CS
Miami -Dade
Training/Education Fee $ s �DU
Code Enforcement $
Structural Review. $
Phone # �� J £ 77) / 70-
Zip s11
Phone #
Radon $ DPBR $
Roofing
Zip
** * * *** •< ** *•* ** ** * *•* * *** * * ** * *** * * *•* F ees * *•*, *•* * * * *, *** * * * * ** * *** * * *** * *•* * * * ** ** ** * **
CCF $ 1 .80 CO /C
Technology Fee $ 4--
Zoning $
Double Fee $
Total Fee Now Due $ I .
See Reverse side t->
0 Demolition
0
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 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
NOTARY PUBLIC:
Owner or Agent
The foregoing instrument was acknowledged before me
day of AAA - i 1?
who is personally known to me or w has produced
s identification and who did take an oath. as identification and who did take an oath.
Sign:
Print:
My Commission Expires:
(Revised 02 /08/06)
APPLICATION APPROVED BY:
Sign:
Print:
My Commissi
ontractor
The foregoing instrument was acknowledged before me this`2
day of 2, 0 C , by ( S
who is personally known to n4 or who has produced
NOTARY, PUBLIC:
******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Public Works
Permit Application
FBC 2004
Type of Woric
Describe Work
Miami Shores Village
Public Works Department
City Miami Shores Vi@ape
10050 N.E. 2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fax (305) 756.8972
G/IS
Permtt Type: Public Works WATER
Owners Name (Fee Simple Titleholder) p! L MVP
OwrneaAddtess i � 5 33 At c�
City State
Tenant/Lessee Nance / Phone
County
le Building Her Designated: YES
Contractor's Company Name \- G4F?
y- 1 , � ConuactorsAddress l 7 ) T "V Y Q
City r ' FC
Ar hitectlErtghieer's Name (if applicable) Phone S:
$ Vairre of Work For this Permit Lineal Footage Of work
Submittal Fee $ Fame Fee $
Notary
$
Scanning t
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Training/Education Fee $
Ram $
Structnar Plan Review $
Phone 0:
Pendt No.
Miami Dade Zip
Phone#:
cc $
Technology Fee $
Zoning Bond $
ziP 2
Bonding Company's Name (ff applicable)
Bonding.Company's Address (P ( N/A
City - State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Application is hereby made to obtain a penn0 to do the work and installations as indicated. I =Iffy 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 pemrit 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 condit ion to this issuance of a Public Works permit with an estimated value exceeding $2500, the applicant must
promise in good fah that a copy of the note of cammencement and axistruction lien law brochure will be delIvemd to the person whose
property is subject to attachment Also, a certified copy of the recorded notice of commencement rust be posted at theme ale 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 refnspecdon fee Will be charged
Signature
CiArl AfiA
NOTARY PUB 'C
Sign:
Print:
My Commission
11/17/2005
Owner or Agent
as identification and who did take an oath.
• t 1 - ,,° Notary Pic - Stated FIbdd
1
•
Commission if 0D 513850
,,, °� �'••- Bonded By National Notary Assn.
Signature
N/A
ZIP
'1'\
rrtrtor
Co
The foregoing instrument was acknowledged before me this The foregoing instrument was admowledged before me this
-�
2007 by �J.11aJ� V
� U
who is personally known to me or wh has produced Who is personally know to me or produced
day of_ ,20 by Cam' J° 0 ' - ` SUU kayof
as idenbic ation and who did take an oath.
09k10 7 Public Works Director or
his designee.
. A •
NOTES
CONSTRUCTION
17 LocAtE AND . PROTECT. ALL UTILITIES IN AREA OF
CONSTRUCTION. SUNSHINE # 1-800-432-4770
/ 2. RESTORE ALL AREAS TO PRIOR CONDITIONS
3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL
GOVERNMENT .AND TPG STANDARDS.
15 .
12
9
PER COFTL
4.NO
5. NQ WM., Al-R PROFILES.
6. NQ DRAINAGE,
NO APPLI0A11ONS SOON:PIED
.. •
6. DEWATERINO ABOVE W TABLE
7. TRAFFIC STRIPS o LOOPS.
LEGEND
R/W RIGHT .CI‘F WAY -
P/L PROPERTY LINE
/T TAPPING TEE
EFV EXCESS FLOW VALVE
SVC SERVICE LINE
SP STEEL PLASTIC .COAT
PE POLYETHELENE
3 MAX
SOD RESTORATION DETAIL
SCALE: NOT TO SCALE
PROP 3/4 PE BORE
0---
NE 3RQ COURT
CROSS SECTION
SCALE NOV - TO SCALE
WArEft VAN 'W
F T- MINIMUM
•••■•••••••■••••••■,•••..
PROPOSED 3•
1 14F
P
DRIVE WAY tipRNAROUND
tar 4
L co< 12
LOT 3
BLOCK 12
LOT 2
MOP( 12
• LOT 1
BLOCK .12
END
_
LOT 14
LOT 13
BLOCK 11
LOT1
BLOCK 11
DRIVE WAY / TUFOIAREtOND
N P/L
LOT V/116
LOOK 11
s
LOT.
LOCK II-
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00 +,
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TECO / PEOPLES - N,ASNINVE16,4
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