PL-08-1462Project Address
1225 NE 91 Terrace
Miami Shores, FL 33138-
1132050010240
Block: Lot:
Veruchska Vidal
.Zreelfer4Far,,i4Z7V GO' SP,
Owner Information
Veruchska Vidal
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Contractor(s)
EWINGS PLUMBING INC
Phone Cell Phone
(305)235 -1028
Type of Work: PLUMBING
Type of Piping: GAS LINE
Additional Info:
Bond Retum :
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$180.00
$3.00
$4.50
$188.30
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
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Friday, August 8, 2008
Address
Expiration: 02/04/2009
Parcel Number
1225 NE 91 TERR
MIAMI SHORES FL 33138 -3405
Phone
Total
$ 0.00 $ 0.00
Payment Type:
Amt Paid I Amt Due
$ 0.00
PA-4 IS 14 AllIN 0 P Mi)
Applicant
Available Inspections :
August 08, 2008
Date
Cell
(786)553 -3106
Inspection Type:
Final
Re Pipe
Underground Rough
Water Service
Top Out
Water Main
Lavatory
Heater
Main Drain
1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
City Miami Shores Village County
FOLIO / PARCEL # ,a ^311:6 1411 4.-N
Is Building Historically Designated YES
Miami Shores Village
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Name (Fee Simple Titleholder) 1XiWa- Phone #J - ,)44 - 4690
Owner's Address `a'„5 kAt C% -rte �1,
City tMx State T.1 Zip -31 0
Phone #
* *** coYaYxaY****xxxot+Ydr*w**a w**
Submittal Fee $ Permit Fee $
/ ?"
Miami -Dade
NO V
Permit No.- 1 1 64)3
Master Permit No.
Zip
Contractor's Company Name bw, `1 q,p,„,10,,, Till, Phone # 1 235 " 1022
Contractor's Address `irt . 'Juj VW 3t 14 46
City WkiAllA h. State fl Zip 3'3 1 �S 7
Qualifier Name ?Ase) S t Phone #
State Certificate or Re 'stration No. C JJ Certificate of Competency No
E- MAIL: (NYIVAPM awttgS U •LO t •
Architect/Engineer's Name (if applicable) Phone #
Value of Work Far this Permit $ t25 Square / Linear Footage Of Work:
Type of Work: ['Addition Alteration ❑New / \ fl Repair /Replace ❑ Demolition
Describe Work: Tl j ItllkOI O 4t�t5 �ph1 `sli) Tb COW-Er coaTi1 lot
hw3 tat c of 1 Attu .. 65)14, "T6 g4.5
o of WA
xxxxxx*Feesw** w* Ww*** xxr, xxxxxxw ***Ww*4c**wwatxxxxxxxxxWw
CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $,
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side
Bonding Company's Name (if applicable)
Bonding Company's Address
City
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. l 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. 1 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."
Print
MOAN ADAM WNW
Newry p QIF
Af ° fi' 09011i0010i
_ : � s csslon 11 1 9
DP 645
*4 Rsough National NotayAgin.
:11
xaminer
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 0 4(
20 Or, by ` 1' Qs1S gefcg
me or who ha' produced
As identification and who did take an oath.
NOTARY PUBLIC:
My ■ t , oz0ty P �4, JEROME ADAM RELINSKY
* * * * * ** i : =* 1 SlS!»d1f'IVRi9S
1 ' •. My Commission Expires Feb 27, 2011
lA
9 +` ta Commission # DD 645190
PLIC la; " National Notary Assn.
My Commission Expires:
**** ** * ** * * * * ** ** ****ire* * *xxx xx
APPLICATION APPROVED BY:
(Revised 02/08/06)
State
Zip
Signature
Contractor
The foregoing instrument was ackno edged before me this C»
day of 4(45 , 200 � by e Gil o. I
(who is personally knoj to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
My Co
My Commission Expires:
+ ti4rao xeY4ca4x3r*9e******* **** *** YsaxaYneeYxeY****a ***** **x9r**e4 &********x
7-08
Plans Examiner
Engineer
Zoning
to
e
INSTALLATION OF GAS PIPING TO CONNECT
EXISTING LIKE TO NEW METE THE
CONNECTION OF THE NEW OVE TO EXISTING GAS
LINE ON BACK OF THE LL
Passed
I e or Comments
C
.
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 08/15/2008
Inspector: Levrock, James
Owner: Vidal, Veruchska
Job Address: 1225 91 Terrace NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: EWINGS PLUMBING INC
Building Department Comments
Thursday, August 14, 2008
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Plumbing - Residential
Inspection Type: Press Test
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132050010240
Lot:
Phone: (305)235 -1028
Page 2 of 2
ELECTRICAL INSTALLATIONS FOR LIGHTS, A/C UNITS,
AND ELECTRICAL SERVICE FOR NEW ADDITION
Passed
Inspector Comments
��
/2_,
�`
ra
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: June 03, 2010
Inspector: Devaney, Michael
Owner: MAYER, SIMONE
Job Address: 620 NE 101 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: 3 WAVES ELECTRIC CORP
Building Department Comments
June 07, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: I NS P- 108907
Permit Number: EL- 3- 09-416
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
- ti1 2, ( e
Parcel Number 1132060172130
Phone: (305)221 -3780
Page 1 of 1