The URL can be used to link to this page

PL-07-291Issue Date: 2/21/2007 Owner's Name: SAILESH MEHTA Permit Type: Plumbing - Residential Work Classification: New Job Address: 10480 5 Avenue NE Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/20/2007 Contractor(s) E.H WHITSON PLUMBING Phone 954-929 -3599 Primary Contractor Yes Type of Work: GAS Additional Info: PLUMBING 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, I 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 -291 Phone: (305)491 -5729 1122310150010 Lot PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Fees Due CCF Education Surcharge Permit Fee - New Construction Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $170.00 $3.00 $4.25 $178.05 Invoice Number PL - 2 - 07 - 27583 Total: Amt Due $178.05 ( Amt Paid 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. MCMEWM BUILDING FEB 1 6 200 PERMIT APPLICATION M aster Permit No. 6P 0 - 16 2 2_ FBC 2004 BY: . Permit Type (circle): Building Electrical Plumbing a Roofing Owner's Name (Fee Simple Titleholder) 5.4f Lec.4 es - r - '4. I Phone # ®. 4 1 s1 2_7 Owner's Address 1 0 + ' 0 4- E City P A State Tenant/Lessee Name Qualifier Name , 43 S 1 A P lf.A Type of Work: Describe Work: Bond $ Structural Review. $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 t1-.1 Submittal Fee $ Permit Fee $ l 1 Notary $ Training/Education Fee $ Scanning $ '00 Radon $ DPBR $ Zoning $ Permit No. PLo 7 2291 `�. Zi _ Phone # 30 S 4-7 l S 7 Job Address (where the work is being done) lo 4-go N C. S 6 City Miami Shores Village County Miami -Dade Zip 33 1 &.f' FOLIO / PARCEL # Is Building Historically Designated YES NO 1 Contractor's Company Name , 1 4 . LI 14 4 1 ' 3 " PI '` 1- ' `' Phone # li c4.- 9 9 3 5-9 9 Contractor's Address 4 2- So u 21 c} pF c LL-11,-) 0 1 3 ,c 2 City I-1 L.4,1 I, . �- a o State rte Zip 3") 0 '1,- 0 Phone# x'54 - Qa3., .6c1 9 ! State Certificate or Registration No. Certificate of Competency No. CP C- 1 Lia 9 el Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ U Square / Linear Footage Of Work: Addition A , ❑Alte n [New ❑ Repair/Replace ❑ Demolition On j cs line Tor U3 oki ( lvtiti 4 4 (t 1.t'l O. -CDC' **** *** *** *** * * * ** **** *** * ' Fees************* * * * * * * * **** ** * * * * * * * * ** *** ** * ** CCF $ d (C CO /CC Technology Fee $ 4-25 Double Fee $ G-� CD Total Fee Now Due $ 17T. Fe© oV 2 3 PA See Reverse side a c Kc C 4 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 broch will be delivered to % e person whose property is subject to attachment. Also, a certified copy of the recorded notice mmenr rent must b posted ,i the job site for the first inspectio • which occurs seven (7) days after the building permit is . sued In , abse e of uch p` ed noti , the inspection will not be a roved and a reinspection fee will be charged Si Prin (Revised 02108!06) Con ' ctor The foregoing instrume •. .low i ged before me this The forego instrument was acknowledg., before me this q , day of tE? ,20 Cl, by a IAN L1PIll , who is personally known to me or who has produced who i personally known to or who has produced as identification and who did take an oath. d a y of i '> -1 , 20 0k , by Sc t— t-l'3- 1)L NOTAR Carlo Saint Cyr • I%'Com My Commission Expires: no **,* * ****** ** ***** * * * * * *** APPLICATION APPROVED BY: As identification and who did take an oath. 0112453e2 NOTARY PUBLIC: Print My Commissio ine r * * * *** * * * * * * * ** ** * * * * ** * * * ** ** * * * * ** * * * * * * ** * * * * ** * *,r ** Plans Examiner Engineer Zoning Permit Number: PL -2 -07 -291 Invoice Number: PL -2 -07 -27583 Applicant: SAILESH MEHTA Company Name: Owner Address: 10480 NE 5 AVE MIAMI SHORES, FL 33138 Job Address: 10480 5 Avenue NE Miami Shores Village, FL 33138- Date Friday, February 23, 2007 02/23/2007 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 0994 Amount $178.05 RECEIVED FFB 2 00� 2007 BY: /`�✓a,r/ Change $0.00 Total Payment: $178.05 Page 1 of 1