1184 NE 91 Terr (13)Type Insp'n 1 Za�h ���
PLC25 - 18 4
Permit No.
2898
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
D ? / a
Name BrcndG W -h DY p
Address 1 1 3 4 NE. 9 l 5T r r
Company MO C 5p1-1c
Phone #
Inspection Date 7 / /
Approved
Correction
Re- Insp'n Fee
(3°5) 798
- 7113 Gwue _
Z6
MIAMI SHORE LLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 7 / / 2 /c
Type Insp'n � r
Permit No. P — 184
Er rid d CADC5 - 1 - h0 f p .
Address ,\ -\1 Ten
Company tit. C'S 5 Q II h (� ( I K
N
Phone # S) � I q — 1 1 1 3 °L(.)y ey
Name
Inspection Date
Approved
Correction
Re- Insp'n Fee
Date M \\2\Ob
Type lnsp' n 1 NA\ \-- u1Ny
Permit No. Loy5
Name oi\OcL kV4 -', 1
Address Mti WE
Compan s C)S sOE' ) L Tot
t
Phone # n' 1 0 � q Ii Came
3105 _ -
Inspection Date
Approved
Correction
Re- Insp'n Fee
28 45
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
PERMIT # 5PO5- ►Oy_
CONTRACTOR: OWNER
SUBMITTAL DATE: 71Z5105
PROJECT TYPE: R6MOI II N
,
ZONING
FIRE
STRUCT L
IMPACT FEES
EL
HRS/DERM
P
UM:
fdi
NOC
MECHANICAL
BLDG (/---
0 K-- 0/05
• - N M70 0 2 005
MIA ORES VILLAGEMV:v" WtZ-
C BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 111416
Type Insp'n r// 4 !
Permit No. FL 2 00 ' gl
Name 1aMd4 MOW/1p
Address 484 E q l MI t
Company 205/151--475 �/
Phone #
Inspection Date 11 1103
Approved
Correction ❑
>1r
Re- Insp'n Fee ❑
Date Atsk n
Type Insp'n I 41)(1,
Name VVQ,-Sb
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILL
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Permit No. ( Vt. 21D S W `
Address MIA Mt
Company
Phone #
Inspection Date
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/9/2005
Applicant: BRENDA
Owner: WESTHORP
JOB ADDRESS: 1184
Contractor
Local Phone:
Parcel # 1132050010460
NE 91
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2005 -229
WESTHORP
BRENDA
TERR
Contractor's Address:
Legal Description: 5 53 42 WATERSEDGE
Permit Status: APPROVED Permit Expiration: 1/21/2006 Construction Value: $2,400.00
Work: RELOCATE ONE BATHROOM, KITCHEN AND UPGRADE MASTER BATH
Signed: (Contractor or Builder)
BY:
Page 1 of 1
PB 9 -141 E45FT OF LOT 22 & W4OFT OF LOT 23
Fees:
FEE2005 -10818
FEE2005 -10819
FEE2005 -10820
FEE2005 -10821
FEE2005 -10822
FEE2005 -10823
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$180.00
$1.80
$5.00
$0.60
$4.50
$3.00
$194.90
Total Fees: $194.90
Total Receipts: $0.00
AUG 0 9 PAID
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.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING RE E O �, E
PERMIT APPLICATION I.. JUL 1 25
FB 2001 . -,. _ _,� ,• wr
Permit Type (circle): Building Electrj
Owner's Name (Fee Simple Titleholder) (°
Owner's Address l l' A HE 9 1
City r` ldt�l �. .zy✓.c 6 j State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
State Certificate or Registration No.
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side)
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑Addition IiKteration
Describe Work: vu 2_
County Miami -Dade
NO
CJ 1Q�/' 6 J�1 tC 9 Phone # � � J � Q -
New
Structural Plan Review. $
Permit No. R. Q + 2 2. q
ster Permit No.
Mechanical Roofing
-t Phone #(1 — 4 - TS 7
1 2-WA
Zip
Phone #
Certificate of Competency No.
Zip
Square Footage Of Work: ACED
❑ Repair/Replace ❑ Demolition
R - \Qc '- V ��
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ f _ t3 0 CO /CC r
Submittal Fee $ Permit Fee $ 4 1 i
Notary $ 5. 00 Training/Education Fee $ 0 • 00 Technology Fee $ 4 . .
Scanning $ 3 • Radon $ Zoning Bond $
Code Enforcement $
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
Signature
Chc 05/13/03
O ' er . Agent
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 '.t be apy6v•d and a reinspection fee will be charged.
Signature
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20,by , day of ,20,by
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:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Contractor
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * . * ** ***************************** +0 * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: / r /„4: - e- -C.__ 7� t /(;) Plans Examiner
i // 0
Engineer
Zoning
. Lr l m. l Ann
RELAY 1
1
.,.........,
TELEVISION OUTLETS
DRAINFIELO, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
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
(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.)
UNIT
• 1
1
1
3
1
FEE
ITEM
SWITCH OUTLETS
LIGHT OUTLETS
RECEPTACLES
SERVICE TEMPORARY
SERVICE SIZE IN AMPS
SERVICE REPAIR/METER CHANGE
APPLIANCE OUTLETS
RANGE TOP
OVEN
WATER HEATER
MOTORS 0- 1 HP
MOTORS QVER 1- 3 FP
MOTORS OVER 3- 5 IiP
MOTORS OVER 5- 8 HP
MOTORS OVER 8- 10 HP
MOTORS OVER 10- 25 HP
MOTORS OVER 25-100 HP
MOTORS OVER 100 HP
A/C WINDOW
AIR CONDITIONERS
STRIP HEATER
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
OUTLETS COMMERCIAL
SIGN TES
SIGN TRANSFORMERS
SIGN TIME CLOCK
FIXTLRES
UNIT
33
-}z
FEE
ITEM
SPACE HEATERS
CENTRAL HEATING
A/C (WIND)
A/C (CENTRAL)
DUCT WORK
REFRIGERATION
PROCESS AND PRESS PIPING
UNDERGROUND TANKS
ABOVE GROUND TANKS
U.F. PRESSURE VESSELS
STEAM BOILERS
HOT WATER BOILERS
MECHANICAL VENTILATION
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATORS
FIRE SPRINKLER SYSTEMS
COOLING TOWERS
VIOLATION
REINSPECTION
UNIT
1
FEE
ITEM
PLUMBING
BATH TLB
BIDET
DISHWASHER
DISPOSAL
DRINKING FOUNTAIN
FLOOR DRAIN
GREASE TRAP
INTERCEPTOR
LAVATORY
LAUNDRY TRAY
CLOTHES WASHER
SHOWER
SINK, POT /3 COMP.
SINK, RESIDENCE
SINK, SLOP
TEMPORARY WATER CLOSET
URINAL
HATER CLOSET
INDIRECT WASTES -
WATER SUPPLY TO:
A/C UNIT
FIRE SPRINKLER
HEATER -NEW INST.
HEATER - REPLACE
LAWN SPRINKLER -WELL
SW I Mfil I NG POOL
MATER SERVICE
SEWER CONNECTIONS
UTILITY -SEWER
UTILITY -WATER
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL